The UK government is set to overhaul Personal Independence Payments (PIP), with a review panel examining how the disability benefit can be restructured to curb rising costs. The review, led by a panel and due to be presented to Andy Burnham in November, could lead to restrictions on claims for certain conditions, particularly mental health-related ones like anxiety and depression.
According to data from October 2023, psychiatric disorders account for the largest share of PIP claims, with over 1.2 million cases, representing 37.30% of all claims. This includes conditions such as stress, anxiety, mood disorders, cognitive disorders, eating disorders, and learning disabilities. The surge in claims has been most pronounced among young adults, prompting concerns about the sustainability of the benefit.
Top five conditions driving PIP claims
The top five conditions accounted for 85% of all PIP claims as of October 2023. Here’s the full breakdown:
- Psychiatric disorders: 1,253,056 claims (37.30%) – includes stress, anxiety, mood disorders, cognitive disorders, eating disorders, and learning disabilities.
- Musculoskeletal diseases (general): 669,706 claims (19.93%) – includes osteoarthritis, fracture complications, muscle pain, and joint pain.
- Neurological diseases: 423,552 claims (12.61%) – includes epilepsy, multiple sclerosis, headaches, head injuries, cerebral palsy, and neuropathy.
- Musculoskeletal diseases (regional): 396,387 claims (11.80%) – includes disorders affecting specific body parts such as shoulders, wrists, hands, neck, back, hips, knees, ankles, and feet.
- Respiratory diseases: 139,058 claims (4.14%) – includes asthma, cystic fibrosis, pulmonary fibrosis, and upper respiratory tract diseases.
These figures highlight the dominance of mental health-related claims, which have surged in recent years. The review, known as the Timms review, is expected to recommend changes that could see applications for such conditions rejected in future, with existing claimants potentially facing reassessment.
Burnham’s stance on PIP reform
Andy Burnham, who oversees the benefit, has stated he is not in favour of “crude” cuts to benefits. However, he has expressed a desire to see more young adults receive mental health support while in work, suggesting a shift towards early intervention rather than purely financial support.
Burnham and his Chancellor John Healey will receive the Timms review findings in November and will then decide on the future of PIP. The review comes amid growing concerns about the rising cost of the benefit, which has increased significantly over the past few years.
Impact on claimants and future claims
The potential changes could have a significant impact on current and future claimants. If psychiatric conditions are restricted, many individuals with anxiety, depression, and other mental health issues may lose access to financial support. This could affect their ability to manage daily living costs and participate in work.
Advocacy groups have warned that any changes must be carefully considered to avoid penalising those with genuine needs. The review panel is expected to balance cost-saving measures with the need to support vulnerable individuals.
As the review progresses, claimants are advised to stay informed about potential changes and consider seeking advice from disability support organisations. The final decisions will be made after the November report, with implementation likely to follow in subsequent months.



