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PIP Appeal - Directions Notice

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2 years 2 months ago #267971 by Red
PIP Appeal - Directions Notice was created by Red
Hi Everyone,
Newbie so please bear with- I did try to post earlier but can’t see the post, sorry for any duplication!

I’m currently going through the appeals process, my oral hearing is a little under a month away. I scored 0 points at assessment and 1 point at MR. previously had high DLA, and went through PIP tribunal and won got significant back pay and enhanced PIP award for 2yrs.

My issues surround mental health, 1 being a significant illness, since this process began my GP has referred me for ADHD & Autism diagnosis, diagnosed me with hypermobile syndrome most likely Ehlers-Danlos, chronic fatigue syndrome and fibromyalgia.

This information was given before Mandatory reconsideration decision was made. The DWP knew this information was incoming, they said I’d need a drs note to prove it. Ironically the day before my GP letter arrives they made the MR decision- despite me calling on the “decision” day and them saying it hadn’t been made and they could see my GP letter sat there.

I ask for a decision maker, and if my ADHD/Autism diagnosis would make any impact on my claim, they said no- reapply and appeal. At the same time, they upped my award by 1 point.

I get the MR decision through, log my appeal etc. I submit a 4 page document tackling every piece of criteria and explain why I think I meet that score. DWP send 355 pages of bulk (incl. my full DWP history from 2012) and addendums.

I noticed they’re saying they can’t take into consideration my ADHD/Autism diagnosis as it came in after the decision, as per section 8(b). HOWEVER they’ve put the wrong decision date down- they’ve said 1st decision was made in may, when it was in July, and not included MR in October which is another decision. This is something I will obviously be tackling in court.

I requested my appeal to be done via paper- however I would be available for an oral hearing if necessary.

I received a directions notice stating the Judge had looked through the papers, and although I’ve requested not to attend- they will be proceeding with an oral hearing, they will continue without my presence if necessary.
Due to the complexity of the case, they will be allotting 2 hours for the hearing. There were no further instructions for DWP or I. The hearing was booked 2 days later.

In my last appeal, it was for 30 minutes only, I also didn’t receive a directions notice for it.

I’m genuinely not sure I could tolerate a tribunal for 2hrs. My last one was for 30 minutes and I was in bits- I think this will really be dangerous to my MH, especially if it doesn’t go my way. No amount of support will help, I feel sick thinking about it.

Why would they extend it that long? Is this unheard of?

Also with the section 8 (b) does this refer to 1st decision only or inclusive of MR decision.

Any pointers or anyone with similar experience would be helpful- I’m advocating for myself on this one.

TIA

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2 years 2 months ago #267972 by LL26
Replied by LL26 on topic PIP Appeal - Directions Notice
Hi Red,
PIP awards are based on disability rather on labels. Therefore whether you have a heart condition, back ache or autism and eg need help with cooking you should all get points. Some people are unwell or struggle with certain activities and have not had a formal diagnosis. Does it mean they now can't cook or wash themselves any worse or better since their diagnosis? Of course not! However DWP like labels, it's as if you can't be properly disabled without a label, or without a diagnosis.
I think you are referring to s12(8)b Social Security Act 1998. This is a rather weirdly worded section, that basically says a decision maker can only take into account facts pertaining at the time of the decision. (Here would refer to the first decision on the renewal claim.) Basically this means if you suddenly get a new illness after you have appealed it can't legally be taken into account. (In this example you would get PIP and then ask for a higher award later, based on the additional problems from the new illness.) However, DWP seem to think you actually do have a new illness, after all you have a diagnosis now! But knowing how long it takes to get a GP appointment and then a specialist appointment, I am certain that even if this was a really new illness then the symptoms would have been in existence for several months. Moreover, the conditions you mention include autism and ADHD. My knowledge of these conditions are that they tend to exist from birth. I suspect you may have always wondered why some activities have always been difficult, and finally the doctor confirms these problems, and gives it a name, or a label. DWP just see the diagnostic label, and don't look behind it or even consider how it may have come about.
This scenario does not fall with s12(8)b. A new diagnostic report of an old health problem doesn't comprise a new illness. The diagnosis merely explains what has been going on for a long time. Therefore there is no need to reapply or start again. All the new medical reports should be admissible.
Don't worry about the existence if the Directions Notice. They are used fir case management, to ensure parties have sent in the correct documents or observed time limits etc. There us clearly a lot of paperwork to go through and no doubt the tribunal office felt a slightly longer hearing woukd be appropriate. Thus may also have arranged to facilitate sufficient time to allow breaks etc which may help you be properly involved in the hearing.
I'm guessing that the large amount of paperwork is previous PIP papers for you Maybe original claim and decision etc. This would normally be required by the Tribunal. (If DWP hadnt previously supplied these, this could be another reason for the Directions Notice.)
Whilst I appreciate you may struggle to read all the papers, try at least to go through and work out what everything is. So, you know there are eg 40 pages of original claim, 12 pages of decision notices, etc etc.
I have been advising clients where I work where DWP have completely ignored previous tribunal hearings, and these are not even mentioned in the papers. So check! In these cases, (yes, sadly more than one!) DWP said they had made the same decision, because nothing had changed. Therefore no explanation was required why the benefit award had been reduced! DWP should however have addressed the reduction in benefit.
Since your previous tribunal award have your disabilities become worse or otherwise changed? If so, then there is even less reason for DWP to reduce your award!
You can choose to attend the hearing, and I woukd certainly recommend you do this. An oral hearing has been set up, and again this may have been done so you can give evidence. I appreciate that it may be difficult, and 2 hrs sounds very daunting. (Remember that is only a time slot, not necessarily the actual hearing length and may well also include decision making time.)
You haven't said what sort of hearing this is. If this a phone or video hearing, you can be comfortable at home, so is much easier than having to go to a court house etc. You are allowed to have a friend, relative or representative with you. A friend could be your representative and shoukd be able to answer questions on your behalf. I suggest that you attend the hearing. Explain to the tribunal you have difficulties and nah not reach the end if it becomes too difficult. Your friend can continue with the hearing, even if you can't.
Many tribunals are won simply because the panel can see and/or hear the claimant and that creates much more impressions than reading a great wadge of papers!
However, you can help the tribunal to understand your difficulties. Write a statement about your diagnosis, how it came about, and particularly why it was so late in life. (Was there a recent incident that led to this perhaps, had you always realised you had autism but never had an opportunity for an assessment etc.) Confirm that the diagnosis reflects a long standing condition and hence does not infringe s12(8)b.
Explain your previous DLA and PIP including award notices and Tribunal decision notices if possible, and certainly if DWP hasn't. Refer to the notices. Tell the new Tribunal what happened, whether disabilities have worsened/when/how etc. Explain why you might have difficulties at a hearing.
Then if you haven't done so at MR

Then you might want to criticise the DWP assessment if not done at MR. Don’t criticise everything. Pick the most important points and use them as bullet points.
Eg
•Assessor overtalked and didn't listen to my answers, or let me finish when I was struggling to answer
•assessor repeatedly uses cut and paste which makes incorrrct assumptions
• assessor says I don't take medicine so my condition isn't serious -but according to my GP there is no suitable medicine
Etc etc
You might then want to go through each descriptor and say why DWP score is wrong and what should have been scored.(Maybe explain previous points from Tribunal.)
Friend/relative can make a statement telling how you struggle with PIP activities and what help ir support is given or needed. You may want to have another look at the Members guides for further guidance about the descriptors.
Try not to worry
Let us know how you get on.
If you need further help let us know we will endeavour to help. If you do not understand anything at the hearing say so and the Tribunal should explain.
Good luck.
I hope this helps.
LL26

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