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Justice Department
Police Division Identity No: Police Circular No: 18/2004 Title: Guidelines on Medical Standards for Police Recruitment Addressed to: Chief Constables,
Force Medical Officers,
Chief Executives,
Dumfries & Galloway Council
and Fife Council
Clerks to the Joint Police Boards | St. Andrew's House
Regent Road
Edinburgh EH1 3DG Telephone: 0131 244-2155
Fax: 0131-244 2666 George.Vine@Scotland.gsi.gov.uk
http://www.scotland.gov.uk Our ref: DCQ/1/7 |
Dates
Issued: 14 September 2004 Topic: Recruitment
Implementation: 1 October 2004
Impact: Supersedes Police Circular 12/1999
Contact(s) for more information: George Vine (Tel: 0131 244 2155)
Martin McDermott (Tel: 0131 244 2160)
(at the above address)
Dear Colleague
Purpose of the circular:
1. To advise forces of the revised guidelines on medical standards which should be applied in respect of those seeking appointment as police officers in Scotland.
Summary of contents:
2. The guidelines have been revised to bring them up to date and to take account of the implementation of the employment provisions of the Disability Discrimination Act to police officers on 1 October 2004.
3. The main change is that from 1 October it will be unlawful to exclude candidates automatically on the basis of a medical condition or disability. Each applicant should be looked at individually and assessed on their merits. The guidelines also reflect the requirement to be fit to serve at the time of assessment and for a reasonable time in the future. This differs from the previous requirement of fitness at the time of assessment, a prediction that the individual was likely to remain fit for the full duties of a police constable for the foreseeable future and was unlikely to have a condition or medical history which could lead to premature retirement on health grounds.
4. The revisions do not mean that people who are not fit to perform the duties of a constable will be recruited. There is no expectation that people who cannot fulfil a substantial part of the role will be recruited. It does mean however that the police service will recruit able people who have, until now, been excluded on medical grounds or the likelihood of early ill-health retirement.
5. Some medical conditions may be less compatible with police work than others. This is indicative only and each case will need to be looked at individually and assessed on its merits in the light of professional information and judgement. Applicants should be assessed in terms of ability based on the role, functions and activities of an operational constable and the framework of medical standards for recruitment. This will provide a common base for consistent decision making across forces and Force Medical Officers will be provided with a copy of the report on which the revised guidelines are based.
The Disability Discrimination Act 1995 (DDA)
6. Under the DDA it is unlawful for an employer to discriminate against a disabled person in the arrangements that are made to determine who should be offered employment, in the terms on which employment is offered or by refusing to offer, or deliberately not offering employment.
7. If the recruitment arrangements, working arrangements or premises substantially disadvantage a disabled person, then the employer has an obligation to make reasonable adjustments that would remove that substantial disadvantage and thereby enable that person to compete equally for the job and/or perform the duties of the job. Adjustments are not required where there is only minor or trivial disadvantage.
8. From 1 October, the DDA will apply to the medical standards for entry to the police service. Rejection on medical grounds must be justified in terms of the aspects of the job which the applicant would be unable to carry out with a specific condition, illness or disease even if reasonable adjustments were made. Consideration should be given to the nature and extent of the disability, any adjustment which can be made and the costs, practicality and likely effectiveness of any adjustment.
Medical assessment procedure
9. Forces should assess candidates' ability for the job before conducting health checks and medical assessments. Assessing all candidates and deciding who is most suitable before conducting health checks will avoid discrimination claims and challenges that the job was not offered on prejudicial health grounds.
10. From 1 October therefore only applicants who are successful at the initial assessment should be asked to complete and submit a Pre-Employment Medical Questionnaire (PEMQ). By operating this policy, the Police Service will give all candidates the opportunity to compete for jobs and demonstrate their skills and abilities on a fair and equal basis. A copy of a questionnaire which forces might wish to use is attached.
Pensions
11. From 1 October, recruits will also be assessed as to the risk of premature ill-health retirement. Recruits whose pensions costs are likely to be disproportionately high due to their risk of early retirement on the grounds of ill-health will be excluded from all ill-health benefits under the Police Pension Scheme whether related to a disability under the DDA or not. However, the pension contributions of this excluded group will also be reduced.
12. The Force Medical Advisor (FMA) will be asked to provide a medical opinion as to the risk of premature ill-health retirement. This will inform the decision on eligibility and access to the ill-health benefits of the Police Pension Scheme. Consultation on amendments to the Police Pensions Regulations is taking place and will be implemented as soon as possible. A Circular will be issued by the Scottish Public Pensions Agency in due course.
Further guidance
13. Arrangements are also being made for guidance to be made available to forces on the implementation of the DDA. This will include guidance for managers and information in relation to Recruitment, Career Development, Training and Pensions.
GEORGE VINE
Police Division
EAR, NOSE and THROAT DISORDERS Concern is raised with some ENT conditions where disruption of attendance, ongoing discomfort, balance or hearing incapacity will have major detrimental effects on the operational role of a Police Constable |
Illness/injury/ disease | Police applicant | Notes |
External ear | | |
Chronic otitis externa - Mild, occasional otitis externa - More severe, recurrent otitis externa | Likely to be suitable Likely to require further information, investigation and assessment | · Impedes function, balance and use of communications equipment. |
Atresia or stenosis of ear canal | Likely to require further information, investigation and assessment - unless excluded on audiometric criteria | |
Tympanic membrane and middle ear | | |
Perforation - Healed - Chronic | Likely to be suitable Likely to require further information, investigation and assessment | |
Ventilation tubes (grommets) | Likely to require further information, investigation and assessment | |
Successful myringoplasty/ tympanoplasty | Likely to be suitable | |
Chronic otitis media - Healed - Inactive - Active | Likely to be suitable Likely to require further information, investigation and assessment Likely to require further information, investigation and assessment | |
Chronic serous otitis media | Likely to require further information, investigation and assessment | |
Post-mastoid surgery | Likely to require further information, investigation and assessment, unless audiometric standards are not met. If active chronic disease - unlikely to be suitable | |
Otosclerosis | Likely to require further information, investigation and assessment | |
Facial palsy with loss of function | Likely to require further information, investigation and assessment | |
EAR, NOSE and THROAT DISORDERS CONTINUED Concern is raised with some ENT conditions where disruption of attendance, ongoing discomfort, balance or hearing incapacity will have major detrimental effects on the operational role of a Police Constable |
Illness/injury/ disease | Police applicant | Notes |
Inner ear | | |
Meniere's disease | Unlikely to be suitable | |
Benign positional paroxysmal vertigo | Likely to require further information, investigation and assessment | |
Hearing Both ears above standard Both ears below standard Hearing in one ear above standard, and hearing in one ear below standard Applicants with hearing aids that bring their hearing above the minimum standard | Likely to be suitable Unlikely to be suitable Likely to require further information, investigation and assessment - applicant must be assessed carefully Likely to require further information, investigation and assessment | Hearing standard - Hearing loss of more than a total of 84 dB over the 0.5 - 1.2 KHz range or more than a total of 123 dB over the 3,4 and 6 KHz range. For borderline cases or when hearing in one ear is above the standard and hearing in the other ear below standard, or when hearing aids are fitted, consideration should be given to a practical test of hearing to assess functional ability, for example speech and/or phoneme comprehension. |
Nose | | |
Allergic vasomotor rhinitis | Likely to be suitable | |
Recurrent nasal polyps | Likely to be suitable but If there is a significant history then likely to require further information, investigation and assessment | |
Persistent chronic sinusitis | Likely to be suitable but If severe, likely to require further information, investigation and assessment | |
Throat | | |
Tracheostomy | Unlikely to be suitable | · Not compatible with safety near or in water |
Chronic laryngitis | Likely to require further information, investigation and assessment | |
Other laryngeal disease | Likely to require further information, investigation and assessment | |
Severe speech impediment | Likely to require further information, investigation and assessment but unlikely to be suitable if the applicant cannot communicate effectively | · Unable effectively to perform vital task of radio and voice communication |
Balance disorders and vertigo | Likely to require further information, investigation and assessment | · Usually a symptom of another condition that may make the applicant unsuitable. |
CARDIOVASCULAR SYSTEM Some cardiovascular disorders can impair fitness by limiting working capacity or by risk of sudden incapacity. Therefore applicants with marked cardiovascular disorders will not be able safely and efficiently to perform the operational Police Constable role. |
Illness/injury/ disease | Police applicant | Notes |
Coronary artery disease - Symptomatic - Asymptomatic | Unlikely to be suitable Likely to require further information, investigation and assessment | · High risk of the operational role precipitating symptoms (chest pain) or a coronary event. |
Congenital heart disease - Corrected - Uncorrected | Likely to require further information, investigation and assessment Unlikely to be suitable | · Reassess after corrective surgery, unlikely to be suitable if loss of cardiovascular function |
Cardiac murmurs | Benign - likely to be suitable, else likely to require further information, investigation and assessment | · Requirement to meet normal cardiovascular function both at rest and exercise |
Acquired valvular disease | Likely to require further information, investigation and assessment Unless benign unlikely to be suitable. | · May compromise exercise tolerance |
Disturbance of rhythm | Likely to require further information, investigation and assessment | · May compromise exercise tolerance. Operational role may dangerously exacerbate the arrhythmia |
Cardiomyopathies | Unlikely to be suitable | · Operational role may precipitate a cardiac event. There may be a decrease in exercise tolerance. |
Uncontrolled hypertension | Likely to require further information, investigation and assessment | · May be referred for monitoring and treatment to own GP and assessed again when condition investigated and controlled. |
Hypertension with end organ damage or unacceptable side-effects of treatment | Unlikely to be suitable | |
Controlled hypertension with no side-effects of medication | Likely to be suitable | · Subject to (annual) medical examination. |
Established peripheral vascular disease affecting the lower limbs - Symptomatic - Asymptomatic | Unlikely to be suitable Likely to require further information, investigation and assessment | · Condition is not compatible with exercise requirements of operational Police Constable. |
Raynaud's phenomenon | Likely to require further information, investigation and assessment | · Cold may trigger painful attacks. May affect dexterity of hands in operating equipment. |
Varicose veins Severe varicose veins | Likely to require further information, investigation and assessment Likely to be unsuitable if symptomatic or sufficiently severe to restrict capacity to perform operational duties. | · Condition will inevitably deteriorate substantially with prolonged standing and sitting. |
RESPIRATORY SYSTEM Conditions adversely affecting respiratory fitness will limit working ability most commonly from the sensation of breathlessness |
Illness/injury/ disease | Police applicant | Notes |
Any persistent respiratory disease impairing exercise capacity | Unlikely to be suitable | · Assessment should be made on a case by case basis. |
Asthma | Likely to require further information, investigation and assessment | |
Treated hay fever without history of wheezing | Likely to be suitable | |
Solitary spontaneous pneumothorax | Likely to be suitable | |
Recurrent pneumothoraces | L ikely to require further information, investigation and assessment | · Reassess after treatment aimed at preventing further recurrences |
Chronic Obstructive Pulmonary Disease (COPD) affecting exercise capacity | Unlikely to be suitable | · The loss of normal respiratory function will limit exercise capacity even in the absence of superadded chest infections. |
Tuberculosis - Active - History of a previous episode of TB | Unlikely to be suitable Likely to require further information, investigation and assessment | · Unacceptable risk of transmission during training period |
Successfully treated Tuberculosis | Likely to require further information, investigation and assessment | |
Sarcoid | Likely to require further information, investigation and assessment | |
ALIMENTARY SYSTEM |
Illness/injury/disease | Police applicant | Notes |
Peptic ulceration or dyspepsia | Likely to require further information, investigation and assessment | · Chronic pain may interfere with role. |
Irritable bowel syndrome - Mild | Likely to be suitable Likely to require further information, investigation and assessment | Applicant under investigation; require close proximity to the toilet; require codeine for control; or if the IBS has a significant association with stress |
Inflammatory bowel disease (Crohn's or ulcerative colitis) | Unlikely to be suitable, or if successfully treated UC, likely to require further information, investigation and assessment | · Chronic conditions with unpredictable course and relatively high surgical intervention rates. |
Dietary conditions - Coeliac disease - Lactose intolerance - Food allergy | Likely to require further information, investigation and assessment Likely to be suitable Likely to be suitable | · Many sufferers will have minimal symptoms with good dietary control and will be suitable. |
Hernia | Likely to be suitable assuming > 3 months after successful surgical treatment Untreated hernia refer to GP/defer till after surgery | · Training and operational role will be compromised due to local weakness in abdominal musculature. Hernia is likely to increase in severity. |
Anal and perianal conditions - Active chronic conditions | Likely to be suitable Likely to require further information, investigation and assessment | · Persistent perianal sepsis will cause significant absence. |
Chronic liver disease | Unlikely to be suitable | |
Biliary disease - Gallstone disease - Chronic biliary tree | Likely to require further information, investigation and assessment Unlikely to be suitable | |
Pancreatitis - Single episode - Chronic | Likely to require further information, investigation and assessment Unlikely to be suitable | |
Stoma with good nutritional state and no complications | Likely to be suitable | · Consider need for provision of special padding on uniform belts |
NEPHRO-UROGENITAL SYSTEM Renal disease and its sequelae can have profound effects on the ability of an operational Police Constable to attend let alone be safe and functional in his/ her occupation. Sudden incapacity from pain, hypertension and renal failure are the major complications |
Illness/injury/ disease | Police applicant | Notes |
Haematuria/ Proteinurea | Likely to require further information, investigation and assessment | GP to investigate in the first instance |
Nephritis | History of nephritis and ongoing impairment unlikely to be suitable. Otherwise likely to require further information, investigation and assessment | |
Recurrent urinary tract infections | Likely to require further information, investigation and assessment | |
Persistent major urethral abnormality | Unlikely to be suitable | · Treatment is likely to be protracted |
Minor urethral abnormality | Likely to require further information, investigation and assessment | |
Urinary incontinence | Likely to require further information, investigation and assessment | |
Benign scrotal swellings | Likely to require further information, investigation and assessment | |
Testicular tumours | See miscellaneous conditions | |
Major congenital renal abnormality - normal renal function | Likely to require further information, investigation and assessment Likely to be suitable | · Normal renal function necessary to allow regular attendance and performance. |
Polycystic kidney disease | Unlikely to be suitable | · Progression to end stage renal failure. |
Unilateral kidney (with remaining kidney functioning well) | Likely to be suitable | |
Established renal stone disease | Likely to require further information, investigation and assessment | |
Irreversible renal failure | Unlikely to be suitable | · Associated fatigue, anaemia and therapy effects not compatible with operational Police Constable role. |
Renal dialysis (Haemo/CAPD) | Unlikely to be suitable | · Associated fatigue, anaemia and therapy effects not compatible with operational Police Constable role. |
ENDOCRINE SYSTEM A defective endocrine system is unable to properly adjust and correlate the activities of the various body systems and is not able to make them appropriate for the changing demands of the external and internal environment. |
Illness/injury/ disease | Police applicant | Notes |
Insulin-dependent diabetes mellitus (type 1 or type 2) | Unlkely to be suitable. However, further information, and assessment will be needed | Further information and assessment will be needed in order to assess each case on its merits |
Non-insulin dependant diabetes mellitus | Likely to require further information, investigation and assessment | · The complications of diabetes can degrade the functional capacity of an operational Police Constable. · Recent hypoglycaemic episode warrants deferral. |
Thyroid disease | Likely to be suitable - recruit must be undergoing treatment of have undergone successful treatment. If doubt exists, likely to require further information, investigation and assessment | |
Pituitary disease | Likely to require further information, investigation and assessment | · Can be secondary to other conditions. If these other factors do not exclude a recruit then hormonal therapy treatment can allow individuals to return to normal function. |
SKIN CONDITIONS Skin disease can be as much if not more disabling than disease of other organ systems. Physical disability from skin disease derives from decreased mobility of the abnormal stratum corneum or an abnormally stiff dermis. Special concern is raised with extensive hand and foot involvement and the resultant effect on dexterity and mobility respectively. |
Illness/injury/ disease | Police applicant | Notes |
Extensive skin disease with chronic discomfort or disruption of dermal integrity. | Likely to require further information, investigation and assessment | · Exposure to irritants or inhospitable environments will result in frequent exacerbations. |
Widespread eczema/ dermatitis | Likely to require further information, investigation and assessment | |
Mild eczema | Likely to be suitable | |
Severe psoriasis | Likely to require further information, investigation and assessment | |
Mild psoriasis | Likely to be suitable | |
Malignant Melanoma, following excision | Likely to require further information, investigation and assessment | |
ORTHOPAEDIC and SOFT TISSUE CONDITIONS Dexterity, mobility and good spinal function are essential physical requirements for an individual to undertake the role of an operational Police Constable. |
Illness/injury/ disease | Police applicant | Notes |
General | | |
Any previous injury (fracture, soft tissue injury) or congenital deformity, causing long term reduction in function of a joint or limb | Likely to require further information, investigation and assessment | |
Implants | | |
Major joint replacement (total hip or knee) | Unlikely to be suitable | · Unacceptable risk to the prosthesis from exercise requirements. Severe implications of prosthetic failure in an active adult. · Assess on case by case basis |
Internally fixed fractures ('metal work') | Likely to require further information, investigation and assessment | · Risk of re-fracture at site of metal work when returning to more energetic activities. |
Endoprosthetic replacements | Unlikely to be suitable | · Used in osteosarcoma surgery. Unacceptable risk of prosthesis failure or fracture around prosthesis. · Assess on case by case basis |
Knee disorders | | |
Medial meniscectomy | Likely to require further information, investigation and assessment | |
Lateral meniscectomy | Likely to require further information, investigation and assessment | · Risk of early osteoarthritis with associated disability. |
Ligamentous injury requiring surgery or causing instability | Likely to require further information, investigation and assessment | · Risk of re-injury in operational role. |
Osteochondritis dissecans | Unlikely to be suitable | · Risk of severe knee joint damage. |
Foot disorders | Likely to require further information, investigation and assessment | |
Amputations (total or partial) of upper or lower limb | Likely to require further information, investigation and assessment | |
Dislocation and instability of major joints | | |
Single episode of dislocation with no recurrence | Likely to be suitable | |
Recurrent dislocation or surgical treatment required | Unlikely to be suitable - rarely, if excellent surgical results from stabilisation further information, investigation and assessment could be sought. | · Risk of recurrent dislocation whilst engaged in operational activities (e.g. restraining). |
Cervical spine | | |
Resolved whiplash | Likely to be suitable | · May be exacerbated by physical activities and driving. |
Cervical discectomy (+/- fusion) | Unlikely to be suitable | · Cervical discectomy will often not improve neck pain. Also there may be persisting neurological disability in the upper limbs. |
ORTHOPAEDIC and SOFT TISSUE CONDITIONS CONTINUED Dexterity, mobility and good spinal function are essential physical requirements for an individual to undertake the role of an operational Police Constable. |
Illness/injury/ disease | Police applicant | Notes |
Lumbar spine | | |
Single level resolved lumbar disc disease +/- discectomy | Likely to require further information, investigation and assessment | · Low back pain +/- lower limb symptoms can be disabling. Exacerbated by driving, standing for long periods, other physical tasks. |
Multiple level lumbar disease | Unlikely to be suitable | |
Recurrent low back pain/ persistent sciatica | Likely to require further information, investigation and assessment | |
Arthritis and related conditions | | |
Rheumatoid arthritis | Unlikely to be suitable | · Progressive joint damage with degrading of operational capacity. |
Controlled gout without complications | Likely to be suitable | |
Ankylosing Spondylitis with chronic pain | Unlikely to be suitable | · Assessment should be made on a case by case basis. |
Mild Ankylosing Spondylitis with preserved function | Likely to require further information, investigation and assessment | |
Reiter's Diseases / reactive arthropathy | Likely to require further information, investigation and assessment | |
Connective tissue diseases | Likely to require further information, investigation and assessment | · Can cause diagnostic difficulties and often unpredictable course. Potential for severe incapacitation. |
HAEMATOLOGICAL DISORDERS |
Illness/injury/disease | Police applicant | Notes |
Previously undetected iron deficiency anaemia | Likely to require further information, investigation and assessment | · Refer to GP initially for investigations and treatment. |
Other anaemias | Likely to require further information, investigation and assessment | · Many of the underlying conditions causing anaemia will make the applicant unsuitable. |
G6PD deficiency | Likely to require further information, investigation and assessment | · Highly variable, but an applicant may be suitable. |
Polycythaemia (Haematocrit>0.55) | Unlikely to be suitable | · Unacceptable risk of disabling complications. |
Thalassaemia major with severe chronic anaemia | Unlikely to be suitable | · Unable to safely perform required exertion. |
Sickle cell disease | Unlikely to be suitable | · Anaemia & crises. |
Sickle cell disease trait | Likely to be suitable | · Usually asymptomatic. |
Mild haemophilia - Symptomatic - Asymptomatic | Unlikely to be suitable Likely to require further information, investigation and assessment | · Physical tasks and risk of injury may precipitate haemorrhage. |
Thrombocytopaenia | Likely to require further information, investigation and assessment | · If platelets < 25 X 109/l then the recruit is unlikely to be suitable. |
Anticoagulation therapy | Unlikely to be suitable | · The underlying condition may also make the applicant unsuitable. |
Leukaemia/ lymphoma with complete remission | Likely to require further information, investigation and assessment | · Those in complete remission may be suitable following further investigation. |
INFECTIOUS DISEASE . |
Illness/injury/ disease | Police applicant | Notes |
HIV infection - Symptomatic - Asymptomatic | Unlikely to be suitable Likely to require further information, investigation and assessment | · Assessment should be made on a case by case basis. |
Resolved Hepatitis A infection | Likely to be suitable | |
Hepatitis B carriers | Unlikely to be suitable | |
Resolved Hepatitis B infection without carrier status | Likely to require further information, investigation and assessment | |
Hepatitis C and D | Unlikely to be suitable | |
Resolved Hepatitis E infection | Likely to be suitable | |
Glandular fever | Likely to require further information, investigation and assessment | |
MISCELLANEOUS CONDITIONS |
Illness/injury/ disease | Police applicant | Notes |
Childhood or early adult malignancy | Likely to require further information, investigation and assessment | |
Narcolepsy | Unlikely to be suitable | |
Body Mass Index outside normal range - 18 to 30 | Likely to require further information, investigation and assessment | · BMI should only be used to screen individuals. |
Malignant disease | Likely to require further information, investigation and assessment | |
Genetic disease | Likely to require further information, investigation and assessment | |
Chronic pelvic inflammatory disease (PID) with chronic pelvic pain | Likely to require further information, investigation and assessment | |
Incapacitating menorrhagia | Likely to require further information, investigation and assessment | |
Incapacitating dysmenorrhoea | Likely to require further information, investigation and assessment | |
Endometriosis | Likely to require further information, investigation and assessment | |
Fibroids and ovarian cysts | Likely to require further information, investigation and assessment | |
Cervical dysplasia CIN 1/2 | Likely to be suitable | |
Cervical dysplasia CIN 3 | Likely to require further information, investigation and assessment | |
Invasive carcinoma | Unlikely to be suitable | |
Polycystic ovary disease | Likely to require further information, investigation and assessment | |
Pregnancy | Likely to be suitable after 3 months following delivery | |
Termination of pregnancy | Likely to be suitable after 4 weeks following termination providing there are no complications | |
NEUROLOGICAL DISORDERS |
Illness/injury/disease | Police applicant | Notes |
Epilepsy - single seizure | Likely to require further information, investigation and assessment | · Those in whom no abnormality is found should have their acceptance for entry deferred for a period of 18 months [1]. |
Epilepsy - recurrent seizures | Unlikely to be suitable | · Assessment should be made on a case by case basis. |
Migraine | Likely to require further information, investigation and assessment | |
Headaches / Severe headaches | Likely to be suitable | |
Head Injuries | Likely to require further information, investigation and assessment | |
Subarachnoid haemorrhage | Likely to require further information, investigation and assessment | |
Transient Ishaemic Attacks | Likely to require further information, investigation and assessment | · Consideration should be given to applicants deferring entry for 12 months. |
Hydrocephalus/insertion of shunts | Unlikely to be suitable | |
Multiple sclerosis | Likely to require further information, investigation and assessment | · It is recommended that applicants suffering from MS be deferred for 12 months after the date of appearance of their last set of symptoms. |
Motor neurone disease, cerebella ataxias, progressive peripheral neuropathy and Parkinson's disease | Unlikely to be suitable | |
CONDITIONS AFFECTING MENTAL AND PSYCHIATRIC HEALTH | |
Illness/injury/disease | Police applicant | Notes | |
Disorders first diagnosed in childhood or adolescence | May not be suitable but further information, investigation, assessment required | · Assessment should be made on a case by case basis. | |
Cognitive and Amnestic Disorders | Unlikely to be suitable | · Assessment should be made on a case by case basis. | |
Substance related disorders | Unlikely to be compatible but further information and assessment will be needed | · Assessment should be made on a case by case basis. | |
Schizophrenia / Schizophreniform Disorder / Schizoaffective Disorder / Delusional Disorder | May not be suitable but further information, investigation, assessment required | · Assessment should be made on a case by case basis. | |
Mood Disorders / Depression / Bipolar Disorders | Likely to require further information, investigation and assessment | | |
Generalised Anxiety Disorder / Panic Disorder / Phobic Anxiety / Obsessive Compulsive Disorder / Adjustment Disorder / Posttraumatic Stress Disorder | Likely to require further information, investigation and assessment | | |
Somatoform Disorders / Factitious Disorders / Dissociative Disorders / Chronic Fatigue Syndrome | Likely to require further information, investigation and assessment | | |
Eating disorders | Likely to require further information, investigation and assessment | |
Personality Disorders | Unlikely to be suitable | · Assessment should be made on a case by case basis. |
| | | | | |
[1] There is a high risk of recurrence during this time. If the seizure has occurred within the past 18 months it is recommended that entry to the Police service be deferred for that period. If it is clear that the condition is likely to be permanent, then the applicant is unlikely to be suitable.