I think a big part of the reason why the DWP sends IB113's to the GP instead of eg psychiatrists lies with the original application form ie the SC1 (incapacity benefit form). i haven't got a SC1 in front of me, but the page bit goes something like this ie who completes the med certs with a little box, putting the consultants name and address in that box seemed to work wonders.
Having said that we'd have inpatients who had been in the hospital for years ie hospital was the home address on DWP correspondence, being sent IB50'S.
andy
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