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PIP mandatory reconsideration

59 replies

jajhgyt · 27/11/2024 19:53

I'm not sure how to go about this. Should I break down each criteria and rip them apart or just ask they look again? Do I point out that you don't need a diagnosis for PIP and so the 'suspected' condition should not be dismissed? Should I tell them ignoring the diagnosed condition because they don't have enough knowledge in the subject is unacceptable?

Gah, I'm actually fuming.

Anyway I don't know if I'm supposed to go through it and use criteria and explain why I think the decision is wrong or if I'm just supposed to ask them to reconsider.

Any help would be fab, not giving it to welfare rights or cab as I'm able to articulate what I need I just don't know if that's what they are asking

OP posts:
jajhgyt · 27/11/2024 22:26

endlesslystandingonlego · 27/11/2024 22:21

Use the PIP descriptors www.citizensadvice.org.uk/Global/Migrated_Documents/adviceguide/pip-9-table-of-activities-descriptors-and-points.pdf

For each relevant point say: (for example) you said I could cook a meal without any support. I disagree with this, I need my partner to be with me to keep me safe if I am cooking a meal. When they were not supervising me, this bad thing happened. If I do not have the support available, I often fail to eat or I eat pre packed sandwiches. My condition X has the side effect Y which affects me 5 days out 7, and this means that I cannot cook because reason. For these reasons, I believe that I should score 2 points.

Or alternatively, just request an MR with minimal detail, accept that the vast majority of MR's fail, and put your efforts into compiling a strong appeal case.

Please don't pay anyone to submit your MR/appeal. There are many agencies out there who will do it for free, and there is no magic formula or route to success.

Thanks that's pretty much what I have done, but I had a wobble about sending it as I don't want to come across as arrogant. I haven't said how many points I feel I should have but I have said my 'insert condition' means I cannot do X/Y/Z and provided evidence and information about said condition as they clearly do not understand it. I also added the bit about not ignoring an undiagnosed condition but that's what made me question whether I was making the right call

OP posts:
Kitkat1523 · 28/11/2024 10:29

MyOtherNameToday · 27/11/2024 21:27

I'm just not sure how you can have evidence without there being a specific, diagnosed condition. Would the evidence not allow diagnosis? This would maybe then help access PIP if you see what I mean?

So rather than claiming PIP based on evidence, it might make sense to use the evidence to seek a diagnosis which might make it easier to prove you need PIP. I hope that makes sense!

And so speaks someone with absolutely no understanding of the pip process

Kitkat1523 · 28/11/2024 10:31

jajhgyt · 27/11/2024 22:26

Thanks that's pretty much what I have done, but I had a wobble about sending it as I don't want to come across as arrogant. I haven't said how many points I feel I should have but I have said my 'insert condition' means I cannot do X/Y/Z and provided evidence and information about said condition as they clearly do not understand it. I also added the bit about not ignoring an undiagnosed condition but that's what made me question whether I was making the right call

Edited

Use the words, safely, reliably, consistently and timely…..at least one of those in each sentence…..I always do this….,for both myself and son…..we don’t even get telephone reviews anymore….it’s just paper based and we are awarded

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Ivymedication · 28/11/2024 11:32

I get PIP high rate for both
I was a bit of a medical mystery for years
When I first applied....at this stage had been forced to give up work had definable symptoms, was on some mild medication and had supporting drs letters Inc from hospital but mainly saying we don't know
I was awarded low rate for both....I believe this may have been DLA so possibly easier to get.

Once I was diagnosed with something (which turned out to be wrong) but then had strong meds, a plan of action (mainly physio, next levels of drugs etc) I was awarded high high.

From helping others, if your diagnosed condition can affect your life/gain points I would focus on that as much as possible. They SAY you can get it for no diagnosis but unless you are being actively treated for ? symptoms, you won't score points.

Refer as much as you can to your medical notes, point them out to where its been said by a professional that you have difficulty with x or that y joint is affected.

Show that your meds might make life difficult eg 1 of mine knocks me out for a day (v&d) but is essential to take.

It's all about doing a task reliably, safely, repeatedly and within a normal time frame.l

But it's up to you to provide medical evidence and link it to the activities to show how you have difficulty.

When I've filled in reconsiderations for friends and family I usually have the original answer typed out above, then the DM rebuttal. Then I break it down sentence by sentence as to why I disagree and will quote from medical letters and also from the legal definitions of PIP (Google and you can find these)

Good luck....its a pain in the arse but worth it

LadyKenya · 28/11/2024 12:40

The PIP system is designed to make claiming a minefield, and difficult to understand. It makes me wonder, how many people would be claiming, but have been put off, because of hearing about the difficulty in trying to get anything.

BobbyBiscuits · 29/11/2024 10:48

@jajhgyt that doesn't sound right you know. If you're having symptoms of the condition and they affect your ability then that should count. Are you trying to get a diagnosis? If there's a waiting list then explain that, and send evidence of you trying to get diagnosed. If you haven't yet tried, do so immediately via your GP.
I have arthritis symptoms which affect me, but I'm not diagnosed with arthritis. I still include it as it impacts my movement.
I hope you can do an appeal if this process doesn't work.
I wish you the best of luck and health. I know the process can be horrible. X

jajhgyt · 30/11/2024 09:16

BobbyBiscuits · 29/11/2024 10:48

@jajhgyt that doesn't sound right you know. If you're having symptoms of the condition and they affect your ability then that should count. Are you trying to get a diagnosis? If there's a waiting list then explain that, and send evidence of you trying to get diagnosed. If you haven't yet tried, do so immediately via your GP.
I have arthritis symptoms which affect me, but I'm not diagnosed with arthritis. I still include it as it impacts my movement.
I hope you can do an appeal if this process doesn't work.
I wish you the best of luck and health. I know the process can be horrible. X

No I'm not looking for a diagnosis at this stage, its been investigated to no conclusion many years ago, the GP won't refer me again as there was no result but at the same time is happy to prescribe meds to help manage the condition.

OP posts:
jajhgyt · 30/11/2024 09:24

Thanks to everyone who posted, I have sent my form away. I had it all written before I made the thread but I was worried about challenging them too hard. I'm angry that they think dismissing a condition based on no diagnosis is acceptable, it it's not the 'main' part of my claim, it may only score me 2 points in one criteria alongside my more debilitating condition, but those 2 points could make all the difference. Also it's just about the whole principal tbh, whuy should they get away with that when actually they themselves tell you don't need a diagnosis. I think if they had worded it differently and said they don't think it affects me to the level needed to score points for that criteria I would accept it better than them blatantly going against their own words. There are parts where it has said I have no issues in the area because I have no diagnosis but they have neglected to consider my actual diagnosed condition at all, I think the assessor/decision maker just don't know enough about the condition so I have added in 'I cannot do X due to Y condition, which presents itself in Z way' and added some quotes from the both NHS and the condition specific websites. I was worried about offending them when o first wrote the MR which is why I posted I wasn't sure if you were supposed to do it or just tell them you don't agree and to look again.

Thanks for everyone's input though, it's been very helpful.

OP posts:
BobbyBiscuits · 30/11/2024 13:55

@jajhgyt I hope you get the outcome you hope for. It's awful if it's coming down to just a couple of points. The fact is if the GP is prescribing medication for a condition, then it's been diagnosed by the GP. I've said that some of my conditions were diagnosed by a GP, otherwise why would they give medicine for it? I don't know the exact rules. I hope it works out ok for you x

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