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). He lives in supported accommodation and there has been no change to his functional ability in the last few years. Landmark PIP judgement for mental health against DWP For the first time, a Supreme Court judgement has been obtained by a benefits claimant with mental health problems against the DWP for denying entitlement to Personal Independence Payment (PIP). 1.10.6 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. GMC guidance is clear that if a doctor insists on a copy of the original claimant consent then DWP must provide it. Can they access all areas of their home and have they had to make any modifications? 1.7.2 Claimants who identify themselves as nearing the end of life on the initial claim form can seek to claim PIP under the Special Rules for End of Life (SREL). 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. This is because they have been deemed incapable of engaging directly with the DWP or its contracted APs. 1.15.8 Should claimant consent not have been provided at the initial claim stage, it can be sought verbally by APs over the telephone. However, the DWP reserves the right to take appropriate action where the recording is used for unlawful purposes for example, if it is altered and published for malicious reasons. 1.1.2 The benefit is not means tested and is non-taxable and non-contributory. If you suffer from a mental health condition such as depression or anxiety, it's possible to be eligible forPIP, but it's very much dependent on how the mental illness affects you. 1.6.5 Before starting the consultation, the HP should read the claimant questionnaire and all other evidence on file. These times have reduced significantly from the peak in July 2014 (42 . If you have a disabling condition that makes you housebound, you can also request for a home assessment. 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. For example, some claimants with mental, intellectual, cognitive or developmental impairments may lack insight into their condition. Contact a Welfare & Benefits Advisor if you need additional advice or support. 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. 1.6.48 No opinion on entitlement to benefit should be given by the HP. However, it should be noted that the named appointee, be this a corporate or individual appointee, can nominate another person to represent them at any consultation. Physical and psychological or mental examination: If obligated, and with your consent, these health professionals will administer a short physical and mental function examination. 63 replies 18.3K views. As the disabling condition was substantially the same she did not have to fulfil the 3 month qualifying period. 1.4.3 If a claimant presents further relevant evidence during a consultation which is not already on PIPCS, the HP should always consider its relevance when completing their assessment report. 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. 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. 1.1.6 Once the claimant questionnaire has been returned to DWP, in cases where an assessment is required by a Health Professional (HP), the case is referred to an assessment provider (AP) along with any supporting evidence provided. 1.15.20 Where the claimant has told DWP that they want an attorney to act for them, the attorneys details will be on the DWP system (CIS) if it is a PIP claim. 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. 1.6.9 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). The HP should explain what information will be shared and why. This could include advising on the nature of a diagnosis, the use and significance of medication, the interpretation of functional examination findings, the significance of special investigations and the nature of surgical or other treatments, requesting non-prescriptive advice of a general nature on the likely functional restrictions arising from a specific health condition or impairment, requesting advice on whether a claim is being made for substantially the same condition as a previous claim, to inform a fraud investigation (such requests are likely to be rare). The points you score for each kind of activity in a section are added together to reach an overall score. Cost-of-living crisis and your mental health. 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. You are going to go through some activities in the PIP assessment with questions on mental health and these kinds of activities last for 60 minutes: You can learn more about what goes on in a psychological examination by buying this book on this website. Getting the right support can mean that we won't face a financial . 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). 25p per mile) to help towards fuel. 1.7.19 If no DS1500/BASRiS has been provided and there is no additional medical evidence, a telephone call to the relevant clinician will always be required. (More information on the additional support marker is in the following section.). If they feel confident doing this and it would be in line with the consensus of medical opinion, then a paper-based review may still be possible, referring to such in the summary justification. 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 cannot document any observations made outwith the consultation. Helps you take control of your household spending. In these cases, it may be particularly important to distinguish between what a young person can or could do for themselves and what the parent does for them as part of their caring role. 1.6.37 HPs may wish to examine areas of function relevant to the claimants health condition or impairment. There is unlikely to be any change in functioning in the shorter term, but with time, maturity and learning his functional ability is likely to change so a review in 5 years would be appropriate.. Make any notes of changes to your condition, Make notes of anything you feel you want to say, which you havent put on your form. Where there is clear and current evidence of a claimants functional examination findings in a particular area, HPs do not need to conduct an examination of that area. contacting the claimant by telephone for further information. In general, there is no single answer that can be applied as each claimant's situation is unique to their own application. 1.9.7 Age is not a medical cause of incapacity but it can be an indicator of disease progression. 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 say you came alone on the train, theyll make a note that you can travel alone on public transport. HPs are expected to use their professional knowledge, skills and judgement to determine what questions are appropriate to ask about treatment. Copyright OptimistMinds 2023 | All Rights Reserved. 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. Which mental health conditions get PIP? There may be some activities that have been done for them all of their lives and that a young person without a health condition or impairment of the same age may do themselves. In circumstances where it is not possible to copy the further evidence, perhaps during telephone or home consultations or where the claimant does not wish to part with the evidence, then it is permissible for the HP to make notes from the original further evidence documentation. 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. The total scores for all of the activities related to each component determine entitlement for that component. 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 assessment report must be completed and returned to the DWP using the work queue for SREL within 2 working days from that point. You can learn more about these PIP medical assessments with questions on mental health by buying this book on this website. In the case of fluctuation, the frequency and impact of periods of exacerbation and remission should be explored and recorded. We use your sign-up to provide content in the ways you've consented to and improve our understanding of you. . 1.10.7 The HP is asked to confirm whether the functional restriction is likely to be present at the recommended point of review. In the event that a claimant is not aware of their prognosis, it must continue to be treated as a standard claim. hi everyone, had a pip telephone call at 10.30 this morning at 11.35 I was talking to myself the assessor was gone,I rang pip to ask what was going on only to be told I've got to wait 5 days then ring them back as my case had gone back into the back office but if I wait by my phone the assessor will ring me back,I waited . The consent process above should be followed. 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. If the health professional involved in the claimants care remains unwilling to provide the information, an appropriate alternative person - for example their consultant - should be telephoned. Dec 16, 2020 1.13.3 Supplementary advice may also be requested for a reconsideration where the claimant challenges a decision made about entitlement to PIP, or for the early revision of a decision as part of the appeals process. PIP telephone assessment | Mental Health Forum Unanswered threads Talk with people who know what it's like! The healthcare professional to be a specialist in mental health. If this is not feasible for example, if the consultation is carried out in the claimant's own home the HP should make a note of the circumstances and carry out such assessment as they can while the claimant is sitting or standing. 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. 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). reading and comprehending written information, organizing a journey or following a route. 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. You have rejected additional cookies. The DWP will send you a letter once they have made their decision. 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. 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. The health professionals will be reviewing your PIP form once you reach the assessment centre. 1.15.17 Where a claimant has an appointee, this will be flagged in the initial referral to 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. 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 Any relevant side effects which affect the claimants functionality should be recorded here and an indication of the effectiveness of any treatment provided. If you cant attend an assessment centre because you are housebound as a result of a mental health condition, you can request a home PIP assessment. 1.7.23 Every effort should be made to provide advice in SREL cases. What benefits are available for mental health carers? This companion can be someone who can assist and care for you such as your friend or family member. In such cases the AP should contact the department for information. When your PIP award ends, you will need to revalidate you eligibility if your long-term condition is getting better or worse. 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. Only 7% of those surveyed said their GP has been contacted, with a further 35% saying they were unsure. 1.15.21 If the claimant has a deputy then that means they have lost capacity. In exceptional circumstances a written request for further evidence can be issued. 1.9.9 After the CM has decided on their chosen descriptors and determined entitlement, they must select the most appropriate award type and duration. 1.6.54 Consultations should predominantly be between the HP and the claimant. 1.15.27 In cases treated under the SREL process, a telephone call to a different health professional should be considered. Have you read something you think others need to know? 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. 1.6.70 The HP should ensure the referral form is sent to the claimants GP within 24 hours. D. Deleted member 92692 Former member. You dont become too concerned about the word severe since anxiety and distress can appear different in severe expressions in affected people. someone to monitor your mental health. Simply use the buttons below to share on your social network. 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. Where the AR1 has not been completed and returned, the claim will be sent to the AP who should attempt to contact the claimant and arrange an assessment. Having a mental health problem can be expensive. You can learn more about having an assessment at home by buying this book on this website. you can't plan a route to an unfamiliar place yourself. PIP sits alongside support provided by the NHS and local authorities and is not meant to duplicate that support. You are currently in the en section of the site. Discover your dream home among our modern houses, penthouses and villas for sale Requests for advice through the PIPCS should be responded to using clerical forms PA5 or PA6. You should check for yes if you have one of the following conditions: This is another sample PIP assessment question on mental health: Are you unable to go out because of severe anxiety or distress?YesNoSometimes. Citizens advice. The attorney should be aware of this and if acting responsibly should not let the claimant attend on his own. The assessment considers the overall impact of a claimants health condition or impairment on their functional ability, rather than focusing on a particular diagnosis. 1.7.22 All telephone conversations should be recorded and include all relevant clinical information gathered by the HP. 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. 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. Assessment providers should improve training for assessors to make sure they are mental health informed with knowledge and understanding about how someone's mental health can fluctuate and impact their lives on a day-to-day basis so that people can get the financial support they need. Summarising back to the claimant what has been said is useful to show active listening and to ensure that key pieces of information have been correctly heard. 1.15.6 For consent to be explicit it must be affirmed in a clear statement. 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. What does the assessor observe during the PIP assessment? 1.7.1 These provisions were previously called Special Rules for Terminal Illness (SRTI), but this has now changed to Special Rules for End of Life (SREL) and the remainder of this section will refer to SREL rather than SRTI. There are still many people who have yet to move from DLA to PIP, and some of these would be better off moving voluntarily, rather than waiting to be moved by the DWP. It is also not appropriate for the provider to release information to a third party such as the claimants representative, appointee, attorney or MP. 1.10.1 The HP will be asked to provide advice on when it would be appropriate to review the claimants claim to PIP. 1.6.69 The HP has a duty to protect the confidentiality of the information obtained during the consultation. How are gambling and mental health conditions linked? 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. PIP for Depression and Anxiety It is certainly possible to be eligible to claim PIP (personal independence payment pip) if suffering from a mental health condition such as depression or anxiety but it very much depends on how the mental illness affects you. 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. 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. 1.14.2 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. The HP should act within the guidelines, and be able to justify their actions. More than once: Can you repeat the activity as many times as you are required to? They should not simply request evidence from all professionals identified as standard. It's not based on the condition you're in or the medication you're taking. 1.15.22 Proof of consent given by claimants need not be routinely sent by APs when requesting further evidence. 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. For example, they might ask you how you travelled to the assessment centre. 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. How are gambling and mental health conditions linked? The damning report conducted by the Public. A health professional will carry out your assessment - they'll write a report and send it to the DWP. Valid reason: they will rearrange your PIP medical assessment, Non-valid reason: they will refuse your claim. 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. Her condition improved with treatment but 6 months later she re-claimed benefit because of depression and paranoia. 1.7.32 In a small number of cases, the claimant may not be aware they are terminally ill. The HP should base their assessment on what the young person would be able to do if asked that is, what they are functionally able to do not the skills they have or havent learned.
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