Failed ESA medical help

cobwebsoupcobwebsoup Posts: 4,858
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My brother has just been taken off ESA after failing to get 15 points on the medical test. He has severe depression and anxiety problems and now he's been put onto job seekers he is freaking out that they're going to force him into work. He's going to appeal the decision but that could take a year or more until the tribunal, does that mean he'll be made to work while they wait for the tribunal to come? Do the job center force you to look for work while you're waiting for the appeal decision or would they just look at finding some training for him or help for his problems? Have any of you been through a similar experience or know someone who has?
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  • eluf38eluf38 Posts: 4,874
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    My b-i-l's brother maintained for years that his depression was too bad to work. His assesment found him fit for work, he applied for jobs just to get his JSA, got offered an interview and has been in work for nearly a year. Work has given him a sense of purpose and the extra income has been a big help for his family. He now has no regrets about going back to work, even though at the time he didn't feel as though he wanted to.
  • Aura101Aura101 Posts: 8,327
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    cobwebsoup wrote: »
    My brother has just been taken off ESA after failing to get 15 points on the medical test. He has severe depression and anxiety problems and now he's been put onto job seekers he is freaking out that they're going to force him into work. He's going to appeal the decision but that could take a year or more until the tribunal, does that mean he'll be made to work while they wait for the tribunal to come? Do the job center force you to look for work while you're waiting for the appeal decision or would they just look at finding some training for him or help for his problems? Have any of you been through a similar experience or know someone who has?

    if he goes on JSA then he will more than likely fail the appeal as going on JSA means he is ''fit for work''.
    its a catch 22 situation unfortunately, and the government frankly dont care..
  • [Deleted User][Deleted User] Posts: 31
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    Has your brother requested a mandatory reconsideration? It's basically where if you are unhappy with the decision it can be looked at again by a different decision maker. I don't think you are allowed to appeal until you have gone through the mandatory reconsideration step first.

    You can ask for ESA to be paid whilst going through the appeal or you can claim JSA but if you are on JSA you will have to actively seek work.
  • Maisymoo82Maisymoo82 Posts: 1,888
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    My dad was told he did not have enough points for ESA, despite suffering severe depression and anxiety. The citizens advice bureau were fantastic and helped him put together an appeal, and ultimately the decision was overturned at tribunal. While waiting for the tribunal (6 months) he continued to submit sick notes and received ESA at reduced rate. When the appeal was successful he received back payments and then full rate until the twelve month period was up.
  • Little NellLittle Nell Posts: 1,115
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    Yes, the rules have changed and you have to request a Mandatory Reconsideration first, though this depends on the date of the ESA decision letter. The good news is that this won't take anything like as long as a year. But another change from the previous system is that you can't claim ESA while you're waiting for the MC decision, you can only claim JSA, so this shouldn't count against you.

    I'd strongly advise the OP's brother to go to his local CAB. The request for an MC needs backing up with evidence and other paperwork and CAB will be able to help your brother make a strong case.
  • mintbromintbro Posts: 6,733
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    I have this next week, also suffer from deep depression and anxiety
    I have evidence from my doctor and cpn to take with me, will they look at this?
  • Flat MattFlat Matt Posts: 7,023
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    mintbro wrote: »
    I have this next week, also suffer from deep depression and anxiety
    I have evidence from my doctor and cpn to take with me, will they look at this?

    Good luck with that.

    You can expect a similar outcome unfortunately.

    I have bipolar disorder and scored a big fat zero in the assessment. Took my medication and everything else with me and it made no difference at all.
  • cobwebsoupcobwebsoup Posts: 4,858
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    Thank you for all the replies. He's going to request a mandatory reconsideration. The woman he spoke to (who told him it was her decision to take him off ESA) seemed eager for him to sign onto JSA, even connecting him on the telephone to the JSA claims line. I'm assuming that if the mandatory reconsideration isn't successful then he could sign off JSA and back onto a lower rate of ESA while he waits for the appeal/tribunal to come up?
  • [Deleted User][Deleted User] Posts: 31
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    cobwebsoup wrote: »
    Thank you for all the replies. He's going to request a mandatory reconsideration. The woman he spoke to (who told him it was her decision to take him off ESA) seemed eager for him to sign onto JSA, even connecting him on the telephone to the JSA claims line. I'm assuming that if the mandatory reconsideration isn't successful then he could sign off JSA and back onto a lower rate of ESA while he waits for the appeal/tribunal to come up?

    It sounds like she tried to move your brother over to JSA quickly before he had chance to ask any questions. It's not surprising as their keen to move anyone from ESA onto JSA instead. He can claim ESA at a lower rate whilst going through the appeal process but not until the mandatory reconsideration is over. Good luck with it.
  • cobwebsoupcobwebsoup Posts: 4,858
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    It sounds like she tried to move your brother over to JSA quickly before he had chance to ask any questions. It's not surprising as their keen to move anyone from ESA onto JSA instead. He can claim ESA at a lower rate whilst going through the appeal process but not until the mandatory reconsideration is over. Good luck with it.

    Okay, thank you :)
  • RellyRelly Posts: 3,469
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    I think your brother might have to fight to get back off JSA and onto the reduced ESA, you know. If he just accepts what he's been told to do, ie go onto JSA, then he is definitely accepting that he's fit for work, in their eyes. However, because he was seemingly pressured into doing that, without being able to think about the consequences, he may be able to use that as the argument for getting back onto ESA.

    If a person's ill, it's likely that longer-term results of immediate decisions won't occur to them. All you want to do is hide under the bedclothes and let it all just happen so you don't have to make a decision. That kind of thing.

    Best of luck. x
  • Little NellLittle Nell Posts: 1,115
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    Relly wrote: »
    I think your brother might have to fight to get back off JSA and onto the reduced ESA, you know. If he just accepts what he's been told to do, ie go onto JSA, then he is definitely accepting that he's fit for work, in their eyes. However, because he was seemingly pressured into doing that, without being able to think about the consequences, he may be able to use that as the argument for getting back onto ESA.

    If a person's ill, it's likely that longer-term results of immediate decisions won't occur to them. All you want to do is hide under the bedclothes and let it all just happen so you don't have to make a decision. That kind of thing.

    Best of luck. x

    Sorry, but this isn't an option any more. Under the old system, he could have appealed and then received either the assessment rate of ESA, or JSA, (the amounts are the same) while waiting for the appeal to be heard. But under the new system you can't do this - while you're waiting for the Mandatory Reconsideration to be processed you can't get ESA. So it's JSA or nothing! And therefore it can't possibly mean that he's accepting that he's able to work.
  • RellyRelly Posts: 3,469
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    Sorry, but this isn't an option any more. Under the old system, he could have appealed and then received either the assessment rate of ESA, or JSA, (the amounts are the same) while waiting for the appeal to be heard. But under the new system you can't do this - while you're waiting for the Mandatory Reconsideration to be processed you can't get ESA. So it's JSA or nothing! And therefore it can't possibly mean that he's accepting that he's able to work.

    Oh my god, really??? But when you think of some sick people who are denied ESA at assessment, then forced to accept JSA like this, just for money to live on, they're forcing them to choose between a fraudulent claim or starve, and have the additional burden of possible sanctions etc. Dear me. :(

    Thank you for the info, though. I honestly didn't realise it'd changed. :(
  • Little NellLittle Nell Posts: 1,115
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    It changed at the end of October last year but there wasn't a huge amount of publicity.

    There's some useful information here

    http://www.disabilityrightsuk.org/appeals-and-mandatory-reconsideration
  • RellyRelly Posts: 3,469
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    Thank you, Little Nell. I found this bit, which reassures me a little:

    If you claim JSA during the reconsideration period this will have no bearing on the ESA reconsideration about whether you are fit for work. Nor can the JSA decision maker decide that you are not capable of work for this would contradict the ESA decision that you are fit for work.

    So it looks like you're right about the fact that claiming JSA is not like admitting to being fit for work and therefore compromising an ESA claim - it won't be held against a person when they have to claim JSA whilst waiting for the result.
  • HypnodiscHypnodisc Posts: 22,728
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    cobwebsoup wrote: »
    My brother has just been taken off ESA after failing to get 15 points on the medical test. He has severe depression and anxiety problems and now he's been put onto job seekers he is freaking out that they're going to force him into work. He's going to appeal the decision but that could take a year or more until the tribunal, does that mean he'll be made to work while they wait for the tribunal to come? Do the job center force you to look for work while you're waiting for the appeal decision or would they just look at finding some training for him or help for his problems? Have any of you been through a similar experience or know someone who has?

    Can't he claim ESA assessment/appeal rate rather than JSA?

    When my ESA was stopped I claimed ESA, but at the appeal rate - not JSA.

    At least doing that means jumping through less hoops - although it's the same amount of money a week.

    To do this you have to keep sending in GP's notes certifying you for the whole period with no breaks.
  • Little NellLittle Nell Posts: 1,115
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    Hypnodisc wrote: »
    Can't he claim ESA assessment/appeal rate rather than JSA?

    When my ESA was stopped I claimed ESA, but at the appeal rate - not JSA.

    At least doing that means jumping through less hoops - although it's the same amount of money a week.

    To do this you have to keep sending in GP's notes certifying you for the whole period with no breaks.

    No he can't! The rules have changed....have a look at the link I posted earlier.
  • Little NellLittle Nell Posts: 1,115
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    Relly wrote: »
    Thank you, Little Nell. I found this bit, which reassures me a little:

    If you claim JSA during the reconsideration period this will have no bearing on the ESA reconsideration about whether you are fit for work. Nor can the JSA decision maker decide that you are not capable of work for this would contradict the ESA decision that you are fit for work.

    So it looks like you're right about the fact that claiming JSA is not like admitting to being fit for work and therefore compromising an ESA claim - it won't be held against a person when they have to claim JSA whilst waiting for the result.

    Yes, I noticed that too, it is reassuring - and logical since JSA is the only benefit he can claim. But I can understand why people in your brother's position feel uncomfortable about claiming JSA, and are worried about what they'll have do in order to get it. However the Job Centre staff must be used to this, and they shouldn't put pressure on him.
  • evie71evie71 Posts: 1,372
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    Aura101 wrote: »
    if he goes on JSA then he will more than likely fail the appeal as going on JSA means he is ''fit for work''.
    its a catch 22 situation unfortunately, and the government frankly dont care..

    Is it too much to ask that people given hand-outs by taxpayers should have their needs assessed from time to time, to make sure they still qualify for financial support? The amount of people claiming unfit to work due to depression and/or anxiety is staggering. Surely getting out to work is the better than sitting about all day doing nothing.

    As for your brother OP, maybe it's time he thinks about his future, maybe training or looking for something part-time would be a start. Is he receiving therapy for his condition or taking steps to practically help himself?
  • [Deleted User][Deleted User] Posts: 31
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    evie71 wrote: »
    Is it too much to ask that people given hand-outs by taxpayers should have their needs assessed from time to time, to make sure they still qualify for financial support? The amount of people claiming unfit to work due to depression and/or anxiety is staggering. Surely getting out to work is the better than sitting about all day doing nothing.

    As for your brother OP, maybe it's time he thinks about his future, maybe training or looking for something part-time would be a start. Is he receiving therapy for his condition or taking steps to practically help himself?

    No I don't think it is to much to ask that people should be assessed from time to time but I also don't think there is any harm in asking for an ESA claim to be looked at a second time if a first claim was unsuccessful. The decision as to whether a person is fit to work or not seems to be made by just one assessor in the end. That assessor receives all of the claimants information collected through the claims process, reads it all and make a decision. If only one person is making the decision then there is always going to be room for human error.

    If it was me claiming I would want to make sure that the assessor who made that final decision had thoroughly gone through all my information. I imagine they have a lot of claims to go through and I always wonder how much time they dedicate to each claim. It's really just asking for a second opinion and from what I've seen a lot of the time it comes back as the same result anyway.
  • tim59tim59 Posts: 47,188
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    evie71 wrote: »
    Is it too much to ask that people given hand-outs by taxpayers should have their needs assessed from time to time, to make sure they still qualify for financial support? The amount of people claiming unfit to work due to depression and/or anxiety is staggering. Surely getting out to work is the better than sitting about all day doing nothing.

    As for your brother OP, maybe it's time he thinks about his future, maybe training or looking for something part-time would be a start. Is he receiving therapy for his condition or taking steps to practically help himself?

    Think if people are going to be assessed it should be done by people who are trained in the condition that that person has got. Not much point in a midwife trying to assess some one with a mental health condition is there
  • jarryhackjarryhack Posts: 5,076
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    My disabled brother in law failed the medical and while he appealed he still received his money and was not forced onto Jobseekers until he failed his appeal too.
  • dearmrmandearmrman Posts: 21,503
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    evie71 wrote: »
    Is it too much to ask that people given hand-outs by taxpayers should have their needs assessed from time to time, to make sure they still qualify for financial support? The amount of people claiming unfit to work due to depression and/or anxiety is staggering. Surely getting out to work is the better than sitting about all day doing nothing.

    As for your brother OP, maybe it's time he thinks about his future, maybe training or looking for something part-time would be a start. Is he receiving therapy for his condition or taking steps to practically help himself?

    I've always thought the term used "fit for work" was inappropriate, I actually believe with using that term, many people will be seen as fit for some type of work. I have always thought a better way to do it would be "are you employable".
  • Little NellLittle Nell Posts: 1,115
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    evie71 wrote: »
    Is it too much to ask that people given hand-outs by taxpayers should have their needs assessed from time to time, to make sure they still qualify for financial support? The amount of people claiming unfit to work due to depression and/or anxiety is staggering. Surely getting out to work is the better than sitting about all day doing nothing.

    As for your brother OP, maybe it's time he thinks about his future, maybe training or looking for something part-time would be a start. Is he receiving therapy for his condition or taking steps to practically help himself?

    Of course people should have their needs assessed but it's difficult to have much faith in a system where around 40% of people who appeal against ESA decisions are successful. 40% is a helluva lot for ATOS and the DWP to get wrong!
  • Little NellLittle Nell Posts: 1,115
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    jarryhack wrote: »
    My disabled brother in law failed the medical and while he appealed he still received his money and was not forced onto Jobseekers until he failed his appeal too.

    I'll say it again! The procedures have changed!!!
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