PIP Special Rules for End of Life 4 — Questions and Answers
Question 1: Can someone claim PIP under Special Rules if they have a serious but non-progressive condition that is not expected to be fatal within 12 months?
- No, the condition must be reasonably expected to cause death within 12 months (Correct answer)
- Yes, any serious condition qualifies
- Yes, if the GP supports the claim
- No, only cancer patients qualify
Correct answer: No, the condition must be reasonably expected to cause death within 12 months
Special Rules apply only when a healthcare professional confirms the claimant is reasonably expected to die within 12 months.
Question 2: Is there a qualifying period before a claimant can receive PIP under Special Rules for End of Life?
- No, there is no qualifying period for Special Rules claims (Correct answer)
- Yes, 3 months
- Yes, 6 months
- Yes, 1 month
Correct answer: No, there is no qualifying period for Special Rules claims
Unlike standard PIP which has a 3-month qualifying period, Special Rules claims are exempt and payments can begin immediately.
Question 3: Under Special Rules, how far back can a PIP claim typically be backdated?
- To the date the claim was made (Correct answer)
- 3 months before the claim date
- 12 months before the claim date
- No backdating is allowed
Correct answer: To the date the claim was made
PIP is generally paid from the date of the telephone claim, with no automatic backdating beyond that date.
Question 4: Which of the following conditions would most likely qualify a person for PIP under Special Rules for End of Life?
- Advanced cancer with a prognosis of 8 months (Correct answer)
- A broken leg expected to heal in 3 months
- Type 2 diabetes well controlled by medication
- Mild anxiety disorder diagnosed 2 years ago
Correct answer: Advanced cancer with a prognosis of 8 months
Advanced cancer with an 8-month prognosis meets the Special Rules criterion of an expected lifespan of 12 months or less.
Question 5: Under Special Rules for End of Life, can the claimant also apply for other benefits at the same time?
- Yes, Special Rules can run alongside claims for other benefits such as ESA or UC (Correct answer)
- No, receiving Special Rules PIP disqualifies a person from all other benefits
- Only if their income is below a set threshold
- Only after their PIP award has been confirmed
Correct answer: Yes, Special Rules can run alongside claims for other benefits such as ESA or UC
PIP under Special Rules is not means-tested and does not prevent a claimant from also claiming income-related or contribution-based benefits.
Question 6: What happens to PIP payments if a Special Rules claimant passes away before their next review?
- Payments stop on the date of death, and the estate may receive a final payment for that period (Correct answer)
- Payments continue for 12 months after death automatically
- All payments must be returned to DWP
- Payments transfer automatically to the next of kin
Correct answer: Payments stop on the date of death, and the estate may receive a final payment for that period
PIP payments cease on the date of death, and any outstanding amount owed up to that date can be claimed by the estate.
Question 7: Who is responsible for deciding whether a PIP Special Rules claim is approved after receiving the SR1 form?
- A DWP decision maker (Correct answer)
- The claimant's GP
- An independent tribunal
- The claimant's hospital consultant
Correct answer: A DWP decision maker
A DWP decision maker reviews the SR1 form and other available evidence to approve or refuse the Special Rules claim.
PIP Special Rules for End of Life 4
Can someone claim PIP under Special Rules if they have a serious but non-progressive condition that is not expected to be fatal within 12 months?