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Forum Home  →  Discussion  →  Work capability issues and ESA  →  Thread

UC50/ESA50 cancer and GP contract

juliem
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Macmillan Welfare Rights Advisor, Barnsley MBC, Barnsley

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Joined: 17 June 2010

Hello all,

Client has bowel cancer and no other conditions, has just finished chemo/radio and still has significant side-effects,  so UC50 only needed completing as far as the do you have cancer/having or recovering from treatment question and signing, then straight to back page for medical professional to complete.

The GP has done this but has charged £25 for doing so, saying they don’t get paid from the Government to do this form.

Does anyone know if it is chargeable or is it work that should be done as part of GP contract?

It has been raised with Macmillan and also our local cancer lead. Have we just been lucky with goodwill before?
Thanks in advance
Julie and Julie

Daphne
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In the DWP Medical (factual) reports: A guide to completion it says at 3.1.1 -

There is a contractual obligation for any GP who has issued a Med3 (fit note) to provide medical reports in relation to Universal Credit or Employment and Support Allowance on an ESA113 or FRR2. This should be done free of charge as covered by the contractual arrangements between GPs and the relevant Primary Care Trust.

I guess because the UC50 form isn’t specified then maybe they can charge? But it seems very mean and others may know different…

juliem
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Macmillan Welfare Rights Advisor, Barnsley MBC, Barnsley

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Total Posts: 42

Joined: 17 June 2010

Thanks for that Daphne.  It’s very mean spirited when it takes up a third of the week’s money. We must have just been lucky in the past with the GPs who have completed it free of charge.
I wonder if the guidance predates the amended ESA50/UC50 cancer question? Or it just slipped them by?

Daphne
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Difficult to know - I’ll send an enquiry up via the stakeholder forum and see if anything can be done…

juliem
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Macmillan Welfare Rights Advisor, Barnsley MBC, Barnsley

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Total Posts: 42

Joined: 17 June 2010

Thanks again Daphne.

Brian Fletcher
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Welfare Rights, Wigan & Leigh Carers Centre, Wigan

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juliem - 12 August 2019 09:56 AM

Hello all,

Client has bowel cancer and no other conditions, has just finished chemo/radio and still has significant side-effects,  so UC50 only needed completing as far as the do you have cancer/having or recovering from treatment question and signing, then straight to back page for medical professional to complete.

The GP has done this but has charged £25 for doing so, saying they don’t get paid from the Government to do this form.

Does anyone know if it is chargeable or is it work that should be done as part of GP contract?

It has been raised with Macmillan and also our local cancer lead. Have we just been lucky with goodwill before?
Thanks in advance
Julie and Julie

I spent a couple of years providing welfare rights advice for Macmillan as an outreach before they got their own advisor. I would have them signed at the hospital by the CNS, or the clinical lead if the actual person was no longer there. Never had any issues with the hospital staff at all, and they were always happy to help.

juliem
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Macmillan Welfare Rights Advisor, Barnsley MBC, Barnsley

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Total Posts: 42

Joined: 17 June 2010

Brian Fletcher - 12 August 2019 02:35 PM
juliem - 12 August 2019 09:56 AM

Hello all,

Client has bowel cancer and no other conditions, has just finished chemo/radio and still has significant side-effects,  so UC50 only needed completing as far as the do you have cancer/having or recovering from treatment question and signing, then straight to back page for medical professional to complete.

The GP has done this but has charged £25 for doing so, saying they don’t get paid from the Government to do this form.

Does anyone know if it is chargeable or is it work that should be done as part of GP contract?

It has been raised with Macmillan and also our local cancer lead. Have we just been lucky with goodwill before?
Thanks in advance
Julie and Julie

I spent a couple of years providing welfare rights advice for Macmillan as an outreach before they got their own advisor. I would have them signed at the hospital by the CNS, or the clinical lead if the actual person was no longer there. Never had any issues with the hospital staff at all, and they were always happy to help.

Hello,
We are not based in a medical setting but usually advise to get the CNS to complete the statement, only considering GPs if there is not a clinic appointment for some time. Some GPs have always been fine and some are last resort, but even they haven’t charged before. The client took this one to the GPs off their own bat (and the Jobcentre reported to us that the charge had been made), so this is an unusual one.
Julie