HCP and/or Medical Advisors call for WCA based on illness/disability

Donna made this Freedom of Information request to Department for Work and Pensions

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Dear Department for Work and Pensions,

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
Registered Blind (needs to be seen in own environment)
Cases accepted under the Special Rules defining Terminal illness.
Alzheimers
Amputation of both legs
Asperger's
Autistic Spectrum Disorder / Autism
Cerebral Palsy
Dementia
Hemiplegia
Huntingdon's Chorea
Korsakoffs Psychosis
Macmillan Nurse attending.
Motor Neurone Disease
On oxygen
Paraplegia
Quadraplegia
Renal Dialysis
Severe Mental Impairment
Severe Learning Difficulty
Spastic Diplegia
Tetraplegia
Total Parenteral Nutrition
Unstable Angina
Wernicke's Encephalopathy

2. Reference to Medical Advisor required for advice.
AIDS
Astrocytoma
Bone Marrow Transplant
Brittle Bone Disease
Cancer
Cystic Fibrosis
Dermatomyositis
Glioma
Guillane-Barre Syndrome
Hodgkin's Lymphoma
Leukaemia
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
Systemic Lupus Erythematosis
Scleroderma
5evere Depression
Thallassaemia

3. Tentatively invite to Medical Examination Centre.
Agoraphobia (offer taxi)
Anorexia Nervosa
Ataxia
Bipalar Affective Disorder / Bipolar Disease Manic Depression
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
Leg Ulcers
Myalgic Encephalomyelitis / ME
Obsessive Compulsive Disorder
Peripheral Neuropathy
Phobic Anxiety
Sickle Cell Anaemia
Social Phobia
Spina Bifida
Stroke
Subarachnoid Haemorrage / SAH
Ulcerative Colitis
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
Chronic Obstructive Pulmonary Disease
COPD
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
Irritable Bowel Syndrome / IBS
Joint Pain
Kyphosis
Kyphoscoliosis
Labyrinthitis
Liver Transplant
Lumbar Spondylosis
Meniere's Disease
Migraine
Myasthenia Gravis
Neck Pain
Osteoarthritis
Osteoporosis
Overactive Thyroid
Panic Attacks
Pelvic Inflammatory Disease
Peripheral Vascular Disease
Personality Disorder
Prolapsed Intervertebral Disc
Psoriasis
"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?

Yours faithfully,

Donna

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DWP DWP Medical Services Correspondence, Department for Work and Pensions

4 Attachments

Dear Donna

Please find enclosed a response to your request for information under the
Freedom of Information Act. The excel document that is embedded into
Version 2 of the Guidance has been attached separately for you.

<<Worksheet.pdf>> <<3568-2766 Response Donna.pdf>> <<Disability Living
Allowance Attendance Allowance in MECs Guide for Admin and Medical Staff
V2(Final).pdf>> <<T&D
DLAAA_in_MECs_Guide_for_Administration_and_Medical_Staff v1 Final.pdf>>

Kind regards

Medical Services Contract Correspondence Unit, Department for Work and
Pensions, Room 306, Block 3, Norcross, Norcross Lane, Blackpool, FY5 3TA
Tel 01253 611556, extn 69956

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