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Nottingham Post
Nottingham Post
World
Linda Howard & Laycie Beck

DWP health conditions most likely to lead to £172 PIP payment

The Department for Work and Pensions' latest statistics show 3.25m people across the UK were claiming Personal Independence Payment (PIP) by the end of January 2023. This included 2.7m people in England, 232,000 in Wales and more than 319,000 claimants in Scotland.

In Scotland, the payment is being replaced by the Adult Disability Payment (ADP), which rolled out nationwide to new claimants at the end of August 2022. From April 10, a successful claim for PIP or ADP is worth between £26.90 and £172.75 each week in additional financial support, with the benefit being paid every four weeks, reports the Daily Record.

For each payment period, this will be between £107.60 and £691.00. Almost 550 health conditions are being supported by PIP or ADP. The independent advice and information forum, Benefits and Work, has conducted research into the latest DWP data to identify which ones are most and least likely to get an award of up to £627.60 each month from the DWP.

The study found the overall average success rate for PIP claims is 52 percent, however, it’s important to understand whether or not an award, if given, depends on how a condition or health issue impacts on a person’s daily living and mobility needs.

Benefits and Work identified that awards for arthritis are above the average rate:

  • Osteoarthritis of other single joint - 56.5 percent
  • Osteoarthritis of Knee - 64.2 percent
  • Osteoarthritis of Hip - 73.8 percent
  • Primary generalised Osteoarthritis - 74.0 percent
  • Rheumatoid arthritis - 74.7 percent

It also found that some conditions are ‘extremely likely’ to get an award:

  • Dementia - 94.1 percent
  • Motor neurone disease - 97.5 percent
  • Down’s syndrome - 99.6 percent
  • Creutzfeldt Jacob disease CJD) - 100 per cent

The research doesn’t indicate levels of payment award or whether someone has been awarded one or both components - daily living or mobility. The official statistics from DWP indicate a significant increase in the number of people claiming for Psychiatric Disorders, which includes a wide number of conditions including anxiety, stress, depression and learning disorders. January saw the nationwide number of claimants for these types of conditions rise to 1,166,695 - an increase of 14,999 from September.

The number of people claiming for Musculoskeletal Conditions such as arthritis, joint, chronic or back pain and hip disorders increased by 10,200 to 1,012,415.

PIP breakdown - January 2023

  • Scotland: 319,336
  • England: 2,700,992
  • Wales: 232,485
  • Total: 3,252,818

Total number of PIP categories:

  • Disability category - 21 (including unknown or missing)
  • Disability Sub Group - 178
  • Disability - 547

Five most commonly recorded disabling conditions

  • Psychiatric disorder - 37 percent of claims

    • This includes mixed anxiety, stress, depressive and mood disorders, OCD and cognitive disorders.

    Musculoskeletal disease (general) - 20 percent of claims

    • This includes muscle or joint pain and arthritic conditions.

    Neurological disease - 13 percent of claims

    • This includes muscular dystrophy, epilepsy, headache, multiple sclerosis, neuropathy and other movement disorders.

    Musculoskeletal disease (regional) - 12 percent of claims

    • This includes neck, back, shoulders, elbow, wrists, hands, hip, knee and ankle pain.

    Respiratory disease - 4 percent of claims

    • This includes asthma, diseases of the upper respiratory tract, pulmonary fibrosis and cystic fibrosis.

    Some 35 percent of all claims with entitlement to PIP at the end of January 2023 are in receipt of the highest level of award.

Disabling conditions and number of claimants - January 2023

These are the main disability categories, the umbrella term by which a total of 547 other conditions fall under. This list is only an overview of conditions, disorders and diseases and how the DWP lists the main disabilities being claimed for.

  • Haematological Disease - 7,300
  • Infectious disease - 9,897
  • Malignant disease - 9,7426
  • Metabolic disease - 4,667
  • Psychiatric disorders - 1,166,695
  • Neurological disease - 403,469
  • Visual disease - 56,351
  • Hearing disorders - 33,424
  • Cardiovascular disease - 80,815
  • Gastrointestinal disease - 27,840
  • Diseases of the liver, gallbladder, biliary tract -11,328
  • Skin disease - 20,835
  • Musculoskeletal disease (general) - 635,450
  • Musculoskeletal disease (regional) - 376,965
  • Autoimmune disease (connective tissue disorders) - 17,596
  • Genitourinary disease - 23,805
  • Endocrine disease - 42,264
  • Respiratory disease - 135,530
  • Multisystem and extremes of age - 1,186
  • Diseases of the immune system - 1,028
  • Unknown or missing - 10,688
  • Total - 3,252,818

State Pension PIP claimants

The DWP data also shows that 486,940 people above State Pension age are receiving payments for PIP. New claims for PIP cannot be made by anyone over State Pension age, however, if a person is in receipt of the benefits when they reach State Pension age - now 66 for everyone in the UK - the award will continue.

State Pension PIP breakdown - January 2023

  • Scotland: 52,676
  • England: 393,654
  • Wales: 40,616
  • Total: 486,940

If you are over 16 and under State Pension age, you may be able to claim PIP to help with a health condition, and if your ability to work is limited due to your symptoms you could be eligible for ‘new style’ Employment and Support Allowance (ESA).

Who is eligible for PIP or ADP?

To be eligible for PIP or ADP, you must have a health condition or disability where you:

  • have had difficulties with daily living or getting around (or both) for 3 months

  • expect these difficulties to continue for at least 9 months

You usually need to have lived in the UK for at least two of the last three years and be in the country when you apply.

In addition to what we have outlined above if you get or need help with any of the following because of your condition, you should consider applying for PIP or ADP.

  • preparing, cooking or eating food
  • managing your medication
  • washing, bathing or using the toilet
  • dressing and undressing
  • engaging and communicating with other people
  • reading and understanding written information
  • making decisions about money
  • planning a journey or following a route
  • moving around

There are different rules if you are terminally ill, you will find these on the GOV.UK website here.

How are PIP and ADP paid?

PIP and ADP are usually paid every four weeks unless you are terminally ill, in which case it is paid weekly. It will be paid directly into your bank, building society or credit union account. ADP is paid at the same rates as PIP.

What are the PIP and ADP payment rates?

You will need an assessment to work out the level of financial help you will receive and your rate will be regularly reviewed to make sure you are getting the right support.

PIP is made up of two components:

  • Daily living

  • Mobility

Whether you get one or both of these and how much depends on how severely your condition affects you.

You will be paid the following amounts per week from April 10 depending on your circumstances:

Daily living

  • Standard rate: £68.10

  • Enhanced rate: £101.75

Mobility

  • Standard rate: £26.90

  • Enhanced rate: £71.00

How you are assessed

You will be assessed by an independent healthcare professional to help the DWP determine the level of financial support, if any, you need, for PIP.

Face-to-face consultations for health-related benefits are offered alongside video calls, telephone and paper-based assessments - it's important to be aware that there is no choice here, it's up to the health professional and DWP.

Adult Disability Payment assessments will not involve face-to-face assessments, unless this is preferred by the claimant - find out more about the changes here. You can find out more about DWP PIP assessments here.

How do you make a claim for PIP?

You can make a new claim by contacting the DWP, you will find all the information you need to apply on the GOV.UK website here.

Before you call, you will need:

  • your contact details

  • your date of birth

  • your National Insurance number - this is on letters about tax, pensions and benefits

  • your bank or building society account number and sort code

  • your doctor or health worker’s name, address and telephone number

  • dates and addresses for any time you’ve spent abroad, in a care home or hospital

Once you have contacted the DWP, they will send you a document to complete which consists of 14 questions. This includes space for any additional information you feel is relevant to your claim.

The questions focus on how your condition affects you, so put as much detail in as you can to help the assessor understand your physical or mental health needs. If you have difficulty filling in your form or understanding the questions, contact your local council and ask for help or Citizens Advice.

There is also an online PIP toolkit with examples of all the questions to help you answer fully with the most relevant information, find out more about this here.

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