The Student Room Group

Appealing a 'Permenantly Medically Unfit' descision

Hey,

I had my Capita Medical in early April and was made TMU (which I expected due to declaring medical history). I then had my paper review in May and less than a week after that I received a letter in the post saying I was permenantly medically unfit - which I was not expecting at all.

When I previously applied in 2009 (didn't end up going through with it due to University) the RAF had all of the same info that I sent to Capita this time around but the RAF Medical team declared me fit for all trades.

I know they have to be careful and there's medical reasons as to why they would make someone PMU but genuinely believe I am fine (I had a small surgery when I was a child). Has anyone been in the position of appealing a medical descision and do they have any advice?

Cheers

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I was declared unfit by Capita for an engineering student sponsorship by the RAF, because once 4 years ago I used an inhaler. Was really upsetting, so I spoke to one of the careers-people from the RAF and they were trying to be supportive of me re-applying but it was obvious by his body language that he knew I'd get declared unfit.

There's never any harm, maybe try to fill out the form and only put down whats essential, and also really express how it doesn't affect you anymore, the box's are small but scribbling down extra details about it will always give you that extra chance.

Personally I think Capita, in particular the RAF are a joke. I was applying for an engineer, not a job that requires constant high-altitudes, and got turned down because I used an inhaler along time ago. Oh well!

I wish you the best of luck!
Original post by AD2468
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You can't appeal a decision because you don't agree with the result. You can only appeal if there is information that the medics did not see before. So did they see every single medical document regarding this issue? If there are any other documents you can find that might give them different information to go on, then you can submit them for an appeal.
Hi mate

I was made 'Permanently Medically Unfit' too back in March. I appealed the decision and my appeal was upheld which was great news.

As threeportdrift has said, it all depends on the reason why you were made unfit. If Capita have had all the information regarding your surgery then I'm not sure what you could do.

If there is further information that can be provided, which wasn't available during the paper review, then send that off as part of your appeal. Could you visit a specialist consultant, in the field relevant to your surgery, who you could book an appointment with perhaps?

Each individual appeal is different so it's hard to give solid advice what to do next. I know it's a horrible situation!

Good luck!
Reply 4
Original post by AD2468
Hey,

I had my Capita Medical in early April and was made TMU (which I expected due to declaring medical history). I then had my paper review in May and less than a week after that I received a letter in the post saying I was permenantly medically unfit - which I was not expecting at all.

When I previously applied in 2009 (didn't end up going through with it due to University) the RAF had all of the same info that I sent to Capita this time around but the RAF Medical team declared me fit for all trades.

I know they have to be careful and there's medical reasons as to why they would make someone PMU but genuinely believe I am fine (I had a small surgery when I was a child). Has anyone been in the position of appealing a medical descision and do they have any advice?

Cheers


Medical standards can change, in fairness.

Yes, you can appeal, but you'd need reasoning for it.

Original post by GaryIsASloth
I was declared unfit by Capita for an engineering student sponsorship by the RAF, because once 4 years ago I used an inhaler. Was really upsetting, so I spoke to one of the careers-people from the RAF and they were trying to be supportive of me re-applying but it was obvious by his body language that he knew I'd get declared unfit.

There's never any harm, maybe try to fill out the form and only put down whats essential, and also really express how it doesn't affect you anymore, the box's are small but scribbling down extra details about it will always give you that extra chance.

Personally I think Capita, in particular the RAF are a joke. I was applying for an engineer, not a job that requires constant high-altitudes, and got turned down because I used an inhaler along time ago. Oh well!

I wish you the best of luck!


Asthma rules for ground trades is, iirc, either 5 or 8 years free of any prescription. So try again later and you'll get in.

And, for the record, you can't possibly guarantee that you won't work at high altitudes. Or in humid conditions. Or in polluted air. Or all of them. The restriction on asthma sufferers might seem over zealous to you, but isn't there for no reason.
Reply 5
Thanks ChristianR that is really helpful. Congrats on your appeal - what was the process of this? Did you just have to send off paperwork or did you go in for another full medical examination?

Coincidently I have an appointment next week with a cardiologist so am going to try and get him to write a supporting statement etc. I don't know what good it will do but I'm not ready to give up yet!
Original post by AD2468
Thanks ChristianR that is really helpful. Congrats on your appeal - what was the process of this? Did you just have to send off paperwork or did you go in for another full medical examination?

Coincidently I have an appointment next week with a cardiologist so am going to try and get him to write a supporting statement etc. I don't know what good it will do but I'm not ready to give up yet!



You're welcome - Pretty much, I went to see my consultant and had an assessment along with various other bits and he was able to write a report backing up my appeal.

I sent a 'holding letter' stating I'd be appealing the decision and would be in contact with further information in due course.

I didn't have another medical but I've been told that some people do. Suppose that all depends on what the condition is.

You never know! Try to keep positive and like you say, don't give up.

Good luck!
Best of luck with your appeal.

I've recently been made TMU after my AME heard a heart murmur. Since, I've had an ECG, which came back normal aside from a slight abnormality. Cardiologist appointment booked for August 1st. Oh the joys.

I think the worse bit of all of this is being stuck in the limbo.


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My daughter found out on the 4th November that they had put her down as PMU. She was given an inhaler on the 31st January 2014 which was used for the purpose of a chart she needed to complete. Because the inhaler made her cough worse, she stopped using it. In January 2016 she had a spirometry and the results showed that she has never had asthma, more so a 'post-viral illness'. She had her RAF medical on the 9th September and the doctor performed another spirometry, commenting on how my breathing was normal but she needed to obtain more paperwork from our family doctor. So, you can imagine her disappointment when she was told they had put her down as PMU!!! The thing that is really grinding at us is that nearly 3 weeks has passed, no letter from Capita which is what she requires before she appeals. The other question is, Capita have said that they have sent some forms to the doctor.....................why would they be sending more forms if she has already been told she is PMU????? Confused.com
(edited 7 years ago)
there must have been a problem with them making people TMU or PMU this year as I was made PMU in may time aswell, I sent them an appeal letter and did not stop until I got it over turned. I think I sent about 6 appeal letters in the end but It paid off as mine was overturned.

I do know that the head of the medical office that decides these things has recently changed around that time, as I was advised by my AFCO.

but like the others say it depends on why you were made PMU. if you can go to the doctors or hospital to get a letter to send with one of your appeal letters to back our letters up it really helps may also be worth mentioning you have applied before and you were previously classed as fit however he fitness and health requirements are a lot stricter. My final letter was replied to by the CO of the medical board so that shows just how high up it goes when you appeal.
The things you will need are:

The appeal rules and procedures, so you know how it works and what you have to prove. They should notify you of those at the time of the decision.

A copy of the decision and if they provide one it should be a detailed reasoned decision, so you know why and how.

That will then enable you to identify whether they got it right and scope for appealing.

That means you can then prepare an appeal in the correct format. Key to that is having supportive expert medical evidence.

Notifying them of your appeal, undersandng the basis on what grounds you can appeal, expert medical evidence and persistence are all highlighted in the previous responses.
Many thanks to M.Wheel 93 and 999tigger for your advise. We will definately be taking this as far as we possibly can and have already sent a letter to them stating this. We are waiting to hear back from our family doctor and also from a private hospital to see how much they can help. Originally our doctor did a covering letter stating that in his opinion it was not asthma, more so a 'viral infection' following a cold. We are also hoping to get a letter from a fitness instructor also stating how well she has been running for the past 12 months. It has to all help, but for sure, we are not letting this matter drop. 999Tigger - when you say 'in the correct format' - could you please advise? We dont want to enter into this appeal looking 'amateurist!!!!'
M.Wheel93 - how long do they take to reply once you have appealed - in your case, over the 6 times you appealled?
With the appeal being via letter it was about a week to week and half each time. That's why it's so frustrating because it is a long wait in between and you are kept in limbo but don't lose hope keep going.

My medical assessment was the part of my application that took the longest was about 5 months in total.
The irony is that when my daughter went up for her medical on the 9th September, the doctor obviously could already see that she had ticked 'yes' to the question 'have you ever had asthma'. As you already know, it is a simple yes or no question - no option to add notes!!! Anyhow, the point I am trying to make is that she passed all the other medical tests and even when she did the spirometry test, the doctor said the results were normal. Because she had ticked yes to the asthma question, even though the doctor said the results were normal, at the point she still put her down as TMU and said that she needed more information from the doctor.
Capita have already lost us 2 weeks of the appeal process due to the fact that they have been so unorganised with this, from telling our family doctor that they had not received all the information, when in fact the information had been with them for 3 weeks, to the final straw which was sending the official letter out on the 19th November, arriving the following day, but dated the 4th November. It was laughable.
But, when all is said and done, it is somewhat reassuring, even though you know you are not the only one in this situation, to hear lovely results from kind people like yourself. We are collating information today from fitness instructors she has trained with, to former public service tutors at her college where she trained with former military personnel. We are not going to leave any stone unturned. We have anticipated a few months wait, so I will keep you posted. Thank you once again. Jo
Original post by Joanne1995
The irony is that when my daughter went up for her medical on the 9th September, the doctor obviously could already see that she had ticked 'yes' to the question 'have you ever had asthma'. As you already know, it is a simple yes or no question - no option to add notes!!! Anyhow, the point I am trying to make is that she passed all the other medical tests and even when she did the spirometry test, the doctor said the results were normal. Because she had ticked yes to the asthma question, even though the doctor said the results were normal, at the point she still put her down as TMU and said that she needed more information from the doctor.
Capita have already lost us 2 weeks of the appeal process due to the fact that they have been so unorganised with this, from telling our family doctor that they had not received all the information, when in fact the information had been with them for 3 weeks, to the final straw which was sending the official letter out on the 19th November, arriving the following day, but dated the 4th November. It was laughable.
But, when all is said and done, it is somewhat reassuring, even though you know you are not the only one in this situation, to hear lovely results from kind people like yourself. We are collating information today from fitness instructors she has trained with, to former public service tutors at her college where she trained with former military personnel. We are not going to leave any stone unturned. We have anticipated a few months wait, so I will keep you posted. Thank you once again. Jo


Don't waste time focussing on her fitness etc, that isn't why they made her PMU. They made her PMU because they believe that the prescription of an inhaler indicates an asthmatic condition, which is , in effect a lifelong weakness of the lungs, or a disposition to future breathing issues. The fact that her young lung can put up with a lot is not the issue, the issue is that her 40+ year old lungs might prove flaky - when the tax-payer is paying for another 15 years of service. What you need to be able to demonstrate is that the inhaler was prescribed for a one-off, non-recurring illness that has no propensity to return. Her current fitness is irrelevant.
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Hi there. So, the situation where we are now with my daughters appeal is we have now visited various hospitals, had numerous tests and finally got a series of reports back from the tests she has had.
The documentation was sent off on Monday and received today and signed for. So we wait!!!! We have done plenty of that so we should be used to it.
Somebody told us that they have to reply within 20 working days but I am presuming that could be just to say they are in receipt of the appeal documentation and are looking into it.
I cant see that they would come to a decision in 20 working days. It cant be that easy!
Anyhow, the feedback we have received from this forum has been so valuable. Is anyone else out there waiting on an appeal? Its hard isnt it?
Reply 16
I know someone that was declared PMU by capita due to a nut allergy. He didn't have one so thought it was a bit strange. He appealed and got in eventually.
My daughter has had every test known to man to prove that she has never had asthma. In the real world you would think that would be enough to change their minds, but we still think they are going to come back and still say no. We have been to the top lung specialist in our area who has examined her and arranged for these tests to be done and even he said there is no way she has ever had it. Everything we seem to do we have to wait for so you think we would be used to it. All I hope is that they look over all the paperwork properly and thoroughly because I think that when Capita were sent the initial doctors document, they didnt read it properly. Who knows what will happen? It is good to read on this forum that some people have been lucky in the fact that they have had the original decision overturned. We are keeping everything crossed that can be crossed!!
[QUOTE=M.wheel

Good news for my daughter since my last post to you. The appeal was successful and she is now waiting to do her fitness test in 2 weeks times. Hoping she will pass first time so she can move on quickly with the process. Her medical and the complications that went with it have totalled 6 months!!!! But looking back, every appeal was worth it, every test she had to take at the hospital, cost involved etc was worth it so a good result for us after all.
Original post by Joanne1995
[QUOTE=M.wheel

Good news for my daughter since my last post to you. The appeal was successful and she is now waiting to do her fitness test in 2 weeks times. Hoping she will pass first time so she can move on quickly with the process. Her medical and the complications that went with it have totalled 6 months!!!! But looking back, every appeal was worth it, every test she had to take at the hospital, cost involved etc was worth it so a good result for us after all.


Oh that's great news I'm so happy for her. If you don't mind me asking what was it that they refused her on the first time. Mine took about 6 months finally going to training in 4 weeks

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