The reasons your DWP PIP claim may be denied and what you can do

For people with long-term health conditions or disabilities, Personal Independence Payments (PIP) can often be claimed from the Department for Work and Pensions. Claims are down to how your condition affects your daily life, rather than being given based on a particular illness.

But many people are being turned down, according to statistics. UK Government data shows that 25% of new applicants who were initially denied PIP had the decision reversed in their favour after appealing, while an additional 3% of dismissed claims were overturned at tribunals.

For existing applicants whose awards had been removed or reduced following an assessment, 47% of appeals resulted in the DWP changing the decision in the customer's favour before a tribunal. A further 2% were overturned at a tribunal.

Moreover, more than 40% of applications from individuals with multiple sclerosis, cerebral palsy and arthritis were rejected, as per analysis by the Observer. The same investigation discovered that one in four amputees had their claims denied, reports Birmingham Live.

Michelle Mitchell, chief executive of the MS Society, said: "It's insulting that so many people who are diagnosed with a long-term condition are being told they don't qualify for support. These latest figures show PIP isn't just hurting those who've been moved across from the old system, but also new people who are trying to get support for the first time."

Michelle Cardno, a welfare benefit lawyer and founder of Fightback4Justice, told the Guardian: "Often PIP assessors believe that a prosthesis can be worn constantly and do not account for rubbing, inability to wear due to discomfort and heaviness and pain. We win all [appeal] cases where a client is an amputee."

There are several common grounds on which Personal Independence Payment awards are rejected. Often claimants miss certain administrative steps, such as deadlines for document submission, failing to respond to messages, or not showing up at a medical assessment or interview.

Another frequent issue is a lack of medical evidence supporting the condition. This generally happens when comprehensive doctor's reports aren't supplied detailing how the specific disability or sickness impacts the individual in question daily.

Misdirection from the claimant, such as not following the correct assessment guidelines, could also cause this problem. Lastly, many PIP claims are dismissed because the DWP assessment concludes that the claimant's condition does not significantly hamper their ability to perform specific tasks or move between locations.

This explanation might hold water if the individual genuinely doesn't fit the PIP criteria, or it could stem from an assessor's lack of understanding regarding the condition's impact. To be eligible for PIP's daily living part, one must have a physical or mental condition that affects abilities to carry out tasks such as cooking, eating, managing medication, personal hygiene, dressing, communicating, reading, socialising, and handling money. The mobility component requires the condition to impede planning and following journeys or moving around.

Kate Smith, Citizens Advice senior benefits expert, told the Sun: "There are many reasons for Personal Independence Payment (PIP) claims to be rejected. For example, the healthcare assessment might not have recorded, or misunderstood, all of your needs."

She pointed out frequent assessment errors, like failing to note the full extent of assistance someone needs with preparing meals due to not being able to stand for long, or stating a person can lift a pan without considering the pain and limitations that follow.

Smith suggests appealing to the DWP if you disagree with their PIP decision. This is applicable whether you were denied the benefit, given a lower rate than expected, or think the duration of your award is too short.