1.9.3 Where a condition can fluctuate significantly over a period of time consideration should be given as to when a review would be appropriate. The HP should demonstrate movements and observe the claimants range of movement. PIP stands for Personal Independence Payment. Therefore, consent to inform the GP of the unexpected finding should be obtained from the claimant. The professional will then send it to DWP to check if you are eligible for the benefits. 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. This may be enough to enable the HP to gather further medical evidence or advise whether the claimant satisfies the criteria for SREL. 1.7.31 Should an HP identify that a claimant is likely to meet the SREL conditions during a consultation and the claimant is aware of their condition, the HP should treat the case as a SREL referral. These occasions are expected to be rare. Mental Health & Money Advice. The physical exam will only involve you performing simple movements, if relevant to your condition and within your capabilities. Replied by BIS on topic Mental Health and PIP phone assessment. 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. PIP telephone assessment | Page 2 | Mental Health Forum Unanswered threads Talk with people who know what it's like! Mosque De Sannois est situ 11 Rue des Frres Kegels, 95110 Sannois, France, S'il vous plat contacter Mosque De Sannois en utilisant les informations ci-dessous: Adresse, numro de tlphone, fax, code postal, adresse du site Web, e-mail, Facebook. If they refuse, you can complain to the assessment centre, DWP, or ask your M.P. 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. 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. If the HP notices that a claimant is covertly recording their consultation, the restrictions above should be explained to the claimant. 1.9.7 Age is not a medical cause of incapacity but it can be an indicator of disease progression. In addition, the guidance is not a stand-alone document, and should form only a part of the training and written documentation that HPs receive from APs. 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. By contrast most people with mental health problems we talked to expected and assumed their GP would be contacted after including their details on the PIP1 form. 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. 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). How much Universal Credit can I get for mental health? 1.10.4 The following are illustrative examples of when it may be appropriate to advise no review required: no review required His learning disability has been present since birth and his functional limitations are unlikely to change now. It must be remembered that some of the information may not be readily understood by those who are not trained and experienced HPs. Once diabetic control was maintained his mental health condition improved so he was not entitled to either component. someone helps or encourages you to go out. Pip telephone assessment experience. 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. 1.7.22 All telephone conversations should be recorded and include all relevant clinical information gathered by the HP. If Providers are required to gain consent, claimants do not have to write the consent statement in their own words; Providers can use their own words. They should also include information where the claimant has given up work or changed their job due to the functional limitations of their health condition or impairment. Entitlement to PIP is about the wording in the test; the 10 daily living activities . If the PA3 requires a response to the mobility questions at activities 11 and 12, the HP should select A (zero points) and type the comment N/A Exportability Case. 1.15.6 For consent to be explicit it must be affirmed in a clear statement. He requires significant support from his carer and his needs are only likely to increase due to the progressive nature of his condition.. If they do not turn up then normal failed to attend (FTA) action is taken the DWP will investigate the conduct of the appointee. 1.8.5 Before selecting a descriptor, the HP must consider whether the claimant can reliably complete the activity in the manner described in the descriptor, taking into account whether they can do so: 1.8.6 The HP must also take into account that most health conditions or impairments can fluctuate over time. Most people claiming Personal Independence Payment (PIP) will be asked to attend a PIP medical assessment with a healthcare professional. What are my options for dealing with debt? I am worried about the cost-of-living crisis. You need to tell the private assessment provider why you cant attend your appointment in an assessment centre. You will need to contact the assessment provider and request a home assessment. Wherever possible, the record should contain specific examples to illustrate difficulty with activities. 1.8.18 Advice about variability should be clarified by looking at the effects of the health condition or impairment on daily living and/or mobility on good, bad and average days and not on how the claimant was on the day of assessment. Nine months later both lower limbs were amputated following gangrene secondary to peripheral neuropathy and he applied for PIP again. 1.1.3 PIP was introduced in April 2013 for people aged 16 to 64 years and is replacing Disability Living Allowance (DLA) for adults. 1.10.1 The HP will be asked to provide advice on when it would be appropriate to review the claimants claim to PIP. This appointment letter will be given by Atos & Capita. 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. Before attending, you should read our guide on how to prepare for your PIP medical assessment. 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. If you have any questions about PIP assessment questions on mental health, please let us know and the team will gladly answer your questions. 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. Only 7% of those surveyed said their GP has been contacted, with a further 35% saying they were unsure. The HP can assess the disabling effect of the pain by considering such description (where applicable) along with all other aspects of the case, for example disease activity/severity, effect on daily activities, treatment, pain relief, pain management strategies, examination findings and informal observations. 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. The HP should explore any variability or fluctuation in the claimant's condition and functional ability by asking the claimant what they can do on good days and bad days. If the unexpected finding is of a life-threatening nature, they should seek the claimant's consent to telephone the GP or call an ambulance if appropriate. 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. However, the companions may play an active role in helping claimants answer questions where the claimant or HP wishes them to do so. 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. im glad so many people have been awarded pip,but to me mine was and still is depressing,i had my phone assessement on the 27th of january,ive had my condition still july 2020,my condition is osteoarthritis in both hips,i have lld,and these conditions affect my knees,groin,lower back,and basically pain all the way done to my ankles,i have to use Physical and psychological or mental examination: If obligated, and with your consent, these health professionals will administer a short physical and mental function examination. 1.1.11 The activities explored during the PIP assessment are: managing therapy or monitoring a health condition, reading and understanding signs, symbols and words. 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. If the claimant attends on their own then the assessment can go ahead if the claimant has capacity. The HP should act within the guidelines, and be able to justify their actions. Dec 16, 2020 You are currently in the en section of the site. Can they access all areas of their home and have they had to make any modifications? 1.6.17 All current medication, including over-the-counter medication, should be recorded in the report, unless it is fully documented on other evidence in PIPCS. The investigation has compiled evidence from more than 20 disabled people who have contacted . The appointment letter will invite you to a PIP medical assessment at one of their assessment centres. 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. In deciding their advice, the HP will need to weigh this inconsistency and decide, with full reasoning, which descriptor is most likely to apply. In the case of fluctuation, the frequency and impact of periods of exacerbation and remission should be explored and recorded. 1.6.2 Consultations may be carried out at a range of locations, including an assessment centre, local healthcare centre or in the claimant's own home. How can I appeal a decision about my benefits? Have you read something you think others need to know? Discussion or interview and questions: The Health Professional will ask you questions about how your mental health concern impacts your daily life. This would be considered together with other factors such as their manner, hearing ability, walking ability during the history taking, through to the conclusion of the consultation. To help us improve GOV.UK, wed like to know more about your visit today. GMC guidance is clear that if a doctor insists on a copy of the original claimant consent then DWP must provide it. 1.2.1 The HPs role is to assess the overall functional effects of the claimants health condition or impairment on their everyday life over a 12 month period, using the assessment criteria. PIP Question 6. . HPs should allow a companion to contribute and should record any evidence they provide. 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. Where a claimant has a PAB they would not be classified as requiring additional support from DWP. 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. The HP should consider ability and fluctuations over a 12 month period to present a coherent picture. 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. Anyone making a request must be advised that requests for information should be made to the DWP. These kinds of professionals ensure that those requiring help and assistance from the Government are able to get it and play a key role in the health system. 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. Citizens advice. 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. D. Deleted member 92692 Former member. 1.9.5 The advice should take into consideration that even though in some conditions there may be no expectation of improvement of the underlying condition, it may be possible for the claimant to adapt given sufficient time or with appropriate treatment and/or support, thereby reducing the effects on functional ability. 1.3.9 APs may receive referrals from DWP for claimants who have a condition which means that they need additional support from DWP and the AP during the PIP application process. 1 comment 100% Upvoted Log in or sign up to leave a comment 1.6.41 Some examinations for example, of the lower limbs might be carried out with the claimant reclining on an examination couch. 1.6.53 On most occasions the claimant is likely to have one, or possibly 2, companions. Other conditions might be unlikely to see significant changes in impact, which might suggest a longer period between reviews. 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. In these cases, the CM is likely to make a fixed term award of benefit. Notes on what you want to explain during your assessment. The claimant and any companion should feel fully involved in the process and feel that the consultation is a genuine two-way process. 25p per mile) to help towards fuel. 1.6.68 Very rarely during the consultation, the HP may identify that the claimant appears to have a significant undiagnosed medical condition. The fact is though that the law says that no diagnosis is needed, so you just need to know where to look for this when it comes to an appeal. Any relevant side effects which affect the claimants functionality should be recorded here and an indication of the effectiveness of any treatment provided. Healthcare professionals who carry out face-to-face assessments of benefit claimants have lied, ignored written evidence and dishonestly reported the results of physical examinations, according to a two-month Disability News Service (DNS) investigation. 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. PIP can be paid to those who are in full or part-time work as well as those out of work. I am worried about the cost-of-living crisis, Requesting adjustments to the PIP assessment, Planning your journey to the PIP assessment, How to claim travel expenses for your PIP assessment. If you adjusted the date by your own without letting the assessment provider know, this is considered as discrimination and you should call your local Citizens advice for help with this kind of situation. 1.15.27 In cases treated under the SREL process, a telephone call to a different health professional should be considered. We use some essential cookies to make this website work. As the disabling condition was substantially the same she did not have to fulfil the 3 month qualifying period. The HP should do this by using open-ended questions and not just by asking a series of closed questions. It is essential to describe the claimants function as described both on bad days and on good days for the CM to understand the claimants circumstances and the consequences of their health condition or impairment. Award rates for all claims (excluding withdrawn cases) between April 2013 and January 2021 show that: 42% receive an award for normal rules new . 1.6.74 The request for a home consultation may come from a GP or other health professional involved in the claimants care. You are most welcome to join today! The claimant must not be coerced into giving consent when he/she is unwilling to give it and it must be a positive opt-in for example it is inappropriate to say things such as unless you agree to a report from your GP being obtained we cannot advise on your claim. 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. A snapshot view of the claimants condition on a particular day at a particular time is not an adequate assessment. 1.15.21 If the claimant has a deputy then that means they have lost capacity. In this aspect of the PIP assessment with questions on mental health, the health professional will be asking you questions on how you are feeling with your condition. Using the information available to them, HPs will need to consider the most appropriate approach to completing the assessment for these claimants, be that paper based review or consultation. We have translated the site; would you prefer to read in Welsh? For example, is the level of functional impairment claimed in one activity compatible with that claimed in another? This companion can be someone who can assist and care for you such as your friend or family member. You might have asthma, but PIP will assess you very differently if your symptoms are managed by medication. If the HP has reason to believe that the companion(s) are attending for a reason other than to support the claimant, the HP has the right to decline the presence of the companion(s) at the assessment. Go. Those details will go through to the provider and the invite letter should be sent to that person only. 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. This publication is available at https://www.gov.uk/government/publications/personal-independence-payment-assessment-guide-for-assessment-providers/pip-assessment-guide-part-1-the-assessment-process. there is sufficient detailed, consistent and medically reasonable information on function. This includes our assessment report and your questionnaire and further evidence. Cognitive disorders (Types, Symptoms & Treatment Options) . This will also indicate the assessment centre that you will be assigned to take your PIP assessment with questions on mental health. 1.6.14 The HP should include details of fluctuating conditions, indicating how frequent the fluctuations are, how long exacerbations last and, on balance, how many good days or weeks and how many bad ones the claimant experiences over a specific period of time. What is a PIP assessment? It is not the HPs opinion of what the claimant should be able to do. 1.7.16 Advice must be evidence based on the balance of probability. This should be explored through further questions to develop this detail. 1.6.27 As well as covering all the PIP activity areas, the typical day should also cover other activities such as housework, shopping and caring responsibilities for adults, children and pets, and hobbies and pastimes these details give additional supporting information about functional ability. They will discuss your capability to do daily tasks with your disability, illness or health condition. You can learn more about these PIP medical assessments with questions on mental health by buying this book on this website. You are most welcome to join today! | Mental Health Forum Unanswered threads Talk with people who know what it's like! 1.6.10 Throughout the consultation, HPs should be evaluating what they are being told and checking whether the evidence is consistent. 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. 1.3.7 Should the HP discover a case that appears to fall under the SREL provisions, it should be processed under the fast-tracked SREL arrangements. 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. We explain the following: Firstly, you shouldnt expect the PIP assessor to be favourable towards you. 1.7.23 Every effort should be made to provide advice in SREL cases. The HP should not change the claim to a SREL claim. 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. For example, some claimants with mental, intellectual, cognitive or developmental impairments may lack insight into their condition. If the HP cannot obtain further evidence from the GP or other health professional, the HP should by exception consider contacting the claimant. The CM will re-examine the facts of the case, the law and any other issues which applied when the decision was made. 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. Functional examinations may cover one or more of: 1.6.38 Before starting a physical examination, the HP must explain the procedure to the claimant, and obtain explicit verbal consent to continue. 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. PIP for mental health assessment may include questions about the person's ability to do the following things: communicating with other people reading and understanding written information planning a journey or following a route preparing and cooking food eating and drinking moving around managing your treatments washing and bathing In these cases, the HP will need to consider the appropriate approach to completing the assessment (paper-based or consultation). 1.6.34 The HPs informal observations will also help check the consistency of evidence on the claimant's functional ability. If the HP identifies such a condition, they have a responsibility notify a suitable person involved in the claimants care. The DWP decision makers will now look at your PIP claim, and its supporting evidence which includes: The DWP will then send you a letter once theyve made their decision, explaining why you will or wont get PIP. 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. Safely: Can you do the activity without risking danger to yourself or someone else? No two people are affected in the same way but let us look at some of the possibilities. Where there is a complex, fluctuating condition strong consideration should be given for individual justifications being required. 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. They should also provide advice on the mobility component based on the evidence received with the referral and/or gathered at the consultation. 1.6.51 If the claimant is uncooperative during a consultation, the HP may terminate the consultation where they have gathered sufficient evidence to complete the assessment report and provide advice for the CM. They need to use that actual phrase. However, if findings are expressed as a measurement, the HP should put this into context for the CM by also describing the range with reference to the normal range of movement, for example he can turn his head to the right by 40 degrees, which is about half normal movement. 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. 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). Claimants who ask should be reminded that it is for the DWP to decide entitlement. It's not based on the condition you're in or the medication you're taking. You are currently in the en section of the site. If capacity has been lost then the expectation is that the claimant would be accompanied. 1.4.1 Additional evidence from professionals supporting the claimant should be sought where the HP feels it would help to inform their advice to DWP. structure and follow a path to a location you know and it doesnt concern much on how you get there, structure and follow a bus or train path to a place you dont know, Deal with places that you dont recognize, if necessary, leave the house due to stress or anxiety, you need help and assistance but dont receive it, your stress, anxiety or other mental health concern make it hard for you to go out, you find it difficult to deal with sudden changes to travel, for instance, roadworks or diversions, you only try travelling during quiet periods of the day, for instance, when the shops arent busy or theres less traffic on the road, someone assists or encourages you to go out, your mental health concern makes using a bus or train challenging, you cant structure a path to an unfamiliar location yourself, you find it hard to deal with sudden changes to a trip, for instance, bus diversions, train cancellations. The report and all other evidence available will be used by the CM who will contact the claimant in due course. If a claimant cannot bend to put on their shoes, it is unlikely that they are able to wash below the waist. 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 presence and name of the chaperone should be recorded in the report. For example, He finds buttons difficult and tends to wear clothes that can be pulled over his head; manages to feed herself but needs to have meat cut up for her. 1.15.10 Consent can be withdrawn by claimants at any time in the claim. The Health Professional will type their observations during the appointment, which you are entitled to view or have described to you. 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. During the coronavirus pandemic, medical assessments have been taking place via telephone or video call. 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. Requests for advice through the PIPCS should be responded to using clerical forms PA5 or PA6. 1.6.52 Claimants have a right to be accompanied to a consultation if they so wish. The age of the evidence should also be considered in deciding whether it is relevant to the claim. You can read further in this article on what you need to expect from the PIP assessment with questions on mental health. 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. someone goes out with you. Simply use the buttons below to share on your social network. What type of dwelling does the claimant live in and do they live alone or with others? 1.7.17 The relevant information required when offering advice on SREL claims is set out in the PIP Assessment Tool or clerical form PA2. How do I manage my money if I have mental health problems? The PIP assessment questions on mental health will be asking about the degree of assistance you need in daily activities. Your assessment centre might ask you for a letter from your doctor or other evidence that you need an alternative location for your assessment. Mind's Director of External Relations, Sophie Corlett says: 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.
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