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It will take only 2 minutes to fill in. If the presence of a companion becomes disruptive to the consultation, the HP may ask them to leave. 1.7.19 If no DS1500/BASRiS has been provided and there is no additional medical evidence, a telephone call to the relevant clinician will always be required. 1.15.28 The Welfare Reform Act 2012 (Section 82) creates special provision for a third party to make a claim on behalf of a disabled person without their knowledge. It is important that claimants feel they have been listened to and that the consultation feels like a genuinely two-way conversation. You dont become too concerned about the word severe since anxiety and distress can appear different in severe expressions in affected people. 1.8.4 For each activity area, the HP should use evidence to choose one descriptor which best reflects the claimant's ability to carry out an activity, taking into account whether they need to use aids or appliances and whether they need help from another person or an assistance dog. Although the HP may consider that the claimants view of the impact of their condition is unrealistic or inconsistent with other evidence, the place to address this is later in the report, when justifying their advice. 1.6.20 The HP should record a concise and relevant social and occupational history. Vous pouvez galement trouver l'heure de travail et la carte sur la carte de . Copyright OptimistMinds 2023 | All Rights Reserved. The DWP will use evidence from the. 1.15.11 In any case where consent is over 2 years old, action should be taken to confirm that it still reflects the claimants wishes. 1.6.28 The functional history is the claimant's own perspective on how they manage the daily living and mobility activities. 1.6.19 Where the claimants current medication is accurately recorded in either the claimant questionnaire or in supporting evidence, the HP may reference where it is recorded instead of reproducing this information in the assessment report. Assessor's preparation In general, assessors seem to have taken the time to read the claimant's PIP2 form in advance. Renata Is A Disabled Entrepreneur. You can get Personal Independence Payment (PIP) if all of the following apply to you: The call should conclude by reading back what has been documented and advising the claimant that this information will be added as evidence to the file. 1.6.41 Some examinations for example, of the lower limbs might be carried out with the claimant reclining on an examination couch. 1.3.9 APs may receive referrals from DWP for claimants who have a condition which means that they need additional support from DWP and the AP during the PIP application process. The professional will then send it to DWP to check if you are eligible for the benefits. This information should be included in the assessment report provided to DWP or via the PIPAT. 1.6.64 A claimant may make a covert recording of the consultation without the HP being aware. Helps you take control of your household spending. It's important you prepare - the DWP will use evidence from the assessment to decide if you can get PIP. PIP sits alongside support provided by the NHS and local authorities and is not meant to duplicate that support. This is known as harmful information In law, this is the only information that can be withheld from a claimant. The HP should still make enquiries to clarify whether the person meets the Special Rules criteria and return the assessment report to the DWP with any supporting evidence, stating whether the claimant is terminally ill under the prescribed definition. As the disabling condition was substantially the same she did not have to fulfil the 3 month qualifying period. 1.1.7 If the claimant questionnaire is not returned and the claimant has been identified as having a mental or cognitive impairment, the claim will be referred directly to the AP for assessment. 1.4.14 If the claimant states that they want to tell the HP something in confidence that they do not want recorded in the HPs advice, the HP should explain to them that they are unable to take such information into account, as the CM making the decision on their claim would have no access to it. 63 replies 18.3K views. What are my options for dealing with debt? If the claimant is persistently uncooperative or if they are clearly under the influence of alcohol or drugs, the consultation should be terminated and the case returned to the DWP, along with an explanation of why the consultation had to be terminated. However, a 60 year old with other multiple pathologies who loses the lower leg because of complications due to diabetes is more likely to struggle. This includes: claiming benefits including completing and signing any claim, providing consent to obtain further evidence and providing information to the HP on the functional impact of the claimants health conditions, reporting changes in the claimants circumstances, or changes in their own circumstances that the DWP may need to know for example a change of name or address. The PIP assessment is an opportunity for you to talk about how your condition affects you - it's not a diagnosis of your condition or a medical examination. Your assessment centre might ask you for a letter from your doctor or other evidence that you need an alternative location for your assessment. The roll-out of PIP to existing DLA claimants commenced from October 2013. 46. The HP should not apply pressure to the professional to supply this information. The PIP medical assessment consists of several parts and will last on average, 60 minutes: In this part of the assessment, the health professional will ask you a series of questions about how your condition affects your everyday life. The damning report conducted by the Public. For example, He gets up at and says he can wash and dress without any difficulty; She states that she finds it difficult to lift heavy saucepans. 1.10.9 The HP should select the No box if they consider it likely that the claimants health condition is likely to improve or that they will adapt to the point that there will be no or a very low level of functional restriction for example, someone with osteoarthritis of the hip who is expected to have a hip replacement in the next few months where a full recovery is likely in a relatively short period of time. Can I claim Welfare Benefits if Im living with a mental illness? I thought about going into detail on what is PIP, who can apply for PIP, and everything you need to know about it, but instead, I'll leave it to the link below and just get on with my first PIP phone assessment experience and what . If you adjusted the date by your own without letting the assessment provider know, this is considered as discrimination and you should call your local Citizens advice for help with this kind of situation. By contrast most people with mental health problems we talked to expected and assumed their GP would be contacted after including their details on the PIP1 form. 1.6.18 The HP should record any other prescribed therapies, such as physiotherapy, making a note of who prescribed them, how often they are carried out, and how effective they are. This document has been produced by the Department for Work and Pensions (DWP) to provide guidance for assessment providers (APs) carrying out assessments for Personal Independence Payment (PIP). When making telephone contact with a GP or other specialist, the HP should also endeavour to determine whether the claimant is aware of their illness or prognosis and consider whether the information they have obtained may be potentially harmful. For example, they might ask you how you travelled to the assessment centre. The contradicted everything that i had said, told many lies and the questions are designed to set you up..You must be very specific in everything you say, if you need prompting . Hi Zoe, I had my PIP telephone call last July and I have only just won my case. These pro forma are provided separately. The HP should indicate the duration of such treatment and the date at which there is likely to be little or no functional limitations present for a minimum of 9 months and up to a maximum of 2 years. 14K PIP, DLA, and AA; 3.4K Universal Credit (UC) 5.5K Talk about your impairment; 1.6K Cerebral palsy; 768 Chronic pain and pain management; 59 Physical and neurological impairments; 963 Autism and neurodiversity; 1K Mental health and wellbeing; 309 Sensory impairments; 753 Rare, invisible, and undiagnosed conditions It should be recorded in the third person, and should make it clear that this is the claimant's story. Report: Once your PIP assessment with questions on mental health has finished, these health professionals will make a report discussing which PIP descriptors apply to you and elaborate on their reasoning. The HP should use the following guide when considering review points: 1.10.2 It would be appropriate for the HP to select the no review required option in the following circumstances: where, in the HPs assessment, the claimants level of functional impairment is such that the case manager is likely to consider that they do not meet the threshold for an award of PIP. Procedures to follow and sources of support and guidance should be covered in HP training. Those details will go through to the provider and the invite letter should be sent to that person only. How do I manage my money if I have to go into hospital? Citizens advice. It is likely that the claimant will not experience their current physical functional limitations post-recovery period. your mental health condition makes using a bus or train difficult. In such cases the HP may need to seek advice from another person, for example (this list is not exhaustive): a third party (where noted on the claimants case) in order to obtain the necessary evidence, the practice administrative staff (note: information should only be requested from administrative staff if all other sources of evidence have been unsuccessful). If you cant attend your appointment, you must contact the private assessment provider who sent you the letter immediately their contact number will be in your letter. 1.7.33 Occasionally, the HP will encounter a case where the contents of the DS1500 reveal that the author has completely misunderstood its purpose; for example, where there is no implication that the claimant is suffering from a terminal illness. 1.13.6 Requests for supplementary advice may be made to APs by telephone and/or through the PIPCS and/or the PIPAT, depending on the nature of the request. Safely: Can you do the activity without causing danger to yourself or someone else? It is not the HPs opinion of what the claimant should be able to do. In these cases, the AP and the DWP must ensure the claimant is not inadvertently advised of their prognosis. What does the assessor observe during the PIP assessment? 1.6.2 Consultations may be carried out at a range of locations, including an assessment centre, local healthcare centre or in the claimant's own home. 1.15.22 Proof of consent given by claimants need not be routinely sent by APs when requesting further evidence. 1.15.33 The DWP takes confidentiality very seriously and all confidential information should be held securely and in accordance with legislation. 1.1.6 Once the claimant questionnaire has been returned to DWP, in cases where an assessment is required by a Health Professional (HP), the case is referred to an assessment provider (AP) along with any supporting evidence provided. If the health professional involved in the claimants care remains unwilling to provide the information, an appropriate alternative person - for example their consultant - should be telephoned. PiP phone call - gave no points for mental health was created by Danielle. If you plan to travel by car, you can claim back the cost of parking and a price per mile (e.g. Can I cancel something I've done when I'm unwell? Informal observations should be recorded in the report, for example: I observed them and they appeared to have no difficulty with; I saw him lean heavily on a walking stick when entering the consulting room. 1.6.31 Informal observations are part of the suite of evidence used by CMs to help them determine entitlement to benefit. the evidence that underpins the HPs advice can include: the HPs knowledge of the disabling effects of the medical conditions. If there is any doubt as to whether the consent is still valid, fresh consent should be sought. This question does not signify your ability to walk. 1.4.13 Any written information that is marked by a claimant or a third party as confidential or in confidence cannot be used in a claim for PIP as it cannot be further disclosed to a DWP CM. It is essential that the HPs advice considers the details given by the claimant and the companion and whether one or both are understating or overstating the needs. Well enough: For example, you may be able to make a meal, but you will not be able to eat it if it is undercooked. You may be required to send medical proof of why you need to take the PIP assessment with questions on mental health in your home. Pip telephone assessment experience. We use some essential cookies to make this website work. 59% of people said that the assessor did seem to have read their form She both reassured us that she had and also seemed to understand what has been written in the form. About Personal Independence Payment Personal Independence Payment (PIP) is a benefit for people with a long-term health condition or impairment, whether physical, sensory, mental, cognitive, intellectual, or any combination of these. Assessment providers should improve training for assessors to make sure they are mental health informed with knowledge and understanding about how someone's mental health can fluctuate and impact their lives on a day-to-day basis so that people can get the financial support they need. The supplementary advice option will be used where the report overall is fit for purpose but there is a need for some aspects to be clarified further. The HP should encourage the claimant to expand on their answers to explore how easy or difficult they find a task. 1.8.13 Report forms should contain where appropriate an overall summary justification or an individual justification for each descriptor choice providing a succinct summary for the CM of the evidence obtained and used in the HPs consideration and the reasons for descriptor choice. The investigation has compiled evidence from more than 20 disabled people who have contacted . PIP assessors are looking for disability assessors that are licensed and trained for the assessment of disabilities either for physical disability or mental disability. Make any notes of changes to your condition, Make notes of anything you feel you want to say, which you havent put on your form. These times have reduced significantly from the peak in July 2014 (42 . 1.8.10 It is essential that the CM is made aware of the evidence the HP has used to complete the assessment report. 1.4.12 Should harmful information other than the claimants condition be present either contained in supporting evidence or identified at a face-to-face consultation this should be recorded separately on the harmful information note (PA7) or within the harmful information screens in the PIPAT or PIPAT mobile and clearly marked as harmful. Check if youre eligible for PIP. 1.4.1 Additional evidence from professionals supporting the claimant should be sought where the HP feels it would help to inform their advice to DWP. If youre in the armed forces or a close family member of someone who is, the rules on living and registering in England, Wales or Scotland isnt practised. The HP must quantify the proportion of good days to bad, for example if the claimant has epilepsy it is a question of the type, frequency and after effects of the seizures. 1.15.14 In cases where claimants have a named third party as an appointee, this could be due to the claimant being unable to manage their own affairs as a result of a serious mental health condition or cognitive / learning disability. The entitlement threshold for each component is 8 points for the standard rate and 12 points for the enhanced rate. 1.6.23 The HP should record the occupation and the nature of the job for example, activities on a daily/weekly basis, including any reasonable adjustments made by the employer. 1.12.2 Some claimants may have a Personal Acting Body (PAB) such as: A PAB is a person formally nominated to act on their behalf, who will ensure that the claimant is supported throughout the process. It is also recommended that the HPs could also consult with clinical coaches or other experts prior to the assessment for advice and support on how conditions present and how this might affect function. If they do not turn up then normal failed to attend (FTA) action is taken the DWP will investigate the conduct of the appointee. You should explain the following: These general PIP assessment tips will also help you: We recommend that you record the audio for your face-to-face PIP assessment. He was awarded the daily living and mobility components, both at the standard rate. There are 3 main benefits that you can claim if you regularly need support to manage your mental health: Personal Independence Payment (PIP) for people over 16 to State Pension age. Do they need help to carry it out or are they completely unable to do it and need someone else to do it for them? In common law jurisdictions the term is most commonly used to refer to a type of tort lawsuit in which the person bringing the suit (the "claimant" in English Law or "plaintiff" in American jurisdictions) has suffered harm to his or her body or mind. We explain what the Personal Independence Payment (PIP) medical assessment is, and help you understand what to expect at your assessment. The DWP will then decide if its a valid reason: If the DWP refuses your application, you can challenge their decision, start a new claim, or both. The article then gets reviewed by a more senior editorial member. 1.4.5 The HP should consider the most appropriate evidence for the case under consideration. When pain is a significant symptom we would expect the claimant to be able to describe the location, type, severity and variability of the pain they experience and the impact it has on their daily life. 1.8.19 A properly justified report should contain the following: a brief summary of the individuals health conditions or impairment and their severity, a clear explanation of the reasons for the advice contained in the report including; referencing evidence used to support descriptor choices, explanations where the HPs opinion differs from those of the claimant, carers or other health professionals, clarification of any contradictions and an explanation of the HPs choice of evidence relied upon. 1.7.3 The criteria for SREL claims set out in legislation are that the claimant: is suffering from a progressive disease and death in consequence of that disease can reasonably be expected within 6 months. 1.12.4 During the gathering of initial claim information, claimants who are identified as requiring additional support from DWP will have an additional support (AS) marker attached to their case on PIPCS. The HP should ideally wait for the return of any further evidence requested before deciding whether a consultation is needed. 1.7.21 The HP must ensure that the claimant has given consent for the person they phone to share information. What a bad day is like for you - for example, on a bad day, Im so depressed I cant concentrate on anything, and getting out of bed is a huge struggle. 1.4.4 In the claimant questionnaire, claimants are encouraged to list the professionals who support them and are best placed to provide advice on their circumstances. The HP should inform the professional being contacted that this record is being produced and that this may be made available to the claimant and/or their representative. This section also covers other areas on which HPs may be asked to provide advice. Using the information available to them, HPs will need to consider the most appropriate approach to completing the assessment for these claimants, be that paper based review or consultation. 1.8.7 For a scoring descriptor to apply, the claimants health condition or impairment must affect their ability to complete the activity on more than 50 per cent of days in the 12 month period. How do I manage my money if I have mental health problems? The HP must record the telephone conversation in their notes, indicating who has given that person the authority to speak on their behalf. 1.10.3 In the following instances it would be appropriate to recommend an ongoing award: where the HP considers there to be no likely change to the functional impairment, where the claimant has functional impairment which is not likely to substantially change in the long-term, allowing for short-term periods of functional change in the case of fluctuating conditions, where the claimant has very high levels of functional impairment in both daily living and mobility components likely to reach the threshold for an enhanced/enhanced award, and in which their needs are only likely to increase, such as with progressive conditions. 1.6.11 When considering inconsistencies, HPs should bear in mind that some claimants may have no insight into their condition, for example claimants with cognitive or developmental impairments. 1.15.4 For consent to be fully informed and freely given the claimant must know exactly why the information is needed, what is going to be done with it, and with whom it might be shared. There are a number of reasons why a claimant may be unable or choose not to take mental health medication, for example, but not limited to: poor compliance due to the nature of mental health condition, side effects or difficulty tolerating medication, preference for psychological therapy instead of medication, complicating factors, for example excessive alcohol consumption. 1.15.2 Consent may be written, verbal and in certain circumstances given by a third party. It is not a diagnosis of your condition or a medical examination. This includes the different processes for Special Rules cases, paper-based reviews and consultations, including guidance on when the different types of assessment should be used. In some cases, you might be able to argue that they are discriminating against you. Nine months later both lower limbs were amputated following a road traffic accident and he applied for PIP again. You need to tell the private assessment provider why you cant attend your appointment in an assessment centre. 1.6.34 The HPs informal observations will also help check the consistency of evidence on the claimant's functional ability. If a claimant can handle a toothbrush, it is unlikely they cannot handle kitchen cutlery. If you take someone with you to the assessment, they can also claim travel expenses if they travel with you. The HP should act within the guidelines, and be able to justify their actions. 1.6.58 Upon prior request, providers have the facility to audio record telephone and face to face consultations. The invite letter must go to the deputy who will arrange for the claimant to attend. Location. Where there is a complex, fluctuating condition strong consideration should be given for individual justifications being required. any advice how it will begin , i am a mental health patient and suffer from osteoarthritis and fibromyalgia..i am shaking from fear and anxiety i cannot even write properly . They later changed the award because they looked into everybody's claim as they felt they hadn't been properly awarded and I . Will I need a Work Capability Assessment to claim benefits? Your appointment should be a minimum of seven days away. Severity of a mental health condition does not necessarily correspond with the type or dosage of medication that the claimant is receiving. The attorney should be aware of this and if acting responsibly should not let the claimant attend on his own. 1.10.4 The following are illustrative examples of when it may be appropriate to advise no review required: no review required His learning disability has been present since birth and his functional limitations are unlikely to change now. How do I pay for private treatment and therapy? HPs should ensure that this does not create an unfair perception of the young persons abilities and the impact of their health condition or impairment. 30 September 2020 at 8:04AM in Disability money matters. 1.8.2 Copies of all the forms are provided separately. If your overall health is getting better, your award will be minimized or stopped. 1.8.8 For claimants living outside the UK (known as exportability cases) a slight change to the process is required. HPs are required to advise on: which of the descriptors in the activities set out in the assessment criteria are relevant to the claimant, taking due consideration of variability and reliability, whether the functional impact of the claimants health condition(s) or impairment(s) has been present for at least 3 months and is likely to remain for at least 9 months, the appropriate time to review the claim, or indeed whether the claim will require a review, and whether the functional restriction identified in the report will be present at the point of any review, whether the claimant is likely to require additional support from the DWP in order to engage with future PIP claims processes. The points you score for each kind of activity in a section are added together to reach an overall score. 1.3.2 The claimant questionnaire and any evidence is scanned and saved in the Document Repository System (DRS). Where a claimant indicates that they are unfit to travel to a consultation in a location other than their home, or where travel would require high levels of support or cause significant distress to the claimant, for example where the claimant is autistic, has severe physical disability or severe agoraphobia the HP should, at a minimum, consider whether a home consultation is necessary. Consent may need to be obtained at other points during the examination as the HP should explain throughout what they are about to examine. 1.15.23 The position that proof of consent is not required is supported by the General Medical Council (GMC), which advises that: you may accept an assurance from an officer of a government department or agency, or a registered health professional acting on their behalf, that the patient or a person properly authorised to act on their behalf has consented. Each guide focuses on a different part of the process as detailed below: 1.1.1 Personal Independence Payment (PIP) is a benefit for people with a long-term health condition or impairment, whether physical, sensory, mental, cognitive, intellectual, or any combination of these.

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