1.6.36 When considering mental health medication HPs should remember that not all claimants with a mental health condition will be on medication or receiving therapy. Explain how your mental health needs are different on a bad day. A companion should be in the room for an examination only if both the claimant and the HP agree. 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. Such cases will be flagged to the AP at the point of referral. You are most welcome to join today! More information on claimants who require additional support can be found in section 1.12 of part 1. 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. 1.15.32 Personal information held by the DWP is regarded as confidential. 1.7.9 The DS1500 gives factual information about the claimants condition, any treatment received and any further treatment planned. 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. What are my options for dealing with debt? 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. 1.6.26 For some conditions different time periods will need to be considered, such as the potential impact of different times of the day. 1.11.4 The HP will attempt to complete a paper based review if possible, or arrange a face-to-face assessment where required. 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. 1.15.3 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. 1.6.58 Upon prior request, providers have the facility to audio record telephone and face to face consultations. The duty of confidentiality continues after the death of an individual to whom that duty is owed. The appointment set for you is usually in a span of 7 days away. The report and all other evidence available will be used by the CM who will contact the claimant in due course. 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. As mentioned before, the PIP assessment with questions on mental health will be focusing on how your mental health condition may be impacting your life. Discussion or interview and questions: The Health Professional will ask you questions about how your mental health concern impacts your daily life. 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. You can read further in this article on what you need to expect from the PIP assessment with questions on mental health. 1.8.9 Exportability cases are identifiable by the fact that the claimants address will be outside the UK and there will be a PIP2 (exp) with the case. 1.7.32 In a small number of cases, the claimant may not be aware they are terminally ill. 1.6.25 The typical day is a tool used to explore the claimants perception of how they manage their daily living, and the nature and extent of the functional limitations resulting from their health condition or impairment. We explain what the Personal Independence Payment (PIP) medical assessment is, and help you understand what to expect at your assessment. Personal Independence Payment (PIP) is a benefit for working age people who have a disability or long-term health problem and have difficulty or need help with daily living activities and/or getting about. 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. Citizens advice. In such cases a short award period with no review required should be advised. 1.6.34 The HPs informal observations will also help check the consistency of evidence on the claimant's functional ability. 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. Ask for an interpreter or signer if you need one. 1.15.2 Consent may be written, verbal and in certain circumstances given by a third party. Firstly, we should start by assessing what evidence we can provide to the assessor and Decision Maker at the initial claim stage to assist them in making the correct decision. The attorney should be aware of this and if acting responsibly should not let the claimant attend on his own. They will discuss your capability to do daily tasks with your disability, illness or health condition. 1.15.19 The appointee should be considered in line with guidance about companions being present at consultations. There are 3 parts to the guide for assessment providers (APs) carrying out assessments for Personal Independence Payment (PIP). PIP stands for Personal Independence Payment. 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. How can I appeal a decision about my benefits? 1.6.28 The functional history is the claimant's own perspective on how they manage the daily living and mobility activities. Discover your dream home among our modern houses, penthouses and villas for sale 1.11.3 Where the DWP CM is unable to make a decision and more evidence is required, the case will be sent to the AP to be dealt with as business as usual. If the PA3 requires a response to the mobility questions at activities 11 and 12, the HP should select A (zero points) and type the comment N/A Exportability Case. It's important you prepare - the DWP will use evidence from the assessment to decide if you can get PIP. where, in reassessment cases, further evidence may confirm whether or not there has been a change in the claimants health condition or disability. There are several things to remember during your PIP assessment. 1.1.8 Once all evidence gathering has taken place, including an assessment with a HP where appropriate, the DWP case manager (CM) will review the claim and all evidence provided and make a decision regarding the award of benefit. This is very important if you are assessed on a better day. You can learn more about autism in affected people by buying this book here. 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. You can learn more about autism in affected people by buying this book here. 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. Can I cancel something I've done when I'm unwell? In such cases it will be essential to get an accurate account from the companion. 1.8.20 The consultation report is primarily for CMs, but the claimant has a right to see it and can request a copy from the DWP. Using the information available to them, HPs will need to consider the most appropriate approach to completing the assessment for these claimants, be that paper based review or consultation. 1.4.19 Where further evidence is received after the assessment has been completed and returned to the DWP, the evidence must be sent to the CM for consideration. Benefits if your mental health means you need support. Wherever possible, the record should contain specific examples to illustrate difficulty with activities. 1.8.3 The nature of the information required in reports varies depending on the nature of the activity. The presence and name of the chaperone should be recorded in the report. 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. The claimant or companion may keep the notes and do not have to provide a copy to the HP, although the HP may record that notes were taken. This publication is licensed under the terms of the Open Government Licence v3.0 except where otherwise stated. 1.13.5 Where consideration of supplementary advice results in the HP changing their previous advice to the DWP, this should be clearly flagged. 1.4.15 Where necessary, HPs may seek further information from claimants by telephone. If youre already receiving DLA and the DWP asks you to claim PIP there are separate rules. DLA claimants aged under 16 and those who were aged 65 or over on 8 April 2013 will not be affected. It is important that claimants feel they have been listened to and that the consultation feels like a genuinely two-way conversation. PIP Question 6. . 1.6.37 HPs may wish to examine areas of function relevant to the claimants health condition or impairment. 1.15.29 Further information relating to the claim may be required and, due to the tight timescales involved in processing such claims, contact with the claimants own health professionals may be required. Before treating a standard claim under the SREL process, the HP should take steps to discreetly gain an understanding of the level of knowledge the claimant has about their own condition and prognosis. Low mood and paranoid feelings were a significant feature of her schizophrenic episode. The HP should always ask if there is anything else that the claimant wishes to say before concluding the call. The physical exam will only involve you performing simple movements, if relevant to your condition and within your capabilities. 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. Does medication affect PIP value? Source: PIP Statistics to January 2021, Table 1. You have accepted additional cookies. When your PIP award ends, you will need to revalidate you eligibility if your long-term condition is getting better or worse. For each medication record the frequency, dosage and purpose (where known) in full. HPs should be mindful that the level of analgesia used does not necessarily correlate with the level of pain. . 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. For example, you can request: If the location of your assessment is more than 90 minutes away by public transport and you have difficulty travelling long distances, you might be offered an alternative site. 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. 1.13.7 HPs should use clerical form PA5 to provide supplementary advice that does not affect the descriptor choices or advice on prognosis in the original report. Well enough: For instance, you may be able to prepare and cook a meal, but you will not be able to eat it if it is deemed undercooked. The position with PIP is different; the law says that you don't even have to have a medical diagnosis. 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). 1.6.52 Claimants have a right to be accompanied to a consultation if they so wish. Anyone making a request must be advised that requests for information should be made to the DWP. For example, He finds buttons difficult and tends to wear clothes that can be pulled over his head; manages to feed herself but needs to have meat cut up for her. 1.15.8 Should claimant consent not have been provided at the initial claim stage, it can be sought verbally by APs over the telephone. 1.9.2 The CM also needs advice to help inform decisions on when claims should be reviewed, taking into account issues such as the likely progression of the condition and whether it is likely to improve, stay the same or worsen. 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. Dont include personal or financial information like your National Insurance number or credit card details. 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). If the HP notices that a claimant is covertly recording their consultation, the restrictions above should be explained to the claimant. This may be particularly important where the claimant has a mental, cognitive or intellectual impairment. If you are called for a Personal Independence Payment (PIP) assessment this video explains what to expect. How do I manage my money if I have to go into hospital? 1.1.11 The activities explored during the PIP assessment are: managing therapy or monitoring a health condition, reading and understanding signs, symbols and words. We have translated the site; would you prefer to read in Welsh? You can also bring someone with you in the course of your assessment. Preparing for your PIP assessment. If a claimant can handle a toothbrush, it is unlikely they cannot handle kitchen cutlery. . Simply use the buttons below to share on your social network. This means that we may include adverts from us and third parties based on our knowledge . 1.1.2 The benefit is not means tested and is non-taxable and non-contributory. 1.8.11 All evidence must be interpreted and evaluated using medical reasoning, considering the circumstances of the case and the expected impact on the claimants daily living and/or mobility. Such telephone calls should be made by approved HPs, not by clerical staff. 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 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. 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 . Make a list of points you would like to make during your assessment and take this with you. 1.15.33 The DWP takes confidentiality very seriously and all confidential information should be held securely and in accordance with legislation. Simply use the buttons below to share on your social network. Here's my experience as a disabled woman, you can read about my condition in my chronic journey blog post. The PA5 should also be used where additional information does not change the original advice. Helps you take control of your household spending. You can learn more about these PIP medical assessments with questions on mental health by buying this book on this website. 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. 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. Instead, and only if a consultation is deemed necessary, the AP must send the invite to the appointee only. Daisy2016 Forumite. They later changed the award because they looked into everybody's claim as they felt they hadn't been properly awarded and I . Evidence can include, but is not limited to: the PIP claimant questionnaire where the claimant describes their circumstances and the impact of their health condition or impairment, further evidence for example factual report from the GP, hospital report, other health and social care professionals involved in the claimants care, consultation the history, informal observations and clinical findings. Hi everyone, Thanks for letting me onto the forum and for all your help! 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. 1.7.31 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. pip telephone call. 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. You have rejected additional cookies. 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. If the individual is claiming under the Special Rules for End of Life criteria (SREL), the case is instead referred directly to the AP and dealt with as a priority. 1.10.10 The Not applicable box should be selected where the HP considers that there is no health condition or impairment affecting function present on the majority of days over the 12 month required period. Should the AR1 be subsequently received by the DWP, it will be tasked to the document received work queue for the appropriate AP. This will reduce the amount of time the HP spends providing advice on these cases as the mobility aspects do not have to be considered. The DWP will use evidence from the. Please contact the DWP on 0800 121 4433 or textphone 0800 121 4493. Thread starter Seriously; Start date Dec 15, 2020; Prev. The healthcare professional to be a specialist in mental health. 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. 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. (I got a cancellation) i have ongoing mental health issues heart condition that affects my daily activities such as walking and shopping and (anything strenuous) also struggle with communicating with us can't interact I get severe anxiety . 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. 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 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. 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. How much Universal Credit can I get for mental health? Helps you take control of your household spending. Consent may need to be obtained at other points during the examination as the HP should explain throughout what they are about to examine. Am I eligible for Employment & Support Allowance (ESA)? This will ensure you are familiar with the journey, so you arrive in plenty of time and reduce the possibility of being stressed before your assessment. 1.6.18 The HP should record any other prescribed therapies, such as physiotherapy, making a note of who prescribed them, how often they are carried out, and how effective they are. 1.1.12 Each activity contains a series of descriptors which describe increasing levels of difficulty with carrying out the activity. If you cant attend your appointment date for PIP assessment with questions on mental health, you can send a letter to the private assessment provider to change the date. 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. The HP should always attempt to respond to any issues or concerns they express. You should also. A bit about my claim: Eating disorder for 15 years (I have come to simply exist with the daily behaviour of an ED and haven't had any recent treatment in years, so little recent evidence on this . 1.15.30 The HP should also ensure that the claimants health professional understands that a written record will be made of any information given during the telephone conversation and that this will be available to the patient at a later date unless there is harmful information. 1.12.4 During the gathering of initial claim information, claimants who are identified as requiring additional support from DWP will have an additional support (AS) marker attached to their case on PIPCS. 1.8.10 It is essential that the CM is made aware of the evidence the HP has used to complete the assessment report. The HP should record when the condition began and give brief details of changes since it began. 1.6.46 If the claimant is unaccompanied at a consultation, the HP should consider whether a chaperone would be appropriate during any examination. The HP should indicate the duration of such treatment and the date at which there is likely to be little or no functional limitations present for a minimum of 9 months and up to a maximum of 2 years. 1.6.55 However, the involvement of companions should be handled appropriately by the HP. 1.7.13 In SREL claims, HPs are required to advise on: whether they consider, on balance, the claimant is or is not terminally ill under the prescribed definition. Each article is written by a team member with exposure to and experience in the subject matter. Informal observations should be recorded in the report, for example: I observed them and they appeared to have no difficulty with; I saw him lean heavily on a walking stick when entering the consulting room. Get help if you need it. 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. When advising on descriptors and justifying advice, the HP should consider the functional effects of the claimants health on the majority of days. I am worried about the cost-of-living crisis, Requesting adjustments to the PIP assessment, Planning your journey to the PIP assessment, How to claim travel expenses for your PIP assessment. 1.3.8 APs should seek additional evidence from professionals involved in supporting claimants where HPs feel that would help inform their advice. 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. The DWP and HPs will be expected to verify that this is the case. this is a walk through of what happened in my recent telephone pip ( personal independent payment) assessment review and what questions been asked and how . 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. 1.13.6 Requests for supplementary advice may be made to APs by telephone and/or through the PIPCS and/or the PIPAT, depending on the nature of the request. He is aged 16 and attends a supported education centre where he is learning independent living skills and undergoing travel training, with the hope of attending college in the future. PIP assessors are looking for disability assessors that are licensed and trained for the assessment of disabilities either for physical disability or mental disability. Where an appointee has been nominated to represent the claimant, the claimant must not be instructed to attend a consultation by the AP. If you are considered to not have much disability in certain activities, you should try some of the following activities: The assistance you will get can be a person or a pet or you might be accompanied by a driver to your car or the service might change your home to make you accommodate easily in your condition. In such cases the HP may need to seek advice from another person, for example (this list is not exhaustive): a third party (where noted on the claimants case) in order to obtain the necessary evidence, the practice administrative staff (note: information should only be requested from administrative staff if all other sources of evidence have been unsuccessful). 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. How do I pay for private treatment and therapy? 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. The HP should still make enquiries to clarify whether the person meets the Special Rules criteria and return the assessment report to the DWP with any supporting evidence, stating whether the claimant is terminally ill under the prescribed definition. What are my options for dealing with debt? 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. The advice given by the HP on prognosis will help the CM decide on the type of award. It is not a diagnosis of your condition or a medical examination. 1.9.1 Entitlement to PIP is dependent on the functional effects of a health condition or impairment having been determined as likely to have been present at the required level for at least 3 months and being expected to last for at least a further 9 months. PIP telephone assessment | Mental Health Forum Unanswered threads Talk with people who know what it's like! PIP sits alongside support provided by the NHS and local authorities and is not meant to duplicate that support. You can be eligible for the PIP benefits if you are aged 16 and your State Pension age. If the HP identifies such a condition, they have a responsibility notify a suitable person involved in the claimants care. It cannot be assumed that in an individual case consent has been given or that consent previously given remains valid. 1.14.1 One area that HPs may be asked to advise on is whether a repeat claim for PIP is being made for substantially the same condition as an earlier claim. HPs should give consideration to the fact that in cases of complex conditions, knowledge and involvement of the GP may be limited, with specialist practitioners potentially better placed in some cases to provide useful evidence. How are gambling and mental health conditions linked? 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. 1.10.9 The HP should select the No box if they consider it likely that the claimants health condition is likely to improve or that they will adapt to the point that there will be no or a very low level of functional restriction for example, someone with osteoarthritis of the hip who is expected to have a hip replacement in the next few months where a full recovery is likely in a relatively short period of time.

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