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To ask the Secretary of State for Health and Social Care, what assessment she has made of the effectiveness of how mental capacity assessments are applied by mental health providers and the mental health workforce.
To ask the Secretary of State for Health and Social Care, what assessment she has made of the effectiveness of how mental capacity assessments are applied by mental health providers and the mental health workforce.
The Mental Health Act Code of Practice is already clear that practitioners should be familiar with the provisions of the Mental Capacity Act. We will look at how we can improve guidance on capacity and assessment of capacity to professionals in the revised Mental Health Act Code of Practice.
To ask the Secretary of State for Work and Pensions, what consideration is being given to introducing specialist assessor training on autism and learning disabilities to ensure that PIP assessments accurately capture the impact of such conditions on daily living and independent functioning.
To ask the Secretary of State for Work and Pensions, what consideration is being given to introducing specialist assessor training on autism and learning disabilities to ensure that PIP assessments accurately capture the impact of such conditions on daily living and independent functioning.
Personal Independence Payment (PIP) assessments are functional assessments designed to consider how a person’s health conditions or impairments affect their ability to carry out daily living and mobility activities. They do not require health professionals (HPs) to diagnose conditions or recommend treatment.
All assessment suppliers are required to ensure that HPs have appropriate training and knowledge of the clinical aspects and likely functional effects of a wide range of health conditions and impairments, including Autism and learning disabilities. All HPs undertaking assessments on behalf of the department must be registered practitioners and receive comprehensive training in disability analysis, including how to assess the impact of health conditions on day-to-day activities, alongside awareness training covering a range of conditions, symptoms and disabilities.
From 9 September 2024 the educational material for all Health Assessment Advisory Service HPs has been provided by DWP. As part of our review, we identified best practice in the NHS and have implemented the Oliver McGowan training as part of the mandatory training requirements for every HP. This training is recognised to be of significant value to HPs in ensuring they have the skills and knowledge to provide safe, informed, and compassionate assessments to claimants with autism and learning disabilities.
In addition, HPs have access to a wide range of Core Training and Guidance Materials (CTGM). These resources offer detailed clinical and functional information, including the potential risks and limitations of a range of conditions, including autism and learning disabilities, to support HPs in delivering informed assessments. Following the transfer of responsibilities to DWP all training and guidance materials are undergoing a comprehensive review and update. A newly established team is leading this work, ensuring that all materials are aligned with national best practice standards. To support this, independent clinical experts are being engaged to provide external quality assurance, helping to ensure the accuracy, relevance, and consistency of the content.
To ask the Secretary of State for Work and Pensions, what steps his Department is taking through the Timms Review of Personal Independence Payment (PIP) to assess whether the current PIP assessment process adequately reflects the needs and circumstances of claimants with autism and learning disabilities.
To ask the Secretary of State for Work and Pensions, what steps his Department is taking through the Timms Review of Personal Independence Payment (PIP) to assess whether the current PIP assessment process adequately reflects the needs and circumstances of claimants with autism and learning disabilities.
The Timms Review seeks to ensure that PIP is fair and fit for the future. The Review's terms of reference set out a broad scope to ensure that PIP effectively captures the impact of long-term health conditions and disabilities in the modern world.
The Review is being co-produced with disabled people, the organisations that represent them, and other experts. The steering group has shaped a programme of participation that brings together the full range of views and voices, including those with autism and learning disabilities.
The interim report of the Timms Review found that PIP as a benefit is no longer fit for purpose and is failing to keep pace with how disability, health and work have changed over the past decade.
The next phase of the Review is testing and refining recommendations for reform. The Review will report its recommendations to the Secretary of State in autumn.
To ask the Secretary of State for Work and Pensions, what steps his Department is taking to ensure that Personal Independence Payment assessors have appropriate training to assess complex and less widely understood medical conditions.
To ask the Secretary of State for Work and Pensions, what steps his Department is taking to ensure that Personal Independence Payment assessors have appropriate training to assess complex and less widely understood medical conditions.
Personal Independence Payment assessments are not medical consultations and do not require health professionals (HPs) to diagnose conditions or recommend treatment. Instead, they are functional assessments designed to evaluate how an individual’s health conditions or impairments affect their ability to carry out daily living and mobility activities.
All HPs undertaking assessments on behalf of the department must be registered practitioners; they receive comprehensive training in disability analysis, including how to assess the impacts of medical conditions on people’s day-to-day activities, as well as awareness training in a range of conditions, symptoms and disabilities. Assessment suppliers are required to demonstrate that HPs meet all our requirements before they are approved to carry out assessments on behalf of DWP.
HPs have access to a wide range of Core Training and Guidance Material (CTGM), which offers detailed and quality assured clinical and functional information on a range of conditions. There are thousands of unique clinical conditions, most of which have a range of functional effects where disability can vary from nil to profound. It would be impossible to have specific training on all conditions. There are over 23,000 rare diseases alone listed in the Orphanet directory.
As of 9 September 2024, DWP assumed responsibility for the CTGM used within the Health Assessment Advisory Service (HAAS); this information is provided by DWP to the HAAS assessment suppliers. Following the transfer of responsibilities to DWP, all training and guidance materials are currently undergoing a comprehensive review and update. A newly established team is leading this work, ensuring that all materials are aligned with national best practice standards. To support this, independent clinical experts are being engaged to provide external quality assurance, helping to ensure the accuracy, relevance, and consistency of the content.
Frequently Asked Questions about ADHD statistics in England, including prevalence, waiting lists, and waiting times.
Frequently Asked Questions about ADHD statistics in England, including prevalence, waiting lists, and waiting times.
To ask the Secretary of State for Work and Pensions, how many claimants are awaiting reassessment for Personal Independence Payment.
To ask the Secretary of State for Work and Pensions, how many claimants are awaiting reassessment for Personal Independence Payment.
The total number of cases outstanding at all stages of the Personal Independence Payment Award Review (PIP) process, at the end of May 2026 is 300,000.
Please note this data is derived from unpublished management information, which was collected for internal Departmental use only, and has not been quality assured to National Statistics or Official Statistics publication standard and represents England and Wales only. The figure has been rounded to the nearest 10,000 cases.
All claims remain in payment whilst award reviews are in progress and award increases identified during a planned review will be backdated as appropriate. Should customers report a change of circumstance and trigger an unplanned review, their claim will be prioritised alongside new claims.
We are committed to ensuring people can access financial support through PIP in a timely manner. Reducing customer journey times for our claimants is a priority for the Department and we are working constantly to make improvements to our service.
We know PIP can be improved, which is why we launched the Timms Review, which is being co-produced with disabled people and their organisations to ensure the benefit is fair and fit for the future. The Review aims to report to the Secretary of State for Work and Pensions in Autumn 2026 and we have committed to reporting its outcomes to Parliament.
To ask the Secretary of State for Work and Pensions, what assessment he has made of the potential impact of repeated disability benefit assessments on the mental and physical wellbeing of claimants, including people with autism spectrum disorder and other neurodevelopmental conditions; and whether her Department has assessed the potential...
To ask the Secretary of State for Work and Pensions, what assessment he has made of the potential impact of repeated disability benefit assessments on the mental and physical wellbeing of claimants, including people with autism spectrum disorder and other neurodevelopmental conditions; and whether her Department has assessed the potential...
The Timms Review is considering the role of PIP in enabling disabled people and those with long-term health conditions to live independently and participate fully in society, and how it can remain fair and fit for the future. Listening to the lived experience and expertise of disabled people, including concerns about repeat assessments, is critical to the Review’s success. The Review will report its recommendations to the Secretary of State in the Autumn.
Lords motion to regret. Disagreed to on division (64 to 95).
Lords motion to regret. Disagreed to on division (64 to 95).
May I start by saying how delighted I am to see the Minister in her place?
My Lords, these regulations make a significant change to the way in which personal independence payment awards are reviewed. They allow the Secretary of State to extend an existing fixed-term PIP award whenever Ministers consider...
May I start by saying how delighted I am to see the Minister in her place?
My Lords, these regulations make a significant change to the way in which personal independence payment awards are reviewed. They allow the Secretary of State to extend an existing fixed-term PIP award whenever Ministers consider...
My Lords, I speak in favour of these regulations. Despite the case made by the noble Baroness, Lady Stedman-Scott, there was much in what she said about the purpose of reviews with which I agree: they are in the interests of the claimants and of the public, in that they...
My Lords, I speak in favour of these regulations. Despite the case made by the noble Baroness, Lady Stedman-Scott, there was much in what she said about the purpose of reviews with which I agree: they are in the interests of the claimants and of the public, in that they...
My Lords, it is a pleasure to follow the noble Lord, Lord Davies, and to join the, I am sure, widespread view around the House in welcoming the continuing presence of the Minister, the noble Baroness, Lady Sherlock,
in her position. Personally, I consider that a delight, even though I...
My Lords, it is a pleasure to follow the noble Lord, Lord Davies, and to join the, I am sure, widespread view around the House in welcoming the continuing presence of the Minister, the noble Baroness, Lady Sherlock,
in her position. Personally, I consider that a delight, even though I...
What is new?
What is new?
If Hansard did not catch that, the comment from the Opposition Front Bench was, “What is new?”
I begin by making a very simple point. The way in which the outcomes of the reviews of all the payments we are discussing have been conducted, particularly the personal independence payments, are causing...
If Hansard did not catch that, the comment from the Opposition Front Bench was, “What is new?”
I begin by making a very simple point. The way in which the outcomes of the reviews of all the payments we are discussing have been conducted, particularly the personal independence payments, are causing...
My Lords, it is a pleasure to follow the noble Baroness, Lady Bennett. I support the regret Motion tabled by my noble friend Lady Stedman-Scott for the reasons that she set out so clearly in her excellent introductory speech. But before I go into that, I too want to say...
My Lords, it is a pleasure to follow the noble Baroness, Lady Bennett. I support the regret Motion tabled by my noble friend Lady Stedman-Scott for the reasons that she set out so clearly in her excellent introductory speech. But before I go into that, I too want to say...
Does the noble Baroness acknowledge that we should look at our society and ask why we might be suffering from higher levels of those conditions, and why people are not able to find a place in our society, as well as looking at biology?
Does the noble Baroness acknowledge that we should look at our society and ask why we might be suffering from higher levels of those conditions, and why people are not able to find a place in our society, as well as looking at biology?
I am sure the noble Baroness is right, and I thank her for that point. She has posed a very broad question, and I fear I would detain the House for much too long if I tried to answer it with the seriousness it definitely deserves.
I want to touch on...
I am sure the noble Baroness is right, and I thank her for that point. She has posed a very broad question, and I fear I would detain the House for much too long if I tried to answer it with the seriousness it definitely deserves.
I want to touch on...
My Lords, it is a pleasure to follow my noble friend Lady Maclean of Redditch. I want to take a slightly a bigger picture view to explain why I support the Motion. My greatest fear, as a severely disabled person, is that the overall benefits bill, particularly the cost to...
My Lords, it is a pleasure to follow my noble friend Lady Maclean of Redditch. I want to take a slightly a bigger picture view to explain why I support the Motion. My greatest fear, as a severely disabled person, is that the overall benefits bill, particularly the cost to...
My Lords, we all recognise that the control of public spending matters. It is right that Governments examine whether money is being spent effectively and whether benefits are achieving the purpose for which they are intended, but that must not be the starting point for today’s debate.
It is about...
My Lords, we all recognise that the control of public spending matters. It is right that Governments examine whether money is being spent effectively and whether benefits are achieving the purpose for which they are intended, but that must not be the starting point for today’s debate.
It is about...
My Lords, I am grateful to the noble Baroness, Lady Stedman-Scott, for introducing her Motion. I am also grateful to all noble Lords for their contributions, and I appreciate their many kind words. If I had even a moment’s thought that they meant I would get away with anything at...
My Lords, I am grateful to the noble Baroness, Lady Stedman-Scott, for introducing her Motion. I am also grateful to all noble Lords for their contributions, and I appreciate their many kind words. If I had even a moment’s thought that they meant I would get away with anything at...
My Lords, I thank all noble Lords who have spoken, and I thank the Minister for her response. I agree completely with the noble Lord, Lord Palmer, that disabled people need to be treated with dignity and respect. On these Benches, we completely sign up to that. My noble friends...
My Lords, I thank all noble Lords who have spoken, and I thank the Minister for her response. I agree completely with the noble Lord, Lord Palmer, that disabled people need to be treated with dignity and respect. On these Benches, we completely sign up to that. My noble friends...