Personal Independence Payment: Official Statistics to October 2021
Published 14 December 2021
Applies to England, Scotland and Wales
The latest release of these statistics can be found in the collection of Personal Independence Payment statistics.
Coverage: Great Britain
Frequency: Quarterly
Next Release: 15 March 2022
1. Main Stories
These Personal Independence Payment (PIP) statistics show ongoing disruption from the changes caused by the COVID-19 pandemic in some parts of the PIP process, but recovery in others.
Planned award reviews and some DLA reassessment activity restarted during July 2020, and activity initiated by customers gradually resumed throughout the second half of 2020 and the early part of 2021, although some disruption remains. In the quarter ending October 2021 there were:
- 180,000 registrations for new claims, the highest quarterly level of new claim registrations since PIP began
- 25,000 reported changes of circumstance
- 21,000 registrations for DLA reassessments
- 120,000 planned award review registrations
- 71,000 MR registrations
As at 31 October 2021 there were 2.8 million claimants entitled to PIP (caseload), with just over one in three cases (35%) receiving the highest level of award.
From April 2013 to October 2021:
- 6.2 million claims to PIP were registered
- 5.9 million claims have been cleared, with 42% of normal rules new claims, 71% of normal rules DLA reassessment claims, and 99% of SRTI claims receiving an award (excluding withdrawn claims)
- 1.7 million claims had an Award Review registered
- 450,000 claims reported a change in circumstances
- 2.0 million Mandatory Reconsiderations (MRs) have been registered and 1.9 million MRs cleared
For initial decisions following a PIP assessment during April 2013 to June 2021:
- 39% of completed MRs against initial decisions following a PIP assessment went on to lodge an appeal
- 14% of appeals lodged saw DWP change the decision in the customer’s favour before the appeal was heard at tribunal (known as “lapsed” appeals)
- 5% of initial decisions were overturned (revised in favour of the customer) at a tribunal hearing
By the end of October 2021, 1.8 million people in Great Britain had DLA reassessment claims to PIP cleared, of whom 86% were aged 16 to 64 when PIP was introduced on 8 April 2013 and 14% were “Rising 16s” - child DLA claimants who reached the age of 16 years after that date.
- For working age claimants, 75% of those who registered received an award, and 460,000 (29%) of the cases registered were awarded PIP at the highest rate (enhanced daily living and enhanced mobility components). This compares with 250,000 (16%) under DLA
- For rising 16s, 64% of those who registered received an award, and 98,000 (37%) of the cases registered were awarded PIP at the highest rate (enhanced daily living and enhanced mobility components). This compares with 27,000 (10%) under DLA
2. What you need to know
This summary contains official statistics on Personal Independence Payments (PIP). PIP helps with some of the extra costs caused by long-term disability, ill-health or terminal ill-health. From 8 April 2013 DWP started to replace Disability Living Allowance (DLA) for working age people with PIP.
The release includes PIP claims for both new customers and those with an existing entitlement for DLA (known as DLA reassessments). The majority of all claims fall under normal rules, while a small proportion fall under special rules for terminal illness (SRTI).
The statistics cover the PIP customer journey from registration through to decision, ongoing entitlement, award review, mandatory reconsideration (MR) and appeal. They include volumes of claimants entitled to PIP at a point in time (caseload), registrations and clearances for different stages of the journey (initiation of claims, award reviews and MRs), outcomes at clearance and median clearance times, plus customer journey statistics tracking initial decisions following a PIP assessment.
COVID-19 changes to 31 October 2021
In response to COVID-19, DWP made a number of changes to its benefit processes to ensure people who need financial help have access to the benefit system in a timely way:
- DWP decided to temporarily suspend face-to-face health assessments. This was to reduce the risk of exposure to coronavirus and safeguard the health of those claiming health and disability-related benefits, many of whom are likely to be at greater risk due to their pre-existing health conditions. New claims and changes of circumstances were still accepted and payments continued to be made
- DWP also suspended all routine re-assessments and reviews of disability benefits – i.e. DLA to PIP reassessments and routine award reviews for those already claiming PIP. All PIP award reviews and DLA to PIP reassessments which had not yet had an assessment booked were delayed and existing awards due to expire were automatically extended to ensure continuity of financial support. Planned award reviews and some DLA reassessment activity resumed during July 2020
- COVID-19 provisions were put in place in March 2020 and the Department continues to review and amend working practices where appropriate
Summary of Customer Journey
During the current COVID-19 pandemic, some of the steps that a PIP claimant would follow have been changed. A typical customer journey is as follows, with COVID-19 changes highlighted:
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Claimant registers their claim to PIP
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DWP issues the “How your disability affects you” (PIP2) form, for completion by the claimant
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Claimant completes and returns PIP2 form – this can lead to: a) automatic referral to the Assessment Provider (AP); b) disallowance of the claim based on the information in the PIP2 form; or c) disallowance of the claim if the claimant fails to return the PIP2 form without being identified as having additional support needs
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Under normal circumstances, the claimant may have their claim assessed based on the paper evidence already submitted, or may be called for a face-to-face assessment conducted by the AP. However, under COVID-19 provisions, telephone assessments have replaced the face-to-face channel. The claimant may: a) attend and participate in their assessment; or b) fail to attend or participate in the assessment, which can lead to disallowance
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DWP makes a decision based on the AP advice and any additional evidence received. The outcome may be: a) an award (including a monetary amount of the award for both Daily Living and Mobility components, the award type and, if appropriate, the period of time that should be allowed before a review of the award takes place); or b) a disallowance due to failing the assessment
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Payment commences
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When the claim is in payment, a claimant must report any changes of circumstance relating to the claim, and this may lead to a review of the award
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Claims may undergo a planned award review when they reach the end of their review period (unless they received an ongoing award, where they’ll receive a light touch review after 10 years)
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In the case of a reported change of circumstance or a planned award review, an “AR1” form is issued
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If the claimant disagrees with a decision on their claim, including where an award has been given, they can ask for a Mandatory Reconsideration (MR)
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After the MR has been completed, if the claimant still disagrees with the decision they are able to lodge an appeal with HM Courts and Tribunal Service (HMCTS)
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Some appeals are cleared without a tribunal hearing, where the following outcomes are possible: a) withdrawn by the customer, or struck out by the tribunal; or b) lapsed - where DWP change the decision in the customer’s favour
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Some appeals are cleared at a tribunal hearing, where the following outcomes are possible: a) DWP decision upheld by the tribunal; or b) DWP decision overturned by the tribunal. Under COVID-19 provisions, face to face hearings were replaced by telephone or video hearings, alongside paper-based hearings.
Figures in this bulletin are rounded in accordance with the DWP rounding policy. As a result, unrounded figures from the underlying data available on Stat Xplore or in accompanying tables may not sum exactly to the rounded totals.
Further detail is given at the end of this release in the About these statistics section.
A methodological note is also available with additional detail on definitions, methodology and data quality issues.
3. PIP Claim Activity: Registrations, Reviews and Clearances
This section covers the volumes of main activities triggered by key points of the PIP customer journey, typically through:
- an initial registration for a claim
- the clearance of the claim when a decision is made as to whether or not PIP should be awarded
- a planned award review, which is an opportunity to look at entitlement at set intervals to ensure a claimant continues to receive the correct award
- the claimant reporting a change of circumstances around their condition or needs arising. The award is reviewed to ensure that they continue to receive the correct entitlement and this may or may not lead to a change in award
New claims, DLA reassessments, award reviews and changes of circumstance are considered together as volumes across different series are interdependent.
All registrations, clearances and reviews April 2013 to October 2021
Source: PIP Statistics to October 2021, Stat-Xplore
Between April 2013, when PIP began, and October 2021, 6.2 million claims have been registered for PIP, and 5.9 million of the registered claims have been cleared.
Of these:
- 4.2 million registrations (68%) are new claims whilst 2.0 million (32%) are DLA reassessment claims
- 190,000 (3%) were registered under SRTI while the rest (97%) were under normal rules
- 3.1 million clearances (52%) were awarded PIP, 2.7 million (46%) had their claim disallowed and 110,000 (2%) withdrew their claim
1.7 million claims have had a planned award review registered and 450,000 claims have reported a change in circumstances between April 2013 and October 2021.
Note that “Award Reviewed” and “Change of Circumstance Reported” totals include cases where an award was made following an initial disallowance then a change of decision at MR or appeal. These awards are not included in the “Awarded” total.
You can view an interactive dashboard of the latest PIP statistics by region.
Monthly Registrations for initial claims, planned award reviews and changes of circumstance, all claims to October 2021
Source: PIP Statistics to October 2021, Stat-Xplore
Registration activity fluctuates month on month. Initial new claim and change of circumstance registrations tend to follow a stable pattern of gradual increase over time and seasonal dips each December. Levels of DLA reassessment and planned award review activity can be adjusted by the department when this is required to actively manage operational resource and achieve a balance in workflows between the two activities.
From March 2020 onwards, COVID-19 provisions were put in place. There were major changes in DWP policy and customer behaviour, with:
- a reduction in activity initiated by customers (registrations for new claims and reported changes in circumstance)
- a temporary halt to DLA reassessment and award review activity except where a DLA customer reported a change in circumstance
Planned award reviews restarted during July 2020, and customer-initiated activity has gradually resumed, although some disruption to activity remains across all areas. Some DLA reassessment activity also restarted during July 2020, for cases where a DLA claimant reports a change of circumstances, reaches the age of 16 (18 in Scotland from 1 September 2020) or voluntarily claims PIP, although new invitations to claim PIP for working age DLA claimants are not currently being sent out.
Latest quarterly figures to October 2021 show:
- 180,000 registrations for new claims, the highest quarterly level of new claim registrations since PIP began
- 25,000 reported changes of circumstance
- 21,000 registrations for DLA reassessments
- 120,000 planned award review registrations
Under normal circumstances, this release would provide a comparison of the latest figures with the equivalent period a year earlier. However, the quarter ending October 2020 covered a period when the COVID-19 pandemic significantly affected both the processes followed by the Department, and customer behaviour. This caused significant disruption to all the statistics, with some disruption remaining in many areas. Therefore, such comparisons would not be meaningful
Monthly Clearances for initial claims, planned award reviews and changes of circumstance, all claims to October 2021
Source: PIP Statistics to October 2021, Stat-Xplore
Clearance activity patterns are driven by patterns in registration activity, lagged by the time it takes to process claims and reviews. However, since processing time is also affected by available capacity there is more variation especially in periods with processing backlogs.
From March 2020 onwards, disruption due to COVID-19 affected volumes of clearances for all activities - Assessment Providers switched from face-to-face to telephone assessments, and in the first few weeks of the COVID-19 pandemic efforts were made to clear residual claims in the system from before COVID-19 measures were put in place, giving rise to an initial spike in clearance volumes. Although the effects of the disruption due to COVID-19 have reduced in many areas, they continue in some parts of the process.
Latest quarterly figures to October 2021 show:
- 170,000 clearances for new claims
- 27,000 changes of circumstance were cleared
- 17,000 clearances for DLA reassessment claims
- 100,000 planned Award Reviews were cleared
For the reasons explained above, we have not provided a comparison for the equivalent period a year earlier.
See Stat-Xplore for more information on registrations and clearances for new claims, DLA reassessments, planned award reviews and changes of circumstance.
This latest release (December 2021) sees the release of award review statistics on Stat-Xplore for the first time, replacing the static tables that were published previously. Users can now create their own tables containing registrations and clearances for planned award reviews and changes of circumstance broken down by a range of factors.
4. Clearance outcomes – Awards
A clearance is defined as the resolution of an initial registration, and includes all possible outcomes – awards, disallowances and withdrawals. Where an assessment takes place, a decision is made on whether to award PIP or to disallow the claim, though disallowances and withdrawals can occur prior to assessment. For further detail see the steps of the customer journey outlined in section 2 of this release.
Two different rates can be calculated to show the proportion of cases that result in an award:
- The award rate gives the proportion of claims where PIP is awarded - the number of cases awarded divided by the total number of cases cleared (this calculation can include or exclude cases that are withdrawn, with both series published separately in National Tables 1A – C)
- The assessment award rate gives the proportion of assessments where a decision is made to award PIP - the number of cases awarded divided by the total number of cases where an assessment has taken place (excluding withdrawn cases and those that are disallowed prior to assessment)
Award rates and assessment award rates can vary over time because the number of awards being made changes, but also because the number of cases that are withdrawn or disallowed varies. This can be affected by operational timescales for different parts of the process, and in particular the deadline allowed for return of the PIP2 form (with automatic disallowance of cases where the form is not returned within that deadline) which is sometimes altered. This can contribute to volatility in the series.
Award rates and Assessment award rates to October 2021
Source: PIP Statistics to October 2021, Stat-Xplore
Award rates for all claims (excluding withdrawn cases) between April 2013 and October 2021 show that:
- 42% receive an award for normal rules new claims
- 71% receive an award for normal rules DLA reassessment claims
- 99% of SRTI claimants are awarded PIP
By the end of October 2021:
- 3.0 million (75%) of new claims had an assessment
- 1.8 million (91%) of DLA reassessment claims had an assessment
- all remaining claims were disallowed (either pre-assessment or through failing to attend the assessment), or withdrawn
Assessment award rates for all decisions made between April 2013 and October 2021 (normal rules, excluding cases where an assessment has not been completed) show that:
- 55% of assessments result in an award for new claims
- 78% of assessments result in an award for DLA reassessment claims
From April 2020, COVID-19 impacted award rates and assessment award rates as assessment methods changed from face-to-face to telephone assessments. Trends were distorted during the transitional period to COVID-19 measures. The disruption continues to affect award rates in the quarter ending October 2021 for DLA reassessment claims, though new claims have been similar to the pre-COVID-19 period since October 2020.
Patterns in award rates over recent months have been driven in part by patterns of disallowance due to non-return of PIP2 forms. Between late February and late May 2021, the time allowed to return the PIP2 was extended from one month to three months to reflect the additional challenges claimants faced in accessing the necessary support and collating supporting evidence. During this period, award rates were higher than usual because there were fewer disallowances relative to the number of awards. Since times reverted to the standard one month deadline, award rates have dropped as there have been a higher than usual number of disallowances to include those who would have been disallowed at an earlier point under current rules.
Latest figures for normal rules claims show:
- 41% of all new claim clearances (excluding withdrawn) and 48% of those who were assessed received an award in October 2021
- 64% of all DLA reassessment clearances (excluding withdrawn) and 69% of those who were assessed received an award in October 2021
For the reasons explained previously, we have not provided a comparison for the equivalent period a year earlier.
Assessment award rates vary by disabling condition. A PIP claimant’s main disabling condition is recorded during their assessment in over 99% of cases. Customers who are disallowed prior to their assessment, fail to attend their assessment or withdraw their claim will not have a main disabling condition recorded.
Of those claims that have had an assessment under normal rules, 81% of new claims and 88% of DLA reassessment claims are recorded as having one of the five most common disabling conditions:
- psychiatric disorders (which includes mixed anxiety and depressive disorders)
- musculoskeletal disease (general)
- musculoskeletal disease (regional)
- neurological disease
- respiratory disease
Assessment award rates (new claims, normal rules) by main disabling condition to October 2021
PIP New Claim Assessment Award Rates (normal rules) | Percentage |
---|---|
Psychiatric disorders | 52% |
Musculoskeletal disease (general) | 61% |
Musculoskeletal disease (regional) | 58% |
Neurological disease | 62% |
Respiratory disease | 55% |
Other | 50% |
Source: PIP Statistics to October 2021, Stat-Xplore
Assessment award rates (reassessed claims, normal rules) by main disabling condition to October 2021
PIP Reassessed Claim Assessment Award Rates (normal rules) | Percentage |
---|---|
Psychiatric disorders | 73% |
Musculoskeletal disease (general) | 85% |
Musculoskeletal disease (regional) | 82% |
Neurological disease | 84% |
Respiratory disease | 82% |
Other | 71% |
Source: PIP Statistics to October 2021, Stat-Xplore
Those claims shown as “other” in the tables cover a wide variety of conditions with a broad range of assessment award rates.
If a PIP award is made, entitlement to PIP commences from the date of claim, or from the date the three month qualifying period was satisfied (for new claims), or from around 4 weeks after the PIP decision (for DLA reassessment claims). Claimants generally receive payment during the period for which they have entitlement, although there are times when payment may be suspended, for example if they are in hospital. Note that for cases where entitlement and payments are to start from a date prior to the decision being made, claims will not appear in the “cases with entitlement” statistics until the date of the decision.
There were 2.8 million claims with entitlement to PIP (caseload) as at 31 October 2021.
Of these:
- 1.5 million claims are new and 1.4 million are DLA reassessments (Note that figures here do not sum due to rounding)
- 30,000 (1%) were registered under SRTI though the majority (99%) were under normal rules
For normal rules claims:
- 28% have had entitlement for less than 2 years
- 15% have had entitlement for between 2 and 3 years
- 57% have had entitlement for more than 3 years
When PIP is awarded, decisions are made as to the award level – the monetary amount of the award for both Daily Living and Mobility components – depending on the claimant’s individual circumstances. Each component can be awarded at:
- enhanced rate
- standard rate
- nil, where the claimant is not awarded this component
35% of all claims with entitlement to PIP as at 31 October 2021 receive the highest level of award, with both daily living and mobility components received at the enhanced rate.
For normal rules claims with entitlement in October 2021:
- nearly one quarter (23%) received daily living award only, 3% received mobility award only, and nearly three quarters (73%) received both
- just over one third (34%) received the highest level of awards (‘enhanced/enhanced’ rates) for both mobility and daily living components, and almost a further third (29%) received one component at the enhanced rate
The two most commonly recorded disabling conditions for claims under normal rules are ‘Psychiatric disorder’ (36% of claims), and ‘Musculoskeletal disease (general)’ (a further 21% of claims).
More information on claims with entitlement (caseload), clearances and awards by a range of factors including disability is available from Stat-Xplore.
5. Review outcomes
Awards may be reviewed either when a claimant reports a change of circumstances, or at the end of their review period as set when the original award was made. During a review of an award, the award level is assessed and may be changed (which can happen with or without the case first being referred to an Assessment Provider).
The outcome of a review can be shown as:
- Increased – where the award level has increased for one or both components
- Maintained – where the award level remains as it was prior to the review
- Decreased – where the award level has decreased for one or both components
- Disallowed – where the claimant’s entitlement to benefit is ended
- Withdrawn or voluntarily relinquished (for Changes of Circumstances only)
Note that recording procedures were updated on 25th June 2016, and prior to this the reported outcome did not show whether an award review resulted in an increase or decrease in the level of award that the claimant received.
From 25 June 2016 to October 2021:
- 960,000 of the 1.5 million planned award reviews (65%) resulted in an increase or no change to the level of award received by the claimant
- 270,000 of the 370,000 changes of circumstances (75%) resulted in an increase or no change to the level of award received by the claimant
This difference reflects the fact that many PIP claimants report a change of circumstances when their condition or disability deteriorates and their needs increase.
Review outcomes from 25th June 2016 to October 2021
Review Outcome | Planned Award Review | Change of Circumstance |
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Award Increased | 19% | 45% |
Award Maintained | 46% | 30% |
Award Decreased | 12% | 7% |
Award Disallowed | 23% | 13% |
Withdrawn or voluntarily relinquished | n/a | 6% |
Source: PIP Statistics to October 2021, Stat-Xplore
The proportion of claimants receiving more (or less) benefit after their planned award review differs across the various main disabling condition groups, where condition is as recorded at the time of award review clearance.
The five most common groups account for 87% of all planned award reviews cleared between June 2016 and October 2021. Among these groups:
- claimants with a respiratory disease were most likely to have their award increased or maintained (73%)
- claimants with psychiatric disorders were most likely to have their award decreased or disallowed (40%)
Planned Award Review outcomes by main disabling condition, from 25th June 2016 to October 2021
Disabling condition | Award Increased | Award Maintained | Award Decreased | Award Disallowed |
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Psychiatric disorders | 18% | 42% | 12% | 28% |
Musculoskeletal disease (general) | 21% | 50% | 14% | 15% |
Musculoskeletal disease (regional) | 17% | 50% | 13% | 20% |
Neurological disease | 19% | 52% | 11% | 18% |
Respiratory disease | 25% | 47% | 12% | 15% |
Other | 17% | 43% | 13% | 27% |
Source: PIP Statistics to October 2021, Stat-Xplore
Further information on award review outcomes by a range of factors including disability is available from Stat-Xplore.
6. Clearance outcomes – Award Types and Review Periods (Experimental statistics)
When PIP is awarded, decisions are also made as to the award type and, where appropriate, the review period.
The award type may be:
- a fixed length award with a set period of time before a review of the award takes place (the “review period”)
- an “ongoing award” with no end date, where the intention will be to apply a light-touch review at the 10-year point
- a “short term award without review” which will not be subject to review but will end within a small number of years of award unless a new claim is submitted (mostly awarded under SRTI, with others being awarded to claimants who are expected to see a significant reduction in needs in the short term)
Award types and review periods are set on an individual basis, based on the claimant’s needs and the likelihood of those needs changing. This takes into account such matters as planned treatment/therapy or learning/adapting to manage a condition. For fixed length awards, the review period usually ranges from a minimum of 9 months to a maximum 10 years. Review periods of less than 9 months are set only in exceptional circumstances. An award of 2 years or less is considered short term. From 31st May 2019 a guidance change for claimants whose review would have taken place when they were of State Pension age means that they are now generally awarded ongoing awards.
Percentage of award types to October 2021
Source: PIP Statistics to October 2021, Stat-Xplore
Most new claimants receive an award of 2 years or less. DLA reassessment claimants tend to receive longer awards. Only a very small proportion (less than 1%) of normal rules claimants receive a short term award without review or do not have an award period recorded.
Trends over time have tended to differ between new and reassessed claims. During early periods (pre-July 2013 for new claims and pre-July 2014 for reassessed claims) breakdowns by award type should be treated with caution as proportions were volatile when volumes were low.
For new claims:
- in October 2021, just over three quarters (76%) of claims awarded were short term (0 to 2 years), less than one in ten (7%) were longer term (over 2 years) and just under one in ten (9%) were ongoing
For DLA reassessment claims:
- in October 2021, short term 0 to 2 year awards were the most common award type (nearly half - 48% - of all claims awarded) followed by longer term claims over 2 years (27%) and ongoing awards (22%)
- patterns in award types are different in recent months due to ongoing COVID-19 disruption, since reassessment activity has not restarted for all types of claim and overall numbers of DLA reassessment clearance are low at this time
Award types by condition to October 2021
Source: PIP Statistics to October 2021, Stat-Xplore
Award types and review periods also differ by main disabling condition.
In particular:
- DLA reassessment claimants are more likely to receive ongoing awards than new claimants across all disabling conditions
- 78% of new claimants with psychiatric disorders receive short term awards with reviews, compared to 34% of DLA reassessed claimants
- most new claimants with a malignant disease claim under SRTI (64%)
- since PIP was introduced, 50% of successful DLA reassessed claimants with neurological diseases received an ongoing award
Further detail on clearances by a range of factors including award type, review period and disability is available from Stat-Xplore.
7. Clearance and Outstanding Times
Clearance times show the time taken for DWP to process and make a decision on a case. The average clearance time is calculated as the median of all individual clearance times. For further explanation of why the median measure is used, see section 2.3 of the PIP statistics: background quality and methodology report.
Clearance times (median weeks) to October 2021
Source: PIP Statistics to October 2021, Table 2A
Clearance times can be volatile reflecting a variety of factors including customer demand, operational resource and timescales for different parts of the process, which are sometimes altered to actively manage workflows or in response to external situations. In particular, the COVID-19 pandemic has caused significant distortion and work is ongoing to manage the recovery.
Clearance times for normal rules new claims:
- peaked in August 2021 at 26 weeks “end to end” (from registration to a decision being made) and 21 weeks from the AP referral to the decision, partly because claims that had been allowed a longer deadline for return of PIP 2 form during the period late February and late May 2021 were reaching clearance, and partly because priority in some areas was given to claims that had been waiting longer for processing due to COVID-19 disruption
- are currently (October 2021) 24 weeks “end to end” (from registration to a decision being made) and 16 weeks from the AP referral to the decision
- are longer than the same period a year ago (16 weeks and 12 weeks respectively in October 2020)
Clearance times for normal rules DLA reassessment claims:
- are currently (October 2021) 25 weeks “end to end” (from registration to a decision being made) and 16 weeks from the AP referral to the decision
- are lower than the same period a year ago (33 weeks and 22 weeks respectively in July 2020)
- reflected distortions due to COVID-19 measures for most of the period since April 2020
Clearance times for SRTI claims:
- are 3 working days for new claims and 4 working days for DLA reassessment claims from registration to decision
Information on clearance times and outstanding times (time already waited for cases where DWP has yet to make a decision), including regional breakdowns, can be found in National Tables 2 - 3 accompanying this release.
8. Mandatory Reconsiderations (MRs)
Claimants who wish to dispute a decision on their PIP claim at any stage can ask DWP to reconsider the decision. This is a mandatory reconsideration (MR) and must be completed before an appeal is made and lodged with HMCTS.
An MR considers the grounds for the dispute and reviews the original decision. An MR may give rise to a change in award, which includes:
- previously disallowed claims that are now awarded
- claims that had previously been awarded but the MR has resulted in a change in the level of the award
MR Registrations and Clearances (normal rules) to October 2021
Source: PIP Statistics to October 2021, Stat-Xplore
By the end of October 2021, 2.0 million MRs had been registered against normal rules claims, and almost all of these had been cleared. Of these:
- 1.2 million (63%) related to new claims
- 740,000 (37%) related to reassessed DLA claims
- 150,000 (8%) were withdrawn or cancelled
MRs arising from award reviews have been counted as relating to a new claim or a reassessment claim based on the initial claim type.
The number of MRs registered and cleared within each month fluctuates over time.
- Latest figures for MR registrations (71,000 in the quarter ending October 2021, 21% higher than the same quarter a year earlier)
- MR clearances over the same period showed low levels in April 2020, rose in June and July 2020 as activity recovered, and then dropped again with 57,000 cleared in the quarter ending October 2021
MR clearance outcomes (excluding withdrawn MRs) to October 2021
Source: PIP Statistics to October 2021, Stat-Xplore
The degree to which MRs lead to changes in award has fluctuated over time.
- 49% of MRs cleared in October 2021 led to a change in award
- The spike in the proportion of awards that changed in July 2021, following a dip in the preceding months, was a natural consequence of the rise in MRs relating to patterns of disallowances pre-referral to the Assessment Provider. This was mainly due to the non-return of PIP2 forms as outlined in section 5 of this release
- COVID-19 disruptions caused a spike in April 2020, after which trends in proportion of MR decisions resumed the gradually increasing pattern pre-COVID
- A new operational approach was introduced in 2019 when the department began proactively contacting claimants, as appropriate, to collect further oral or written evidence at the MR stage. This saw a gradual increase in the proportion of awards changed since January 2019 (23%) to 40% in December 2019
- Proportions were volatile during early periods (pre-January 2014) when MR volumes were low
MR clearance times refer to the median time taken to process an MR from the time it is registered by the claimant to a decision being made.
MR clearance times (median calendar days) to October 2021
Source: PIP Statistics to October 2021, Table 4A
In September and October 2021, the median MR clearance times were 79 and 78 calendar days respectively, the highest levels to date and similar to a previous peak of 74 calendar days in June 2020.
Note: information on MR clearance times can be found in found in National Tables 4A - B accompanying this release. Further breakdowns of MR registration and clearance volumes are available from Stat-Xplore.
9. Customer Journey (Experimental) Statistics
This section includes experimental statistics based on a dataset that tracks initial decisions following a PIP assessment, through to MR and appeal. These statistics:
- help us understand the claimant’s end-to-end journey from claiming PIP, through to MR and appeal
- are particularly useful to understand the volumes and proportions flowing through each stage of the process and whether there are differences for particular groups of claimants
- cover initial decisions following a PIP assessment since PIP was introduced up to June 2021, and for MRs and appeals to September 2021 - note that more MRs and appeals could be made and completed after September 2021, so numbers could go up as it can take some time for an appeal to be lodged and then cleared after the initial decision
- include the period affected by COVID-19 from March 2020 onwards
- cover new claims and DLA reassessment claims and both normal rules and special rules for terminally ill people (SRTI)
These statistics do not include:
- decisions made prior to an assessment being completed
- decisions made at an Award Review or Change of Circumstance
This means that the MR volumes are on a different basis to the other statistics on MRs contained within this release. Appeal volumes are also on a different basis to the statistics published by the Ministry of Justice on tribunal appeals.
For robust figures on individual stages, please use:
- for MR registration and clearance volumes, the figures from Stat-Xplore
- for appeals, the quarterly Ministry of Justice Tribunals statistics
Note that within the customer journey statistics, totals may not sum due to rounding, and because MRs and appeals which are still in progress are not shown.
Initial Decisions through to MR and Appeal, April 2013 to June 2021 (Experimental statistics)
Source: PIP Statistics to October 2021, Table 5A
For initial PIP decisions following an assessment during the period April 2013 to June 2021:
- just over one in five (21%) of completed MRs resulted in a change to the award (excluding withdrawn)
- nearly two in five (39%) of completed MRs then lodged an appeal
- nearly three in twenty (14%) of appeals lodged were “lapsed” (which is where DWP changed the decision in the customer’s favour after an appeal was lodged but before it was heard at tribunal)
- two thirds (67%) of the DWP decisions cleared at a tribunal hearing were “overturned” (which is where the decision is revised in favour of the customer)
- just under one in ten (9%) of initial decisions following a PIP assessment have been appealed and around one in twenty (5%) have been overturned at a tribunal hearing
An MR may arise when a claimant is disallowed PIP at initial decision. Alternatively, when PIP is awarded, decisions are made as to the award levels and a claimant may raise an MR because they disagree that the levels reflect their circumstances.
These two distinct groups of claimants show different results throughout their customer journey:
- claimants who were disallowed at initial decision were more likely to go on to register an MR (47% of decisions to disallow) or lodge an appeal (41% of MRs completed) than those who were awarded PIP (11% of decisions to award PIP and 34% of MRs completed)
- claimants who were disallowed at initial decision were less likely to have an award changed at MR (17%) or appeal (65% overturned) than those who were awarded PIP (29% of awards changed at MR and 74% of appeals overturned)
Considering trends over time, the proportion of:
- MRs resulting in a change to the award has reduced (by 1 percentage point to 43%) in the most recent quarter of initial decision (April to June 2021) compared to the previous quarter, and is 9 percentage points higher than the same quarter the previous year
- appeals lodged which were lapsed gradually increased from 2015 to 2016 to reach 36% across the 2020 to 2021 financial year
- initial decisions following an assessment which have been appealed has gradually increased over time – from around 6% over the first couple of years when PIP was introduced, to 10% in 2018 to 2019
- initial decisions following an assessment overturned at a tribunal hearing gradually increased and was 6% in 2018 to 2019 – though as these statistics are grouped by initial decision date, numbers could increase for later periods as more appeals are completed
National Tables 5A - F accompanying this release give information by date of initial decision (quarter and financial year) and other factors including geography.
10. Annual statistics comparing outcomes for DLA reassessments
From 8th April 2013 DWP started to replace DLA with PIP (read details on the PIP roll out). Existing DLA claimants who claim PIP are reassessed for their eligibility for PIP against the same criteria as new PIP claimants. The reassessment process can be initiated in a number of different ways:
- DWP may send a letter inviting DLA recipients who were aged 16 to 64 on 8 April 2013 to claim PIP – note that these cases are referred to in these statistics as “working age” DLA recipients although some may have reached pension age when they receive their invitation
- “Working age” DLA recipients who have not yet received an invitation but who report a change in circumstances will be invited to make an application to PIP, or can choose to make a PIP application at any time
- “Rising 16” reassessments occur when a child DLA claimant reaches 16 years of age and is invited to claim PIP. Note that from 1 September 2020, young people in Scotland can choose to remain on child DLA until the age of 18 (see the Scottish Government website for more details)
Where a DLA claimant is invited to claim PIP and does so they remain in receipt of their DLA award until a decision on their PIP claim is made. Where a DLA claimant does not claim PIP when invited their DLA ends.
In the following statistics, for each individual who has a PIP reassessment outcome their PIP entitlement has been compared to their DLA entitlement at the time of their PIP reassessment registration. PIP enhanced and standard mobility rates are set to the same rates as DLA higher and lower mobility; PIP enhanced and standard daily living rates are the set to the same rates as DLA highest and middle care. DLA reassessment figures in this section exclude claimants who did not respond to the reassessment invitation but subsequently make a new claim to PIP though these are included in other sections of the release as new claims.
By the end of October 2021, 1.8 million people in Great Britain had DLA reassessment claims to PIP cleared. Of these, 1.5 million (86%) were working age claimants and 260,000 (14%) were rising 16s (Note that figures here do not sum due to rounding).
Note that it is possible for a claimant to register multiple claims to PIP that are classed as reassessments. If a claimant registers multiple such claims, only the first claim will be included in these DLA to PIP reassessment statistics. This is unlike the PIP registrations and clearances datasets which include all claims a claimant registers.
Nearly three quarters (73%) of those who registered received an award of PIP; 75% for working age and 64% for rising 16s.
More of those who registered received an increase in the level of benefit, and fewer received a lower level or no award than was predicted in the forecasts published in December 2012:
- 39% (working age) and 41% (rising 16s) received an increase compared to a forecast of 29%.
- 47% (working age) and 45% (rising 16s) received a lower level of award or no award compared to a forecast of 55%; this includes 1% of claimants who chose to withdraw their claim
Working Age DLA reassessments by outcome to October 2021
Reassessment Outcome | Percentage |
---|---|
Award Increased | 39% |
Award Unchanged | 14% |
Award Decreased | 21% |
Disallowed post referral to the Assessment Provider | 21% |
Disallowed pre referral to the Assessment Provider | 4% |
Withdrawn | 1% |
Source: PIP Statistics to October 2021, Stat-Xplore
Rising 16 DLA reassessments by outcome to October 2021
Reassessment Outcome | Percentage |
---|---|
Award Increased | 41% |
Award Unchanged | 13% |
Award Decreased | 9% |
Disallowed post referral to the Assessment Provider | 29% |
Disallowed pre referral to the Assessment Provider | 7% |
Withdrawn | 1% |
Source: PIP Statistics to October 2021, Stat-Xplore
For working age claimants, 460,000 (30%) of the cases registered were awarded PIP at the highest rate (enhanced daily living and enhanced mobility components). This compares with 250,000 (16%) under DLA.
For rising 16s, 98,000 (37%) of the cases registered were awarded PIP at the highest rate (enhanced daily living and enhanced mobility components). This compares with 27,000 (10%) under DLA.
The proportion of claimants receiving more (or less) benefit after their DLA reassessment differs across the various main disabling condition groups, where condition is as recorded on their DLA claim. (A claimant’s disability as recorded on the PIP computer system may be different from their disability as recorded on the DLA computer system.) Since there are often age-related factors with disabilities, the distribution of disability type is very different for working age DLA reassessments and for rising 16s.
The 6 most common DLA disabling condition groups that made up 58% of all working age reassessments comprise:
- Arthritis
- Psychosis
- Learning Difficulties
- Psychoneurosis
- Back Pain – Other / Precise Diagnosis not Specified
- Disease of the Muscles, Bones or Joints
Among these groups for working age reassessments:
- claimants with learning difficulties were most likely to receive an increased award (56%)
- claimants with a disability categorised under psychoneurosis were most likely to have their award disallowed or withdrawn (40%)
Working Age DLA reassessment outcomes by main disabling condition, to October 2021
Disabling condition as per DLA claim | Award Increased | Award Unchanged | Award Decreased | Award Disallowed or Withdrawn |
---|---|---|---|---|
Arthritis | 37% | 12% | 35% | 17% |
Psychosis | 35% | 6% | 21% | 38% |
Learning Difficulties | 56% | 13% | 4% | 28% |
Psychoneurosis | 41% | 6% | 13% | 40% |
Back Pain | 35% | 13% | 37% | 15% |
Disease of the Muscles, Bones or Joints | 40% | 15% | 23% | 23% |
Other | 37% | 19% | 21% | 23% |
Source: PIP Statistics to October 2021, Stat-Xplore
The 6 most common DLA disabling condition groups that made up 83% of all rising 16 reassessments comprise:
- Learning Difficulties
- Hyperkinetic Syndrome
- Behavioural Disorder
- Neurological Diseases
- Diabetes Mellitus
- Psychoneurosis
Among these groups for rising 16 reassessments:
- claimants with learning difficulties were most likely to receive an increased award (54%)
- claimants with Diabetes Mellitus were most likely to have their award disallowed or withdrawn (92%)
Note that in order to be eligible for DLA, the needs of a child claimant must be substantially greater than for a non-disabled child of the same age. Under PIP all claimants are assessed against the eligibility conditions applicable to adults. With some conditions, such as Diabetes, although a claimant may need significant additional support as a child (for example, to monitor and manage their condition) it might be expected that the same individual can self-manage their condition without any further daily living or mobility needs arising once they become an adult. These needs are assessed on an individual basis as part of the initial application to PIP.
Rising 16 DLA reassessment outcomes by main disabling condition, to October 2021
Disabling condition as per DLA claim | Award Increased | Award Unchanged | Award Decreased | Award Disallowed or Withdrawn |
---|---|---|---|---|
Learning Difficulties | 54% | 11% | 6% | 28% |
Hyperkinetic Syndrome | 34% | 6% | 13% | 47% |
Behavioural Disorder | 38% | 7% | 11% | 45% |
Neurological Diseases | 29% | 38% | 13% | 20% |
Diabetes Mellitus | 5% | 2% | 1% | 92% |
Psychoneurosis | 35% | 9% | 16% | 39% |
Other | 27% | 25% | 13% | 35% |
Source: PIP Statistics to October 2021, Stat-Xplore
Statistics on outcomes are given for GB and are also broken down by:
- PIP disabling condition
- DLA disabling condition
- gender
- geography (country, region, local authority, parliamentary constituency, middle and lower layer super output areas and census output area)
- mean financial PIP award
- mean financial DLA award
These breakdowns are available from Stat-Xplore.
11. About these statistics
Changes in this release
Award Review statistics are now available via Stat-Xplore rather than as static tables, as part of our overall strategy to make underlying data available on Stat-Xplore. This allows users to access more detailed breakdowns of these statistics by relevant combinations of:
- intervention type (planned award review or change of circumstance)
- geography (region, local authority and parliamentary constituency and for Stat-Xplore, Middle & Lower layer Super Output Area and Census Output Area)
- assessment status (DLA reassessment indicator)
- claimant characteristics (age, gender, State Pension Age)
- primary disability category / sub category / low level disability category
- review outcome
- pre & post review mobility component and daily living component award levels
The registration figures appear as a single series called “PIP Award Review Registrations” containing all registrations from April 2013 to current. Award review recording procedures were updated on 25th June 2016, and prior to this the reported outcome did not show whether an award review resulted in an increase or decrease in the level of award that the claimant received. The clearances figures are therefore split into “PIP Award Clearances to 2016” (containing clearances up to and including 24th June 2016) and “PIP Award Clearances from 2016” (containing clearances from 25th June 2016 onwards).
Single Year age breakdowns have been extended across all PIP tables on Stat-Xplore to age 89, to be consistent with DLA reporting. Claimants aged 90 or above appear in a category called “90 or over”. Previously, single year ages were reported up to age 69 with a “70 or over” category.
Labelling of reassessment type in Stat-Xplore has been amended to present clearer classification of cases as “DLA Reassessment” and “New Claim” rather than “Reassessment” and “Not Reassessment”, to improve clarity and be consistent with the language used in this release and elsewhere. No change has been made to the underlying definition or methodology.
“Coronavirus COVID-19” was added to low level disability breakdowns in June 2021 and for completeness has now been added to the Annual “DLA to PIP Reassessment” and “Child DLA to PIP Reassessment” series.
Data quality statement
The following PIP statistics are Official Statistics:
- registrations
- clearances & awards
- clearance & outstanding times
- mandatory reconsideration registrations & clearances
- mandatory reconsideration clearance times
- claimants entitled to PIP
- Annual statistics comparing outcomes for DLA reassessments (working age and child DLA claimants)
Official Statistics are produced in accordance with Statistics and Registration Service Act 2007 and the Code of Practice for Statistics and meet high standards of trustworthiness, quality and public value.
The following PIP statistics are Experimental Statistics:
- award types & review periods
- award review and change of circumstance registrations and clearances
- customer journey statistics (tracking of initial decisions following a PIP assessment through to MR and appeal)
These statistics are badged as experimental to reflect the fact that the series are new and methodologies and definitions for the statistics may develop over time.
Breakdowns available
Statistics available on Stat-Xplore and in accompanying tables are further broken down by:
- geography (region, local authority and parliamentary constituency and for Stat-Xplore, Middle & Lower layer Super Output Area and Census Output Area)
- assessment status (SRTI, DLA reassessment indicator and for all post-assessment measures, mobility component award level, daily living component award level)
- claimant characteristics (age, gender, State Pension Age)
- primary disability category / sub category / low level disability category (for all post-assessment measures)
- duration of current claim (for caseload)
- outcomes and review periods (for clearances)
- mean financial award amounts (for all awards in clearance and caseload series)
Rounding policy
Data in the release has been rounded as per the table below, with the exception of average clearance times which are shown as whole numbers of days or weeks.
From | To | Round to nearest |
---|---|---|
0 | 1,000 | 10 |
1,001 | 10,000 | 100 |
10,001 | 100,000 | 1,000 |
100,001 | 1,000,000 | 10,000 |
1,000,001 | 10,000,000 | 100,000 |
10,000,001 | 100,000,000 | 1,000,000 |
All changes and totals are calculated prior to rounding. Percentage changes are calculated prior to rounding and then are rounded to the nearest whole number. As all figures within this statistical summary have been rounded, they may not add up.
Retrospection
The data is subject to some minor retrospection. When a claim is first registered, it is assumed to be a new claim unless there is evidence to suggest that it is a DLA reassessment. If evidence is presented between registration and clearance, the claim will then show as a DLA reassessment clearance and will move from being a new claim registration to being a DLA reassessment registration.
Some claims may not be marked as claims under SRTI at the point of registration but become an SRTI claim prior to the point of clearance, and vice versa. This may lead to the figures showing fewer SRTI registrations than clearances.
PIP operational roll out
On 8 April 2013, PIP was introduced as a controlled start, for new claims from people living in a limited area in the North West and part of the North East of England.
On 10 June 2013, PIP was introduced for new claims for the remaining parts of Great Britain.
From 28 October 2013, using a structured roll out to postcode areas, DWP invited DLA working age recipients to claim PIP if:
- DWP received information about a change in care or mobility needs which meant their claim had to be renewed
- the claimant’s fixed term award was due to expire
- children turned 16 years old (unless they have been awarded DLA under the special rules for terminally ill people)
- the claimant chose to claim PIP instead of DLA
Since July 2015, the remaining DLA working age recipients have been gradually invited to claim PIP.
Personal Independence Payment in Scotland
The Scotland Act 2016 gives Scottish Parliament powers over a number of social security benefits which had been administered to Scottish clients by the Department for Work and Pensions. From 1 April 2020, Personal Independence Payment became one of the benefits to have executive competency transferred from the Department for Work and Pensions to Social Security Scotland, the executive agency of Scottish Government which is responsible for delivering the social security benefits for Scotland. From 1 September 2020, young people in Scotland can choose to remain on child DLA until the age of 18. For more information see Disability Living Allowance for children in Scotland.
There is a transitional period to allow administration of this benefit to be transferred to Scotland, during which time the Department for Work and Pensions will continue to administer Personal Independence Payment on Social Security Scotland’s behalf. Statistics in this release therefore include Scottish PIP claims alongside the rest of Great Britain.
In the future, Scottish Government plans to replace Personal Independence Payment with Adult Disability Payment.
Where to find out more
The Personal Independence Payment statistics collection has links to this release and other releases of PIP statistics.
Read a detailed PIP statistics background and methodology document. This gives information about production of the PIP statistical release including:
- data sources
- methods
- definitions
- quality assurance steps
Build your own data tables using Stat-Xplore
View an interactive dashboard of the latest PIP statistics by region.
Read an overview of PIP.
Read the release strategy for the PIP statistics.
Related statistics
The Scottish Government have produced their own publication for PIP in Scotland
Ministry of Justice tribunals statistics.
Statistics for Employment and Support Allowance Work Capability Assessment Outcomes.
Work and Pensions Select Committee PIP and ESA assessments inquiry: supporting statistics. This ad hoc publication gives statistics about the assessment process from the Department for Work and Pensions (DWP) and the 3 assessment providers:
- Centre for Health and Disability Assessments (CHDA)
- Capita
- Independent Assessment Services (IAS)
The release also includes statistics about the outcomes of MRs and tribunals.
12. Future plans and your feedback
Expected changes in future releases
From the March 2022 release, static tables containing award rates and assessment award rates will no longer be produced. Users can obtain these figures for themselves by using Stat-Xplore to retrieve count data for total clearances, awards and assessments, and performing basic percentage rate calculations. Guidance will be provided
Feedback and queries
If you have any queries or feedback about existing PIP Official Statistics, or the changes proposed above, please email [email protected]
ISBN: 978-1-78659-245-3