Personal Independence Payments

Medical assessment 

FileJR56 PIP reassessment not done on papers, no home visit offered, good reason not accepted, and contact only in writing request ignored (last updated April 2021)

JR73 PIP as above JR56, but new PIP claim therefore not determined / delay as assessment not done on papers etc (last updated May 2020)

Covid-19 provision
JR100 Refusal/failure to extend a fixed term FTT PIP award in line with Government Covid-19 policy (REMOVED) Current DWP policy is to "prioritise" claims in this position. Please get in touch if you have a client (or are an individual) who had a tribunal PIP award which ended before a new/renewal claim had been assessed (and is still not in payment). [email protected]
Delay in decision making

JR102 Delay in providing PIP decision, impacting means tested benefit eligibility (last updated March 2021) This template has been adapted with the kind permission of Student Services, King’s College London.

PIP NINO GATEKEEPING - please get in touch if you have a client in this position [email protected]

JR109 refusal to accept claim from person who does not yet have a NINo and has not already applied for a NINo (last updated March 2022).

JR114 refusal to accept a claim from someone who has already allpied for \ NNO but has not yet received their NINo (last updated March 2022) 

 

If your client has experienced ‘gatekeeping’ via the telephone, request a form via post ASAP as well as sending a pre-action letter (or getting in touch with CPAG). The DWP website states:

Claim by post

You can get a form to send information by post (although this can delay the decision on your claim). Write a letter to ask for the form.

Personal Independence Payment New Claims
Post Handling Site B
Wolverhampton
WV99 1AH

 

DWP say in response to CPAG correspondence on this issue:

 
PIP policy colleagues have made enquiries with the DWP Work and Health Services Group who have looked at the concerns you identified with compliance with the guidance where individuals do not have a NiNO.  I understand that changes have been made to ensure compliance, including identifying any cases in addition to those mentioned in your email of 24 March 2021.  
 
I also understand that the inconsistency on gov.uk will be addressed* and our clients have offered to review the cases you mention where guidance appears not to have been followed or other cases which may help identify any additional training for call handlers.
 
If you would like to take up this offer, calls that have no NiNO are difficult to find because they are not linked to a specific reference, so it would be helpful if you can provide the following details:
 
•       Date and time the call was made
•       The number the call was made from
•       Was the call made to the New claim or Enquiry line

 
CPAG are keen to ensure compliance with DWP guidance and to resolve individual cases for clients. Please let us know (by emailing [email protected]) if you are contacted by anyone who has, when they have tried to claim PIP, been told they must have a NINo before they can claim. If possible, please include the details requested above. If these details are not held, CPAG are still happy to raise cases with DWP using other identifying details (name, date of birth etc).

* NB the website had not been amended as at 09/06/21: www.gov.uk/pip/how-to-claim

What should happen procedurally when a claimant who does not have a NINo tries to claim PIP?
  • Claimant with no NINo calls to make PIP claim 
  • Paper PIP1 form sent to claimant 
  • Paper PIP1 returned to DWP. DWP create a 'Prospect Person record'
  • PIP2 'How your disability affects you' sent to claimant
  • PIP2 returned to DWP
  • NINo application triggered
  • NINo allocated. DWP update from 'Prospect Person' to 'Person' record

The DWP learning guide “PIP17 Paper Claims” (made available in response to a Freedom of Information request), makes clear procedurally what should happen where a claimant makes a claim without a NINo: 

A paper version of the initial claim form (PIP1) will be issued where the claimant or their PAB:

does not have a National Insurance Number (NINO)

The date of claim is then the date that the claimant telephoned to make the claim providing the claim form is retuned within one calendar month:

Claimants have one calendar month from date of issue to complete and return the paper claim form to the issuing office. If returned in time, the date of claim will be the date that the claimant telephoned the Department to request the form or the date a letter requesting the form was received.  

DWP staff guide “PIP New Claim telephony data gather” (also provided in response to the FOI) confirms that a NINo is not required to issue a paper form. 

There is a requirement for minimum data to issue a paper claim form: 

•     Name, address and either date of birth or NINO of claimant

The ‘PIP17 Paper Claims’ and ‘PIP New Claim telephony data gather’ guides for DWP staff are clear that where a claimant does not have a NINo, procedurally a paper claim form should be sent out to the claimant on provision of the claimant’s name, address and date of birth. Provided this is returned within one month, the claim will start from the date of the telephone call. 

The DWP guidance “Missing NINO” (also provided in response to the FOI request) states that following completion of paper PIP1 and PIP2 forms, where no NINo is held by the claimant, DWP will trigger a NINo application on the claimant’s behalf by completion of the DCI1 form:

If a PIP award is appropriate, the CM creates a manual task on PIPCS for the NINO allocation specialist team to take the appropriate action to establish the claimant’s NINO. On receipt of such a task, the Specialist user will complete specialist trace action and if appropriate make further enquiries with the claimant to identify the NINO. If the NINO has still not been established following these enquiries, the Specialist user will complete form DCI1 and refer it to the NINO Centre (NC)… In all cases where a NINO is allocated, the Specialist user will change the Prospect Person record to a Person record in PIPCS and update the Communication Record and create a task to the CM to input the decision.