Agrees with the hon. Member's point about the interrogation-like nature of assessments that can be degrading for constituents; provides an example where a dropped pen was used against the applicant in their assessment. Ms Nichols highlighted the challenges faced by people with multiple sclerosis (MS) in navigating Personal Independence Payment (PIP) assessments. She noted that over 130,000 people have MS and their fluctuating symptoms are not adequately recognised by PIP's rigid criteria. The survey from the MS Society found that 57.5% of respondents could not accurately explain their condition during assessments, while 61% felt their hidden symptoms were ignored. Informal observations often lead to inaccurate decisions based on visible evidence rather than medical expertise. She also criticized the 20-metre rule and 50% rule for being arbitrary and failing to consider fluctuating conditions. She asked if the Minister was discussing with Treasury colleagues not just eligibility criteria for reforms but also the adequacy of benefits to cover additional costs faced by disabled people. For example, having MS incurs an average monthly cost of £337.

The British Government's approach to disability benefit assessments is ineffective and inhumane, causing undue stress and misery to people. The system favours evidence provided by the assessor rather than the claimant and operates on a presumption of scepticism, leading to a cycle of despair and frustration. In most cases, people's mental and physical health are worsened by the assessment process, which is counter-productive and leads to further problems for the NHS. The system is flawed as 68% of Personal Independence Payment (PIP) appeal outcomes are changed in favour of claimants. People with conditions such as multiple sclerosis or Parkinson's face inaccurate decisions based on informal observations during assessments.

Concerned about safeguarding vulnerable claimants when applying for PIP or undergoing a work capability assessment, citing an increase in prevention of future death reports from coroners related to these processes.

I agree that the current system needs improvement but argue that we must balance fairness with affordability. The government is committed to reviewing the assessments to ensure they remain robust yet compassionate. Thanked the Minister for their thorough response and gave Elliot Colburn the opportunity to have the final say.

Figures show that only 11% of applicants are successful in challenging the PIP award through the mandatory reconsideration process, but when appealed to tribunals, nearly 80% receive their enhancement.

Discusses Scotland's system based on fairness, dignity and respect for claimants, contrasting it with traumatic experiences reported under the UK system. Focusing on Crohn's and colitis, MP highlighted the challenges faced by individuals with relapsing and remitting diseases during disability benefits assessments. She cited the impact of unpredictable symptoms like incontinence and fatigue, noting that current assessment criteria do not adequately reflect these conditions. MP also mentioned the Scottish system's person-centred approach compared to the UK's rigid framework. She acknowledged the Minister's comments on reform but pointed out that nearly £19 billion in benefits go unclaimed each year and 70% of appeals are successful, indicating a significant need for further improvement in the assessment process.

It is a difficult and fine balance, because the current approach allows people to know exactly where they are before turning 18. The issue is not black and white. Supported the point about having a named, trusted third party for application processes. Highlighted improvements in the Personal Independence Payment (PIP) process compared to Disability Living Allowance (DLA), noting that around 32% of PIP claimants receive the highest rate support. Emphasised the potential benefits of specialising assessors and using telephone/video assessments. Advocated for automatic level of support for those with motor neurone disease based on diagnosis trajectory. Mr Tomlinson responded to concerns by stating there is nothing in the assessor's contract that tries to lower claimant success rates, noting an increase in spending on disability benefits. He also referenced a higher success rate for PIP compared to DLA.

Suggested that people with fluctuating conditions such as ME would benefit from regular assessments. She also highlighted the case of a constituent who needed extra childcare support to manage their benefits effectively.

I want to highlight the difficulties experienced by constituents with disabilities due to overly stringent assessments, which often lead to unjust outcomes. I have received 166,498 signatures from my constituents who are campaigning for a fairer assessment process. The MP thanked those who brought the debate and highlighted issues with PIP assessments, citing personal and constituent experiences. She criticized the lack of change since 2015 despite repeated promises from the Government. The Scottish system was praised for its approach to assessments and support for disabled people.

Ms Green reflected on the impact of PIP assessments on individuals' self-esteem and mental health, highlighting the importance of a kinder process. She specifically addressed the use of informal observations in assessments, suggesting that these are reliant on assessors' knowledge of various conditions but often fail to account for fluctuating or non-visible conditions such as Crohn's disease.

In an intervention, Sarah Jones suggested that there has been an increase in PIP assessment failures among claimants with mental health conditions.

Mr. Timms drew on his Select Committee's report, highlighting concerns about the current assessment system for disability benefits and calling for reforms to address issues such as recording assessments by default, investigating covert surveillance, and extending deadlines for form submissions. He also raised questions regarding the transition from Disability Living Allowance (DLA) to Personal Independence Payment (PIP) for young people and the adequacy of the new online PIP application process. He questioned what will happen to people who are too unwell to work but ineligible for PIP. He suggested that the Minister's proposal may imply these individuals receive no support at all, which seems unlikely.

She highlighted the flaws in the Personal Independence Payment assessment process, which causes stress and uncertainty for disabled claimants. She mentioned that many people face delays of up to two years for their reviews, with over 430,000 awaiting their review currently. The system does not adequately support those with fluctuating conditions such as MS, Crohn's, and colitis.

Agreed that preventing delays is crucial for people with MND and argued that local authority adaptations are making the process more difficult for those with the condition. Ms Chamberlain agreed with the need for a compassionate approach but noted that processes must be properly administered. She highlighted longer waiting times for ADP assessments in Scotland compared to PIP and mentioned incorrect decisions in casework. Discussed the substantial part PIP assessments take up in casework, causing distress to constituents. Highlighted issues such as lengthy and stressful forms for applicants with cognitive difficulties, delays in receiving forms, and inadequate time limits for completion. Called for increasing form submission times to two months or longer and addressing relapsing conditions adequately. Criticized the assessment process for being degrading and designed to trip people up, citing a 720,000-person backlog. Suggested offering assessments both in person and on the phone and criticized descriptors that do not allow claimants to explain their needs properly. Raised concerns about informal observations by non-specialist assessors and recommended default recording of all assessments. Questioned the necessity of over-reviewing claimants with no chance of improvement.