Welfare benefit promotion within a district general hospital rheumatology centre: a joint project with the local Citizens Advice Bureau. 2008

Carole Fruin, and P I Pitt
Rheumatology Centre, Bromley Hospitals NHS Trust, Orpington Hospital, Kent, UK.

OBJECTIVE The Health Assessment Questionnaire (HAQ), used in arthritis provides an overall disability index and has been used previously to indicate those patients with arthritis who may be eligible for welfare benefits such as Attendance Allowance (AA) or Disability Living Allowance (DLA) (Langley et al., 2004, Memel et al., 2002, Powell et al., 2004). The aim of this study was to assess the effectiveness of the HAQ in this local population as a tool for identifying patients who may be eligible for benefits, and to assist those identified in claiming benefits with the help of a Citizens Advice Bureau benefits advisor. METHODS HAQ forms were sent to patients attending the Rheumatology Centre, all those patients with a HAQ score of <or=1.5, indicating moderate to severe disability were contacted initially by telephone by the CAB advisor. Those whom were considered eligible were invited to attend the Rheumatology Centre to determine their suitability to apply for benefit. Suitable patients were invited to complete a department of Work and Pensions claim pack either with the advisor in the Rheumatology Centre, with a CAB form completion volunteer within the patient's home or fill the forms in themselves. RESULTS Of the 86 patients contacted by the CAB advisor, 48 were already on benefits, 8 of these patients were advised to have their benefits reviewed. 38 were not in receipt of any benefits. 29 (63%) were awarded benefits. CONCLUSIONS The HAQ was found to be a useful tool in this local population for identifying patients with arthritis who may be entitled to AA or DLA. The CAB advisor was central to the identification and application process for eligible patients for AA and DLA, which in some cases led to the award of other entitlements.

UI MeSH Term Description Entries
D007373 Interinstitutional Relations The interactions between representatives of institutions, agencies, or organizations. Interagency Relations,Interagency Relation,Interinstitutional Relation,Relation, Interagency,Relation, Interinstitutional,Relations, Interagency,Relations, Interinstitutional
D011795 Surveys and Questionnaires Collections of data obtained from voluntary subjects. The information usually takes the form of answers to questions, or suggestions. Community Survey,Nonrespondent,Questionnaire,Questionnaires,Respondent,Survey,Survey Method,Survey Methods,Surveys,Baseline Survey,Community Surveys,Methodology, Survey,Nonrespondents,Questionnaire Design,Randomized Response Technique,Repeated Rounds of Survey,Respondents,Survey Methodology,Baseline Surveys,Design, Questionnaire,Designs, Questionnaire,Methods, Survey,Questionnaire Designs,Questionnaires and Surveys,Randomized Response Techniques,Response Technique, Randomized,Response Techniques, Randomized,Survey, Baseline,Survey, Community,Surveys, Baseline,Surveys, Community,Techniques, Randomized Response
D003159 Community-Institutional Relations The interactions between members of a community and representatives of the institutions within that community. Community Outreach,Community Relations,Community Institutional Relations,Community Relation,Community-Institutional Relation,Outreach, Community,Relation, Community,Relation, Community-Institutional,Relations, Community,Relations, Community-Institutional
D004185 Disability Evaluation Determination of the degree of a physical, mental, or emotional handicap. The diagnosis is applied to legal qualification for benefits and income under disability insurance and to eligibility for Social Security and workmen's compensation benefits. Disability Evaluations,Evaluation, Disability,Evaluations, Disability
D006113 United Kingdom Country in northwestern Europe including Great Britain and the northern one-sixth of the island of Ireland, located between the North Sea and north Atlantic Ocean. The capital is London. Great Britain,Isle of Man
D006293 Health Promotion Encouraging consumer behaviors most likely to optimize health potentials (physical and psychosocial) through health information, preventive programs, and access to medical care. Health Campaigns,Promotion of Health,Wellness Programs,Promotional Items,Campaign, Health,Campaigns, Health,Health Campaign,Health Promotions,Item, Promotional,Items, Promotional,Program, Wellness,Programs, Wellness,Promotion, Health,Promotional Item,Promotions, Health,Wellness Program
D006306 Health Surveys A systematic collection of factual data pertaining to health and disease in a human population within a given geographic area. Abortion Surveys,Abortion Survey,Health Survey,Survey, Abortion,Survey, Health,Surveys, Abortion,Surveys, Health
D006769 Hospitals, General Large hospitals with a resident medical staff which provides continuous care to maternity, surgical and medical patients. General Hospital,General Hospitals,Hospital, General
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D012216 Rheumatic Diseases Disorders of connective tissue, especially the joints and related structures, characterized by inflammation, degeneration, or metabolic derangement. Rheumatism,Disease, Rheumatic,Diseases, Rheumatic,Rheumatic Disease

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