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Forum Home  →  Discussion  →  Decision making and appeals  →  Thread

Health Conditions not in PIP2

Adam Evenson
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Blackpool Centre For Unemployed

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Joined: 9 July 2020

Hi,

Client has a PIP appeal coming up which we are representing her at. She filled the PIP2 form in November 2023 and had the assessment at the end of January 2024. In between the PIP2 form being sent and the assessment, she had a fall and needed a hip replacement and was diagnosed with Osteoporosis - she mentioned the new health condition and hip replacement at the assessment.

Am I right in thinking they should be included for the appeal and is not a “worsening of health conditions” as they were fully mentioned at the assessment?

Hope that makes sense!

Thanks

Adam

Elliot Kent
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The tribunal’s job is to consider all of the facts down to the date of the decision. That is the critical date.

Whether the facts existed and/or whether they were mentioned in the form or assessment isn’t decisive (although it could affect issues around the required period/effective date).

It’s important to remember that the form and assessment are just part of the evidence gathering process. They don’t limit the scope of the claim.

You can bring up things in the appeal which were not previously mentioned even if they could have been. You can appeal based on things which happened after the assessment but before the decision and which the DWP therefore did not know about.

Adam Evenson
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Blackpool Centre For Unemployed

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Total Posts: 244

Joined: 9 July 2020

Elliot Kent - 13 September 2024 10:42 AM

The tribunal’s job is to consider all of the facts down to the date of the decision. That is the critical date.

Whether the facts existed and/or whether they were mentioned in the form or assessment isn’t decisive (although it could affect issues around the required period/effective date).

It’s important to remember that the form and assessment are just part of the evidence gathering process. They don’t limit the scope of the claim.

You can bring up things in the appeal which were not previously mentioned even if they could have been. You can appeal based on things which happened after the assessment but before the decision and which the DWP therefore did not know about.

Thanks for this.

Is there any specific caselaw on the last point? There’s a couple of Judge’s who refuse to discuss anything other than what was in the form (and occasionally the assessment)

Thanks

Stainsby
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Welfare rights adviser - Plumstead Community Law Centre

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R(DLA)2&3/01 paragraph 9

9. Section 33(7) limits the tribunal’s jurisdiction to the claimant’s entitlement. In the case of a claim for a disability living allowance, the jurisdiction is limited to the inclusive period from the date of claim to the date of the decision under appeal. The effect is also to limit the evidence that is relevant to the appeal. The only evidence that is relevant is evidence that relates to the period over which the tribunal has jurisdiction. However, it is the time to which the evidence relates that is significant, not the date when the evidence was written or given. It does not limit the tribunal to the evidence that was before the officer who made the decision. It does not limit the tribunal to evidence that was in existence at that date. If evidence is written or given after the date of the decision under appeal, the tribunal must determine the time to which it relates. If it relates to the relevant period, it is admissible. If it relates to a later time, it is not admissible

[ Edited: 13 Sep 2024 at 11:37 am by Stainsby ]

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