
Background
PIP is one of the two disability benefit assessments notorious for the stress, distress and trauma they cause to those who have to go through them and linked to avoidable harm, deaths and suicides since they were rolled out with the intention of realising considerable savings to the welfare budget by the Coalition government. Film-maker Ken Loach described the implementation of welfare reform measures, of which these were part, as “conscious cruelty” on the part of government while journalist John Pring’s book “The Department: how a government department killed hundreds and hid the evidence” documents the extent of the suffering knowingly inflicted by the Department for Work and Pensions through disability benefit processes.
In 2016 the UN disability committee made a finding of grave and systematic violations of disabled people’s rights due to welfare reform and austerity measures following initiation of an unprecedented special inquiry triggered by Disabled People Against Cuts. This was followed in 2017 with a general examination of disability rights in the UK by the committee and damning concluding observations accusing the UK government of causing a “human catastrophe” through cuts. A follow up to the special inquiry that took place from 2023 – 2024 found that no significant improvements had been made since 2016 and that there had been further regression in some areas, most notably welfare reform. At that time, proposals put forward in the Tories white paper threatened to cause further misery, poverty and inequality.
Starmer’s Labour government attempted to proceed with cuts to benefits for Disabled people unable to work, stopped only by losing a high court case. Although they abandoned the Tories white paper, they introduced the Universal Credit and Personal Independence Payment bill, attempting to use financial privilege to push it quickly through Parliament without scrutiny from the Lords. A back bench rebellion resulted in unprecedented scenes within Parliament with the government making concessions actually during the second reading debate in order not to lose the vote (which would have meant the fall of the government) on 1 July. The bill that was passed on 9 July had the PIP cuts entirely removed pending a review (although the remaining elements nevertheless mean cuts for hundreds of thousands of Disabled people).
One of the concessions was expansion of the Timms review of PIP to include a co-production element.
Over-view of the assessment process and why it needs improving
The Timms review interim report rightly describes the PIP assessment process as dehumanising and calls for its improvement. One of the improvements recommended is to make the assessment fairer for people with fluctuating conditions who are disadvantaged within the way that points are currently awarded.
The assessment process focuses on the support needs of applicants divided into two components: mobility and daily living. Points are then awarded on the basis of the level of support need that claimants have with tasks such as washing and getting dressed, preparing food and eating, taking mediation, continence, budgeting, planning and making a journey. Minimal points are given for prompting support with higher scores where a person can only do something either with full support from another person or needs them to do the task for them. Maximum points are only available to people with certain impairments, so for example full points for needing support with communicating is only awarded to people with cognitive impairments such as dementia.
There are two stages to the assessment process: a paper assessment and a face to face or telephone assessment. The PIP backlog has now reduced but at one stage a few years ago there was a waiting time of 12 – 18 months between the paper and the oral assessment. During this time period much can have changed which presents an added excuse for ignoring evidence given in the paper assessment. The gap remains at least a few months long which entails a very anxious wait.
It is common for assessment reports to be riddled with inaccuracies and errors and not to reflect the oral evidence given by the applicant and anyone supporting them in the assessment. Support groups advise applicants to expect to have to go to Mandatory Reconsideration and then appeal every time they are assessed. Re-assessments are due for the majority of claimants every couple of years.
The assessment requires applicants to focus on our very worst days when we are the most dependent on other people. We need to carefully go through everything we cannot do for ourselves and need help with. We have to ask family and friends who provide us with any informal daily support to write statements and give evidence of all the things they have to do for us.
As a Disabled person, mentally surviving in a society that emphasises the importance of individualism and self-reliance requires effort to focus on those things that we can do for ourselves and the positives of our situations. Spending so long and putting so much effort into presenting ourselves as burdens and dependents has a significant negative impact on our mental well-being.
To be going through this and then be treated by assessors as scroungers and liars (the starting assumption is designed to be that the claimant is fraudulent until we prove otherwise) can be nothing short of traumatic. When assessors lie and twist our words after we have shared with them our most personal and intimate details, we feel violated.
If an existing claimant is found ineligible, their benefits and any passported benefits (such as carers’ allowance) cease. This has serious financial implications for families. They may also be charged with benefit fraud for not having told DWP about improvements in their condition since their previous assessment and being required to pay back significant sums of money.
What this means is the threat not just of having your PIP stopped but of suddenly owing thousands of pounds is constantly hanging over your head if you are a claimant. You can never feel secure and that anxiety is always there.
A very good evidence resource for how the assessments affect individual claimants is still the 2018 claimant testimony report published by the Work and Pensions Committee following their 2017 inquiry into benefit assessments. The inquiry was deluged with such an enormous number of submissions from individuals as well as organisations that they published this report alongside their main inquiry report. chrome-extension://efaidnbmnnnibpcajpcglclefindmkaj/https://publications.parliament.uk/pa/cm201719/cmselect/cmworpen/355/355.pdf
Timms Review
The degree to which this represents good practice co-production is debateable. There was a period of consultation before the terms of reference were announced, however the parameters are much more restricted than Deaf and Disabled People’s Organisations wanted. True co-production means Deaf and Disabled people involved at the very start whereas the review was part of the government’s original plans before any co-production was conceded. There are also non-Disabled people involved in the review panel which is not good practice.
The make up of the career panel includes committed activists and researchers and also Disabled careerists who specialise in working with government and who have views that are at odds with those of the disability justice movement.
What is especially notable is the way that the interim report was publicised by DWP with key messages that did not reflect the content of the report, which itself is very good.
For example:
- The report strongly states the fact that the welfare budget is not rising for there is no urgent need to make cuts yet this was not part of the DWP press release. https://www.gov.uk/government/news/first-comprehensive-review-into-pip-finds-it-is-not-fit-for-purpose
- Instead DWP messaging focused in on how PIP stops claimants from taking part in activities such as employment and socialising. The report itself says that this was commented on by only 2% of respondents and is illustrated by an anonymous quote referring to other people that the respondent apparently knows. This testimony is therefore highly unreliable given the invisible nature of some impairments and illnesses, stigma that prevents Disabled people from widely sharing personal information about our support needs, and the dominance of a scrounger narrative within popular perceptions.
The interim report publication was accompanied by a statement from Timms indicating that PIP could be replaced by access to therapy services. This was not part of the review report but rather the subject of research carried out by the Labour-aligned Good Growth Foundation. Although the idea was supported by one of the co-chairs of the review panel in an interview with BBC’s Today programme, it is not likely that all members will agree. https://inews.co.uk/news/pip-cash-payments-replaced-with-therapy-work-support-4635224?srsltid=AfmBOop8bNzY0r4y7CL4G8D96F4vwfsg3XEb1KUMNuagep-DuY5W2qNZ
Days before the report was published, DWP released figures showing how more than four million people now claim PIP and real-terms spending on it is due to rise from £26bn in 2024-25 to £45bn by 2031, according to government forecasts. This was clearly an attempt to build support for the idea of cuts and for the interim review report to be received within that mindset.
In the same week, Secretary of State for Work and Pensions, Pat McFadden claimed that the current PIP system is “struggling to keep pace with a surge in diagnoses of conditions that barely registered when it was built 13 years ago” and indicating that PIP is likely to be cut for claimants with conditions such as ADHD and anxiety. He also “gave the strongest hint so far that Alan Milburn, the government’s youth unemployment tsar, will recommend restricting access to benefits for 16 to 24-year-olds or attaching new work-related conditions to their payments” and “declined to rule out the possibility that savings from welfare reforms could help close the roughly £5bn budget shortfall reported in the wake of the Government’s Defence Investment Plan (DIP).”
This all confirms suspicions held all along by DDPOs and Deaf and Disabled activists that the review is nothing but a smokescreen for cuts and the coproduction element given as a last-minute concession in order to win the vote on 1 July with no intention of giving it any real power. It is unfortunate that individual back bench MPs allowed themselves to fall for this – whether due to naivety, concern for their careers or fear of the repercussions of the government falling at the time when Reform was high in the polls.
The real danger has always been that the review’s inevitable findings regarding the problems with PIP and recommendations for an overhaul of PIP will act as cover for the government to do what it always intended to in making budget savings, with the review report being used as justification for changes to the benefit itself as well as assessment design that lead to dramatic cuts to eligibility, excluding certain groups of Disabled people from cash benefits entirely.
This will result in devastation for claimants and our families on one level and at a societal level to further exponential growths in disability poverty and inequality.
The prospect of an incoming Burnham government gives us no grounds for hope that cuts will be off the table, despite the good work and co-production he was responsible for alongside Deaf and Disabled people in Greater Manchester. He has already publicly expressed concern for the “NEET crisis” and been in talks with Milburn who is strongly committed to cutting disability benefits.
Indications from Burnham and Milburn suggest that future cuts proposals will be more carefully spun as initiatives looking to holistically improve the life chances of Disabled people. However, policies aimed at improving life chances will have to be carefully thought through for any chance of real success while the risk of adverse impacts will be great. The Timms review heard from around 38,000 respondents but the findings do no more than go over well trodden ground in identifying the many problems with PIP. The devil will be in the detail of any proposals recommending any form of cuts or restrictions to the current benefit even when alongside improved access to services. This detail seems to be outside the scope of the panel.
As ever, campaigners need to be prepared to fight to save lives and protect our communities. More details at the end of this post.
To note
- The overall welfare budget is NOT rising. It has stayed largely flat for the previous decade. Numbers of disability benefits claimants are rising. One factor within this is the increasing of the State pension age which means more Disabled people staying on disability benefits for longer before moving onto their pensions. Another is the cost-of-living crisis. There are many more Disabled people eligible for disability benefits than claim at anyone time. Increasing pressures on finances, stagnating wages and the rise of low paid, insecure employment (in which Disabled workers are over-represented) mean more people applying for PIP for extra income just to get by each month. And yet another is the way that society is increasingly disabling through multiple factors which increase pressures on working class life. https://inequalities.substack.com/p/disability-benefits-and-the-budget
- Government plans to replace the PIP cash benefit with access to services are terrifying rather than reassuring. PIP was intended as an extra cash payment to help with the additional costs of being Disabled. Findings by the charity Scope show that households with a Disabled member need an extra £1,095 each month on average just to have the same standard of living as non-disabled households. This is less even the highest award of PIP. Claimants are increasingly forced to instead spend their benefits on ordinary living costs which are spiralling such as bills and food. Additional disability-related support is a bonus but cannot replace essential income without pushing high additional numbers into poverty. PIP is also being used to replace services which have suffered cutbacks such as social care support and Access to Work. Although currently a non-means-tested benefit, successive governments have sought to tie it to work in some way in order to ramp up pressures on the working class to take jobs regardless of pay and conditions. Quicker access to NHS services and access to services such as mental health support and support with domestic tasks is welcome. However, improved access cannot be linked in any way to cuts and must precede any reductions in eligibility to cash benefits. Only this can guarantee that the lives of Disabled people improve rather than worsen. An additional question is whether the investment required to improve access to services to the degree needed to retain rather than worsen living standards for claimants is not more costly than the status quo. It far more efficient and effective for claimants to source our own support with cash payments than to be forced into the one size fits all model of support we are used to being offered given the heterogeneity of needs across the Disabled population and even within individual impairment groups.
- Disability poverty has risen dramatically to what are crisis levels. In the UK, nearly half of all people in poverty are either disabled or live with a disabled person, with the poverty rate for families containing a disabled person sitting significantly higher than non-disabled households. In the UK, 28% of disabled people live in poverty—around 8 percentage points higher than the non-disabled rate. Disabled working-age adults (33%) are almost twice as likely to live in poverty. https://www.jrf.org.uk/uk-poverty-statistics/disability
- Politicians choose to ignore the adverse impacts of benefit cuts. Rather than engage with the factors behind rising need for disability benefits, successive government prefer to deny the realities of disability, demonise claimants and cut eligibility regardless of the consequences for those who will be adversely impacted. In my high court case against the government’s decision to make changes to the Work Capability Assessment in order to cut eligibility for out of work disability benefits for people with mental health support needs it was revealed that ministers had been advised the cuts would lead to worsening mental health including suicides. And they simply didn’t care. Their concern was rather to spin their proposals to disguise those impacts from the public.
- When politicians talk about “sickness benefits” they are referring to disability benefits for which only those with the highest levels of disability support need are eligible. This reframing allows them to sound reasonable and build public support for cutting them.
Action to Take Now
What we suggest people should do over the summer recess is to contact their MPs either by email or in person if possible to tell them why PIP is important to them and why it is vital it remains a cash payment rather than some other option like vouchers or therapy. You can find your MP’s contact details at
https://members.parliament.uk/members/commons












