Question to the Department for Work and Pensions:

To ask the Secretary of State for Work and Pensions, whether his Department issues guidance to benefit assessors on assessing (a) Crohn’s Disease, (b) Ulcerative Colitis and (c) other fluctuating conditions for Personal Independence Payments.

All assessment providers (APs) are required to ensure that health professionals (HPs) carrying out Personal Independence Payment (PIP) assessments have a broad training in disability analysis, as well as awareness training in specific conditions ranging from common to rare.

At present, neither Independent Assessment Services nor Capita have a specific Condition Insight Report (CIR) relating to Crohn’s Disease. However, HPs have access to a range of resources as well as experienced clinicians to support them in assessing individuals with conditions that they may not be familiar with. Additionally, assessment providers engage with medical experts, charities, and relevant stakeholders, to strengthen their training programmes and Capita recently developed a CIR for HPs on Ulcerative Colitis in collaboration with Crohn’s and Colitis UK.

It is stressed in the HP training that, although a claimant may sometimes be able to perform a task, they may not be able to do so safely, to an acceptable standard, repeatedly, or in a reasonable time-period due to pain, fatigue, etc. HPs are expected to be mindful of the fact that many conditions fluctuate, producing symptoms that vary in intensity from mild to severe, and are instructed not to base their opinion solely on the situation as observed at the assessment. This is further explained in the PIP Assessment Guide for APs available on GOV.UK.