[1996] NISSCSC C53/96(DLA) (5 August 1996)
Decision No: C53/96(DLA)
Mobility component
"Since 29 December 1993 Mrs M... has been able to walk out ofdoors without severe discomfort for a reasonable distance at a
reasonable speed in a reasonable manner and for a reasonable time,
all without any risk to health for the exertion of so doing.
Mrs M... has adequate vision and hearing and is of normal
intelligence with no balance problems. She does not like to go
out alone as she fears taking a panic attack but she is capable
of doing so. This has been so since 29 December 1993."
and gave reasons for its decision as follows:-
"We accept that Mrs M... is anxious and prone to panic attacks butdo not consider that she is at any risk if she takes a panic attack
when alone out of doors. She is aware of and capable of avoiding
dangers and can make her own way home if she takes a panic attack.
As regards the episodes referred to as "fits" we do not consider
them to be epileptic in form and do not consider there to be any
likelihood of unpredictable falling. We therefore consider there is
no need for guidance or supervision on walking on unfamiliar routes.
We do consider Mrs M...'s joint pains to be mild and to ease with
movement. She is not virtually unable to walk.
All the above applies since 29 December 1993."
Care component
Findings
"Mrs M... suffers from anxiety and depression. Mrs M... takespanic attacks she "freezes" when they come on but does not have any
other difficulty during them. She has had them while on her own and
has come to no harm. Mrs M... has had 2 episodes which she
describes as "fits". Her ECG has been normal and the episodes where
over a year apart. Mrs M... has had problems with alcohol.
Mrs M... can attend to all her own bodily needs - wash, dress,
toilet and self medicate. She is able to prepare and cook a main
meal for herself.
All above applies since 29 December 1993."
Reasons for Decision
"In light of Doctor O…'s investigations and of the historyof the attacks we are not convinced on the balance of probabilities
that the attacks are epileptic in nature. We would have expected
an ECG abnormality with epilepsy. We note further that Mrs M...
is on no anti-convulsive therapy.
We are not prepared to conclude that the attacks are unpredictable
and unavoidable. One took place at a time of upset and emotional
stress the other while watching television which has been known to
precipitate isolated seizures. We consider that for considerable
periods during the day Mrs M... could be safely left without
supervision without risk to her or to anyone else. We consider
that alcohol may have been involved in the first attack. We do not
consider there is any risk of suicide. We do not consider
Mrs M... needs to be continually supervised throughout the day.
We do not consider she needs anyone to be awake and watching over
her during the night. By night or day she needs no attention in
connection with bodily functions.
All above applies since 29 December 1993."
"I understand the Commissioner is holding a hearing of this case onFriday, 22 March 1996 and I will be pleased to attend same. Perhaps
you would mention to the Commissioner that I intend raising for
consideration whether the tribunal has dealt adequately with the
question of reassurance. Otherwise I see little wrong with the
tribunal decision.
Should the Commissioner decide to grant leave, I consent to the
Commissioner treating the application as an appeal and determining
any question arising on the application as if it arose on appeal."
(Signed): C C G McNally
COMMISSIONER
5 August 1996