Medical guidance for DLA and AA decision makers (adult cases), Exams of Learning disability

Download Medical guidance for DLA and AA decision makers (adult cases) and more Exams Learning disability in PDF only on Docsity! Medical guidance for DLA and AA decision makers (adult cases): staff guide Medical guidance for DWP staff who make decisions on adult cases for Disability Living Allowance and for Attendance Allowance. This guide is sometimes referred to by staff as the “A to Z of medical conditions”. A-Z of medical conditions This medical guidance covers medical conditions for adults. It’s for Disability Living Allowance and Attendance Allowance Decision Makers has been developed by the Department's Health and Wellbeing Directorate with help from experts involved in patient care. It contains background information on the more common medical conditions in DLA/AA claims, their treatment, the likely disabling effects together with the likely impact on ability to self care and get around. This guide is for staff who deal with claims for DLA and AA. It covers only the most common conditions they encounter – not all medical conditions. Decision Makers are advised to discuss with the Departments Medical Services provider if necessary. A-Z A | B | C | D | E | F | G | H | I | J | K | L | M | N | O | P | Q | R | S | T | U | V | W | X | Y | Z A Look up Condition Achondroplasia / Restricted growth NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Acne vulgaris NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Acromegaly NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Acquired Immune Deficiency Syndrome (AIDS / Symptomatic HIV) HIV / AIDS ADD NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Addison’s disease NHS Choices and Decision Makers are advised to discuss Angioedema NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Angina Ischaemic Heart Disease Ankle and foot disorders: Claw/Hammer toes Claw/Hammer toes Club foot (Talipes) NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Flat feet (Fallen arches) NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Forefoot pain (Metatarsalgia) Metatarsalgia Hallux rigidus / valgus (Bunion) NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Plantar Fasciitis Plantar Fasciitis Ankle and foot disorder – Other / type not known Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Ankylosing spondylitis Back Pain (Specific) Anorectal abscess NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Anorexia nervosa Eating Disorders Antiphospholipid syndrome (Hughes syndrome) NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Anxiety and depressive disorder - mixed Anxiety Disorders / Depressive Illness Anxiety disorders: Agoraphobia Anxiety Disorders Generalised anxiety disorder Panic disorder Social phobia Specific phobias Anxiety disorder – Other / type not known Anus / Rectum – Diseases of: Anorectal abscess NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Fistula in anus NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Haemorrhoids (Piles) NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Rectal prolapse Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Anus / rectum disease of - Other / type not known Aortic aneurysm Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Aortic valve disease Valvular Heart disease Aplastic anaemia Anaemia Apraxia Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Arterial disease (excluding coronary) – Other / type not known Peripheral Vascular Disease Arthritis: Ankylosing spondylitis Back Pain (Specific) Generalised Osteoarthritis / Arthritis Osteoarthritis Osteoarthritis - hip Osteoarthritis - knee Osteoarthritis - other single joints Still’s disease (Adult onset) Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Inflammatory arthritis: Polyarthritis Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Psoriatic arthritis Reactive arthritis/reiters syndrome NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Rheumatoid arthritis Rheumatoid Arthritis Inflammatory arthritis – Other / type not known • Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Arthrogryposis Arthropathy Asbestosis NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Ascites Liver Failure Asperger syndrome Autistic Spectrum Disorder Asthma Asthma Ataxias: Friedrich’s ataxia B Look up Condition B12 (Pernicious) folate deficiency anaemia Anaemias Back pain – Non specific (Mechanical) Back Pain (Mechanical) Back pain – Specific: Ankylosing Spondylitis Back Pain (Specific) Cauda equina Dislocation Back Pain (Specific) / Dislocation Intervertebral disc disorders Back Pain (Specific) Kyphosis Lordosis Lumbar disc lesion Lumbar spondylosis (OA spine) Schuermann’s disease Scoliosis Spinal osteochondrosis Spinal stenosis Spondylolisthesis Vascular & nerve compression Vertebral subluxation • Specific back pain – Other / type not known Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Bacterial Diseases: Tuberculosis NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Bacterial disease – Other / type not known Decision Makers are advised to discuss with the Departments Medical Services provider if necessary BDD (Body dysmorphic disorder) Becker type muscular dystrophy Muscular Dystrophy guidance note Bedwetting (Enuresis) Bladder & Urinary tract disorders Behcet’s disease NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Bell’s Palsy NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Benign Tumours: Bone tumour - benign Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Brain tumour - benign Brain tumour Fibroadenoma – benign breast lump NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Gastrointestinal tract tumours - benign Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Neurofibromatosis NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Tuberous Sclerosis NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Benign tumour – Other / type not known Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Bipolar affective disorder – Hypomania / Mania Bipolar Disorders Bladder Calculus (Stone) Bladder & Urinary tract disorders Bladder Incontinence: Stress incontinence Bladder & Urinary tract disorders Urge incontinence Urinary overflow Other / type not known (not Enuresis/Bedwetting) Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Bladder/Penis/Prostate/Testes/Urethra diseases: Benign prostatic hypertrophy Bladder & Urinary tract disorders Bladder calculus (Bladder stone) Blockage / stricture of the Urethra Enlarged prostate Buerger’s disease Peripheral Vascular disease Bulimia nervosa Eating Disorders Bullous (Skin) Disease: Dermatitis herpetiformis Skin disease guidance note Epidemolysis bullosa Pemphigoid (Blister) NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary. Pemphigus vulgaris NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Bullous disease – Other / type not known Skin disease guidance note Burns NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Bursitis NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Back to A - Z C Look up Condition Calcium deficiency Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Cancers of the adrenal gland: Neuroblastoma NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Cancers of the bone: Angiosarcoma NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Chondrosarcoma Ewing’s sarcoma NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary. Fibrosarcoma NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Giant cell tumour - malignant Osteosarcoma Bone cancer – Other / type not known NHS Choices / CancerHelp UK and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Sarcoma – Other / type not known Cancer of the brain and spinal cord Brain Tumours / CancerHelp UK Cancer of the breast Breast cancer Cancers of Gastrointestinal tract: Bowel cancer including -: • Caecal cancer • Colon cancer • Sigmoid cancer Bowel cancer • Rectal cancer • Anal cancer Liver cancer NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Mouth/Tongue cancer Oral Cancer Oesophagus - cancer Oesophageal cancer Pancreatic cancer Pancreatic cancer Stomach cancer Stomach cancer Gastrointestinal tract cancer – Other / type not known CancerHelp UK Cancers of Genitourinary tract: Bladder cancer Bladder Cancer Cervical cancer Cervical cancer Endometrial (Uterus/Womb) cancer Endometrial cancer Kidney cancer Kidney cancer Ovarian cancer Ovarian cancer Prostate cancer Prostate cancer Testicular cancer Testicular cancer Genitourinary tract cancer – Other / type not known CancerHelp UK Cancers of Haematological system: Hodgkin lymphoma Hodgkin Lymphoma Leukaemia lymphoblastic - acute Acute Lymphoblastic Leukaemia (ALL) Leukaemia lymphocytic - chronic Chronic Lymphoblastic Leukaemia (CLL) Leukaemia myeloid - acute Acute myeloid Leukaemia (AML) Leukaemia myeloid - chronic Chronic myeloid Leukaemia (CML) Cataplexy Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Cauda Equina Specific back pain Cellulitis NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Cerebral aneurysm NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Cerebral Palsy: Cerebral palsy - Athetoid type Cerebral palsies in adults guidance note Cerebral palsy - Ataxic type Cerebral palsy – causing hemiparesis Cerebral palsy -Quadriplegia type Cerebral palsy - Diplegia type Cerebral palsy – Other / type not known Cerebrovascular accident - (CVA) Stroke Stroke Cerebrovascular disease: Cerebrovascular accident (CVA) Stroke Transient ischaemic attack (TIA) Cerebrovascular disease – Other / type not known Cervical disc lesion Painful Neck guidance note / NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Cervical dystonia / Torticollis Dystonia Cervical spondylosis Painful Neck guidance note / NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Cervix – Other disease of / type not known Decision Makers are advised to discuss with the Departments Medical Services provider if necessary CFS CFS/ME Charcot - Marie Tooth disease (syndrome) NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Chondromalacia / chondromalacia patella Chondromalacia patella Choroiditis (Posterior uveitis) Visual Impairment-Adult Christmas disease (Haemophilia B) Bleeding Disorders Chromosomal syndrome - other type / not known (i.e. where more than one system is affected) Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Chronic bronchitis COPD Chronic fatigue syndrome (CFS) CFS/ME Chronic hepatitis: Autoimmune hepatitis Viral Hepatitis Non alcoholic steatohepatitis (NASH) Liver Failure Chronic hepatitis – Other / type not known Viral Hepatitis Chronic obstructive airways Disease (COAD) COPD Chronic obstructive pulmonary Disease (COPD) Chronic pain syndromes: Chronic fatigue syndrome (CFS) CFS/ME Fibromyalgia NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Chronic pain syndrome – Other / type not known e.g. Reflex Sympathetic Dystrophy also known as Complex Regional Pain Syndrome Work Related Upper Limb Disorder (WRULD) / NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Chronic suppurative otitis media Chronic Suppurative Otitis Media Cirrhosis: Cirrhosis - Alcohol induced Cirrhosis Cirrhosis - Autoimmune Cirrhosis – Other / type not known i.e. Drug - induced Cirrhosis Drug - induced liver disease CJD Organic Brain Disorders Claudication Peripheral Vascular Disease Claw / Hammer toes Claw / Hammer toes Cleft lip / Cleft palate NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Clotting disorder – Other / type not known Bleeding Disorders Club foot (Talipes) NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary COAD COPD Coarctation of the aorta NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Coeliac disease NHS Choices and Decision Makers are advised to discuss Patent ductus arteriosus (PDA) Ventriculoseptal defect (VSD) Congenital heart disease – Other / type not known Congenital malformation of the heart – Other / type not known Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Noonan syndrome Non specific valve problems Conjunctiva/Cornea/Eyelids/Lacrimal apparatus diseases: Corneal ulceration Visual Impairment-Adult Entropion Herpes zoster - ophthalmic Keratitis Keratoconus Orbital cellulitis Ptosis Scleritis Conjunctiva/cornea/eyelids/lacrimal apparatus disease of – Other / type not known Constipation NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Conversion disorder (Hysteria) Somatoform Disorders COPD COPD Cranial dystonia Dystonia Creutzfeldt - Jacob disease (CJD) / Variant Creutzfeldt - Jacob disease (vCJD) Organic Brain Disorders Crohn’s disease/Colitis Crohn’s disease Crystal deposition disorders: Gout Gout Pseudogout Crystal deposition disorder – Other / type not known CSOM Chronic Suppurative Otitis Media Cushing’s syndrome NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary CVA Stroke Cystic fibrosis NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Cystitis Bladder & Urinary tract disorders Back to A - Z D Look up Condition Deaf /Blind deeming provision (DLA Only) Hearing Impairment in Adults and Visual Impairment-Adult Deafness Hearing Impairment in Adults Deep vein thrombosis (DVT) Venous disorders Degenerative neuronal diseases: Motor neurone disease Motor neurone disease Degenerative neuronal disease – Other / type not known Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Delirium Organic Brain Disorders Dementia Pre – Senile Dementia Senile Dementia Vascular Dementia Dementia with Lewy bodies (DLB) Depressive disorder and Anxiety - mixed Anxiety Disorders Depressive Illness Depressive disorder / Depression Depressive Illness Dermatitis herpetiformis Skin disease guidance note Dermatomyositis Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Developmental Coordination disorder also known as Dyspraxia NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Diabetes insipidus NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Dystrophia myotonica Muscular Dystrophy guidance note Back to A - Z E Look up Condition Eating disorders: Anorexia nervosa Eating disorders Bulimia nervosa Obesity Obesity Eating disorder not otherwise specified (EDNOS) Eating disorders Eczema – dermatitis type Eczema Eczema – varicose type Venous disorders EDNOS Eating disorders Ehlers-Danlos syndrome NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Ehlers-Danlos syndrome (Hypermobility type) Joint Hypermobility/Joint Hypermobilty syndrome guidance note Elastic tissue – Other disorder of / type not known Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Elbow disorders: Golfer’s elbow (Medial epicondylitis) Tennis/Golfer’s Elbow Tennis elbow (Lateral epicondylitis) Elbow disorder – Other / type not known Work Related Upper Limb Disorder (WRULD) / NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Emphysema COPD Empyema NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Encephalitis Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Enchondromatosis Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Encopresis (Faecal soiling) NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary. Endocarditis NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Endocrine disease – Other / type not known Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Endometriosis Endometriosis Enuresis (Bedwetting) Bladder and Urinary Tract disorders Epidemolysis bullosa Skin disease guidance note Epilepsy: Generalised seizure (with status epilepticus in last 12 months) • Absence seizure (Petit mal) • Atonic seizure • Clonic seizure • Myoclonic seizure • Tonic seizure • Tonic-clonic seizure (Grand mal) primary or secondary Epilepsy Generalised seizure (without status epilepticus in last 12 months) with the Departments Medical Services provider if necessary Fibromyalgia NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Fibrosing alveolitis Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Fistula - anal NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Food intolerance NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Foot disorder – Other / type not known Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Forefoot pain (Metatarsalgia) Metatarsalgia Fracture complications: Compartment syndrome (Volkmann’s ischaemia) Compartment Syndrome Sudek’s atrophy Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Fracture complication – Other / type not known Fractures Fractures/Sprains/Injuries/Dislocations: Lower limb - Fracture/Injuries/Dislocation of Fractures / Sprain / Dislocation / Rupture of tendon Pelvis - Fracture/Injuries/Dislocation of Spine - Fracture/Injuries/Dislocation of Thorax - Fracture/Injuries/Dislocation of Upper limb - Fracture/Injuries/Dislocation of Multiple - Injury/Fracture/Dislocation Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Fragile X syndrome Learning Disability Frailty Frailty Friedrich’s ataxia NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Fronto-temporal dementia (Pick’s disease) Organic Brain disorders Frozen shoulder (Adhesive capsulitis) Work Related Upper Limb Disorder (WRULD) / NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Back to A - Z G Look up Condition G6PD (Glucose 6 phosphate dehydrogenase deficiency) Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Gallbladder & Biliary tract diseases: Gallstone Gallstones Gallbladder & Biliary tract disease - Other / type not known Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Duodenal/Gastric/Peptic ulcer/Gastritis Dyspeptic Disorders Gastro - Oesophageal reflux disease (GORD) Other diseases/disorders of the gastrointestinal tract: Attention to colostomy / ileostomy / stoma – diagnosis not known Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Gastrointestinal tract disease – Other / type not known Gastrointestinal tract tumour - benign Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Generalised anxiety disorder Anxiety Disorders Generalised dystonia Dystonia Generalised epileptic seizure (with status epilepticus in last 12 months) Epilepsy Generalised epileptic seizure (without status epilepticus in last 12 months) Generalised osteoarthritis / Arthritis Osteoarthritis H Look up Condition Haemochromotosis NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Haemolytic disorders: Sickle cell anaemia Sickle Cell Anaemia Hereditary spherocytosis Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Thalassaemia Thalassaemia Haemolytic disorder – Other / type not known Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Haemophilia A Bleeding Disorders Haemophilia B (Christmas disease) Haemorrhoids (Piles) NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Hallux rigidus / valgus (Bunion) NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Hammer / Claw toes Claw / Hammer toes Hand/Wrist disorder – Other / type not known Work Related Upper Limb Disorder (WRULD) / NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Trigger finger or thumb Vibration induced white finger Head injuries: Head injury – causing cognitive impairment Organic Brain Disorders Head injury – causing cognitive & sensorimotor impairment Head injury – causing sensorimotor impairment Headaches: Headache (Temporal arteritis) Temporal Arteritis Migraine Migraine Headache – Other causes of / cause not known NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Hearing disorders Conductive hearing loss: Otitis Media with effusion (OME) previously known as Chronic Secretory Otitis Media Hearing Impairment in Adults Chronic suppurative otitis media Chronic suppurative otitis media Conductive hearing loss due to Trauma Hearing Impairment in Adults Mastoiditis Mastoiditis Otitis externa - chronic Hearing Impairment in Adults Otosclerosis Conductive hearing loss - Other causes of / type not known Mixed hearing loss: Hearing loss - mixed Hearing Impairment in Adults Sensorineural hearing loss: Congenital deafness / Pre lingual Hearing Impairment in Adults Labyrinthitis Menieres disease Presbyacusis Sensorineural hearing loss due to Trauma Sensorineural hearing loss - Other causes of / type not known Hearing & balance - Disease affecting , hearing & balance: Tinnitus Hearing Impairment in Adults Vertigo NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary • Hearing & balance - Disease affecting , hearing & balance - Other diseases affecting / type not known Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Heart and Lung transplantation Heart failure Heart attack / Myocardial infarction Ischaemic Heart Disease Heart block Cardiac Arrhythmias Heart disease (Congenital) – Other / type not known Ischaemic Heart Disease Heart / Cardiac Failure Heart failure Heart transplantation Heart failure Helicobacter Pylori Infection Dyspeptic disorders Hemifacial spasm Dystonia Hemiparesis type cerebral palsy Cerebral palsies in adults guidance note Hepatic encephalopathy Liver failure Hepatitis - Autoimmune Viral Hepatitis Hepatitis B & D infection Hepatitis C infection Hypersensitivity diseases - Other / type not known Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Hypertension Hypertension Hyperthyroidism (Thyrotoxicosis) Thyroid Gland Disorders Hypomania / Mania – Bipolar affective disorder Bipolar Disorders Hypoparathyroidism Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Hypothalamic & Pituitary diseases: Acromegaly NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary. Diabetes insipidus NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Growth hormone deficiency NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary. Prolactinoma Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Sheehan’s Syndrome Hypothalamic & Pituitary disease – Other / type not known Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Hypothyroidism (Myxoedema) Thyroid Gland Disorders Hysteria (Conversion disorder) Somatoform Disorders Back to A - Z I Look up Condition IBS Irritable Bowel Syndrome Idiopathic intracranial hypertension (IIH) Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Idiopathic thrombocytopaenic purpura (ITP) Decision Makers are advised to discuss with the Departments Medical Services provider if necessary IHD Ischaemic Heart Disease IIH Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Immune system – Other disease of / type not known Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Impetigo Skin disease guidance note Inborn errors of metabolism: Amino acid metabolism – disorder of Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Carbohydrate metabolism – disorder of Hurlers syndrome / disease Inborn errors of metabolism – Other / type not known Incontinence (not Enuresis/Bedwetting) – Other / type not known Bladder & Urinary Tract Disorders Incontinence - stress Incontinence - urge Infectious disease – Other / type not known Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Inflammatory arthritis: Ankylosing spondylitis Specific Back Pain Still’s disease (Adult onset) Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Psoriatic arthritis Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Reactive arthritis NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary. Rheumatoid arthritis Rheumatoid Arthritis Inflammatory arthritis - Other / type not known Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Inflammatory bowel disease: Crohn’s disease Crohn’s disease Ulcerative colitis Ulcerative Colitis Inflammatory rash – Other / type not known Skin disease guidance note Interstitial nephritis Kidney Disorders Iritis (Anterior uveitis) Visual Impairment-Adult Iron deficiency anaemia Anaemias Irritable bowel syndrome (IBS) Irritable Bowel Syndrome Ischaemic heart disease (IHD) / Coronary artery disease (CAD): Angina Ischaemic Heart Disease Myocardial infarction Ischaemic heart disease – Other / type not known Osgood schlatters disease Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Osteochondritis dissecans Recurrent patellar dislocation Dislocation Knee disorder – Other / type not known Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Kyphosis Back Pain (Specific) Back to A - Z L Look up Condition Labyrinthitis Hearing Impairment in Adults Lacrimal apparatus – Other disease of / type not known Adult – Visual Impairment Lateral epicondylitis (Tennis elbow) Tennis/Golfer's elbow Learning disabilities (General): ADD / ADHD NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Down’s syndrome Learning Disability Foetal Alcohol syndrome Fragile X syndrome Global Developmental delay Prader-Willi syndrome Speech & Language delay Sturge-Weber syndrome Tay-Sachs syndrome Turner’s syndrome Trisomy syndromes Learning disability – Other / type not known • Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Learning disorders (Specific): Dyslexia NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary • Dysphasia Decision Makers are advised to discuss with the Departments Dysphonia Medical Services provider if necessary Dyspraxia - also known as Developmental coordination disorder NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Stammer / Stutter NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Specific learning disorder – Other / type not known Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Leg ulcer - arterial Peripheral Vascular Disease Leg ulcer - venous Venous disorders Ligamentous instability of the knee Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Limb girdle muscular dystrophy Muscular Dystrophy guidance note Lipoma Lipoma Liver failure: Ascites Liver Failure Hepatic encephalopathy Liver transplantation Peritonitis NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary • Features of liver failure – Other / features not known i.e. Drug - induced Liver Cirrhosis / Drug - induced Long sightedness (Hypermetropia) Visual Impairment-Adult Lower limb(s) – Amputation of Amputation of limbs with the Departments Medical Services provider if necessary Rickets NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Other metabolic and endocrine disorders of musculoskeletal system Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Metabolic red cell disorders: Glucose 6 phosphate dehydrogenase (G6PD) deficiency Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Metabolic red cell disorders – Other / type not known Metatarsalgia (Forefoot pain) Metatarsalgia Migraine Migraine Mitral valve disease Valvular Heart disease Mixed anxiety and depressive disorder Anxiety Disorders / Depressive Illness Mixed hearing loss Hearing Impairment in Adults Mood disorders: Bipolar Disorder Bipolar affective disorder – Hypomania / Mania Depressive disorder Depressive Illness Mood disorder - Other / type not known Motor neurone disease Motor Neurone Disease Movement disorders (Neurological): Blepharospasm Dystonia Essential tremor - benign NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Huntington’s disease Organic Brain Disorders Parkinson’s disease Parkinson's disease Parkinson’s syndrome / Parkinsonism Torticollis Dystonia Tourette syndrome NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Writer’s cramp Dystonia Movement disorder – Other / type not known Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Multisystem and extremes of age: Chromosomal syndrome - other type / not known (i.e. where more than one system is affected) Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Old age (Ageing) Ageing Multiple Chemical Sensitivity Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Multiple sclerosis (MS) Multiple Sclerosis Munchausen syndrome NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Muscle disease: Dermatomyositis Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Dystrophia myotonica Muscular Dystrophy guidance note Myasthenia gravis Myasthenia Gravis Polymyositis Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Spinal muscular atrophy NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Muscle disease – Other / type not known • Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Muscular Dystrophy: Becker type muscular dystrophy Muscular Dystrophy guidance note Duchenne muscular dystrophy Facioscapulohumeral dystrophy Limb girdle muscular dystrophy Muscular dystrophy – Other / type not known Musculoskeletal disease regional / localised - Other / type not known Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Myalgic Encephalomyelitis (ME) CFS/ME Myasthenia gravis Myasthenia Gravis Myocardial infarction/heart attack Ischaemic Heart Disease Myotonic Dystrophy (Dystrophia myotonica) Muscular Dystrophy guidance note Myxoedema (Hypothyroidism) Thyroid Gland Disorders Back to A - Z Non epileptic attack disorder (Pseudoseizure) Epilepsy Stokes Adams attack (Cardiovascular syncope) Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Syncope (Faint) Other / type not known Fainting Non epileptic disturbances of consciousness - Other / type not known Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Non-specific (Mechanical back pain) Back Pain (Mechanical) Noonan syndrome Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Nystagmus Visual Impairment-Adult Back to A - Z O Look up Condition OA spine(Spondylosis/Spondylitis) (if pathological/neurological changes present) Back Pain (Specific) Obesity Obesity Obsessive compulsive disorder (OCD) Obsessive Compulsive Disorder (OCD) OCD Oesophagus/Stomach & Duodenum diseases: Duodenal, Gastric & Peptic ulcer / Gastritis Dyspeptic disorders Hiatus hernia / Gastroesophageal Reflux disease (GORD) / Reflux oesophagitis Oesophageal varices Alcohol related disorders Oesophagus/Stomach & Duodenum disease of - Other / type not known Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Old Age (Ageing) Ageing Olliers disease Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Oral allergy syndrome Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Organic brain disorder Organic Brain disorders Oromandibular dystonia Dystonia Osgood schlatters disease Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Osteoarthritis: Osteoarthritis - hip(s) Osteoarthritis Osteoarthritis - knee(s) Osteoarthritis of other single joint Generalised osteoarthritis / Arthritis Osteochondritis Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Osteochondritis dissecans Osteochondromatosis /Olliers disease Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Osteogenesis imperfecta Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Osteomalacia NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Osteomyelitis NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Osteonecrosis Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Osteoporosis/Brittle bone disease Osteoporosis / Fractures Otitis externa – chronic Hearing Impairment in Adults Otitis Media with effusion (OME) Otosclerosis Ovarian cyst - benign NHS Choices and Decision Makers are advised to discuss Rosacea NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Urticaria Urticaria Papulosquamous and inflammatory rashes - Other / type not known Skin Disease guidance note Paraplegia - Traumatic Spinal Injury guidance note Parathyroid disease: Hyperparathyroidism Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Hypoparathyroidism Parathyroid disease – Other / type not known Parkinson’s disease Parkinson's disease Parkinson’s syndrome / Parkinsonism Partial epileptic seizure (with status epilepticus in last 12 months) Epilepsy Partial epileptic seizure (without status epilepticus in last 12 months) Patellar dislocation - recurrent Dislocation Patent ductus arteriosus (PDA) NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary PBC Primary Biliary Cirrhosis PDA (Patent ductus arteriosus) NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Pelvic inflammatory disease Pelvic Inflammatory Disease Pelvic Organ Prolapse -: Uterine NHS Choices and Decision Makers are advised to discuss Vaginal vault Cystocele Enterocele Rectocele with the Departments Medical Services provider if necessary Pelvis – Injury/Fracture/Dislocation of Dislocation / Sprain / Fractures / Rupture of tendon Pemphigoid (Blisters) NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Pemphigus vulgaris NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Penis disease of – other / type not known Bladder & Urinary tract disorders Peptic ulcer Dyspeptic Disorders Pericarditis NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Peripheral arterial disease: Atherosclerosis (Peripheral Vascular Disease / Claudication) Peripheral Vascular Disease Buerger’s disease Carotid artery stenosis Raynaud’s disease / phenomenon NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Renal artery stenosis Peripheral Vascular Disease Peripheral arterial disease (excluding coronary) - Other / type not known Peripheral nerve injury: Brachial plexus Peripheral nerve injury – Other / type not known Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Peripheral vascular disease (PVD) Peripheral Vascular Disease Peritonitis NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Pernicious (B12) folate deficiency anaemia Anaemias Personality disorder Personality Disorders Perthes disease Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Pervasive Development Disorder (PDD) Autistic Spectrum Disorder Phenylketonuria (PKU) NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Phlebitis Phlebitis Phobias: Social phobia Anxiety Disorders Specific phobia Pick’s disease (Fronto-temporal dementia) Organic Brain Disorders Pituitary disease: Acromegaly NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary • Prolactinoma Decision Makers are advised to discuss with the Departments Sheehan’s Syndrome Prolactinoma Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Prolapsed Intervertebral disc Specific Back Pain Prostate disease of – other / type not known Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Prostatic disease Bladder and Urinary Tract Disorders Protozoal disease: Malaria NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Protozoal disease – Other / type not known Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Pseudogout Gout Pseudoseizure (Non epileptic attack disorder) Epilepsy Psoriasis NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Psoriatic arthritis Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Psychotic disorders: Schizoaffective disorder Schizophrenia Schizophrenia Psychotic disorder – Other / type not known NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary PTSD Post Traumatic Stress Disorder Pulmonary embolism/Pulmonary heart disease Venous Disorders Pulmonary embolus Pulmonary fibrosis: Extrinsic allergic alveolitis Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Fibrosing alveolitis Pulmonary fibrosis – Other / type not known NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Pulmonary hypertension NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Pulmonary infiltration – Other / type not known Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Pulmonary valve disease Valvular Heart disease PVD Peripheral Vascular Disease Back to A - Z Q Look up Condition Quadriplegia /Tetraplegia - traumatic Spinal Injury guidance note Quadriplegia type cerebral palsy Cerebral palsies in adults guidance note Back to A - Z R Look up Condition Raynaud’s disease / phenomenon NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Reactive arthritis/reiters syndrome NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Rectal prolapse Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Rectum – other disease of / type not known Recurrent patellar dislocation Dislocation Reflex Sympathetic Dystrophy also known as Complex Regional Pain Syndrome Work Related Upper Limb Disorder (WRULD) / NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Reflux oesophagitis Dyspeptic disorders Renal artery stenosis Peripheral Vascular Disease Renal Dialysis (which fulfils the deeming provision criteria) Kidney Disorders Renal (Kidney) disease: Glomerulonephritis Kidney Disorders Interstitial nephritis Short-sightedness (Myopia) Visual Impairment-Adult Shoulder disorders: Adhesive capsulitis (Frozen shoulder) Work Related Upper Limb Disorder (WRULD) / NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Rotator cuff disorder Shoulder instability Shoulder disorders - Other / type not known Sickle cell anaemia Sickle Cell Anaemia Silicosis Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Sinusitis NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Sjogren’s syndrome NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Skin disease – other / type not known Skin Disease guidance note Skin infections: Cellulitis NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Impetigo NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Shingles (Herpes Zoster) Skin Disease guidance note Skin infection - Other / type not known • SLE SLE Sleep apnoea - obstructive NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Slipped upper femoral epiphysis Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Small bowel – diseases of: Coeliac disease NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Disease of small bowel - Other / type not known Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Social phobia Anxiety Disorders Somatoform & Dissociative disorders: Body dysmorphic disorder (BDD) Somatoform Disorders Conversion disorder (Hysteria) Dissociative disorder Other / type not known Dissociative Disorders Somatoform disorder - Other / type not known Somatoform Disorders Spasmodic dysphonia / laryngeal dystonia Dystonia Spastic diplegia Cerebral Palsies in adults guidance note Specific back pain – other / type not known Back Pain (Specific) Specific learning disorders -: Dyslexia NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Dysphasia Dysphonia Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Dyspraxia - also known as Developmental coordination disorder NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Stammer / Stutter NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Specific learning disorder – Other / type not known Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Specific phobia Anxiety Disorders Speech and Language delay Learning Disability Spina bifida NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Spinal cord compression: Paraplegia - traumatic Spinal Injury guidance note Tetraplegia/Quadriplegia - traumatic Syringomyelia / Syringobulbia Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Cause of spinal cord compression - Other / type not known Spinal muscular atrophy NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Spinal stenosis Back Pain (Specific) Spine – Injury/Fracture/Dislocation of Fractures / Sprain / Dislocation / Rupture of tendon Spondylolisthesis Specific Back Pain T Look up Condition Tachycardia Cardiac Arrhythmias Talipes (Club foot) NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Tardive dyskinesia Dystonia Tardive dystonia Temporal (Giant cell) arteritis (Headache) Temporal Arteritis Tendon lesions Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Tennis elbow (Lateral epicondylitis) Tennis/Golfer's elbow Tenosynovitis Work Related Upper Limb Disorder (WRULD) / NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Testes disease of – other / type not known Bladder & Urinary tract disorders Tetraplegia/Quadriplegia - Traumatic Spinal Injury guidance note Thalassaemia Thalassaemia Thoracic outlet syndrome Work Related Upper Limb Disorder (WRULD) / NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Thorax – Injury / Fracture / Dislocation of Fractures / Sprain / Dislocation / Rupture of tendon Thyroid diseases: Goitre Thyroid Gland Disorders Hyperthyroidism (Thyrotoxicosis) – including Graves disease Hypothyroidism (Myxoedema) Thyroid disease - Other / type not known Thyrotoxicosis (Hyperthyroidism) TIA Stroke Tinnitus Hearing Impairment in Adults Torn knee cartilage (Meniscal lesion) Torn Knee Cartilage Torticollis / cervical dystonia Dystonia Tourette syndrome NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Tracheo-oesophageal fistula/atresia Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Transient ischaemic attack (TIA) Stroke Tricuspid valve disease Valvular Heart disease Trigger finger or thumb Work Related Upper Limb Disorder (WRULD) / NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Tuberculosis NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Tuberous Sclerosis NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Tumours – Benign: Bone tumour – benign Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Brain tumour - benign NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Fibroadenoma – benign breast lump NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Gastrointestinal tract tumours - benign Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Neurofibromatosis NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Tuberous Sclerosis NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Benign tumour - Other / type not known Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Back to A - Z V Look up Condition Vagina – other disease of / type not known Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Valvular heart disease: Aortic valve disease Valvular Heart disease Mitral valve disease • Noonan syndrome Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Non specific valve problems Pulmonary valve disease Valvular Heart disease Tricuspid valve disease Congenital malformation of the heart - Other / type not known • • Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Varicose veins Venous disorders Variant Creutzfeldt-Jacob disease (vCJD) / Creutzfeldt- Jacob disease (CJD) Organic Brain Disorders Vascular dementia Vasculitis: Behcet’s disease NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Polyarteritis nodosa Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Polymyalgia rheumatica Polymyalgia Rheumatica Temporal arteritis (Headache) Temporal Arteritis Vasculitis - Other / type not known Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Peripheral Venous Disease: Deep vein thrombosis (DVT) Venous Disorders Phlebitis Post thrombotic syndrome Pulmonary embolism Superficial thrombophlebitis Varicose veins Venous ulcer Peripheral venous disease - Other / type not known Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Ventriculoseptal defect (VSD) NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Vertigo NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Vibration induced white finger Work Related Upper Limb Disorder (WRULD) / NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Viral diseases: Acquired Immune Deficiency Syndrome (AIDS / Symptomatic HIV) / Human Immunodeficiency Virus (HIV) HIV / AIDS Viral disease (excluding Hepatitis & Poliomyelitis) - Other / type not known Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Viral Hepatitis: Hepatitis B & D infection Viral Hepatitis Hepatitis C infection Hepatitis (Chronic) - other / type not known Visual disorders: Cataract Visual Impairment-Adult Diseases of conjunctiva, cornea, eyelids and lacrimal apparatus: Corneal ulceration Visual Impairment-Adult Entropion Herpes zoster - ophthalmic Keratitis Keratoconus Orbital cellulitis Ptosis Scleritis Conjunctiva, cornea, eyelids and lacrimal apparatus - Other diseases of / type not known Diseases of the retina and optic nerve: Diabetic retinopathy Visual Impairment-Adult Hypertensive retinopathy Macular degeneration Optic atrophy Optic neuritis Retinal artery occlusion Retinal detachment Retinal vein occlusion W Look up Condition Wernicke Korsakoff syndrome Alcohol misuse Whiplash injury Painful Neck guidance note Wilson’s disease Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Wrist / Hand disorders: Trigger finger or thumb Work Related Upper Limb Disorders (WRULD) / NHS Choices and Decision Makers are advised to discuss with the Departments Medical Services provider if necessary Vibration induced white finger Wrist / Hand disorder – Other / type not known Writer’s cramp Dystonia Back to A - Z What you need to know about Alcohol misuse Back to A - Z What is Alcohol misuse? Many people are able to keep their drinking within the recommended limits of alcohol consumption, so their risk of alcohol-related health problems is low…. Read more about alcohol misuse. What evidence is available? Self-assessment is the prime source of evidence, but the claim pack should be checked to see who has completed it…. Read more about evidence sources. Activities of Daily Living and Mobility needs Many people misuse alcohol and experience only minor mental, physical or social disability. Alcohol dependence, in …. Read more about ADL & mobility needs. How long will the needs last? Alcohol dependence is often characterised by periods of remission and relapse. Where a person has received 2 or more…. Read more about award duration. Over 65s There is evidence that alcohol misuse in people over the age of 65 is increasing, especially in women…. Read more about effects in the over 65 age group. What evidence is available? General Self-assessment is the prime source of evidence, but the claim pack should be checked to see who has completed it. If the form has been filled in by the customer, due to the nature of their condition, it might not necessarily be an accurate or reliable description of their problems. If the claim pack has been completed on behalf of the customer, by someone who has a good understanding of his or her needs, then it could provide good evidence. The Departmental Decision Maker should bear in mind that the completion of the corroborative statement by a Health Care Professional (HCP) does not necessarily mean that they endorse what has been said in the claim pack. In all cases of severe illness it is highly probable that a consultant psychiatrist and/or physician will have been involved in the management and treatment of the individual. Indeed the absence of any documented history of a psychiatric or hospital medical consultation should raise doubts about the nature and/or severity of the given diagnosis. Hospital factual reports should therefore be obtained if required. An HCP examination report may be helpful if the person has physical problems Other sources of information include the following: Secondary Alcohol Team When the claimant is being supported by a Secondary Alcohol Team the care co-ordinator on that team will be the preferred source of further evidence. They have lead responsibility for the delivery of the care plan and so they can give details of the support that the claimant has been assessed as needing. They will also know whether the claimant is being helped by an Assertive Outreach or Crisis Resolution team. NHS Care Programme Approach (CPA) care plan When the claimant is in contact with mental health services there will be a care plan under the NHS Care Programme Approach. The care plan will include information on health and social care as well as domestic support and is reviewed regularly. The claimant is given their own copy, which could be requested, as it will contain useful evidence of needs. Social Services care plan Social Services departments may be involved. A community care assessment by a social worker/care manager will be arranged and a care plan produced. The care plan will include details of the customer’s day-to-day living and the support provided. A copy can be obtained from the customer. Social Worker Where a social worker has been appointed to support a claimant they will have information about the customer’s ability to cope with everyday living. Subject to consent to approach them being given, the social worker will be able to provide some useful evidence about the customer’s needs. Mild Functional Restriction Category Description Pen picture A person with a mild functional restriction drinks to excess and may suffer some of the milder consequences of alcohol toxicity. Many of these individuals do not contact a Health Care Professional or obtain treatment. If help is enlisted or treatment instituted, it is often in the form of “brief interventions” from the Primary Care Health Team. Effects Mild psychiatric symptoms such as anxiety and depression Minor physical problems such as gastritis or gout Minor social difficulties including relationship, work related, or minor legal problems, such as convictions for drink drive offences. Mobility These people would normally have no difficulty walking and would be able to find their way around outdoors. ADL People with a mild functional restriction would not normally have a level of functional loss that will result in a reduction of their ability to carry out normal day-to-day activities. Moderate Functional Restriction Category Description Pen picture A person with a moderate functional restriction is likely to have been drinking heavily for several years and have developed dependence or chronic complications such as peripheral neuropathy or epileptic fits. They are likely to be under the care of the Secondary Alcohol Team for ongoing treatment and are likely to have attempted detoxification. They are likely to experience gradual deterioration over several years with periods of remission and relapse in spite of treatment. Effects Effects may include: • Symptoms of dependence • Moderate psychiatric symptoms such as anxiety and depression • Moderate physical problems such as-: Peripheral neuropathy Cardiomyopathy Alcohol induced fits Blackouts - repeated Early Cirrhosis • Mild Ascites • Varices • Pancreatitis • Atrial fibrillation • Alcohol amblyopia • Alcohol related social difficulties including divorce, debt, unemployment, legal problems such as theft and crimes of violence However, people with a moderate condition would not normally exhibit significant self-neglect Mobility Many of these people would normally have no difficulty walking outdoors, would be safely and independently mobile outdoors and be able to find their way around outdoors. However, some people’s mobility outdoors could be restricted due to one or more of the complications described above. Refer to the relevant links on the ‘How long will the needs last?’ page. ADL Similarly, many people will not have any care requirements but again, some activities may be restricted or limited as a result of one or more of the complications described above. Refer to the relevant links on the ‘How long will the needs last?’page. Severe Functional Restriction