PIP Reconsideration - Disability Claims | PIP Claim Assistance (2024)

Better we have found to go through the motions, with you just asking the Department for Work and Pensions (DWP) to look at the PIP decision again, and instead you focus your efforts on a tribunal appeal, where the quality of decision is very much better.

What do we mean by this? Well, as an example, the law says that if you can do one of the activities in the test, preparing food, walking 20 metres, etc. then they must consider whether you can do it safely, do it as often as reasonably required, do it to an acceptable standard, and do it within a reasonable time. This is in regulation 4(2A), but it might as well not be there as far as Healthcare Professionals and Decision Makers are concerned as we have yet to see this part of the law applied correctly. A tribunal will look at these factors and can be persuaded to award points where they apply. The sad fact is that there is often a difference between what a Decision Maker can be expected to award on a claim, or a mandatory reconsideration, and what an appeal tribunal can be expected to award you. The most recent Government figures that I have seen showed that just 17% of PIP mandatory reconsiderations resulted in any additional points being awarded, never mind the correct award being made, so it can make sense to concentrate on a fight that you can win, rather than one that you are very likely to lose.

The time limit for requesting a reconsideration is one month from the date on the decision letter, regardless of how long it took to reach you. Comply with that time limit if you possibly can, and keep a copy of your letter. We send reconsideration requests ‘signed for’, just for piece of mind, and where the time limit is close, ‘next day delivery guaranteed’. Do not give up if you miss the one-month deadline as it is often possible to get a late request accepted. There is an ‘absolute time limit’ of 13 months (the one month, plus an additional 12 months) and you should talk to us if you have missed even this extended time limit as we may be able to help.

When we work on a mandatory reconsideration, we make every effort to get the right result, so that the delay, stress and expense of a tribunal appeal can be avoided. We begin by going through the PIP test with you to see where you should have scored points, why you should have scored them and how strong a claim you have for those points. Once we know what it is we have to prove, we can then take you through the assessment report written by the Healthcare Professional at the face-to-face meeting, to see where this went wrong. Some clients believe that the reasons included in the PIP decision is the full report, but the assessment report is usually about 28 pages in length. I go through this with you pretty much line by line, to see what is wrong, what has been misunderstood and what has not been included at all.

PIP Reconsideration - Disability Claims | PIP Claim Assistance (2024)

FAQs

Who can help with PIP reconsideration? ›

You can get help with your appeal from your local Citizens Advice, or a local disability support agency. You might be able to get someone like an adviser or a solicitor to act as your representative during the appeal, but they're not always available.

What is the success rate of PIP reconsideration? ›

In fact, the Mandatory Reconsideration success rate is under 20 per cent. But don't let that put you off – if you feel you are entitled to challenge a decision or if you're not sure, speak to a financial adviser to learn more about financial planning and how to cope with money worries.

How long does a PIP mandatory reconsideration take? ›

Some reconsiderations take two weeks, some take several months. If you have not received your Mandatory Reconsideration Notice, it is a good idea to call the DWP after: 2 weeks to check they have logged your Mandatory Reconsideration. 8 weeks to check how much longer it will take.

How do I get PIP decision overturned? ›

You need to give specific reasons why you disagree with the decision. Use your decision letter, statement of reasons and medical assessment report to make a note of each of the statements you disagree with and why. Give facts, examples and medical evidence (if available) to support what you're saying.

How likely am I to win my PIP appeal? ›

The most vital fact you need to know about PIP appeals

In the three months to July 2023, 68% of all PIP appeals were won by the claimant. But most people never make it to a hearing. Because, before you can lodge an appeal, you have to ask the DWP to look at its own decision again.

Has anyone had a successful PIP Mandatory Reconsideration? ›

I've read that only 20% of people who submit a Mandatory Reconsideration for PIP are successful in getting an award. What do the applications all these 20% of people have in common that make them win?

How to beat a PIP? ›

Instead, ask clarifying questions, ask for specific examples, and take lots of notes. The more you can get your supervisor to talk and provide specific examples and clarifications, the better off you'll be. You'll submit a written response later.

What is a mandatory reconsideration for PIP 2024? ›

Mandatory Reconsiderations ( MRs ) Claimants who wish to dispute a decision on their PIP claim at any stage can ask DWP to reconsider the decision. This is a mandatory reconsideration ( MR ) and must be completed before an appeal is made and lodged with His Majesty's Courts & Tribunals Service ( HMCTS ).

How to speed up PIP decision? ›

Our best advice, to get a decision as soon as possible, is to send in as much relevant medical evidence with your claim as you can and do a really thorough job when completing the PIP2 (health questionnaire). More information can be found on RNIB's PIP webpage.

What conditions are most likely to be awarded PIP? ›

Psychiatric disorders

With 37% of people receiving PIP having a psychiatric disorder, it is the most common condition people receiving PIP claim for. Psychiatric disorders are mental health conditions that can affect how a person thinks and feels about themselves and/or the world around them.

Can you win a mandatory reconsideration? ›

If you disagree with the mandatory reconsideration, you can then appeal, where your case will be heard by an independent tribunal - the 'First-tier Tribunal'. If you disagree with your decision, you should always consider appealing. You have a very good chance of winning your appeal, particularly if you get help.

What is an example of a mandatory reconsideration letter for PIP? ›

I would like to request reconsideration of your decision of [insert: date of decision, i.e. date given on the decision letter] that I [am not eligible for PIP/ not eligible for the Mobility component/ the Daily Living component/ should be awarded Standard Rate Mobility/ Standard Rate Daily Living (delete as appropriate ...

What do I do if PIP is refused twice? ›

Mandatory Reconsideration: Your First Step

After a refusal, your first course of action is to request a mandatory reconsideration. This is where you ask the Department for Work and Pensions (DWP) to review the decision. It's a critical step, as you cannot appeal to a tribunal without first going through this process.

Can a PIP be reversed? ›

Appeal the decision

If it is clear that the PIP is unwarranted, you may be able to escalate your claim to HR or upper management. Be aware, this may not be a fight worth the trouble. Appealing the decision to place you on a PIP creates more friction and very rarely ends up in the decision being reversed.

How many PIP decisions are overturned? ›

8% of initial decisions following a PIP assessment have been appealed and 4% have been overturned at a tribunal hearing.

How successful is the PIP Mandatory Reconsideration in 2024? ›

Are you in need of professional PIP or ESA legal help ? Don't hesitate to contact Disability Claims. As of July 2024 we have a 98.65% Tribunal success rate, based on 716 appeals.

Can citizens' advice help with PIP? ›

We provide advice over 2900 locations across England and Wales. Over the last three years welfare benefit related issues have overtaken debt as our largest area of advice, accounting for a third of the support we deliver. Personal Independence Payment (PIP) is the benefit we receive most enquiries about (figure 1).

How to appeal a Mandatory Reconsideration? ›

How to appeal. Your appeal must normally include a copy of the mandatory reconsideration notice. A exception applies for certain employment and support allowance decisions relating to the work capability assessment. One of the questions on the appeal form asks if you want to take part in your appeal hearing.

Who are the decision makers for PIP? ›

The health professional will write a report for the Department for Work and Pensions (DWP). A DWP decision maker will then decide whether you're entitled to PIP, at what rate and for how long. PIP is made up of 2 parts, the daily living component and the mobility component.

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