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Welfare Rights Benefit Training 2013

Understand the changes to Disability Living Allowance (DLA) and the introduction of Personal Independence Payment (PIP) in 2013. Learn the rules, eligibility criteria, activities test, and how the assessments are conducted. Discover the entitlement thresholds and payment amounts for PIP.

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Welfare Rights Benefit Training 2013

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  1. Welfare Rights Benefit Training 2013

  2. DISABILITY LIVING ALLOWANCE (DLA) CHANGES TO PERSONAL INDEPENDENCE PAYMENT (PIP)

  3. What is PIP?The personal independence payment (PIP) replaces working age Disability Living Allowance (DLA) from 8 April 2013. The change applies across the UK.What are the rules for PIP?To get the personal independence payment you must:Be age 16 - 64Satisfy the daily living and/or mobility activities test for 3 months prior to claiming and be likely to continue to satisfy this test for a period of at least 9 months after claiming.

  4. Residence and presence testsIn order to claim personal independence normally you must:Have been present in Great Britain for 104 weeks out of the 156 weeks before claiming (2 out of the last 3 years) and be habitually residentYou will not be able to claim PIP once you are 65 years old but you will be able to stay on PIP if you claimed or received it before you reached the age of 65. If you are over 65 and become disabled for the first time you can still claim Attendance AllowanceYou can receive PIP whether you are in or out of work.

  5. In order to qualify for PIP you will have to score a certainnumber of points in relation to 12 activities. These are:1 Preparing food. 2 Taking nutrition.3 Managing therapy or monitoring a health condition 4 Washing and bathing.5 Managing toilet needs or incontinence.6 Dressing and undressing.7 Communicating verbally. 8 Reading and understanding signs, symbols and words.9 Engaging with other people face to face.10 Making budgeting decisions. 11 Planning and following journeys. (Used in the test for the mobility component)12 Moving around. (Used in the test for the mobility component)

  6. Each activity 1 – 12 above has a set of descriptors. Points are awarded for each activity that you cannot do based on whether you fit a descriptor within those activities. You can score points for more than one activity but If more than one descriptor applies in any activity you will be awarded whichever descriptor gives you the most points. If you can show that a descriptor applies to you for 6 months within a 12 month period you will be awarded the appropriate points.

  7. How will the activities tests be applied?In most cases you will be asked to attend a face-to-face consultation with an independent healthcare professional (HCP). At the consultation the HCP looks at your ability to carry out the PIP activities. The HCP will look at your claim form and any medical evidence from your GP or consultant, if you have one. You will be able to take someone with you to the consultation such as a family member or carer.

  8. Following the consultation the HCP will advise a benefit decision maker at the Department for Work and Pensions who will be the one who actually decides if you are entitled to PIP and which component applies if any. The decision maker will also decide the length of your award and the date when it will be reviewed, based on the likelihood of your health condition or impairment changing.

  9. Depending on your circumstances you may get a short award of up to 2 years or a longer award lasting up to 5 or 10 years. If you are given a longer award you may still be contacted, during this time, to see if your needs have changed.Two organisations are responsible for carrying out consultations.Atos IT Services will carry out assessments in London, Southern England, the North East, the North West England and Scotland Atos will be working in partnership with NHS Lanarkshire, private hospitals and national networks of locally-based health professionals, such as physiotherapists, using their premises to undertake face-to-face consultations.Capita Business Services Ltd will carry out assessments in Central England, Wales and Northern Ireland  

  10. How much is PIP?The weekly amounts of PIP are:Daily living componentStandard rate – If you have a limited ability to carry out daily living activities - £53.00Enhanced rate – If you have a severely limited ability to carry out daily living activities - £79.15Mobility component  Standard rate – If you have limited mobility - £21.00Enhanced rate - If you have severely limited mobility - £55.25

  11. The entitlement thresholds (pass mark) for the rates and components of the PIP are:Daily Living component (activities 1 to 10)Standard rate £53 weekly: 8+ pointsEnhanced rate £79.15 weekly: 12+ pointsMobility component (activities 11 to 12)Standard rate £21 weekly: 8+ pointsEnhanced rate £55.25 weekly: 12+ points

  12. DS1500 casesIf you have a terminal illness (that is if you are suffering from a progressive disease where death can be expected within 6 months) you will automatically receive the daily living component enhanced rate £79.15 weekly. If you are terminally ill you only have to be present in the UK at the date of claim with no waiting period eitherYou will also be able to apply for the mobility component and receive it immediately if you qualify.

  13. As with DLA PIP will stop if you have been in hospital for over 28 daysIf you are in a care home you will be entitled to the mobility component so long as you satisfy the qualifying conditions.If you are paid PIP you are free to spend the money in the way that suits you best.

  14. PIP 'delivery timetable' is -From 8 April 2013: New claims for PIP will be taken in a 'controlled start area' in the North West and part of the North East of England. Postcodes affected are: BL, CA, CH (except CH5, CH6, CH7 and CH8), CW, DH, DL (except DL6, DL7, DL8, DL9, DL10 and DL11), FY, L, LA (except LA27, LA28, LA62 and LA63), M, NE, PR, SR, TS (except TS9), WA and WN.

  15. From June 2013: New claims for PIP will be taken in all remaining areas of Great Britain.I would expect a massive take up campaign locally now to get as many people onto DLA before its abolished for new claims from June 2013?

  16. From October 2013: Reassessment for PIP begins for existing Disability Living Allowance (DLA) claimants reporting a change in their condition The DWP will also start contacting those reaching the end of fixed period DLA awards and young people turning 16 years of age.

  17. From October 2015: All remaining claimants already in receipt of a DLA award will be invited to make a claim for PIP. DWP will randomly select those recipients of DLA in receipt of an indefinite award or a fixed term award and notify them about what they need to do to claim PIP.

  18. The DWP will prioritise existing DLA recipients who have turned 65 after 8 April 2013, when PIP was first introduced. DLA will remain in payment for all claimants until a decision on PIP has been communicated to the claimant.

  19. 10,370 claimants of DLA in D&G who are under 65

  20. DWP say no Employment Support Allowance medical evidence will be used to assess PIP claims

  21. 428,000 fewer working-age disabled people will qualify for the higher mobility PIP rate (which allows access to the Motability scheme) by 2018

  22. Claimants have to be unable to walk for 20m • unaided. Previously, the distance was 50m. • There could be 160,000 fewer Motability • cars on the road by 2018. • A loss of 5,692 car industry related jobs • Distance, time, speed and manner of • walking removed for now

  23. People’s ability to undertake tasks ‘reliably, repeatedly, safely and in a timely manner’ into the regulations for PIP, which will ensure both assessments and appeal hearings consistently take account of factors such as pain, fatigue, breathlessness and other symptoms generated by undertaking tasks.

  24. The claim process (new claims)Step 1:Claims can be made by calling DWP on an 0800 number. Paper claim forms will be by exception for those claimants that are unable to make a claim by phone. The initial information required to make a claim for PIP will be basic information covering: The claimant’s personal and contact details Residency details (known as residency and presence) Relevant periods spent in hospital, residential care Claims under special rules for terminally ill people, and Payment (bank account) details

  25. Step 2:A ‘How your disability affects you’ form is then posted to the claimant. This allows the claimant to explain how their condition affects them in their own words.It is individually addressed and barcoded to speed up processing when it is returned and only usable by them.

  26. Any additional evidence that may help and support the claim can be returned with this form. The form and any supporting evidence is returned to DWP in a freepost envelope.

  27. Step 3: The Assessment The claim information, completed form and any additional evidence is passed over to a health professional.Step 4: The health professional will decide if there is a need for any further evidence and will make all the arrangements to get this. Some assessments may be completed at this stage, such as if someone is claiming under the special rules for the terminally ill or where the written evidence is sufficient. Most will be asked to attend a face-to-face consultation.

  28. The points scoring systemDaily Living component (activities 1 to 10)Standard rate £53 weekly: 8+ pointsEnhanced rate £79.15 weekly: 12+ points

  29. DAILY LIVING ACTIVITIES1. Preparing food.a. Can prepare and cook a simple meal unaided. 0 points.b. Needs to use an aid or appliance to be able to either prepare or cook a simple meal. 2 points.c. Cannot cook a simple meal using a conventional cooker but is able to do so using a microwave. 2 pointsd. Needs prompting to be able to either prepare or cook a simple meal. 2 points.e. Needs supervision or assistance to either prepare or cook a simple meal. 4 points.f. Cannot prepare and cook food. 8 points.

  30. 2. Taking nutrition. • a Can take nutrition unaided. 0 points. • b Needs –(i) to use an aid or appliance to be able to take nutrition; or(ii) supervision to be able to take nutrition; or(iii) assistance to be able to cut up food. 2 points. • c Needs a therapeutic source to be able to take nutrition. 2 points. • d Needs prompting to be able to take nutrition. 4 points. • e Needs assistance to be able to manage a therapeutic source to take nutrition. 6 points. • f Cannot convey food and drink to their mouth and needs another person to do so. 10 points.

  31. 3. Managing therapy or monitoring a health condition.a. Either –(i) does not receive medication or therapy or need to monitor a health condition; or (ii) can manage medication or therapy or monitor a health condition unaided. 0 points.b. Needs either –(i) to use an aid or appliance to be able to manage medication; or (ii) supervision, prompting or assistance to be able to manage medication or monitor a health condition. 1 point.c. Needs supervision, prompting or assistance to be able to manage therapy that takes no more than 3.5 hours a week. 2 points.

  32. 3. Managing therapy or monitoring a health condition continuedd. Needs supervision, prompting or assistance to be able to manage therapy that takes more than 3.5 but no more than 7 hours a week. 4 points.e. Needs supervision, prompting or assistance to be able to manage therapy that takes more than 7 but no more than 14 hours a week. 6 points.f. Needs supervision, prompting or assistance to be able to manage therapy that takes more than 14 hours a week. 8 points.

  33. 4. Washing and bathing.a. Can wash and bathe unaided. 0 points.b. Needs to use an aid or appliance to be able to wash or bathe. 2 points.c. Needs supervision or prompting to be able to wash or bathe. 2 points.d. Needs assistance to be able to wash either their hair or body below the waist. 2 points.e. Needs assistance to be able to get in or out of a bath or shower. 3 points.f. Needs assistance to be able to wash their body between the shoulders and waist. 4 points.g. Cannot wash and bathe at all and needs another person to wash their entire body. 8 points.

  34. 5. Managing toilet needs or incontinence.a. Can manage toilet needs or incontinence unaided. 0 points.b. Needs to use an aid or appliance to be able to manage toilet needs or incontinence. 2 points.c. Needs supervision or prompting to be able to manage toilet needs. 2 points.d. Needs assistance to be able to manage toilet needs. 4 points.e. Needs assistance to be able to manage incontinence of either bladder or bowel. 6 points.f. Needs assistance to be able to manage incontinence of both bladder and bowel. 8 points.

  35. 6. Dressing and undressing.a. Can dress and undress unaided. 0 points.b. Needs to use an aid or appliance to be able to dress or undress. 2 points.c. Needs either -(i) prompting to be able to dress, undress or determine appropriate circumstances for remaining clothed; or (ii) prompting or assistance to be able to select appropriate clothing. 2 points.d. Needs assistance to be able to dress or undress their lower body. 2 points.e. Needs assistance to be able to dress or undress their upper body. 4 points.f. Cannot dress or undress at all. 8 points.

  36. 7. Communicating verbally.a. Can express and understand verbal information unaided. 0 points.b. Needs to use an aid or appliance to be able to speak or hear. 2 points.c. Needs communication support to be able to express or understand complex verbal information. 4 points.d. Needs communication support to be able to express or understand basic verbal information. 8 points.e. Cannot express or understand verbal information at all even with communication support. 12 points.

  37. 8. Reading and understanding signs, symbols and words.a. Can read and understand basic and complex written information either unaided or using spectacles or contact lenses. 0 points.b. Needs to use an aid or appliance, other than spectacles or contact lenses, to be able to read or understand either basic or complex written information. 2 points.c. Needs prompting to be able to read or understand complex written information. 2 points.d. Needs prompting to be able to read or understand basic written information. 4 points.e. Cannot read or understand signs, symbols or words at all. 8 points.

  38. 9. Engaging with other people face to face.a. Can engage with other people unaided. 0 points.b. Needs prompting to be able to engage with other people. 2 points.c. Needs social support to be able to engage with other people. 4 points.d. Cannot engage with other people due to such engagement causing either – (i) overwhelming psychological distress to the claimant; or (ii) the claimant to exhibit behaviour which would result in a substantial risk of harm to the claimant or another person. 8 points.

  39. 10. Making budgeting decisions.a. Can manage complex budgeting decisions unaided. 0 points.b. Needs prompting or assistance to be able to make complex budgeting decisions. 2 points.c. Needs prompting or assistance to be able to make simple budgeting decisions. 4 points.d. Cannot make any budgeting decisions at all. 6 points.

  40. The points scoring systemMobility component (activities 11 to 12)Standard rate £21 weekly: 8+ pointsEnhanced rate £55.25 weekly: 12+ points

  41. MOBILITY ACTIVITIES11. Planning and following journeys.a. Can plan and follow the route of a journey unaided. 0 points.b. Needs prompting to be able to undertake any journey to avoid overwhelming psychological distress to the claimant. 4 points.c. Cannot plan the route of a journey. 8 points.

  42. MOBILITY ACTIVITIES Continuedd. Cannot follow the route of an unfamiliar journey without another person, assistance dog or orientation aid. 10 points.e. Cannot undertake any journey because it would cause overwhelming psychological distress to the claimant. 10 points.f. Cannot follow the route of a familiar journey without another person, an assistance dog or an orientation aid. 12 points.

  43. 12. Moving around.a. Can stand and then move more than 200 metres, either aided or unaided. 0 points.b. Can stand and then move more than 50 metres but no more than 200 metres, either aided or unaided. 4 points.c. Can stand and then move unaided more than 20 metres but no more than 50 metres. 8 points.

  44. 12. Moving around continuedd. Can stand and then move using an aid or appliance more than 20 metres but no more than 50 metres. 10 points.e. Can stand and then move more than 1 metre but no more than 20 metres, either aided or unaided. 12 points.f. Cannot, either aided or unaided, –(i) stand; or(ii) move more than 1 metre. 12 points.

  45. Reliably, in a timely fashion, repeatedly and safelyAn individual must be able to complete an activity descriptor reliably, in a timely fashion, repeatedly and safely; and where indicated, using aids and appliances or with support from another person (or, for activity 10, a support dog). Otherwise they should be considered unable to complete the activity described at that level.

  46. Reliably means to a reasonable standard.In a timely fashion means in less than twice the time it would take for an individual without any impairment.Repeatedly means completed as often during the day as the individual activity requires. Consideration needs to be given to the cumulative effects of symptoms such as pain and fatigue – i.e. whether completing the activity adversely affects the individual’s ability to subsequently complete other activities.Safely means in a fashion that is unlikely to cause harm to the individual, either directly or through vulnerability to the actions of others; or to another person.

  47. Risk and SafetyWhen considering whether an activity can be undertaken safely it is important to consider the risk of a serious adverse event occurring. However, the risk that a serious adverse event may occur due to impairments is insufficient – there has to be evidence that if the activity was undertaken, the adverse event is likely to occur.Aids and appliancesThe assessment will take some account of aids and appliances which are used in everyday life. In this context: Aids are devices that help a performance of a function, for example, walking sticks or spectacles.

  48. Appliances are devices that provide or replace a missing function, for example artificial limbs, collecting devices (stomas) and wheelchairs.The assessment will take into account aids and appliances that individuals normally use and low cost, commonly available ones which someone with their impairment might reasonably be expected to use, even if not normally used.Individuals who use or could reasonably be expected to use aids to carry out an activity will generally receive a higher scoring descriptor than those who can carry out the activity unaided.

  49. Support dogsWe recognise that guide, hearing and dual sensory dogs are not ‘aids’ but have attempted to ensure that the descriptors capture the additional barriers and costs of needing such a dog where they are required to enable individuals to follow a journey safely. Support from other peopleThe assessment will take into account where individuals need the support of another person or persons to carry out an activity – including where that person has to carry out the activity for them in its entirety. The criteria refer to three types of support:

  50. Assistance is support that requires the presence and physical intervention of another person i.e. actually doing some or all of the task in question. This specifically excludes non-physical intervention such as prompting or supervision which are defined below. To apply, this only needs to be required for part of the activity.Prompting is support provided by reminding or encouraging an individual to undertake or complete a task but not physically helping them. To apply, this only needs to be required for part of the activity.

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