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  
DWP Central Freedom of Information Team 
Our Ref: FOI 3299-IR311  
DATE 11 June 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 11 May 2012 and forwarded on the same date to the 
Department for Work and Pensions (DWP) Medical Services Contracts Correspondence Team 
(MSCCT) to respond to.   
The DWP MSCCT Freedom of Information Internal Reviewing Officer has read your letter and 
accepted this as a request for an Internal Review of FOI reference 2910-688 which was 
received by the Department on 16 February 2012. 
I have therefore conducted a full investigation into your original request to check that the 
information previously supplied to you, clearly and accurately answered your request. I have 
also reviewed any decisions to withhold information and in doing so I have fully considered the 
public interest in disclosure. 
You asked:- 
Dear Department for Work and Pensions, 
Please pass this on to the person who conducts Freedom of Information reviews. 
I am writing to request an internal review of Department for Work and Pensions's handling of 
my FOI request 'Training, briefing and knowledge-base materials for WCA assessors regarding 
certain conditions'. 
On the 16th of February I wrote to point out deficiencies in the response to my FOI request of 
19th January; I followed this up on the 2nd of April. I have still not received any response 
beyond an automated acknowledgement to these contacts. I thus feel it is appropriate to 
request an internal review at this time. 
My original email of 16th February detailing deficiencies and requesting clarification said the 
"The section on Narcolepsy in the document containing extracts from LiMA is not, in fact, about 
narcolepsy. It is about sleep apnoea It mentions narcolepsy as, effectively, a differential 
diagnosis for similar symptoms. Does the inclusion of this information, but no other information 

about narcolepsy, indicate that this is the full extent of information about narcolepsy in the 
areas outlined in my initial request? 
"In my original request, I also asked for any guidance in dealing with patients who are still 
seeking a diagnosis, or those who are no longer actively seeking diagnosis based on medical 
advise. I see that there is an entry on medically unexplained symptoms (also referred to as 
somatoform disorders) in the neurological and infection guide. This is, however, both a 
narrower and separate definition to the scenarios I describe, and in fact refers to the same 
thing sometimes known (such as in the APA's DSM) as somatisation disorder. Can you confirm 
that there is no written guidance for HCPs in assessing patients who are still undergoing    
diagnostic efforts, and those who have been medically advised to stop such efforts, even if 
This outlines why I am dissatisfied with the original response; I am entirely dissatisfied with the 
(lack of) response to my emails seeking clarification in these matters. I trust that those  
responsible for internal reviews will be able both to satisfy the original problems, and explain 
why there has been such a delay in response to my requests for clarification. 
DWP has now supplied you with the full information held on these matters in the letter dated 
15 May 2012 (reference FOI 2910-688) which stated the following:-  
In response to Q1, I can advise that there is no other information to add to what has already 
been provided on narcolepsy.   
In response to Q2, there is guidance within the WCA handbook (section Medical 
content of the report) about when exact diagnoses are not available, as follows:  
“In many instances the entries will be symptoms rather than exact diagnoses. Your role is to 
assess disability and for that reason precise diagnoses do not add to the Decision Maker's 
understanding of the report. Only be specific if you have good evidence of the diagnosis”.  
The role of the disability analyst is explored both in the pre-course reading and training. 
Disability can vary significantly between claimants. 
The letter should have also explained that it was necessary to confirm if the information you 
required to clarify your points was held by the Department, draft a response and have this 
approved for release. Delays did occur in responding to you, this was due in part to a 
significant increase in numbers of Freedom of Information requests being received by MSCCT. 
The MSCCT Internal Reviewing Officer apologises to you for the oversight of not keeping you 
informed of the progress of your request or providing a response within 20 days. 
The Freedom of Information (FoI) Act allows 20 working days from date of receipt of the 
request in which to respond. We endeavour to answer promptly and no later than the 20 day 
deadline, unless the deadline is extended to consider if an exemption applies. The 20 working 
day deadline for the request was 15 March 2012 and I note that the response was issued to 
you via the What Do They Know website on 15 May, and in this instance, the Department 
failed to respond within the 20 working days and I apologise for the delay. 
In reviewing your request I uphold your complaint as the Department failed to respond to your 
request within 20 days.  

If you have any queries about this letter please contact me quoting the reference number 
Yours sincerely,  
DWP Central FoI Team 
Your right to complain under the Freedom of Information Act 
If you are not happy with this response you may request an internal review by e-mailing freedom-of- or by writing to DWP, Central FoI Team, Caxton House, Tothill 
Street, SW1H 9NA. Any review request should be submitted within two months of the date of this letter. 
If you are not content with the outcome of the internal review you may apply directly to the Information 
Commissioner’s Office for a decision. Generally the Commissioner cannot make a decision unless you 
have exhausted our own complaints procedure. The Information Commissioner can be contacted at: 
The Information Commissioner’s Office, Wycliffe House, Water Lane, Wilmslow Cheshire SK9 5AF