Tag: Doctor

06 see a doctor

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He was sent to his first assessment
when he gave up his job as a delivery man
after being referred
for tests on his heart.
His wife was with him:
‘She checked him out.
She did his blood pressure
and his heart,
said
“See a doctor
as soon as possible.”’
He was diagnosed with heart failure
but was still found fit for work.
He won his appeal
but was ordered to attend
another assessment
while he was waiting for a heart operation.
Again
found fit for work.
‘Significant disability
due to cardiovascular problems seems
unlikely.’
Five weeks later
he died of a heart attack.

[The Telegraph, 30/07/2012, Disability tests ‘sending sick and disabled back to work’]

10 uncontrolled, uncontrollable or life threatening

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He quit his job in 2007
after becoming severely ill:
depression
anxiety.
He rarely left his home, refused
to talk to friends and relatives
or answer the door or phone
often spent days
in the same room.
He lived off his savings for two years
until his money ran out.
In early 2009
he finally began talking again
to his father and step-mother.
They persuaded him to apply for support.
He was assessed by a doctor employed
by a government contractor.
The doctor concluded
there was ‘no evidence
to suggest that the client’s health condition
due to their depression
is uncontrolled,
uncontrollable or life
threatening.’
He asked the Department to reconsider
as this disagreed wildly
with the opinion of his doctor
his psychiatric nurse
and his psychiatrist.
He found out
in January 2010
the Department agreed
with its earlier decision.
Although he began
the next stage of the process –
an independent appeal –
a few days later
his body was found.

[Disability News Service, 02/12/2019, DWP: The Case for the Prosecution]

17 when questioned afterwards

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When questioned afterwards
the assessor claimed he couldn’t remember
if he had made any phone calls
to their son’s doctor or psychiatrist
for information about his mental health.
‘He reports self harm
in the past.
He reports he attempted an overdose
six weeks ago;
he would not say
what he took.
He reports he has had no thoughts
of suicide since.
The evidence overall suggests
he is not at substantial risk.’
The decision
was confirmed in a letter.
A month later
he took his own life.
His father said his son’s mental health
had deteriorated in the last couple of years
but he had previously been able to work intermittently
in agriculture
and labouring.
His final job was cleaning buses.
He was taking strong medication
anti-psychotics,
anti-depressants,
was experiencing
paranoid delusions.
His father said
‘his mind was gone’
He remembers finding his son’s assessment report
and his other official paperwork
scattered over the floor of his flat
after he died.
Several weeks later
Department officials
visited the family.
‘They said
“I don’t suppose it will help now
but we have reversed the decision.”’

[Disability News Service, 02/12/2019, DWP: The Case for the Prosecution]

21 his job prospects

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Her husband
a former painter and decorator
is bed-ridden
registered blind
with severe dementia.
She and a team of carers look after him
24 hours a day.
Doctors told him
his condition is terminal.
He was sent a letter offering an interview
to talk about his job prospects.

[Scottish Sun (via the Internet Archive), 20/01/2012, Wife blasts ‘get a job’ letter]

23 ‘a pleasant lady to assess’

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She weighed around 5 stone
6 pounds
(34 point 4 kilos)
and was being fed by a drip.
A history of illness:
Crohn’s disease,
osteoporosis,
suffered a stroke
in 2005.
A physical assessment
described her as having
a ‘slim build’;
‘a pleasant lady to assess.’
After,
she was told her support would be stopped
and that the Department
would try to recoup
a prior overpayment.
Then she received a new diagnosis:
lung cancer;
terminal.
She submitted a form
from her doctor
to the Department.
A letter came back
a month later
to say
that the information on the form
required her to start a fresh claim.
She died the same day.

[BBC News, 08/11/2021, Hundreds of people die fighting for terminal illness benefits]

28 every 18 months

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He was celebrating getting a new job at a warehouse;
outside the nightclub
he was approached by five men.
One of them
struck him with a wheel brace
on the head.
Spinal damage
he cannot walk farther than a few yards.
Asthma, depression, panic attacks;
he spends most of his time in bed.
Every 18 months
he has to undergo an assessment
by the Department.
Last month,
he was told
he was no longer entitled
to any support,
after two doctors
asked him to stand up
and walk around his living room.

[The Sentinel, 21/04/2010, Dad left for dead in attack has benefits cut after 14 years]

32 his doctor would have told them

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He had stated in the assessment form
that he had problems:
anxiety
depression.
He was unable to cope
with either support workers
or help from his family.
Because of the severity of his panic attacks
the assessment was carried out
at the cottage where he lived
alone.
His mother says he was unaware
of the purpose of the assessment
she said
neither the assessor
nor the Department
made any attempt to secure
evidence about his health.
His doctor would have told them
that he was unable to work.
The doctor told the inquest
he had visited him in extreme distress
a short time after his benefits were stopped.
The doctor handed him a note
explaining that he was extremely unwell
and completely unfit for work.
The note does not appear to have reached his local Jobcentre.
He did not take his own life, though;
four months after his benefits were stopped
he starved to death.

[Disability News Service, 02/12/2019, DWP: The Case for the Prosecution]

34 my patient will be in pain

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In his report, the first doctor
lists various serious health issues:
chronic obstructive pulmonary disease,
cervical spondylosis,
osteoarthritis.
In his summary, the doctor stated:
‘My patient will be in pain
on standing and
at the commencement
of walking. Whilst
on the balance of probability
he would be able to walk
20 metres in my opinion
he could not walk that distance
without pain
or exhaustion.
In terms of cooking
his very limited respiratory tolerance
and his difficulties with lifting means that
anything
other than
straightforward microwave cooking
is likely to be beyond
his capabilities.
It would be reasonable
to describe him
as requiring assistance with toilet needs;
the need to monitor and change his catheter
requires medical input.’
Despite this
the Department
continued to find him fit for work
and blocked him from receiving full benefits.
Three months later
another doctor wrote:
‘I am this patient’s General Medical Practitioner
and the custodian
of the primary medical records
they have accumulated
during their lifetime in the UK.
Following a recent assessment this patient,
in contradiction of my own knowledge over time
clinical assessment and
medical certification,
was found fit for work.
Because of my patient’s health condition
there would be a substantial risk
to his health
if he were found not to have
limited capability
for work related activity.
I disagree
with the outcome of your assessment
and support my patient
in his appeal
against your decision.’
Despite this
the Department continued to deny him
benefits.
His health – as predicted – deteriorated badly.
He developed pneumonia.
His weight dropped to six stone
(38 kilos).
Twelve months later
he left hospital
in an emaciated state
to take on the Department
at a tribunal.
The decision was overturned.
The Department agreed to backpay
four thousand pounds.
That money is now being used
to pay for his funeral.

[Liverpool Echo, 28/04/2019, Revealed: Warnings about dying Stephen Smith that were cruelly ignored by the DWP]

38 a beautiful sense of humour

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A government scientist,
he gave up this role
when he was diagnosed
with severe cardiomyopathy,
failure of the heart muscle.
By the end
he could not walk,
struggled to read.
He often fell over,
on one occasion
smashing his teeth.
Doctors gave him
a year and a half to live.
They were urging him
to have a heart transplant
to prolong his life.
He loved cricket
cooking, had
a beautiful sense of humour;
a classically trained musician,
he loved Beethoven.
He wouldn’t have the transplant.
He had no commitments,
thought it would be better
if there was a heart
for it to go
to somebody else.
He developed a brain tumour.
A government contractor
gave him a fitness-to-work test.
Three months later
his support was stopped.
He initially challenged the decision
but the appeal was withdrawn;
he felt too ill
to fight.
He couldn’t play the piano
he was so ill.
His mother passed away.
Seven months later
he fell at home
and never regained consciousness.

[Daily Mirror, 10/04/2014, Atos judges dying scientist fit to work – despite serious heart condition and brain tumour]

40 a decision was taken

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His daughter received a text
and immediately knew something was wrong.
The decision was taken
despite being told by his doctor
he was too sick to return to his job.
(He had been a painter and decorator.)
He had suffered from anxiety and depression
for six years. He also had
breathing problems
caused by chronic obstructive pulmonary disease.
The Department had written to him
a year earlier
requesting a consultation in July.
Four days before the medical
he attended his doctor’s surgery
in a state of panic.
He was declared fit to work.
Following the decision
he lodged an appeal
but it was rejected.
His support was stopped in November.
December. His daughter had been planning
to help him take his case to a tribunal,
but she had had to leave him
to go Christmas shopping
and to pick up her children,
when she received the text.
‘I love you.’
She found him
and performed CPR
before calling an ambulance.
Three days later
a decision was taken
to turn off his life support.

[Inews, 06/06/2019, Chronically ill father died by suicide after DWP declared him fit to work and cut his benefits]

55 not compatible

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After a half-hour interview at his home
he was assessed as capable to return to work.
 
He was very distressed.
(Rising rent arrears,
warnings from the electricity company.)
He was reluctant to ask relatives for help;
they were unaware his benefits had been removed.
Concerned about his patient’s condition,
his doctor wrote a letter
in support of his application:
‘extremely unwell
and absolutely unfit
for any work
whatsoever.
Please do not stop
or reduce his benefits.
He simply is not well enough to cope
with this extra stress.
His mental and medical condition
is extremely serious.’
It is not clear whether the letter
reached the Jobcentre.
He was diagnosed with Asperger syndrome
and obsessive compulsive disorder
in his late 20s.
He had an eating disorder
and cognitive behavioural problems.
He was sacked from his first job
because he was unable to follow instructions.
The Department’s assessment concluded
his mental state
was normal.
This triggered a decision
by the jobcentre
to stop his sickness benefits.
His housing benefits were stopped around the same time.
He was not told.
He struggled to survive
on his disability allowance.
Forty pounds a week
to live on.
His sister said
‘He would have wanted to be seen as normal.
He was desperate to get by
as normal.’
A body mass index
of between eighteen point five
and twenty-four point nine
is considered healthy
for a man.
Between April and August his
dropped
from fourteen point one
to eleven point five;
he weighed five stone eight pounds
(thirty-five kilos)
when he died.
The doctor told the inquest
his body mass index
was not compatible
with life.

The Guardian, 28/02/2014, Vulnerable man starved to death after benefits were cut]

60 making it right

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Tests revealed
blood clots in both lungs.
2009. He was a landscape gardener
working for the Council
when he fell seriously ill.
He was discovered to have
deep vein thromboses
in his legs.
Hughes syndrome.
Often referred to as ‘sticky blood’.
A life-threatening condition.
His big toe was amputated.
Horrendous headaches,
frequent bouts of illness.
He couldn’t do any hard physical work.
He was put on something to thin his blood.
Would be on it
for the rest of his life.
Still
he hoped his condition would stabilise enough
to let him get a job
or go to college.
He had savings.
He and his fiancee
had just taken out a mortgage on a new flat;
he hoped to spend the money
making it right.
He had been signed off as unfit to work by his doctor,
but received no money from the agency
for 10 weeks.
An ongoing battle.
One morning
after she got up
his fiancee
discovered his body.

[Daily Record, 08/05/2013, Benefits row dad takes his own life and is found dead in his flat by his fiancee]