Transcript Presentation heading goes here Sub heading goes here Date

An introduction to Personal
Independence Payment
for support organisations and advisers
ISBN: 978-1-78153-666-7 © Crown Copyright 2013
Version 3.0: December 2013
gov.uk/dwp/pip-toolkit
1
A new benefit for disabled people is being introduced
• Personal Independence Payment (PIP) has replaced DLA for eligible claimants aged
16 to 64 from 8 April 2013
– This includes all new claims and existing DLA claimants aged 16 to 64 on the day
PIP is introduced
• It is part of a wider reform of the welfare system
• It remains non means tested and non taxable, and is payable both in and out of
work
• It includes an assessment of individual needs and introduces more consistent use of
supporting evidence
2
PIP is designed to help with additional costs
• PIP is to help towards some of the extra costs arising from ill health or disability
• It is based on how a claimant’s condition affects them not on what condition they have
• There is a three-month qualifying period (the time a condition or ill health has existed
before a claim is made) and a nine-month prospective test (the amount of time a
condition or ill health is expected to last when a claim is made)
• Awards will be reviewed to make sure the assessment continues to reflect the
claimant’s needs
• Reviews will be at appropriate intervals depending on how likely it is for their condition
or impairment to change
3
PIP is for working age people
• PIP is for people aged from 16 to 64 on or after 8 April 2013
•
This includes existing DLA claimants who have an indefinite or ‘lifetime’ award
• Children (up to 16 years of age) will carry on getting DLA
•
DWP will contact the parent or guardian of a child before their 16th birthday to let
them know they should consider claiming PIP
• People aged 65 or over on 8 April 2013 will continue to get DLA as long as they
remain eligible
• People receiving Attendance Allowance will not be affected by the introduction of PIP
4
Timetable for PIP replacing DLA
June
October
January
October
2013
2013
2014
2015
New claims to
PIP started for
all of Great
Britain. There
are no longer
new claims to
DLA for people
aged 16 to 64.
5
From 28 October 2013,
anyone living in Wales,
West Midlands, East
Midlands and East
Anglia: with fixed period
DLA awards coming up for
renewal; children who turn
16 years old from 7
October 2013 (unless they
have been awarded DLA
under the Special Rules for
terminal illness); or where
there is a report of a
change in the DLA
claimant’s health condition
or disability, are being
invited to claim PIP.
From 13 January 2014,
reassessment areas extend
to postcodes beginning: DG,
EH, TD and ML.
February
2014
From 3 February, areas
further extend to include
postcodes beginning: CA,
DL, HG, LA and YO.
Decisions will be taken in due
course about extending
reassessment and will be
informed by the experience of
introducing reassessment in
a gradual way
From October 2015, DWP begin to
invite remaining DLA claimants
to claim PIP 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 claim is made
If they don’t claim PIP then their
DLA claim will end.
PIP has two components with two different rates
Personal Independence Payment is made up of a:
• Daily living component
• Mobility component
Awards are made up of one or both of these components
Each component has two rates:
• Standard
• Enhanced
6
The assessment criteria are designed to be objective
The criteria DWP will use to assess people against to PIP will:
• Assess disabled people as individuals
• Focus on the impact that their health condition or impairment has on their daily lives
• Consider the individual’s ability to carry out key everyday activities
• Take account of physical, sensory, mental, intellectual and cognitive impairments and
developmental needs
• Reflect variable and fluctuating conditions
They take into account whether activities can be carried out:
•
Reliably
•
Repeatedly
•
Safely, and
•
In a timely manner
7
The proposed entitlement threshold is the level of
points needed to make an award of PIP
Daily living component (activities 1-10)
Standard rate = 8 points
Enhanced rate = 12 points
Activity
Mobility component (activities 11-12)
Standard rate = 8 points
Enhanced rate = 12 points
Possible
points
Activity
Possible
points
1. Preparing food
0-8
11. Planning and following journeys
0-12
2. Taking nutrition
0-10
12. Moving around
0-12
3. Managing therapy or monitoring a
health condition
0-8
4. Washing and bathing
0-8
5. Managing toilet needs or
incontinence
0-8
6. Dressing and undressing
0-8
7. Communicating verbally
0-12
8. Reading and understanding signs,
symbols and words
0-8
9. Engaging with other people face-toface
0-8
8 10. Making budgeting decisions
0-6
There are five key stages to claiming PIP
1
Thinking about claiming
Information about PIP will be available
from a range of sources, including online,
via leaflets and through support
organisations. This will explain the
eligibility criteria and help the claimant
decide if they want to claim PIP.
4
Assessment
5
Decision
Existing DLA claimants will be
contacted individually to ask if they
want to claim PIP.
2
3
9
Making a claim
Claimants (or those supporting them)
phone DWP to make a claim to PIP. This
involves an identity check and some basic
questions. Paper claims won’t normally
be used, and online claims will not be
available before 2014. Additional support,
such as provision of alternative formats
will be available.
A ‘How your disability affects you’ form is
then posted to the claimant.
Telling your story
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 unless a
decision can be reached on the basis of
written evidence. Claimants can take
someone along for support, this will
provide the opportunity to explain their
support needs in their own words. Home
visits will be available when necessary.
The health professional reviews the claim
against a set of clear descriptors to
assess the challenges faced by the
individual.
A DWP Decision Maker 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.
Existing DLA working age claimants will be asked if they want to
claim PIP
• Existing DLA recipients who are aged between 16 and 64 years old on 8 April 2013 (the
day that PIP is introduced) will need to decide if they want to make a claim to PIP
• From October 2013 DLA claimants who either have a fixed-term award that is due to end,
have a change in their care needs, or reach age 16, are only being invited to claim PIP if
they live in reassessment areas.
• From October 2015 all remaining claimants in receipt of a DLA award will be invited to
make a claim to PIP. We will select those recipients of DLA in receipt of an indefinite
award or a fixed term award , and notify them about what they need to do to claim PIP
• 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 claim is
made. If they don’t claim PIP then their DLA claim will end.
Existing claimants do not need to take any action now
10
There will be an individual assessment
• The PIP assessment will involve health professionals who consider the evidence
provided by the claimant, along with any further medical evidence
• Most people will be asked to a face-to-face consultation with this health
professional as part of the claim process
• Claimants can take somebody with them to the consultation
• Home visits will be available when necessary
• People with severe health conditions or those who are terminally ill are unlikely to
be asked to go to a face-to-face consultation
• The health professional will provide advice to a DWP benefit Decision Maker
• The DWP Decision Maker will then use all of this information to decide entitlement
to PIP
11
There may be an impact on other benefits and services
The reassessment of DLA to PIP, or a new award of PIP may affect other benefits and
services including:
•
•
•
•
•
•
•
•
•
Tax Credits (Disability premium up to age 20 where applicable and severe
disablement allowance
Disabled Child premium Up to age 20
The Enhanced disability premium (currently payable for DLA Highest rate Care
awards)
The Blue Badge scheme
Carers Allowance
The Motability scheme
Public transport concessions, for instance Freedom Passes
Housing Benefit
Council Tax Benefit
DWP have maintained existing passporting arrangements, wherever possible
12
You can find more information online
More information on PIP for claimants can be found on the Gov.uk internet site:
www.gov.uk/pip
13