Rank: Forum user
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Can of worms about to be opened...
We have a long term employee who has been off work since August 2013 following an accident at work. The operative fell from a height of approximately 2.5m and suffered an injury to his lower back, which has resulted in him being off work since. There was an internal accident investigation undertaken which flagged up a number of findings and preventative actions and there is currently an on-going injury claim being pursued by the IP, all of which is a side issue to this thread.
This afternoon, we have been informed personally by the IP that he has been assessed by Atos and they have informed him that he is fit for a return to work. His GP has stated otherwise however. The IP himself, his union representative and our company are all in agreement with the opinion of the GP, that he is not fit at present to return and believe that the opinion of the GP should take precedence in this matter.
Atos are saying that as he has been deemed fit for work, his benefit payments will therefore be cut and that it is down to our company to find the IP a work function that he is able to undertake.
The IP is a plumber to trade.
My opinion and concern is that since the GP has clearly stated that the IP is not deemed fit for a return to work, if we were to take the IP back on and give him some "light" duties --- if there is such a thing as light duties in the construction industry --- and he injures himself further, as well as causing the IP more distress, there will be implications on us as company for bringing the operative back against the advice of his GP.
To complicate issues further, the Union have stated that further to the assessment by Atos, if our company cannot offer alternative duties, then we will be in a position where will be required to make the IP redundant. Again, all of which has implications for the current on-going claim proceedings.
Has anyone had any similar experiences of this and if so, I'd be curious to know the outcome.
Our HR Manager is currently investigating this also, but I know the IOSH forum is normally a good place to start with asking for advice.
Cheers for reading,
D.
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Rank: Super forum user
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Good post.
I will be watching this one with interest.
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Rank: Super forum user
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ATOS has undertaken the reururn to work based on the so called disability type criteria. If you have access to a "pukka" Occupational Health service i.e. Occupational Health Physician yourself, that is likely to carry more weight than ATOS or GP. Last, but not least, it is not ATOS or the GP, but your employer liability insurer that is going to pay the claim etc. so they should have some input. Personally, I would go the Occupational Health physician route.
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Rank: Super forum user
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Yes, I think OH is the right route. ATOS are employed to fulfill an essentially political purpose, their judgments cannot be regarded as either unbiased or necessarily in the best interest of the claimant. I would go for the GP decision over ATOS anyday, but backing it up with a qualified OH cllinician seems like a good call,
John
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Rank: Super forum user
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I think that just referring this to an occupational physician for an opinion might not be the best approach as they will have only third hand information on which to respond, unless the IP is willing to see the OP.
I would start by going back to Atos and ask them to provide a written statement as to what type of work they consider him fit to carry out. This places the ball firmly in their court. It also give you something that you can work on, i.e. could you find him something that is commensurate with what Atos are saying. Then consult an occupational physician and obtain their view based on the Atos statement and your assessment of what you could find him.
Chris
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Rank: Forum user
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ATOS has recently lost the contract for these assessments.
I'm sure somebody can find the story.
Having had a family member "assessed" by ATOS my comments regarding the professionalism of the company, its assessment and findings would not be printable, and would certainly be pulled by the Moderators.
The one comment that can be made, is that the person attended to be assessed regarding a dislocated right knee.
The one part of the anatomy that was not examined was: THE RIGHT KNEE!
Stick with the GP's opinion, and if necessary get the opinion of a proper Occupation Health Physician.
Rodger Ker
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Rank: Super forum user
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The ATOS decision is for benefit purposes.
The doctor/s are for fitness.
Most people believe that atos employ highly trained medical doctors/consultants.
Not so. Most decisions are based on the paperwork with no examinations at all.
The final decision is from a ¨decision maker¨ at the DfWP, who has no medical training, and probably not much training in anything.
It is a ¨tick-the-box¨ assessment.
To be deemed fit to work, the claimant is assessed on various abilities.
The points target for continued benefit is 15, lower and you are fit, higher and you are not.
Interestingly, no points are awarded for L4/L5 disc herniation leading to considerable leg pain and control problems, while 6 points can be awarded for hearing problems!
L4/L5 barely affects mobility, but bad hearing affects risk. You work it out.
Personally, if you base YOUR decision to allow a return to work on the ATOS decision of fitness, you deserve what will come your way.
I suggest you arrange to have the employee assessed privately by qualified medical doctors/consultants.
Either way, it will probably cost you.
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Rank: Super forum user
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And either way, it will affect the employee.
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Rank: Forum user
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Thanks for all the valuable input so far.
The company does have access to two separate Occupational Health sources, one via an external provider whom we use on a frequent basis and another one via our insurers as part of our policy.
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Rank: Super forum user
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As far as I am aware, ATOS etc do not give advice on what work can be done. They are not for that purpose. They simply undertake a range of "tests" to determine:-
Part 1: Physical disabilities
Part 2: Mental, cognitive and intellectual function
Part 3: Limited Capability For Work-related Activity Test
The above is based on a points system and there are threshold criteria for the allowance or not
The link to the Limited Capability For Work-related Activity Test is:-
http://www.esahelp.co.uk/work-activity-test.php
Apparently, one can request a copy of the approved healthcare professional's report from the Department for Work and Pensions that will be sent through the post.
http://www.esahelp.co.uk/before-medical.php
The approved healthcare professional's report
The approved healthcare professional will complete the report (ESA85) after the medical assessment. They will submit the report to the Department for Work and Pensions. You will not normally see it before it is submitted.
If a work focused health related assessment is completed, the approved healthcare professional will send this report to your personal adviser. They will also send a copy of this report to you.
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Rank: Super forum user
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Quite.
Their remit is to decide whether a person is fit for any work, not necessarily their trade.
That persons employer has to decide whether that person is fit to return to their employed position, or another available position.
You will note the problem immediately.
As far as I can see, professional advice is needed to decide if that employee is medically fit for the work you have available for him/her.
The ATOS decision is largely irrelevant to that end.
And the employer cannot request anything from ATOS/DWP, only the assessed party.
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Rank: Super forum user
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I know this is not what you asked for, but I can't help but wonder why the taxpayer (me) has been supporting this man for the past year.
His injury was directly due to his work and the reason he has had to beg for handouts is due to your insurer dragging their heels. I believe your company has a moral duty to support this man and not to leave it to the taxpayer.
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Rank: Super forum user
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ATOS had their role until recently, and that was operating for DWP to get people off the benefit system and out of payments.
The way I see this issue is the employee cannot return to his work as a plumber but there are other types of work he can do.
Take the Tardis back to 1988 when I was a firefighter and injured during a call and my injuries were preventing me returning to my job. I was off injured for almost two years and then retired on injury pension, this despite my protests, I wanted to go back as firefighter but that was not allowed by the medical team for the Brigade.
I soon got myself a job as Fire Prevention Officer in a factory and have worked ever since, but not operationally as a firefighter.
The standard payout for a claim such as mine was £75.K at the time, I was awarded a very small compensation because I worked very quickly after being retired. No loss of earnings.
Now back to the plumber who I am sure could find some employment but not that of an active plumber in the construction sector. ATOS will be correct when they say he is fit for work because he is fit for work, however not for the activities of a plumber. ATOS only need to get his benefit payments stopped and it looks like that is what is happening.
Returning to his work as a plumber will be down to the GP, and it appears he has already made that opinion.
Your plumber does not have to return to work if his GP says he is unfit, but he will not receive the benefits he was from DWP.
Two different opinions, one for the DWP, the other for the NHS.
That is my opinion of this case and while I am not calling him a benefit scrounger perhaps it is time he accepted his condition will not improve enough to return to plumbing and to look for something else, just like I had to do, then perhaps over the course of time he may find he is fit enough to be a plumber once again.
By the way is he in receipt of sick pay from his employer?
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Rank: Super forum user
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Unfortunately with most benefit forms around disability and fitness for work it is often what is not said or written that is critical, eg stating you have a knee injury does NOT make you unfit for work BUT stating that you have a knee injury that prevents standing for more than a minute and then require 1 hour rest and which then causes ongoing severe pain managed only by narcotic pain killers for several days may well render you unfit. Atos like other assessors do not make the opening for this sort of depth - the claimant has to create it.
If I go further it will sound like a rant. The union is in essence correct in that if you cannot find work the person potentially is redundant. How long does the GP think this is likely to last? - you certainly need advice outside of Atos et al.
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Rank: Super forum user
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Jay wrote:As far as I am aware, ATOS etc do not give advice on what work can be done. They are not for that purpose. They simply undertake a range of "tests" to determine:-
Part 1: Physical disabilities
Part 2: Mental, cognitive and intellectual function
Part 3: Limited Capability For Work-related Activity Test
The above is based on a points system and there are threshold criteria for the allowance or not
The link to the Limited Capability For Work-related Activity Test is:-
http://www.esahelp.co.uk/work-activity-test.php
Apparently, one can request a copy of the approved healthcare professional's report from the Department for Work and Pensions that will be sent through the post.
http://www.esahelp.co.uk/before-medical.php
The approved healthcare professional's report
The approved healthcare professional will complete the report (ESA85) after the medical assessment. They will submit the report to the Department for Work and Pensions. You will not normally see it before it is submitted.
If a work focused health related assessment is completed, the approved healthcare professional will send this report to your personal adviser. They will also send a copy of this report to you.
I suggest ALL keep a copy of this information as you will never know when it is needed
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Rank: Forum user
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After having many dealings with Atos i suggest they re-brand with the words "Couldn't give" in front of their name!
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Rank: Super forum user
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A different route the employee could take is applying for PIP the benefit for disabled. If he has walking difficulties he may qualify for the benefit, search for the PIP website and follow the guidance to applying. Initial telephone sift then the application form sent out. Only takes about three months from application to decision.
This is different to the back to work medicals. If the application fails then that could go against him in his compensation claim but of it goes for him ???????????????
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Rank: Super forum user
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boblewis wrote:Jay wrote:As far as I am aware, ATOS etc do not give advice on what work can be done. They are not for that purpose. They simply undertake a range of "tests" to determine:-
Part 1: Physical disabilities
Part 2: Mental, cognitive and intellectual function
Part 3: Limited Capability For Work-related Activity Test
The above is based on a points system and there are threshold criteria for the allowance or not
The link to the Limited Capability For Work-related Activity Test is:-
http://www.esahelp.co.uk/work-activity-test.php
Apparently, one can request a copy of the approved healthcare professional's report from the Department for Work and Pensions that will be sent through the post.
http://www.esahelp.co.uk/before-medical.php
The approved healthcare professional's report
The approved healthcare professional will complete the report (ESA85) after the medical assessment. They will submit the report to the Department for Work and Pensions. You will not normally see it before it is submitted.
If a work focused health related assessment is completed, the approved healthcare professional will send this report to your personal adviser. They will also send a copy of this report to you.
I suggest ALL keep a copy of this information as you will never know when it is needed
The information from ATOS is only given to the claimant. They will not send it to the employer. Possibly it will be available via the injured party. It has NO medical value whatever. ATOS has, frequently, declared persons fit for work, who have then died shortly after.
The persons GP is also not a reliable source of information to the employer since he/she is only concerned with the patients wellbeing. There may well be other issues at play here.
Commission your own report on the persons health/fitness-for-work.
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Rank: Super forum user
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walker wrote:I know this is not what you asked for, but I can't help but wonder why the taxpayer (me) has been supporting this man for the past year.
His injury was directly due to his work and the reason he has had to beg for handouts is due to your insurer dragging their heels. I believe your company has a moral duty to support this man and not to leave it to the taxpayer.
Walker - the insurers will be required to reimbure the taxpayers via the compensation recovery unit once the claim is decided.
As for dragging their heels, there is a reason. How would you feel as the claimant if the insurer made a quick offer to settle (full and final) based on say a 1 year recovery. He would, by the sounds of it, be short changed in this situation.
As it stands now, the insurers will be looking at the difference between his pre-accident earning level and whatever role he is capable of in the future, plus a Smith and Manchester award for disadvantage on the open labour market.
The delay has to be there to see how the medical situation pans out.
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Rank: Super forum user
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Just a quick correction to observe that if the employer has to "let the guy go" because he is unfit for his duties (and cannot be found suitable alternative work) then it is NOT redundancy - it is dismissal on the grounds of capability. The employer still needs the work done, the job has not disappeared...
I make no value judgements on ATOS ability but I understand they recently declared that Margaret Thatcher was fit to return to work...
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Rank: Super forum user
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Some might disagree and say she was never fit to work, and others may disagree to disagree ha ha
Is it still Friday - OMG I do hope so :-)
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Rank: Super forum user
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I agree 100% with Walker on this .....
Following a work related accident we pay our staff. We then claim back from the insurance company to cover our losses and costs. This way the employee does not suffer financially through a possible failure on our part.
Why should they?
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