We have in the military a process primarily run by the directorate of medical policy, whereby we assign employment limitations based on the nature of an illness or injury of a member. We in the health services do not make a decision as to whether or not somebody meets the universality of service standard. That decision is made by the chief of military personnel in the directorate of military careers administration, DMCA.
They look at the employment limitations that have been assigned based on the nature of the illness or injury, and make a determination with respect to universality of service. There certainly is a process where a member who is assigned employment limitations can question those employment limitations. The first step would be to do that with their health care provider. They can review the case, and seek specialist consultation if necessary to determine the nature of the employment limitations and the reasonableness of those employment limitations. If they're not satisfied with the decision from their primary care provider, they can also request a re-evaluation from our headquarters level in the Health Services Group, and we will then also consult further on the case and make a determination as to whether or not those employment limitations fit the illness or injury of the member.
At that point, the file will probably go over to DMCA, which will make a decision with respect to universality of service. If a member is not satisfied with the decision by the DMCA, they also have a further ability to grieve that decision, which could go all the way up to the level of the Chief of Defence Staff for a final determination.