AM v SSWP
Employment and support allowance (ESA) - previous medical report - not put before tribunal - no obligation on Secretary of State
Summary
The claimant was considered to have failed the work capability assessment (WCA) on the transfer of his claim for credits for limited capability for work to one for ESA. The First-tier Tribunal dismissed his appeal, and in doing so had no reference to previous medical reports in which he had been held to have incapacity for work. It also disregarded his evidence that he had recently had x-rays taken of his hips and was awaiting the results.
Judge May QC allowed the claimant's further appeal on the basis that the tribunal had erred in not dealing correctly with evidence relevant to the manual dexterity descriptor. However, he held that the tribunal did not err in considering the appeal without reference to the previous medical reports. He also held that regarding the recent x-rays that 'the appeal before the First-tier Tribunal is summary in nature. It is for the claimant to fully prepare his case and gather such evidence as he wishes to advance to the tribunal', and that if he wanted the tribunal to see the results of the x-rays, he should have requested an adjournment (paragraph 3).
Regarding the previous medical reports, the judge disagreed with the decision of Judge Wright in ST v SSWP (ESA) [2012] UKUT 469 (AAC) (Bulletin 232, p14), which held that where the claimant was no better since the last assessment, the Secretary of State was obliged to provide copies of previous ESA85 medical reports, or at least the knowledge that they once existed. For Judge May, that was to go too far, as it was 'not open to the Upper Tribunal to impose general obligations on the Secretary of State' in other cases, and it was not an error of law for a tribunal to decide and appeal without them (paragraph 14). Rather, the absence of previous reports only became an issue 'if is asserted by either of the parties or is considered by the tribunal that the content thereof is material to the decision to be made'. The approach in ST v SSWP was 'wrongly prescriptive' and ran contrary to the intention of regulation 6(2)(r)(i) of the Social Security and Child Support (Decisions and Appeals) Regulations 1999, SI No.991, which allowed supersession in ESA cases merely on the basis of the Secretary of State having 'received' a new official medical report. For Judge May, ST v SSWP came 'very close to suggesting that a change of circumstances is required, when applying 6(2)(r)(i)' (paragraph 14).
Comment from CPAG
Arguably, this decision misunderstands ST v SSWP and underestimates the inquisitorial nature of the First-tier Tribunal. ST v SSWP makes no attempt to argue that a decision maker or tribunal can only change a previous decision that the WCA was satisfied on the basis of a change of circumstance. Rather it is aimed at requiring the tribunal to make a properly reasoned decision on the WCA in the light of all the relevant evidence. To put the onus on the claimant insisting on that (and indeed on requesting an adjournment when the tribunal is very aware of forthcoming further evidence) is arguably to understate the inquisitorial, enabling role of the First-tier Tribunal.