Part of Pension Age Disability Payment decision making guide


Key information about an individual’s condition

To be able to make fair and informed determinations of entitlement, case managers should have information about the individual’s condition that may include, but is not limited to:

  • the type of condition
  • common treatment pathways for the condition
  • common symptoms related to the condition
  • the impact of the condition on an individual’s care needs.

Information about conditions is available online to assist case managers:

Operational guidance on specific conditions and disabilities is also available.

Information on health conditions and their impact on individuals can also be requested through a case discussion with a practitioner. For more information, reference should be made to the case discussion chapter.

Case managers should apply this information and take a person-centred approach to the individual’s needs. Every individual’s experience of their condition and symptoms may be different.

Example: an individual provides key information relating to their condition in their application form

An individual reports in their application form that they have long-term back pain, which they receive support, therapy and medication for. In the dressing and undressing section of the application form, the individual notes that they are unable to put on trousers, socks or shoes due to their condition. They note that they had been supplied with aids to support with this, however due to the chronic nature of their pain, they can no longer use these.

The case manager uses the decision-making guidance to determine that the information about the use of aids is key information to consider during the decision making process. With reference to the guidance, they determine that it would not be reasonable or practicable for the individual to use such aids. This informs the case manager’s decision-making when determining whether the individual satisfies the criteria for an award of PADP.

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