How do we get heard?

onebigvoice
onebigvoice Scope Member Posts: 912 Pioneering
I have been fighting DWP for correct benefit entitlements for many years, yet one or two things remain constant.
1. in winning a case the assessor or the Decision Maker never get taken to task and if in most cases that I win its about the content of the Assessment.
  If you win a case in a Tribunal where the report cannot or is not used because of the number of errors it contains and is thrown out and a paper exercise is done based on the medical evidence given by you, why before the new certificate of entitlement is issued, are you not contacted by the Tribunal to state this and only receive a letter stating from them to say that a revised decision in favour of the appellant has been made and therefore this case is now closed?
  The assessor is allowed to continue assessing even though the report is of a poor standard and does not follow the rules of report writing or its eventual use.
  I have received in the last year, where my date for back payments have changed 5 times, 5 different certificates of entitlement, and because the offer has been revised, irrespective of amount, I can't question or receive an explanation of the reason?
  A letter again outlining my case from the DWP complaints resolution team back to September 2020 where now states that we made you a more favourable offer then and 5 times since when asking for the reason for the new certificate issue.  I know why?  since I asked the same question every time.
  The judge at the April 2021 Tribunal asked these questions of the Secretary of State to explain and there reply was zero, they did not reply within the 10 days given, or the 21 days given as an extension.  They sent a letter today stating again at that time a more favourable offer was made to the court, ( Which I did not get or receive from them)  So in order to pursue the claim further I need to approach ICE.
  This was done in 2014, 2016, and again in 2019, all the report stated the same thing, there were serious Typos and Grammatical errors on the case, yet they would not write to the DWP they sent the letter to me to say if I wanted to pursue this case further to contact them direct?

  END:  In order to get anything changed you can't since the Tribunal will not enforce any ruling that they make.
  The altering of documents on behalf of the DWP and the Secretary of State remain unaltered even when proven to be incorrect or forged on their side.
  The assessor will continue to give unsupported reports to the DWP/SS and the Decision Maker will continue to use them even when proven to be incorrect.
  If you get back pay, its only what is owed to you, and at a rate that they decide to give to you, and at a start date and finish date that they decide.   
  Some one I spoke to on Friday Last week, has a phone assessment tomorrow (Friday) and is not taking the call because he is not willing to go through any more stress, and is ringing them to close his claim down and not claim anything?  Just been diagnosed with COPD, I say just it was 1 1/2 years ago and now has become worse that he is rarely seen out of bed, because of his other problems including Walking and Depression to name others diagnosed.
  Who do you complain to when inviting MP's, the First Minister, after a marvellous speech about how thing are getting better, yet we all remain with no doctors appointments, no dental care treatment, no hospital appointments all on the back burner?

Comments

  • onebigvoice
    onebigvoice Scope Member Posts: 912 Pioneering
    I have looked at the topic heading and would like to comment to those here:
      I had the Zoom meeting on Friday 19th with an MP and AM in Cardiff, which was very beneficial to me/us all.
      I was allowed to put a case as to the number of things " wrong with the system of assessment" and allowed to pose questions about what actually is or is not a legal document when talking about assessments and the processes involved, and the Tribunal System and what that entails.
      This meant looking at the Charters set out by Parliament, for all of the above.
      With the permission of the last 6 cases that I have looked at, and asked them to look at the documentation given by the Secretary of State as evidence in each case to remove benefits before I gave them the recent results of those cases and the time to resolve each case.
      The bottom line is that they will be in London on Tuesday and have been allowed to make up a list of questions that will be presented to the chief Whip at Question time there.
      I know that the main questions I want to ask are about procedural changes to the law.
      There is also the question of what is a legal document and why when medical information is sent in with the From and information gathering that the DWP and PIP's have, why the assessment companies do not follow the same rules.
      In writing a program in power point I would like to invite any one here who want their complaints about how the assessment system has removed, changed or just caused so much stress in form filling that you feel like giving up and except offers made over the phone prior to a Tribunal or zoom/telephone assessment?  In other words they offer you standard rate and because they have paid you nothing for months the back pay amounts to Thousands of Pounds and seems like a good deal at the time.
      If you do send in any thing you do not have to use your real names although this would be only for me to start up a file, and allow me to contact you to ask only about your issues to collate them into a history of complaints against the assessment system.
      So along the Lines of Name: OBV.
    When did you apply:  PIP's 2 1st Jan 2015.
      When did you have a change in benefits or a letter saying at this time we cannot pay you, from Date to Date 
    Did you reapply?  Yes/No.
    What was the date and result, Same non-Payment.  lower rate after months of nothing.
    Are you in receipt of benefits now?  Yes/NO
    Did you send in medical evidence and an up to date prescription list.
     Can you give a brief description of your illnesses, including treatment now or pending. 

    I already have changed their outlook at this being an isolated incident or case since I have supplied verbally at the meeting case after case of maladministration.
      The money you get in back payment is money that is owed to you, so getting you to except these " eleventh hour " calls with out a hard copy is just cutting their losses and your entitlements.
      Here is one question:  It is a sackable offence to be on site with the NHS without you badge or picture ID on display, so why when being assessed at a face to face interview do they not wear ID's or when challenged have to go look for them?
      One rule for one, or are they hiding behind the data protection act?  There Charter states they must wear them at all times, so how many have had F2F interviews and seen ID?
      The bill on Tuesday in parliament is as before allowing Private companies to be on the board to discuss contracts and who gets what?
      The NHS is a public concern and should stay that way.
    My fixation is with the law side of our assessment, so when I go to a Health Care Assessment Centre I expect the people that work there are qualified to do so.  This rebranding has come about recently since it has nothing to do with care.

       
  • onebigvoice
    onebigvoice Scope Member Posts: 912 Pioneering
    I have been fighting DWP for correct benefit entitlements for many years, yet one or two things remain constant.
    1. in winning a case the assessor or the Decision Maker never get taken to task and if in most cases that I win its about the content of the Assessment.
      If you win a case in a Tribunal where the report cannot or is not used because of the number of errors it contains and is thrown out and a paper exercise is done based on the medical evidence given by you, why before the new certificate of entitlement is issued, are you not contacted by the Tribunal to state this and only receive a letter stating from them to say that a revised decision in favour of the appellant has been made and therefore this case is now closed?
      The assessor is allowed to continue assessing even though the report is of a poor standard and does not follow the rules of report writing or its eventual use.
      I have received in the last year, where my date for back payments have changed 5 times, 5 different certificates of entitlement, and because the offer has been revised, irrespective of amount, I can't question or receive an explanation of the reason?
      A letter again outlining my case from the DWP complaints resolution team back to September 2020 where now states that we made you a more favourable offer then and 5 times since when asking for the reason for the new certificate issue.  I know why?  since I asked the same question every time.
      The judge at the April 2021 Tribunal asked these questions of the Secretary of State to explain and there reply was zero, they did not reply within the 10 days given, or the 21 days given as an extension.  They sent a letter today stating again at that time a more favourable offer was made to the court, ( Which I did not get or receive from them)  So in order to pursue the claim further I need to approach ICE.
      This was done in 2014, 2016, and again in 2019, all the report stated the same thing, there were serious Typos and Grammatical errors on the case, yet they would not write to the DWP they sent the letter to me to say if I wanted to pursue this case further to contact them direct?

      END:  In order to get anything changed you can't since the Tribunal will not enforce any ruling that they make.
      The altering of documents on behalf of the DWP and the Secretary of State remain unaltered even when proven to be incorrect or forged on their side.
      The assessor will continue to give unsupported reports to the DWP/SS and the Decision Maker will continue to use them even when proven to be incorrect.
      If you get back pay, its only what is owed to you, and at a rate that they decide to give to you, and at a start date and finish date that they decide.   
      Some one I spoke to on Friday Last week, has a phone assessment tomorrow (Friday) and is not taking the call because he is not willing to go through any more stress, and is ringing them to close his claim down and not claim anything?  Just been diagnosed with COPD, I say just it was 1 1/2 years ago and now has become worse that he is rarely seen out of bed, because of his other problems including Walking and Depression to name others diagnosed.
      Who do you complain to when inviting MP's, the First Minister, after a marvellous speech about how thing are getting better, yet we all remain with no doctors appointments, no dental care treatment, no hospital appointments all on the back burner?
  • poppy123456
    poppy123456 Online Community Member Posts: 64,463 Championing
    I don't understand the reason why you posted an exact copy of a previous thread posted in Nov 2021, with exactly the same title and questions.
    You can see that thread here with all the answers. https://forum.scope.org.uk/discussion/85813/how-do-we-get-heard#latest
    I see no need to answer any further questions because we are just continuing to go round in circles.

  • onebigvoice
    onebigvoice Scope Member Posts: 912 Pioneering
    I don't understand the reason why you posted an exact copy of a previous thread posted in Nov 2021, with exactly the same title and questions.
    You can see that thread here with all the answers. https://forum.scope.org.uk/discussion/85813/how-do-we-get-heard#latest
    I see no need to answer any further questions because we are just continuing to go round in circles.


    I have looked at the topic heading and would like to comment to those here:
      I had the Zoom meeting on Friday 19th with an MP and AM in Cardiff, which was very beneficial to me/us all.
      I was allowed to put a case as to the number of things " wrong with the system of assessment" and allowed to pose questions about what actually is or is not a legal document when talking about assessments and the processes involved, and the Tribunal System and what that entails.
      This meant looking at the Charters set out by Parliament, for all of the above.
      With the permission of the last 6 cases that I have looked at, and asked them to look at the documentation given by the Secretary of State as evidence in each case to remove benefits before I gave them the recent results of those cases and the time to resolve each case.
      The bottom line is that they will be in London on Tuesday and have been allowed to make up a list of questions that will be presented to the chief Whip at Question time there.
      I know that the main questions I want to ask are about procedural changes to the law.
      There is also the question of what is a legal document and why when medical information is sent in with the From and information gathering that the DWP and PIP's have, why the assessment companies do not follow the same rules.
      In writing a program and having because of the Tribunal having to show the hard copies of letters/E Mails/Medical information supplied and removed from my files all because the DWP/PIP's/Secretary of State will not up date their files.
      Since I need to show links my first link deals with what is called the Merlin Standard.
      This document was an " up grade " of the assessment process charter and is written by the powers to be.  Department for Works and Pensions.
    Merlin Standard, Disability Confident ( Leader)  (https://disabilityconfident.campign.gov.uk/)
      Written by the Centre for Health and Disability Assessments  ( Operated by Maximus)   
    Even the first paragraph says: the assessment is arranged by the Health Assessment Advisory Service and carries out assessments for the DWP?
      It is the decision maker who decides whether an assessment is needed.  Seems not.
    Page 2.  Our Customer Charter is displayed in all our Assessment Centres.  Never seen one.  more information on our web site @  www.chduk.co.uk
      Down load this link and make references to Questions and answers.
    Page 3.  Who will carry out my assessment.
    The HEALTH PROFESSIONAL doing your assessment is FULLY REGISTERED, QUALIFIED AND APPROVED.
      Surely this must be a statement of fact since this statement is in every document supplied by any assessment company, since this must also cover Duty of Care whether at the premises for assessment or going to a home assessment?  And yes I also understand telephone assessments and paper based when mental issues are involved.
      It then states that depending on WCA the questions may include, and states some.
     Depending on your illness or disability and the type of assessment you are having, the assessment may include:
    -  A Physical Examination.
    -  Blood pressure, sight, hearing or other tests.
    -  Movements such as stretching, standing and bending.
    The number of time I have been told that it is not a medical, on here, yet, how or would you let a person that you don't know or never wears a I D badge, or does not have on the wall or on display his Medical Certification..... to assess, under the Duty of Care? 
     The health professional will not ask you to make any movements that cause you discomfort, please tell the HCP?
      I have and I know many others have sent in Medical Information that stated I cannot walk, or will loose balance if not holding onto something and then being asked to stand on one foot, knowing I have Lupus, or touch my toes and instating I cannot do it was told its part of the exam so I can get a better picture?
      Then there are the other tests?
    This only from page 3?  If you have a copy of the original document words have been changed?  So who has approved the changes? 
      I do not like sarcasm but welcome any comments as long as they are constructive, so I could post other posts about a MEDICAL that you say does not take place and to fight the claimants case once you have a copy of the report, well why must you ask for a copy as the original states the assessor will send you a copy when he sends it to the Decision Maker and asks you to contact the Decision Maker if there are things that were not included or left off before the Decision Maker decides to get a complete report about you.
     I can also show the link to PHSO,  name of the caseworker@ombudsman.org.uk  and the list of reviews and information:
     _  The information provided.
     _  Correspondence from Capita, the DWP and the Independent Case Examiners Office.
     _  Capita's Complaint process.
     _  DWP's Customer Charter.
     _ DWP's financial Address for Maladministration Special Payments Scheme; Policy and Guiding Principles April 2012.
     _  The Ombudsman's Principles of good Complaint's Handling.
     _  The Ombudsman's Principles for Remedy.
      That letter dated 28th June 2021, to me.
      Yet here I am proving my case to PIP's again.  Its all right on paper but getting any government department to actually act on any thing is down to them.  They are spiriting date with no supporting evidence this also includes reports.  This is just starters to put things right, " for me"  and hope it shows that I am not going round in circles, comment on the links and the information I have supplied?    
     
       
  • onebigvoice
    onebigvoice Scope Member Posts: 912 Pioneering
    Funny how no comments?  Had an E Mail from PIP's today, saying three weeks ago, they would open another complaint against the assessment company.  Today, sorry we don't keep information further back than 2020?  Yet all the Tribunals and the results since asking them to provide information seems to have already been archived?  Or yet again they don't want to answer.
  • poppy123456
    poppy123456 Online Community Member Posts: 64,463 Championing
    edited March 2022
    Funny how no comments? 

    All we are doing is going round in circles. MIke's comment above in November 2021 says it all and no further comments are needed.
  • onebigvoice
    onebigvoice Scope Member Posts: 912 Pioneering
    I have a reply from Capita when asking about their assessors and the assessment report since the recent assessment that took place was with a zoom meeting and recorded.  Asked about the assessor before the assessment began, and is this assessment following the guide lines under section3;1;1 to 1.15 of the 2008 social security act?  Yes it is, do you have any medical qualifications or are you registered on any medical register if as what?
      The zoom meeting was suspended for 15 minutes and when she came back she said her Manager had joined the zoom meeting this is what they said:  All assessors follow the protocol's set out by the DWP.
      I said that did not answer my question?  ALL reports written by Capita are for the decision Maker only and if at the end you want a copy you have ton ask them for a copy.
    ALL our reports are recommendations only and this is why we do not put an I D only a title?  I do not hold any medical qualifications and I am not registered on any medical register, as the report is only meant for the Decision Maker.
      Finally in black and white about the assessment process, when asked why send the claimant to you for an assessment if the decision maker also has no medical knowledge?  Because that's the process.
      You can ask for an MR or FOI to see what can be changed or what we used to assess you.  We use the HCP report but you don't state which HCP?  Its our HCP report. when sending me the supporting evidence stipulate which HCP since mine is on Headed paper and in my medical history.  No reply from them in 5 weeks.  Rang today all files have been removed and are now dormant? until further notice.  Are they again waiting for the 20 weeks to expire? 
      
  • poppy123456
    poppy123456 Online Community Member Posts: 64,463 Championing
    woodbine said:
    you seem to be concentrating on the illness which serves no purpose when applying for PIP.
    OP is more obsessed with the qualifications the HCP has than the criteria itself.

  • chiarieds
    chiarieds Online Community Member Posts: 16,796 Championing
    Fixating rather about HCPs, who will not have a medical 'registration' as they are mainly nurses, physios & paramedics. They have expertise in looking at a claimant's PIP form however, so are therefore able to understand a claimant's functional disabilities, if these are explained.....a point which seems to allude the OP.
    Nothing further to add, as yes, this conversation continues to go around in circles.
  • onebigvoice
    onebigvoice Scope Member Posts: 912 Pioneering
    You obviously have never checked these peoples medical Registration details or asked Capita or the others to supply you with a Registration number like those supplied by the NHS?
      My fixation is because they are not registered, and a letter from Capita when asked to produce a legal document of the report with the supporting evidence was told and a hard copy:  The report is for the Decision Maker only and you have to ask them for it.  AND; its ONLY A RECOMENDATION TO THE DECISION MAKER IT IS HE WHO WILL MAKE THE FINAL DECISION. THAT'S WHY WE DON'T HAVE TO SUPPLY ANYTHING?
      What are your comments on that?  Or would you also like me to pop the letter on here naming the senior Assessor who made the statement just before telling him I have applied to London to force you to reply?
  • poppy123456
    poppy123456 Online Community Member Posts: 64,463 Championing
    Yet again, this has all been dealt with in all your previous threads. I see no reason to continue with this at all because all we're doing is going round in circles.
    I can see why you have so many issues with PIP, if this is what you continue to do.
  • chiarieds
    chiarieds Online Community Member Posts: 16,796 Championing
    It's correct that HCPs will not be 'medically' registered (as they're not Drs), however they will be registered with their own professional bodies, e.g. I'm a Member of the Chartered Society of Physiotherapy, so can put M.C.S.P. after my name. When I was working, I was also a State Registered Physiotherapist (S.R. P.), something I let lapse several years after I stopped working as it incurred an annual fee.
    Other than that, which I hope may clarify your issues, there is nothing more to be said as per Poppy & woodbine's replies.
  • MarkM88
    MarkM88 Online Community Member Posts: 3,119 Connected
    edited April 2022
    Just to add nurses will be registered with the NMC.

    Paramedics, occupational therapists, etc will be registered with HCPC. 
  • onebigvoice
    onebigvoice Scope Member Posts: 912 Pioneering
    Yet again, this has all been dealt with in all your previous threads. I see no reason to continue with this at all because all we're doing is going round in circles.
    I can see why you have so many issues with PIP, if this is what you continue to do.
    chiarieds said:
    It's correct that HCPs will not be 'medically' registered (as they're not Drs), however they will be registered with their own professional bodies, e.g. I'm a Member of the Chartered Society of Physiotherapy, so can put M.C.S.P. after my name. When I was working, I was also a State Registered Physiotherapist (S.R. P.), something I let lapse several years after I stopped working as it incurred an annual fee.
    Other than that, which I hope may clarify your issues, there is nothing more to be said as per Poppy & woodbine's replies.
    woodbine said:
    It is perfectly true to say that the assessor writes a report for the DM who then...guess what?...makes a decision, that decision is based on your application and the assessment report, end of really.
    All perfectly great yet poppy 123456 what have you stated in previous threads that go against what I have said?  I have stated that All assessors must be Medical Practitioners and registered on an appropriate Medical register.  All seem to agree with that.  On the day of the assessment the Assessor would have been hired by the DWP to give an assessment for ACCESS TO BENEFITS.  That seems O K with every one.  Yet when I state that they must be up to date on the day of an assessment and that by an appropriate medical register and when asked by the claimant which they are entitled to do.  Every one comes up with an excuse?  Poppy123456: If you do not wish to comment in support of your statements that's fine by me as this is your opinion, but why write or comment again and again saying the same thing about my fixation since that is what the DWP says I am entitled to?
      Chiarieds: state its correct that HCP's will not be medically registered ( as Doctors)  but will be registered with their own professional bodies.  You then state that you were one of these when you were working and also a physiotherapist, but again if you were hired by an assessment company to assess claimants you stated you let this lapse SEVERAL YEARS after you stopped working as it incurred an annual fee, which you were not willing to pay.  Well years later I still have all my certification and still attend classes and up grades to keep up with the changing laws and wording that the DWP seem to try to change every other week.
      This would also mean if you were working for an assessment company and had the titles of M.C.S.P. and S.R.P after your name you could not assess anyone because they had hired some one to assess that is no longer able to hold those titles or at least use those titles for the benefit of wages because you were no longer willing to pay the fees to retain the registration.
      Something I have also been posting about, if when working your were A, B, C, and were certified to hold these titles then the company you worked for would have to make sure that they were up to date since if the HSE decided to to an audit of the work force and found members of a position that required certification were not up to date the company would be fined.  Even a simple thing like First Aid.  If your name was on their then your must be certified.  You should know this, and something you should also know, but didn't state, was your name and title when working for the company's that you had these titles for on the bottom of all the reports you wrote? 
      Woodbine:  read your own assessment report it states that we have made our decision on the evidence supplied, and from information supplied by the claimant that treats him and also the assessment report.  What it does not state is who's assessment since all yours are on headed paper and have the ID and title on all the medical reports yet theirs ( Capita, Maximus, ATOS or Concentrix) don't and would be luck to have a name and title. where the Law states for supporting evidence that the name on the report must be the same as the Registration Name and I D number on an appropriate Medical Register and up to date?   In other words any middle names to be included, most use the middle name on the report which will not match anything and its not for you to guess whether this is the right person or not, what have they got to hide that the NHS has not?
  • chiarieds
    chiarieds Online Community Member Posts: 16,796 Championing
    Hmmm...not that I'd ever want to work for the DWP, but I still hold the 'title' of M.C.S.P. (what makes you think I'm no longer entitled to use this?) tho, as mentioned, I could no longer additionally use S.R.P., as this was just needed whilst working (please read my comments carefully). Think it's fair enough to stop paying for a registration that's no longer needed; I just kept it on for a number of years in order to continue to receive the 'Physiotherapy' magazine. I'm long retired, so this no longer has any relevance,
    As Mark says, a physio, OT or paramedic, etc. will now be registered with the HCPC.
    Great you've kept up with your certification, in whatever field, which I don't believe is paramedical from what you've previously said, so believe I understand a little more about, just from my own field, what HCPs may know, & that their background is indeed helpful in assessing functional problems with a benefit such as PIP.
    Assessors do not have to be 'Medical practioners,' sorry. Yet again you seem to be missing the point we are all trying to relay.
  • onebigvoice
    onebigvoice Scope Member Posts: 912 Pioneering
    This written years ago to show my questions do not change but answers do? 
      I am now just going to concentrate on the topic " How do we get heard"  
    Since LiMA is the system used by Capita and Maximus to assess, which is a tick box system of points I gave them the same type of sheet to fill out.
      FIG 1.  Sample letter about challenging PIP’s            

    Add this to Ruba, file  26/01/2022.

     

     

    You can use this letter to ask a health care professional for evidence to challenge a decision made about your Personal Independence Payment (PIP) claim. You can use the same letter whether you are submitting a Mandatory Reconsideration or an Appeal. Where you see something written in red, it means you will need to add or change something so that the letter is accurate for you.

     

     

    To: (add name of professional)

    Address: (add address of professional)

     

    Date: (add date)  

     

    Dear Sir/Madam

     

    Request for medical evidence

     

    Name:                    (add your name)

    Address:                 (add your address)

     

    D.o.B:                     (add your date of birth)

     

    I am challenging a decision about my entitlement to Personal Independence Payment and I am writing to ask if you would offer some evidence that may help my case. Evidence from medical professionals can be extremely useful in helping decision makers at the Department for Work and Pensions (DWP) make correct decisions.

     

    I would be very grateful if you could answer the questions that you think are relevant to my condition from the list below (and return them to me in the envelope provided. Please be aware that I am not in a position to pay for any report or information) (Insert or delete as applicable).

     

    The challenge is about a decision made in (add date mm/yy) so I would be grateful if you could provide information based on how my condition affected me at that time.

     

    The questions focus on my mental health rather than my physical health. But if you have information regarding my physical health, please include this at the end of the form.  Thank you very much, in advance for any help you can provide towards my claim.

     

     

    Yours faithfully,

     

    (Add your name).  

     

     

    Please state what conditions I have been diagnosed with, and what medications, treatments and therapies have been prescribed or recommended.

     

     

    Can you look at the questions below and add some information for the ones you think are relevant for me.

     

    When answering the relevant questions please think about my ability to perform each activity safely, to an acceptable standard, repeatedly (as necessary) and within a reasonable time. Please indicate where I am unable to perform these activities without either physical help, or someone prompting me to carry out the activities.

     

    1.     To what extent do my condition(s) affect my ability to prepare food?

    2.     To what extent do my condition(s) affect my ability to take appropriate nutrition?

     

     

     

     

     

     

     

    3.     To what extent do my condition(s) affect my ability to manage therapy or monitor my health condition?

     

     

     

     

     

     

     

    4.     To what extent do my condition(s) affect my ability to wash or bathe?

     

     

     

     

     

     

     

    5.     To what extent do my condition(s) affect my ability to manage my toilet needs or incontinence?

     

     

     

     

     

     

     

    6.     To what extent do my condition(s) affect my ability to dress or undress?

     

     

     

     

     

     

     

    7.     To what extent do my condition(s) affect my ability to communicate verbally?

     

     

     

     

     

     

     

    8.     To what extent do my condition(s) affect my ability to read and understand signs symbols and words?

     

     

     

     

     

     

     

    9.     To what extent do my condition(s) affect my ability to engage with other people (who I both know and do not know) face-to-face?

     

     

     

     

     

     

     

    10. To what extent do my condition(s) affect my ability to make budgeting decisions?

     

     

     

     

     

     

     

    11. To what extent do my condition(s) affect my ability to plan and follow journeys (both those that are familiar and unfamiliar to me)?

     

     

     

     

     

     

     

    12. To what extent do my condition(s) affect my ability to physically move around?

     

     

     

     

     

     

     

    Signature                                         Date                                Hospital/Surgery Stamp

     

     

    FIG 1.  Sample letter about challenging PIP’s            

    Add this to Ruba, file  26/01/2022.

      ( this is here because it was copied from a letter sent this year to Stephen Doughty MP and was a copy of one of the previous letters sent in 2020 and 2018.)   The spacing is different when printed in A4 to allow answers to be placed.

     

     

    You can use this letter to ask a health care professional for evidence to challenge a decision made about your Personal Independence Payment (PIP) claim. You can use the same letter whether you are submitting a Mandatory Reconsideration or an Appeal. Where you see something written in red, it means you will need to add or change something so that the letter is accurate for you.

     

     

    To: (add name of professional)

    Address: (add address of professional)

     

    Date: (add date)  

     

    Dear Sir/Madam

     

    Request for medical evidence

     

    Name:                    (add your name)

    Address:                 (add your address)

     

    D.o.B:                     (add your date of birth)

     

    I am challenging a decision about my entitlement to Personal Independence Payment and I am writing to ask if you would offer some evidence that may help my case. Evidence from medical professionals can be extremely useful in helping decision makers at the Department for Work and Pensions (DWP) make correct decisions.

     

    I would be very grateful if you could answer the questions that you think are relevant to my condition from the list below (and return them to me in the envelope provided. Please be aware that I am not in a position to pay for any report or information) (Insert or delete as applicable).

     

    The challenge is about a decision made in (add date mm/yy) so I would be grateful if you could provide information based on how my condition affected me at that time.

     

    The questions focus on my mental health rather than my physical health. But if you have information regarding my physical health, please include this at the end of the form.  Thank you very much, in advance for any help you can provide towards my claim.

     

     

    Yours faithfully,

     

    (Add your name).  

     

     

    Please state what conditions I have been diagnosed with, and what medications, treatments and therapies have been prescribed or recommended.

     

     

    Can you look at the questions below and add some information for the ones you think are relevant for me.

     

    When answering the relevant questions please think about my ability to perform each activity safely, to an acceptable standard, repeatedly (as necessary) and within a reasonable time. Please indicate where I am unable to perform these activities without either physical help, or someone prompting me to carry out the activities.

     

    1.     To what extent do my condition(s) affect my ability to prepare food?

    2.     To what extent do my condition(s) affect my ability to take appropriate nutrition?

     

     

     

     

     

     

     

    3.     To what extent do my condition(s) affect my ability to manage therapy or monitor my health condition?

     

     

     

     

     

     

     

    4.     To what extent do my condition(s) affect my ability to wash or bathe?

     

     

     

     

     

     

     

    5.     To what extent do my condition(s) affect my ability to manage my toilet needs or incontinence?

     

     

     

     

     

     

     

    6.     To what extent do my condition(s) affect my ability to dress or undress?

     

     

     

     

     

     

     

    7.     To what extent do my condition(s) affect my ability to communicate verbally?

     

     

     

     

     

     

     

    8.     To what extent do my condition(s) affect my ability to read and understand signs symbols and words?

     

     

     

     

     

     

     

    9.     To what extent do my condition(s) affect my ability to engage with other people (who I both know and do not know) face-to-face?

     

     

     

     

     

     

     

    10. To what extent do my condition(s) affect my ability to make budgeting decisions?

     

     

     

     

     

     

     

    11. To what extent do my condition(s) affect my ability to plan and follow journeys (both those that are familiar and unfamiliar to me)?

     

     

     

     

    12. To what extent do my condition(s) affect my ability to physically move around?

     

     

    Signature                                         Date                                Hospital/Surgery Stamp

     

     

  • onebigvoice
    onebigvoice Scope Member Posts: 912 Pioneering
    How to get heard.
     
      This a copy of part of the bundle sent to London to show what an assessor and decision Maker must do.  This is standard documentation that everyone should know and don't use.  Any one of these not use will render the report as suspect, when asked to produce a document and they would not answer so I sent this back along with the report they supplied and asked them to explain.

      

     Job Centre.  Tel: 0845 6043719.

     

      This document has been produced by the Department for Works and Pension, (DWP) to provide guidance for assessment providers (AP’s) carrying out assessments for Personal Independence Payment (PIP) 

     

     It is intended to supplement the contract documents agreed with APs as part of the commercial process, providing guidance for Health Professionals (HPs) carrying out assessment activities and for those responsible for putting in place and delivering processes to ensure the quality of the assessments.

     

      All HPs undertaking assessments on behalf of DWP must be registered practitioners who have also met requirements around training, experience and competence.  This document must be read with the understanding that, as experienced practitioners and training disability analysts, HP’s will have detailed knowledge of the principles and practice of relevant consultation and examination techniques and therefore such information is not contained in this guidance.

     

       In addition, the guidance is not a stand-alone document, and should form only a part of the training and written documentation that HPs receive from Aps.

     

    It must be remembered that some of the information may not readily be understood by those who are not trained and experienced HPs.  The guide focuses specifically on the role of the HPs in the assessment and the quality of their work.  It is intended to cover all requirements placed on Aps as part of the PIP assessment contracts, their full business process, or work carried out by DWP to monitor and manage AP performance.  

     

      The underlined sections were the response to the request of FOI I received, it did not explain or show any thing about the assessors or the report writing to the Decision Maker, in fact made matters worse since in removing my medical history from file, Dr S Jones sent the 68 Page examination Report to them on a C D including the previous 120 pages of the other MRI scans.

      You need to concentrate on th underlined sections.


  • onebigvoice
    onebigvoice Scope Member Posts: 912 Pioneering
    I left a post on here last night about the "new" documentation used by the DWP and the Secretary of State to assess people for benefits.
      Although they are "new" in so much as one was written in April 2022 and had to be re-written in August 2022 as amendments were made after not following the "White Paper" brought out in Feb 2022 and just recently in July 2022. 
      This paper is presented every year to Government by the Department of Fiscal Studies and discusses in depth Social Security System, how to get people back into work (Safely) Sick pay schemes, assessment writing and correspondence, in fact anything to do with benefits and their use.
      I have been lucky enough to be involved with this project for the last 5 years and before as an independent.
      I realise that my posts are long but in order to get results you have to know the rules and regulations and also keep up with the changes to the system.
      The ONE DOCUMENT I discussed last night was 
    DWP Medical (factual) reports (publishing.service.gov.uk)  A 21 page document aimed at giving clarity to the assessment system.  This document being aimed at the medical professionals that write reports and can enter it into your Medical history.  Take the time to read the document fully and I suppose at first most will "cherry pick" items in the introduction that apply to them.  But you should take your time once this is done and read the document not necessarily in one go unless you are interested in this sort of thing, but remember anyone can apply these to their documents or learn their rights and what is to be expected when actually giving people (any government department) your permission to use sensitive data about you including your "bank account"
      Many would say I would never do that, but you do?  How are your benefits paid?  Into a Bank, Building Society or Post Office account.  Cash these days a thing of the past.  When you ring up to enquire about a form you have not sent back or a renewal form, you are asked your name, including any middle names,  full address including postal code, National Insurance Number, the name of the bank/building society/Sort code of the bank which your money is paid into, your best contact number or mobile number.
      Now look at the top of ANY LETTER SENT BY DWP TO YOU.  Your name and postal address, your national insurance number, and possible reference number of claim, date and postal address of the company sending the letter.  the writer of the report?  Office Manager? I had 3 cases of information going into the wrong accounts even with the Tribunal service, so when you consider how you are supposed to cross reference the information contained with the "office Manager" funds have gone missing?
      Your information is on a CENTRAL COMPUTER, so when asked to give permission on one thing it says in the small print that you give permission for this and other information to be used by other departments as long as they are approved by the DWP or the Chief Medical Officer.  I say "OR" otherwise when filling out a claim for Universal Credit they would have to ask 6 times for your permission. 
      My point being:
      This document was produced along with 6 other documents and have in the title tried to help people fill out forms with confidence by rebranding the Assessment providers name, and using the terms FACTUAL and MEDICAL in all their titles.  when you read the document it asks YOU to supply things which in the old documentation should be asked of by people that treat you by them for clarity.
      They now ask for the doctors, nurses or HP/HCP's to sign a declaration to say they are registered with the Medical Board as a Practicing Medical Practitioner? 
      Why because the law and government were being shot down and paying for a report that could not be used in the assessment process or at a Tribunal.
      These rules will never change except to protect the government from not doing what it says on the box, which is to "assist" people in making form filling and access to benefits and care that you are entitled to, since you have already been diagnosed and been given drugs and treatment that is not available over the counter, and entered into your medical history.  So why get another assessment?     
  • onebigvoice
    onebigvoice Scope Member Posts: 912 Pioneering
    Following from the above I have always been talking to Capita, Maximus, ATOS, some of the assessment company's used by the DWP to assess claimants for benefits and also talking to DWP and PIP's about the same subject, as this affects us all.
      The latest set of talks with Capita have taken 6 paces forward where getting people to except that a form has to be sent after a conversation with Capita is necessary in the DWP's eyes.  
      We are being vetted in having to have a telephone call to get the form sent?  This is no longer necessary, in so much as people who have problems filling out forms can have a representative ring first to explain the issues where some hide letters or do not express them selves well on the phone and do not like to be put under pressure, so give up before they start, and a hard copy of the signed declaration also sent to the surgery and their reply of excepting my name on their files if needed, as most information is already on file.
      The last two people, I have now started a new claim for, I rang on their behalf and had already gained permission on the claimants behalf by signing a letter saying that I now speak on their behalf and have also contacted their surgery who I have also sent a signed declaration from both of us to access their medical files should I need to in order to get up to date prescriptions or to make sure that they are attending all the appointments that they are supposed to either at the Hospital for treatment or at the surgery for, say blood tests or the practice nurse for other issues, had been received by the DWP.
      Capita rang and "sent" in a link the new Pip's 2 form which is down loadable or can be filled out on line where you can complete sections and come back to it at a later time.  Once you have completed a section you can jump a section until the form is complete, at the end is is a section where you can up load, medical evidence, or support letters or prescriptions and then electronic signature it, remembering that the form is about the claimant and to not talk in third party.
      When sent they will reply in a day or so, and when rung sent an E Mail to say they have received the link and if any more information is needed they will get into contact.
      This then becomes a paper-based excercise as there was already information on file.  But, may still require an assessment if the information requires clarity.
      Where it has gone a bit backwards is to remind Capita that calls may need to go through you as the representative, but also from your perspective is to remind the claimant that they may get a call from Capita to say they have received the form on your behalf and could they give details of the representative but also going through security to check that they have assisted in the filling of the form, which is O K by me.
      I have never shunned an assessment but with the new paperwork that has come out it seems that the evidence is now a MEDICAL (FACTUAL) REPORT GUIDE, and must contain all the details of the assessor and be signed including the ID reference number inorder to claim the fee for writing the report.
      This is contained in the introduction section 1, where it is stated "...... this also includes the assessor hired by the DWP to assess the claimant"
      Its still in its applications stage but as the "bugs" come out of the system it should be a lot easier as it is written in plain English.
      So we are ending the year with a bit of a higher note than we started but there is still some way to go when looking at reassessments and when they can actually start looking again at the claim from the end date given.