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Personal Independence Payment (PIP) - assessment

Most people who make a claim for Personal Independence Payment (PIP) will need to undergo a PIP assessment. This is because more information about your disability or illness is needed before a decision on your claim can be made.

How do I qualify?

Once you have completed your claim form ‘Telling Your Story’, the information will be passed to a health professional. The health professional will decide if there is a need for any further evidence and will make all the arrangements to get this.

What does the PIP assessment involve?

PIP is in two parts – the daily living and the mobility components. Payment will be made up of one or both of these components. Each component will have two rates; Standard and Enhanced.

The assessment for PIP will focus on your ability to carry out everyday activities, the challenges you face, and the support you need, rather than your capability to work, as in the Work Capability Assessment. Each activity in the PIP assessment will be assessed and scored.

Eight points will qualify you for the Standard rate, whilst 12 points will qualify you for the Enhanced rate.

Daily Living component activities

To qualify for the daily living component you will be assessed on activities 1-10 and must score eight points or more.

Eight points will qualify you for the Standard rate, whilst 12 points will qualify you for the Enhanced rate.

Activity
1. preparing food
2. taking nutrition
3. managing therapy or monitoring a health condition
4 washing and bathing
5. managing toilet needs or incontinence
6. dressing or undressing
7. communicating verbally
8. reading and understanding signs. symbols and words
9. engaging with other people face to face.
10. making budgeting decisions

Mobility component activities

To qualify for the mobility component you will be assessed on activities 11 and 12 and you must score 8 points or more.

Eight points will qualify you for the Standard rate, whilst 12 points will qualify you for the Enhanced rate.

Activity
11. planning and following journeys
12. moving around

Some assessment reports can be completed straight away, if you are claiming under special rules for the terminally ill or where the written evidence is sufficient. If you have a severe health condition or disability you are unlikely to be asked to attend a face to face consultation. This will be decided on a case by case basis.

Most people however will be asked to attend a face-to-face consultation.

Face to face consultation

If the health professional thinks they need further information they will invite you to a face-to-face consultation.

You will be able to contact the health professional to ask questions about the consultation or if you need to rearrange appointments.

What happens during the face to face consultation?

When you attend the face to face consultation, you will be asked to explain how your condition affects you on a day to day basis. You will also have the opportunity to provide additional evidence.

You are encouraged to bring a relation, friend or support professional to the consultation with you. Anybody accompanying you can take an active part in the discussion.

What happens if you don’t need a face to face consultation?

If the health professional decides a face to face consultation is not needed they will review all the evidence you have provided against a set of everyday activities to assess the challenges you face..

What happens next?

A report on your claim information will be sent back to the Social Security Agency (SSA) to help inform its decision.

An SSA decision maker will review the evidence including the report from the health professional. A decision will then be made on entitlement, level of award and the length of any award.

You will receive your decision letter by post. The letter will give you more information about the decision, how it was reached, details of the first payment if appropriate, and also explains other sources of support available to you.

What if my claim is disallowed?

If your claim has been disallowed, or your existing award reduced, then the decision maker will try to contact you by telephone to explain the decision. You will receive a written notification of the decision..  

If you disagree with the decision you can ask the decision maker to look at your case again - this is known as reconsideration.