Medical Appeal (Step by Step)

Kelvin

Badgeman
That maybe is a little too much. The important knowledge questions will be What, where and why?
  • Where are we operating?
  • What ships are there?
  • Why do we need to be there?
The only reason you'd be asked "what's the range of sea ceptor missile?" is for the interviewer to gauge if you just went off and learned loads of facts and statistics. It'd be better to show understanding, you could be asked if our hurricane relief efforts were too slow or if HMS protector is a waste of money or why is there any value having MCMV in Bahrain.
 

cetra

Newbie
Hi everyone, I am in the process of the medical appeal based on a misdiagnosis of ADHD many years ago.

I was hoping someone could give us some guidance on how the appeal process works and what to cover in the appeal letter.

Are there any recruiters here?

Many thanks in advance
 
Hello @cetra and welcome.

Last point first: Regretfully, there are no recruiters active on this site and have not been since the former RN Recruiter @Ninja_Stoker was re-assigned elsewhere many months ago.

Sometimes a lady volunteer/helper at RR @soliel might turn up to share her general knowledge and contact list, and sometimes other RR contributors pitch in with offers of advice gained from their own experience.

The big 'but' to be aware of is that any advice found/offered here is only UNOFFICIAL and the inquirer will or should always be pointed towards the RN Recruiting Website or nearest RN AFCO Office for the genuine article.

Returning to your first point: Maybe you have only read the last few posts of this thread? I ask purely because

The very first Post on this thread clearly states the poster's Appeal experience in general terms and appears to cover exactly what you yourself are asking for.

It might seem ironic to some but I can do no more than draw your attention to Post #1 by repeating it in full below:
+++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++++

Medical Appeal (Step by Step)
Thread starter photface
Start date Sep 1, 2017


I recently went through a medical appeals process and was successful with the appeal. Although there is a lot of information on this forum regarding appeals, there was nothing completely answering every question I had. I wanted to write a relatively long post with all of the information I wish I had when I appealed. Some of this is from my own experience and some of this is collated from the other posts I have read and questions I have had answered by various forum members (thank you @Ninja_Stoker!). I aim to approach it in a logical manner from the point of being notified that the candidate has been deemed medically unfit for service in the Royal Navy.

Step by step guide to appeal:

A letter has been received from CAPITA and from the AFCO, the first things to think about (after feeling rather upset...):

- Is my case eligible for appeal?
The key thing to remember is that the medical standards for entry to service may not be appealed against or changed (i.e. If a candidate has keratoconus and has been deemed unfit, they may NOT appeal as keratoconus makes someone unsuitable for service within the medical standards).

- What can be appealed?
If a candidate believes that the grounds for failing the medical are not accurate, or that their condition is controlled or has been cured/managed and they now fall within the medical standards FOR ENTRY (this is important), they may provide evidence (at their own cost) to prove that they meet the eligibility standards. However, the conditions listed as completely out of the question may not be appealed...it is well worth really considering whether you should appeal. At the risk of sounding coarse, there are a lot of people who appeal simply because they don't like the result of the medical, yet have no justification.

- How do I find the medical standards for entry to the service?
https://www.arrse.co.uk/community/t...n-recruiting-jsp-950-replaces-jsp-346.197864/
(Look at section 4 - The Influence of Particular Conditions on PULHHEEMS Assessment for Entry 4-1 to 4-2)

Write two letters (covering letter and appeal letter), grounds for appeal:

- Letters should be in a logical format, not bogged down with your own medical justifications, keep it simple

The first letter (Cover letter to AFCO), should be a simple letter to inform your careers adviser you wish to appeal. It should not include any medical information, just full name, candidate number, DoB and contact details (formatted like a traditional formal letter). The second letter is to be placed with any extra evidence in another envelope with your full name, Dob, candidate number and 'MEDICAL PROTECT'. This envelope should be sealed and placed in an outer envelope with the covering letter.

- Format of the appeal letter

This is just the format that I used, but to me it looked like a simple, well written letter. I started with a brief paragraph stating that I wished to appeal the decision of CAPITA made on (date), as I had good reasons. I stated that these reasons and pieces of evidence would be listed below.
For the structure of the paragraphs it is a good idea to write a sentence with the reason and then an explanation of what the candidate has done to get checked out or to prove that a condition is not an issue. This should be followed with the title or name of whatever piece of evidence included (e.g. Consultant radiologist report, MRI scan or physiotherapist report, training diary or screen shots from a running/workout application).
Within the final paragraph it is useful to recap reasons and list the evidence included within the appeal pack you send. Also, remember that the appeal is only reviewed if there is further evidence from a consultant or other healthcare professional. My evidence was a GP letter, this was further to the records CAPITA had already seen.
Make sure you keep the letter concise with no extraneous sentences - don't waffle!

Send to AFCO, AFCO sends off to Service Entry Medical Cell (SEMC) and sends you a letter of acknowledgement

- How long does the process take?

For me (and this is only in my case), the wait was 3-4 weeks, however, this does fluctuate dependant on the number of appeals through etc.
Try not to be impatient. This is one of the points I needed to heed with my appeal. I was chomping at the bit to find out what the outcome would be and it drove me crazy! There are so many appeals for the SEMC to get through, as well as for each individual AFCO to sort out and send and unfortunately it is just one of those things that need a little patience.
As soon as the appeal decision is made there will be a letter from the SMO(SE) explaining the reasoning (either successful or not) and dependent on that you will either be advanced to the next stage of training (or unfortunately not).
The good thing about the letter from the Service Medical Officer (Service Entry) (SMO(SE)) is that it is really well thought out and really shows they have taken time and care over the decision that could potentially change the course of the life of an individual.

I believe that covers everything I know. I would be happy to answer any questions to the best of my own knowledge, if I can't, I'll either find out for you or signpost you to someone who can!

Good Luck!

- R

================================================================

Other contributions by photface can be seen here


Last active at RR on 27 Jan 2020 she recently informed us that she completed BRNC in Dec 2019 (which indicates that she won her appeal - BZ) and her RN training is continuing.
 

Ninja_Stoker

War Hero
Moderator
Casting my mind back... Most people with ADHD/ADD wishing to join the Armed Forces will lodge their appeal on the grounds that it was diagnosed several years ago whilst still a minor and at school. Since then, they often find it was an adolescent adjustment disorder from which they are now fully recovered, not been treated for, for several years, not in receipt of any state benefits because of it and have worked since leaving education without issue - as evidenced with employment references and a GP letter.
 

Lovablesnowman

Midshipman
Given the Covid 19 situation does anyone know if medical appeals are still ongoing? I'm assuming they're not and I'm in for a very very long wait but does anyone know for certain?
 

soleil

War Hero
Given the Covid 19 situation does anyone know if medical appeals are still ongoing? I'm assuming they're not and I'm in for a very very long wait but does anyone know for certain?

I wouldn't assume that medical appeals are not being dealt with at the moment, LS. I see no reason why SMO(SE) and team shouldn't be able to continue to process at least some of the appeals. If there are difficulties, I would imagine that they exist when more information needs to be acquired from an external source like a GP or specialist; the current situation would make the provision of additional evidence from those sources slower and more difficult.

Has your appeal gone in?
 

Lovablesnowman

Midshipman
I wouldn't assume that medical appeals are not being dealt with at the moment, LS. I see no reason why SMO(SE) and team shouldn't be able to continue to process at least some of the appeals. If there are difficulties, I would imagine that they exist when more information needs to be acquired from an external source like a GP or specialist; the current situation would make the provision of additional evidence from those sources slower and more difficult.

Has your appeal gone in?

Yeah posted it to my AFCO a month ago now. I was just assuming given the current worldwide situation I'll be waiting a long long time to hear back.
 
Yeah posted it to my AFCO a month ago now. I was just assuming given the current worldwide situation I'll be waiting a long long time to hear back.

I sent my medical appeal in mid-February, got a letter of receipt a week after and haven't heard anything since. Emailed my AFCO a couple weeks ago all I got was an automatic out of office reply. The process takes long enough as it is, but I assume its going to be even longer now.
 

Reiver87

Newbie
I sent my medical appeal in mid-February, got a letter of receipt a week after and haven't heard anything since. Emailed my AFCO a couple weeks ago all I got was an automatic out of office reply. The process takes long enough as it is, but I assume its going to be even longer now.

Il just chime in here and mention I put my appeal in 2months ago and waiting still. AFCO says their still doing them can take upto 2 months but because of Covid maybe longer.
I'm going in as an AET so can also depend on my phase 2 entry time ‍♂️
 

Maiden_Figurehead

Midshipman
I recently went through a medical appeals process and was successful with the appeal. Although there is a lot of information on this forum regarding appeals, there was nothing completely answering every question I had. I wanted to write a relatively long post with all of the information I wish I had when I appealed. Some of this is from my own experience and some of this is collated from the other posts I have read and questions I have had answered by various forum members (thank you @Ninja_Stoker!). I aim to approach it in a logical manner from the point of being notified that the candidate has been deemed medically unfit for service in the Royal Navy.

Step by step guide to appeal:

A letter has been received from CAPITA and from the AFCO, the first things to think about (after feeling rather upset...):

- Is my case eligible for appeal?
The key thing to remember is that the medical standards for entry to service may not be appealed against or changed (i.e. If a candidate has keratoconus and has been deemed unfit, they may NOT appeal as keratoconus makes someone unsuitable for service within the medical standards).

- What can be appealed?
If a candidate believes that the grounds for failing the medical are not accurate, or that their condition is controlled or has been cured/managed and they now fall within the medical standards FOR ENTRY (this is important), they may provide evidence (at their own cost) to prove that they meet the eligibility standards. However, the conditions listed as completely out of the question may not be appealed...it is well worth really considering whether you should appeal. At the risk of sounding coarse, there are a lot of people who appeal simply because they don't like the result of the medical, yet have no justification.

- How do I find the medical standards for entry to the service?
https://www.arrse.co.uk/community/t...n-recruiting-jsp-950-replaces-jsp-346.197864/
(Look at section 4 - The Influence of Particular Conditions on PULHHEEMS Assessment for Entry 4-1 to 4-2)

Write two letters (covering letter and appeal letter), grounds for appeal:

- Letters should be in a logical format, not bogged down with your own medical justifications, keep it simple

The first letter (Cover letter to AFCO), should be a simple letter to inform your careers adviser you wish to appeal. It should not include any medical information, just full name, candidate number, DoB and contact details (formatted like a traditional formal letter). The second letter is to be placed with any extra evidence in another envelope with your full name, Dob, candidate number and 'MEDICAL PROTECT'. This envelope should be sealed and placed in an outer envelope with the covering letter.

- Format of the appeal letter

This is just the format that I used, but to me it looked like a simple, well written letter. I started with a brief paragraph stating that I wished to appeal the decision of CAPITA made on (date), as I had good reasons. I stated that these reasons and pieces of evidence would be listed below.
For the structure of the paragraphs it is a good idea to write a sentence with the reason and then an explanation of what the candidate has done to get checked out or to prove that a condition is not an issue. This should be followed with the title or name of whatever piece of evidence included (e.g. Consultant radiologist report, MRI scan or physiotherapist report, training diary or screen shots from a running/workout application).
Within the final paragraph it is useful to recap reasons and list the evidence included within the appeal pack you send. Also, remember that the appeal is only reviewed if there is further evidence from a consultant or other healthcare professional. My evidence was a GP letter, this was further to the records CAPITA had already seen.
Make sure you keep the letter concise with no extraneous sentences - don't waffle!

Send to AFCO, AFCO sends off to Service Entry Medical Cell (SEMC) and sends you a letter of acknowledgement

- How long does the process take?

For me (and this is only in my case), the wait was 3-4 weeks, however, this does fluctuate dependant on the number of appeals through etc.
Try not to be impatient. This is one of the points I needed to heed with my appeal. I was chomping at the bit to find out what the outcome would be and it drove me crazy! There are so many appeals for the SEMC to get through, as well as for each individual AFCO to sort out and send and unfortunately it is just one of those things that need a little patience.
As soon as the appeal decision is made there will be a letter from the SMO(SE) explaining the reasoning (either successful or not) and dependent on that you will either be advanced to the next stage of training (or unfortunately not).
The good thing about the letter from the Service Medical Officer (Service Entry) (SMO(SE)) is that it is really well thought out and really shows they have taken time and care over the decision that could potentially change the course of the life of an individual.

I believe that covers everything I know. I would be happy to answer any questions to the best of my own knowledge, if I can't, I'll either find out for you or signpost you to someone who can!

Good Luck!

- R
Excellent post, thank you so much for taking the time to write this so concisely. I am about to begin my appeal process and this has really helped focus me.
 

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