What is PIP? - eligibility criteria
What is PIP?
PIP replaces DLA for people aged 16 to 64 with a long-term condition or disability. PIP is not based on your condition, but on how your condition affects you. You will need an assessment to work out the level of PIP that you will be awarded. Your award will be regularly reassessed to make sure you’re getting the right level of support.
Do you qualify?
To qualify for PIP, you must have a disability or long-term health condition and be experiencing difficulties with activities related to your daily living or mobility. You must have been experiencing these difficulties for 3 months and expect them to last for at least 9 months. You may also qualify if you’re terminally ill (i.e.: not expected to live more than 6 months), “Special Rules” will still apply for terminally ill claimants and your claim will be dealt with quickly.
There are two components to PIP; Daily Living and Mobility needs. Each component can be paid at standard rate, or enhanced rate for those with the greatest needs.
Daily living component
Standard weekly rate: £55.10 (April 2015/16)
Enhanced weekly rate: £82.30 (April 2015/16)
Standard weekly rate: £21.80 (April 2015/16)
Enhanced weekly rate: £57.45 (April 2015/16)
Daily living difficulties: You may be awarded the daily living component of PIP if you are having difficulty with things like:
Preparing or eating food
Washing and bathing
Dressing and undressing
Using the toilet
Managing your medicines or treatments
Making decisions about money
Mobility difficulties: You may be awarded the mobility component of PIP if you need help with going out or moving around.
Making a claim
New claimants for PIP can begin to claim. Claimants who are already claiming DLA will be advised when and how they should begin to claim PIP. You must phone the DWP to make a claim. Someone can call on your behalf if you are unable to make the call due to your illness or disability, but you will need to be present when they make the call. You will need to give details of the following:
Contact details and date of birth
National Insurance Number
Bank or building society details
Doctor’s or health worker’s details
Details of any time spent abroad or in a care home or in hospital
After making this initial call you will be sent the form “How your disability affects you” and the process of assessment will begin.
The DWP will be ask claimants to complete the “How your disability affects you” form to explain how your condition affects your daily life, both on good days and bad days and over a range of activities. You will need to return this form to the DWP by post with any supporting evidence you can provide to support your claim.
Claim details, forms and any supporting evidence you are able to provide will be passed to an independent health professional conducting the assessment. Most claimants will be asked to attend a face to face consultation unless a decision can be reached on the basis of the written evidence provided. Home visits will be available when necessary and claimants can take someone along for support. The health professional will review all evidence in the claim and use a set of clear descriptors to assess the challenges faced by the individual claimant. A DWP Case Manager will use all the information in the claim form, from the health professional and anything else that has been provided to make an award. They will make a reasoned decision on entitlement, including the level and length of the PIP award.
If you wish to appeal the decision made about your PIP award you will need to ask the DWP to look at the decision again, this is called “Mandatory Reconsideration”. You will need to make it clear why you are asking for Mandatory Reconsideration when you contact the DWP by telephone or in writing. The address and telephone number will be on the decision letter you have already received. This process gives you a chance to let the DWP know if anything has changed, and gives the DWP a chance to explain their decision. You will receive a “Mandatory Reconsideration Notice” as a response.
You can appeal your decision if you are still unhappy with the response in the Mandatory Reconsideration Notice. You will need to include a copy of the Mandatory Reconsideration
Notice with your application to appeal. To appeal you will need to fill in “Notice of appeal against a decision of the Department for Work and Pensions – SSCS1” available from
http://hmctsformfinder.justice.gov.uk/courtfinder/forms/ssc1-eng.pdf or contacting the details below.
To make a claim and for further information contact:
New Claims: Tel – 0800 917 2222
Textphone (for the hard of hearing) 0800 917 7777
Open Monday to Friday 8am – 6pm.
Contact by post:
Personal Independence Payment New Claims Unit
Post Handling Site B
Personal Independence Payment Helpline – (General Information): Tel – 0345 850 3322
Textphone (for the hard of hearing): 0345 722 4433
Open Monday to Friday 8am to 6pm
More tailored information for claimants is also available from https://www.gov.uk/pip .
Please note: The contents of this information sheet are only intended to provide an overview of the main eligibility criteria associated with AA and DLA/PIP. It will not provide a comprehensive explanation of all the rules governing the allocation of this and associated benefits. For specific, individual enquiries please contact the Disability Benefits Helpline direct.