PIP Screening

Benefitanswers.co.uk


Section 1: About You

Section 2: Your condition / or disability

PLEASE ANSWER THESE QUESTIONS USING BLOCK CAPITALS

Section 3: Completing every-day tasks

When making a selection in answer to the questions that follow please select the answer that best shows how you can complete the activity satisfying all four of these points:

• Safely - in a manner unlikely to cause harm to themselves or to another person, either during or after completion of the activity.

• To an acceptable standard.

• Repeatedly - able to repeat the activity as often as is reasonably required.

• In a reasonable time period - no more than twice as long as the maximum period that a non-disabled person would normally take to complete that activity.

Please select the description that best describes you:

1. Preparing food

A - Can prepare and cook a simple meal unaided

B - Needs to use an aid or appliance to be able to either prepare or cook a simple meal

C - Cannot cook a simple meal using a conventional cooker but is able to do so using a microwave.

D - Needs prompting to be able to either prepare or cook a simple meal.

E - Needs supervision or assistance to either prepare or cook a simple meal.

F - Cannot prepare and cook food.

2. Eating and drinking

A - Can eat and drink unaided.

B - Needs:

i, to use an aid or appliance to be able to take eat and drink; or

ii, supervision to be able to eat and drink; or

iii, assistance to be able to cut up food.

C - Needs a therapeutic source to be able to eat and drink.

D - Needs prompting to be able to eat and drink.

E - Needs assistance to be able to manage a therapeutic source to eat and drink.

F - Cannot convey food and drink to their mouth and needs another person to do so..

“Therapeutic source” means parenteral or enteral tube feeding, using a rate-limiting device such as a delivery system or feed pump.”

3. Taking medication or monitoring a health condition

A - Either:
i, does not receive medication or therapy or need to monitor a health condition; or
ii, can manage medication or therapy or monitor a health condition unaided.

B - Needs Either:
i, to use an aid or appliance to be able to manage medication; or
ii, supervision, prompting or assistance to be able to manage medication or monitor a health condition.

C - Needs supervision, prompting or assistance to be able to manage therapy that takes no more than 3.5 hours a week.

D - Needs supervision, prompting or assistance to be able to manage therapy that takes more than 3.5 but no more than 7 hours a week.

E - Needs supervision, prompting or assistance to be able to manage therapy that takes more than 7 but no more than 14 hours a week.

F - Needs supervision, prompting or assistance to be able to manage therapy that takes more than 14 hours a week.

4. Washing and bathing

A - Can wash and bathe unaided.

B - Needs to use an aid or appliance to be able to wash or bathe.

C - Needs supervision or prompting to be able to wash or bathe.

D - Needs assistance to be able to wash either their hair or body below the waist.

E - Needs assistance to be able to get in or out of a bath or shower.

F - Needs assistance to be able to wash their body between the shoulders and waist.

G - Cannot wash and bathe at all and needs another person to wash their entire body.

5. Managing toilet needs or incontinence

A - Can manage toilet needs or incontinence unaided.

B - Needs to use an aid or appliance to be able to manage toilet needs or incontinence.

C - Needs supervision or prompting to be able to manage toilet needs.

D - Needs assistance to be able to manage toilet needs

E - Needs assistance to be able to manage incontinence of either bladder or bowel.

F - Needs assistance to be able to manage incontinence of both bladder and bowel.

6. Dressing and undressing

A - Can dress and undress unaided.

B - Needs to use an aid or appliance to be able to dress or undress.

C - Needs either:

i, prompting to be able to dress, undress or determine appropriate circumstances for remaining clothed; or

ii, prompting or assistance to be able to select appropriate clothing.

D - Needs assistance to be able to dress or undress their lower body.

E - Needs assistance to be able to dress or undress their upper body.

F - Cannot dress or undress at all.

7. Communicating Verbally

A - Can express and understand verbal information unaided.

B - Needs to use an aid or appliance to be able to speak or hear.

C - Needs communication support to be able to express or understand complex verbal information.

D - Needs communication support to be able to express or understand basic verbal information.

E - Cannot express or understand verbal information at all even with communication support.

8. Reading and understanding signs, symbols and words.

A - Can read and understand basic and complex written information either unaided or using spectacles or contact lenses.

B - Needs 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.

C - Needs prompting to be able to read or understand complex written information.

D - Needs prompting to be able to read or understand basic written information.

E - Cannot read or understand signs, symbols or words at all.

9. Engaging with other people face to face.

A - Can engage with other people unaided.

B - Needs prompting to be able to engage with other people.

C - Needs social support to be able to engage with other people.

D - Cannot engage with other people due to such engagement causing either:

i, overwhelming psychological distress to the claimant; or

ii, the claimant to exhibit behaviour which would result in a substantial risk of harm to the claimant or another person.

10. Making budgeting decisions.

A - Can manage complex budgeting decisions unaided.

B - Needs prompting or assistance to be able to make complex budgeting decisions.

C - Needs prompting or assistance to be able to make simple budgeting decisions.

D - Cannot make any budgeting decisions at all.

Section 4: Mobility Activities

1. Planning and following journeys.

A - Can plan and follow the route of a journey unaided.

B - Needs prompting to be able to undertake any journey to avoid overwhelming psychological distress to the claimant.

C - Cannot plan the route of a journey.

D - Cannot follow the route of an unfamiliar journey without another person, assistance dog or orientation aid.

E - Cannot undertake any journey because it would cause overwhelming psychological distress to the claimant.

F - Cannot follow the route of a familiar journey without another person, an assistance dog or an orientation aid.

2. Moving around.

A - Can stand and then move more than 200 metres, either aided or unaided.

B - Can stand and then move more than 50 metres but no more than 200 metres, either aided or unaided.

C - Can stand and then move unaided more than 20 metres but no more than 50 metres.

D - Can stand and then move using an aid or appliance more than 20 metres but no more than 50 metres.

E - Can stand and then move more than 1 metre but no more than 20 metres, either aided or unaided.

F - Cannot, either aided or unaided, –

i, stand; or

ii, move more than 1 metre.