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ATOS medical/home visit or transport advice please

edited 30 November -1 at 1:00AM in Benefits & Tax Credits
41 replies 15.7K views
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  • Tulip09Tulip09 Forumite
    344 posts
    Thanks for all your replies. I have no problem doing a medical at all and dont think i would be exempt, its just at £400 to get there its out of my reach financially and I would be pretty ill and not guarenteed to get there at all. I am sure the hospitial & GP will give me a letter so hopefully that will be enough for them to give me an appointment nearer to me or at home. I havent had any experience with Atos yet but i am hoping it wont be as bad as people say. Thanks once again for you replies
    Grocery Challenge - Jan £4.42/£200.00

    Up my income - £124.00/ £11,000.
  • anksponankspon Forumite
    2.4K posts
    ✭✭✭✭
    Hi, Have you checked if your illness falls in one of the 5 categories that define either you should not have a medical to yes you do?
    What are the 5 categories?
  • Hi, here is the list. Yes I know it refers to DLA, but the intention was for the 05 Reform Bill to include it also for the new ESA benefit.

    I have put this argument to ATOS already and am waiting a reply. I have also asked my MP to intervene as I feel that they can't use one set of guidelines to not test or do a home visit for DLA, yet for the same condition expect you to travel and be called in for a medical for ESA.

    You will note that those conditions would put you in the Support Group without a medical - well they should!!!

    So just waiting for clarification on all of this.


    1. c/o: DWP Atos Healthcare Medical Services Contract

    Medical Conditions and Categories

    For the purposes of administrative scrutiny of cases to determine suitability for inclusion in the DLA in Medical Examination Centre project, 5 categories of case have been devised:

    In 2005 the Welfare Reform Bill, which introduced the Employment and Support Allowance (ESA), had not yet been enacted hence the reference to the Disability Living Allowance (DLA).

    1. Unsuitable for calling to a Medical Examination Centre.
    2. Reference to Medical Advisor required for advice.
    3. Tentatively invite to Medical Examination Centre.
    4. Invite to Medical Examination Centre.
    5. Any other Diagnosis.


    For each category a list is attached.
    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
    !!!!!! 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
  • Indie_KidIndie_Kid Forumite
    23.1K posts
    davidhwdn wrote: »
    What are the 5 categories?

    From Benefits and Work:
    You are exempt if:

    You are terminally ill and your death can reasonably be expected within 6 months.
    You are receiving, or recovering from receiving, intravenous, intraperitoneal or intrathecal chemotherapy.
    You have a notifiable disease or have been in contact with someone with a notifiable disease.
    You are a pregnant woman and there is a serious risk of damage to your health or to the health of your unborn child if you do not refrain from work.
    You are a pregnant woman entitled to maternity allowance.
    You are a pregnant woman within 6 weeks of your expected confinement date or 14 days after the date of your confinement where you don’t have any entitlement to maternity allowance or statutory maternity pay.
    Sealed pot challenge #232. Gold stars from Sue-UU - :staradmin :staradmin £75.29 banked
    50p saver #40 £20 banked
    Virtual sealed pot #178 £80.25
  • edited 26 November 2010 at 11:35PM
    oldestrockeroldestrocker
    294 posts
    edited 26 November 2010 at 11:35PM
    cit_k wrote: »
    Im not convinced that list applies to ESA, it may, but it only definately applied(or applies) to DLA. Unless someone can find a legislative link to ESA it cannot be relied up for ESA purposes in my opinion.

    ESA is meant to go by a pre-board check, where they pre-run lima with evidence from the esa forms and produce a esa85a form which states if a medical is needed (on flimsy evidence like there is no evidence on the ESA form, even when their was)

    I agree with what they are doing which isn't the same as what they should be doing.

    I have a copy of the 05 Welfare Bill and whilst the intention was that Category 1 was/should form the basis of an automatic transfer into the Support Group without a medical, but as there were so many changes before it was enacted, for some reason it was omitted. Having looked further into this in all of the changes that took place, this particular part was always accepted as being part of the backbone of the new Act. Whether it was left out in error, or they believed that there was no need for it to be included as it already existed for DLA - nobody knows.

    Either way I have challenged ATOS & DWP for them to show me that it isn't included. I have set out that I intend to take legal action against them as they have worsened my condition by making me go to a medical and breached the DDA. (whether they have is here nor there - I just want them to confirm that they are not using this list for ESA but do so for DLA) Then I question why is it right to demand under penalty someone who is on permanent oxygen to attend for an ESA assessment but NOT want to carry out a medical for DLA purposes?
  • I agree with what they are doing which isn't the same as what they should be doing.

    I have a copy of the 05 Welfare Bill and whilst the intention was that Category 1 was/should form the basis of an automatic transfer into the Support Group without a medical, but as there were so many changes before it was enacted, for some reason it was omitted. Having looked further into this in all of the changes that took place, this particular part was always accepted as being part of the backbone of the new Act. Whether it was left out in error, or they believed that there was no need for it to be included as it already existed for DLA - nobody knows.

    Either way I have challenged ATOS & DWP for them to show me that it isn't included. I have set out that I intend to take legal action against them as they have worsened my condition by making me go to a medical and breached the DDA. (whether they have is here nor there - I just want them to confirm that they are not using this list for ESA but do so for DLA) Then I question why is it right to demand under penalty someone who is on permanent oxygen to attend for an ESA assessment but NOT want to carry out a medical for DLA purposes?


    If you have not done so already, I would suggest asking for a copy of the ESA85A form which is produced by the pre-board check.

    This is different from the normal medical report, its the report that is given to the decision maker to recommend if you need a medical.

    It has to justify why you are being called for an assessment, you may find it does not really contain any such justification, mine just said they were unable to advise on the evidence held.... (despite the fact they should have had enough evidence In my opinion, and the fact I know they never even read the form...)

    If the DWP give you any grief (ie claim no such thing exists) then I can dig out the relavent info for you to quote to them.
    [greenhighlight]but it matters when the most senior politician in the land is happy to use language and examples that are simply not true.
    [/greenhighlight][redtitle]
    The impact of this is to stigmatise people on benefits,
    and we should be deeply worried about that
    [/redtitle](house of lords debate, talking about Cameron)
  • speedfreek1000speedfreek1000 Forumite
    384 posts
    Part of the Furniture 100 Posts Name Dropper Combo Breaker
    ✭✭
    thanks for that cit ESA85A form eh? I think that I'll request one as it could be interesting :beer:

    The booking process is an absolute mess.

    I included with my ESA50 a letter from my doctor and another from my councillor supporting my request for a home visit.

    Guess what? Neither was read and I was issued an appointment to attend a centre!

    When I rang to challenge I was told ...

    You need to send us a letter from you doctor.

    Sent with ESA50 said I :rotfl:

    Erm erm erm.... we'll call you back!

    Cue 40+ days of them trying to 1st find, then recall my file from the ether. 2 attempts by me to fight for a rebook of the appointment as they still hadn't found it a couple of days before the 1st appointment date.

    The 1st rebook amazingly chose the exact same date and time as the original appointment :rotfl:

    Oh the fun I had over the course of 13 phone calls trying to sort this out.

    Snippets of utter ATOS incompetence include.

    We called you back sir! .... Does a 30 second call saying we are still looking into it count? .... silence .... No I didn't think so!

    We can't rebook it sir as it has already been rebooked! .... see above

    Eventually as I was persistent they offered a pre paid taxi there and back.

    Which I accepted as I was loosing the plot somewhat due to the stress of it all and just wanted it over.

    Things to note both ATOS and the DWP say will say we need to contact/liaise with the "Medical Services" department aka ATOS????

    The number you are given to call to book the appointment with ATOS can not do anything else but book new or confirm existing appointments. You have to be very firm and persistent with these people as they will say/try anything to get you to give up here. Persistence will get you a new number for "Medical Services" who can actually re-arrange appointments and answer questions. This amazingly turns out to be the number for the ATOS assessment centre you've been assigned to (well it did in my case).
  • anksponankspon Forumite
    2.4K posts
    ✭✭✭✭
    Hi, here is the list. Yes I know it refers to DLA, but the intention was for the 05 Reform Bill to include it also for the new ESA benefit.

    I have put this argument to ATOS already and am waiting a reply. I have also asked my MP to intervene as I feel that they can't use one set of guidelines to not test or do a home visit for DLA, yet for the same condition expect you to travel and be called in for a medical for ESA.

    You will note that those conditions would put you in the Support Group without a medical - well they should!!!

    So just waiting for clarification on all of this.



    1. c/o: DWP Atos Healthcare Medical Services Contract

    Medical Conditions and Categories

    For the purposes of administrative scrutiny of cases to determine suitability for inclusion in the DLA in Medical Examination Centre project, 5 categories of case have been devised:

    In 2005 the Welfare Reform Bill, which introduced the Employment and Support Allowance (ESA), had not yet been enacted hence the reference to the Disability Living Allowance (DLA).

    1. Unsuitable for calling to a Medical Examination Centre.
    2. Reference to Medical Advisor required for advice.
    3. Tentatively invite to Medical Examination Centre.
    4. Invite to Medical Examination Centre.
    5. Any other Diagnosis.


    For each category a list is attached.
    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
    !!!!!! 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
    What happens if i come under category 2,3 and 4
  • Hi,
    Cat 2 is where your case would fall somewhere in between not having to be called for a medical to possibly might be called. They should review your case and make a considered and valued judgement call.
    Cat3 is similar, in that you should have a medical but there is a small chance that it might not happen depending on your case
    Cat4 is - you will have an appointment to attend the medical centre for a medical
    Cat5 is the same as Cat2, except that your medical condition isn't quoted.
  • anksponankspon Forumite
    2.4K posts
    ✭✭✭✭
    So i'm still not clear if i should or should not be called for a medical
This discussion has been closed.

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