Criticism of the Work Capability Assessment oversaw the study" and named the lead experts as a professor of psychiatry, a consultant psychiatrist in learning disability, a professor of rheumatology, and an expert in human resources. The review's conclusion was that "the WCA produced consistent results on the whole, and is an accurate indicator of work capability compared with expert opinion". But the following year the firm that had carried out millions of WCAs on behalf of the DWP since 2008 said it had come to the conclusion that "in its current form, the WCA is not working for claimants, for DWP or for Atos Healthcare". The
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