Work Capability Assessment centre, but occasionally in the claimant's home. Since 2015, testing has been performed by the US outsourcing firm Maximus. The DWP pays Maximus £200 for each report. At the face-to-face assessments, the assessors – who are nurses, doctors or physiotherapists – are guided and prompted by a computer programme, designed by Atos in conjunction with the DWP, called the 'Logic-integrated Medical Assessment' or 'LiMA'. A large amount of lifestyle data and some clinical information is obtained from the claimant and is entered into the computer by the assessor, mostly by selecting pre-determined 'one click' options from an on-screen menu. As
Incapacity Benefit had not changed significantly; what had changed was the rate at which recipients were coming "off" the benefit to move back into work (after their illness had begun to improve, for instance, or by finding a job "despite" their disability) - it had fallen. The bulk of the rise in the caseload occurred during the late 1980s, the 1990s and the first years of the 21st century. In 2004, the caseload began to "fall" slowly. Ministers complained about a "sick-note culture" that allowed people to drift onto Incapacity Benefit. A medical certificate from a GP is the first step onto