CIRCULAR Please pass on sufficient copies of this Circular to your Personnel and Pensions Officer(s) as quickly as possible

Transcription

1 TheLocalGovernmentPensionsCommittee Secretary:TerryEdwards CIRCULAR PleasepassonsufficientcopiesofthisCirculartoyourPersonnelandPensions Officer(s)asquicklyaspossible No. 221 DECEMBER 2008 ILL HEALTH CERTIFICATES ENGLAND AND WALES Purpose of this circular: 1. Circular212ofJuly2008setouttheillhealthretirementprovisions currentlyapplicableunderthelgpsinenglandandwalesandprovided sampleillhealthcertificates.followingdiscussionsattheillhealth MonitoringGroup,thesamplecertificateshavebeenslightlyupdatedand, aspromisedincircular212,twofurthersamplecertificateshavebeen addedforusewhenreviewing3 rd tierillhealthretirementcases.the revised/newcertificatesareattachedtothiscircularandare: - illhealthretirementcertificateforcurrentemployees (determinationsmadeafter30september2008) - illhealthcertificateforadeferredbeneficiarywhoceased membershipasanemployeeonorafter1april illhealthcertificateforadeferredbeneficiarywhoceased membershipasanemployeebetween1april1998and31march illhealthcertificateforadeferredbeneficiarywhoceased membershipasanemployeepriorto1april illhealthretirementcertificateforcurrentcouncillors - illhealthcertificateforadeferredcouncillormember - 3 rd tierillhealthretirementreviewcertificateforacurrent3 rd tier pensioner reviewtakingplacewithin3yearsofdateofcessation ofemployment - 3 rd tierillhealthretirementreviewcertificateforasuspended3 rd tierpensioner reviewtakingplacewithin3yearsoforiginaldate ofleaving 1

2 2. Authorities should not use the sample certificates without checking with their pension fund administering authority. This is because the administering authority may well have their own certificates / forms which they wish employers in their Fund to use. 3. Authoritiesmaybeawarethatinarecentnotedated10December2008, thealama 1 Committeeadviseditsmemberstorefusetosigncertificates thatrefertothelikelihoodofobtaininggainfulemployment.despitethe ALAMAnote,thesamplecertificatesattachedtothisCircularwhichcover casesunderthenewlooklgpsfromapril2008continuetorefertothe likelihoodofobtaininggainfulemployment.theydosobecausethatis whatregulation20(5)ofthelgps(benefits,membershipand Contributions)Regulations2007statutorilyrequires.Inanattemptto overcomesomeofthealamaconcerns,relevantfootnotestothe certificatesmakeitclearthattheindependentregisteredmedical practitionerisbeingaskedtoprovideanopinionontheperson scapability ofobtaininggainfulemploymentbasedsolelyontheeffectthemedical conditionhasontheabilitytoundertakegainfulemployment. Actions for administering authorities 4. AdministeringauthoritiesinEnglandandWalesmaywishcopythisCircular toemployersintheirfundorbringthecirculartotheattentionof employersbydirectingthemtothecircularonthelgewebsite. TerryEdwards HeadofPensions December AssociationofLocalAuthorityMedicalAdvisers 2

3 Example Medical Certificate for a Current Employee England and Wales for determinations made after 30 September Medical certificate to be provided by an independent, approved, duly qualified registered medical practitioner in accordance with regulation 20 of the Local Government Pension Scheme (Benefits, Membership and Contributions) Regulations 2007 (as amended) in respect of a current employee. Part A: To be completed by the employer Surnameofemployee: Forenames: Mr/Mrs/Miss/Ms* Dateofbirth: NINumber: Homeaddress: Employer: Placeofwork: Natureofemployment(jobdescriptionattached): Havetheemployee scontractualhoursbeenreducedasaresultoftheirillhealth orinfirmityormindorbody?yes/no*(if Yes,pleaseattachastatement providingbackgrounddetailse.g.factorsthatledtothereductioninhours,date(s) reduction(s)inhoursoccurred.thisistoassisttheregisteredmedicalpractitioner whenansweringquestionsb8/b9). (*deleteasappropriate) 3

4 Part B: To be completed by the approved (1)registered medical practitioner. Please tick appropriate boxes. Please tick either B1 or B2 Icertifythat,inmyopinion,theemployeenamedinPartA B1: ISB2:IS NOT onthebalanceofprobabilities,permanentlyincapable(2)ofdischargingefficiently thedutiesofhis/heremploymentwithhis/heremployerbecauseofillhealthor infirmityofmindorbody. If B1 has been ticked, please tick B3 or B4 Icertifythat,inmyopinion,asaresultofthatillhealthorinfirmitytheemployee namedinparta B3: DOES B4: DOES NOT haveareducedlikelihoodofbeingcapableofobtaining(3)othergainful employment(4),whetherinlocalgovernmentorelsewhere,beforeage65. If B3 has been ticked I further certify that, in my opinion: B5:Asaresultoftheirillhealthorinfirmity,thereisnoreasonableprospectof theemployeenamedinpartabeingcapableofobtaining(3)gainfulemployment (4)beforeage65. OR B6:Although,asaresultoftheirillhealthorinfirmity,theemployeenamedin PartAcannotobtain(3)gainfulemployment(4)withinthenextthreeyearshe/ sheislikelytobecapableofgainfulemployment(4)atsometimethereafterand beforeage65. OR B7:Havingconsideredtheirillhealthorinfirmity,theemployeenamedinPart Aislikelytobecapableofobtaining(3)gainfulemployment(4)withinthenext threeyears. 4

5 If B3 has been ticked and the contractual hours of the person named in Part A have been reduced by the employer (as indicated in Part A) please tick B8 or B9 Icertifythat,inmyopinion,theemployeenamedinPartA B8:ISB9:IS NOT inpart-timeservicewhollyorpartlyasaresultoftheconditionthathascausedhim /hertobepermanentlyincapableofdischargingefficientlythedutiesofhis/her employment(5). General statement Ido/donot*attachacopyofmyfullreport/assessmentandIcertifythat: Ihavenotpreviouslyadvised,orgivenanopinionon,orotherwisebeeninvolvedin thiscase AND Iamnotacting,andhavenotatanytimeacted,astherepresentativeofthe employeenamedinparta,theemployeroranyotherpartyinrelationtothiscase AND Iholdadiplomainoccupationalhealthmedicine(DOccMed)oranequivalent qualificationissuedbyacompetentauthorityinaneeastate,whichhasthe meaninggivenbythegeneralandspecialistmedicalpractice(education,training andqualification)order2003,oriamanassociate,amemberorafellowofthe FacultyofOccupationalMedicineorofanequivalentinstitutioninanEEAState AND IhavegivendueregardtotheguidanceissuedbytheSecretaryofStatewhen completingthiscertificate. Date: Signatureofindependentregisteredmedicalpractitioner.. Printednameofindependentregisteredmedicalpractitioner (*deleteasappropriate) 5

6 Important notes: (1) Theindependentregisteredmedicalpractitionersigningthecertificatemust havebeenapprovedforthispurposebythepensionfundadministering authority. (2) Permanentlyincapable meansthatthepersonwill,morelikelythannot,be incapableuntil,attheearliest,their65 th birthday. (3) Theindependentregisteredmedicalpractitionerisprovidinganopinionon theperson scapabilityofobtaininggainfulemploymentbasedsolelyonthe effectthemedicalconditionhasontheabilitytoundertakegainful employment. (4) Gainfulemployment meanspaidemployment(whetherinlocal governmentorelsewhere)fornotlessthan30hoursineachweekfora periodofnotlessthan12months.itdoesnothavetobeemploymentthat iscommensurateintermsofpayandconditionswiththatoftheperson s currentemployment. (5) Ifthereasonthatthecontractualhourshavebeenreducediswhollyor partlyasaresultoftheconditionthathascausedhim/hertobe permanentlyincapableofdischargingefficientlythedutiesofhis/her employment,thenthepensionfundadministeringauthoritywillignorethe reductioninhourswhencalculatingthepensionbenefitsduetothescheme member. 6

7 Example Medical Certificate for a Deferred Beneficiary who ceased membership as an employee on or after 1 April 2008 England and Wales. Medical certificate to be provided by an independent, approved, duly qualified registered medical practitioner in accordance with regulation 31 of the Local Government Pension Scheme (Benefits, Membership and Contributions) Regulations 2007 (as amended) in respect of a deferred member. Part A: To be completed by the former Scheme employer Surnameofformeremployee: Forenames: Mr/Mrs/Miss/Ms* Dateofbirth: NINumber: Homeaddress: Formeremployer: Formerposition(posttitle): Natureofformeremployment**: Dateofcessationofformerposition: Dateofapplicationforearlypaymentofdeferredbenefits: (*deleteasappropriate) (**pleasedescribe,orattachcopyofjobdescriptionifavailable) 7

8 Part B: To be completed by the approved (1) registered medical practitioner. Please tick appropriate boxes. Please tick either B1 or B2 Icertifythat,inmyopinion,thepersonnamedinPartA B1: WASB2:WAS NOT atthedateofapplicationforearlypaymentofdeferredbenefitsshowninparta,and onthebalanceofprobabilities,permanentlyincapable(2),becauseofillhealthor infirmityofmindorbody,ofdischargingefficientlythedutiesofhis/herformer employmentwhichgaverisetothedeferredbenefitsinthelocalgovernment PensionScheme. If B1 has been ticked, please tick B3 or B4 Icertifythat,inmyopinion,theillhealthorinfirmityofthepersonnamedinPartA B3: IS B4: IS NOT likelytopreventhim/herfromobtaining(3)othergainfulemployment(4),whether inlocalgovernmentorelsewhere,withinthreeyearsofthedateofapplicationshown inpartaor,ifearlier,beforeage65. If B3 has been ticked and the person named in Part A is under age 55 at the date of application shown in Part A, please tick B5 or B6 Icertifythat,inmyopinion,thepersonnamedinPartA B5:WAS B6: WAS NOT atthedateofapplicationforearlypaymentofdeferredbenefitsshowninparta, permanentlyincapablebyreasonofdisabilitycausedbyphysicalormentalinfirmity ofengaginginany regularfull-timeemployment(5). (*deleteasappropriate) 8

9 General statement Ido/donot*attachacopyofmyfullreport/assessmentandIcertifythat: Ihavenotpreviouslyadvised,orgivenanopinionon,orotherwisebeeninvolvedin thiscase AND Iamnotacting,andhavenotatanytimeacted,astherepresentativeoftheperson namedinparta,theformeremployeroranyotherpartyinrelationtothiscase AND Iholdadiplomainoccupationalhealthmedicine(DOccMed)oranequivalent qualificationissuedbyacompetentauthorityinaneeastate,whichhasthemeaning givenbythegeneralandspecialistmedicalpractice(education,trainingand Qualification)Order2003,orIamanAssociate,aMemberoraFellowoftheFaculty ofoccupationalmedicineorofanequivalentinstitutioninaneeastate Date: Signatureofindependentregisteredmedicalpractitioner.. Printednameofindependentregisteredmedicalpractitioner Important notes: (1) Theindependentregisteredmedicalpractitionersigningthecertificatemust havebeenapprovedforthispurposebythepensionfundadministering authority. (2) Permanentlyincapable meansthatthepersonwill,morelikelythannot,be incapableuntil,attheearliest,their65 th birthday. (3) Theindependentregisteredmedicalpractitionerisprovidinganopiniononthe person scapabilityofobtaininggainfulemploymentbasedsolelyontheeffect themedicalconditionhasontheabilitytoundertakegainfulemployment. (4) Gainfulemployment meanspaidemployment(whetherinlocalgovernment orelsewhere)fornotlessthan30hoursineachweekforaperiodofnotless than12months.itdoesnothavetobeemploymentthatiscommensuratein termsofpayandconditionswiththatoftheperson sformeremployment whichgaverisetothedeferredbenefitsinthelocalgovernmentpension Scheme. (5) Theanswertothisquestionwilldeterminewhetherornotthepensionwillbe immediatelyincreasedunderpensionsincreaselegislation.ifb5isticked,the pensionwillbesubjecttoimmediateincrease. 9

10 Example Medical Certificate for a Deferred Beneficiary who ceased membership as an employee on or after 1 April 1998 and before 1 April 2008 England and Wales. Medical certificate to be provided by an independent, approved, duly qualified registered medical practitioner in accordance with regulation 97 of the Local Government Pension Scheme Regulations 1997 (as amended) in respect of a deferred member. Part A: To be completed by the former Scheme employer Surnameofformeremployee: Forenames: Mr/Mrs/Miss/Ms* Dateofbirth: NINumber: Homeaddress: Formeremployer: Formerposition(posttitle): Natureofformeremployment**: Dateofcessationofformeremployment: WasthepersonreferredtoanapprovedIndependentRegisteredMedicalPractitioner (IRMP)whentheformeremploymentceasedtoassesseligibilityforanill-healthpension? Yes/No* Dateofapplicationforearlypaymentofdeferredbenefits: (*deleteasappropriate) (**pleasedescribe,orattachcopyofjobdescriptionifavailable) 10

11 Part B: To be completed by the approved (1) registered medical practitioner. Please tick appropriate boxes. Please tick either B1 or B2 Icertifythat,inmyopinion,thepersonnamedinPartA B1: WASB2:WAS NOT atthedateofapplicationforearlypaymentofdeferredbenefitsshowninparta,andon thebalanceofprobabilities,permanentlyincapable(2),becauseofillhealthorinfirmityof mindorbody,ofdischargingefficientlythedutiesofhis/herformeremploymentwhich gaverisetothedeferredbenefitsinthelocalgovernmentpensionscheme. If B1 has been ticked and the person was NOT referred to an approved Independent Registered Medical Practitioner when the former employment ceased (see answer given in Part A), please tick B3 or B4 Icertifythat,inmyopinion,andbasedonevidencethatwouldhavebeendiscoverableat thedatethepersonnamedinpartaceasedtheirformeremployment,theperson B3: WAS B4: WAS NOT onthebalanceofprobabilities,permanentlyincapable(2),becauseofillhealthorinfirmity ofmindorbody,ofdischargingefficientlythedutiesofhis/herformeremploymentasat thedateofcessationofthatemploymentasshowninparta.(note:theanswerisusedto determinewhetherthecaseshouldbetreatedasadeferredbenefitintopaymentwithno enhancement,oraretrospectiveillhealthpensionwithenhancement). If B1 has been ticked, but not B3, and the person named in Part A is under age 55 at the date of application shown in Part A, please tick B5 or B6 Icertifythat,inmyopinion,thepersonnamedinPartA B5:WAS B6: WAS NOT atthedateofapplicationforearlypaymentofdeferredbenefitsshowninparta, permanentlyincapablebyreasonofdisabilitycausedbyphysicalormentalinfirmityof engaginginany regularfull-timeemployment.(note:theanswerisusedtodetermine whetherthepensionshouldbeimmediatelyincreasedunderpensionsincreaselegislation). If B1 has been ticked, please tick B7 or B8 Icertify(3) that,inmyopinion,thepersonnamedinparta B7:IS exceptionallyill,withalifeexpectancyoflessthan1year andisawareofthisandisnotawareofthis B8: IS NOT exceptionally illandhasalifeexpectancyof1yearormore 11

12 General statement Ido/donot*attachacopyofmyfullreport/assessmentandIcertifythat: Ihavenotpreviouslyadvised,orgivenanopinionon,orotherwisebeeninvolvedinthis case AND Iamnotacting,andhavenotatanytimeacted,astherepresentativeoftheperson namedinparta,theformeremployeroranyotherpartyinrelationtothiscase AND Iholdadiplomainoccupationalhealthmedicine(DOccMed)oranequivalent qualificationissuedbyacompetentauthorityinaneeastate,whichhasthemeaning givenbythegeneralandspecialistmedicalpractice(education,trainingandqualification) Order2003,orIamanAssociate,aMemberoraFellowoftheFacultyofOccupational MedicineorofanequivalentinstitutioninanEEAState. Date: Signatureofindependentregisteredmedicalpractitioner.. Printednameofindependentregisteredmedicalpractitioner (*deleteasappropriate) Important notes: (1) Theindependentregisteredmedicalpractitionersigningthecertificatemusthave beenapprovedforthispurposebythepensionfundadministeringauthority. (2) Permanentlyincapable meansthatthepersonwill,morelikelythannot,be incapableuntil,attheearliest,their65 th birthday(age70inthecaseofformer coroners). (3) Certificationoflimitedlifeexpectancyoflessthan1yearmayonlybeprovidedbya fullyregisteredpersonwithinthemeaningofthemedicalact1983.thefulltextof theactcanbefoundatwww.gmc-uk.org/about/legislation/medical_act.asp#2 12

13 Example Medical Certificate for a Deferred Beneficiary who ceased membership as an employee before 1 April 1998 England and Wales. Medical certificate to be provided by an independent, approved, duly qualified registered medical practitioner in accordance with regulation D11 of the Local Government Pension Scheme Regulations 1995 (as amended) in respect of a deferred member. Part A: To be completed by the former Scheme employer Surnameofformeremployee: Forenames: Mr/Mrs/Miss/Ms* Dateofbirth: NINumber: Homeaddress: Formeremployer: Formerposition(posttitle): Natureofformeremployment**: Dateofcessationofformeremployment: Dateofapplicationforearlypaymentofdeferredbenefits: (*deleteasappropriate) (**pleasedescribe,orattachcopyofjobdescriptionifavailable) 13

14 Part B: To be completed by the approved (1) registered medical practitioner. Please tick appropriate boxes. Please tick either B1 or B2 Icertifythat,inmyopinion,thepersonnamedinPartA B1: ISB2:IS NOT onthebalanceofprobabilities,permanentlyincapable(2),becauseofillhealthor infirmityofmindorbody,ofdischargingefficientlythedutiesofhis/herformer employmentwhichgaverisetothedeferredbenefitsinthelocalgovernmentpension Scheme. If B1 has been ticked: Icertifythatthedatethepersonbecamepermanentlyincapable(2)was B3:[Enterdate]andthatthiswasdiscoverableatthattime basedonevidenceavailableatthattime. (Note:thedateenteredcanbeearlierthan,andneednotcorrespondwith,thedateof theperson sapplicationforearlypaymentofdeferredbenefits,asshowninparta,and willbeusedasthedatefromwhichthepensionbenefitswillbepayable). If B1 has been ticked and the person named in Part A is under age 55 at the date entered in B3, please tick B4 or B5 Icertifythat,inmyopinion,thepersonnamedinPartA B5:IS B6: IS NOT permanentlyincapablebyreasonofdisabilitycausedbyphysicalormentalinfirmityof engaginginany regularfull-timeemploymentandthatthedatefromwhichhe/she becamesoincapablewas B7:[EnterdateifB5hasbeenticked] (Note:adateenteredatB7canbethesameas,orlaterthan,thedateenteredatB3 andisusedtodeterminethedatefromwhichthepensionshouldbeincreasedunder PensionsIncreaselegislation). If B1 has been ticked, please tick B8 or B9 Icertify(3) that,inmyopinion,thepersonnamedinparta B8:IS exceptionallyill,withalifeexpectancyoflessthan1year andisawareofthisandisnotawareofthis B9: IS NOT exceptionally illandhasalifeexpectancyof1yearormore 14

15 General statement Ido/donot*attachacopyofmyfullreport/assessmentandIcertifythat: Ihavenotpreviouslyadvised,orgivenanopinionon,orotherwisebeeninvolvedinthis case AND Iamnotacting,andhavenotatanytimeacted,astherepresentativeoftheperson namedinparta,theformeremployeroranyotherpartyinrelationtothiscase AND Iholdadiplomainoccupationalhealthmedicine(DOccMed)oranequivalent qualificationissuedbyacompetentauthorityinaneeastate,whichhasthemeaning givenbythegeneralandspecialistmedicalpractice(education,trainingand Qualification)Order2003,orIamanAssociate,aMemberoraFellowoftheFacultyof OccupationalMedicineorofanequivalentinstitutioninanEEAState. Date: Signatureofindependentregisteredmedicalpractitioner.. Printednameofindependentregisteredmedicalpractitioner (*deleteasappropriate) Important notes: (1) Theindependentregisteredmedicalpractitionersigningthecertificatemust havebeenapprovedforthispurposebythepensionfundadministering authority. (2) Permanentlyincapable meansthatthepersonwill,morelikelythannot,be incapableuntil,attheearliest,their65 th birthday(age70inthecaseofformer coroners). (3) Certificationoflimitedlifeexpectancyoflessthan1yearmayonlybeprovided byafullyregisteredpersonwithinthemeaningofthemedicalact1983.the fulltextoftheactcanbefoundatwww.gmcuk.org/about/legislation/medical_act.asp#2 15

16 Example Medical Certificate for a Current Councillor England and Wales. Medical certificate to be provided by an independent, approved, duly qualified registered medical practitioner in accordance with regulation 97 of the Local Government Pension Scheme Regulations 1997 (as amended) in respect of a current councillor member. Part A: To be completed by the authority Surnameofcouncillor: Forenames: Mr/Mrs/Miss/Ms* Dateofbirth: NINumber: Homeaddress: Authority: Natureofoffice:Councillor(descriptionofroleattached) (*deleteasappropriate) 16

17 Part B: To be completed by the approved (1) registered medical practitioner. Please tick appropriate boxes. Please tick either B1 or B2 Icertifythat,inmyopinion,theCouncillornamedinPartA B1:IS B2:IS NOT onthebalanceofprobabilities,permanentlyincapable(2)ofdischarging efficientlythedutiesofhis/herofficeasacouncillorwithhis/herauthority becauseofillhealthorinfirmityofmindorbody. If B1 has been ticked, please tick B3 or B4 Icertify(3) that,inmyopinion,thecouncillornamedinparta B3:IS exceptionallyill,withalifeexpectancyoflessthan1year andisawareofthisandisnotawareofthis B4: IS NOT exceptionally illandhasalifeexpectancyof1yearormore General statement Ido/donot*attachacopyofmyfullreport/assessmentandIcertifythat: Ihavenotpreviouslyadvised,orgivenanopinionon,orotherwisebeeninvolved inthiscase AND Iamnotacting,andhavenotatanytimeacted,astherepresentativeofthe CouncillornamedinPartA,theauthorityoranyotherpartyinrelationtothis case AND Iholdadiplomainoccupationalhealthmedicine(DOccMed)oranequivalent qualificationissuedbyacompetentauthorityinaneeastate,whichhasthe meaninggivenbythegeneralandspecialistmedicalpractice(education, TrainingandQualification)Order2003,orIamanAssociate,aMemberora FellowoftheFacultyofOccupationalMedicineorofanequivalentinstitutionin aneeastate. Date: Signatureofindependentregisteredmedicalpractitioner.. Printednameofindependentregisteredmedicalpractitioner (*deleteasappropriate) 17

18 Important notes: (1) Theindependentregisteredmedicalpractitionersigningthecertificate musthavebeenapprovedforthispurposebythepensionfund administeringauthority. (2) Permanentlyincapable meansthatthepersonwill,morelikelythannot, beincapableuntil,attheearliest,their65 th birthday. (3) Certificationoflimitedlifeexpectancyoflessthan1yearmayonlybe providedbyafullyregisteredpersonwithinthemeaningofthemedical Act1983.ThefulltextoftheActcanbefoundatwww.gmcuk.org/about/legislation/medical_act.asp#2 18

19 Example Medical Certificate for a Deferred Councillor Member England and Wales. Medical certificate to be provided by an independent, approved, duly qualified registered medical practitioner in accordance with regulation 97 of the Local Government Pension Scheme Regulations 1997 (as amended) in respect of a deferred councillor member. Part A: To be completed by the former authority Surnameofformercouncillor: Forenames: Mr/Mrs/Miss/Ms* Dateofbirth: NINumber: Homeaddress: Formerauthority: Formeroffice:Councillor Dateceasedtoholdofficeasacouncillor(andceasedtobeanactivememberofthe LGPS): Whenthepersonceasedtobeacouncillor(andanactivememberoftheLGPS)washe/ shereferredtoanapprovedindependentregisteredmedicalpractitionertoassess eligibilityforanill-healthpension?yes/no* Dateofapplicationforearlypaymentofdeferredbenefits: (*deleteasappropriate) 19

20 Part B: To be completed by the approved (1) registered medical practitioner. Please tick appropriate boxes. Please tick either B1 or B2 Icertifythat,inmyopinion,thepersonnamedinPartA B1: WASB2:WAS NOT atthedateofapplicationforearlypaymentofdeferredbenefitsshowninparta,andon thebalanceofprobabilities,permanentlyincapable(2),becauseofillhealthorinfirmityof mindorbody,ofdischargingefficientlythedutiesofhis/herformerofficeasacouncillor whichgaverisetothedeferredbenefitsinthelocalgovernmentpensionscheme. If B1 has been ticked and the person was NOT referred to an approved Independent Registered Medical Practitioner when the former office ceased (see answer given in Part A), please tick B3 or B4 Icertifythat,inmyopinion,andbasedonevidencethatwouldhavebeendiscoverableat thedatethepersonnamedinpartaceasedtheirformerofficeasacouncillor,theperson B3: WAS B4: WAS NOT onthebalanceofprobabilities,permanentlyincapable(2),becauseofillhealthorinfirmity ofmindorbody,ofdischargingefficientlythedutiesofhis/herformerofficeasa councillorasatthedateofcessationofthatofficeasshowninparta.(note:theansweris usedtodeterminewhetherthecaseshouldbetreatedasadeferredbenefitintopayment withnoenhancement,oraretrospectiveillhealthpensionwithenhancement). If B1 has been ticked, but not B3, and the person named in Part A is under age 55 at the date of application shown in Part A, please tick B5 or B6 Icertifythat,inmyopinion,thepersonnamedinPartA B5:WAS B6: WAS NOT atthedateofapplicationforearlypaymentofdeferredbenefitsshowninparta, permanentlyincapablebyreasonofdisabilitycausedbyphysicalormentalinfirmityof engaginginany regularfull-timeemployment.(note:theanswerisusedtodetermine whetherthepensionshouldbeimmediatelyincreasedunderpensionsincreaselegislation). If B1 has been ticked, please tick B7 or B8 Icertify(3) that,inmyopinion,thepersonnamedinparta B7:IS exceptionallyill,withalifeexpectancyoflessthan1year andisawareofthisandisnotawareofthis B8: IS NOT exceptionally illandhasalifeexpectancyof1yearormore 20

21 General statement Ido/donot*attachacopyofmyfullreport/assessmentandIcertifythat: Ihavenotpreviouslyadvised,orgivenanopinionon,orotherwisebeeninvolvedinthis case AND Iamnotacting,andhavenotatanytimeacted,astherepresentativeoftheperson namedinparta,theformerauthorityoranyotherpartyinrelationtothiscase AND Iholdadiplomainoccupationalhealthmedicine(DOccMed)oranequivalent qualificationissuedbyacompetentauthorityinaneeastate,whichhasthemeaning givenbythegeneralandspecialistmedicalpractice(education,trainingandqualification) Order2003,orIamanAssociate,aMemberoraFellowoftheFacultyofOccupational MedicineorofanequivalentinstitutioninanEEAState. Date: Signatureofindependentregisteredmedicalpractitioner.. Printednameofindependentregisteredmedicalpractitioner (*deleteasappropriate) Important notes: (1) Theindependentregisteredmedicalpractitionersigningthecertificatemusthave beenapprovedforthispurposebythepensionfundadministeringauthority. (2) Permanentlyincapable meansthatthepersonwill,morelikelythannot,be incapableuntil,attheearliest,their65 th birthday. (3) Certificationoflimitedlifeexpectancyoflessthan1yearmayonlybeprovidedbya fullyregisteredpersonwithinthemeaningofthemedicalact1983.thefulltextof theactcanbefoundatwww.gmc-uk.org/about/legislation/medical_act.asp#2 21

22 Example 3 rd Tier Ill Health Retirement Review Certificate for a Current 3 rd Tier Pensioner England and Wales Review taking place within 3 years of date of cessation of employment. Medical certificate to be provided by an independent, approved, duly qualified registered medical practitioner in accordance with regulation 20 of the Local Government Pension Scheme (Benefits, Membership and Contributions) Regulations 2007 (as amended) in respect of a 3 rd tier pensioner whose pension is currently in payment. Part A: To be completed by the employer Surnameofemployee: Forenames: Mr/Mrs/Miss/Ms* Dateofbirth: NINumber: Homeaddress: FormerEmployer: Formerposition(posttitle): Natureofformeremployment(jobdescriptionattached): Dateofcessationofformerposition: Thepersonnamedabovewas,atthedateofcessationoftheirformerposition, certifiedasbeing,onthebalanceofprobabilities,permanentlyincapable(1)of dischargingefficientlythedutiesofhis/heremploymentwithhis/heremployer becauseofillhealthorinfirmityofmindorbody,andthat,althoughhavinga reducedlikelihoodofbeingcapableofobtainingothergainfulemployment(2), whetherinlocalgovernmentorelsewhere,beforeage65,itwasneverthelesslikely thathe/shewouldbecapableofobtaininggainfulemployment(2)within3yearsof thedateofcessationofemployment.he/shewasawardedashort-term, reviewable,3 rd tierpension.itisnownecessarytoreview,inaccordancewith regulation20ofthelocalgovernmentpensionscheme(benefits,membershipand Contributions)Regulations2007,whetherhe/sheisstillcapableofobtaining(7) gainfulemployment(2)within3yearsofthedateofcessationofemployment. (*deleteasappropriate) 22

23 Part B: To be completed by the approved (3)registered medical practitioner. Please tick appropriate boxes. Please tick either B1 or B2 Icertifythat,inmyopinion,havingconsideredtheirillhealthorinfirmity,theperson namedinparta B1: IS STILLB2:IS NOT (4) likelytobecapableofobtaining(7)gainfulemployment(2)withinthreeyearsofthe dateofleavingshowninparta. If B1 has been ticked, please tick B3 or B4 Icertifythat,inmyopinion,thepersonnamedinPartA B3: IS CURRENTLY CAPABLE OF OBTAINING (7)GAINFUL EMPLOYMENT (2)(5) B4: IS NOT CURRENTLY CAPABLE OF OBTAINING (7) GAINFUL EMPLOYMENT (2)BUT IS LIKELY TO BE CAPABLE OF DOING SO WITHIN THREE YEARS OF THE DATE OF LEAVING SHOWN IN PART A. I WOULD LIKE TO REVIEW THIS CASE [ENTER DATE, BEING A DATE GREATER THAN 18 MONTHS BUT LESS THAN THREE YEARS AFTER THE DATE OF LEAVING SHOWN IN PART A] (6) General statement Ido/donot*attachacopyofmyfullreport/assessmentandIcertifythat: Iholdadiplomainoccupationalhealthmedicine(DOccMed)oranequivalent qualificationissuedbyacompetentauthorityinaneeastate,whichhasthe meaninggivenbythegeneralandspecialistmedicalpractice(education,training andqualification)order2003,oriamanassociate,amemberorafellowofthe FacultyofOccupationalMedicineorofanequivalentinstitutioninanEEAState AND IhavegivendueregardtotheguidanceissuedbytheSecretaryofStatewhen completingthiscertificate. Date: Signatureofindependentregisteredmedicalpractitioner(8).. Printednameofindependentregisteredmedicalpractitioner(8) (*deleteasappropriate) 23

24 Important notes: (1) Permanentlyincapable meansthatthepersonwas,morelikelythannot, incapableuntil,attheearliest,their65 th birthday. (2) Gainfulemployment meanspaidemployment(whetherinlocalgovernment orelsewhere)fornotlessthan30hoursineachweekforaperiodofnotless than12months.itdoesnothavetobeemploymentthatiscommensuratein termsofpayandconditionswiththatoftheperson sformeremployment. (3) Theindependentregisteredmedicalpractitionersigningthecertificatemust havebeenapprovedforthispurposebythepensionfundadministering authority. (4) IfBoxB2isticked,theformeremployercandeterminetoawardanenhanced (2 nd tier)illhealthpension,payablefromthedateoftheirdetermination. (5) IfBoxB3isticked,the3 rd tierillhealthpensionwillceasetobepayable. (6) IfBoxB4isticked,the3 rd tierillhealthpensionwillcontinueinpaymentbut thecaseistobereferredbacktotheindependentmedicalpractitioneratthe timeindicatedbytheindependentmedicalpractitionerforafurtherreview (unlessthepensionisstoppedbeforethenuponthepersonobtaininggainful employment). (7) Theindependentregisteredmedicalpractitionerisprovidinganopinionon theperson scapabilityofobtaininggainfulemploymentbasedsolelyonthe effectthemedicalconditionhasontheabilitytoundertakegainful employment. (8) Theindependentregisteredmedicalpractitionersigningthecertificatedoes nothavetobeadifferentindependentmedicalpractitionertotheonewho originallycertifiedtheschememember spermanentincapacityatthedateof leavingi.e.thesamepractitionercansignthiscertificatetoo. 24

25 Example 3 rd Tier Ill Health Retirement Review Certificate for a Suspended 3 rd Tier Pensioner England and Wales Review Taking Place Within 3 Years of Original Date of Leaving Medical certificate to be provided by an independent, approved, duly qualified registered medical practitioner in accordance with regulations 20 and 31 of the Local Government Pension Scheme (Benefits, Membership and Contributions) Regulations 2007 (as amended) in respect of a 3 rd tier pensioner whose pension is currently suspended and the review is taking place within 3 years of the original date of leaving. Part A: To be completed by the employer Surnameofemployee: Forenames: Mr/Mrs/Miss/Ms* Dateofbirth: NINumber: Homeaddress: FormerEmployer: Formerposition(posttitle): Natureofformeremployment(jobdescriptionattached): Dateofcessationofformerposition: Dateofapplicationforreviewand/orearlypaymentofbenefits: Thepersonnamedabovewas,atthedateofcessationoftheirformerposition, certifiedasbeing,onthebalanceofprobabilities,permanentlyincapable(1)of dischargingefficientlythedutiesofhis/heremploymentwithhis/heremployer becauseofillhealthorinfirmityofmindorbody,andthat,althoughhavinga reducedlikelihoodofbeingcapableofobtainingothergainfulemployment(2), whetherinlocalgovernmentorelsewhere,beforeage65,itwasneverthelessfelt likelythathe/shewouldbecapableofobtaininggainfulemployment(2)within3 yearsofthedateofcessationofemployment.he/shewasawardedashort-term, reviewable,3 rd tierpension.thepensionwassubsequentlysuspendedonthe groundsthathe/shehadobtained,orhadbecomecapableofobtaining,gainful employment(2)within3yearsofthedateofcessation.thepersonhasnow requestedafurtherreview(within3yearsofthedateofcessationofemployment) claimingthattheirpositionhaschangedandtheyarenolongercapableofobtaining (6)gainfulemployment(2) within3yearsofthedateofcessation. (*deleteasappropriate) 25

26 Part B: To be completed by the approved (3)registered medical practitioner. Please tick appropriate boxes. Please tick either B1 or B2 (4) Icertifythat,inmyopinion,havingconsideredtheillhealthorinfirmitythat originallyledtotheterminationoftheemploymentofthepersonnamedinparta, thatperson B1: IS STILL B2:IS NO LONGER, due to THAT condition capableofobtaining(6)gainfulemployment(2)withinthreeyearsofthedateof leavingshowninparta. If B1 has been ticked please tick either B3 or B4 (4) Icertifythat,inmyopinion,thepersonnamedinPartA B3: WAS(5) B4:WAS NOT atthedateofapplicationforearlypaymentofbenefitsshowninparta,andonthe balanceofprobabilities,permanentlyincapable(1),becauseofillhealthorinfirmity ofmindorbody,ofdischargingefficientlythedutiesofhis/herformeremployment. If B3 has been ticked, please tick B5 or B6 (4) Icertifythat,inmyopinion,thecurrentillhealthorinfirmityofthepersonnamedin PartA B5: IS B6: IS NOT likelytopreventhim/herfromobtaining(6)othergainfulemployment(2),whether inlocalgovernmentorelsewhere,withinthreeyearsofthedateofapplication showninpartaor,ifearlier,beforeage65. If B5 has been ticked and the person named in Part A is under age 55 at the date of application shown in Part A, please tick B7 or B8 Icertifythat,inmyopinion,thepersonnamedinPartA B7:WAS B8: WAS NOT atthedateofapplicationforearlypaymentofbenefitsshowninparta, permanentlyincapablebyreasonofdisabilitycausedbyphysicalormentalinfirmity ofengaginginany regularfull-timeemployment.(note:theanswerisusedto determinewhetherthepensionshouldbeimmediatelyincreasedunderpensions Increaselegislation). 26

27 General statement Ido/donot*attachacopyofmyfullreport/assessmentandIcertifythat: Iholdadiplomainoccupationalhealthmedicine(DOccMed)oranequivalent qualificationissuedbyacompetentauthorityinaneeastate,whichhasthe meaninggivenbythegeneralandspecialistmedicalpractice(education,training andqualification)order2003,oriamanassociate,amemberorafellowofthe FacultyofOccupationalMedicineorofanequivalentinstitutioninanEEAState AND IhavegivendueregardtotheguidanceissuedbytheSecretaryofStatewhen completingthiscertificate. Date: Signatureofindependentregisteredmedicalpractitioner(7).. Printednameofindependentregisteredmedicalpractitioner(7) (*deleteasappropriate) Important notes: (1) Permanentlyincapable meansthatthepersonwas,morelikelythannot, incapableuntil,attheearliest,their65 th birthday. (2) Gainfulemployment meanspaidemployment(whetherinlocalgovernment orelsewhere)fornotlessthan30hoursineachweekforaperiodofnotless than12months.itdoesnothavetobeemploymentthatiscommensuratein termsofpayandconditionswiththatoftheperson sformeremployment. (3) Theindependentregisteredmedicalpractitionersigningthecertificatemust havebeenapprovedforthispurposebythepensionfundadministering authority. (4) IfBoxB2isticked,theformeremployercandeterminetoawardan enhanced(2 nd tier)illhealthpension,payablefromthedateoftheir determination.indecidingwhetherthepersonmeetsthecriterionforboxb2, theindependentregisteredmedicalpractitionermustassesswhether,inhis/ heropinion,thepersonisnolongercapableofobtaining(6)gainful employment(2)withinthreeyearsofthedateofleavingshowninpartaof theformpurely as a result of the condition that had originally led to the termination of their employment. Ifthepersonis: - stillcapableofobtaining(6)gainfulemployment(2)withinthreeyears ofthedateofleavingshowninparta,or - nolongercapableofobtaining(6)gainfulemployment(2)withinthree yearsofthedateofleavingshowninpartaoftheformbut this is due to a condition beyond that which had originally led to the termination of their employment thenboxb1shouldbeticked. 27

28 IfBoxB1isticked,thesuspended3 rd tierpensionwillnot bebroughtback intopayment. However,ifBoxB1isticked,theindependentregisteredmedicalpractitioner shouldthenconsiderthequestionsatb3/b4.thisisbecause,asboxb1has beenticked,thesuspendedpensioncanbetreatedasifitwereadeferred pensionandbebroughtintopaymentatanunenhancedrateifthescheme memberispermanentlyincapable(1),becauseofillhealthorinfirmityof mindorbody,ofdischargingefficientlythedutiesofhis/herformer employmentandisnotcapableofobtaining(6)gainfulemployment(2) withinthreeyearsofthedateofapplicationshowninpartaor,ifearlier, beforeage65but the reason they are no longer capable is due to a condition beyond that which had originally led to the termination of their employment, (i.e. it is not purely due to the condition that had originally led to the termination of their employment), in whichcase theindependentregisteredmedicalpractitionerwouldtickboxesb3andb5. IfBoxB6isticked,thesuspendedpensionwillnotbebroughtbackinto payment(neitherasa3 rd tierpensionnorasadeferredpensioninto payment). (5) ItishighlyunlikelythatBoxB3wouldnotbetickedgiventhatapersonwitha suspended3 rd tierillhealthpensionwillalreadyhavebeenassessed,priorto theiremploymentbeingterminated,asbeingpermanentlyincapable,because ofillhealthorinfirmityofmindorbody,ofdischargingefficientlytheduties ofhis/herformeremployment. (6) Theindependentregisteredmedicalpractitionerisprovidinganopinionon theperson scapabilityofobtaininggainfulemploymentbasedsolelyonthe effectthemedicalconditionhasontheabilitytoundertakegainful employment. (7) Theindependentregisteredmedicalpractitionersigningthecertificatedoes nothavetobeadifferentindependentmedicalpractitionertotheonewho originallycertifiedtheschememember spermanentincapacityatthedateof leavingi.e.thesamepractitionercansignthiscertificatetoo. 28

29 Distribution sheet Chiefexecutivesoflocalauthorities Pensionmanagers(internal)ofadministeringauthorities Pensionmanagers(outsourced)andadministeringauthorityclientmanagers Officeradvisorygroup LocalGovernmentPensionsCommittee Tradeunions CLG COSLA SPPA RegionalDirectors Privateclients Website VisittheLGE swebsiteat: Copyright CopyrightremainswithLocalGovernmentEmployers(LGE).ThisCircularmay bereproducedwithoutthepriorpermissionoflgeprovideditisnotusedfor commercialgain,thesourceisacknowledgedand,ifregulationsarereproduced, thecrowncopyrightpolicyguidanceissuedbyopsiisadheredto. Disclaimer TheinformationcontainedinthisCircularhasbeenpreparedbytheLGPC Secretariat,apartofLGE.ItrepresentstheviewsoftheSecretariatandshould notbetreatedasacompleteandauthoritativestatementofthelaw.readers maywish,orwillneed,totaketheirownlegaladviceontheinterpretationof anyparticularpieceoflegislation.noresponsibilitywhatsoeverwillbeassumed bylgeforanydirectorconsequentialloss,financialorotherwise,damageor inconvenience,oranyotherobligationorliabilityincurredbyreadersrelyingon informationcontainedinthiscircular.whilsteveryattemptismadetoensure theaccuracyofthecircular,itwouldbehelpfulifreaderscouldbringtothe attentionofthesecretariatanyperceivederrorsoromissions.pleasewriteto: LGPC LocalGovernmentHouse SmithSquare London SW1P3HZ tel fax