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Exceptional Circumstances

  • Peridot
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12 years 2 months ago #81546 by Peridot
Exceptional Circumstances was created by Peridot
Hi

A friend is migrating (hopefully) from IB to ESA. She has been on IB for anxiety since April 2008 and has had issues of self - harming with odd spells of failing to eat. She has been on Mirtazapine but currently not on any regular medication and has recently re-started what will be her fourth long term spell of Counselling. She was given permission to pursue a degree course in Psychology whilst retaining her benefit and had done a B Tec in Health and Social Care prior to that. Her arms have scars from past episodes of self-harm and there has been at least one episode in the past eight months.At the moment the only medical input is via Counselling. She is of the view that she will not satisfy any of the descriptors and I think that she may satisfy the test for exceptional circumstances to apply of being a danger to herself if not found to have limited capability for work as stress brings on her tendency to self-harm. Her Counselling is on-going. Can anyone say whether I am wrongly boosting her hopes? Thanks

Peridot

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12 years 2 months ago #81547 by Gordon
Replied by Gordon on topic Re:Exceptional Circumstances
Peridot

Normally when a claimant is being re-assessed or transferred to ESA, the burden of proof lies with the DWP to prove that they no longer qualify for an incapacity benefit, although we would never sugggest a claimant "rests on their laurels" and does not participate fully in the process.

However, this is not the case for the Exceptional Circumstances, the burden of proof always lies on with the claimant. So your friend is going to need to provide evidence that they currently meet the criteria.

I would suggest that she reviews the ESA Claim guides, especially the one for Mental Health issues as it may be that some of the other descriptors are applicable. See

www.benefitsandwork.co.uk/help-for-claimants/esa

It also would be worth her contacting her GP to see if they are able to help with treatment and evidence.

Gordon

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  • Jim Allison BSc, Inst LE, MBIM; MA (Consumer Protection & Social Welfare Law)
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12 years 2 months ago #81558 by Jim Allison BSc, Inst LE, MBIM; MA (Consumer Protection & Social Welfare Law)
Replied by Jim Allison BSc, Inst LE, MBIM; MA (Consumer Protection & Social Welfare Law) on topic Re:Exceptional Circumstances
Peridot wrote:

Hi

A friend is migrating (hopefully) from IB to ESA. She has been on IB for anxiety since April 2008 and has had issues of self - harming with odd spells of failing to eat. She has been on Mirtazapine but currently not on any regular medication and has recently re-started what will be her fourth long term spell of Counselling. She was given permission to pursue a degree course in Psychology whilst retaining her benefit and had done a B Tec in Health and Social Care prior to that. Her arms have scars from past episodes of self-harm and there has been at least one episode in the past eight months.At the moment the only medical input is via Counselling. She is of the view that she will not satisfy any of the descriptors and I think that she may satisfy the test for exceptional circumstances to apply of being a danger to herself if not found to have limited capability for work as stress brings on her tendency to self-harm. Her Counselling is on-going. Can anyone say whether I am wrongly boosting her hopes? Thanks

Peridot


See also this thread posted yesterday when the forum reopened.

www.benefitsandwork.co.uk/forum?func=view&catid=10&id=81471

Hope this helps in addition to that given by Gordon.

PLEASE READ THE SPOTLIGHTS AREA OF THE FORUM REGULARLY, OTHERWISE YOU MAY MISS OUT ON IMPORTANT INFORMATION. Nothing on this board constitutes legal advice - always consult a professional about specific problems

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  • Peridot
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12 years 2 months ago #81603 by Peridot
Replied by Peridot on topic Re:Exceptional Circumstances
Thanks for the replies Gordon and Jim - Jim, I'm having difficulties in finding page 87 of the Appendix you mention - have you a separate link to it? There only appears an Appendix 3 on repetitive treatment in the one you have sent for Chap 42 and the pagination goes up to page 74. Thanks

Peridot

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12 years 2 months ago #81609 by Gordon
Replied by Gordon on topic Re:Exceptional Circumstances
Peridot wrote:

Thanks for the replies Gordon and Jim - Jim, I'm having difficulties in finding page 87 of the Appendix you mention - have you a separate link to it? There only appears an Appendix 3 on repetitive treatment in the one you have sent for Chap 42 and the pagination goes up to page 74. Thanks

Peridot

If you are after the Support Group criteria follow the ink in the following FAQ

Qualifying for the Support Group

Gordon

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  • Peridot
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12 years 1 month ago #82492 by Peridot
Replied by Peridot on topic Re:Exceptional Circumstances
Hello again

I'm afraid we have got a bit bogged down in completing the form esa 50 3/11 and I have read this morning that students who are migrating from IB to what would be income based esa, cannot do so unless they are also in receipt of dla, which my friend is not. Is this correct, if she were found to have limited capability for work? Also if she were not found to have limited capability for work related activity how would undertaking wrag be compatible with her studies as presumably one would have to be done at the expense of the other? Try as we may we cannot find a descriptor that applies and so therefore will have to try and proceed on the basis of exceptional circumstances of danger to herself to try and get her into the support group. Presumably someone in full time education with Dwp approval would be unlikely to be placed in wrag because of the conflicting commitments. Is this also correct? Thanks

Peridot

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