advice please.

hello all. new here. looking for some advice if any1 has any.

been in the process of applying as a WET(SUBMARINER) for around 4 months now, however i was declared medically unfit yesterday due to a tiny patch of psoriasis on my left elbow and told to get it treated and retry in 5 years. not ideal really.

however the medical guidance notes for psoriasis state that the reasons to be failed are.....
1. severe psoriasis covering greater than 5% of the body.
2. severe psoriasis in the last 5 years covering greater than 5% of the body.
3. severe psoriasis that could affect the wearing of military clothing.

reasons 1 & 2 do not apply to me which the doctor confirmed, he failed me on reason 3 saying that it would affect the wearing of military clothing (i can't see how)
i was unhappy with this decision so went to see both my g.p and a private skin pecialist who have both stated that i have ninute psoriasis covering less than 1% of skin(closer to 0.1%) and that they can not see any reason why it would affect the the wearing of any clothing known to man including boiler suits etc.
i would appreciate if any1 could give me any guidance on how to go about appealing against the decision as i believe it is unjustified.

i belive that due to the waiting lists being so high the doctors are being instructed to fail people on whatever they can. this is unfair and plays around with peoples hopes and dreams for the future. there is no point giving would be recruits medical guidance notes if the doctors dont adhere to them.
any help would be greatly appreciated as this is the next 20 years of my life.sorry its so long for a first message.


The medical standards are actually more complex than the guide that is given to you - believe it or not doctors actually know a thing or two about medicine.

The default position with psoriasis is no - because it can get worse and cause problems in an unpredictable manner. If, however, it is mild and has only ever been treated with moisturisers, vitamin D or 1% hydrocortisone cream then you may be ok.

Your AFCO will have the details about appeals. You cannot appeal the standards, only your diagnosis. So if you feel you fulfill the criteria I have outlined then crack on. If you do not fulfill those criteria then your appeal will fail.

I would stand fast on your allegation that we are failing people without reason unless you have firm evidence to suggest it is true. Standards and standards, not guidelines. They are always rigidly enforced, whatever the current recruitment climate.
i have only ever put moisturiser on it. i have actually never been to see my g.p about it (until today) as it is that mild. i understand it can flare up during times of stress etc. i have today howver seen my g.p who said that the decision to fail me due to the psoriasis i have is almost comical! ( i assured him i do not find it the slightest bit comical) he and a dermatoligist have both today stated that in no way whatsoever could my condition affect the wearing of military clothing or my ability to carry out my duties to the full.

another question if you would? i have been given a prescription for a steroid based cream to get it cleared up. would you suggest starting the treatment now as my doctor said it will be cleared completely in a matter of weeks or would you suggest not using a prscription strength cream to show that the level of psoriasis i have does not require it.

many thanks again.
also i understand what you are saying regarding guidance notes, however if i had the slightest idea that my condition would so much as raise en eyebrow with the doc then i would have sorted it before trying to join.
i think i am just very annoyed, as i gave up my job because i could not get the time off to do recruit tests etc and now it may a waste due to the slightest patch of dry skin.


Get the ointment on asap - mild steroids (eg 1% hydrocortisone) are fine - and start the appeals process with your AFCO. It may have been the standards were slightly rigidly enforced but re-read the 2nd paragraph of my last post - the default position is no.

I always find the opinion of civilians (be they consultants or GPs) on these matters comical - they don't have the slightest idea what our standards are so I'm not really sure how they feel they know what should and shouldn't allow someone to join the Forces.
i think that the standards were rigidly enforces as you suggested.
thanks very much for the advice, i shall collect the prescription today and start on the cream and hopefully it should fully clear up in a few weeks.
thanks again.


War Hero
ian1984summerfield said:
i belive that due to the waiting lists being so high the doctors are being instructed to fail people on whatever they can. this is unfair and plays around with peoples hopes and dreams for the future. there is no point giving would be recruits medical guidance notes if the doctors dont adhere to them.
any help would be greatly appreciated as this is the next 20 years of my life.
In two words: Utter crap.

The irony of this is that it is far easier for a Doctor to pass an individual rather than enter into prolonged correspondence, arguing the toss with regard his professional medical ability. The Doctor does not particularly wish to enter into a confrontational situation but at the same time has rules & regulations to abide by.

It's probably not the wisest course of action to make unfounded accusations regarding a potential employer in the public domain, particularly given the username.

Loft-on Switchy.
i am not making allegations at all, just to make that clear. appologies if it sounds like that. i was merely suggesting and asking for opionions as to if people thought it was a possibility that the docs are being advised to be over critical due to high waiting lists. but this is clearly not the case.

the reason for me suggesting this is because i have 1 year of untraceble history due to backpacking around asia and i was told by 2 careers advisors that it might be a problem due to the navy being full, however if i was to consider joining a branch with lower waiting lists, steward, logistics etc then they would probably turn a blind eye to it.

i was just considering the possibility that the same is being done with medicals as with background check. meaning stricter rules for more popular jobs.
i don't know if this is what is happening throughout the careers offices or just where i went. but that is what i was told.
sorry if i have caused offence to you or any1 by suggesting it. i am merely trying to explore every possibility as i feel i have been unfairly diagnosed.
just 1 more thing if either of you know? do you know if the doctor has to make the decision taking into consideration the job you are applying for or if the medical standards are set regardless.
just wandering as i have several other job choices that i would be happy to do. thanks again for your replies.


War Hero
It is true to say that engineering disciplines (air, weapons & marine) work with synthetic oils on occasion which can lead to problems with regard skin conditions, so often the rules will be more rigourously applied to an engineering technician than say a person largely working in an office evironment. That said we aim to employ people free from medication or conditions which could get worse in extremes of climate, terrain or environment.
cheers very much. i shall get my condition cleared up over the next week or so and start my appeal process. my other job choices would have less affect on my condition so i will make them aware.

time to crack on.
many thanks.

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