National Attendance Management Forum

Polemic on the Poll Results

Polemic on the Poll Results

“The fact that man knows right from wrong proves his intellectual superiority to the other creatures; but the fact that he can do wrong proves his moral inferiority to any creatures that cannot.”
― Mark TwainWhat Is Man?

We asked the question in a previous post whether a person who is disabled in relation to earning capacity and then succumbs to a persistence vegetative state should have his life further questioned by a police pension authority?

The question was asked without real context.  We deliberately didn’t explain what the Regulations allow and we purposely left some cross-over with the possible answers; we wanted people to answer with what they instinctively thought was right.

This human touch is sorely lacking in those who administer injury awards. All too often HR managers and SMPs entirely neglect to consider the effects of their actions on others. A few of them seem to be be completely devoid of any moral compass.

For example, Staffordshire thinks financial constraints are a legitimate reason to review and a questionnaire is the way to vet whether the expense of sending someone in front of a SMP is worth the £2000+ expense payable to the doctor for his arguably pre-determined work to reduce the person’s award.

The procedures laid down in the Regulations have to be applied with individual assessment in each case at each stage. This is being ignored in certain forces, and we need look no further for examples than at Knowles & Wirz of Northumbria and Andrew Colly & DCC Baker & Staffordshire.

Any action has to be justified; and it is not sufficient to ask oneself whether the underlying procedure is legal. In respect of the review of degree of disablement there is a ‘shall’ in the Regulations which ignorant or ill-intentioned managers interpret as giving them carte blanche to review whoever they wish, whenever they wish, as often as they wish. Their lack of moral compass allows them to forget that the so-called ‘duty to review’ is strictly limited and contains a wide power of discretion.

In our earlier blog we gave the example of a poor man placed in a coma. Interestingly, 89% of respondents to our survey think it best to leave the man alone.  Only 8% think that it is appropriate to review and reduce the man’s injury award.  No person voted to remove the injury award.

We think it is the sadly indoctrinated view of the majority involved with, and in receipt of, an injury award that reviews only exist to reduce people.  As a charity one of our aims is to dispel this myth. We don’t think it right that those with an injury award have to live their lives in the shadows, frightened of attracting the gaze of the PPA and always prepared for the manilla envelope to drop in their doormat announcing a review.

Such statistics as do exist – and it needs to be noted that they had to be obtained by lengthy Freedom Of Information requests from forces – show that over the last five years, when reviews have been held, then 83% result in a decision of no alteration in degree of disablement. Some 6.2% produced an increase in pension payment, whilst 10.29% saw the pensioners concerned reduced in banding.

The fear of reviews has much to do with the intrusiveness and uncertainty of the process itself, together with a well deserved and natural suspicion that in some forces the entire process is unlawfully constructed and is indeed intended to manipulate a reduction in payment.

We in IODPA think there are too many reviews, and too many of them are pointless and should never have been held. We are not against lawful reviews, but we are firmly against mass reviews and would want to see scheme managers realise they must exercise discretion in deciding whether a review is appropriate.

Turning again to our survey, why didn’t anyone vote for the award to be taken away in its entirety? Was it considered to be morally wrong or did all the participants have in mind that there are very particular and extremely rare circumstances where an injury pension can be ceased?  Regulation 43 tells us that ‘. . . a pension or allowance shall be payable for life’ yet we know that some forces have threatened pensioners with suspension or even cessation of their injury pension.

In some instances these threats have been carried through – at least only for so long as it takes our legal representatives to explain to the PPA concerned the error of their ways.

We have witnessed SMPs who concocted entirely unlawful rationale that an individual should never have been granted an injury award in the first place. We have seen HR managers issue wholesale threats to pensioners that there injury pension could be reduced or suspended if they fail to complete a questionnaire. We have gasped in disbelief when a PPA has issued similar threats to pensioners who had the temerity to refuse to allow unrestricted access to their sensitive medical records.

It is no small wonder then that IOD pensioners generally worry so much about the security of their injury pension income.

Of late, there has been a new addition to the inventive fancies of HR managers who would like to have the power to reduce or cease injury pensions in circumstances which are not allowed by the Regulations. Where in the Regulations does it say someone with a duty injury can have their pension reduced to the minimum when another injury overtakes the disablement?  The person is still unable to earn. We’ve made this point before; does the person become 200% disabled?

To find why we are even asking this question you need to look to NWEF’s and Northumbria’s legal advisor, Nicholas Wirz.  In his training guidance to SMPs he tells them this:

e.g. if an individual were to have developed advanced Parkinson’s disease since the last review, such that he was unable to work by reason of the symptoms of that disease alone, then the uninjured earning capacity should be nil

The “disease alone” could be replaced by anything according to Wirz: a persistent vegetative state, cancer, even aggravated natural degeneration.  Where does this stop?  For Wirz, he’d rather force an ill 70 year into spending his twilight years appealing the reprehensible Wirz-influenced medical decision to make him or her a band one.

We will talk about case law in a minute.  But ask yourself why the administration of police injury awards is so riddled with high court judgements.  It is because the PPAs, Wirz and NWEF keep trying to disadvantage retired police officers and serving officers who are in need, hardship or distress who are disabled as a consequence of being injured on duty.

By discussing whether an award should be reduced or removed because someone has become severely unwell on another matter is asking the wrong question.  A question that need not be asked and is only asked because Wirz is influencing the SMPs to enact it.  The truth of it is the person being targeted has been injured and had their career taken away – the righteous man or woman acting as a PPA would let them live their life without further hardship.

But there is case law on this matter.  There are three judicial reviews which we need to look at to see how the Regulations have been interpreted by the courts on this matter.  The trouble is they aren’t clear.

The 2003 case of South Wales v Anton (Crocker) is the first.  This case concerned an original decision for an award that SWP didn’t like.

Paragraphs 53, 54 and 55 are the pertinent ones.Mr Justice Ouseley says:

So the question to be answered under the Regulations is what degree of the loss of earning capacity is the result of the duty injury? This seemingly simple question can give rise to acute problems of causation, even though the question of whether or not there has been a disability which the duty injury has caused, or substantially contributed to, has already been answered. A separate issue of causation arises at the apportionment stage, because the entitlement stage can be passed on the basis of an injury which substantially contributes to, but is not the whole cause of, disablement

The judge is saying that another injury may have some effect on the person’s capacity to earn.  We all agree on this.  An injury award should not compensate for injuries not received on-duty. If there is a mix of on duty injury and other injury, then the amount of disablement caused by the on duty needs to be determined.

However, it becomes more complex where an on duty injury exacerbates or aggravates a pre-existing condition. This is commonly referred to as the straw which broke the camel’s back. An officer may be fit for duty despite the pre-existing condition, and it is only when injured on duty that they become disabled.

Mr Justice Ouseley touches on the duty injury aggravating an non-duty injury:

The position is more complex where the total loss is attributable to the effect of a duty injury on an underlying condition, which may or may not be an injury within the definition in the Regulations, and which by itself may or may not have contributed to a separate loss of earning capacity. An officer might suffer from a condition which would not affect him or his earning capacity until aggravated by a duty injury.

So for example a person with a dodgy cervical spine injury, that is mainly asymptomatic and intermittent and does not affect his capacity to earn and is still a fully operational police officer, receives a duty injury that aggravates it.

In this example Mr Justice Ouseley says apportionment for the aggravation and acceleration is not appropriate

  1. I do not consider that the question of apportionment should be answered by trying to attribute a share of the loss of earning capacity to any underlying condition which, on its own, had not, or did not, cause a loss of earning capacity. The loss should be attributed wholly to the duty injury which, albeit because of that underlying condition, has directly caused the loss of earning capacity.

Let us return to the poor individual in the persistent vegetative state.  We are only  talking about this because Wirz has taken the above judgement and twisted it to mean that if a person becomes further disabled through the trials and tribulations which life throws at a person then then the unfortunate soul should not be compensated for the injuries received on duty – even though the injury on duty still exists

The Ouseley judgement does not speak of this.  Wirz has picked up the baton and lobbed it into a field of nettles.  It is an invented concept of Wirz that he feels he wants to test upon disabled and vulnerable former officers.

The Walther judicial reviews (there were two of them) also touch on the matter of apportionment and acceleration.

In Walther v The Police Medical Appeal Board & Anor [2010]  Mr Justice Irwin declared that:

  1. A short acceleration of the onset of a permanent disability is unlikely to be held to be a “substantial” contribution to that disability. Acceleration to any degree is some contribution, but not likely to be regarded as substantial. The opposite applies, it seems to me. A significant acceleration – taking the extreme case, an acceleration of a decade or more – clearly would be a significant contribution to a permanent disability. Where the dividing line comes must be a matter of fact in each case. In my judgment such an approach is consistent with the language of the Regulation and with common sense.

Just because a non duty injury or condition has been accelerated, without it being substantial, it matters not and in any case common sense reigns.  The trouble we have is that Wirz has no common sense and the moralistic determinations of some SMPs are zero.  With a predetermined desire to reduce, they will go to whatever lengths to justify apportionment.  Understanding the whole picture by demanding (with threats of suspension of an award) full medical records from birth  is their favoured way of introducing apportionment.  In effect this is a alwyer’s trick to carry out the unlawful act of revisiting causation.

The second Walther judicial review Met v The Police Medical Appeal Board [2013] was instigated by the Met in 2013 who attempted to remove the award granted to David Walther by the PMAB tasked to revisit the question after the 2010 judgement won by Mr Walther.

The judge this time, Mr Justice Collins, said this:

Only if there will be no loss of earning capacity resulting from the injury when the officer is medically retired will it be likely to be the case that there was no substantial contribution.

In the end Justice Collin’s agreed with the PMAB and David Walther kept his injury award.

But, rather contradictory, instead of the decade stated in the first case by Mr Justice Irwin, even if a duty injury had caused only an acceleration of symptoms of 18 months to 2 years, if at the time the question was being considered by the SMP, the disablement was the result of the injury, then the officer would be entitled to an award.

But the interesting point is what Justice Collins said about Regulation 37. The basis for Collins J’s view was that he considered regulation 37, which provides for reassessment of injury pensions where there has been substantial alteration in the degree of disablement, enabled there to be a later assessment as to whether an underlying condition had overtaken any disablement resulting from the injury.

Specifically he is referring to David Walther’s problem of degenerative disc changes of the L4/5 and L5/S1 discs and prominent disc bulges at T12/4, L4/5 and L5/S1.  All these were explicitly listed when Mr Walther was retired.  It does not follow then that injuries not listed, or not known about, when the medical retirement was given can be reintroduced by a later review.  This would be contrary to the Laws and Pollard cases.

Of course, the existence of Regulation 37 helps everyone when the duty to review is used correctly. It is a provision which can be sparingly used, with plentiful discretion, to help ensure the correct level of injury pension is paid. It forbids all need for speculation about what might occur in the future. An injury pension is granted at a rate commensurate with what has occurred in the past and what disablement the individual exhibits in the here and now.

It says nothing whatever about the extra-regulatory wage comparison exercises practices by some PPAs which remain the aspect of reviews which create the most persistent and most aggressive forms of abuse of the Regulations.

Another area of particular difficulty arising from the second Walther decision may be the Judge’s interpretation of regulation 37, central to his reasoning overall, that it permits a reduction for David Walther’s injury award once a period of simple acceleration has passed. Collins J did not refer in his judgement to the decision of the Court of Appeal in Metropolitan Police Authority v Laws and the PMAB.  We will never know how a review would affect Mr Walther as the Met do not review unless a person asks to be reviewed.

And here lies the problem.  The two Walther cases do conflict somewhat even though David Walther won both. Nicholas Wirz, without regard to what is right or just or reasonable, is trying to populate the void that now exists by using the contradiction to reduce injury awards.

Even though both Walther cases involved the original decision and applied to someone with co-existing duty and non-duty injuries at the time of the award, Wirz seemingly wants SMPs to apportion everyone and to use Regulation 37 to do it.

IODPA is certain that a further judicial review will clarify the issue for once and for all but we again return to the example of the man in our question of PTSD and a coma after a car accident.

The question on the legality walks in parallel with what is morally right – the spirit of the law is phrase often quoted.  IODPA is a much-needed counter to people like Wirz and part of its role is to shout out quite clearly that legal questions with a moral content are usually easy to answer if the person invoking the questions does so with a just mind.

The law itself is no more than a codified expression of moral standards. It arises and lives as a demonstration of the combined moral core of the people. The law should not be a plaything for the likes of Wirz, Colley and Baker. IODPA has the will and the means to see that they, and others who try to bend the scope and intention of the Regulations into unrecognisable shapes will always be challenged, and will always be made to mend their ways.

Natural Justice: The Rule Against Bias

Natural Justice: The Rule Against Bias

Injustice anywhere is a threat to justice everywhere. ~Martin Luther King, Jr.

British justice, the sense of fair play and the British Police Service have been the envy of the world. It is somewhat ironic that injured Police officers who have lost their police careers have to fight to be treated fairly, and be treated in keeping with the scope and intentions of the Regulations, which are there to compensate them for their injury and consequent loss of earning capacity.

The fight over the 15 years has culminated in over 22 High Court Judicial reviews and 43 Pension Ombudsman decisions regarding  maladministration of Police Injury Awards. British Justice still lives within our Courts and arbiters. It is of little surprise that the decisions overwhelmingly remedy the injustices former injured officers have endured.

The rules of natural justice

The rules of Natural Justice require all trials and hearings to be rooted in fairness . Following the case of Re HK (an infant) (1967)  the phrase “act fairly” was established making it incumbent on all  decision makers to act fairly. There are two parts to the rule:

  1. Audi alteram partem – “hear the other side” or “let the other side be heard as well.”
  2. Nemo judex in res sua – “no one  should be a judge in his own cause” – A pecuniary interest in the outcome of the decision gives rise to automatic disqualification. Also known as the rule against bias.

Following on from our blog “The Judicial Fallacy” we need to explain that the term judex (simply translated as judge) within Nemo judex in res sua  extends beyond judges to all statutory decision makers. This, just in case some SMPs and Mr Wirz start to believe their own hype that they are judges.

Notwithstanding copious direction from the Courts, some scheme managers and SMPs have shown themselves unable, or perhaps unwilling, to apply the Regulations. It is because of this entrenched mindset we at IODPA thought it would be of benefit for decision makers to be educated in respect of their responsibilities.

Whilst the Home Office guidance 46/2004 has been deemed unlawful and withdrawn following the High Court decisions in Laws and Simpson it demonstrates   how the Audi alteram parterm rule can apply.

Some Police Pensions Authorities (Chief Constables), HR, and SMPs  fervidly embraced the unlawful aspects of this guidance and some still do. Despite a legion of in-house lawyers and CIPD qualified HR personnel, no one thought that guidance is unnecessary if the Regulations are followed.  Guidance only becomes a thing if the intention is to bend the rules.  Just as Al Qaeda’s Management of Savagery is a manual for how to wage war by creating religious resentment and violence, guidance has historically been used to square a circle, to give excuses to override Holy text and provide bureaucrats a means to blindly follow orders.

The law is the form of the Police Injury Benefit Regulations and case law.  This simplicity had to be spelled out in the Simpson case ruling that PPAs can’t usurp the law through guidance !!! Luckily, it wasn’t all 43 Police Pension authorities that wandered, zombie like, into the trap.

So with the advent of the Home Office guidance and a stroke of a pen many pensioners were dropped to Band 1. The decision makers’ minds were closed, the poor pensioners weren’t allowed to make representation or even have their voices heard… Audi alteram partem. This struck to the heart of fairness, our Courts and Judges world renowned for their sense of justice did not allow this dreadful state of affairs to triumph.

We at IODPA have raised previously concerns about guidance emanating from the National Attendance Management Forum. (Now re-branded as the National Well-Being and Engagement Forum – NWEF). We regard it as yet another crude attempt to usurp the Police Injury Benefit Regulations and case law. We regard the NAMF guidance as a resurrection of the unlawful Home Office guidance. The NAMF guidance does not operate in a vacuum: understanding the context in which it operates is necessary. Re-branded, but with the same people at the helm, NWEF still holds regular meetings, but the fact that not all 43 forces subscribe to this forum or attend its meetings should tell the organisers something.

During NWEF events Nicholas Wirz tells the force Solicitors, FMAs, SMPs and HR minions that a pensioners doctor’s opinion cannot be relied on.

…It is also not uncommon for that specialist to be provided with the incorrect legal test, in which case their conclusions need to be treated with caution.[…] This can often be the case with reports produced by a treating physician in support of their patient…[]

A common occurrence is for the treating physician to “fudge” the issue(SMP) DEVELOPMENT EVENT 31 JANUARY 2014 MR NICHOLAS WIRZ PRESENTATION

This is nothing more than a shameful attempt to uniformly denigrate  good, honest, hardworking GPs who have witnessed the physical and mental health of their patients deteriorate, been involved in treatment plans and best placed to comment on the efficacy of them. These practitioners are always best placed to provide the definitive medical opinion.

However, Mr Wirz believes they are prone to provide false opinion. Really? So honest hard-working practitioners of medicine who are not paid by the PPA or the pensioner and who are bound by professional ethics are not to be relied on? What is it which drives Witz and his followers’ false belief that it is only the opinion of SMP’s which is sacrosanct or unbiased? That Wirz saw fit to make such a telling observation reveals that his mind is crammed full of both conscious and unconscious bias.

The SMPs are being paid for by the PPA and are being trained by Wirz. Anecdotal evidence and feedback we’ve had from members is that SMPs have quoted Home Office guidance as well as NAMF guidance. Well, if they are approaching the assessment with a closed mind then we would say that the pensioner will not be heard as the SMP has closed his/her mind to any other view than that of the NAMF guidance.

 Now turning to the rule against bias  nemo judex in res sua Lord Denning summarised this rule in Metropolitan Properties Ltd Lannon [1969] CA.

“The reason is plain enough. Justice must be rooted in confidence: and confidence is destroyed when right-minded people go away thinking: ‘The judge was biased’.”

The term judge incorporates decision makers such as SMP’s and PMAB members, just in case you missed it earlier decision makers and not Judges in the Judicial sense. So if we surveyed right-minded people, would they think that pensioners were not only treated fairly but seen to have been treated fairly?

We think not for the following reasons :-

NAMF training and guidance – So the delegates consist of FMAs, SMPs, PMAB members,  force Solicitors and HR personnel. We’ve made it plain that the NAMF guidance has no basis in law, yet the principles incorporated within this document are being mis-sold as the lawful regulatory framework to SMPs. We also believe it is inappropriate for  SMPs who are meant to act as independent decision makers  to attend such events and then apply these principles. What if the Police Federation held such events and invited medical experts they instruct, how would you feel about that Mr Wirz?

The fact is not lost on us that HML, the company who manage the PMAB process, no longer attends NAMF meetings, why not? Has the penny dropped that such conduct is not acceptable ?

Some PMAB members far from being fair and open minded are in fact closed-minded acolytes of Mr Wirz and NAMF. Did they think that if HML just slipped out no-one would notice? Especially not the injured pensioners who have been experienced and trained investigators.

SMPs  and the  HR partnership – The late Dr Sampson and Mr Steven Mitchell from Nottinghamshire HR have jointly given presentations. We would invite you to have a look.  Both are eager to  convey how much money can be saved.

No onlooker would conclude that this appropriate. What if Dr Sampson hadn’t saved Nottinghamshire Police money, would he have lost his lucrative contract? Well we need to go to Avon and Somerset to show what happens when SMPs can’t be tamed.

The Avon and Somerset PCC’s Agenda – Mountstevens thinks those that have lost their Police careers and their health by putting themselves in harms way are a financial burden. She does not care about the moral or legal obligations enshrined in the Police Injury Benefit Regulations.

Don’t take our word for it,  she has been caught out writing to the Policing minister,  take a peek. The then Policing Minister (Damian Green) has pointed out the obligations of police pension scheme managers are enshrined in law, and gives his direct opinion that it is right there should be provision for police officers injured in the line of duty. His letter can easily be read as a coded message to scheme managers: don’t approach the administration of injury awards from the viewpoint of looking to save money.

Selection and Deselection –We at IODPA do not believe it coincidental that honest SMPs, such as the fair and just Dr Jo Judge (now retired Dyfed Powys FMA used briefly by Avon and Somerset) who have retained officers on Band 4, i.e. the most disabled and thus the most costly, are no longer engaged as SMPs by forces who want to reduce their financial commitments.

Those that can be enticed to adopt the PCC’s mantra are handsomely awarded such as FMA Dr Bullpitt as well as Dr Johnson SMP. Dr Bullpitt has also lobbied the GMC and Home Office to be exempted from GMC guidance. Really??

Dr Bullpitt’s devious wish to remove the protections of GMC guidance for a hand-picked and specially chosen disabled few, just because they are members of the public in receipt of injury awards, is of serious concern.  It goes against equality law, human rights legislation and codes of conduct. All professions are subject to regulation be it Police Officers through the Conduct Regulations, Solicitors via the Solicitors Regulatory authority, even Judges and MP’s are not exempt, that’s what you expect in a fair minded democracy, no one is above oversight. Yet Dr Bullpitt wants this exemption… why ?

So would the right-minded think police pensioners are treated fairly ? We think not.

The rule against bias compels decision makers to  leave aside prejudices and preconceptions In the case of  R v Bingham Justices ex p Jowitt (1974) QBD a  magistrate said

“My principle in such cases has always been to believe the evidence of the police officer.”

We believe this is no difference to SMPs approaching their duties under the influence of NAMF guidance, for example dismissing the pensioner’s specialist’s or GP’s opinion.

The test of apparent bias has  developed through  case law. In R v Barnsley Licensing Justices, Ex p Barnsley and District Licensed Victuallers’ Association [1960], Devlin LJ recognised:

“Bias is or may be an unconscious thing and a man may honestly say that he was not actually biased and did not allow his interest to affect his mind, although, nevertheless, he may have allowed it unconsciously to do so”.

Lord Denning MR, in Metropolitan Properties Co (FGC) Ltd v Lannon [1969] recognised:

“The court looks at the impression which would be given to other people. Even if he was as impartial as could be, nevertheless if right-minded persons would think that, in the circumstances, there was a real likelihood of bias on his part, then he should not sit. And if he does sit, his decision cannot stand . . . “

In R v Sussex Justices Ex parte McCarthy (1924) KBD the Defendant  appeared before the justices on a charge of dangerous driving, the clerk to the court was acting in parallel civil proceedings for  the other party.  This case led to the  celebrated maxim:

 it [… ] is of fundamental importance that justice should not only be done, but should manifestly and undoubtedly be seen to be done.”

During the inquest of “The Marchioness” disaster, the coroner was heard to have  described some of the victims relatives in attendance as “unhinged” and “mentally unwell” indicating  the presence  of unconscious bias. A different  coroner was required to resume the decision making process R v Inner West London Coroner ex parte Dallaglio (1994) “The Marchioness.”

We know through anecdotal evidence and having seen the SMP reports first hand of such bias. Comments such as ill-health retirement being a tactic purely in pursuance of a favourable exit packages, physical injuries being psychosomatic and ignoring specialist medical evidence are not uncommon. Dr Nightingale and Dr Willy Cheng are particularly adept at this malevolent projection. Dr Cheng goes the extra mile and repeats these attacks in PMAB hearings seemingly without challenge.

In R v Gough [1993], Lord Goff  formulated the test for apparent bias in the following terms:

 “the simple fact that bias is such an insidious thing that, even though a person may in good faith believe that he was acting impartially, his mind may unconsciously be affected by bias . . .”.

The accepted test for apparent bias is from Porter v Magill [2001] HL, para 103:

“whether the fair-minded and informed observer, having considered the facts, would conclude that there was a real possibility that the tribunal was biased”.

We at IODPA have been asked to demystify some of the hocus-pocus which some police pension authorities rely on. We hope that by showing how, through the resurrection in the form of NAMF guidance, erroneous Home Office guidance 46/2004 has, brought about a fresh wave of pension maladministration. Lazy, incompetent, HR managers with only scant knowledge of the Regulations, and no familiarity with the basic concepts of justice within the law, as have been briefly set out here, are tempted to turn to the chocolate teapot uselessness of guidance issued by people who seem to be incapable of freeing themselves of the most pernicious forms of bias.

We hope that this whistle-stop tour through the law will help in the demystification. The Chief architect of the NAMF guidance, Mr Wirz, is a lawyer (albeit not a very good one) and he more than most will come to realise that it is through the protections which the law provides to the victims of malpractice, we will continue to forcibly remind him and the NAMF acolytes of their shortcomings.

Mr Wirz we would like to remind you of another  legal maxim:

 “The law is a shield and not a sword”.

Whilst you wrongly quote and twist law to use it as a sword against police pensioners we will use the law as a shield. Natural Justice underpins Judicial Review and at present count it’s the Police Pensioners who are winning countless Judicial Reviews.  Does that not tell you something, Mr Wirz?

We will continue to educate and enlighten police pensioners to their rights and point out your wrongs, in right is might!

 

 

 

 

 

NAMF’s Northumbrian Mafia

NAMF’s Northumbrian Mafia

A quick update from the dark-suited, shadowy world of the National Attendance Management Forum (NAMF). November 1st sees the start of the Mexican Día de los Muertos (the Day of the Dead), so is a suitable date to publish NAMF conference minutes.

NAMF is nothing more than a vehicle for certain elements to put into practice “entryism”. Entryism (or entrism [1]) is a tactic in which the members of an organised group conspire to secretly join a larger organisation en masse, with the intention of changing the targeted organisation’s policies or actions. The NAMF contains a hard core of people of ill intent, with the others there to give an appearance of legitimacy and to be led like sheep by the inner circle. Read more about NAMF here



The June 2016 minutes state that “Don” Chris Rowson, Head of HR at West Midlands Police, has left his position of chairman of NAMF.
namf-june18
Northumbria Mafia have pulled off a coup. The new Don Chair is Lesley Ann Knowles, Head of HR for Northumbria Police, with Steve Mitchell of Notts HR as Vice Chair.

Mitchell has form in the maladministration of injury awards.  Along with the late Dr Ralph Sampson, he was the co-host of their rather despicable ‘all about the money‘ PowerPoint presentation performed to delight some cherry-picked NAMF delegates about the Notts mass review program.

It’s rather ominous that the new chair comes from the force with the most judicial reviews in recent times … Crudace, Simpson and Haworth were all High court decisions won against Northumbria and it’s solicitor Nicholas Wirz by disabled former officers.

Northumbria is a well known pit of despair and they now are the “Boss” of a cloak-and-dagger national cabal – a secret society that, even after a ‘search’, the Home Office has pretended they have no knowledge of it.   Gulp!

Could it be that Health Management Limited (HML), the firm with the Home Office contract to run PMABs, no longer wants any part in NAMF because of those in charge can’t help themselves to muck things up?

namf-june16-2

The above extract also from the June 2016 NAMF minutes show that HML will no longer be attending NAMF conferences.

Of course, the burning question is why is it that the commercial company which has the current contract to run the PMAB hearings has only just realised that sending their employees to NAMF raises the conflict of interest for HML’s reputation for integrity, independence and contractual requirement for high standards, or may be reasonably perceived to do so.

A sure sign that NAMF is careening off a cliff is when high-level staff start fleeing the sinking ship and begin to go back to their day job or even into business for themselves (e.g. former TVP Head of HR and NAMF delegate Chris Sharp).

With Northumbria in charge, NAMF is in such terrible shape. Those going to the Tally Ho! conferences, seeking the elusive gold-standard best practise, will soon realise they won’t find it there and are in fact being misled by the false prophets of Wirz and Lesley Ann Knowles.  Like Mr Rowson, Mr Sharp and HML, they’ll also begin to plan for their own futures by disavowing themselves from the previously cosy NAMF relationship.

 

NAMF and the Finality of the SMP Report

NAMF and the Finality of the SMP Report

“The purpose of the boards is to consider appeals from police officers or former police officers who are dissatisfied with a decision made by a medical practitioner, selected by the police authority, in relation to their qualifying for ill-health and injury benefits”

― Contract Between the Secretary of State for the Home Department and Health Management Ltd FOR THE PROVISION OF REGIONAL BOARDS OF MEDICAL REFEREES FOR POLICE MEDICAL APPEALS IN GREAT BRITAIN

When the question of the degree of disablement is passed to the Selected Medical Practitioner (SMP) the Regulations are quite clear that it is only the SMP  that is able to give a decision:

Reference of medical questions

H1(2) of the 1987 Regulations, a final decision of a medical authority on the said questions under Part H of the 1987 Regulations shall be binding for the purposes of these Regulations

[….]

The decision of the selected medical practitioner on the question or questions referred to him under this regulation shall be expressed in the form of a report and shall, subject to regulations 31 and 32, be final.

(7) A copy of any such report shall be supplied to the person who is the subject of that report.

There is no ambiguity that the question, once answered by the SMP as the medical authority, is anything other than final.

The judiciary agrees with this.

Haworth v PMAB

presumption of finality in respect of the decisions of the material medical authority

Pollard V PMAB

The decision of the SMP on the issues referred to him are final, subject to appeal or a review or reference back (see regulation 30(6))

Crudace V PMAB

The SMP is obliged to produce a report with reasons to explain the basis for his decision on both entitlement and on quantum. Under regulation 30(6) the decision is final subject to any appeal under regulation 31 or a reconsideration under regulation 32(2).

So why does the National Attendance Management Forum (NAMF) state in their non-statutory and misleading ‘guidance’ that the report made by SMP  as the medical authority is not final?  That they proclaim it is the Director of Human Resources as the delegated police pension authority (PPA) that is the ultimate adjudicator, and the SMP report is just an exercisable Pollice Verso – the thumbs down decree of death made by a Caesar upon a fallen gladiator.

Here is the offending paragraph from the NAMF ‘guidance’:

Section 3.6.5

The SMP’s role is to measure degree of disablement using admissible evidence.  On receipt of his decision it is for the PPA to decide whether any identified change in the degree of disablement represents a substantial alteration and if so they shall revise the IOD pension accordingly’

NAMF agrees that the SMP – as the medical authority – gives a decision.  But that is all it gets right.  Remember this is the decision that the Regulations clearly state has to be referred by the PPA to a suitably qualified medical practitioner.

NAMF now goes off into Alice’s Wonderland territory by continuing that a non-medical HR senior manager now determines the ‘determination’ of the degree of disablement by declaring whether he thinks its substantial (or not).

Reading the finality quotes from case law and from the Regulations, there isn’t any allowance or interpretation to permit the medical authority’s decision being over-ruled or quantified by the delegated PPA … quite the opposite.  The high court has determined that the SMP not only considers any alteration on a review but he alone determines whether it is substantial or not – not the Director of HR.

Simpson V PMAB

The only duty on a medical authority when conducting a Regulation 37(1) review is to decide whether, since the award or last review – whichever is the latest – there has been a change in the degree of disablement; whether, in the language of the regulation, there has been a substantial alteration.

One of the many troubling consequences of NAMF ‘guidance’ is that it fails to grasp that Regulation 37 is only a gateway into reviewing the degree of disablement via Regulation 30-2(d).  Their recalcitrant proclamation that a delegated PPA can basically override the medical authority not only has implications at review – it reflects by corrupting the root power that enables a  revision of the degree of disablement; in other words Regulation 30 itself.

NAMF has ignorantly misconstrued, and taken out of context, the wording of Regulation 37 by manipulating the sentence ‘[…]and if after such consideration the police authority find that the degree of the pensioner’s disablement has substantially altered, the pension shall be revised accordingly’, and omitting that the consideration IS the referral to the medical authority under Regulation 30’s ‘Reference of Medical Questions’.  It does not permit a dictatorial decree, in the style of Alan Sugar, by the PPA himself.

Imagine this scenario that is perversely permitted under the NAMF ‘guidance’:

  • The SMP answers the relevant questions from Regulation 30 that the appellant has an injury and is disabled from performing the ordinary duties of a member of the police force.
  • The disablement is likely to permanent.
  • That the condition is the result of of an injury the execution of duty
  • and that the earning capacity has been affected at 40%.
  • * Non-regulatory & unlawful. The PPA now decides that the degree of disablement shouldn’t be 40% – it should be 20%

Or on review:

  • The medical authority determines there has been substantial change to the degree of disablement and revises the award from a band 2 to a band 3
  • *Non-regulatory & unlawful.  The PPA now decides that the degree of disablement does not construe substantial change and orders the award to remain at a band 2.

Can you just imagine how a Director of HR would defend such an horrendous intervention at a PMAB panel or Judicial Review?

Let us emphasise our message to the nth degree that, despite NAMF’s ‘guidance’,  the PPA does not have the final decision regarding determination of the degree of disablement.  This blog  post started off with a quote from the contract between the Home Office and the company selected to administer police medical appeal boards.  The framework mentioned in paragraph 1.3 is that the PMAB considers appeals on the decisions made by the medical practitioner, selected by the pension authority.  Note the distinction between ‘decision made’ and ‘selected by’.

ho contract 1_3

There has obviously been no mention ever, in any judicial review, of the delegated police pension authority having the ultimate decision.  An example being the following Judicial Review .

SOUTH WALES POLICE AUTHORITY (CLAIMANT) -v- THE MEDICAL REFEREE (DR DAVID ANTON) Dr Davies, as the Selected Medical Practitioner, answered the relevant questions from H1(2), in his certificate of 10th January 2002, that Mr Crocker was suffering from “psychotic illness”, and was disabled from performing the ordinary duties of a member of the police force. The disablement was likely to be permanent. He said that the matter should be considered in two years’ time. He said that the condition was the result of an injury received in the execution of duty and that the earning capacity had been affected at 40 per cent.

Of course not, because it is not permitted.  The decision of the medical authority, whether incorrect or not, is final and binding to the PPA.  It can only be appealed by the former officer or taken to Judicial Review by the PPA.

Blindly following NAMF ‘guidance’ is no better than saying we’re ‘just following orders’ and is not a justification for morally questionable actions that a Force  invoke when questioned about the rightness or necessity of such actions.  Just saying ‘we are following NAMF guidance’ does not absolve the HR managers from using their own brains and reading the Regulations and understanding the case law.

Just following orders didn’t work for the Nazis in Nuremberg.

Rules? What Rules?

Rules?  What Rules?

“There is no greater agony than bearing an untold story inside you.”
Maya Angelou, I Know Why the Caged Bird Sings

The authors of this blog have been weighing up what to write for our next post.  Not because we lack material – quite the opposite; in fact we have an embarrassment of material. The embarrassment would be all Avon and Somerset’s if they had any ability to feel shame for what they have done

The reason for our publishing predicament is that at the moment some of the material we’ve gathered from various sources is ground-shatteringly explosive.  It’s an agreeable predicament, in that by writing about it in a public blog we expose the existence of the ticking nuclear device which IOD pensioners have obtained and are preparing to use.  So we won’t ruin the surprise. Let’s just move on for the moment and we can talk about this another time, when the fall-out dust has settled and the heads have rolled.

So, after a bit of consideration, we are back onto our least favourite topic. A topic which makes it hard for us to hold on to our view that human beings generally chose to do the right thing when given a choice between doing harm or doing good. Our hearts sink when we contemplate the walking contradiction which is the supposedly ethical medical doctor who consistently prefers to cause harm rather than do good.  Yes, we are talking about Dr Philip Johnson.

He is the medic who ambled blindly into the role of being the patsy for A&S. We think he was conned. He was told he would be paid handsomely for performing a routine assessment of disabled former officers. A task which would take an hour of his time per pensioner, plus another hour to write up a short report. ‘Nice little earner,’ he was told. ‘We have 480 of them all lined up like ducks in a row.’

Kerching! Johnson did the maths. Visions of barrows loaded with money.

A&S didn’t tell him that two other doctors had been approached earlier and had seen right through the cunning plan devised by A&S to save money by unlawfully reviewing and reducing pension payments made to disabled former officers; 2 doctors that A&S attempted to groom in-house for the exclusive role of reducing the banding of injury awards by any means necessary. Those doctors left suddenly under a cloud – they had declined to prostitute their talents by dancing to A&S’s tune (that’s a story deserving of its own blog post).

His dreams of cash-flow were soon shattered when he realised it wasn’t about to be so easy. There was a small problem called the Police (Injury Benefit) Regulations 2006. It came as a shock to him to realise that he actually had to follow them. You see, Johnson was told otherwise.

He was subjected to a ‘training event’ held at the College of Policing. The core of this ‘training’ was a rambling load of crap delivered by none other than that fine upstanding example of legal rectitude, Nicholas Wirz, who is the head solicitor for Northumbria Police. He is the pheasant plucker who advised Northumbria’s SMP Dr Broome to unlawfully reduce the pensions of some 70 disabled elderly former officers to band one.

Yes, you read that right. A solicitor whose advice was to do something against the law, on the basis that the intended victims were too weak to do anything about it.

When the inevitable applications for appeal were made, our old Nick threatened the applicants (he would say he warned them) that their appeals would be deemed vexatious (where have we heard that word more recently?) and they would have to pay £6,200 adverse costs when their appeals failed.

Johnson had soaked up the wonderful professional atmosphere of the College, enjoyed the socialising with his intellectual equals, and hung on the words of the eminent legal expert Wirz. Being naïve, Johnson took as gospel everything Wirz and his little sidekick Trevor Forbes had to say.

But when pensioners began to tell him that he was breaking the law, that he was not following the Regulations and that they would not bow to his ridiculous demands to allow him unrestricted access to their medical records from birth, and that if he insisted then they would be seeking legal representation – from a proper solicitor – he slowly began to realise that his nice little earner was in fact a purse of counterfeit currency.

He turned to the other ‘organisation of excellence’ the National Attendance Management Forum (NAMF).

Before detailing how the NAMF influenced Johnson we have to divert for a moment and wonder what a bunch of HR functionaries and others are doing when they diversify from discussing issues around why employees go sick and what can be done about it, to issuing detailed so-called guidance on complex legal matters concerning police injury pensions.

For that is what the NAMF did. It produced some guidance for SMPs like Johnson. Presumably on the basis that some SMPs were so thick they couldn’t be trusted to understand the Regulations and apply caselaw properly.

Johnson was fully trained and guidanced-up. He was good to go.

Then it all went pear shaped, with queries and challenges. And that was when he showed his true colours. That was the moment when he had a choice to make. Brave soul that he is, he did not hesitate – and chose to cover his substantial ass. He chose self preservation over doing the decent thing.

Drawing on his considerable Army experience, (and on the Book of Wirz) he decided the best form of defence was attack. He insisted he was right, that he could demand access to medical records from birth. In this way, he was able to not conclude the reviews he had conducted, and blame the lack of a decision on the pensioners who had failed to cooperate with his demands.

By not making any decisions, he reckoned he could not be criticised as there would be nothing to appeal against.

However, Johnson, he who can’t spot a legal charlatan when he sees one, who is blinded by thoughts of earning easy money, who seems to lack the wit to read and understand the Regulations, who has difficulty in researching the readily-available transcripts of relevant High Court cases and who when given a choice between doing good or doing harm, chose the latter in a feeble attempt to save his own skin, is a man who can’t even follow the guidance issued by the NAMF.

Here is the NAMF politburo directive in black and white:

namf directive

… the only evidence he may consider upon review is that which post-dates the earlier review.

Seems straightforward enough doesn’t it?  This comes from the NAMF’s verbosely titled ‘Procedural guidance on Assessing and reassessing the degree of disablement as a result of an injury received in the execution of duty’ [sic] dated 01/03/2013. It seems that even in a pile of manure there may be found a single pip of legal accuracy.

We all know that NAMF has zero legal jurisdiction on matters covered by a statutory instrument passed by Parliament, a.k.a. The Police (Injury Benefit) Regulations 2006; but NAMF guidance is what some forces cling to for legitimacy.

It’s a crying shame then that this willing recipient of NAMF codswallop can’t even follow its directives.

Our premise is that Johnson was conned. Not just by A&S when they hired him and failed to mention the intention was to have him conduct unlawful reviews so that injury pensions could be reduced – to act as the front man, the fall guy, should anything go wrong. The first fifteen reviews were, it is now admitted by A&S, to be a ‘trial’ of the process (we haven’t miscounted, we know the saga of all the 16). You don’t need to trial the law – you need to apply it correctly. What was being trialled was a way to abuse and subvert the law.

Johnson was further conned by the training event held at the College of Policing. There he listened attentively to what will in due course go down in injury pension history as the biggest load of bovine excrement ever produced.

To a neutral observer it’s clear that he lacked the moral fibre to do the right thing and tell those who hired him that he would follow only the Regulations, not so-called guidance from any source. When he saw the harm the review process was causing to vulnerable, damaged, disabled people he suppressed his Hippocratic principles and chose not to do what he could to repair the harm. Instead of accepting responsibility for his failing to make decisions for over a year, he chose to seek to blame the pensioners.  Instead of acting honourably and resigning his position, he chose to cling on by his fingertips, hoping that by so doing he would not be exposed to the inevitable litigation that would result from such widespread and determined maladministration. Rather than blow the whistle on the damning evidence of unlawful intent in the conversations he has been privy too at A&S he chose to keep silent.

Dr Johnson has made his choices. He must eventually face the consequences. He may not have long to wait.  That said, it might be wise to find a tin hat to wear if you are also part of the ‘J-K-W-B’  posse of four employee ‘enablers’ who merrily have overseen the maladministration.

Neither Lawful or Unlawful

Neither Lawful or Unlawful

“If it doesn’t say it’s not, then its allowed” to misquote and paraphrase Dostoyevsky’s  “If there is no God, everything is permitted” .

Without a rule of law as a higher authority  – so the story goes – there is nothing ultimately to prevent us from ruthlessly exploiting our neighbours, using them as tools for profit and pleasure, or enslaving, humiliating and killing them in their millions.  This isn’t the case in truth – an action can be known to be unlawful even though there isn’t an exact line of text that defines without ambiguity it’s legitimacy.  Just because an esoteric Law or Regulation is silent on a particular transgression does not mean that the transgression is permitted.

The Police and Injury Benefit Regulations 2006 does not allow for the interpretation that on reaching 65 years of age a former officer has no earning capacity.  However nowhere is this explicitly mentioned; but it is still a given.  A given because the nature and purpose of the statutory scheme is to provide an entitlement of an award for life.

The Police Pension Authorities and the Home Office knew this and were ‘trying it on’ hoping that their illegality wouldn’t be challenged. And it was,  and they lost.

They are at it again…

The minutes of the National Attendance Management Forum hosted by West Midlands Police on Friday 27th March 2015 has this to say about PEAM (Police Earnings Assessment Matrix):

neither lawful or unlawful

If a matter is not lawful then it must be unlawful.  The opposite of lawful is unlawful, illegal, illegitimate, incorrect,unacceptable, wrong, illicit, prohibited, taboo.  So there is nowhere for NAMF to go on this; they state themselves that PEAM is not lawful.

Not lawful because it is up to the SMP to decide the degree of disablement as a medical matter by assessing the impact of the duty injury to the former officer’s earning capacity – it is a medical question not an accountancy exercise.  It is a broad judgement to be made by the clinician about the effect of the injury or condition he has examined in contrast to a much more detailed calculation based on earnings data,  and that his/her decision is final.  When has a SMP ever used PEAM?   – the bad maths is always performed subsequently by a HR functionary.  That is not lawful.

The travesty is that they know such an artificial earning matrix is unlawful but they will not stop using it until a former disabled police officer is disadvantaged, agonised and tormented by an unjust calculation to such an extent that they have no option but to challenge it in judicial review.  Why should something known to be unlawful need to have a court to reaffirm it’s unlawfulness?  Because NAMF is on a crusade to undermine the regulations.

NAMF – A coven of vipers.

NAMF – A coven of vipers.

NAMF:  The National Attendance Management Forum.

A committee of HR managers, finance managers, force medical officers made up from a large number of police authorities throughout England and Wales, that meet up to discuss how they can ‘deal’ with those entitled to and in receipt of Injury on Duty awards.  After the Home Office’s guidance was declared unlawful, the meetings provide a convenient avenue for the Home Office to drip feed advice to the forces, instigate a culture and then set the fuse for the encouraged HR managers to go off and work themselves up into a feeding frenzy.

NAMF is semi-clandestine because IOD pensioners generally remain unaware of it. The Forum does not advertise its existence, whilst not exactly attempting to keep itself secret. References to it do occasionally appear on force documents but it does not routinely publish its agenda or minutes. If you Google the Forum you will see that most references to the NAMF result from Freedom of Information Act requests.

The National Attendance Management Forum meets at premises provided by West Midlands Police at their Tally Ho! training centre. Meetings are held every three months.

The Forum comprises representatives from c. 35 forces from across the service, including Scotland and Northern Ireland. A unique feature is the mix of professional skills and background of representatives, which include Lawyers, Personnel Professionals, Doctors and Occupational Health Practitioners. Colleagues from the Home Office and NPIA also attend.

The mix of disciplines allows the Forum to debate and progress a wide variety of work from across the occupational health, legal and HR fields. The views of IOD pensioners are never sought by the Forum.

The NAMF is infamous for being used by the Home Office in its attempts to circumvent the Regulations. A steadfast regular attendee was none other than John Gilbert – the civil servant author of Annex C to Home Office circular 46/2004.

As to the ‘lawyers’ the list of delegates shows Nicholas Wirz (Northumbria), whose legal advice to his force seems to have been somewhat lacking as he was the instructing solicitor to Johnathan Holl-Allen, QC in the case of Crudace V PMAB,  decided that significant parts of the Home Office guidance were unlawful. Written evidence supplied by Wirz to the Haworth case was equally unconvincing. Wirz was the gentleman who wrote threatening letters to 45 of the 70 disabled former officers whose injury pensions had been reduced in one afternoon on 20th February 2009 by SMP Dr. Broome. The 45 pensioners had given notice of appeal, and Wirz’s letters effectively threatened them with having to pay the £6,200 costs of any appeal and also contained his opinion that any appeal would be hopeless. Northumbria is the force listed in several judicial reviews and pension ombudsman decisions.

Rather worryingly given his track record Wirz now provides guidance to selected medical practitioners who attend NAMF functions: MR+NICHOLAS+WIRZ+PRESENTATION+(1)

The paradox is that despite the guidance that NAMF churns out having no legal basis and no substance that it is in harmony with the regulations, shamefully forces now use it as a badge of honour when conducting a review – basically saying ‘Its OK we’re following NAMF guidance’.  In fact what they should be saying is ‘It’s OK – we’re following the regulations to the letter’.  NAMF guidance is now being used as the Injury on duty equivalent to the Nuremberg defence.

There seems to be little doubt that the NAMF is the source of poor and ill-thought out information which can be readily seized upon by lazy and ignorant HR and OH ‘professionals’ who can’t be bothered to read and understand the Regulations and stated cases for themselves. It is also a platform for a small number of people whose motives are suspect and who seek to manipulate opinion. As a showcase for the talents of the people who are entrusted with the administration of police injury pensions the NAMF is more of an example of a group of people with which to frighten your grandchildren than to inspire them with role models.

This group of police force HR managers, occupational health personnel and the odd force solicitor is supposedly concerned in its quarterly meetings with keeping the police workforce fit and well. The clue is in the name - it is supposed to concentrate on people who work. However, it spends time also considering matters relating to disabled former officers. Quite what legitimates this group's interest in disabled private citizens who are in receipt of a police injury pension is a mystery.

The mystery deepens when it is revealed that the Home Office and representatives of the commercial company which has the contract to run Police Medical Appeal Boards, HML, also regularly appear on the list of delegates. The mystery morphs into something smelling of conspiracy when the delegate list is entirely absent of any representative of any of the people whose lives the NAMF seeks to affect. There is nobody from the Police Federation, nor from NARPO, nor anyone from any disablement charity, mental health association, etc. etc. In other words, the NAMF is a one-sided talking shop. Even at that level it is not properly representative of all police forces, for we note that there are rarely, if ever, delegates present from every area.

Those of us with long memories, recollect that the Home Office claimed that it had conducted what it called a 'survey' of all forces, way back in 2004, prior to finalising its unlawful guidance issued as Annex C to HO circular 46/2004. The HO claimed that their survey showed that it was common practice for forces to review the degree of disablement of injury-on-duty pensioners once they reached what would have been normal force retirement age. This is what the guidance said:

'This Guidance is being issued to help ensure a fairer, more cohesive approach to the payment of injury benefits to ill-health retired officers who have reached the compulsory retirement age with their Force. A recent survey found that practice in this area was diverse. Some forces automatically reduced degree of disablement benefits to the lowest banding when this age had been reached - others continued to pay benefits at the same rate until the death of the Officer concerned.'

The plain truth, revealed through Freedom of Information Act requests, was that there never was any survey. The HO later tried to claim that the bold, unmistakable claim made in its guidance resulted from 'round the table discussions' at meetings of the NAMF. Yet nothing even hinting at such discussions appeared in the minutes and the HO could not produce a single scrap of data nor any record or any other evidence to show quite how it had come to the conclusion that some forces automatically reduced benefits to the lowest band at what would have been normal force retirement age.

Shockingly, further research revealed that absolutely no forces, not a single one out of the 43 in England and Wales, had ever reduced benefits to the lowest band at what would have been normal force retirement age, automatically or otherwise. The Home Office was caught out in a blatant lie. It was a lie intended for one purpose only - its actually intent was to give an air of normalcy to the huge change in practice which the HO wished to bring about.

This astounding act by a Government department tells us what the NAMF was then, and remains now. It's objective in so far as police injury on duty pensions is concerned, is to subvert the law of the land. The law cannot be changed retrospectively, so the inner circle work to find ways to unlawfully manipulate it through influencing gullible HR managers, and by training carefully selected corruptible SMPs how to refuse grant of an injury award and how to conduct reviews which reduce the degree of disablement of retired officers.

And so the machinations of the NAMF continue...