PIP - making a claim
Personal Independence Payment (PIP) is a UK benefit for people aged 16 to 64 years, to help with any additional costs due to a long-term disability or health condition. This information is designed to help you with the first stage of applying for PIP - making a claim.
Who can claim PIP?
To be eligible for PIP you must be aged 16 to 64 years, have a long-term disability or health condition, and need help or support with daily living, or with mobility, or both. You must have needed this help or support for at least three months, and expect to need this for at least another nine months in the future.
Whether or not you are eligible for PIP depends on how your health condition affects you (not on what your condition is). So your eligibility does not rely on a diagnosis of epilepsy, but on how your epilepsy affects your daily living and mobility. This includes how it affects you physically, and any effects it has on your thinking, understanding and being able to cope with daily life. It includes any help you need, whether or not you currently get that help.
PIP started to replace Disibility Living Allowance (DLA) from April 2013, and DLA will be stopping for people aged 16 to 64 in the future. PIP will not replace Attendance Allowance (which will continue). You will not be asked to apply for PIP if you are over 65 and claiming DLA, and children under 16 can claim DLA until they turn 16. You can claim PIP whether or not you are in work and it is not means-tested (so does not depend on income or savings).
When to apply for PIP
- If you are applying for the first time for a benefit to support your needs due to a disability or long-term health condition, you will need to apply for PIP (rather than for DLA) and you can apply at any time.
- If you have been getting DLA before and up to April 2013, the Department for Work and Pensions (DWP) will write to you to explain how to reapply for PIP (you will not automatically be moved to PIP). They will write to you at some point before October 2018, and explain what you need to do next.
- If you have been getting DLA, and there has been a change in how your condition affects you, you need to contact the Disability Living Allowance helpline on 0345 712 3456 (textphone 0345 722 4433) to tell them about this change. You may be asked whether you would like to claim PIP straightaway (rather than waiting for the DWP to send you a letter about applying for PIP).
How to apply for PIP
Most people who apply for PIP need to do so by calling the DWP on 0800 917 2222 (textphone 0800 917 7777). You can ask for a paper form to complete if you are unable to claim by phone, although this may delay your claim. Someone else can call the DWP for you, but you will need to be with this person when they call so that the DWP can check that you have given them permission to call on your behalf.
You will be asked whether you have a mental health or behavioural condition, a learning disability, a developmental disorder or a memory problem. This is to help the DWP find out if you might need additional support or help through the claim process. You can tell them about any communication needs you have (such as needing information in a different format).
Questions you will be asked
When you call the DWP to apply for PIP, you will be asked to provide some information to check that you can make a claim for PIP. The call should take about 15 minutes, and it may help if you have this information prepared in advance before you make the call. You will be asked:
- for your contact details; date of birth; National Insurance number;
- your GP or neurologist's name, address and postcode;
- your bank account details so that you can be paid directly into your account if you qualify for PIP;
- whether you have spent any time living abroad (your 'residency'). To qualify for PIP you must have been in Great Britian for at least two of the last three years, and you must usually live in Great Britain;
- about any time you have spent in hospital or a care home in the last year, as this may affect your claim; and
- whether you are terminally ill, as this affects how claims are processed.
What happens next?
- If you are not eligible for PIP, the DWP will write to you to tell you that you do not meet the criteria, and cannot apply, for PIP. This is called a 'disallowance letter'. If you have been getting DLA, this will stop.
- If you are eligible to apply for PIP you will be sent a form to complete called 'How your disability affects you'.
'How your disability affects you' application form
This form asks about how your health condition or disability affects you, in relation to 12 different different daily activities. This is your opportunity to explain fully and honestly how your condition affects your daily life.
Along with the form, you also need to provide any supporting information as ‘evidence’ for your claim. For example, this might be a letter from your doctor or social worker, explaining how your condition affects you. Send photocopies of this information, not the original documents.
Throughout your application for PIP, it is important that you respond to the DWP quickly. You need to return your PIP application form within four weeks. If you do not apply for PIP within this time, and you are currently getting DLA, your DLA will be stopped.
After completing the 'how your disability affects you' form, most people will also be asked to have a face-to-face consultation (assessment) which looks at how your condition affects you, and your ability to carry out the daily activities included in the form. This consultation will be with a healthcare professional chosen by the DWP, not with your own doctor. The DWP will write to you to tell you when and where to go for the face-to-face consultation.
How your claim is assessed
The PIP assessment looks at 12 activities under two different categories: daily living and mobility.
- The ‘daily living’ activities include preparing food; eating and drinking; managing treatments; washing; dressing; managing toilet needs, communicating; mixing with other people and making decisions about money.
- The ‘mobility’ activities include going out (planning and following journeys); and physically moving around.
For each activity, there is a list of descriptions of how your condition affects you. Each description has a score, which is added up to a single total for daily living, and a total for mobility. For each category, if you score 8 – 11 points you will be awarded PIP at the ‘standard rate’, and if you score 12 or over, you will be awarded the ‘enhanced rate’ (see below). For example, someone could get ‘standard rate mobility’ and ‘enhanced rate daily living’.
PIP payment rates
PIP is usually paid every four weeks. Currently, the weekly rates for PIP are:
- standard daily living weekly rate: £55.10
- enhanced daily living weekly rate: £82.30
- standard mobility weekly rate: £21.80
- enhanced mobility weekly rate: £57.45
Decisions about your claim
Your claim will be assessed by a ‘case manager’. They will decide whether you will receive PIP, at what rate and for how long. You will receive a letter about this decision.
If you are told that your claim for PIP is unsuccessful, or if your situation has changed and you want the DWP to look at this again, you can challenge this within one calendar month of the date of the decision by asking for a ‘mandatory reconsideration’. If you are not happy with this reconsideration outcome, you can appeal, and you need to do this within one calendar month of the ‘mandatory reconsideration’ decision letter that you have received.
For more information see our guide benefit decisions and appeals.
Where can I go for more information?
Information about PIP from the Department for Work and Pensions (DWP) Or contact the DWP on 0845 850 3322 (or textphone 0845 601 6677).