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Joint Letter to James Wolfe (DWP)

29 May 2025

Concerns about proposed changes to PIP eligibility

While the majority of people with symptomatic hypermobility live without significant support needs, for those of us with more severe symptoms and/or additional associated conditions, the combined and cumulative effects can be utterly debilitating. For these people, PIP (Personal Independence Payment) is essential, compensating for some of the substantial extra costs of disability, and funding the support needed to participate in everyday activities like work, social engagements, physical activities, and even medical appointments/treatment.


We stand with The Ehlers-Danlos Support UK and The Ehlers-Danlos Society in calling upon the Department for Work and Pensions (DWP) to reconsider the impact of these changes on those with significant systemic impediments, which are not obvious to the casual observer but impact every area of daily life.


Some useful links: 

Campaign for Disability Justice: https://www.campaignfordisabilityjustice.org.uk/ - a coordinated campaign where you can register your concerns about the changes,

Turn2us: www.turn2us.org.uk/- for help and support with PIP/ disability claims.



Attn: Mr. James Wolfe
 Department of Work and Pensions
 April 2025
 Dear Mr Wolfe,
 We write collectively on behalf of those living with Ehlers-Danlos Syndromes (EDS), Hypermobility 
Spectrum Disorders (HSD), and associated conditions, to express deep concern over the proposed 
changes to the Personal Independence Payment (PIP) system in the UK.
 We understand that the key change is that at least one domain must score a 4 or more for a person 
to be eligible for PIP. Many of the community we represent record scores of 2 across multiple 
domains which collectively in an individual represents a significant burden on activities of daily 
living. Under the new scheme these individuals would not be eligible unless at least one of their 
concerns scored a 4. How can that be justifed?
These changes risk disproportionately disadvantaging our community - individuals already burdened 
by chronic pain, fatigue, joint instability, and multisystemic complications that are often invisible, 
poorly understood, and devastatingly life-altering. EDS and HSD are complex and lifelong conditions 
that frequently go unrecognized, misdiagnosed, or dismissed altogether by healthcare professionals 
and benefits assessors alike. The impact of this systemic misunderstanding has been significant: 
delays in diagnosis, lack of access to appropriate care and treatment, and insuficient recognition in 
disability support frameworks such as PIP.
 Many with EDS and HSD rely on PIP to meet basic daily living and mobility needs. This support is not 
a luxury; it is a lifeline that enables independence, dignity, and participation in society. Any move to 
restrict access, tighten criteria, or overlook fluctuating and invisible disabilities will compound the 
barriers this community already faces. It will push more people into crisis - physically, emotionally, 
and financially.
 We urge policymakers to recognise the unique challenges posed by EDS, HSD, and related 
conditions. Assessments must be informed, compassionate, and rooted in an understanding of the 
lived experience of those a effected. Now is the time to amplify their voices—not silence them further 
through exclusionary reforms.
 We stand united in calling for a benefits system that upholds equality, justice, and dignity for all 
disabled people in the UK.
 Signed: 
Professor Lara Bloom 
The Ehlers-Danlos Society 
Susan Booth
 The Ehlers-Danlos Support UK
 Lisa Bone
 The Hypermobility Syndromes Association (HMSA)
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