Tag: Fit to work

02 across a table

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He had been detained on a locked ward;
schizophrenia; complex drug problems.
The day of the assessment
he was heavily medicated,
was experiencing
auditory and visual hallucinations.
He thought he had special powers,
believed he was the Son of God.
His benefits were stopped immediately.
He had been deemed fit for work
on the basis of physical tests: the ability
to pick a pen up off the ground
or move a pint of milk
across a table.

[The Scotsman, 21/01/2012, Just not working: Why government fit-to-work tests are failing]

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’]

07 the decision-maker

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The coroner concluded
at the end of the inquest:
‘The anxiety and depression
were long term problems
but the intense anxiety
was caused by his recent assessment
by the Department
as being fit for work
and his view
of the likely consequences.’
A former orthopaedic surgeon
employed by the contractor
had carried out the assessment,
concluding that he
was ‘at no significant risk
by working.’
The decision-maker
did not request
any reports or letters
from his doctor
his psychiatrist
or his clinical psychiatrist
had failed to ask him
if he had suicidal thoughts.
Six months later
he took his own life.

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

08 the same company

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She was thrilled when she got work
at a council children’s centre
but a routine health check
by a company contracted by the council
and the Department
found
she was not fit for work.
She was recovering from a five-year battle
with anorexia.
‘It would be inappropriate
to be offered employment
in this role.’
Strapped for cash
she applied for support
only to be judged
fit for work.
‘You do not have
any limited capacity
for work.
It has been decided
we cannot pay you’
The same company
carried out both assessments.

[Daily Mirror, 16/04/2010, Too unfit to work… too fit for benefits]

16 one evening in August

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He has a mental health problem.
He takes triple medication.
He reports self harm in the past.’
He was assessed in May.
‘He attempted an overdose six weeks ago
but he would not say what he took.’
In June, the Department told him
he was fit to work,
and that his support was being
withdrawn.
‘The evidence overall suggests
that he is not at substantial risk.’
In an appeal letter, he wrote:
‘I disagree with your decision.’
He had worked cleaning buses
for three years
but he could not cope.
‘I have serious mental health problems
that prevent me from doing everyday tasks
which means I cannot work at this moment in time.’
He was placed on strong medication
but his mental health had worsened:
sleeplessness, memory loss, paranoia.
He would claim people were trying to poison him.
He thought the police were following him.
‘I did try and explain this
to the medical examiner.’
He was informed in July of the Department’s final say.
They backed the decision.
One evening in August
he got a bus to the Forth Road Bridge
walked to the middle
and jumped.
He was recovered from the water
but that night in hospital
he died.
His father believes
he may have been a schizophrenic.
Since his death
his mother had been in hospital,
not eating.
The Department sent their sympathies to the family.

[Daily Record, 22/09/2013, Heartbroken dad blames benefits axemen for driving his ill son to commit suicide]

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]

20 and her coat and purse

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She walked out of the home she shared with her boyfriend
some time after midnight.
She had battled depression for a number of years,
had taken a turn for the worse
after receiving a letter
telling her she had to be assessed
to see if she was fit
to return to work.
Her mobile phone
was found discarded
on a bench in the park.
And her coat and purse
in the river.

[Chronicle Live, 26/02/2013, Body found in River Wear is Leanne Chambers]

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]

39 starting from zero again

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A note was discovered on his computer
by his parents,
detailing exactly
how and when
he planned
to take his own life.
He was 28,
autistic,
diagnosed with depression.
The Department ordered him
to attend a work capability assessment.
He refused.
The Department decided
to terminate his benefits,
his only source of income.
Six years ago
he told his social workers
he did not wish to have contact
with his family.
His parents had battled to see him since
but were forbidden from knowing
where he lived.
He had previously gone
voluntarily
to the acute inpatient mental health unit
in the town where he lived
after being told about the assessment.
He was reluctant to ask for help again.
‘If I am accepted,
I will have to stay up to 28 days
or six months
in a boring and cramped environment
surrounded
by very damaged people. After which
it will be determined
that I no longer need treatment
and will be allowed to leave.
I will likely be homeless,
starting from zero again,
and the vicious cycle
will begin anew.’
Social services closed his case
after he failed to respond to letters.
The note revealed
he made three separate attempts
to hang himself
between 2016 and 2018.
He wrote:
‘Each time I failed with panic.’
He wrote:
‘I cannot be bothered to fight this
any more. I am
out of energy. I only exist
to do what I want to do.
Dealing with paperwork,
making phone calls, feeling
anxious
every day
about whether I am going to be homeless
are things I do not want to do.’
His body was discovered
in an advanced state of decomposition
nine months later
when housing association officials
called to evict.

[Milton Keynes Citizen, 16/09/2019, Autistic Milton Keynes man left suicide note on computer explaining tragic reasons he took his own life; Milton Keynes Citizen, 02/12/2020, ‘Our son’s tragic loss of life could have been avoided’, say parents of autistic Milton Keynes man whose death went unnoticed for nine months]

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]

47 two. one

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January.
She was called in for an assessment.
She and her sister
spent two hours
on two buses
travelling to the centre
for a two minute assessment.
She was only asked one question:
did you get here by bus?
53 years old,
a former nurse.
She was left partially sighted
after an industrial accident in 1987.
She required walking sticks.
She had slipped and bulging discs
in her back and neck
after an accident at work.
Her pain was exacerbated after an unsuccessful operation in 2012.
Bones from her hand were removed
during separate surgery
after she was savaged by a dog.
Every time one of her arms was touched
she was left in agony
strong pain relief could not ease.
Did you get here by bus?
She replied
‘Yes.’
She was found fit to work.
Her benefits were stopped.
She hadn’t even had the chance
to take her coat off.
Later, she received a letter
telling her to find employment.
She lost her appeal against the decision.
In November,
thirteen days before her second appeal
she was found
on her kitchen floor.

[Daily Mirror, 26/11/2013, Sick nurse killed herself after disability benefits were cut and she was ruled ‘fit to work’ ; Daily Record, 27/11/2014, Former nurse killed herself after controversial ATOS health test ruled she was fit for work ; Bristol Post (via the Internet Archive), 25/11/2013, Bristol woman ‘killed herself after benefits were stopped’]

59 the car he was passenger in

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The car he was passenger in
came off the road
at ninety miles per hour
and collided
with concrete and steel.
1996.
A former bodybuilder,
he was left barely able to walk.
Legs:
constant feeling
like someone digging
a knife
right into the joints.
He spends days in bed.
Struggles to complete
even simple movements.
An assessment by the company
of behalf of the Department,
conducted over one hour
in January 2012 –
“talk
listen
touch your head” –
found him
fit for work.
He said
“It’s enough to make you wonder
would it not be easier
if I killed myself?”
A spokesperson
for the Department
said
“We have made
considerable improvements
to the assessment
to make it fairer and more
effective.”

[The Northern Echo, 15/04/2013, Former bodybuilder from Willington who can barely walk contemplated suicide after nurse ruled him fit to work]