Doing crossword puzzles requires visual acuity, manual dexterity, concentration and cognitive ability. HPs should be mindful that young people are encouraged to be positive about their health condition or impairment and to focus on what they can do, rather than what they cannot. For example, they might ask you how you travelled to the assessment centre. 1.14.3 In some cases, however, a fixed term award of PIP may have been given where it was anticipated that there would be an improvement in the claimants functional ability (for example due to treatment), but where, following the PIP award ending, the claimants needs either continue, or increase. Physical and psychological or mental examination: If obligated, and with your consent, these health professionals will administer a short physical and mental function examination. Find out how to fill in the form for: Universal Credit; Personal Independence Payment DS1500s will be sought and paid for by the DWP. 1.7.9 The DS1500 gives factual information about the claimants condition, any treatment received and any further treatment planned. 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. This advice applies even if the claimant maintains that they suffer from a high level of functional impairment it is medically improbable that this is the case and a consultation is unlikely to add much useful additional information, since the clinical examination is likely to be unremarkable, there is strong evidence on which to advise on the case and a consultation is likely to be stressful for the claimant (for example, claimants with autism, cognitive impairment or learning disability), the claimant questionnaire indicates a high level of disability, the information is consistent, medically reasonable and there is nothing to suggest over-reporting (examples may include claimants with severe neurological conditions such as multiple sclerosis, motor neurone disease, dementia, Parkinsons disease, severely disabling stroke). This may be enough to enable the HP to gather further medical evidence or advise whether the claimant satisfies the criteria for SREL. The HP should note in the report that they have explained the procedure to the claimant and obtained their consent to proceed. 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. 1.3.13 If further evidence is requested and returned, a further PA1 or the relevant screen in PIPAT should be completed to inform DWP of the next steps after the review of the further evidence. 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. They will use drop-down lists, multiple choice answers and text boxes to record your information on a computer. 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. 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. This appointment letter will be given by Atos & Capita. Well enough: For instance, you may be able to prepare and cook a meal, but you will not be able to eat it if it is deemed undercooked. 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. The HP should invite the claimant to talk through all the activities they carry out on most days, from when they get up to when they go to bed. 1.6.26 For some conditions different time periods will need to be considered, such as the potential impact of different times of the day. 1.8.3 The nature of the information required in reports varies depending on the nature of the activity. 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. Where the claim has been made by a third party, the HP should contact the third party, rather than the claimant as the claimant may not be aware of their prognosis. 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. 1.6.67 Young people may attend a consultation with a parent or guardian. The Optimistminds editorial team is made up of psychologists, psychiatrists and mental health professionals. 30 September 2020 at 8:04AM in Disability money matters. You will also be qualified with this kind of benefit when you are aged 16 and over. 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. The psychological examination will be asking your thoughts and feelings about your present concern. 1.7.21 The HP must ensure that the claimant has given consent for the person they phone to share information. It is likely that the claimant will not experience their current physical functional limitations post-recovery period. In deciding their advice, the HP will need to weigh this inconsistency and decide, with full reasoning, which descriptor is most likely to apply. 1.2.1 The HPs role is to assess the overall functional effects of the claimants health condition or impairment on their everyday life over a 12 month period, using the assessment criteria. This will indicate when your appointment will be for PIP assessment with questions on mental health. The. 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. 1 comment 100% Upvoted Log in or sign up to leave a comment There are still many people who have yet to move from DLA to PIP, and some of these would be better off moving voluntarily, rather than waiting to be moved by the DWP. The HP should record when the condition began and give brief details of changes since it began. At every stage of the proceedings the claimant should be advised as to what is going to happen and agree to it happening. If the HP has reason to believe that the companion(s) are attending for a reason other than to support the claimant, the HP has the right to decline the presence of the companion(s) at the assessment. Try not to just yes or no to the questions. Identifying claimants who require additional support with the PIP process, Advice on substantially the same condition, Check benefits and financial support you can get, Find out about the Energy Bills Support Scheme, Personal Independence Payment (PIP) assessment guide for assessment providers, nationalarchives.gov.uk/doc/open-government-licence/version/3, Severe depression (evidenced by, for example, previous hospitalisation for depression, intensive support from community-based mental health teams or significant input from a psychiatrist or other mental health practitioner), Attention deficit hyperactivity disorder (ADHD), Dementia or cognitive disorder resulting in cognitive decline, His Majestys Courts and Tribunal Service, review report form (Special Rules for End of Life), supplementary advice note (change of advice), whether another assessment type is more appropriate, any accessibility issues related to the planned location of consultations, a corporate other payee or corporate appointee, a curator bonis or judicial factor (under Scottish law). 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. Firstly, we should start by assessing what evidence we can provide to the assessor and Decision Maker at the initial claim stage to assist them in making the correct decision. 1.9.1 Entitlement to PIP is dependent on the functional effects of a health condition or impairment having been determined as likely to have been present at the required level for at least 3 months and being expected to last for at least a further 9 months. How do I manage my money if I have mental health problems? 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. 1.9.2 The CM also needs advice to help inform decisions on when claims should be reviewed, taking into account issues such as the likely progression of the condition and whether it is likely to improve, stay the same or worsen. In some cases this might be a support worker or therapist rather than the GP. 1.15.6 For consent to be explicit it must be affirmed in a clear statement. 1.8.8 For claimants living outside the UK (known as exportability cases) a slight change to the process is required. It will take only 2 minutes to fill in. 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. Ask if you can make an audio recording of the assessment. The consent process above should be followed. Ask for the assessor to be the same gender as you. 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. 1.7.19 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. But it's the breaches of confidentiality, the Continue reading "Pip Telephone . 1.9.9 After the CM has decided on their chosen descriptors and determined entitlement, they must select the most appropriate award type and duration. 1.6.35 HPs must also take into consideration the invisible nature of some symptoms such as fatigue and pain which may be less easy to identify and explore through observation of the claimant. 1.9.3 Where a condition can fluctuate significantly over a period of time consideration should be given as to when a review would be appropriate. This may result in, a request to consider the evidence or acquire further evidence. You are going to go through some activities in the PIP assessment with questions on mental health and these kinds of activities last for 60 minutes: You can learn more about what goes on in a psychological examination by buying this book on this website. They can nominate someone else to accompany the claimant. 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. Mind's Director of External Relations, Sophie Corlett says: The PIP claim form is a "'How your disability affects you" form that you are required to fill when applying for Personal Independence Payment (PIP). 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. The Mental Health and Money Advice website has more information about the evidence you need to support a benefits claim. It's not based on the condition you're in or the medication you're taking. She tries to find support for vulnerable men and women in abusive relationships. A review is not likely to be considered necessary., no review required The claimant has motor neurone disease with high levels of functional impairment in the daily living and mobility activities. 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). If capacity has been lost then the expectation is that the claimant would be accompanied. The HP should contact the most appropriate person involved in the claimants care. These people already have appropriate support. If a claimant is unable to complete an activity or needs support to do so at a point in the day when you would reasonably expect them to complete it, the need should be treated as existing for the whole of the day, even if it does not exist at other points in the day. Where cognitive difficulties are a common symptom of a relevant condition, these should be assessed. Informal observations are of importance to the consultation, as they can reveal abilities and limitations not mentioned in the claimant questionnaire, supporting evidence or during the history taking for the consultation. 1.15.26 In standard claims it may be appropriate to obtain further evidence from an alternative source should proof of consent be an issue. For example, is the level of functional impairment claimed in one activity compatible with that claimed in another? 1.11.3 Where the DWP CM is unable to make a decision and more evidence is required, the case will be sent to the AP to be dealt with as business as usual. 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. HPs enable CMs to make fair and accurate decisions by providing impartial, objective and evidence-based advice. 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. 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. DWP statistics show that 81 per cent of new claims and 88 per cent of those moving across from Disability Living Allowance are recorded as having one of . Copyright OptimistMinds 2023 | All Rights Reserved. Special category data includes the following (Article 9 (1) UK GDPR): personal data revealing racial or ethnic origin, personal data revealing political opinions, personal data revealing religious or philosophical beliefs, personal data revealing trade union membership, biometric data (where used for identification purposes), data concerning a persons sexual orientation. Safely: Can you do the activity without risking danger to yourself or someone else? If youre already receiving DLA and the DWP asks you to claim PIP there are separate rules. Healthcare professionals who carry out face-to-face assessments of benefit claimants have lied, ignored written evidence and dishonestly reported the results of physical examinations, according to a two-month Disability News Service (DNS) investigation. 1.6.60 In some circumstances, claimants may wish to use their own equipment to audio record their consultation. Low mood and paranoid feelings were a significant feature of her schizophrenic episode. The assessment considers the overall impact of a claimant's. where, in reassessment cases, further evidence may confirm whether or not there has been a change in the claimants health condition or disability. 1.6.52 Claimants have a right to be accompanied to a consultation if they so wish. Please contact the DWP on 0800 121 4433 or textphone 0800 121 4493. 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 DWP decision makers will now look at your PIP claim, and its supporting evidence which includes: The DWP will then send you a letter once theyve made their decision, explaining why you will or wont get PIP. 1.8.12 The HPs advice and justification must provide a clear explanation as to why more reliance has been placed on some evidence than others. The CM will re-examine the facts of the case, the law and any other issues which applied when the decision was made. However, the HP should bear in mind that for claimants with stable long-term conditions, the evidence available may be older. 46. 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 cant attend your appointment date for PIP assessment with questions on mental health, you can send a letter to the private assessment provider to change the date. Most people have to take the PIP medical assessment with questions on mental health to get this benefit program. 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. When you have fulfilled your PIP form and sent it to DWP, this kind of department will be sending you an appointment letter. You have accepted additional cookies. Pip telephone assessment experience. 1.15.21 If the claimant has a deputy then that means they have lost capacity. The appointment letter will invite you to a PIP medical assessment at one of their assessment centres. If the PA3 requires a response to the mobility questions at activities 11 and 12, the HP should select A (zero points) and type the comment N/A Exportability Case. if so, which of the descriptors in the mobility activities set out in the assessment criteria are likely to be relevant to the claimant. If a claimant can handle a toothbrush, it is unlikely they cannot handle kitchen cutlery. These conditions are characterised by periods of remission and relapse or good days and bad, during which the level of functional impairment can change for example multiple sclerosis or chronic fatigue syndrome. There are 3 parts to the guide for assessment providers (APs) carrying out assessments for Personal Independence Payment (PIP). Care should be taken, as always, to avoid creating stress or anxiety for the claimant. This companion can be someone who can assist and care for you such as your friend or family member. pip telephone call. Nine months later both lower limbs were amputated following a road traffic accident and he applied for PIP again. 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. 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. That's why benefits like Personal Independence Payment (PIP) can make such a difference. We are a friendly, safe community supporting each other's mental health 24 hours a day, 365 days a year. Consideration should also be given to whether, as a result of the claimants health condition or impairment, the claimants companion or advocate may be better placed to describe their needs. The mental health conditions that qualify for disability in the UK are depressive disorders, dementia, chronic anxiety such as anxiety disorders, and bipolar disorder. 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. 1.13.5 Where consideration of supplementary advice results in the HP changing their previous advice to the DWP, this should be clearly flagged. 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. Functional examinations may cover one or more of: 1.6.38 Before starting a physical examination, the HP must explain the procedure to the claimant, and obtain explicit verbal consent to continue. The position with PIP is different; the law says that you don't even have to have a medical diagnosis. The HP should also include details of any alterations to medication which have occurred since the questionnaire or supporting evidence was supplied. This is because the HP is not trying to make a diagnosis of their condition. This list is not definitive and the location should take into account the need to provide an appropriate venue to enable the claimant to attend the assessment. 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. He reported that bending would cause pain or worsening of his symptoms so movement of the spine was not assessed. 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. The appointment set for you is usually in a span of 7 days away. This document must be read with the understanding that, as experienced practitioners and trained disability analysts, HPs will have detailed knowledge of the principles and practice of relevant consultation and examination techniques and therefore such information is not contained in this guidance. More information on claimants who require additional support can be found in section 1.12 of part 1. 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. If the individual is claiming under the Special Rules for End of Life criteria (SREL), the case is instead referred directly to the AP and dealt with as a priority. At this stage claimants are encouraged to provide any supporting evidence they already have that they feel should be considered alongside their claim information for example evidence from a health or other professional involved in their care or treatment. 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. For example, asthma control is poor because of failure to take preventative medication regularly due to the development of depression, resulting in mobility problems. The invite letter must go to the deputy who will arrange for the claimant to attend. Claimants who have recently completed a cross border move from Scotland to England/Wales may instead provide the Scottish equivalent form BASRiS (Benefits Assessment under Special Rules in Scotland), where the BASRiS form is less than 6 months old. to intervene on your behalf. You can get Personal Independence Payment (PIP) if all of the following apply to you: 1.3.11 HPs should also consider the needs of vulnerable claimants. This is because they have been deemed incapable of engaging directly with the DWP or its contracted APs. It is important that claimants feel they have been listened to and that the consultation feels like a genuinely two-way conversation. If you have any questions about PIP assessment questions on mental health, please let us know and the team will gladly answer your questions. However, the companions may play an active role in helping claimants answer questions where the claimant or HP wishes them to do so. 1.6.28 The functional history is the claimant's own perspective on how they manage the daily living and mobility activities. 20 April 2020 at 1:28PM in Disability money matters. 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. However, HPs should consider the type and context of certain medications, for example use of depot antipsychotic injections in psychotic disorders. Valid reason: they will rearrange your PIP medical assessment, Non-valid reason: they will refuse your claim. 1.7.17 The relevant information required when offering advice on SREL claims is set out in the PIP Assessment Tool or clerical form PA2. As the disabling condition was substantially the same she did not have to fulfil the 3 month qualifying period. 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. How can I appeal a decision about my benefits? DWP CMs undertaking award reviews will complete new learning and have on-site support from health professionals employed by DWP and will also be able to contact the claimant and/or carer for further information where necessary. 1.6.4 The relevant information required when offering advice on a consultation is set out in the clerical form PA4 or the relevant screens in the PIPAT. 1.15.7 Consent to contact third parties to allow them to share information will be sought by the DWP during the initial information gather regardless of whether the claimant applied for PIP over the telephone or on a written claim form. 1.5.5 Although each case should be determined individually, the following types of case should not normally require a consultation: the claimant questionnaire indicates a low level of disability, the information is consistent, medically reasonable and there is nothing to suggest under-reporting, the health condition(s) is associated with a low level of functional impairment, the claimant is under GP care only and there is no record of hospital admission. 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. 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. Ask for any adjustments that would make the assessment less stressful: for example, you can request an open room if you struggle in confined spaces. This includes our assessment report and your questionnaire and further evidence. someone to monitor your mental health. The DWP will wait 7 working days for the DS1500 to be returned before making a referral to the AP. 1.8.2 Copies of all the forms are provided separately. PiP phone call - gave no points for mental health was created by Danielle. This is someone with extensive knowledge of the. 1.14.5 Considerations that the HP should make include, but are not limited to: whether the claimant has a condition which is likely to have fluctuations in the functional effects over time, whether the claimant has a condition which is likely to have sequelae which cause deterioration or fluctuation of function, whether the condition is the same condition but with a different diagnostic label - for example mitral valve disease / mitral stenosis, whether the original diagnosis has been amended but the underlying impairment and functional effects remain the same for example bronchial asthma in the past but now suffering from chronic obstructive pulmonary disease (COPD) which is substantially the same condition, whether the same condition is present and responsible for the functional effects but deterioration has occurred due to a second condition. This means that we may include adverts from us and third parties based on our knowledge . If help is given from another person, the HP should record the type of help, why they need help, who gives it, how often and for how long. 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). 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.

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