I've just received a letter stating my tribunal appeal has been declined, what can I do now. I have longstanding health problems with my back, knee and also depression. They scored me 0 points, how did they decide on this. Also the doctor attending used to be a locum for my own doctor, my wife saw her a couple of times, she diagnosed my wife with ectopic pregnancy but sent her home, she was incompetant and my wife made an informal complaint to our doctors secretary. Does this have any bearing on the appeal, the fact that we have had contact with this doctor before and she was negligent to my wife. I would be very grateful for any advice.