The following Statement was made in the House of Commons on Monday 29 April.

“With permission, Mr Deputy Speaker, I shall make a Statement on the consultation we are launching today on the changes to the personal independence payment, which aim to create a benefits system that can best support disabled people and people with long-term health conditions to live full and independent lives.

This Government’s priority is to make sure that our welfare system is fair and compassionate: fair on the taxpayer by ensuring that people of working age who can work do work; and fair on those in most need of the state’s help. Welfare at its best is about more than just benefit payments; it is about changing lives for the better.

In recent years the Government have delivered successive reforms to create a system that is fairer and more compassionate while providing value for the taxpayer. We have reformed an outdated and complex legacy benefits system and introduced universal credit—a new, modern benefit that ensures people are better off in work than on benefits. Last year we published a landmark White Paper announcing significant reforms to focus the welfare system on what people can do rather than what they cannot. We are delivering our £2.5 billion back to work plan, substantially expanding the employment support to help more disabled people and people with health conditions to start, stay and succeed in work. Our reforms to the work capability assessment will better reflect the opportunities in the modern world of work and ensure that more people get the support they need to move into employment, while protecting those unable to work, and in February we published the Disability Action Plan to make this country the most accessible place in the world for people to live, work and thrive.

In addition, the Government have provided unprecedented help for the most vulnerable, including by implementing one of the largest cost of living support packages in Europe, which prevented 1.3 million people from falling into absolute poverty during a time of global inflationary pressures. We have increased benefits by 6.7% and raised the local housing allowance, benefiting 1.6 million households by an average of around £800 this year.

Our approach to transforming the benefits system for disabled people and people with long-term health conditions is guided by three important priorities: providing the right support to the people who need it most; targeting our resources most effectively; and supporting disabled people to reach their full potential and to live independently.

Although we have made significant progress, the disability benefit system for adults of working age is not consistently providing support in the way that was intended. It has been more than a decade since the introduction of the personal independence payment. The intention was that it would be a more sustainable, more dynamic benefit that would provide better targeted support to help disabled people with the extra costs arising from their disability. However, the nature and understanding of disability and ill health in Britain have changed profoundly since then, and the clinical case mix has evolved in line with those broader changes, including many more people applying for disability benefits with mental health and neurodivergent conditions.

Since 2015, the proportion of the case load receiving the highest rate of PIP has increased from 25% to 36%. Some 7% of working-age people in England and Wales are now claiming PIP or disability living allowance, which is forecast to rise to 10% by 2028-29. In 2022-23, the Government spent £15.7 billion on extra costs disability benefits for people of working age in England and Wales, and the Office for Budget Responsibility has forecast that the cost will rise to £29.8 billion in nominal terms by 2028-29. There are now more than 33,000 new awards for PIP per month. That figure has almost doubled since the pandemic.

With almost a quarter of the adult population now reporting a disability—up from 16% in 2013—I believe that now is the time for a new conversation about how the benefits system can best support people to live full and independent lives. Today I am launching a consultation to explore changes that could be made to the current PIP system to ensure that support is focused where it is most needed. These options include: making changes to eligibility criteria for PIP; redesigning the PIP assessment to better target it towards the individual needs of disabled people and people with health conditions, including exploring whether people with specific health conditions or disabilities can be taken out of PIP assessments altogether; and reforming the PIP assessment so that it is more linked to a person’s condition. We are also consulting on whether we should make fundamental changes to how we provide support to disabled people and people with a health condition.

We know that any additional costs arising from a disability or health condition, which PIP is intended to help with, can vary significantly and are unique to the individual’s circumstances. Some people on PIP may have relatively small one-off costs, such as walking aids or aids to help with eating and drinking, or ongoing additional costs related to their disability or health condition, such as help around the home or running a ventilator. Some claimants’ costs will be fully covered by their award, while others may find the current system does not provide enough support to meet their needs, yet the current system operates a one-size-fits-all model and does not channel people towards bespoke support tailored to an individual’s needs. We recognise that better, more targeted support could be provided by other local services.

Our plans include exploring how the welfare system could be improved with new approaches to providing support, such as: moving away from a fixed cash benefit system, so that people can receive more tailored support in line with their needs; exploring how to better align the support PIP offers with existing services and offers of support available to disabled people and people with health conditions; and exploring alternative ways of supporting people to live independent and fulfilling lives, which could mean financial support being better targeted at people who have specific extra costs, but could also involve improved support of other kinds, such as respite care or physical or mental health treatment, aiming to achieve better outcomes for individuals.

Crucially, we want to explore whether we can achieve our aims within the current structure of health and disability benefits, or whether wider change is needed. We are consulting over the next 12 weeks to seek views from across society, including disabled people and representative organisations, to ensure that everyone has a chance to shape welfare reforms that will modernise the support provided through the benefits system.

We know that these reforms are significant in their scale and ambition, but we will not shy away from the challenges facing our welfare system today. We owe that to the millions of people who rely on it and to the hard-working people whose taxes underpin it. That is what the next generation of welfare reforms is all about. These proposals will help to create a benefits system that can better support disabled people and people with long-term health conditions to live full and independent lives, and they are a crucial part of my mission to ensure that the welfare system is fair and compassionate and that it provides the right help to those who need it most. I commend this Statement to the House”.