ATOS / DWP pressure on patients to undergo operations.

P. Smith made this Freedom of Information request to Department of Health

Waiting for an internal review by Department of Health of their handling of this request.

From: P. Smith

7 January 2012

Dear Department of Health,

Can it be estimated, please, how many patients for whom a
conservative management approach to their condition would have been
preferable for them and their own doctors, have been FORCED to
undergo the risks of an operation, SOLELY because of the intense
and psychologically damaging pressure by ATOS, DWP, and central
government benefit-cutting policy, to have an operation (with
associated risks)in an attempt to get back to work and escape this
intolerable pressure?

How much will these enforced operations cost the NHS? (These
operations would not have taken place without this terrible
pressure.)

How concerned is tha NHS at the negative effect of: the DWP
practise of writing to a patient's GP after a Work Capability
Assessment by ATOS, & DWP decision to declare them found "fit for
work", and pressure the GP NOT to issue further medical
certificates, especially in the light of so many successful WCA /
ESA appeals?

Please would the NHS comment on the government's mantra that "work
is good for you"? At what cost to the patient? In what
circumstances might this not be the case? Has this and the possible
damage to patients been discussed by the NHS at any level?

I would like to see any documents relating to this and any other
concerns expressed anywhere in the NHS about central government
"back to work at any costs policy".

What ethical code might the government be breaking?

Yours faithfully,

[P. Smith].

Link to this

Department of Health

9 January 2012

Thank you for contacting the Department of Health.
This is an acknowledgement - please do not reply to this email.
Where a reply is appropriate, we aim to send one within 18 working days or
20 working days if your query is a Freedom of Information request.
If you have contacted the Department of Health about a current health or
social care campaign, please visit the [1]Department's website where a
response may have been published.

If your enquiry is about a medical matter, please contact NHS Direct on
0845 4647 or visit [2]NHS Choices, or contact your GP surgery.

For general health information you may also find it helpful to refer to
[3]Directgov, the UK Government’s Official information website, or the
Department of Health website’s [4]Frequently Asked Questions. 

Please note that the Department of Health does not process complaints
about the NHS or social services. If you wish to make a complaint about a
healthcare professional, an NHS organisation or a social care provider,
please visit the '[5]Making a complaint' page on the Department's website.

show quoted sections

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References

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1. Department's website
http://www.dh.gov.uk/en/FAQ/index.htm
2. http://www.nhs.uk/
3. http://www.direct.gov.uk/en/index.htm
4. http://www.dh.gov.uk/en/FAQ/index.htm
5. http://www.dh.gov.uk/en/ContactUs/Compla...

Link to this

P. Smith left an annotation (11 January 2012)

Quote-marks http://www.ekklesia.co.uk/files/response...

See in this document the reference to the fear of some of the deaf community that they will be forced to undergo cochlear implants.

Link to this

From: P. Smith

4 February 2012

Dear Department of Health,

I would appreciate a response please.

Yours faithfully,

[P. Smith]

Link to this

From: P. Smith

3 March 2012

Dear Department of Health,

Any chance of a response?

Many thanks,

Yours faithfully,

[P. Smith]

Link to this

Department of Health

5 March 2012

Thank you for contacting the Department of Health.
This is an acknowledgement - please do not reply to this email.
Where a reply is appropriate, we aim to send one within 18 working days or
20 working days if your query is a Freedom of Information request.
If you have contacted the Department of Health about a current health or
social care campaign, please visit the [1]Department's website where a
response may have been published.

If your enquiry is about a medical matter, please contact NHS Direct on
0845 4647 or visit [2]NHS Choices, or contact your GP surgery.

For general health information you may also find it helpful to refer to
[3]Directgov, the UK Government’s Official information website, or the
Department of Health website’s [4]Frequently Asked Questions. 
Please note that the Department of Health does not process complaints
about the NHS or social services. If you wish to make a complaint about a
healthcare professional, an NHS organisation or a social care provider,
please visit the '[5]Making a complaint' page on the Department's website.
 
You can find out more about the Department’s commitments from our
[6]Customer Charter and [7]Information Charter.

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References

Visible links
1. Department's website
http://www.dh.gov.uk/en/FAQ/index.htm
2. http://www.nhs.uk/
3. http://www.direct.gov.uk/en/index.htm
4. http://www.dh.gov.uk/en/FAQ/index.htm
5. http://www.dh.gov.uk/en/ContactUs/Compla...
6. http://www.dh.gov.uk/health/contact-dh/
7. http://www.dh.gov.uk/en/FreedomOfInforma...

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Department of Health

8 March 2012


Attachment Long Email Body 670498.html
5K Download


Our ref: DE00000685567  
 
Dear Mr/Ms Smith, 
 
Thank you for your further email of 3 March 2012, chasing a reply to your
Freedom of Information request of 7 January.
 
The Department replied to you on 3 February and I enclose a copy of that
reply.

Yours sincerely,
 
Lisa Quarrell
Freedom of Information

(See attached file: Long_Email_Body_670498.html)

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P. Smith left an annotation (14 March 2012)

Quote-marks The response is copied and pasted below for ease of access:

"3/2/2012

DE00000670498 and DE00000670517

Dear Ms Smith,

Thank you for your requests of 7 January 2012 under the Freedom of Information Act (2000). I trust that you will accept this email as reply to both requests. You asked for:

“any information / evidence relating to the emotional and mental toll on claimants (NHS patients) failing a Work Capability Assessment / being refused ESA and being forced to face an appeal, often unsupported.

Is any department of the NHS / any Ministers from the Health Department concerned at the emotional and mental toll resulting from the process described above?

Does the NHS have any information or statistics regarding the number of suicides resulting from failed WCAs / ESA being refused to applicants?

Does this concern the Ministry for Heath / NHS? I.e.: I would like to see all relevant documents.”

You also asked:

“Can it be estimated, please, how many patients for whom a conservative management approach to their condition would have been preferable for them and their own doctors, have been FORCED to undergo the risks of an operation, SOLELY because of the intense and psychologically damaging pressure by ATOS, DWP, and central government benefit-cutting policy, to have an operation (with associated risks) in an attempt to get back to work and escape this intolerable pressure?

How much will these enforced operations cost the NHS? (These operations would not have taken place without this terrible pressure.)

How concerned is the NHS at the negative effect of: the DWP practise of writing to a patient's GP after a Work Capability Assessment by ATOS, & DWP decision to declare them found "fit for work", and pressure the GP NOT to issue further medical certificates, especially in the light of so many successful WCA /ESA appeals?

Please would the NHS comment on the government's mantra that "work is good for you"? At what cost to the patient? In what circumstances might this not be the case? Has this and the possible damage to patients been discussed by the NHS at any level?

I would like to see any documents relating to this and any other concerns expressed anywhere in the NHS about central government "back to work at any costs policy".

What ethical code might the government be breaking?”

With regard to your first request, I can confirm that the Department does not hold this information. I should also explain that your second request does not fall within the scope of the FOI Act. This is because the Act only applies to recorded information such as paper or electronic archive material. It does not cover unrecorded information which officials may remember, discussions (except where a record has been kept), or requests for an official policy statement, estimation or comment.

However, the Department for Work and Pensions (DWP), which is responsible for Work Capability Assessments and Employment and Support Allowance, may hold information relevant to your request.

Details of how to contact the DWP are available at:

http://www.dwp.gov.uk/freedom-of-informa...

If you have any queries about this email, please contact me. Please remember to quote the reference number above in any future communications.

If you are dissatisfied with the handling of your request, you have the right to ask for an internal review. Internal review requests should be submitted within two months of the date of receipt of the response to your original letter and should be addressed to:

Head of the Freedom of Information Team
Department of Health
Room 317
Richmond House
79 Whitehall
London
SW1A 2NS

Email: xxxxxxxxxxxxxxxxxxxx@xx.xxx.xxx.xx

If you are not content with the outcome of your complaint, you may apply directly to the Information Commissioner (ICO) for a decision. Generally, the ICO cannot make a decision unless you have exhausted the complaints procedure provided by the Department. The ICO can be contacted at:

The Information Commissioner's Office
Wycliffe House
Water Lane
Wilmslow
Cheshire
SK9 5AF

Yours sincerely,

Lisa Quarrell

Freedom of Information Officer
Department of Health "

Link to this

From: P. Smith

14 March 2012

Dear Department of Health,

Surely the projected likely outcomes of government policy that
would adversely / negatively affect disabled people / sick people,
and affect the NHS either practically or financially would have
been discussed at the very highest levels, and documents would
result from any meetings / consulations. There would be emails,
letters and other correspondence, reports, summaries, explanations,
lists, indexes - whatever.

Surely the projections and now the grim reality would be discussed
or reported in some recorded form?

Yours faithfully,

[P. Smith]

Link to this

Department of Health

14 March 2012

Dear [P. Smith],

I can confirm that the Department has received your request for an
Internal Review of your Freedom of Information request (Our reference:
DE00000670498).  This is being processed by a member of the Freedom of
Information team, who will respond to you in due course.

Yours sincerely,

Jamie Scott

Freedom of Information Officer
Department of Health

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From: P. Smith

14 March 2012

Dear Department of Health,

OK thank you, I look forward to receiving your response.

Yours faithfully,

[P. Smith]

Link to this

Department of Health

11 April 2012


Attachment 670498R Reply Smith.pdf
57K Download View as HTML

Attachment 670498R Smith emails.doc
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Attachment 670498R Smith Draft SI.doc
224K Download View as HTML


Dear Ms Smith,

Please find attached our reply to your internal review request, ref
670498R.

(See attached file: 670498R Reply Smith.pdf)

(See attached file: 670498R Smith emails.doc)

(See attached file: 670498R Smith Draft SI.doc)

Yours sincerely,
Lynwen Paddy
Senior FOI Manager
Freedom of Information Team
Email: [1][email address]
 

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From: P. Smith

13 April 2012

Dear Department of Health,

Thank you for your response.

The problem is that the government are promoting the view that
"work is good for you", even if people e.g.: have autism, severe
mental illness, cancer, are severely diabled or sick or in pain,
etc as if work is s PANACEA or CURE-ALL, which is of course an
extreme perspective, and completely untrue for many people, who are
being shoved back to work to their detriment, pain, stress and deep
unhappiness.

The gocernment are using "work is good for you" as an excuse for
their draconion and unjust WCA and welfare cuts to the disabled and
sick.

What is the NHS view on the government harming and harassing people
in this way? Please send copies of any related stored information
in any form.

Yours faithfully,

[P. Smith].

Link to this

From: P. Smith

13 April 2012

Dear Department of Health,

Please supply copies of any documents that might reflect the NHS
concern that the government is effectively killing off disabled and
sick people:

http://www.guardian.co.uk/commentisfree/...

http://blogs.mirror.co.uk/investigations...

Yours faithfully,

[P. Smith]

Link to this

Department of Health

13 April 2012

Thank you for contacting the Department of Health.
This is an acknowledgement - please do not reply to this email.
Where a reply is appropriate, we aim to send one within 18 working days or
20 working days if your query is a Freedom of Information request.
If you have contacted the Department of Health about a current health or
social care campaign, please visit the [1]Department's website where a
response may have been published.

If your enquiry is about a medical matter, please contact NHS Direct on
0845 4647 or visit [2]NHS Choices, or contact your GP surgery.

For general health information you may also find it helpful to refer to
[3]Directgov, the UK Government’s Official information website, or the
Department of Health website’s [4]Frequently Asked Questions. 
Please note that the Department of Health does not process complaints
about the NHS or social services. If you wish to make a complaint about a
healthcare professional, an NHS organisation or a social care provider,
please visit the [5]'How to make a complaint' page on the Department's
website.
 
You can find out more about the Department’s commitments from our
[6]Customer Charter and [7]Information Charter.

show quoted sections

Communications via the GSi may be automatically logged, monitored and/or
recorded for legal purposes.

References

Visible links
1. Department's website
http://transparency.dh.gov.uk/category/t...
2. http://www.nhs.uk/
3. http://www.direct.gov.uk/
4. http://www.dh.gov.uk/en/FAQ/index.htm
5. http://www.dh.gov.uk/health/contact-dh/c...
6. http://www.dh.gov.uk/health/contact-dh/
7. http://www.dh.gov.uk/en/FreedomOfInforma...

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Department of Health

13 April 2012

Thank you for contacting the Department of Health.
This is an acknowledgement - please do not reply to this email.
Where a reply is appropriate, we aim to send one within 18 working days or
20 working days if your query is a Freedom of Information request.
If you have contacted the Department of Health about a current health or
social care campaign, please visit the [1]Department's website where a
response may have been published.

If your enquiry is about a medical matter, please contact NHS Direct on
0845 4647 or visit [2]NHS Choices, or contact your GP surgery.

For general health information you may also find it helpful to refer to
[3]Directgov, the UK Government’s Official information website, or the
Department of Health website’s [4]Frequently Asked Questions. 
Please note that the Department of Health does not process complaints
about the NHS or social services. If you wish to make a complaint about a
healthcare professional, an NHS organisation or a social care provider,
please visit the [5]'How to make a complaint' page on the Department's
website.
 
You can find out more about the Department’s commitments from our
[6]Customer Charter and [7]Information Charter.

show quoted sections

Communications via the GSi may be automatically logged, monitored and/or
recorded for legal purposes.

References

Visible links
1. Department's website
http://transparency.dh.gov.uk/category/t...
2. http://www.nhs.uk/
3. http://www.direct.gov.uk/
4. http://www.dh.gov.uk/en/FAQ/index.htm
5. http://www.dh.gov.uk/health/contact-dh/c...
6. http://www.dh.gov.uk/health/contact-dh/
7. http://www.dh.gov.uk/en/FreedomOfInforma...

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P. Smith left an annotation (21 November 2012)

Link to this

GEOFFREY REYNOLDS (Account suspended) left an annotation (19 March 2013)

Quote-marks Its so strange that so many organisations have got no answers.

Do you honestly believe they know nothing or are corrupt to the point that they are afraid to give information, lest this corrupt government take sanctions against them.

Freedom of information is a paradox, a statement contrary to received opinion.
I asked how many people had been seen at my local hospital under the governments flagship free health check promise.

Guess what? They had no information on this!

Link to this

P. Smith left an annotation (20 March 2013)

Quote-marks The Blame Game

http://www.church-poverty.org.uk/stigma

The lies we tell ourselves - Truth & lies about poverty

http://www.jointpublicissues.org.uk/trut...

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