Atos is "black and white" on fitness and disability

One man's experience of successfully appealing a Work Capability Assessment ruling.

One man's experience of successfully appealing a Work Capability Assessment ruling.{C}

I'm one of the 39 per cent. I appealed against a decision by Jobcentre Plus that, despite being five months into recovery from a stroke, I was not entitled to sickness benefit. On Tuesday, I won. The overturned decision was based on the infamous work capability tests carried out by French IT company Atos. The accuracy of the tests has been described as "worryingly low" by Citizens Advice. I know why.

In the summer of 2010 I suffered a brain haemorrhage and subsequent stroke. In comparative terms the stroke was mild, but felt devastating. My balance was shot to pieces (getting from A to B involved going via C, D sometimes S), my speech so badly slurred I could barely be understood and I developed double vision. My cerebellum had been damaged; the part of the brain that is temporarily impaired if you get blind drunk. I spent three weeks in hospital. At 40-years-old I was a relatively young, but told that recovery would take time.

After a long struggle of contending with doctor's notes that mysteriously disappeared when posted, during which time I felt that the universe personally hated me, I eventually received £65.45 a week Employment and Support Allowance. In November that year I was told by my Jobcentre Plus adviser that I would have to attend a "medical" to confirm my condition. What followed was a distinctly "unmedical" procedure to demonstrate that I was capable of work, when I obviously wasn't.

I arrived at a former driving test centre on a cold Saturday morning in December 2010. I sat alone in the waiting room. The test had been postponed from the previous week because -- you have to admire the irony -- the doctor was sick.

The test lasted no more than 20 minutes. I was asked various questions by a "healthcare professional" sat behind a desk about whether I prepared my own meals, did my own shopping, walked to friends' houses nearby. The answer, in all cases, was a "Yes, but . . .". But as the computer keyboard rattled in response to my answers, I realised that there were no conditionals in the Atos universe.

The "but" was all the difference in the world, both to me and any potential employer. I could perform "tasks" as the pre-assessment form put it; but if done repeatedly, as real jobs tend to demand, they would soon result in chronic fatigue, and the deficiencies of my damaged brain would come to the surface. My speech would become incomprehensible, my dexterity would collapse, I'd have to squint to see properly, I wouldn't be able to walk in a straight line and concentrating would become an insurmountable achievement. Besides the loss of balance, I have a permanent sense of slight dizziness. I pointed this out but had the feeling no one was listening.

The Atos doctor ploughed on with the test. I was asked to touch my fingers, just once, above my head. I'm still not sure what this proved. The doctor then shook hands and asked if I was satisfied. As I left I could feel his eyes in the back of my head as I walked, slowly, down the corridor.

In employment terms, at that stage in my recovery I was useless. I knew I was unemployable, my Jobcentre adviser knew I was unemployable. But Atos -- and the Department for Work and Pensions -- thought otherwise.

Two weeks later, I was phoned by the Jobcentre and told I had been found fit for work. I received the test report through the post. My disabilities had been minimised and frozen in time: if I could do something once, I could do it, period. Unhesitatingly, I appealed against the decision.

Atos says it is focussed on high standards and its customer satisfaction ratings exceed 90 per cent. Also, it works under contract -- worth £100m -- from the Department for Work and Pensions. The government ultimately decides what level of incapacity has to be shown to qualify for benefit.

I was plunged into a horribly unfair struggle to prove what I knew what wrong with me; all the time aware of the irony that if I applied for an actual job then my real abilities, or lack of them, would be glaringly exposed. It was cruel. With the government "unreservedly and implacably opposed" to letting the "real world" impinge on the work capability test, the cruelty and colossal expense, estimated at £50m, of thousands of sick people appealing against the injustice, will go on. I hope it never happens to you.

Mathew Little is part-time freelance journalist.

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There are two sides to the Muslim segregation story

White families must also be prepared to have Muslim neighbours. 

Dame Louise Casey finally published her review on social integration in Britain. Although it mentions all communities, there is a clear focus on Muslim communities. However, the issues she raises - religious conservatism, segregation in some areas and Muslim women experiencing inequalities -  are not new. In this case, they have been placed in one report and discussed in the context of hindering integration. If we are truly committed to addressing these issues, though, we have a duty of care to discuss the findings with nuance, not take them out of context, as some tabloids have already done.

The review, for example, highlights that in some areas Muslims make up 85 per cent of the local population. This should not be interpreted to mean that Muslims are choosing to isolate themselves and not integrate. For a start, the review makes it clear that there are also certain areas in Britain that are predominantly Sikh, Hindu or Jewish.

Secondly, when migrants arrive in the UK, it is not unreasonable for them to gravitate towards people from similar cultural and faith backgrounds.  Later, they may choose to remain in these same areas due to convenience, such as being able to buy their own food, accessing their place of worship or being near elderly relatives.

However, very little, if any, attention is given to the role played by white families in creating segregated communities. These families moved out of such areas after the arrival of ethnic minorities. This isn't necessarily due to racism, but because such families are able to afford to move up the housing ladder. And when they do move, perhaps they feel more comfortable living with people of a similar background to themselves. Again, this is understandable, but it highlights that segregation is a two-way street. Such a phenomenon cannot be prevented or reversed unless white families are also willing to have Muslim neighbours. Is the government also prepared to have these difficult conversations?

Casey also mentions inequalities that are holding some Muslim women back, inequalities driven by misogyny, cultural abuses, not being able to speak English and the high numbers of Muslim women who are economically inactive. It’s true that the English language is a strong enabler of integration. It can help women engage better with their children, have access to services and the jobs market, and be better informed about their rights.

Nevertheless, we should remember that first-generation Pakistani and Bangladeshi women, who could not speak English, have proved perfectly able to bring up children now employed in a vast range of professions including politics, medicine, and the law. The cultural abuses mentioned in the review such as forced marriage, honour-based violence and female genital mutilation, are already being tackled by government. It would be more valuable to see the government challenge the hate crimes and discrimination regularly faced by Muslim women when trying to access public services and the jobs market. 

The review recommends an "Oath of Integration with British Values and Society" for immigrants on arrival. This raises the perennial question of what "British Values" are. The Casey review uses the list from the government’s counter-extremism strategy. In reality, the vast majority of individuals, regardless of faith or ethnic background, would agree to sign up to them.  The key challenge for any integration strategy is to persuade all groups to practice these values every day, rather than just getting immigrants to read them out once. 

Shaista Gohir is the chair of Muslim Women's Network UK, and Sophie Garner is the general secretary and a barrister.