Chronic Pain Abilities Determination (CPAD)

In response to a number of requests for objective assessments on individuals diagnosed with chronic debilitating conditions, for example with Chronic Fatigue Syndrome (CFS) and Fibromyalgia (FM), a team of medical professionals with significant experience in rehabilitation and work capacity issues were brought together. Following a two-year extensive literature search, the most appropriate, peer reviewed and researched components of current methods for assessing physical and cognitive abilities were incorporated into the CPAD protocol, specific to the individual’s required job demands.

What is the value of a CPAD?

A CPAD provides the necessary factual evidence required to support a medical opinion, and is of significant value to treating physicians, patients and also to independent medical examiners.

The Financial Ombudsman Service has recognised and found in favour of the CPAD conclusions in both the UK and Ireland, and CPAD has been successfully defended in the Irish High Court.

When should a CPAD be considered?

Since inception, Insurers have referred CPAD assessments for multiple conditions where the predominant reported barriers to a return to work are fatigue and/or pain which include:


Repeat physical and cognitive components are performed on either two concurrent, or on separate days with an intervening rest day (depending on the condition presented), to measure the effects of fatigue and/or pain, which may or may not be present following testing on the first day of the assessment and also to address the “good day/bad day” phenomenon.

Determination of an individual’s reliability forms an integral part of the assessment and is readily detectable in order to ascertain the person’s true working capabilities.

Assessments are face to face with a registered and trained Occupational Therapist, Physiotherapist, Chiropractor or Nurse. Safety for the individual undertaking the CPAD is of course of paramount importance, and a number of measures are set in-place to help reduce or negate any potential negative exacerbations of symptoms.

Woman talking to an assessor.

Types of assessment:

  • Composite memory
  • Visual memory
  • Executive function
  • Reaction time
  • Cognitive flexibility
  • Simple attention
  • Verbal memory
  • Processing speed
  • Psychomotor speed
  • Complex attention
  • Motor speed

In conclusion, the CPAD is designed to specifically and objectively measure the work capacity of an individual suffering from chronic debilitating conditions with respect to their normal occupation, utilising an extensive combination of valid and reliable testing, the results of which are free from both examiner and individual subjectivity.