1.15.32 Personal information held by the DWP is regarded as confidential. This publication is licensed under the terms of the Open Government Licence v3.0 except where otherwise stated. Under normal circumstances the HP would make copies of the original evidence and hand the originals back to the claimant. 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. Mr Z has diabetes and depression with agoraphobia. This appointment letter will be given by Atos & Capita. It is strongly recommended that the HP seek the claimants consent to telephone their GP and inform them of the finding as soon as possible. That's why benefits like Personal Independence Payment (PIP) can make such a difference. However, HPs should be prepared to adapt their approach to the needs of the particular claimant, not taking a prescriptive approach and ensuring that claimants are able to put across the impact of their health condition or impairment in their own words. How do I manage my money if I have mental health problems? For urgent help, please see Help & contacts. The documents will then be available to be viewed via the claimants record in the PIP Assessment Tool (PIPAT) and/or the PIP Computer System (PIPCS), 1.3.3 Once this has been completed, the case will be referred via the PIPCS to the appropriate AP for them to complete on the PIPAT or clerically as appropriate, 1.3.4 The PIPAT allows the AP to give advice to DWP in an electronic format. 1.15.21 If the claimant has a deputy then that means they have lost capacity. The copy of the evidence or HP notes from the evidence should be sent to the CM with the completed report. How are mental health and money worries linked? 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. 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. This part of the assessment is an opportunity for you to explain your needs face-to-face. Where there is a complex, fluctuating condition strong consideration should be given for individual justifications being required. The appointment set for you is usually in a span of 7 days away. 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. 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. You may be asked to provide medical evidence as to why you cant attend the assessment centre. The PA5 should also be used where additional information does not change the original advice. 1.6.58 Upon prior request, providers have the facility to audio record telephone and face to face consultations. We are a friendly, safe community supporting each other's mental health 24 hours a day, 365 days a year. 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. The DWP will wait 7 working days for the DS1500 to be returned before making a referral to the AP. 1.7.10 SREL referrals will not contain the claimant questionnaire due to the need to process claims quickly. 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. 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. 1.3.6 On receipt of a referral from DWP, the HP should conduct an initial review of the case file to determine whether: the claim can be assessed on the basis of the paper evidence held at this point (a paper-based review), a consultation will be required. Other conditions might be unlikely to see significant changes in impact, which might suggest a longer period between reviews. Where one single descriptor in an activity is likely to not be satisfied on more than 50 per cent of days, but a number of different scoring descriptors in that activity together are likely to be satisfied on more than 50 per cent of days, the descriptor likely to be satisfied for the highest proportion of the time should be selected. 1.6.73 When considering a request for a home consultation, HPs should consider: whether the claimant has a medical condition that either precludes them from travelling, or makes it extremely difficult for them to travel. 1.3.8 APs should seek additional evidence from professionals involved in supporting claimants where HPs feel that would help inform their advice. 1.10.7 The HP is asked to confirm whether the functional restriction is likely to be present at the recommended point of review. You can ask for an adjustment of your appointment date for your PIP assessment with questions on mental health by calling your assessment provider using the contact number in the appointment letter. 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. 63 replies 18.3K views. The fact that consent has been given (or not) will be made clear in the referral from the DWP and APs should always check that this has been provided. Where the claim has been made by a third party, the HP should contact the third party, rather than the claimant as the claimant may not be aware of their prognosis. Or do you need another person, guide dog or specialist aid to help you get there?YesNoSometimes. 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. Dont include personal or financial information like your National Insurance number or credit card details. In addition, variability in a condition may suggest findings which initially seem inconsistent. You can read further in this article on what you need to expect from the PIP assessment with questions on mental health. How do I pay for private treatment and therapy? 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. 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. The age of the evidence should also be considered in deciding whether it is relevant to the claim. 1.15.3 For consent to be lawful under Data Protection Legislation, (Data Protection Act 2018 and UK GDPR) it must be informed, freely given, specific and unambiguous and as straightforward to withdraw as it was to give in the first place. If there is no suitable alternative the HP should provide proof of consent. For example: She states she has no problems with speech, hearing, or vision. Not sure how it will work with me talking rather than the person as only they can describe their day to day difficulties. If you have a disabling condition that makes you housebound, you can also request for a home assessment. This will usually be their GP. 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. 1.15.34 It is important that in all telephone contact with claimants or their representatives, the correct person is being spoken to. This information should be included in the assessment report provided to DWP or via the PIPAT. This will include details of the claimants key supporting health professional and basic information about their mobility. where there is uncertainty about descriptor choice because of contradicting or unclear evidence has been received. You need to tell the private assessment provider why you cant attend your appointment in an assessment centre. What are my options for dealing with debt? 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. This may be enough to enable the HP to gather further medical evidence or advise whether the claimant satisfies the criteria for SREL. They should not move the claimants limbs. 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. 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. 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. For example, asthma control is poor because of failure to take preventative medication regularly due to the development of depression, resulting in mobility problems. 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. 1.6.60 In some circumstances, claimants may wish to use their own equipment to audio record their consultation. The HP should record when the condition began and give brief details of changes since it began. Inconsistencies could result in claimants either over or under emphasising the impact of their conditions and efforts should be made to avoid both. 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. 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. The AP then conducts the assessment, gathering any further evidence necessary before providing an assessment report to DWP. 1 comment 100% Upvoted Log in or sign up to leave a comment PIP telephone assesment today MoneySavingExpert Forum Hi everyone, Thanks for letting me onto the forum and for all your help! Mental Health and PIP phone assessment. - Benefits and Work Where we have identified any third party copyright information you will need to obtain permission from the copyright holders concerned. 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. 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. Where deemed necessary, they may be asked to provide other free of charge relevant evidence to support their request, for example evidence from a social worker, community nurse or carer that shows why a home consultation would be appropriate. For example, some claimants with mental, intellectual, cognitive or developmental impairments may lack insight into their condition. The PIP decision timescale (How long does it take?) - OptimistMinds PIP telephone assessment | Mental Health Forum Unanswered threads Talk with people who know what it's like! 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. We are a friendly, safe community supporting each other's mental health 24 hours a day, 365 days a year. 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. Try not to just yes or no to the questions. The HP should also include what relevant investigations have been carried out or planned for the future. You can search for your State Pension age on the GOV.UK website.You must also have the following requirements: There are exceptions to the eligibility rules when you have a terminal sickness or have been serving the armed forces. 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). PIP eligibility. Such examinations should be tailored to the individual claimant and will vary depending on the nature of the disabling conditions present. Physical and mental examination: If required, and with your consent, they will conduct a brief physical and mental function examination. My pip telephone assessment is 2moro and my mental health has took a turn for the worse I don't think I'm going to be able to talk to them I don't even want to answer the phone I've not slept in says I'm drained I don't want put myself through all my mental health just to get 0 points or for them to not even listen to me I think if I spoke to them I would just end up crying when I sent the . For urgent help, please see Help & contacts. 1.4.10 In all cases and on all forms the HP completes when giving advice, the HP should check their advice for any information which could be seriously harmful to the claimants health if it were disclosed for example, a poor prognosis that is unknown to the claimant or a diagnosis of a psychotic illness in a claimant who lacks insight into their condition. A companion should be in the room for an examination only if both the claimant and the HP agree. 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. 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. There are 3 main benefits that you can claim if you regularly need support to manage your mental health: Personal Independence Payment (PIP) for people over 16 to State Pension age. 1.15.22 Proof of consent given by claimants need not be routinely sent by APs when requesting further evidence. Where can I get support for my mental health? 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. Discussion or interview and questions: The Health Professional will ask you questions about how your mental health concern impacts your daily life. 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). Will I need a Work Capability Assessment to claim benefits? daily living intended to act as a contribution to the extra costs disabled people face in their day to day lives that do not relate to mobility; and. 1.6.44 If an area of function is examined, the HP must record all findings in the assessment report, even if function is found to be normal. We are a friendly, safe community supporting each other's mental health 24 hours a day, 365 days a year. 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. 1.5.5 Although each case should be determined individually, the following types of case should not normally require a consultation: the claimant questionnaire indicates a low level of disability, the information is consistent, medically reasonable and there is nothing to suggest under-reporting, the health condition(s) is associated with a low level of functional impairment, the claimant is under GP care only and there is no record of hospital admission. When your PIP award ends, you will need to revalidate you eligibility if your long-term condition is getting better or worse. 1.14.5 Considerations that the HP should make include, but are not limited to: whether the claimant has a condition which is likely to have fluctuations in the functional effects over time, whether the claimant has a condition which is likely to have sequelae which cause deterioration or fluctuation of function, whether the condition is the same condition but with a different diagnostic label - for example mitral valve disease / mitral stenosis, whether the original diagnosis has been amended but the underlying impairment and functional effects remain the same for example bronchial asthma in the past but now suffering from chronic obstructive pulmonary disease (COPD) which is substantially the same condition, whether the same condition is present and responsible for the functional effects but deterioration has occurred due to a second condition. This should be explored through further questions to develop this detail. 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. 1.7.20 If the HP is unable to contact a clinician then they should try to contact another relevant clinician involved in the patients care. 1.7.4 If the claimant meets the SREL provisions, they will automatically receive the enhanced rate of the daily living component. PDF PIP Assessment Guide - GOV.UK Most people have to take the PIP medical assessment with questions on mental health to get this benefit program. 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. 1.15.24 If GPs, consultants and doctors request proof of consent they should be reminded of the GMCs advice. If your overall health is getting better, your award will be minimized or stopped. 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. Feb 3, 2021. If the presence of a companion becomes disruptive to the consultation, the HP may ask them to leave. 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. You can change your cookie settings at any time. 1.3.2 The claimant questionnaire and any evidence is scanned and saved in the Document Repository System (DRS). Although the HP may consider that the claimants view of the impact of their condition is unrealistic or inconsistent with other evidence, the place to address this is later in the report, when justifying their advice. 1.6.46 If the claimant is unaccompanied at a consultation, the HP should consider whether a chaperone would be appropriate during any 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. The assessor will investigate the information you gave on your PIP form but also make judgements based on what you say and do during your PIP assessment. You will be declared capable of doing something if you can do it: If you have better and worse days, make sure you explain this to the assessor. 1.9.6 If there is more than one relevant functional condition, the prognosis should take account of the effects of all conditions and the added impairment resulting from any interactions that may occur. Some problems have improved, some have got worse. 1.15.17 Where a claimant has an appointee, this will be flagged in the initial referral to the AP. 1.2.5 If the Provider or HP has any concerns about the claimant or those who are within their care, in all cases, they should direct their concerns to the appropriate agencies, healthcare professionals and services who may provide further assistance to the claimant. the evidence that underpins the HPs advice can include: the HPs knowledge of the disabling effects of the medical conditions. 1.6.41 Some examinations for example, of the lower limbs might be carried out with the claimant reclining on an examination couch. Wherever possible, the record should contain specific examples to illustrate difficulty with activities. someone helps or encourages you to go out. 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. there is sufficient detailed, consistent and medically reasonable information on function. However, in cases of doubt HPs may be asked for advice, based on their knowledge of the disabling effects of physical and mental health conditions and considering the evidence of the case. They should also provide advice on the mobility component based on the evidence received with the referral and/or gathered at the consultation. If a claimant cannot bend to put on their shoes, it is unlikely that they are able to wash below the waist. where the HP considers the claimant has a level of functional impairment that they will likely improve to the point where there is little or no functional limitation present, for example after treatment, surgery or medication. Benefits if your mental health means you need support. 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. The HP must acknowledge that they have considered all the available evidence when formulating their advice. Personal injury - Wikipedia 1.6.37 HPs may wish to examine areas of function relevant to the claimants health condition or impairment. How do I ask for a Mandatory Reconsideration? 1.4.15 Where necessary, HPs may seek further information from claimants by telephone. Exceptionally, an appointee may also feature where a claimant is physically, but not mentally impaired, for example, if they have had a stroke which has resulted in a significant impact on their functional ability. The Mental Health and Money Advice website has more information about the evidence you need to support a benefits claim.
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