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Because they are not qualified in any medical way and would be over riding the opinion of a doctor. What if the doctor acted on this request from the ESA which resulted in the claimant suffering a relapse and or some other impairment to their well being. My understanding is that the ESA / DWP take no responsibility for their actions in such circumstances.
Your initial response fills me with gloom to think that the state, through its officers and agencies can simply disregard the medical assessment, which would be up to date / current, of a persons doctor or medical consultant.