Consider asking Medical Services to obtain a report from the employee’s own doctor and give their view as to whether or not the employee would have been unfit to work in their normal employment if:
If the employee did not attend for a medical examination, take
this into account when considering the employer's original decision
on whether the employee is incapable of work or not, if that was
the reason for the dispute.
If the employee refuses to give permission for Medical
Services to go to the GP for information, ask them why.
If they do not give a good reason for not co-operating with
your enquiries, assume that the employee is capable of work.
Explain in the letter that:
If the employee subsequently appeals, re-refer the case for
further medical advice.
If a second reference to Medical Services is needed, and the
employee gives their permission for Medical Services to make their
enquiries: