Page 7 - Community Living Magazine 34-2
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welfare rights
       Medical assessments at a distance





       Assessments for disability benefits are now based on paper               ●   List all aids and appliances you use,
       records or carried out on the phone rather than being done                 such as modified cutlery, grab rails, a
                                                                                  shower seat, incontinence pads, a
       face to face. Charlie Callanan sets out what you need to know              walking stick or wheelchair, a long cane
                                                                                  and low vision aids.
                                                                                ●  List all the medication you take or any
              edical assessments are required                                     other treatments you have
              in certain benefit claims,                                        ●  Arrange for a companion to be with you
      Mincluding for personal                                                     if you want this (see below).
       independence payments (PIPs). They are                                   During:
       also used for the work capability                                        ●  Make sure you are seated somewhere
       assessment (WCA), which assesses claims                                    quiet and comfortable
       for employment and support allowance,                                    ●  Have to hand the application form and
       and in universal credit where the claimant                                 any notes you have made
       may have “limited capability for work”.                                  ●  Note the name of the assessor, the time
        During the coronavirus crisis,                                            they called and the call duration
       assessments are being carried out only via                               ●  You can have a companion with you,
       telephone, with none being done face to                                    such as a friend, relative, carer or
       face. Video assessments are being trialled.                                support worker. They can take part in
        Assessments can also be completed by                                      discussions and take notes for you.
       medical assessors using paperwork alone,                                   Remember to introduce the companion
       such as a claimant’s PIP2 application form                                 to the assessor. The DWP’s PIP
       or limited capability for work                                             Assessment Guide for Assessment
       questionnaire, and any medical or other   Some people will find telephone assessments   Providers states a claimant has a right to
       relevant evidence available.        less daunting but still need to prepare for them  have a companion with them during a
        It is therefore recommended when                                          PIP assessment. The online WCA
       starting the written assessment process   be able to look to going back to work in   assessment provider guidance also
       for PIP or a WCA that clients give the   the future).                      acknowledges this right.
       Department of Work and Pensions (DWP)   If the DWP cannot grant a client LCWRA   ●  Do not feel rushed to answer questions;
       as much information as possible about   status, they will get a letter telling them it   take time to consider both the question
       their disability and its impact, as well as   has not been possible “to complete their   and your reply
       any written evidence.               assessment” at this time. The client will   ●  Do not exaggerate your condition but
        This may help to avoid the need for a   then have to wait for a face-to-face   do not downplay it or minimise its
       telephone assessment because the    assessment until such time when these   impact on your life
       medical assessor can make a         are reintroduced.                    ●  Do not give “yes” or “no” answers:
       recommendation to the DWP based on    If this is the claimant’s first assessment,   describe how doing something makes
       that information and evidence alone.  they will continue to receive the basic   you feel both during and after
                                           assessment rate or, if they are undergoing   completing it, what assistance you
       Limits to work capability assessment  a review, their award remains unchanged.   need, how long it takes and what aids
       There is an important current feature to   This does mean clients losing out in the   you use
       note about WCAs. After a claimant has   short term if they are likely to see their   ●  Talk about how your condition affects
       had a telephone or paper-based WCA, the   benefit increased following a face-to-face   you and the kind of things you have
       only recommendation that the assessment  assessment, although any increase will   difficulty with or cannot do at all
       provider can make is that the claimant is   eventually be backdated.       without guidance or assistance.
       not fit for work and has “limited capability                               This could include difficulties the
       for work-related activity” (LCWRA).   Some tips for telephone assessments  assessor should but might not raise
        The assessor will not make a       Many people will welcome and prefer a   with you; note that they may assume
       recommendation to DWP that the      telephone medical assessment and find    there are certain things you have no
       claimant is fit enough to work or that they   this less daunting than attending an   difficulty doing such as mixing with
       have “limited capability for work” (ie they   assessment centre.           other people.
       are not currently fit for work but should   However, claimants still need to   The pandemic means there will be no
                                           prepare. Below are some tips for clients   face-to-face assessments until it is safe
                                           on matters to consider before and during   and operationally feasible for providers to
       For a written assessment,           a telephone medical assessment.      reintroduce them.
                                                                                  Therefore, we can assume people will
                                             Before:
       clients should provide as much         Read and review the relevant claim or   have to take part in telephone
       information as possible about       ● assessment form (eg PIP2 form or   assessments to determine their disability
                                                                                benefit claims for the foreseeable future
                                             ESA50/UC50 questionnaire) to remind
    Seán Kelly  their disability and its impact  you of points that you may wish to talk   and, accordingly, will need support, advice
                                             about in the assessment
                                                                                and guidance. n
       www.cl-initiatives.co.uk                                              Community Living  Vol 34 No 2  |  Winter 2021  7
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