"1. By an originating application that was presented on20 January 1997 , the Applicant complained that he had been discriminated against contrary to theDisability Discrimination Act 1995 by the Respondent dismissing him from his job of Physics/I.T. Technician and that, contrary to the Act, no reasonable steps were taken by the Respondent in respect of the nature and extent of the disability suffered by the Applicant. 3.
"The Appellant appeals against paragraph 2 of the decision of the Industrial Tribunal (London South office) of29 July 1998 replying on the following grounds: - 1. The Tribunal erred in law in its consideration of the defence of justification underSection 5(1)(d) of the Disability Discrimination Act 1995 . 2. The Tribunal gave the wrong statutory construction toSection 5(3) of the Disability Discrimination Act 1995 in assessing the threshold of what is 'material' and 'substantial' in determining whether the reason for dismissal was 'material to the circumstances of the particular case and substantial' as provided for inSection 5(3) of the Act . The Appellant contends that the threshold to be applied is considerably higher and relies on authorities for the contention:- RAINEY -v- GLASGOW HEALTH BOARD1987 IRLR 26 HL TOOGOOD -v- GLAN CLWYD HOSPITAL TRUST 2900868/97 3. The Tribunal heard no hard evidence merely speculation as to risk, and this was insufficient to form the view formed. 4. The Respondent failed to provide any psychiatric evidence to the tribunal. The Tribunal erred in law by misattributing an expert opinion to Dr Woolf (The Appellant's expert) which he did not express. (Paragraph 15 of Decision). The Tribunal found that in Dr Woolf's opinion the Appellant posed '..an incalculable risk' when no such opinion was expressed. Dr Woolf concluded 'The possibility that he presents a risk to himself is right but probability is very low. One has to admit a possibility but it is speculative'. 5. The Tribunal wrongly drew adverse inference from the Appellant's medical history in support of its finding of justification, which were not supported by the evidence before it -i.e. the Applicant's complete medical history, the tribunal was selective in matters relied on in support and dismissive of Dr Woolf's expert opinion of '...stereotypical views of schizophrenics' . 6. The Respondent failed to show a proper consideration of the Appellant's particular disability by failing to obtain suitable medical opinion. The Tribunal received no evidence as to the Respondent's assessment of the Appellant save unsuitable non-psychiatric medical opinion from Dr Cooper. The tribunals have wrongly upheld a flawed assessment by the Respondent as being acceptable consideration for raising the defence of justification underSection 5 (3) of the Disability Discrimination Act 1995 ."
"4. Having heard the evidence of the witnesses and having considered the documents put before us the Tribunal found the following facts on the balance of probabilities. 5. The Applicant has a psychiatric history which commenced in or about 1989. At that time he was studying to gain an HND in physical sciences at South Bank Polytechnic. He started to have individual counselling sessions at the Polytechnic which lasted for about two years (76-80 at 78). He gained his HND in June 1990. In September 1990 he enrolled at the University College London to study a BSc in Physics, Electronics and Computing. From May to October 1991 he saw another counsellor at UCL. He left at the end of the second year after having failed his examinations and remained unemployed until he was able to secure voluntary work as a work placement, teaching assistant, in February 1994 (36- 7). In December 1992 he had an outburst of verbal aggression at home which he was unable to recall the following day (64-66 at 64 and 76-80 at 79). Then in February 1993 he had an onset of auditory hallucinations in the second person. (He described the sound of this as similar to experiencing a radio that is continually on in the background, save that the voices may comment on his actions or make strong efforts to draw him into a discussion or argument. When the voices begin to talk, it is not clear to, without some investigation of the surrounding environment, whether they are internal or external. ) He believed on this occasion that someone was being held against their will in the neighbouring house. He was concerned and so telephoned the police who came to his house, conducted a search and found nothing. From the15 February 1993 until the17 March 1993 he was admitted to the West Middlesex Hospital following this depressive breakdown. During this period in hospital he was recorded as having fantasies of mass murder, rambling about electronics, talking about lights in the street and was having auditory hallucinations in the second person. It was believed by the consultant psychiatrist that he might be suffering from schizophrenia (64-66). He received no medication at first but on the24 February 1993 he was administered with drugs as part of a drugs trial. On the26 February 1993 he experienced severe side effects from these drugs, he was immediately administered an antidote. However, the drugs trial continued until the7 April 1993 . Throughout this time he continued to experience side effects from the drugs and the side effects did not wear off. Therefore he stopped taking the drugs in April 1993. 6. The Applicant was referred to the Regional Forensic Unit, Ealing Hospital after being discharged from the West Middlesex University Hospital because the consultant psychiatrist was slightly concerned about the Applicant's continued expressions of fantasies of mass murder (68-71), therefore the Applicant continued to be seen after his discharge as an out patient. It is recorded in a medical report dated6 May 1993 from the West Middlesex Hospital that the Applicant was looking for work as a laboratory technician and had been encouraged not to return to his studies for the time being because he might find studying too stressful. He reported on this occasion that he had been experiencing unpleasant side effects from his prescribed medication and that he had stopped taking medication on 8th April. It had been agreed that he need not resume his medication for the present and that he would be reviewed within a month (73- 74). The Applicant lives at home with his parents and siblings, and he was assessed, together with his father, at the Regional Forensic Unit, Ealing Hospital on31 March 1993 and on17 May 1993 (76-80). In the opinion of the senior registrar the Applicant was not likely to be dangerous in the near future and did not present a risk to members of the public, although it was recommended that he should be regularly supervised so that any untoward behaviour could be detected in good time. It appears to the Tribunal that the Applicant did not inform the registrar that he had ceased taking the prescribed drugs at either interview, we say this because the only reference in that report is to the Applicant complaining that he was suffering side effects from the medication, when we know from the evidence that he had stopped taking medication about a month earlier. 7. At the Applicant's follow up assessment at the West Middlesex Hospital, on2 June 1993 , the Applicant reported feeling well, and told the psychiatrist that he had not taken his medication for a period of six weeks (81). 8. In or about September 1993, the Applicant commenced a four year degree course in physics, studying part-time, evenings, at Birkbeck College, London. The Applicant was the President of the physics society and when in 1996 it was proposed that the physics laboratory would close he set up a working party among the students and organised a campaign against the closures. The Applicant's employment and academic history is set out in his curriculum vitae (34-37). He has held four jobs for short periods since 1984 and has undertaken courses of study. He has acquired additional computing skills during this time. 9. On1 November 1993 he was assessed at the forensic unit at Ealing Hospital. He was at this time experiencing a number of symptoms. He felt telepathic, he felt that a group of people were trying to brainwash him and were putting thoughts into his head, he believed that some people could read his thoughts, and he thought that voices were trying get him to kill others or himself. He reported that the voices were both an irritant to him and upset his concentration. This was the first occasion on which the Applicant was diagnosed as a paranoid schizophrenic (160-163). The Applicant did not believe that the voices were part of his schizophrenia and despite these symptoms, he reported that he felt normal. He was not detained but a few weeks later on the26 November 1993 he was admitted to West Middlesex Hospital having been found wandering the streets. He was experiencing auditory hallucinations on this occasion, but he now found them so distressing that he had thoughts of suicide as a means of stopping them. His family were concerned that he might harm himself or get hurt by others. He remained at the hospital as a voluntary patient until his discharge on13 December 1993 (164-173). He was reluctant to accept any medication and he did not receive any regular medication during his treatment in the hospital. 10. After his discharge he returned to attending the hospital as an out-patient, the first of these appointments was on the20 January 1994 . At the first appointment it was recorded that he was reluctant to take any medication and that he had taken the prescribed neuroleptic, Haloperidol (this drugs acts to stops the auditory hallucinations) in the past but that the side effects were so severe that they interfered with his thought processes and his vision and that his studies would suffer as a result (174-175). It was because he was reluctant to take any medication that he was required to have regular appointments thereafter (174-197). The Applicant has been interviewed by junior trainee psychiatrists during these outpatient appointments and he has not had an in depth assessment of his condition. They invariably express surprise when they discover that he is not taking any medication for his illness. 11. As an alternative to medication the Applicant has chosen to read widely about his illness. By doing so he has acquired a great understanding and insight into his condition. He has discovered, by reading and occasionally attending lectures, a way of controlling the effects of the schizophrenia for example, by telling himself that the voices were a result of the chemical imbalance in his brain and by adopting a variety of coping strategies. 12. He has not told his parents that he had stopped taking medication because it might upset them (177). He has also allowed his own G.P. to believe that he is taking medication. 13. By March 1994 he was confident that he could be relied upon to take medication only when necessary, that he could recognise when he was having an acute episode of schizophrenia and was capable of requesting help. He also believed that regular medication was unnecessary because it would not prevent him from becoming unwell again. At about this time he began to obtain help from Ms Madeline O'Carroll, who was a research cognitive behaviour therapist. For the next two years he had appointments with her at the West Middlesex Hospital. She was instrumental in helping him to remain drug free by developing and refining his methods of dealing with the illness (110-112). 14. It is recorded on the27 October 1994 during an out-patients appointment that the Applicant had taken the drug Haloperidol for an episode of auditory hallucinations a few weeks earlier. That was the last occasion on which the Applicant took any medication for the auditory hallucinations (182). 15. Dr Woolf examined the Applicant for the purpose of these proceedings. We understand from the evidence of Dr Woolf and the documentary evidence that presently, the Applicant has a chronic medical/mental condition. He has not been symptom free for many years. He expresses no concern at his continued auditory hallucinations. He continues to attend out-patient appointments for a review of his condition. He has not always demonstrated a good insight into his condition and has from time to time sought to rationalise his ideas and auditory hallucinations as not being part of his illness, when they clearly are. Whilst he has deliberately led his family and his G.P. into believing that he takes medication, this is fairly common amongst such patients. Someone with his illness might be expected to be unable to cope with stress, but in the view of Dr Woolf, aside from examination stress the Applicant appears to cope well with the demands of his present demanding employment. The Applicant's symptoms appear to be worse at home than elsewhere. He continues to be interviewed regularly as an out-patient under the supervision of senior house officers at the Middlesex Hospital. His counselling by Ms O'Carroll ending in or about May 1996. He receives no other supervision or treatment for his illness. We understand that he follows the views of a Professor Romme which concerns the daily management of these voices by the individual. Dr Woolf described these methods as alternative to medical orthodoxy, but effective nevertheless. He has been, and continues to be successful in controlling his condition without medication. The Applicant has been free of any acute episodes since 1993, nevertheless there is a possibility that a relapse may occur. The probability of that occurring is low in a work setting, but it cannot be excluded. If an acute episode did occur, then there was a possibility that the Applicant would be a risk to himself, and an incalculable risk to staff and pupils. 16. Dr Woolf, gave evidence that the Applicant is unique in his experience by the way he has managed his condition well and without taking drugs, and by the way in which he appears to be coping with his present stressful job in those circumstances. The job 17. Cranford Community School is a large secondary school. It has twelve hundred pupils aged between eleven and eighteen years of age. It is a community school and it is used during school holidays and after school providing classes for the local community. 18. On2 October 1996 the Applicant saw an advertisement for the full time post of physics/information technology technician at Cranford Community School (31). He applied for the job by sending his CY and a covering letter to the school (34-7). 19. The Tribunal heard and accepted the evidence from Ms Spiller, Senior laboratory Technician, about the work of the school's science department and the environment in which the Applicant would have been expected to work. The school has an extensive science department. There are a number of classrooms where laboratory equipment can be used and, in addition, eight laboratories. There is a large central preparation room where equipment is held and this room is also used as a chemical store. The science teachers prepare lessons in the central preparation room and other preparation rooms for individual subjects are also available. The school teaches 'A' level Physics and GNVQ qualifications. The physics IT staff have access to equipment which includes sharps, scalpel, concentrating acids and poisons and radio-active sources. Teachers are not permitted to leave classrooms when pupils are present because of the risk from unattended equipment. Technicians are continually required to be vigilant bearing in mind the potential dangers of the materials. They may receive requests for equipment from pupils. In these circumstances they are obliged to make a risk assessment in order to decide whether the item is being required to the pupils own use, or whether the request is genuinely required for the class room and can be given to the pupil. At the end of each lesson the technician has to count all of the equipment, particularly scalpels, craft knives and mounted needles. A large proportion of the equipment which is set out in various rooms could have potentially serious consequences if used in an unauthorised manner. All technicians are required to assist where necessary. Therefore, for example a physics IT/Technician could be required to assist preparation for chemistry lessons. All technicians are given training in safety aspects and procedures for dealing with spillages. All chemicals have to be decanted and correctly labelled and technicians are required to be vigilant at all times. The science preparation room is a busy area with pupils and teachers coming to and fro. Text books are collected and returned by pupils as is the laboratory equipment. All laboratory technicians are responsible for ensuring that equipment is put down safely and the same number of items returned by pupils. From time to time pupils misbehave and pick things up. They are also capable of deliberately provoking staff. Technicians are continually making preparation for class work and therefore daily required to meet deadlines. We accepted the view of Ms Spiller that the work of a technician at the school is very busy and can be stressful. Job offer 20. On2 October 1996 , the Applicant received a job description and a person specification (32-3) and was invited to attend an interview which was due to be held on Friday18 October 1996 (38). On Wednesday16 October 1996 the Applicant supplied names of referees (43). He attended the interview and was verbally offered the job. The offer was later confirmed in writing and it was made subject to a satisfactory medical report and a police check. A medical questionnaire and a police check form were sent to the Applicant at the same time as the offer letter. There had been a vacancy for a physics/IT Technician for some time. The vacancy was causing a great deal of inconvenience to the department and the existing technicians were being required to cover the vacant post between them which added to their already busy workload. The Respondent school was anxious to have a suitable employee in post as soon as possible and for that reason the Applicant was required to start work on 28th October (39). 21. The Applicant submitted his medical questionnaire to the Respondent on24 October 1996 (44-46). It was received by the Respondent on Friday 25th October. The Applicant stated under the heading of 'illness and conditions …' 'schizophrenic breakdown Feb 1993 1 month and schizophrenia Nov-Dec 1 month 1993 13 days.' He also indicated that he had been hospitalised during these periods. 22. The completed questionnaire was received, by Ms Linda Hoskins, Principal Occupational Health Adviser, the next working day, which was Monday28 October 1996 , the day the Applicant was scheduled to start work. Ms Hoskins was concerned about the references to schizophrenia and telephoned Ms Doreen Dixon, Head of Personnel, Education Department, to ascertain whether the Applicant had indeed commenced employment. Ms Dixon confirmed that he had commenced on that day and Ms Hoskins offered to see the Applicant immediately. 23. The Applicant had been at work for ten minutes when he received a message that Ms Hoskins wanted to see him. He went to her office where she interviewed him about his health and his fitness for work. She took notes of this interview which are at 48-49. During the course of the interview the Applicant told her he had been seen by Dr Evans and that he, Dr Evans, had completed his health questionnaire. 24. After the interview Ms Hoskins telephoned Dr Cooper, Occupational Health Physician and she, Dr Cooper, advised her that a further assessment was required; and that could be in the form of a letter to the Applicant's GP or hospital doctor. Dr Cooper advised that meanwhile, the Applicant should not return to the school. 25. Ms Hoskins wrote to Ms Dixon (50) and advised that further information would be obtained about the Applicant's current and future health. By a letter dated 28 October Ms Hoskins wrote to Dr Evans, Psychiatric Outpatients Department at West Middlesex Hospital. The letter read: '...In order that I may advise management regarding your patient suitability for the post I would be grateful if you could provide me with a report detailing past medical psychiatric history regarding his schizophrenia. Results of any recent investigations and hospital visits would also be helpful ...' (122). 26. The Applicant, having reported for work on 28 October, was placed on the payroll and received a letter from Ms Dixon setting out that the post was subject to satisfactory references, medical and police clearances. Dr Evans sent a draft report to the Applicant before sending a final report to the Respondent (126-128). The Applicant objected to some parts of the report that he considered would be detrimental to his continued employment. He asked Dr Evans to amend the report in accordance with his request. Dr Evans acceded to part of the request and amended the report before it was sent to the Respondent (56-58). 27. At the conclusion of the report Dr Evans wrote as follows: 'Opinion The Applicant is a 31 year old man with a three year history of schizophrenia. He has not been on regular medication since 1993 and despite experiencing psychotic symptoms, appears quite stable and not distressed by his auditory hallucinations or other psychotic symptoms. A forensic psychiatrist assessment in 1993 revealed no cause for concern about this gentleman. Mr [A] is currently stable and has been working as a voluntary teaching assistant for the last 18 months without any problems but obviously the possibility of a relapse cannot be ruled out.' (56-58) 28. Having seen this medical report Dr Cooper arranged an interview with the Applicant. This took place on4 December 1996 . The interview lasted for over 30 minutes. Dr Cooper had available Dr Evans' report, the job description, and the medical questionnaire. The notes she made are at 59-60 (and a typed transcript is at 61). 29. She sent a letter of advice to the school in the following terms: '...Carlos suffers from a chronic medical condition which led to two periods of hospitalisation, one for one month, and the other for 2½ weeks, both in 1993. Since that time he has continued to have symptoms although less severe. The nature of his illness is such that if a further relapse were to occur, Carlos' capacity to work would be seriously affected. In addition there is a possibility that he could present a risk both to himself other staff and pupils if he were to be employed at Cranford Community School as a technician.' 30. Dr Cooper, prior to the interview with the Applicant noted that he had exercised his rights to see the medical report and to request amendments before it was sent to her under theMedical Reports Act 1988 . Therefore, she had some concerns over the accuracy of Dr Evans' report. (It was later that the Respondent received the original unamended report (126-8)). Dr Cooper was aware the type of job the Applicant was going to do having considered Dr Evans' report, the job description and the Applicant's interview, she considered that the environment of the laboratory was very busy and very stressful. She considered that the children could be confrontational, demanding or rude and this would increase the likelihood of a relapse of the Applicant's schizophrenia. She further considered that the Applicant had had thoughts of murdering as many people as possible in twenty four hours during 1993. There was also evidence that persistent fantasies about mass murder dated back to 1989. Whilst the Northwest Thames Forensic Psychiatric Unit assessed him and found no cause for concern, she noted that their assessment did not take place until May 1993. Whilst it appeared that there was not considered to be a cause for concern, the Applicant refused to continue on any medication. This concerned her. She took into consideration the evidence that the Applicant in 1993 when he heard voices that he thought was telepathic and he believed someone had been kidnapped and held next door he acted on his delusional beliefs by calling the police. Although the Applicant had no forensic history she believed that the persistent fantasies about mass murder combined with his incompletely controlled psychotic symptoms and refusal to take medication rendered him a risk to work as a science technician in the school. She accepted that the risk might be small, but she considered that if he acted on his fantasies the consequences could be enormous. 31. Ms Riddell telephoned the Applicant with the intention of informing him that he would not be able to work for the school. His answered the telephone and told her that he would not be at home until much later that evening. She had to send him a dismissal letter written by Mr John Reece, Senior Personnel Officer, Education (63) and she decided to post it, notwithstanding that she had not been able to speak to him, because she expected that the arrival of the letter would be delayed because of the Christmas post. She intended to contact the Applicant by telephone the following morning to speak to him about the decision. However the letter arrived the following day and by the time she had successfully contacted the Applicant by telephone he had already received the letter. He complained he had been discriminated against on the grounds of his disability and he would take legal action."
"Mr [A] is currently stable, although there is the possibility that the stress of starting work could cause a deterioration in his mental state." (b) the first four paragraphs of that report as it was sent were in the following terms: "
"If an acute episode did occur, then there was a possibility that the Applicant would be a risk to himself, and an incalculable risk to staff and pupils."