Official Statistics

Universal Credit Work Capability Assessment, April 2019 to September 2023

Published 14 December 2023

Applies to England, Scotland and Wales

The latest release of these statistics can be found in the Universal Credit Work Capability Assessment statistics.

This is a quarterly release of Official Statistics on the number of people on UC with a health condition or disability restricting their ability to work, the number of WCA decisions made for UC, and the outcomes of these WCAs.

The next release will be on 14 March 2024.

This release covers:

• the number of people on UC health from April 2019 to September 2023 – by stage of process and personal characteristics such as age and gender
• more granular information by region and local authority
• proportions of Universal Credit claimants on UC health
• monthly WCA decisions and outcomes from April 2019 to August 2023

Universal Credit has replaced income-related Employment and Support Allowance (ESA) for new claimants. The legacy ESA scheme closed to new claimants in January 2021. New Style ESA is a contributory benefit open to eligible claimants.

In some circumstances, Universal Credit can be claimed alongside New Style ESA. When both benefits are claimed together, Work Capability Assessments are led through the UC claim and outcomes then applied to both benefits.

1. Main stories

The statistics show, across Great Britain at September 2023:

Caseload (number of people on UC health)

• 1.8 million people were on UC health compared to 1.5 million a year earlier
• of these, 230 thousand (12%) had acceptable medical evidence of a restricted ability to work pre-WCA; 340 thousand (18%) were assessed as limited capability for work (LCW), and 1.3 million (70%) were assessed as limited capability for work and work-related activity (LCWRA)
• 52% of claimants were female
• of all claimants on UC health, 38% were aged 50 plus and 11% aged under 25

Proportions of Universal Credit claimants

• in September 2023, 30% of people on UC were on UC Health – up 4 percentage points from September 2022
• within England, the region with the highest proportion of UC health cases relative to overall Universal Credit claimants is the North-East (36%), followed by North-West (32%) and South-West (32%) – and the lowest is London (24%)

UC WCA Decisions (in the period April 2019 to August 2023)

• 2.2 million UC WCA decisions have been made. 16% of decisions found claimants had no limited capability for work and hence no longer on UC health, 19% limited capability for work (LCW), and 65% limited capability for work and work-related activity (LCWRA)
• within England, the region with the highest proportion of LCWRA decisions was the North-West (68%) and the lowest the North-East (60%)

2. What you need to know

The number of people on UC health refers to those on Universal Credit with a health condition or disability restricting their ability to work. The sources of the statistics are:

• DWP’s Universal Credit full service administration datasets
• Healthcare provider assessment data

Statistics are published 3-4 months in arrears to allow sufficient time for retrospective data to be captured in the published statistics. Further information on the sources of the statistics and on their derivation is available in the Background and Methodology

Statistics include dual claimants of both UC and New Style ESA as well as both new and repeat UC WCA decisions. Statistics for each of these elements are not currently available.

All figures in this release have been rounded according to DWP rounding policy.

COVID-19 operational easements

Historic figures in this release reflect the disruptions caused by the coronavirus (COVID-19) pandemic, which led to changes in operational procedures. These changes were necessary to process claims and ensure people in need of financial help could access benefits, while keeping customers and staff safe. DWP temporarily suspended face-to-face health assessments from 17 March 2020 while paper-based assessments continued, and telephone assessments were introduced from 7 May 2020. Face-to-face assessments were resumed in May 2021, and they now take place alongside paper-based assessments, telephone assessments and a small number of video assessments.

3. UC health caseload by stage of process

Most individuals claiming UC with a health condition or disability that restricts their ability to work, will have a Work Capability Assessment (WCA). The WCA determines whether a person has limited capability for work and, if they do, whether they also have limited capability for work-related activity.

Monthly Universal Credit health caseload, Great Britain, April 2019 to September 2023

At September 2023, 70% of people (1.3 million) on UC health have limited capability for work and work-related activity

Source: DWP Stat-Xplore, UC Work Capability Assessments

As at September 2023, 1.8 million people were on UC health – up 24% from June 2022, and by 5% from the month of June 2023.

Of those on the caseload as at September 2023, 230 thousand (12%) had acceptable medical evidence of a restricted ability to work and were awaiting a decision, 340 thousand (18%) were assessed as limited capability for work (LCW), and 1.3 million (70%) were assessed as limited capability for work and work-related activity (LCWRA).

The composition of the UC health caseload has changed over time as people migrated from ESA to UC, and due to the suspension of face-to-face assessments in March 2020 in response to the COVID-19 pandemic which adversely impacted DWP’s ability to complete assessments and for claimants to provide medical evidence.

Number of people on the Universal Credit health caseload by gender and age band, Great Britain, September 2023

There are more women on UC health than men, at every age band except 60+.

Source: DWP Stat-Xplore, UC Work Capability Assessments

At September, 52% of those on UC health were female; of these, 38% were aged 50 plus and 11% aged under 25.

4. UC Health caseload by region, local area and proportion of overall Universal Credit claimants

Proportion of Universal Credit claimants on UC health by region, Great Britain, September 2022 and September 2023

Across Great Britain (GB), Scotland has the highest proportion of Universal Credit claimants on UC health in September 2023. Within England, the North-East (36%) has the highest proportion of Universal Credit claimants on UC health and London (24%) the lowest.

Region	September 2022 Rate	September 2023 Rate
North East	31%	36%
North West	28%	32%
Yorkshire and The Humber	28%	31%
East Midlands	26%	30%
West Midlands	24%	28%
East of England	25%	29%
London	20%	24%
South East	23%	27%
South West	29%	32%
Scotland	33%	39%
Wales	32%	37%

Source: DWP Stat-Xplore, UC Work Capability Assessments

Across Great Britain, the number of people on UC health represents 30% of the overall number of people claiming Universal Credit in September 2023 – up 4 percentage points from September 2022.

Proportion of Universal Credit claimants on UC health by local authority, Great Britain, September 2023

Just over a half of local authorities have over 30% of UC claimants on UC health.

Source: DWP Stat-Xplore, UC Work Capability Assessments

Group ranges are calculated to split local authorities evenly into 5 bands, so approximately 20% of local authorities fit into each group.

At local authority level, Inverclyde (45%) has the highest proportion of Universal Credit claimants on UC health in September 2023, followed by Neath Port Talbot (43%). Excluding very small local authorities where rates can be spurious, Newham (18%) has the lowest proportion of Universal Credit claimants on UC health.

5. UC Work Capability Assessment decisions and outcomes

DWP decisions are based on the WCA outcome report from the Assessment Provider (AP) together with any related evidence. Decisions cover:

• limited capability for work (LCW) and required to participate in work related activity to help them move towards the labour market
• limited capability for work and work related activity (LCWRA) and therefore not required to undertake any interviews or work related activity
• no limited capability for work and therefore no longer on UC health

Monthly Universal Credit WCA decisions, Great Britain, April 2019 to August 2023

In the quarter to August 2023, 62% of UC WCA decisions were for LCWRA, down from 66% in the quarter to August 2022.

Source: DWP Stat-Xplore, UC Work Capability Assessments

Since April 2019, DWP have made 2.2 million decisions. Of these decisions, 16% of people were found to have no limited capability for work and hence no longer on UC health, 19% limited capability for work (LCW), and 65% limited capability for work and work-related activity (LCWRA).

The region with the highest proportion of LCWRA decisions was Scotland (70%) and the lowest the North-East (60%).

Proportion of LCWRA decisions by local authority, Great Britain, April 2019 to August 2023

All local authorities have more than 50% of decisions recorded as LCWRA.

Source: DWP Stat-Xplore, UC Work Capability Assessments

Group ranges are calculated to split local authorities evenly into 5 bands, so approximately 20% of local authorities fit into each group.

At local authority level, excluding very small local authorities where rates can be spurious, Chorley and Ceredigion (73%) have the highest proportion of LCWRA decisions since April 2019. City of London (54%) has the lowest proportion.

34 local authorities (9%) have more than 7 in 10 decisions recorded as LCWRA.

6. About these statistics

The statistics in this bulletin are classified as Official Statistics. The Statistics and Registration Service Act 2007 defines ‘Official Statistics’ as all those statistical outputs produced by the UK Statistics Authority’s executive office (the Office for National Statistics), by central Government departments and agencies, by the devolved administrations in Northern Ireland, Scotland, and Wales, and by other Crown bodies (over 200 bodies in total).

The statistics in this bulletin are compliant with the Code of Practice for Official Statistics. The Code encourages and supports producers of statistics to maintain their independence and to ensure adequate resourcing for statistical production. It helps producers and users of statistics by setting out the necessary principles and practices to produce statistics that are trustworthy, high quality and of public value.

Plans and proposals for further developments to the statistics are shown in the Release Strategy and summarised in the DWP Statistical Work Programme. This includes an intention to publish summary statistics on the medical conditions of claimants in the next Release.

Key uses of the statistics include:

• providing the evidence base for assessing the potential effect of changes, monitoring and evaluation of DWP policy
• answering Parliamentary Questions and Freedom of Information requests and forecasting benefit expenditure (in conjunction with expenditure statistics)
• policy development and evaluation by local authorities and other welfare to work stakeholders and providers

Where to find out more

This statistical bulletin gives an overview of the important points and trends. More detailed breakdowns can be found via the supporting data tables and DWP’s online tabulation tool Stat-Xplore.

Read more about UC statistics and ESA-WCA statistics.

See Transforming Support: the Health and Disability White Paper for information on proposed changes to support for those with health and disability needs.

Contact information and feedback

DWP would like to hear your views on these statistics. We would be interested in hearing what you use them for and how well they meet your requirements.

Feedback and queries about the statistics can be sent to stats.consultation-2018@dwp.gov.uk.

Press enquiries should be directed to the DWP Press Office: 0115 965 8781. E-mail: newsdesk@dwp.gov.uk.

Lead Statisticians: Ioana Criclevit and Russ Bentley

ISBN: 978-1-78659-603-1