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Wednesday, 3 October 2023

Disability Living Allowance medical examination - what happens next

The Disability and Carers Service will make a decision about your benefit, taking into account the healthcare professional's report. You will be told about the decision once it has been made. If you disagree with the decision, you can ask for it to be looked at again by someone else.

Making a decision

Already claiming DLA and want to report a change in your circumstances - find out more

Medical Services will send the report to the person at the Disability and Carers Service who is responsible for making a decision on your claim. The Disability and Carers Service is part of the Department for Work and Pensions.

The decision-maker will consider the report along with all the other information provided for your claim. They will decide whether to approve your claim and what level of Disability Living Allowance you may receive.

You will receive a letter stating their decision.

Confidentiality

All the medical information related to your claim, including the healthcare professional's report from the medical examination, is confidential. It will not be released to anyone outside the Department for Work and Pensions.

Sometimes the healthcare professional may want to send some information about your medical examination to your local doctor (GP). In that case, Medical Services will write to you and ask if you are happy for them to give your doctor the information.

They will not pass on the information to your doctor if you do not want them to.

When you will hear about your benefit decision

It normally takes about 40 working days to process a DLA claim, from the day the Department for Work and Pensions receives your claim form. You can check the progress of your claim by contacting the Disability helpline.

Telephone: 08457 123 456

Textphone: 08457 224 433

The helpline is open from 7.30 am to 6.30 pm Monday to Friday.

Email: dcpu.customer-services@dwp.gsi.gov.uk

If you are unhappy with the medical examination

If you are unhappy with the service provided by Atos Healthcare, please tell them as soon as possible. Please speak to the healthcare professional or a member of Atos Healthcare staff who will aim to resolve your dissatisfaction. You can also request a leaflet about customer care which explains the Atos Healthcare complaints procedure and how to make a complaint.

You can contact the Disability helpline for advice on making a complaint to Medical Services.

If you disagree with the benefit decision

If you think the decision about your benefit claim is wrong, or you disagree with the level of benefit you have been awarded, you can:

  • ask the office who made the decision to explain it
  • ask to have the decision reconsidered by another decision-maker
  • appeal against the decision to an independent tribunal

The healthcare professional's report

You can ask to have a copy of the healthcare professional's report sent to you at any time.

If you appeal against the benefit decision, you will be able to see the healthcare professional's report as part of the appeal process.

Repeat medical examinations

Your Disability Living Allowance award will be for either a fixed or an indefinite period. The decision-maker will set the length of your award depending on whether your disability or illness is permanent or your needs may change.

If your award is for a fixed period, you will be invited to make a new claim before the award runs out. This is called a 'renewal claim'. Renewal claims are processed exactly the same way as new claims, so you may be asked to attend a medical examination again.

If your benefit award is for an indefinite period, you will not usually have to make a renewal claim. Indefinite awards can sometimes be reviewed and you may need to have another medical examination as part of the review.

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