PIP Renewal

I am a carer for my wife whos PIP is up for renewal. The first time we applied for PIP the medical assessor made things up, we had to do mandatory reconsideration and she got awarded enhanced daily living and standard mobility. We now are worried that she may have to go for another assessment. I have put together a supporting statement for her using the guides here. Shes scared about loosing her PIP as it has helped support her. Can someone look at this statement and advise if we did enough:

Prepared by: J O'Brien (Husband and Primary Carer)
Date:
NI Number: ***********
________________________________________
🧠 Medical Background
K has been diagnosed with:
• ADHD (Combined Presentation)
• PTSD
• Dyslexia and Dysgraphia
• Anxiety
• Mobility issues (knee and ankle pain)
She currently attends college 1.5 days per week, where her husband J works. During this time, J and his colleagues provide her with social and emotional support. However, for the majority of the week, K remains at home and is fully reliant on J for daily living support. Her ADHD symptoms include hyperactivity, impulsivity, distractibility, executive dysfunction, and emotional dysregulation, which significantly impair her ability to function independently.
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🧾 Daily Living Activities
1. Preparing Food
K cannot safely prepare food due to distractibility, poor coordination, and impulsivity. She has previously suffered a serious injury while cooking. She becomes hyper-focused or forgets steps, and cannot follow recipes due to dyslexia. Her husband prepares all meals.

Descriptor: 1e – Needs supervision or assistance to prepare or cook a simple meal.

2. Taking Nutrition
She frequently forgets to eat or drink due to hyperfocus and poor time awareness. She requires daily prompting and reminders.
Descriptor: 2d – Needs prompting to take nutrition.

3. Managing Therapy or Monitoring a Health Condition
K uses a pill organizer but forgets to take her medication without prompting. She has taken incorrect doses due to distraction. She also needs support to attend therapy and manage her treatment plan.

Descriptor: 3b(ii) – Needs prompting or assistance to manage medication.

4. Washing and Bathing
She needs prompting to bathe and assistance getting in and out of the shower due to joint pain and poor coordination. She becomes distracted mid-task and may forget to use soap or rinse properly.

Descriptor: 4e – Needs assistance to get in or out of a bath or shower.

5. Managing Toilet Needs
K sometimes forgets to use the toilet due to hyperfocus. She needs prompting and reminders to maintain hygiene and avoid accidents.

Descriptor: 5c – Needs prompting to manage toilet needs.

6. Dressing and Undressing
She often forgets to change clothes and needs prompting. She struggles to choose appropriate clothing and may wear the same outfit for days.

Descriptor: 6c(ii) – Needs prompting or assistance to select appropriate clothing.

7. Communicating Verbally
K struggles to express herself clearly and follow conversations. She often interrupts or loses track of what she’s saying. She needs support to communicate effectively, especially in structured settings.

Descriptor: 7c – Needs communication support to express or understand complex verbal information.

8. Reading and Understanding
Due to dyslexia and ADHD, K has difficulty processing written information. She uses a screen reader and often needs help understanding letters or forms.

Descriptor: 8c – Needs prompting to read or understand complex written information.

9. Engaging with Others
K avoids social situations due to PTSD and anxiety. She relies on J and his colleagues at college for support during her 1.5 days of attendance. Outside of college, she avoids most social contact and becomes overwhelmed in group settings.
Descriptor: 9c – Needs social support to engage with others.

10. Making Budgeting Decisions
She cannot manage money due to impulsivity and poor understanding of value. J handles all financial matters.

Descriptor: 10d – Cannot make any budgeting decisions at all.
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🚶 Mobility Activities
11. Planning and Following Journeys
K cannot plan or follow a journey independently. She becomes disoriented, overwhelmed, and anxious. J or a colleague must accompany her.

Descriptor: 11f – Cannot follow the route of a familiar journey without another person.

12. Moving Around
She experiences pain and instability due to knee and ankle issues. She can walk short distances but becomes quickly fatigued and unsteady.
Descriptor: 12d – Can stand and move using an aid more than 20m but no more than 50m.
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📎 Supporting Evidence
• ADHD diagnosis from Psychiatry
• PTSD and mobility-related medical documentation
• Daily support provided by J