“1. Mobilising unaided by another person with or without a walking stick, manual wheelchair or other aid if such aid can reasonably be used. | “1 | “(a) | “Cannot either:
(i) “mobilise more than 50 metres on level ground without stopping in order to avoid significant discomfort or exhaustion;
“or
(ii) “repeatedly mobilise 50 metres within a reasonable timescale because of significant discomfort or exhaustion.
| “15 |
“(b) | “Cannot mount or descend two steps unaided by another person even with the support of a handrail. | “9 |
“(c) | “Cannot either:
(i) “mobilise more than 100 metres on level ground without stopping in order to avoid significant discomfort or exhaustion;
“or
(ii) “repeatedly mobilise 100 metres within a reasonable timescale because of significant discomfort or exhaustion.
| “9 |
“(d) | “Cannot either:
(i) “mobilise more than 200 metres on level ground without stopping in order to avoid significant discomfort or exhaustion;
“or
(ii) “repeatedly mobilise 200 metres within a reasonable timescale because of significant discomfort or exhaustion.
| “6 |
“(e) | “None of the above apply. | “0 |
“2. Standing and sitting. | “2 | “(a) | “Cannot move between one seated position and another seated position located next to one another without receiving physical assistance from another person. | “15 |
“(b) | “Cannot, for the majority of the time, remain at a work station, either:
(i) “standing unassisted by another person (even if free to move around); or
(ii) “sitting (even in an adjustable chair)
“for more than 30 minutes, before needing to move away in order to avoid significant discomfort or exhaustion.
| “9 |
“(c) | “Cannot, for the majority of the time, remain at a work station, either:
(i) “standing unassisted by another person (even if free to move around); or
(ii) “sitting (even in an adjustable chair)
“for more than an hour before needing to move away in order to avoid significant discomfort or exhaustion.
| “6 |
“(d) | “None of the above apply | “0 |
“3. Reaching. | “3 | “(a) | “Cannot raise either arm as if to put something in the top pocket of a coat or jacket. | “15 |
“(b) | “Cannot raise either arm to top of head as if to put on a hat. | “9 |
“(c) | “Cannot raise either arm above head height as if to reach for something. | “6 |
“(d) | “None of the above apply. | “0 |
“4. Picking up and moving or transferring by the use of the upper body and arms. | | “(a) | “Cannot pick up and move a 0.5 litre carton full of liquid. | “15 |
“(b) | “Cannot pick up and move a one litre carton full of liquid. | “9 |
“(c) | “Cannot transfer a light but bulky object such as an empty cardboard box. | “6 |
“(d) | “None of the above apply. | “0 |
“5. Manual dexterity. | “5 | “(a) | “Cannot either:
(i) “press a button, such as a telephone keypad; or
(ii) “turn the pages of a book
“with either hand.
| “15 |
“(b) | “Cannot pick up a £1 coin or equivalent with either hand. | “15 |
“(c) | “Cannot use a pen or pencil to make a meaningful mark. | “9 |
“(d) | “Cannot use a suitable keyboard or mouse. | “9 |
“(e) | “None of the above apply. | “0 |
“6. Making self understood through speaking, writing, typing, or other means normally used, unaided by another person. | “6 | “(a) | “Cannot convey a simple message, such as the presence of a hazard. | “15 |
“(b) | “Has significant difficulty conveying a simple message to strangers. | “15 |
“(c) | “Has some difficulty conveying a simple message to strangers. | “6 |
“(d) | “None of the above apply. | “0 |
“7. Understanding communication by both verbal means (such as hearing or lip reading) and non-verbal means (such as reading 16 point print) using any aid it is reasonable to expect them to use, unaided by another person. | “7 | “(a) | “Cannot understand a simple message due to sensory impairment, such as the location of a fire escape. | “15 |
“(b) | “Has significant difficulty understanding a simple message from a stranger due to sensory impairment. | “15 |
“(c) | “Has some difficulty understanding a simple message from a stranger due to sensory impairment. | “6 |
“(d) | “None of the above apply. | “0 |
“8. Navigation and maintaining safety, using a guide dog or other aid if normally used. | “8 | “(a) | “Unable to navigate around familiar surroundings, without being accompanied by another person, due to sensory impairment. | “15 |
“(b) | “Cannot safely complete a potentially hazardous task such as crossing the road, without being accompanied by another person, due to sensory impairment. | “15 |
“(c) | “Unable to navigate around unfamiliar surroundings, without being accompanied by another person, due to sensory impairment. | “9 |
“(d) | “None of the above apply. | “0 |
“9. Absence or loss of control leading to extensive evacuation of the bowel and/or bladder, other than enuresis (bed-wetting) despite the presence of any aids or adaptations normally used. | “9 | “(a) | “At least once a month experiences:
(i) “loss of control leading to extensive evacuation of the bowel and/or voiding of the bladder; or
(ii) “substantial leakage of the contents of a collecting device
“sufficient to require cleaning and a change in clothing.
| “15 |
“(b) | “At risk of loss of control leading to extensive evacuation of the bowel and/or voiding of the bladder, sufficient to require cleaning and a change in clothing, if not able to reach a toilet quickly. | “6 |
“(c) | “None of the above apply. | “0 |
“10. Consciousness during waking moments. | “10 | “(a) | “At least once a week, has an involuntary episode of lost or altered consciousness resulting in significantly disrupted awareness or concentration. | “15 |
“(b) | “At least once a month, has an involuntary episode of lost or altered consciousness resulting in significantly disrupted awareness or concentration. | “6 |
“(c) | “None of the above apply. | “0. |