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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The deafening killer - why noise will be the next great pollution scandal

A growing body of evidence shows that noise can have serious health impacts too. 

Our cities are being poisoned by a toxin that surrounds us day and night. It eats away at our brains, hurts our hearts, clutches at our sleep, and gnaws at the quality of our daily lives.

Hardly a silent killer, it gets short shrift compared to the well-publicised terrors of air pollution and sugars food. It is the dull, thumping, stultifying drum-beat of perpetual noise.

The score that accompanies city life is brutal and constant. It disrupts the everyday: The coffee break ruined by the screech of a line of double decker buses braking at the lights. The lawyer’s conference call broken by drilling as she makes her way to the office. The writer’s struggle to find a quiet corner to pen his latest article.

For city-dwellers, it’s all-consuming and impossible to avoid. Construction, traffic, the whirring of machinery, the neighbour’s stereo. Even at home, the beeps and buzzes made by washing machines, fridges, and phones all serve to distract and unsettle.

But the never-ending noisiness of city life is far more than a problem of aesthetics. A growing body of evidence shows that noise can have serious health impacts too. Recent studies have linked noise pollution to hearing loss, sleep deprivation, hypertension, heart disease, brain development, and even increased risk of dementia.

One research team compared families living on different stories of the same building in Manhattan to isolate the impact of noise on health and education. They found children in lower, noisier floors were worse at reading than their higher-up peers, an effect that was most pronounced for children who had lived in the building for longest.

Those studies have been replicated for the impact of aircraft noise with similar results. Not only does noise cause higher blood pressure and worsens quality of sleep, it also stymies pupils trying to concentrate in class.

As with many forms of pollution, the poorest are typically the hardest hit. The worst-off in any city often live by busy roads in poorly-insulated houses or flats, cheek by jowl with packed-in neighbours.

The US Department of Transport recently mapped road and aircraft noise across the United States. Predictably, the loudest areas overlapped with some of the country’s most deprived. Those included the south side of Atlanta and the lowest-income areas of LA and Seattle.

Yet as noise pollution grows in line with road and air traffic and rising urban density, public policy has turned a blind eye.

Council noise response services, formally a 24-hour defence against neighbourly disputes, have fallen victim to local government cuts. Decisions on airport expansion and road development pay scant regard to their audible impact. Political platforms remain silent on the loudest poison.

This is odd at a time when we have never had more tools at our disposal to deal with the issue. Electric Vehicles are practically noise-less, yet noise rarely features in the arguments for their adoption. Just replacing today’s bus fleet would transform city centres; doing the same for taxis and trucks would amount to a revolution.

Vehicles are just the start. Millions were spent on a programme of “Warm Homes”; what about “Quiet Homes”? How did we value the noise impact in the decision to build a third runway at Heathrow, and how do we compensate people now that it’s going ahead?

Construction is a major driver of decibels. Should builders compensate “noise victims” for over-drilling? Or could regulation push equipment manufacturers to find new ways to dampen the sound of their kit?

Of course, none of this addresses the noise pollution we impose on ourselves. The bars and clubs we choose to visit or the music we stick in our ears. Whether pumping dance tracks in spin classes or indie rock in trendy coffee shops, people’s desire to compensate for bad noise out there by playing louder noise in here is hard to control for.

The Clean Air Act of 1956 heralded a new era of city life, one where smog and grime gave way to clear skies and clearer lungs. That fight still goes on today.

But some day, we will turn our attention to our clogged-up airwaves. The decibels will fall. #Twitter will give way to twitter. And every now and again, as we step from our homes into city life, we may just hear the sweetest sound of all. Silence.

Adam Swersky is a councillor in Harrow and is cabinet member for finance. He writes in a personal capacity.