Employment and Support Allowance (ESA)

ESA is a benefit for people whose ability to work is limited by disability or poor health.

To be eligible for ESA, you must be:

• at least 16 and under state pension age
• have an illness or condition that prevents or impairs your ability to work

You must not receive:

• Statutory Sick Pay (SSP)
• Statutory Maternity Pay (SMP)
• or Jobseeker's Allowance (JSA)

Types of ESA

There are 3 types of ESA:

'New Style' ESA

'New Style' ESA is linked to your National Insurance contributions over the past 2 to 3 tax years and is not means-tested. Your or your partner’s income and savings will generally not affect the amount you are paid. Income from occupational or personal pensions, health insurance and Financial Assistance Schemes may reduce what you will get. Income from any of these will be added together and 50% of anything over £85 per week will be deducted from your ESA.

Contributory ESA

Contributory ESA is linked to your National Insurance contributions and is not means-tested. Your (or your partner’s) income and savings will generally not affect how much contribution-based ESA you’re paid. Income from occupational or personal pensions, health insurance and Financial Assistance Schemes may reduce what you will get. Income from any of these will be added together and 50% of anything over £85 per week will be deducted from your ESA.

Most people can no longer make a new claim for contribution-based ESA and must apply for New Style ESA instead.

‘New Style’ ESA and contribution-based ESA can only be paid for 12 months if you’re in the work-related activity group. But you may also be entitled to Universal Credit or Income-related ESA. There’s no time limit if you’re in the support group or if you’re getting income-related ESA. This may carry on beyond 12 months, provided you still meet the qualifying criteria.

Income-related ESA

Income-related ESA is means-tested. Your other income and savings are taken into account. You can no longer make a new claim for income-related ESA as it has been replaced by Universal Credit.

If you receive income-related ESA you can remain on the benefit, so long as you continue to meet the qualifying criteria, until

• you have a change of circumstances that prompts a new claim, or
• the managed migration process moves you onto Universal Credit

The Severe Disability Premium (SDP) is not paid to Universal Credit claimants. If you receive the SDP with income-related ESA, you may get a transitional amount when you claim UC.

Check if you can claim ESA (Citizens Advice)

How to claim ESA

Claim for 'New Style' ESA (GOV.UK)

If you wish to claim Universal Credit at the same time (GOV.UK)

For Contribution Based ESA and Income related ESA, the quickest method of applying for ESA is to call 0800 169 0350.

You can only apply for these if you are entitled to a Severe Disability Premium.

Work Capability Assessment

The Work Capability Assessment, carried out by Approved Healthcare Professionals (AHP) on behalf of the Department for Work and Pensions (DWP), tests your eligibility.

The assessment has 2 parts: to find out if you have a limited capability for work and then work-related activity.

This normally takes place within the first 13 weeks of your ESA claim. You will receive the basic rate of ESA during this time.

Limited capability for work

The first test is the Limited Capability for Work assessment. This considers 17 activities and descriptors: 10 physical and 7 mental, cognitive and intellectual.

Most claimants, except those with the most severe impairment, will have to complete an ESA50 form (GOV.UK).

You will have a face-to-face assessment with an approved healthcare professional who will advise the DWP if you're entitled. You're given 0, 6, 9 or 15 points for each activity.

Exceptions for some conditions (Disability Rights UK)

With 15 points or more, you're thought to have limited capability for work and are entitled to ESA. You'll then have a second test to see if you have a limited capability for work-related activity.

With less than 14 points, you're thought not to have limited capability for work and are not entitled to ESA. You may request a mandatory reconsideration of this decision. You will not be entitled to ESA while this decision is being reconsidered.

Limited Capability for Work descriptions (Disability Rights UK)

The second test looks at whether you should be placed in the support group or the work-related activity group.

Support group

The test has a list of activities and descriptions relating to physical and mental, cognitive or intellectual functions. If you satisfy any of these, you're thought to have limited capability for work-related activity and will be placed in the support group.

People in this group:

• get a higher rate of ESA
• are protected from the benefit cap
• do not have to do specified work-related tasks

Work-related activity group

If you do not satisfy at least 1 activity, you're thought to have some capability for work-related activity. You will be in the work-related activity group and:

• get a lower rate of ESA
• are not protected from the benefit cap
• must do specified work-related tasks

ESA: further information

How to appeal an ESA decision 

Talk to Scope online community members about ESA