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An introduction to Personal Independence Payment for support organisations. April 2013 Version V 2. What is Personal Independence Payment?.

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Presentation Transcript
what is personal independence payment
What is Personal Independence Payment?
  • Personal Independence Payment (PIP) is a new benefit to help disabled people live full, active and independent lives.
  • It will replace Disability Living Allowance (DLA) from 8 April 2013.
  • PIP will help towards some of the extra costs arising from having a long term condition (this means ill-health or disability expected to last 12 months or longer).
  • It is based on how a person's condition affects them, not the condition they have. PIP has a 3 month qualifying period and 9 month prospective test
what is personal independence payment continued
What is Personal Independence Payment? (continued)
  • PIP will be made up of two components – daily living and mobility, each can be paid at standard rate, or enhanced rate for those with the greatest needs.
  • PIP is a benefit people can get whether they are in or out of work.
  • It is not affected by income or savings and is not taxed.
  • PIP has links to passported benefits where possible
  • Entitlement to PIP will be decided based onassessment criteria which consider the ability to carry out a range of everyday activities
assessment criteria
Assessment Criteria

Daily Living Components (activities 1-10)

Mobility Components (activities 11-12)

Standard rate = 8 points

Enhanced rate = 12 points

Standard rate = 8 points

Enhanced rate = 12 points


11.Planning and following journeys

12 Moving around


0 - 12

0 - 12


0 - 8

0 - 10

0 - 8

0 - 8

0 - 8

0 - 8

0 - 12

0 - 8

0 - 8

0 - 6

  • Activity
  • Preparing food
  • Taking Nutrition
  • Managing therapy or monitoring a health condition
  • Washing and bathing
  • Managing toilet needs or incontinence
  • Dressing and undressing
  • Communicating Verbally
  • Reading and understanding signs, symbols and words,
  • Engaging with other people face to face
  • Making budgeting decisions

PIP Toolkit – Assessment Criteria

assessment criteria the descriptors
Assessment criteria – the descriptors

Multiple descriptors for each activity describing varying ability to carry out the activity

Each descriptor has a point score

Cumulative scores determine entitlement to the rates and components of the benefit

Example: Activity 2 – Taking Nutrition

fluctuating conditions
Fluctuating conditions

For a descriptor to apply, it must be satisfied on the majority of days (over 50% of days) in a one year period

If it is satisfied at any point on a given day, it is satisfied for that day

If two or more descriptors are satisfied for over 50% of days, the highest scoring descriptor applies.

E.g. if D applies on 100% of days and E on 70% of days, E is selected.

Example – Activity 4 – Washing and bathing

who are the assessment providers
Who are the assessment providers?

The PIP assessment process will be managed by two assessment providers:

Atos Healthcare - Scotland, North East and North West of England, London and Southern England

Capita Business Services Ltd – Wales and Central England and Northern Ireland

what is the personal independence payment assessment
What is the Personal Independence Payment Assessment?

The PIP assessment considers people as individuals, focussing on the impact their condition(s) has on their daily lives and over a range of different activities

The PIP assessment is carried out byhealth professionals who consider evidence provided by the claimant, along with any further evidence they think is needed against aset of assessment criteria

Most people will be asked to a face-to-face consultation with a health professional as part of the assessment process

Claimants will be encouraged to take somebody with them to the consultation

Face-to-face consultations may not be necessary for everyone – for example, those who are terminally ill may not have to have them

Home visits will be available when necessary

The health professional will send a report to the DWP following the assessment, for the DWP Case Manager to make a decision.






New Claims start in April 2013

New Claims to PIP will be taken from people living in Cheshire, Cumbria, Merseyside, North East England and North West England

New claims national rollout






Reassessment starts in October 2013

  • DWP will start to invite some existing DLA recipients to claim PIP. DWP will write to those individuals who
  • - are reaching the end of a fixed period DLA award
  • are about to turn 16
  • inviting them to claim PIP
  • Those existing DLA claimants who report a change in their condition will be invited to claim PIP
  • DLA recipients who contact DWP wishing to claim PIP will be able to do so (self selectors)

DWP will start to reassess remaining DLA claimants who were aged between 16 and 64 on the day that PIP was introduced (8 April 2013)

Once selected for reassessment, claimants will be asked to claim PIP:

- if they do, then their DLA award will normally continue until a decision on the PIP is made

- if they don’t claim PIP then their DLA claim will end



Thinking about claiming

Information about PIP will be available from a range of sources, including online, via leaflets and through support organisations.

Existing DLA claimants will be contacted individually to ask if they want to claim PIP.

Making a claim


Claimants (or those supporting them) phone DWP to make a claim to PIP. Paper claims won’t normally be used, and online claims will not be available before 2014.

DWP will send claimants a form where they can explain how their disability affects them.

Special Rules claims will be dealt with more quickly

How your disability affects you


Claimant completes the ‘How your disability affects you’ form to explain how their condition affects their daily life, both on good and bad days and over a range of activities.

Supporting evidence can be sent with this form, which they return to DWP by post.





Claim details, form and supporting evidence are passed to the health professional.

Most people will be asked to attend a face to face consultation The health professional reviews the claim against a set of clear descriptors to assess the challenges faced by the individual.

A DWP Case Manager will use all the information in the claim form, from the health professional and anything else that has been provided. They will make a reasoned decision on entitlement, including the level and length of award.

How is Personal Independence Payment claimed?

what happens after a decision is made about personal independence payment
What happens after a decision is made about Personal Independence Payment?

Disallowance/reduced award phone call

After the decision letter is issued, a DWP Case Manager will contact the claimant to explain the decision – where PIP has not been awarded or where the award is lower than the DLA award in reassessment cases

Awards and Reviews

PIP awards will be based on the claimant’s circumstances and the impact of their disability/health condition; the length of award will be included in the decision letter along with when and how changes in circumstances need to be reported

There will be fewer ongoing awards; more awards of shorter duration (eg 2, 5, 10 years)

Awards will be reviewed at pre-determined intervals to see if the claimant’s needs have changed over time and to make sure their award is still correct

When someone’s award comes to an end, they can decide to make a further claim to PIP, if they still have needs arising from their health condition or disability

what happens after a decision is made about personal independence payment continued
What happens after a decision is made about Personal Independence Payment? (continued)


PIP has a reconsideration process which claimants will have to follow before they can appeal against a decision

From April 2013, disputes about PIP decisions will come under new arrangements DWP is introducing

This means that if someone is not happy with their PIP decision:

- the first, mandatory step, is for the decision to be reconsidered by the DWP Case Manager

- if the issue is not resolved at the reconsiderations stage, there is a right to appeal

- appeals must be lodged directly with Her Majesty’s Courts and Tribunals Service (HMCTS)

Appeals will only proceed after the claimant has had their decision reconsidered - this will be explained in the reconsideration notification

Only those appeals that are validated will be sent to DWP for a response which will help to reduce nugatory appeals beingheard