Question to the Department for Work and Pensions:

To ask the Secretary of State for Work and Pensions, what steps she is taking to ensure the provision of full (a) training and (b) guidance on (i) arthritis and (ii) other long-term fluctuating health conditions for PIP assessors.

The Personal Independence Payment (PIP) assessment evaluates how an individual’s condition affects their ability to live independently, rather than focusing solely on the nature or severity of their condition. The assessment considers whether a person can carry out specific activities safely, reliably, repeatedly, and within a reasonable time frame. The process does not assess individuals based on their ‘best days’; instead, it takes into account the overall impact of a condition over time, specifically considering functional limitations that occur on more than 50% of days within a given period.

All health professionals (HPs) are fully qualified in their health discipline and have passed strict recruitment and experience criteria. They are also required to be registered with the appropriate regulatory body. The department authorises HPs to conduct assessments only after suppliers demonstrate that the HP has successfully completed a department approved training and appraisal programme. This process confirms that HPs possess a sound understanding of the clinical aspects and likely functional effects of a broad range of health conditions.

As of September 2024, the Department for Work and Pensions (DWP) took over responsibility for the Core Training and Guidance Material (CTGM) used within the Health Assessment Advisory Service (HAAS). This material is provided by DWP to HAAS assessment suppliers, who are required to incorporate all relevant CTGM content related to specific conditions and assessment policies into their final training products.

DWP has provided suppliers with specific CTGM on rheumatoid arthritis, alongside a broader suite of training materials covering a range of long-term, fluctuating health conditions. These contain clinical and functional information relevant to the condition and is quality assured to ensure its accuracy from both a clinical and policy perspective.