Contribution-based Employment and Support Allowance
This personal benefit replaces Incapacity Benefit, for new claims from
27th October 2008.
To qualify a person must be not working, and either satisfy the
National Insurance contribution conditions (which are the same as those
of Incapacity Benefit), or be a 'person incapacitated in youth'.
It is a phased benefit, whereby applicants start on an initial
assessment phase of 13 weeks duration, during which a Work
Capability Assessment (WCA) is carried out to determine whether or not
they have limited capability for work.
The assessment phase may last longer than 13 weeks if a WCA is not
completed by the end of it, or if a decision to refuse ESA is appealed.
A lower rate is payable to those aged under 25 in this phase.
At the end of the assessment phase, on completion of the WCA, there
are three possible outcomes:
- If the person is assessed as not having limited
capability for work then ESA entitlement ceases. This decision can
be appealed in the usual way.
- If the person is assessed as having limited capability for
work (only), then they proceed to a work-related activity
phase (a main phase), and are entitled to an additional component.
- If the person is assessed as having both limited capability for
work and limited capability for work-related activity, then
they proceed to a support phase (a main phase), and are
entitled to an additional component. Only about 6% of applicants are
expected to meet the conditions for this phase.
Claimants who are terminally ill do not have to 'serve out' the
assessment phase but are instead fast-tracked to the support main
phase.
The criteria used in a WCA are a mixture of documentary and medical
evidence, varying with the circumstances of the applicant.
There are no additions for adult (or child) dependants in
contribution-based ESA, the income-based form of ESA may provide an
additional income top-up depending on the circumstances of the ESA
claimant's family.
Further information
ESA Resources