This section of the consultation must also explore the impact completing an activity may have on functional restriction immediately following and for the rest of the day. 1.8.15 If the HPs opinion on descriptor choice differs from information provided by the claimant, the HP should draw on evidence to fully justify their advice to the DWP. 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. Instead, and only if a consultation is deemed necessary, the AP must send the invite to the appointee only. How do I manage my money if I have mental health problems? Will I need a Work Capability Assessment to claim benefits? 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. It must be remembered that some of the information may not be readily understood by those who are not trained and experienced HPs. You will also be qualified with this kind of benefit when you are aged 16 and over. Other conditions might be unlikely to see significant changes in impact, which might suggest a longer period between reviews. there is sufficient detailed, consistent and medically reasonable information on function. 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. I thought about going into detail on what is PIP, who can apply for PIP, and everything you need to know about it, but instead, I'll leave it to the link below and just get on with my first PIP phone assessment experience and what . In this brief blog, we will be talking 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. 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. 1.15.35 Personal information should never be left on answering machines or voice-mail facilities. 1.12.3 In some cases however, claimants may not be able to engage effectively with the claims process, due to reduced mental capacity or insight for example, they may not understand the consequences of not returning a claim form and not have a PAB to help them. . 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. This includes our assessment report and your questionnaire and further evidence. You can change your cookie settings at any time. There are various sources of further evidence, including, but not limited to: a report from other health professionals involved in the claimants care such as a community psychiatric nurse (CPN), a report from a local authority-funded clinic, evidence from any other professional involved in supporting the claimant, such as social workers, key workers or care co-ordinators, telephone conversations with any such professionals, information from a disabled young persons school or special educational needs co-ordinator (SENCO). The entitlement threshold for each component is 8 points for the standard rate and 12 points for the enhanced rate. Can I claim Welfare Benefits if Im living with a mental illness? The HP should not apply pressure to the professional to supply this information. This is someone with extensive knowledge of the. Daisy2016 Forumite. In a reasonable and attainable time: Does it take you a lot more amount of time to do the activity than it would take most people. Mr X has diabetes and depression with agoraphobia. SREL referrals must be completed and returned to the DWP within 2 working days. 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. Therefore absence of medication does not automatically mean that the health condition is not severe. Dont include personal or financial information like your National Insurance number or credit card details. If your long-term condition is getting worse, you will need more of this award. 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. Medical Evidence GP 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. Such a telephone call should be followed up with a written notification to the GP. to intervene on your behalf. 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. The report and all other evidence available will be used by the CM who will contact the claimant in due course. 1.15.33 The DWP takes confidentiality very seriously and all confidential information should be held securely and in accordance with legislation. The HP must record the telephone conversation in their notes, indicating who has given that person the authority to speak on their behalf. In the case of fluctuation, the frequency and impact of periods of exacerbation and remission should be explored and recorded. You are most welcome to join today! The DWP will wait 7 working days for the DS1500 to be returned before making a referral to the AP. 1.15.6 For consent to be explicit it must be affirmed in a clear statement. Hi everyone, Thanks for letting me onto the forum and for all your help! 1.15.10 Consent can be withdrawn by claimants at any time in the claim. It is also not appropriate for the provider to release information to a third party such as the claimants representative, appointee, attorney or MP. We have translated the site; would you prefer to read in Welsh? Helps you take control of your household spending. In the PIP journey, such claimants are considered to require additional support from DWP and elements of the PIP claims process have been adapted to provide further support for this group. There are 3 parts to the guide for assessment providers (APs) carrying out assessments for Personal Independence Payment (PIP). Too many people in Northern Ireland have had claims for their Personal Independence Payment (PIP) "unfairly rejected", an investigation has found. This report presents the key findings from the surveys of claimants who took part in a telephone health assessment as part of their benefit claim for Personal Independence Payment ( PIP. PiP telephone assessment Hi all, I'm helping someone with a PiP telephone assessment soon as they have anxiety talking on the phone - any advice tips appreciated. A vulnerable claimant is defined as someone who has difficulty in dealing with procedural demands at the time when they need to access a service .This includes life events and personal circumstances such as a previous suicide attempt, domestic violence, abuse, or bereavement. Helps you take control of your household spending. Claimants should be encouraged to involve another person at consultations where they would find this helpful for example, to reassure them or to help them during the consultation. The Health Professional will have reviewed your PIP form, along with any supporting evidence you provided before your assessment. Therefore, consent to inform the GP of the unexpected finding should be obtained from the claimant. The AP then conducts the assessment, gathering any further evidence necessary before providing an assessment report to DWP. About Personal Independence Payment Personal Independence Payment (PIP) is a benefit for people with a long-term health condition or impairment, whether physical, sensory, mental, cognitive, intellectual, or any combination of these. 1.6.32 The HP should be making informal observations and evaluating any functional limitations described by the claimant from the start of the consultation. Helping you understand, manage & improve your mental health and money issues. Can I claim Welfare Benefits if Im living with a mental illness? 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. HPs may be able to observe relevant aspects of the claimant's appearance for example how well kempt they are and whether they look under or over weight, during face to face consultation. When advising on descriptors and justifying advice, the HP should consider the functional effects of the claimants health on the majority of days. Make a list of points you would like to make during your assessment and take this with you. How do I ask for a Mandatory Reconsideration? The contradicted everything that i had said, told many lies and the questions are designed to set you up..You must be very specific in everything you say, if you need prompting . 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. This document must be read with the understanding that, as experienced practitioners and trained disability analysts, HPs will have detailed knowledge of the principles and practice of relevant consultation and examination techniques and therefore such information is not contained in this guidance. Only 7% of those surveyed said their GP has been contacted, with a further 35% saying they were unsure. 1.1.12 Each activity contains a series of descriptors which describe increasing levels of difficulty with carrying out the activity. It is important that claimants feel they have been listened to and that the consultation feels like a genuinely two-way conversation. However, this should be avoided wherever possible. Where an appointee has been nominated to represent the claimant, the claimant must not be instructed to attend a consultation by the AP. 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. 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). 1.10.5 The HP should clearly outline their reasons for selecting the no review required option using the free text box for example, the claimants level of functional ability is stable and will not improve or deteriorate in the long term or the claimant is due to undergo surgery and it is likely they will no longer experience their current functional limitations in X months.. In the case of an appeal, the claimant, his/her representative and members of the tribunal will see a copy of the report. How do I ask for a Mandatory Reconsideration? His diabetes was not well controlled and he had become depressed. How can I appeal a decision about my benefits? This part of the assessment is an opportunity for you to explain your needs face-to-face. 1.15.9 Depending on how it is worded, consent may only cover a particular stage in the processing of a claim, and thus fresh consent may need to be sought. All HPs undertaking assessments on behalf of DWP must be registered practitioners who have also met requirements around training, experience and competence. There is an expectation that this will remove or reduce the need for claimants to record consultations. Lancashire. 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. In such cases, where the available information is consistent, the HP should consider whether they can use their own expert clinical knowledge of the condition(s), its severity and known impact in other areas to determine, on the balance of probabilities, the likely impact in the remaining areas. Source: PIP Statistics to January 2021, Table 1. Physical and mental examination: If required, and with your consent, they will conduct a brief physical and mental function examination. Following this you will receive a PIP medical assessment appointment letter from Atos or Capita - usually within four weeks, however in specific areas there are delays, and it could take longer. 1.4.15 Where necessary, HPs may seek further information from claimants by telephone. 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. How much Universal Credit can I get for mental health? 1.6.45 If any element of function is not examined at the consultation, the HP should record why this area was not examined rather than leave the section of the report form blank. The position with PIP is different; the law says that you don't even have to have a medical diagnosis. You will need to contact the assessment provider and request a home assessment. For each medication record the frequency, dosage and purpose (where known) in full. The HP should explore how long it takes the claimant to carry out a task and whether they experience any symptoms such as pain, fatigue or anxiety, either during or after the activity. 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. How are mental health and money worries linked? 1.15.5 UK GDPR defines special category data, and if consent is being used as a condition for processing the data, the consent must be explicit consent. You will need to contact the assessment provider and request a home assessment. 14K PIP, DLA, and AA; 3.4K Universal Credit (UC) 5.5K Talk about your impairment; 1.6K Cerebral palsy; 768 Chronic pain and pain management; 59 Physical and neurological impairments; 963 Autism and neurodiversity; 1K Mental health and wellbeing; 309 Sensory impairments; 753 Rare, invisible, and undiagnosed conditions 1.15.32 Personal information held by the DWP is regarded as confidential. The ruling will mean access to PIP is extended to cover more people who find social situations []</p> Providing free information and advice since . 63 replies 18.3K views. This means that we may include adverts from us and third parties based on our knowledge . So we give the right advice for you, can you answer which Nation you're from? Unsolicited DS1500s should be sent urgently to the DWP, with an explanation as to the reason why the AP is sending the form. The HP should also include details of any alterations to medication which have occurred since the questionnaire or supporting evidence was supplied. 1.7.8 The referral sent to the AP via the PIPCS will include the initial claim details together with the DS1500 or other medical evidence if it has been submitted by the claimant. You can state your needs here with regards to your debilitating condition. How do I manage my money if I have to go into hospital? 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. The advice should fully justify why the claim is being treated under the SREL process. 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. The HP should invite the claimant to talk through all the activities they carry out on most days, from when they get up to when they go to bed. Once diabetic control was maintained his mental health condition improved so he was not entitled to either component. Should the AR1 be subsequently received by the DWP, it will be tasked to the document received work queue for the appropriate AP. Well send you a link to a feedback form. 1.12.6 Examples of health conditions that may affect mental capacity and may potentially mean the claimant could struggle to engage with the PIP journey include (but are not limited to): 1.13.1 CMs may make requests for supplementary advice at any stage in the decision-making process. Where the HPs opinion differs from other opinions on file for example in further medical evidence or a previous HPs advice then a full explanation of the reasons for the difference of opinion should be given. In a reasonable time: Does it take you a lot longer to do the activity than it would take most people? where, in reassessment cases, further evidence may confirm whether or not there has been a change in the claimants health condition or disability. 1.8.2 Copies of all the forms are provided separately. Can I cancel something I've done when I'm unwell? The investigation has compiled evidence from more than 20 disabled people who have contacted . For example, some claimants with mental, intellectual, cognitive or developmental impairments may lack insight into their condition. 1.4.7 Where necessary, HPs may also seek evidence from professionals by telephone. This should be explored through further questions to develop this detail. contacting the claimant by telephone for further information. It is essential that the HPs advice considers the details given by the claimant and the companion and whether one or both are understating or overstating the needs. 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. 1.7.32 In a small number of cases, the claimant may not be aware they are terminally ill. 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. Have you read something you think others need to know? How do I manage my money if I have to go into hospital? 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. 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. This appointment letter will be given by Atos & Capita. If youre in the armed forces or a close family member of someone who is, the rules on living and registering in England, Wales or Scotland isnt practised. Informal observations are of importance to the consultation, as they can reveal abilities and limitations not mentioned in the claimant questionnaire, supporting evidence or during the history taking for the consultation. 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. Copyright OptimistMinds 2023 | All Rights Reserved. The HP should use the free text box to clearly describe why they have selected the review point and the potential change to the claimants level of functional impairment that may lead to a review being necessary. 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. 1.6.57 The presence and involvement of any companion at a consultation should be recorded in the assessment report. 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. Which mental health conditions get PIP? This list is not definitive and the location should take into account the need to provide an appropriate venue to enable the claimant to attend the assessment. The appointment set for you is usually in a span of 7 days away. 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. He was awarded the daily living component and mobility component at the standard rates. If evidence is returned to the AP in error, it should still be forwarded to the DWP for scanning. That said, the HP should make every effort to obtain evidence in order to conduct a paper-based review in these circumstances. 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. 1.8.3 The nature of the information required in reports varies depending on the nature of the activity. The HP should note in the report that they have explained the procedure to the claimant and obtained their consent to proceed. How do I pay for private treatment and therapy? 1.7.24 The claimant or their representative may be able to provide updated information on where they are having their treatment and who is treating them. 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. 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. They will use drop-down lists, multiple choice answers and text boxes to record your information on a computer. Where a claimant indicates that they are unfit to travel to a consultation in a location other than their home, or where travel would require high levels of support or cause significant distress to the claimant, for example where the claimant is autistic, has severe physical disability or severe agoraphobia the HP should, at a minimum, consider whether a home consultation is necessary. The attorney should be aware of this and if acting responsibly should not let the claimant attend on his own. It is paid to make a contribution to the extra costs that disabled people may face, to help them lead Citizens advice. For all incoming calls the callers identity must be verified. 1.15.16 An appointee can be either a named individual, or an organisation (usually with an advocacy role), known as a corporate appointee. Benefits if your mental health means you need support. Pip telephone assessment experience. 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. The HP should demonstrate movements and observe the claimants range of movement. 1.3.10 The HP should document a fully justified choice of further action taken during the initial review, providing this to DWP as part of the case documentation. 1.6.9 Different types of questions should be used where appropriate: open questions which need more than a yes or no answer (for example, Tell me about, What do you do when, How do you) encourage the claimant to describe how their health condition or impairment affects them, closed questions which need a specific answer (for example, Can you, How often) are needed when establishing a fact, such as how often medication is being taken, clarifying questions invite the claimant to explain further some aspect of what they have said (for example, Let me make sure Ive understood this correctly), extending questions allow the HP to develop the story the claimant is giving (for example, So what happens after). PIP telephone assessment. When considering such requests, the HP should consider the points outlined above before making a decision on whether a home consultation would be appropriate. 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. The PIP assessment with questions on mental health is not based on the mental health concern you are facing. The PA5 should also be used where additional information does not change the original advice. What is a PIP assessment? This may be particularly important where the claimant has a mental, cognitive or intellectual impairment. Babyroobs is right they are turning down more than they award at the moment so just be prepared to make a mandatory reconsideration. 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. PIP is not a compensation payment for ill health / disability; it is to help people with the increased costs of daily living in cases of long term ill health or disability. If you have a terminal illness the rules about how long youve found things difficult and been living in England, Wales or Scotland for 2 years isnt practised. Have you read something you think others need to know? Well enough: For example, you may be able to make a meal, but you will not be able to eat it if it is undercooked. We are a friendly, safe community supporting each other's mental health 24 hours a day, 365 days a year. Am I eligible for Employment & Support Allowance (ESA)? 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. 1.6.19 Where the claimants current medication is accurately recorded in either the claimant questionnaire or in supporting evidence, the HP may reference where it is recorded instead of reproducing this information in the assessment report. They may also show discrepancies between the reported need and the actual needs of the claimant. The PIP assessment questions on mental health will be asking about the degree of assistance you need in daily activities. HPs should remember that prognosis can be uncertain and if in their opinion life expectancy is, on balance, likely to be less than 6 months, they should advise accordingly. How are mental health and money worries linked? 1.7.16 Advice must be evidence based on the balance of probability. 1.6.63 If it is only the claimants personal data that is being recorded then there are no restrictions on the use the claimant can make of the recording. The HP should also take into account the variability of a claimants condition and their ability to carry out assessment activities in a reliable manner, justification of the advice, explaining the evidence used to inform the advice on descriptor choices, advice on the likely prognosis for the claimants condition, advice regarding whether the claimant may need additional support from the DWP to comply with future PIP claims processes. 1.6.15 The HP must document the symptoms and history of the condition as described by the claimant. But it's the breaches of confidentiality, the Continue reading "Pip Telephone . it ws rebooked for tomorrow.

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