A key disability benefit in England and Wales is "not fit for purpose" and requires "fundamental change," according to an interim review.

Personal Independence Payments (Pip) are designed to help people with long-term illnesses and disabilities cover extra costs associated with their condition. The benefit's assessment process has been described as "dehumanising" by claimants.

The review, led by Minister Sir Stephen Timms, found that the current system has not kept pace with evolving understanding of health and disability since Pip was introduced 13 years ago. "We do think quite fundamental change is needed," Sir Stephen told the BBC.

The implications of the review's findings are significant, particularly as the cost of Pip is projected to exceed £41 billion by 2030. "The sustainability of this would be a concern as we reach these decisions," Sir Stephen noted, indicating that cost will be a factor in final recommendations.

As of April, approximately four million people were entitled to Pip in England and Wales. The number of recipients has increased considerably since 2013, with a notable rise in claims citing mental health conditions. Sir Stephen's review was commissioned last year following government attempts to reform welfare.

Dozens of Labour MPs had previously voiced concerns about proposed cuts to disability and sickness-related benefits, intended to save £5 billion annually by 2030. The government ultimately U-turned on these plans, stating it would await the review's conclusions.

Advocates for disabled people have echoed the review's criticisms. Autism awareness campaigner Cheryl Fyfield described the qualification and reassessment process as "gruelling" and difficult to navigate, particularly for individuals with lifelong conditions.

Sir Stephen's final report, expected in the autumn, is not anticipated to propose "crude proposals on payment changes." However, the future of the benefit's structure and funding remains a central question as the review progresses towards its final recommendations.