This is an HTML version of an attachment to the Freedom of Information request 'Training, briefing and knowledge-base materials for WCA assessors regarding certain conditions'.

To Sam Barnett-Cormack 
C/o xxxxxxxxxxxxxxxxxxxxxxx@xxxxxxxxxxxxxx.xxx 
 
DWP Central Freedom of Information Team 
 
e-mail: xxxxxxxxxxxxxxxxxxxxxxxxxxxxxx@xxx.xxx.xxx.xx 
 
Our Ref: VTR 2804-220  
DATE 16 February 2012 
 
 
Dear Sam Barnett-Cormack, 
 
Thank you for your Freedom of Information request that was received by the Department for 
Work and Pensions (DWP) Adelphi on 19 January 2012 and forwarded on for response by 
DWP Medical Services Contracts Correspondence Team (MSCCT) Freedom of Information 
Officer.  
 
In your email you asked to be provided with information answering the following questions:- 
 
Dear Department for Work and Pensions, 
 
I am writing to request all training, briefing, knowledge base or similar material, approved for 
use by HCPs conducting Work Capability Assessments, regarding or relevant to the following 
conditions/diagnoses: 
      
     *Fibromyalgia 
     *Depression (including specific forms, such as Major Depressive 
     Disorder) 
     *Bi-Polar Disorder (including BP-I, BP-II, and other related 
     diagnoses) 
     *Narcolepsy (both with and without Cataplexy) 
     *Migraine (including any specific forms, such as Classical, 
     Basilar, or Status Migraines) 
     *Irritable Bowel Syndrome 
     *Eczema (including any specific forms) 
     *Asthma 
     *Non-seasonal Allergic Rhinitis 
     *Atopic Tendency (also known as Atopy, Atopic Syndrome and Atopic 
     Allergies) 
     *Myalgic Encaphelomyelitis (ME) 
     *Chronic Fatigue Syndrome (CFS) 
     *Somatisation Disorder 
      
And also any guidance for assessing or dealing with people who have symptoms for which 
they have not yet received a diagnosis, but for which there are reasonable steps to pursue a 
diagnosis and these steps are being taken; and also those symptoms for which no diagnosis 
has been received and, on medical advice, efforts to diagnose have ceased. I realise that 



some of these have been released in existing FOI requests, but I wish to make sure that I have 
the most up-to-date information. 
 
In answer to your request please find enclosed a link to a copy of the Revised WCA ESA 
(LCW/LCWRA) Amendment Regulations 2011 Handbook 
http://www.dwp.gov.uk/publications/specialist-guides/#other which contains advice on some of 
the medical conditions listed, the Continuing Medical Education Programme Guidelines for the 
Disability Analyst on Fibromyalgia; the Training & Development Learning Set for Chronic 
Fatigue Syndrome (CFS) and Fibromyalgia; the Training & Development Guidance for 
Neurological and Infections Key Points and Analytical.  
 
In addition I have attached copies of the Evidence Based Protocols for the Disability Analyst in 
respect of Asthma, Bipolar Disorders, Depression, Chronic Fatigue Syndrome / Myalgic 
Encephalomyelitis and the EBM Mental Health Protocols: Key Points and Analytical Guidance 
that are also issued to approved Healthcare Professionals (HCP) employed by Atos Healthcare.  
 
I have also enclosed a copy of information from Logic Integrated Medical Assessment (LiMA ) 
Searchable Repository that is available for use by HCPs in relation to some of the diagnoses 
on which you have requested information. 
 
At present, there is no specific information in the LiMA Searchable Repository for: Cataplexy 
Non-seasonal Allergic Rhinitis, and Somatisation Disorder. 
 
I can advise that ME and CFS are dealt with together under Chronic Fatigue Syndrome and 
that the section on asthma, includes reference to 'Atopic', though again there is not a separate 
section at present for Atopic Tendency. 
 
These documents have been produced as part of a programme for HCPs to carry out medical 
assessments as approved HCPs. All HCPs undertaking these medical assessments must be 
registered medical or nursing practitioners who in addition, have undergone training in 
disability assessment medicine. The training includes theory training in a classroom setting, 
supervised practical training, and a demonstration of understanding as assessed by quality 
audit. These documents must be read with the understanding that, as experienced medical or 
nursing practitioners, the HCPs will have detailed knowledge of the principles and practice of 
diagnostic techniques and therefore such information is not contained in these documents. In 
addition, these are not stand-alone documents, and form only a part of the training and written 
documentation that a HCP receives. As disability assessment is a practical occupation, much 
of the guidance also involves verbal information and coaching. Thus, although the documents 
may be of interest to non-medical readers, you are advised that some of the information may 
not be readily understood without background medical knowledge and an awareness of the 
other training and guidance given to HCPs.  
 
The information supplied to you continues to be protected by copyright. You are free to use it 
for your own purposes, including for private study and non-commercial research, and for any 
other purpose authorised by an exception in current copyright law. Documents (except 
photographs) can be also used in the UK without requiring permission for the purposes of 
news reporting. Any other re-use, for example commercial publication, would require the 
permission of the copyright holder.  
 

Most documents produced by the DWP and/or Atos Healthcare will be protected by Crown 
Copyright. Most Crown copyright information can be re-used under the Open Government 
Licence (http://www.nationalarchives.gov.uk/doc/open-government-licence/). For information 
about the OGL and about re-using Crown Copyright information please see The National 
Archives website -http://www.nationalarchives.gov.uk/information-management/uk-gov-
licensing-framework.htm .  
 
Copyright in other documents may rest with a third party. For information about obtaining 
permission from a third party see the Intellectual Property Office’s website at www.ipo.gov.uk. 
If you have any queries about this letter please contact me quoting the reference number 
above.   
Yours sincerely,  
 
 
DWP Central FoI Team 
 
 
------------------------------------------------------------------------------------------------------ 
Your right to complain under the Freedom of Information Act 
 
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of the date of this letter.  
 
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