Before your consultation

If you’re applying for UC you will need to create an online account on NI Direct. Once you have created your account you must send your claim within 28 days. If you try after 28 days you will need to create a new account.  

You will need to fill in the online form. It’s important that you complete the form as fully as possible, answering all of the questions. 
 
You can use the account you’ve made to find information about your claim and contact Universal Credit.

If you need help filling in the form you can contact UC through your online account or speak to a member of the team in your local Jobs and Benefits office or phone 0800 012 1331 (text phone: 0800 012 1441) Monday to Friday, 9.00 am to 4.00 pm (excluding public holidays).  
 

Interpreters

Please let us know at least two days before your consultation if you need an interpreter for your consultation. This will help to make sure that we can have an interpreter available for you.

Appointment arrangements

We will send a letter with your consultation date. Your appointment letter will have a contact number and information about the consultation.

Please read this letter before your consultation.

If you need help before your consultation, call Capita on 0800 072 0398. The Customer Enquiry line is open Monday to Friday 8:30am to 5pm. 

What happens with your support before your consultation

Whilst you are waiting for your consultation to be completed you will receive the standard rate of Universal Credit and will need to continue attending the Jobs and benefits office as agreed with your Work Coach. You can find more information about Universal Credit on the DfC website.
 

Further evidence

We also need to see any medical evidence or other information you might already have, such as reports, care or treatment plans about you from GPs, hospital doctors, specialist nurses, community psychiatric nurses, occupational therapists, physiotherapists, social workers, support workers, learning disability support team, counsellors or carers.

Things Capita would like to see, if you already have them include:

Things Capita doesn’t need to see include general information about your medical conditions that are not about you personally such as:

  • your current prescription list
  • your statement of special educational needs
  • epilepsy seizure diary
  • your certificate of visual impairment
  • Hospital Passports. This is a written record kept by people with learning disabilities to provide hospital staff with important information about them and their health when they are admitted to hospital.
  • Education Health Plans
  • a diary of your symptoms if your disability, illness or health condition varies from day to day.
  • long-stay hospital information including date of admission, length of stay and the hospital name and address.
  • medical test results including:
    • scans
    • audiology
    • results of x-rays, but not the x-rays themselves
  • photographs
  • letters about other benefits
  • fact sheets about your medication
  • internet printouts
  • statement of Fitness for Work, otherwise known as fit notes
  • medical certificates
  • doctor’s statements or sick notes
  • appointment letters

You may be asked for details of the professionals or carers who know the most about your health conditions, illnesses and disabilities - expand the list below to find out who they may be.

List of professionals and carers

  • consultant or specialist doctor
  • psychiatrist
  • specialist nurse, such as a community psychiatric nurse
  • physiotherapist
  • occupational therapist
  • social worker
  • support worker or personal assistant
  • carer
     

Remember –  only send us copies of medical or other information if you already have them. Don’t ask or pay for new information or send us original documents. Please write your National Insurance number on each piece of information you send to DfC.

DfC may not be able to continue to pay you benefits if we don’t receive this form in time.

If you cannot return the form in time, let us know as soon as possible. There is also a box that allows you to explain why your form was late. If you have any concerns at all about the form, it’s important that you contact Capita as soon as you can or ask a representative to contact Capita.

During your consultation

The healthcare professional will introduce themselves and explain the consultation to you. They will record information on a computer. Some questions may not relate directly to your medical condition, but to daily activities.

The consultation questions may include:

•    When your illness or disability started

•    How your condition changes from day-to-day

•    How it affects your daily life

•    How it affects your mood and the way you behave

•    How you cope with things from day-to-day

The healthcare professional will record information about your pain, fatigue, and the medication you take.

The healthcare professional
Our healthcare professionals are doctors, nurses, and physiotherapists registered with their governing body. These include:

  • The General Medical Council
  • The Nursing and Midwifery Council
  • The Healthcare Professions Council.

Our healthcare professionals go through a specifically designed training course, approved by DfC.

Companion or chaperone during your consultation

You can have someone with you at your consultation. Although the consultation will focus on you, a companion can offer useful support to you.

This would usually be the person who knows you best and understands you and your needs. For example, this may be a relative, support worker or friend but they must be 16 years old or over. If your support worker or friend cannot be with you in person we can add them to the video consultation. 

Taking notes
You or your companion are welcome to take notes for your personal use. Your notes will not form part of the medical report that we send to DfC.

Length of consultation
There is no set time for consultations, but they are usually between 20 minutes and 1 hour.

After your consultation

We provide DfC with a consultation report which is impartial and gives justified medical advice about how you are currently affected by your medical condition. This follows government legislation and the processes agreed by DfC.

The consultation report will describe your medical conditions and the activities you undertake in a typical day. It will also have the healthcare professional’s observations, and the results of any physical examination undertaken.

The report is one piece of information DfC uses in deciding your entitlement.

You may request a copy of the full report from the DfC office handling your claim.
 

Decisions on claims  

DfC will let you know of the outcome of your claim.

DfC makes decisions on claims. The healthcare professional who carries out your consultation does not make any decision about your allowance, benefit or credits. The healthcare professional will not know the outcome of your claim.

Direct any questions or concerns about the outcome of your claim to the DfC office handling your claim. They will know what information they have used to decide your entitlement.

Further information

If you have questions, contact DfC through your UC Journal.


*[UC]: Universal Credit

*[DFC]: Department for communities

Health assessment advisory service provided on behalf of Department for communities