PIP Claims and how to get the basics right

Welfare benefits claims are far from easy to navigate and people often have complex needs which can prove to be barriers to their benefit applications. The stakes are heightened with Personal Independence Payment claims, and the complexity of the application process can stand in the way of a successful claim for people who are really in need of the support.

That’s why, through our training, we share acute front-end experience of how to successfully support people through the claims process for PIP. But to get you started, our Social Welfare Instructor Adam has prepared some pointers that will make sure you get the basics right.  

What is PIP?

Personal Independence Payment (known as PIP), is a benefit designed to help people with the additional costs involved in having a long term health condition or being disabled and isn’t means tested. That means that anyone can apply for PIP, regardless of their income or savings. The benefit replaced Disability Living Allowance in the UK. 

There are eligibility criteria that need to be fulfilled before claiming for PIP, including age and how the condition affects the potential claimant, so check these before getting started. You can find out more here https://www.gov.uk/pip

Collect medical evidence before starting the claim

Once you get started with a PIP claim the process is time limited, so it’s a really good idea to encourage your client to invest some time in collecting as much medical evidence as possible to support the application.

Prospective claimants should contact their GP and any medical professionals that have been working with them in the last 12 months and let them know they are applying for PIP. You will find that most professionals are really empathetic and will write a supporting letter to accompany a claim.

Remember PIP is designed to respond to how someone’s condition affects them, so the more medical evidence they get the better.

Help with form filling

The PIP application form is 33 pages long and can be quite daunting, so it’s always a good idea for a claimant to get help from someone with experience of successfully completing PIP forms.

After your client has made their initial claim over the phone with the DWP, a PIP form should be sent out within 14 days, then they will have a month to fill in the form (if they need longer, for example because they need help to fill in the form, if they let the DWP know in good time they may be granted an extension).

Stick to the descriptors

We can’t stress enough how important it is for a claimant to stick to the descriptors, and cross reference their mobility and daily living needs to score as many legitimate points as possible. In our Get to Grips with PIP training we really get into the detail of each of the twelve descriptors but you can also get a basic understanding of each of the PIP descriptors in this short video series.

Be prepared for the assessment

The assessment is an important part of the claims process so preparation is key. It is well worth seeing if a home visit is feasible if the claimant is not well enough to attend an external venue (they may need medical evidence to prove this). Whether it’s at home or at an assessment centre, it is always worth the claimant being accompanied to the assessment for support.

It’s also a really good idea for the claimant to keep a diary of how their condition affects them for a few weeks before the assessment date, so they can properly explain this to the assessor, to make sure they don’t forget anything if they feel a bit nervous. 

Don’t give up

If the PIP claim is unsuccessful first time round don’t give up.  In the event of a successful claim it’s definitely best to get help from organisations such as Citizens Advice to handle a ‘mandatory reconsideration’ and appeal if it gets to this stage. It may also be worth getting further medical evidence to back up the claim.

The Tribunals Service statistics show that claimants are winning PIP appeals at the highest rate ever recorded. Overall, an extraordinary 73% of social security appeals are successful, with the claimant getting a better award than they originally received from the DWP. Our parent charity Citizens Advice Gateshead recently reported a 93% success rate when it comes to appeals.

 

If you would like to learn more about PIP claims check out our series of short videos here, and if you’d like to learn more about how to help your own clients to improve their chances of a making a successful PIP claim please get in touch today to talk through how we can help.