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11 years 10 months ago - 11 years 10 months ago #108025 by rubby owl
ESA was created by rubby owl
Having a night mare with the appeal process, My ESA was stopped last November because of the 365 day rule, I had no idea about support groups until after it was stopped and I found your web sit, I appealed and was told I would need to have two appeals one because I was out of time to appeal and if the judge would allowed it I could then appeal to be placed into the support group.
I was allowed to appeal I received the paper from the court asking my to return the form for the appeal to proceed. I sent back this with all my evidence plus medical reports this was in May this year, I am still waiting for an appeal date, But two weeks ago I received submission paper from DWP and a couple of days later I received another letter from the courts with another appeal paper, After phoning the court it would appear that because the DWP were out of time with their submission papers they had made it another appeal, Now waiting for the court to sort out the mess,
In the submission papers the DWP have said they have lost my ESA form and they think it has been destroyed, so they have sent a copy of my incapacity form 2007.
I have emailed my MP he said he was going to have my case investigated.
I have now been with out my benefit for 8 months and no end insight :(
Last edit: 11 years 10 months ago by Gordon.

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11 years 10 months ago - 11 years 10 months ago #108029 by Gordon
Replied by Gordon on topic ESA
rubby owl

We are going to be limited in the information we can provide.

I am assuming that you checked to see whether you are eligible for Income Related ESA?

Do you have a copy of your last ESA50, you can submit this as evidence to the Tribunal?

There are only three routes back into payment.

You make a new claim for ESA(CB), however you will be required to satisfy the NI Contributions requirement. As you were previously on IB you will not be able to do this without working.

You can do as you are already doing, appealing, you have been very lucky that the appeal was accepted as it appears you were outside of the normal limits, payment will only be re-instated if you are placed in the Support Group, but will be back dated to the date of the previous Decision.

If your condition has deteriorated or you have a new condition such that you now meet the requirements for the SG, then you can ask to be re-assessed, this can be done in parallel to your current appeal but will limit any result that you might get from that appeal. Payments will be re-instated but not back dated if you are placed in the SG. You will need to provide medical evidence to show the change and will likely have to complete a new ESA50 and attend a new face to face assessment. You should also be aware that the ESA Descriptors and Regulations were updated in January.

Gordon

Nothing on this board constitutes legal advice - always consult a professional about specific problems
Last edit: 11 years 10 months ago by Gordon.
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11 years 10 months ago #108170 by rubby owl
Replied by rubby owl on topic ESA
Hi Gordon
Not eligible for income related ESA, as my husband is working (one of Ian Duncan-smith tax payers)
I was sent a ESA form from ATOS about three weeks ago, the letter said I must fill in and return the form as it could affect my NI payments even if I was not entitled to ESA payments. So I have sent it back and not heard a word since.
I was only able to have the time limit appealed because I was able to send letters proving at no point was I told about the different groups if I was made aware I would have appealed. I could also prove the DWP only sent me two letters in one year; one in the January 2012 to say my ESA was successfully change from IB, and the second to say it had stopped November 2012. If I had received a letter to tell me about the change in law about how long you can receive ESA or if they had invited me to a work assessment I would have been alerted to the fact I was in the wrong group.
I will be going ahead with the appeal as I have had to do so much work, I took your advice when the appeal started and kept asking for the DWP to send me the submission papers. Nobody had a clue what I was talking about in the end they sent me the ATOS medical report which said after looking at all my medical evidence and reports it was unlikely I would be able to work for at least the next two years.
The submission paper I received three weeks ago does not contain this, in the facts it states my GP has put my condition down as back pain again no letter evidence of this. This is because it is completely untrue. My GP always calls me in when she needs to fill in any DWP forms so I was sat with her. Her response to this calm was to call me in and write a letter to back up all my conditions and then she showed me a copy of the ATOS form she was asked to fill in, she had listed all my condition from the removal of a brain tumour and how this had left my with a balance problem, to how I can only walk with my sticks because a spine operation had left me with nerve damage to my leg, she said I would be unable to lift anything and still has pain in my back.
I now have both a letter from my GP stating I would not have been fit for work then or now. I also have a copy of her ATOS report and any relevant medical letters. I am waiting to hear from the courts as to when to send them as the DWP have filed this new appeal.
I need to know which appeal I am sending it to, the court clerk said not to send anything until they hear from the judge who is looking at my first appeal because the DWP were out of time to send in the submission papers. They have extended the time for the second appeal sent by the DWP three weeks ago, to one month in case I do have to return the 14 day appeal form.
I will have to call them again next week if I have not heard from them.
All as I said a night mare!!

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11 years 10 months ago #108176 by Gordon
Replied by Gordon on topic ESA
ruby owl

Thank you for explaining more about what is obviously a very complicated case.

One comment stands out, from your GP that "I would not have been fit for work then or now", I have to warn you that this is insufficient for the Support Group. By definition you currently have Limited Capability for Work and cannot be asked to work or even to seek work, so your GP's letter simply confirms that you are already receiving the correct level of benefit. To be placed in the Support Group you need to show that you meet one of the descriptors or hat you are incapable of carrying out Work Related Activity.

This is explained in more detail in the ESA Claim guides.

www.benefitsandwork.co.uk/help-for-claimants/esa

Gordon

Nothing on this board constitutes legal advice - always consult a professional about specific problems

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11 years 10 months ago - 11 years 10 months ago #108185 by rubby owl
Replied by rubby owl on topic ESA
Hi
Have checked out your ESA test and it said I would qualify for the support group,

My GP has put " I feel in view of this it would not have been fit to cope with work and would have aggravated her condition"
Last edit: 11 years 10 months ago by Gordon.

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11 years 10 months ago #108187 by Gordon
Replied by Gordon on topic ESA

rubby owl wrote: Hi
Have checked out your ESA test and it said I would qualify for the support group,

My GP has put " I feel in view of this it would not have been fit to cope with work and would have aggravated her condition"


I am afraid my view is that you doctors letter does not qualify you for the Support Group in itself, it merely states that you are not Fit for Work and that working would be a danger to you, this qualifies you for the WRAG or Limited Capability for Work not the Support Group.

For your GP's letter to be of value for the SG they must show that there would be a danger to your health of you were to carry out Work Related Activity, I realise that these sound very similar, but they are legal definitions and have very different meanings.

Gordon

Nothing on this board constitutes legal advice - always consult a professional about specific problems

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