Update on my research into this:
there's been some sly updates to the DWP medical conditions guidance and previously some of those that mandated assessment by doctor no longer do so. Head injury is one such example - I checked recently. CFS/ME no longer mandates neurological assessment or even assessment by a doctor, which it did up to DWP guidance amendment in June.
This is the website I got the info from - it's the public DWP guidance for a range of medical conditions:
http://www.dwp.gov.uk/publications/specialist-guides/medical-conditions/a-z-of-medical-conditions/
I asked the DWP by email: "I wonder if you could please let me know what amendments were made to this page in June?
http://www.dwp.gov.uk/publications/...-medical-conditions/chronic-fatigue-syndrome/" Their answer: "I can advise that there wasn't an amendment to the actual page content - the amendment relates to general changes made by our technical people to the presentation of all the guidance in the A-Z of Medical Conditions web pages. The content of the Chronic Fatigue Syndrome guidance therefore remains unchanged."
At the benefitsandwork forum I asked whether the A to Z had formerly said that certain conditions were mandated for assessment by a doctor. The mod replied: “as far as I am aware this information has never been used in regard to what level of HCP is required to perform an ESA assessment for any given condition, this seems to be down to a couple of lists included in the contract between ATOS and the DWP, that were revealed by a Freedom of Information request some time ago”
The lists mentioned by the mod are in a DWP document called
"Neurological Condition List by Practitioner Type". The document is subject to revision. People often ask for the document in a FOI request, so although the DWP never announces when it has been revised, the latest version quickly finds its way on to whatdotheyknow.com. We're now on version 5. It was supplied in
this answer on June 24. Here are the lists:
I emailed the 'only for doctors' list to ATOS and asked if it was still current, and much to my surprise they confirmed that it is.
I'm certain that the DWP A to Z has never said which conditions mandate a doctor. In fact no government site has ever provided such info to the public. If it had it would have been referenced in a great many forums and blogs. There would have been no need for the many FOI requests about it. And if FOI requests had been made, the answers would have said “the DWP is not obliged to answer your question because the information is publicly accessible on the DWP site.” That's how the FOIA works.
An important point about the lists is in the intro on p.4 of the DWP doc: "The lists are
not exhaustive." (Their emphasis.)
What this means in practice is that a neurological condition not on the list can still get you a real doctor for your WCA. CFS/ME has never been on the list, but some CFS/ME sufferers,
including me, have had a real doctor. My medical was in August last year. I don't know why I was allocated a doctor. I haven't found any info about that part of the DWP decision process. Perhaps my CFS appeared complex because I've been diagnosed at a CFS clinic. Perhaps it's because I have several comorbid conditions. Perhaps if you mention a particular symptom on the ESA50 you get put in the 'complex neurological' pile. All I know for certain is that the people at the ATOS centre were instructed that I had to see a doctor. Maybe the answer is in a FOI request which I haven't read yet. There are so many of them....ATOS is mentioned in 400+.