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4 days 23 hours ago #310761 by Perdita
PIP Dressing was created by Perdita
If buttons take more than twice as long to do up, but the person is wearing loose clothing with no buttons, would this count as not meeting the timely reliability criteria please.
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- BIS
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4 days 35 minutes ago #310781 by BIS
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Replied by BIS on topic PIP Dressing
Hi Perdita
It's impossible to give any sort of definitive answer without knowing the context. It could be argued that someone with severe arthritis in their fingers may take a long time to do up the buttons on a cardigan; they may not do them up correctly, may require assistance, and may not be able to undo them because of the pain. In this case, you may be able to argue about them not being able to get dressed in a timely fashion and argue about their ability to repeat the action (eg undoing the buttons).
BIS
It's impossible to give any sort of definitive answer without knowing the context. It could be argued that someone with severe arthritis in their fingers may take a long time to do up the buttons on a cardigan; they may not do them up correctly, may require assistance, and may not be able to undo them because of the pain. In this case, you may be able to argue about them not being able to get dressed in a timely fashion and argue about their ability to repeat the action (eg undoing the buttons).
BIS
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- LL26
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3 days 23 hours ago #310786 by LL26
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Replied by LL26 on topic PIP Dressing
Hi Perdita,
This point was answered in the following case -
PE-v- SSWP [2015] UKUT 309 (AAC)
Basically if you only wear pull on clothes because of disability eg inability to close buttons etc then you should score points - this is deemed that you need an aid (or alternatively shows you need help.)
DWP can't deny points by saying you can wear baggy clothes etc. There is a 'principle of normality' this comes from a case called 'Fairey'. This established that disabled people (for benefits purposes) have a right to lead as normal a life as their disability allows. There has been a series of cases involving various descriptors following PE where DWP have ignored avoidance of performing PIP tasks. Avoidance due to disability must be taken into consideration and is likely to show the need for some form of assistance, and hence points should be scored.
I hope this helps.
LL26
This point was answered in the following case -
PE-v- SSWP [2015] UKUT 309 (AAC)
Basically if you only wear pull on clothes because of disability eg inability to close buttons etc then you should score points - this is deemed that you need an aid (or alternatively shows you need help.)
DWP can't deny points by saying you can wear baggy clothes etc. There is a 'principle of normality' this comes from a case called 'Fairey'. This established that disabled people (for benefits purposes) have a right to lead as normal a life as their disability allows. There has been a series of cases involving various descriptors following PE where DWP have ignored avoidance of performing PIP tasks. Avoidance due to disability must be taken into consideration and is likely to show the need for some form of assistance, and hence points should be scored.
I hope this helps.
LL26
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- Perdita
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3 days 21 hours ago #310790 by Perdita
Replied by Perdita on topic PIP MR
For the attention of LL26 please
1: This person can do buttons, but slowly (tying shoelaces takes 4x as long as a healthy person). It is particularly fastenings that take the time so loose clothing with elasticated waist much quicker. Do you think you can score if dressing difficulty mainly due to being too slow with fastenings?
2: This person explained in claim form that he thinks he could chop and peel with the right aids (this person feels needs aids due to autistic poor proproception) person keen to try but 0 points due to not being diagnosed with specific upper or lower limb restriction. In past OT reports showing mild coordination and poor proprioception plus 0T report from 8 years ago when 19 where she is recommending kitchen aids due to fear of blades. This person is currently only cooking frozen ready meals but wants to do more with aids which will allay his fears of slipping and cutting himself.
Do you think this is worth fighting?
3: OT wrote about proprioception and how it also causes issues with alertness and sleepiness and acknowledges that it takes him a few hours to feel fully alert upon waking. This person doesn't take baths in morning when first getting up for the day because of a huge tendency to fall asleep in bath, do you think this should score? This person cannot have showers
Evening baths take just over an hour or so, should we assume that's not long enough to score for timely (from reliability criteria)
4: Trying ti finish writing MR. Mother who lives with this person is thinking of doing a witness statement . To what degree is the mother allowed to bring new material in.
Would you be able to answer these please? I realise it would just be your opinion
1: This person can do buttons, but slowly (tying shoelaces takes 4x as long as a healthy person). It is particularly fastenings that take the time so loose clothing with elasticated waist much quicker. Do you think you can score if dressing difficulty mainly due to being too slow with fastenings?
2: This person explained in claim form that he thinks he could chop and peel with the right aids (this person feels needs aids due to autistic poor proproception) person keen to try but 0 points due to not being diagnosed with specific upper or lower limb restriction. In past OT reports showing mild coordination and poor proprioception plus 0T report from 8 years ago when 19 where she is recommending kitchen aids due to fear of blades. This person is currently only cooking frozen ready meals but wants to do more with aids which will allay his fears of slipping and cutting himself.
Do you think this is worth fighting?
3: OT wrote about proprioception and how it also causes issues with alertness and sleepiness and acknowledges that it takes him a few hours to feel fully alert upon waking. This person doesn't take baths in morning when first getting up for the day because of a huge tendency to fall asleep in bath, do you think this should score? This person cannot have showers
Evening baths take just over an hour or so, should we assume that's not long enough to score for timely (from reliability criteria)
4: Trying ti finish writing MR. Mother who lives with this person is thinking of doing a witness statement . To what degree is the mother allowed to bring new material in.
Would you be able to answer these please? I realise it would just be your opinion
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- LL26
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3 days 17 hours ago #310800 by LL26
Nothing on this board constitutes legal advice - always consult a professional about specific problems
Replied by LL26 on topic PIP MR
Hi Perdita,
In respect of dressing. In my view, clothing that is put on and not fastened (due to disability) will not comprise an acceptable standard. Shoes could fall off and cause a slip or trip hazard. Normal standards if decency also suggest clothing should be fastened. As a result doing up buttons and zips is an integral part of dressing and undressing in reverse.
Since there is no reason (principle of normality) that someone shouldn't look smart by wearing eg button up shirts, then if you take X4 longer that is clearly not a 'reasonable time'. If there is some sort of aid that could reasonably used (and by such use, the claimant remains safe, acceptable and in time) then that could be argued. If no appropriate gadget exists (to facilitate the claimant and his own personal disabilities,) or nothing actually works, then it is likely you could argue the need for assistance for either lower or upper body clothing as appropriate or if both apply then the higher value of upper body would be the correct score..
Cooking aids - the PiP test considers whether some form of assistance is required. This doesn't mean you have to have actual physical help or use an aid etc. It's just that your disability is such that you need the help etc.
If the claimant either needs supervision to help with chopping or could use a suitable gadget, and this would have to be an actual thing not an imaginary possible thing, then he should score points in accordance with the type of help required. Don't worry about a named physical disability in the hands; many autistic people have poor coordination and lack spatial awareness. You might find further information about this eg on a national charity website eg National Autistic Society. However, the previous OT report shows problems with coordination etc and there is no reason why you need to provide any other evidence. (DWP often ignore perfectly valid evidence with our reason.) At present the claimant first not cook or prepare food. Ready meals do not satisfy the test. The reason for this is safety . If a real gadget can ensure safety then an aid/appliance is the correct value. Otherwise the only way to stay safe is to be supervised.
Bathing - the test requires an ability to take both baths AND showers. If the claimant would wish to have a morning shower, either through force if habit or eg because it relieves overnight muscle stiffness, then this would fall into the principle of normality, and, if bathing can only be done at certain times then this would suggest an ability to repeat the task across the day. Falling asleep in the bath is unsafe. This would indicate a need for supervision.
Evening bath takes an hour. I think this is tricky. Many people take lengthy baths. However if the reason is eg an inability to get out, then this could indicate a need for help or supervision.
Any carer, friend or relative who knows the claimant can provide a statement. Nothing wrong with this and could provide very important evidence. State what help is required and why. What happens (or doesn't!) when no help is there. Explain accidents, poor behaviour, anxiety attacks, fatigue, pain etc that occur and help provided to reduce these things. As long as the statement deals with disabilities that existed at the time of the claim, it to confirm ongoing worsening symptoms then the statement will be allowed and relevant. ( Normally a tribunal, like DWP needs to focus in disability existing at the time of the claim, but they also need to look at 9 months after that, so evidence of if increasing poor health is relevant to show that, and the very fact that health has deteriorated also shows a serious problem and not the minor or 'non-disability' that DWP often allegedly, without any evidence.
If you can provide good solid arguments then the claimant has every chance of success at MR or subsequent tribunal. Unfortunately DWP rarely seem to revise at MR but they do occasionally. More often decisions are revised upon Appeal, but at tribunal there is a very good chance if success if you argue succinctly and carefully explain how the claimant's disabilities prevent him completing PIP descriptor activities to a 'reliable' standard.
I hope this helps.
LL26
In respect of dressing. In my view, clothing that is put on and not fastened (due to disability) will not comprise an acceptable standard. Shoes could fall off and cause a slip or trip hazard. Normal standards if decency also suggest clothing should be fastened. As a result doing up buttons and zips is an integral part of dressing and undressing in reverse.
Since there is no reason (principle of normality) that someone shouldn't look smart by wearing eg button up shirts, then if you take X4 longer that is clearly not a 'reasonable time'. If there is some sort of aid that could reasonably used (and by such use, the claimant remains safe, acceptable and in time) then that could be argued. If no appropriate gadget exists (to facilitate the claimant and his own personal disabilities,) or nothing actually works, then it is likely you could argue the need for assistance for either lower or upper body clothing as appropriate or if both apply then the higher value of upper body would be the correct score..
Cooking aids - the PiP test considers whether some form of assistance is required. This doesn't mean you have to have actual physical help or use an aid etc. It's just that your disability is such that you need the help etc.
If the claimant either needs supervision to help with chopping or could use a suitable gadget, and this would have to be an actual thing not an imaginary possible thing, then he should score points in accordance with the type of help required. Don't worry about a named physical disability in the hands; many autistic people have poor coordination and lack spatial awareness. You might find further information about this eg on a national charity website eg National Autistic Society. However, the previous OT report shows problems with coordination etc and there is no reason why you need to provide any other evidence. (DWP often ignore perfectly valid evidence with our reason.) At present the claimant first not cook or prepare food. Ready meals do not satisfy the test. The reason for this is safety . If a real gadget can ensure safety then an aid/appliance is the correct value. Otherwise the only way to stay safe is to be supervised.
Bathing - the test requires an ability to take both baths AND showers. If the claimant would wish to have a morning shower, either through force if habit or eg because it relieves overnight muscle stiffness, then this would fall into the principle of normality, and, if bathing can only be done at certain times then this would suggest an ability to repeat the task across the day. Falling asleep in the bath is unsafe. This would indicate a need for supervision.
Evening bath takes an hour. I think this is tricky. Many people take lengthy baths. However if the reason is eg an inability to get out, then this could indicate a need for help or supervision.
Any carer, friend or relative who knows the claimant can provide a statement. Nothing wrong with this and could provide very important evidence. State what help is required and why. What happens (or doesn't!) when no help is there. Explain accidents, poor behaviour, anxiety attacks, fatigue, pain etc that occur and help provided to reduce these things. As long as the statement deals with disabilities that existed at the time of the claim, it to confirm ongoing worsening symptoms then the statement will be allowed and relevant. ( Normally a tribunal, like DWP needs to focus in disability existing at the time of the claim, but they also need to look at 9 months after that, so evidence of if increasing poor health is relevant to show that, and the very fact that health has deteriorated also shows a serious problem and not the minor or 'non-disability' that DWP often allegedly, without any evidence.
If you can provide good solid arguments then the claimant has every chance of success at MR or subsequent tribunal. Unfortunately DWP rarely seem to revise at MR but they do occasionally. More often decisions are revised upon Appeal, but at tribunal there is a very good chance if success if you argue succinctly and carefully explain how the claimant's disabilities prevent him completing PIP descriptor activities to a 'reliable' standard.
I hope this helps.
LL26
Nothing on this board constitutes legal advice - always consult a professional about specific problems
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- Perdita
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1 day 19 hours ago #310835 by Perdita
Replied by Perdita on topic PIP MR
For the attention of LL26
This is especially for LL26 please.
First of all, a big thank you for your thoughts about my questions on my previous post. Secondly, would it be possible for you to give your thoughts on what I've written below (then I promise I'll go away!)?
1: Engaging face to face
Circumstances mean no interaction for a while apart from at home, but what is indicative of his difficulties is that past experience shows OPD as in shutting down is caused by more interaction than he can manage resulting in virtually complete avoidance of informal face to face. In addition, formal face to face being limited to a couple of times a week, no longer than an hour each. While he manages at the time to get through it although with distress, shutdown is inevitable afterwards.
The DM is classing shutdowns as OPD but only giving 4 points. The Assessor denied he has panic attacks, but still gave 4 points for social support. Wondering whether to challenge this (the 4 points).
2: Talking, listening and understanding
Communication is distressing due to autism pressures - maintaining the mask and the fear of the mask slipping. Distress grows throughout as the longer he is observed the more likely a slip will happen and be spotted. He has general communication issues, such as auditory processing, that come with autism. He finds it difficult to get on the same wavelength, which he finds distressing, combined with stress he suffers when his stammer surfaces.
Too much communication leads to shutdowns, and he struggles to speak during shutdowns.
0 points for communication, I think because he handled the telephone assessment well enough, but huge distress leading to needing to shutdown afterwards. The stammer worsened as the assessment went on and was ridiculous. This was damaging and I don't think he'll be able to do a telephone assessment again.
He can speak and hear, but does autism distress and stammer distress score for the reliability e:g safely?
3: Planning & Following a Journey
Circumstances mean not going out anyway (issues with foot though 0 points for moving around). Regarding planning & following a journey (0 points), going out always distresses him because there are nearly always people outside, provoking his fear of interaction, but no OPD if the journey is an easy familiar walk with no interactions. Should he get points under reliability for this? Eg not doing it safely due to distress, there's no actual descriptor that fits.
Following an unfamiliar journey, other than a walk near home, is impossible without OPD. He has literally never attempted, due to predicting OPD, to do such an unfamiliar journey alone, complete avoidance. I know we've discussed this before and I think that avoidance could be a real thing, and maybe avoidance should count, but the DM says avoidance isn't enough to prove he can't do it. He has a whole load of issues that we know would cause OPD on unfamiliar journeys on his own, almost guaranteed he would shut down and not be able to navigate.
We don't know whether to argue distress on familiar journeys as in not passing the reliability test (unsafe, unacceptable etc due to mental impact of distress) if that is a thing with planning and following a journey. Or trying to fight for the OPD on unfamiliar journeys as in needing assistance on unfamiliar journeys descriptor (due to prediction of shutdown and not being able to navigate and therefore complete avoidance).
Many Thanks
This is especially for LL26 please.
First of all, a big thank you for your thoughts about my questions on my previous post. Secondly, would it be possible for you to give your thoughts on what I've written below (then I promise I'll go away!)?
1: Engaging face to face
Circumstances mean no interaction for a while apart from at home, but what is indicative of his difficulties is that past experience shows OPD as in shutting down is caused by more interaction than he can manage resulting in virtually complete avoidance of informal face to face. In addition, formal face to face being limited to a couple of times a week, no longer than an hour each. While he manages at the time to get through it although with distress, shutdown is inevitable afterwards.
The DM is classing shutdowns as OPD but only giving 4 points. The Assessor denied he has panic attacks, but still gave 4 points for social support. Wondering whether to challenge this (the 4 points).
2: Talking, listening and understanding
Communication is distressing due to autism pressures - maintaining the mask and the fear of the mask slipping. Distress grows throughout as the longer he is observed the more likely a slip will happen and be spotted. He has general communication issues, such as auditory processing, that come with autism. He finds it difficult to get on the same wavelength, which he finds distressing, combined with stress he suffers when his stammer surfaces.
Too much communication leads to shutdowns, and he struggles to speak during shutdowns.
0 points for communication, I think because he handled the telephone assessment well enough, but huge distress leading to needing to shutdown afterwards. The stammer worsened as the assessment went on and was ridiculous. This was damaging and I don't think he'll be able to do a telephone assessment again.
He can speak and hear, but does autism distress and stammer distress score for the reliability e:g safely?
3: Planning & Following a Journey
Circumstances mean not going out anyway (issues with foot though 0 points for moving around). Regarding planning & following a journey (0 points), going out always distresses him because there are nearly always people outside, provoking his fear of interaction, but no OPD if the journey is an easy familiar walk with no interactions. Should he get points under reliability for this? Eg not doing it safely due to distress, there's no actual descriptor that fits.
Following an unfamiliar journey, other than a walk near home, is impossible without OPD. He has literally never attempted, due to predicting OPD, to do such an unfamiliar journey alone, complete avoidance. I know we've discussed this before and I think that avoidance could be a real thing, and maybe avoidance should count, but the DM says avoidance isn't enough to prove he can't do it. He has a whole load of issues that we know would cause OPD on unfamiliar journeys on his own, almost guaranteed he would shut down and not be able to navigate.
We don't know whether to argue distress on familiar journeys as in not passing the reliability test (unsafe, unacceptable etc due to mental impact of distress) if that is a thing with planning and following a journey. Or trying to fight for the OPD on unfamiliar journeys as in needing assistance on unfamiliar journeys descriptor (due to prediction of shutdown and not being able to navigate and therefore complete avoidance).
Many Thanks
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