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The HP should always attempt to respond to any issues or concerns they express. For example, they might ask you how you travelled to the assessment centre. 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.. When your PIP award ends, you will need to revalidate you eligibility if your long-term condition is getting better or worse. 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. Social and leisure activities undertaken by the claimant, as well as any they have given up or modified due to their health condition or impairment, could also be mentioned here. There are 3 main benefits that you can claim if you regularly need support to manage your mental health: Personal Independence Payment (PIP) for people over 16 to State Pension age. 1.15.8 Should claimant consent not have been provided at the initial claim stage, it can be sought verbally by APs over the telephone. Before your PIP assessment, you should plan your journey to your assessment centre. He was awarded the daily living and mobility components, both at the standard rate. The assessor will investigate the information you gave on your PIP form but also make judgements based on what you say and do during your PIP assessment. 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. For example, is the level of functional impairment claimed in one activity compatible with that claimed in another? The telephone assessment should last between 20 minutes . He is aged 16 and attends a supported education centre where he is learning independent living skills and undergoing travel training, with the hope of attending college in the future. 1.8.10 It is essential that the CM is made aware of the evidence the HP has used to complete the assessment report. The HP should also include what relevant investigations have been carried out or planned for the future. The damning report conducted by the Public. 1.1.12 Each activity contains a series of descriptors which describe increasing levels of difficulty with carrying out the activity. 1.6.53 On most occasions the claimant is likely to have one, or possibly 2, companions. 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. PiP phone call - gave no points for mental health was created by Danielle. 1.15.18 A consultation cannot go ahead if the appointee or their representative does not accompany the claimant. Here's my experience as a disabled woman, you can read about my condition in my chronic journey blog post. 1.7.26 In SREL referrals, the DWP will check for an Employment and Support Allowance (ESA) claim under Special Rules. The professional will then send it to DWP to check if you are eligible for the benefits. 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. 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. Therefore, consent to inform the GP of the unexpected finding should be obtained from the claimant. The case will include form AR1 and any additional information obtained by the CM (see the medical evidence screen in PIPCS.) 1.6.73 When considering a request for a home consultation, HPs should consider: whether the claimant has a medical condition that either precludes them from travelling, or makes it extremely difficult for them to travel. In addition, young people may have limited experience undertaking many activities unsupervised in an independent environment. The PIP assessment with questions on mental health is a great opportunity for you to talk about how your mental health condition affects you. 1.5.6 For cases where there is marked inconsistency, the claimed level of disability is unexpected based on the available evidence, or it has not been possible to gain sufficient further evidence, a consultation will be required. 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. The guide focuses specifically on the role of HPs in the assessment and the quality of their work. 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. 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. 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. Well send you a link to a feedback form. 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. In such cases a short award period with no review required should be advised. What you have difficulty with, or cant do at all - for example, leaving the house, socialising, cooking. 1.15.19 The appointee should be considered in line with guidance about companions being present at consultations. Both the General Medical Council and the Nursing and Midwifery Council provide guidance on medical ethics and when it is acceptable to break medical confidentiality. Cost-of-living crisis and your mental health. 1.15.33 The DWP takes confidentiality very seriously and all confidential information should be held securely and in accordance with legislation. 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. The AP then conducts the assessment, gathering any further evidence necessary before providing an assessment report to DWP. 1.11.4 The HP will attempt to complete a paper based review if possible, or arrange a face-to-face assessment where required. Your appointment should be a minimum of seven days away. Mood disorders Stress Anxiety You may be eligible for PIP, and should consider making a claim to the DWP, if you have daily living needs because of a mental health condition. 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. 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. In April 2019, for the new claims cleared under normal rules, the average PIP claim took: 13 weeks from the point of registration to a decision being made on the claim, and. If you have a disabling condition that makes you housebound, you can also request for a home assessment. If the HP cannot obtain further evidence from the GP or other health professional, the HP should by exception consider contacting the claimant. 1.6.34 The HPs informal observations will also help check the consistency of evidence on the claimant's functional ability. The Department for Work and Pensions ( DWP) commissioned NatCen Social Research to conduct two surveys to examine the claimant experience of telephone assessments and to gauge preferences for. The HP should note in the report that they have explained the procedure to the claimant and obtained their consent to proceed. In deciding their advice, the HP will need to weigh this inconsistency and decide, with full reasoning, which descriptor is most likely to apply. If the HP identifies such a condition, they have a responsibility notify a suitable person involved in the claimants care. However, the DWP reserves the right to take appropriate action where the recording is used for unlawful purposes for example, if it is altered and published for malicious reasons. 1.6.69 The HP has a duty to protect the confidentiality of the information obtained during the consultation. For example, it might be reasonably expected that a 25 year old man who is otherwise healthy but has lost his lower leg in an accident might adapt well to the loss. This means that entitlement to the benefit is not dependent on a persons financial status or on whether they have paid National Insurance contributions. 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. Hi Zoe, I had my PIP telephone call last July and I have only just won my case. 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. 1.13.5 Where consideration of supplementary advice results in the HP changing their previous advice to the DWP, this should be clearly flagged. These times have reduced significantly from the peak in July 2014 (42 . Qwom I dont want to put a dampener on things but unless your depression & anxiety majorly affect your daily living i doubt you will score enough points to meet the standard rate. 1.15.32 Personal information held by the DWP is regarded as confidential. In cases of complex fluctuation, providing an individual justification for each descriptor can help to ensure this is fully explored and advice justified. Personal Independence Payment (PIP) is a benefit for working age people who have a disability or long-term health problem and have difficulty or need help with daily living activities and/or getting about. 1.6.10 Throughout the consultation, HPs should be evaluating what they are being told and checking whether the evidence is consistent. The PIP medical assessment consists of several parts and will last on average, 60 minutes: In this part of the assessment, the health professional will ask you a series of questions about how your condition affects your everyday life. The 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. After your PIP assessment with questions on mental health, the DWP will assess the following information with the supporting evidence if you are eligible: The DWP will give you a letter if you have claimed your PIP or not according to your PIP assessment report. However, claimants must clearly indicate that they agree to the statement- for example by signing their name or ticking a box next to it. Will I need a Work Capability Assessment to claim benefits? Can they access all areas of their home and have they had to make any modifications? Physical and mental examination: If required, and with your consent, they will conduct a brief physical and mental function examination. 1.6.62 Video recording of consultations is not permitted. The roll-out of PIP to existing DLA claimants commenced from October 2013. Where the HPs opinion differs from other opinions on file for example in further medical evidence or a previous HPs advice then a full explanation of the reasons for the difference of opinion should be given. Cost-of-living crisis and your mental health. (More information on the additional support marker is in the following section.). 1.6.46 If the claimant is unaccompanied at a consultation, the HP should consider whether a chaperone would be appropriate during any examination. In exceptional circumstances a written request for further evidence can be issued. If the information is available, the CM will transcribe the decision and any justification, word for word, into the medical evidence screen of the PIPCS. 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. Once you have completed and sent your PIP form back to the DWP, you will receive a letter acknowledging they have got your claim. He was awarded the daily living component and mobility component at the standard rates. They can help you feel more comfortable, add information to what you say or take notes. 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. 1.8.3 The nature of the information required in reports varies depending on the nature of the activity. 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. 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. Simply use the buttons below to share on your social network. The PA6 may also be used for changes to advice that does not relate to descriptor choice, for example prognosis. The entitlement threshold for each component is 8 points for the standard rate and 12 points for the enhanced rate. 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. HPs should be mindful that the level of analgesia used does not necessarily correlate with the level of pain. 1.8.17 In some health conditions, the level of disability varies over time. Pip telephone assessment experience. If the presence of a companion becomes disruptive to the consultation, the HP may ask them to leave. Not sure how it will work with me talking rather than the person as only they can describe their day to day difficulties. This companion can be someone who can assist and care for you such as your friend or family member. How do I ask for a Mandatory Reconsideration? Nine months later both lower limbs were amputated following a road traffic accident and he applied for PIP again.