“I advise that a return to work should be discussed with Mr Thomas, this is consistent with the advice from his specialist, although this advice was not given by that specialist.”
“5.24. […] The meeting recorded that the claimant considered himself unfit for work and that his GP had signed him off work, that the AXA Report of21 January 2010 confirmed that the claimant was fit for work. The claimant informed the respondent that his consultant, Dr Close, had recommended to AXA that they consult the claimant’s neurologist and asked if that had been done. Ms McGuinness later spoke to Dr O’Brien who said that he had not contacted the claimant’s neurologist as Dr Close had not recommended that he did. He had simply acknowledged that he was not an expert in the field and ‘if it was required, contact him’. Ms McGuinness recorded in her notes that Dr O’Brien ‘felt it was excessive obtaining a report from the neurologist and would not change/add to the current situation and would not change his advice to us’.”
“5.28. The respondent sought further confirmation from Dr O’Brien asking for confirmation: 1) that contacting the claimant’s neurologist was not appropriate, as he had up to date information; 2) that despite the claimant and his GP stating that he is unfit to work, Dr O’Brien maintained that he was fit to return to work; and 3) that eligibility for BIPS was not an option. 5.29. Dr O’Brien responded on12 March 2010 . He said: ‘1) Dr Close is an endochrinologist [sic] and he his [sic] given a high quality assessment of Mr Thomas’ endocrine (hormonal) health. He has commented on Mr Thomas’ headaches and has said firstly that Mr Thomas is under the care of a neurologist and secondly there is no evidence that the neurologist has come to any conclusion in this case. What Dr Close has stated is that he is an endochrinologist and not a neurologist so he is not able to advice [sic] on the headache. Your first email gave it incorrectly, but I understood you in your second email correctly notes [sic] Dr Close’s discipline. I am a generalist and the information available suggests that I would be correct in concluding that the neurologist has no definitive information to give. This case has run on for some considerable time and I do not think there will be any resolution of the headaches in the near future. 2) It is my opinion that Mr Thomas is as medically fit for work as he will ever be and that he should be in work. 3) There is insufficient evidence of medical conditions causing Mr Thomas’s absence for me to support a BIPS claim; although this is a panel decision, I have experience of how they work and I have the relevant policy and guidance available to me’.”
“5.30. A final sickness review meeting took place on31 March 2010 . This was conducted by Mr Rippin, Regional Mortgage Manager and attended by Gilyeat, Ms McGuinness [HR consultant] and the claimant with his union representative, Miss Bailey. At the meeting the claimant referred to bouts of amnesia, memory problems and said that his neurologist had referred him for tests for a possible diagnosis of transient epileptic amnesia. The meeting recorded that this was in addition to existing symptoms of severe headaches, energy loss, memory loss, lack of concentration, and to the pituitary gland tumour which was growing again, and for which radiotherapy was required. 5.31. The claimant was asked if he was fit for work and he said no. His GP had signed him off for another month. The claimant again raised the question of how Dr O’Brien could certify fit for work without speaking to his neurologist. He was informed that the occupational health practitioner’s view was that the information from the neurologist would be inconclusive and would not change the recommendation. At the end of the meeting the claimant was too unwell to remain for the outcome, which was given to his union rep in his absence. 5.32. The outcome of the meeting was that the claimant’s employment should be terminated on grounds of capability due to ill‑health. Mr Rippin’s reasons for reaching that conclusion, were that the claimant’s health appeared to have got worse with the latest condition and that there was no prognosis for a return to work. There was no suggestion in Mr Rippin’s stated conclusions that the claimant was in fact fit for work and unjustifiably absent.”
“[…] It was not disputed that the claimant met the eligibility of requirements of the scheme, save in respect of the requirement that he had to be medically unable to work. Under the respondent’s scheme, an employee who met the eligibility requirements would be entitled to remain in employment and be paid a proportion of their income. The respondent contended that the claimant was medically unfit for work and that therefore he was not eligible under the income protection scheme. Nevertheless, they dismissed him on ill health grounds and there was no allegation or indication that the respondent considered the claimant to be dissembling or malingering.”
“12. In a capability dismissal the Tribunal must ask three questions in determining whether the respondent acted reasonably in treating ill health as a reason for dismissal:– Was there proper consultation with the employee including warning of the risk of dismissal? Were there proper medical investigations? In every case, a fair procedure should be followed. Was there consideration where appropriate of alternative employment? 13. We were referred to the cases of Liverpool Area Health Authority v Edwards [1979] IRLR [471], First Manchester Ltd v Kennedy UKEAT/01818/04 [sic] and White v South London Transport Ltd EAT[1997] ICR 293 . 14. In the Edwards case the judgment stated: ‘We do not think that an employer faced with a medical opinion, unless it is plainly erroneous as to the facts in some way or plainly contains an indication that no proper examination of any sort has taken place, is required to evaluate it as a layman in terms of medical expertise.’ 15. In the Kennedy case Burton J postulated that the test should be ‘whether no reasonable employer could have relied on the (medical report of the occupational health provider) to dismiss’.”
“19. The respondent itself concluded at the date of the termination of the claimant’s employment that the claimant’s health appeared to be worse with his latest condition and that there was no prognosis for a return to work. In those circumstances, we concluded that it was unreasonable of the respondent to rely on a report from its occupational health advisor, which concluded that the claimant was fit for work, based on examinations by other practitioners which were one year old. In all the circumstances, the respondent should have taken steps to explore the evident difference of opinion between its own occupational health advisor who had never met with or examined the claimant and had not spoken to the claimant’s GP, and/or the claimant’s neurologist to find out what the reasons were for the claimant’s absence from work. Furthermore, the decision to dismiss was taken at a time when the respondent had been made aware of another condition of amnesia, as well as the apparently worsening headaches. The fact that there had been no definitive diagnosis of either of these conditions did not prevent them being assessed as conditions which might impact upon the claimant’s fitness for work. These conditions and the severity of them were not referred to Dr O’Brien for further consideration. 20. The last report provided by Dr O’Brien was on21 January 2010 . The claimant was not dismissed until31 March 2010 . There was an obvious error in Dr O’Brien’s report which was that Dr O’Brien believed the claimant to be in work at the time that he wrote the report although the claimant had been absent from work for six weeks. The respondent said that this was brought to Dr O’Brien’s attention and that he said it would make no difference to his assessment, although there is no record of this having been brought to Dr O’Brien’s attention in the notes provided to the Tribunal. 21. Dr O’Brien’s report of21 January 2010 stated that the claimant ‘remains under investigation for headache and no diagnosis has been reached’. Under the heading future plans Dr O’Brien focus [sic] is the claimant’s ability to increase his hours and not on the claimant’s ability to work at all and we therefore consider that Dr O’Brien’s understanding of the fact that the claimant was in work did impact on the conclusions in his report. There was, therefore, a flaw in the advice provided by Dr O’Brien, an obvious flaw of which the respondent would have been aware. For the reasons set out about and summarized below the Tribunal concluded that the respondent’s assessment of the claimant as being fit for work would have been unreliable.”
“22. The Occupational health advisor on whose assessment the respondent relied, had never met or spoken to the claimant. He had not obtained an independent assessment within 12 months of his final report. He relied on the report of the claimant’s consultant endochrinologist [sic] who had indicated to Dr O’Brien that he had no knowledge of the claimant’s neurological problems. He took no account of the fact that the claimant had been signed off as unfit for work by his GP for six weeks before his report and for two months following it. Dr O’Brien did not obtain a report from or speak to the claimant’s GP. Considering whether the respondent acted reasonably in relying on Dr O’Brien’s report we concluded that it did not. The respondent was aware of the claimant’s conditions and the severity of them from the claimant himself; the respondent was aware of the GP’s assessment. The respondent was aware that the claimant maintained that he was unfit. The respondent itself concluded that the claimant’s condition prevented him attending work and that there was no prognosis for his return to work. In the circumstances, we consider that it was unreasonable for the respondent’s [sic] simply to rely on the occupational health report which contradicted its own conclusions. 23. We were informed by the respondent that it is not unusual for assessments by occupational health advisors to be provided without ever having seen the individual in question. This does not accord with the Tribunal’s understanding and it was our conclusion that in those circumstances there is a heavier responsibility on the respondent to ensure that it provides the occupational health advisor, or that the occupational health advisor is provided with, sufficient information of the claimant’s health and symptoms and the prevailing circumstances to make the report reliable. In this case the respondent did not inform the occupational health advisor of the fact that the GP had signed the claimant off as unfit for work for a considerable period of time, nor did it update the advisor with the claimant’s state of health at the date of dismissal even though it concluded that the claimant’s condition had worsened. 24. In the light of the income protection scheme provided by the respondent, had the claimant been assessed as unfit for work, he would have remained in employment and been eligible under the income protection scheme. We did not accept the respondent’s contention that the claimant might have been dismissed in any event due to the discretion to dismiss retained by the respondent in the scheme policy. It was accepted by the respondent, by Ms McGuinness, in the respondent’s evidence that this discretion was to enable the respondent to dismiss in circumstances of misconduct of [sic] for some other reason unrelated to the employee’s ill health. There was no reason other than the claimant’s ill health to dismiss him at the time that the respondent dismissed him.”
“[…] It is similarly common ground that the Employment Tribunal must not substitute its own views for that of an employer if the employer formed and had a reasonable belief in the facts, and acted reasonably.”
“[…] Mr Snarr accepted that the test would be whether no reasonable employer could have relied on the report of Dr Farrand to dismiss. We agree with that formulation […].”
“The Tribunal appears to have formed a different view about the content of that letter, a view that, as we have indicated, we ourselves would not have formed. But what the Tribunal was required to address was not its view of the letter of12 November 2003 , or its view of the error in the letter of 7 March referring to two collapses, when there had only been one, but as to whether the Respondent had acted reasonably in their reliance on the reports of Dr Farrand, which it cannot be doubted that they placed. In essence, what would be needed would be a finding that the ordinary principle of Liverpool v Edwards had, on the facts of this case, been ousted so as to make it unreasonable for an employer to have done that which ordinarily it is reasonable for them to do. And from that point of view, Mr Snarr accepted that the test would be whether no reasonable employer could have relied on the report of Dr Farrand to dismiss. We agree with that formulation; indeed it was ours, adopted by Mr Snarr in the course of his submission, and he submitted that the answer here was that no reasonable employer would have so acted, i.e. that any reasonable employer would have concluded, effectively, that the report was not worth the paper it was written on or was obviously flawed.”
“In the circumstances, we consider that it was unreasonable for the respondent’s [sic] simply to rely on the occupational health report which contradicted its own conclusions.”
“[…] we concluded that it was unreasonable of the respondent to rely on a report from its occupational health advisor […] the respondent should have taken steps […].”
“[…] we consider that it was unreasonable for the respondent’s [sic] simply to rely on the occupational health report which contradicted its own conclusions.”
“30. Another teaching of experience is that, as with other tribunals and courts, there are occasions when a correct self‑direction of law is stated by the Tribunal but then overlooked or misapplied at the point of decision. The Tribunal Judgment must be read carefully to see if it has in fact correctly applied the law which it said was applicable. The reading of an Employment Tribunal decision must not, however, be so fussy that it produces pernickety critiques. Over‑analysis of the reasoning process; being hypercritical of the way in which the decision is written; focussing too much on particular passages or turns of phrase to the neglect of the decision read in the round; those are all appellate weaknesses to avoid.”