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PIP review AR1 time frames

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4 years 11 months ago #230934 by Gordon
Replied by Gordon on topic PIP review AR1 time frames
zaib

If it misses the assessment then I would still send a copy to the DWP office dealing with your claim with a covering letter explaining what has happened, it can still be considered for the Decision.

Gordon

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4 years 11 months ago #230961 by zaib
Replied by zaib on topic PIP review AR1 time frames
Thank you so much Gordon. It has helped me a lot to calm down and not to worry too much about the home visit going ahead as sceduled by IAS.
Regards
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4 years 10 months ago #232895 by zaib
Replied by zaib on topic PIP review AR1 time frames
I did not follow up with GP I dont know if they replied PIP questionnaire I was so bogged down had so much pain so many hospital/doctors appointments and so distressed . The HP home visit happened as scheduled last month and a decision just received . I am disappointed I just missed enhanced rate for both by the narrowest margin. got 11 points for living and 10 for moving about acttivity though I am now home bound and need wheeelchair to mobilise .

I will request a full HP report tomorrow.
Going through the decision I noted I have 1 point for help re managing medication
( descriptor b). I have several physiotherapies , eg post cancer surgery physiotherapy , back shoulders and other limbs for artheritis /spondilysis and pelvic health physiotherapy for pelvic pain each one of physiotherapists prescribes home excercises to be continued to relieve pain and movement restrictions . I consider this regime is "therapy" as I believe it meets definition as a theurapeutic activity at home to relieve pain etc . And I need same help from my husband for this "therapy" regime as accepted for medication if I can ask for reconsideration to higher descriptor C I may get the 2nd pointt for this activity . In addition to home excercises regime, on my GP referral to local sports and leisure facility under local Council arrangement for supervised activities I attend aqua , yoga and light gym excercisesnto relieve pain movement restrictions and depression /anxiety , The facility in theit feedback report to GP ( copy submitted with PIP form , acknowledged need for help/monitoring . But in HP assessment no question was asked about this . The only
question was for medication.No points have been awarded for therapy part.
Again for the washing and bathe I got only 2 points . Though I claimed in the form I have balance problems (implied vulnerable to fall) incidentally on the day I had a broken nose and bruised face from a fall 3 days ago when I lost balance trying to come out of wheelchair and fell over in confusion on my face with broken nose (described by A&E head injury ) .
A &E record for incident was shown to HP and previous falls confirmed when they asked are you vulnerable to falls .Also explained I am a high risk being on asprin (due to heart disease) any head injury can cause brain internal bleeding. And fractures are more likely to weakened bones from osteoartheritis - Hence need for help moving at slippery/wet places .
Regarding wash /bathe I also stated I needed help from husband for washing hair and back as my one arm is weak / shoulder restricted arm pit painful from cancer surgery and the other weak from arthritis When asked do you need help to get in and out of bath/shower I said yes pointing to my husband sitting next . But I got 2 points I did not get 3 points . Perhaps there could be a comminicating problem.
If I could get the 3rd point for assitance in and out of bathe it would enhance Award .
My score for going out activity remained zero though my need to have an escort has now been accepted by NHS transport on GP report) My GP report ( which lists diagnosed anxiety depression stress panic attacks and confusion) says She is unable to go out alone and is helped by her husband to do so. Though I claimed I cannot plan and follow an unfamiliar route without another person but if I were considered for a lower descriptor with 4 points I could be through to enhanced rate.
I need advice please if my above submissions would merit reconsideration by DM.
Regards

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4 years 10 months ago #232948 by Gordon
Replied by Gordon on topic PIP review AR1 time frames
Zaib

I can't say, based on the information you might provide in the forum whether you should request an MR but I can make some general comments.

Do you have written confirmation from a Consultant, GP, Physiotherapist, etc. that you need to do these exercises, what you need to do and how often.

You don't explain what supervision, prompting or assistance you require from your partner and why!

The activity away from your home will not help you score and may have actually confused those assessing you as to what you actually do.

Those assessing you will look at the risk of an injury and the likely severity of one when looking at whether you can do an activity safely, I think they will take the view that a wet floor is avoidable, at the least, you will need to expand on the need for help.

Problems with washing your hair will only score you two points, you might be able to score higher for issues washing you back but you will need to show why you could not use an aid to help you do this.

The Going Out activity looks at three things.

Planning a route - this is primarily a cognitive or sensory (e.g. blindness) activity. You are being asked about the problems you would have with working out how to get from one place to another, you do not need to be able to follow the route that you are planning.

Undertaking a Journey - this is to do with mental health issues such as agoraphobia and social anxiety and is concerned with you leaving the house to go somewhere, they will be interested in the things that stop you doing this. You need to show that you would suffer "overwhelming psychological distress" to meet the criteria.

Following a route - This activity about the problems you would have navigating a route. So are there problems; cognitive, sensory or mental health issues that would prevent you from doing this? This is different from undertaking a journey, in fact, if you cannot undertake a journey then you will not score points for following one and vice versa.

Gordon

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4 years 10 months ago #232965 by zaib
Replied by zaib on topic PIP review AR1 time frames
Thank you Gordon , I agree I may have confused things unnecessarily with that bit about excercises away from home even though they were on GP referral .
Yes I have written named confirmation from a specialist Women Health Clinic Physiotherapist, that I need to do illustrated exercises, and what I need to do and how often. It is to be done at home and is ongoing for a Vulva pain condition that I may have to live with . So it is life long
As for the MSK physiotherapist (s) gave me NHS printout of excdrcises that I need for my back and shoulder(s) . I have one MSK letter stating I need to do these excercises to relieve arthritis pain . It may not be as precise and patient named as the Women health clinic one is. MSK mostly give verbal advice about what , how and how often to do .I might request GP notes though .
As for
You don't explain what supervision, prompting or assistance you require from your partner and why!
In the AR! form I inadvertantly ommitted to claim these home excercises though it is fact and are so medically advised. Probably I myself got confused with that away from home bit and forgot the home excercises assuming it is understood.
But in my original claim form filled 2 years ago I had claimed I need to be reminded and motivated to do these excercises for back etc everyday because I am often very depressed and need supervision being fearful of breathlessness because of my heart disease. Though I did not get any points then .But this time I got one point (for medication ) which recognizes some help need . It may perhaps be extended to next point.
The Women health clinic physiotherapist verbally asked my partner to supervise me excercise at home as I tend to do some routines incorrect that may in fact be counterproductive.
The fact of the matter is that I cannot and have not undertaken any unfamiliar journey alone. I dont know how to present /explain it to fit the criterion of the 3 things comprising Going out .
In Moving about activity I scored 10 poits for over 20 meter descriptor this I believe corresponded to position on the dateof Awar retrospective from December last when Review form was sent out to me . However My further mobility restriction of 1 to 20 meters (12 points) is from the sudden onset of a complicated Pelvic pain disease now requiring wheelchair to mobilise . The assessor seemed to agree to my present situation on the day of assessment in May . But the DM seems to have ignored all changes occuring subsequent to December Review date even if present and recognizable on the day of HP Assessment in May . As for prognosis there is presently no known cure for the this condition and even symtomatic treatment is difficult . I explained to Assessor I may have to live with it and she seemed to recognize this position but noted the date of diagnosis in Consultant Clinic is in April .
I am afraid they would not have been able to see how to go about this time frame issue. The new award is to December 2027 ( who knows ) stating by then my circumstances may change . I will be 65 early next year and of pension age in 2021. But I dont have the stomach to trigger any change of circumstances next year. I am already too stressed I can compromise to accept whatever it is . At best perhaps I would think of requesting someone to possibly do a reconsideration of this Award for me. . Sorry it is all so confusing .
Regards

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4 years 10 months ago #232970 by Gordon
Replied by Gordon on topic PIP review AR1 time frames
zaib

You appear to have the evidence to argue that you should score higher for Managing Therapy.

It's less clear about Moving Around, using a wheelchair will not help you score they are still going to look at the distance you can walk, so if this is now 20m or less then you need to concentrate on explaining this.

Your thinking for Going Out is muddled, you say you cannot go out alone but are then trying to score for being unable to follow a route, these two tasks are mutually exclusive of each other, you can only score for being unable to undertake a journey or for being unable to follow route, not both.

Also, for both of these, you would need to suffer "Overwhelming Psychological Distress", you have not suggested that your issues are this severe.

Are you actually prepared to challenge the Decision?

Gordon

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