I understand that London Underground Customer Service Supervisors are expected do a stress test(Bruce protocol) when returning to work after cardiac event. I would like to know, 1) What is the accepted lowest level in Bruce protocol to work as a Customer Service Supervisor (CSS) with London Underground? 2) What happens if a CSS could be able to do only Bruce protocol stage 1? 3)What happens if a CSS could be able to do only Bruce protocol stage 2? 4)What happens if a CSS could be able to do only Bruce protocol stage 3? 5)What happens if a CSS could be able to do only Bruce protocol stage 4?

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TfL Ref: FOI-2953-1819

Thank you for your Freedom of Information request of 3^rd February 2019 asking for information about London Underground Customer Service Supervisors returning to work following a cardiac event.

Your request has been considered in accordance with the requirements of the Freedom of Information Act and our information access policy. I can confirm that we hold the information you require. Specifically you asked:

1) What is the accepted lowest level in Bruce protocol to work as a Customer Service Supervisor (CSS) with London Underground?

2) What happens if a CSS could be able to do only Bruce protocol stage 1?

3)What happens if a CSS could be able to do only Bruce protocol stage 2?

4)What happens if a CSS could be able to do only Bruce protocol stage 3?

5)What happens if a CSS could be able to do only Bruce protocol stage 4?

TfL’s Occupation Health department uses its clinical judgement to decide on the implications of staff returning to work after illness, based on their clinical history. In general, they benchmark using the DVLA group 2 standards which are outlined here:

https://www.gov.uk/guidance/appendices-assessing-fitness-to-drive#appendix-c-cardiovascular-considerations (for safety critical tasks, employees should be able to complete Stage 3 of Bruce Protocol). However, there are no hard and fast rules as it depends on the clinical condition of the staff member, with decisions being made on an individual, case by case basis.

If this is not the information you are looking for, or if you are unable to access it for any reason, please do not hesitate to contact me.

Please see the attached information sheet for details of your right to appeal as well as information on copyright and what to do if you would like to re-use any of the information we have disclosed.

Yours sincerely,

David Wells

FOI Case Officer

FOI Case Management Team

General Counsel

Transport for London

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