someone to monitor your mental health. 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. 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). 1.15.7 Consent to contact third parties to allow them to share information will be sought by the DWP during the initial information gather regardless of whether the claimant applied for PIP over the telephone or on a written claim form. 1.14.3 In some cases, however, a fixed term award of PIP may have been given where it was anticipated that there would be an improvement in the claimants functional ability (for example due to treatment), but where, following the PIP award ending, the claimants needs either continue, or increase. 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. 1.12.6 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. 1.6.35 HPs must also take into consideration the invisible nature of some symptoms such as fatigue and pain which may be less easy to identify and explore through observation of the claimant. 1.2.1 The HPs role is to assess the overall functional effects of the claimants health condition or impairment on their everyday life over a 12 month period, using the assessment criteria. To view this licence, visit nationalarchives.gov.uk/doc/open-government-licence/version/3 or write to the Information Policy Team, The National Archives, Kew, London TW9 4DU, or email: [email protected]. 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. 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. #7. The HP should always ask if there is anything else that the claimant wishes to say before concluding the call. to intervene on your behalf. 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. 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. News stories, speeches, letters and notices, Reports, analysis and official statistics, Data, Freedom of Information releases and corporate reports. The mental function assessment will be specific to your situation. 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. 1.6.14 The HP should include details of fluctuating conditions, indicating how frequent the fluctuations are, how long exacerbations last and, on balance, how many good days or weeks and how many bad ones the claimant experiences over a specific period of time. 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. 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. 1.7.3 The criteria for SREL claims set out in legislation are that the claimant: is suffering from a progressive disease and death in consequence of that disease can reasonably be expected within 6 months. They can help you feel more comfortable, add information to what you say or take notes. 1.9.7 Age is not a medical cause of incapacity but it can be an indicator of disease progression. 1.7.22 All telephone conversations should be recorded and include all relevant clinical information gathered by the HP. 1.4.16 HPs should identify who they are and the purpose of the call. 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. 1.6.23 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. How can I appeal a decision about my benefits? 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. How are mental health and money worries linked? Dec 16, 2020 1.15.18 A consultation cannot go ahead if the appointee or their representative does not accompany the claimant. In such cases the claimant may not be able to give an accurate account of their health condition or impairment, through a lack of insight or unrealistic expectations of their own ability. Where one single descriptor in an activity is likely to not be satisfied on more than 50 per cent of days, but a number of different scoring descriptors in that activity together are likely to be satisfied on more than 50 per cent of days, the descriptor likely to be satisfied for the highest proportion of the time should be selected. 1.15.11 In any case where consent is over 2 years old, action should be taken to confirm that it still reflects the claimants wishes. Getting the right support can mean that we won't face a financial . Which mental health conditions get PIP? When weighing up the evidence, it is important to highlight any contradictions and any evidence that does not sufficiently reflect the claimants health condition or impairment or the effect on their daily life. 1.2.4 The HP may also be asked to provide advice to the CM on a range of other aspects of a claim. 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. Therefore, consent to inform the GP of the unexpected finding should be obtained from the claimant. However, the companions may play an active role in helping claimants answer questions where the claimant or HP wishes them to do so. The claimant must not be assessed if they are on their own. 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). You can deal with someone you dearly loved who has a terminal illness by buying this book on this website. The points in PIP for mental health is 8 and 11 points to make you eligible and qualified for this kind of benefit program. 1.15.32 Personal information held by the DWP is regarded as confidential. The assessment considers the overall impact of a claimant's. 1.1.10 The assessment for PIP looks at an individuals ability to carry out a series of everyday activities. 1.4.8 A written record should be taken of any telephone discussions seeking further information and the content included in the assessment report provided to DWP or via the PIPAT. However, in cases of doubt HPs may be asked for advice, based on their knowledge of the disabling effects of physical and mental health conditions and considering the evidence of the case. 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. 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. 1.6.57 The presence and involvement of any companion at a consultation should be recorded in the assessment report. When making contact with that professional by telephone, the HP must make it clear if they do not hold consent from the disabled person to permit disclosure of information about their condition and explain the provision for third party claims under the SREL. The age of the evidence should also be considered in deciding whether it is relevant to the claim. 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. 1.8.2 Copies of all the forms are provided separately. 1.6.67 Young people may attend a consultation with a parent or guardian. For urgent help, please see Help & contacts. Explain how your mental health needs are different on a bad day. In addition, the guidance is not a stand-alone document, and should form only a part of the training and written documentation that HPs receive from APs. The professional will then send it to DWP to check if you are eligible for the benefits. Your destination for buying luxury property in Sannois, le-de-France, France. The psychological examination will be asking your thoughts and feelings about your present concern. In such cases the AP should contact the department for information. The AP then conducts the assessment, gathering any further evidence necessary before providing an assessment report to DWP. Have you read something you think others need to know? 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. Your assessment centre might ask you for a letter from your doctor or other evidence that you need an alternative location for your assessment. Under normal circumstances the HP would make copies of the original evidence and hand the originals back to the claimant. 1.4.9 The HP should also clarify whether any information provided by the professional is harmful or confidential. For example, is the level of functional impairment claimed in one activity compatible with that claimed in another? Confidentiality is breached when one person discloses information to another in circumstances where it is reasonable to expect that the information will be held in confidence. Replied by BIS on topic Mental Health and PIP phone assessment. UNLAWFUL AND HUMILIATING PIP TELEPHONE ASSESSMENTS We've looked at almost 400 responses given between June and November in our ongoing PIP telephone assessment survey. 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). 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. If a claimant can handle a toothbrush, it is unlikely they cannot handle kitchen cutlery. The PIP assessment 1.1.10 The assessment for PIP looks at an individual's ability to carry out a series of everyday activities. 1.15.5 UK GDPR defines special category data, and if consent is being used as a condition for processing the data, the consent must be explicit consent. You should explain the following: These general PIP assessment tips will also help you: We recommend that you record the audio for your face-to-face PIP assessment. Procedures to follow and sources of support and guidance should be covered in HP training. To note: It is important that the HP ensures that valid verbal consent is obtained and recorded where appropriate. There are 3 parts to the guide for assessment providers (APs) carrying out assessments for Personal Independence Payment (PIP). HPs are expected to use their professional knowledge, skills and judgement to determine what questions are appropriate to ask about treatment. If youre already receiving DLA and the DWP asks you to claim PIP there are separate rules. This is why you should say directly to the health professional what you constantly feel about your condition. It is not intended to cover all the requirements placed on APs as part of the PIP assessment contracts, their full business processes, or work carried out by DWP to monitor and manage AP performance. Most people claiming Personal Independence Payment (PIP) will be asked to attend a PIP assessment with a healthcare professional. Inconsistencies could result in claimants either over or under emphasising the impact of their conditions and efforts should be made to avoid both. The HP should not change the claim to a SREL claim. For daily living- enhanced rate: weekly rate 87.65 and 12 points required. More than once: Can you repeat the activity as many times as you need to? Her condition improved with treatment but 6 months later she re-claimed benefit because of depression and paranoia. 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 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. The Health Professional will have reviewed your PIP form, along with any supporting evidence you provided before your assessment. In a reasonable and attainable time: Does it take you a lot more amount of time to do the activity than it would take most people. 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. You can state your needs here with regards to your debilitating condition. In this aspect of the PIP assessment with questions on mental health, the health professional will be asking you questions on how you are feeling with your condition. 1.7.29 Any DS1500s received direct by APs should not be considered. (More information on the additional support marker is in the following section.). 1.1.12 Each activity contains a series of descriptors which describe increasing levels of difficulty with carrying out the activity. If you live in Great Britain, you can call the Department of Work and Pensions who are responsible for giving these benefits to eligible people at 0800 917 2222. How do I ask for a Mandatory Reconsideration? This may be particularly important where the claimant has a mental, cognitive or intellectual impairment. You will need to contact the assessment provider and request a home assessment. 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). 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. So we give the right advice for you, can you answer which Nation you're from? 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. 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 encourage the claimant to expand on their answers to explore how easy or difficult they find a task. 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. How do I manage my money if I have to go into hospital? We explain the following PIP tips: When you receive your PIP assessment appointment letter, you can check with your assessment provider that your assessment centre has everything you require to make you feel more comfortable. They should not simply request evidence from all professionals identified as standard. 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. 1.15.2 Consent may be written, verbal and in certain circumstances given by a third party. 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. 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. 1.6.4 The relevant information required when offering advice on a consultation is set out in the clerical form PA4 or the relevant screens in the PIPAT. HPs need to ensure that they explore claimants functional ability in everyday life and in a variety of environments/situations that may not be ideal. The consent process above should be followed. Therefore absence of medication does not automatically mean that the health condition is not severe. This PIP assessment question on mental health is important for people who may be suspected to have hearing complications, learning complications, autism, stress, anxiety, or other mental health concerns. 1.5.6 For cases where there is marked inconsistency, the claimed level of disability is unexpected based on the available evidence, or it has not been possible to gain sufficient further evidence, a consultation will be required. 1.12.3 In some cases however, claimants may not be able to engage effectively with the claims process, due to reduced mental capacity or insight for example, they may not understand the consequences of not returning a claim form and not have a PAB to help them. The fact is though that the law says that no diagnosis is needed, so you just need to know where to look for this when it comes to an appeal. In some cases this might be a support worker or therapist rather than the GP. 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. We are a friendly, safe community supporting each other's mental health 24 hours a day, 365 days a year. 1.6.12 The HP should record a succinct and relevant history of all the health conditions or impairments that affect the claimant. You will also be qualified with this kind of benefit when you are aged 16 and over. Claimants should be invited to clarify any points and ask any questions they have about the assessment procedure, and asked whether there is anything else they would like to include. 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). As with appointees, the deputy can nominate another person to accompany the claimant. These pro forma are provided separately. You can learn more about autism in affected people by buying this book here. Will I need a Work Capability Assessment to claim benefits? Severity of a mental health condition does not necessarily correspond with the type or dosage of medication that the claimant is receiving. The healthcare professional will ask you questions and note down your answers. Most people claiming Personal Independence Payment (PIP) will be asked to attend a PIP medical assessment with a healthcare professional. They may also show discrepancies between the reported need and the actual needs of the claimant. Daisy2016 Forumite. 1.8.14 The advice must be able to stand up to challenge and the HP should draw out key evidence in support of their choice of descriptors in the report, drawing fact-based findings and/or well supported opinion from all of the evidence. 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. Entitlement to PIP is about the wording in the test; the 10 daily living activities . HPs will not liaise directly with CMs, but will liaise with DWP service assurance managers (SAMs) where the CMs have queries, for example: seeking additional advice either based on current advice or because further evidence has been submitted. Medical Evidence GP The PA5 should also be used where additional information does not change the original advice. For each medication record the frequency, dosage and purpose (where known) in full. Its essential to be aware of the PIP descriptors as this is what they will base their decision on. 1.13.4 HPs should answer questions posed by the CM but must avoid giving any prescriptive advice that refers to possible benefit entitlement, as final decisions rest with the CM. The PIP medical assessment with questions on mental health is an assessment that evaluates your capability of doing daily activities depending on your physical or mental condition. This may result in, a request to consider the evidence or acquire further evidence. The claimant and any companion should feel fully involved in the process and feel that the consultation is a genuine two-way process. 1.6.59 At a face to face assessment, the claimant must sign a consent form in which they agree to not use the audio recording for unlawful purposes. 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. 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. For example, they might ask you how you travelled to the assessment centre. Copyright OptimistMinds 2023 | All Rights Reserved. When making telephone contact with a GP or other specialist, the HP should also endeavour to determine whether the claimant is aware of their illness or prognosis and consider whether the information they have obtained may be potentially harmful. So we give the right advice for you, can you answer which Nation you're from? Having a mental health problem can be expensive. Social and leisure activities undertaken by the claimant, as well as any they have given up or modified due to their health condition or impairment, could also be mentioned here. 1.7.32 In a small number of cases, the claimant may not be aware they are terminally ill. For all incoming calls the callers identity must be verified. 1.6.10 Throughout the consultation, HPs should be evaluating what they are being told and checking whether the evidence is consistent. This section of the consultation must also explore the impact completing an activity may have on functional restriction immediately following and for the rest of the day. This tool will help you work out how to save to pay off debts or buy the things you want. 1.7.6 The DS1500 is the preferred medical evidence for a DWP SREL claim. 1.15.16 An appointee can be either a named individual, or an organisation (usually with an advocacy role), known as a corporate appointee. 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. 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. We explain the following: Firstly, you shouldnt expect the PIP assessor to be favourable towards you. PIP telephone assessment. Am I eligible for Employment & Support Allowance (ESA)? 1.6.15 The HP must document the symptoms and history of the condition as described by the claimant. Thread starter Seriously; Start date Dec 15, 2020; Prev. 1.6.41 Some examinations for example, of the lower limbs might be carried out with the claimant reclining on an examination couch. 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 cannot document any observations made outwith the consultation. You can learn more about having an assessment at home by buying this book on this website. Citizens advice. How much Universal Credit can I get for mental health? The DWP will use evidence from the. PIP can be paid to those who are in full or part-time work as well as those out of work. 1.7.25 Should the HP fail to obtain an unequivocal answer to whether the claimant is terminally ill or their prognosis, their advice to the CM must be founded on the balance of medical probability, which should if possible be evidence based. After your PIP assessment with questions on mental health, the DWP will assess the following information with the supporting evidence if you are eligible: The DWP will give you a letter if you have claimed your PIP or not according to your PIP assessment report. 1.9.6 If there is more than one relevant functional condition, the prognosis should take account of the effects of all conditions and the added impairment resulting from any interactions that may occur. The Optimistminds editorial team is made up of psychologists, psychiatrists and mental health professionals. Notes on what you want to explain during your assessment. For urgent help, please see Help & contacts. 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. someone goes out with you. 1.6.64 A claimant may make a covert recording of the consultation without the HP being aware. We use your sign-up to provide content in the ways you've consented to and improve our understanding of you. Nine months later both lower limbs were amputated following gangrene secondary to peripheral neuropathy and he applied for PIP again. The claimant must not be coerced into giving consent when he/she is unwilling to give it and it must be a positive opt-in for example it is inappropriate to say things such as unless you agree to a report from your GP being obtained we cannot advise on your claim. SREL referrals must be completed and returned to the DWP within 2 working days. He lives in supported accommodation and there has been no change to his functional ability in the last few years.

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