How do I pay for private treatment and therapy? The supplementary advice option will be used where the report overall is fit for purpose but there is a need for some aspects to be clarified further. For example, they might ask you how you travelled to the assessment centre. 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. 1.12.1 Many claimants with mental, intellectual or cognitive impairments will be able to engage with the PIP application process. On rare occasions, it may not be possible to contact the GP or other relevant clinician to obtain advice. In these cases, the HP will need to consider the appropriate approach to completing the assessment (paper-based or consultation). 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. 1.5.2 In some cases there may be sufficient information to advise on the majority of activities, but which leaves small gaps that it has not been possible to fill through obtaining further evidence or by contacting the claimant. The HP should always attempt to respond to any issues or concerns they express. PIP telephone assessment questions was created by drummer53 I have a telephone assessment tomorrow and I've been through all the guides but can find anything about what to expect in a telephone assessment, like what questions they ask or how they trip you up. These people already have appropriate support. 1.6.39 Any examination should be carried out in a professional and sensitive manner, aiming to avoid causing the claimant any distress. A companion should be in the room for an examination only if both the claimant and the HP agree. 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 entitlement threshold for each component is 8 points for the standard rate and 12 points for the enhanced rate. It will take only 2 minutes to fill in. 1.15.13 Attending a consultation does not mean that the claimant has given consent to a physical examination. 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. 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. 1.15.19 The appointee should be considered in line with guidance about companions being present at consultations. 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. If the HP decides that this is required, they should also determine any difficulties the claimant may have attending a consultation and any reasonable adjustments which need to be put in place (home visit, British Sign Language interpreter, ground floor consultation room, accessibility toilet). 1 comment 100% Upvoted Log in or sign up to leave a comment GMC guidance is clear that if a doctor insists on a copy of the original claimant consent then DWP must provide it. These pro forma are provided separately. The advice should fully justify why the claim is being treated under the SREL process. 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. 1.15.15 An officer acting on behalf of the Secretary of State will authorise an appointee to become fully responsible for acting on the claimants behalf in any dealings with DWP or its contracted APs. 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. 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. 1.7.21 The HP must ensure that the claimant has given consent for the person they phone to share information. Disability Living Allowance (DLA) for people under 16. 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. 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. You can also answer yes if you meet one of the following conditions: Here is another sample PIP assessment question on mental health: Do you need help from another person, guide dog or specialist aid to get to a location that is unfamiliar to you?YesNoSometimes. 1.15.6 For consent to be explicit it must be affirmed in a clear statement. Before attending, you should read our guide on how to prepare for your PIP medical assessment. 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. Feb 3, 2021. What is the PIP medical assessment?. 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. Getting the right support can mean that we won't face a financial . HPs should ensure that this does not create an unfair perception of the young persons abilities and the impact of their health condition or impairment. 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 1.9.8 Advice on prognosis must be fully explained and comprehensively justified. The PIP medical assessment consists of several parts and will last on average, 60 minutes: In this part of the assessment, the health professional will ask you a series of questions about how your condition affects your everyday life. 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. 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. 1.6.50 HPs should be ready to terminate consultations at any point should they become too stressful for the claimant. 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. Such telephone calls should be made by approved HPs, not by clerical staff. 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. 1.6.52 Claimants have a right to be accompanied to a consultation if they so wish. For urgent help, please see Help & contacts. The HP should also consider whether the third party is acting impartially, or as the claimants advocate. 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. Ask for an interpreter or signer if you need one. 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. 1.5.5 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. Attendance Allowance (AA) for people at State Pension age. 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. 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). The information gathered forms part of the suite of evidence and should be included in the assessment report provided to the DWP and referenced in their advice. If you have a disabling condition that makes you housebound, you can also request for a home assessment. How your condition affects you from day-to-day make sure you read the. 1.15.34 It is important that in all telephone contact with claimants or their representatives, the correct person is being spoken to. Each descriptor has a score. Cost-of-living crisis and your mental health. That said, the HP should make every effort to obtain evidence in order to conduct a paper-based review in these circumstances. It is not a diagnosis of your condition or a medical examination. Only 7% of those surveyed said their GP has been contacted, with a further 35% saying they were unsure. 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. You can read further in this article on what you need to expect from the PIP assessment with questions on mental health. 1.10.6 The following are illustrative examples of review periods which may be appropriate: 12 month review The claimant has a combination of physical and mental health conditions causing significant functional limitation. What a bad day is like for you - for example, on a bad day, Im so depressed I cant concentrate on anything, and getting out of bed is a huge struggle. GPs are encouraged to avoid prescribing strong painkillers for long-term pain as the harms usually outweigh the benefits and there could also be specific reasons why painkillers are not prescribed, for example intolerance, or the use of other methods of pain relief. This document has been produced by the Department for Work and Pensions (DWP) to provide guidance for assessment providers (APs) carrying out assessments for Personal Independence Payment (PIP). The PIP assessment questions on mental health will be asking about the degree of assistance you need in daily activities. In addition, young people may have limited experience undertaking many activities unsupervised in an independent environment. How are mental health and money worries linked? This part of the assessment is an opportunity for you to explain your needs face-to-face. If your long-term condition is getting worse, you will need more of this award. 1.1.12 Each activity contains a series of descriptors which describe increasing levels of difficulty with carrying out the activity. 1.4.7 Where necessary, HPs may also seek evidence from professionals by telephone. The. Here is a sample PIP question on mental health: Do you need help from another person to plan a route to somewhere you know well? your mental health condition makes using a bus or train difficult. You need to relate your answer to how it speaks to your concern. If help is given from another person, the HP should record the type of help, why they need help, who gives it, how often and for how long. 1.15.4 For consent to be fully informed and freely given the claimant must know exactly why the information is needed, what is going to be done with it, and with whom it might be shared. Having a mental health problem can be expensive. They should not simply request evidence from all professionals identified as standard. They should also provide advice on the mobility component based on the evidence received with the referral and/or gathered at the consultation. 1.15.36 Other than information about their appointments with the HP or an update on their current position in the assessment process, it is not the role of the AP to release information to the claimant. 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. 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. Benefits if your mental health means you need support. The Health Professional will have reviewed your PIP form, along with any supporting evidence you provided before your assessment. Should the AR1 be subsequently received by the DWP, it will be tasked to the document received work queue for the appropriate AP. HPs should be mindful that the level of analgesia used does not necessarily correlate with the level of pain. 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. It's not based on the condition you're in or the medication you're taking. Discover your dream home among our modern houses, penthouses and villas for sale At a telephone assessment, consent should be captured verbally on the recording. This includes, but is not limited to, reassessment of existing DLA claims and PIP claims where an agreed award review point is reached or fresh evidence received, rework requests in relation to assessment reports. This new document has been designed to focus on the information to be checked at the award review stage and to determine whether there have been any relevant changes in the claimants condition(s) or needs across all descriptors since their current PIP award began. The case will include form AR1 and any additional information obtained by the CM (see the medical evidence screen in PIPCS.) 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. For example, it might be reasonably expected that a 25 year old man who is otherwise healthy but has lost his lower leg in an accident might adapt well to the loss. The points in PIP for mental health is 8 and 11 points to make you eligible and qualified for this kind of benefit program. 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. This includes our assessment report and your questionnaire and further evidence. 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. In these cases, the HPs do not need to consider entitlement to the mobility questions 11 and 12 on the PA3. 1.6.53 On most occasions the claimant is likely to have one, or possibly 2, companions. The HP should also include what relevant investigations have been carried out or planned for the future. He lives in supported accommodation and there has been no change to his functional ability in the last few years. Not sure how it will work with me talking rather than the person as only they can describe their day to day difficulties. 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. Entitlement to PIP is about the wording in the test; the 10 daily living activities . 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. Explain how your mental health needs are different on a bad day. The appointment set for you is usually in a span of 7 days away. Ask if you can make an audio recording of the assessment. Report: Once your assessment has concluded, they will produce a report explaining which PIP descriptors apply to you and explain their reasoning. You can learn more about having an assessment at home by buying this book on this website. Location. Have you read something you think others need to know? Simply use the buttons below to share on your social network. Information about variability is crucial in assessing the functional effects of the claimants condition that apply on the majority of days and whether someone can carry out activities reliably, bearing in mind that advice will need to consider the impact of conditions over a year-long period. These periods are known respectively as the qualifying period and prospective test. 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. 1.6.41 Some examinations for example, of the lower limbs might be carried out with the claimant reclining on an examination couch. If the presence of a companion becomes disruptive to the consultation, the HP may ask them to leave. As it is probable that the peripheral neuropathy was due to diabetes he did not have to fulfil the 3 month qualifying period for either component as it would be considered he was suffering from substantially the same condition. 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. Physical and mental examination: If required, and with your consent, they will conduct a brief physical and mental function examination. Personal injury is a legal term for an injury to the body, mind, or emotions, as opposed to an injury to property. 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. When returning the form, you must include all tickets and receipts. 1.6.62 Video recording of consultations is not permitted. The health professional has already read your PIP form with the supporting evidence that you have to provide about your medical condition. Mr Z has diabetes and depression with agoraphobia. For example, it may be used to respond to a request for clarification about medication or treatment that affects the claimants health condition or impairment. Hopefully you will be "lucky" and be awarded a rate. 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 assessment considers the overall impact of a claimant's. If youre already receiving DLA and the DWP asks you to claim PIP there are separate rules. 1.2.4 The HP may also be asked to provide advice to the CM on a range of other aspects of a claim. However, their mental health conditions are likely to persist., 3 year review She is experiencing limitations to her functional ability due to severe depression and anxiety, which she has had for a few years. Replied by BIS on topic Mental Health and PIP phone assessment. However, claimants must clearly indicate that they agree to the statement- for example by signing their name or ticking a box next to it. Discussion or interview and questions: The Health Professional will ask you questions about how your mental health concern impacts your daily life. In common law jurisdictions the term is most commonly used to refer to a type of tort lawsuit in which the person bringing the suit (the "claimant" in English Law or "plaintiff" in American jurisdictions) has suffered harm to his or her body or mind. 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Valid reason: they will rearrange your PIP medical assessment, Non-valid reason: they will refuse your claim. someone helps or encourages you to go out. She is an advocate for Mental Health, Motivational Empowerment, and Personal Development. Proof of consent is not necessary needed before information is released by hospitals, trusts and clinics funded by the NHS or local authorities. All HPs undertaking assessments on behalf of DWP must be registered practitioners who have also met requirements around training, experience and competence. The presence and name of the chaperone should be recorded in the report. 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. How do I pay for private treatment and therapy? 1.15.18 A consultation cannot go ahead if the appointee or their representative does not accompany the claimant. 1.1.9 If the claimant is unhappy with the decision on their award, they have the right of reconsideration and, if a claimant disagrees with the reconsideration, they have the right to appeal to His Majestys Courts and Tribunal Service (HMCTS). In the case of sensitive/special information, the claimant must be fully aware of the nature and content of the information being processed. You can change your cookie settings at any time. 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. Score: 4.6/5 (69 votes) . If the HP identifies such a condition, they have a responsibility notify a suitable person involved in the claimants care. 1.7.5 If the claimant states that they are nearing the end of life when applying for PIP, they will be advised by the DWP to obtain form DS1500 from their GP, consultant or specialist nurse. 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. 1.8.5 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. If the data is sensitive/ special personal data, UK GDPR sets a higher standard for consent which is explained further below (paragraph 1.15.5). The HP may be asked for advice on further evidence from the claimant and may request further evidence before providing advice to the DWP. Try not to just yes or no to the questions. Before attending your PIP assessment, there are several things you should consider to help you prepare. 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. You are currently in the en section of the site. 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. In general, there is no single answer that can be applied as each claimant's situation is unique to their own application. 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 The HP should consider whether it would be more appropriate to complete clerical form PA2 or the relevant screens in the PIPAT where in their opinion the claimant meets the Special Rules criteria. To ask for an adjustment, phone your assessment provider in advance using the number on your appointment letter. PiP phone call - gave no points for mental health was created by Danielle. This question does not signify your ability to walk. Other conditions are likely to deteriorate over time, so a review may be appropriate to see whether the claimant is now entitled to a higher rate of PIP. 20 April 2020 at 1:28PM in Disability money matters. As with appointees, the deputy can nominate another person to accompany the claimant. 1.6.49 Claimants who request a copy of their report should be advised that HPs are not authorised to give them a copy at the time of the consultation and that the claimant can request a copy of their report from the DWP. 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. 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.