Simply use the buttons below to share on your social network. 1.15.25 Occasionally a HP may be asked to provide evidence that consent is held in the form of the claimants signature before the information is forthcoming. Procedures to follow and sources of support and guidance should be covered in HP training. In the event that a claimant is not aware of their prognosis, it must continue to be treated as a standard claim. This gives the claimant the opportunity to explain to the HP how their impairment or health condition affects them. 1.7.5 If the claimant states that they are nearing the end of life when applying for PIP, they will be advised by the DWP to obtain form DS1500 from their GP, consultant or specialist nurse. where the HP considers the claimant has a level of functional impairment that they will likely improve to the point where there is little or no functional limitation present, for example after treatment, surgery or medication. It cannot be assumed that in an individual case consent has been given or that consent previously given remains valid. The HP should note in the report that they have explained the procedure to the claimant and obtained their consent to proceed. 1.4.16 HPs should identify who they are and the purpose of the call. HPs should remember that prognosis can be uncertain and if in their opinion life expectancy is, on balance, likely to be less than 6 months, they should advise accordingly. Any new evidence about how your condition affects your daily life, which you have not already sent to the DWP: A copy of your PIP claim form with you. However, the companions may play an active role in helping claimants answer questions where the claimant or HP wishes them to do so. Such telephone calls should be made by approved HPs, not by clerical staff. Vous pouvez galement trouver l'heure de travail et la carte sur la carte de . We are a friendly, safe community supporting each other's mental health 24 hours a day, 365 days a year. 1.15.15 An officer acting on behalf of the Secretary of State will authorise an appointee to become fully responsible for acting on the claimants behalf in any dealings with DWP or its contracted APs. Assessments may still be carried out by telephone or video, but you might be asked to attend an assessment centre. Other conditions are likely to deteriorate over time, so a review may be appropriate to see whether the claimant is now entitled to a higher rate of PIP. Can they access all areas of their home and have they had to make any modifications? 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. The Mental Health and Money Advice website has more information about the evidence you need to support a benefits claim. Where there is a complex, fluctuating condition strong consideration should be given for individual justifications being required. Can I claim Welfare Benefits if Im living with a mental illness? 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. PIP sits alongside support provided by the NHS and local authorities and is not meant to duplicate that support. You can be eligible for the PIP benefits if you are aged 16 and your State Pension age. However, the HP should bear in mind that for claimants with stable long-term conditions, the evidence available may be older. UNLAWFUL AND HUMILIATING PIP TELEPHONE ASSESSMENTS We've looked at almost 400 responses given between June and November in our ongoing PIP telephone assessment survey. We explain what the Personal Independence Payment (PIP) medical assessment is, and help you understand what to expect at your assessment. This section of the consultation must also explore the impact completing an activity may have on functional restriction immediately following and for the rest of the day. 1.6.29 The HP should explore all the PIP activity areas for daily living and mobility, focusing on the activities most likely to be affected by the claimant's condition. 1.15.24 If GPs, consultants and doctors request proof of consent they should be reminded of the GMCs advice. If the claimant agrees, the HP should complete and send the relevant referral form to the claimants GP, and give the claimant a copy. 1.6.21 The employment status of the claimant might be relevant and this should be explored and recorded as part of the evidence gathered in social and occupational history. 1.13.4 HPs should answer questions posed by the CM but must avoid giving any prescriptive advice that refers to possible benefit entitlement, as final decisions rest with the CM. We also use cookies set by other sites to help us deliver content from their services. 1.6.55 However, the involvement of companions should be handled appropriately by the HP. Reports produced during consultations require the most content, as HPs will need to record the discussion, observed findings and conclusions from the consultation. You can state your needs here with regards to your debilitating condition. 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. Go. This publication is available at https://www.gov.uk/government/publications/personal-independence-payment-assessment-guide-for-assessment-providers/pip-assessment-guide-part-1-the-assessment-process. The HPs evaluation could include the level of expertise of the individual offering the opinion; their direct knowledge of the claimants health condition or impairment; and whether it is medically reasonable. You can also bring someone with you in the course of your assessment. The advice should fully justify why the claim is being treated under the SREL process. How much Universal Credit can I get for mental health? When advising on descriptors and justifying advice, the HP should consider the functional effects of the claimants health on the majority of days. However, this should be avoided wherever possible. Helping you understand, manage & improve your mental health and money issues. 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. The age of the evidence should also be considered in deciding whether it is relevant to the claim. The HP should also consider whether the third party is acting impartially, or as the claimants advocate. 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. 1.5.3 Apart from examination and informal observations that can only be obtained at a consultation, the HP must complete the paper-based review in line with the advice given in this guidance. Where can I get support for my mental health? There are several things to remember during your PIP assessment. You can change your cookie settings at any time. 1.1.11 The activities explored during the PIP assessment are: managing therapy or monitoring a health condition, reading and understanding signs, symbols and words. If the claimant attends on their own then the assessment can go ahead if the claimant has capacity. Such a telephone call should be followed up with a written notification to the GP. For example, they might ask you how you travelled to the assessment centre. HPs will be required to advise on whether the claimant satisfies the SREL provisions (see below), and provide advice with appropriate justification to the DWP. The HP must explain to the claimant that they are going to carry out a functional examination but that it will be different from the clinical examination they might get at their GP's surgery. I had a horrible experience with the assessor. Only 7% of those surveyed said their GP has been contacted, with a further 35% saying they were unsure. Repeat claims to PIP by individuals who have developed a new condition will be treated as entirely new claim and have to fulfil the qualifying period of 3 months. The HP should encourage the claimant to expand on their answers to explore how easy or difficult they find a task. 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). PIP is not a compensation payment for ill health / disability; it is to help people with the increased costs of daily living in cases of long term ill health or disability. He lives in supported accommodation and there has been no change to his functional ability in the last few years. If a claimant cannot bend to put on their shoes, it is unlikely that they are able to wash below the waist. You will need to contact the assessment provider and request a home assessment. The healthcare professional will ask you questions and note down your answers. 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. The ruling will mean access to PIP is extended to cover more people who find social situations []</p> Providing free information and advice since . 1.6.30 In general, HPs should record function over an average year for conditions that fluctuate over months, per week for conditions that fluctuate by the day, and by the day for conditions that vary over a day. 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. 1.15.28 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. Where can I get support for my mental health? Claimants should be encouraged to involve another person at consultations where they would find this helpful for example, to reassure them or to help them during the consultation. This may result in, a request to consider the evidence or acquire further evidence. If the data is sensitive/ special personal data, UK GDPR sets a higher standard for consent which is explained further below (paragraph 1.15.5). 1.15.34 It is important that in all telephone contact with claimants or their representatives, the correct person is being spoken to. 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. 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. The physical examination will make you engage in physical movements to show if you are capable of moving some limbs. If the diagnosis is unclear the HP should record the condition as described by the claimant describing the symptoms, rather than trying to guess at the underlying pathology. The consultation starts at the point the claimant begins to converse with the HP on the telephone, enters the assessment centre or is met at their home and concludes when the claimant ends the telephone conversation, leaves the premises of the assessment or the HP leaves the claimants residence. This may be particularly important where the claimant has a mental, cognitive or intellectual impairment. The roll-out of PIP to existing DLA claimants commenced from October 2013. 1.6.74 The request for a home consultation may come from a GP or other health professional involved in the claimants care. This means that we may include adverts from us and third parties based on our knowledge . A vulnerable claimant is defined as someone who has difficulty in dealing with procedural demands at the time when they need to access a service .This includes life events and personal circumstances such as a previous suicide attempt, domestic violence, abuse, or bereavement. This may be particularly important where the claimant has a mental, cognitive or intellectual impairment. 1.1.3 PIP was introduced in April 2013 for people aged 16 to 64 years and is replacing Disability Living Allowance (DLA) for adults. Atos and Capita are obligated to administer PIP medical assessments with questions on mental health to people who are applying for this benefit program. PIP assessments usually take place at a centre; however, if you cant attend an assessment centre because you are housebound as a result of a mental health condition, you can request a home PIP assessment. Any relevant side effects which affect the claimants functionality should be recorded here and an indication of the effectiveness of any treatment provided. Replied by BIS on topic Mental Health and PIP phone assessment. If there is any doubt, the telephone call should be terminated and, if necessary, the claimant or their representative should be contacted using the telephone contact number on file. The health professionals will be reviewing your PIP form once you reach the assessment centre. 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. Youll need to take the following form of identification with you to the assessment: In addition to identification, you should also take the following to your PIP assessment: If you can, you should take someone else if they are over 16 - with you to your PIP assessment. GPs are encouraged to avoid prescribing strong painkillers for long-term pain as the harms usually outweigh the benefits and there could also be specific reasons why painkillers are not prescribed, for example intolerance, or the use of other methods of pain relief. The HP should contact the most appropriate person involved in the claimants care. She Has A Condition Called Cerebellar Atrophy, and Also Suffers From OCD (Obsessive Compulsive Disorder). mobility intended to act as a contribution to the extra costs disabled people face in their day to day lives that relate to mobility. 20 April 2020 at 1:28PM in Disability money matters. Which mental health conditions get PIP? In the PIP journey, such claimants are considered to require additional support from DWP and elements of the PIP claims process have been adapted to provide further support for this group. You might have asthma, but PIP will assess you very differently if your symptoms are managed by medication. Discover your dream home among our modern houses, penthouses and villas for sale I am worried about the cost-of-living crisis. 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. The HP should always ask if there is anything else that the claimant wishes to say before concluding the call. More than once: Can you repeat the activity as many times as you need to? 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. This free money management tool is specifically for people on Universal Credit. 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. 1.6.14 The HP should include details of fluctuating conditions, indicating how frequent the fluctuations are, how long exacerbations last and, on balance, how many good days or weeks and how many bad ones the claimant experiences over a specific period of time. He reported that bending would cause pain or worsening of his symptoms so movement of the spine was not assessed. The investigation has compiled evidence from more than 20 disabled people who have contacted . How do I manage my money if I have mental health problems? Make a list of points you would like to make during your assessment and take this with you. This kind of assessment is done by Atos or Capita based on your location in the country. CMs will decide whether these conditions are met but need advice from the HP on how long the condition has been present and how long it is likely to last. More information on claimants who require additional support can be found in section 1.12 of part 1. 1.8.18 Advice about variability should be clarified by looking at the effects of the health condition or impairment on daily living and/or mobility on good, bad and average days and not on how the claimant was on the day of assessment. Such examinations should be tailored to the individual claimant and will vary depending on the nature of the disabling conditions present. In the case of sensitive/special information, the claimant must be fully aware of the nature and content of the information being processed. In these cases, the HP will need to consider the appropriate approach to completing the assessment (paper-based or consultation). He was awarded the daily living component and mobility component at the standard rates. If they refuse, you can complain to the assessment centre, DWP, or ask your M.P. routinely contact GPs of people with mental health problems claiming PIP. 1.15.18 A consultation cannot go ahead if the appointee or their representative does not accompany the claimant. 1.10.5 The HP should clearly outline their reasons for selecting the no review required option using the free text box for example, the claimants level of functional ability is stable and will not improve or deteriorate in the long term or the claimant is due to undergo surgery and it is likely they will no longer experience their current functional limitations in X months.. HPs enable CMs to make fair and accurate decisions by providing impartial, objective and evidence-based advice. Failure to provide this may result in the advice being returned for clarification or rework. 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. Therefore absence of medication does not automatically mean that the health condition is not severe. 1 comment 100% Upvoted Log in or sign up to leave a comment 1.6.20 The HP should record a concise and relevant social and occupational history. You can get Personal Independence Payment (PIP) if all of the following apply to you: If evidence is returned to the AP in error, it should still be forwarded to the DWP for scanning. She is an advocate for Mental Health, Motivational Empowerment, and Personal Development. He requires significant support from his carer and his needs are only likely to increase due to the progressive nature of his condition.. 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. 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. However, it should be noted that the named appointee, be this a corporate or individual appointee, can nominate another person to represent them at any consultation. How are gambling and mental health conditions linked? Can I cancel something I've done when I'm unwell? The HP should act within the guidelines, and be able to justify their actions. HPs should be mindful that the level of analgesia used does not necessarily correlate with the level of pain. PIP for Depression and Anxiety It is certainly possible to be eligible to claim PIP (personal independence payment pip) if suffering from a mental health condition such as depression or anxiety but it very much depends on how the mental illness affects you. In a reasonable time: Does it take you a lot longer to do the activity than it would take most people? For example, some claimants with mental, intellectual, cognitive or developmental impairments may lack insight into their condition. 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. Or do you need another person, guide dog or specialist aid to help you get there?YesNoSometimes. These pro forma are provided separately. where, in reassessment cases, further evidence may confirm whether or not there has been a change in the claimants health condition or disability. 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. 1.8.10 It is essential that the CM is made aware of the evidence the HP has used to complete the assessment report. PIP Question 6. . If you are considered to not have much disability in certain activities, you should try some of the following activities: The assistance you will get can be a person or a pet or you might be accompanied by a driver to your car or the service might change your home to make you accommodate easily in your condition. 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. For urgent help, please see Help & contacts. They can nominate someone else to accompany the claimant. 1.7.1 These provisions were previously called Special Rules for Terminal Illness (SRTI), but this has now changed to Special Rules for End of Life (SREL) and the remainder of this section will refer to SREL rather than SRTI. 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. Most people claiming Personal Independence Payment (PIP) will be asked to attend a PIP medical assessment with a healthcare professional. Evidence can include, but is not limited to: the PIP claimant questionnaire where the claimant describes their circumstances and the impact of their health condition or impairment, further evidence for example factual report from the GP, hospital report, other health and social care professionals involved in the claimants care, consultation the history, informal observations and clinical findings.

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