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. The PIP decision timescale (How long does it take?) - OptimistMinds News stories, speeches, letters and notices, Reports, analysis and official statistics, Data, Freedom of Information releases and corporate reports. It is paid to make a contribution to the extra costs that disabled people may face, to help them lead Her condition improved with treatment but 6 months later she re-claimed benefit because of depression and paranoia. 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. Replied by BIS on topic Mental Health and PIP phone assessment. Exceptionally, an appointee may also feature where a claimant is physically, but not mentally impaired, for example, if they have had a stroke which has resulted in a significant impact on their functional ability. If you have a disabling condition that makes you housebound, you can also request for a home assessment. 1.15.17 Where a claimant has an appointee, this will be flagged in the initial referral to the AP. They later changed the award because they looked into everybody's claim as they felt they hadn't been properly awarded and I . For example, some claimants with mental, intellectual, cognitive or developmental impairments may lack insight into their condition. GMC guidance is clear that if a doctor insists on a copy of the original claimant consent then DWP must provide it. To note: It is important that the HP ensures that valid verbal consent is obtained and recorded where appropriate. 1.7.2 Claimants who identify themselves as nearing the end of life on the initial claim form can seek to claim PIP under the Special Rules for End of Life (SREL). When making contact with that professional by telephone, the HP must make it clear if they do not hold consent from the disabled person to permit disclosure of information about their condition and explain the provision for third party claims under the SREL. Does medication affect PIP value? However, from May 2021, face-to-face assessments have been gradually reintroduced. For urgent help, please see Help & contacts. Atos and Capita are obligated to administer PIP medical assessments with questions on mental health to people who are applying for this benefit program. These times have reduced significantly from the peak in July 2014 (42 . If capacity has been lost then the expectation is that the claimant would be accompanied. HPs should allow a companion to contribute and should record any evidence they provide. Personal Independence Payment - National Autistic Society As mentioned before, the PIP assessment with questions on mental health will be focusing on how your mental health condition may be impacting your life. The circumstances where obtaining further evidence may be appropriate include (but are not limited to): where HPs feel that further evidence will allow them to offer robust advice without the need for a consultation for example, because the addition of key evidence will negate the need for a consultation, where they feel that a consultation may be unhelpful because the claimant lacks insight into their condition, where claimants have progressive or fluctuating conditions, where they consider that a consultation is likely to still be needed but further evidence will improve the quality of the advice provided to DWP for example, because the existing evidence lacks detail or is contradictory or to corroborate other evidence. It should be explained that the assessment focuses on the effects of their health condition or impairment on their day-to-day life, looking at what they can and cannot do in relation to the daily living and mobility activities. We explain the following PIP tips: When you receive your PIP assessment appointment letter, you can check with your assessment provider that your assessment centre has everything you require to make you feel more comfortable. However, this should be avoided wherever possible. 1; 2; First Prev 2 of 2 Go to page. The HP should not change the claim to a SREL claim. . They may also show discrepancies between the reported need and the actual needs of the claimant. How are mental health and money worries linked? It is vital all advice is sufficiently evidenced. 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. This free money management tool is specifically for people on Universal Credit. 1.3.5 The following referrals will be sent to APs: claims made under Special Rules for End of Life (SREL), claims that are being reviewed and where a DWP CM is unable to make a decision without input from a HP, for example. 1.6.25 The typical day is a tool used to explore the claimants perception of how they manage their daily living, and the nature and extent of the functional limitations resulting from their health condition or impairment. 1.6.33 HPs need be aware that it is possible that the assessment room may, for some claimants, provide an environment that appears to artificially enhance functional ability, for example for some claimants with hearing impairments. 1.4.11 Where a claimants condition has been deemed harmful and captured in the relevant screen in the PIPAT or PIPAT mobile, this harmful information will be included on either the assessment report form (fast-track paper review) (PA2), assessment report form (paper review) (PA3), assessment report form (consultation) (PA4) or supplementary advice note (change of advice) (PA6). Feb 3, 2021. 1.12.3 In some cases however, claimants may not be able to engage effectively with the claims process, due to reduced mental capacity or insight for example, they may not understand the consequences of not returning a claim form and not have a PAB to help them. The aim of this measure is to reduce the impact of repeat assessments on claimants and on APs where a decision can be made by a DWP CM. 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. Before treating a standard claim under the SREL process, the HP should take steps to discreetly gain an understanding of the level of knowledge the claimant has about their own condition and prognosis. Well send you a link to a feedback form. Your destination for buying luxury property in Sannois, le-de-France, France. There are various sources of further evidence, including, but not limited to: a report from other health professionals involved in the claimants care such as a community psychiatric nurse (CPN), a report from a local authority-funded clinic, evidence from any other professional involved in supporting the claimant, such as social workers, key workers or care co-ordinators, telephone conversations with any such professionals, information from a disabled young persons school or special educational needs co-ordinator (SENCO). HPs may be able to observe relevant aspects of the claimant's appearance for example how well kempt they are and whether they look under or over weight, during face to face consultation. They should also include information where the claimant has given up work or changed their job due to the functional limitations of their health condition or impairment. Once good diabetic control was maintained his mental health condition improved so he was not entitled to either component. 1.7.4 If the claimant meets the SREL provisions, they will automatically receive the enhanced rate of the daily living component. In a reasonable and attainable time: Does it take you a lot more amount of time to do the activity than it would take most people. In circumstances where it is not possible to copy the further evidence, perhaps during telephone or home consultations or where the claimant does not wish to part with the evidence, then it is permissible for the HP to make notes from the original further evidence documentation. In the case of fluctuation, the frequency and impact of periods of exacerbation and remission should be explored and recorded. 1.6.16 Where the claimants clinical history is accurately detailed 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. If you have a terminal illness the rules about how long youve found things difficult and been living in England, Wales or Scotland for 2 years isnt practised. Before your PIP assessment, you should plan your journey to your assessment centre. 1.7.23 Every effort should be made to provide advice in SREL cases. 1.12.1 Many claimants with mental, intellectual or cognitive impairments will be able to engage with the PIP application process. In such cases, where the available information is consistent, the HP should consider whether they can use their own expert clinical knowledge of the condition(s), its severity and known impact in other areas to determine, on the balance of probabilities, the likely impact in the remaining areas. I am worried about the cost-of-living crisis, Requesting adjustments to the PIP assessment, Planning your journey to the PIP assessment, How to claim travel expenses for your PIP assessment. 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. 1.6.40 The HP will never disturb underwear, never ask the claimant to remove their underwear, and never carry out intimate examinations (breast, rectal, abdominal or genital examinations). The HP should note in the report that they have explained the procedure to the claimant and obtained their consent to proceed. You need to tell the private assessment provider why you cant attend your appointment in an assessment centre. In these cases, it may be particularly important to distinguish between what a young person can or could do for themselves and what the parent does for them as part of their caring role. 1.7.6 The DS1500 is the preferred medical evidence for a DWP SREL claim. this is a walk through of what happened in my recent telephone pip ( personal independent payment) assessment review and what questions been asked and how . However, some relevant information about the claimants circumstances will be gathered during the initial claim stage and supplied to the AP. 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? Proof of consent is not necessary needed before information is released by hospitals, trusts and clinics funded by the NHS or local authorities. 1.7.24 The claimant or their representative may be able to provide updated information on where they are having their treatment and who is treating them. 1.4.2 If a consultation has already been arranged and, following receipt of further evidence, the HP concludes that they can now advise DWP on the basis of paper evidence, the consultation should be cancelled. Reports produced during consultations require the most content, as HPs will need to record the discussion, observed findings and conclusions from the consultation. 1.10.8 Selecting the Yes box will indicate that the claimants functional restriction is likely to still be present at the recommended point of review, regardless of whether it is likely to improve, remain the same or deteriorate. If this is not feasible for example, if the consultation is carried out in the claimant's own home the HP should make a note of the circumstances and carry out such assessment as they can while the claimant is sitting or standing. When returning the form, you must include all tickets and receipts. At the end of your consultation, the Health Professional will complete an independent report and send it to the DWP. The DWP will send you a letter once they have made their decision. PIP claims: Too many Northern Ireland people 'unfairly rejected' you only attempt a journey during quiet times of the day - for example, when the shops aren't busy or there's less traffic on the road. 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. They are there to ask you questions and are not there to ensure you get PIP. 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. If you live in Great Britain, you can call the Department of Work and Pensions who are responsible for giving these benefits to eligible people at 0800 917 2222. 1.6.8 The approach should be relaxed, allowing the claimant time and encouraging them to talk about themselves and put across the impact of their health condition or disability in their own words. 63 replies 18.3K views. For example, if the evidence of terminal illness comes from the claimants GP, the HP should telephone the GP to confirm whether the claimant is aware. T he government's abolition of the disability living allowance (DLA) and its replacement with personal independence payments (PIP) means that people with disabilities - many of whom had been told. Simply use the buttons below to share on your social network. Find out how to fill in the form for: Universal Credit; Personal Independence Payment Where a claimant has a PAB they would not be classified as requiring additional support from DWP. 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. The PIP medical assessment consists of several parts and will last on average, 60 minutes: Discussion and questions: The Health Professional will ask you questions about how your health affects your everyday life. It is strongly recommended that the HP seek the claimants consent to telephone their GP and inform them of the finding as soon as possible. Claimant experience of telephone-based health assessments for PIP, ESA Charities like Citizens Advice and Scope can look over a draft for you, or they can help you write the entire form. What benefits are available for mental health carers? The points you score for each kind of activity in a section are added together to reach an overall score. 1.7.16 Advice must be evidence based on the balance of probability. However, if findings are expressed as a measurement, the HP should put this into context for the CM by also describing the range with reference to the normal range of movement, for example he can turn his head to the right by 40 degrees, which is about half normal movement. In such cases a short award period with no review required should be advised. 1.6.75 HPs may also consider whether other options may be acceptable for example, if travelling on public transport is the issue, could a taxi be considered? 1.6.61 APs must publicise these conditions and include them in communications sent to claimants before they attend a consultation. This PIP assessment question on mental health is important for people who may be suspected to have hearing complications, learning complications, autism, stress, anxiety, or other mental health concerns. Make a list of points you would like to make during your assessment and take this with you. PIP eligibility. Hi Zoe, I had my PIP telephone call last July and I have only just won my case. PIP Mental Health Success (How to Claim PIP for Mental Health) In exceptional circumstances a written request for further evidence can be issued. It must be the claimant who attends any consultation. 1.11.1 From 27 June 2016, claimants who are due to have their award reviewed will be sent a new form (AR1) for completion which will be returned to the DWP. Pip phone assessment Scope | Disability forum The HP should indicate where any harmful information is contained in an assessment report, for example: the claimant is not aware of their condition and the PA X contains harmful information in supporting evidence or Part X of the GP factual report dated XXXX contains harmful information. 1.3.8 APs should seek additional evidence from professionals involved in supporting claimants where HPs feel that would help inform their advice. 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 . Most people claiming Personal Independence Payment (PIP) will be asked to attend a PIP medical assessment with a healthcare professional. You are currently in the en section of the site. This new document has been designed to focus on the information to be checked at the award review stage and to determine whether there have been any relevant changes in the claimants condition(s) or needs across all descriptors since their current PIP award began. 1.15.13 Attending a consultation does not mean that the claimant has given consent to a physical examination. 1.6.68 Very rarely during the consultation, the HP may identify that the claimant appears to have a significant undiagnosed medical condition. PIP Phone Assessment - My Experience - She Might Be Loved Assessments may still be carried out by telephone or video, but you might be asked to attend an assessment centre. We explain what the Personal Independence Payment (PIP) medical assessment is, and help you understand what to expect at your assessment. PIP telephone assesment today MoneySavingExpert Forum PIP telephone assessment questions - Benefits and Work Forum How your condition affects you from day-to-day make sure you read the. What are my options for dealing with debt? The PA5 should also be used where additional information does not change the original advice. 25p per mile) to help towards fuel. 1.6.59 At a face to face assessment, the claimant must sign a consent form in which they agree to not use the audio recording for unlawful purposes. It is intended to supplement the contract documents agreed with APs as part of the commercial process, providing guidance for health professionals (HPs) carrying out assessment activity and for those responsible for putting in place and delivering processes to ensure the quality of assessments. 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. This kind of assessment is done by Atos or Capita based on your location in the country. In these cases, the HP will need to consider the appropriate approach to completing the assessment (paper-based or consultation). This will usually be their GP. 1.5.1 HPs should carry out assessments using a paper-based review in cases where they believe there is sufficient evidence in the claim file, including supporting evidence, to provide robust advice to the DWP on how the assessment criteria relate to the claimant. The psychological examination will be asking your thoughts and feelings about your present concern. The PA6 may also be used for changes to advice that does not relate to descriptor choice, for example prognosis. The HP should demonstrate movements and observe the claimants range of movement. 1.15.6 For consent to be explicit it must be affirmed in a clear statement. 1.4.9 The HP should also clarify whether any information provided by the professional is harmful or confidential. 1.7.22 All telephone conversations should be recorded and include all relevant clinical information gathered by the HP. 1.4.5 The HP should consider the most appropriate evidence for the case under consideration. Pip telephone review sprung on me out of the blue. I keep - Scope This is why you should always renew your PIP form to make sure that it corresponds well to how you are coping with your mental health condition. The actual amount of PIP you can get depends on the number of points awarded by the Department for Work and Pensions (DWP) for both components. 1.2.3 The report to the department should include: relevant history of the claimant, including information on the disabling health conditions or impairments, their functional effects and information on their current medication and treatment, advice on the appropriate assessment descriptors for the claimant, based on consideration of the evidence on file and, if appropriate, the evidence that the HP has collected during the consultation. If they refuse, you can complain to the assessment centre, DWP, or ask your M.P. 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. You will be declared capable of doing something if you can do it: If you have better and worse days, make sure you explain this to the assessor. The PIP assessment with questions on mental health is not based on the mental health concern you are facing. Report: Once your assessment has concluded, they will produce a report explaining which PIP descriptors apply to you and explain their reasoning. The HP should act within the guidelines, and be able to justify their actions. These kinds of psychological disorders are referred to as such since they can make a person impaired and dysfunctional in his or her important areas in life. For example, there is an inconsistency of evidence if a claimant bends down to retrieve a handbag from the floor but then later during formal assessment of the spine, declines to bend at all on the grounds of pain, or if the claimant states that they have no mobility problems but they appear to struggle to walk to the consulting room. 1.8.11 All evidence must be interpreted and evaluated using medical reasoning, considering the circumstances of the case and the expected impact on the claimants daily living and/or mobility. 1.9.8 Advice on prognosis must be fully explained and comprehensively justified. HPs should give consideration to the fact that in cases of complex conditions, knowledge and involvement of the GP may be limited, with specialist practitioners potentially better placed in some cases to provide useful evidence. 1.15.20 Where the claimant has told DWP that they want an attorney to act for them, the attorneys details will be on the DWP system (CIS) if it is a PIP claim. The purpose of the reconsideration is to try and resolve disputes without the need for an appeal. The claimant or companion may keep the notes and do not have to provide a copy to the HP, although the HP may record that notes were taken. D. Deleted member 92692 Former member. 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. However, HPs should be prepared to adapt their approach to the needs of the particular claimant, not taking a prescriptive approach and ensuring that claimants are able to put across the impact of their health condition or impairment in their own words. Landmark PIP judgement for mental health against DWP For the first time, a Supreme Court judgement has been obtained by a benefits claimant with mental health problems against the DWP for denying entitlement to Personal Independence Payment (PIP). The fact is though that the law says that no diagnosis is needed, so you just need to know where to look for this when it comes to an appeal. 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. Check if youre eligible for PIP. To view this licence, visit nationalarchives.gov.uk/doc/open-government-licence/version/3 or write to the Information Policy Team, The National Archives, Kew, London TW9 4DU, or email: psi@nationalarchives.gov.uk. 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. 1.3.7 Should the HP discover a case that appears to fall under the SREL provisions, it should be processed under the fast-tracked SREL arrangements. The HP should contact the most appropriate person involved in the claimants care. Capita telephone assessment Scope | Disability forum Can I cancel something I've done when I'm unwell? 1.15.10 Consent can be withdrawn by claimants at any time in the claim. 1.4.8 A written record should be taken of any telephone discussions seeking further information and the content included in the assessment report provided to DWP or via the PIPAT. If you miss your assessment, the DWP will contact you asking you to explain why. 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