"However, I am sure the symptomatology is far worse than a normal unilateral Menière's sufferer and I cannot help escaping from the conclusion that there must be considerable psychological overlay in Mr John having a severe and protracted reaction to persistent and intermittent dysphoria. ... I would expect him to be able to work in a general office pursuing cleaning duties albeit with occasional weeks or days when he is in the throes of an attack of endolymphatic hydrops when he will be off sick with severe vertigo. The prognosis should be reasonable as he shows little change in his audiogram over the last few years. It may be that the endolymphatic hydrops will burn out and there is no sign that the left has developed the same problem."
"I have had a reply from Mr Smelt. He corroborates my opinion that Mr John is capable of working in a general office environment pursuing cleaning duties albeit with occasional days or weeks off sick with recurrent vertigo. I have written to Mr John's GP regarding a final certificate but please note that this may not be forthcoming. I will keep you informed of progress."
"11. ...Mr Hardy had not read Mr Smelt's opinion directly when making his decision. He merely had the memorandum from Dr Quinlan which indicated that Mr Smelt had said that the applicant was physically fit to come back to work. If Mr Hardy had seen the actual opinion he would have seen the reference to considerable psychological overlay. [The GP] Dr Michael Taylor's reason for giving the applicant his sick note as indicated to Dr Magnus Taylor [that is the employer's Medical Officer] was anxiety. "
"11. ... It was unreasonable for him to decide that the applicant should be dismissed when his GP had given him a sick note for 4 weeks relating to anxiety. If there had been a reasonable investigation of events he would also have seen Mr Smelt's opinion containing the reference to psychological overlay. ..."