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4 years 2 months ago #243864 by Bud
As expected was created by Bud
partner had assessment in November (sorry can't find original post), he lost his enhanced Daily Living & got just 6 points, & has just got Standard Mobility. We are going for an MR. Can you just guide me through what I do first please? What will I need for the MR, should I send a letter than I've previously sent in support, &/or more medical evidence? These people know exactly what they're going for, this will take away half of our benefits. Thanks.

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4 years 2 months ago - 4 years 2 months ago #243867 by Gary
Replied by Gary on topic As expected
Hi Bud

We hear on this forum from many members who have lost their entitlement when going from DLA to PIP.

PIP was engineered to be a more difficult to award than DLA, many DLA claimants will receive vastly reduced awards or even no award at all on transfer.

DLA looks at generic care needs in regard to bodily functions, PIP looks at the claimants specific ability to carry out an activity such as eating. DLA was awarded because the claimant needed an amount of care (in time) during the day, the night of both, to help them with that bodily function. PIP looks at the claimant's ability to complete specific tasks within the activity and is points-based, these are clearly defined and it is easy not to score points because the claimant has not shown that they meet those specific criteria.

DLA treated the use of aids as a reason to reduce the amount of care needed, PIP treats aids as an indication of disability and in general they score extra points.

DLA's care need was reasonably generic, PIP treats prompting, assistance and supervision as different activities and as a result, they can score different points.

DLA required that the care was required for the majority of the time, for PIP it is the majority of days.

For PIP activities must be completed reliably, this means

• Safely – in a fashion that is unlikely to cause harm to themselves or to another person.
• To a necessary and appropriate standard – given the nature of the activity.
• Repeatedly – as often as is reasonably required.
• In a timely manner – in a reasonable time period.

Although DLA considers these terms, they are poorly defined as they are implemented through Case Law rather than being defined in the legislation as they are for PIP.

Referring to any more recent evidence you have is more useful.

The first stage to challenging a Decision is for you to request a Mandatory Reconsideration, this needs to be done in writing to the DWP, within one month of the Decision, to the office that dealt with your claim, have a look at our PIP Mandatory Reconsideration & Appeal guide for details of the process, the PIP area also has template letters that you can use to make the request with.

www.benefitsandwork.co.uk/help-for-claimants/pip

You should contact the DWP for a copy of the assessment report ( if you have not already done so, I would phone them but again follow up the request in writing. Once you have the assessment report you will have a better understanding of how the DWP Decision Maker has come to their conclusions and will then be able to argue against them.

Your primary task is to show that you meet the criteria, there are many reasons you may have failed, you need to address each of these but don't get bogged down in criticising the assessment report unless you can clearly show that it is incorrect, it is a lot easier to argue the facts of the situation;

"the assessor recorded that I walked 50m, I did but they have failed to document that I had to stop every 10m for a rest due to breathlessness"

than their opinions

"based on my observations of the claimant walking I believe that they can reliably walk more than 200m.

When you have a better idea of the issues with your claim, come back to the forum and we will do our best to help.

What you have to remember is that DLA descriptors are different to PIP, PIP is a lot more stricter
especially mobility component.

Gary

Nothing on this board constitutes legal advice - always consult a professional about specific problems
Last edit: 4 years 2 months ago by Gary.
The following user(s) said Thank You: Bud

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4 years 2 months ago #243870 by Bud
Replied by Bud on topic As expected
Hi Gary

Sorry I didn't explain properly, he was on PIP Enhanced Daily Living, & Standard Mobility. He didn't go from DLA to PIP.

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4 years 2 months ago #243876 by Gary
Replied by Gary on topic As expected
Hi Bud

We have very good guides which will help you with MR, when you click on the link below move your cursor down until you see PIP Appeals you will then find a 23 page guide on challenging PIP decisions through Mandatory Reconsideration and Appeal

www.benefitsandwork.co.uk/help-for-claimants/pip

Gary

Nothing on this board constitutes legal advice - always consult a professional about specific problems
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4 years 2 months ago #243930 by Bud
Replied by Bud on topic As expected
We don’t have much evidence from a consultant, just recent ongoing investigations. Due to my partner not feeling well, & not wanting to go to appointments because of anxiety, we have lots of letters saying he didn’t turn up. I cancelled the appointments every time & in good time, it’s not that we just didn’t bother going. Plus he’s can’t do group therapy due to anxiety. We have a letter from the psychiatrist saying that we were both happy for him to be discharged, this wasn’t true at all! The psychiatrist said that he was discharging him because he hadn’t seen him for a year, & his meds were stable. I did voice my concerns about this, but the psychiatrist said that he had other people to see with greeter needs. I’m thinking that these letters would do more harm for his claim then good, what do you think!

They do appear to think that because you make eye contact & can send a text that there’s nothing wrong with you. Would it be acceptable to say that you are ill not daft? My partner never sends text, we have one phone & I deal with anything from DWP. Plus just because he’s stable it doesn’t mean that there is no anxiety or depression, painkillers that he takes have side effects, one being fatigue. Could I say this in the MR?

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4 years 2 months ago #243933 by Gary
Replied by Gary on topic As expected
Hi Bud

I come across this on a regular basis, it is a bit of a catch 22 question. You do not not need medical evidence to get an award although it does help. I certainly would not send in any letters which stated 'we were both happy for him to be discharged' as that could be detrimental and not true.
If you do not have any medical evidence then you need to keep a day diary which you can use if you have to go to a tribunal, we have samples of day diaries in our guides such as 'Anxiety and depression extract' www.benefitsandwork.co.uk/help-for-claimants/pip
The first question I would ask is, do you have a copy of the assessors report, once you have a copy you can check for any inaccuracies.

A MR should give you the opportunities to correct anything that is incorrect in the assessment report, unfortunately this is not always the case and quite often the MR comes back following the original decision.

75% of cases that go on to the appeal stage win, which show you how poor the decisions have been made in the first place and I have seen some very very poor decisions. I was at a Tribunal a few weeks ago, 0 points from assessment, 0 points from MR, enhanced for both components at Tribunal even with a presenting officer from DWP present. So I say to everyone, do not give up, if you believe you have been unfairly treated.

When you have a better idea of the issues with your claim, come back to the forum and we will do our best to help.

Gary

Nothing on this board constitutes legal advice - always consult a professional about specific problems
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