<p>Personal Independence Payment (PIP) was established in collaboration with a wide range of experts and following a comprehensive public consultation between 2010-2012 with stakeholders, including the Multiple Sclerosis Society.</p><p> </p><p>As referenced in my responses on 21 April 2023, <a href="https://questions-statements.parliament.uk/written-questions/detail/2023-04-18/181230" target="_blank">UIN181230</a>, and 24 April 2023, <a href="https://questions-statements.parliament.uk/written-questions/detail/2023-04-17/181064" target="_blank">UIN181064</a>:</p><p> </p><ul><li>We believe the current assessment criteria, including the 20-metre rule, are the best way of identifying people whose physical mobility is most limited and there are no immediate plans to make changes;</li><li>Informal observations are useful in assessing functional capability and there are no current plans to stop this; and</li><li>The department closely monitors all aspects of the assessment process, including how we assess fluctuating health conditions like multiple sclerosis, however there are no current plans to remove the 50 per cent rule.</li></ul><p><em> </em></p><p>More recently the department ran a series of events with charities (including the MS Society on 30 September 2020) which helped to shape <em>Future Support: The Health and Disability Green Paper</em>.</p><p> </p><p>Many of the changes set out in <em>Transforming Support: The Health and Disability White Paper</em> aim to improve our assessment of fluctuating conditions, such as the way we use medical evidence, and developing the capability of our assessors. We will also explore options for introducing a new way of gathering evidence of fluctuation in a person’s condition before their assessment.</p>