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HELP WITH MANDATORY RECONSIDERATION

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7 years 2 months ago #180467 by Gordon
Replied by Gordon on topic HELP WITH MANDATORY RECONSIDERATION

natalia wrote: So how can we prove this happened or did not happen?


Two things, first of all state that these things did not happen or are incorrect, secondly refer back to your evidence!

So something like; he did not walk 25m, the distance was know more than 15m and he had to stop twice due to breathlessness, this is consistent with the evidence that we provided on page X of the documents attached to his PIP2.

Be aware that the revision rate for MRs is quite low so you may need to go to appeal, but Tribunal panels take a much more balanced view of evidence.

Gordon

Nothing on this board constitutes legal advice - always consult a professional about specific problems
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7 years 2 months ago #180481 by natalia
Replied by natalia on topic HELP WITH MANDATORY RECONSIDERATION
Oh no!! big mistake from our part. My husband has just told me he has given the only copy we have of the PIP2 form to the GP. I don't know what page is what page now....I wonder if the GP will be able to make a copy for us.

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7 years 2 months ago #180673 by natalia
Replied by natalia on topic HELP WITH MANDATORY RECONSIDERATION
Hi, I am not sure if this is ok to do but I am pasting here a copy of the letter I'm planning to send for MR hoping someone can give me advice on it?

name
adddress

National Insurance Number:
6/02/2017

Dear Sir or Madam
I am writing to you to request a mandatory reconsideration following your decision letter dated 23/01/2017 for my husband’s Personal Independence Payment claim.
We believe my husband was not able to give a full and accurate account of how his disabilities affect him most days as unfortunately at the beginning of the assessment we were instructed to be brief and therefore we feel you did not have all the necessary information in order to make a fair decision.

Conditions/ disabilities: Stroke, COPD, Asthma, IBS, Henoch-Schönlein purpura (HSP)

We are asking you to reconsider the following activities:
Mixing with other people.
Since suffering a stroke my husband does not socialise and he not only needs encouraging and prompting to engage with other people specially those he does not know but he also needs the physical and emotional support form a family member or a close friend. When going to the GP or other appointments he needs a family member to go with him. This is because he struggles to get his words out and he also finds it very difficult to process information. He gets more fatigued and his memory is therefore affected and because of his poor concentration and won’t be able to retain the information given to him. This makes him feel extremely anxious and distress so much so that he gets very sweaty and restless. This happened to him during the assessment and he asked for the door to be opened to let some air in. Sadly, the HCP refused as she felt that by doing so the private nature of the assessment would be compromised.
Also under the pressure of having to quickly respond to all the questions, unable to have enough time to process all the information and feeling by that time terribly fatigued anxious and agitated my husband scratched himself to bleed. Kindly the HCP offered him tissues to dry his blood.
My husband was awarded 0 points for this activity and we believe he should be awarded 4 point (needs social support to be able to engage with other people)

Making budgeting decisions.
After the stroke my husband finds it extremely difficult to process and retaining information, so he most days forget to do things he has been asked to do.
In respect to this activity, my husband has a bank account where his DLA gets paid into and I help him set up a direct debit for his phones payments to come out so he does not forget to make payments in time as he has done in the past. An example is one to do with school dinners. MY husband forgot to make several payments for my son’s school dinners and I only found out when the school administrator told me we owed over £92. When I asked my husband about it he had no answers as he simply had forgotten he forgot to make these payments. I therefore take car all budgeting decisions.
My husband has been awarded 0 points for this activity when we believe he should be awarded 6 points (cannot make any budgeting decisions at all)


Planning and following a journey
Because of the stroke and the COPD my husband suffers from extreme fatigue from the moment he wakes up to the time he goes to bed. This happens most days if not every day. This has an enormous impact on his mood, level of alertness and concentration and therefore affects his ability to complete or perform most activities reliably; safely, repeatedly, in a timely manner and to an appropriate standard.
When going out my husband suffers from severe anxiety and distress. Sudden loud noises like car horns, car doors slamming, sudden shouting etc. frighten him making him to grow more anxious and loose his balance, coordination and concentration.
Because of the stroke my husband suffers from a very unsteady gait and dropped foot. This make his walking to be very poor and he stumbles a lot. He has had several falls and when this happens he is unable to help himself up making him feel extremely vulnerable and very afraid. Recently his GP asked him to consider the possibility of getting an assistance dog as she believes this would be extremely beneficial for both is metal and physical health and wellbeing. It is because of all these reasons my husband is not able to follow any route familiar or unfamiliar on his own safely, repeatedly and to an appropriate standard.
My husband award for this activity was 0 points. We believe the award given to him should be 12 points (Cannot follow the route of a familiar journey without another person, an assistance dog or an orientation aid)

Moving around.
Because of the stroke, my husband walks at a very slow pace, with a very unsteady gait and need the use of a walking stick. He also suffers from COPD and asthma which makes him breathless after taking only a few steps. Henoch-Schönlein purpura (HSP) is a rare condition in which blood vessels become inflamed resulting in a rash and joint and stomach pain. Particularly, the ankles and knees get swollen and a brushing-like rush appear and walking becomes extremely painful. All these conditions affect my husband most days if not daily and he is therefore unable to walk more than 20 metres, sometime even less without having to constantly stop due to breathlessness and severe pain. Most days he needs to take very long breaks between very short walks as pushing himself to do more will mean he needs to take at least a couple of days rest for the inflammation and rush to calm down.
On the day of the assessment, we parked the car on the side road of the building and walk the distance to the entrance. During this short walk my husband had to stop several times due to breathlessness and pain in his legs. Inside the centre my husband walked a distance of no more than 15 metres to the assessment room also having to stop at least twice to catch his breath and rest.
Whist my husband is not able to walk more than 20 metres reliably; safely, repeatedly, to an appropriate standard and in a timely manner, he has been awarded 10 points.
We strongly believe he should be awarded 12 points (Can stand and then move more than 1 metre but no more than 20 metres, either aided or unaided)




We have also enclosed a letter from a health professional (GP) supporting our claim to further assist you in the reconsideration.

I would be most grateful if you could inform us of progress in this matter and advise me whether I need to take any more steps to deal with this as soon as possible.

Yours faithfully


[Insert your name here]
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7 years 2 months ago #182406 by natalia
Replied by natalia on topic HELP WITH MANDATORY RECONSIDERATION
@Gordon I can now tell you that our Mandatory reconsideration has been rejected. as in Nothing has changed so we have to appeal.
In the end we did not send this letter I posted here as a member of Welfare rights help us with it. In his letter there was nothing mentioned about the poor assessment given, the wrong or false details, the missing information....

Don't get me wrong we are not saying we would have than better and we appreciate the help but we feel that now the court should now about all this?. Because in our minds it is the lies and omissions in the assessment report that hurt and feel that had she written down the truth we would not be here right now? What do you think?

Should we now include this letter we put together as part od the evidence for the appeal. Should the panel read it? Would it help at all? Welfare Rights have said they will help us Prepare for the Tribunal and our GP has said she will right a strong letter and send it to the Welfare right as her evidence. He have not had anything from the GP till now as we did not think it was needed, how wrong we were and how naive to think that by being totally honest we will win. And we are not saying we should have lied but perhaps we gave too much information rather just just being precised .
We know that the reconsideration was made on the 17/02/2017 but we are still waiting for the letter. We are also concern that if this letter takes too long to arrive we might have very little time to prepare as we cannot start with the appeal process till we have the MR letter?

What can you advice us now?
Many thanks!!

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7 years 2 months ago #182416 by Gordon
Replied by Gordon on topic HELP WITH MANDATORY RECONSIDERATION
Natalia

As you have access to face to face advice you really need to raise these questions with them first.

I can only repeat what I have said before, an award will only be made by you showing that you meet the criteria, arguing the content of the report may be part of your doing this, but will not in it's own right result in an award.

Appealing is in usually in two parts.

You request the appeal with basic reasons for your appeal and when you have received the DWP's submission you make your own with detailed reasons for an award.

Gordon

Nothing on this board constitutes legal advice - always consult a professional about specific problems
The following user(s) said Thank You: natalia

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7 years 2 months ago #182651 by natalia
Replied by natalia on topic HELP WITH MANDATORY RECONSIDERATION
HI Gordon,

I have spoken to Welfare Rights and they have assure us that if they did not thing we have a chance they would have told us as they have many cases to go through. That is good to hear.
I downloaded the File"Ways to challenge a PIP medical report" and I felt that it was exactly what we needed. Bring to their attention the discrepancies of the assessment hoping to put a strong appeal case and even get a chance for the DWP to change their decision and stop appeal.
But the answer from the Welfare Rights person was that we should not over complicate matters with these things as the Courts have seen and heard it all before? That we are only arguing the mobility "plan and follow a route" So if we don't write all these things down on the appeal letter on what basis are we appealing? Am I missing something? I know they have many years experience but i don't understand how we should not tell the court that the DM decided that my husband could walk 20meter based on a false observation and only that. Nothing else. The HCP said she saw my husband walk 25 meters to the room without stops (lie) and the DM says "i have decided you can walk 20 but no more than 50 becasue the HCP has told me so". For sure if we measured the distance and proof it was less than 20 meters that should be enough for the Courts to say that his decision was based on inaccurate/false information?
Apologies for my frustrations and maybe "tone" but my husband feels so impotent and let down but the system. And when I am told that we don't need this for the appeal I am totally lost.

Can you please give me your advice? Am I missing something?

Natalia

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