Examples of these circumstances may be appropriate to: a claimant with severe depression and anxiety, with children under 18 providing care and support to the claimant, during the assessment, the claimant states that they are experiencing psychological/emotional abuse in their home, a vulnerable claimant states that they are about to be made homeless, adding to, or exasperating existing conditions. 1.15.12 It is good practice to check that there is valid consent every time further evidence is sought. 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. Daisy2016 Forumite. Where can I get support for my mental health? Physical and psychological or mental examination: If obligated, and with your consent, these health professionals will administer a short physical and mental function examination. You are most welcome to join today! If the HP notices that a claimant is covertly recording their consultation, the restrictions above should be explained to the claimant. 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. The HP cannot document any observations made outwith the consultation. More than once: Can you repeat the activity as many times as you are required to? 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. 1.1.12 Each activity contains a series of descriptors which describe increasing levels of difficulty with carrying out the activity. 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. When you have fulfilled your PIP form and sent it to DWP, this kind of department will be sending you an appointment letter. 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. Its essential to be aware of the PIP descriptors as this is what they will base their decision on. 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. 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). 25p per mile) to help towards fuel. 1.15.34 It is important that in all telephone contact with claimants or their representatives, the correct person is being spoken to. They should also provide advice on the mobility component based on the evidence received with the referral and/or gathered at the consultation. 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. 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. HPs need to ensure that they explore claimants functional ability in everyday life and in a variety of environments/situations that may not be ideal. 1.15.6 For consent to be explicit it must be affirmed in a clear statement. The health professional has already read your PIP form with the supporting evidence that you have to provide about your medical condition. This kind of assessment will result in you winning or not getting the benefits that you might be entitled to if you have been proven to be incapable due to your mental health condition. The HP should not change the claim to a SREL claim. 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. 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. Before attending your PIP assessment, there are several things you should consider to help you prepare. Citizens advice. This may be particularly important where the claimant has a mental, cognitive or intellectual impairment. 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. reading and comprehending written information, organizing a journey or following a route. 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. 1.4.13 Any written information that is marked by a claimant or a third party as confidential or in confidence cannot be used in a claim for PIP as it cannot be further disclosed to a DWP CM. 1.6.58 Upon prior request, providers have the facility to audio record telephone and face to face consultations. a long-term physical or mental health condition or disability difficulty doing certain everyday tasks or getting around because of your condition; You can get PIP even if you're working, have savings or are getting most other benefits. The case will include form AR1 and any additional information obtained by the CM (see the medical evidence screen in PIPCS.) 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. The HP should do this by using open-ended questions and not just by asking a series of closed questions. I am worried about the cost-of-living crisis. This may be enough to enable the HP to gather further medical evidence or advise whether the claimant satisfies the criteria for SREL. 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. There may be very occasional circumstances where the claimant reasonably requires the support of more companions and this would be acceptable. HPs should also take into account that some medications are used to treat different conditions, for example some antidepressants are also licenced to treat anxiety. You can be eligible for the PIP benefits if you are aged 16 and your State Pension age. | Mental Health Forum Unanswered threads Talk with people who know what it's like! This should be explored through further questions to develop this detail. 1.9.8 Advice on prognosis must be fully explained and comprehensively justified. A health professional will carry out your assessment - they'll write a report and send it to the DWP. Dont worry we wont send you spam or share your email address with anyone. 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 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. 1.15.29 Further information relating to the claim may be required and, due to the tight timescales involved in processing such claims, contact with the claimants own health professionals may be required. Having a mental health problem can be expensive. 1.4.9 The HP should also clarify whether any information provided by the professional is harmful or confidential. If they feel confident doing this and it would be in line with the consensus of medical opinion, then a paper-based review may still be possible, referring to such in the summary justification. 1.2.2 The key elements of the HPs role in PIP are to: consider information in the claimant questionnaire and any supporting evidence provided along with it, determine whether a claim can be assessed on the basis of a paper review and provide appropriate advice, determine whether any additional evidence needs to be gathered from health or other professionals supporting the claimant. Am I eligible for Employment & Support Allowance (ESA)? 1.7.16 Advice must be evidence based on the balance of probability. 1.6.64 A claimant may make a covert recording of the consultation without the HP being aware. 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. Physical and mental examination: If required, and with your consent, they will conduct a brief physical and mental function examination. The HP should act within the guidelines, and be able to justify their actions. If you have any questions about PIP assessment questions on mental health, please let us know and the team will gladly answer your questions. You are found capable if you did the following movements and other activities: The health professional will place their observations in your form and then place some reviews about your results in your examinations. The roll-out of PIP to existing DLA claimants commenced from October 2013. In addition, variability in a condition may suggest findings which initially seem inconsistent. 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. 1.6.67 Young people may attend a consultation with a parent or guardian. 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. Your medical assessment will be conducted by a private organisation - Independent Assessment Services (IAS - delivered by Atos) or Capita who have been contracted by the Department for Work and Pensions (DWP). 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. 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. 1.15.10 Consent can be withdrawn by claimants at any time in the claim. The. The telephone assessment should last between 20 minutes . Hi everyone, Thanks for letting me onto the forum and for all your help! They can nominate someone else to accompany the claimant. 1.13.3 Supplementary advice may also be requested for a reconsideration where the claimant challenges a decision made about entitlement to PIP, or for the early revision of a decision as part of the appeals process. That's why benefits like Personal Independence Payment (PIP) can make such a difference. However, the HP should bear in mind that for claimants with stable long-term conditions, the evidence available may be older. In a reasonable time: Does it take you a lot longer to do the activity than it would take most people? This includes the different processes for Special Rules cases, paper-based reviews and consultations, including guidance on when the different types of assessment should be used. 1.9.4 Advice must be, logical, take into account current advances in medical care, be medically consistent and should reflect the evidence on likely prognosis from the claimants professionals where available.
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