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Pending DLA Appeal
- mommaduck
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What is her position on this with regard to the appeal. Is it ground, in the first place to have it posponed because of lack of paperwork?
Further more, she has never had a medical. The DLA have not requested the further evidence from her consultant - scans etc.
One of the reasons she was turned down on was on the 'evidence of a medical professional upon who's advice they rely'. I requested the name of the medical professional 11 months ago and they said that they had lost the name.
Today, I have telephoned DLA for her and told her file has been transfered to another area. Upon speaking to this DLA office they say the medical expert was Medical Atos and I should have been told this 11 months ago. I asked if they could request a copy of the comperized report from Atos, as it should be still held electronically and told 'no', the other office should have done it last year.
I am rather puzzled as no one from Medical Atos has ever seen or spoken to my daughter, and as stated earlier, how can they assess her if no medical has taken place.
Do Atos do reports for the DLA using the claim form?
This is the second claim form she has filled in as they 'lost' the first one after I started asking for the evidence they were using and although she has now submitted two forms they have never requested a medical report.
Lots of questions but in a bit of a panick

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- Gordon
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The DWP are required to submit all of the evidence used to make their Decision to the Tribunal Service, when your daughter's appeal was initially forwarded on, from your post, this has not happened.
My immediate response is to suggest you get face to face advice from your local CAB or Welfare Rights office, however, it is quite likely that you will struggle to find any assistance given where you are in your appeal and the timescales until the hearing.
The DWP are not required to hold a face to face assessment for DLA, providing they believe they have sufficient medical evidence to come to a proper decision on the claim, has your daughter been assessed for any other benefit, ESA for example, where a medical report would have been produced?
My best advice, is for you/her to put a stake in the ground by writing to the Tribunal Service and listing all of the missing documentation.
I can't comment on whether you should seek an ajournment, not having the documentation may place you at a disadvantage in preparing her case, but conversely may be seen as a failure by the DWP to prove theirs to the required level. Adjourning the case will extend the time until a Decision is made by at least a couple of months, and if the documents are genuinely lost, may not place you in any better position than now.
Good luck
Gordon
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- Jim Allison BSc, Inst LE, MBIM; MA (Consumer Protection & Social Welfare Law)
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In other words, your daughter must be provided in her case bundle, all medical evidence, reports etc. that the Tribunal Members have in their case bundle.
If anything is obviously missing prior to her appeal hearing, it is possible to ask for her case to be postponed pending her being supplied with all the case bundle.
If it's only discovered on the day of hearing that papers are missing, then an application should be made for your daughters hearing to be adjourned until all case papers are in her possession, otherwise that would breach Article 6 of the Human Rights Act 1009.....right to a fair hearing.
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- mommaduck
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With regard to the medical assessment: She has never been assessed medically for any other benefit.
I find it rather odd that the first claim was refused stating ' advice from a health care professional', and when I asked who that person was and requesting a copy of the report ( I assume that all reports are written and they don't just call up say a dentist - who is also a health care professional- sorry for the sarcasm) I was told, in writing, that they have lost her file so don't know who they contacted.
Today when I again asked who it was, as they must keep a record or list of health professionals that they use, that it would have been Medical Atos. I stated that she has never had an examination. They stated that Atos can do a report without seeing her, which I find strange, and a medical is done by an EMR.
As I stated earlier, I asked for them to obtain a copy as surely it must be held and they said no.
How can Atos possibly file a report on an unseen client?
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- Gordon
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mommaduck wrote: Thank you Gordon for your help.
With regard to the medical assessment: She has never been assessed medically for any other benefit.
I find it rather odd that the first claim was refused stating ' advice from a health care professional', and when I asked who that person was and requesting a copy of the report ( I assume that all reports are written and they don't just call up say a dentist - who is also a health care professional- sorry for the sarcasm) I was told, in writing, that they have lost her file so don't know who they contacted.
Today when I again asked who it was, as they must keep a record or list of health professionals that they use, that it would have been Medical Atos. I stated that she has never had an examination. They stated that Atos can do a report without seeing her, which I find strange, and a medical is done by an EMR.
As I stated earlier, I asked for them to obtain a copy as surely it must be held and they said no.
How can Atos possibly file a report on an unseen client?
It is relatively common for ESA Claims, or at least for claimants being transferred from another benefit to ESA, however, as I understand it, it is now quite rare for DLA, but not impossible.
Again referring to ESA, where it is not possible to be denied the benefit without a face to face, no such rule applies to DLA.
What appears to have happened, is that the Decision Maker has asked one of the in-house ATOS medical staff to comment on your daughters claim, they have in principle produced a report, and as a result of this, your daughters claim has been denied.
The key factor is that the Decision must be reasonable and based on the evidence available, if the report cannot be produced then whether it was reasonable cannot be tested by the Tribunal panel, this could mean that they will rely wholely on your daughter's evidence, however, it could also mean that they will order that a medical be carried out, if I was a betting man, I would go with the latter, in which case the the hearing will be ajourned and re-convened after both parties have had access to the report.
Gordon
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- Jim Allison BSc, Inst LE, MBIM; MA (Consumer Protection & Social Welfare Law)
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Jim
former DLA Tribunal Member (1994 - 2006)
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