Worth going to MR? Can anyone help?
Hi everyone,
Sorry in advance for the long post but I want to put as much detail in here as possible so that I can get the right advice.
I have received my PIP decision and also got a copy of the assessment report. I am mostly happy with what they have put, and I agree with most of it, apart from one section. I have ADHD, depression and anxiety, and really struggle with anything that requires self motivation and self care, and detailed all of this at the assessment. I have been awarded 11 points, but I don't understand how they have awarded me 0 for nutrition. I really struggle to feed myself properly and have a long history of eating disorders because of this, currently suffering from bulemia. I often forget to eat because of my ADHD. I have been awarded points in the 'preparing food' section, but not in taking nutrition.
I hope I am putting the right level of detail here, it's quite embarrassing to write and share but it is what it is.
Under the written part of the assessment it details that I forget to eat for most days and will only eat junk and convenience food. It says the following: "She is prompted to eat." It also says "7 days she will not eat anything without being prompted due to low motivation and she forgets when she gets distracted by other things". It also says that "no dietitian support was dischargedas her eating was well managed".
In the points section it then gives me 0 and says the following:
"The evidence in the HOC showing no cognitive impairement or physical restrictions, SOH showing average weight displaying sufficiently nourished and FH showing she is not receiving any dietician support amymore, IO not withdrawn, suggests she should be able to reliably take nutrion independently"
and: Restrictions reported and not considered in the scope of the activitym specifically in relation to quality of what is being consumed, i.e. high calorie and junk foods. She reports in FH not knowing when she feels hungry, however this is inconsistent as there are no cognitive issues diagnosed in HOC."
In Other descriptor supported it says:
"whilst prompting has been considered, this has been ruled out given the evidence from the HOC showing that she was discharged from eating disorder clining in 2008 due to her managing this well, no further plans with this, no cognitive impairment, FH she will have episodes of bulimia 2 days a week when she is feeling stressed, not MOD and SOH showing she is average build and displaying adequate nourishment".
So in the text, it says that I need prompting, but I have been awarded 0 points. In addition, ADHD is defined by cognitive impairment, so I don't understand why it says that I haven't been diagnosed with this. Also, whilst I was discharged from the clinic in 2008, this was because I left uni, not because I was better. I still suffered with eating disorders and this has been documented through further care with psycotherapy services until present. Just because I have a normal BMI (I am on the lower end) doesn't mean that I take approproate nutrition.
My questions:
1. Seeing as I am on 11 points and the 2 points I believe I am missing should put me onto the enhanced level, is it worth going for MR? Can I argue that what is written in the assessment hasn't been properly converted?
2. Should I accompany this with a letter stating the points I've made?
3. Could they actually review this and downgrade it? I am super worried about this given the horror stories I have read.
Thanks so much and sorry for such a long post!