[2024] UKUT 271 (AAC)
Upper Tribunal Administrative Appeals Chamber

[2024] UKUT 271 (AAC)

Fecha: 19-Ago-2024

“…She has a medical history of osteoarthritis of her right knee and Plantar Fasciitis of her right foot. She has discomfort in her left knee too, which is due to the compensation effect from osteoarth

“…She has a medical history of osteoarthritis of her right knee and Plantar Fasciitis of her right foot. She has discomfort in her left knee too, which is due to the compensation effect from osteoarthritis in her right knee. An MRI scan confirmed osteoarthritis in her right knee…

In response to the points in your letter:

Food preparation/cooking – she CANNOT stand for long periods to do this the right knee gives way when she does. There is too much strain on her right knee and back.

Washing and bathing – it is extremely difficult to get in and out of a bath, she has a walk in showed. She would be looking to get a seat in the shower.

Toileting – She is okay with this in general but has difficulty lowering herself on and raising herself off the toilet.

Dressing and undressing – She needs assistance with this. She CANNOT bend to put her socks and shoes on and needs help drying her lower extremities after a shower.

I confirm that despite taking pain killing medication she can remain in extreme pain, even if she has to walk short distances. She tends to walk/hobble around in pain in order to mobilise… ”

There is also an MRI report which provides :

“MRI Right Knee

Conclusion: Moderate osteoarthritic degenerative change within the medical compartment of the knee joint. Medical meniscal tear…”

9.

It is incumbent upon the FTT to consider all the evidence. It is unclear if the FTT have considered the GP letter and the Radiologist report as noted above, as the written reasons are entirely silent on this issue. Of further significance is the FTT’s failure to adequately explain why it preferred the evidence of the Musculoskeletal report dated November 2022 to that of the claimant’s GP and the Radiologist. This is in error of law. Where, as here, there is a conflict in the evidence the FTT must state which evidence it prefers and why. This was an issue which the FTT should have explored further, making findings of fact rather than simply relying on the Integrated Musculoskeletal Service report. In this regard, in terms of weight to be accorded to specific pieces of evidence, while this is a matter for the primary fact-finding Tribunal, it could be argued the claimant’s GP may have been the health professional who knew the claimant and her condition(s) best. Again, I am not aware of the FTT’s view on this as it is not articulated in it’s written reasons. In my judgment therefore, the FTT was in error of law on a tripartite basis firstly, in failing in its inquisitorial duty to explore the evidence and find the relevant facts, secondly, to resolve the clear conflict in the medical evidence and thirdly, to provide adequate reasons for its decision.