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PIP Appeal and change of circumstances
- Dappy Doo
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1 year 1 month ago #283916 by Dappy Doo
PIP Appeal and change of circumstances was created by Dappy Doo
I originally applied for PIP in January. Got lowest of daily living and nothing for mobility. Did a M.R. and a further M.R. review and now it's getting to Tribunal appeal submission. The thing is, my conditions have continually worsened day by day, week by week throughout to now as well as other new issues/conditions/diagnosis. Just found i think that the Appeal is based on my original application at the start when I was worse than they gave me credit for at the time, but also, nowhere near as bad as I am now.
So...what do I do?? Can/should I still appeal and is it worth it, going on my original application, even though I should have still got more than I currently do?
Can/Do I do change of circumstances or new application(?) at same time as and alongside Appeal, and how does that work?
I have continually kept them updated of my conditions, how I am, what I can and can't do (mostly cannot) including different and new evidence, supporting letters (all posted off for me by someone else) and deterioration so I thought it was all going towards their decision and what increase I should be awarded to
I live on my own and housebound, have had Occupational Therapy with prescribed aids to try and help including rollator and a rise and recline chair, social services are arranging carers but still a wait. I also have a Blue Badge.
In theory, because of my continuing deterioration, if I had to do a change of circumstances each time, I would literally be doing it every month!
I am incredibly stressed and anxious about it all, and the process itself throughout has worsened my conditions and had a major impact on me.
I just don't know what to do.
So...what do I do?? Can/should I still appeal and is it worth it, going on my original application, even though I should have still got more than I currently do?
Can/Do I do change of circumstances or new application(?) at same time as and alongside Appeal, and how does that work?
I have continually kept them updated of my conditions, how I am, what I can and can't do (mostly cannot) including different and new evidence, supporting letters (all posted off for me by someone else) and deterioration so I thought it was all going towards their decision and what increase I should be awarded to
I live on my own and housebound, have had Occupational Therapy with prescribed aids to try and help including rollator and a rise and recline chair, social services are arranging carers but still a wait. I also have a Blue Badge.
In theory, because of my continuing deterioration, if I had to do a change of circumstances each time, I would literally be doing it every month!
I am incredibly stressed and anxious about it all, and the process itself throughout has worsened my conditions and had a major impact on me.
I just don't know what to do.
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- Gary
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1 year 1 month ago #283946 by Gary
Nothing on this board constitutes legal advice - always consult a professional about specific problems
Replied by Gary on topic PIP Appeal and change of circumstances
Hi Dappy Doo
Welcome to the forum.
You might want to have a look at the following FAQ which explains where everything is; www.benefitsandwork.co.uk/guides-for-claimants/faq/forum.
An appeal will only look at your condition as you were when you first had your assessment, if your condition as deteriorated since then then you need to apply for a change of circumstances.
The mistake most people make when the go to a Tribunal is to say their condition has got worse, this makes it very hard for the Tribunal to determine what you were like when you were assessed.
I would advise you before you do anything to seek help from your local Welfare Rights Organisation who will be ble to take all your circumstances into consideration; advicelocal.uk
Gary
Welcome to the forum.
You might want to have a look at the following FAQ which explains where everything is; www.benefitsandwork.co.uk/guides-for-claimants/faq/forum.
An appeal will only look at your condition as you were when you first had your assessment, if your condition as deteriorated since then then you need to apply for a change of circumstances.
The mistake most people make when the go to a Tribunal is to say their condition has got worse, this makes it very hard for the Tribunal to determine what you were like when you were assessed.
I would advise you before you do anything to seek help from your local Welfare Rights Organisation who will be ble to take all your circumstances into consideration; advicelocal.uk
Gary
Nothing on this board constitutes legal advice - always consult a professional about specific problems
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- Dappy Doo
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1 year 1 month ago #283960 by Dappy Doo
Replied by Dappy Doo on topic PIP Appeal and change of circumstances
Thank you - So just to clarify - it goes back to the Assessor's interview with me (which was done over video link) instead of right back to just the initial application I filled in?
And do you know if I can go ahead with the Tribunal Appeal at the same time as putting in Change of Circumstances alongside? (And I know that the Appeal process takes approx 6 months or more generally).
Plus - if I go ahead with doing the Appeal submission on line (as it has to be done before Friday this week timewise) do you know if I have to complete the online submission and details all in one go, or does it save it along the way for me to go back and complete before I press submit??
Apologies - I am very much an overthinker
And do you know if I can go ahead with the Tribunal Appeal at the same time as putting in Change of Circumstances alongside? (And I know that the Appeal process takes approx 6 months or more generally).
Plus - if I go ahead with doing the Appeal submission on line (as it has to be done before Friday this week timewise) do you know if I have to complete the online submission and details all in one go, or does it save it along the way for me to go back and complete before I press submit??
Apologies - I am very much an overthinker
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- BIS
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1 year 1 month ago #283995 by BIS
Nothing on this board constitutes legal advice - always consult a professional about specific problems
Replied by BIS on topic PIP Appeal and change of circumstances
Hi Dappy Doo
The point of the Tribunal is to see whether the DWP were correct in their decision to award you standard care and no mobility. Even though your health has deteriorated since then, they can't consider it because that would make it impossible for them to judge whether the DWP acted correctly or incorrectly. An assessor can't be criticised for not accounting for information unavailable during the assessment. So the Tribunal will look at the papers sent in by the DWP, which will include the recent report, your form, your evidence and past information.
You don't need to fill in all the Appeal information at once. I would start the process this Friday rather than jumping in and making another decision before you have thought it through. You can always withdraw your appeal if you need to. You don't have to put in all the information at once - you can go back and update it. You can submit information up to three weeks before a Tribunal takes place. I would ring and ask the Tribunal service in your area how long they are taking to come through. It used to be up to a year. Some members have reported theirs being cancelled because of a shortage of staff, but some people have had their appeal done in as little as four months - so it might be worth checking.
I don't think you can simultaneously put in for a change of circumstances as an Appeal, but Gordon or Gary will correct me if I'm mistaken. Before you go down the change of circumstances route, you should understand what will happen. As soon as you put in for a change of circumstances, which you can do by ringing them or sending them a letter and you will be sent a review form. From what we are hearing, change of circumstances are taking quite a long time because they are prioritising new claimants first or people whose awards are ending. So it may take anything from four months to up to a year. However, if you were to have an improved award, the money would be backdated to the point of which you informed them of a change of circumstances. (This does not include information that you have already sent in, because it wasn't submitted as an official change of circumstances).
I know you said that they didn't understand how bad your condition was before, but did you ever get hold of your assessment report to understand why you weren't awarded what you were expecting? It's a PA4. You can ask for a copy of this report at any time if you don't have it. It's a key piece of information to understanding why they came to the decision. Even if you think it was because they just didn't read some of the information you provided, you can make sure that you emphasise particular points.
The other thing is to understand how the system works. Often people say that their condition has deteriorated and that is true - but that won't necessarily mean that they will receive more points under the PIP system. All I'm saying is check where you weren't awarded points - what you think you should have been awarded and what you think you will be awarded now in light of a deterioration in your health.
You have since been diagnosed with a further condition/s. The DWP will only take note of something that you have had for three months before informing them and the certainty that it will continue for at least the following nine months.
I know you're housebound, so it is difficult for you to get any help with this, but I would click on the link to see if there is any service that can offer you some online specialist welfare advice.
So my advice here is to start the appeal process - so you don't miss out on that. Make sure that you have looked at the advice we have on putting in an appeal so you don't miss out on anything. There are several valuable Guides including the Guide to PIP Appeals.
Then, when that is in place - you can consider whether you will be better putting in for a change of Circumstances. Go through the Guide to PIP claims and reviews and see that you understand how to give yourself the best chance of getting the award you deserve. If that seems a better option for you, cancel your appeal and put in for a change of circumstances.
If you have any further questions - come back and ask, and if I'm wrong about doing both simultaneously - someone will correct me.
BIS
The point of the Tribunal is to see whether the DWP were correct in their decision to award you standard care and no mobility. Even though your health has deteriorated since then, they can't consider it because that would make it impossible for them to judge whether the DWP acted correctly or incorrectly. An assessor can't be criticised for not accounting for information unavailable during the assessment. So the Tribunal will look at the papers sent in by the DWP, which will include the recent report, your form, your evidence and past information.
You don't need to fill in all the Appeal information at once. I would start the process this Friday rather than jumping in and making another decision before you have thought it through. You can always withdraw your appeal if you need to. You don't have to put in all the information at once - you can go back and update it. You can submit information up to three weeks before a Tribunal takes place. I would ring and ask the Tribunal service in your area how long they are taking to come through. It used to be up to a year. Some members have reported theirs being cancelled because of a shortage of staff, but some people have had their appeal done in as little as four months - so it might be worth checking.
I don't think you can simultaneously put in for a change of circumstances as an Appeal, but Gordon or Gary will correct me if I'm mistaken. Before you go down the change of circumstances route, you should understand what will happen. As soon as you put in for a change of circumstances, which you can do by ringing them or sending them a letter and you will be sent a review form. From what we are hearing, change of circumstances are taking quite a long time because they are prioritising new claimants first or people whose awards are ending. So it may take anything from four months to up to a year. However, if you were to have an improved award, the money would be backdated to the point of which you informed them of a change of circumstances. (This does not include information that you have already sent in, because it wasn't submitted as an official change of circumstances).
I know you said that they didn't understand how bad your condition was before, but did you ever get hold of your assessment report to understand why you weren't awarded what you were expecting? It's a PA4. You can ask for a copy of this report at any time if you don't have it. It's a key piece of information to understanding why they came to the decision. Even if you think it was because they just didn't read some of the information you provided, you can make sure that you emphasise particular points.
The other thing is to understand how the system works. Often people say that their condition has deteriorated and that is true - but that won't necessarily mean that they will receive more points under the PIP system. All I'm saying is check where you weren't awarded points - what you think you should have been awarded and what you think you will be awarded now in light of a deterioration in your health.
You have since been diagnosed with a further condition/s. The DWP will only take note of something that you have had for three months before informing them and the certainty that it will continue for at least the following nine months.
I know you're housebound, so it is difficult for you to get any help with this, but I would click on the link to see if there is any service that can offer you some online specialist welfare advice.
So my advice here is to start the appeal process - so you don't miss out on that. Make sure that you have looked at the advice we have on putting in an appeal so you don't miss out on anything. There are several valuable Guides including the Guide to PIP Appeals.
Then, when that is in place - you can consider whether you will be better putting in for a change of Circumstances. Go through the Guide to PIP claims and reviews and see that you understand how to give yourself the best chance of getting the award you deserve. If that seems a better option for you, cancel your appeal and put in for a change of circumstances.
If you have any further questions - come back and ask, and if I'm wrong about doing both simultaneously - someone will correct me.
BIS
Nothing on this board constitutes legal advice - always consult a professional about specific problems
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- Dappy Doo
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1 year 1 month ago #284045 by Dappy Doo
Replied by Dappy Doo on topic PIP Appeal and change of circumstances
Thank you so much for your lengthy reply. It is much appreciated. Yes I had a copy of the Assessor's Report which I had to request twice because they hadn't logged it in the system that I had asked the first time. There were a LOT of twisting and opposites of the truth in it, as well as things that I hadn't even said but they made up! I should have originally had a lot more points than just the standard D.L.. On looking at my paperwork again today, it seems that the start of their review will be approx this time next year (with award ending 2025) - So...it seems like it could coincide with (A) an Appeal result or ( a Change in Circumstances of health deterioration. Either way it's working out the best route. But I'll put in for the Appeal first then, thank you - and then possibly withdraw if I decide on the Change of Circumstances instead. - BUT, my original assessment, if done in truth, should in theory have had given Enhanced for both.
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