[1996] NISSCSC C51/96(DLA) (5 August 1996)
Decision No: C51/96(DLA)
Care Component
"Medical conditions as on mobility component.Tribunal accept the Examining Medical Practitioner assessment of
Mrs H...'s ability to prepare a cooked main meal.
We find that there may have been a deterioration in her spondylitis
in the last few weeks for which she is now having physiotherapy but
we do not accept that this condition has existed for 3 months and
may be alleviated by the physiotherapy.
The Tribunal took into account the report of Doctor Healy but do
not consider that this contradicts the findings of Examining
Medical Practitioner. We find that Mrs H... on the
basis of the findings of examination by the Examining Medical
Practitioner should be able to use taps, cooker, peel and chop
vegetables and cope with hot pans. We do not accept that her
condition is such that she should be unable to stand to prepare
a cooked meal for herself."
and recorded reasons for its decision as follows:-
"The only component at issue was the low rate of care forpreparation of a cooked meal.
The Tribunal accept the assessment of the Examining Medical
Practitioner as to Mrs H...'s ability to prepare a
cooked main meal. We note that she is at present having an
exacerbation of her spondylitis and is receiving physiotherapy
for it. We do not find any evidence that this condition has
existed for three months or is likely to continue for a further
six months as it may well be relieved by the physiotherapy."
Mobility component - Findings
"Appellant aged 60. Has osteoarthritis of her lower back, neckand hips and cervical spondylosis, this causes pain and stiffness.
She has no impairment of gait or balance and has had no falls. We
accept the Examining Medical Practitioner assessment of Mrs
H...'s walking ability on the basis of the medical
examination carried out. We do not accept that the medical evidence
suggests that Mrs H... should have severe discomfort on
walking before a distance of 150 yards.
Mrs H... has agrophobia and claustrophobia but we do not
accept that the evidence indicates that this is so disabling for
her to require any guidance when walking, neither do we accept
that a need for supervision is established. Mrs H...
gets chest pains in crowds and has to leave. There was no
evidence of this occurring on other occasions or when walking
in crowded areas."
Reasons for decision
"The appeal is disallowed because the Tribunal are satisfied thatthe medical evidence does not support the severity of symptoms
by Mrs H.... Looking at all the available medical
evidence we find that she should be able to walk for a reasonable
distance at a reasonable speed in a reasonable manner in a reasonable
length of time without severe discomfort. There was no medical
evidence presented to support the argument of recent deterioration
in her condition since seen by Doctor H… on 13 September 1995.
There was no medical evidence to support a claim for guidance and
supervision on walking out of doors on unfamiliar routes. The
appellant herself did not claim any need for guidance and her
supervisory needs are more that of reassurance than supervision."
1. Her inability to lift heavy saucepans.2. The decision was perverse.
3. That the Tribunal misunderstood the meaning of "guidance and supervision".
4. That the Tribunal was wrong in looking for corroboration by medical evidence alone.
5. That some of the Tribunal's statements are unintelligible.
6. The reasons given were inadequate.
"It is my understanding that 'supervision' means accompanying theclaimant and at least monitoring the claimant in the circumstances
for signs of a need to interfere so as to prevent the claimant's
ability to walk out of doors being compromised. In fact that
intervention in the past has not been necessary. The fact that
that intervention in the past has not been necessary is not relevant.
It is unhelpful to draw a line between the notions of reassurance
and supervision. The fact that a claimant merely derives
reassurance from the presence of some one does not prevent it being
guidance or supervision."
(Signed): C C G McNally
COMMISSIONER
5 August 1996