However, some activities focus on specific elements of function. This involves more than just navigation of the route. If someone only eats ready meals then the HP must look at their functional ability to see what they could do. It is then several hours before he can walk this distance again. After this distance he starts to experience increasing hip pain. To ask for an adjustment, phone your assessment provider using the number on your appointment letter. PIP telephone assessments didn't just begin in 2020. If the claimant can wash or bathe the majority of the time without risk of injury, for example because their health condition is under control through medication, then this descriptor would not apply. Dressing and undressing may involve stretching, reaching, bending, gripping and other such movements. However, for this activity, this only refers to the physical act of moving. If someone needs an aid or appliance or requires assistance simply to reach their upper spinal region this is insufficient in itself to score points as the majority of people experience the same restriction. The familiar route does not need to be planned – it is familiar. It will take only 2 minutes to fill in. treatment which involves the use of medicinal drugs. OPD means distress related to a mental health condition or intellectual or cognitive impairment resulting in a severe anxiety state in which the symptoms are so severe that the person cannot undertake a journey without being overwhelmed. It can be hard to do this but it will really help if you can talk about: It’s a good idea to take a copy of your PIP claim form with you. For example, everyone is at risk of injury if they fall but for some the likelihood of falling is much higher, so the risk of injury occurring is higher. Descriptor A should be appropriate for claimants who use a commode due to limited mobility (and therefore have difficulty mobilising to the toilet) but otherwise can manage their toilet needs or incontinence. Falling or slipping which causes injury to the claimant. The amount you get … Needs to use an aid or appliance to either prepare or cook a simple meal. ‘Prompting’ means reminding, encouraging or explaining by another person. Simple budgeting decisions are those that are involved in activities such as calculating the cost of goods and change required following purchases. 2.2.3 This applies to every activity within the assessment. Note: in legislation this activity is referred to as mobility activity 2. If the claimant cannot read, this must be as a direct result of their health condition or impairment e.g. Can prepare and cook a simple meal unaided. To apply, this only needs to be required for part of the activity. For example, where someone with a sensory impairment scores under activity 7, it may be that anxiety arising from their impairment means they reasonably need help to engage with others face to face also. This activity considers a claimant’s ability to wash and bathe. They would therefore satisfy mobility 1B. 2.2.11 The following situations highlight examples for each activity where there may be a potential risk to the safety of the claimant or others. However, if a claimant needs prompting to eat because they have a physical or mental condition that affects their ability to make active choices about the food they consume (for example claimants with a learning disability or an eating disorder who because of that disorder need prompting to undertake the physical act of eating), they’ll qualify under descriptor D. The frequency of taking nutrition should only be considered if the claimant has an underlying condition which affects their ability to remember to eat, or their motivation to eat e.g. You kept a copy of your claim form, right? ‘Washing’ means cleaning ones whole body, including removing dirt and sweat. That way you can refer to it in the assessment and make sure you tell the assessor everything you want them to know about your condition. whether the claimant can carry out the activity when they need to do it. This is to an acceptable standard in the meaning of the descriptor. In order for it to be acceptable, the standard which a claimant achieves must fall within this range. The PIP assessment guide 30 Oct 2020 An important part of the process for claiming Personal Independence Payment (PIP) is a medical assessment, known as the ‘PIP assessment’. 2.1.12 If there is evidence that someone is awaiting treatment or further intervention HPs should take into account the facts and likely impact of that future treatment regime as they’re evidenced at the date of the assessment, as part of their consideration of whether the person will meet the prospective part of the required period condition. A claimant can only satisfy this descriptor if they can prepare a meal unaided. Safety should be considered in respect of risks that relate to making ones’ way along a route (for example, tendency to wander into the road, inability to safely cross a road or risk of self-harm due to overwhelming psychological distress caused). Assistance dogs are defined as dogs trained to help people with sensory impairments. Includes to get into or out of an unadapted bath and shower. ‘Follow the route” means make one’s way along a route to a destination. knowing how much money is left to spend once bills and rent is paid), managing and paying bills (e.g. 2019: 14 August I phoned to start the application… 12 November Assessment… 2 December Decision made and award letter … Maps or lists of directions do not count as specialist. There are no obvious risks to safety for this activity. Given the nature of the activities within the assessment this is likely to be rare. This activity considers a claimant’s ability to get on and off the toilet, to manage evacuation of the bladder and/or bowel and to clean afterwards. Don’t feel you have to do things in the assessment that you wouldn’t normally be able to do. Complex budgeting involves calculating household and personal budgets (e.g. (a) getting on and off an unadapted toilet; (b) evacuating the bladder and bowel; and. 2.2.2 Considering reliability involves looking at whether the claimant can complete the activity as described: safely – in a manner unlikely to cause harm to themselves or to another person, either during or after completion of the activity, repeatedly – able to repeat the activity as often as is reasonably required, in a reasonable time period – no more than twice as long as the maximum period that a non-disabled person would normally take to complete that activity. 2.1.22 Aids and appliances do not include lens implants or joint replacements, but do include artificial limbs. OPD may occur in conditions such as generalised anxiety disorder, panic disorder, dementia or agoraphobia. or whether they require assistance (4E) to get in and out of an unadapted bath or shower. It assesses ability to open packaging, peel and chop, serve food on to a plate and use a microwave oven or cooker hob to cook or heat food. He can repeatedly manage a few steps using his stick, which is less than 20 but more than 1 metre, therefore descriptor E best describes how he is able to repeatedly move around. Points : a. Take medication or undertake therapy, where a failure to do so is likely to result in a deterioration in claimant’s health. As descriptor D does not describe a manner in which Ms Z is able to carry out the activity safely, the HP should select descriptor E. This activity considers a claimant’s ability to prepare and cook a simple meal for one from fresh ingredients. Getting on and off an unadapted toilet, evacuating the bladder and bowel and cleaning oneself afterwards. Deliberate overdose – the risk of deliberately taking too much medication with the intention to self-harm. 2.1.5 HPs should not consider the point scores associated with descriptors or whether these will confer entitlement to the benefit if chosen by the DWP’s case managers (CMs). Video Loading. Somebody who has problems with manual dexterity or grip strength to the extent that they have problems chopping and peeling raw vegetables may have difficulties cutting cooked food into pieces, but this is not inevitable as it may be easier to cut cooked food than raw vegetables. Unadapted baths and showers include a shower over a bath, a shower cubicle (i.e. A wet room shower, if its use is reasonably required, is evidence that the claimant cannot get into an unadapted shower. A claimant who is actively suicidal or who is at substantial risk of exhibiting violent behaviour and who needs to be accompanied by another person to prevent them harming themselves or others when undertaking a journey would meet this descriptor. For example if carrying out an activity could cause a substantial and sustained worsening of a claimant’s condition, meaning it is not safe for them to do it at all, the individual should not be considered able to complete the activity safely at the level described in the descriptor. Can stand and then move using an aid or appliance more than 20 metres but no more than 50 metres. An aid or appliance is not required in the latter. Therefore, the descriptor choice should be based on consideration of a 12 month period. A claimant who satisfies 1E cannot also satisfy 1F. Examples of medication include tablets, injections, inhaled medications or creams. After an hour of this, he needs a longer rest of about an hour before walking again. This descriptor applies to claimants where undertaking any journey on the majority of days causes overwhelming psychological distress (OPD) despite being aided. For example: may apply to claimants who need supervision to safely heat or cook food using a microwave oven; or to claimants who cannot safely prepare vegetables, even with an aid or appliance. This means they cannot complete the activity repeatedly as it is reasonable to expect people to prepare a meal more than once a day. Such a person is likely to have a care plan. Where bad budgeting decisions are made, consideration must be given to whether this is as a result of a health condition or impairment. Always try to explain how doing something would make you feel afterwards and the impact it can have on you if you had to do it repeatedly in a short period of time. Ask the receptionist at the assessment centre for a travel expenses claim form and pre-paid self-addressed envelope. After 150 metres he starts to become breathless and to experience some mild pain. 2.2.27 In the moving around activity, the HP should work their way through the descriptors considering each aspect of reliability, to find the one that best describes Mr Y’s ability to complete the activity reliably. You’ve accepted all cookies. Decisions involving calculating household and personal budgets; managing and paying bills and planning future purchases. During the face-to-face consultation, it was observed that Jane could sit and stand repeatedly but with some stiffness and the, Hayley is not able to lift herself off the toilet without the grab rail and would require assistance without it. Personal Independence Payment (PIP) amounts went up in April 2020, with these rates set to be in place until April 2021. Someone with very frequent but predictable seizures should be able to use a conventional cooker. Cognitive impairment includes orientation (understanding of where, when and who the person is), attention, concentration and memory. Manage involuntary evacuation of the bowel or bladder, including use a collecting device or self-catheterisation and clean oneself afterwards. In cases such as this, the HP should look for evidence of suicidal thoughts and/or behaviour. Personal Independence Payment (PIP) – table of activities, descriptors and points Daily Living Activities Activity . A claimant who cannot either speak, hear or understand verbal communication even with communication support would score under this descriptor. The following rules apply. Therefore, if for any reason a claimant elects to have a bad or restricted diet, makes dietary choices or chooses to avoid certain foods as part of dietary requirements, they’re nevertheless ‘taking nutrition’ to an acceptable standard and therefore will not score under activity 2. Because, after preparing breakfast, you would reasonably expect someone to be able to prepare a meal again by lunchtime, in this example the individual cannot be considered able to complete the activity repeatedly. Burning or scalding oneself if, for example, an individual is likely to drop a saucepan or spill the contents. We can use common sense to assess the balance between the risk of harm (likelihood of it occurring) and the severity of harm, in determining whether an activity can be done safely. In others they will not, but would likely be advised to if they sought advice from a professional such as a GP or occupational therapist, if the claimant is able to use, or could learn how to use the aid or appliance. Make sure that you know where your appointment is taking place, plan your journey and give yourself enough time to arrive on time. If so, then descriptor A would usually apply, does the claimant need to use/rely upon an aid or appliance to complete the activity? A cooked one-course meal for one using fresh ingredients. Descriptor E reflects the support that Ms Z needs in order to ensure her safety while cooking and is therefore the most suitable descriptor regarding safety, to an acceptable standard – Ms Z is impatient and does not cook food for as long as it should be cooked. The HP should expect to see evidence demonstrating recognition of the role the person is playing in actively monitoring the claimant’s health condition, for example a diabetic claimant whose blood sugar levels change and where the third party would be able to take ction as a result, without which the claimant’s short or long-term health would be at risk. the activity can be completed in the way described on more than 50 per cent of days – then that descriptor should be chosen. A wet room is not an unadapted shower. ... Having an assessment - … In these cases the HP should consider whether it is reasonable for the individual to complete the activity more frequently as a result of their health condition or impairment, and if so what the reasonable number of times is in their individual case. There are no rules on what is a good reason for missing an assessment but the DWP should take into account your health and things that may affect you like a family bereavement. Descriptors C to F: the need for supervision, prompting or assistance to be able to manage therapy apply to the duration of the supervision, prompting or assistance and not the duration of the therapy. 2.1.10 If 2 or more descriptors in an activity are likely to apply on more than 50 per cent of the days in the period then the descriptor chosen should be the one which is the highest scoring. When considering repeatability over longer periods of days and weeks, the HP should apply the rules governing fluctuating conditions (set out in regulation 7 of the Social Security (Personal Independence Payment) Regulations 2013) and consider which descriptor applies on the majority of days in that period. Face to face assessments have been suspended for three months from 17 March 2020 The PIP test is what the Department for Work and Pensions (DWP) use to decide whether you are entitled to Personal Independence Payment. when food shopping, buying clothes etc. If you take someone with you to the assessment, their travel costs can be reimbursed but only if they travel with you. Complex information is more than one sentence of written or printed standard size text, e.g. Registered charity number 279057 VAT number 726 0202 76 Company limited by guarantee. These cases are likely to be rare. Prompting regarding portion size should be directly linked to a diagnosed condition such as Prader Willi syndrome or anorexia. ‘Follow the route’ means make one’s way along a route to a destination. Thank you, your feedback has been submitted. If the person can manage to leave the home to make a journey once without prompting then on that day the descriptor is not satisfied. This might be evidence from a support worker or a doctor. For example when a claimant is only able to complete an activity safely when supervised, the appropriate descriptor which refers to supervision should be awarded. Are you looking for some good questions asked at pip assessment? It includes tips on what to take to your assessment and dos and don’ts during the assessment. In the case of managing special diets, time spent on supervision and monitoring cooking or eating is covered in activities 1 and 2. Who need to use an aid as it would be considered as complex if given by a person with impairments... 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