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ESA mandatory reconsideration decision

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6 years 4 months ago #202580 by InfoSeeker251
ESA mandatory reconsideration decision was created by InfoSeeker251
Hi all, I posted earlier this year on this forum, saying that I was thinking of challenging the decision to be put in the WRAG group,as opposed to the support group after the WCA by Maximus.

ln the end, I did in fact ask for a mandatory reconsideration, citing very powerful evidence not least from a consultant neuropsychologist with 10 years experience of working in a hospital environment with people with serious neuropsychological based conditions.

However the DWP are saying that they have not changed their minds about insisting on the WRAG group for my case. The reasons for this are interesting.

The DWP don't deny that I suffered badly, and that I was badly affected by being placed on the work programme last year but they say that work related activities should only be ones which are "appropriate" to my circumstances, giving as an example in their reply letter that I should still be able to do CV writing. They understand that social contact with strangers will be precluded in the context of my condition but I presume they still think I will be able to talk over the phone.

I suppose my question is, is this legitimate on the part of the DWP? That they can stretch the meaning of 'appropriate' so far in the context of work related activities that you would have to be dead in effect not to qualify for the support group? If so I can only imagine that only those people who are literally completely immobile will ever qualify for the support group, is this how it works these days?! Surely can't be so!

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6 years 4 months ago #202587 by Gordon
Replied by Gordon on topic ESA mandatory reconsideration decision
InfoSeeker

There is UTT Case Law from last year that requires the DWP to provide examples of Work Related Activity that the claimant would be expected to be capable of as an argument against them being placed in the SG. So the argument is not unreasonable!

That said, an appeal panel may still disagree with them so it is well worth your carrying on to appeal.

The ESA Appeal guide has links to the SSCS1 form that you will need to complete and the Submissions guide has a complete example that you can use to help you fill it in, you do not need to provide detailed reasons at this stage for your request.

Once your appeal is accepted the DWP will prepare their submission to the hearing and send you a copy, whilst you should wait until you receive this to finish and submit your own, you should start to prepare your own case as soon as your request is accepted.

Gordon

Nothing on this board constitutes legal advice - always consult a professional about specific problems
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6 years 4 months ago #202613 by InfoSeeker251
Replied by InfoSeeker251 on topic ESA mandatory reconsideration decision
Thanks Gordon.

'So the argument is not unreasonable!'


Yes, I know I was even prepared for them saying that since I had read the information on this site on how the DWP was re-framing the provision about WRA posing a threat to the well being of the client and/or others so that it could no longer apply.

But in your experience is it normal or standard these days for the DWP to be moving the goal posts so far in these situations? As I said, if this becomes normal then the only people in the support group will presumably be those quite literally on the verge of death.

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6 years 4 months ago #202615 by Gordon
Replied by Gordon on topic ESA mandatory reconsideration decision
InfoSeeker

If you have read the Claim guide then you will know that this is the current guidance from the DWP but being guidance it is not the law, so an appeal panel make disagree and who knows, a UTT Judge may rule it unreasonable at some time in the future.

Gordon

Nothing on this board constitutes legal advice - always consult a professional about specific problems

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6 years 4 months ago #202683 by InfoSeeker251
Replied by InfoSeeker251 on topic ESA mandatory reconsideration decision
Thanks Gordon. I have two further queries about this case, just on the offchance you or anyone else might happen to have any answers.

Firstly, at the WCA, I told the HPC, in detail, how being on the work programme had adversly affected my mental health and yet he decided not to include any of this information in the report.

Is this because there is some rule or regulation which means that someone's past experience, in this case from only a few months earlier, of being on the work programme cannot be included as part of the assessment?

Also, I've heard that if you're put in the WRAG group then national insurance contributions are time limited and also the length of time benefit will be payed is limited too. Do you know, or anyone else, know if this is the case? Thanks if anyone has any ideas !

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6 years 4 months ago #202695 by Gordon
Replied by Gordon on topic ESA mandatory reconsideration decision
InfoSeeker

Your assessment was about how you are limited at that time, historical information about how you were effected the last time you were in the WRAG is relevant, but only if you were saying that you still effected to that degree.

The payment of Contribution Based ESA is limited to a total of 365 days if the claimant is not in the Support Group. If they are eligible for Income Related ESA then this can be paid at the end of the 365 days and there is time limit as long as the claimant continue to meet the criteria for an award.

Even if your ESA(CB) is time limited and you are not eligible for ESA(IR) you will still receive NI Credits that count towards a full State Pension as long as you meet the ESA criteria for an award.

Gordon

Nothing on this board constitutes legal advice - always consult a professional about specific problems
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