“8. The Claimant joined the Respondent company on the30 April 2018 . When she joined the company, she ordered a gel support for her wrist and a keyboard wrist support. She also swapped her chair for one that was more comfortable. The Claimant confirmed that when she was working for the Respondent, she was able to vary her tasks in order to minimise the adverse impact she suffered as a result of typing or using a mouse. The Claimant had to take painkillers at times to manage the pain.”
“9. The Claimant had surgery to repair her shoulder on the12 February 2019 , and a bankart repair was carried out on a dislocation and a torn labrum. She was required to wear a sling for 6 weeks after the procedure and was signed off for the 6-week recovery period. 10. The Claimant told the Tribunal that the operation was not a complete success because she still experienced difficulties with daily tasks and still had difficulty reaching her arm behind her, and struggled with heavy lifting and repetitive tasks. It was the Claimant’s evidence that in her view, it could take over a year or more for her to be what she described as ‘fully mobile’.”
“11. The Claimant was taken in cross-examination to a number of documents. Firstly page 143, which was a letter written by Mr Selvan, the consultant surgeon who carried out the operation, after a clinic on4 March 2019 . It was his view that he carried out a satisfactory repair, and the Claimant was advised to keep her arm in a sling for six weeks and to follow regular physiotherapy. She was advised to take painkillers to manage the pain. The medical evidence therefore concluded that the operation successfully repaired the injury, but the Claimant would need physiotherapy to increase her mobility. There was no medical evidence to suggest that the procedure was not successful.”
“13. The Claimant confirmed in cross-examination that after her return to work she was able to drive, wash and brush her hair; she clarified that she was able to do this a couple of days before her return to work on the 24 April. The Claimant explained that she was able to manage her own workload and change up tasks to manage any discomfort after her return. The Tribunal find as a fact that both before and after the procedure, the Claimant was able to adjust or modify her behaviour to lessen the adverse effect that her physical impairment had on her daily activities. 14. The Tribunal was taken to a letter written by the Claimant’s consultant surgeon at page 155 of the bundle, after a clinic on27 May 2019 , where he stated that the Claimant still had ‘some stiffness, especially on external rotation and full elevation and is currently having physiotherapy. She will have a phased return to work and altered hours and steadily return to activities’. This letter indicated that the Claimant would return to his clinic in three months’ time which was what he described as a final check-up. There was no mention in his letter that the Claimant was experiencing significant pain apart from stiffness or that she was unable to carry out normal daily activities. The reference in the letter to her being able to steadily return to daily activities strongly suggested that he envisaged that she would make a full recovery and not suffer an impairment going forward. 15. The Tribunal was then taken to page 101 of the bundle, which was a consultation which took place on31 May 2019 with Mr Johnson a Clinical Practitioner; it was recorded that the pain the Claimant experienced in her neck was now much reduced (from 10/10 whilst at work to 3/10 when at the appointment). The Claimant also stated that the repetitive use of the arm and using a mouse was the prime aggravator. There was no mention of the Claimant finding it difficult to perform household chores such as hoovering, cleaning or cooking. The only aggravator referred to in this consultation was when using a mouse. This record also showed that the shoulder was improved and when not at work the pain was reported to be significantly reduced. 16. At page 102 the Tribunal was taken to a medical record dated24 June 2019 with Mr Moran Clinical Practitioner where the Claimant was recorded to have said ‘feels shoulder is improving slowly. More movements and less pain.’ There was no reference in this consultation to the Claimant experiencing difficulties with daily household chores. This consultation a few weeks before dismissal reported a significant improvement with less pain and greater use of the arm. There was no indication that the Claimant was experiencing any adverse effects on her ability to care for herself or to carry out daily activities.”
“18. The Tribunal was then taken to the Claimant’s consultant surgeon’s letter dated26 July 2019 , after a consultation on the22 July 2019 at page 175 of the bundle. This consultation took place 12 days after dismissal. The letter stated that the Claimant was doing well but was suffering from some stiffness as a result of surgery. It was noted that the following was included in the letter: “Mrs Brown has work commitments, but still has some disability and must take things easy. This disability could last for a year from the date of surgery. The stiffness could take a year from the date of surgery to improve”
“25. In the Claimant’s witness statement at paragraph 60, she stated that she had trouble ‘with daily tasks, repetitive movements and activities with certain stretches of the right arm’. Included in the list of activities she had ‘trouble with’ were brushing her teeth, doing her hair, ironing, hoovering, cleaning, getting dressed, using a mouse and excessive typing. It was noted that this list again included ‘doing her hair’ to that extent her statement appeared to be exaggerated in the light of the concession she had made in cross-examination. It also included for the first time that she had trouble getting dressed, but this was not recorded as a problem during consultations with clinical practitioners or with her consultant or GP. The Claimant provided no explanation of how her physical impairment caused her to experience difficulties when carrying out these tasks. There was no explanation of what the Claimant could not do or could only do with difficulty, her description of ‘having trouble’ with daily chores, gave no indication of the severity of the problem or how her ability to carry out each type of activity was impaired. There was no evidence to suggest that the shoulder injury was causally linked to the problems she was experiencing at the time.”
“B7. Account should be taken of how far a person can reasonablybe expected to modify his or her behaviour, for example by use of a coping or avoidance strategy, to prevent or reduce the effects of an impairment on normal day-to-day activities. In some instances, a coping or avoidance strategy might alter the effects of the impairment to the extent that they are no longer substantial and the person would no longer meet the definition of disability. In other instances, even with the coping or avoidance strategy, there is still an adverse effect on the carrying out of normal day-to-day activities. For example, a person who needs to avoid certain substances because of allergies may find the day-to-day activity of eating substantially affected. Account should be taken of the degree to which a person can reasonably be expected to behave in such a way that the impairment ceases to have a substantial adverse effect on his or her ability to carry out normal day-today activities. (See also paragraph B12.) When considering modification of behaviour, it would be reasonable to expect a person who has chronic back pain to avoid extreme activities such as skiing. It would not be reasonable to expect the person to give up, or modify, more normal activities that might exacerbate the symptoms; such as shopping, or using public transport.”
“44. The next part of the test is whether the adverse effects on normal daily activities were substantial. The evidence showed that the effects were worse when at work (when working in her previous employment) due to the nature of her role. However, when she joined the Respondent, she was able to take action that reduced the substantial adverse effect by switching tasks. Having taken into account the guidance at B7, the Claimant’s strategy of switching between tasks appeared to reduce the adverse effect to such an extent that it was no longer substantial. At the relevant time, the main aggravator was the use of the mouse and screen; so switching away from these tasks regularly reduced the adverse effect to a manageable level, as the condition appeared to be exacerbated by repetitious tasks. 45. Although the Claimant was able to use avoidance strategies, the evidence suggested that the shoulder problem was continuing and required surgical intervention. The Claimant confirmed in evidence that from November 2018, despite being able to employ strategies to reduce the adverse effects, the effects had become substantial. 46. After the operation in February 2019, the Claimant was able to return to work on the24 April 2019 . It seemed that she had made a significant recovery by that date as in cross examination she confirmed when she returned to work she was able to drive and do her hair. The medical evidence showed that by May 2019 the Claimant self-described the pain to be 70 per cent improved during her consultation, and only referred to pain reverting to 100 per cent when at work using the mouse. There was no mention in her medical records of reporting that she was unable to perform basic household chores or that she was unable to tend to her own personal care. 47. By June, the Claimant was reporting more movement and less pain, which showed that she was making a steady recovery. 48. The evidence reflected that her physical condition was therefore much improved by June 2019, and it was found as a fact that the evidence that the Claimant provided during her consultations at the time were likely to be most accurate when describing whether or not her impairment had a substantial adverse effect on normal daily activities. At the date of dismissal, the medical record for June showed that the Claimant had less pain and more movement, and there was no suggestion that she was experiencing any problems with normal daily activities. The only activity shown to aggravate her shoulder was the use of the mouse. The contemporaneous evidence was consistent that the Claimant was making a good recovery, and her pain was reduced and her movement had improved. There was no evidence to suggest that at the date of termination, the physical impairment had a substantial adverse effect on the Claimant’s ability to perform daily activities.”
“50. The evidence the Tribunal was taken to in the bundle in relation to consultations that took place after dismissal were inconsistent with the medical evidence before dismissal. It was only after dismissal that the consultant referred to the Claimant’s stiffness as amounting to a disability, despite previously reporting that the operation had gone well and was subject to physiotherapy improving her mobility. Findings of fact were made about the background to the insertion of these words into the letter, and they are above at paragraphs 18-19. The Consultant inserted these words at the request of the Claimant to show consistency with what she had told the employer. The letter was written in this way to assist the Claimant. The reference to one year was not recorded in any other documentation in the bundle or by any other medical practitioner. 51. The Claimant’s evidence to the Tribunal was that her shoulder injury had a substantial adverse effect on her daily activities, but there was no consistent evidence that this was the case and not reported to any of her medical team until after she was dismissed. The medical records showed that the Claimant reported a consistent improvement of 70 per cent until after dismissal where she introduced the definition of disability when discussing her recovery with her surgeon. It was also noted by the Tribunal that the Claimant did not make reference to her physical impairment having a substantial adverse effect on normal day-to-day activities until after dismissal in July 2019 as reflected in the above findings of fact. The list of activities that she found difficult became more extensive in the Claimant’s witness statement and in the most recent consultation with her GP on the7 August 2020 . 52. The Tribunal found the Claimant’s evidence on the substantial adverse impact to be unreliable. The Claimant admitted that she was able to brush and wash her hair by the time she returned to work in April 2019 and was able to drive. However, the Claimant continued to allege that this was something she had difficulty doing in her statement and in the disability impact statement. Her evidence on this point was unreliable, and it must be concluded that her evidence was exaggerated on this point. It was also noted that the Claimant in her witness statement referred to not being able to dress herself, and this was something that she had not previously mentioned in any medical consultations. If the Claimant had been unable to dress herself, it would have been mentioned in the many consultations referred to above. It was not, and therefore it must be considered to be a further exaggeration.”
“57. I also considered whether the letter from the surgeon written after dismissal suggesting that the recovery from the residual stiffness would last or was likely to last for 12 months should be given any weight and, if so, how much. As referred to before, this letter was written to assist the Claimant; it was not a medical prognosis; at its highest, it makes reference to residual stiffness; and it did not suggest that the Claimant would continue to suffer substantial adverse effects for 12 months. The letter was also inconsistent with the other medical evidence referred to above, where it was recorded that good progress was being made and pain was reduced and mobility increased. I conclude therefore that the letter carried little weight, and the consistent evidence was that the impairment did not have a substantial adverse effect and was not long term.”