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  1. #1
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    Case manager

    hi all does the case manager rely on the medical report to make his decision and also does the assessment report contain there points they would give you thanks

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    They take account of all the evidence in front of them.

  3. #3
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    Quote Originally Posted by toolook View Post
    They take account of all the evidence in front of them.
    Toolook, would it ever be possible that a decision is made without the assessment report and only on the actual form filled in by you when making the claim? (IF say the claimant has their MP fighting for them and they are stressed at the length of time its taken?).

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    Quote Originally Posted by KAREN SV View Post
    Toolook, would it ever be possible that a decision is made without the assessment report and only on the actual form filled in by you when making the claim? (IF say the claimant has their MP fighting for them and they are stressed at the length of time its taken?).
    I don't know, however I will say that an MP cannot force the DWP to do anything as it would be an abuse of process. The DWP still has to justify a decision and having an MP on your side does not change that, if say there is plenty of medical evidence and it is clear what level of award should be made then an MP MIGHT be able to persuade the DWP to look at it without a F2F. However, if the claim form had no medical evidence and was based on the word of the claimant then I would say that is very unlikely, if not impossible as the point of PIP was to have regular Face to Face assessments with the claimant. Even on DLA, 5% to 10% of claims had positive decisions, based on there claim with no medical evidence just the claim form ( I can't remember the exact figure but I think it was in that area).

  5. #5
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    Quote Originally Posted by KAREN SV View Post
    Toolook, would it ever be possible that a decision is made without the assessment report and only on the actual form filled in by you when making the claim? (IF say the claimant has their MP fighting for them and they are stressed at the length of time its taken?).
    The PIP system works on the basis that the decision maker cannot assess the evidence by themselves, but must consult the assessment provider for the area where the claimant lives to obtain a report based on the evidence.


    It is possible for the assessment provider to report solely on the written evidence without a face to face assessment, but this is only done in cases where a face to face assessment is felt to be unnecessary. Most of these cases will be where the claimant has submitted a DS1500 report from a health professional confirming that death is reasonably expected within six months, which, if accepted, results in an automatic award of enhanced rate Daily Living PIP.

    Other cases of 'papers only' assessment are rare - an example would be someone who had sent in a comprehensive and recent functional assessment prepared by an occupational therapist along with their claim, though few will be able to do that.

    If there is any doubt as to how the claimant's problems affect their abilities under the activities, there will be a face to face assessment.


    There is no way you can get a decision made without an assessment report based on matters, such as delay, how many times you have complained to your MP or how stressed you are by the process. Such a system would breach the principle of equality before the law, that everyone is assessed equally according to the criteria. It would also be wide open to abuse.

    I'm not saying anything here about how your admittedly deeply unsatisfactory experience has affected you, Karen - I'm just saying that if it got around that it was possible for claimants to bully the system into awarding PIP without proper medical consideration of the evidence they'd submitted, this would create an unfair system where those who shout loudest (which will include those knowingly making false or exaggerated claims) get PIP without proper reflection on whether they meet the criteria.

  6. #6
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    Is this for PIP?

    I received a copy of my assessment report which the health care assessor awarded me points enough for the standard care and lower mobility BUT the decision maker reduced the points to only 4 for care and 4 for mobility so in my opinion they do not always side with the assessor. My award letter said I was not entitled. I then asked for my copy of the assessment and was only sent it 5 weeks later so in the meantime I had to go ahead with asking for the mandatory reconsideration without viewing it. I was actually shocked at how much the case manager (or decision maker) had changed things.

  7. #7
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    did they change the dessicion for you

  8. #8
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    Quote Originally Posted by burkey007 View Post
    did they change the dessicion for you
    I am still waiting to hear from them. Its been over a month since I sent this to them for reconsideration. I had a call from a lady in the disputes team who said it would be 4 weeks from that date and that takes it to the 20th May so anytime soon hopefully. I know that my assessment was sent back to the assessment provider for re categorisation (whatever that means as it was sent back twice before during the original decision making) and that was received back by DWP on 13th May they said.

  9. #9
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    how long does it take from when case manager makes his decision to be on the system thanks

  10. #10
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    Quote Originally Posted by burkey007 View Post
    how long does it take from when case manager makes his decision to be on the system thanks
    Unless someone here works for the DWP, it is a question that cannot be answered. I would assume a few days for it to update on the stem but it is anyone's guess.

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