MB v SSWP
Personal independence payment (PIP) - washing and bathing – ability to wash body between shoulder and waist – comparison with general population
Summary
The claimant’s appeal to the First-tier Tribunal included an argument that she had problems with her neck and shoulders, and that the examining health care professional had failed to consider whether she could wash her back. The tribunal decided that Activity 4(f) ‘needs assistance to be able to wash her/his body between the shoulders and waist’ was not satisfied. That was because, said the tribunal, most people are unable to access their upper spinal region, and in the light of that points could not be scored for an inability to wash the upper back.
Judge Mitchell allowed the claimant’s further appeal and remitted the case to a new tribunal. The tribunal had erred by misdirecting itself as to the law. Although people without physical limitation are probably unable to access their upper spinal region, that is not the test, and the tribunal had gone wrong by not considering the key issue (paragraphs 1–2).
Activity 4 is about ability to ‘wash and bathe’ and descriptor (f) about ability to wash ‘between the shoulders and the waist’. ‘In my view’, said the judge, ‘people without a physical limitation are able to get sufficiently close to the upper spinal area to enable them to wash their upper back effectively without having to use an aid by, for example, rubbing a soapy sponge above that area and then rinsing off…that is why the majority of the population would score zero points’ (para 12(a)–(c)). The tribunal had failed to consider whether the claimant could wash her back using an aid or appliance and, if not, whether she needed assistance to wash her upper back. ‘By focussing on ability to reach the upper spinal area, rather than ability to wash the body between shoulders and waist, the Tribunal misconstrued descriptor 4(f)’ (paragraph 12(d)–(e)).