the sweeping generalisation applied universally would result in no osteoparosis sufferers qualifying for DLA - an exclusion which doesn't exist in the legislation.
if i've understood your case correctly, the tribunal did not question your client and make findings of facts, on the basis of this approach to her condition.
it might be worth looking at the following CDs -
CDLA 0115/2002 - commissioner jacobs sets out by implication, the perfect route to decision-making via adequate findings of facts.
CSIB 377/03 - particularly para 40 - regarding when there is a need for the tribunal to put inferences to the claimant or rep, with regard to natural justice.
R(S)1/94 - regarding expert medical evidence of tribunal members.
the principle of deciding cases on the individual circumstances of the claimant is very important, and it seems that your case was decided on an abstract medical profession view of her condition, which took no account of your client's experience of her condition, which is not bound to fit into textbook theory. it might have led the tribunal to misdirect itself.
the generalisation, if accepted as a substitute for findings of facts, and the need to provide reasons, denies analysis of the reason your client was refused DLA. is the tribunal rejecting her claim that she has care needs? is it finding that her needs are unreasonable? is it saying she ought not to have any care needs? did it form a pre-conceived view before the hearing on the basis of the nature of her condition? how can anyone know?
cdla 3814/02 is a beaut decision on the use of meaningless phrases - i don't think the commissioner williams was getting at quite the problem you have with your case, but it's very succinct and will make you feel better just to read it. : )
i should add, that i have never yet dared to appeal against a commissioner's decision, so i don't know whether any of this helps at all.
jj
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