PIP LIST OF MEDICAL CONDITIONS

Pip List Of Medical Conditions

The Personal Independence Payment (PIP) is a non-means tested benefit that helps people aged 16 to State Pension age with the extra costs associated with long-term ill-health or a disability. 

It is important to note that it is not affected by income, savings or National Insurance contributions.

There are two components of PIP, which are a daily living component and a mobility component. Each comes with standard and enhanced rates. The daily living component helps with costs for everyday tasks like washing, dressing and eating. 

Alternatively, the mobility component helps with getting around outside the home. The amount received depends on how severely the person’s condition affects them, rather than the condition itself. 

The PIP list of medical conditions is extensive and includes a wide variety of health issues that can affect daily living and mobility. As mentioned earlier, PIP is not awarded based solely on having a particular condition.

Instead, it is based on how the condition affects the individual’s ability to complete everyday tasks and get around.

To be eligible for PIP, your condition must be expected to last for at least 12 months. In addition, you must also require help with daily living and/or getting around.

Table of Contents

Conditions to consider

Obesity

Obesity is defined as having a body mass index (BMI) of over 30 in the UK. It has become a major public health concern over the past 30 years, with rates tripling. 

You should recognise that being obese increases your risk of developing other health problems like type 2 diabetes, heart disease, stroke, certain cancers, and can also worsen conditions like arthritis.

Diabetes

Diabetes is a condition in which the body cannot properly regulate blood sugar levels, caused either by low insulin production or insulin resistance. 

There is type 1, where the body does not produce insulin, and type 2, where the body becomes resistant to insulin.  If not managed or detected early, both can lead to complications. 

Heart Disease

Heart disease is the umbrella term for conditions which affect the heart and blood vessels, such as coronary artery disease, heart attacks, and stroke. 

It’s one of the leading causes of death in the UK, often brought about by lifestyle choices like poor diet, smoking, and lack of exercise. Family history can also increase your risk.

Cancer

Cancer refers to diseases caused by abnormal cell reproduction that can spread to other parts of the body, if not caught early and treated. The most common cancers in the UK include breast, prostate, lung, and bowel cancer. 

According to the charitable organisation Cancer Research UK, 1 in 2 of us will get cancer in our lifetime. Although cancer survival rates have improved in recent years, early detection is key. 

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Dementia

Dementia is a syndrome caused by brain disease, characterised by a decline in cognitive function. 

It is especially observed in people over 65. Alzheimer’s disease is the most common form, which causes memory loss, confusion, and problems with speech and reasoning. Currently, there is no known cure.

Depression

Depression is a mood disorder that causes intense feelings of sadness, loss of interest in activities, and other debilitating symptoms. Effective treatments include therapy, medication, lifestyle changes, and social support. Typically, a combination of treatments is advised. 

Mind reports around 1 in 4 people will experience a mental health problem each year. It is necessary to note that depression is one of the most common mental health disorders in Britain. 

Stigma remains an issue, meaning that campaigns aim to raise awareness and support those affected.

Anxiety Disorders

Anxiety disorders like generalised anxiety (GAD), social anxiety, and panic disorders involve excessive fear, anxiety, and related behavioural disturbances. 

Mental health charity Mind reports that anxiety affects 8.2% of people in England, making it the most commonly suffered mental health condition. However, therapy and medication can help manage symptoms.

Chronic Obstructive Pulmonary Disease (COPD)

COPD is a progressive lung disease that causes airflow obstruction which makes it hard to breathe, the main forms being Emphysema and chronic bronchitis. Smoking is the leading cause, responsible for around 70% of cases. 

Treatment aims to improve quality of life and slow progression of the disease, with prevention campaigns focusing on raising awareness around the dangers of smoking.

Asthma

Asthma is a chronic lung condition that inflames and narrows the airways, causing wheezing, chest tightness, coughing, and shortness of breath. Remember that it affects over 5 million people in the UK. 

Triggers can include allergens, stress, pollutants and weather changes. It requires ongoing monitoring and treatment, and sufferers are often in possession of an inhaler.

Asthma is usually diagnosed by a GP after examination, medical history and lung function tests. However, around 90% of cases can be controlled with modern medications and patient education on managing the condition.

PIP Medical Conditions

Osteoarthritis

Osteoarthritis is the most common form of arthritis, occurring when the cartilage that cushions the ends of bones gradually wears away. Consequently, this leads to joint damage, pain, swelling and stiffness. 

Treatments include exercise, weight loss, pain medications, joint supports, and surgery. This can help to relieve symptoms and maintain mobility and quality of life.

Around 8.75 million people have osteoarthritis in the UK. Knee and hip joints are most commonly affected. Research is ongoing into regenerative treatments to help repair damaged joints.

Rheumatoid Arthritis

Rheumatoid arthritis is an autoimmune disease wherein the immune system attacks the joints, causing inflammation and joint damage over time. 

It often first appears in smaller joints such as hands and feet, so early treatment helps slow progression and maintain quality of life. It is important to note that women are three times more likely to develop it than men.

"The PIP list of medical conditions is extensive and includes a wide variety of health issues that can affect daily living and mobility."

Chronic Kidney Disease

Chronic kidney disease is the gradual loss of kidney function over time, which sometimes culminates in kidney failure. 

This requires dialysis or transplantation. High blood pressure and diabetes are common causes, and treatment tends to focus on slowing disease progression and managing complications.

Stroke

A stroke occurs when the blood supply to part of the brain is interrupted, causing sudden damage to brain tissue. The two main types are ischaemic stroke (blockage) and haemorrhagic stroke (bleeding). 

Symptoms include weakness, vision loss or slurred speech appear suddenly and require urgent medical treatment to minimise brain damage. Whilst rehabilitation can help recover lost abilities like movement or speech, some cases are fatal. 

Chronic Pain

Chronic pain is pain that persists long-term, lasting over 12 weeks, and is commonly caused by arthritis, fibromyalgia, nerve damage, and migraines. This can significantly reduce quality of life. 

Epilepsy

Epilepsy is a central nervous system disorder that causes seizures through sudden surges of electrical activity in the brain. 

Seizure triggers can include flashing lights, fever, alcohol use, and stress. For most people with epilepsy, medications and lifestyle changes help manage symptoms.

Chronic Fatigue Syndrome

Chronic fatigue syndrome (CFS) causes extreme tiredness that doesn’t improve with rest. It is also associated with muscle pain and poor concentration. Although the exact cause is unknown, it may involve immune dysfunction.

Fibromyalgia

Fibromyalgia can be debilitating and causes widespread muscle pain, fatigue, sleep problems, and emotional distress. 

Whilst it may be related to changes in pain processing pathways in the brain and spinal cord, research is still being conducted. Medications, therapy, exercise, and stress reduction techniques may help improve the quality of life for patients.

Migraine

Migraine headaches cause intense throbbing pain or a pulsing sensation, often accompanied by nausea or light sensitivity, and they can run in families. Triggers include stress, hormonal changes, and certain foods. 

Such as cheese, foods high in salt, or foods containing allergens. It is important to note that preventive and acute medications can reduce migraine frequency and severity.

Endometriosis

Endometriosis causes tissue similar to the uterine lining to grow outside the uterus, leading to pelvic pain and infertility. 

Whilst the exact cause is uncertain, symptoms often improve with hormone therapy or surgery. One in 10 women of reproductive age in the UK suffer from endometriosis, and the condition affects 176 million worldwide.

Impact of Listed Conditions on PIP Assessment

During the PIP assessment, the effect of the claimant’s health condition on their daily life is evaluated. The assessment determines how the condition impacts their ability to carry out daily living tasks, such as cooking and washing, as well as their mobility. 

It is also points-based, with points awarded for the level of difficulty faced in various activities. For those with mental health conditions, the assessment will consider how the condition affects their ability to engage with the world around them. 

It is important to recognise that the severity and impact of the condition, rather than the condition itself, determine the level of PIP payment. This includes the decision over whether to pay the enhanced or standard rate.

When applying for PIP, it’s important to provide detailed information about how your health condition impacts daily life. 

Therefore, gather as much medical evidence as possible and think about how the condition affects you. To do this, consider keeping a diary of daily activities to provide examples during the assessment. 

It’s advisable to seek guidance from organisations like Citizens Advice or Social Security Scotland, as they can offer support through the application process.

Case Study on PIP Medical Conditions

James is a 48-year-old from Nottingham who has been living with multiple sclerosis (MS), a musculoskeletal disease, for several years. As his condition has worsened, it has started to affect his daily activities significantly. 

Realising that he needed financial support to manage his condition, James decided to apply for the Personal Independence Payment (PIP).

When James first considered applying for PIP, he was also receiving Universal Credit due to his limited ability to work. In fact, his condition meant that he may also qualify for other forms of support including Personal Assistance or Adult Disability Payment in Scotland. 

The process started at his local PIP centre, where he obtained a PIP claim form. Following this, James collected medical reports from his GP and specialist. 

These detailed his diagnosis, the progression of his MS, and how it affected his mobility and ability to complete everyday tasks. He also kept a diary, noting instances where his condition prevented him from performing regular activities.

James made sure to describe not just his medical condition, but also the specific ways in which his MS impacted his life. This includes the difficulty he faced when trying to walk or prepare meals.

After submitting his application, James received a privacy notice from the Department for Work and Pensions (DWP). This explains how his information would be used and his rights regarding this data. After this, his application progressed. 

It is important to note that it took about 4 months for James’ application to be fully processed. However, he was awarded the enhanced daily living component and standard mobility component. 

This extra income supports James to pay for transportation, medications, assistive devices, and other expenses relating to his disability.

James’ case shows the importance of understanding the impact of one’s health on everyday life and the necessity of thorough preparation for the PIP assessment. 

Support is available and with the right approach, meaning that individuals can secure the necessary benefits to cover their extra living costs.

Chronic Kidney Disease

Key Takeaways and Learnings

To summarise the article, we will now highlight the key aspects about the PIP list of medical conditions. 

  • PIP is designed to assist individuals with disabilities or health conditions, but is not based on the condition itself, rather how it affects daily living and mobility.
  • Before applying for PIP, gather detailed medical evidence and personal accounts of how your condition affects your daily life.
  • Consider additional benefits you might be eligible for, such as Attendance Allowance or Child Disability Payment. 
  • For those with mental health conditions, it’s important to describe the impact of these on your ability to engage in everyday activities. 
  • Be aware of the special rules for claimants with a terminal illness, as this can lead the application process to change entirely. 

The Personal Independence Payment system is a fundamental resource for individuals in the UK who are living with health challenges, offering financial support to help with the added costs that come with a disability or long-term health condition. 

With a clear understanding of the system and the right preparation, individuals can ensure that their needs are accurately represented and that they receive the appropriate level of support to which they are entitled.

FAQ

1. What Is the Personal Independence Payment (PIP) and Who Is Eligible?

Personal Independence Payment (PIP) is a benefit for individuals aged 16 to state pension age with long-term health conditions or disabilities in the UK. It’s designed to help cover the extra living costs associated with managing their condition. 

There are two components, which are a daily living component and a mobility component. It is important to note that claimants can be eligible for one or both, at standard or enhanced rates. 

It’s important to detail how your health condition impacts your day-to-day life in your application. The Department for Work and Pensions (DWP) assesses each claim based on the information provided, meaning that thorough documentation of your condition’s impact is crucial.

2. Are Respiratory Diseases Considered When Assessing for PIP?

When assessing eligibility for PIP, respiratory diseases are among the conditions considered. People with respiratory conditions may experience difficulties with mobility or daily tasks such as dressing or preparing food, just like people with other health conditions. 

During the PIP assessment, you should describe how your respiratory disease affects your ability to perform these tasks. It’s not the diagnosis itself that determines eligibility, rather the level of impact that the condition has on one’s daily life.

Evidence might include medical reports, details of treatments, or a diary of how the respiratory condition affects everyday activities. All of these details help the assessors understand the challenges faced and the level of support needed. 

3. What Should I Do If I Have Multiple Conditions, Like a Musculoskeletal and a Genitourinary Disease?

If you have multiple conditions it’s essential to explain how each condition affects you individually and in combination. 

The PIP assessment considers the overall impact of all your health conditions on your daily life, making it crucial to provide detailed information about the specific challenges you face with each condition. This may include additional difficulties that arise from having multiple health issues at once. 

Gather medical evidence for each condition and prepare to discuss how they affect your daily tasks and mobility. This may include letters from specialists, treatment plans, and personal accounts of your daily struggles. 

The more evidence you provide, the clearer the picture of your needs. Consequently, this helps to ensure a fair assessment and the right level of PIP support. If the decision reached by the DWP is not satisfactory, there are also appeal processes.

Migraine

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