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Failed ESA Appeal Tribunal - at a Loss now....?

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11 years 8 months ago - 11 years 8 months ago #109488 by makinprogress
I had my Tribunal hearing on Monday, it was awful. I was in a state to say the least. Very emotional, and in discomfort. I have suffered for 28 yrs with depression and after yrs of stomach pain, and numerous investigations and treatments, I was diagnosed with Gastroparesis last year. I was initially awarded 6 points for mobility after the Atos medical, with a further 6 points at reconsideration for continence. No points for depression. After the Tribunal, the decision was posted to me and arrived 2 days later, with a total of 6 points (so minus 6) for continence only, still nothing for depression? I am on max dose anti-depressants and produced 2 letters from my GPs stating the onset of the ongoing depression and how it was being treated. I don't know what to do now? I can't go through this. I can't go for JSA because I am in pain each day and wouldn't be able to make the appointments. Employers wouldn't entertain me because I would either not be attending work every day or leaving through the day due to illness. Any advice would be greatly appreciated, but please don't tell me to claim again, I really wouldn't be able to go through this ordeal again. If I didn't have my children to consider I'm not entirely sure I'd be here right now - all because of £71 pw and being made to feel like a fraud.
Last edit: 11 years 8 months ago by Gordon.

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11 years 8 months ago #109491 by Gordon
makinprogress

I am sorry to hear that your appeal was unsuccessful.

I am afraid you only have three options if we exclude your appealing to the Upper Tribunal, as you will not be paid while doing this;

- you claim JSA
- you make a new claim for ESA
- you become economically inactive

If I were to highlight one point from your post, my apologies if you already realise this, but ESA is not awarded because of your conditions, you refer to your depression, none of the ESA Descriptors are specifically related to depression, you need to look at the limitations that result from your depression and specifically in relation to those ESA Descriptors.

If your GP is prepared to continue to provide you with Fit Notes you can make a new claim for ESA, which will ensure that you at least have the Assessment rate paid to you, have another look at the ESA Claim guides to see whether you can better document your daily problems, for example the Incontinence Descriptor has many conditions and it is only when all of them are met that you will score points.

Gordon

Nothing on this board constitutes legal advice - always consult a professional about specific problems
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11 years 8 months ago #109546 by cdcdi1911
Replied by cdcdi1911 on topic Failed ESA Appeal Tribunal - at a Loss now....?
Hi makinprogress

Sorry to hear of your ordeal at the tribunal. (It does seem difficult to score points for mental health if you can tie your own shoelaces. :) )

Just to add to Gordon's good advice; whatever you choose to do, in addition, there is no harm in applying for a full statement of reasons for the decision if you wish to consider getting advice on appealing to the Upper Tribunal. You have just one month from the decision date.

Good luck

Derek
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11 years 7 months ago - 11 years 7 months ago #110466 by makinprogress
Replied by makinprogress on topic Failed ESA Appeal Tribunal - at a Loss now....?
Thank You both for your replies. After a good few days of reflection / depression and many tears, I visited my GP who advised me to re-apply for ESA. I reluctantly 'phoned and completed the process over the phone. (the 'advisor' was very abrupt, verging on rude, which only makes matters even worse). I received the paperwork through the post, saying I needed to supply a Fit Note, which I obtained today, only to receive more correspondance through the post, stating that I wouldn't be paid ESA because I hadn't enough NI contributions / credits. After telephoning again, and explaining I had been on Long Term Incapacity Benefit for 12 years, and thought I had NI Credits, she (again very abruptly / rudely) advised me that Credits were different to Contributions, and I hadn't 'contributed' and as I had a Husband who worked, I wouldn't be able to claim JSA either (not that I could anyway, given my Health issues) and the Government deemed I had enough Income to live on, courtesy of my Husbands wage.
This all came as a shock to me. So, apart from a small increase in Tax Credits, I don't think there is any other 'help' I can claim? Does anyone have any further information or advise for me on this matter please?
(She also stated that I needed to go through the whole process of filling in the Assessment Form and attending the Atos Medical Appointments to gain Credits towards my State Pension. If this is correct, I wont be getting a State Pension, because I can't possibly put myself through all of this for that reason. It's a form of Mental Torture. I have an 8 year old child, I thought Child Benefit meant that I was entitled to NI Credits until she is 12, towards State Pension?)
ANY advice would be appreciated. Apologies for lengthy post.
Last edit: 11 years 7 months ago by bro58.

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  • bro58
11 years 7 months ago - 11 years 7 months ago #110469 by bro58

makinprogress wrote: Thank You both for your replies. After a good few days of reflection / depression and many tears, I visited my GP who advised me to re-apply for ESA. I reluctantly 'phoned and completed the process over the phone. (the 'advisor' was very abrupt, verging on rude, which only makes matters even worse). I received the paperwork through the post, saying I needed to supply a Fit Note, which I obtained today, only to receive more correspondance through the post, stating that I wouldn't be paid ESA because I hadn't enough NI contributions / credits. After telephoning again, and explaining I had been on Long Term Incapacity Benefit for 12 years, and thought I had NI Credits, she (again very abruptly / rudely) advised me that Credits were different to Contributions, and I hadn't 'contributed' and as I had a Husband who worked, I wouldn't be able to claim JSA either (not that I could anyway, given my Health issues) and the Government deemed I had enough Income to live on, courtesy of my Husbands wage.
This all came as a shock to me. So, apart from a small increase in Tax Credits, I don't think there is any other 'help' I can claim? Does anyone have any further information or advise for me on this matter please?
(She also stated that I needed to go through the whole process of filling in the Assessment Form and attending the Atos Medical Appointments to gain Credits towards my State Pension. If this is correct, I wont be getting a State Pension, because I can't possibly put myself through all of this for that reason. It's a form of Mental Torture. I have an 8 year old child, I thought Child Benefit meant that I was entitled to NI Credits until she is 12, towards State Pension?)
ANY advice would be appreciated. Apologies for lengthy post.


Hi mp,

On the face of it, what you have been told over the phone seems to be correct.

If you were in receipt of IB for 12 years prior to your unsuccessful transfer over to ESA, you would have only been receiving NI Credits.

As you were formerly in receipt of IB then that means that the assessment rate of ESA that you would have been paid would have been Contribution Based (CB) ESA :

What will I be transferred to?

As a result of The Welfare Reform Act 2012 payment of CB ESA either in The WRAG or at the assessment rate is limited to 365 days.

If you have exceeded the 365 days of payment, that would be why you were no longer entitled to payment of CB ESA, but you would be entitled to NI Credits towards you State Pension.

As they rightly stated to remain entitled to NI Credits, you would have to maintain a continuous live ESA Claim, and comply with any reassessments, ESA50's, or face to face assessments if required.

Whilst in receipt of NI Credits only you would not have to comply with any Work Related Activity, if you were placed into The WRAG.

However, if you can gain access to The Support Group (SG) your CB ESA payments may be reinstated, and remain in payment for as long as you are in The SG. :

12 Month Limit for ESA(CB)

As your husband works, it would seem that you are not entitled to Income Related ESA :

Asset rule for ESA(IR)

24 hour work rule for ESA(IR)

How long has it been since the date of the Tribunal's decision ?

Please reply to this topic if you have any further queries.

bro58
Last edit: 11 years 7 months ago by bro58.

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  • bro58
11 years 7 months ago - 11 years 7 months ago #110471 by bro58
Hi mp,

I should just add, that in addition to the options that I have already posted.

You could make a claim for PIP.

This is totally independent of ESA, you do not need a fit note, and your husband's work/earnings, or any capital, assets or savings that you may have will not have any effect on PIP :

PIP Claims Guide. (2nd Link on page)

PIP information, including PIP Self Test

PIP Topic Thread in Spotlight Area

bro58
Last edit: 11 years 7 months ago by bro58.

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