Aids and appliances
Points can be awarded if an aid or appliance is needed to carry out a daily living or mobility activity. The aid or appliance might improve, provide or replace an impaired physical or mental function. Examples include: modified cutlery, grab rails, incontinence pads, a walking stick or wheelchair. If an aid or appliance is not normally used to help with an activity, it is only taken into account if it is reasonable to expect its use.
Legislation
The rules relating to aids and appliances are in regulations.
Regulation 2 of the main PIP regulations provides -
“aid or appliance”- (a) means any device which improves, provides or replaces [the claimant's] impaired physical or mental function; and (b) includes a prosthesis;
Regulation 4(2) provides -
[The claimant's] ability to carry out an activity is to be assessed - (a) on the basis of [the claimant's] ability whilst wearing or using any aid or appliance which [the claimant] normally wears or uses; or (b) as if [the claimant] were wearing or using any aid or appliance which [the claimant] could reasonably be expected to wear or use.
Source: Regulation 2 and regulation 4(2) of the Social Security (Personal Independence Payment) Regulations 2013 (SI.No.377/2013), and regulation 2 and regulation 4(2) of SR.No.217/2016 in Northern Ireland.
See also the Personal Independence Payment assessment guide for assessment providers (part 2).
NB - in Scotland, adult disability payment is replacing personal independence payment and the rules on aids and appliances are found in regulation 2 and regulation 7(1) of the Disability Assistance for Working Age People (Scotland) Regulations 2022 (SSI.No.54/2022). See also Descriptor language for Adult Disability Payment from Social Security Scotland
Case law
Commentary: In [2015] UKUT 572 (AAC) Judge Mark ruled that a bed could be an aid for the purposes of getting dressed. However, in [2016] UKUT 197 AAC, Judge Jacobs disagreed finding that, whilst an item did not have to be specifically designed as an aid, it nevertheless must be sufficiently 'connected' to the activity to count as an aid for the purposes of PIP. In [2016] UKUT 501 (AAC), Judge Markus prefers the ‘connection argument’, holding that sitting was a ‘usual and normal’ way to dress which meant a bed was not an aid for dressing or undressing in all but the most exceptional cases.
In [2015] UKUT 547 (AAC) Judge Rowley ruled that an inhaler was not an aid or appliance for Mobility Activity 2 - moving around. Judge Jacobs, in [2016] UKUT 556 (AAC), highlighted that whether something is an aid or appliance must be looked at in the context of the descriptor - something may be an aid for one descriptor but not another. In relation to Activity 3 a device would only be an aid to administer medication if it replaced or improved a person's impaired function to take the medication by some other method.
Add commentary or suggest an edit.
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Dentures do not need to assist with both chewing and swallowing in order to count as an aid or appliance for taking nutrition
- [2022] UKUT 100 (AAC)
- UA-2021-001862-PIP
- Importance of identifying ‘impaired function’ to properly apply the definition of ‘aid or appliance’
- [2019] UKUT 320 (AAC)
- CPIP/623/2019
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Crutches as an aid for dressing or undressing if reasonably required by claimant who needs to stand to complete activity
- [2019] UKUT 293 (AAC)
- CPIP/285/2019
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Fan heater, hair dryer and hot water tap used to ease symptoms of peripheral neuropathy counted as aids in relation to Activity 5 ‘Managing toilet needs or incontinence’
- [2019] UKUT 186 (AAC)
- CPIP/2574/2018
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Unless claimants are unable to stand safely for more than a few minutes when preparing and cooking a meal, they are unlikely to reasonably require a perching stool as an aid
- [2018] UKUT 209 (AAC)
- CPIP/2098/2017
- A ‘SatNav’ is not an orientation aid unless specially designed or modified to assist the disabled
- [2017] UKUT 480 (AAC)
- CPIP/3759/2016
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Type of aid or appliance should be identified if there is a perceived need to use one / tribunals need to take a fresh look at facts unconstrained by the findings of the decision maker
- [2017] UKUT 419 (AAC)
- CPIP/1469/2017
- Grab rails constitute an aid or appliance
- [2017] UKUT 375 (AAC)
- CPIP/3872/2016
- Precautionary use of incontinence pads can help satisfy the 50 per cent test in regulation 7
- [2017] UKUT 258 (AAC)
- CPIP/387/2017
- Plastic cutlery not an aid or device for the purposes of Activity 2
- [2017] UKUT 160 (AAC)
- CSPIP/543/2016
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Whether a permanent retinal implant or other surgical implant can amount to an aid or appliance when assessing PIP activities
- [2017] UKUT 86 (AAC)
- CPIP/24/2016
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Commode can be an aid to manage incontinence, and impaired mobility may be relevant to issue of whether a claimant needs to use one
- [2017] UKUT 54 (AAC)
- CPIP/449/2016
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Whether a lightweight pan is an aid or appliance / PIP assessment guide only guidance and not legally binding
- [2017] UKUT 42 (AAC)
- CPIP/2740/2016
- Whether a nebuliser can be an aid for the purposes of administering medication
- [2016] UKUT 556 (AAC)
- CPIP/2916/2016
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A bed is unlikely to amount to an aid for dressing and undressing / mobility descriptor 2(c) and ability to walk more than 50 metres with walking aids
- [2016] UKUT 501 (AAC)
- CPIP/3352/2015
- Incontinence pads are an ‘aid or appliance’ for managing incontinence in activity 5
- [2016] UKUT 456 (AAC)
- CPIP/2908/2015
- Microwave is not an ‘aid or appliance’ for cooking / Definition of ‘simple meal’ in activity 1
- [2016] UKUT 322 (AAC)
- CPIP/190/2016
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Requirement to consider the ‘reliability’ criteria when assessing mobility descriptors / Whether a satnav can be an ‘orientation aid’ when following a route
- [2016] UKUT 304 (AAC)
- CPIP/239/2016
- Colostomy bag is an ‘aid or appliance’ for managing incontinence in activity 5
- [2016] UKUT 296 (AAC)
- UK/5352/2014
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A biscuit tin is not an aid or appliance for managing medication / Need for assistance to dress is not relevant for activity 5 (managing toilet needs)
- [2016] UKUT 256 (AAC)
- CSPIP/666/2014
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Descriptors including a ‘need’ for an aid or appliance, prompting, supervision or assistance, incorporate requirement to assess reasonableness of that need
- [2016] UKUT 250 (AAC)
- CPIP/1534/2015
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An aid normally used by a person with no disability is only an ‘aid’ for the purposes of the PIP descriptors if sufficiently ‘connected’ to the relevant activity
- [2016] UKUT 197 (AAC)
- Reported as [2016] AACR 44
- CPIP/3369/2015
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Descriptor 4(e) addresses the ability to get out of an ‘unadapted’ bath or shower / Consideration of whether ‘or’ is disjunctive
- [2016] UKUT 190 (AAC)
- Reported as [2016] AACR 43
- CPIP/2094/2015
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Aids and appliances do not apply to mobility descriptor 2(c) / No requirement to consider ability to move with aids beyond 50m
- [2015] UKUT 612 (AAC)
- CPIP/4572/2014
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An ordinary chair or bed can constitute an ‘aid’ for the purposes of the PIP descriptors if a claimant needs to sit on it to dress or undress
- [2015] UKUT 572 (AAC)
- CPIP/2168/2015
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Only one or more, as opposed to all, of the three elements of the definition of ‘toilet needs’ has to be met / Brush or shower head used for cleaning body can be an aid or appliance
- [2015] UKUT 570 (AAC)
- CPIP/1787/2015
- Asthma inhaler is not an aid for the purposes of mobility activity 2
- [2015] UKUT 547 (AAC)
- CPIP/1206/2015
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Levered taps are an ‘aid’ for the purposes of preparing food in activity 1
- [2015] UKUT 546 (AAC)
- CPIP/1695/2015
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Walking stick can be an ‘aid’ for the purposes of ‘preparing food’ / First-tier Tribunal should put appellant on notice if they are considering removing points
- [2015] UKUT 275 (AAC)
- UK/4056/2014