The Police Pensions Regulations 2006

Medical questions - permanent disablement

Reference of medical questions - permanent disablement

71.—(1) Where the police authority are considering for the purposes of these Regulations whether a person is permanently disabled, they shall refer for decision to a duly qualified medical practitioner selected by them the following questions—

(a) whether the person concerned is disabled for the performance of the ordinary duties of a member of the police force;

(b) whether any such disablement as is mentioned in sub-paragraph (a) is likely to be permanent;

(c) whether the person concerned is also disabled for engaging in any regular employment otherwise than as a regular police officer; and

(d) whether any such disablement as is mentioned in sub-paragraph (c) is likely to be permanent.

(2) Where the police authority are considering whether the disablement of a person such as is mentioned in regulation 21(2) or 51(1)(a) has ceased, significantly worsened or significantly improved, they shall refer for decision to a duly qualified medical practitioner selected by them the following questions—

(a) whether the person concerned continues to be disabled for the performance of the ordinary duties of a member of the police force; if so,

(b) whether the person concerned is also disabled for engaging in any regular employment; and

(c) whether any such disablement as is mentioned in sub-paragraph (b) is likely to be permanent.

(3) Where the police authority are considering whether the disablement of a person such as is mentioned in regulation 51(1)(b) has ceased or significantly improved, they shall refer for decision to a duly qualified medical practitioner selected by them the following questions—

(a) whether the person concerned continues to be disabled for engaging in any regular employment; and, if not,

(b) whether the person concerned continues to be disabled for the performance of the ordinary duties of a member of the police force.

(4) Where, in pursuance of a reference under paragraph (2) or (3), the selected medical practitioner decides that the question mentioned in paragraph (2)(a) or either of the questions referred to in paragraph (3)(a) and (b), as the case may be, is to be answered in the affirmative, no question as to the likelihood of such disablement continuing permanently is to be considered by him.

(5) Where the police authority are considering the exercise of their powers under regulation 53 (reduction of pension in case of default), they shall refer for decision to a duly qualified medical practitioner selected by them the question whether the person concerned has brought about or substantially contributed to the disablement by his own default.

(6) The police authority may decide to refer a question in paragraph (1), (2), (3) or (5), as the case may be, to a board of duly qualified medical practitioners instead of to a single duly qualified medical practitioner, and in such a case references in this regulation and regulations 72, 73(4) and 74(7) to a selected medical practitioner shall be construed as if they were references to such a board.

(7) The decision of the selected medical practitioner on the question or questions referred to him under this regulation shall be expressed in the form of a report and shall, subject to regulations 72 and 73, be final.

(8) Where, in pursuance of a reference under paragraph (2) or (3), the selected medical practitioner is of the opinion that sub-paragraphs (a) and (b) of regulation 51(7) apply in the case of the person concerned, he shall give written notice of that opinion to the person concerned in accordance with regulation 51(7)(d)(i) and inform the police authority of such opinion in his report; and in such a case the opinion to which the notice relates shall be treated for the purposes of paragraph (7) as if it were a decision on a question referred to him under this regulation.

(9) A copy of any such report shall be supplied to the person who is the subject of that report.

Appeal to board of medical referees

72.—(1) Where a person is dissatisfied with the decision of the selected medical practitioner on the question or questions referred to him as set out in a report under regulation 71(7) he may, within 28 days after he has received a copy of that report or such longer period as the police authority may allow, and subject to and in accordance with the provisions of regulation 74, give notice to the police authority that he appeals against that decision.

(2) In any case where within a further 28 days of that notice being received (or such longer period as the police authority may allow) that person has supplied to the police authority a statement of the grounds of his appeal, the police authority shall, except in a case where the person concerned and the police authority agree to a further reference to the selected medical practitioner in accordance with regulation 73(1), notify the Secretary of State accordingly and refer the appeal to a board of medical referees (“the appeal board”), appointed in accordance with arrangements approved by the Secretary of State, to decide.

(3) The decision of the appeal board shall, if it disagrees with any part of the report of the selected medical practitioner, be expressed in the form of a report of its decision on any of the questions referred to the selected medical practitioner on which it disagrees with the latter’s decision, and the decision of the appeal board shall, subject to the provisions of regulation 73, be final.

Further reference to medical authority

73.—(1) The police authority and the person in respect of whom a final decision of a medical authority has been given (“the claimant”) may, by agreement, refer such decision to the medical authority for reconsideration, and he or, as the case may be, it, shall accordingly reconsider the decision and, if necessary, issue a fresh report, which, subject to—

(a) any further reconsideration under this paragraph or paragraph (2) or

(b) an appeal, where the claimant requests that the appeal of which he has given notice (before referral of the decision under this paragraph) be notified to the Secretary of State and referred to an appeal board,

shall be final.

(2) A court hearing an appeal under regulation 66 or a tribunal hearing an appeal under regulation 67 may, if they consider that the evidence before the medical authority who has given the final decision was inaccurate or inadequate, refer the decision of that authority to him or, as the case may be, it, for reconsideration in the light of such facts as the court or tribunal may direct, and the medical authority shall accordingly reconsider that decision and, if necessary, issue a fresh report which, subject to any further reconsideration under this paragraph, shall be final.

(3) If a claimant and the police authority agree, or a court or tribunal decide, to refer a decision to the medical authority for reconsideration under this regulation and that medical authority is unable or unwilling to act, the decision may be referred to a duly qualified medical practitioner or board of medical practitioners agreed upon by the claimant and the police authority or, as the case may be, selected by the court or tribunal, and his or, as the case may be, its decision shall have effect as if it were that of the medical authority who gave the decision which is to be reconsidered.

(4) In this regulation a medical authority who has given a final decision means—

(a) the selected medical practitioner, if the time for appeal from his decision has expired without an appeal to an appeal board being made or if, following a notice of appeal to the police authority, the police authority have not yet notified the Secretary of State of the appeal, and

(b) the appeal board, if there has been such an appeal.

Procedure and costs on appeals under regulation 72

74.—(1) Every notice of appeal under regulation 72(1) and statement of grounds under regulation 72(2) shall be in writing.

(2) On receiving a notice of appeal against a decision made under regulation 71(7) and the appellant’s statement of grounds for appeal, the police authority, unless regulation 73(1) applies, shall forward to the Secretary of State and the appeal board copies of those documents and all other documents determined as necessary by the Secretary of State.

(3) The appeal board shall consist of not less than three medical practitioners, appointed by, and in accordance with, arrangements approved by the Secretary of State, of whom at least one member shall be a specialist in a medical condition relevant to the appeal and one member shall be appointed chairman; and where there is an equality of voting among members of the appeal board, the chairman shall have a second or casting vote.

(4) The appeal board shall appoint a time and place for hearing the appeal, at which it may interview or examine the appellant, and for any such further hearings as it may consider necessary, and shall give not less than two months’ notice, or such shorter period as the police authority and appellant may agree, of the hearing to the appellant and police authority (“the parties to the appeal”).

(5) The parties to the appeal shall, not less than 35 days (including weekends and public holidays) before the date appointed for the hearing, inform the appeal board whether they intend to be represented at the hearing.

(6) (a) Where either party to the appeal intends to submit written evidence or a written statement at a hearing arranged under paragraph (4), that party shall, subject to sub-paragraph (b), submit it to the appeal board and the other party not less than 35 days before the date appointed for the hearing.

(b) Where any written evidence or statement has been submitted under sub-paragraph (a), any written evidence or statement in response may be submitted by the other party to the appeal board and the party submitting the first-mentioned evidence or statement at any time not less than seven days before the date appointed for the hearing.

(c) The appeal board may postpone or adjourn the date appointed for the hearing where any written evidence or statement is submitted in contravention of sub-paragraphs (a) and (b) or it appears necessary to do so for the proper determination of the appeal.

(d) References in sub-paragraphs (a) and (b) to periods of days shall include weekends and public holidays.

(7) Any hearing (including any medical examination) may be attended by—

(a) the selected medical practitioner or, in his absence, a duly qualified medical practitioner appointed for the purpose by the police authority, and

(b) a duly qualified medical practitioner appointed for the purpose by the appellant,

although they may only observe any examination; and if any hearing includes a medical examination then only medical practitioners may be present for that part of the hearing.

(8) The appeal board shall supply the police authority, the appellant and the Secretary of State with a written statement of its decision. Where the appeal board disagrees with any part of the selected medical practitioner’s report, the appeal board shall supply a revised report.

(9) There shall be paid to the members of the appeal board—

(a) such fees as are determined in accordance with arrangements made by the Secretary of State, or

(b) where no such arrangements have been made, such fees and allowances as the Secretary of State may from time to time determine;

and any fees or allowances so payable shall, subject to paragraph (10)(c) and (e), be paid by the police authority and shall be treated as part of the expenses of the police authority for the purposes of this regulation.

(10) (a) Subject to the following provisions of this paragraph, the expenses of each party to the appeal shall be borne by that party.

(b) Where a hearing has been cancelled, adjourned or postponed at the request of, or due to the actions or omissions of, the police authority less than 11 days (excluding weekends and public holidays) before the date appointed for the hearing, the appeal board shall require the police authority to pay to the appellant any expenses actually and reasonably incurred by him in respect of attending or arranging to attend the cancelled, adjourned or postponed hearing, as the case may be.

(c) If the appeal board determines that a hearing has been cancelled, adjourned or postponed at the request of, or due to the actions or omissions of, the appellant less than 11 days (excluding weekends and public holidays) before the date appointed for the hearing the police authority may, subject to sub-paragraph (d), require the appellant to pay towards the cost of the cancellation, adjournment or postponement, as the case may be, such sum not exceeding the total costs of the cancellation, adjournment or postponement, as the case may be, as the authority thinks fit.

(d) If the appeal board, after taking account of any representations from either party, decides that the cancellation, adjournment or postponement, as the case may be, was not due to any fault on the part of the appellant and the appellant should not pay towards the cost of the cancellation, adjournment or postponement, it shall state that this is the case and the police authority shall not require the payment of any such costs.

(e) Where the appeal board decides in favour of the police authority and reports that in its opinion the appeal was frivolous or vexatious, the authority may, subject to sub-paragraph (f), require the appellant to pay towards the cost of the appeal such sum not exceeding the total fees and allowances of the members of the appeal board as the authority thinks fit.

(f) If the appeal board, after taking account of any representations from either party, decides there are exceptional reasons why the appellant should not pay towards the cost of the appeal, it shall state that this is the case and the police authority shall not require the payment of any such costs.

(g) Where the appeal board decides in favour of the appellant, the police authority shall refund to the appellant any expenses actually and reasonably incurred by the appellant in respect of attending any such hearing as is mentioned in paragraph (4).

Refusal to be medically examined

75.  If a question is referred to a medical authority under regulation 71, 72 or 73 and the person concerned wilfully or negligently fails to submit himself to such medical examination or to attend such interviews as the medical authority may consider necessary in order to enable him to make his decision, then—

(a) if the question arises otherwise than on an appeal under regulation 72, the police authority may make their determination on such evidence and medical advice as they in their discretion think necessary;

(b) if the question arises on an appeal under regulation 72, the appeal shall be deemed to be withdrawn.