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PIP Reconsideration success...well sort of...
PIPESA
Member Posts: 12 Connected
I am pleased to say I must be one of the few people who have had success in not one but two PIP Mandatory Reconsiderations.
In 2015 I had my initial claim for PIP rejected out of hand given 0 points in both categories when Capita refused to look at my evidence and belittled me in the assessment and lied time and again in the resulting health report. On reconsideration I was awarded 11 points for daily living and 14 for mobility and given a 3 year award of standard and enhanced respectively.
I was called in again for a f2f with Capita in December 2017 after stating on my AR1 no change in my conditions and sent in updated supporting evidence. Again appalling f2f assessment by Capita. I had my daily living reduced to 6 points..no award and therefore lost my ESA linked SDA ( I'm in the Support Group )and my mobility reduced to 10 points ie standard from 14 ie enhanced.
Asked for a MR and nearly fainted when I received my Capita health assessment report. I honestly thought they had sent me the wrong persons details....it was full of lies, omissions and said I had completed an "exercise" that I hadn't even been asked to do. So...got further evidence and my support team completed written testimonials. Sent off recorded delivery and a week later received an unchanged decision....shock, horror.
I immediately contacted DWP and was put through to a Case Manager. She was very understanding and agreed that because my further and original evidence was stil valid and even though presented at my f2f with CapitaI it wasn't represented fully in the assessors report ... ie it was ignored.
I said well your award must be wrong then, because of all those evidential omissions you CAN NOT of come to a fair decision can you? She wouldn't comment on that but I got the feeling she agreed. She then stated she would send the evidence back to Capita for a reconsideration of a reconsideration, she added that she would highlight what they MUST look at again.... I think my initial reconsideration ( are you keeping up!) In 2016 was such a vast change in result that they couldn't justify reducing my award due to evidence of NO CHANGE in my conditions. However, she said I should be prepared to go to an appeal.
This was done on Feb 21st last week. Today, 4 working days later I was informed that my reconsideration of a reconsideration of a reconsideration had been reversed to my original award....U N B E L I E V A B L E......till December 2021.
I was informed today ( unofficially officially) that the DWP are getting hundreds of complaints about Capita and basically their assessments are now considered not fit for purpose and VERY soon ALL assessments WILL be recorded in some way. They seem to be listening AT LAST.
So please don't think if your reconsideration is turned down there now HAS be a traumatic appeal process...DONT GIVE UP...basically it is the claimants word against Capita which HAD been a nightmare...not anymore it seems.
The DWP now seem to understand it is purely about the bottom line.. as in Capita get paid per assessment, are (maybe???) targeted to refuse or decrease awards and are aware that Capita can't cope with the contract as it stands, and are trying to make as much money as possible before it is removed from them or, more likely , they give it back..
The resounding evidence so far is that MR s are just another barrier for claimants to be humiliated and who will then give up totally. I have hopefully gone some little way to prove that wrong. PLEASE DONT GIVE UP.....the DWP seem to be finally understanding the shocking treatment we are all being put through at the hands of these so called 'health professionals.'
They must take all the health assessments back in house and record them all. Those in genuine need will get what they are legally entitled to and the process will be far less traumatic.
I would hope it will result in f2f health assessments only being done either for a new claim or at the end date of an award ( only to be done during the award period if there is a notified change of circumstance by the claimant).
GOOD LUCK TO YOU ALL.
In 2015 I had my initial claim for PIP rejected out of hand given 0 points in both categories when Capita refused to look at my evidence and belittled me in the assessment and lied time and again in the resulting health report. On reconsideration I was awarded 11 points for daily living and 14 for mobility and given a 3 year award of standard and enhanced respectively.
I was called in again for a f2f with Capita in December 2017 after stating on my AR1 no change in my conditions and sent in updated supporting evidence. Again appalling f2f assessment by Capita. I had my daily living reduced to 6 points..no award and therefore lost my ESA linked SDA ( I'm in the Support Group )and my mobility reduced to 10 points ie standard from 14 ie enhanced.
Asked for a MR and nearly fainted when I received my Capita health assessment report. I honestly thought they had sent me the wrong persons details....it was full of lies, omissions and said I had completed an "exercise" that I hadn't even been asked to do. So...got further evidence and my support team completed written testimonials. Sent off recorded delivery and a week later received an unchanged decision....shock, horror.
I immediately contacted DWP and was put through to a Case Manager. She was very understanding and agreed that because my further and original evidence was stil valid and even though presented at my f2f with CapitaI it wasn't represented fully in the assessors report ... ie it was ignored.
I said well your award must be wrong then, because of all those evidential omissions you CAN NOT of come to a fair decision can you? She wouldn't comment on that but I got the feeling she agreed. She then stated she would send the evidence back to Capita for a reconsideration of a reconsideration, she added that she would highlight what they MUST look at again.... I think my initial reconsideration ( are you keeping up!) In 2016 was such a vast change in result that they couldn't justify reducing my award due to evidence of NO CHANGE in my conditions. However, she said I should be prepared to go to an appeal.
This was done on Feb 21st last week. Today, 4 working days later I was informed that my reconsideration of a reconsideration of a reconsideration had been reversed to my original award....U N B E L I E V A B L E......till December 2021.
I was informed today ( unofficially officially) that the DWP are getting hundreds of complaints about Capita and basically their assessments are now considered not fit for purpose and VERY soon ALL assessments WILL be recorded in some way. They seem to be listening AT LAST.
So please don't think if your reconsideration is turned down there now HAS be a traumatic appeal process...DONT GIVE UP...basically it is the claimants word against Capita which HAD been a nightmare...not anymore it seems.
The DWP now seem to understand it is purely about the bottom line.. as in Capita get paid per assessment, are (maybe???) targeted to refuse or decrease awards and are aware that Capita can't cope with the contract as it stands, and are trying to make as much money as possible before it is removed from them or, more likely , they give it back..
The resounding evidence so far is that MR s are just another barrier for claimants to be humiliated and who will then give up totally. I have hopefully gone some little way to prove that wrong. PLEASE DONT GIVE UP.....the DWP seem to be finally understanding the shocking treatment we are all being put through at the hands of these so called 'health professionals.'
They must take all the health assessments back in house and record them all. Those in genuine need will get what they are legally entitled to and the process will be far less traumatic.
I would hope it will result in f2f health assessments only being done either for a new claim or at the end date of an award ( only to be done during the award period if there is a notified change of circumstance by the claimant).
GOOD LUCK TO YOU ALL.
Replies
Delighted that you had such a positive outcome. I am currently waiting on my decision - I had my F2F on 15th of February, DWP received my assessor report on the 19th.
Fingers crossed.
Congratulations.
However my assessor did seem pretty genuine - offering me off-the-record advice etc. She could see the pain I was in and was horrified at some of my experiences with pain, surgeries etc at a young age. I am only 23.
Here hoping!
So glad tjings are finely being sorted
I'm glad to hear your good news, although the journey to this point must have been frustrating!
Today my GP (was charged £25) gave me ANOTHER updated report mentioning also problems which I’m facing with my right eye after a botched up cataract op in 2016.
Capita assessor had said ‘you can always wear thicker glasses’ and also one of the questions she asked me was ‘when am I going to top myself?’
Once again I’m so pleased for you as your anxiety is over.
By the way does anyone know what happens to Motability car as now on PIP has given me 10 points (M) and 6 points (C) - therefore my wife lost care altogether for looking after me.
should I tell DWP of the new Dr’s evidence or should I wait for tribunal date and give this to them?
CR
Many thanks @CockneyRebel
Thanks for your insight and sharing this with the community it will give some inspiration to go the distance. Well done on fighting your way forward to getting your award, it will be interesting if things will improve for us in what you've stated.
I myself diden't have any problems with Capita, they did mine all on Paper Based On-Going award in NOVEMBER 17 and my report had no lies within it and I feel very lucky not having to suffer like many do, I'm getting Enhanced rate on both without all the grief I've read and seen about Capita.
Good luck to one and all never give in even though you feel that you could.
I created one of the campaign election videos for Labour, and Jeremy Corbyn,
This is a new version of Emeli Sande, Hope "You Are Not Alone
You can see the video here.
https://m.youtube.com/watch?v=P5o8hRHh9IY
Thank you for sharing your good news. It's given me a little ray of hope whilst I wait for my decision.
Had my second assessment in 4 weeks yesterday and I found it odd to say the least. When asking about my admission to a psychiatric hospital for 6 weeks she commented that my attempt at suicide "wasn't serious". When I informed her I also tried to starve myself to death and weighed less than 6 stone at the time of my admission she commented "well you've certainly put on weight since then" admittedly I am a little plump but there really wasn't any need.
She also seemed taken aback that I had actually left the house a mere three days earlier to visit my mother in her nursing home.
Am I not supposed to attempt to live as normal life as possible on the days I'm able to do so? It doesn't lessen the pain, fatigue and sheer terror I feel.
So now, while I wait we keep the curtains closed because I fear I'm being watched and possibly listened to also. I'm living a nightmare.
Scope community team
However, if you're having suicidal thoughts it's really important that you speak to someone who's able to talk them through with you. If these continue, please give Samaritans a call on 116 123 or email them ([email protected]). You also might find these resources from MIND to be useful, but if you think you might be in immediate danger, please make sure to call 999 or go to your local hospital.
Scope
Also if you interested I think the reason it went back to capita, is apparently now if the DM(CM) wants to make a change that affects the award that disagrees with the AP, the AP now has to agree to it. So the file gets sent back to the AP for reconsideration. In the past the DM's had more power and didnt need to do that. I dont know this for sure, but someone said this on digitalspy as a change of policy within the DWP.