New PIP claims
Independent evidence from the outset, describing your real day to day difficulties.
PIP and disability benefits · Independent evidence
A PIP decision turns on how well your condition is understood. I am an experienced GP on the GMC GP Register, and I prepare clear, honest medical evidence describing how your condition affects your daily living and mobility, for a new claim, a mandatory reconsideration, or a tribunal appeal.
What it is
The piece most people miss is that the assessor may never see the day to day reality of living with a condition. A clear, independent report puts that reality on the record.
I take the time to understand your conditions, I read the evidence you provide, and I write a structured report describing how your health affects the areas PIP looks at: daily living and mobility. It is honest and specific. I do not exaggerate, because accuracy is what gives a report weight with decision makers and tribunals.
Where mental health is part of the picture, my special interest in psychological medicine helps me describe its effect calmly and fairly.
How you are assessed
Assessments take place at our Palmers Green clinic, and your report is delivered by email. Where attending the clinic is difficult because of mobility or health, a home visit assessment can be arranged.
The report is prepared by Dr Mitesh Parmar, MBBS MRCGP, GMC 6113670, an experienced GP with a parallel medico-legal practice. Clinique Alpa is registered with the Care Quality Commission (CQC), and every report is independent, impartial and written in plain English.
What is assessed
PIP does not turn on a diagnosis. It turns on how your conditions affect specific everyday activities, and on whether you can do them reliably. A report that only lists diagnoses does not answer the question that is actually being asked.
For each activity, the question is not only whether you can do it once, but whether you can do it safely, to an acceptable standard, repeatedly, and within a reasonable time. Someone who can manage a task once, slowly and in pain, and not again that day, is in a different position from someone who can simply do it. Your report addresses each of those four points where they are relevant to you.
The activities and the reliability test are set out in the Department for Work and Pensions PIP assessment guide, part 2. Clinique Alpa is an independent clinic. We are not contracted by the DWP and we do not carry out DWP assessments.
When it helps
Whether you are starting a claim or preparing for a hearing, independent evidence is prepared the same way: carefully, honestly, and on time.
Independent evidence from the outset, describing your real day to day difficulties.
Refused, or awarded fewer points than you expected? An independent report can be submitted with your reconsideration request.
Preparing for an independent tribunal hearing? A clear, objective report supports your case.
What is included
A report is only as strong as the assessment behind it, so every report starts with a proper consultation. Both PIP products include everything below; only the evidence considered and the length of the report differ.
An assessment appointment of up to one hour, at our Palmers Green clinic.
A careful read of the evidence you provide, within the scope agreed in writing beforehand.
Preparation of the written report. Drafting is included in the fee and is not limited to the appointment hour, and there is no separate drafting charge.
A structured report describing how your conditions affect your daily living and mobility, distinguishing what you describe, what the documents show, what I observe and what I conclude.
One set of reasonable typographical corrections. New evidence or a substantive change is additional work, agreed with you first.
A signed report on clinic letterhead. An honest, evidence based opinion: I do not overstate, and that is the point.
How it works
Four steps. If you have a reconsideration or tribunal deadline, tell me at the enquiry stage. Turnaround runs from the assessment and from receiving the agreed evidence; it is not a promise of an appointment within 48 hours.
Request this reportTell me which report you need, what the decision or deadline is, and roughly how much evidence there is. I confirm the fee and the agreed scope in writing before anything starts.
Send the relevant medical evidence and, for a reconsideration or appeal, the decision letter and assessment report. We agree how to get them to the clinic safely.
An unhurried appointment of up to one hour at our Palmers Green clinic. Where attending is difficult, ask about a home visit, which is charged at its own published rate.
I prepare the report and send it to you. Standard turnaround is 48 to 72 hours after the assessment and after I have all the agreed evidence.
Independent, by design
A medical report is independent evidence, not advocacy. I do not write what a claim needs; I write what the clinical picture supports. That is precisely what makes a report useful, accuracy is what gives it weight with decision makers and tribunals.
No report can guarantee an award, and anyone who promises that is not being straight with you. The decision rests with the DWP or the tribunal. What you receive is clear, honest, independent evidence that reflects your condition accurately, which you can submit in support of your claim at any stage.
Honest and specific. I do not exaggerate, and I do not overstate. Reports and letters are issued where clinically appropriate after assessment.
No guaranteed outcome. The decision always rests with the DWP or the tribunal, never with the report writer.
Deadlines respected. Tell me about a reconsideration or tribunal deadline and I will prioritise your report.
Fees
Every case needs a medical assessment. The fee depends on the length and detail of the report, and I confirm it before I start.
Independent medical evidence for a Personal Independence Payment claim, written about what you can and cannot do. Two products, both fixed price.
This is a private independent medical report. It is not a DWP assessment and it is not a guarantee of an award.
| Service and what is included | Typical length | Fee |
|---|---|---|
| PIP functional and medical assessment and reportAn assessment appointment of up to one hour and preparation of your written report. Report drafting is included in the fee; there is no separate drafting charge. The evidence-review scope is confirmed in writing before work begins. | Determined by the evidence and the agreed scope | £550 |
| PIP mandatory reconsideration and tribunal reportAn independent assessment of the relevant functional evidence together with the decision and assessment documents, and preparation of the written report. Legal representation, attendance at a hearing and separately instructed specialist reports are not included. | Determined by the evidence and the agreed scope | £900 |
DWP does not require you to obtain new medical evidence. You can send evidence you already hold, including copies of your records. Our fee pays for an assessment and an independent opinion, not for a result.
This is an independent clinical opinion. It cannot be written to a required conclusion and does not guarantee the outcome of any claim, application, exemption or hearing.
Some services have a fixed price. Personal injury medico-legal work is charged at an hourly rate, and some expert work is individually scoped. Where a price is not fixed, a written estimate is agreed before work begins. Records beyond the stated allowance, addenda and further questions are charged at the professional time rate, and only with prior agreement. This is a private independent medical report. It is not a DWP assessment and it is not a guarantee of an award. The full fee list is on our appointments and fees page.
Who writes your report
Book your assessment, or call 020 8882 8088 to talk it through first.
Principal GP · Clinical Director
MBBS, MRCGP. 21 years in medicine, with a special interest in psychological medicine and a parallel medico-legal practice.
GMC 6113670 · MedCo DME9158Tell us briefly about your claim and any deadline when you book. You can also read about our full range of private GP services and sick notes and medical letters.
Questions, answered plainly
It is an independent medical report, written by a GP, that documents your health conditions and describes, with clinical evidence, how they affect your daily living and mobility. It is written with the areas PIP looks at in mind. It is a private independent report, not a DWP assessment, and it is not a guarantee of an award.
No, and anyone who promises that is not being straight with you. The decision rests with the DWP or the tribunal. What I provide is clear, honest, independent evidence that reflects your condition accurately, which you can submit in support of your claim.
Yes. Many people come to me after a refusal or a lower award than expected. An independent report can be submitted as part of a mandatory reconsideration request, or for an appeal to an independent tribunal.
There are two fixed prices. A PIP functional and medical assessment and report is £550, which includes an assessment appointment of up to one hour and preparation of your written report, with no separate drafting charge. A PIP mandatory reconsideration and tribunal report is £900. Each is a fixed fee, confirmed in writing before any work starts. The full list is on our appointments and fees page.
Yes. The assessment takes place at our Palmers Green clinic. Where attending the clinic is difficult because of mobility or health, a home visit assessment can be arranged.
After the assessment, and once I have your supporting evidence, a report is usually ready within a few working days. If you have a reconsideration or tribunal deadline, tell me and I will prioritise it.
In clinic · Palmers Green
Book an assessment, or call to talk it through first. If you have a reconsideration or tribunal deadline, tell me and I will prioritise it.
Please do not send confidential medical information by WhatsApp.