Death by proxy

GEOFFREY REYNOLDS (Account suspended) made this Freedom of Information request to Department of Health and Social Care

This request has been closed to new correspondence from the public body. Contact us if you think it ought be re-opened.

Response to this request is long overdue. By law, under all circumstances, Department of Health and Social Care should have responded by now (details). You can complain by requesting an internal review.

GEOFFREY REYNOLDS (Account suspended)

Dear Department of Health,
Given that ATOS intend to subcontract PIP examinations back to the NHS, will the NHS be using BIOPSYCHOSOCIAL LIMA software, either similar or adapted, that was used to assess Incapacity Benefit claimants or will it utilise a real, in depth medical examination by a fully qualified doctor, knowledgeable of the disabilities of the claimant?
Will the NHS be using existing ATOS staff to carry out assessments?

Yours faithfully,


GEOFFREY REYNOLDS (Account suspended) left an annotation ()

Atos, the company contracted by the Department for Work and Pensions to carry out medical assessments of people claiming benefits, has subcontracted elements of the work back to a number of NHS trusts in England.

The subcontracting of the NHS by Atos in Scotland prompted questions last year from MPs over whether it represented value for public money for the state to contract work to a private company if the work was then outsourced back to the state sector.

A number of NHS trusts south of the border are now reported to have been contracted by the company to help carry out assessments for a new disability benefit, the personal independence payment (Pip), which is due to replace the disability living allowance from 2013. The government aims to cut spending on the benefit by 20% over the next three years.

University College London, King’s and York will deploy thousands of health professionals to carry out the assessments, according to the Financial Times.

It emerged last October that Atos Healthcare had appointed the Scottish healthcare provider NHS Lanarkshire’s occupational health arm, Salus, to help carry out assessments for Pip.

Lanarkshire NHS will receive £22m from Atos to carry out the work until July 2017. Atos won contracts worth more than £400m in August to test whether disabled claimants were eligible for the new benefit.

Atos is receiving £238m for work in Scotland, north-east and north-west England, according to the Department for Work and Pensions.

At the time, the company described its subcontracting of work to NHS Lanarkshire as a “partnership”, adding: “It means that consultations will take place where people feel most comfortable – in the heart of their local community – and they will be conducted by health practitioners that have first-class expertise in dealing with the needs of disabled people.”

Atos said the supply chain model in Scotland was likely to be similar to those soon to be announced in England.

A DWP spokesperson said: “We are taking a new approach working with regional providers for a service which best meets local needs. It was open to NHS organisations to bid for a place on the health and disability assessment framework but none did so.

“We believe that it is right for Atos to partner with the NHS to offer Pip claimants familiar surroundings and experienced health professionals. The partnership proposed here demonstrated best value for money for the department and its claimants.”

Department of Health and Social Care

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 or
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]GOV.UK, the UK Government’s Official information website, or the
Department of Health website’s [4]About Us section.  You can also view
our [5]performance against quarterly service targets.
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 [6]'How to make a complaint' page on the Department's
You can find out more about the Department’s commitments from our
[7]Customer Charter and [8]Information Charter.

show quoted sections

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


Visible links
1. Department's website

Department of Health and Social Care

Our ref: DE00000761522 
Dear Mr Reynolds,
Thank you for your correspondence of 19 February to the Department of
Health about ATOS Healthcare.  I have been asked to reply.

I regret this is not within the Department of Health’s remit.  After
considering your email, I would recommend that you forward your
correspondence to colleagues in the Department for Work and Pensions where
the staff are better able to answer your query.  The contact details are:
Department for Work and Pensions
Caxton House
Tothill Street
Website: [1]
Email: [2][email address]
I am sorry I could not be of more assistance on this occasion.

Yours sincerely,
Ben Rowe
Ministerial Correspondence and Public Enquiries
Department of Health

show quoted sections

GEOFFREY REYNOLDS (Account suspended) left an annotation ()

With so much blood on your hands you would be better equipped running an abattoir......



GEOFFREY REYNOLDS (Account suspended) left an annotation ()

Two nurses who resigned from the government’s “fitness for work” contractor Atos Healthcare because it was “cut-throat” and “ruthless” have described how they were criticised by their managers for being “too nice”.

They spoke out only days after the latest report to criticise Atos was published by the Commons public accounts committee, which said the company had carried out “thousands of poorly administered tests each year”.

Last month, opposition MPs also lined up during a Commons debate to criticise Atos for the way it has carried out the contract to assess claimants of the new employment and support allowance (ESA), the replacement for incapacity benefit.

Disabled activists have held a string of protests aimed at highlighting the damage they say Atos has caused disabled people.

The grassroots campaign group Disabled People Against Cuts has accused Atos of finding people in comas and with terminal illnesses fit for work, using “an inhumane computer programme” to carry out assessments, and training staff “to push people off benefits”.

Now two nurses who worked at the company have added their weight to concerns about the way it operates, although Atos has refuted their claims.

One of the nurses says she and other assessors were constantly monitored on the number of claimants they recommended should be placed in the support group.

Jane*, who has posted her own account of her experiences on the Atos Victims website, said: “There was a percentage. If you were above that percentage they would review all of your cases. If you put too many in, you had to be monitored and you would have to get permission to put any more in the support group. There was a limit.”

Although she has no proof, she is convinced Atos has been given targets by the Department for Work and Pensions for the number of claimants it finds “fit for work”.

Those colleagues who were more ruthless with their assessments and found more claimants fit for work were “praised” by managers, she says.

Jane, who worked at Atos for a few months last year, said assessors were “taught to be cut-throat”.

She said: “It was drilled into you that you were not allowed to show any emotion. You couldn’t care. You weren’t allowed to care.”

On one occasion, after she had taken longer than usual to carry out an assessment, she was taken aside by a manager and told: “You’re not there to talk, you’re there to do an assessment. You’re not there to care.

“You are too nice, but that will come with experience. You’ll harden up.’”

On another occasion, she had been forced to abandon an assessment – following the correct WCA procedures – because a woman had become so distressed by the assessment that she began hallucinating.

Jane sat with her in the “quiet room” for 35 minutes while she waited for her family to pick her up.

But when a manager found out how long she had spent with the woman, Jane was given a verbal warning and told: “You have got to stop being so nice. This will go on your record.”

Jane says Atos assessors were taught during their training to try to trip up claimants.

“You had to tease information out of them, so they would drop themselves in it. We were encouraged to try to get contradictory evidence by asking them to discuss their typical day-to-day activities.

“For example, if a claimant with mental health problems reported difficulty interacting with strangers, I was encouraged to find evidence from his typical day, no matter how simple, to prove this was not the case.

“One particular guy became quite aggressive with me. I asked for advice and my mentor told me: ‘Don’t worry, he’s not mad, just bad.’”

After her concerns reached one of the directors, he asked to see her. When she told him she did not feel as if she was helping anybody, he told her: “You are. You are saving so much money. That’s why we are here, to get these people back to work and bring down the level of benefits.”

Jane quit the job with Atos after only a few months, concerned that the work she was being asked to do could put her nursing registration at risk.

She said: “I just don’t think it is a job for a nurse. As soon as I got into the car in the morning, I felt sick, and I just didn’t want to go. It is a job I wish I had never done.”

She believes Atos should be stripped of its contract to carry out the assessments. “They are so ruthless. Somebody said to me that the job is ‘toxic’, and I think they are right.”

A second nurse, Joyce Drummond, who worked for Atos in Glasgow in 2009 – carrying out assessments for incapacity benefit, ESA’s predecessor – says she was also told by an Atos director that she was “too nice”.

She said: “I was so shocked to be told a nurse could be too nice. It was horrible. I thought I would help people get the benefits they were entitled to. When the penny dropped, my conscience wouldn’t let me carry on. I was coming home in tears. I couldn’t do it.”

Joyce agrees with Jane that assessors were taught to “trick” claimants, for example by asking them about their pet if they were depressed, and then noting down if they smiled when they talked about it.

“Everything was just twisted, nothing was like it seemed. Everything was aimed at catching people out.”

She insists that most of the people she saw had a “real reason” to claim the benefit, and there were only a small minority who were “trying to pull a fast one”.

Like Jane, she said she would feel “sick” at the thought of going to work for Atos every morning. Eventually, she left the company, and has not worked since. She believes the strain of working there contributed to her worsening health.

She has since had two assessments of her own from Atos assessors, both of which found her fit for work but were overturned on appeal. She was found fit for work for a third time last June, and is now awaiting her third tribunal.

Joyce believes Atos is “just in it for the money”. “They have forgotten their consciences. The feeling about the place was that somehow the people claiming benefit were different from the rest of us, a lower-class person.

“We were told quite bluntly: ‘They can always appeal.’ There was no respect for the people we were assessing.”

She added: “It is not a nurse’s job. A nurse is meant to have a duty of care for a patient, to have a bit of compassion. They are supposed to be advocates for their patients.”

An Atos spokeswoman said: “We refute these claims. We know how difficult this process can be for people and we employ only highly-trained doctors, nurses and physiotherapists to carry out the work capability assessment, many of whom come directly from the NHS.

“We work extremely hard on providing a professional and compassionate service and our customer satisfaction survey measures how courteous, polite and gentle our practitioners are. Our scores in this area are very highly rated, consistently over 90 per cent.

“We take care to look after our healthcare staff, all of whom are aware of and have access to our employment assistance programme, which provides a confidential free-phone helpline and face-to-face counselling.”

*Not her real name

14 February 2013

GEOFFREY REYNOLDS (Account suspended) left an annotation ()

One other piece of evidence is clinching. When Atos work for other employers like the Royal Mail or the NHS, their decisions about unfitness for work are wholly different. That points ineluctably to the real truth, as I said at the end of the debate, that DWP are quite ready to accept, even require, this inhumanity if it is the only means to get 1.6 million disabled persons off Incapacity Benefit. The evil is not Atos – I make no excuse for them whatsoever since they could, and certainly should, walk away from so brutal and dehumanising a contract – but the real evil is the DWP (and no doubt the Treasury behind them) and the Ministerial instructions that set up this system – the descriptors, the regulations, the guidance, and all the rest. In fact in Kettering Atos have implemented all Harrington’s proposals and the accuracy of assessment is almost 100%, but it means only doing 4 assessments a day and DWP insists on 11.

GEOFFREY REYNOLDS (Account suspended) left an annotation ()

Dear Department for Work and Pensions,
My questions relate to the proposed food vouchers that will be
made available instead of cash.

1/ Will the food voucher entitle the holder to a two course or
three course meal?

2/ Should a tuxedo or formal evening attire be used?

3/ Will the soup or gruel be of a consistency to be placed in a
begging bowl?

4/ Will the voucher entitle the bearer to a varied diet, ie;
is the menu changed regularly?

5/ Could a poor family share one voucher and save the remaining
vouchers as a treat for a weekend feast?

6/ Are knives and forks necessary or could the contents be decanted
into one bowl?

7/ Have the food vouchers been trialled at Westminster in any of
the taxpayer subsidised restaurants?

8/ Will the food vouchers be redeemable at participating
restaurants in either the commons or lords?

9/ Have ATOS HCPs tested the food available from the vouchers to
see if it is worthy of sustaining life?

10/ Are the vouchers edible, in the unforseen event food is not

11/ Would sanctions be used against any poor person who turns to
cannibalism in the event the scheme fails?

12/ Does the DWP intend to keep a league table of satisfied
customers or will they just die, as they do at present?

13/ Will the holder of any unredeemed food vouchers be able to
convert them to cash after this policy of demonising the poor

Yours faithfully, GEOFFREY REYNOLDS