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Are some claimant groups always called for medical

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11 years 10 months ago - 11 years 10 months ago #106418 by MariW
I was interested to read last night’s post by Mags and bro58’s response that “Doctors should be used with certain neurological conditions”:

www.benefitsandwork.co.uk/forum?view=topic&catid=10&id=98431

It left me wondering in what circumstances a claimant is always (or usually) required to attend a face-to-face interview irrespective of comprehensive answers to the ESA 50 questions, medical evidence and other relevant data.

I have a long-term and progressive neurological disorder with secondary orthopaedic problems and mental health issues. My neurological condition is not curable and has failed to respond to what treatment is available. The best I can hope for it that my level of physical disability and pain will remain the same or that further progression will be slower than in the past.

I believe I have enough evidence to gain access to the Support Group without an ATOS medical. In addition, when drafting answers in advance of notice of transfer I have covered questions likely to the asked at a face-to-face assessment: “During the assessment a healthcare professional will gather information about a person’s medical history and their current medication. They then focus on what the person does in a typical day, how this is achieved and how it varies or fluctuates.”

I feel sick with terror at the prospect of an ATOS medical but if a face-to-face would give me a better chance of Support Group entry I’d rather have one, assuming it was at a WCA centre I am able to reach and access. However, I think it unlikely that an HPC or doctor without an expert knowledge of my specific neurological condition could judge multiple limitations in the time in which claimants are processed. I fear an ATOS medical could work against me.

In short, are all claimants with neurological conditions and/or mental health problems required to attend a face-to-face WCA?
Last edit: 11 years 10 months ago by Gordon.

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11 years 10 months ago #106424 by Gordon
MariW

We can only talk in generalities, what happens for any individual "assessment" will depend on a wide variety of variables; what information has been provided, the nature of the conditions, what group the claimant is in and undoubtedly who is carrying out the assessment on the day.

The decision as to whether a face to face assessment is required is down to whether the "assessor" feels they are able to make a recommendation for either the WRAG or the Support Group, if they can then the claimants file is returned to the DWP, if they cannot then an appointment will be booked.

I am not aware of any statistics in this area, certainly we have had members who have been placed into the WRAG, appealed, and have then been placed in the Support Group, conversely, and I apologise if this sounds controversial, a lot of those who appeal for the Support Group from the WRAG will not be successful, because they are not deemed to meet the criteria.

The one clear advantage of not having a face to face is that you cannot be found Fit for Work, it does not happen very often but claimants do get found Fit for Work when appealing a WRAG Decision (having also had a f2f).

Gordon

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11 years 10 months ago - 11 years 10 months ago #106430 by MariW
Gordon,

Thanks. I take it from your answer that there’s no group/groups of claimants that are always called to a face-to-face WCA. There’s no doubt that I meet more than one SG descriptor from part 1 of the current ESA 50 so I can only hope for a “fair trial”.
Last edit: 11 years 10 months ago by Gordon.

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11 years 10 months ago - 11 years 10 months ago #106442 by Mags
Hi MariW

Sorry if I confused you not very good at saying what I mean, I sent my ESA50 in December in March (I think) I rang them and they said I needed a f2f but had to see a doctor and the wait was because they were waiting for a doctor to be available, and July was first appointment with one in my area, and yes I have brain problems as well as others, so I presumed that was the case.

Take care
Mags
Last edit: 11 years 10 months ago by Gordon.

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11 years 10 months ago #106452 by Gordon

MariW wrote: Gordon,

Thanks. I take it from your answer that there’s no group/groups of claimants that are always called to a face-to-face WCA. There’s no doubt that I meet more than one SG descriptor from part 1 of the current ESA 50 so I can only hope for a “fair trial”.


Claimants who are already in an ESA group are less likely to be called, but there is no definitive set of criteria that will always exempt a claimant from attending an assessment other than for those who meet the Exemption Circumstances (see the ESA guides).

Gordon

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11 years 10 months ago #106455 by MariW
Hi Mags :)

No probs! We're all struggling through a system that I sometimes think is designed to confuse us! Fingers crossed that your f2f goes well and you get the award you need.

Take care,

Mari W

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