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Mandatory Reconsideration Query
- Torsie
- Topic Author
9 years 9 months ago #138167 by Torsie
PIP mandatory reconsideration...evidence was created by Torsie
Hi, my daughter is 18 and had was awarded 0 points for PIP despite having had DLA since she was 8. I am going to write (using your template) to ask for mandatory reconsideration and have a supporting letter from her GP. What other evidence, if any, do I need to send at this point? Obviously I want to try and get it sorted without having to go to through the whole appeal process. I do not have the medical report so do not know what they based their decision on.
Just last week she has injured her knee just by walking around the garden and is unable to walk at all without crutches and strong pain medication. Should I include this in my letter as it is part of her problem with hypermobility that she injures herself a lot - also, the GP has referred to this incident in her letter.
I went through points assessment and it indicates she should have been awarded 22 points so I'm not really sure where they get 0 from. They said she could make complex budgeting decisions when at the medical she couldn't work out what change she would get from £2 if she spent £1.20. Seriously, these people live on a different planet and have no concept of the distress it causes when they make these decisions. My GP was quite impressed that they managed to 'Cure' my daughter in a 45 min app!!
Just last week she has injured her knee just by walking around the garden and is unable to walk at all without crutches and strong pain medication. Should I include this in my letter as it is part of her problem with hypermobility that she injures herself a lot - also, the GP has referred to this incident in her letter.
I went through points assessment and it indicates she should have been awarded 22 points so I'm not really sure where they get 0 from. They said she could make complex budgeting decisions when at the medical she couldn't work out what change she would get from £2 if she spent £1.20. Seriously, these people live on a different planet and have no concept of the distress it causes when they make these decisions. My GP was quite impressed that they managed to 'Cure' my daughter in a 45 min app!!
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- Gordon
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9 years 9 months ago #138191 by Gordon
Nothing on this board constitutes legal advice - always consult a professional about specific problems
Replied by Gordon on topic PIP mandatory reconsideration...evidence
Torsie
Welcome to the forum, you might want to have a look at the following FAQ which explain where everything is
Welcome to Benefits and Work
A couple of questions.
Has your daughter's DLA been re-assessed since she reached the age of 16? As an 8 year old she will have been assessed in comparison to children of the same age to determine her care and mobility needs, as an 18 year old she is treated as an adult.
You say you do not have the assessment report, have you requested a copy? If not then you can phone the DWP office that dealt with her claim and make a request although we recommend that you follow it up in writing.
The criteria for PIP are very different from those for DLA and the criteria are set at a level that would for the majority of DLA claimants result in a lower award. DLA looks at the care that a claimant needs whereas PIP looks at specific areas of daily activity. Finally, whilst the PIP2 claim form generally represents the criteria against which a claimant is assessed, it is easy to miss a vital element of the requirement and therefore fail to score points.
You have one month to make a Mandatory Reconsideration request so you might want to hold off doing so in the hope that of your receiving the assessment report and therefore being able to make a more detailed response.
You should certainly have a look at our PIP Claim guide to see whether you could have explained her problems in more detail or more in context to the criteria.
www.benefitsandwork.co.uk/help-for-claimants/pip
One of the things that the PIP2 form does not really cover is the need for activities to be carried out reliably and for the majority of the days for a claimant not to score points. Reliably means
• Safely – in a fashion that is unlikely to cause harm to themselves or to another person.
• To a necessary and appropriate standard – given the nature of the activity.
• Repeatedly – as often as is reasonably required.
• In a timely manner – in a reasonable time period.
So if you have not made use of these terms it is quite likely that your daughters abilities have been over assessed,
When you request the MR you can ask for time to submit more information and should be given 4 weeks to do so, although you need to be aware that the DWP are poor at counting the number of days, so returning information sooner rather than later is better.
If you have any questions then please reply to this post and we will do our best to help.
Gordon
Welcome to the forum, you might want to have a look at the following FAQ which explain where everything is
Welcome to Benefits and Work
A couple of questions.
Has your daughter's DLA been re-assessed since she reached the age of 16? As an 8 year old she will have been assessed in comparison to children of the same age to determine her care and mobility needs, as an 18 year old she is treated as an adult.
You say you do not have the assessment report, have you requested a copy? If not then you can phone the DWP office that dealt with her claim and make a request although we recommend that you follow it up in writing.
The criteria for PIP are very different from those for DLA and the criteria are set at a level that would for the majority of DLA claimants result in a lower award. DLA looks at the care that a claimant needs whereas PIP looks at specific areas of daily activity. Finally, whilst the PIP2 claim form generally represents the criteria against which a claimant is assessed, it is easy to miss a vital element of the requirement and therefore fail to score points.
You have one month to make a Mandatory Reconsideration request so you might want to hold off doing so in the hope that of your receiving the assessment report and therefore being able to make a more detailed response.
You should certainly have a look at our PIP Claim guide to see whether you could have explained her problems in more detail or more in context to the criteria.
www.benefitsandwork.co.uk/help-for-claimants/pip
One of the things that the PIP2 form does not really cover is the need for activities to be carried out reliably and for the majority of the days for a claimant not to score points. Reliably means
• Safely – in a fashion that is unlikely to cause harm to themselves or to another person.
• To a necessary and appropriate standard – given the nature of the activity.
• Repeatedly – as often as is reasonably required.
• In a timely manner – in a reasonable time period.
So if you have not made use of these terms it is quite likely that your daughters abilities have been over assessed,
When you request the MR you can ask for time to submit more information and should be given 4 weeks to do so, although you need to be aware that the DWP are poor at counting the number of days, so returning information sooner rather than later is better.
If you have any questions then please reply to this post and we will do our best to help.
Gordon
Nothing on this board constitutes legal advice - always consult a professional about specific problems
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- Sarah Marshall
9 years 9 months ago #138199 by Sarah Marshall
Replied by Sarah Marshall on topic PIP mandatory reconsideration...evidence
Hi Torsie,
Be sure to get BOTH the DWP Decision Maker report and the Maximus HCP report, and look at them very carefully in relation to the information you submitted.
Also, I referred to
• Safely – in a fashion that is unlikely to cause harm to themselves or to another person.
• To a necessary and appropriate standard – given the nature of the activity.
• Repeatedly – as often as is reasonably required.
• In a timely manner – in a reasonable time period.
throughout my ESA form, but it was ignored.
Variability of symptoms, unpredictability, info in "tell us more" boxes - all ignored. Ticks not ignored, but they don't mean the same when the other information you give them is ignored.
Try not to be late with MR, to avoid more problems.
Wishing you well.
Be sure to get BOTH the DWP Decision Maker report and the Maximus HCP report, and look at them very carefully in relation to the information you submitted.
Also, I referred to
• Safely – in a fashion that is unlikely to cause harm to themselves or to another person.
• To a necessary and appropriate standard – given the nature of the activity.
• Repeatedly – as often as is reasonably required.
• In a timely manner – in a reasonable time period.
throughout my ESA form, but it was ignored.
Variability of symptoms, unpredictability, info in "tell us more" boxes - all ignored. Ticks not ignored, but they don't mean the same when the other information you give them is ignored.
Try not to be late with MR, to avoid more problems.
Wishing you well.
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- Gordon
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9 years 9 months ago #138202 by Gordon
Nothing on this board constitutes legal advice - always consult a professional about specific problems
Replied by Gordon on topic PIP mandatory reconsideration...evidence
SM
Welcome to the forum.
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I'm afraid "reliably" is not defined in regard to ESA, it is a PIP only term! The terms should be broadly applicable to most of the ESA Descriptors but you need to use the terms that ESA uses where available for effectiveness, so for example, ESA does not refer to "safety" but does the use the phrases "significant discomfort" or "significant exhaustion" in some Descriptors.
Have a look at the ESA Claim guides for more details
www.benefitsandwork.co.uk/help-for-claimants/esa1
Gordon
Welcome to the forum.
In case you are not aware, your real name appears to be showing in the forum, if you want to change this then follow the instructions in the following FAQ
My full name is showing, how can I stop it?
I'm afraid "reliably" is not defined in regard to ESA, it is a PIP only term! The terms should be broadly applicable to most of the ESA Descriptors but you need to use the terms that ESA uses where available for effectiveness, so for example, ESA does not refer to "safety" but does the use the phrases "significant discomfort" or "significant exhaustion" in some Descriptors.
Have a look at the ESA Claim guides for more details
www.benefitsandwork.co.uk/help-for-claimants/esa1
Gordon
Nothing on this board constitutes legal advice - always consult a professional about specific problems
The following user(s) said Thank You: Torsie
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- Sarah Marshall
9 years 9 months ago #138206 by Sarah Marshall
Replied by Sarah Marshall on topic PIP mandatory reconsideration...evidence
I used the words in the boxes at the top of parts 1 and 2 on ESA50.
But this was ignored by HCP.
But this was ignored by HCP.
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- Gordon
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9 years 9 months ago #138207 by Gordon
I am afraid, as I previously posted, these words have no special meaning for ESA and would have been treated as having no meaning other than their dictionary definition.
You can of course explain the issues you trying t explain using language more suitable to ESA as part of a Mandatory Reconsideration.
Gordon
Nothing on this board constitutes legal advice - always consult a professional about specific problems
Replied by Gordon on topic PIP mandatory reconsideration...evidence
apricot wrote: I used the words in the boxes at the top of parts 1 and 2 on ESA50.
But this was ignored by HCP.
I am afraid, as I previously posted, these words have no special meaning for ESA and would have been treated as having no meaning other than their dictionary definition.
You can of course explain the issues you trying t explain using language more suitable to ESA as part of a Mandatory Reconsideration.
Gordon
Nothing on this board constitutes legal advice - always consult a professional about specific problems
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