Major changes to the Universal Credit health element are set to begin in April 2026, following confirmation from the Department for Work and Pensions. The update will affect thousands of people who currently receive extra support due to long‑term illness or disability.
The changes are part of wider reforms aimed at reshaping how health‑related support is delivered through Universal Credit. While ministers say the reforms are designed to create a fairer and more sustainable system, many claimants are concerned about how the changes could affect their income and future security.
Understanding what is changing, who is affected, and what it means in practice is essential for anyone claiming Universal Credit with a health condition.
What the Universal Credit health element is
The health element of Universal Credit provides extra financial support to people who are assessed as having limited capability for work or work‑related activity due to illness or disability.
This additional amount recognises that some people cannot work full‑time or at all because of health conditions, and therefore need higher support to meet daily living costs.
At present, eligible claimants receive an extra monthly payment on top of their standard Universal Credit award.
What changes are starting in April 2026
From April 2026, the way the health element is awarded and maintained will change for some claimants. While the health element itself is not being removed, the criteria and structure around it are being updated.
The government has indicated that the reforms will place greater emphasis on individual capability and potential for work, rather than long‑term classification alone.
These changes will mainly affect new claimants and those undergoing reassessment.
Who will be affected by the changes
Not every Universal Credit claimant will be affected. The changes are expected to impact:
- New claimants applying for the health element after April 2026
- Existing claimants who are due a reassessment
- People whose health conditions fluctuate over time
Claimants already receiving the health element may continue to receive it, depending on their circumstances and assessment outcomes.
Why the DWP is making these changes
The DWP says the changes are aimed at improving fairness and encouraging appropriate support into work where possible. Officials argue that the current system can sometimes discourage people from exploring work opportunities, even when they may be able to do some form of employment with support.
The reforms are also part of a broader effort to control long‑term welfare spending while adapting to changing health and employment patterns.
How health assessments may change
Health assessments are expected to play a bigger role under the new system. Claimants may face more regular or detailed reviews to assess how their condition affects their ability to work.
These assessments will continue to consider medical evidence, daily limitations, and professional reports. However, the focus may shift toward what claimants can do, rather than what they cannot.
This change has raised concerns among disability groups, who fear that some conditions may not be fully understood.
What this means for people with long‑term conditions
People with long‑term or lifelong conditions are particularly anxious about the reforms. Many rely on the stability of the health element to manage housing, utilities, and care costs.
The DWP has stated that protections will remain for those with severe and ongoing conditions, but campaigners say clarity is still lacking.
For claimants, staying informed and prepared is key.
Impact on monthly payments
The standard rate of Universal Credit will continue to be uprated annually, but the way the health element fits into the overall payment could change for some people.
In certain cases, claimants may see:
- A delay before receiving the health element
- Changes following reassessment
- Additional work‑related requirements
For others, there may be little or no immediate change.
Will current claimants lose money
The government has said that existing claimants will not automatically lose their health element in April 2026. However, changes could occur over time as reassessments take place.
This has led to uncertainty among claimants who worry about future reviews rather than immediate cuts.
Understanding reassessment schedules will be important.
How work‑related expectations may change
Under the updated system, some claimants may be encouraged to engage with work coaches in new ways. This does not mean forcing people into unsuitable jobs, but exploring flexible or supported options where appropriate.
Examples could include:
- Part‑time or remote work
- Training or skills development
- Voluntary work as a stepping stone
Participation will depend heavily on individual circumstances.
What support will still be available
Alongside financial support, Universal Credit claimants with health conditions can still access:
- Work coach support
- Disability employment advisers
- Training schemes
- Reasonable adjustments
The DWP says the aim is to provide more personalised pathways rather than one‑size‑fits‑all decisions.
Reaction from disability groups
Disability organisations have expressed cautious concern about the changes. While some welcome better support into suitable work, others fear increased pressure and stress for vulnerable people.
Groups are calling for clear safeguards to ensure that people with serious health conditions are not penalised or pushed beyond their limits.
What claimants should do now
Although the changes do not start until April 2026, claimants are advised to:
- Keep medical evidence up to date
- Attend scheduled assessments
- Inform the DWP of any changes in condition
- Seek advice if unsure about their status
Early preparation can reduce the risk of unexpected issues later.
How advisers can help
Welfare advisers, charities, and support organisations can help claimants understand the new rules and prepare for assessments.
Getting advice early can make a significant difference, especially for people with complex or fluctuating conditions.
What happens if you disagree with a decision
Claimants will still have the right to challenge decisions through mandatory reconsideration and appeal.
Understanding this process is important, as many successful challenges rely on clear evidence and timely action.
Why communication will matter more than ever
One of the biggest criticisms of past reforms has been poor communication. The success of the 2026 changes will depend heavily on how clearly information is shared with claimants.
Clear letters, guidance, and support will be essential to avoid confusion and distress.
The wider context of welfare reform
The Universal Credit health element changes are part of a broader shift in how welfare and work are linked in the UK.
As more people live with long‑term health conditions, balancing support and opportunity remains a major challenge for policymakers.
What families and carers should know
Families and carers often play a key role in supporting claimants through assessments and changes.
Understanding the new system can help them provide reassurance and practical help when it is needed most.
Looking ahead to April 2026
While the full impact of the changes will take time to become clear, April 2026 marks an important point for Universal Credit claimants with health conditions.
Staying informed, prepared, and supported will be crucial during the transition.
Final thoughts
The confirmed changes to the Universal Credit health element starting in April 2026 represent a significant shift for many claimants. While the government says the reforms aim to improve fairness and opportunity, concerns remain about how they will work in practice.
For claimants, the key is understanding rights, responsibilities, and available support. With the right information and guidance, it is possible to navigate the changes with greater confidence and stability.