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Understanding ESA & How to Apply

What is ESA and how to apply - guides & advice with a lightbulb icon

Written by

Purpl

Published on

September 21, 2024

Employment and Support Allowance is a benefit that helps people who have a disability or health condition that makes it hard for them to work. Employment support benefit will give you additional financial support while you’re unable to work and helps you get back to work if you’re able to in the future.

Types of Employment and Support Allowance (ESA)

There are two types of ESA, these are based on the following:

  • Contribution-based ESA: Based on your National Insurance (NI) contributions.
  • Income-related ESA: Based on your income and savings (replaced by Universal Credit for new applicants).

How do I apply for ESA?

The process for applying for Employment and Support Allowance (ESA) involves several stages, from submitting your application to having a medical assessment. The typical stages are detailed below:

1. Am I eligible for Employment and Support Allowance (ESA)?

  • Age: You must be over 16 and under the State Pension age.
  • Work Status: You cannot be receiving Statutory Sick Pay (SSP) or be in work that pays above a certain threshold (see ESA and Permitted Work article)
  • Medical Condition: You must have a health condition or disability that limits your ability to work.

2. Gather Necessary Documents

  • Your National Insurance Number
  • Your bank account number and sort code
  • Your doctor’s details – name, address, telephone number etc
  • fit note from your doctor this is sometimes called a ‘sick note’ or a ‘statement of fitness for work’.
  • Details of your income, if you’re working
  • The date your Statutory Sick Pay (SSP) ends, if you receive it (you cannot get New Style ESA if you’re getting Statutory Sick Pay from an employer. You can apply for New Style ESA up to 3 months before your sick pay ends)
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3. How to apply for ESA disability allowance?

During this process, you will need to provide your personal, medical, and financial information.

4. Complete an ESA50 Form (Limited Capability for Work Questionnaire)

  • After your initial claim, you will be sent a ‘Capability for Work Questionnaire’ also referred as a ESA50 form. This is a more detailed questionnaire about how your health condition affects your ability to work and complete everyday activities.
  • Please note that you may not receive this until 2-3 months after you have applied
  • You must complete and return the form within four weeks, including any additional medical evidence.
  • If you are late returning the form, there is a section where you can explain why and this will be taken into consideration.
  • Some people will automatically receive Employment and Support Allowance (ESA) without the need of the form – for example: you are terminally ill with a year left to live – you can read more about this on the Citizen’s Advice website

5. What is a Work Capability Assessment?

  • As part of the Employment and Support Allowance process, you will usually be asked to attend a Work Capability Assessment (WCA). This is a medical assessment to determine the extent of your health issues and how they affect your ability to work.
  • ESA Assessments can be in person or on a video/phone call. They will let you know in advance.
  • You can bring someone to attend the assessment with you, such as a friend or support worker. If your assessment is by phone or video call, you can ask the assessor to call them if they’re not with you when the assessment starts.
  • This normally takes place within 3 months of ESA50 form being returned
  • The work capability assessment is conducted by a healthcare professional who will ask questions and may perform physical or mental health assessments.
  • This is a points based system where they will report on how well you can carry out a range of activities, both physical and mental tasks.
  • Based on the WCA (work capability assessment) results, you will be placed in one of two groups:
    • Support Group: You won’t be expected to work or engage in work-related activities.
    • Work-Related Activity Group (WRAG): You’ll be expected to engage in activities like job training or work preparation but not necessarily work.
  • For more information please visit The Disability Rights website

6. How long will it take to get a decision on my Employment and Support Allowance (ESA) application?

  • After the WCA assessment, you’ll receive a letter with the decision on:
    • Whether you are eligible for ESA disability support.
    • Which group you’ve been placed in – the ESA Support Group or the ESA Work-Related Activity Group (WRAG).
  • The decision usually takes 4-8 weeks after your assessment.

7. How to appeal an ESA decision, if I am not approved for Employment and Support Allowance payments?

  • If you disagree with the decision that has been made about whether you are entitled to ESA benefits, you can request a Mandatory Reconsideration
  • Your case will be reconsidered
  • If you still don’t agree with the decision after the reconsideration, you can appeal to an independent tribunal. You must do this within one month of receiving the decision. For more information please visit the Government website

8. How much ESA benefit will I receive if approved? (September 2024)

  • This depends on what stage your application is at, it also takes into consideration your age and the likelihood of you being able to return to work full.
  • With the New Style ESA you’ll earn Class 1 National Insurance credits, which will go towards your State Pension.
  • If you are eligible for Employment and Support Allowance ESA, you will receive payments as follows:

Prior to ESA Assessment
You will normally get the ‘assessment rate’ for 13 weeks while your claim is being assessed:

  • up to £71.70 a week if you’re aged under 25
  • up to £90.50 a week if you’re aged 25 or over
  • If it takes longer than 13 weeks for your ESA claim to be assessed, you will continue getting the assessment rate until you get a decision or until your Employment and Support Allowance is due to end.
  • Your ESA disability payment will be backdated if you are owed any extra money after 13 weeks.

After ESA Work Capability Assessment
This will depend on which ESA group you are assign to:

  • up to £90.50 a week if you’re in the ESA work-related activity group
  • up to £138.20 a week if you’re in the ESA support group

If you are in the ESA Support Group and received income related ESA
You will also be entitled to the enhanced disability premium, and potentially you could qualify for the severe disability premium. To find out more or to apply for a disability premium

ESA Payments will be made directly into your bank account every two weeks.

A man with long hair tied back, wearing glasses and earphones, sits at a desk using a desktop computer. He has a green cane leaning against the desk.

9. Can I work and receive ESA?

You can apply to do Permitted Work – for more information please read our article about ESA and Permitted Work so you understand the criteria for being approved.

If you want advice on how to find work when you are disabled then please read our Top Ten Tips for Finding Work when Disabled written by Evenbreak the disability recruitment specialists.

10. Periodic Reviews

  • You will be contacted for an employment benefit periodic review, this is to ensure you are still eligible for receiving ESA payments
  • Review are usually set between 6 and 36 months, dependent on your health condition / disability
  • Reassessments ensure the eligibility conditions for employment and support allowance (ESA) are still correct and that your group allocation is still appropriate

The whole process from application to receiving the final decision can take a few months so please be prepared.

Purpl is committed to providing our disabled community with relevant information on DWP disability benefits and signposting on where to get advice.

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