Medical problem

ThatCrazyCat

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Alright, I made a post here about a year ago before I applied. I managed to get through the psychometric and eye tests, and was PMUd at the initial triage screening. I've also read through quite a few of the threads on here and haven't been able to find an answer to my specific situation.

For some backstory, years in the past I wasn't feeling too good and went to see my GP who referred me to CAMHS for depression and anxiety, who after reviewing my case and speaking with me over the course of initial diagnostic sessions cleared me and said I was all good (no treatment ie medications or therapy and no mental health diagnosis). I also self harmed during this brief period, and there are very obvious marks on my arm, however there is no mention of self harm anywhere on my medical record as the psychiatrists didn't believe me when I told them about it.

I've spoken with my GP who understands the situation and has agreed to write a signed letter to clarify that although I was referred for mental health problems (by himself), the psychiatrists said I was mentally sound. This would in theory allow my appeal to be successful, as the depression/anxiety referral was the only thing listed for my PMU.

The issue remains however of my self harm marks on my skin. Since there is no official record, and I've been declared mentally healthy by CAMHS + my GP, I was wondering how I should approach it at the face to face medical, since it's quite obvious what the marks are from. On the medical questionnaire I did admit to having self harmed in the past, but on my PMU self harm was not listed as a reason for disqualification. This leads me to believe that as long as it is not documented on my record, it essentially didn't happen. Any advice would be greatly appreciated, and apologies if I rambled a bit as the situation is hard to explain.
 

Ninja_Stoker

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Hopefully @The guide or @CHUB! can give you the latest take on this and further clarify, as I'm no longer a front line recruiter.

The issue I believe, with a connected history of mental health issues is multiple, repeat incidences of self-harm regardless of time elapsed since the health issues were resolved.
 

The guide

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@ThatCrazyCat , As alluded by Ninja it is an issue that if multiple incidents (mental health) are noted in any context on your medical notes it will result in a PMU in most cases, and despite any note written by a Dr at a later date, the evidence already on your notes points to a predisposition to mental health issues in the future. Is this always true?? no not by a fair degree, but any large organization that places it,s people under stress not normally encountered in work-life have to preventative measures in place which the JSP medical rules provide for.

The fact you have self-harmed is one you have to declare - so the assumption if it,s not on your records it does not matter ..it does.!. You will in the recruitment process sign forms stating you have provided and will provide full disclosure and not doing so could constitute fraudulent entry into service.

While most individuals are sure it will not present an issue in future the reality is it does in quite a few cases, as mental health issues can be benign but then become a slow all-encompassing issue for the individual.

You can, of course, appeal any PMU if you feel it is incorrect - and they have the facts wrong , you have a period of 6 months to do this, you can only appeal an incorrect decision and not the standard set...as an example.

If Capita has said you only half a leg it is clearly an incorrect decision, but IF you do only have half a leg you cannot appeal, as that's the rules.!! Also bear in mind an appeal will also require full disclosure as your notes will be asked for.

The one obvious bit I see in your post is that it is the same Dr that referred you (so he believed you had an issue) is the one saying your OK ???? in the same period you self harmed by your own admission,

Hope that helps to some degree and best of luck.!

Google JSP950 leaflet 6-7-7 - pre entry - then go to section 4 , annex L - for the rules governing your area , read carefully and fully as the "exact" wording has bearing.
 

ThatCrazyCat

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@ThatCrazyCat , As alluded by Ninja it is an issue that if multiple incidents (mental health) are noted in any context on your medical notes it will result in a PMU in most cases, and despite any note written by a Dr at a later date, the evidence already on your notes points to a predisposition to mental health issues in the future. Is this always true?? no not by a fair degree, but any large organization that places it,s people under stress not normally encountered in work-life have to preventative measures in place which the JSP medical rules provide for.

The fact you have self-harmed is one you have to declare - so the assumption if it,s not on your records it does not matter ..it does.!. You will in the recruitment process sign forms stating you have provided and will provide full disclosure and not doing so could constitute fraudulent entry into service.

While most individuals are sure it will not present an issue in future the reality is it does in quite a few cases, as mental health issues can be benign but then become a slow all-encompassing issue for the individual.

You can, of course, appeal any PMU if you feel it is incorrect - and they have the facts wrong , you have a period of 6 months to do this, you can only appeal an incorrect decision and not the standard set...as an example.

If Capita has said you only half a leg it is clearly an incorrect decision, but IF you do only have half a leg you cannot appeal, as that's the rules.!! Also bear in mind an appeal will also require full disclosure as your notes will be asked for.

The one obvious bit I see in your post is that it is the same Dr that referred you (so he believed you had an issue) is the one saying your OK ???? in the same period you self harmed by your own admission,

Hope that helps to some degree and best of luck.!

Google JSP950 leaflet 6-7-7 - pre entry - then go to section 4 , annex L - for the rules governing your area , read carefully and fully as the "exact" wording has bearing.

Regarding the last bit, no. My GP referred me to specialists (CAMHS) and it was CAMHS who said I was fine and therefore they didn't treat me. The part of my record Capita cited as being in violation of the medical standards was 'You were referred to CAMHS X date by your GP for anxiety and depression. You were discharged X date by CAMHS'. This was the only reason listed on my Capita PMU email.

The crux is this: my GP referred me to CAMHS for anxiety and depression, and after attending a few assessment sessions, CAMHS said I did not have anxiety and depression, and there was nothing wrong with me that would warrant medication/therapy/any other form of treatment. As I explained above, the PMU letter cited the referral from my GP.

Regarding self harm I already declared it in the medical questionnaire before the triage call, so I haven't lied about anything. The key point is that self harm is not on my medical record because years ago when I met with CAMHS they didn't believe me about it.

Essentially, in the initial assessments I was truthful about everything (including admitting to self harm), and they wrote down logs of everything I said. They told me they would review what I had said and decide whether or the problems I was experiencing constituted a mental health problem such as depression and/or anxiety. Ultimately, they called me back and informed me that after looking at what I'd said they wouldn't diagnose me with any mental health problem.
 
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