Written questions by Fenton-Glynn.

Pursuant to the Answer of 23 June 2025 to Question 60400 on Mental Health Services, how many referrals made to mental health services in (a) 2021-22, (b) 2022-23 and (c) 2023-24 by primary reason for referral are still waiting to receive a first treatment appointment in each (i) NHS Trust, (ii) NHS Integrated Care Board and (iii) NHS England region as of 24 June 2025.

A document containing two tables showing the number of referrals received for mental health services, excluding NHS Talking Therapies, by primary reason for referral, and the number of referrals received for NHS Talking Therapies services by presenting complaint, sorted by provider, integrated care board (ICB), and NHS England region, from 2021/22 to 2023/24, is attached. We do not hold information on presenting conditions for people referred to NHS Talking Therapies who are waiting for a first contact. This is because the first contact will involve an initial assessment which includes, amongst other activity: discussing the patient’s view of the current main problem(s) and the impact on their life; exploring the patient's history of mental health problems; an exploration of any psychological processes that are likely to maintain the patient’s presenting problems; an exploration of any adverse circumstances that maintain a patient’s presenting symptoms; identification of the appropriate problem descriptor(s); and the completion of the NHS Talking Therapies Data Set. Until this initial assessment contact has taken place, any presenting conditions are not recorded. Unlike the Mental Health Services Data Set, within NHS Talking Therapies a 'reason for referral' accompanying the initial referral to the service is not separately recorded. Caution should be used when interpreting this data. Comparisons at low levels and between providers may not be reflective of the performance of the provider due to high levels of suppressed values due to small numbers. Primary reason for referral is not a mandatory field and completeness levels can be relatively low and vary between providers. Furthermore, if a provider has a small number of people in a specific category, a seemingly large difference between two providers might not be statistically significant and could be due to random chance. Comparisons over time should also be interpreted with caution, as completeness in the dataset has improved over time, with the numbers of providers increasing year on year, which will impact comparisons.

Pursuant to the Answer of 23 June 2025 to Question 60400 on Mental Health Services, how many referrals made to mental health services in (a) 2021-22, (b) 2022-23 and (c) 2023-24 by primary reason for referral that (i) began and (ii) completed treatment received the first treatment appointment within (A) fewer than 18 weeks, (B) 18 and 24 weeks, (C) 24 weeks and 12 months, (D) 12 and 18 months, (E) 18 and 24 months and (F) more than 24 months from the date of referral in each NHS Trust as of 24 June 2025.

The tables attached show, respectively, the number of referrals received by providers for mental health services, excluding NHS Talking Therapies, sorted by primary reason for referral and waiting time for entering treatment, and the number of referrals received by providers for NHS Talking Therapies services by presenting complaint, for financial years 2021/22 to 2023/24. For the first table, data for completed treatment cannot be provided as there is no definition for completed treatment. During April 2025, 98.5% of referrals to NHS Talking Therapy services which completed treatment had entered treatment within 18 weeks of the referral starting. As a result, the numbers of individual referrals broken down by for the waiting times requested, presenting condition and provider would largely be suppressed and there may also be data errors which can incorrectly show extremely long waits. Therefore, these data have not been provided as they do not provide insight to the question and may potentially be misleading. Waiting times data for each provider can be found in the NHS monthly Talking Therapies statistics publication, which is available at the following link: https://digital.nhs.uk/data-and-information/publications/statistical/nhs-talking-therapies-monthly-statistics-including-employment-advisors Caution should be used when interpreting this data. Comparisons at low levels and between providers may not be reflective of the performance of the provider due to high levels of suppressed values due to small numbers. Primary reason for referral is not a mandatory field and completeness levels can be relatively low and vary between providers. Furthermore, if a provider has a small number of people in a specific category, a seemingly large difference between two providers might not be statistically significant and could be due to random chance. Comparisons over time should also be interpreted with caution, as completeness in the dataset has improved over time, with the numbers of providers increasing year on year, which will impact comparisons.

Pursuant to the Answer of 23 June 2025 to Question 60400 on Mental Health Services, how many referrals made to mental health services in (a) 2021-22, (b) 2022-23; and (c) 2023-24 by primary reason for referral that (i) began and (ii) completed treatment received the first treatment appointment within (A) fewer than 18 weeks, (B) 18 and 24 weeks, (C) 24 weeks and 12 months, (D) 12 and 18 months, (E) 18 and 24 months and (F) more than 24 months from the date of referral in each NHS England region as of 24 June 2025.

The tables attached show, respectively, the number of referrals received for mental health services, excluding NHS Talking Therapies, by NHS England region, primary reason for referral, and waiting time for entering treatment, and the number of referrals received for NHS Talking Therapies services, by NHS England region and presenting complaint, for the financial years 2021/22 to 2023/24. For the first table, data for completed treatment cannot be provided as there is no definition for completed treatment. During April 2025, 98.5% of referrals to NHS Talking Therapy services which completed treatment had entered treatment within 18 weeks of the referral starting. As a result, the numbers of individual referrals broken down by for the waiting times requested, presenting condition, and NHS England region, would largely be suppressed and there may also be data errors which can incorrectly show extremely long waits. Therefore, these data have not been provided as they do not provide insight to the question and may potentially be misleading. Waiting times data for each region can be found in the NHS monthly Talking Therapies statistics publication, at the following link: https://digital.nhs.uk/data-and-information/publications/statistical/nhs-talking-therapies-monthly-statistics-including-employment-advisors Caution should be used when interpreting this data. Comparisons at low levels and between providers may not be reflective of the performance of the provider due to high levels of suppressed values due to small numbers. Primary reason for referral is not a mandatory field and completeness levels can be relatively low and vary between providers. Furthermore, if a provider has a small number of people in a specific category, a seemingly large difference between two providers might not be statistically significant and could be due to random chance. Comparisons over time should also be interpreted with caution, as completeness in the dataset has improved over time, with the numbers of providers increasing year on year, which will impact comparisons.

Pursuant to the Answer of 23 June 2025 to Question 60400 on mental health waiting lists, how many referrals made to mental health services in (a) 2021-22, (b) 2022-23 and (c) 2023-24 by primary reason for referral that (i) began and (ii) completed treatment received the first treatment appointment within (A) fewer than 18 weeks, (B) 18 and 24 weeks, (C) 24 weeks and 12 months, (D) 12 and 18 months, (E) 18 and 24 months and (F) more than 24 months from the date of referral in each NHS Integrated Care Board as of 24 June 2025.

The tables attached show, respectively, the number of referrals received for mental health services, excluding NHS Talking Therapies, sorted by integrated care board (ICB), primary reason for referral, and the waiting time for entering treatment, and the number of referrals received for NHS Talking Therapies services, sorted by ICB and by presenting complaint, for the financial years 2021/22 to 2023/24. During April 2025, 98.5% of referrals to NHS Talking Therapy services which completed treatment had entered treatment within 18 weeks of the referral starting. As a result, the numbers of individual referrals broken down by for the waiting times requested, presenting condition, and integrated care board, would largely be suppressed and there may also be data errors which can incorrectly show extremely long waits. Therefore, these data have not been provided as they do not provide insight to the question and may potentially be misleading. Waiting times data for each ICB can be found in the NHS monthly Talking Therapies statistics publication, at the following link: https://digital.nhs.uk/data-and-information/publications/statistical/nhs-talking-therapies-monthly-statistics-including-employment-advisors Caution should be used when interpreting this data. Comparisons at low levels and between providers may not be reflective of the performance of the provider due to high levels of suppressed values due to small numbers. Primary reason for referral is not a mandatory field and completeness levels can be relatively low and vary between providers. Furthermore, if a provider has a small number of people in a specific category, a seemingly large difference between two providers might not be statistically significant and could be due to random chance. Comparisons over time should also be interpreted with caution, as completeness in the dataset has improved over time, with the numbers of providers increasing year on year, which will impact comparisons.

Pursuant to the Answer of 23 June 2025 to Question 60400 on Mental Health Services, how many referrals made to mental health services in (a) 2021-22, (b) 2022-23 and (c) 2023-24 by primary reason for referral received a (i) suspected and (ii) confirmed diagnosis within (A) fewer than 18 weeks, (B) 18 and 24 weeks, (C) 24 weeks and 12 months, (D) 12 and 18 months, (e) 18 and 24 months and (F) more than 24 months from the date of referral in each NHS Trust, as of 24 June 2025.

NHS England has confirmed the information requested is not held as data is either not available or would not provide a representative answer to the questions. NHS England collects information in the Mental Health Services Data Set (MHSDS) on people in contact with secondary mental health services with a diagnosis of a mental health disorder. The MHSDS is a large, complex dataset so to balance the burden on the National Health Service, some tables/fields are mandatory whereas others are not. The diagnoses tables are not mandatory so not all providers necessarily submit this information. The recording of diagnoses within MHSDS needs to be entered using clinical coding which some providers may be unable to do for various reasons. Additionally, it can take a while for a diagnosis to be confirmed for some patients. There are also other data quality issues around non-completion of the diagnosis information. We are working with providers and partner organisations to address such issues.

Pursuant to the Answer of 23 June 2025 to Question 60400 on Mental Health Service, how many referrals made to mental health services in (a) 2021-22, (b) 2022-23 and (c) 2023-24 by primary reason for referral received a (i) suspected and (ii) confirmed diagnosis within (A) fewer than 18 weeks, (B) 18 and 24 weeks, (C) 24 weeks and 12 months, (D) 12 and 18 months, (E) 18 and 24 months and (F) more than 24 months from the date of referral in each NHS Integrated Care Board as of 24 June 2025.

NHS England has confirmed the information requested is not held as data is either not available or would not provide a representative answer to the questions. NHS England collects information in the Mental Health Services Data Set (MHSDS) on people in contact with secondary mental health services with a diagnosis of a mental health disorder. The MHSDS is a large, complex dataset so to balance the burden on the National Health Service, some tables/fields are mandatory whereas others are not. The diagnoses tables are not mandatory so not all providers necessarily submit this information. The recording of diagnoses within MHSDS needs to be entered using clinical coding which some providers may be unable to do for various reasons. Additionally, it can take a while for a diagnosis to be confirmed for some patients. There are also other data quality issues around non-completion of the diagnosis information. We are working with providers and partner organisations to address such issues.

Pursuant to the Answer of 23 June 2025 to Question 60400 on Mental Health Service, how many referrals made to mental health services in (a) 2021-22, (b) 2022-23; and (c) 2023-24 by primary reason for referral received a (i) suspected and (ii) confirmed diagnosis within (A) fewer than 18 weeks, (B) 18 and 24 weeks, (C) 24 weeks and 12 months, (D) 12 and 18 months, (E) 18 and 24 months, and (F) more than 24 months from the date of referral in each NHS England Region as of 24 June 2025.

NHS England has confirmed the information requested is not held as data is either not available or would not provide a representative answer to the questions. NHS England collects information in the Mental Health Services Data Set (MHSDS) on people in contact with secondary mental health services with a diagnosis of a mental health disorder. The MHSDS is a large, complex dataset so to balance the burden on the National Health Service, some tables/fields are mandatory whereas others are not. The diagnoses tables are not mandatory so not all providers necessarily submit this information. The recording of diagnoses within MHSDS needs to be entered using clinical coding which some providers may be unable to do for various reasons. Additionally, it can take a while for a diagnosis to be confirmed for some patients. There are also other data quality issues around non-completion of the diagnosis information. We are working with providers and partner organisations to address such issues.

How many PIP claimants who were awarded (a) at least eight but fewer than 12 points in the living component and fewer than four points in a single daily living category and (b) at least 12 points in the living component but fewer than four points in a single daily living category were (i) waiting for and (ii) receiving treatment for a physical or mental health condition on 23 June 2025.

The Department does not hold data on whether Personal Independence Payment claimants are waiting for or receiving treatment for their primary medical condition.

How many PIP claimants were awarded (a) 12 or more points in the daily living component but fewer than 4 points in a single daily living category, (b) 22 points in the daily living component but fewer than 4 points in a single daily living category, (c) 19 points in the daily living component but fewer than 4 points in a single daily living category and (d) 41 points or more in the daily living component in 2024.

In 2024, 62,370 PIP claimants were awarded 12 or more points across all of their Daily Living activities but scored fewer than 4 points in each activity. A breakdown of those claimants with a primary condition in the Psychiatric Disorder category by their primary condition is provided in Table 1 below. This includes point scores from assessments associated with initial decisions as well as award reviews. Table 1: Volume of PIP claimants who scored 12 or more points total in Daily Living activities, but scored less than 4 points in all questions by Psychiatric DisorderMain ConditionNumber of awards / award reviewsADHD / ADD840Agoraphobia90Alcohol misuse280Anorexia nervosa20Anxiety and depressive disorders - mixed12,470Anxiety disorders - Other / type not known660Asperger syndrome130Autism530Bipolar affective disorder (Hypomania / Mania)1,370Body dysmorphic disorder (BDD)10Bulimia nervosa-Cognitive disorder due to stroke30Cognitive disorders - Other / type not known60Conduct disorder (including oppositional defiant disorder)10Conversion disorder (hysteria)-Dementia20Depressive disorder2,700Dissociative disorders - Other / type not known10Down's syndrome-Drug misuse120Dyslexia100Dyspraxia40Eating disorders not otherwise specified (EDNOS)20Faecal soiling (encopresis)-Fragile X syndrome-Generalised anxiety disorder190Learning disability - Other / type not known220Mood disorders - Other / type not known110Obsessive compulsive disorder (OCD)170Panic disorder60Personality disorder1,160Phobia - Social20Phobia - Specific-Post traumatic stress disorder (PTSD)1,640Psychiatric disorders of childhood - Other / type not known10Psychotic disorders - Other / type not known300Schizoaffective disorder140Schizophrenia730Somatoform disorders - Other / type not known-Specific learning disorder - other / type not known90Speech or language disorder10Stress reaction disorders - Other / type not known20 In 2024, 10 claimants were awarded PIP and scored 19 or more points across all of their Daily Living activities but scored fewer than 4 points in each activity. A breakdown of those claimants with a primary condition in the Psychiatric Disorder category by their primary condition cannot be provided, as all values are less than 5 and must therefore be omitted to protect against claimant identification. It is not possible to score more than 21 points across all Daily Living activities while scoring fewer than 4 points in each activity, therefore there are no claimants who scored 22 points across all Daily Living activities but scored fewer than 4 points in each activity. In 2024, 6,160 claimants were awarded PIP and scored 41 or more points across all of their Daily Living activities. A breakdown of those claimants with a primary condition in the Psychiatric Disorder category by their primary condition is provided in Table 2 below. This includes point scores from assessments associated with initial decisions as well as award reviews. Table 2: Volume of PIP claimants who scored 41 or more points total in Daily Living activitiesMain ConditionNumber of awards / award reviewsADHD / ADD30Agoraphobia0Alcohol misuse10Anorexia nervosa-Anxiety and depressive disorders - mixed40Anxiety disorders - Other / type not known-Asperger syndrome10Autism1,020Bipolar affective disorder (Hypomania / Mania)10Body dysmorphic disorder (BDD)0Bulimia nervosa0Cognitive disorder due to stroke20Cognitive disorders - Other / type not known20Conduct disorder (including oppositional defiant disorder)-Conversion disorder (hysteria)0Dementia120Depressive disorder20Dissociative disorders - Other / type not known-Down's syndrome280Drug misuse0Dyslexia0Dyspraxia-Eating disorders not otherwise specified (EDNOS)0Faecal soiling (encopresis)0Fragile X syndrome20Generalised anxiety disorder0Learning disability - Other / type not known790Mood disorders - Other / type not known0Obsessive compulsive disorder (OCD)0Panic disorder0Personality disorder-Phobia - Social-Phobia - Specific0Post traumatic stress disorder (PTSD)10Psychiatric disorders of childhood - Other / type not known-Psychotic disorders - Other / type not known10Schizoaffective disorder-Schizophrenia20Somatoform disorders - Other / type not known-Specific learning disorder - other / type not known70Speech or language disorder10Stress reaction disorders - Other / type not known0 The number of people currently on PIP who did not score 4 points in one category in their last assessment should not be equated with the number who are likely to lose PIP in future. It’s important to make a clear distinction between the two, not least because we don’t want constituents to be unnecessarily fearful about their situation, when we understand many are already anxious. Someone who didn’t score 4 points in an activity in a previous assessment may well score 4 points in a future assessment – not least as many conditions tend to get worse, not better, over time. Under the current eligibility criteria, 19% of award reviews over the last 5 years have resulted in an increased award. After accounting for behavioural changes, the OBR predicts that 9 out 10 PIP recipients at the time of policy implementation are expected to be unaffected by the PIP 4-point change in 2029/30. Our intention is that changes will start to come into effect from November 2026 for PIP, subject to parliamentary approval. After that date, no one will lose PIP without first being reassessed by a trained assessor or healthcare professional, who assesses individual needs and circumstance. Reassessments happen on average every 3 years. No one over state pension age at the time any changes come in will be affected. The change includes a run-on of PIP entitlement for 13 weeks as a financial protection, which will apply to claimants who lose entitlement on award review because of the new requirement. This run-on will extend to passported benefits such as Carer’s Allowance and the UC carer’s element. Claimants will continue to receive these awards during the run on period. Even with these reforms, the overall number of working age people on PIP/DLA is expected to rise by 750,000 by the end of this Parliament and spending will rise from £23 billion in 24/25 to £31 billion in 29/30. We are consulting on how best to support those who are affected by the new eligibility changes, including ensuring health and care needs are met. We have also announced a wider review of the PIP assessment to make it fair and fit for purpose, which I am leading. We are bringing together a range of experts, stakeholders and people with lived experience to consider how best to do this. We will provide further details as plans progress. Notes:- The data provided have been rounded to the nearest 10. Values greater than 0 but lower than 5 have been replaced with a dash.- The data provided covers claimants who fall under DWP policy ownership only (England, Wales and Abroad).- The data provided includes normal rules claimants only and excludes special rules for end of life (SREL) claimants as they typically receive maximum or very high scores.- The data provided covers working age claimants only.- The volumes provided are from assessments for both initial decisions and award reviews, with the assessment decision and clearance in 2024.

How many PIP claimants in each subgroup of psychiatric disorders recorded as the main disabling condition who were awarded (a) more than 12 points in the living component but fewer than four points in a single daily living category were awarded a score of at least two in (i) six , (ii) seven, (iii) eight, (iv) nine and (v) ten of the daily living categories in 2024.

The table below shows the volume of Personal Independence Payment (PIP) claimants who were awarded more than 12 points in the daily living component but fewer than 4 points in all daily living activities, broken down by the number of daily living activities in which they were awarded a score of at least two. This is provided for all PIP clearances which took place in 2024, for all PIP claimants and broken down by condition for those PIP claimants with a psychiatric disorder as their main disabling condition. This includes point scores from assessments associated with initial decisions as well as award reviews. Table 1: Selected detail on PIP point scores for PIP claimants with more than 12 daily living points but fewer than 4 points in all daily living activities Condition subcategory PIP claimants awarded 2 or more points in the following number of daily living activitiesTotalSixSevenEightNineTenAll PIP claimants33,2805,42048020039,190All claimants with psychiatric disorders15,9802,18017010018,330ADHD / ADD5008010-0580Agoraphobia601000070Alcohol misuse19020-00210Anorexia nervosa10--0010Anxiety and depressive disorders - mixed8,2001,09070-09,360Anxiety disorders - Other / type not known410501000460Asperger syndrome701000080Autism280501000330Bipolar affective disorder (Hypomania / Mania)99012010-01,120Body dysmorphic disorder (BDD)--00010Bulimia nervosa-0000-Cognitive disorder due to stroke10-00020Cognitive disorders - Other / type not known3010-0050Conduct disorder (including oppositional defiant disorder)-0000-Conversion disorder (hysteria)--000-Dementia20-00020Depressive disorder1,76025010-02,020Dissociative disorders - Other / type not known--00010Down's syndrome-0000-Drug misuse701000080Dyslexia5020-0070Dyspraxia1010-0020Eating disorders not otherwise specified (EDNOS)101000020Faecal soiling (encopresis)000000Fragile X syndrome000000Generalised anxiety disorder12010--0140Learning disability - Other / type not known10040-00140Mood disorders - Other / type not known7010-0090Obsessive compulsive disorder (OCD)10010-00110Panic disorder401000050Personality disorder8101201000940Phobia - Social10-00010Phobia - Specific-0000-Post traumatic stress disorder (PTSD)1,07015010-01,240Psychiatric disorders of childhood - Other / type not known--00010Psychotic disorders - Other / type not known22020-00240Schizoaffective disorder12010-00130Schizophrenia560501000610Somatoform disorders - Other / type not known-0000-Specific learning disorder - Other / type not known5020-0070Speech or language disorder--00010Stress reaction disorders - Other / type not known20000020 Source: DWP Administrative Data Notes:Data only includes claimants living in regions under DWP policy ownership (England, Wales and Abroad).Figures are for assessments from both initial decisions and award reviews, with the date of assessment decision and clearance in 2024.Data includes normal rules claimants only, and excludes special rules for end of life (SREL) claimants as they typically receive maximum or very high scores.Data only includes working age claimants.Figures have been rounded to the nearest 10. Values greater than 0 but below 5 have been replaced with a dash.Totals may not sum due to rounding. The number of people currently on PIP who did not score 4 points in one category in their last assessment should not be equated with the number who are likely to lose PIP in future. It’s important to make a clear distinction between the two, not least because we don’t want constituents to be unnecessarily fearful about their situation, when we understand many are already anxious. Someone who didn’t score 4 points in an activity in a previous assessment may well score 4 points in a future assessment – not least as many conditions tend to get worse, not better, over time. Under the current eligibility criteria, 19% of award reviews over the last 5 years have resulted in an increased award. After accounting for behavioural changes, the OBR predicts that 9 out 10 PIP recipients at the time of policy implementation are expected to be unaffected by the PIP 4-point change in 2029/30. Our intention is that changes will start to come into effect from November 2026 for PIP, subject to parliamentary approval. After that date, no one will lose PIP without first being reassessed by a trained assessor or healthcare professional, who assesses individual needs and circumstance. Reassessments happen on average every 3 years. No one over state pension age at the time any changes come in will be affected. The change includes a run-on of PIP entitlement for 13 weeks as a financial protection, which will apply to claimants who lose entitlement on award review because of the new requirement. This run-on will extend to passported benefits such as Carer’s Allowance and the UC carer’s element. Claimants will continue to receive these awards during the run on period. Even with these reforms, the overall number of working age people on PIP/DLA is expected to rise by 750,000 by the end of this Parliament and spending will rise from £23 billion in 24/25 to £31 billion in 29/30. We are consulting on how best to support those who are affected by the new eligibility changes, including ensuring health and care needs are met. We have also announced a wider review of the PIP assessment to make it fair and fit for purpose, which I am leading. We are bringing together a range of experts, stakeholders and people with lived experience to consider how best to do this. We will provide further details as plans progress.

How many PIP claimants in each psychiatric disorder subgroup recorded as the main disabling condition were awarded (a) 12 points or more in the daily living component but fewer than 4 points in a single daily living category, (b) 22 points in the daily living component but fewer than 4 points in a single daily living category, (c) 19 points in the daily living component but fewer than 4 points in a single daily living category and (d) 41 points or more in the in the daily living component in 2024.

In 2024, 62,370 PIP claimants were awarded 12 or more points across all of their Daily Living activities but scored fewer than 4 points in each activity. A breakdown of those claimants with a primary condition in the Psychiatric Disorder category by their primary condition is provided in Table 1 below. This includes point scores from assessments associated with initial decisions as well as award reviews. Table 1: Volume of PIP claimants who scored 12 or more points total in Daily Living activities, but scored less than 4 points in all questions by Psychiatric DisorderMain ConditionNumber of awards / award reviewsADHD / ADD840Agoraphobia90Alcohol misuse280Anorexia nervosa20Anxiety and depressive disorders - mixed12,470Anxiety disorders - Other / type not known660Asperger syndrome130Autism530Bipolar affective disorder (Hypomania / Mania)1,370Body dysmorphic disorder (BDD)10Bulimia nervosa-Cognitive disorder due to stroke30Cognitive disorders - Other / type not known60Conduct disorder (including oppositional defiant disorder)10Conversion disorder (hysteria)-Dementia20Depressive disorder2,700Dissociative disorders - Other / type not known10Down's syndrome-Drug misuse120Dyslexia100Dyspraxia40Eating disorders not otherwise specified (EDNOS)20Faecal soiling (encopresis)-Fragile X syndrome-Generalised anxiety disorder190Learning disability - Other / type not known220Mood disorders - Other / type not known110Obsessive compulsive disorder (OCD)170Panic disorder60Personality disorder1,160Phobia - Social20Phobia - Specific-Post traumatic stress disorder (PTSD)1,640Psychiatric disorders of childhood - Other / type not known10Psychotic disorders - Other / type not known300Schizoaffective disorder140Schizophrenia730Somatoform disorders - Other / type not known-Specific learning disorder - other / type not known90Speech or language disorder10Stress reaction disorders - Other / type not known20 In 2024, 10 claimants were awarded PIP and scored 19 or more points across all of their Daily Living activities but scored fewer than 4 points in each activity. A breakdown of those claimants with a primary condition in the Psychiatric Disorder category by their primary condition cannot be provided, as all values are less than 5 and must therefore be omitted to protect against claimant identification. It is not possible to score more than 21 points across all Daily Living activities while scoring fewer than 4 points in each activity, therefore there are no claimants who scored 22 points across all Daily Living activities but scored fewer than 4 points in each activity. In 2024, 6,160 claimants were awarded PIP and scored 41 or more points across all of their Daily Living activities. A breakdown of those claimants with a primary condition in the Psychiatric Disorder category by their primary condition is provided in Table 2 below. This includes point scores from assessments associated with initial decisions as well as award reviews. Table 2: Volume of PIP claimants who scored 41 or more points total in Daily Living activitiesMain ConditionNumber of awards / award reviewsADHD / ADD30Agoraphobia0Alcohol misuse10Anorexia nervosa-Anxiety and depressive disorders - mixed40Anxiety disorders - Other / type not known-Asperger syndrome10Autism1,020Bipolar affective disorder (Hypomania / Mania)10Body dysmorphic disorder (BDD)0Bulimia nervosa0Cognitive disorder due to stroke20Cognitive disorders - Other / type not known20Conduct disorder (including oppositional defiant disorder)-Conversion disorder (hysteria)0Dementia120Depressive disorder20Dissociative disorders - Other / type not known-Down's syndrome280Drug misuse0Dyslexia0Dyspraxia-Eating disorders not otherwise specified (EDNOS)0Faecal soiling (encopresis)0Fragile X syndrome20Generalised anxiety disorder0Learning disability - Other / type not known790Mood disorders - Other / type not known0Obsessive compulsive disorder (OCD)0Panic disorder0Personality disorder-Phobia - Social-Phobia - Specific0Post traumatic stress disorder (PTSD)10Psychiatric disorders of childhood - Other / type not known-Psychotic disorders - Other / type not known10Schizoaffective disorder-Schizophrenia20Somatoform disorders - Other / type not known-Specific learning disorder - other / type not known70Speech or language disorder10Stress reaction disorders - Other / type not known0 The number of people currently on PIP who did not score 4 points in one category in their last assessment should not be equated with the number who are likely to lose PIP in future. It’s important to make a clear distinction between the two, not least because we don’t want constituents to be unnecessarily fearful about their situation, when we understand many are already anxious. Someone who didn’t score 4 points in an activity in a previous assessment may well score 4 points in a future assessment – not least as many conditions tend to get worse, not better, over time. Under the current eligibility criteria, 19% of award reviews over the last 5 years have resulted in an increased award. After accounting for behavioural changes, the OBR predicts that 9 out 10 PIP recipients at the time of policy implementation are expected to be unaffected by the PIP 4-point change in 2029/30. Our intention is that changes will start to come into effect from November 2026 for PIP, subject to parliamentary approval. After that date, no one will lose PIP without first being reassessed by a trained assessor or healthcare professional, who assesses individual needs and circumstance. Reassessments happen on average every 3 years. No one over state pension age at the time any changes come in will be affected. The change includes a run-on of PIP entitlement for 13 weeks as a financial protection, which will apply to claimants who lose entitlement on award review because of the new requirement. This run-on will extend to passported benefits such as Carer’s Allowance and the UC carer’s element. Claimants will continue to receive these awards during the run on period. Even with these reforms, the overall number of working age people on PIP/DLA is expected to rise by 750,000 by the end of this Parliament and spending will rise from £23 billion in 24/25 to £31 billion in 29/30. We are consulting on how best to support those who are affected by the new eligibility changes, including ensuring health and care needs are met. We have also announced a wider review of the PIP assessment to make it fair and fit for purpose, which I am leading. We are bringing together a range of experts, stakeholders and people with lived experience to consider how best to do this. We will provide further details as plans progress. Notes:- The data provided have been rounded to the nearest 10. Values greater than 0 but lower than 5 have been replaced with a dash.- The data provided covers claimants who fall under DWP policy ownership only (England, Wales and Abroad).- The data provided includes normal rules claimants only and excludes special rules for end of life (SREL) claimants as they typically receive maximum or very high scores.- The data provided covers working age claimants only.- The volumes provided are from assessments for both initial decisions and award reviews, with the assessment decision and clearance in 2024.

How many PIP claimants who were awarded more than 12 points in the living component but fewer than 4 points in a single daily living category were awarded a score of at least two in (a) six, (b) seven, (c) eight, (d) nine and (e) ten of the daily living categories in 2024.

The table below shows the volume of Personal Independence Payment (PIP) claimants who were awarded more than 12 points in the daily living component but fewer than 4 points in all daily living activities, broken down by the number of daily living activities in which they were awarded a score of at least two. This is provided for all PIP clearances which took place in 2024, for all PIP claimants and broken down by condition for those PIP claimants with a psychiatric disorder as their main disabling condition. This includes point scores from assessments associated with initial decisions as well as award reviews. Table 1: Selected detail on PIP point scores for PIP claimants with more than 12 daily living points but fewer than 4 points in all daily living activities Condition subcategory PIP claimants awarded 2 or more points in the following number of daily living activitiesTotalSixSevenEightNineTenAll PIP claimants33,2805,42048020039,190All claimants with psychiatric disorders15,9802,18017010018,330ADHD / ADD5008010-0580Agoraphobia601000070Alcohol misuse19020-00210Anorexia nervosa10--0010Anxiety and depressive disorders - mixed8,2001,09070-09,360Anxiety disorders - Other / type not known410501000460Asperger syndrome701000080Autism280501000330Bipolar affective disorder (Hypomania / Mania)99012010-01,120Body dysmorphic disorder (BDD)--00010Bulimia nervosa-0000-Cognitive disorder due to stroke10-00020Cognitive disorders - Other / type not known3010-0050Conduct disorder (including oppositional defiant disorder)-0000-Conversion disorder (hysteria)--000-Dementia20-00020Depressive disorder1,76025010-02,020Dissociative disorders - Other / type not known--00010Down's syndrome-0000-Drug misuse701000080Dyslexia5020-0070Dyspraxia1010-0020Eating disorders not otherwise specified (EDNOS)101000020Faecal soiling (encopresis)000000Fragile X syndrome000000Generalised anxiety disorder12010--0140Learning disability - Other / type not known10040-00140Mood disorders - Other / type not known7010-0090Obsessive compulsive disorder (OCD)10010-00110Panic disorder401000050Personality disorder8101201000940Phobia - Social10-00010Phobia - Specific-0000-Post traumatic stress disorder (PTSD)1,07015010-01,240Psychiatric disorders of childhood - Other / type not known--00010Psychotic disorders - Other / type not known22020-00240Schizoaffective disorder12010-00130Schizophrenia560501000610Somatoform disorders - Other / type not known-0000-Specific learning disorder - Other / type not known5020-0070Speech or language disorder--00010Stress reaction disorders - Other / type not known20000020 Source: DWP Administrative Data Notes:Data only includes claimants living in regions under DWP policy ownership (England, Wales and Abroad).Figures are for assessments from both initial decisions and award reviews, with the date of assessment decision and clearance in 2024.Data includes normal rules claimants only, and excludes special rules for end of life (SREL) claimants as they typically receive maximum or very high scores.Data only includes working age claimants.Figures have been rounded to the nearest 10. Values greater than 0 but below 5 have been replaced with a dash.Totals may not sum due to rounding. The number of people currently on PIP who did not score 4 points in one category in their last assessment should not be equated with the number who are likely to lose PIP in future. It’s important to make a clear distinction between the two, not least because we don’t want constituents to be unnecessarily fearful about their situation, when we understand many are already anxious. Someone who didn’t score 4 points in an activity in a previous assessment may well score 4 points in a future assessment – not least as many conditions tend to get worse, not better, over time. Under the current eligibility criteria, 19% of award reviews over the last 5 years have resulted in an increased award. After accounting for behavioural changes, the OBR predicts that 9 out 10 PIP recipients at the time of policy implementation are expected to be unaffected by the PIP 4-point change in 2029/30. Our intention is that changes will start to come into effect from November 2026 for PIP, subject to parliamentary approval. After that date, no one will lose PIP without first being reassessed by a trained assessor or healthcare professional, who assesses individual needs and circumstance. Reassessments happen on average every 3 years. No one over state pension age at the time any changes come in will be affected. The change includes a run-on of PIP entitlement for 13 weeks as a financial protection, which will apply to claimants who lose entitlement on award review because of the new requirement. This run-on will extend to passported benefits such as Carer’s Allowance and the UC carer’s element. Claimants will continue to receive these awards during the run on period. Even with these reforms, the overall number of working age people on PIP/DLA is expected to rise by 750,000 by the end of this Parliament and spending will rise from £23 billion in 24/25 to £31 billion in 29/30. We are consulting on how best to support those who are affected by the new eligibility changes, including ensuring health and care needs are met. We have also announced a wider review of the PIP assessment to make it fair and fit for purpose, which I am leading. We are bringing together a range of experts, stakeholders and people with lived experience to consider how best to do this. We will provide further details as plans progress.

How many referrals were made to mental health services, by patient age in (a) 2021-22, (b) 2022-23 and (c) 2023-24.

The tables attached show the number of referrals received for Mental Health Services and for NHS Talking Therapy services, by age at referral and financial year, for 2021/22, 2022/23, and 2023/24. It should be noted that the majority of NHS Talking Therapy services are for those aged over 18 years old, with some including support for 16 to 17 year olds. In addition, these counts include rejected referrals and will be impacted by data quality issues, particularly where there are changes of system suppliers and transfers of caseloads between providers.

How many referrals were made to mental health services, by primary reason for referral in (a) 2021-22, (b) 2022-23 and (c) 2023-24.

The tables attached show the number of referrals to Mental Health services by primary reason for referral in 2021/22, 2022/23, and 2023/24, as well as the number of referrals to Talking Therapies services by presenting complaint in 2021/22, 2022/23, and 2023/24.

How many referrals were made to mental health services, by ethnicity in (a) 2021-22, (b) 2022-23 and (c) 2023-24.

The tables attached show the number of referrals made to Mental Health Services and to NHS Talking Therapy services by ethnicity, in 2021/22, 2022/23, and 2023/24. Please note that these counts include rejected referrals and will be impacted by data quality issues, particularly where there are changes to the system suppliers and transfers of caseloads between providers.

How many referrals made to mental health services in (a) 2021-22, (b) 2022-23 and (c) 2023-24 waited longer than 12 months between referral and second contact.

The following table shows the number of referrals received by Mental Health services that waited longer than 12 months between referral and second contact for the years 2021/22, 2022/23, and 2023/24:YearNumber of referrals2021/22322,0752022/23394,1792023/24448,154Source: Mental Health Services Data Set. In addition, the following table shows the number of referrals received by NHS Talking Therapies that waited longer than 12 months between referral and second contact for the years 2021/22, 2022/23, and 2023/24: YearNumber of referrals2021/2222,8742022/2320,5202023/2421,981Source: NHS Talking Therapies.

What information his Department holds on the number of people who had been referred to (a) secondary mental health services and (b) NHS Talking Therapies who were referred with (i) autistic spectrum disorders, (ii) ADHD, (iii) dyslexia, (iv) dyspraxia, (v) PTSD, (vi) schizophrenia and (vii) anxiety disorders as the primary presenting condition or symptom for referral were waiting for a first contact on 31 January 2025, broken down by integrated care board.

Information on mental health conditions by referral is not available, and a diagnosis may not have been established at the time of referral.

What information his Department holds on the number of people who had been referred to (a) secondary mental health services and (b) NHS Talking Therapies who were referred with (i) autistic spectrum disorders, (ii) ADHD, (iii) dyslexia, (iv) dyspraxia, (v) PTSD, (vi) schizophrenia and (vii) anxiety disorders as the primary presenting condition or symptom for referral were waiting for a first contact on 31 January 2025, by NHS Trust.

Information on mental health conditions by referral is not available, and a diagnosis may not have been established at the time of referral.

What information his Department holds on the number of people who had been referred to (a) secondary mental health services and (b) NHS Talking Therapies who were referred with (i) autistic spectrum disorders, (ii) ADHD, (iii) dyslexia, (iv) dyspraxia, (v) PTSD, (vi) schizophrenia and (vii) anxiety disorders as the other presenting condition or symptom for referral were waiting for a first contact on 31 January 2025, broken down by NHS region.

Information on mental health conditions by referral is not available, and a diagnosis may not have been established at the time of referral.

What information his Department holds on the number of people who had been referred to (a) secondary mental health services and (b) NHS Talking Therapies who were referred with (i) autistic spectrum disorders, (ii) ADHD, (iii) dyslexia, (iv) dyspraxia, (v) PTSD, (vi) schizophrenia and (vii) anxiety disorders as the other presenting condition or symptom for referral were waiting for a first contact on 31 January 2025, by NHS Trust.

Information on mental health conditions by referral is not available, and a diagnosis may not have been established at the time of referral.