Check benefits and financial support you can get, Find out about the Energy Bills Support Scheme, Personal Independence Payment (PIP) handbook, Completing the How your disability affects you form, Assessment process and assessment providers, If a claimant might have 6 months or less to live, nationalarchives.gov.uk/doc/open-government-licence/version/3, Personal Independence Payment (PIP) guide, Equality Act 2010 and its published guidance, completing the How your disability affects you form, Social Security (Personal Independence Payment) Regulations 2013, Financial help if youre disabled: VAT relief, VAT for builders: work for disabled people, zero VAT for vehicles leased through Motability, treatment of hire cards for disabled people as short life assets, example How your disability affects you form and information booklet, doctor or a medical professional has said they might have 6 months or less to live, contact the Disability Service Centre for help, postcode areas of PIP assessment providers, what Personal Independence Payment (PIP) means for the health sector, managing therapy or monitoring a health condition, reading and understanding signs, symbols and words, evidence from other health professionals involved in the claimants care, any other evidence from other professionals involved in supporting the claimant, for example social worker or support worker, safely in a manner unlikely to cause harm to themselves or to another person, either during or after completion of the activity, repeatedly as often as is reasonably required, and, in a reasonable time period no more than twice as long as the maximum period that a non-disabled person would normally take to complete that activity, aids are devices that help a performance of a function, for example, walking sticks or magnifying glasses, appliances are devices that provide or replace a missing function, for example artificial limbs, collecting devices (stomas) and wheelchairs, the claimant possesses the aid or appliance, the aid or appliance is available at no or low cost, it is medically reasonable for them to use an aid or appliance, the claimant was given specific medical advice about managing their condition, and it is reasonable for them to continue following that advice, the claimant would be advised to use an aid or appliance if they sought advice from a professional such as a, the claimant is able to use and store the aid or appliance, the claimant is unable to use an aid or appliance due to their physical or mental health condition for example, they are unable to use a walking stick or manual wheelchair due to a cardiac, respiratory, upper body or mental health condition, if we receive information about a change in their care or mobility needs we will not ask claimants to claim, National Insurance number, if they have one (they can find this on letters about tax, pensions and benefits), bank or building society account details (so we can arrange any payments if the claimant qualifies for the benefit), any recent stays in hospitals, care homes or hospices, time spent abroad, if they have been abroad for more than 4 weeks at a time over the last 3 years, any pensions or benefits that they or a family member may receive from a European Economic Area (, if they are working or paying insurance to an, details of their medication or an up-to-date printed prescription list (if they have one), the name and contact details of any professionals who might be supporting them on a regular basis, it will take longer to make a decision on the, they may have to attend a face-to-face consultation with a health professional when it may not have been necessary, or, we may not be able to get all the information we need to make the correct decision on the claim, hospital discharge or outpatient clinic letters, general information or fact sheets about the claimants conditions that are not about them personally, appointment cards or letters about medical appointments such as times, dates and directions, information about tests they are going to have, at the claimants request, if supported by an appropriate health condition or disability, as determined by the assessor, or, if the claimant voluntarily provides confirmation through their health professional that the claimant is unable to travel on health grounds (note that this is not a mandatory requirement), or, at the assessment providers discretion for a business reason, in Scotland, London and north-east, north-west and southern England, the assessment provider will be Independent Assessment Services, in Wales, central England and in Northern Ireland, the assessment provider will be Capita Health and Wellbeing, experienced staff and suitable accommodation are already in place, assessment centres are often at the centre of established transport links, minimising the travel needs for many claimants, it provides a flexible network, with back up consultation centre options if needed, the How your disability affects you form, any additional evidence that the claimant has provided, or, further evidence that the assessment provider has given, admission to a hospital, care home or hospice, entry into a residential school or college, entry into foster care, local authority care, sheltered housing or social care trust care, details of any changes made to the bank or building society account into which, will not have to complete the How your disability affects you form, will not need a face-to-face consultation, and, if entitled, will receive an award of the enhanced rate of the daily living component of. The assessment provider may decide that the claimant would benefit from a home visit rather than a consultation at a medical centre if they require multiple people to assist them to attend the face-to-face consultation. Ability to Work with Kidney Failure Ability to Work with a Heart Attack Ability to Work with a Herniated Disc Ability to Work with a Macular Degeneration Ability to Work with Neuropathy Ability to Work with Obesity Ability to Work with Organ Transplant Ability to Work with Osteoarthritis Ability to Work With Osteoporosis PIP is an optional coverage in four. When HMCTS receive the appeal, they will validate it and send it to DWP for a response. Local authorities will be able to determine automatic entitlement to these schemes from the claimants award notification. You have rejected additional cookies. This change needs to be reported in writing if the claimant phones to give these details, we will ask for these details to be put in writing. Capita Health and Wellbeing will provide claimants with access to a secure online portal (in addition to a telephone enquiry centre), which will allow claimants to schedule and make amendments to their consultation appointments. A disability benefit payment offered by the DWP, a successful claim for PIP is worth between 24.45 and 156.90 each week in additional financial support. The Personal Independence Payment (PIP) is a benefit that helps you with the extra costs of having a disability or having a long-term health conditions. At the end of the initial telephone call, the claimant will be asked to agree a declaration that the agent will read out. We will write to parents or guardians of young people, who are currently in receipt of DLA and are living in reassessment areas as they approach age 16. We expect that if the decision is communicated confidently and effectively there will be a reduction in the number of disputes. You must be at least 16 years old to get PIP. decision granting a waiver in all age groups for the listed condition(s). And as the benefit is paid every four . It is important the claimant tells DWP straight away about any changes in their life that could affect their benefit. This is because we may be able to pay PIP for any nights spent at home and as soon as they come out of this place. Their service will be based on working with local partners, including the private health centres, physiotherapy practices and the NHS, using their premises and staff to carry out face-to-face consultations. . It is important that the DS1500 is sent in quickly to support the PIP claim. If a face-to-face consultation is required the current assessment provider will return the case back to us where the case will be reassigned to the assessment provider that covers the area the claimant has moved to. The key conditions are: Agoraphobia. The PIP toolkit contains an example How your disability affects you form and information booklet. Claims made under the special rules for end of life criteria follow a different process, so are dealt with more quickly than standard PIP claims. We also need to know if the claimant spends any nights at home and the date the claimant comes out of this place as soon as this happens. This change may affect entitlement to PIP. Information for people who currently claim PIP or who would like to claim PIP is available on the Personal Independence Payment (PIP) guide. The claimant should notify us if they are planning to go abroad for 4 weeks or more. The letter will also explain what the claimant needs to do if they are not happy with the decision and explain how they can request a mandatory reconsideration. PIP is a benefit which is gradually replacing Disability Living Allowance (DLA). An award of PIP may enable claimants to access means-tested benefits even if they have previously been told they are not entitled to do so. Within each activity there are a number of descriptors, each representing a varying level of ability to carry out the activity. In each section and for each question there is a tick box for the claimant to state yes, no or sometimes. cancer, including skin growths that need removing before they become cancerous a visual impairment - this means you're certified as blind, severely sight impaired, sight impaired or partially sighted multiple sclerosis an HIV infection - even if you don't have any symptoms Claimants will need to be present in Great Britain, habitually resident in the United Kingdom (UK), Ireland, the Channel Islands or the Isle of Man and not subject to immigration control. To start a claim for PIP, the claimant should contact us using the details on the How to claim page of the PIP claimant guide. It is also ending for people who turn 16 after this date. If the Independent Assessment Services health professional decides that a face-to-face consultation is required, they will contact the claimant to arrange an appointment. If you're in a hospital or care home If you've lived outside of the UK The health professional may also carry out a short physical examination, but claimants will not be forced to do anything that causes them pain, embarrassment or discomfort. Feed yourself. The decision letter will advise the customer that they can contact the DWP if they wish to discuss the decision further. This may include mainstream items used by people without an impairment, where the claimant is completely reliant on them to complete the activity. The claim can be taken even if the caller does not have all of the information, but certain details are needed to register the claim. It is important that the claimant has their basic information ready before they call the PIP claim line. Reliably means whether they can do so: We recognise that the reliability criteria are a key protection for claimants. The impact of all impairment types can be taken into account across the activities, where they affect a claimants ability to complete the activity and achieve the stated outcome. To apply, assistance only needs to be required for part of the activity. If we need this well ask for it ourselves using the contact details the claimant provides on the form. A scoring descriptor can apply to claimants in an activity where their impairments affect their ability to complete an activity, at some stage of the day, on more than 50% of days in the 12-month period. These 2 conditions are referred to as the required period condition and help establish that the health condition or disability is likely to be long term. It is very important that claimants provide us with any relevant evidence or information they already have that explains how their condition affects them. The health professional will complete the assessment and will send a report back to us. Customers who withdraw their claim, are disallowed prior to their assessment or who fail to attend their assessment will not have a main disabling condition recorded. Breathing conditions, such as COPD. This is when their doctor or a medical professional has said they might have 6 months or less to live. All existing DLA claimants who are invited to claim PIP will need to decide if they want to make a claim for PIP. PIP is not a subjective benefit; it is not a case of looking at their lives as a whole and the way in which the illness or disability has stopped them doing what they used to do. The PIP residence and presence conditions are the same as those for Disability Living Allowance (DLA), Attendance Allowance and Carers Allowance. The financial support is between 23.70 and 152.15 every week, and is paid every four weeks. Since September alone there have been 34,962 new claimants for PIP, a state benefit designed to improve living . List your conditions, medications and treatments . You don't have to be [] A letter called the mandatory reconsideration notice will be issued to the claimant responding to any issues that they had about the decision and advising them of the outcome of their mandatory reconsideration request. Awards made under the special rules for end of life will be for 3 years. You can get Personal Independence Payment ( PIP) if all of the following apply to you: you're 16 or over you have a long-term physical or mental health condition or disability you have. Supervision is a need for the continuous presence of another person to ensure the claimants safety to avoid harm occurring to the claimant or another person. The total scores will determine whether a component is payable, and if so, whether at the standard or enhanced rate. Figures show that 82 per cent of PIP claims are recorded as having one of these five most common disabling conditions: Psychiatric disorders (which includes mixed anxiety and depressive. As the assessment will consider a claimants ability to carry out the activities, an inability to carry out activities must be due to the effects of a health condition or disability and not simply a matter of preference by the claimant. In this context: The assessment will take into account aids and appliances that individuals normally use and low-cost, commonly available ones which someone with their impairment might reasonably be expected to use, even if they are not normally used. A health professional working for the assessment provider will be able to complete the assessment using the information provided during the claims process, the DS1500 report and any further evidence gathered. PIP claim: 70 health conditions qualify for extra 156 a week from DWP - full list Monthly bills are almost 600 higher for people with disabilities, according to research by disability charities. If someone is awaiting treatment or further intervention, it can be difficult to accurately predict its level of success or whether it will even occur. The Welfare Reform Act 2012 includes the introduction of changes to the appeals process to ensure more disputes against DWP decisions are resolved without being referred to His Majestys Courts and Tribunals Service (HMCTS). Wolverhampton A 33 page guide to PIP mandatory reconsideration and appeal submissions and sample submissions for health conditions: Chronic Fatigue Syndrome; Anxiety & depression; Schizophrenia; Mobility problems; Fibromyalgia; Anxiety disorder, depression & agoraphobia and; Osteoarthritis & obesity Best possible ways to challenge a PIP medical report To determine entitlement to the 2 components and the level of payment, individuals are assessed on their ability to complete a number of key everyday activities. This will make sure everyone continues to receive the most appropriate level of support. In order to be entitled to PIP, claimants have to satisfy a qualifying period of 3 months and a prospective test of 9 months. The assessment looks at people as individuals, and focuses on the impact their condition has on their daily lives and over a range of different activities. 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