“1) Planning and following a journey: [The Appellant] is an intelligent man who worked in accountancy until his stroke and fortunately has not suffered any enduring cognitive impairment because of it; he confirms he can plan a journey and use standard navigational equipment. He is able to travel to his local town centre unaccompanied. HO'H v SSWP (PIP)[2020] UKUT 135 (AAC) [The Appellant] is able to manage unfamiliar journeys unaccompanied, as long as it is relatively simple and does not involve long walks. He prefers to be accompanied because he feels more secure in case he falls, but he is able to rise unassisted and has sustained no significant injury as a result of such falls. He is able to use a stick to assist with his balance issue. [The Appellant] also believes that if accompanied this would extend the distance he would be able to walk. [The Appellant’s] access to public transport is limited by the distance he can walk which make bus stops, platforms etc hard to reach or negotiate (p.182). This physical limitation is properly addressed and reflected in the ‘mobility’ [sic – presumably what was meant was ‘moving around’) activity. The Tribunal appreciated [the Appellant] believes 10 points should be awarded for this activity but decided [the Appellant] fulfils the parameters of this activity the majority of the time. No points awarded.”
“The criteria specifically say: ‘A person should only be considered able to follow an unfamiliar journey if they would be capable of using public transport’. I can’t physically either walk to the nearest bus stop/ train station, or use buses/trains when I get there. I currently have to use taxis for hospital/ dental appointments etc.”
“I am incapable of using public transport. The evidence for this is my statements (both written and oral) and a written statement by my physiotherapist (fully qualified, 30+ years of experience, sees me once a week). Together we hold the dubious honour of being the 2 people in this world who know most about my stroke and subsequent disability. The evidence against is NONE!! Not a single person, medical or not, who has had anything to do with my stroke and subsequent partial recovery has ever even suggested they felt I am capable of using public transport, much less submitted anything into any of the 199 pages of evidence.”
“A person should only be considered able to follow an unfamiliar journey if they would be capable of using public transport – the assessment of which should focus on ability rather than choice.”
“The PIP Assessment Guide in particular is no more than the DWP’s view of how the regulations once enacted were thought to apply for the benefit of those carrying out the PIP assessments. Its legal worth as a permissible aid to statutory construction therefore seems negligible, if not non-existent.”
“36. As was said in RC, mobility descriptors 1d and 1f do not contain any reference to navigation. We agree with the rejection in DA, RC and HL of the Secretary of State’s argument that the references to an assistance dog and an orientation aid indicate the type of assistance that might be provided by a person in a case where descriptor 1d or 1f applies and so throw light on the meaning of the phrase “follow the route”
“51. We accept there is no statutory restriction to the effect that mental health problems may only be considered under mobility activity 1 or, for that matter, to the effect that only physical problems may be considered under activity 2. Nevertheless, it is abundantly clear from the actual wording of the descriptors that mobility activity 1 is designed to relate to those who have limitations in consequence of mental health and sensory concerns and activity 2 to those who have physical concerns. In our judgment a physical inability to stand and then move is what is required in order to trigger any entitlement to points under the activity 2 descriptors. However, we also accept that claimants who have symptoms which emanate from a mental health condition but which are nevertheless experienced as physical symptoms could potentially qualify in appropriate cases under activity 2, following the reasoning in NK. At the end of the day, there was not really any difference between the parties on those issues.”
“6.15 A number of respondents asked about how people who [use] taxis to make journeys will score in this activity. This depends on the reason for the use of the taxi. If it is entirely because of a physical barrier to mobility, they would not score in this activity. However, if the use of a taxi is because they are unable to follow the route of a journey without another person present, they can potentially score.”
“This activity considers a claimant’s ability to plan and follow the route of a journey. It is useful separately to consider: • ability to plan the route of a journey in advance • ability to leave the home and embark on a journey and • ability to follow the intended route once they leave the home This activity is designed for limitations on mobility deriving from mental health, cognitive and sensory impairments, whereas activity 12 is generally designed for limitations from physical problems. Cognitive impairment includes orientation (understanding of where, when and who the person is), attention, concentration and memory. Any issues with the ability to stand and then move are not applicable under activity 11, but under activity 12. Regarding falls, consideration must be given to how the risk of falling manifests itself. Ordinarily the risk to a claimant’s safety arising from a physical inability to move safely would be applicable under activity 12. However, where the fall arises as a result of a sensory or cognitive impairment (for example, seizures associated with loss of consciousness) the risk of the fall to a claimant’s safety would be applicable under HO'H v SSWP (PIP)[2020] UKUT 135 (AAC) activity 11. When assessing which descriptor might apply, consideration also needs to be given to any risks to an individual arising during the “recovery” period (for example, any post ictal confusion). 11d or 11f only apply where a claimant could not reliably make their way along a route without an accompanying person, assistance dog or orientation aid. The presence of another person out of preference, is not sufficient.”
“This descriptor is most likely to apply to claimants with cognitive, sensory or developmental impairments, or a mental health condition that results in overwhelming psychological distress, who cannot, due to their impairment, work out where to go, follow directions, follow a journey safely or deal with minor unexpected changes in their journey when it is unfamiliar. A claimant who suffers overwhelming psychological distress whilst on the unfamiliar journey and who needs to be accompanied to overcome the overwhelming psychological distress may satisfy descriptor 1d.”