Financial help when you’re not able to work
Last updated: 24/01/2020
If you have an illness that limits your ability to work you may be able to claim new style employment and support allowance (ESA), universal credit or statutory sick pay (SSP) from your employer.
New style employment and support allowance
To get new style ESA you must have paid enough national insurance contributions when you were working. ESA is usually paid for one year.
There are two ways to start a claim for new style employment and support allowance:
- You can call the universal credit helpline where you will be asked a few questions and emailed a form to complete and email back. Your claim will start from the date of this call, or
- You can download the form from the GOV.UK website, complete it and send it back to the address given. If you do this, you also need to contact your local Jobcentre Plus to make an appointment for a new claim interview. Your claim will start from the date your completed form is received by the Department for Work and Pensions.
You also need to give Jobcentre Plus a medical certificate from your doctor and complete a medical assessment.
How much will I get?
During the 13-week assessment you will be paid a personal allowance. After the assessment you will be placed in the work or support group and given an additional amount, called a component, if you are placed in the support group.
As well as new style ESA you may also get universal credit for your children and to help with rent.
Employment and support allowance weekly amounts:
Personal allowance: £74.35
Support component (in addition to the standard allowance): £39.20
If you cannot get new style employment and support allowance, because you have not made the necessary national insurance contributions, you can claim universal credit instead. The amount you get from universal credit is based on your income rather than your national insurance contributions.
You need to claim universal credit on-line. If you are unable to do this, you can call the Universal Credit Helpline for where to get help.
If you are already getting universal credit when you become ill or disabled, make an appointment to talk to your work coach about this. You may not get any more universal credit but might not have to look for work or take a job depending on how your condition affects you.
You will also have to give your work coach a medical certificate from your doctor and complete a medical assessment.
How much will I get?
During the 13 week assessment phase you will be paid the standard allowance of universal credit. If you were already getting universal credit before you became ill this is the amount you will already be getting. After the assessment phase you will continue to get this standard amount but may also receive an additional amount if you are put in the support group. As well as getting universal credit for yourself you may also get it for your children and to help with rent.
Universal credit monthly amounts:
Standard allowance for people under 25: £256.05
Standard allowance for people 25 and over: £323.22
Support group (in addition to the standard allowance): £341.92
The medical assessment
After you have made the initial claim for employment and support allowance, applied for universal credit online or talked to your work coach you will be sent, or asked to download, an ESA50 or UC50 form. It asks questions about your medical condition, or disability, and how it affects your ability to work and perform specific everyday tasks. You will be awarded points based on your answers to the questions.
After you have completed and returned your ESA50 or UC50 form you will receive an appointment to attend a medical assessment at a local centre where a medical professional will ask about the effect of your condition on your ability to work. You can take someone with you to this assessment or ask that it take place in your own home if you are unable to attend or travel to the centre safely.
The result of your completed ESA50 or UC50 and the medical assessment will be used to decide if you are able to work or not. If it is decided that your illness or disability affects your ability to work, you will be told you are in one of two groups.
The two groups are called:
- the work-related activity group, commonly referred to as the work group
- the limited capability for work and work-related activity group, generally called the support group.
The work group
If you are placed in the work group because you have been found to have limited capability for work, you do not have to apply for or take a job. If your youngest child is aged 1 year or over, you are expected to prepare for returning to work in the future. You will be called into the jobcentre at regular intervals to discuss what steps you have taken to make yourself ready for work.
The support group
If you are found to have limited capability for work and work related activity you are not expected to take, or prepare for, a job but may occasionally be called into the jobcentre for an interview which you need to attend or your benefit will stop.
The claiming process should take 13 weeks but can take much longer.
Should you claim new style ESA or universal credit?
If you are unsure which of these benefits to claim you can make a claim for both at the same time. A decision is likely to be made about new style ESA before universal credit.
If you are awarded ESA enter the change of circumstances on your universal credit online account. You may still be entitled to some universal credit for your children or to help with rent.
If you do not get new style ESA you do not have to do anything as your universal credit claim will continue.
What happens if you are told your medical condition does not affect your ability to work?
If you are told you have been found ‘fit for work’ you will not get new style ESA or universal credit.
If you were getting new style employment and support allowance during the assessment and found fit for work, it will stop. You do not have to pay back what you got and can claim new style jobseekers’ allowance instead. You will receive the same amount of money but will need to look for work and accept job offers depending on the age of your children.
If you were getting universal credit you will continue to get it if you are found fit for work but will have to look for work and accept job offers depending on the age of your children.
What to do if you disagree with your employment and support allowance or universal credit decision
It is always worth challenging a decision you are unhappy with. You can do this by asking that your application be looked at again (this is called a mandatory reconsideration) and can then go on to appeal if you still do not agree with the decision.
Completion of the ESA50, UC50 and the appeal process can be complicated. Get expert help from someone with experience in this area such as a welfare rights worker.
Statutory sick pay from your employer
You can be paid SSP by your employer if you are working and have paid the necessary national insurance contributions. Generally, you need to have earned at least £120 per week for the last 2 – 3 years to qualify. You have to give your employer ‘fit notes’ from your doctor for the periods you are ill after the first 7 days of illness.
How much will I get?
SSP is £95.85 per week and can be paid for up to 28 weeks. Your employer may pay you more than this statutory amount depending on your contract.
You can claim SSP at the same time as tax credits, housing benefit or universal credit.