Finished on medical grounds

grandmaCathy
grandmaCathy Online Community Member Posts: 5 Listener
I been working as a psw for the last 13 yrs. In May I was diagnosed with arthritis of the spine.  I managed to keep working till my manager saw I could hardly walk and in pain. I now been on the sick for last 3 months. Had a meeting today they looking into finishing me on medical grounds.  I just been rewarded lower rate pip and got a blue badge. I am married but have my own bills that I pay. My question is would I be entitled to any benefits when they finish me??? I am losing sleep and panicking over this.  At min I on half pay and ssp through work..... all advise welcome.   Cathy 

Comments

  • bg844
    bg844 Online Community Member Posts: 3,890 Championing
    It would be useful to do a benefits calculation in this case (it will ask questions about your husband):
    https://www.entitledto.co.uk/benefits-calculator/Intro/Home?cid=103e4656-d5eb-4bf7-85d6-e2d109fbd7e7
    Great news about the PIP too.

    The benefit that I feel may be the best fit for you is New-Style ESA with your husbands earnings and you may have savings too but please do let us know how you get on with the link above.
  • grandmaCathy
    grandmaCathy Online Community Member Posts: 5 Listener
    The link says I am not entitled to anything
  • bg844
    bg844 Online Community Member Posts: 3,890 Championing
    If you are under State Pension age and have paid NI for the last 2 years, you should be eligible for New-Style ESA:
    https://www.gov.uk/guidance/new-style-employment-and-support-allowance
    Before starting the claims process, see your GP and request a fit note (you will need this to start the claim).

    You then apply using the link above, it will ask questions about your health conditions and personal information (NI number, bank details, GP surgery details and so on). If found to be eligible, DWP will phone you a few days later to schedule an initial appointment with a Work Coach, the reason this will need to happen is so you can agree to your ‘claimant commitment’ (a document which sets out what you must do to receive ESA).

    After 29 days you will receive a form in the post to fill in and return with relevant medical evidence, you will have one month to do this. After a short wait, you may have to attend a Work Capability Assessment. This is where you will be speaking to a Healthcare Professional about your conditions and after this, a report will be made and returned to DWP with a recommendation on your capability to work. Keep getting fit notes from your GP in the meantime, sending these to ESA and ensure there’s no gaps in the dates. A Decision Maker at DWP will make the final decision.

    After you have been assessed there are 3 groups you can be placed in, fit for work, LCW which means DWP accept that you have no ability to work right now but will need to attend appointments every couple of months to ‘prepare for work’, the last group you can be placed in is the Support Group, this group means you won’t have to attend any meetings and will be left alone. LCW has a 12 month maximum limit, the Support Group is indefinite (or until you are re-assessed again a few years later). You won’t need any more fit notes once you have had a decision letter.

    For the first few weeks (or if you get awarded LCW), your payment will be £84.80 a week. If you are assessed and placed in the Support Group, your payment will be £129.50 a week which will be backdated to the 13th week. ESA is paid fortnightly and isn’t means-tested by your husbands earnings, savings and any of his pensions. You will also receive Class 1 NI contributions, ESA is a taxable benefit (although this shouldn’t make much of a difference to you).

    PIP will always continue separately and has no bearing on ESA.
  • grandmaCathy
    grandmaCathy Online Community Member Posts: 5 Listener
    Thank you thats a great help. 
  • grandmaCathy
    grandmaCathy Online Community Member Posts: 5 Listener
    edited September 2023
    I am still being paid by work at min half pay and ssp but there hoping to have me finished by December. When should I apply? Should wait till i get my final date?
  • poppy123456
    poppy123456 Online Community Member Posts: 64,463 Championing
    SSP is payable for 28 weeks. You can start a claim for New style ESA 3 months before the SSP ends. You'll need your SSP1 form from your employer and a fit note from your GP. ESA can't be paid at the same time as SSP so it won't start until the SSP ends but at least the claim will be started.
  • grandmaCathy
    grandmaCathy Online Community Member Posts: 5 Listener
    Would like to say thank you for your advise. I applied for ESA.  And received the news I been put in the support group.  The dates they given gave me no back pay. Claim start 6th Jan £84. I got my letter 11th April to say support group starts on the 15th April.
    The letter gave no details on end date or if I am entitled to anything else. Eg free prescriptions.  
    If I still need to send sick notes .

    Trying to phone them is a nightmare 
  • poppy123456
    poppy123456 Online Community Member Posts: 64,463 Championing
    That's great news. The extra money for the Support Group is paid from the 14th week of your claim so from 15th April is correct. 

    You no longer need to send anymore fit notes. Support Group has no end date, it's an ongoing award and  continues for as long as you remain in that group. You maybe reviewed sometime in the future. 

    Unfortunately this benefit doesn't automatically entitle you to free NHS treatment such as prescriptions, dental or eye tests. For this you can look into the NHS low income scheme but you'll need to fill out a form. https://www.nhsbsa.nhs.uk/nhs-low-income-scheme

    Have you used a benefits calculator to check entitlement to Universal Credit? As it's a means tested benefit if you live with a partner you'll need to claim as a couple and your joint circumstances will be taken into consideration. If you have savings/capital of more than £16,000 you're excluded from claiming. 

    If you claim UC then the ESA will be deducted in full.https://www.entitledto.co.uk/benefits-calculator