MR PIP Atopic Eczema?

Hello everyone.

How much evidence would someone need for PIP MR? I've got severe Eczema and have been awarded Standard Daily Living, I've got a letter from my Dermatologist Consultant evidencing how much it impacts me which covers a number of the descriptors, I've also been applying for Uni and the assessment done at home and over the phone produced reports supporting issues with my hands, concentration and moving. Would all of these count as evidence for MR?

Thank you for this, I've got a copy of the PA4 the few issues I have are.

1. Preparing food, given 2 points for using aids but my hands are always cracked in the knuckles etc which means holding pots and pans are painful this is supported by Consultant letter who also says driving is painful and so I limit my driving (should this be 4 points for supervision)?

2. taking nutrition - awarded no points, however, again, I have special cutlery I use but in addition to this, my consultant has confirmed that due to low mood I am prompted by my partner to eat because eating very regularly cracks my lips as I open my mouth and then following this its sore for days.

There are other descriptors I am querying as well as my condition is quite severe but the above ones were the ones I was wondering about as technically with those it would push me into 12 points from standard?

Here is what I've written for my MR

Facts of the case

My medical conditions
Chronic Atopic Eczema. I experience pain and cracked skin in the joints of my elbows, knees, lower back, face, lips, neck, eye lids a significant amount of the time, this interrupts sleep and impacts my daily life significantly including my mood and anxiety levels.
Asthma
Hayfever
Stigma
Carpal Tunnel


I attach the following evidence;
- Letter from Consultant Dermatologist
- Occupational Health Report from Employer
- Full GP Patient Print out
- Study Tech Remote Assessment
- Study Tech Home Visit Assessment
- Photos of aids


Preparing food
Preparing food, awarded b, disputing, seeking e,
As a result of my cracked skin in my knuckles and inside of my hands, I struggle to grip lifting things as gripping causes pain, even wearing gloves so for example pans on the hob lifting them it causes pain in the cracked skin in my hands with the weight and the way I grip so I need assistance with preparing food, being stood at the hob causes my skin to be further sore and irritated, I cannot safely cut up food due to the pains in my cracked hands holding a knife.
Evidence in Supporting Consultant Dermatology Letter

Taking nutrition
Eating and drinking, awarded a, disputing, seeking d
I do only eat around 1 main meal a day, it hurts to eat because of the dry skin around my lips, opening my mouth to take food causes splits to my lips causing yet further pain, the pain is then ongoing in a cycle and is not helped by steroid medication which tightens the skin on my mouth making it worse before it gets better, cutting up food is painful due to the pain in my cracked skin on my hands and fingers, I therefore have cutlery that assists. In addition to this, it also means I am put off eating and so my partner prompts me to eat all of the time.
Evidence in Supporting Consultant Dermatology Letter, Photo of special cutlery.

Managing Therapy - medications
Awarded b, not disputed.

Washing and bathing
Awarded b, disputed, seeking 4f
As a result of the broken skin and eczema on the backs of my knees my partner helps me in and out of the shower or bath most of the time. Due to the broken skin on the inside of my elbows I cannot wash my back, particularly my lower back which has a bad eczema patch, my partner assists me in washing my lower back due to the pain of bending my arms behind my back.
Evidence, Supporting Letter from Partner

Managing Toilet needs
Awarded b, not disputed.

Dressing and undressing -
Awarded b, disputed, seeking e.
I can’t dress my upper half without assistance, my lower too regarding the backs of my knees but regarding my upper I have a bad patch on my lower back, the back of my neck and in the insides of my elbows, the oils and creams applied are sticky and have a burning sensation, touching these causes further pain and renders the application of the medication pointless and therefore I cannot do this reliably, my partner assists me.
Evidence in supporting Letter from Partner and…..XXXX

Communicating Verbally
Awarded a, not Disputed.

Reading and understanding
Awarded a, disputed, seeking 8c
My eyes are often flared on my eye lids, this means reading is uncomfortable and I increase font size. As a result of my skin flaring I have difficulties concentrating on reading things due to pain and irritation on flare up points, this means I have a delay in reading complex information. Text to speech software provided by Student Disability Grant.
Evidence in Page 7 and 8 of Study Tech Assessment.

Engaging others face to face
Awarded a, disputed, seeking c
I do not engage with my family and friends regularly, I do avoid this where possible and my family regularly comment on this. I do not have any close local friends as I avoid building relationships due to my anxiety socialising with others.
In the briefing room at work, on given the choice where I place myself I place myself in the Galley, away from passengers, I work a limited amount so that I don’t have to engage with others.

Moving around
Awarded a, disputed, seeking e
I am in pain in the backs of my knees on moving any distance from standing up, I am in pain from any point, the skin behind my knees are broken which causes instant pain and discomfort at all times.
Evidence in Letter from Consultant Dermatologist.