Closed petition End assessments and consider disability benefit claims on medical advice alone

The Government should remove the requirement for people claiming disability benefits, such as the Personal Independence Payment (PIP), to have to go through an assessment process. Claims should be based solely on evidence from medical professionals, such as a letter from a GP or consultant.

More details

We are concerned about how the disabled, with conditions such as inflammatory Arthritis. Heart disease, lung disease, respiratory diseases, poor mental health etc, are treated by the benefits system. Claimants with medical evidence of their condition should not to be subject to degrading assessments.

These delays in assessing claims risk deterring genuine claims. It has to stop.

This petition is closed All petitions run for 6 months

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Parliament debated this topic

This topic was debated on 4 September 2023

Watch the petition 'End assessments and consider disability benefit claims on medical advice alone' being debated

Government responded

This response was given on 21 December 2022

Benefit assessments ensure people get the support they are entitled to. Evidence from claimants’ medical professionals alone is usually insufficient to ensure that claimants get the right support.

Read the response in full

The Government has no plans to assess eligibility for all disability benefit applications based on medical evidence alone. DWP uses assessments to help determine entitlement for a number of benefits, including Personal Independence Payment (PIP); Industrial Injuries Disablement Benefit (IIDB); Employment and Support Allowance (ESA); and, for those claiming due to a disability or health condition that affects their capability for work, Universal Credit (UC). These benefits were designed for specific purposes, be that support with additional costs associated with long-term ill-health or disability; compensation following a work-related accident or illness; or income replacement. Each benefit has its own assessment criteria, to ensure that those who meet the entitlement conditions get the support they are entitled to.

The Work Capability Assessment, which assesses entitlement to ESA and the additional health-related amount of UC, ensures that people receive appropriate financial and tailored work-related support. This supports those who can work to do so. It assesses people’s functional ability over a range of physical and mental/cognitive criteria, as well as several non-functional criteria covering circumstances such as cancer treatment and kidney dialysis.

PIP contributes to the extra costs of disability or long-term ill health regardless of whether someone is in work. The PIP assessment looks at the impact of a disability or health condition on someone’s ability to do a range of day-to-day activities, e.g., washing; using the toilet; communicating; and mobility needs.

IIDB provides non-contributory benefit for people who become disabled because of an accident at work or due to certain prescribed diseases caused by their job. The aim of the IIDB assessment is to establish the causation of the illness or disease and a percentage disablement.
For all benefits, we encourage people to provide any relevant evidence at the outset of their claim. This includes letters from their outpatient clinic or specialist; or information from other professionals involved in their care, e.g., support workers or carers. Healthcare professionals who carry out the assessment are expected to seek further evidence if it may help them to provide advice without requiring the claimant to attend a face-to-face, telephone, or video assessment. Whenever it is possible to assess a claimant on the basis of paper evidence alone, we will do so. Increased use of paper assessments is also helping to reduce waiting times.

The assessor’s role is to evaluate the effects of a claimant’s health condition or disability on their ability to perform everyday activities, and/or to advise DWP whether the evidence, including that provided by a doctor, supports the legislative intent of the benefit in question. Factual information from a clinician about an individual’s diagnosis or treatment can be helpful, but is often not sufficient to determine entitlement to benefit. We do not expect clinicians to have an expert knowledge of the benefit system; their role is to diagnose and treat a person’s illness.

DWP provides fast-track access to certain benefits for people nearing the end of their lives through special benefit rules (or “the Special Rules”). These enable people who are nearing the end of their lives to get faster, easier access to certain benefits without needing to attend an assessment; serve waiting periods; and in most cases, receive the highest rate of benefit. The Special Rules are now being changed to apply to people who have 12 months or less to live, instead of 6 months or less. These changes are well underway. From 4 April 2022, the Government changed eligibility for Special Rules access in UC and ESA. The Social Security (Special Rules for End of Life) Act 2022 enables similar changes for PIP, Disability Living Allowance and Attendance Allowance.

We continue to review our benefit processes and procedures, for example, in 2021 we published Shaping Future Support: The Health and Disability Green Paper. This explored how the benefits system can better meet the needs of disabled people and those with health conditions. It also considered how to build a system that enables people to live independently and move into work where possible.

Looking ahead, we want to test a new Severe Disability Group so that some people can benefit from a simplified process without needing to complete a detailed application form or go through an assessment. We will work directly with disabled people and people with health conditions to develop and test the approach. This will ensure that it delivers the desired improvements. We will consider the test results alongside the responses to the Green Paper when determining whether the policy should be rolled out further.

We received over 4,500 responses to the public consultation, and we are grateful to the individuals and organisations who contributed. We will respond with a White Paper in the coming months.

Department for Work and Pensions

Share your views on the cost of living and financial support for disabled people

The MPs on the Petitions Committee have scheduled a debate on two petitions about the cost of living and financial support for disabled people:

Marsha De Cordova MP, a member of the Petitions Committee, has been asked to open the debate, which will take place on Monday 22 May.

Share your views

To inform the debate, we would like to hear from you about your experiences of and views on the cost of living and financial support for disabled people and people with a long-term health condition.

You can share your views with us by completing this survey

The survey is also available in the following formats:

With British Sign Language

Easy Read

The survey will close on 31 March.

A summary of responses will be published on the Parliament website. It will also be shared with MPs and may be referred to in the debate or within other parliamentary documents. Please don't share anything that may identify you.

Watch the debate

The debate will take place on Monday 22 May at 4.30pm.

A British Sign Language translation of the debate will also be made available on Parliament Live TV.

What are petition debates?

Petition debates are ‘general’ debates which allow MPs from all parties to discuss the important issues raised by one or more petitions, and put their concerns to Government Ministers.

Petition debates don’t end with a vote to implement the request of a petition. This means that MPs will not vote on financial support for disabled people at the end of the debate.

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MPs hear from disabled people on National Disability Strategy

A cross-party group of MPs called the Women and Equalities Committee, has heard from disabled people and representative organisations on the Government’s National Disability Strategy.

The Government’s Strategy was declared unlawful by the High Court last year due to failures in the consultation process. As a result of the ruling, 14 policies have been paused. The Government is appealing the ruling, with the hearing likely to take place this Spring-Summer.

The Committee examined the Government’s engagement with disabled people and heard views on the Health and Disability White Paper, published alongside the Spring Budget, priorities for the Disability Action Plan and compliance with international obligations.

The Committee also explored policy for non-visible disabilities and health conditions, including chronic illness, mental health problems and deafness

Further information

What is the Women and Equalities Committee

The Women and Equalities Committee is a cross-party group of MPs who look into the work of the Government Equalities Office (GEO).

The Women and Equalities Committee is a select committee. Find out how select committees work.

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MPs debate Personal Independence Payment and other disability benefits

MPs held a debate on Personal Independence Payment and other disability benefits on Tuesday 26 March in Westminster Hall. The debate was led by Tanmanjeet Singh Dhesi MP.

What is a Westminster Hall debate?

Westminster Hall is the second chamber of the House of Commons. Westminster Hall debates give MPs an opportunity to raise local and national issues and receive a response from a government minister. Westminster Hall debates are general debates that do not end in a vote.

Visual explainer: Westminster Hall debates

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