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MEDICAL SERVICES 
PROVIDED ON BEHALF OF THE DEPARTMENT FOR W ORK AND PENSIONS 
Atos Healthcare 
 
DLA & AA in MECs Guide for 
Administration and Medical Staff  
 
MED-DLAAAMGAMS01  
Version: 2 (Final) 
07 April 2011 
 

 
 
 Document 
control 
Superseded documents  
DLA in MEC Guide for Administration and Medical Staff – MED- DLAMGAMS01 
 
Version history 
Version Date 
Comments 
2(Final) 
07 April 2011 
General Review 
1 (final) 
18 January 2010 
General Review 
Changes since last version 
Although following the issue of UTS 22/2010 WFHRA has been temporarily 
suspended for a period of 2 years references to WFHRA will remain within the 
guide. 
Outstanding issues and omissions 
 
Updates to Standards incorporated 
11/11 
Issue control 
Author: 
Manasi Barve 
Formatted: Highlight
 
Owner and approver: 
Operations Manager 
 
Signature: 
Date: 07 April 2011 
 
DLA/AA in MECs Guide for Administration and Medical Staff 
2 (Final) 
MED-DLAAAMGAMS01 
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Contents 
1. 
About this document 
5 
1.1 
Purpose 5 
1.2 
Applicability 5 
1.3 
Owning process 

1.4 
Owner 5 
1.5 
References 5 
2. 
Overview 6 
3. 
Healthcare Professional (HCP) Medical Advice 
7 
3.1 
Advice criteria 

3.1.1 
Unsuitable for calling to MEC 

3.1.2 
Refer to HCP for advice before offering a MEC appointment 

3.2 
Administration of the Advice Sheet 

4. 
Referral is returned for examination 
10 
4.1 
Scheduling the Referral 
10 
4.2 
Examination by DV 
10 
4.3 
Examination at MEC 
11 
5. 
Booking the appointment 
12 
5.1 
Creating the session 
12 
5.2 
Scheduling the appointment 
12 
5.3 
Telephoning a Claimant 
13 
5.4 
Successful telephone contact with Claimant 
13 
5.5 
Making the appointment 
13 
5.5.1 
Claimant requests Domiciliary Visit (DV) 
14 
5.5.2 
Dealing with telephone enquiries from Claimant 
14 
5.6 
Forwarding cases to the MEC 
14 
5.7 
Claimant is unavailable for a period of three weeks or more 
14 
6. 
Role of Medical Centre Administrators (MCAs) 
16 
6.1 
Claimant Expenses 
16 
6.2 
Completing form AC3 
16 
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6.3 
Post board Scrutiny 
16 
6.4 
Complaints 16 
7. 
DNA / UTA Process 
17 
7.1 
Claimant Unable to Attend appointment (UTA) 
17 
7.1.1 
Claimant’s first UTA. 
17 
7.2 
Claimant Does Not Attend (DNA) 
17 
7.2.1 
Claimant’s first DNA 
17 
7.2.2 
Claimant’s second DNA 
18 
7.2.3 
Claimant is unavailable for DV 
18 
7.2.4 
Claimant requests MEC appointment instead of DV 
18 
8. 
Clearing DLA in MEC referrals from AH 
19 
8.1 
Clearing from SMART 
19 
9. 
Quality Monitoring 
21 
10. 
Rework 22 
Appendix A  - Advice for HCPs deciding a MEC appointment is 
Unsuitable 23
 
Appendix B  - Advice for HCPs deciding a MEC appointment is suitable24 
Appendix C  - Advice Internal tracking sheet 
26 
Appendix D  DLA in MEC Flowchart 
27 
Observation form 
29 
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1.   About this document 
1.1 Purpose 
To provide guidance for Administration Staff dealing with Disability Living Allowance 
(DLA) and Attendance Allowance (AA) 
1.2 Applicability 
All Admin and Medical staff involved in DLA & AA cases. 
1.3 Owning 
process 
Service Operation 
1.4 Owner 
Operations Manager owns this document. 
The owner is responsible for approval of this document and all related feedback 
should be addressed to them. 
1.5 References 
1. 
Administration Guide for DLA/AA MED-AGDLAAA01. 
2. 
Integrated Quality Audit System Guide MED-IQAS01
3. 
Medical Examination Centre Administrator’s Guide MED-MECAG01. 
4. 
Rework Procedures Guide MED- RPG01 
5. 
Complaints Procedures  Guide MED-CP01 
6. 
Claimants Expenses Procedures Guide MED-CEP01 
7. 
MSRS Resource Team Guide – MED – MSRSRTG01  
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2. Overview 
This guide documents the process for all aspects of Disability Living Allowance and 
Attendance Allowance examinations in Medical Examination Centres and DV’s. 
 
 
 
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3. Healthcare 
Professional (HCP) Medical Advice 
Most Pensions Disability and Carer Service (PDCS) requests for HCPs first undergo 
medical advice to determine whether a HCP is appropriate or whether advice can be 
given. 
When the referrals go through the Advice process, the HCP will 
  Examine the case and decide whether, in the HCPs opinion, an 
examination is needed or not,  
And, if so,  
  Decide whether an examination should be by DV or at the MEC using the 
lists of conditions attached at Appendix A and Appendix B    
When sending a case for Advice, each one should have a copy of the Advice 
Internal Tracking Sheet as attached at Appendix C .  This is an internal form to 
assist; the Administrator in checking whether a case has been through the Advice 
stage and, if so, that the HCP has considered and answered the question on 
suitability for a MEC examination. 
The Advice Internal Tracking sheet will be completed by the HCP to indicate what 
the Advice decision was and to show whether any advised examination can be 
invited to the MEC or should be by DV.   
When the Advice has been completed and the referral is returned to the section, the 
Advice Internal Tracking Sheet will be retained by the HCP Allocation staff.  
Referral papers will then be returned to the referring unit until such time as 
examination is followed up by PDCS or an examination is expressly requested by 
the Claimant. 
Cases that should not be included  
There are a few types of referral that should be taken out at the first stage for 
reasons other than those given in any of the categories listed in 10.Appendix A . 
PDCS must put all cases through the advice service before being submitted for an 
EMP, except the Right Payment Programme (RPP) referral cases because of the 
nature of these cases.  Any other cases which have not been through the advice 
service should be rejected. 
 
 
 
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3.1 Advice 
criteria 
Three categories have been created for the medical HCP advice 
1.  Unsuitable for calling to MEC -  10.Appendix A  
2.  Refer to HCP before offering a MEC appointment  - (10.Appendix B ) 
3.  Offer a MEC appointment 
3.1.1  Unsuitable for calling to MEC 
People with the conditions in this first category are unlikely to be able to travel to a 
MEC and should be offered a DV if examination is required. Applying the criteria for 
this category will enable initial sift out of referrals that should not be invited.  Please 
refer to 10.Appendix A for list of conditions. 
Referrals that meet any of the criteria at Appendix A  will be registered on SMART 
and allocated for domiciliary visit (DV) following the standard process as 
documented in the Administration Guide for DLA/AA MED-AGDLAAA01
3.1.2  Refer to HCP for advice before offering a MEC appointment 
For the conditions in this category, the diagnosis alone is not always enough to 
decide whether it is appropriate to offer a MEC appointment or DV.  Decisions will 
depend upon each individual’s circumstances so each case is referred to a HCP for 
their advice before offering a MEC appointment.  Conditions in this category are 
those listed at Appendix B   
If the Claimant suffers from a condition that is not found in any of the lists (Appendix 
A  to Appendix B  the HCP will examine the case and decide whether the condition 
is one that would prevent attendance at a MEC for examination. 
If a Claimant refuses an examination at MEC, even if they are in a category that 
would identify them as able to do so, then they must be given a DV.  Claimants may 
be encouraged but should not be pushed to attend, under any circumstances, at 
the MEC. 
3.2  Administration of the Advice Sheet 
In order to ensure that the examination of disabled Claimants at Medical 
Examination Centres (MEC) complies with health and safety regulations the EMP 
Filter form to identify wheelchair users is used, see 10.Appendix C . 
Along side of using the EMP Filter form when recording the outcome of the advice, 
the user should enter the advice onto the SMART notes column during clearance.  
This will remove the need to check the advice sheet when the referral request is 
received at a later date. 
For example, on the C100 line, the user also enters: 
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MEC EMP, or 
DV EMP, or 
MEC Wheelchair 
When the referral is received at some point later, the administrator can then look at 
the notes column to enable them to schedule the appropriate type of appointment.  
 
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4. Referral 
is 
returned for examination 
After advice has been given the cases are returned to the referring unit for their 
consideration.  As previously stated, any referral for examination can only be 
completed at the explicit request of the referring unit. 
Once the referring unit has considered the advice and decided to send for 
examination, the cases are submitted back to the MSC. 
Referrals are sent daily by the electronic referral method (ERF), by post or courier.  
Where the referral is electronic it is sent directly to the printer by the PDCS and is 
available for collection and action each day, staff do not need to print them out 
manually. 
When the case is received it should be registered on SMART as usual.   
The administrator should, upon receipt of the HCP referrals, retrieve the 
corresponding Advice Internal Tracking Sheet.  This will direct the administrator as 
to whether the HCP has advised that a MEC examination is possible or not. 
The form does not need to be held on the file and so should be filed locally 
(separate from the "live" forms) for three months for audit purposes. 
4.1  Scheduling the Referral 
When a new HCP is entered in to SMART, SMART will automatically generate a 
pseudo GMC number for the HCP and add this on to the appropriate tables, this will 
also inform you that the GMC number has been associated with this HCP and 
informs you to create default availability.  At this point the system will also insert the 
MSC address into the doctor’s record for these HCP’s and update the category to 5.   
All pseudo HCP GMC numbers will start with the prefix of HCP in an attempt to 
make them identifiable to users. 
There is now a new DLA Sessions type to enable you to schedule DLA referrals 
accurately. The new session type is ‘Session Type 19’ (DLA Exam).  When 
allocating a DLA session to a Registered Medical Practitioner, the session type will 
default to session type 19, however if it is a RPM you are allocating, you must select 
Session Type 19 from the Period of Work Maintenance screen. 
4.2  Examination by DV 
If a case is to be treated as a regular DV then the process given in the 
Administration Guide for DLA/AA MED-AGDLAAA01 should be followed.  
All cases, which have NOT been through the advice stage, will be progressed as a 
regular DV. Any case that has not first been referred for advice, to reject any EMP 
request that hasn’t been through the advice system. Advice request should precede 
any EMP as this may eliminate the requirement for an EMP altogether.   
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4.3  Examination at MEC 
If a case referral has been identified for examination at the MEC, then the case 
should be registered with referral code E100 (awaiting examination).  The 
appointment will then be made as described in section 5 and the case progressed 
through SMART. 
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5.  Booking the appointment 
The appointment should, wherever possible, be booked with the Claimant by 
telephone.  This will allow a mutually agreeable appointment to be notified.  Where it 
is not possible to contact the Claimant by telephone, consideration of notifying an 
appointment by letter should be given. 
5.1 Creating 
the 
session 
Sessions for DLA examinations are created by the Resource Team; please see 
MSRS Resource Team Guide – MED – MSRSRTG01 for details on how to do this. 
The sessions are created on Siebel as SMART sessions, so the VCC do not have 
access to these sessions.  
These sessions can be a mixture of other cases e.g. IIDB cases. 
Once the sessions are available, the scheduler will then arrange appointments Via 
SMART. 
When sending an appointment by letter it is important to be aware that using this 
method can affect the DNA rate AND the AACT target times.  In addition, the 
Claimant must be given the required amount of notice before the appointment.  The 
procedure for this is the same as that for booking a DV except that the appointment 
is booked into a session on SMART. 
The DLA AL1 letter will print out with the details of the appointment time and the 
centre in which it has been booked. 
The Claimant is asked to make contact if the time given is unsuitable. 
5.2 Scheduling 
the 
appointment 
With some DLA Appointments being conducted as DV, AACT targets must always 
be considered when appointments are made.   
The notice period allowed for calling a Claimant to the MEC is 7 calendar days but 
this can be waived if in agreement with the claimant. Tele-programming should take 
place as much in advance of the proposed date of appointment as possible.  This 
will ensure best use of the time available and the possibility of offering alternative 
dates to Claimant who may be unable to attend the first appointment date(s) offered. 
Where a Claimant cannot attend on the day offered and requests an earlier 
appointment, the 7 day notice period may be waived and an earlier appointment 
made. 
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5.3  Telephoning a Claimant 
It is preferable where possible to contact DLA Claimants by telephone to inform 
them that they are being invited into the MEC for examination.  In order to gain the 
acceptance of the Claimant, the benefits of attending the MEC are highlighted. 
All attempts to contact the Claimant should be made on the same day.  Where the 
first attempt fails, a further 2 attempts should be made at varying times throughout a 
period of a couple of days with up to three calls being made. 
For reasons of confidentiality it is important that staff DO NOT leave messages for 
Claimants, either with another person or on an answering machine, when attempting 
to arrange appointments for examination. 
All telephone contact with Claimants should follow the guidance given in the 
Administration Guide for DLA/AA MED-AGDLAAA01.  The guide gives information 
on how to contact Claimants, what may arise as exceptional circumstances and the 
tools available to deal with them and communicate with the Claimants.  Guidance is 
also given for dealing with contact from a third party.  
At the beginning of any telephone call to a Claimant, the identity of the Claimant 
should be verified by requesting confirmation of details such as name, address, date 
of birth and NINo.  This also ensures that information held by Atos Healthcare (AH) 
is correct.  Where a tele-scheduler is unsure that they are speaking to the correct 
person, the call should be terminated in a professional manner.   
5.4  Successful telephone contact with Claimant 
Where a Claimant is successfully contacted and identity has been verified, the 
Claimant must be clearly informed of the purpose of the telephone call and asked 
whether they are willing to attend the MEC for examination. To aid progress it is 
important that Claimants are made aware of the benefits of attending the MEC 
rather than opting for a DV.  These benefits include arranging a date/time for 
examination that is convenient for the Claimant to attend and allowing AH to obtain 
medical evidence more quickly. 
5.5 Making 
the 
appointment 
SMART is used to locate and book appointments at the MEC.  The correct session 
or Period of Work (POW) is accessed and an appointment booked as for other 
benefits examined at the MEC.  
When booked onto a MEC session in SMART, the appointment letter DLA AL1 will 
automatically print and will include any relevant inserts (map, multi-lingual notice).  
These will all be centrally printed and sent by first class post  
Because the appointments will most commonly be scheduled by phone, the 
Claimant will not normally have received the DLA AL1C in advance of the invitation 
call.  The tele-programmer will explain the reason for the call prior to proceeding 
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onto booking an appointment.  The AL1C will be sent with the appointment 
confirmation letter.  It will be issued by centralised printing together with the 
appointment letter. 
Following the successful negotiation of an appointment with a Claimant the 
nominated staff member on the scheduling section must update SMART with activity 
code E200.  The Claimant’s referral must then be placed in a suitable B/F or rack 
line to wait to be sent to the MEC before the examination takes place. 
5.5.1  Claimant requests Domiciliary Visit (DV) 
 
If a Claimant requests a domiciliary visit, they are informed that AH will be happy to 
arrange for a Registered Medical Practitioner (RMP) to visit their home and that they 
will receive a notification confirming the details of the intended home visit 
appointment in due course. 
The referral will then be treated exactly as any other DLA appointment for DV 
following the process as documented in the Administration Guide for DLA/AA MED-
AGDLAAA01

5.5.2  Dealing with telephone enquiries from Claimant 
When telephone contact is made with Claimants requesting them to attend for 
examination he/she may ask for further information about why they have been 
asked to attend the MEC rather than having a DV. 
If the Claimant asks further questions that cannot be answered from within AH, 
he/she should be asked to contact their local Disability Benefits Centre -PDCS. 
5.6  Forwarding cases to the MEC 
When a case has been scheduled it must be placed in the rack line. 
Should the need arise, this will allow for more effective re-scheduling of 
appointments. 
The case should then be sent to the MEC allowing enough time to take account of 
local courier timings and ensure delivery of the case to the MEC before the 
appointment is scheduled to take place. 
5.7  Claimant is unavailable for a period of three weeks or more 
If a Claimant notifies AH that they are unavailable for a an examination for a period 
of three weeks or more, AH should contact the customer to request that the referral  
be returned and re-submitted at a later date.  Only if the Customer agrees, should 
the referral be closed C700. 
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If the Customer does not agree, then arrangements should be made to examine the 
Claimant. The standard DNA/Abortive visit process applies should the Claimant 
subsequently not attend. 
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6.  Role of Medical Centre Administrators (MCAs) 
General MCA responsibilities, including POW preparation, Claimant arrival and 
obtaining proof of identity, are documented in the Medical Examination Centre 
Administrator’s Guide MED-MECAG01. 

6.1 Claimant 
Expenses 
Providing the examination has been correctly booked into a session on SMART and 
progressed through to clearance, Claimant expenses are processed and paid 
through SMART in exactly the same way as they are for Incapacity Benefit.  
Where the examination has not been correctly booked and is subsequently cleared 
as a DV, Claimant expenses must be processed clerically as documented in 
Claimants Expenses Procedures Guide MED-CEP01. 
6.2 Completing 
form 
AC3 
The AC3 should be completed as documented in the Medical Examination Centre 
Administrator’s Guide MED-MECAG01.
 
6.3  Post board Scrutiny 
Following an examination and once in receipt of DLA referrals from a Registered 
Medical Practitioner the MCA staff will then await the completed report to print out 
off LiMA and will then clears the referral off SMART as referral code C100. 
6.4 Complaints 
Any complaints received are to be dealt with in the same manner as for all other 
complaints. See Complaints Procedure Guide MED-CP01. 
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7.  DNA / UTA Process 
7.1 
Claimant Unable to Attend appointment (UTA) 
Where a Claimant informs AH that they are unable to attend for examination, the 
tele-programmer should ask the reason for them being UTA. 
 
Current procedures state that when dealing with DLA cases AH should return 
unexamined referrals to PDCS after 1 MEC DNA’s and 1 abortive visit or 2 abortive 
visits or 2 UTA’s. 
 
7.1.1  Claimant’s first UTA. 
Under the terms of the contract the Claimant must be given another appointment 
after a first UTA. If it is the claimant’s first MEC UTA then the referral will be 
processed through as an Urgent DV and the RMP undertaking the assessment 
should be notified that only one appointment should be offered. When arranging a 
Urgent DV the RMP should try and ensure that the case stays within AACT targets  
7.2 
Claimant Does Not Attend (DNA) 
Where a Claimant does not attend for a DLA in MEC examination the details should 
be recorded on the paperwork by writing the letters ‘DNA’ on the front of the papers 
and recording the details on Page 2 of the DLA Examination Report).  This is to 
allow PDCS staff to identify a referral as a DNA. There are only to be 2 attempts to 
examine a Claimant i.e. 1 MEC and 1 DV or 2 DV’s. If Claimant DNA’s both 
appointments then the referral should be returned to PDCS. 
 
7.2.1  Claimant’s first DNA 
The MEC records the daily information for each session on the AC3 (which are then 
kept in MEC for 18 months) and all instances of non attendance will be recorded as 
DNA. 
The AC3 will be faxed to the MSC as normal but the MEC will send the case back to 
the MSC DLA section for immediate allocation for DV.  
The claimant will then be contacted by the RMP whom will conduct the exam to 
arrange an Urgent DV within the AACT Targets 
If an Urgent DV is arranged and the claimant does not have a telephone listed then 
an appointment letter stating there case has now been treated as an urgent DV will 
be issued.  As the claimant DNA’d the first appointment there is no requirement to 
give them 7 days notice.  
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7.2.2  Claimant’s second DNA 
If the claimant has a second DNA then the referral will be closed on SMART and 
returned back to PDCS with Notification that the case is DNA twice. 
7.2.3  Claimant is unavailable for DV 
If the Claimant is not available a DV e.g. claimant is in hospital, the referral should 
be closed and returned to the PDCS. 
NOTE: If the Claimant is unavailable due to hospitalisation AH admin staff should 
notify PDCS with details, including period of time in hospital if known. This is 
important as it may effect payment of benefit. 
The nominated DLA staff member must record DNA details in the paperwork on 
Page 2 of the DLA Examination Report for easy identification by the PDCS.  The 
papers are then returned to the PDCS.  
7.2.4  Claimant requests MEC appointment instead of DV 
When a claimant who fits the criteria for a DV, would prefer not to be examined at 
home and wants to be examined at a MEC. AH will wherever possible look to 
accommodate the claimant, by offering an appropriate appointment closest to their 
address or a MEC of their choice. 
DLA/AA in MECs Guide for Administration and Medical Staff 
2 (Final) 
MED-DLAAAMGAMS01 Page 
 
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8.  Clearing DLA in MEC referrals from AH 
8.1 Clearing 
from 
SMART 
Once the examination is completed the MCA will then clear the referral on SMART. 
Once the referral is cleared the report will then be printed out from LiMA at the 
relevant MEC, the report will then be linked up with the case file and sent back to 
PDCS. 
The current SMART/LiMA will capture any DLA/AA exams conducted via LiMA in 
MEC’s.  This interface will pass details of the exam to SMART on completion of the 
exam in LiMA, providing that an arrival time has been recorded in the session either 
by MEA completion screen or session completion itself. 
To clear a DLA in MEC referral from SMART, access the Maintain Client Details 
screen and 
 
Step 
Action 

Access SMART main menu.  Select option 1 – Client details and 
scheduling 

In the next menu select option 2 – Scheduling  

Select option 1 – Session Management 

At the next screen type in the examination reference to retrieve the 
details. 
If you do not have the examination reference, type in the date of the 
session, the Boarding Centre ID and the status code of the case you 
wish to access to retrieve the details 

In the Maintain Session Completion Details screen select the 
session during which the examination took place   

Select the examination to update by choosing the Claimant NINo 

Type in the Arrival time and tab to the Start and End fields to type in 
these times for the examination 

Tab to the OC field and type in the Outcome Code – alt and F10 will 
display the list of outcome codes you can use 

When the outcome code is entered the tab will automatically move to 
the next relevant field 
DLA/AA in MECs Guide for Administration and Medical Staff 
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MED-DLAAAMGAMS01 Page 
 
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10 
Type in C100 to close the case or P750 to pass for Quality 
Monitoring  
11 
Press F10 to save the information.  When this happens you will 
automatically be taken to the payment screen.  DO NOT TYPE 
ANYTHING IN THIS SCREEN UNLESS PAYMENTS ARE PART 
OF YOUR ROLE
 
12 
Press F3 to exit the payments screen and return to the POW screen 
for the next case you wish to close 
 
 
DLA/AA in MECs Guide for Administration and Medical Staff 
2 (Final) 
MED-DLAAAMGAMS01 Page 
 
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9. Quality 
Monitoring 
Monitoring requirements must form part of the normal national random IQAS 
procedures. 
Further information regarding IQAS is available in the Integrated Quality Audit 
System Guide MED-IQAS01

DLA/AA in MECs Guide for Administration and Medical Staff 
2 (Final) 
MED-DLAAAMGAMS01 Page 
 
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10. Rework 
Where DLA referrals have been successfully examined at the MEC and are received 
back in AH as rework there is a requirement to record these on SMART.  This is 
because rework referrals can be a measure of medical quality therefore there is a 
requirement to capture these for evaluation and management information purposes. 
Any case received as a rework should initially be discussed with the Medical 
Manager to ensure that the rework has been returned for a valid reason. 
Full guidance is given in the Rework Procedures Guide MED-RPG01
 
 
 
 
 
 
DLA/AA in MECs Guide for Administration and Medical Staff 
2 (Final) 
MED-DLAAAMGAMS01 Page 
 
22 
 
 

 
 
Appendix A  - Advice for HCPs deciding a MEC 
appointment is Unsuitable 

Any referral for any of the conditions listed below should not be invited to an 
examination at a MEC. 
Claimants suffering any other condition not listed should be considered suitable for 
examination in a MEC. 
 
Terminal illness [if an assessment for mobility component is required] 
 
 
Age under 12 years or over 75 years 
 
AA Cases, Tribunal cases, Fast Track cases and Cases that have an 
appointee 
Agoraphobia [if confirmed by corroborative evidence] 
 
Tetraplegia, paraplegia, or dense hemiplegia* 
 
Severe involuntary disorders of movement or ataxia (e.g. cerebellar 
ataxia)* 
 
Severe and progressive neurological disease (e.g. multiple sclerosis, 
muscular dystrophy, Parkinson’s disease  – at the stage where there is 
significant disability)* 
Severe and persistent limitation of effort tolerance as a result of a 
cardio respiratory condition (e.g. COPD)* 
 
Dementia [other than very early stages] 
 
Double amputees 
 
Blind and deaf 
 
Severe learning disability* 
 
Multiple severe impairments* 
 
 
Conditions marked with * are likely to have a spectrum of disability and the HCP should 
evaluate whether a Claimant requires domiciliary assessment.  
DLA/AA in MECs Guide for Administration and Medical Staff 
2 (Final) 
MED-DLAAAMGAMS01 Page 
 
23 
 
 

 
 
Appendix B  - Advice for HCPs deciding a MEC 
appointment is suitable 

Any referral for any of the conditions listed below should be decided by the HCP as 
to whether to call to the MEC for examination. 
 
AIDS Multiple 
Sclerosis 
Ankylosing Spondylitis 
Muscular Dystrophy 
Astrocytoma Non-Hodgkin’s 
Lymphoma 
Bipolar Affective Disorder/Bipolar Disease 
On Morphine (MST) 
Bone Marrow Transplant 
Obsessive Compulsive Disorder (OCD) 
Brittle Bone Disease 
Osteogenesis Imperfecta 
Bronchiectasis Parkinson’s 
Disease 
Cancer Phobic 
Anxiety 
Cardiomyopathy Poliomyelitis 
Cerebrovascular Accident/CVA 
Polymyositis 
Cystic Fibrosis 
Registered Partially Sighted 
Dermatomyositis Respiratory 
Failure 
Down’s Syndrome 
Rheumatoid Arthritis 
Glioma Schizoaffective 
Disorder 
Guillain-Barre Syndrome 
Schizophrenia 
Heart Transplant 
Scleroderma 
Hemiparesis Severe 
Depression 
HIV SLE 
Hodgkin’s Lymphoma 
Social Phobia 
Learning Difficulties 
Spina Bifida 
Leukaemia Spinal 
Injury 
DLA/AA in MECs Guide for Administration and Medical Staff 
2 (Final) 
MED-DLAAAMGAMS01 Page 
 
24 
 
 

 
 
Liver Failure 
Stroke 
Liver Transplant 
Systemic Lupus Erythematosis  
Manic Depression 
Thalassaemia 
Mental Retardation 
Valvular Heart Disease 
Mental Subnormality 
 
 
 
DLA/AA in MECs Guide for Administration and Medical Staff 
2 (Final) 
MED-DLAAAMGAMS01 Page 
 
25 
 
 


 
 
Appendix C  - Advice Internal tracking sheet 
EMP Filter Form 
06-07.doc.xls
 
 
 
 
 
 
 
 
 
 
DLA/AA in MECs Guide for Administration and Medical Staff 
2 (Final) 
MED-DLAAAMGAMS01 Page 
 
26 
 
 

 
 
Appendix D   DLA in MEC Flowchart 
 
Referral received for HCP 
 
Advice 
 
 
 
 
 
 
Referral registered on 
 
SMART 
 
 
 
 
 
Files passed to HCP for 
 
Advice and Medical Filter 
 
 
 
 
 
Complete Advice Sheet 

 
HCP Advised? 
with HCP decision for 
 
MEC or DV 
 
 
 

 
 
 
Clear file on SMART and 
File Advice Sheet 
 
return to Customer 
 
 
ERF returned to MSC to 
 
link 
 
 
 
 
DLA/AA in MECs Guide for Administration and Medical Staff 
2 (Final) 
MED-DLAAAMGAMS01 Page 
 
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R e fer ral  re ce ived  f or H C P 
 
 
 
 
 
R e g iste r  o n  SM AR T  
 
 
R etrie ve   Ad vice  S he et  if  
 
ca se h as  b ee n  t hr oug h  th e 
ad vice  sta g e 
 
 
 
 
N  
C as e su itab le 
 
f or   M E C  e xa m?  

 
Pa ss case  fo r ap p oin tm e nt 
a lloca t io n 
D V  Proc e ss 
C o n ta ct   cla ima nt   t o  a rran g e 
ap p oint me n t. 
Will cla ima nt  
N  
at te nd  MEC  
e xam ?

Ag ree   m u tua lly c onve nie n t 
tim e/ d ate   f or  e xa m  
C lea r c a se f rom  S M AR T  
Pla ce  in  ra ck  to  aw ait  ap p t. 
an d  re turn  to  P D C S 
F orw ard  to M EC  bef ore  
e xam  da te  
Af t er   e xa m,   C on d uct   po st -
Y  
C laim an t  
N  
D N A/ U TA  
bo a rd   c he ck . 
a t ten d s?  
Proce s s 
 
DLA/AA in MECs Guide for Administration and Medical Staff 
2 (Final) 
MED-DLAAAMGAMS01 Page 
 
28 
 
 

 
 
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MED-DLAAAMGAMS01 Page 
 
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