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Decision letter query

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10 years 4 months ago #127619 by Jonathan
Decision letter query was created by Jonathan
Hi,

Happy new year to you all. I spoke to DWP on Friday and was told that I had been assessed for ESA three times over the course of my claim, which started in November 2010. Decisions were made on 24th Feb 2011, 22nd Jan 2012 and 12th April 2013. All 3 assessments resulted in being kept in the WRAG until I asked for a reconsideration of the April decision and DWP revised it and placed me in the SG.

A query arises because I'm not sure that DWP ever gave me a written decision notice for the decision made on 22nd Jan 2012, and if that is the case, I believe a House of Lords ruling means that I can still appeal it even though the 13 month limit has expired.

The only possible letter I have that might refer to a decision is one that was sent on 30th Aug 2012 (remember, the decision was made in January of that year) but I'm not sure if it's a notice for the decision of 22nd Jan 2012 or merely a reiteration of the decision of 24th Feb 2011, as the letter refers to the amount of money I received whilst on the assessment rate (i.e. prior to the first decision), and quotes the dates of 8th Nov 2010 and 7th Feb 2011.

I've uploaded a redacted copy of a couple of pages here and here . Could someone please give their opinion as to whether this is a decision notice for the decision made on 24th Feb 2011 or 22nd Jan 2012, as I am really confused? The dates and amounts clearly relate to the assessment rate which came before the first decision of Feb 2011, but I don't know why DWP would send me such a letter in Aug 2012, considering I'd already been in the WRAG for a year already and consequently hadn't been on the assessment rate for over a year.

Thanks in advance.

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10 years 4 months ago #127630 by Gordon
Replied by Gordon on topic Decision letter query
Jonathan

Whilst in principle a failure to notify a claimant of a Decision made on their claim would negate the 13 month restriction on appealing the Decision, it will be very difficult for your to prove that this has not happened. You would need the DWP to accept that they did not produce an appropriately worded Decision letter at the time, given the dates involved it is perfectly possible that the records on the matter are no longer available.

The extracts you have posted appear to be from a Decision letter as it specifically states

"This is because:

a decision on your capability for work. You have been placed in the Work Related Activity Group"

Gordon

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10 years 4 months ago #127632 by Jonathan
Replied by Jonathan on topic Decision letter query
Thanks Gordon. I don't doubt that the letter is a decision letter - but the dates and rates etc seem to suggest it was a notification of the decision of February 2011 rather than the decision of January 2012, even though it was sent in August 2012.

Do you know, if the records aren't available anymore, does that work in the favour of DWP or the claimant? i.e. is the burden of proof on DWP to present evidence that a letter had been sent, or is it up to the claimant to prove that one hadn't arrived? If the latter, how could a claimant feasibly do that?

Would you suggest that the best thing to do is to send an appeal request to DWP stating that I never received a decision and see what they say? No harm in trying, I suppose?

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10 years 4 months ago #127634 by Gordon
Replied by Gordon on topic Decision letter query
Jonathan

There is no harm in trying.

Letters from the DWP are deemed to have been sent and received unless the claimant can show that it was not, this could be because of a failure in the delivery process, for example the Royal Mail deliveries in your area were affected by some sort of problem at the time, you would need to provide evidence that this was the case, or, that the DWP did not send the letter in the first place.

You can ask the DWP to provide evidence of the letter being sent and that the address used was correct at the time, however if such evidence is no longer available then I do not think it's absence would necessarily be in your favour, due to the presumption of it having been sent and received.

Gordon

Nothing on this board constitutes legal advice - always consult a professional about specific problems
The following user(s) said Thank You: Jonathan

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10 years 4 months ago #127865 by Jonathan
Replied by Jonathan on topic Decision letter query
The plot thickens!

Keep in mind I'm in the Support Group and have been since 2013. I've not even received an ESA50 since December 2012, so it's impossible for them to have reassessed me. I'm due to be reassessed in April 2015 according to their records.

Today I received another letter (dated 5th January 2015) from DWP stating that they'd looked again at my claim following a mythical recent change.

I've uploaded the letter in full (personal details redacted): Page 1 , Page 2 , Page 3 , Page 4 .

Once again it refers to "a decision on your capability for work. You have been placed in the Work Related Activity Group" (dates mentioned are Nov 2010 - Feb 2011). It then goes on to say from 2013 my rate "will be" (i.e. future tense, even though it's 2015) the SG rate because of "a decision on your capability for work. You have been moved from the Work Related Activity Group to the Support Group".

With me so far? The letter first stated that I'd been placed in the WRAG after a decision on my capability for work in 2011, and then moved to the SG after another decision on my capability for work in 2013.

But the kicker is the final paragraph on page 1: "We have decided that you have potential for work related activity and must take part in work-focused interviews with a personal adviser to continue to receive Employment and Support Allowance in full"! But I'm in the SG!

Page 4 of the letter gives a breakdown of income as it was in 2010-2011, i.e. the assessment rate. Curiously though, page 3 explains that if I disagree with the decision on page 1, I have a month to send in a MR and that I have the right to appeal. The question is, the right to appeal which decision? Technically, the letter notifies me of two decisions, even though I've not been reassessed since 2013 and both decisions are older than the absolute maximum limit of 13 months. Given the reference to WFIs, I am wondering if this is intended to be a decision notification of the initial WRAG placement, and if so, have DWP opened up a new opportunity for me to send in an appeal (as I feel I should have always been in the SG) even though that decision was made in 2010, as page 3 suggests I can appeal the decision within a month of the date of the letter (5th January 2015)?

I've contacted my local Welfare Rights team about the fact that it says I need to attend WFIs and they are going to investigate with DWP for me, but I'm sure knowing the way DWP operate, it'll take quite some time to hear back from them (possibly longer than the month-long window to send in a MR). Meanwhile, I'm quite anxious about this, because it's saying I have to go for WFIs even though I'm in the SG.

Can anyone offer any advice please?

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10 years 4 months ago #127868 by Gordon
Replied by Gordon on topic Decision letter query
Jonathan

DWP staff rarely write letters from scratch, I'm not even sure that they are allowed to, most usually they cobble together a letter using a standard letter as a template, this often means that there is information missing from the final letter and in this case, information that is not relevant.

Looking the dates on the letter and the associated rates, they seem to be broadly inline with the dates that you mentioned in your original post.

I believe the reference to Work Related Activity is simply because the original letter was in regard to a WRAG placement which is mot relevant and should have been deleted before the letter was sent.

Gordon

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