If you’re claiming on the sickness
benefits ‘route’ you will be on just one benefit designed to replace
earnings because of illness/ disability (Statutory Sick Pay, Incapacity
Benefit or Severe Disablement Allowance) and/ or Income Support/ Child
The majority of people on the sickness route to benefit
will, at some point or other face the ‘Personal Capability Assessment’ -
which used to be known as the All Work Test.
However if you get the Care Component of Disability
Living Allowance at the higher rate or are deemed to have a ‘severe mental
health problem’ in the DWP’s eyes, you do not have to fulfil the
requirements of the Personal Capability Assessment.
The DWP definition of what constitutes a severe mental health
problem is not exact - ‘an illness which severely and adversely
affects someone’s mood or behaviour and which severely restricts
their social functioning or awareness of their immediate
the decision to exempt someone on these grounds, the DWP Decision Maker will
seek information - usually from your GP - about diagnosis, history of
hospitalisation, current treatment and level of care and support needs.
Some people getting Severe Disablement Allowance have to
meet an 80 per cent disablement requirement.
Anyone else who is unfit for work for more than six months
will have to pass the Personal Capability Assessment to stay on the sickness
route to Benefits.
If you are classed as having an ‘usual occupation’ when
you become unwell, you will face this Assessment after six months of
incapacity. If you do not have an ‘usual occupation’, you face it almost at
Changes for Sickness Benefits Route Claimants