Regulation 153 Review of medical opinionI1

United Kingdom

(1)

Where—

(a)

new evidence on an issue wholly or partly of a medical nature is presented to the scheme manager by a member (P) in respect of whom a determination has been made under these Regulations;

(b)

the scheme manager receives that evidence—

(i)

where a copy of an opinion was supplied in accordance with paragraph (8) of regulation 152 (role of IQMP in determinations by the scheme manager), within 28 days of the receipt by P of that copy, and

(ii)

in any other case, within 28 days of the receipt by P of notice of the scheme manager’s determination; and

(c)

the scheme manager and P agree that the IQMP should be given the opportunity of reviewing that opinion in the light of the new evidence,

the scheme manager must send a copy of the new evidence to the IQMP and invite the IQMP to reconsider that opinion.

(2)

An IQMP’s response to an invitation under paragraph (1) must be in writing.

(3)

An IQMP’s response under paragraph (2) is binding on the scheme manager unless it is superseded by the outcome of an appeal under regulation 154 (appeals against determinations based on medical evidence).

(4)

As soon as reasonably practicable after receiving a response under paragraph (2), the scheme manager must reconsider its determination.

(5)

Within 14 days of that reconsideration, the scheme manager must—

(a)

give written notice to P that it has confirmed its determination or revised its determination (as the case may be);

(b)

if it has revised its determination, supply P with written notice of the revised determination; and

(c)

supply P with a copy of the response under paragraph (2).

Annotations

Commencement

I1: Reg. 153 in force at 1.4.2015, see reg. 1(2)

Notes on Part 12

Modifications

C1: Pt. 12 applied (1.10.2023) by The Firefighters’ Pensions (Remediable Service) Regulations 2023 (S.I. 2023/843), regs. 1(b), 51(7)