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Pip review decision appeal

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2 years 1 month ago #278375 by Pixiegirl
Pip review decision appeal was created by Pixiegirl
Hi, I have a query regarding PIP payments if you request a mandatory reconsideration or take case to appeal. I am on standard for both components and have recently had the PIP review which recommends the same again. This is despite my conditions worsening and being unable to work now. I have been placed in the support group for esa and qualified for my work based pensions on I'll health grounds which stated I wouldn't be fit to work again until normal retirement age. All evidence sent in was ignored and the hcp report uses the fact that I am still able to drive to justify me being able to do all activities just with the use of aids and no help or not being able to do them at all. I only drive 1 day a week now usually, due to the effects and only short familiar distances. I am trying to weigh up whether I can afford to take it to appeal. Will my present payments be stopped if I appeal the decision? thank you

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2 years 1 month ago #278399 by BIS
Replied by BIS on topic Pip review decision appeal
Hi Pixiegirl

If you put in for a Mandatory Reconsideration, it will not impact your current award. You will continue to be paid standard for both parts until the result of the MR.

Remember that PIP and ESA are different benefits, so the fact that you have been placed in the support group does not mean that you would automatically be awarded enhanced PIP, as they are looking at different things.

Driving so often causes problems with PIP applications, and it is frustrating for people. LL26 wrote an interesting article for someone else about driving benefitsandwork.co.uk/kunena/10-dla-esa-...8543-pip-and-driving. I don't know whether there's anything in there that you can use for your response.

The DWP are not supposed to penalise people because they drive, and they are supposed to look at the whole picture - make sure that you have checked the information in the guide to PIP claims and reviews benefitsandwork.co.uk/guides-for-claimants/pip - page 82 and what the Tribunal has said. That information should help you form your argument.

If you decide to put in for your MR and have any further questions, come back and ask, and we'll try and help.

BIS

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2 years 1 month ago #278411 by Pixiegirl
Replied by Pixiegirl on topic Pip review decision appeal
Thank you for putting my mind at ease finance wise. Yes doesn't seem a very fair comparison especially as the only means of getting around in the rural area where I am is by car. I will have a look at the information you have directed me to.

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2 years 1 month ago #278473 by LL26
Replied by LL26 on topic Pip review decision appeal
Hi Pixiegirl,
You may well find some help in the ' PIP & driving' article that Gary kindly pinned up for me. Aside from the physical aspects of driving, remember that all descriptors refer to what happens for the 'majority of days', so even if you do drive on a few days, this should not matter as it will not reflect the majority pattern.
The ability to drive is not a test for PIP. There is nothing in the rules that gives points for being able to drive or indeed for not being able to drive! Driving reflects the ability to go out and about on a journey. (Although as we all know DWP use the ability to drive to indicate physical and cognitive ability to prove you can do other activities.)
Focussing solely on going on 'journeys', why do you use the car? Can you use public transport - if not, why not? Do you have someone with you - why? Why can you only use the car once a week? Is this because driving is tiring physically, is it because you get anxious or overwhelmed when going on a journey and it is all you can manage? Maybe the car is a safe space?
Try to explain the use of the car to fit in with the 2 mobility descriptors. If your car is the only way you can get around, due to mental and/or physical health if you can explain the use this may be useful to show you should be awarded points under one or both mobility sections. Remember that journeys under descriptor 1 need to be considered holistically. A PIP 'journey' can be a short stroll to the nearby post box or a road/train trip to the other end of the country to visit relatives etc. Every journey, aside from the very short walking sort, will be hybrid journeys - it will involve a few steps to a vehicle, a drive/ride somewhere then a few steps at the other end. The 'few steps' could literally be one or two steps to take you from the bus/car etc and into the adjacent building, or to the front door of your house, or it might be a longer walk from a car park into the shops, and of course back again. You will need to consider how you perform/manage all aspects of the journey. If you can demonstrate difficulties that fit within one of the descriptors it only has to be for 'the majority of days', if on any day you can't do a journey (or actual walking per descriptor 2, or any daily living descriptor) safely, AND in a reasonable time, AND to an acceptable standard, AND repeatedly across the whole day as many times as reasonably required, then this will be a day to count towards the majority pattern.

Worsening health doesn't always mean that you can gain extra points on PIP. Walking ability is a very obvious example. Descriptor 2b gives points if you can only walk 50 -200m. If originally your ability was say 190m your ability could deteriorate to 60m, which would be considerably less than before, but unfortunately you would still fall within the same points level. Similarly if you can't bend very well and need help to put on your lower body clothing, but now your hands have become more arthritic and you can bend less, your health is worse, but again it is still likely that you will retain the same 2 points under descriptor 6 - dressing. The examples given show a deterioration, but sadly won't allow more points. To gain more points you would need to show that you can not perform a higher rated activity in the same descriptor, or a totally new descriptor now applies. Remember the majority rule and the 4 criteria which have to be met. I think it is important to have in mind what descriptor could apply, so what you are aiming at. Be realistic. Refer your own medical reports, if you have these. Politely criticise the assessment report. (The assessor will have 'misunderstood' or 'ignored' certain items - I very much doubt there will be evidence he actually lied, and there is no point trying to suggest he did.)
Remember also if two or more activities in one descriptor set apply, your score should be the highest value when each apply equally, or the most prevalent value if unequal. The members guides provide a lot of great information if you wish to explore any of these general concepts or to consider individual descriptor tests.
It is always frustrating when you feel that DWP has not taken into account the full extent of all your health issues. If you are confident that you should now receive extra points then it is certainly worthwhile making an MR request to get the extra points and therefore hopefully extra level of PIP payment.
I hope this helps.
Good luck!

LL26

Nothing on this board constitutes legal advice - always consult a professional about specific problems
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2 years 1 month ago #278532 by Pixiegirl
Replied by Pixiegirl on topic Pip review decision appeal
Hi LL26
Thank you for taking the time to give such a detailed response it will be very helpful.
I scored points on the moving around part descriptor d. I had ticked e and believe this is what it should be now. My walking speed is 0.5m/sec which is what I told the assessor but it wasn't noted down on report, but just says very slow pace, I also don't go out very often now due to my conditions. I only usually drive once a week (noted on report) because of the effects of doing so which are increased pain and fatigue. Thus I wouldn't feel safe and capable to do much more. The reason given for not supporting my opinion is that "it's inconsistent with the SOH showing she has regular use of a manual car" So basically saying I can walk more than 20m reliably because I can drive 1 day a week.
The planning and following journey contradicts as it says "although not driving, this is related to physical health and she hold a driving licence. No reported cognitive, mh or sensory impairment" This isn't true as reported fatigue (mental and physical), due to my conditions, is very debilitating and affects cognitive functioning greatly. Although effects vary throughout the day.
Likewise I can't get into or out of a bath due to joint damage but this isn't supported as " SOH shows drives manual car that can get in and out of herself, this indicates that she could get in and out of a bath with suitable aids" This is despite these being totally different movements and I couldn't get into a bath the same way as I get into a car and can't kneel or have upper body strength to pull up out of the bath. The theme is the same for all descriptors.
I was questioned extensively on driving and journeys but a lot of what I said isn't written in the report.
I'm just stressed out with how things are manipulated and portrayed, which is worsening my conditions at the moment.
Thanks again for your response
Pixiegirl
The following user(s) said Thank You: denby

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2 years 1 month ago #278552 by LL26
Replied by LL26 on topic Pip review decision appeal
Hi Pixiegirl,
If you do MR mention all the things you have said in your post above. Emphasise your walking speed. If you Google average walking speeds there are a lot of scientific papers on this. I'm sure I remember the average pace around 1.3m/s was the effective rate. (The reason why walking speed is important is that pedestrian crossings need to accommodate slow walkers otherwise they are danger of missing the lights and being knocked over.)
Pace changes with age too. However at 0.5m/s you appear to be more twice a slow so can't do 'reasonable time'. It isn't wrong to quote prooer scientific papers ( never use Wikipedia!) Make sure you cite the correct reference. You can just copy the link.
Bathing is more difficult than getting into a car. You are seated in a car and there is less edge to get over, plus you can use the door for support. A bath is a shiny curved surface with a deep edge in a slippery wet environment!!!!
It is definitely not the same.
Give detailed explanations how you can or can't do the activities, the help required and what can or does go wrong without the help.
Good luck.
LL26

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