“(1) A person is to be taken to satisfy the conditions mentioned in section 73(1)(a) (unable or virtually unable to walk) only in the following circumstances – (a) his physical condition as a whole is such that, without having regard to circumstances peculiar to that person as to the place of residence or as to place of, or nature of, employment– (i) he is unable to walk; or (ii) his ability to walk out of doors is so limited, as regards the distance over which or the speed at which or the length of time for which or the manner in which he can make progress on foot without severe discomfort, that he is virtually unable to walk; or (iii) the exertion required to walk would constitute a danger to his life or would be likely to lead to a serious deterioration in his health; or (b) he has both legs amputated at levels which are either through or above the ankle, or he has one leg so amputated and is without the other leg, or is without both legs to the same extent as if it, or they, had been so amputated. … (4) Except in a case to which paragraph(1)(b) applies, a person is to be taken not to satisfy the conditions mentioned in section 73(1)(a) of the Act if he – (a) is not able to or virtually unable to walk with a prosthesis or artificial aid which he habitually wears or uses; (b) would not be unable or virtually unable to walk if he wore and or used a prosthesis or an artificial aid which is suitable in his case”
“In practice, in most cases, the test has effectively became a ’50 yard’ test unless the speed of walking or the person’s gait is exceptionally restrictive.”
“You can walk: • less than 50 metres • slowly • in a poor manner You are unable or virtually unable to walk, so you are entitled to the higher rate of mobility.”
“[PIP] will maintain the key principles of DLA, providing cash support to help overcome the barriers which prevent disabled people from participating fully in everyday life, but it will be delivered in a fairer, more consistent and sustainable manner. It is only right that support should be targeted at those disabled people who face the greatest challenges to leading independent lives. This reform will enable that support, along with a clearer, more straightforward assessment process.”
“[DLA] has become confusing and complex. The rising caseload and expenditure is unsustainable, the benefit is not well understood and there is no process to check that awards remain correct. That is why the Government will reform DLA, to create a new benefit, [PIP], which is easier to understand, more efficient and will support disabled people who face the greatest challenges to remaining independent and leading full and active lives.”
“Question 6: How do we prioritise support to those people least able to live full and active lives? Which activities are most essential for everyday life? Question 7: How can we best ensure that the new assessment appropriately takes account of variable and fluctuating conditions?” iv) It was said that there would be a “broader focus on disability”
“The definitions currently used are subjective and reflect views of disability from the 1990s, not the modern day. For example, ‘mobility’ as currently defined concentrates on an individual’s ability to walk, not their ability to get around more generally”
“At present, the higher and lower rates of the DLA mobility component are based on different criteria. With the exception of some automatic entitlements, higher rate mobility is generally awarded for physical health conditions or impairments, whereas lower rate mobility is linked to the need for supervision or guidance when outdoors. This means that there is some overlap between lower rate mobility and the care component, as the care component is largely based on the need for supervision or attention. In the new assessment, there will be separate criteria for each component, based on an individual’s ability to carry out certain everyday activities. These criteria will determine entitlement to both the standard and enhanced rates of the component, depending on the impact of a health condition or impairment.”
“I am clear that as we design and develop how [PIP] will work in practice, we will need to continue to involve disabled people and their organisations. Their expertise will be essential and this document sets out in more detail how we plan to do this, so that their views are reflected in any changes we make.”
“This activity assesses physical ability to move around outdoors. This includes ability to transfer unaided between two seated positions, to move up to 50 metres, up to 200 metres and over 200 metres. Factors such as pain, breathlessness, fatigue and abnormalities of gait are taken into account when assessing this activity. The descriptors reflect the use of manual aids such as sticks or prostheses, self-propelled wheelchairs and assisted aids such as electric wheelchairs…. General notes: This activity should be judged in relation to a type of surface normally expected out of doors such as pavements and roads and includes the consideration of kerbs. A short journey is up to 50 metres (approximately half the length of a football pitch) such that an individual is able to achieve a basic level of independence such as the ability to get from a car park to the supermarket. An extended journey is more than 50 metres but less than 200 metres (approximately twice the length of a football pitch) such that an individual is able to achieve a higher level of independence such as the ability to get around a small supermarket. … Factors such as pain, breathlessness, abnormalities of gait and fatigue need to be taken into account when assessing this activity. Where an activity can only be completed at the expense of excessive fatigue, the individual should be regarded as unable to complete it. The person must be able to perform the activity safely and in timely fashion – however, this only refers to the actual act of moving. For example, danger awareness (e.g. traffic etc) is considered as part of [the Planning and following a journey] activity.”
“The descriptors continue to differentiate between the use of aids such as walking sticks and crutches; self-propelled manual wheelchairs; and wheelchairs propelled by others or a motorised device. This ensures that the extra costs associated with some mobility aids are reflected.”
“4.35 … For the Mobility component, the descriptor weightings for activity 11 [Moving around] reflect the extra costs associated with mobility aids, ensuring that individuals who require aids and appliances to move very short distances receive some priority in the weightings, while individuals who use a wheelchair would receive greater priority. The approach taken with mobility activities ensures that an individual who is unable to get around as a result of either a physical or non-physical impairment should receive the same weighting. 4.36 The weightings proposed in the second draft criteria are our initial proposals only, to enable us to start a meaningful debate. We know that it is crucial to get this right and we want to hear the views of disabled people and disability organisations. We will also be formally consulting on the criteria – including the proposed descriptor weightings – once we have reached firmer views on the weightings and, in particular, entitlement thresholds. While we recognise that there is strong interest in what the thresholds will be, it is important that we get this right and do not publish anything that might be misleading. We will publish this information as soon as possible.”
“3.6 For the Mobility component, the proposed thresholds reflect and differentiate between the extra costs incurred by an individual requiring support to get around. They also ensure that individuals whose ability to get around is severely impacted by impairments affecting either physical or non-physical ability can receive the Mobility component at the enhanced rate – reflecting our key principle of developing an assessment which considers the impact of impairments equally, regardless of their nature. 3.7 For [the Moving around activity], individuals who use aids and appliances to move very short distances can receive the standard rate, reflecting the extra costs incurred, while those who need wheelchair to do so will receive the enhanced rate, reflecting the additional extra costs, barriers and overall level of need which often accompany wheelchair use… 3.8 We recognise that there are likely to be strong views on the entitlement thresholds and how these relate to the descriptor weightings previously proposed. We have now begun a further consultation on the second draft of the assessment criteria, including the weightings and entitlement thresholds, and would welcome any views that people and organisations have.”
“She spends most of her time in an electric wheelchair because she can only walk about 10-15 steps”
“He can walk for short distances but the pain in his knees stops him after 20-30 steps…. He cannot use sticks because of his hand problems”
“He finds it very tiring if he walks more than 40-50m so he often uses a wheelchair if he is going outdoors”
“Q3 What are your views on the latest draft Mobility activities? In the explanatory note we set out revised proposals for the activities relating to entitlement to the Mobility component…. Are the changes an improvement? Do you think we need to make any further changes? Q4 What are your views on the weightings and entitlement thresholds for the Mobility activities? In the explanatory note we set out proposals for the weightings of descriptors in the activities relating to entitlement to the Mobility component…. In this document we have set out the entitlement thresholds for the benefit. How well do you think they work to distinguish between differing levels of ability in each activity? How well do you think they work to prioritise individuals on the basis of their overall need? Do you think we need to make any changes to weightings or thresholds?”
“Two thirds of the current [DLA] caseload is made up of physical function conditions and one third mental function conditions. The 1.7m modelled [PIP] eligible caseload has a similar split between physical and mental function conditions.”
“At present, eligibility to the Motability scheme depends upon a person being in receipt of the higher rate mobility component of DLA. Following discussions with the Motability scheme we can confirm that the enhanced rate of the mobility component of [PIP] will act as the gateway to the Motability scheme in the future. The new assessment criteria for [PIP] will help to ensure that the Motability scheme will now be available to a broader range of disabled people with mobility barriers than was the case under DLA….”
“2. … [DLA] awards can be decided on the basis of self-reporting of need, and although medical evidence is sought for certain awards, it is not mandatory or routinely provided. At present around half of all award decisions are made without any additional medical evidence. 3. The current [DLA] legislation provides automatic entitlements to certain rates on the basis of specific conditions and impairments, or the treatment an individual is receiving. As a result, eligibility for [DLA] is sometimes based on medical condition rather than the impact of that condition, meaning that support is not always appropriately targeted.”
“26. Replacing [DLA] with a new benefit that is focused on supporting those individuals with the greatest barriers to participation provides an opportunity to promote equality of opportunity for disabled people least likely to live full and active lives. However, as the benefit becomes better targeted on those with the greatest needs it is likely that some disabled people, who may have self-assessed as needing support, but who have lesser barriers to participation, will receive reduced support. 27. Where these individuals have a carer in receipt of Carer’s Allowance, this will also result in some loss of benefit due to the knock-on effects of reform. This would appear to be more likely to have an effect on disabled people, as carers are more likely to be disabled than the population in general.”
“30. The new benefit will be fairer, and may help to improve understanding that support is available both in and out of work. More regular reviews and a more objective, rather than self, assessment may mean reduced support for some people who have lesser or reduced barriers to participation. This is entirely consistent with the policy but it is possible that this group are more likely to be adversely affected. The knock-on effects of the policy affect disabled people as many of those who identify as disabled are also carers.”
“1.3 … We have re-written the Moving around activity to make it easier to understand and apply. The feedback we received from most respondents showed this activity was not clear. It was commonly believed that only people who use wheelchairs could qualify for the enhanced rate of the Mobility component from this activity, despite this not being our intention. … 6.21 A considerable number of comments reflected significant concern that the enhanced rate of the mobility component would only be available to individuals who use wheelchairs. Concern was raised that individuals who do not use wheelchairs but face considerable barriers to physical mobility – such as those faced by many bilateral amputees – might miss out on the component. This has never been the intention of this activity. Some of the descriptors referred to wheelchairs but this was to establish whether an individual might need a wheelchair to move around in a reliable way, not whether they currently have or use one. If they were assessed as needing a wheelchair to be able to move up to 50 metres in a reliable way, they could be awarded the enhanced rate of the benefit, regardless of whether they actually have a wheelchair. For example, an individual who uses a frame might be able to walk 50 metres but in a way that is unsafe or takes a very long time. In such circumstances they might be assessed as needing a wheelchair to move this distance reliably. However, the activity was clearly confusing and concerning to people and as such we have re-written it to make the policy intent clearer. 6.22 The activity has been refocused to look at an individual’s ability to ‘stand and then move’ a certain distance. In this way the activity continues to concentrate solely on an individual’s physical ability to move around.… 6.23 The revised criteria do not make any reference to wheelchairs, removing the confusion this caused in the second draft. We believe that the amended criteria – while not changing the policy intent – are clearer to apply and ensure fair outcomes to individuals who face physical barriers to mobility. …. 6.27 Respondents pointed out that, due to the fact the descriptors referenced distances ‘up to 50 metres’, individuals who can move only very small distances, but who do not require a wheelchair, would not qualify for the enhanced rate of the mobility component, despite having significant mobility restrictions. In the revised criteria we have changed the descriptors to make clear that those individuals who do not need a wheelchair but can only move short distances of less than 20 metres will qualify for the enhanced rate.”
“This activity considers a claimant’s physical ability to move around without severe discomfort such as breathlessness, pain or fatigue. This includes the ability to stand and then move up to 20 metres, up to 50 metres, up to 200 metres and over 200 metres. Notes: This activity should, be judged in relation to a type of surface expected out of doors such as pavements and roads on the flat and includes the consideration of kerbs. 20 metres is considered to be the distance that a claimant is required to be able to walk in order to achieve a basic level of independence in the home such as the ability to move between rooms. 50 metres is considered to be the distance that a claimant is required to be able to walk in order to achieve a basic level of independence such as the ability to get from a car park to a supermarket. 50 to 200 metres is considered to be the distance that a claimant is required to be able to walk in order to achieve a higher level of independence such as the ability to get round a small supermarket. ”
“For example, this would include people who can stand and move more than 20 metres but no further than 50 metres, but need to use an aid such as a stick or crutch to do so.”
“Given the considerable consultation and engagement that have gone into producing this final draft of the assessment criteria and regulations, including one informal and one formal consultation, we do not intend to carry out any further consultation activity. However, the regulations will be subject to approval by Parliament through the affirmative procedure. Subject to Parliamentary approval, we expect them to come into force on8 April 2013 .”
“(1) The score C obtains in relation to mobility activities is determined by adding together the number of points (if any) awarded for each activity listed in column 1 of the table in Part 3 of Schedule 1 (“the mobility activities table”). (2) For the purpose of paragraph (1), the number of points awarded to C for each activity listed in column 1 of the mobility activities table is the number shown in column 3 of the table against whichever of the descriptors set out in column 2 of the table for the activity applies to C under regulation 7. (3) Where C has undergone an assessment, C has — (a) limited ability to carry out mobility activities where C obtains a score of at least 8 points in relation to mobility activities; and (b) severely limited ability to carry out mobility activities where C obtains a score of at least 12 points in relation to mobility activities.”
“2.2 This means that anyone who cannot stand and then walk 50 metres safely, to an acceptable standard, repeatedly and in a reasonable time period automatically receives at least the standard rate of the Mobility component of PIP. People who cannot stand and then walk more than 20 metres safely, to an acceptable standard, repeatedly and in a reasonable time period receive the enhanced rate. People can also receive the standard or enhanced rate by adding together points from the Moving around activity and the Planning and following journeys activity. 2.3 Our intention has always been to focus the enhanced rate on those with the greatest barriers to mobility. In early drafts of the assessment we considered both how far a person could move and whether they needed an aid, appliance or a wheelchair to do so. However, the consultation responses we received indicated that this could be confusing if a person did not currently use an aid, appliance or wheelchair. The criteria set out in the current Regulations focus mainly on distance and 20 metres is used as a benchmark distance for determining whether someone is entitled to the enhanced or standard rate for people who do not also score points on the Planning and following journeys activity. 2.4 The benchmark of 20 metres was intended to allow us to distinguish between those who are effectively unable to get around due to physical mobility – for example, people who are only able to move between rooms in their house but go no further – and those who have some, albeit limited, mobility. We thought that these criteria could be applied consistently and would make it easy to differentiate between people who should be receiving the enhanced and standard rate….”
“What are your views on the Moving around activity within the current PIP assessment criteria?”
“3.2 We would like to know what you think about the Moving around activity assessment criteria set out in the current Regulations, including the current thresholds of 20 metres and 50 metres. As part of this we would like to know what you think the impact of the current criteria will be and whether you think we need to make any changes to them or assess physical mobility in a different way altogether. 3.3 We are not consulting on the Planning and following journeys activity or any other aspect of the assessment. 3.4 At present, for the reasons set out in paragraph 2.4 above, our preferred option is to retain the version of the assessment criteria for the Moving around activity set out in the current Regulations. However, we are carrying out this consultation in a fully open-minded manner and will carefully examine all the evidence provided. If we consider that we need to make changes to the Moving around activity once we have analysed all the representations received, we will do so. 3.5 In reaching our decision we will consider how any potential changes might affect individuals and the numbers of people likely to receive the benefit. We will also consider the potential impact of any changes on PIP and overall welfare expenditure and whether this is affordable and sustainable. We will publish a report summarising the responses received and how we reached our conclusions, once we have completed the consultation.”
“… [I]n short, the analysis identifies the following impacts on protected groups: • The reduction in higher rate mobility caseload is more likely to affect those with primarily physical impairments. This is as a result of the policy intent to target a finite amount of support at those individuals who face the greatest barriers to mobility, regardless of whether they have a physical or non-physical root cause. • The reduction in the higher rate mobility caseload is more likely to affect women as they are currently more likely to be in receipt of the higher rate. This is believed to be because women are slightly more likely to receive the DLA mobility component as a result of a physical impairment than men. • The reduction in the higher rate mobility caseload is more likely to affect older people as physical health conditions are proportionately more prevalent amongst the older population.” • The reduction in higher rate mobility caseload is more likely to affect those with primarily physical impairments. This is as a result of the policy intent to target a finite amount of support at those individuals who face the greatest barriers to mobility, regardless of whether they have a physical or non-physical root cause. • The reduction in the higher rate mobility caseload is more likely to affect women as they are currently more likely to be in receipt of the higher rate. This is believed to be because women are slightly more likely to receive the DLA mobility component as a result of a physical impairment than men. • The reduction in the higher rate mobility caseload is more likely to affect older people as physical health conditions are proportionately more prevalent amongst the older population.”
“4.2 Throughout the development of PIP, the Government recognised that achieving these goals would result in some reprioritisation of expenditure and therefore some people would lose and some gain. 4.3 When developing the Mobility criteria, we were aware that although DLA includes deeming provisions which award the higher rate Mobility component to claimants who are deaf blind, severely visually impaired and severely mentally impaired, the higher rate Mobility component is predominantly awarded to claimants with physical mobility difficulties only. The DLA lower rate Mobility component has been awarded to those individuals who require guidance or supervision outdoors. This means that many claimants with mental, intellectual and cognitive impairments do not receive DLA higher rate Mobility, despite facing significant barriers to mobility and therefore to independent living. The PIP Mobility component has been designed to reflect the impact of impairments on an individual’s ability to get around, regardless of whether it has a physical or non-physical root cause. The Government was aware that this approach would mean a reprioritisation of finite resources and those individuals with a physical health condition or impairment would be more likely to see a reduction in the mobility support they receive relative to those with non-physical impairments requiring support for moving around.”
“6.6 In developing the new benefit and its assessment criteria, the Department was aware that to achieve the policy objectives of PIP, some individuals who received DLA would see their benefit awards reduced or removed completely. Equally others would see their awards increase and some individuals who were not previously entitled to DLA would now receive PIP. This is an inevitable consequence of re-targeting finite resources and support.”
“6.25 ... The analysis shows that PIP enhanced rate Mobility awards are more evenly split between individuals with physical impairments as their primary disability and those with mental, intellectual, cognitive and sensory impairments compared to currently under DLA: [There was then set out, as table 3, table 11 from the advice to Ministers: see paragraph 83 above.] 6.26 As shown in table 3 above, we expect that a smaller proportion of the Mobility caseload will receive the enhanced rate Mobility component under PIP when compared to DLA. Given that currently those receiving higher rate Mobility tend to receive this because of physical impairments, we can estimate that the reduction in caseload will be more likely to affect those with primarily physical impairments. The Department believes this is an inevitable result of the policy intent set out above but that it can be justified as in the long-term it promotes more equal treatment between individuals with different types of disability compared with DLA, where access to the higher rate of the Mobility component is almost exclusively limited to those with physical impairments.”
“6.52 The Government concludes that the impacts identified above are a logical result of achieving the policy intent to target a finite amount of support in a fairer, more consistent and sustainable manner at those individuals who face the greatest barriers to living independent lives.”
“6. When responding to the [2012 Consultation] on the proposal to implement [PIP], DMUK had understood that those who could walk 50 metres would not qualify for enhanced rate, but those who couldn’t walk 50 metres, without using a wheelchair, would. This was made clear in our consultation response… 7. We were therefore shocked to learn that the benchmark had been changed to just 20 metres…”
“The [Secretary of State] cannot rely on the 2013 consultation exercise as having remedied the defects in the original 2012 Consultation, because by the time the 2013 Consultation had begun the [2013] Regulations were no longer at the formative stage. The [Secretary of State] objects that this submission is tantamount to alleging that the [2013] Consultation was a sham. That is not the case and there is a clear distinction between the obligation to consult at a formative stage and an allegation that the exercise is a sham. The former duty is imposed as an aspect of fairness so that persons entitled to be consulted may make representations when they have a realistic opportunity of affecting the outcome. The decision-maker may genuinely intend to keep an open mind and be prepared to change if a strong case is made yet the process may still be unfair if the effect of the previous decisions is to impose what is, in practice, an insurmountable hurdle, or where the dice are unfairly loaded… … 86. … [B]y the time the 2013 Consultation closed and in the circumstances the decisions that had already been made precluded any real possibility that the Moving around criteria would be changed to address the concerns raised in the consultation.”
“54. After careful consideration, and having due regard to the obligations of the Public Sector Equality Duty, noting the impact of the current PIP mobility criteria on the groups with protected characteristics under the Public Sector Equality Duty; as well as the Human Rights Act and the UN Convention on the Rights of the Disabled People, the Minister decided not to make changes to the assessment criteria, including no changes to the mobility criteria. 55. The Minister expressly considered changes to the assessment other than changes to the Moving around activity, although these were the main focus of any considerations. These changes could have been either direct changes to other aspects of the assessment or as a knock-on effect of changes to the mobility criteria; for example, making changes to the points threshold. 56. The Minister was satisfied that the current criteria helped to meet the policy objective of targeting funds at those with the greatest needs, and after considering the views and evidence provided by the consultees, was not persuaded that the policy objective should be changed or met in a different way. Had the Minister wished to make changes to the Moving around activity that increased cost, we could have amended the wider PIP criteria to compensate, reprioritised from elsewhere in DWP, or sought additional funding from HMT.”
“21. It was not possible ahead of the consultation to determine precisely how changes would be funded and implemented as there could be many permutations that the Minister would wish to consider. If the Minister had wanted to make changes to the Moving around activity that increased cost, we could have amended the wider PIP criteria to compensate, reprioritised from elsewhere in DWP, or sought additional funding from Her Majesty’s Treasury… 22. It was not the case, as I understand has been suggested by the Claimant in this case, that the amount of resources required to fund awards became ‘fixed’ when the main PIP Regulations were made. Throughout its development, the criteria for the PIP assessment were not developed to achieve fixed savings but to meet the policy intent of targeting support on those with the greatest needs. 23. In advance of agreeing to further consultation, Ministers decided and made it clear that they were willing to accept a change in AME savings expected from the introduction of PIP in order to amend the ‘Moving around’ activity if it was appropriate to make changes. 24. The Department also gave careful consideration to the practical implications of making changes to the criteria before the consultation could be announced. For example, there was contingency planning for a process to backdate benefit payments to PIP claimants if changes were made to the criteria which resulted in individuals being better off under the amended scheme. ”
“However, as the benefit becomes better targeted on those with the greatest needs it is likely that some disabled people, who may have self-assessed as needing support, but who have lesser barriers to participation, will receive reduced support.”
“The concept of ‘due regard’ requires the court to ensure there has been a proper and conscientious focus on the statutory criteria, but if that is done, the court cannot interfere with the decision simply because it would have given greater weight to the equality implications of the decision than did the decision-maker. In short, the decision-maker must be clear precisely what the equality implications are when he puts them in the balance, and he must recognise the desirability of achieving them, but ultimately it is for him to decide what weight they should be given in the light of all relevant factors.”