Mae hwn yn fersiwn HTML o atodiad i'r cais Rhyddid Gwybodaeth 'HCP and/or Medical Advisors call for WCA based on illness/disability'.

To Donna 
C/o xxxxxxxxxxxxxxxxxxxxxxx@xxxxxxxxxxxxxx.xxx 
 
DWP Central Freedom of Information Team 
 
e-mail: xxxxxxxxxxxxxxxxxxxxxxxxxxxxxx@xxx.xxx.xxx.xx 
 
Our Ref: 3568-2766  
DATE 13 August 2012 
 
 
Dear Donna, 
 
Thank you for your Freedom of Information request that was received by the Department for 
Work and Pensions (DWP) Adelphi on 16 July 2012 and forwarded 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:- 
 
Below is an extract of the Contract between the DWP and Atos Origin IT Services, trading as 
Atos Healthcare, dated 15 March 2005. 
     
1. Unsuitable for calling to a Medical Examination Centre. 
     Age >75 years 
      
     Age <12 years 
      
Both 

Blind 
and 
Deaf 
        
 Cerebral 
Palsy 
Registered Blind (needs to be seen in own environment) 
 
 
Alzheimers 
Cases accepted under the Special Rules defining Terminal illness.   
Asperger's 
Amputation 
of 
both 
legs 
       Dementia 
Autistic 
Spectrum 
Disorder 

Autism 
     Hemiplegia 
Huntingdon's 
Chorea        Korsakoffs 
Psychosis 
         On 
oxygen 
Macmillan 
Nurse 
attending.       
 
 
 
 
 
Paraplegia 
Motor 
Neurone 
Disease 
       Quadraplegia 
Renal 
Dialysis         Spastic 
Diplegia 
Severe 
Mental 
Impairment 
       Tetraplegia 
Severe 
Learning 
Difficulty 
 
       Unstable 
Angina 
Total 
Parenteral 
Nutrition 
        
Wernicke's Encephalopathy 
      
 2. Reference to Medical Advisor required for advice. 
AIDS   

 
 
 
 
 
 
 
 
Astrocytoma 
Bone 
Marrow 
Transplant 
      Cancer 
Brittle 
Bone 
Disease 
       Cystic 
Fibrosis 
Dermatomyositis 
 
 
 
 
 
 
 
Glioma 
Guillane-Barre 
Syndrome 
      Leukaemia 

Hodgkin's 
Lymphoma 
 
      Liver 
Failure 
Mental 
Retardation 
       Mental 
Subnormality 
Multiple 
Sclerosis 
       Muscular 
Dystrophy 
Non 
Hodgkin's 
Lmphoma 
      On 
Morphine 

MST 
Osteogenesis 
Imperfecta 
      Parkinson's 
Disease 
Poliomyelitis 
        Polymyasitis 
Registered 
partially 
sighted      Respiratory 
Failure 
Rheumatoid 
Arthritis       Schizoaffective 
Disorder 
Schizophrenia 
 
 
 
 
 
 
      
SLE   
Spinal Injury   
 
 
 
 
 
 
 
Scleroderma 
Systemic Lupus Erythematosis 
     5evere 
Depression 
Thallassaemia 
      
3. Tentatively invite to Medical Examination Centre. 
Agoraphobia 

(offer 
taxi) 
      Anorexia 
Nervosa 
Bipalar Affective Disorder / Bipolar Disease Manic Depression 
Ataxia  
Burns   
 
 
 
 
 
 
 
 
Cardiomyopathy 
Cerebrovascular Accident / CVA   
    Cerebrovascular 
Disease 
CFS 
         Chronic 
Fatigue 
Syndrome 
Crohn's 
Disease 
       Diabetic 
Neuropathy 
Eating 
Disorder 
       Fibromyalgia 
Haemopphilia        Heart 
Transplant 
Hemiparesis 
        Learning 
Difficulties 
Obsessive 
Compulsive 
Disorder 
 
     Leg 
Ulcers 
Myalgic 
Encephalomyelitis 

ME 
 
     Peripheral 
Neuropathy 
Phobic 
Anxiety 
       Sickle 
Cell 
Anaemia 
Social 
Phobia        Spina 
Bifida 
Stroke 
 
 
 
 
 
 
 
 
Ulcerative Colitis 
Subarachnoid Haemorrage / SAH  
 
 
 
 
Varicose Ulcers 
      
4. Invite to Medical Examination Centre. 
Alcohol 

Dependence       Anaemia 
Angina         Ankylosing 
Spondylitis 
Anxiety 
 
 
 
 
 
 
 
 
Arrythmia 
Asthma 
 
 
 
 
 
 
 
 
Atrial Fibrillation 
Back Pain 
 
 
 
 
 
 
 
 
Bronchiectasis 
Bulimia 
Nervosa 
       Cardiac 
Arrythmia 
Cervical 
Spondylosis       Chronic 
Bronchitis 
Chronic Obstructive Airways Disease 
 
 
 
    
COPD 
Chronic Obstructive Pulmonary Disease  
 
 
 
Coronary Artery Disease 
Coronary 
Heart 
Disease 
      Depression 
Dermatitis 
        Diabetes 
Diverticular 
Disease 
       Diverticulitis 
Dizziness 
 
 
 
 
 
 
 
 
Down's Syndrome 
Drug 
Dependence 
      
  Eczema 
 
 
 
 
 
Endometriosis 
 
 
 
 
 
 
 
Epilepsy 
Hearing 
Impairment 
       Hernia 
HIV 
 
 
 
 
 
 
 
 
 
Hypertension 
Hyperthyroidism 
       Hypathyroidism 

Hysterectomy        Incontinence 
Ischaemic 

Heart 
Disease 
      Joint 
Pain 
Irritable 
Bowel 
Syndrome 

IBS 
     Kyphosis 
Kyphoscoliosis 
       Labyrinthitis 
Liver 
Transplant 
       Lumbar 
Spondylosis 
Meniere's 
Disease 
       Migraine 
Myasthenia 
Gravis 
       Neck 
Pain 
Osteoarthritis 
         
Osteoporosis 
Overactive 
Thyroid 
       Panic 
Attacks 
Pelvic 
Inflammatory 
Disease 
     Personality 
Disorder 
Peripheral 
Vascular 
Disease 
 
     Psoriasis 
Prolapsed Intervertebral Disc     
 
     "Registered 
Alcoholic" 
Renal 
Transplant 
 
       Rheumatic 
Heart 
Disease 
Scoliosis 
 
 
 
 
 
 
 
 
Slipped Disc 
Underactive 
Thyroid 
       Valvular 
Heart 
Disease 
Varicose Veins 
 
 
 
 
 
 
 
Visual Impairment 
  
5. Any other Diagnosis. Not listed above should be referred to a Medical Adviser for advice 
      
Here are my questions:- 

1.  Is there a current updated list of illnesses and disabilities?  If so could you provide me 
with copies of the successive year on year lists with their additional entries to present 
date? 

2.  Am I correct in understanding that if a claimant’s illness/disability is not contained within 
the list then it is imperative that the HCP is required under said contract to contact a 
qualified Medical Advisor to ascertain if they are to be called in for a ESA WCA? 

3.  If an illness/disability is not on the aforementioned list at what point in the process is the 
Medical Advisor contacted? 
4.  Am I correct in believing that this should be carried out by the HCP who initially 
documents the ESA85A to establish if a claimant is required to attend and ESA WCA? 
5.   In this situation, given the HCP has to request additional input from a Medical Advisor, 
should this be documented on the ESA85A to provide clarity about the process to the 
claimant? 

6.  If this information is not required to be documented on the ESA85A is the input of the 
Medical Advisor documented anywhere else stating his/her grounds given for requiring 
a claimant to attend or not attend an ESA WCA? 

7.  If this information is not required to be contained on the ESA85A who do you contact to 
ascertain the date, information/reason and name of the Medical Advisor? 
8. If the disability/illness is not on the aforementioned contract list and the HCP 
documenting the ESA85A only has in their possession the claimants ESA50 and a 
MED3 and said HCP is unable to assesses the level of disability based on this evidence 
is the HCP required to obtain medical evidence from the claimants GP via an ESA113 
to aid their judgment based on the GP’s general practise records before implementing a 
WCA? Or does the Medical Advisor implement this process? 

 
In reply to Q 1 the list of medical conditions that you provided relates only to advice given to 
Healthcare Professionals (HCP) conducting medical assessments for Disabled Living 
Allowance (DLA) and Attendance Allowance (AA), it is not relevant advice in relation to Work 
Capability Assessments (WCA) conducted for Employment and Support Allowance (ESA).  


 
The list was drawn up several years ago through an initiative between Atos Healthcare and 
DWP to conduct DLA/AA examinations in Medical Assessment Centres (MAC), and provides 
advice to HCPs about the types of cases that should not be called to attend for a DLA 
examination in a MAC, if there was insufficient information to allow the HCP scrutinising the 
DLA claim to advise on the disability. In these cases it is suggested that the assessment 
should be completed through a domiciliary visit to the claimant’s home.  
 
Please find attached copies of  the current and previous DLA & AA in MECs Guide for 
Administration and Medical Staff which includes at Appendices A & B which advises HCPs on 
which medical conditions can and can’t be invited to attend a DLA medical examination at a 
MAC.  
 
These requested documents have been produced as part of a programme for approved HCPs 
to carry out medical assessments. All HCPs undertaking these medical assessments must be 
registered medical or nursing practitioners who in addition, have undergone training in 
disability assessment medicine and more specific training. 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, 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
 
It is not possible to provide a response to Qs 2, 3, 4, 5, 6, 7 8 because of the reason stated 
in my answer to Q 1 that this list is only relevant advice for DLA medical examinations.  
 

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 
 
If you are not happy with this response you may request an internal review by e-mailing freedom-of-information-
xxxxxxx@xxx.xxx.xxx.xx 
or by writing to DWP, Central FoI Team, Caxton House, Tothill Street, London, SW1H 
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