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Atos medical assessment and Rituximab help Options
Joe40
#1 Posted : Monday, December 03, 2012 11:58:06 PM Quote
Rank: Advanced Member


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Joined: 1/19/2011
Posts: 32
Location: south yorkshire
Hi everyone,

Hope someone can help me, I went for my atos medical assessment dec. 2011, and was told that because I am having Rituximab treatment that I do not need an assessment and was sent home. I was put in the support group and now 12 mths later have filled my form in and have been asked again to attend assessment, I am still on rituximab and they say it doesn't matter, I need to attend.

Does anyone know if this is correct, I don't want to get there and have to come all way home again for nothing

Many thanks
Joe
RichC
#2 Posted : Tuesday, December 04, 2012 5:47:25 PM Quote
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Joined: 8/30/2010
Posts: 507
Location: Gravesend
Hi Joe ,

A very difficult question to answer since Rituximab is also used with chemotherapy as a treatment for Lymphoma.

One of the statements that would exempt you from the assessment and mean that you have Limited Capability for Work Related Activity is as below:

receiving treatment by way of intravenous, intraperitoneal or intrathecal chemotherapy (or are likely to receive such treatment within 6 months), or you are recovering from that treatment and Jobcentre Plus is satisfied that you have a limited capability for work-related activity.

From Macmillan's site it states that Rituximab is used in conjunction with chemotherapy and is a biologic treatment. One could say then that it is not a chemotherapy drug as per the rules above.This could be arguable.

The Disability Right's fact sheet has the descriptors to automatically be in the support group , and also the conditions to be satisfied to be in the support group

Have a look at the whole factsheet but specifically6.3 and 6.4 .

If your mobility is such that mobility or travel is a big problem then tell them this prior to the appointment.
Get medical evidence as to how your RA affects you , but above all get face to face specialist advice for the issues ad to qualify if the drug could be regarded as an intravenous chemo drug .At present any days in the support group are not counted towards the 365 day limit for Contribution based ESA

Regards Rich
"The difference between 'involvement' and 'commitment' is like an eggs-and-ham breakfast: the chicken was 'involved' - the pig was 'committed'."
Paula-C
#3 Posted : Wednesday, December 05, 2012 7:47:25 AM Quote
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Joined: 12/3/2009
Posts: 838
Location: Nottinghamshire
I can't really help you much here, do not know the in's and out's of the rules, but just want to add something that RichC already mentioned.

Several months ago there were two programmes on TV about ATOS and in one of them the person who briefed the people who were going to do the assessment said that if people took chemo by injection rather than tablet form they automatically passed the assessment. I thought at the time that we inject it to try to stop the sickness that we get from taking it orally, so I would of thought that out of the two the tablet form of taking it would make someone less able to work than taking it via injection. I didn't at the time think that this would apply to someone with RA it was only for those with cancer. Perhaps someone should look into this and see if it does.

Paula
Joe40
#4 Posted : Wednesday, December 05, 2012 11:55:44 AM Quote
Rank: Advanced Member


Groups: Registered

Joined: 1/19/2011
Posts: 32
Location: south yorkshire
Hi

Many thanks to rich and Paula for your help, I was told that last year (2011) at assessment I didn't need to have it, am still on same treatment, I have had 4 infusions in the last 12mths.

They probably send me straight home again.

So fed up with this, my daughter has had to book the day off to take me and now they've changed the appointment date.
What a blast

Thanks
Joe
RichC
#5 Posted : Thursday, December 06, 2012 7:51:51 AM Quote
Rank: Advanced Member


Groups: Registered

Joined: 8/30/2010
Posts: 507
Location: Gravesend

Hi Joe

The Regulations are specific and do not mention what the chemotherapy is for .

35.—(1) A claimant is to be treated as having limited capability for work-related activity if—

(a) the claimant is terminally ill;

(b) the claimant is—
(i) receiving treatment by way of intravenous, intraperitoneal or intrathecal chemotherapy; or
(ii)recovering from that treatment and the Secretary of State is satisfied that the claimant should be treated as having limited capability for work-related activity; or
(c)in the case of a woman, she is pregnant and there is a serious risk of damage to her health or to the health of her unborn child if she does not refrain from work-related activity.

This is legislation and does not contain what the chemotherapy is for , or go onto define what chemotherapy dugs are involved .

I have looked on rightsnet forum , an adviser resource and this issue is raised there in July 2011.

In your case it would be down to whether Rituximab is a chemotherapy drug.

Looking at Cancer research it states that Rituximab is a biologic treatment NOT a Chemotherapy one, but is used with chemotherapy drugs.

It may be the case that they got it wrong last year .

Still get face to face advise on this though , and possibly look into DLA as in the publication on this site.


Rich
"The difference between 'involvement' and 'commitment' is like an eggs-and-ham breakfast: the chicken was 'involved' - the pig was 'committed'."
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