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PIP application advice

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2 years 5 months ago #272569 by owlofthemoon
PIP application advice was created by owlofthemoon
Dear Team,

I have finally picked up courage to ring DWP and apply for PIP. But now I have the form and all the supporting evidence to gather.
I have re-read the guide and questions posted in the forum and think it is time I reach out to you.

I suffer from multiple severely debilitating physical and mental conditions and don't know where to begin..Apologies in advance if I repeat or forget to mention things due to my memory problems, brain fog and difficulty to concentrate etc.
I have extended the deadline by a couple of weeks but am struggling to find enough time, energy, help, engagement to manage it.

This is where I have struggling the most. The process of gathering evidence, make notes has been rather taxing and stressful. Along with all the work, it has also made me face things that I perhaps sub-consciously refused to acknowledge. I am wiped out and at my wit's end. I don't think I can carry on with this and would appreciate some inputs/advice please.
1. I am at a loss to find the right/effective adjectives and words to describe the difficulties I face. My diary(15 days) reads more like a rant :( . I fear that the DWP will not see through the my difficulties from what looks more like a rambling nut-head's liturgy than a diary.

2. I haven't got much in the way of evidence(especially to state my difficulties rather than the conditions), my GP(never seens the same person more than twice) hasn't seen me since 2019 and won't allow more than 10 minutes on a telephone assessment. I managed to request a in-person one - that also seems to be for 10 mins but been told they would not be able to help. It was like pulling teeth trying to get some of my conditions listed which was done grudgingly and still incomplete. I just have a SAR for my records in general.

3. I have requested an OT assessement but been advised of the wait time 7-8 months. I had a visit from the Joint Emergency Team but the assessor was a trainee who refused to share any information.

4. A friend has been caring for me since worsening of my condtitions since the last 2-3 years and have had to move in. This is the only letter I can possibly count on. But again, we are both novices and despite extensive search, we aren't entirely sure about all the elements to be included.
Any thoughts/advice on these?

Also, considering all the things listed above, do you reckon if there is any point in me pursuing this?

Sorry about the rather long post.

Thank you.

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2 years 5 months ago #272581 by BIS
Replied by BIS on topic PIP application advice
Hi owlofthemoon

I'm sorry you are struggling with the whole PIP process. I can't tell you whether it is worth it. Only you can make that decision.

If you are getting your medical records - make sure you read through them and remove anything that isn't relevant to your PIP application or anything that can harm your application. This is common practice.

Many people find that they haven't seen their GP over the last three years - you say that you have struggled to see someone - and the DWP knows there have been difficulties.

You don't have to include the diary - some do and some don't.

As to filling in the form - do one question at a time. Don't worry about the 'right' adjectives. If you can't do something like preparing a meal, say why - state the physical and mental health difficulties preventing you from doing so. If you need help but don't get it say so. If you have to use any aids - say so and say whether they make a difference. Do this for each question. It doesn't matter if you are repeating some of the information. Try not to overthink it. I know that's easy for me to say - but I do remember the absolute terror of trying to fill one in for someone. Thanks to the guides here, I managed it - but I just did one question a day.

Your friend's letter is good to have. Get them to write - against every question and the knowledge they have - what they have observed about you (physical and mental) and what they have had to do on your behalf. Again don't worry about the wording being perfect.

If you do decide to complete the form - you might want to request a paper-based decision. (That doesn't mean they will give you one) If you do so, you need to say that a telephone or face-to-face assessment would cause you "overwhelming psychological distress" and link it to your mental health conditions.

BIS

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2 years 5 months ago #272615 by SUE C C
Replied by SUE C C on topic PIP application advice
Hello Owlofthemoon

I am sorry to hear that the PIP process is making you feel so anxious, you are not alone.

As someone who has been caring for you for the past 2-3 years, they are ideally placed to to write down their observations of you and how your multiple conditions effect you and how you cope.

As for the frustration accessing your medical/nursing team, are you aware that you can access your own medical records held by your GP/medical practice? It is a very useful source of corroborating information and supporting documentation that claimants are/have been in contact with their GP/nurse/health practitioner etc etc etc about their ongoing health issues. Also, it is possible to provide a history of medications that may have been prescribed.

If you choose to access your medical information in this way, a word of caution, CHECK THOROUGHLY FOR ACCURACY before deciding to use it and remove any information that is inaccurate or not relevant to your PIP application.

The only other advice would be to, if you can, ensure that you keep records of any communication between yourself and the agencies involved in your PIP process and, keep copies of everything you use throughout, documents, records, etc etc etc. Good luck going forward and remember to take a moment or two to destress, regroup and start again............. baby steps.

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The following user(s) said Thank You: Gary

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2 years 5 months ago #273056 by owlofthemoon
Replied by owlofthemoon on topic PIP application advice
Thank you BIS and SUE for your responses and advice. I appreciate your inputs and support. :)

I had to move away from this briefly but realise the importance of the support and need to give it a shot. With submission looming, I need to get my act together. I have found the guide helpful and trying to tackle one bit at a time.

@BIS, you mention I could request a paper assessment as it would cause me overwhelming psychological distress. I have a couple of concerns - 1. As I don't have a lot of medical evidence for my mental health conditions, could this work against me? 2.Would I qualify on this basis? My GP brief summary states only three of the six conditions.

@BIS and SUE, I tried to rectify the GP record situation myself in a couple of ways. I secured the bog standard info they give all patients and to my dismay found most of the conditions weren't captured. I persevered and secured an appointment for a review check and also update my records. Despite the difficulties with health, travel etc, and my friend having to take time off work, the GP after 5 mins into the chat where she questioned that I have an eating disorder(despite previous Therapist diagnosis 2018 and letters from my gastro-dietician to refer to appropriate service) declares it is not a good use of time and taht time is up, having done no examination or discussed anything else! This was very distressing...long story short it was a ton of disappointment and only aggravated my conditions...back to bed/sofa with more flares...sorry about the long story.. I have registered with a new GP now and hope it won't be any worse. But if I submit the 'Brief Summary' which is inaccurate anyway, I fear I may do more harm ?
The trouble in all this is I don't have a copy of the therapist's summary and similar problems with other consultant notes ! So, I don't know if adding that letter will help or harm. Similar story with some of my other conditions...

Similar pains...Joint Emergency Team assessment whilst I wait for an OT assessment( waiting time is 18 months....)The assessor came in, just saw what was obvious to him and recommended things that are visible to him without any context etc..(Bar mobility problems, all my conditions are invisble illnesses). I had hoped an OT assessment would cover all difficulties and I would be able to discuss what my options are. He was insistent that I should use a zimmer frame, I tried to explain that severe pain, fatigue, poor balance and weakness means when I go out I need to use both - the walking stick and clasp my friend's hand and lean for strength but he failed to understand! This gent hardly discussed options or anything at all and when I asked for a copy of the assessment report, he refused to be able to send any. I am beginning to think that perhaps the fault lies with me...

Must stop for now...getting rather overwhelmed, apologies for being all over the place.

Thank you for all your support and good wishes.

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2 years 5 months ago #273061 by Gary
Replied by Gary on topic PIP application advice
Hi owlofthemoon

PIP is not awarded because of the condition but rather the limitations that result and prevent a claimant from completing a range of everyday activities.

You do not need medical evidence to be awarded PIP, if you have evidence then it does help. You need to show how your condition affects you, if you need help then you need to explain why, the why part is the important part, for instance; if you can't cut up vegetables, you say why not.

1, Because of frequent bouts of dizziness you are only able to sit down for a few minutes (try and say what few is). and then you need to go and lay down.

2. Handling knives is impossible because of the lack of grip and safety issues and the real danger of hurting yourself, which is why friends/relatives do all the cooking.

3. Because of the lack of grip you are unable to move pans, as you would drop them. You don't have the balance of strength.

4. Nor could you take a ready meal and put in in the microwave (you need to say why you can't do this - balance, grip, dizziness, lifting something out - the danger of burning and hurting yourself, being unable to stand).

5. You also need to say why you cannot sit on a perching stool (because of the dizziness).

Go through each question carefully and remember to put the why you cannot do something.

Read about the reliability element in the guide - if you cannot do something:

• Safely – in a fashion that is unlikely to cause harm to themselves or to another person.
• To a necessary and acceptable standard – given the nature of the activity.
• Repeatedly – as often as is reasonably required.
• In a reasonable time period – no more than twice as long as a person without a physical or mental health condition would take to carry out the activity.

then you should not be considered able to do the activity.

The fact that you can’t do the activity safely, to an acceptable standard, repeatedly or in a reasonable time, means you can’t do it at all for the purposes of the descriptors.

If you have any further questions, then please return to the forum.

Gary

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2 years 5 months ago #273063 by SUE C C
Replied by SUE C C on topic PIP application advice
Hello again owlthemoon

As I mentioned previously, it would seem that your friend, if they are willing, is ideally placed to support your application with a written statement of support. Having helped with your care for over 2 years they will have a good understanding of how your health conditions impact on your daily life etc. Sue

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