This is an HTML version of an attachment to the Freedom of Information request 'ESA Medical Conditions and Requirement to Attend a Medical Assessment'.

To:Mr P Smith  
 
C/o xxxxxxxxxxxxxxxxxxxxxxx@xxxxxxxxxxxxxx.xxx 
 
DWP Business Management Team  
Health & Disability Assessments (Operations) 
xxx.xxxxxxxxxxxxxxxxxxxxxxxxxxxxx@xxx.xxx.xxx.xx 
 
 
 
 
 
 
1 March 2013 
 
 
Dear Mr Smith 
Freedom of Information Act – Request for Information 
 
Our Reference: FOI 0369 
 
Thank you for your Freedom of Information request which we received on 25 January 2013.  
 
You asked: Under the heading "ESA Medical Conditions and Requirement to Attend a Medical     
Assessment" 
 
There are a number of medical conditions & Categories? 
      
For each category a list is attached? 
      
  Unsuitable for calling to a Medical Examination Centre? 
  Reference to Medical Advisor Required Advice? 
  TENTATIVELY INVITE TO MEDICAL EXAMINATION CENTRE? 
  Invite to Medical Examination Centre? 
 
1.  Can you please tell me what is meant when it say's "TENTATIVELY INVITE TO 
MEDICAL EXAMINATION CENTRE? 
2.  In what circumstances would someone be asked to TENTATIVELY attend an 
assessment? 
3.  By using the terminology "TENTATIVELY" I would ascertain that the use of said 
term means that not everyone who is invited to attend an assessment is expected 
to attend, what conditions & circumstances would the DWP not enforce the request 
to attend such an Assessment? 

4.  If under such conditions the claimant was asked to attend "TENTATIVELY" but it 
was decided against enforcing the claimant to attend what would the DWPs 
decision be, would a home visit then be offered? 

      
Following a search of our paper and electronic records, I'm afraid that we can find nothing in our 
guidance relating to tentatively inviting someone to a medical assessment required for 
Employment and Support Allowance (ESA). As such we can confirm that the Department holds 
no information on 'tentatively' inviting claimants to attend a Medical Assessment Centre (MAC) in 
respect of an ESA Work Capability Assessment. 
 

DWP re-awarded Atos Origin IT Services Ltd, trading as Atos Healthcare, a new Contract to 
provide Medical Services on behalf of the Department from 1 September 2005, the phrase you 
have raised in your enquiry was included solely in relation to the assessment of claims made for 
Disability Living Allowance (DLA) and Attendance Allowance (AA), and was never relevant to 
invitations to attend a Personal Capability Assessment in relation to claims for Incapacity Benefit 
(IB), or ESA (which replaced IB in October 2008) at a MAC.  
 
An edited copy of the Medical Service Contract can be found using the following website 
http://deposits.parliament.uk./. In the search box complete only the fields ‘date range’ and 
‘house’, please input 14/09/2010 in both the date fields and select Lords from the House drop 
down menu. Click Go and then click on Dep2010-1704.zip from the search results. The relevant 
files are titled, Clauses.pdf, New Contract Index.pdf and Schedules 1 to 33.pdf and can advise 
that the current information is in Schedule 4.12 Appendix 1. If you do not have access to the 
Internet at home, you may be able to use facilities at your local public library.  
 
A copy of the contract between the DWP and Atos Origin IT Services UK Limited (Atos 
Healthcare) cannot be provided in its entirety. I have removed from this copy those parts that 
contain information exempt under Section 40 (third party personal information where disclosure 
would breach data protection principles) and 43 of the Freedom of Information Act 2000. Where 
information is exempt under Section 43 this is due to it being commercially sensitive and release 
of the information would prejudice the interests of Atos Healthcare and the Department’s future 
dealings with Atos Healthcare or other service providers. 
 
The Medical Services Contract will in due course be re-let by means of a competitive 
procurement exercise. Releasing details of Atos Healthcare’s underlying financial model, this 
would reveal to their competitors commercially sensitive financial aspects of their contract which 
would disadvantage Atos Healthcare’s competitive position in the marketplace. This in turn 
would prejudice the ability of the Department to secure best value for the taxpayer when the 
contract is re-tendered. 
 
Release of this type of key financial information would also undermine the effectiveness of the 
Department’s future dealings with Atos Healthcare or other service providers which is also not in 
the public interest. 
 
REFERENCE EDITED 
CONTENT 
EXEMPTION 
Section 43 - Commercial 

Clause 10.11.3.2 
Limit of liability 
sensitivity 
 
 
Section 43 – Commercial  
Schedule 3  
Contractor’s proposal 
Sensitivity 
Pricing and charging 
information 

 
Para 4.2 – 8.2.3 and 
Section 43 – Commercial  
Schedule 12 
Appendices 
Sensitivity 
 
 
Schedule 21 
Key Personnel 
Section 40 – Personal Information 
Liquidating damages 
including service 
credits 
Paras 4.2.14 – 4.2.19 

Section 43 - Commercial 
Schedule 25 
Para 5 
sensitivity 


Appendix 1 Service 
Credits 
The following medical 
training guides listed 
within Schedule 28 are 
not available for public 
release: Reference 
numbers 370i, 451, 
454P, 454A, 455L, 454P, 
454AF, 454H, 454i, 
454J, 450o, 450P and 

Section 43 – Commercial 
Schedule 28 
450R 
sensitivity 
Optional Services that 
may be called off at 
some future date 
dependent upon future 

Section 43 - Commercial 
Schedule 31 
policy 
sensitivity 
 
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.  
 
To explain the procedures for the undertaking of medical assessments in relation to DLA and AA  
a copy of the DLA & AA in MECs Guide for Administration and Medical Staff, reference MED-
DLAAAMGAMS01 has been attached. Within the document’s appendices there are lists of those 
medical conditions that can and can’t be assessed at a MAC.  
 
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.  
 
You are advised that some of the information contained in the document falls within the 
exemptions allowed by Section 40 of the Freedom of Information Act and has therefore been 
redacted.  The Section 40 exemption is applied on the basis that it is personal data about a third 
party, in this case names of DWP and/or Atos Healthcare employees who are below the Senior 
Civil Service (SCS) Grade, and it is Departmental policy that the names of employees below 
SCS grades are not released and the disclosure would breach data protection principles. 
 
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 Business Management Team 
Health & Disability Assessments (Operations) 
 
------------------------------------------------------------------------------------------------------------------- 
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 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 www.ico.gov.uk