APPEAL I PART C-Decision under Appeal The decision under appeal is the Ministry of Social Development and Social Innovation ("ministry"), reconsideration decision dated February 25, 2014, which denied the appellant a crisis supplement for a bed. The ministry relied upon section 5 of the Employment Assistance Persons with Disability Act (EAPWDA) and section 57(1) of the Employment Assistance for Persons with Disabilities Regulation (EAPWR) and specifically determined that it was not satisfied that failure to obtain another regular bed would result in imminent danger to the appellant's physical health. PART D -Relevant Legislation -Employment and Assistance Persons with Disability Act (EAPWDA) -section 5 -Employment and Assistance Persons with Disability Regulations (EDPWDR)-section 57(1) and Schedule C Health Supplements
P A R T E S u m m a r y o f F a c t s T h e e v i d e n c e b e f o r e t h e m i n i s t r y a t t h e t i m e o f t h e m i n i s t r y ' s o r i g i n a l d e c i s i o n d a t e d F e b r u a r y 1 1 , 2 0 1 4 d a t e d F e b r u a r y 1 3 , 2 0 1 4 i n w h i c h t h e a p p e l l a n t s t a b e d f e l l a p a r t o n e m o n t h a f t e r r e c e i p t o f i t ; ( c ) s h e h n o t b e e n f i t t o s l e e p o n f o r s o m e t i m e ; ( d ) s h e w a k e h e r p a i n m e d i c i n e a s a r e s u l t t h e r e o f ( e ) h e r d o c t o r w h a t s h e n e e d s ; a n d ( f ) i n v i e w o f t h e s e v e r a l s e r i o R e a s o n s f o r R e c o n s i d e r a t i o n , s h e i s w i l l i n g t o a c c e w o r k e r h a d s u g g e s t e d a f o a m m a t t r e s s f o r h e r , b u t r e c o m m e n d e d a n o r t h o p e d i c m a t t r e s s t o a l l e v i a t e h w o r k e r t o g o a n d b u y a b e d a n d t h e n h e " h u n g u p " n o t b e g r o v e l i n g f o r a b e d f r o m t h e m i n i s t r y i f s h e c o r e q u e s t i n g a b e d f o r a p e r i o d o v e r a y e a r a n d s h e d h e r d o c t o r o r k n o w s t h e p a i n s h e e n d u r e s . I n h e r N o t i c e o f a p p e a l , f i l e d o n M a r c h 1 3 , 2 0 1 4 , t h e m i n i s t r y ' s r e c o n s i d e r a t i o n d e c i s i o n o n t h e g r o u n d s o T h e p a n e l f i n d s t h e c o n t e n t s o f t h e R e q u e s t f o r R e c b e f o r e t h e m i n i s t r y a t t h e t i m e o f r e c o n s i d e r a t i o n : ( 1 A u g u s t 2 0 1 3 t h a t h e r d o u b l e f o a m b e d w a s t o o l o w ( 2 ) i n S e p t e m b e r 2 0 1 3 , s h e h a d p r o v i d e d a d o c t o r ' s a p p e l l a n t h a d o s t e o p o r o s i s a n d o s t e o a rt h r i t i s , w h i c h T h e p a n e l f i n d s t h a t t h e c o n t e n t s o f t h e R e q u e s t f o r u p o n a n d s u p p o rt t h e i n f o r m a t i o n a n d r e c o r d s t h a t w r e c o n s i d e r a t i o n a n d a d m i t t e d t h e m a s a d d i t i o n a l e v i o f t h e E m p l o y m e n t A s s i s t a n c e A c t . T h e p a n e l n o t e s t h a t t h e r e c o n s i d e r a t i o n d e c i s i o n m c o m p l e t e d i n N o v e m b e r 2 0 1 3 , w h i c h w a s s u b m i t t e d s e p a r a t e S c h e d u l e C H e a l t h S u p p l e m e n t r e q u e s t f o a s s e s s m e n t i s n o t i n t h e r e c o r d o f a p p e a l . H o w e v e r r e q u e s t t o t h e p a n e l a t t h e b e g i n n i n g o f t h e a p p e a l ( t o t a k e n o t e t h a t a s e p a r a t e r e q u e s t f r o m t h e a p p e l l a a n o rt h o p e d i c m a t t r e s s h a d b e e n a p p r o v e d b y t h e m m i n i s t r y ' s r e c o n s i d e r a t i o n d e c i s i o n t h a t d e n i e d t h e a o f E A P W D R f o r a r e g u l a r b e d . T h a t s e p a r a t e a p p l i c u n d e r S c h e d u l e C , a n d t h e d e c i s i o n r e l a t i n g t h e r e t o H o w e v e r , w i t h t h e a p p r o v a l o f t h e m i n i s t r y r e p r e s e n r e c o r d a n e x t r a c t o f t h e O T a s s e s s m e n t , w h i c h a m o h a s s e v e r e m e d i c a l c o n d i t i o n s t h a t r e q u i r e h e r t o h a i m m e d i a t e p h y s i c a l h e a l t h . T h e p a n e l n o t e s t h a t t h e r e l a t i n g t o t h e r i s k s t o t h e p h y s i c a l h e a l t h o f t h e a p p t h e m i n i s t r y a t t h e t i m e o f r e c o n s i d e r a t i o n ( d i s c u s s e d R e q u e s t f o r R e c o n s i d e r a t i o n ) a n d a l s o s u p p o r t s t h e R e c o n s i d e r a t i o n , w h i c h h a s b e e n a d m i t t e d b y t h e p a I A P P E A L r e c o n s i d e r a t i o n d e c i s i o n c o m p r i s e d o f t h e a n d t h e a p p e l l a n t ' s R e q u e s t f o r R e c o n s i d e r a t i o n t e s t h a t : ( a ) s h e h a s m u l t i p l e h e a l t h i s s u e s ; ( b ) h e r a s b e e n s l e e p i n g o n c o n c r e t e f l o o r a s h e r b e d h a s s u p v e r y s o r e , p a i n f u l a n d h a v e h a d t o i n c r e a s e h a s s e n t l e t t e r s t o t h e m i n i s t r y t o e x p l a i n w h y a n d u s m e d i c a l c o n d i t i o n s e n u m e r a t e d b y h e r i n t h e p t a n y b e d -" b e t t e r t h a n n o t h i n g ' ; ( g ) a m i n i s t r y t h a t d i d n o t w o r k o u t ; ( g ) h e r d o c t o r h a s e r a c h e s a n d p a i n ; ( h ) s h e w a s t o l d b y a m i n i s t r y ( t h e p h o n e ) a f t e r s a y i n g " g o o d b y e ' ; ( i ) s h e w o u l d u l d b u y t h e b e d h e r s e l f : a n d ( h ) s h e h a s b e e n o e s n o t b e l i e v e t h a t t h e m i n i s t r y i s l i s t e n i n g t o h e r , a p p e l l a n t s t a t e s t h a t s h e d i s a g r e e s w i t h t h e f t h e " i n t e r p r e t a t i o n o f l e g i s l a t i o n " . o n s i d e r a t i o n r e l a t e t o t h e f o l l o w i n g f a c t s t h a t w e r e ) t h e a p p e l l a n t h a d c o m p l a i n e d t o t h e m i n i s t r y i n a n d t h i n , a n d w a s h u r t i n g h e r h i p s a n d b o d y ; a n d n o t e t o t h e m i n i s t r y t o t h e e f f e c t t h a t t h e r e s u l t e d i n " s e v e r e c h r o n i c p a i n " a n d s t i f f n e s s " . R e c o n s i d e r a t i o n , a m o n g o t h e r t h i n g s , e l a b o r a t e e r e b e f o r e t h e m i n i s t r y a t t h e t i m e o f d e n c e p u r s u a n t t o t h e p r o v i s i o n s o f s e c t i o n 2 2 ( 4 ) a k e s a s p e c i f i c r e f e r e n c e t o a n O T a s s e s s m e n t b y t h e a p p e l l a n t t o t h e m i n i s t ry i n s u p p o r t o f h e r r a n o r t h o p e d i c m a t t r e s s . A c o p y o f O T , t h e m i n i s t r y r e p r e s e n t a t i v e m a d e a s p e c i a l b e f o r e t h e h e a r i n g o f t h e a p p e l l a n t ' s a r g u m e n t s ) n t , u n d e r S c h e d u l e C H e a l t h S u p p l e m e n t s , f o r i n i s t r y a r o u n d t h e s a m e d a t e a s t h e d a t e o f p p e l l a n t ' s c r i s i s s u p p l e m e n t u n d e r S e c t i o n 5 7 ( 1 ) a t i o n o f t h e a p p e l l a n t f o r a H e a l t h S u p p l e m e n t , i s n o t a m a t t e r o f c o n c e r n f o r t h i s a p p e a l . t a t i v e , t h e a p p e l l a n t ' s a d v o c a t e r e a d i n t o t h e n g s t o t h e r m a t t e r s , i n d i c a t e d t h a t t h e a p p e l l a n t v e a n o r t h o p e d i c m a t t r e s s t o p r o t e c t h e r m e d i c a l i n f o r m a t i o n i n t h e O T a s s e s s m e n t e l l a n t c o r r o b o r a t e t h e e v i d e n c e t h a t w a s b e f o r e a b o v e i n t h e c o n t e x t o f t h e c o n t e n t s o f t h e c o n t e n t s o f t h e a p p e l l a n t ' s R e q u e s t f o r n e l a s b e i n a a d d i t i o n a l e v i d e n c e i n s u o o o r t o f t h e
informati on and records that w e re befor e t he mini s t At the hearing, t he a p pellant and he r ad vo c ate collect w i th s everal medica l cond i tions a n d d o es n ot have a pro rece ive d a doub l e b ed thr oug h the m inistry i n Janu in the d ouble bed mattress cam e through the m attre theref ore n ot use a ble. Sub sequen t ly, the a p pellant r w hich, wit h the leg s attache d to it, was mer ely a foot the ap pell ant also mad e i t d i fficult to us e this bed as T h e mi nist ry ' s r e co nsideratio n deci sion state s th at: " be d ' fel l a part' an d i s no longer su i t able to sl eep o n th e ap pell ant at the hearing of th e app eal e xp lains how 2013 "fel l apart" and wer e in fe s te d w it h bugs, a nd t issu es are di r e ctly hi g hligh t ed in the recon sidera tion the ti me o f re c ons id eration. T he p anel therefore admit pr ovisio n s of s ection 22 (4) of the Employment As sista In c o n clusion, th e appellant and he r ad vo c ate argued tha a r eg ular bed t hat i n cludes a woo den/m en t al fram e and a box s which s h e ca n place the or thop edi c matt res s, which 2 014. The Mi n i stry ar g ued t hat th e appel lant' s ap peal is i n fo rm of a regul ar bed. S he a ck no wle dge d tha t ge nera we ll as a box sp r in g m at tr ess. H owe v e r, the a ppellant' th at the a p pe l la n t also nee ded a bed fra me a nd/or a box sp hav e b e en financ i al ly impr ude nt on the p ar t of the m a s a t t h e time of the r e conside ratio n d ec i s i on, the minis as ses smen t i nd i ca t ing a ne ed f or an ort hopedic mattress co n cluded t hat, notwi th standing the fac t th at the a p pellant's and the appellant had no resources to purchase the bed on her own, a crisis of a regular be d w o u ld not addr ess t h e needs of the is not satisfie d that the denial of a regular bed would result in imminent danger to the physical heath of the appellant, particularly as the appellant had not complained about the bed to the ministry until August 2013. Ba s e d o n the f ore going, th e pane l m akes th e foll o w 1. Th e b e ds provided to the appellant by or through the ministry in January are i rretrievably broken down and/o r are unusable base the appellant; and 2. The evidence relating to medical conditions described by the ministry in the reconsideration decision (as discussed above) as well as that described by the appellant in her Request for Reconsideration (also as discussed above) highlight clear and continuing risks imminent danaer t o the physical hea lth of the aooellant. I APPEAL r y at the ti me o f reco nsideration. iv ely st ated that the app e l lant is a n indivi d ual per bed t o sleep upon. The appell a nt had ary 2013, but it is no longer us eab le a s the springs s s and the bo x s pri n g had bugs on it. It is ece i v ed a nothe r double f oam b ed in May 2 0 13, o r so a bove the flo or. The m ed i c al condi ti o n s of i t continu ed to a f fect her ph ys ical he alth . Not enough in fo rmation was pro vided why th e " . The pa n el finds the foreg oi ng o ra l evide n ce of th e beds p ro vided in Jan u a ry 20 1 2 a n d May h er efore is no longer suitable for u s e . All of th ese decision a n d hence were b e for e the mi n i s t r y at s them as ad ditional evi denc e p u rsuant t o th e nce A ct. t th e appellant h as n ot rec eived ap proval f o r pring mattress f o r a single bed upon was approved for h er b y th e mi nistry on April 17, res pect of a d enial of a crisis supp le ment in the lly a regul a r bed do es inclu de a bed frame as s re qu e s t for th e reg ular bed did not specify ri n g ma ttre s s, and, i n any ev e nt , it w ou l d inistr y t o app r ove a r egular bed for th e ap pe ll ant, try already h ad in its posse ssion an O T fo r the a ppella nt . Th e m inistr y the refor e nee d for a d iff e rent bed w as un e x pec ted supplement in the form appellant. The ministry furt her concluded that it i ng f i n dings o f f act: 2012 and May 2013 d upon the new admitted evidence of that are
P A R T F R e a s o n s f o r P a n e l D e c i s i o n T h e i s s u e i n t h i s a p p e a l i s w h e t h e r t h e m i n i s t r y ' s d s u p p l e m e n t f o r a b e d w a s r e a s o n a b l y s u p p o r t e d b y a p p l i c a b l e e n a c t m e n t i n t h e c i r c u m s t a n c e s o f t h e a a p p e l l a n t w a s n o t e l i g i b l e t o r e c e i v e a c r i s i s s u p p l e n o t s a t i s f i e d t h a t f a i l u r e t o o b t a i n a n o t h e r r e g u l a r b a p p e l l a n t ' s p h y s i c a l h e a l t h . I n a r r i v i n g a t i t s r e c o n s i d e r a t i o n d e c i s i o n , t h e m i n i s E m p l o y m e n t A s s i s t a n c e P e r s o n s w i t h D i s a b i l i t y A c D i s a b i l i t y a s s i s t a n c e a n d s u p p l e m e n t s 5 S u b j e c t t o t h e r e g u l a t i o n s , t h e m i n i s t e r m a y p r o v i f a m i l y u n i t t h a t i s e l i g i b l e f o r i t . E m p l o y m e n t A s s i s t a n c e C r i s i s s u p p l e m e n t 5 7 ( 1 ) T h e m i n i s t e r m a y p r o v i d e a c r i s i s s u p p l e m e n a s s i s t a n c e o r h a r d s h i p a s s i s t a n c e i f ( a ) t h e f a m i l y u n i t o r a p e r s o n i n t h e f a m i l y u n i t r e q u e x p e n s e o r o b t a i n a n i t e m u n e x p e c t e d l y n e e d e d a n b e c a u s e t h e r e a r e n o r e s o u r c e s a v a i l a b l e t o t h e f a m ( b ) t h e m i n i s t e r c o n s i d e r s t h a t f a i l u r e t o m e e t t h e e x ( i ) i m m i n e n t d a n g e r t o t h e p h y s i c a l h e a l t h o f a n y p e ( i i ) r e m o v a l o f a c h i l d u n d e r t h e C h i l d , F a m i l y a n d C ( 2 ) A c r i s i s s u p p l e m e n t m a y b e p r o v i d e d o n l y f o r t h e r e q u e s t f o r t h e s u p p l e m e n t i s m a d e . ( 3 ) A c r i s i s s u p p l e m e n t m a y n o t b e p r o v i d e d f o r t h e ( a ) a s u p p l e m e n t d e s c r i b e d i n S c h e d u l e C , o r ( b ) a n y o t h e r h e a l t h c a r e g o o d s o r s e r v i c e s . S C H E D U L E C H e a l t h S u p p l e m e n t s M e d i c a l e q u i p m e n t a n d d e v i c e s 3 ( 1 ) S u b j e c t t o s u b s e c t i o n s ( 2 ) t o ( 5 ) o f t h i s s e c t i o n s e c t i o n s 3 . 1 t o 3 . 1 2 o f t h i s S c h e d u l e a r e t h e h e a l t h i f ( B . C . R e g . 1 9 7 / 2 0 1 2 )I A P P E A L e c i s i o n t o d e n y t h e a p p e l l a n t ' s r e q u e s t f o r c r i s i s e v i d e n c e , o r a r e a s o n a b l e a p p l i c a t i o n o f t h e p p e l l a n t . T h e m i n i s t r y d e t e r m i n e d t h a t t h e m e n t u n d e r s e c t i o n 5 7 ( 1 ) o f t h e E A P W R , a s i t w a s e d w o u l d r e s u l t i n i m m i n e n t d a n g e r t o t h e t r y r e l i e d u p o n t h e f o l l o w i n g l e g i s l a t i o n : t d e d i s a b i l i t y a s s i s t a n c e o r a s u p p l e m e n t t o o r f o r a t t o o r f o r a f a m i l y u n i t t h a t i s e l i g i b l e f o r d i s a b i l i t y i r e s t h e s u p p l e m e n t t o m e e t a n u n e x p e c t e d d i s u n a b l e t o m e e t t h e e x p e n s e o r o b t a i n t h e i t e m i l y u n i t , a n d p e n s e o r o b t a i n t h e i t e m w i l l r e s u l t i n r s o n i n t h e f a m i l y u n i t , o m m u n i t y S e rv i c e A c t . c a l e n d a r m o n t h i n w h i c h t h e a p p l i c a t i o n o r p u r p o s e o f o b t a i n i n g , t h e m e d i c a l e q u i p m e n t a n d d e v i c e s d e s c r i b e d i n s u p p l e m e n t s t h a t m a y b e p r o v i d e d b y t h e m i n i s t e r
(a) the s u ppl em ent s a re provide d to a f amily un it tha s upplements] o f this r e gu latio n, a nd (b ) all o f the fo llowing requ iremen ts are me t: ( 1 ) ( i ) the fa mily uni t has r e cei ved the p re-a uth ori or d evic e requested; â–¡ (i i) the re a re n o resou or obt ain th e me dic al e qu i p m e nt or d evice; â–¡( e xpensive a pprop riate medi cal e qui pm ent or de Me dica l e quipme nt an d d ev ices -hosp ita l bed 3.6 (1 ) S ubjec t to su bsecti on ( 3) of this s e ctio n, the fol purposes of section 3 of th is Schedul e i f th e mini ster fa cili tat e trans fers of a pers on to an d from bed or to adju (B.C. Reg. 19 7/20 12) (a) a hospita l b ed; oâ–¡(b) an up gr aded compon ent of a hosp a hosp ital bed; (d) a po siti oning i tem on a hospital bed. (B.C. R eg. 197/20 (2) The p eriod o f t i me re ferre d to in section 3 (3) ( b ) an item d escrib ed in s ubsection (1) of t hi s section is pro vi d ed t he item b eing replace d. ( 3) The fol lowing item s a r e no t he a lth supplem ents (a) an automa t i c turning bed; oâ–¡(b) a contai nment type be M edica l e quipmen t a nd devic es -press ure relief ma 3 .7 (1 ) A p r e ssur e relie f ma t tress is a h ea lt h su pp leme Sche du le if th e min ister is s atis f i ed tha t the p ressu r e skin breakdown and ma intain skin inte gri t y . 0(2) The pe r iod of time referred to in section 3 (3) (b) of this Schedule with respect to repl an it e m described i n subsection ( 1) of this section is 5 years from the date on which the ministe provided the item being replaced. (B.C. Reg. 61/2010) The appellant's position is that, on the recommendation of the minis for for a regul ar bed by way of a crisis supplemen t to addre condition. In her view the bed generally includes a bed frame as well as a box spring mattress. two be ds provide d to her in J anuary 20 1 2 and May various reasons discussed earlier in Section E of this decision. The ministry's representative sympathized with the medical predicament of the appella acknowledged that there has been an inordinate delay in addressing the needs of the appella However, she contended that the current appeal relates to a denial of a crisis supplement to the annellant. The annellant meets onlv two of the three criteria for a crisis suoolement /i.e. unexpected APP EAL I t is e ligible und er sect ion 62 [gen era l heal th z a tio n of th e m inis ter f or t he med ical equ ipm en t rces ava i lab l e to the famil y unit to pay the co s t of i ii) the me dical e qui pm ent or dev ic e i s the least v ice. â–¡ lowi ng item s a re health s uppleme nts fo r th e i s sa tis fied tha t t he it em is med ica ll y e s sent ial to st o r mainta in a p erso n's pos itioni ng in b ed: i t al be d; L JD( c) a n acces sory at tached to 1 2 ) of t his Sche du le with re s p ect to re placemen t of 5 y ear s from the date on whic h the minister fo r t he pu r p oses o f sec t i on 3 of this Schedul e: d. t tresse s nt f o r the pu r p oses of s ection 3 o f thi s reli ef ma ttre ss is me dica lly e ssen t ia l to prevent ace ment of r try wor k er s , she m ad e a pplic a t io n s s contin u in g risks to her phy sical The 2012 wer e either broken down or unusable due to nt and also nt.
e x p e n s e a n d l a c k o f r e s o u r c e s ) b u t d i d n o t m e e t t h h e a l t h o f t h e a p p e l l a n t ) . S e c t i o n 3 o f S c h e d u l e C H e a l t h B e n e f i t s E A P W D R t r a n s f e r s i n / o u t o f b e d a n d f o r p o s i t i o n i n g ) d e s c r i b e ( t o p r e v e n t s k i n b r e a k d o w n a n d m a i n t a i n s k i n i n t e g s u p p l e m e n t s ' f o r a p p l i c a n t s w h o a r e e l i g i b l e f o r s u c T h e m i n i s t r y h a s a c k n o w l e d g e d i n t h e r e c o n s i d e r a t " h e a l t h s u p p l e m e n t s " n o t e s t h a t h e r r e q u e s t i s f o r a E D P W D R a n d n o t f o r n o t f o r " h e a l t h s u p p l e m e n t s " T h e p a n e l n o t e s t h a t a n a p p l i c a t i o n f o r a " h e a l t h s u c o n d i t i o n s d e s c r i b e d i n s e c t i o n 3 . 1 , i n f o r m a t i o n r e l a t i m e o f r e c o n s i d e r a t i o n . T h e r e f o r e t h e p a n e l f i n d s t h " h e a l t h s u p p l e m e n t s ' d e s c r i b e d i n s e c t i o n 3 o f s c h e a p p e l l a n t ' s r e q u e s t f o r a " c r i s i s s u p p l e m e n t ' u n d e r s T h e r e l e v a n t l e g i s l a t i o n , i n t h e c o n t e x t o f t h i s a p p e a e l i g i b l e a p p l i c a t i o n s . T h e f i r s t i s f o r a " c r i s i s s u p p l e m p r e s c r i b e s t h e t h r e e c r i t e r i a m e n t i o n e d a b o v e ( i . e . u n o r e s o u r c e s a v a i l a b l e a n d i m m i n e n t d a n g e r t o p h y s u p p l e m e n t s d e s c r i b e d i n S c h e d u l e C o f E A P W D R T h e S c h e d u l e C s u p p l e m e n t s e x p r e s s l y r e f e r t o s p e b e d s a n d p r e s s u r e r e l i e f m a t t r e s s , w h i c h r e q u i r e a s o f t h e m i n i s t r y a n d t h e c o s t o f t h e r e l e v a n t e q u i p m e a p p r o p r i a t e . T h e m i n i s t r y h a s a c k n o w l e d g e d t h a t t h e a p p e l l a n t m s e c t i o n 5 7 f o r a c r i s i s s u p p l e m e n t . H o w e v e r , i t d e n i e g r o u n d s t h a t : -" Y o u ( t h e a p p e l l a n t ) r e c e i v e d t h e f o a m b e d M a y 2 0 m i n i s t r y u n t i l A u g u s t 2 0 1 3 . T h e m i n i s t r y i s n o t s a t i s f y o u r h e a l t h , o r t h a t f a i l u r e t o p r o v i d e a n o t h e r b e d i m h o s p i t a l b e d , w o u l d p r e v e n t d a n g e r t o y o u r h e a l t h . N w h y t h e b e d " f e l l a p a r t " a n d i s n o l o n g e r s u i t a b l e t o s T h e p a n e l c o n s i d e r e d a n d a c c e p t s t h e n e w t h e e v i d t h a t : ( a ) t h e s p r i n g s i n t h e d o u b l e m a t t r e s s o b t a i n e d t h e m a t t r e s s ; ( b ) t h e b e d f r a m e o f t h a t b e d h a d b u g s t h e a p p e l l a n t f r o m t h e m i n i s t r y i n M a y 2 0 1 3 w a s m e c o n s t a n t l y f e l l i n t o t h e c r e v i c e s o f t h e f o a m , p r o v i d e s a i d t w o b e d s a r e n o l o n g e r s u i t a b l e t o s l e e p o n . I n m i n i s t r y w a s n o t r e a s o n a b l e i n c o n c l u d i n g t h a t t h e r e s u i t a b l e t o s l e e p o n . W i t h r e Q a r d t o t h e i s s u e o f t h e i m m i n e n t d a n a e r t o t h A P P E A L I e t h i r d c r i t e r i o n ( i m m i n e n t d a n g e r t o p h y s i c a l p r o v i d e s t h a t : ( 1 ) h o s p i t a l b e d s ( t o f a c i l i t a t e d i n s e c t i o n 3 . 6 ; a n d ( 2 ) p r e s s u r e r e l i e f m a t t r e s s e s r i t y ) d e s c r i b e d i n s e c t i o n 3 . 7 a r e " h e a l t h h s u p p l e m e n t s u n d e r s e c t i o n 6 2 o f t h e E A P W D R . i o n d e c i s i o n t h a t t h e a p p e l l a n t i s e l i g i b l e f o r s u c h " c r i s i s s u p p l e m e n t ' u n d e r s e c t i o n 5 7 o f u n d e r S c h e d u l e C . p p l e m e n t ' r e q u i r e s f u l f i l l m e n t o f s e v e r a l a d d i t i o n a l t i n g t o w h i c h w a s n o t b e f o r e t h e m i n i s t e r a t t h e a t t h e m i n i s t r y r e a s o n a b l y d e t e r m i n e d t h a t t h e d u l e C c a n n o t b e c o n s i d e r e d a s p a r t o f t h e e c t i o n 5 7 . l , e n v i s a g e s t w o m a j o r t y p e s o f s u p p l e m e n t s f o r e n t " , w h i c h u n d e r s e c t i o n 5 7 o f E A P W D R n e x p e c t e d e x p e n s e , i t e m u n e x p e c t e d l y n e e d e d , s i c a l h e a l t h ) a n d e x p r e s s l y p r o h i b i t s g r a n t o f a f o r s u p p l e m e n t s c o n s i d e r e d u n d e r s e c t i o n 5 7 . c i f i c t y p e s o f m e d i c a l e q u i p m e n t e . g . h o s p i t a l e t o f c r i t e r i a t o b e m e t , i n c l u d i n g a p r i o r a p p r o v a l n t b e i n g t h e l e a s t e x p e n s i v e a n d m o s t e e t s t w o o f t h e t h r e e c r i t e r i a p r e s c r i b e d u n d e r d t h e c r i s i s s u p p l e m e n t o n t h e g r o u n d s t h e 1 3 a n d d i d n o t c o m p l a i n a b o u t t h e b e d t o t h e i e d t h a t t h e b e d r e c e i v e d i n M a y c a u s e s d a n g e r t o m e d i a t e l y , t h a t i s n o t a p r e s s u r e r e l i e f b e d o r o t e n o u g h i n f o r m a t i o n w a s p r o v i d e d t o e x p l a i n l e e p o n " e n c e o f t h e a p p e l l a n t a t t h e h e a r i n g t o t h e e f f e c t , f r o m t h e m i n i s t r y i n J a n u a r y 2 0 1 2 c a m e t h r o u g h o n i t ; a n d ( c ) d o u b l e f o a m m a t t r e s s o b t a i n e d b y r e l y a f o o t o r s o a b o v e t h e f l o o r a n d s h e c l e a r a n d a d e q u a t e e x p l a n a t i o n a s t o w h y t h e t h e c i r c u m s t a n c e s t h e p a n e l f i n d s t h a t t h e i s n o i n f o r m a t i o n a s t o w h y t h e b e d i s n o l o n g e r e h e a l t h o f t h e a o o e l l a n t , t h e p a n e l h a s
c o ns idere d t he contents of the recon s ide ration dec a dvi se d the ministry in Augu st 201 3 th at the foam b hu rting th e appellant 's hips and bo dy; (b) in Se pt e mber note to th e ministry t o th e e ffect t h at t he ap pell ant had i n "se ver e c hronic pain" and stif fne ss"; and (c) the app Reco nside r ation d ate d 13 t h F ebr uary 2014 t o the effect tha had to incre ase her pain medici ne a s a res ult thereo bed ha s co ntin ued to pose an imm inent thr eat t o th e the mi nist ry's rep r e sen t ative s ympathiz ed with t he m ac kno wledge d that there h as been an ino rdina te d ela has appar ently be en complai ning about th e t hre at t o c irc umsta nc es , the p anel f i n ds tha t the ministry was no pr ovide a regu lar b ed woul d not resul t in co nt inuing appe lla nt, and r escinds the reconsi derati on decisi on. I AP PEA L ision tha t a c kno wled ge th at (a ) t h e appell a nt had ed obtained by h er i n Ap r il 20 13 was v ery thin a nd 20 13, the ap pell a nt h a d pr ovided a d oc tor's osteopo rosis a nd oste oarthri tis, whic h res ult ed ella nt's e vi d enc e in the Request for t s h e w ake s up v ery s ore, p ainf ul a nd h ave f. Bas ed the r eo n, the pan el f i n ds t hat la ck of a ph y sic a l h ealth of t h e ap pe l la nt. A s no ted earli er, edica l p r e dic ame nt of the a ppe ll a nt and al so y in addressing the need s of the appe l lan t . She her ph ysical hea l th for over a ye ar. In the t reasonab l e in determini ng that fai lure to a nd imminent da nge r t o the phys ical health of t he
You are being directed to the most recent version of the statute which may not be the version considered at the time of the judgment.