Work Capability Assessment Timescales

Stephen Timms Excerpts

Wednesday 4th March 2026 Westminster Hall

[The Minister for Social Security and Disability (Sir Stephen Timms)]

I am delighted to serve under your chairmanship this morning. I congratulate the hon. Member for North East Fife (Wendy Chamberlain) on securing this debate.

I welcome the opportunity to consider journey times in the work capability assessment, both for initial assessments and reassessments. I take the point that it is the latter group in which the hon. Lady is particularly interested. I echo her tribute to MPs’ caseworkers, which was very well made. I agree with the hon. Lady that it is important that people claiming health and disability-related benefits have their entitlement assessed as quickly as possible, so that they get the support they need.

Let me set out the Government’s policy on the work capability assessment. It was introduced in 2008 as the gateway to the employment and support allowance, which was the then new benefit to replace incapacity benefit. As it happens, I was the Minister responsible at the time. I remember being told that the WCA had been devised across Alan Johnson’s kitchen table in the period when he was Secretary of State. Since 2013, it has also been the gateway to the additional health-related sum in universal credit.

Two people with the same condition can be affected in different ways, so they can have different outcome decisions from their WCA. The three possible outcomes for a UC applicant are: fit for work, where the individual is not entitled to the additional health element of universal credit; limited capability for work, where the individual gains access to the work allowance in universal credit, but gets no increased rate of benefit; and limited capability for work and work-related activity, so-called LCWRA, which gives access to a higher rate of benefit with no requirement to take part in work-related activity.

The WCA links capacity to work to additional financial support. In our Pathways to Work Green Paper last year, we outlined our plan—and the hon. Lady touched on this matter—to abolish the WCA and end the binary categorisation of people as “can work” or “cannot work”. We do not think that black and white categorisation works. One of the problems with it has been that although people deemed not capable of work are still offered help to look for work, there is no requirement to take it up and, in practice, they rarely do. The system has given up on them, but we are now changing that. Work coaches with a new specific brief to support people classified as LCWRA say they are getting a positive response from the people they are contacting.

In future, eligibility for additional health-related financial support in universal credit will be assessed in England and Wales via the personal independence payment assessment. It will be based on the impact of disability on daily living, rather than on capacity to work. The hon. Lady is right to make the point about how arrangements might work in Scotland and we are already discussing that with the Scottish Government.

Our ambition is a system that is simple to navigate, can be trusted by those who use it, provides a good experience and, generally, obtains the right decision the first time. Due to its link with the PIP assessment, the WCA abolition will not proceed until after the conclusion of the review into PIP that I am currently co-chairing. The co-chairs have recruited a steering group of a dozen people to oversee the co-produced review of PIP. Almost all of the steering group have lived experience of a disability or long-term health condition. We are going to have a full day together tomorrow, considering how to secure external input to our consideration of how the system should work in the future. The review’s recommendations will be submitted to the Secretary of State in the autumn.

In the meantime, the WCA process, as the hon. Lady rightly highlighted, needs to be as efficient and supportive as possible. WCA waiting times can vary depending on individual circumstance, including the complexity of the case, the need for further medical evidence, and customers’ availability and assessment capacity. The latest reported median end-to-end journey time for new employment and support allowance work capability assessments is 87 working days. That is broadly comparable with what it was before the pandemic. It includes the four weeks that people applying for the benefit have to complete and return their WCA50 questionnaire, as well as time for the providers to request and receive further medical evidence from a GP or another healthcare professional.

New benefit applications are primarily for universal credit rather than for ESA. Clearance times for WCAs in universal credit are not yet published, but they will be in phase 6 of the proposed development of universal credit statistics. There is a big plan for how those are going to be rolled out.

As the hon. Lady explained, she has a particular interest in claimant-led WCA reassessments—when somebody already in receipt of benefit reports that their condition has worsened. She has made representations to me on behalf of constituents about that. I think I have now replied to all the letters she has written to me about that, although one of them was just earlier this week, so we have only just managed that.

As the hon. Lady said, the Department prioritises initial assessments for new benefit customers. The reason for that is to make sure that people receive the correct entitlement and employment-related support as early as possible. It is right to prioritise for those assessments people who have not got any help at all yet, ahead of those wanting a fresh look at the amount they are receiving in benefit. Reassessments are carried out when there is capacity in the system to do them.

The background to the backlog that the hon. Lady referred to is that, in late 2024, after the general election, there was a surge of new benefit claims, so there was a need for a lot of new WCAs. Handling that surge led to a backlog of claimant-led reassessments, which built up from September 2024 until May 2025. When I was advised that we had a backlog of 35,000 claimant-led reassessments, I told officials to prioritise that group, and I am pleased that most of that backlog was cleared by the start of this calendar year. The vast majority of it will be cleared altogether by the end of this month. That should mean that the problems quite rightly highlighted by the hon. Lady will be behind us.

Alongside claimant-led reassessments, there are Department-led reassessments, where the Department decides that a reassessment is needed to check that the benefit being paid is correct. They are often carried out after a benefit award has been in payment for a specified period. Those Department-led reassessments stopped altogether for a period in the pandemic and for some time after, while the backlog of new claims left by the pandemic was processed.

In the Pathways to Work Green Paper last year, we said that we would turn on scheduled WCA reassessments as we build up capacity in our assessment providers. We are prioritising scheduled reassessments for people who are most likely to have had a change in their circumstances—for example, those with a short-term prognosis, for whom we can reasonably anticipate that a change in their health condition has occurred. That includes those with risks from pregnancy complications, or those who have recovered following cancer treatment.

We intend to do that while simultaneously reducing delays and improving timescales for those awaiting a reassessment—the group that the hon. Lady highlighted. That will mean that people who have asked for a review of their capability for work due to worsening health can be seen and receive an outcome as quickly as possible.

To do that, we will continue to increase assessment capacity significantly, through accelerated recruitment of healthcare professionals. Our providers have also expanded appointment availability, including some evening and weekend slots, and improved triage processes to identify cases that are suitable for paper-based or remote assessment, which can be dealt with particularly quickly. Those steps will continue to help improve the overall experience and ensure timely access to assessments for those who need them.

However, ensuring that people are assessed and get the support they are entitled to as quickly as possible is not everything. The hon. Lady rightly made the point, as she said in her most recent letter, that we need to “avoid cutting corners which could lead to wrong decisions being made”. She is absolutely right on that.

One important factor is whether assessments are carried out face to face. Before the pandemic, face-to-face assessments were the standard. Those stopped in lockdown and, for obvious reasons, assessments were carried out by telephone or by video call—mostly by telephone. Looking back, that worked rather better than people might have anticipated, but it meant that in 2021, only 5% of work capability assessments were carried out face to face. After the pandemic, there was a very slow return to face to face: in 2024, only 13% of work capability assessments were face to face. We think it is very important for accuracy and fairness that many more of them should be carried out face to face, so we have committed to increasing that proportion to 30%. We are making good progress in that direction; the statistics will be published in due course.

The hon. Member for Torbay (Steve Darling) rightly asked about a trauma-informed approach to assessment. Assessment providers adhere to a comprehensive quality and clinical governance assurance framework that aligns with the Department’s contractual and professional standards. All healthcare professionals conducting work capability assessments have to be fully qualified and appropriately registered, and have completed the necessary specialist training, before carrying out any assessments. Once they are in the role, they also have a full programme of continuing professional development to support them.

To maintain consistent standards of accuracy, justification and clarity, providers carry out regular audit sampling of their assessment reports, which helps them to identify areas for improvement. Alongside that, the Department conducts a programme of independent assessment quality audits. Where those identify problems, the Department makes sure that providers put things right through enhanced training, additional coaching or whatever is needed. Providers maintain a collaborative relationship with the Department, taking part in performance reviews to ensure that expectations are met and improvements are embedded.

Where performance falls below contractual quality thresholds, providers have to act promptly, perhaps with detailed improvement plans, strengthened audit processes, increased supervision or further training. The Department monitors progress closely and, if there is a significant or persistent problem of underperformance, is able to apply contractual remedies to address the problem.

Having said all of that, there are of course times when things go wrong. Earlier this week, I met with a Member who expressed concern about the outcome of a PIP assessment. I raised the case with officials in the Department who had a look at it. The assessment had been carried out by one of the assessment providers and, when the provider checked it, it agreed that the assessment was wrong; I think the individual who carried out the assessment was suspended. Things do sometimes go wrong, and it is absolutely right that Members raise these things with me so that we can address them.

One of the main reasons why maintaining quality is so important is that, as the hon. Member for North East Fife said, some of those going through the WCA are among the most vulnerable people due to the nature or severity of their disability or health condition, or for some other reason. We have in place a range of measures to identify, prioritise and safeguard vulnerable customers from the earliest stage, including helping them to complete the WCA50 questionnaire, encouraging people to have someone with them when attending an assessment and the provision of home visits, if that is needed.

We know that some people need more support than that. The hon. Lady raised that with me in a letter last October. We are not planning a triage system for prioritising such cases, because we are really focused on getting all the cases cleared as quickly as possible, but the Department has committed to a new safeguarding approach, as my right hon. Friend the Secretary of State outlined in a written ministerial statement in December, and a lot of work is going into that.

I am most grateful to the hon. Member for North East Fife for drawing this matter to the attention of the House, for her long-standing interest in this very important subject and for the contributions of others who have intervened in this debate.

Question put and agreed to.