HOW TO CLAIM PIP SUCCESSFULLY

How To Claim Pip Successfully

Although navigating the process of claiming Personal Independence Payment (PIP) can be complex, sourcing the right guidance will mean that making a successful claim is simple. 

This article provides essential information on how to input a successful claim, covering key areas such as understanding PIP, the application process, the necessary documents, tips for the PIP assessment, and how to appeal the decision.

PIP is a benefit provided by the UK social security system for adults with long-term health conditions or disabilities, designed to help with extra costs arising from these conditions. It is available to eligible people in Scotland, Northern Ireland, and other parts of the UK.

Table of Contents

Understanding PIP claims 

Following the introduction of Personal Independence Payment (PIP) in 2013 to replace Disability Living Allowance (DLA) for people aged 16-64, PIP claims have increased in recent years.

PIP consists of the daily living component and the mobility component. Each of these components are paid at different rates, either standard or enhanced. 

The rate which you are awarded depends on how your condition affects you, not the condition itself. Additionally, the income and savings amounts are irrelevant given that the benefit is not means-tested.

The PIP claim process involves filling out a PIP claim form, attending a face-to-face assessment with a healthcare professional, and then waiting for a decision letter. 

During this often difficult and overwhelming time, Citizens Advice and other support organisations can provide valuable help.

According to 2021-2022 statistics from the Department for Work and Pensions, 41% of PIP decisions were overturned at appeal stage. This illustrates the importance of appealing a denial if it seems unfounded.

For practical advice on starting your PIP claim and guidance on eligibility criteria, It can also be helpful to contact charities like Scope or Disability Rights UK. This is because many offer helplines and online resources.

You can also watch this video on Youtube here.

How to Claim PIP Successfully 

Here are the steps involved in a successful PIP claim: 

  1. Initiate your claim by calling the PIP centre. This means that you will need your contact details, National Insurance number, bank account details, and information about your doctor. Once the call is over, you will be sent a ‘How your disability affects you’ form. 
  2. When completing this form, it is important to take your time and to provide detailed, accurate information about how your health condition or disability affects your daily life and mobility. Consequently, you should provide as many specific examples as possible of difficulties you face with everyday tasks as possible.
  3. You should also provide medical evidence, such as reports from doctors or healthcare professionals, information regarding medication you’re taking, or details of treatments you are currently undergoing.
  4. When the form has been completed, it needs to be sent back to the Department for Work and Pensions (DWP), who will then invite you to a PIP assessment to discuss your claim in more detail. The focus should not just be on the condition, but rather on how it affects your quality of life and mobility.
  5. After your assessment, the DWP will send you a letter detailing the decision which they have reached about whether or not you have been granted PIP, and the rate at which you will receive it. If you are unhappy with this decision, the DWP grants you a one-month period in which you can ask for a mandatory reconsideration. 
  6. If you are still unhappy with the outcome after mandatory reconsideration, you can take your claim to an independent tribunal. This is known as an appeal.

Tips on Attending PIP Assessment 

  • The purpose of the assessment is to understand how your health condition or disability affects your daily life, making it crucial to be as honest and as detailed as possible in your answers. 
  • Prepare for the assessment by thinking about how your condition affects you. A good tactic for this might be to keep a diary of your daily activities and any difficulties which you face. This will make you less likely to miss out on key information in your assessment.
  • If you are asked by the assessor to carry out some physical tasks, you should only do these if you’re comfortable and it’s safe for you to do so. Make sure that you explain why if you are not capable.
  • You can take someone with you to the assessment for support, perhaps a friend or family member, who can provide emotional support while helping you to communicate and to remember what’s been said.
The PIP Form and Privacy Notice

Appealing a PIP Decision Effectively 

When asking for a mandatory reconsideration, you need to explain, in writing, why you disagree with the decision. In addition, you should provide as much evidence as possible to support your case. 

This evidence might include new medical reports, or more information about how your condition affects you.

You can also seek help from organisations like Citizens Advice or Benefits and Work as this can be a difficult and emotional process, it is important to seek help when necessary.

If you’re not satisfied with the outcome of the mandatory reconsideration, you can appeal to a tribunal. This is an independent panel who will review your claim again. 

The hearing can be attended over the phone or on paper, but attending the hearing in person will provide the opportunity to be represented by organisations like Citizens Advice. 

There is a good chance of success at this stage, given the statistics presented earlier in the article.

Conversely, if your request for mandatory reconsideration is unsuccessful, ensure that you submit your appeal within 1 month of the date on the mandatory reconsideration notice letter. It is crucial to keep this deadline in mind.

"The PIP claim process involves filling out a PIP claim form, attending a face-to-face assessment with a healthcare professional, and then waiting for a decision letter."

Understanding PIP Eligibility

Eligibility for PIP is not merely determined by the presence of a health condition or disability. Rather, it is determined by the extent to which it affects the individual’s ability to carry out daily tasks. 

As previously mentioned, PIP comprises both the daily living component and the mobility component, each offering its own set of eligibility-determining descriptors that determine eligibility. 

As the eligibility is complex and depends on how your condition has a specific impact, the criteria should be thoroughly researched.

PIP descriptors are specific activities related to daily living and mobility. 

Consequently, this includes everyday tasks such as preparing food, washing and bathing, managing treatments, communicating, reading and understanding signs, making decisions about money, and mobility. 

Each descriptor has a point score, and a claimant must score a certain number of points in order to be eligible for PIP.

For those with a terminal prognosis, you should explore whether you can qualify for PIP under specific rules which provide faster access to benefits.

Understanding PIP claims

The PIP Form and Privacy Notice

Thoroughly and accurately filling out the PIP form about ‘how your disability affects you’ is vital, supporting the DWP to understand how your health condition or disability affects your mobility and your ability to carry out daily tasks. 

The accompanying privacy notice outlines how personal data is handled, which should be read in detail.

In addition, it is vital to provide as much detailed and specific information as possible about how your condition impacts your daily living and mobility.

Navigating the PIP Award Process

After the PIP assessment has been completed, you will receive a decision letter informing you if you have been successful in receiving PIP and the awarded rates, which is typically paid to recipients every four weeks into their chosen account.

As PIP is not a taxable amount, you can be eligible regardless of your employment status. Any award of PIP may entitle you to additional support, such as increased Housing Benefit or Council Tax Reduction. 

This can mean extra money to help with additional costs that come with a disability. If you believe you might be eligible, remember that it is always best to research these options. 

Support From Social Security Scotland

In Scotland, the system for disability benefits is transitioning from the DWP to Social Security Scotland. This transition encompasses the Personal Independence Payment (PIP), which is being replaced by the Adult Disability Payment.

Social Security Scotland is working to streamline the application process, ensuring that decisions continue to be made with empathy and understanding. 

They are committed to delivering a person-centred service, meaning that the individual circumstances of each claimant will be considered. This is being implemented with the aim of making the PIP process easier and more accessible for disabled individuals. 

For those needing communication support, Social Security Scotland also offers accessibility services like Relay UK.

Mental Health Conditions and PIP Benefits

Mental health conditions can significantly affect a person’s mobility or their ability to carry out daily tasks. 

PIP recognises this, therefore including specific descriptors related to cognitive and mental functions. These consider a person’s ability to manage daily life and to communicate with others.

It’s essential to provide as much evidence as possible about how your mental health condition affects you. 

This information may come from medical reports from your GP or mental health professional, statements from people who know you well, or details of medication or therapy you might be receiving. 

If your mental health condition severely impacts your daily life and mobility, the Enhanced Rate of the PIP benefit may be awarded.

As mental health conditions are a common factor in many approved PIP claims, it is vital that applicants provide detailed supporting evidence.

A Case Study On Successfully Claiming PIP

Below is a brief case study illustrating the PIP claim process:

Jane has a chronic illness which affects her daily living and mobility, leading her to contact the PIP line to start her claim. Following this, she receives the application form which she takes the time to fill out in detail. 

She includes evidence from healthcare professionals about how her illness impacts specific activities in her daily life. 

Next, she attends an assessment to discuss her claim further, utilising resources like advice forums to understand the process. After submitting all required information, Jane receives a decision letter awarding her PIP payments.

Jane utilised available resources, such as advice forums, to further understand the process. She also made sure to do her own research ahead of time, easing her anxiety about the whole process.

Appealing a PIP Decision Effectively

Key Takeaways

These takeaways provide a roadmap of actionable steps for navigating the PIP claim process:

  • Start your PIP claim by contacting the PIP centre, where you will be sent the ‘How your disability affects you’ form. If you cannot fill in the form by yourself, there are options available to help with this.
  • Make sure that you understand the PIP descriptors and how they relate to your daily tasks.
  • Be detailed and accurate in filling out the PIP form, describing how your disability or health condition affects your daily life in as much detail as possible.
  • Gather all essential documents for your PIP application, including medical evidence from health professionals.
  • Prepare for the PIP assessment by noting down how your condition affects your daily tasks. If you feel that this will ease your anxieties and make the process a little easier, you can bring someone with you to the assessment for support.
  • If you are not satisfied with the PIP decision, you have the right to challenge it through mandatory reconsideration and, if necessary, a tribunal. However, it is important to note that these actions do have a time limit.

Following these key steps will ensure that you complete the PIP claim process effectively and with as little related stress as possible. Consequently, this will increase your chances of making a successful claim.

UK Care Guide is really proud to have been featured on some of the UK’s leading websites.

Meet the author

William Jackson

William is a leading writer for our site, specialising in both finance and health sectors.

With a keen analytical mind and an ability to break down complex topics, William delivers content that is both deeply informative and accessible. His dual expertise in finance and health allows him to provide a holistic perspective on topics, bridging the gap between numbers and wellbeing. As a trusted voice on the UK Care Guide site, William’s articles not only educate but inspire readers to make informed decisions in both their financial and health journeys.