19. Before we decide if we should do a detailed investigation of a complaint, we look at whether there are signs the organisation has got something wrong. We do this by comparing what should have happened with what did happen.
20. WCS should have considered Mr L’s claim in line with the scheme rules and the guidance for caseworkers making decisions on claims. It should have taken everything relevant into account in line with our Principles.
21. The guidance for caseworkers making decision on claims says they can make an actual award for loss of access to employment if they are satisfied, on the balance of probabilities, the claimant was in employment which was terminated and they can show what their earnings had been. The reasons for the termination of employment must have been the inability of the claimant to show their lawful status in the UK.
22. The guidance for caseworkers considering claims to the compensation scheme has always needed the decision to be made on the balance of probabilities, which means considering whether it is more likely than not that someone lost their job due to difficulties proving their status. But, the current (2023) guidance for caseworkers includes more detail on the standard of proof and evidence needed. It accepts that it can be challenging for complainants to give detailed written evidence to support every part of a claim for compensation. It says caseworkers should take a complete view of the claim and make sure they use all the information and evidence available to them, including circumstantial evidence.
23. Mr L provided evidence showing he was employed in July 2005 and his employment was terminated. The evidence showed the reason for his employment ending was recorded on the Company’s HR system as ‘dismissal – other’. He was able to prove his earnings. Mr L said he was dismissed because of an inability to prove his lawful status. He provided other evidence showing that soon afterwards he had tried to regularise his status by making a NTL application (which was refused) and he then went to his MP to act on his behalf. Mr L had repeatedly requested permission to work and tried to regularise his status over a number of years.
24. WCS refused Mr L’s claim under the loss of access to employment category saying there was not enough information to show the scheme requirements were met. When Mr L requested a tier two review (the next stage), the adjudicator asked WCS to make more enquiries about Mr L’s employment and review its decision. WCS then asked the Company for more information to try to find the reason Mr L had left their employment in 2005. But, the Company said they did not hold any records before April 2016 and it was impossible to give this information or help any more. WCS decided its original decision not to offer an award was right.
25. It is not clear that WCS considered Mr L’s employment claim on the balance of probabilities taking a complete view of his claim and considering all the evidence available. This included the circumstantial evidence (such as the attempts to regularise his status and representations to his MP) as the guidance requires. The 2023 guidance now accepts that documentary evidence to support every part of a claim might be challenging to provide. This also seems to be a relevant consideration in Mr L’s claim because the Company said they could not provide evidence showing the reason why Mr L’s employment ended.
26. There are signs of failings in WCS’s decision making because it is not clear that it took everything relevant into account and used the evidence available on the balance of probabilities. When we discussed Mr L’s complaint with WCS it agreed to review its consideration of his loss of access to employment claim to make sure it acted in line with its guidance.
27. We think the work WCS has agreed to do resolves Mr L’s complaint at this stage. Although we do not know what the outcome will be, Mr L will be able to come back to us if he has anymore concerns in the future.