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Medical Assessments

Volume 447: debated on Tuesday 20 June 2006

To ask the Secretary of State for Work and Pensions what proportion of medical assessments for (a) disability living allowance, (b) attendance allowance, (c) industrial injuries disablement benefit and incapacity benefit and (d) incapacity benefit have been classified as (i) Grade A, (ii) Grade B and (iii) Grade C in each year in which ATOS Origin and SEMA Group have been conducting such assessments. (76880)

Information is not available prior to September 2004 due to concerns about the reliability of the available data. No separate breakdown is available for attendance allowance and disability living allowance figures. The available information is in the following table.

Percentage of medical reports in each grade for benefits and dates shown

Grade

Benefit type/Period

A

B

C

Incapacity benefit

September 2004 to August 2005

79

18

4

September 2005 to May 2006

76

21

3

Disability living allowance and attendance allowance

September 2004 to August 2005

69

27

4

September 2005 to May 2006

70

26

4

Industrial injuries disablement benefit

September 2004 to August 2005

86

12

2

September 2005 to May 2006

84

14

2

Note:

Percentages may not sum to 100 due to rounding.

Source:

Atos Origin Medical Services

To ask the Secretary of State for Work and Pensions what proportion of grade C medical assessments for (a) disability living allowance, (b) attendance allowance, (c) industrial injuries disablement benefit and incapacity benefit and (d) incapacity benefit have resulted in a (i) new assessment and (ii) modification of the original assessment in each of the last five years. (76881)

If a medical report is found to be C grade at audit, Atos Origin must rework it before it is used by the decision maker to determine entitlement to benefit.

In cases where reports which have not been subject to audit are subsequently found to be deficient, as part of a complaints investigation, for example, Atos Origin notify the decision maker so that the decision maker can review their decision.

Records as to the outcome from these procedures are not recorded centrally and could be obtained only at disproportionate cost.

To ask the Secretary of State for Work and Pensions what the average cost is per claimant of a medical assessment for (a) disability living allowance, (b) attendance allowance, (c) industrial injuries disablement benefit and incapacity benefit and (d) incapacity benefit. (76884)

Financial information connected with individual medical assessments is commercially sensitive and cannot be disclosed as to do so may prejudice the commercial interests of the Department and/or its suppliers.