Loss of function in one or both hands (especially if it is the hand you use the most) or inability to manipulate small objects is regarded as a substantial adverse effect. But the level of loss of function must be considered.
If you cannot use a knife and fork at the same time, press keys on a keyboard at the same speed as someone who does not have an impairment or co-ordinate the use of both hands together, then your impairment is likely to have a substantial adverse effect.
However, if the adverse effect is, for example, that you cannot thread a needle or that you cannot type at speeds standardised for secretarial work, it is unlikely that you would be considered to have a substantial adverse effect.
Last Updated: 29 Jun 2009