How exactly is a DLA decision made?

when_will_it_end

bertiebat wrote: »

Are you really saying that you got DLA without submitting any evidence at all? I think this is why all DLA recipients are now under renewed scrutiny even those who have submitted copious amounts of validating data (as I did). I'm not blaming you, just blaming the fact maybe if proper checks were consistently done in the first place then maybe we wouldn't now be the target of constant Daily Mail type attacks.

Back to your point, the decision maker uses the A-Z of medical conditions which is replacing the disability handbook in deciding how certain medical conditions might give rise to care needs.
http://www.dwp.gov.uk/publications/specialist-guides/medical-conditions/a-z-of-medical-conditions/

If the care needs on the form conflicts with the probably care needs listed in the guide the DM uses, then I'm afraid they should seek further proof. Unfortunately some people lie or exaggerate leaving the truthful under suspicion. Guilty until proven innocent!

hi i have never seen that link before
i just looked up my DD illness

is this something that he DLA allways look at for deciding?

i just read through what it said about my DD illness and all her care/mobilty needs are inline with what the illness entails

she was rejected last year an we are awaiting a tribrunal date

dmg24

when_will_it_end wrote: »

hi i have never seen that link before
i just looked up my DD illness

is this something that he DLA allways look at for deciding?

i just read through what it said about my DD illness and all her care/mobilty needs are inline with what the illness entails

she was rejected last year an we are awaiting a tribrunal date

The DM will refer to it, but you still need to produce evidence that she has the needs.

GlasweJen

If the claim is straight forward (relates to a known medical condition that gives rise to known care/mobility needs) or is being processed through special rules and all the paperwork for SR is present the DM can grant DLA without requesting further evidence/medicals.

If it is related to something a bit obscure then the DM may ask for a medical report to verify the claims (as usual sources of information may not cover the condition never mind the associated care/mobility needs).

If the condition is in their list of conditions that do not normally receive DLA but the form indicates that the claimant has care/mobility needs the DM may ask for a report or arrange a medical.

If the condition and the care needs do not match at all the DM can just deny the claim without seeking any other evidence.

Obviously it is more in depth than that and there is a lot of work behind the scenes but the scenarios above are the ones that are most likely to happen.

Blackpool_Saver

http://www.google.co.uk/search?sourceid=chrome&ie=UTF-8&q=I've+been+making+an+attempt+to+Achieve+access+to+this+site+for+a+while.+I+was+utilizing+IE+then+when+I+tried+Firefox,+it+labored+just+fantastic%3F

GlasweJen

Lol blackpool saver, i reported as spam as well.

sofaspud1234

dmg24 wrote: »

Have you submitted a doctors report? Whilst they do often ask the GP and/ or consultant for further information, there is no compulsion on them to do so. Therefore it is always a good idea for the claimant to submit their own evidence.

Thanks for the reply dmg, no we haven't submitted a doctors report
The DLA wrote to us saying they had written to his doctor requesting a report. We completed the online form and also sent a copy to his doctor with a letter.

pipkin71

mandyboops1973 wrote: »

You have more chance of winning the lottery than getting dla.

Not true at all, Mandy.

mandyboops1973

dmg24 wrote: »

You only need to look at this board and the Benefits board to know that your statement is utter rubbish.

You clearly have no no sense of sarcasm.

pypeblole

, , , , , , ,

Horacity

Nobody is awarded DLA without providing evidence---but the form filled in by the claimant IS evidence! You do not need to have a specific disease or a diagnosis which is just as well, considering the length of time it can take for a condition to be diagnosed. [Can anyone beat 40 years?]
I have never sent anything with my claims except my own description of how my health problems affect me. Not even a statement from a friend to confirm what I say. I have no idea if my doctors have been asked for evidence, but as they do not see me coping/not coping with daily life, I doubt they could contribute much of value.
Last time I filled in a form [think it was IB renewal] I totted up my points and it came to something like 128---15 will do.
I would urge anyone who has care and mobility problems without a doctor's diagnosis to apply for DLA anyway, and check if there is any help available locally to know the best way to complete the form. Since I had to give up paid work, I volunteer with a charity that helps families of 'special needs' children with their DLA claims, and they do not all have specific diagnoses or statements. Full and detailed descriptions of their problems is often sufficient.
In answer to the original question, I do not think the decision maker has to prove anything when turning down a claim---but if there is an appeal they may need to do so, and many appeals are successful.
Horacity.