"In order to obtain a medical report from your medical adviser, the Company must have your consent in writing. This form is used to provide you with the necessary information and to obtain your consent. "
"I hereby give my consent to the Company's Medical Adviser to ..."
"... obtain medical information from my GP/consultant concerning any aspect of my physical and/or mental health."
"3. release medical information held by MIS to any doctor involved in my care, or further assessment of my case."
"I should also add that you have failed to contact me to explain your situation or account for any delay in returning the consent form. "
"I must withhold consent 2 ... until such time as a suitable 'designated officer' can be named by EHT [then the somewhat illegible letter seems to read, as a matter of guesswork] to comply with its terms."
"You have returned Form MIS20 (our Occupational Health Provider Consent Form) having struck- through paragraph 2. Effectively, this means that should MIS obtain information from your GP, they are unable to provide us with any feedback, advice or guidance regarding your circumstances. Obviously, this would be a futile exercise and is unacceptable. With this in mind, I enclose another MIS20 form and am, once again, postponing the date by which I expect this to be fully completed and returned until 12th June. I will take your failure to comply with this reasonable request as a refusal. For information, in the context of your health, I am the 'designated officer'."
"Kathleen, I feel that both the Trust and I have acted in good faith throughout this process. However, you should be aware that, after a great deal of consideration, this situation seems to be becoming increasingly untenable. I am conscious of the fact that you are not prepared to speak to anyone in the Trust, including me - - your Director of Service. I am forced to communicate with you, in writing, through your union representative. This is extremely cumbersome, time- consuming and entirely inappropriate in dealing with an employee health issue. Additionally, the number of postponements that have taken place, the inappropriate length of time that this process is taking, your apparent unwillingness to cooperate concerning obtaining clinical advice and the needs of the service are leading me to question your commitment to return to work. Obviously, Scheme Managers play a vital role, both to our tenants and EHT itself and I am conscious that this situation cannot carry on indefinitely. "
"I agree to your processing personal and sensitive health related information about me applying for information from my own doctor or specialist treating me I wish/do not wish to see the report before it is sent to the doctor acting for my company. I consent/do not consent to attend an independent medical assessment which may include the taking of blood or the need for me to supply a sample of urine, or undergo other investigations, the test results of which will be interpreted by the doctor acting for my company. I consent/do not consent to the release of relevant clinical information in confidence to my employer. I understand that any advice given to my employer will be expressed in terms of my fitness for employment and/or my fitness to carry out my duties both now and in the future. I consent/do not consent to undergo an executive medical screening, the results of which will not be released to my company. A copy may be retained by the company doctor. I confirm I have read and understood the information about personal data and sensitive data. I understand that I will be given the opportunity to sign a fresh consent form when a new episode of my health occurs, that may affect my occupation."
"I consent/do not consent to the release of relevant clinical information in confidence to my employer. I understand that any advice given to my employer will be expressed in terms of my fitness for employment and/or my fitness to carry out my duties both now and in the future."
"On advice, I am writing to let you know that I intend to wait for clarification from the Employment Tribunal, and on your response to mine of 4th June before making further reply to EHT. "
"This is the final postponement that I am prepared to make and, if I fail to receive your authorisation, I will be forced to consider your position based on the information available to me on that date. I should inform you that, at this time, the likely outcome of this will be the termination of your employment with Elmbridge Housing Trust on the grounds of capability."
"... deny causing any 'failure to comply' or 'refusal' that you seek to imply - - but, neither do I intend now to repeat and amend my ..."
"... this is a very reasonable response to events since I am only now informed that you are undertaking to be the 'designated officer' [and then there is an illegible word which may be 'which'] is only referred to in the original MIS20."
"I received a letter from you, dated 13th June, on 18th June. You seem to propose overriding your previous deletion from the MIS20, by attaching this letter and sending it to Occupational Health. Peter Wallop spoke to your UNISON representative by telephone on 18th June and explained that this was unacceptable for the following reasons: a) your letter was partially illegible, and b) he had spoken to the Occupational Health Provider and they refused to accept this and insisted upon a properly completed form. "
"I should mention that, due to the amount of photocopying/faxing that this document [that is the letter of the claimant of 13th June] has been through, it is now barely legible and cannot be used in the way in which I think you suggest. "
"Regarding your recent telecoms with EHT and the related points in letters of 18th - - I must insist that my letter of 13th June fully explains my position and complies. "
"In these circumstances I am (today) supplying EHT by hand with a further clear copy (of 13th June) - - which is intended unambiguously to remove the reservation of consent 2 in the previously signed MIS20 - - sent to EHT on 23rd May. "
"In addition, I am awaiting further appointments (next Friday 29th June and Thursday 25th July) in anticipation of some essential investigations and possible surgery to follow."
"Further to my letters of 13th and 18th June and Peter Wallop's recent conversations with Alan Morgan (UNISON), I regret to inform you that I am terminating your employment with Elmbridge Housing Trust for the reason of incapability. You will, of course, be paid your contractual notice entitlement. "
"Given that procedures need to be agreed, I raised the issue [that is, in a conversation with Mr Morgan on the telephone] that it was possible an appeal hearing may be heard outside the time period indicated in procedural guidelines (although we will certainly endeavour to ensure that this is not the case). You understood this and did not seem to feel that this was too much of a problem assuming our good faith."
"I was dismissed by letter on28th June 2001 . The letter said the reason was incapability. I had been on sick leave, and was asked by my employer to complete an Occupational Health Form but was not informed which 'designated officer' the information would be released to and I was also shortly to see my GP. Once I was informed who the 'designated officer' was, and I had seen my GP, I returned that form. Meanwhile (although my employer decided to send me a differently worded form) I did not refuse employer- access to my medical information - - as was implied. Prior to receiving my dismissal letter, I was not invited to a disciplinary hearing. The dismissal letter (+ subsequent enquiries) did not record reasons for 'incapability'. The employer failed to follow the disciplinary & capability policy. I was not given a notice period for my dismissal."
"The Applicant's case. "4. The Applicant submitted that the dismissal was unfair primarily because Mr Baxendale did not have the best quality information in relation to the Applicant's health. They also stated that the need for the employer to have the work done was not in issue and not something which was considered by the Respondent. They questioned whether it was reasonable to proceed without medical evidence and that the decision to dismiss fell out with the range of reasonable responses that a reasonable employer could have. Further the Applicant submitted that the decision was made too quickly and relied on the fact that the Applicant was better within three months of dismissal and that the Respondent did not consider any alternative other than dismissal and did not take into account the Applicant's length of service. "
"6. The Tribunal finds that the reason for dismissal was capability. The Tribunal also find that the Applicant did not cooperate for whatever reason, with the Respondent and in relation to their request for a medical report and consultation which was a reasonable request. This process started on3rd May 2001 when Mr Baxendale wrote to the Applicant (page 17) asking the Applicant for her consent to arrange a medical report. Despite this letter, and the attempts of Alan Morgan the Branch Secretary of the Elmbridge branch of UNISON the Applicant did not complete the medical form. Accordingly a further letter was written on11th May 2001 in which the Respondents made it clear that they would like to consider ways that they could assist the Applicant in returning to work and whether there may need to be some adjustments to her working conditions as a result of illness. Still the Applicant did not respond. "7. The Tribunal noted that the Respondent did allow the Applicant to have her Trade Union Representative with her although this was not a formal disciplinary matter. The Tribunal also find that the Respondents by their letter of4th June 2001 and their letter of14th June 2001 made it clear to the Applicant that they required a completed medical consent form otherwise they would have to make a decision on her continued employment on the basis of the evidence which they had before them. "8. The Tribunal concludes that the Respondent did all that they could to elicit the information from the Applicant but the Applicant's total lack of communication and her continued refusal to provide medical information left them with no alternative but to make a decision based on the facts which they had before them. The Tribunal find that given the particular circumstances of this case namely the lack of consent for any medical records the period of three and a half months from the date the Applicant went off on sick leave to the date of her dismissal was reasonable. The Tribunal further find that the decision to dismiss was within the range of reasonable responses which a reasonable employer could make. Accordingly the dismissal was fair and the Applicant's claim is dismissed."
"6. By the amended Notice of Appeal this decision is criticised as being wrong in law and perverse. It is said that the Employment Tribunal failed to distinguish between conduct and capability issues and failed to have proper regard to the fact that the Respondent had not followed its own proper procedures including as to an internal appeal against the dismissal. The Respondents argue that there was sufficient evidence before the Employment Tribunal for the conclusions set out in the extended reasons to have been properly reached although it is conceded that to say that there was in the relevant period a 'total lack of communication' by the Appellant was incorrect, at least in terms of communications in writing. "7. We are satisfied that this Tribunal decision cannot stand. There is a clear contradiction between the finding in paragraph 6 of the extended reasons that the dismissal was for capability and the conclusions in paragraph 8 which clearly relate to a dismissal for misconduct, that being the alleged failure of the Appellant to cooperate with the Respondent in facilitating a medical assessment. The conclusion of the Employment Tribunal that the Appellant did maintain a continued refusal to provide medical information is in our view not warranted on the only proper interpretation of the correspondence between the parties between May and the dismissal. "8. Before the dismissal there was no engagement in any of the disciplinary or the capability procedures of the Respondent. Subsequently [sic] to the dismissal there was no provision of an appeal. Any waiver of the appeal procedure months later by the Appellant's representative cannot in our view affect the Appellant's entitlement to such a procedure at the proper time. The appeal must therefore be allowed and the decision of the Tribunal quashed. "9. In most instances after such findings of perversity this Employment Appeal Tribunal would remit the case for a rehearing before a differently constituted Employment Tribunal. This is the course urged upon us by the representative of the Respondent in the event of this appeal succeeding. We have however been persuaded by Counsel for the Appellant that this is an exceptional case where it is appropriate for us to substitute our findings. We are satisfied that all facts relevant to the dismissal can be found in the exchange of letters between the parties in the period already referred to between May and June. "10. We are satisfied that the only proper interpretation of that correspondence is that the Appellant, after an initial reservation in order to ensure that her medical condition should only be made known to an appropriate person within the Respondent, gave the required consent to be medically examined and for her medical records to be disclosed. We are satisfied that the reason for dismissal can only be categorised as conduct, that being the Respondent's view that she had not so cooperated as regards the medical investigations. This being so what followed did not comply with any fair procedures. There had been no disciplinary hearing, no appeal hearing and the dismissal could not satisfy the test as to fairness under Section 98 of the Employment Rights Act. The employer did not act reasonably in treating it as a sufficient reason for dismissing her. Dismissal could not in all the circumstances be within the bands of reasonable response. We therefore find that the dismissal was unfair and we remit the case to an Employment Tribunal for a remedies hearing, that Tribunal to be differently constituted from the one which heard this case. At any such hearing it will of course be open to the Respondent to raise any issues regarding contributory conduct."
"Industrial Tribunals' reasons are not intended to include a comprehensive and detailed analysis of the case, either in terms of fact or in law ... The reasons are then recorded and no doubt tidied up for differences between spoken English and written English. But their purpose remains what it has always been, which is to tell the parties in broad terms why they lose or, as the case may be, win. I think it would be a thousand pities if these reasons began to be subjected to a detailed analysis and appeals were to be brought based upon any such analysis. This, to my mind, is to misuse the purpose for which the reasons are given."
"The Tribunal find that given the particular circumstances of this case namely the lack of consent for any medical records the period of three and a half months from the date the Applicant went off on sick leave to the date of her dismissal was reasonable."