Government Response Aids and Appliances and the Daily Living Component of Pip

8/19/2019 Government Response Aids and Appliances and the Daily Living Component of Pip

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The Governmentresponse to the

consultation onaids and appliancesand the daily living

component ofPersonal

IndependencePayment


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© Crown Copyright 2016

This publication is licensed under the terms of the Open Government Licence v3.0 except

where otherwise stated. To view this licence, visit nationalarchives.gov.u!doc!open"

government"licence!version!# or write to the Information olic! Team, The "ational

#rchives, $ew, London T%& '(), or email* psi$nationalarchives.gsi.gov.u.

%here we have identified an! third part! cop!ri+ht information !ou will need to obtain

permission from the cop!ri+ht holders concerned.

This publication is available at

https%!!www.gov.u!government!consultations!personal"independence"payment"

aids"and"appliances"descriptors

#n! enuiries re+ardin+ this publication should be sent to us at

&trategy' Policy and (nalysis Group

)isa*ility +enefits

PIP Policy Team

Ca,ton -ouse

Tothill &treetondon

&/1- (

mail contact% pip.consultationfeed*ac$dwp.gsi.gov.u

rint I-" &/1'/'12&

%eb I-" &/1'/'12&4

I( 2&021411 03514

rinted on paper containin+ /6 rec!cled fibre content minimum

rinted in the )$ b! the %illiams Lea Group on behalf of the 7ontroller of 8er 9a:est!;s-tationer! Office

resented to arliamentb! the -ecretar! of -tate for %or< and ensionsb! 7ommand of 8er 9a:est!

9arch 20147m &1&'


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The Government response to the consultation on aids and appliances and the daily livingcomponent of Personal Independence Payment

Contents

7hapter 1 =xecutive -ummar!

7hapter 2 The 7onsultation

7hapter 3 %hat !ou told us

7hapter ' Our response

#nnex # Or+anisations that submitted written responses

#nnex Indicative list of aids and appliances used

#nnex 7 ac


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1 ,ecutive &ummary1.1 ersonal Independence a!ment >I? helps claimants meet the extra costs

arisin+ from a disabilit! or lon+@term health condition. It replaces (isabilit!

Livin+ #llowance >(L#? for woroption four? and halvin+ the points awardedfor aids and appliances >option five?. The (epartment also as


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activities five and six are less reliable indicators of extra cost than one and

four.

1.& #s a result, and in order to limit the number of people affected b! the

chan+es, the (epartment has decided that the points awarded for the use of

aids and appliances should be halved from two to one but for activities fiveand six onl!.

1.10 This chan+e will appl! to new claims, claimants who report a chan+e of

circumstances and (L# claimants who are reassessed for I from 1 Aanuar!

201/. The chan+e will affect existin+ I claimants who do not report a

chan+e of circumstances from the later of 1 Aanuar! 201/ or the date the

(epartment reviews their current award.

1.11 This revised approach should help ensure that the points available for aids

and appliances are a more accurate prox! for extra costs incurred and

support the ori+inal polic! intent of I to focus support on those with the+reatest need.

1.12 In addition to deliverin+ these chan+es, the (epartment remains committed to

ensurin+ that we offer the most appropriate and effective support and best

possible claimant experience for disabled people. Collowin+ feedbac< from

disabled people and sta


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2 The Consultation2.1 Crom #pril 2013 (isabilit! Livin+ #llowance >(L#? be+an to be replaced with a

new benefit, ersonal Independence a!ment >I?. Li


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The consultation process2.4 The Government published the Aids and appliances and the daily living

component of Personal Independence Payment consultation on 10 (ecember

201. The consultation closed on 2& Aanuar!, althou+h we considered

responses received within a reasonable time after this point also.

2./ %e received 21 written responses to our consultation. 1&3 were from

individuals and were from or+anisations. # list is at #nnex #. One

response was a :oint response from 10 or+anisations of, or for visuall!

impaired people.

2. In carr!in+ out this consultation we sou+ht to ensure that as man! people and

+roups as possible had the opportunit! to contribute their views. %e

publicised the consultation on the GOE.)$ website and emailed our existin+

sta(%? officials also held one@to@one

meetin+s with -cope, B"I, (isabilit! Bi+hts )$, the (isabilit! enefits

7onsortium >an umbrella +roup of over 40 or+anisations?, and -cottish and

%elsh +overnment officials. # meetin+ was also held specificall! for members

of the I Implementation -ta


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combined. Cor each option we as


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# /hat you told us3.1 There were broadl! four main themes arisin+ out of the responses we

received and the discussions at our consultation events.

Bespondents felt that reliance on aids and appliances is a +ood indicator

of additional costs.

Bespondents uestioned the effectiveness and accurac! of the I

assessment, both in terms of the polic! underpinnin+ it and the application

of the polic!.

Bespondents were concerned that an! of the options for chan+e would

have a ne+ative impact on the individuals affected.

Bespondents felt that an! of the options for chan+e would increase

individuals; needs for support from other public services and could lead toincreased I expenditure.

3.2 The vast ma:orit! of respondents who provided a view on the substantive

issue of the polic! on aids and appliances therefore thou+ht that the current

polic! was preferable to an! of the options for chan+e. 9an! also pointed to

the fact that I is still a relativel! new benefit, ar+uin+ that ma


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rails, are not +ood proxies of extra costs and should not be tahttps*55www.+ov.u


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on their a&ility to live independently' ma(ing it more difficult do things

li(e wor(' study or see friends and family)*

&cope

3.11 # si+nificant number also thou+ht that an! chan+e would act as a disincentive

for disabled people to live as independentl! as possible. 9an! also ar+uedthat the extra costs faced b! claimants scorin+ all, or the ma:orit!, of their

points due to their use of aids and appliances across a ran+e of activities are

li


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appliances have on@+oin+ costs associated with them, such as updates,

insurance, maintenance and repairs. Cor example, one respondent cited the

fact that screen readers and O7B software have to be updated ever! !ear at

a cost of approximatel! 300.

3.1 -ome raised concerns about claimants; abilit! to bud+et effectivel! if +iven alump sum amount and others feared that if lump sums were issued with the

express intent of helpin+ claimants purchase aids and appliances then the

"8- and adult social care services would start char+in+ for articles the!

currentl! provide free of char+e. -ome also ueried how the lump sum would

be ta


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of an! chan+es on those affected and would lead to a two@tier s!stem for I

claimants. 9an! also ar+ued that an! chan+e would have a si+nificant impact

on other areas of +overnment spendin+, such as the "8- and adult social

care.

5ption two% ower weely rate' paid an on"going

*asis3.20 9ost respondents who compared the options a+ainst each other thou+ht that

a lower wee


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that would lead to the most si+nificant increases in 9Bs and appeals.

3.2/ 9an! respondents said that this option would be the most difficult to

understand and would complicate the s!stem.

5ption four% (mending the definition of aids andappliances3.2 -ome believed this to be the most lo+ical and appropriate option; but the

ma:orit! of respondents did not thin< it was a wor


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to all.

3.3' 8owever, there were ver! few su++estions for which activities the points

should be halved and which activities should be left unchan+ed. 9an!

respondents ar+ued that, if the number of points was halved for all activities,

this would ultimatel! have the same effect as option three >i.e. removin+entitlement from claimants with low level ph!sical impairments across a ran+e

of functions? and that this would be disproportionate.

3.3 Others hi+hli+hted that it was the option that would li


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? 5ur response'.1 In decidin+ whether to chan+e the polic! on aids and appliances, and if so,

how, the Government considered the ori+inal polic! intent behind I. This

was to create a more modern and d!namic benefit that*

=nabled support to be tar+eted at those with the +reatest needD

%as financiall! sustainableD

7onsidered needs arisin+ from all impairment t!pes euall!, +ivin+ parit!

of esteem between mental and ph!sical health conditionsD and

(etermined awards consistentl! and ob:ectivel!.

'.2 7onsultation responses were carefull! considered a+ainst this bac


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and audit re+imes which are desi+ned to ensure that healthcare professionals

accuratel! assess claimants and present the (epartment;s case mana+ers

with robust and reliable advice as part of the decision maeven in cases where reliance is clearl! demonstrated?. 9an! of

the aids and appliances li


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to dail! livin+, points had been awarded for the use of aids and appliances for

activities one, four, five and six* preparin+ food, washin+ and bathin+,

dressin+ and undressin+ and mana+in+ toilet needs or incontinence. This was

not the case for other activities/ and is consistent with the national data which

shows that the si+nificant increase in the proportion of claimants scorin+ all of

their points from aids and appliances has lar+el! been driven b! a sustained

rise in the points awarded in relation to activities one, four, five and six.

'.1 #ctivities one, four, five and six tend to rel! on similar ph!sical actions in order

to complete them such as a certain level of manual dexterit!, similar

movements or the abilit! to reach. There is therefore si+nificant overlap

between activities and, when considerin+ aids and appliances in this context,

some activities will be better proxies of extra costs than others.

'.14 The (epartment;s view is that activities five and six are li


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in some wa! affected b! these chan+es. 8owever, a si+nificant number will

continue to ualif! for an award, and claimants affected ma! also remain

eli+ible for other forms of Government support. This includes, but is not limited

to, the mobilit! component of I, =-#, local welfare provision, support

throu+h the "8-, adult social care and the (isabled Cacilities Grant. It is

important to remember that this forecast fi+ure does not ta


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(nne, (

5rganisations that provided written

responses #ccess in (udle!

#ction for lind eople >3 x responses and 1 x :oint?J

#dapt "orth =ast

#rthritis Besearch )$

#-IB=

#ssociation of disabled professionals

#utism #n+lia

ath K "= -omerset 7itiFens #dvice

i+ oo< of enefits 5 %elfare Bi+hts #dvisers 7!mru

lesma

lind Eeterans )$J

ristol (isabilit! =ualit! Corum

uc"orthern Ireland?

(isabilit! enefits 7onsortium

(isabilit! 7an (O


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(isabilit! (!namics

(isabilit! =ualit! "orth %est

(isabilit! -olutions %est 9idlands

=lcena Aeffers Coundation

=nable -cotland

=nfield (isabilit! #ction

=ual Lives

Glas+ow 7ouncil for the Eoluntar! -ector

Glas+ow 7it! 7ouncil

Grand )nion 8ousin+ Group

Guide (o+sJ

8ac


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"orthumberland Low Eision #ction Group

"orthumbrian 7#

"ottin+hamshire (isabled eople;s 9ovement

Oxfordshire %elfare Bi+hts

ar1 x individual and 1 x :oint?J

-haw Trust and (isabled Livin+ Coundation

-outh =astern 8ealth and -ocial 7are Trust

-outh@=ast "etwor< of (isabled eople;s Or+anisations >-="(O?

-partacus "etwor< >x 2?

-hine

-pinal In:uries #ssociation

-tro


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%est of =n+land 7entre for Inclusive Livin+ >%=7IL?

%heatle! Group

Mor< K (istrict 7itiFens #dvice ureau

JThese or+anisations of, or for, visuall! impaired people provided a :oint response.

2#


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(nne, +

Indicative list of aids and appliances

mentioned in response-oc< handler

7eilin+ hoist

Incontinence pads

ed +rab rail

Toilet +rab rail

9a+nif!in+ +lass

Tablet for ma+nification and scan and read functions

(esma+nification and speech?

Tal


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Tal


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(nne, C

The PIP )aily iving (ctivities1. I, li


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2. Taing

nutrition

a. 7an taii? can mana+e medication or therap! or

monitor a health condition unaided.

0

b. "eeds either

>i? to use an aid or appliance to be able to

mana+e medicationD or

>ii? supervision, promptin+ or assistance to

be able to mana+e medication ormonitor a health condition.

1

c. "eeds supervision, promptin+ or assistance

to be able to mana+e therap! that ta


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more than / but no more than 1' hours a

wee


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b. "eeds to use an aid or appliance to be able

to dress or undress.

2

c. "eeds either

>i? promptin+ to be able to dress, undress

or determine appropriatecircumstances for remainin+ clothedD or

>ii? promptin+ or assistance to be able to

select appropriate clothin+.

2

d. "eeds assistance to be able to dress or

undress their lower bod!.

2

e. "eeds assistance to be able to dress or

undress their upper bod!.

'

f. 7annot dress or undress at all.

4.

Communicating

ver*ally

a. 7an express and understand verbal

information unaided.

0

b. "eeds to use an aid or appliance to be able

to spea< or hear.

2

c. "eeds communication support to be able to

express or understand complex verbal

information.

'

d. "eeds communication support to be able to

express or understand basic verbal

information.

e. 7annot express or understand verbal

information at all even with communication

support.

12

A. =eading andunderstanding

signs' sym*ols

and words

a. 7an read and understand basic andcomplex written information either unaided

or usin+ spectacles or contact lenses.

0

b. "eeds to use an aid or appliance, other

than spectacles or contact lenses, to be

able to read or understand either basic or

complex written information.

2

c. "eeds promptin+ to be able to read or

understand complex written information.

2

2


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d. "eeds promptin+ to be able to read or

understand basic written information.

'

e. 7annot read or understand si+ns, s!mbols

or words at all.

. ngaging

with other

people face to

face

a. 7an en+a+e with other people unaided. 0

b. "eeds promptin+ to be able to en+a+e with

other people.

2

c. "eeds social support to be able to en+a+e

with other people.

'

d. 7annot en+a+e with other people due to

such en+a+ement causin+ either

>i? overwhelmin+ ps!cholo+ical distress to

the claimantD or

>ii? the claimant to exhibit behaviour which

would result in

a substantial ris< of harm to the claimant or

another person.

10. @aing

*udgeting

decisions

a. 7an mana+e complex bud+etin+ decisions

unaided.

0

b. "eeds promptin+ or assistance to be able to

ma


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This publication can be accessed online at*

https%!!www.gov.u!government!consultations!personal"independence"payment"

aids"and"appliances"descriptors

Cor more information about this publication, contact*

&trategy' Policy and (nalysis Group

)isa*ility +enefits

PIP Policy Team

Ca,ton -ouse

Tothill &treet

ondon

&/1- (

mail contact% pip.consultationfeed*ac$dwp.gsi.gov.u

7opies of this publication can be made available in alternative formats if reuired.

(epartment for %or< and ensions

9arch 2014

www.gov.u

Government Response Aids and Appliances and the Daily Living Component of Pip

Documents

Transcript of Government Response Aids and Appliances and the Daily Living Component of Pip