With immediate effect all medical certificates are now EASA medical certificates.
EASA implementation will have important implications for all Pilots, especially Class 2 (PPL) with respect to fitness to hold a specific medical category.
The CAA will still retain oversight of decisions regarding fitness, but will not take part in the "Medical Casework" aspects of the decision process itself especially with regards to Class 2 applicants. This is now fully delegated to the Aero Medical Examiner (AME). This work will vary depending on the nature of any medical condition declared or identified and the steps required to either allow or disallow certification.
The old CAA term “Temporary Unfit” etc. will no longer be extant, and are replaced simply with, “Fit” “Un-Fit” and “Referred”. If there is an expectation that steps can be taken to achieve certification these will need to be discussed and carried out between the Pilot, his GP, Consultants, and the AME. The CAA will retain an appeal process in all cases of disagreement.
The workload to achieve this therefore will now fall on the AME not the CAA and therefore may carry an additional charge based on casework time. Also note that such work will require patient consent to authorize exchange of medical information between the AME and the patients GP and Consultant advisers. Note that Registration and the booking of a medical implies such consent. The cost and licensing implications of this will be discussed if and when the requirement arises. National agreement between private medical practitioners have set fees for such work at £200 per hour pro rata.
Informed consent will also be required from the Pilot to obtain further medical information and test results as required.
Most pilots will not have significant medical problems that would need extensive tests and monitoring and the effects of the EASA changeover for them will therefore be minimal.