Claiming High Rate Mobility (HRM) DLA Under Severely Mentally Impaired With Severe Behavioural Problems (SMI) Criteria

This is a guide to try and help you successfully claim HRM for your child under SMI criteria if you think that this is applicable to your case.  Please be aware that these criteria are very strict and the DWP are notorious for making it difficult to claim under them.


This information is based on "DMG Chapter 61" which is the Decision Makers Guide that the person assessing your case will use to make their decision.  It's 137 pages long, but much of it will not be relevant to you, we'll highlight the bits that you need.  You can download it here:

https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1092571/dmgch61.pdf

We also used “Medical Guidance for DLA and AA Decision Makers (child cases): Staff Guide” which DMG Ch 61 refers to.  Again this is a long document (964 pages!), but we'll highlight the bits that you actually need.  The person assessing your claim will not be a medical expert and this document contains the information about your child's condition that they will use to help them make their decision.  Download it here: https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1054301/a-z-child-medical-conditions.pdf


First off, page 58 of DMG 61 states “The information given on the claim form alone is unlikely to be enough for the DM to determine a case under DMG 61351 or DMG 61376…. Further evidence may be needed from specialists via Medical Services before the DM can decide the question.”  In short, this basically means that in order to be successful in claiming under these criteria you’re going to need quite a bit of supporting evidence from specialists, don’t expect to be successful without it.

It’s important to try and get your supporting evidence to use the DLA’s terminology wherever possible so there is no ambiguity as to whether your child meets the criteria or not.

Secondly, before you even consider the SMI criteria, to qualify for HRM under these rules your child must be entitled to the High Rate Care Element of DLA (they must require "help or supervision throughout both day and night, or a medical professional has said they might have 6 months or less to live").

P52 DMG 61 - “61350 To satisfy this test for the higher rate of the DLA mobility component a person must be entitled to the highest rate of the DLA care component, be severely mentally impaired (see DMG 61351 - 61370) and have severe behavioural problems (see DMG 61376 - 61379). The test is cumulative and if any part of the test is not satisfied a person cannot satisfy the test.”

The following flowchart is widely circulated on social media (we've reproduced it word for word as the chart taken from the DMG is not the best quality).  It's taken from DMG 61 (page 59) and it's really useful, but there's a lot of extra information contained in DMG 61 which you'll need to consider to claim successfully.