Therefore, consent to inform the GP of the unexpected finding should be obtained from the claimant. If youre already receiving DLA and the DWP asks you to claim PIP there are separate rules. They later changed the award because they looked into everybody's claim as they felt they hadn't been properly awarded and I . 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. 1.13.9 Where the assessment was completed using the PIPAT, it will be necessary to create the appropriate supplementary advice on the PIPAT and once submitted a PA5/PA6 will be output to the DWP. 1.7.1 These provisions were previously called Special Rules for Terminal Illness (SRTI), but this has now changed to Special Rules for End of Life (SREL) and the remainder of this section will refer to SREL rather than SRTI. How can I appeal a decision about my benefits? 1.7.18 If there is insufficient information in the claim file to confirm terminal illness and consent is clearly indicated on the file, the HP should telephone the health professional such as a GP or hospital specialist identified by the claimant in PIPCS. Location. The HP should always stress to the claimant that they should not carry out a movement or activity to the point where it causes them discomfort. 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. For urgent help, please see Help & contacts. 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. You have accepted additional cookies. DLA claimants aged under 16 and those who were aged 65 or over on 8 April 2013 will not be affected. In such cases a short award period with no review required should be advised. (More information on the additional support marker is in the following section.). The HPs evaluation could include the level of expertise of the individual offering the opinion; their direct knowledge of the claimants health condition or impairment; and whether it is medically reasonable. If a claimant can handle a toothbrush, it is unlikely they cannot handle kitchen cutlery. 1.15.34 It is important that in all telephone contact with claimants or their representatives, the correct person is being spoken to. 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. If they do not turn up then normal failed to attend (FTA) action is taken the DWP will investigate the conduct of the appointee. Once diabetic control was maintained his mental health condition improved so he was not entitled to either component. 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. This is because they have been deemed incapable of engaging directly with the DWP or its contracted APs. 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. 1.8.4 For each activity area, the HP should use evidence to choose one descriptor which best reflects the claimant's ability to carry out an activity, taking into account whether they need to use aids or appliances and whether they need help from another person or an assistance dog. The notes are for the claimant or companions own purposes and are not an official record of the process. If you have a disabling condition that makes you housebound, you can also request for a home assessment. 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. In cases of complex fluctuation, providing an individual justification for each descriptor can help to ensure this is fully explored and advice justified. 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. They can nominate someone else to accompany the claimant. your mental health condition makes using a bus or train difficult. Here's my experience as a disabled woman, you can read about my condition in my chronic journey blog post. If you plan to travel by taxi, you must get the assessment centre to agree to this before your assessment. Companions should take no part in examinations. 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). 1.6.52 Claimants have a right to be accompanied to a consultation if they so wish. This question in the PIP assessment with questions one mental health means that you find it hard to do the following: This question shows that the DWP is interested in knowing about how you deal with the long and short journeys that you will be going to buy some groceries or other necessities. 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. 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. 1.6.65 Claimants and companions taking part in a consultation with the claimant are entitled to take notes for their own purposes. The HP should do this by using open-ended questions and not just by asking a series of closed questions. A snapshot view of the claimants condition on a particular day at a particular time is not an adequate assessment. Attendance Allowance (AA) for people at State Pension age. How do I manage my money if I have mental health problems? You should check for yes if you have one of the following conditions: This is another sample PIP assessment question on mental health: Are you unable to go out because of severe anxiety or distress?YesNoSometimes. 1.7.29 Any DS1500s received direct by APs should not be considered. To prepare adequately for your PIP assessment, we advise that you do the following before the assessment: You can request back the money you spend travelling to and from your PIP assessment. However, a 60 year old with other multiple pathologies who loses the lower leg because of complications due to diabetes is more likely to struggle. You have rejected additional cookies. Have you read something you think others need to know? PIP telephone assessment | Page 2 | Mental Health Forum Unanswered threads Talk with people who know what it's like! If the claimant has difficulty socialising and planning and following but is sitting securely in their home on the phone during assessment, it stands to reason the decision making will be compromised! (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 . In these cases, it may be particularly important to distinguish between what a young person can or could do for themselves and what the parent does for them as part of their caring role. 1.4.17 The DWP currently pays for 2 specific forms of evidence: factual reports from GPs and GP- and consultant-completed DS1500s. Medical Evidence GP 1.6.23 The HP should record the occupation and the nature of the job for example, activities on a daily/weekly basis, including any reasonable adjustments made by the employer. 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. News stories, speeches, letters and notices, Reports, analysis and official statistics, Data, Freedom of Information releases and corporate reports. Most people claiming Personal Independence Payment (PIP) will be asked to attend a PIP medical assessment with a healthcare professional. The HP should act within the guidelines, and be able to justify their actions. 1.8.19 A properly justified report should contain the following: a brief summary of the individuals health conditions or impairment and their severity, a clear explanation of the reasons for the advice contained in the report including; referencing evidence used to support descriptor choices, explanations where the HPs opinion differs from those of the claimant, carers or other health professionals, clarification of any contradictions and an explanation of the HPs choice of evidence relied upon. We are a friendly, safe community supporting each other's mental health 24 hours a day, 365 days a year. routinely contact GPs of people with mental health problems claiming PIP. Ask for the assessor to be the same gender as you. In deciding their advice, the HP will need to weigh this inconsistency and decide, with full reasoning, which descriptor is most likely to apply. There is an expectation that this will remove or reduce the need for claimants to record consultations. It should be explained that the assessment focuses on the effects of their health condition or impairment on their day-to-day life, looking at what they can and cannot do in relation to the daily living and mobility activities. They themselves do not have to attend. Before attending, you should read our guide on how to prepare for your PIP medical assessment. 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. The Health Professional will type their observations during the appointment, which you are entitled to view or have described to you. Have you read something you think others need to know? In the case of an appeal, the claimant, his/her representative and members of the tribunal will see a copy of the report. 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. Once this has been provided, the HP should call the health professional involved in the claimants care again. 64 Posts. More than once: Can you repeat the activity as many times as you need to? 1.8.7 For a scoring descriptor to apply, the claimants health condition or impairment must affect their ability to complete the activity on more than 50 per cent of days in the 12 month period. For example, certain types of multiple sclerosis have periods of remission and deterioration, while a person with cancer may respond well to treatment and then relapse. The presence and name of the chaperone should be recorded in the report. The roll-out of PIP to existing DLA claimants commenced from October 2013. Most people have to take the PIP medical assessment with questions on mental health to get this benefit program. 1.6.53 On most occasions the claimant is likely to have one, or possibly 2, companions. where there is uncertainty about descriptor choice because of contradicting or unclear evidence has been received. The health professionals will be reviewing your PIP form once you reach the assessment centre. This will include details of the claimants key supporting health professional and basic information about their mobility. If your long-term condition is getting worse, you will need more of this award. 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. This includes our assessment report and your questionnaire and further evidence. 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. 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). 1.7.33 Occasionally, the HP will encounter a case where the contents of the DS1500 reveal that the author has completely misunderstood its purpose; for example, where there is no implication that the claimant is suffering from a terminal illness. You are most welcome to join today! What benefits are available for mental health carers? 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. 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. 1.15.24 If GPs, consultants and doctors request proof of consent they should be reminded of the GMCs advice. The illness that qualifies for PIP is the illness that is considered to be a long-term condition and this kind of condition should need regular support for needs and some may be limited in mobility. 1.7.32 In a small number of cases, the claimant may not be aware they are terminally ill. Physical and mental examination: If required, and with your consent, they will conduct a brief physical and mental function examination. If a claimant cannot bend to put on their shoes, it is unlikely that they are able to wash below the waist. We have translated the site; would you prefer to read in Welsh? 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. The CM will re-examine the facts of the case, the law and any other issues which applied when the decision was made. 1.6.24 Evidence gathered in the functional history is an important part of the assessment process as it should provide the CM with a clear picture of the claimants day-to-day life. But it's the breaches of confidentiality, the Continue reading "Pip Telephone . How are mental health and money worries linked? 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. 1.6.20 The HP should record a concise and relevant social and occupational history. At a telephone assessment, consent should be captured verbally on the recording. 1.12.1 Many claimants with mental, intellectual or cognitive impairments will be able to engage with the PIP application process. 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. The points you score for each kind of activity in a section are added together to reach an overall score. 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. 59% of people said that the assessor did seem to have read their form She both reassured us that she had and also seemed to understand what has been written in the form. You should explain the following: These general PIP assessment tips will also help you: We recommend that you record the audio for your face-to-face PIP assessment. Hi Pamela In order for the DWP to change from a telephone assessment to a paper-based assessment, you will need a letter from your GP that states it would cause you "overwhelming psychological distress" to take part in a telephone assessment. If capacity has been lost then the expectation is that the claimant would be accompanied. Such cases will be flagged to the AP at the point of referral. Wed like to set additional cookies to understand how you use GOV.UK, remember your settings and improve government services. 1.7.7 Where a BASRiS form has been provided, DWP should treat it as other medical evidence and refer the claim to the AP for review in all cases. However it is important to balance informal observations with evidence from professionals who may have observed the claimant more regularly. What are my options for dealing with debt? The report and all other evidence available will be used by the CM who will contact the claimant in due course. 1.10.3 In the following instances it would be appropriate to recommend an ongoing award: where the HP considers there to be no likely change to the functional impairment, where the claimant has functional impairment which is not likely to substantially change in the long-term, allowing for short-term periods of functional change in the case of fluctuating conditions, where the claimant has very high levels of functional impairment in both daily living and mobility components likely to reach the threshold for an enhanced/enhanced award, and in which their needs are only likely to increase, such as with progressive conditions. It's not based on the condition you're in or the medication you're taking. In these cases, the AP and the DWP must ensure the claimant is not inadvertently advised of their prognosis. The DWP and HPs will be expected to verify that this is the case. 1.6.59 At a face to face assessment, the claimant must sign a consent form in which they agree to not use the audio recording for unlawful purposes. HPs will not liaise directly with CMs, but will liaise with DWP service assurance managers (SAMs) where the CMs have queries, for example: seeking additional advice either based on current advice or because further evidence has been submitted. For example, He gets up at and says he can wash and dress without any difficulty; She states that she finds it difficult to lift heavy saucepans. The total scores for all of the activities related to each component determine entitlement for that component. The physical examination will make you engage in physical movements to show if you are capable of moving some limbs. It is not the HPs opinion of what the claimant should be able to do. If evidence is returned to the AP in error, it should still be forwarded to the DWP for scanning. This may be particularly important where the claimant has a mental, cognitive or intellectual impairment. pip telephone call. This publication is licensed under the terms of the Open Government Licence v3.0 except where otherwise stated. At the end of your consultation, the Health Professional will complete an independent report and send it to the DWP. If you are called for a Personal Independence Payment (PIP) assessment this video explains what to expect. Either before or after your assessment, you should ask the receptionist at the assessment centre for a travel expenses claim form and pre-paid self-addressed envelope. 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. Preparing for your PIP assessment. However, some relevant information about the claimants circumstances will be gathered during the initial claim stage and supplied to the AP. 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. HPs may, however, flag that a DWP CM will make a decision on benefit entitlement based on the evidence available in the case and it is important that they have access to the best evidence. 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. 1.8.1 The assessment report is sent electronically through the PIPAT or clerically, where appropriate, using the following clerical forms: PA2 Review report form (Special Rules for End of Life), PA3 Review report form (paper-based review), PA6 Supplementary advice note (change of advice). 1.6.18 The HP should record any other prescribed therapies, such as physiotherapy, making a note of who prescribed them, how often they are carried out, and how effective they are. 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. Miss B was diagnosed with schizophrenia and fulfilled the PIP criteria for standard rate mobility component. 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. The PIP medical assessment is computer led and is an opportunity for you to explain how your condition affects you daily so the assessment provider can write an accurate report for the DWP. Advice should be clear, succinct, justified and in accordance with the consensus of medical opinion. He was awarded the daily living component and mobility component at the standard rates. What benefits are available for mental health carers? 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. 1.6.36 When considering mental health medication HPs should remember that not all claimants with a mental health condition will be on medication or receiving therapy. Hi everyone, Thanks for letting me onto the forum and for all your help! Not sure how it will work with me talking rather than the person as only they can describe their day to day difficulties. 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. The HP should explain what information will be shared and why. Your appointment should be a minimum of seven days away. When you have fulfilled your PIP form and sent it to DWP, this kind of department will be sending you an appointment letter. 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. 1.6.70 The HP should ensure the referral form is sent to the claimants GP within 24 hours. The guide focuses specifically on the role of HPs in the assessment and the quality of their work. Can I claim Welfare Benefits if Im living with a mental illness? We explain the following: Firstly, you shouldnt expect the PIP assessor to be favourable towards you. Unsolicited DS1500s should be sent urgently to the DWP, with an explanation as to the reason why the AP is sending the form. Copyright OptimistMinds 2023 | All Rights Reserved. 1.4.14 If the claimant states that they want to tell the HP something in confidence that they do not want recorded in the HPs advice, the HP should explain to them that they are unable to take such information into account, as the CM making the decision on their claim would have no access to it. The assessment report must be completed and returned to the DWP using the work queue for SREL within 2 working days from that point. In addition, variability in a condition may suggest findings which initially seem inconsistent. 1.8.13 Report forms should contain where appropriate an overall summary justification or an individual justification for each descriptor choice providing a succinct summary for the CM of the evidence obtained and used in the HPs consideration and the reasons for descriptor choice. At every stage of the proceedings the claimant should be advised as to what is going to happen and agree to it happening. We also use cookies set by other sites to help us deliver content from their services. 1.4.19 Where further evidence is received after the assessment has been completed and returned to the DWP, the evidence must be sent to the CM for consideration. When making contact with that professional by telephone, the HP must make it clear if they do not hold consent from the disabled person to permit disclosure of information about their condition and explain the provision for third party claims under the SREL. 1.6.8 The approach should be relaxed, allowing the claimant time and encouraging them to talk about themselves and put across the impact of their health condition or disability in their own words. 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. 1; 2; First Prev 2 of 2 Go to page. 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. You will need to contact the assessment provider and request a home assessment. 1.14.2 Where the functional effects of a claimants health condition or impairment reduce for example, as a result of remission their entitlement to PIP may stop. For any award review case referred to the AP, all relevant supporting and further evidence will be visible. Helping you understand, manage & improve your mental health and money issues. In this brief blog, we have talked about PIP assessment questions on mental health, what the PIP assessment is for, the procedure of the PIP assessment, and more information about PIP assessment questions on mental health. Introduction. In such cases it will be essential to get an accurate account from the companion. For example, asthma control is poor because of failure to take preventative medication regularly due to the development of depression, resulting in mobility problems. 1.6.68 Very rarely during the consultation, the HP may identify that the claimant appears to have a significant undiagnosed medical condition. 1.11.5 DWP CMs will undertake paper-based award reviews in cases which contain the additional support (AS) marker and where the AR1 has been completed by the claimant and returned to DWP. This part of the assessment is an opportunity for you to explain your needs face-to-face. Advice should be based on the HPs assessment of when there is likely to be a significant change in the overall functional effect of a claimants main disabling condition(s). To view this licence, visit nationalarchives.gov.uk/doc/open-government-licence/version/3 or write to the Information Policy Team, The National Archives, Kew, London TW9 4DU, or email: psi@nationalarchives.gov.uk. 1.15.20 Where the claimant has told DWP that they want an attorney to act for them, the attorneys details will be on the DWP system (CIS) if it is a PIP claim. 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. It is not a diagnosis of your condition or a medical examination. The PIP medical assessment with questions on mental health is an assessment that evaluates your capability of doing daily activities depending on your physical or mental condition. For all incoming calls the callers identity must be verified. This gives the claimant the opportunity to explain to the HP how their impairment or health condition affects them. 30 September 2020 at 8:04AM in Disability money matters. The PIP medical assessment consists of several parts and will last on average, 60 minutes: Discussion and questions: The Health Professional will ask you questions about how your health affects your everyday life. Dec 16, 2020 The HP should inform the professional being contacted that this record is being produced and that this may be made available to the claimant and/or their representative. Other conditions might be unlikely to see significant changes in impact, which might suggest a longer period between reviews. How do I manage my money if I have to go into hospital? For example, there is an inconsistency of evidence if a claimant bends down to retrieve a handbag from the floor but then later during formal assessment of the spine, declines to bend at all on the grounds of pain, or if the claimant states that they have no mobility problems but they appear to struggle to walk to the consulting room.

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