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. During the coronavirus pandemic, medical assessments have been taking place via telephone or video call. The consultation starts at the point the claimant begins to converse with the HP on the telephone, enters the assessment centre or is met at their home and concludes when the claimant ends the telephone conversation, leaves the premises of the assessment or the HP leaves the claimants residence. The assessment report must be completed and returned to the DWP using the work queue for SREL within 2 working days from that point. Both the General Medical Council and the Nursing and Midwifery Council provide guidance on medical ethics and when it is acceptable to break medical confidentiality. Have you read something you think others need to know? At this stage claimants are encouraged to provide any supporting evidence they already have that they feel should be considered alongside their claim information for example evidence from a health or other professional involved in their care or treatment. The claimant will not automatically receive the mobility component and entitlement for this component will need to be assessed. Medical Evidence GP HPs are required to advise on: which of the descriptors in the activities set out in the assessment criteria are relevant to the claimant, taking due consideration of variability and reliability, whether the functional impact of the claimants health condition(s) or impairment(s) has been present for at least 3 months and is likely to remain for at least 9 months, the appropriate time to review the claim, or indeed whether the claim will require a review, and whether the functional restriction identified in the report will be present at the point of any review, whether the claimant is likely to require additional support from the DWP in order to engage with future PIP claims processes. Identifying claimants who require additional support with the PIP process, Advice on substantially the same condition, Check benefits and financial support you can get, Find out about the Energy Bills Support Scheme, Personal Independence Payment (PIP) assessment guide for assessment providers, nationalarchives.gov.uk/doc/open-government-licence/version/3, Severe depression (evidenced by, for example, previous hospitalisation for depression, intensive support from community-based mental health teams or significant input from a psychiatrist or other mental health practitioner), Attention deficit hyperactivity disorder (ADHD), Dementia or cognitive disorder resulting in cognitive decline, His Majestys Courts and Tribunal Service, review report form (Special Rules for End of Life), supplementary advice note (change of advice), whether another assessment type is more appropriate, any accessibility issues related to the planned location of consultations, a corporate other payee or corporate appointee, a curator bonis or judicial factor (under Scottish law). 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. 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. Dec 16, 2020 If the claimant agrees, the HP should complete and send the relevant referral form to the claimants GP, and give the claimant a copy. How do I manage my money if I have to go into hospital? 1.6.51 If the claimant is uncooperative during a consultation, the HP may terminate the consultation where they have gathered sufficient evidence to complete the assessment report and provide advice for the CM. The ruling will mean access to PIP is extended to cover more people who find social situations []</p> Providing free information and advice since . These kinds of psychological disorders are referred to as such since they can make a person impaired and dysfunctional in his or her important areas in life. Which mental health conditions get PIP? 1.6.72 Consultations may potentially be carried out at a variety of locations and some will need to be carried out at the claimants home. Go. Explain how your mental health needs are different on a bad day. The horror stories are, if anything, even worse than they were in May of this year. Severity of a mental health condition does not necessarily correspond with the type or dosage of medication that the claimant is receiving. In these cases, the AP and the DWP must ensure the claimant is not inadvertently advised of their prognosis. The appointment set for you is usually in a span of 7 days away. 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. Pip telephone assessment experience. A health professional will carry out your assessment - they'll write a report and send it to the DWP. 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. The health professional will use this time to listen to you about some aspects of your condition when you are engaging in daily activities in life. 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. Discussion or interview and questions: The Health Professional will ask you questions about how your mental health concern impacts your daily life. 1.7.9 The DS1500 gives factual information about the claimants condition, any treatment received and any further treatment planned. 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. DLA claimants aged under 16 and those who were aged 65 or over on 8 April 2013 will not be affected. Most people claiming Personal Independence Payment (PIP) will be asked to attend a PIP medical assessment with a healthcare professional. 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. The appointment letter will invite you to a PIP medical assessment at one of their assessment centres. If the claimant is persistently uncooperative or if they are clearly under the influence of alcohol or drugs, the consultation should be terminated and the case returned to the DWP, along with an explanation of why the consultation had to be terminated. This is someone with extensive knowledge of the. Miss B was diagnosed with schizophrenia and fulfilled the PIP criteria for standard rate mobility component. If they do not turn up then normal failed to attend (FTA) action is taken the DWP will investigate the conduct of the appointee. 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. How many good and bad days do they have over a period of time? 1.13.9 Where the assessment was completed using the PIPAT, it will be necessary to create the appropriate supplementary advice on the PIPAT and once submitted a PA5/PA6 will be output to the DWP. Inconsistencies could result in claimants either over or under emphasising the impact of their conditions and efforts should be made to avoid both. Mind's Director of External Relations, Sophie Corlett says: (PIP) Assessment - Turn2us; Related Posts. 1.6.64 A claimant may make a covert recording of the consultation without the HP being aware. 1.4.15 Where necessary, HPs may seek further information from claimants by telephone. The Health Professional will type their observations during the appointment, which you are entitled to view or have described to you. someone goes out with you. If a claimant has been in contact with DWP and has threatened self-harm or suicide, information about the incident will be included in the PIPCS Medical Evidence screen comments box. It is also recommended that the HPs could also consult with clinical coaches or other experts prior to the assessment for advice and support on how conditions present and how this might affect function. News stories, speeches, letters and notices, Reports, analysis and official statistics, Data, Freedom of Information releases and corporate reports. Either before or after your assessment, you should ask the receptionist at the assessment centre for a travel expenses claim form and pre-paid self-addressed envelope. 1.6.65 Claimants and companions taking part in a consultation with the claimant are entitled to take notes for their own purposes. 1.8.15 If the HPs opinion on descriptor choice differs from information provided by the claimant, the HP should draw on evidence to fully justify their advice to the DWP. 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. Once you have completed and sent your PIP form back to the DWP, you will receive a letter acknowledging they have got your claim. 1.6.45 If any element of function is not examined at the consultation, the HP should record why this area was not examined rather than leave the section of the report form blank. When your PIP award ends, you will need to revalidate you eligibility if your long-term condition is getting better or worse. If a claimant cannot bend to put on their shoes, it is unlikely that they are able to wash below the waist. 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. 30 September 2020 at 8:04AM in Disability money matters. 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. You may be asked to provide medical evidence as to why you cant attend the assessment centre. 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. The 2019 PIP rates were: For daily living- Standard rate: weekly rate of 58.70 and 8-11 points required. 1.11.2 The AR1 will be returned to the DWP by the claimant and, where possible, a proportion of planned award reviews will be completed by DWP CMs, who will compare the new information against the evidence from the previous assessment. the safety implications for a home consultation for the HP for example, where the claimant has previously displayed unacceptable behaviour towards the DWP and this has been noted in their case file. 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. 1.15.6 For consent to be explicit it must be affirmed in a clear statement. 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. 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. 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 . You need to relate your answer to how it speaks to your concern. 1.6.30 In general, HPs should record function over an average year for conditions that fluctuate over months, per week for conditions that fluctuate by the day, and by the day for conditions that vary over a day. There are 3 parts to the guide for assessment providers (APs) carrying out assessments for Personal Independence Payment (PIP). The HP must acknowledge that they have considered all the available evidence when formulating their advice. 1.6.22 If the HP identifies inconsistencies between work and information on the claimant questionnaire, the HP should question these inconsistencies and document the response. Therefore, consent to inform the GP of the unexpected finding should be obtained from the claimant. Replied by BIS on topic Mental Health and PIP phone assessment. If the HP has reason to believe that the companion(s) are attending for a reason other than to support the claimant, the HP has the right to decline the presence of the companion(s) at the assessment. How are mental health and money worries linked? How do I manage my money if I have mental health problems? This would be considered together with other factors such as their manner, hearing ability, walking ability during the history taking, through to the conclusion of the consultation. 1.9.9 After the CM has decided on their chosen descriptors and determined entitlement, they must select the most appropriate award type and duration. 1.1.7 If the claimant questionnaire is not returned and the claimant has been identified as having a mental or cognitive impairment, the claim will be referred directly to the AP for assessment. Mood disorders Stress Anxiety You may be eligible for PIP, and should consider making a claim to the DWP, if you have daily living needs because of a mental health condition. However, the HP should bear in mind that for claimants with stable long-term conditions, the evidence available may be older. 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. For many of us, it can mean that we need extra support to get to work, see friends and family, and carry on living our lives. In the case of sensitive/special information, the claimant must be fully aware of the nature and content of the information being processed. What type of dwelling does the claimant live in and do they live alone or with others? 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. 1.9.7 Age is not a medical cause of incapacity but it can be an indicator of disease progression. Functional examinations may cover one or more of: 1.6.38 Before starting a physical examination, the HP must explain the procedure to the claimant, and obtain explicit verbal consent to continue. 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. 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. PIP assessments usually take place at a centre; however, 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. 1.6.74 The request for a home consultation may come from a GP or other health professional involved in the claimants care. If they still require something in writing, the HP should email them a letter providing assurance that consent is held and quoting the GMC advice. For daily living- enhanced rate: weekly rate 87.65 and 12 points required. Care should be taken, as always, to avoid creating stress or anxiety for the claimant. The HP can assess the disabling effect of the pain by considering such description (where applicable) along with all other aspects of the case, for example disease activity/severity, effect on daily activities, treatment, pain relief, pain management strategies, examination findings and informal observations. 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. If your long-term condition is getting worse, you will need more of this award. The PIP assessment is an opportunity for you to talk about how your condition affects you - it's not a diagnosis of your condition or a medical examination. you can't plan a route to an unfamiliar place yourself. For example: She states she has no problems with speech, hearing, or vision. If you adjusted the date by your own without letting the assessment provider know, this is considered as discrimination and you should call your local Citizens advice for help with this kind of situation. 1.15.28 The Welfare Reform Act 2012 (Section 82) creates special provision for a third party to make a claim on behalf of a disabled person without their knowledge. 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. 1.6.15 The HP must document the symptoms and history of the condition as described by the claimant. Discover your dream home among our modern houses, penthouses and villas for sale For each medication record the frequency, dosage and purpose (where known) in full. 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). The report and all other evidence available will be used by the CM who will contact the claimant in due course. Citizens advice. 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. Can I cancel something I've done when I'm unwell? 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). The healthcare professional to be a specialist in mental health. For example, if carrying out housework or walking outside would mean the claimant was unable to do anything else that day, this should be properly explored and recorded. If the claimant attends on their own then the assessment can go ahead if the claimant has capacity. The HP should inform the professional being contacted that this record is being produced and that this may be made available to the claimant and/or their representative. The HP should consider ability and fluctuations over a 12 month period to present a coherent picture. 1.6.68 Very rarely during the consultation, the HP may identify that the claimant appears to have a significant undiagnosed medical condition. The roll-out of PIP to existing DLA claimants commenced from October 2013. 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. 1.15.21 If the claimant has a deputy then that means they have lost capacity. Physical and mental examination: If required, and with your consent, they will conduct a brief physical and mental function examination. As the disabling condition was substantially the same she did not have to fulfil the 3 month qualifying period. 1.8.4 For each activity area, the HP should use evidence to choose one descriptor which best reflects the claimant's ability to carry out an activity, taking into account whether they need to use aids or appliances and whether they need help from another person or an assistance dog. 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. 1.8.10 It is essential that the CM is made aware of the evidence the HP has used to complete the assessment report. 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. Claimants who have recently completed a cross border move from Scotland to England/Wales may instead provide the Scottish equivalent form BASRiS (Benefits Assessment under Special Rules in Scotland), where the BASRiS form is less than 6 months old. The HP will choose a descriptor for each activity and a DWP CM will review the suggested descriptors and decide if the evidence supports those choices. 1.6.67 Young people may attend a consultation with a parent or guardian. 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. 1.8.13 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. 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 Citizens advice. A companion should be in the room for an examination only if both the claimant and the HP agree. How do I ask for a Mandatory Reconsideration? The assessment considers the overall impact of a claimants health condition or impairment on their functional ability, rather than focusing on a particular diagnosis. The PIP medical assessment consists of several parts and will last on average, 60 minutes: Discussion and questions: The Health Professional will ask you questions about how your health affects your everyday life. 1.8.1 The assessment report is sent electronically through the PIPAT or clerically, where appropriate, using the following clerical forms: PA2 Review report form (Special Rules for End of Life), PA3 Review report form (paper-based review), PA6 Supplementary advice note (change of advice). Physical and mental examination: If required, and with your consent, they will conduct a brief physical and mental function examination. 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. The invite letter must go to the deputy who will arrange for the claimant to attend. 1.15.14 In cases where claimants have a named third party as an appointee, this could be due to the claimant being unable to manage their own affairs as a result of a serious mental health condition or cognitive / learning disability. PIP telephone assessment | Page 2 | Mental Health Forum Unanswered threads Talk with people who know what it's like! This is to ensure the safety and privacy of staff and other claimants. The advice should fully justify why the claim is being treated under the SREL process. This may be particularly important where the claimant has a mental, cognitive or intellectual impairment. This includes our assessment report and your questionnaire and further evidence. The HP should contact the most appropriate person involved in the claimants care. | Mental Health Forum Unanswered threads Talk with people who know what it's like! 1.10.8 Selecting the Yes box will indicate that the claimants functional restriction is likely to still be present at the recommended point of review, regardless of whether it is likely to improve, remain the same or deteriorate. We use your sign-up to provide content in the ways you've consented to and improve our understanding of you. 1.7.32 In a small number of cases, the claimant may not be aware they are terminally ill. The PIP assessment 1.1.10 The assessment for PIP looks at an individual's ability to carry out a series of everyday activities. 1.2.3 The report to the department should include: relevant history of the claimant, including information on the disabling health conditions or impairments, their functional effects and information on their current medication and treatment, advice on the appropriate assessment descriptors for the claimant, based on consideration of the evidence on file and, if appropriate, the evidence that the HP has collected during the consultation. There are several things to remember during your PIP assessment. You are most welcome to join today! 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. Wed like to set additional cookies to understand how you use GOV.UK, remember your settings and improve government services. Anyone making a request must be advised that requests for information should be made to the DWP. 1.7.6 The DS1500 is the preferred medical evidence for a DWP SREL claim. Reports produced during consultations require the most content, as HPs will need to record the discussion, observed findings and conclusions from the consultation. It is paid to make a contribution to the extra costs that disabled people may face, to help them lead full, active and independent lives. They are due to undergo surgery within the next 9 months, after which an 8-12 week recovery period is anticipated. PIP pretty much does not care. 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. Unsolicited DS1500s should be sent urgently to the DWP, with an explanation as to the reason why the AP is sending the form. 1.2.2 The key elements of the HPs role in PIP are to: consider information in the claimant questionnaire and any supporting evidence provided along with it, determine whether a claim can be assessed on the basis of a paper review and provide appropriate advice, determine whether any additional evidence needs to be gathered from health or other professionals supporting the claimant. You can change your cookie settings at any time. Your assessment provider will be Independent Assessment Services or Capita - you should get a letter telling you which one it will be. PIP eligibility. The copy of the evidence or HP notes from the evidence should be sent to the CM with the completed report. 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. Consideration should also be given to whether, as a result of the claimants health condition or impairment, the claimants companion or advocate may be better placed to describe their needs. 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. 1.7.11 All SREL claims will be clearly flagged. 1.7.26 In SREL referrals, the DWP will check for an Employment and Support Allowance (ESA) claim under Special Rules. 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). The illness that qualifies for PIP is the illness that is considered to be a long-term condition and this kind of condition should need regular support for needs and some may be limited in mobility. If you plan to do so, you should call the assessment centre in advance explaining that you wish to record the assessment they will explain what guidelines you will need to follow.
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