"16 Ms Dubbere became a specialist in the field of child and family social work. In 1987, she left the respondent's employment to work for another local authority. On3 January 1990 , the applicant recommenced employment with the respondent's in the Children and Family Social Work Department. The work was tough and demanding but the applicant enjoyed it. She was very dedicated to her work and was good at her job. 17 In 1996, she was threatened and harassed by a client who discovered her home address. In order to allay her justifiable fears about her safety, the applicant wished to move and the respondent assisted her with her removal costs. The applicant transferred to the respondent's social work office at St Paul's House in Deptford. 18 On28 January 1998 , the applicant was conducting an interview with a client at St Paul's House concerning child protection. She was violently assaulted by the client who scratched her face, kicked and punched her chest and back, knees and shoulders. The assault caused the applicant to suffer post traumatic stress disorder, and also physical injuries. The assault caused continuing pain in her knees and shoulders. 19 The applicant commenced a sickness absence due to the assault and never returned to work. 20 It is the respondent's normal practice to provide six sessions of counselling for employees who have suffered a traumatic incident. The applicant's immediate line manager was Mr. Collymore. Her manager was Mr. Haworth. Mr Haworth duly arranged for the applicant to have six counselling sessions with Mr. Bass, an independent counsellor. Those sessions were paid for by the respondent. In fact, unknown to Mr Haworth at the time, the applicant had arranged a seventh counselling session, which Mr. Haworth, later agreed to pay for, although he had not given prior authorisation for that session. 21 On8 March 1998 , Mr. Bass wrote to Mr. Haworth informing him that the applicant was anxious and stressed, that she was unable to focus and showed phobia signs of going out and meeting people. In his opinion, her psychological state warranted attention over a three month period. He recommended that she continue to receive counselling of 1 hour per week at a cost of£30 per session for three months, her progress being reviewed after nine weeks. 22 However, Mr Howarth decided not to authorise payment for any additional counselling sessions. He decided not to seek authority from his manager to authorise payment for additional counselling. 23 The applicant believed that the assault which she suffered could have been avoided if certain steps had been taken by the respondent. For reasons that we set out below, it is not for this tribunal to comment on that suggestion. The applicant expressed her views in a letter to Mr. Haworth dated 2 April. She also expressed her disappointment at what she described as the delay in providing her with professional guidance as to what her options were in respect of the assault. She asked what actions had been taken to ensure her safety once she returned to work. She expressed a desire to be included when plans were being drawn up which may affect her return to work in a safe and protected environment. She wanted to be instrumental in any such plans and discussions with regard to the possibility of her working elsewhere in the Social Work Department. 24 On 23 April Ms Peacock, Acting Group Manager, replied to the applicant assuring her that the assault on the applicant was being taken seriously. Ms Peacock informed the applicant that Mr. Haworth had held violence to staff planning meetings and reminded her that he had been in touch with her on several occasions and that he had arranged counselling for her. 25 Mr Haworth informed Mr. Bass and the applicant of his decision not to authorise further counselling. Mr Haworth wrote to Mr. Bass on 8 June. 26 On 16 June, the applicant wrote to Mr Haworth saying that she was appalled at his actions in stopping her counselling. Her letter continued: 'It is either that you don't accept I am ill or that you are non-caring. I have deduced from your letter that there is a lack of management care and denial of service to me as of your employees. It is like abandonment that makes me feel undervalued and unwanted. It feels like harassment and another form of negligence. I am feeling threatened as well, as you have increased my stress level fourfold…. I want you to know that I hold you fully responsible and I want to believe that you have set me up. All that I am requesting is equal treatment and that the respondent take responsibility for its work safety while on duty. May I request that you reconsider your decision.' "
"83 In our view, the arrangements made by the respondent in relation to counselling, did place the applicant, as a disabled person, at a substantial disadvantage in comparison with persons who are not disabled, because six sessions of counselling were not sufficient to assist her recovery from the traumatic incident. As we have recorded, Mr. Bass specifically requested the respondent to fund further counselling sessions. 84 We have next considered whether the respondent took such steps as were reasonable in all the circumstances of the case, for it to have to take in order to prevent its arrangement about counselling, placing the applicant at a substantial disadvantage. We have considered that matter by reference to the criteria in sections 6(3) and (4). In our view, a reasonable step for the respondent to have taken was to have authorised additional counselling for the applicant up to a period of three months, as recommended by Mr. Bass. This was a practicable step for the respondent to take. In the light of Mr. Bass' request, it was possible that the additional counselling as relatively modest, and within the respondents financial recourses…. 86 While it is clear to us that the respondent's decision to limit the number of counselling sessions in accordance with its usual arrangements injured the applicant's feelings, we have formed no view about whether the refusal had any effect on the applicant's disability. In our view, the correct approach at the remedies hearing will be for us to consider the extent to which, if any, the limiting of the counselling sessions caused the applicant to lose the chance of making a recovery from her disability."
"A sense of injustice and anger had already been instilled by the time her employer refused to pay for further counselling and formally told her that she was responsible for her own health. Once a formal standoff had occurred then the situation became much harder to retrieve and it was at this point that her chances of recovery deteriorated. This is not to say that her employers should have paid for indefinite counselling. In fact there is little evidence that counselling directly reduces the symptoms in Post Traumatic Stress Disorder. It fosters a supporting relationship enabling recovery to take place. The chances of recovery would have been improved significantly if Ms Dubbere's employers had been seen to be trying to get her the best treatment available for her Post Traumatic Stress Disorder. Instead they portrayed themselves as removing the only professional activity interested her Psychological care as indifferent to her suffering. The result impasse, the suggestion of racial prejudice, her subsequent sacking have all compounded the difficulty in her treatment."
"Perceived withdrawal of psychological support increases the likelihood of a patient becoming chronically incapacitated with Post Traumatic Stress Disorder. I would have expected her to have returned to work within one year in some capacity (though not in Deptford and she would not be expected to see clients with a history of violence). She was suffering from Post Traumatic Stress but there were factors predictive of a good outcome: the violence was predictable, and she was not alone. She has a stable personality, supportive family. Regular counselling would have enabled her to come to terms with the trauma and allow for spontaneous recovery. The abrupt loss of funding of her counselling and subsequent mishandling of the relationship with Ms Dubbere would have altered her view of the perceived support from her employers and made her symptoms chronic."
"The tribunal prefers Dr Dunn's opinion because, in our view, it is more consistent with the contemporary evidence. The comments of those treating the applicant, and her own reaction to the withdrawal of counselling in our view supports Dr Dunn's conclusion that the applicant was likely to make a reasonable recovery from PTSD before the funding for the counselling was withdrawn. Dr Baggaley stated that Dr Onyama does not mention the issue of counselling. However, as we have quoted, Dr Onyama does say that: "
"The counselling was important because it fostered a non-specific supportive relationship, but its withdrawal seemed in inculcate an idea in the applicant that the respondent was very uncaring. This perception made it very much more difficult to create the kind of supportive environment that is required to recover from PTSD. The period prior to the withdrawal of funding for counselling represented a window of opportunity for the respondent to provide the kind of support that would promote the applicant's recovery. Once that window of opportunity had been closed, the applicant's PTSD became chronic, and it was too late for steps to be taken to promote her recovery."
"Her problems are twofold, one is depression and the anger that she has towards the system, and the second is the physical injuries sustained as a result of the alleged assault. As I have said, I do not think with these problems she is going to return to work for a very long time." (3) In a further letter dated10 May 1999 her GP stated that the applicant was neither emotionally nor physically fit to return to work and that she had been treated for pain in the right knee and hypertension. (4) The applicant had been seeking early retirement on grounds of ill health. Indeed, it was one of her strongest grievances in her legal claim that she had not been allowed this. Dr Spencer, the occupational health physician, had recommended that she was not permanently unfit, partly as a result of two specialist reports, which had assumed that her knee problems might be alleviated. However, the applicant was seeking to persuade Dr. Spencer to change his view. In a note dated1 July 1999 he reported this; "
"My present mental and physical condition resulted from a violent attack four years ago, during which I sustained serious physical injuries and have since become very depressed. I am experiencing severe mental stress; physical pains to my legs, hips and spine; and am unable to focus for any length of time. I am now lacking the will to face many situations. I often want to just give up as I feel I am too physically and mentally incapacitated to get on with my life."