campanula I'm on legacy ESA, not whatever baffling amalgamation of UC / "new style" ESA they're putting people on now which I'm unfamiliar with and may work differently, so don't want to give too much specific advice based on my own experiences. I'm happy to try looking stuff up for you some time this week though once I've recharged myself with some gardening
Just quickly looking through the list of resources I've used in the past to help people with applications/assessments/appeals -
Benefits and Work has already been mentioned I think? Let me know if you need a paid membership login.
Rightsnet have various advisor guides
here. You'd want the work capability assessment (WCA) one, I think, but the UC one may also be relevant.
You can find the ESA criteria descriptors and points online e.g.
disability rights uk. Their page also has a simple, clear guide on how to ask for a mandatory reconsideration
here (I've quoted it below, but including the link as well so you can click through to related pages).
Citizens advice have a good
guide to filling in the ESA work capability form which will be largely applicable to UC and the appeals process too, in terms of how to think about what descriptors apply and the language to use.
Some organisations for specific health conditions may also have benefits advice online that gives more relevant examples.
The healthcare professionals (i.e. assessors)
WCA handbook is also useful for guidance on how descriptors should be considered and applied, iirc.
Disability Rights UK website said:
How to ask for a mandatory reconsideration
You can ask for a mandatory reconsideration over the phone, but you should confirm your request in writing. Write to the office address on the decision letter and keep a copy of your request. You can also ask for a mandatory reconsideration using form CRMR1. If you are claiming universal credit, you can ask for a mandatory reconsideration by using your online journal; if you do so, take a screenshot or photograph of the reconsideration request and confirm the request in writing or over the phone.
When you ask for a mandatory reconsideration, you should explain why you think the decision is wrong. If you can, get evidence to back up your argument.
In the case of benefits paid because of your disability or health condition, such as personal independence payment (PIP) or employment and support allowance, you will need to see the evidence that was used in making the decision before you can properly argue your case. In this case, write to the address (or ring the number) on the decision letter and do the following:
- request a mandatory reconsideration of the decision. State your grounds simply at this stage, such as (for PIP), ‘I believe that you have underestimated the degree of my disability and consequently underestimated the extent of my mobility problems and/or the difficulties I have in carrying out daily living activities’;
- ask them to send you copies of all the evidence that was used in making the decision; and
- ask them not to take any further action until you have had the chance of responding to that evidence.
When you do receive the evidence, you should have a better idea of why the decision was made. This will help you frame your argument and build up evidence to support your case.
Comparing what points he was awarded / what descriptors he met on the assessment report, once you have it, with what you/he think he
should have scored (considering citizens advice guide / WCA handbook linked above; can he do activity
repeatedly, reliably and safely; always frame answers as "no, unless..." / "not without..." rather than "yes, but...").
This is the basis of your request for mandatory reconsideration - along with any supporting evidence you can provide e.g. doctor's report - but as stated above, it's fine to put in a basic request for MR initially so you don't miss deadline and then get back to them later with all this.
Make it clear that you will do this, ideally both by phone & in writing, and request they don't take further action until you've had the chance to respond to the evidence (WCA report) that they provide.
FWIW I've asked for mandatory reconsiderations in the past and been successful. It does happen. I get PIP too and the application & assessment process for that seemed to be pretty separate from ESA (and again, mandatory reconsideration got me moved from daily living standard to enhanced rate).
I can dig out examples of how I've worded MR letters if that would be at all helpful, but should stress that this is only what's worked for me and not necessarily the best way of doing it.