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Should I get my sisters PIP reviewed?

32 replies

Mercury2702 · 09/08/2024 11:59

Just a bit of a backstory really, I’m 28 and my mum who was my sisters carer died suddenly in February so I took on the care of my sister who is 25.

She has a learning disability and I have been encouraging her independence as much as I can but there’s parts of her award that I don’t think accurately represent her needs. However she does get enhanced rate for living despite scoring 0 in parts I think she should score on. For example toileting needs she scored 0 but I have to help her when it comes to managing her periods and communication she scored 0 on expressing and understanding verbal information but she won’t speak to anyone other than myself and my son really. I’m her appointee for benefits and managing her finances and her third party for her GP and I have to take all her phone calls. She also scored 0 on mixing with other people unaided but won’t mix with others other than us due to anxiety.

im a nurse and we met with another nurse I work with and her stepson who’s autistic and she cried and was sick and said they were lovely but she just got herself into a state due to anxiety.

She also scored 0 in moving around but does get the standard rate of mobility due to needing assistance in planning and following a journey but she has long term pain conditions and is really suffering with pain at present which is stopping her doing stuff like days out where there’s a lot of walking, she has bursitis in her hip, hyper mobility and is suffering pain flare ups that leave her bedridden some days despite her having codeine and amitryptline for pain.

is it worth asking if it could be reviewed or is it best to just leave it alone since she already gets enhanced rate for daily living and standard for mobility? The pain limiting movement has been going on years whilst she was still with my mum and she’s been under physio long term. It’s not about money, I just don’t think it accurately represents her daily life and we had to jump through a few hoops to get her bus pass transferred to the county I’m living in and had to get an extra card from social services that shows she’s registered with them and has a learning disability as here it doesn’t seem she scores enough on the specific section of mobility to be eligible with pip alone but the doctors she’s with now did write her a letter stating she has long term pain conditions as well as anxiety so is unable to travel alone

being a nurse myself, I do realise her original award from 2015 is obviously down to the assessor at the time and know people have a lot of struggles with PIP assessments

OP posts:
caringcarer · 09/08/2024 13:37

Hopelesslydevoted2Gu · 09/08/2024 13:04

Be aware that there are precise criteria. Some people will need help with something, but not to the degree or in the way that meets the criteria.

For example you say she didn't score anything for toileting but you help when she has her period. I don't think help during her period would qualify.

From the benefits and work website
"how are 'toilet needs' defined for personal independence payment (PIP)?
For the purpose of personal independence payment (PIP), the law states that "toilet needs" means:
getting on and off an unadapted toilet;
evacuating the bladder and bowel; and
cleaning oneself afterwards;"

From memory I think the expressing and understanding verbal information is a very high bar - so somebody would need to be severely impaired to score here.

It's worth googling and finding the scoring criteria and definitions before thinking about appealing.

I also don't think period help would count as toileting needs. The form has very specific questions. They don't want to know about anything else just the specific questions asked. If your sister already gets higher level for care needs she can't get any more awkward in the care section, so I'd leave it until review.

INeedAnotherName · 09/08/2024 13:53

You have showed two pages that aren't relevant but on your first image it actually says you need to read the next page for the statement of award and start/end dates. What does that page say?

Mercury2702 · 09/08/2024 14:26

INeedAnotherName · 09/08/2024 13:53

You have showed two pages that aren't relevant but on your first image it actually says you need to read the next page for the statement of award and start/end dates. What does that page say?

That is that page, it’s only 3 pages long and on the 2nd page it says ongoing and the 3rd page is just about how they use your info and treating people fairly, there’s nothing else

OP posts:
Pippatpip · 09/08/2024 15:50

I'm of the opinion that you don't poke the PIP bear. You won't gain anything from it.

Mercury2702 · 09/08/2024 15:53

Pippatpip · 09/08/2024 15:50

I'm of the opinion that you don't poke the PIP bear. You won't gain anything from it.

Thank you that’s what I’m gonna do I think until they mention any reviews or anything

has been some good advice on this thread so thanks all

OP posts:
Orangesandlemons77 · 09/08/2024 15:59

I think with the long term ongoing awards they do a 'soft touch' review every 10 years. You might find the form online if you google it.

It's quite a short form and asks about any changes so you could just write the part you think needs changed on there if you wanted to

Just be aware it might mean a whole new reassessment though.

Genegeniehunt · 09/08/2024 16:01

No idea how pip works but i just wanted to say you sound like a wonderful human who takes great care of your sister xx

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