SPM60325 – Disputes,
Decisions, Reviews and Appeals - The formal decision
Evidence for SSP and PTS
Evidence and representations
must be collected from both parties to make a
decision. This means that there may be conflicting evidence or
interpretations of events by the employer and employee,
particularly with regard to incapacity for work. Before the
decision can be given the evidence must be considered impartially
and, if necessary, independent advice, for example from Medical
Services, should be obtained. Depending upon the nature of the
dispute, the evidence will include a selection of the
following:
- self-certificate for first 7 days of
absence, see
SPM10310,
SPM10415
- medical certificates for absences longer
than 7 days, see
SPM10415
- independent medical reports see
SPM50325
- employment record:
- were they employed on first day of incapacity
- when did employment end
- were they an agency or short contract worker
- is there a status report, opinion or decision
- amount of earnings during the relevant period to
calculate AWE, see
SPM10605
- did they receive occupational sick pay
- were normal wages paid
- has any SSP been paid
- the total amount of NICs and SSP paid in the
relevant month for PTS calculation
- was a PIW formed, see
SPM10135
- are there any linking PIWs, see
SPM10135
- has SSP been exhausted, see
SPM10130
- details of frequent absences of 7 days or
less
