“4 Assessment of ability to carry out activities (1) … whether C has limited or severely limited ability to carry out daily living activities …, as a result of C’s physical or mental condition, is to be determined on the basis of an assessment. (2) C’s ability to carry out an activity is to be assessed- (a) on the basis of C’s ability whilst wearing or using any aid or appliance which C normally wears or uses; or (b) as if C were wearing or using any aid or appliance which C could reasonably be expected to wear or use.”
“… ‘aid or appliance’- (i) means any device which improves, provides or replaces C’s impaired physical or mental function; and (ii) includes a prosthesis;”
“27. The Tribunal was satisfied that for the majority of the time the Appellant was able to dress and undress unaided. She told the healthcare professional that she did this whilst sat on the bed after showering. Her physical and mental health assessment by the healthcare professional was unremarkable. We were not persuaded from the evidence before us that she could not dress and undress independently and we were not persuaded that she needed prompting or assistance from another person in order to dress or undress. No points were awarded for activity 6.”
“14. …the question is not whether other people might choose to use a chair or a bed to assist when dressing or undressing, but whether a claimant is unable to dress or undress without using them or some other qualifying aid or appliance.”
“19…in order to be relevant, an aid or appliance must relate in some way to the particular activity. I call this the connection argument. The difficulty is to define what the connection is.”
“24…an aid must help to overcome consequences of a function being impaired that is involved in carrying out an activity and is limited by the claimant’s condition. To satisfy an aid or appliance descriptor, the claimant must need an aid to assist in respect of a function involved in the activity that is impaired. 25. The claimant’s representative argues that the claimant needs to sit on account of her physical condition, and is using the bed as an aid to overcome her impaired ability to stand and balance. That, he argues, is all that the claimant has to prove to score the points. I do not accept that argument, because it fails to analyse the functions involved, in this case, in the activity of dressing and undressing…. 27. I accept the Secretary of State’s argument that there must be some connection between the aid and the activity or descriptor. This is always made clear by the language of the descriptors…. 30. It is often possible, as the claimant’s representative submits, to find strategies to avoid the need for an aid altogether. To take an example from dressing and undressing, a claimant could avoid any problems with sitting or standing by lying on the floor to dress and undress. I accept the representative’s argument that that approach would render the references to an aid otiose, at least for some activities. I am sure that the Secretary of State’s representative did not intend to go that far, but the example shows that it is not appropriate to require that the function in respect of which the claimant uses the aid be absolutely essential to carrying out the activity. 31. The claimant’s entitlement depends on the extent to which they are limited in carrying out the everyday activities specified. That is what the legislation provides. It does not provide for entitlement if the claimant is only limited in carrying out the activity in a particular manner. This provides a focus for avoiding the extreme example I have just considered and for giving proper significance to the role that function plays in the definition of an ‘aid or appliance’. The question is this: would this ‘aid’ usually or normally be used by someone without any limitation in carrying out this particular aspect of the activity? If it would, the ‘aid’ is not assisting to overcome the consequences of an impaired function that is involved in the activity and its descriptors. So, using an ordinary wooden spoon to stir hot food while it is cooking is using an ‘aid’ in the everyday sense of the word, but it would not assist in overcoming the consequences of any loss of function, because it would be used anyway. But if the spoon had a special handle for someone with poor grip, it would be an aid for the purposes of Activity 1 (preparing food). Gripping is a function involved in cooking and the use of a handle that improves grip makes the spoon an aid. 32. There is a difference between a person with has no limitation but who uses a spoon to stir hot food and one who uses a chair or a bed to sit during dressing. In the former case, it is not a matter of choice; no one stirs hot food with their fingers. In the latter case, it is a matter of choice or convenience, as it is possible for someone with full function to dress without sitting. They are, though, also similar in that they are both usual or normal ways of performing the activity. By employing them, the person is not demonstrating a limitation with the functions that are required for that aspect of the activity. Rather, the person is demonstrating a limitation with one manner of carrying out that aspect of the activity. 33. In summary, entitlement to a personal independence payment depends on the claimant having a condition that limits their ability to carry out particular activities. The need to use an aid is a measure of the extent of that limitation. Whether something is an aid depends on whether it assists in overcoming the consequences of a function being impaired in the carrying out of that activity. That function must be one that is required in order to carry out the particular aspect of an activity, not merely one of a range of functions that could be employed. The First-tier Tribunal did not make an error of law 34. The First-tier Tribunal did not express itself in quite the way I have done. It did, though, reject the argument that the claimant was using the bed as an aid and it did so by reference to what most people do when dressing. In essence, that is what I have decided. The tribunal directed itself correctly in law. 35. The tribunal also applied its approach correctly. The evidence was that the claimant sat in order to put on her jeans and take them off because of impaired balance. It is normal to carry out that aspect of dressing and undressing while standing, but it is just as normal to do so sitting down for convenience. Balance for that part of dressing and undressing is not required in order to carry out the activity in a normal manner. Needing to sit does not show an impaired function for carrying out the activity, but only for one manner of carrying out the activity. The tribunal was right, on the evidence, to find that the claimant did not score points for this Activity 6.”
“The function in question was putting on trousers. Her ability to put on her trousers (and presumably other clothes on her lower body) was not impaired because, by sitting on the bed, she could do so in a normal manner.”
“Needs to use an aid or appliance to able to wash or bathe”
“26. The issue relates to the possible applicability and the interpretation of descriptor 2(c) under the activity of moving around. That is the only one of that set of descriptors which enables the scoring of points and which does not contemplate the possibility of a claimant being aided in some way. In looking at the wording of that descriptor, in isolation, it would appear that if a claimant is capable of standing and moving unaided for more than 20 metres but no more than 50 metres he will score 8 points, thereby establishing entitlement to the standard rate of the mobility component, no matter how far he is subsequently able to move using an aid such as, for example, a stick. If that is how the descriptor is to be read then it would follow that a tribunal dealing with a claimant who had some ability to walk unaided but could also use an aid to walk further, would have to specifically address and decide how far that claimant could walk unaided rather than simply reaching a view as to the overall distance he could manage by, in part, moving without an aid and in part moving with one. This tribunal did not do that. 27. As Mr Whitaker points out, such an interpretation would seem to lead to an anomaly. As he says, if a claimant can walk unaided for, to take the example he gives, 1000 metres, then he or she would not satisfy a scoring descriptor. If the claimant could walk aided all the way for 1000 metres, then, similarly, no scoring descriptor would be satisfied. However, if the claimant could walk 50 metres but no more, unaided, and could then manage a further 950 metres aided then that claimant would satisfy 2(c) under moving around and would establish entitlement. That would be despite the fact that an arguably worse off claimant who needs to be aided in order to move, all the time, would score no points at all. It would, as Mr Whitaker again points out, create a special category of claimant – the person who can manage unaided for some of the journey and aided for the rest – who receives unusually generous treatment in the context of the descriptors. 28. If descriptor 2(c) is not looked at in isolation, though, matters appear somewhat different. All of the descriptors set distance boundaries. 2(a) is more than 200 metres, 2(b) is more than 50 metres but no more than 200 metres, 2(c) and 2(d) are more than 20 metres but no more than 50 metres, 2(e) is more than 1 metre but no more than 20 metres and 2(f) is no more than 1 metre. So, if 2(c) were to be capable of being satisfied by the claimant able to achieve a distance of more than 200 metres albeit not able to achieve a distance of more than 50 metres unaided, then that descriptor would be operating in a different way to all of the others with respect to the distance boundary set. Further, it does appear that the intention of 12(c) and 12(d) was to capture claimants who are limited to walking more than 20 but no more than 50 metres and giving differing points based on the way they cover that distance, that is to say, either with an aid or appliance or without one. Specifically it would seem 2(c) was intended to capture claimants who are limited to walking more than 20 but no further than 50 metres and no further even if they have an aid. That might, for example, apply to a claimant who suffers from severe breathlessness or excessive fatigue. Thus, and logically, the arguably worse off claimant who needs an aid or appliance to achieve a distance of more than 20 but no more than 50 metres scores 2 more points than the one who can do so completely unaided. That represents a way of understanding and rationalising the descriptors which does not require the interpretation which would create the above anomaly. 29. In light of the above, therefore, I accept Mr Whitaker’s submission that once the tribunal had found that the appellant was able to walk more than 50 metres then it mattered not how that was achieved. He had passed from one threshold to another and that was the end of the matter. It follows that the tribunal did not err in law in considering only the distance the appellant was able to achieve although, for the reasons set out above, that does not save it from having its decision set aside.”
“25. I have not heard argument on the point but am not presently convinced there is any justification for departing from the literal wording of mobility descriptor 2(c). I do not think it is irrational to isolate claimants unable to move the relatively short distance of 50 metres unaided and confer upon them entitlement to the standard rate of the mobility component. Such a person is likely to be especially reliant on a walking aid, use it a lot and take it with them wherever they go. There is not much that can usefully be done in day-to-day life with a movement radius of less than 50 metres. Whether or not the person can move further, even a lot further, will not change that effectively continuous need for a walking aid. By contrast, a person who is able to move 50 metres unaided but cannot move 200 metres even with an aid may well be less reliant on a walking aid. For example, imagine a person who can move 150 metres unaided but not 200 metres even with an aid. 26. On the face of it, there is logic in the treatment of those who are especially reliant on a walking aid. Everything being equal, their use of walking aids and hence their disability-related costs are likely to be greater. 27. The PIP Regulations are part of a social welfare scheme for those who have to cope with a disability. It recognises that, for disabled people, life tends to pose challenges that are not faced by others. Clearly, it is no part of any tribunal’s role to seek to expand the entitlement criteria for a disability benefit. However, in the light of the rationale for PIP, I think a tribunal should be slow to depart from the literal meaning of legislation setting entitlement criteria if that would result in them being effectively tightened up. I am not convinced that descriptor 2(c) operates anomalously if applied literally such that a strained judicial interpretation is required. If the DWP are of the view that its literal wording runs counter to PIP’s purpose, they can deal with that by amending the PIP regulations in accordance with the open and relatively democratic process for doing so.”
“4.21 We consider that the key determinate in the barriers faced by individuals is whether they can reliably walk a given distance. In previous drafts of the assessment we took greater account of the use of aids, appliances and wheelchairs, but the feedback was that this was unclear and created inconsistencies…. 4.22 Given that a key part of the policy intent is to create an objective and consistent assessment, and that our previous attempts to put greater emphasis on the use of aids and appliances demonstrated that it creates inconsistencies, we do not feel it would be productive to introduce further differentiation between aided or unaided ability.”