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<p>The Personal Independence Payment (PIP) assessment criteria account for fluctuations
by considering an individual’s ability to undertake 12 specific daily activities over
a 12-month period. It is essential for the assessment to accurately reflect the impact
of variations in an individual's level of impairment - this is important for all health
conditions and impairments, not only those which more typically fluctuate. For each
activity, if a descriptor applies more than 50 per cent of the time, that descriptor
should be chosen.</p><p> </p><p>All health professionals are required to assess individuals
in line with the statutory requirements, including: whether an individual can complete
each of the 12 activities; the manner in which they can do it; and whether they can
complete each activity “safely, to an acceptable standard, repeatedly and in a reasonable
time period”.</p><p> </p><p>Many of the changes set out in Transforming Support: The
Health and Disability White Paper aim to improve our assessment of fluctuating conditions,
such as the way we use medical evidence, and developing the capability of our assessors.
We will also explore options for introducing a new way of gathering evidence of fluctuation
in a person’s condition before their assessment.</p>
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