PIP2 and Mobilising - medical evidence.

Just wondering if the following is useful or relevant to submit as medical evidence with the 'mobilising outside the home' descriptor?

Four years ago Motability sent me to a Disabled Living Centre for a driving assessment. It was a three hour physical and driving assessment by a Mobility Physiotherapist. I have a four page letter detailing my physical limitations, some which are:

Unable to depress either accelerator or brake pedal with either foot. Weakness of left hand, thumb, wrist, arm and shoulder and weakness of right thumb and wrist. Pain on both wrists and thumbs. Weakness and spasticity of both lower limbs. Fusion of bones in right foot.

States that I am wheelchair user, can transfer from wheelchair and back independently, can support herself on elbow crutches. Cannot independently store wheelchair. Needs electronic over ring accelerator, steering peg, hand controlled foot brake and easy release handbrake. Motability provided me with all the adaptations that were needed.

I can support myself and walk more than a meter (if you call it walking) but not 20. A couple of steps at a time. I use a walker indoors, otherwise I lose my balance and fall.

As I asked at the beginning. Not sure if this is supporting evidence with regard to the mobility component or will it be disregarded, or should I not submit it?

All the above is still relevant today with the added fact that I don't drive anymore because I have severe memory problems and have been getting lost driving short distances to places that I know.

I couldn't remember the route, or forget where I was going, and kept having to stop because I was not recognising where I was. Having to sit for several minutes, then it became familiar again..very frightening.

This was only back and too, to my children of distances of between 2 - 4 miles max. Currently undergoing tests for dementia. Waiting for a formal diagnosis and have another appointment next week. Apart from the driving, I have memory problems that are impacting upon all aspects of my life.

Grateful for any advice as I feel that the letter supports the mobilising descriptor, but may disadvantage me regarding planning and following a journey if the assessor takes it upon themselves that I can still drive and plan a journey.

I think you can use the report if you state that the physical problems are all the same but your mental faculties have worsened and provide seperate evidence for this.

In relation to any other medical evidence:

Just looking through my medical notes for the past 25 years. It is really only these notes that refer to my current health issues and disabilities in any great depth, in other words, these are letters or reports or blood tests, confirming diagnoses.

One of them, from my old GP, obviously sent when I moved area's and doctors, is a medical summary stating each of my conditions, and the year of diagnosis. The dates of these go back as far as the 1980,s 1990.

Should I include copies of these as proof of medical conditions stated? Other than these, and the most two recent letters from my MS Specialist Nurse, which are quite informative anyway, my paper evidence is thin on the ground without doing a SAR for my hospital records, which may take too long.

I may have been rather foolish in choosing not to see, on an ongoing basis, the various specialists of other conditions that I have. I preferred to just be cared for by my GP. I also opted out of seeing my Neurologist (we both agreed to this) as the MS nurse is far more helpful and has a lot of 'clout', and can initiate treatments and different drugs to try. She can also refer quickly back to him without me having to wait for an appointment.

Unfortunately, looking at my medical records after each GP visit, they consist of only a few words, not very informative at all. I see them quite often and it looks like they keep whatever was discussed during the consultation in 'their head'..

I am also quite upset that I had a long consultation and testing for dementia with my GP in the last couple of months: this has been withheld from my medical records, but it is quite important. It appears that they do not want me to see it, but it is quite important.

Sorry for the ramble. As I say, just not sure if old evidence is better than a lack of evidence?

Thanks Gordon,

There is no doubt about any diagnosis.

Treatment and medications all support this. There are no other uses for the meds that I take.

Just didn't want to not send anything that may be relevant rather than wish down the line I had sent it.