Question to the Department for Work and Pensions:

To ask the Secretary of State for Work and Pensions, what assessment her Department has made of the potential impact of the Pathways to Work Green Paper proposals on people living with (a) Multiple Sclerosis and (b) other progressive neurological conditions; and what steps she plans to take to ensure that people with fluctuating or invisible disabilities do not lose access to Personal Independence Payment or other essential support.

The proposals outlined in our Green Paper, Pathways to Work: Reforming Benefits and Support to Get Britain Working aim to make the system fit to support people who need it now and in the future. Some information on the impacts of the Pathways to Work Green Paper was published alongside the Spring Statement and can be found at this link: Pathways to Work: Reforming Benefits and Support to Get Britain Working Green Paper - GOV.UK. More information on the impacts will be published in due course, a further programme of analysis to support development of the proposals in the Green Paper will be developed and undertaken in the coming months.

With regards to the changes to the Personal Independence Payment (PIP) eligibility criteria, it is important to note that the PIP assessment considers the needs arising from a long-term health condition or disability, not the health condition or disability itself. Therefore, the impact of the PIP changes will depend on an individual’s circumstances.

There will be no immediate changes to PIP eligibility. Our intention is that the changes will apply to new claims and award reviews from November 2026, subject to parliamentary approval. For those already on PIP, the changes will only apply at their next award review. The average award review is about three years. When people are reassessed, they will be reviewed by a trained assessor or healthcare professional and assessed on their individual needs and circumstances.

We are consulting on how best to support those who are no longer eligible for PIP and linked entitlements, including how to make sure health and eligible care needs are met.

In the Green Paper, we also announced that we are looking at recording assessments as standard to build greater trust in the system. The aim is to create greater transparency, using recordings as a learning opportunity to consider potential improvements to the quality of the assessment process, including improving our assessment of fluctuating conditions.