Physical and psychological or mental examination: If obligated, and with your consent, these health professionals will administer a short physical and mental function examination. Please contact the DWP on 0800 121 4433 or textphone 0800 121 4493. 1.7.32 In a small number of cases, the claimant may not be aware they are terminally ill. This means that entitlement to the benefit is not dependent on a persons financial status or on whether they have paid National Insurance contributions. You can state your needs here with regards to your debilitating condition. Assessments may still be carried out by telephone or video, but you might be asked to attend an assessment centre. 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 CM will re-examine the facts of the case, the law and any other issues which applied when the decision was made. 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. 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. 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: She states she has no problems with speech, hearing, or vision. What is the PIP medical assessment?. The claimant or their representative may also be able to provide updated information on treatment received or planned. 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. Will I need a Work Capability Assessment to claim benefits? A home environment may also provide either an ideal, good or a very poor environment for testing functional ability, for example, depending on the level of background noise. Most people have to take the PIP medical assessment with questions on mental health to get this benefit program. The documents will then be available to be viewed via the claimants record in the PIP Assessment Tool (PIPAT) and/or the PIP Computer System (PIPCS), 1.3.3 Once this has been completed, the case will be referred via the PIPCS to the appropriate AP for them to complete on the PIPAT or clerically as appropriate, 1.3.4 The PIPAT allows the AP to give advice to DWP in an electronic format. 1.6.74 The request for a home consultation may come from a GP or other health professional involved in the claimants care. 1.6.43 The assessment of mental function should be tailored to individual claimants and may take into account appearance and behaviour, speech, mood, depersonalisation/derealisation, thought, perception, cognitive function, insight and addictions. Will I need a Work Capability Assessment to claim benefits? Always explain how doing something would make you feel afterwards and the impact it can have on you if you had to do it repeatedly in a short period. 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? 1.14.4 In most cases it should be possible for CMs to identify those cases where a claim has been made for substantially the same physical or mental health condition or range of conditions. Dec 16, 2020 That way you can refer to it in the assessment and make sure you tell the assessor everything you want them to know about your condition. Information about variability is crucial in assessing the functional effects of the claimants condition that apply on the majority of days and whether someone can carry out activities reliably, bearing in mind that advice will need to consider the impact of conditions over a year-long period. For many of us, it can mean that we need extra support to get to work, see friends and family, and carry on living our lives. It's important you prepare - the DWP will use evidence from the assessment to decide if you can get PIP. The Department for Works and Pensions (DWP) temporarily suspended Personal Independence Payment (PIP) face-to-face assessments in March and a decision on whether to extend that measure is expected . Nine months later both lower limbs were amputated following a road traffic accident and he applied for PIP again. What does the assessor observe during the PIP assessment? 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. 1.6.42 Clinical findings from a musculoskeletal examination should be recorded in plain English, for example able to place hands at the back of the head, able to reach above the head to help the CM understand the details of the examination. 1.6.71 If the claimant declines to give consent for the HP to contact their GP, the HP should make a judgement as to whether the situation is sufficiently serious that it warrants breaking confidentiality by telling the GP even without the claimant's consent. Where a claimant has a PAB they would not be classified as requiring additional support from DWP. 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. 64 Posts. Contact a Welfare & Benefits Advisor if you need additional advice or support. Requests for advice through the PIPCS should be responded to using clerical forms PA5 or PA6. 1.6.58 Upon prior request, providers have the facility to audio record telephone and face to face consultations. 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. 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. You may be asked to provide medical evidence as to why you cant attend the assessment centre. If they still require something in writing, the HP should email them a letter providing assurance that consent is held and quoting the GMC advice. 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. This could include advising on the nature of a diagnosis, the use and significance of medication, the interpretation of functional examination findings, the significance of special investigations and the nature of surgical or other treatments, requesting non-prescriptive advice of a general nature on the likely functional restrictions arising from a specific health condition or impairment, requesting advice on whether a claim is being made for substantially the same condition as a previous claim, to inform a fraud investigation (such requests are likely to be rare). If the HP notices that a claimant is covertly recording their consultation, the restrictions above should be explained to the claimant. 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. 1.6.47 Prior to concluding consultations, HPs should give claimants an overview of the findings they have taken from the consultation, including an indication of the fluctuation and variability of function they have recorded. Discussion and questions: The Health Professional will ask you questions about how your health affects your everyday life. 1.13.6 Requests for supplementary advice may be made to APs by telephone and/or through the PIPCS and/or the PIPAT, depending on the nature of the request. 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. The HP should consider ability and fluctuations over a 12 month period to present a coherent picture. For example, it may be used to respond to a request for clarification about medication or treatment that affects the claimants health condition or impairment. 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. A health professional will carry out your assessment - they'll write a report and send it to the DWP. 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 HP should also include details of any alterations to medication which have occurred since the questionnaire or supporting evidence was supplied. Here is a sample PIP question on mental health: Do you need help from another person to plan a route to somewhere you know well? 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. 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. Make a list of points you would like to make during your assessment and take this with you. 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, 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. We also use cookies set by other sites to help us deliver content from their services. | Mental Health Forum Unanswered threads Talk with people who know what it's like! Am I eligible for Employment & Support Allowance (ESA)? The HP should do this by using open-ended questions and not just by asking a series of closed questions. 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. 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. 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. 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. To help us improve GOV.UK, wed like to know more about your visit today. When advising on descriptors and justifying advice, the HP should consider the functional effects of the claimants health on the majority of days. This assessment is also not depending on your medical treatments. 46. Before your PIP assessment, you should plan your journey to your assessment centre. In these cases, the HP will need to consider the appropriate approach to completing the assessment (paper-based or consultation). It is paid to make a contribution to the extra costs that disabled people may face, to help them lead full, active and independent lives. 1.15.32 Personal information held by the DWP is regarded as confidential. 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. 1.4.17 The DWP currently pays for 2 specific forms of evidence: factual reports from GPs and GP- and consultant-completed DS1500s. 1.4.10 In all cases and on all forms the HP completes when giving advice, the HP should check their advice for any information which could be seriously harmful to the claimants health if it were disclosed for example, a poor prognosis that is unknown to the claimant or a diagnosis of a psychotic illness in a claimant who lacks insight into their condition. 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. Helps you take control of your household spending. Where we have identified any third party copyright information you will need to obtain permission from the copyright holders concerned. you can't plan a route to an unfamiliar place yourself. 1.15.31 It will be for the individual professional to determine whether they wish to release information about the claimant to the HP. She Has A Condition Called Cerebellar Atrophy, and Also Suffers From OCD (Obsessive Compulsive Disorder). The PIP assessment questions on mental health will be asking about the degree of assistance you need in daily activities. The HP should always attempt to respond to any issues or concerns they express. Doing crossword puzzles requires visual acuity, manual dexterity, concentration and cognitive ability. 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. We have translated the site; would you prefer to read in Welsh? 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. (I got a cancellation) i have ongoing mental health issues heart condition that affects my daily activities such as walking and shopping and (anything strenuous) also struggle with communicating with us can't interact I get severe anxiety . reading and comprehending written information, organizing a journey or following a route. This includes, but is not limited to, reassessment of existing DLA claims and PIP claims where an agreed award review point is reached or fresh evidence received, rework requests in relation to assessment reports. As it is probable that the peripheral neuropathy was due to diabetes he did not have to fulfil the 3 month qualifying period for either component as it would be considered he was suffering from substantially the same condition. 1.4.9 The HP should also clarify whether any information provided by the professional is harmful or confidential. We use your sign-up to provide content in the ways you've consented to and improve our understanding of you. There may also be activities that could be carried out by the young person, but for which the parent or guardian continues to assume responsibility. How can I appeal a decision about my benefits? In these cases, the CM is likely to make a fixed term award of benefit. His diabetes was not well controlled and he had become depressed. The health professional will use this time to listen to you about some aspects of your condition when you are engaging in daily activities in life. This information should be included in the assessment report provided to DWP or via the PIPAT. 1.15.35 Personal information should never be left on answering machines or voice-mail facilities. 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. It is vital all advice is sufficiently evidenced. In such cases the claimant may not be able to give an accurate account of their health condition or impairment, through a lack of insight or unrealistic expectations of their own ability. 1.7.30 If evidence that a claimant meets the Special Rules criteria is uncovered following receipt of the claimant questionnaire or additional evidence in a non-SREL claim, then advice should be given to the DWP that the claimant fulfils the criteria for SREL and the case should then be treated as an SREL referral. 1.8.14 The advice must be able to stand up to challenge and the HP should draw out key evidence in support of their choice of descriptors in the report, drawing fact-based findings and/or well supported opinion from all of the evidence. The HP should base their assessment on what the young person would be able to do if asked that is, what they are functionally able to do not the skills they have or havent learned. 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. Where there is clear and current evidence of a claimants functional examination findings in a particular area, HPs do not need to conduct an examination of that area. PIP telephone assessment questions was created by drummer53 I have a telephone assessment tomorrow and I've been through all the guides but can find anything about what to expect in a telephone assessment, like what questions they ask or how they trip you up. 1.15.2 Consent may be written, verbal and in certain circumstances given by a third party. PiP phone call - gave no points for mental health was created by Danielle. In a reasonable time: Does it take you a lot longer to do the activity than it would take most people? 1.15.10 Consent can be withdrawn by claimants at any time in the claim. It is important to understand that more than one of these time frames for fluctuation may apply to an individual claimant. They can nominate someone else to accompany the claimant. 1.6.48 No opinion on entitlement to benefit should be given by the HP. Its essential to be aware of the PIP descriptors as this is what they will base their decision on. Charities like Citizens Advice and Scope can look over a draft for you, or they can help you write the entire form. PIP telephone assessment | Mental Health Forum Unanswered threads Talk with people who know what it's like! The fact that consent has been given (or not) will be made clear in the referral from the DWP and APs should always check that this has been provided. The Optimistminds editorial team is made up of psychologists, psychiatrists and mental health professionals. 1.7.13 In SREL claims, HPs are required to advise on: whether they consider, on balance, the claimant is or is not terminally ill under the prescribed definition. The professional will then send it to DWP to check if you are eligible for the benefits. The claimant must not be assessed if they are on their own. The issue here is that the DWP may not know whether the power of attorney is a lasting PoA, which must be registered whilst the donor has capacity, then once registered it remains valid even if capacity is lost but DWP is not always told. 1.7.23 Every effort should be made to provide advice in SREL cases. The PIP assessment with questions on mental health is a great opportunity for you to talk about how your mental health condition affects you. For example, if carrying out housework or walking outside would mean the claimant was unable to do anything else that day, this should be properly explored and recorded. You can change your cookie settings at any time. (More information on the additional support marker is in the following section.). 1.6.44 If an area of function is examined, the HP must record all findings in the assessment report, even if function is found to be normal. The DWP and HPs will be expected to verify that this is the case. 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. 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. 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. PIP Question 6. . The HP must quantify the proportion of good days to bad, for example if the claimant has epilepsy it is a question of the type, frequency and after effects of the seizures. 1.3.12 The HP should complete a PA1 review file note or the relevant screen in PIPAT explaining the action taken on the case, how the decision was made on the type of assessment and the evidence used. 1.13.2 Reasons for supplementary advice might be (but are not limited to): further evidence having been received from the claimant after the assessment report has been returned to the department, help interpreting and explaining medical terminology the claimant has provided in claim packs or that health professionals have included in medical reports. Question 13a 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. 1.7.15 If the claimant is already in receipt of PIP and the case has been referred under SREL as a change of circumstances, the HP must include an indication of when the claimant first became terminally ill. Failure to provide this information may result in the advice being returned for rework. PIP can be paid to those who are in full or part-time work as well as those out of work. The mental health conditions that qualify for disability in the UK are depressive disorders, dementia, chronic anxiety such as anxiety disorders, and bipolar disorder. You can also bring someone with you in the course of your assessment.
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