Medical Referees’ Use of Doctors’ Reports
The Minister says referees give full consideration to family doctors’ and consultants’ reports, which help them assess claimants’ illnesses and prepare their findings.
asked the Minister for Social Welfare the cognisance her Department's medical referees take of the detailed reports of family doctors and specialists who are attending the recipients of disability benefit; and if these are given serious consideration by medical referees before compiling their final report.
Comment on this
In the course of carrying out examination of claimants to disability or injury benefit medical referees examine claimants with particular regard to the cause of incapacity which has been certified by the claimant's medical certifier.
In this connection they review the history of the illness and take account of previous illnesses. They consider in particular all the certifier's and consultant's reports including the results of any clinical investigation given.
Full consideration is given to the reports by the medical referees who find them extremely helpful in compiling their final reports on the claimant's fitness for work.
Comment on this
Is the Minister satisfied that the Department's medical referees, who now number 25, take account of the detailed reports of the family doctors and specialists who attend those people? Why is it that so many are being deemed capable of work who are still under the constant care and attention of their doctors and continuing to see, on a regular basis, the specialists or consultants who are attending them and where, in some cases, operations to remedy defects in the long term are being contemplated? These advices and reports seem to be disregarded and the claimants are deemed capable of work. It seems irreconcilable with the statement the Minister made.
Comment on this
Where a medical referee examination is decided on the certifier is notified and advised to furnish a report. These reports and the history of the claimant and any clinical requirements are received in an estimated 10 per cent of cases and in the course of examinations claimants are requested to give a general account of past illnesses and the history of the present illness. Any report furnished by the certifier will help to put the illness in perspective. The medical adviser considers that such reports from family doctors and the details given in some cases of clinical tests are very useful for examination purposes, particularly in view of the technical nature of the illness which claimants might not be able to describe. The medical adviser is satisfied that due weight is given to such reports and that they are taken into account in arriving at a decision.
The Deputy referred to cases of people waiting for operations. It is not always the case that everyone waiting for an operation is unfit for work while waiting. Waiting for an operation is not, in itself, an illness. I admit that most people waiting for an operation are suffering from some illness that has to be rectified but, of itself, a certificate stating that somebody is waiting for an operation does not mean he is ill.