CS v SSWP (ESA)
Employment and support allowance (ESA) – evidence – claimant’s insight into own condition – wrong to assume a GP is merely reporting what claimant says
Summary
The claimant had learning difficulties. The First-tier Tribunal rejected his appeal against the decision that he failed the work capability assessment. The tribunal placed very considerable reliance on what the claimant was said to have told the examining healthcare professional about a typical day, and dismissed a supportive letter from a GP apparently on the basis that the GP was merely repeating what the claimant had told him.
Judge Gray allowed the claimant’s further appeal and remitted the case to a fresh tribunal. The tribunal erred in giving inadequate reasons for not applying the ‘substantial risk’ exceptional circumstance at regulation 29 of the Employment and Support Allowance Regulations 2008 No.794. Potentially, the tribunal had also erred in relying on the claimant’s alleged insight into his own condition without offering an opportunity for him or his parents to attend the hearing. Depending on the level of difficulty, said the judge, ‘the possibility must always be considered in those with learning difficulties that they lack insight into their own condition… Tribunals should not be casual listeners’ (paragraph 10).
Also, the tribunal had apparently dismissed the GP’s letter on the basis that there was no indication it was based on anything other than what the claimant said. Given the letter was explicitly in support of the claimant’s appeal, it would be ‘perhaps unusual’ for a professional person to put forward such support if there was no element of independent knowledge or professional judgement (paragraph 13). The judge referred the fresh tribunal to the comments of Judge Wright in BH v SSWP (AA) [2013] UKUT 241 (AAC), where (at paragraph 14) he referred to the ‘regrettably overused mantra that the…GP’s letter’s explanation of the appellant’s restrictions…was of less evidential worth than the views expressed in the report because it was ‘just the GP reiterating what the appellant had told him’…A claimant’s GP is just as professional as any other doctor or healthcare professional who gives evidence to a tribunal, and save where a proper explanation is given as to why he or she would do this, should not be assumed to be a vehicle for repeating what the claimant has told the GP as opposed to offering the GP’s professional opinion.’