- Posts: 29
- Forum
- Members forums
- ESA, PIP, UC and DLA Queries and Results
- Failed WCA assessment, decision maker suggested I appeal
× Members
Failed WCA assessment, decision maker suggested I appeal
- Jane
- Offline
Less More
2 weeks 1 day ago #315499 by Jane
Replied by Jane on topic Failed WCA assessment, decision maker suggested I appeal
Hi Kev,
You could submit a subject access request to the DWP specifically requesting answers to the items you've mentioned and anything else you want to know from your case file. e.g. did they take cognisance of your work occupational health reports and your hospital consultant health reports.
You could submit a subject access request to the DWP specifically requesting answers to the items you've mentioned and anything else you want to know from your case file. e.g. did they take cognisance of your work occupational health reports and your hospital consultant health reports.
Please Log in or Create an account to join the conversation.
- Kev
- Topic Author
- Offline
Less More
- Posts: 11
2 weeks 1 day ago #315501 by Kev
Replied by Kev on topic Failed WCA assessment, decision maker suggested I appeal
Hi Jane,
I think I have requested that in my journal. They said they will post the assessors report and the decision maker will give me an explanation of the decision. At this stage I still haven't seen the assessors report or a decision explanation. The decision maker called me prior to making the decision and told me that the assessor had reported that I don't meet the required threshold for limited capability for work but that she could see I had supplied considerable evidence and that although she had to defer to the assessor felt that I should put in for a mandatory reconsideration.
I think I have requested that in my journal. They said they will post the assessors report and the decision maker will give me an explanation of the decision. At this stage I still haven't seen the assessors report or a decision explanation. The decision maker called me prior to making the decision and told me that the assessor had reported that I don't meet the required threshold for limited capability for work but that she could see I had supplied considerable evidence and that although she had to defer to the assessor felt that I should put in for a mandatory reconsideration.
Please Log in or Create an account to join the conversation.
- Jane
- Offline
Less More
- Posts: 29
2 weeks 1 day ago #315505 by Jane
Replied by Jane on topic Failed WCA assessment, decision maker suggested I appeal
Hi Kev,
I hope you receive your report and reasoning soon.
It maybe useful to you to request your audio recording of your assessment if you have not already done so.
I hope you receive your report and reasoning soon.
It maybe useful to you to request your audio recording of your assessment if you have not already done so.
Please Log in or Create an account to join the conversation.
- dancer22
- Offline
Less More
- Posts: 54
2 weeks 1 day ago #315506 by dancer22
Replied by dancer22 on topic Failed WCA assessment, decision maker suggested I appeal
With that amount of lung damage, and function decreasing, is the risk of you going into a workplace because of infection ? Make sure you state the actual risk very clearly so it doesn't get lost in translation. "detrimental to health" is vague, "catching a cold is likely to put me in intensive care" is a lot more difficult to ignore/minimize.
The following user(s) said Thank You: denby
Please Log in or Create an account to join the conversation.
- Kev
- Topic Author
- Offline
Less More
- Posts: 11
2 weeks 20 hours ago #315508 by Kev
Replied by Kev on topic Failed WCA assessment, decision maker suggested I appeal
Does anybody know if doctor's support letters have an expiration date from an evidential point of view? My last tribunal in 2013 I won largely because the consultant who treated me for my cancer wrote that in his view it would be detrimental to my health if I was not found to have a limited capability for work. My GP also wrote the same in his 2013 letter, both directly quoting regulation 29 from ESA at that time. My tribunal was successful largely due to those letters.
My consultant wrote me another letter in 2017 reiterating the same and also said that due to my extensive lung damage I could not be expected to carry out the activities expected of someone my age. An Occ health report at the same time also said I was struggling to maintain my hours and in their opinion it was damaging my health to be working as many hours as I was. I was awarded enhanced rate for PIP on the basis of these reports, the assessor citing them repeatedly for the point descriptors.
Since then I have two more Occ health reports, the most recent from March this year and a letter from my new consultant to my GP outlining my current conditions.
The decision maker said they couldn't consider the previous tribunal win or the letters because they don't relate to my current claim, but my health conditions are permenant and irreversible and I've had them since 1999.
My current consultant and GP I do not know very well. I changed GP surgeries and my original doctor has retired as has my consultant who wrote the previous letters.
I have asked at the heart and lung department today but the woman behind the desk said consultants don't write letters so I don't know what to do about getting my evidence updated?
I have emailed my surgery but as yet have not had a reply.
My consultant wrote me another letter in 2017 reiterating the same and also said that due to my extensive lung damage I could not be expected to carry out the activities expected of someone my age. An Occ health report at the same time also said I was struggling to maintain my hours and in their opinion it was damaging my health to be working as many hours as I was. I was awarded enhanced rate for PIP on the basis of these reports, the assessor citing them repeatedly for the point descriptors.
Since then I have two more Occ health reports, the most recent from March this year and a letter from my new consultant to my GP outlining my current conditions.
The decision maker said they couldn't consider the previous tribunal win or the letters because they don't relate to my current claim, but my health conditions are permenant and irreversible and I've had them since 1999.
My current consultant and GP I do not know very well. I changed GP surgeries and my original doctor has retired as has my consultant who wrote the previous letters.
I have asked at the heart and lung department today but the woman behind the desk said consultants don't write letters so I don't know what to do about getting my evidence updated?
I have emailed my surgery but as yet have not had a reply.
Please Log in or Create an account to join the conversation.
- David
- Offline
Less More
- Posts: 4154
1 week 6 days ago #315516 by David
Nothing on this board constitutes legal advice - always consult a professional about specific problems
Replied by David on topic Failed WCA assessment, decision maker suggested I appeal
Hi
It is difficult to answer the following "Does anybody know if doctor's support letters have an expiration date from an evidential point of view? My last tribunal in 2013 I won largely because the consultant who treated me for my cancer wrote that in his view it would be detrimental to my health if I was not found to have a limited capability for work. My GP also wrote the same in his 2013 letter, both directly quoting regulation 29 from ESA at that time. My tribunal was successful largely due to those letters."
However I know that the DWP assessors are not medical experts and the person looking at your medical record may be an ex physiotherapist or an ex pediatric nurse. I can imagine an ex-physiotherapist would say that there could be major health changes in 13 years.
"but the woman behind the desk said consultants don't write letters" .... this was dismissive and actually incorrect as I know consultants can write very helpful letters .
So I think you should try and get a new letter from a GP or other clinician confirming that your health conditions are permanent and irreversible.
David
It is difficult to answer the following "Does anybody know if doctor's support letters have an expiration date from an evidential point of view? My last tribunal in 2013 I won largely because the consultant who treated me for my cancer wrote that in his view it would be detrimental to my health if I was not found to have a limited capability for work. My GP also wrote the same in his 2013 letter, both directly quoting regulation 29 from ESA at that time. My tribunal was successful largely due to those letters."
However I know that the DWP assessors are not medical experts and the person looking at your medical record may be an ex physiotherapist or an ex pediatric nurse. I can imagine an ex-physiotherapist would say that there could be major health changes in 13 years.
"but the woman behind the desk said consultants don't write letters" .... this was dismissive and actually incorrect as I know consultants can write very helpful letters .
So I think you should try and get a new letter from a GP or other clinician confirming that your health conditions are permanent and irreversible.
David
Nothing on this board constitutes legal advice - always consult a professional about specific problems
The following user(s) said Thank You: Kev
Please Log in or Create an account to join the conversation.
Moderators: latetrain, BIS, Catherine12345, Chris, David, Forum Moderator