Case Processing
Completed forms should be submitted via email, by postal delivery or via your Union representative. The form contains basic information (work history, union membership, disease information) and, as required by the General Data Protection Regulations, provides consent to obtain and process any data to assess the claim. The information provided on the form, includng the disease stated, will be used in the assessment of your claim. If possible, provide any documentation relating to your diagnosis, from the consultant or GP, as this will greatly assist the process. For cataract claims, specific diagnosis is required as not all cataracts are eligible. For people making a claim for a deceased relative, a copy of the death certificate would also aid the process. The Scheme should be informed of any changes which may occur during the assessment process, such as development of an additional disease or change of contact information. The Scheme works by using a Claimants radiation dose record to assess the probability that the disease diagnosed may have been caused by their occupational dose exposure. This is known as Causation Probability (CP) and is depicted as a percentage. (Note - Claimants dose records are compiled according to protocols agreed by the Employers and the Unions) If the CP is below 5% Causation the Claimant is informed that the claim has failed and no further action is taken (it should be recognised that, for a case to be successful through the courts/legal system, a causation probability of 50% must be proven). If the CP is higher than 5% but below 20% Causation, again, the Claimant is informed that the claim has failed however additional action is taken to gather evidence to support any future 'Retrospection' reviews. Further information on retrospection is provided below. The additional evidence gathered consists of the following:
If the case has a causation probability of 20% or more, it is deemed to have passed the criteria for payment, subject to confirmation of the dose assessment and the Union's agreement. Payment Cases with a causation probability between:
Each year an Annual Statement is approved by the Scheme Council which includes a paragraph updating the number of claims and payments made this can be found here Record Retention The Scheme operates a 30 year retention period. On reaching 30 years from the year a claim was registered, case data is anonymised and claimant records destroyed. Anonymised data is retained to support trending and analysis. Further information on Claimants rights are detailed in the Schemes privacy statement provided in the claim form. Retrospection Where claims are within the 30 year limitation period and a change in science indicates that a previous assessment may attain greater than 20% causation or an increase in payment, claimants are contacted by the scheme and offered the opportunity to have their claim reviewed. This is referred to as 'Retrospection'. Claims with less that 5% Causation are highly unlikely to alter, hence no further evidence is obtained. |