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A woman was not satisfied with the local author
ity’s processing of and decision on her disability
pension case. In her view, the local authority had
chosen to disregard all medical statements. In
addition, she felt that insufficient account had
been taken of her special needs in connection
with an assessment of her ability to work.
The Ombudsman rejected the case as he
considered it unlikely that he would be able to
change its outcome. He pointed out that his
experience from a very large number of similar
disability pension cases showed that he usually
cannot help the complainant achieve a different
decision to the one made by the authorities
because decisions on disability pension cases
are largely based on medical information and
individual assessments.
The Ombudsman has no medical expertise and
therefore cannot assess whether a citizen
is entitled to disability pension. Thus, he is
usually unable to determine whether adequate
medical evidence has been obtained in a
case, the relative value of conflicting medical
assessments or to what extent an illness af
fects a person’s ability to work.
After a local authority had refused to help a
woman pay her gas bill, her heating and hot
water were cut off. The woman lodged an appeal
with the Social Tribunal – which stated that
the average case processing time was nine to
ten months. The Ombudsman was unable to
consider the woman’s complaint about the local
authority’s decision until the authorities had
made a final decision. However, he forwarded
her complaint to the Social Tribunal, asking the
Tribunal on her behalf to expedite the case. Soon
afterwards, the Tribunal made a decision.
‘Expediting requests’ are a tool often used by
the Ombudsman, typically in cases which have
not progressed for several months. In this case,
it happened earlier because the woman had no
hot water or heating.
A local authority’s citizen advisor had criticised
the local authority’s processing time in a disa
bility pension case. The Ombudsman rejected
the case as the citizen advisor had already
expressed criticism of the case processing time.
The Ombudsman also attached importance
to information from the local authority that a
decision would be made on the case within three
months.
The Ombudsman receives a huge number of
complaints every year. He prioritises the cases
and in this connection considers, among other
things, whether an Ombudsman investigation
is likely to help the complainant.
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