Mental Health Resistance Network
Press Release Wednesday 4th December 2013
The Court of Appeal today (4 December 2013) rejected the Government’s appeal against a landmark ruling by the Upper Tribunal that the Work Capability Assessment discriminates against people with mental health problems.
During a four day hearing in January 2013, the Upper Tribunal heard evidence from the 2 disabled claimants, from mental health charities, Mind, Rethink Mental Illness and the National Autistic Society, as well as from the Government about the operation of the Work Capability Assessment , and the experience of people with mental health problems going through the process.
In May 2013, having weighed the evidence, the tribunal concluded  that the process substantially disadvantaged those with mental health problems . This was for two main reasons: first because the application process and the face to face interview can be particularly distressing and confusing for those with mental health problems; and second because of the great difficulty that many with mental health problems have in explaining their condition, which increases the risk that the benefit will be wrongly refused.
To remedy this disadvantage, the claimants, supported by the mental health charities and by the Equality and Human Rights Commission, argued that where ESA applicants have mental health problems, the DWP should consider obtaining medical evidence from the claimant’s doctor or psychiatric team at every stage of the process, and if a decision was taken by Atos or the DWP not to ask for medical evidence, this would have to be justified at each stage. This approach followed a recommendation made in November 2012 by Professor Malcolm Harrington, an independent reviewer of the process appointed by the Government.
The Government refused to implement this adjustment because it argued that the system did not discriminate against people with mental health problems.
As stated above, the tribunal disagreed. It ruled that the adjustment to the process recommended by Professor Harrington might be a reasonable response to the “substantial disadvantage” it had found, and urged the Government to carry out a trial to see if obtaining further medical evidence earlier in the process would make the process better for people with mental health problems. Once the new process was trialled, the tribunal asked the Government to return to court for a hearing about whether – in light of the trial – the adjustment was reasonably necessary.
Instead of accepting the tribunal’s findings, and conducting an urgent trial, the Government appealed to the Court of Appeal against the tribunal’s finding of “substantial disadvantage”. It also argued that the two claimants did not have the right to bring the case because they themselves had not been adversely affected.
Today the Court of Appeal rejected the Government’s arguments on both these points. In giving the main judgment of the court, Lord Justice Elias stated that:
“the Tribunal identified various ways in which [Further Medical Evidence] would assist [people] with a range of mental disabilities, and in my judgment there was sufficient evidence to justify the conclusion that [mental health patients] were placed, as a group, at more than a trivial disadvantage”.
The claimants solicitor, Ravi Low-Beer of the Public Law Project, stated:
“It is regrettable that the Government chose to appeal against the tribunal’s finding that people with mental health problems are disadvantaged by the current system, rather than take the steps necessary to improve it.
“Now that the Court of Appeal has upheld the tribunal’s finding, we sincerely hope that the Government will take immediate steps to improve the system. Disabled people, charities and many others are only asking the Government to implement the recommendation of the independent expert the Government itself appointed. This has been delayed since May 2013 while the Government appealed. It should not be delayed further.”
For further information contact Ravi Low-Beer firstname.lastname@example.org or on 020 7843 1264.
1 The WCA is a face to face interview conducted by healthcare professionals employed by a private company, Atos Healthcare to assess eligibility for Employment and Support Allowance. Approximately 28,000 ESA claims (some 11,000 from existing Incapacity Benefit claimants, and some 17,000 from new ESA claimants) are made each week, around 40% of them by applicants who suffer from mental health problems. The speed and quality of the Work Capability Assessment interviews and the decisions resulting from them have been consistently criticised by disabled people.