Hello lovely MSers! ❤️
I haven’t been around here much lately. I’ve been taking a bit of time out to get my head around this whole MS diagnosis thing, and just trying to process everything that’s changed. I think sometimes you need to step back for a while.
But I wanted to share my experience of applying for a Disabled Persons Freedom Pass, particularly the face-to-face assessment, because when I was searching Reddit, I couldn’t find much about what the assessment itself was actually like. Hopefully this might help someone who’s going through the process and feeling as anxious as I was.
First, a bit about the eligibility criteria
Although we tend to refer to it as a TfL Freedom Pass, the Disabled Persons Freedom Pass is administered through London Councils, with individual boroughs responsible for assessing applications.
The main statutory eligibility categories are:
Blind or partially sighted.
Profoundly or severely deaf.
Without speech.
A disability or injury that has a substantial and long-term adverse effect on your ability to walk.
No arms, or long-term loss of the use of both arms.
A qualifying learning disability.
A medical condition that would mean you would be refused a driving licence on grounds of physical fitness.
There are also provisions for discretionary passes in exceptional circumstances, depending on the borough.
The official criteria are here if you want to have a read: https://www.freedompass.org/apply-pass/disabled-persons-freedom-pass/am-i-eligible
The application
The online application itself was fairly straightforward. A few boxes to tick and questions about how your disability affects your mobility, including how far you can walk, whether you need to stop and rest, how long it takes you to recover, and other things such as breathing.
Honestly, some of those questions were almost impossible to answer accurately. How far can I walk? Well, it depends! What sort of day am I having? How heavy are my legs? Am I having problems with my balance? How much energy have I already used up?
MS doesn’t exactly lend itself to neat little boxes and straightforward answers, does it?!
I submitted a supporting letter from my MS nurse, explaining how MS affects my mobility.
The waiting and the anxiety 😩
I was then told I needed a face-to-face assessment because there wasn’t enough evidence to make a decision either way.
The communication around this was, frankly, really poor. The email gave very little information about what would happen, what the mobility assessment involved, what I would be asked, or who would be carrying it out.
Would it be an occupational therapist? A physiotherapist? What exactly would they expect me to do?
I couldn’t find the answers, and the lack of information made an already difficult situation so much worse. The whole process left me feeling as though I had to prove how disabled I was.
I appreciate that they have criteria to follow and need evidence to make a decision. I understand that. But a little more information, a bit of reassurance and some empathy in the communication would make such a difference.
I was already dealing with a relatively new MS diagnosis, trying to come to terms with it and learning to understand my body all over again. Having to prepare for an assessment where I would need to explain my limitations to a complete stranger was incredibly daunting.
My anxiety got to the point where I genuinely considered cancelling because I thought, is this really worth all the hassle?
Thankfully, I asked my lovely friend Debbie to come with me for moral support. ❤️
Preparing for the assessment
I contacted my MS nurse again and asked for an updated supporting letter. I also kept a mobility diary for roughly two weeks.
It wasn’t every single day because I don’t leave the house every day, but whenever I went out, I recorded:
The distance I walked, using Google Maps to estimate it.
Roughly how long it took me.
What symptoms I experienced, including heavy legs, pain, fatigue, spasms and problems with balance.
Whether I needed to stop and rest.
How I felt afterwards and how the journey affected me.
Some of my journeys were surprisingly short, but the impact was significant. A distance that Google Maps suggested should take a few minutes could take me considerably longer, followed by needing to sit down and rest.
My biggest tip: if you have an MS nurse, ask them for a supporting letter that explains how MS affects YOUR mobility.
A diagnosis on its own doesn’t necessarily explain the practical impact of the condition. Ask them to cover things such as:
Fatigue and heavy legs, even after relatively short distances.
Balance problems, unsteadiness and falls risk.
Pain, spasms and difficulty lifting your feet.
The need to rest and how long recovery takes.
How symptoms fluctuate, making your mobility unpredictable.
The knock-on effects later in the day or even the following day.
We all know that a good day doesn’t mean the problems have disappeared, and a bad day can’t always be predicted in advance. I think it’s really important that this is understood.
Take any mobility aids you use, too. I took my walking stick. I don’t use it every day, but if I’m going out for the day or know I’ll have a fair bit of walking to do, I usually take it. It helps enormously with my balance and stamina and gives me a bit more confidence.
The actual face-to-face assessment
And here’s where things got much better!
The assessor was an occupational therapy assistant, and she was absolutely lovely. She reassured me almost straight away and was empathetic, kind and understanding.
I explained how vulnerable I felt. This diagnosis is still relatively new, and I’m still coming to terms with the changes in my body and accepting what I can and can’t do anymore. Sitting opposite a stranger and talking about all of that, when you’re still processing it yourself, is quite a thing.
She completely understood.
We went through questions similar to those on the original application. I gave her my mobility diary and updated MS nurse letter, and she scanned the documents into my assessment.
She also asked what having a Freedom Pass would mean to me.
For me, it’s about maintaining my independence. Before my relapse and diagnosis, I was a great walker and a speed walker! I’d happily walk places rather than catch a bus or train. That’s changed considerably.
Now, I need to think about how much energy it will take just to get somewhere. If I’m going to work or travelling to meet friends, I don’t want to have used up half my energy getting there before I’ve even arrived!
It’s not simply about convenience. It’s about being able to save my limited energy for the things I actually want and need to do, rather than exhausting myself just getting from A to B.
Where I live, we also have very limited step-free rail access. Sometimes I have to travel into central London and then back out again just to avoid a huge number of stairs and steps. That adds time, distance and cost to an already exhausting journey.
And then came the mobility assessment itself.
We went outside the building and walked a very short distance before returning to the office.
That particular day, my legs were extremely heavy and not behaving themselves at all. My knee also gave way.
I remember thinking, well, if my knee’s going to give way, at least it’s picked a useful moment! 😂
She didn’t ask me to walk very far at all. We came back inside and finished the assessment.
I had been so worried about this part, imagining all sorts of things, but it was genuinely manageable. I can’t promise everyone will have exactly the same experience, of course, but I wanted to explain what mine involved.
So, what’s the outcome?
I’ve had confirmation today that I’ve been awarded my Freedom Pass! ❤️
I’m relieved that it’s over, incredibly grateful that I’ve been successful, and also feeling a little strange about the whole thing.
I’m not sure how I’ll feel the first few times I actually use it. There’s something quite confronting about having to acknowledge that the things I used to do without a second thought now take so much more out of me.
I’m still learning to accept that this is where my body is right now. I suppose getting the pass is another little reminder of that.
But I’m also trying to see it for what it is: a way to help me maintain my independence, conserve my energy and keep doing the things that matter to me.
And that’s a good thing.
My takeaways if you’re applying:
❤️ Ask your MS nurse for a supporting letter explaining the actual impact on your mobility.
❤️ Keep a mobility diary, even if it’s only for a week or two. Record distances, timings, symptoms, rests and recovery.
❤️ Take any walking aids you use, even if you don’t use them every day.
❤️ If you can, take someone with you for support. I’m so glad Debbie came with me.
❤️ Be honest about your difficulties, including the variability of MS. You don’t need to minimise things because you’re having a better day, or feel you have to perform being disabled.
❤️ And please don’t assume that being asked to attend an assessment means you’ve done something wrong. In my case, they needed more evidence to make a decision.
One final caveat: this was my experience with a London Council and the London Freedom Pass process. Other London boroughs may handle things differently, and the process will be different outside London.
I hope this helps someone who’s sitting there worrying about an assessment, as I was. The uncertainty and the poor communication made the lead-up much harder than the assessment itself.
If you’re going through this at the moment, sending you a big hug. It’s hard enough navigating a new diagnosis without having to navigate systems like this, too.
And thank you to everyone here who shares their experiences. Sometimes just knowing you’re not the only one trying to figure all of this out makes such a difference. 🧡