Update on Proposed New WCA Descriptors (EBR)
We've been passed the latest version of the Evidence Based Review WCA descriptors for people to comment on and scrutinise. This version has to be finalised by the end of the week so there isn't much time. If you leave comments below I can direct the right people to read them but due to health issues I won't be able to do more than that. There's also a slightly different scoring system proposed, but for consultation purposes all you really need to know is that the N/A, Occasional, Frequent, Most boxes roughly correlate to points as follows, 0, 6, 9, 15Health prevents me from going through this in the detail it requires but my initial impression is that it has lost much of the simplicity of the earlier draft and it appears to me that this is much closer to what a joint test for ESA and PIP would look like... However, testing an alternative version of a WCA can only be a good thing if the DWP are sensible enough to compare both proposals and cherry pick the best parts..
But please bear in mind - intense pain and lots of oramorph do not make for good cognitive functioning!
Movement
- within a work environment or travelling to work
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1.
Mobilising
Mobilising unaided by another
person with or without a walking stick, manual wheelchair or other aid
normally used, for long periods indoors and outdoors without stopping, and
climbing a flight of 12 steps without discomfort, exhaustion or risk of
falling. This must be done reliably, repeatedly, safely and in a timely
manner, which takes into account speed, time taken and manner of
mobilising.
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a
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Has no
difficulty mobilising indoors and outdoors
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N/A
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Occ
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Freq
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Most
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b
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Cannot climb or
descend a flight of 12 steps
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c
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d
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Has significant difficulty[3] mobilising,
indoors and outdoors, for long periods
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e
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Has some
difficulty mobilising, indoors and outdoors, for short periods[4]
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f
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Has
significant difficulty mobilizing, indoors and outdoors, for short
periods
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2.
Getting About
Getting to familiar and unfamiliar
places reliably, repeatedly, safely and in a timely manner, unaided by
another person.
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a
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Has
no difficulty getting to familiar and unfamiliar places.
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N/A
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Occ
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Freq
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Most
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b
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Because
of distress or disorientation has some difficulty getting to unfamiliar
places
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c
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Because
of distress or disorientation has significant difficulty getting to
unfamiliar places
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d
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Because
of distress or disorientation has some difficulty getting to familiar places
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e
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Because
of distress or disorientation has significant difficulty getting to familiar
places
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3. Navigating
Navigating around familiar and unfamiliar places unaided
by another person reliably,
repeatedly, safely and in a timely manner, using
a guide dog or other aid if normally used.
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a
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Able to navigate
around familiar and unfamiliar places
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N/A
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Occ
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Freq
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Most
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b
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Has
some difficulty navigating around unfamiliar surroundings, without being
accompanied by another person, due to sensory impairment
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c
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Has
significant difficulty navigating around unfamiliar surroundings, without
being accompanied by another person, due to sensory impairment
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d
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Has
some difficulty navigating around familiar surroundings, without being
accompanied by another person, due to sensory impairment
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e
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Has
significant difficulty navigating around familiar surroundings, without being
accompanied by another person, due to sensory impairment
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Movement
– at a work station
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4.
Standing
and sitting
Reliably,
repeatedly, safely and in a timely manner, using any aid that it is
reasonable to expect them to use, and without receiving physical assistance
from another person:
·
Staying in one
position (such as a workstation) for at least an hour, either by standing,
sitting or a combination of the two, and
·
Moving between
this position and another.
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a
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Able to stay in one position for at
least an hour, either by standing, sitting or a combination of the two, and
able to move between this position and another
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Claimant
cannot:
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N/A
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Occ
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Freq
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Most
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b
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Stay in one position (either by
standing, sitting, or a combination of the two) unassisted by another person
in one place for more than one hour without significant discomfort, loss of
balance or exhaustion
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c
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Stay in one position unassisted by
another person in one place for more than 30 minutes (either by standing,
sitting, or a combination of the two)
without significant discomfort, loss of balance or exhaustion
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d
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Move from a seated position to a
mobilising position without physical assistance from another person
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5.
Reaching,
picking up and moving
Reaching
up, down or sideways a reasonable distance, and picking up and move a range
of differently-sized objects up to 1kg
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a
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Has no difficulty reaching and
picking up objects
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Due
to difficulties with movement, strength, sensation or co-ordination of
the upper body (arms, shoulders, back,
neck) and/or lower body (hips, knees, ankles), cannot repeatedly, reliably
and safely, without significant discomfort or exhaustion, from standing or
sitting:
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N/A
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Occ
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Freq
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Most
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b
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Reach up, down or sideways a
reasonable distance and reach
and pick up and move a range of differently-sized objects up to 1kg (e.g. so
as to reach and pick up something off a high or low shelf)
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c
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Pick up and move a an object up to
1kg with either hand
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d
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Pick up and move a bulky object (such
as a cardboard box) up to 2kg
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e
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Reach up, down (i.e. through bending,
kneeling or squatting) and sideways a reasonable distance
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6.
Manual
dexterity/ hand movement
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a
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Has no
difficulty with finger, hand or wrist movements/manual dexterity
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Has difficulty in one or both
hands in repeatedly, reliably, safely and in a timely manner without
significant discomfort or pain:
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N/A
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Occ
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Freq
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Most
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b
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Gripping and turning an object such as a:
·
door handle, tap, lid or cap (so as to open a
bottle/jar)
·
dial on a radio or piece of machinery
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c
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Gripping and holding an object such as a:
·
book weighing 500gms
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d
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Carrying out fine motor/finger movements such as:
·
doing up a button on a blouse or shirt,
·
tying a knot
·
opening a door with a key
·
picking up and moving a 5 pence coin – so as to
insert into a slot in a machine/box
·
turning the pages of a book
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e
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Creating with the dominant hand a legible message of
one sentence
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e
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Using a keyboard, mouse, cash till,
telephone keypad, or similar piece of equipment/machinery
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Task –
task performance
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7.
Executing Tasks
Executing tasks reliably, repeatedly,
safely and in a timely manner, unaided by another person.
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a
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Has
no difficulty executing tasks
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N/A
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Occ
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Freq
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Most
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b
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Needs
additional time to complete some tasks such that the task would take somewhat
longer
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c
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Needs
additional time to complete some tasks such that the task would take
significantly longer
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d
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Needs
additional time to complete most tasks such that the task would take somewhat
longer
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e
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Needs
additional time to complete most tasks such that the task would take
significantly longer
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8.
Maintaining Focus
Maintain focus to complete tasks reliably,
repeatedly, safely and in a timely manner, unaided by another person.
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a
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Has
no difficulty maintaining focus
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N/A
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Occ
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Freq
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Most
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b
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Due
to poor memory or concentration, has difficulty maintaining focus on some
tasks[5]
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c
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Due
to poor memory or concentration, has difficulty maintaining focus on most
tasks
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d
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Due
to poor memory or concentration, has difficulty maintaining focus on all
tasks
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9.
Learning Tasks
Learning processes necessary to having a job, and undertaking tasks within it |
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a
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Is
able to learn processes necessary to having a job
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No longer requires
support to carry out the task after
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2-3 occasions
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Between 4 and 9 occasions
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10 or more occasions
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Cannot learn task
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b
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Has difficulties learning a complex
task[6]
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c
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Has difficulties learning a moderately complex
task
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d
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Has difficulties learning a simple task
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Task -
risk
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10. Awareness of Hazards
Being aware
of potential hazards.
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a
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Is
fully aware of potential hazards
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N/A
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Occ
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Freq
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Most
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b
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Some
reduced awareness of hazards leads to risk(s) of harm to self or others, or
of damage to property or possessions
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c
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Moderately
reduced awareness of hazards leads to risk(s) of harm to self or others, or
of damage to property or possessions
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d
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Significantly
reduced awareness of hazards leads to risk(s) of harm to self or others, or
of damage to property or possessions
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11. Consciousness
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a
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Does not experience episodes of lost
or altered consciousness
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At least twice in last 6 months
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At least once a month in the last 6 months
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At least once a week
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b
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Has an
involuntary episode of lost or altered consciousness resulting in significant
disrupted awareness or concentration with a recovery time that is normally
less than one hour
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c
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Has an
involuntary episode of lost or altered consciousness resulting in significant
disrupted awareness or concentration with a recovery time that is normally more than one hour
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12. Bladder/ bowel continence
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a
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Has no difficulty with continence
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N/A
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Occ
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Freq
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Most
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b
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Experiences an unusual and/or
frequent need to use the toilet (or manage a collecting device), due to an
underlying health condition or the side effects of essential medication
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c
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Without immediate urgent
access[2] to a toilet, suitably
modified where appropriate, would experience loss of control
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d
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Has experienced
unpredictable or recurrent loss of control[1]
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Communication
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13.
Understanding communication
Understanding communication reliably, repeatedly, safely and in a timely manner, by both verbal means (such as
hearing or lip reading), non-verbal means (such as intonation or body language)
and written means (such as reading
16 point print or Braille), using any aid it is reasonable to expect them to
use
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a
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Has
no difficulty understanding communication
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Due to sensory, cognitive or social
difficulties:
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N/A
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Occ
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Freq
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Most
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b
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Has
some difficulty understanding complex information from a stranger
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c
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Has
significant difficulty understanding complex information from a stranger
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d
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Has
some difficulty understanding simple information from a stranger
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e
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Has
significant difficulty understanding simple information from a stranger
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Supporting
behaviours for work
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15.
Social Engagement
Engaging socially
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a
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Has
no difficulty engaging socially reliably, repeatedly and safely, unaided by
another person.
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Because
of difficulties interacting with others, anxiety, distress or other emotions:
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N/A
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Occ
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Freq
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Most
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b
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Has
some difficulty with social engagement with people unknown to the person
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c
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Has
significant difficulty with social engagement with people unknown to the
person
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d
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Has
some difficulty with social engagement with people known to the person
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e
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Has
significant difficulty with social engagement with people known to the person
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16. Organising self
and planning (was Managing self and schedule)
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a
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Has
no difficulty managing him/herself and his/her schedule reliably, repeatedly
and safely, unaided by another person.
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N/A
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Occ
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Freq
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Most
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b
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Has
some difficulty managing self and schedule to an acceptable standard for much
of the day
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c
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Has
significant difficulty managing self and schedule to an acceptable standard
for much of the day
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d
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Has
some difficulty managing self and schedule to an acceptable standard for
short periods
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e
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Has
significant difficulty managing self and schedule to an acceptable standard
for short periods
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17.
Coping with Change
|
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a
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Has
no difficulty coping with minor planned changes to daily routine unaided by
another person.
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N/A
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Occ
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Freq
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Most
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b
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Experiences
some difficulties with unplanned changes to daily routine.
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c
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Experiences
significant difficulties with unplanned changes to daily routine.
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d
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Experiences
some difficulties with planned changes to daily routine.
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e
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Experiences
significant difficulties with planned changes to daily routine.
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18.
Appropriateness of Behaviour
|
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a
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Display
behaviour which work colleagues consider appropriate reliably, repeatedly and
safely without support from another person
|
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N/A
|
Occ
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Freq
|
Most
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b
|
May
display moderate verbally aggressive or socially inappropriate behaviour
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c
|
May display severe verbally
aggressive or socially inappropriate behaviour
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d
|
May
display physically aggressive behaviour
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Key
N/A –
Not applicable
Occ – Occasionally
Freq – Frequently
Most – Most or all of the time
[1] Some
difficulty - could include has to do so at a slow pace and to stop during
the process of walking the distance on one occasion. May
have problems with balance but not at risk of falling.
[2] Long periods - can
walk for a period of 10 minutes or distance of 500m, (journey to/from work:
having to get out of a house to a bus stop or equivalent)
[3] Significant difficulty - could
include the pace would be significantly slow, movement is restricted or
painful, the person has to stop on more that one occasion, there is a
significant risk / history of falling, or is unable to mobilise independently.
[4] Short period - can walk for a period of a
minute (whatever consensus is for times) or distance of 50m (something that
represents moving around in a work place).
[5] Tasks to be defined/ examples given
[6] Note: As an initial indicator of
the level of tasks, provisional
definitions of tasks could include toe following (will need further work and
consultation with Mencap):
-
Simple
task – photocopying a single piece of paper, sweeping up
-
Moderately
complex task – taking a simple phone message, finding a particular item of food
in a supermarket
-
Complex
task – ?? searching a database, working a till, taking minutes
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