Question to the Department for Work and Pensions:

To ask the Secretary of State for Work and Pensions, with reference to the ONS release Rising ill-health and economic inactivity because of long-term sickness, UK: 2019 to 2023, dated 26 July 2023, whether (a) policy interventions for and (b) other approaches to (i) bad nerves and (ii) anxiety are different for people reporting it as a (A) primary and (B) secondary condition.

On average between 2014 and 2022, disabled people who reported depression, bad nerves or anxiety as their main long-term health condition were more likely to move into work than those that reported it as a main or secondary condition – 14.8% of those not in work the previous year for main condition compared to 9.5% for main or secondary condition. To note, the way the survey data is structured means we are unable to look at labour market impacts for those with conditions listed only as a secondary condition.

The Work Capability Assessment (WCA) assesses an individual against a set of descriptors to determine how their health condition(s) or disability affects their ability to work. A key principle is that the WCA considers the impact that a person’s disability or health condition has on them, not the condition itself. Therefore, whether the condition is primary or secondary is not relevant to the WCA outcome.

The WCA outcome will determine what work-related requirements, if any, are appropriate.

Those with particular health conditions, regardless of whether they are listed as primary or secondary conditions, may be found in any labour market regime as people’s conditions can impact their ability to work or engage in work related activity in different ways. This varies from claimants experiencing the most severe impacts from their health condition who are placed in the No Work Related Requirement group and cannot be subject to any work-related requirements, to claimants with health conditions but who are nonetheless fit for work who may set up to 35 hours of work search a week. Where claimants are in a group where conditionality is set, conditionality is agreed between the WC and the claimant and always tailored to someone’s circumstances. A work coach will consider the circumstances of the person in front of them when setting requirements and referring them to specific provision or policy interventions, regardless of whether a condition is listed as a ‘primary’ or ‘secondary’ condition.