Criticism of the Work Capability Assessment group of experts — a professor of psychiatry, a consultant psychiatrist in learning disability, a professor of rheumatology, and an expert in human resources — reviewed the WCA in 2013 and concluded that "the WCA produced consistent results on the whole, and is an accurate indicator of work capability compared with expert opinion". But in the year that the study was published, the firms running back-to-work training for people on ESA said they had "ongoing concerns about the accuracy of the WCA". And in 2014, Atos announced that it had come to the conclusion that "the WCA is not working
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