Select Committee · Work and Pensions Committee

Health assessments for benefits

Status: Closed Opened: 27 Sep 2021 Closed: 7 Aug 2023 25 recommendations 4 conclusions 2 reports

The Committee investigated the assessment processes for health-related benefits. These include Personal Independence Payment (PIP), Employment and Support Allowance (ESA), Disability Living Allowance (DLA), Attendance Allowance and Industrial Injuries Disablement Benefit. The Committee is focusing on how the Department for Work and Pensions can improve the application and assessment processes for these benefits. The Committee …

Clear

Reports

2 reports
Title HC No. Published Items Response
Easy Read - Health assessments for benefits: summary HC 128 14 Apr 2023 0
Fifth Report - Health assessments for benefits HC 128 14 Apr 2023 29 Responded

Recommendations & Conclusions

6 items
2 Recommendation Fifth Report - Health assessments for b… Acknowledged

For most people, disability and health-related benefit assessments go smoothly.

For most people, disability and health-related benefit assessments go smoothly. But in a sizable minority of cases, things continue to go very wrong. This has implications for claimant trust in the systems that extend beyond those directly affected by poor decision-making. Our predecessor’s inquiry focused on improving technical aspects of …

Government response. The Department highlights ongoing initiatives, tests, and the Health Transformation Programme aimed at improving the claimant experience, building trust, and modernizing benefit services, without committing to specific new actions in response to the report's recommendations.
Department for Work and Pensions
16 Conclusion Fifth Report - Health assessments for b… Acknowledged

We welcome efforts to reduce unnecessary reassessments for people whose conditions or needs are unlikely...

We welcome efforts to reduce unnecessary reassessments for people whose conditions or needs are unlikely to change. However, ESA/UC and PIP are different benefits with different purposes, and this must be reflected in any criteria for reassessment. The Department should adopt a version of the severe conditions criteria for PIP, …

Government response. The Department has made progress with its plans to test the Severe Disability Group, so that the relevant claimants can benefit from a simplified process.
Department for Work and Pensions
17 Recommendation Fifth Report - Health assessments for b… Acknowledged

DWP provides assessors with guidance on issues including evidence use, contributions of family members and...

DWP provides assessors with guidance on issues including evidence use, contributions of family members and carers, and informal observations which, if correctly followed, would address many of the concerns raised in this area. The accounts we have heard in this inquiry, and those from the previous Committee’s Health assessments for …

Government response. The government describes Mandatory Reconsideration as a valuable process and is undertaking a number of small-scale internal learning exercises to better understand what it can learn from the disputes stage. This work is still in very early development.
Department for Work and Pensions
18 Recommendation Fifth Report - Health assessments for b… Acknowledged

We welcome the plans outlined in the Government’s Health and Disability White Paper to test...

We welcome the plans outlined in the Government’s Health and Disability White Paper to test specialist assessors and to address the challenges of assessing fluctuating conditions. But we were disappointed that there do not appear to be wider plans to overhaul descriptors. We request that the Government confirm in response …

Government response. The Department states that the PIP assessment criteria were developed with independent specialists, focus on needs arising from a comprehensive range of conditions, and consider an individual’s ability over a 12-month period, and they will test the introduction of a …
Department for Work and Pensions
22 Recommendation Fifth Report - Health assessments for b… Acknowledged

When recordings are available, in cases where the findings of assessments are overturned on MR...

When recordings are available, in cases where the findings of assessments are overturned on MR or appeal, the recordings of the original assessment should be checked at least on a sampled basis, to establish whether the erroneous assessment outcome should have been avoided. We welcome the plans to test sending …

Government response. The Department is committed to ensuring individuals receive high-quality assessments as part of the evidence used to decide benefit entitlement and continually looks to improve the efficacy of the assessment process by working closely with providers.
Department for Work and Pensions
26 Recommendation Fifth Report - Health assessments for b… Acknowledged

We welcome the opportunity the Health Transformation Programme presents to improve data sharing and reduce...

We welcome the opportunity the Health Transformation Programme presents to improve data sharing and reduce the frequency with which claimants have to submit the same information. We recommend that as well as accessing medical information, the single digital platform should allow evidence from previous applications and renewals to be saved …

Government response. The Department recognises the benefit of reviewing and reusing previous evidence and is currently exploring how reusing previous evidence can provide a potential opportunity to reduce the burden on claimants.
Department for Work and Pensions

Oral evidence sessions

9 sessions
Date Witnesses
20 Jul 2022 Chloe Smith MP · Cabinet Office, Gill Holmes · Department for Work and Pensions, Katie Farrington · Department for Work and Pensions View ↗
29 Jun 2022 Ben Macpherson MSP · Scottish Government, Matthew Duff · Scottish Government, Peter Schofield · Department for Work and Pensions, Professor Paul Knight OBE · Social Security Scotland, Rt Hon Dr Thérèse Coffey · Department for Environment, Food and Rural Affairs View ↗
22 Jun 2022 Dr Ben Baumberg Geiger · University of Kent, Professor Ben Barr · University of Liverpool View ↗
25 May 2022 Antony King · Capita, Dr Barrie McKillop · Independent Assessment Services, Dr Paul Williams · Maximus, Emma-Jane Bannister · Maximus, Laura Erskine · Capita, Stuart Paterson · Independent Assessment Services, Suzie Frew · Maximus View ↗
11 May 2022 Aaron Dryden · Carers UK, Caroline Selman · Public Law Project, Daphne Hall · National Association of Welfare Rights Advisers (NAWRA), Dr Kieran Sharrock · British Medical Association (BMA), Hannah Nicholls-Harrison · Disability Benefits Consortium, Mark Jackson · Marie Curie, Minesh Patel · Mind View ↗
30 Mar 2022 Andy Pike · The Royal British Legion, Caroline Cooke · Forces in Mind Trust, Philip Martin · University of Salford/Sanctions, Support and Service Leavers View ↗
16 Mar 2022 Catherine Hale · Chronic Illness Inclusion Project, Jane Hunt · Association of Disabled Professionals, Jasmine Wyeth · Rethink Mental Illness, Patricia Vespucio · GIPSIL, Sarah Rawlings · MS Society, Tracey Lazard · Inclusion London View ↗
12 Jan 2022 Charles Smith · Citizens Advice, Evan John · Sense, Hannah Nicholls-Harrison · Mencap, Helen Wild · Down’s Syndrome Association, Joanne Gordon · Asbestos Victims Support Groups’ Forum UK, Louise Rubin · Scope, Marc Francis · Zacchaeus 2000 Trust (Z2K), Morgan Vine · Independent Age, Sophie Corlett · Mind View ↗
1 Dec 2021 Dr Paul Litchfield CBE · Department for Work and Pensions, Paul Gray CB · Department for Work and Pensions View ↗

Correspondence

3 letters
DateDirectionTitle
12 Jul 2023 Correspondence with the Minister for Disabled People, Health and Work relating …
7 Sep 2022 Correspondence from the Minister for Disabled People, Health and Work following…
7 Sep 2022 Correspondence from Social Security Scotland in connection with the health asse…