“4. Mr Cox believes he is undertaking his duties successfully, and in that instance sees no need for management support. He acknowledged some performance matters where raised in June, that he feels occurred as a consequence of then persisting symptoms of his fall, these symptoms are resolved and he feels no more performance concerns are active. He recognises that he may be more aggressive than usual in his attitude in the work‑place, but not inappropriately so. If performance or conduct issues are thought to be present at the moment, my advice is that they are best dealt with via appropriate management procedures.”
“That you have exhibited aggressive, threatening and intimidatory attitudes and behaviours towards other employees of Essex County Fire and Rescue Service tantamount to bullying and which would (if found proven) constitute gross misconduct in accordance with ECFRS disciplinary procedures.”
“As indicated yesterday, I will inform you of my current additional medical problem, when it is officially confirmed.”
“Since early July 2009 I have been suffering from a Bi‑Polar disorder or its more common name of manic depression. I have attached a file that explains this condition and have highlighted the normal symptoms and the specific symptoms that I have suffered from since early July. The psychiatrist I saw at Highwood Hospital on Wednesday, Dr A Bhiman, said that usually this condition affects sufferers in their early 20’s [sic], but in my case it has been brought on via depression resulting from my accident at work in September 2008.”
“9. On Weds 16.9.09 I was told that I had been suffering from a Bi Polar condition since early July 09.”
“7. Eventually my mental problems led to severe depression and at work I was just a very quiet shell of a person, avoiding work, not managing or making decision and always missing work deadlines. […] 11. Early July, with hindsight, I started to display manic behaviour – spending large amounts of money, drinking more, started gambling, my persona became aggressive and argumentative, impatient with others especially if they disagreed with me, sleeping less, having unlimited energy – hyperactive (I thought my wife and work colleagues could’nt [sic] keep up with me), talking a lot without stopping once started and felt invincible.”
“Diagnosis: ? Bipolar Affective Disorder”. […] The picture described by Mr Cox and his wife does seem to suggest that he might have experienced a ?Hypomanic Episode which seems to be gradually settling down.”
“Ian has informed us that he has been diagnosed as having Bi‑Polar disorder. I attach the detailed summary that Ian has provided to this referral. Ian is stating that his condition commenced in July 2009 and that his condition was triggered by an accident at work that occurred on 3 rd September 2008 (accident report also attached).”
“Is the employee fit to undertake their current role? Would adjusted duties or temporary redeployment apply and please suggest a possible time frame? Is the performance significantly affected by ill health and how long is this likely to continue? Is the ill health work related? […] Is the employee likely to render reliable service and attendance in the future? Is it likely that an employment tribunal would consider that this case falls within the scope of the Disability Discrimination Act and if so what adjustments should be considered? […] Other – please detail below”
“In the light of the new information Ian has provided, can you please ascertain the exact diagnosis and nature of Ian’s condition from his treating psychiatrist Dr Bhiman and advise on prognosis for the short, medium and longer‑term. Ian’s role is at a senior level within the organisation, is both public facing and liaises with colleagues at all levels of the organisation and its partners. His position holds high levels of responsibility for the Service financial resources requiring sound judgement. Please advise on the implications that Ian’s diagnosis may have on his ability to carry out his role and whether there are any reasonable adjustments that can be made to assist him in carrying out his role effectively. If the effects of Ian’s condition will render future service unreliable in relation to effective performance within his role, please advise on the types of duties/activities he would be able to undertake. Ian has stated that his psychiatrist Dr Bhiman has attributed the onset of his condition to depresssion [sic] that he suffered as a result of his accident on 3 rd September 2008. Please can you ascertain from Dr Bhiman the rationale for this diagnosis and that the sole causal effect is in fact Ian’s workplace accident so that we may determine whether this new condition is a service‑related injury or not? […] To supplement the information provided by Ian’s treating psychiatrist, can you also please obtain Ian’s medical records from his GP to determine whether there is any medical history of depression/health condition and advise accordingly, so that the Service can take all relevant information into consideration in determining whether the workplace accident is the sole causal factor for his new condition, or whether outside of pre‑existing factors may also have contributed to his condition?”
“Mention is made by Mr Cox that he has been diagnosed with bipolar disorder. It is not clear to me that this is in fact an active diagnosis, but I am writing with his consent to both his GP and specialist asking for a report. You ask whether it is the case as Mr Cox contends that his ‘bipolar disorder’ can be attributed to the workplace incident as he has asserted. On receipt of the above‑mentioned reports I will give my further opinion, but at this stage my opinion would be that there is unlikely to be a clear causal link demonstrable. However, like the other key matters in dispute here, I am of the opinion that this will ultimately only be decided by other processes in some other environment. Given the strength of feeling Mr Cox displays with regard to these various matters, I am of the opinion that there is little or indeed no prospect of him ever returning to your employee (quite apart from any underlying medical conditions that may or may not be present). This though should not of course prevent continuing efforts to resolve his grievances and the disciplinary matters.”
“Ian has been under care of the Brentwood CMHT since 2007 when he was diagnosed as suffering from Depression. Earlier this year, in view of his mood upswing and excessive spending a diagnosis of Bipolar Affective Disorder (F-31 ICD-10) is also under consideration. Ian is currently on anti‑depressant medication (Cap Venlafaxine XL 75mg once daily) and a mood stabiliser (Seroquel XL 50mg nocte). The prognosis for recovery of a particular episode is good with medication. Long term prognosis is good provided treatment plan is adhered to.”
“This is to update you on my accident at work injuries: […] 2. Bi Polar medicine – the 2nd type of medication has also had very severe side affects [sic] and I am consulting my doctor on this.”
‘could not reasonably be expected to know’. 82. Employers must do all they can reasonably be expected to do to find out whether a Claimant has a disability. This appears to indicate that reasonable enquiries should be made. 83. In this particular case, it became clear to the Respondents that the Claimant’s behaviour had changed in or around June/July 2009. The Claimant, previously mild mannered, had become more aggressive. After a series of incidents where the Claimant reacted in an aggressive manner, and following a weekend away with his family, the Claimant opined to his employers that his daughter (a fourth year medical student) had suggested that the Claimant’s conduct appeared to be displaying symptoms similar to someone suffering from bipolar. The Claimant brought this to the attention of the Respondents in particular in an e‑mail in September 2009 to Mr Clayton, and supporting his e‑mail he attached a link to a ‘bipolar information website’ and also attached an actual extract from that page which set out symptoms which could indicate that an individual is suffering from bipolar. The Claimant was then referred by the Respondents to Occupational Health in September 2009. 84. The first Occupational Health appointment was4 August 2009 so by the time that the Claimant had written to his employers in September the Claimant had already been referred to Occupational Health: firstly in July 2009 when the Claimant alleged that he had been suffering from depression, then there was a further referral on 4 August at when the Claimant refused to release any GP or specialist’s report to his employer. There was an Occupational Health report dated4 August 2009 , at Page 1187 and 1188, where the advice from Occupational Health to management was: ‘Mr Cox believes he is undertaking his duties successfully and in that instance sees no need for management support. He acknowledged some performance matters were raised in June but he feels occurred as a consequence of then persisting symptoms of his fall. These symptoms are resolved and he feels no more performance concerns are active. He recognises he may be more aggressive than usual in his attitude in the work place but not inappropriately so. If performance or conduct issues are thought to be present at the moment my advice is they are best dealt with via performance management procedures.’
‘Mention is made by Mr Cox that he has been diagnosed with bipolar disorder. It is not clear to me that this in fact is an active diagnosis but I am writing with his consent to both his GP and specialist asking for a report. You ask whether it is the case as Mr Cox contends that his bipolar disorder can be attributed to the work place incident as he has asserted.’
‘The Claimant has stated that his psychiatrist Dr Bhiman has attributed the onset of his condition to depression that he suffered as a result of the accident.’ 87. Again, as indeed there is throughout the exchanges between the Claimant and the employer, and exchanges between the Claimant and Occupational Health and his advisors, there is the question constantly raised by the Claimant attempting to establish some causal link between the Claimant’s depression and/or self‑diagnosed bipolar with his work place accident. 88. The Occupational Health advisors had written to the Claimant’s GP and to the specialist but where there were no responses because the Claimant confirmed that he had forbidden the consultant and his GP to respond to the request for disclosure of his medical condition, apparently on the advice of his personal injury lawyer. 89. What the Tribunal has to do is look at the Respondents’ positions at the time and not with hindsight. 90. So the question for the Tribunal is: Did the Respondents know that the Claimant was disabled or should they have known that the Claimant was disabled at any time? Well, what information did they have? They had the Claimant’s own assertion initially that his conduct was because of his depression and then subsequently a suggestion that perhaps he suffered from bipolar as some of the conduct he was displaying was typical of symptoms of some who suffered from bipolar. That was the Claimant’s own self‑diagnosis. The only medical evidence was the reports from Dr Vinnakota dated21 October 2009 and24 November 2009 , if they were actually seen by the Respondents, who, for diagnosis, puts ‘?bipolar affective disorder’. 91. So in September 2009 the Respondents asked all the right questions. They enquired was the Claimant likely to be covered by the Disability Discrimination Act and they asked Occupational Health to ascertain and obtain a definitive medical opinion from a psychiatrist and, as we know, that opinion was not forthcoming prior to the dismissal because the Claimant had, on advice, instructed no reports to be released. Even the report which was sent with a letter of8 February 2010 by Dr Bhiman to the Respondents’
‘earlier this year in view of his mood upswing and excessive spending a diagnosis of bipolar affective disorder is also under consideration.’
“Subject to the provisions of Schedule 1, a person has a disability for the purposes of this Act [Part III of the 2005 Order] if he has a physical or mental impairment which has a substantial and long‑term adverse effect on his ability to carry out normal day‑to‑day activities.”
“(3) Nothing in this section imposes any duty on an employer in relation to a disabled person if the employer does not know, and could not reasonably be expected to know— […] (b) in any case, that that person has a disability and is likely to be affected in the way mentioned in subsection (1).”
“However, the essence of the Tribunal’s reasoning, as it appears at para 7.9, is that it would be wrong to find actual or constructive knowledge on the part of the Respondent before such time as it should reasonably have obtained authoritative medical advice. In the end we have concluded that that was a legitimate approach in the circumstances of this particular case. It is important not to lose sight of the fact that, while (as we have said above) the statute does not require that the employer should know (actually or constructively) the precise diagnosis of a putative disability, it does require that he should know (actually or constructively) that the employee is suffering from a mental impairment whose adverse effects are both substantial and long‑term. The Appellant’s condition was on any view an unusual one; and, without in any way impugning her good faith, it was not easy to disentangle the effects of any mental health condition from the effects of unhappiness about her working conditions more generally. We can see why the Tribunal thought it reasonable for the Respondent not to be treated as ‘knowing’ the requisite matters until it had obtained a medical opinion. Unfortunately, but through no fault of the Respondent, the obtaining of an occupational health opinion took some time; and when first the opinion of City Doc and then that of Sandwell were obtained they did not confirm the existence of a disability within the meaning of the Act. The question thus becomes simply whether a definitive psychiatric opinion should have been sought sooner. The Tribunal thought that the admission to do so was reasonable in the light of the Appellant’s own reluctance to acknowledge a psychiatric problem. Even if we might have taken a different view on this last point, or indeed had thought that the Respondent might reasonably have appreciated the Appellant’s condition earlier, we must recognise that the question of what the Respondent knew or should reasonably have expected to know is one for the factual assessment of the Tribunal. It carried out that assessment conscientiously, and we cannot say that its conclusion was perverse.”
“Earlier this year in view of his mood upswing and excessive spending a diagnosis of bipolar affective disorder is also under consideration.”