THE FULL FACTS

A guide to ESA, ESA50 claim form and ATOS WCA
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PostPosted: Wed 02 Mar 2011, 13:44 
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The points below were to be added to the claim form guide but at 50+ pages I have decided to post this topic instead.

Below are the key points the DWP (if they bother) will ask your GP. The answers will have a direct impact on whether or not you are granted ESA and at what level.
If you have not seen your GP for some time he may not have all the facts.
It is important to keep your GP informed of any illness, difficulties and medication side effects. If you state something on the claim form or at medical but your GP does not verify this what you say WILL NOT be taken into account.

Take point 5.
Quote:
5. Treatment - Current treatment including medications and dosage, response to treatment including control of condition and prognosis


You may be suffering dizzyness not due to your illness but due to medication side effects. If your doctor is not aware of this it will not be taken into account.


Date when patient last seen..

Some people try to carry on with their illness without help from a doctor. If you have not seen your doctor for some time prior to assessment a dim view may be taken of your illness

1. Diagnosis of the disabling conditions (do not include minor conditions)
Your doctor will not be able if comment properly on the above unless he KNOWS of your conditions. It will do you no good if you are suffering from a condition or your condition worsened but your doctor is unable to comment

2. Please give brief details of the history of condition(s) stating they are mild, moderate, or severe, in your answer. Include details of relevant special investigations
This is why you need to see your GP on a regular basis. He will not be able to comment if he cannot give a detailed history of your condition

3. Day to day variation in the conditions(s)(if any) including frequency and duration of exacerbations
There are very few illnesses/conditions that DONT fluctuate. Your GP may not see you on days when you are at your worst. It is therefore a good thing to inform him of day to day changes that you have to cope with.

4. Relevant clinical findings - for example, visual acuties, hearing, auscultatory findings, peak flow, range of joint movement, muscle wasting, SLR, reflexes, extent of breathlessness
Some of these test will be carried out at hospital. Here proves as well as GP it is important to attend hospital appointments. Any test results will be invaluable to your report.

5. Treatment - Current treatment including medications and dosage, response to treatment including control of condition and prognosis.
Since starting this forum I have learned from posters that lack of emphasis they place on medication.
All medication has side effects. Some serious some not. However medication adverse reactions can make you ill by themselves.
You may be suffering dizzyness not due to your illness but due to medication side effects. If your doctor is not aware of this it will not be taken into account.
You should keep a note of any changes you notice or any strange changes and inform your doctor. That way he will note this down and inform DWP

6. Please give details, IF KNOWN, of the effects of the disabling condition(s) on day to day life;
(a) Self care - for example, washing, dressing, feeding, using the toilet, continence, ability to rise from a chair and ability to communicate.
(b) Insight of awareness and danger.
(c) Ability to get around including pain, gait, balance, breathlessness, visual loss and communication difficulties.

This section is important, your doctor will not seen you very frequently and yet he will be asked about your day to day life. Unless you give him facts he will not be able to comment.
You MUST make sure he knows about your day to day difficulties


DO NOT WAIT OR LEAVE IT TO DWP/ATOS to write to medical staff concerning your case:

Quote:
There is no requirement to have NHS medical records available for the assessment. When it is considered appropriate by the Healthcare Professional (HCP), further medical evidence can be requested from the customer's medical carers.


Make sure your GP and medical/hospital consultants have written reports on your behalf prior to attending medical. You should send them with your claim form.

see also http://www.dwp.gov.uk/docs/medical-repo ... letion.pdf This leaflet has been sent out to doctors informing them of requirements

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PostPosted: Wed 02 Mar 2011, 16:41 
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Joined: Sun 17 Oct 2010, 17:36
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It is highly unlikely the person at your medical will be a specialist in your condition. You may not even see a doctor. You could be suffering for cancer and yet be seen by a physiotherapist.
This persons view of you on the day will be relied on. The above post is too help the balance back in the favour of GP/hospital consultants who really know your condition.

Below is a link concerning qualification of those in charge of ATOS medicals.
viewtopic.php?f=22&t=170

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