The Department for Work and Pensions (DWP) has formally rejected calls to guarantee a state pension-level income for working-age people with a terminal illness. The update was issued in response to a direct question in the House of Commons.
Government Rejects New Policy Proposal
During a parliamentary session, Liberal Democrat MP David Chadwick asked the government if it would adopt a policy "to guarantee working-age people with a terminal illness a state pension-level of income." In response, DWP minister Sir Stephen Timms stated clearly, "we have no such policy." This definitive answer shuts down the prospect of a new, pension-like payment for those under the state pension age of 66 who are nearing the end of their life.
Existing Support: The Special Rules for End of Life (SREL)
While rejecting the new policy, Sir Stephen emphasised the government's commitment to supporting people in this situation and detailed the existing framework designed to help. "Supporting people nearing the end of life is important to the Government," he told MPs.
The cornerstone of this support is the Special Rules for End of Life (SREL). This system enables individuals who are likely to have less than 12 months to live to access key benefits more quickly and with less bureaucracy.
The benefits covered under these special rules include:
- Personal Independence Payment (PIP)
- Employment and Support Allowance (ESA)
- Universal Credit
- Attendance Allowance
A crucial aspect of the SREL process is that it allows claimants to avoid a lengthy medical assessment, reducing stress at a difficult time.
How the Special Rules Process Works
To claim under the Special Rules, a medical professional must complete an SR1 form. This form has replaced the old DS1500 form. Clinicians are advised to complete it promptly for any patient with a progressive disease where they "would not be surprised if they were to live for less than 12 months."
The form can be returned online, by email, or by post. Importantly, the DWP assures that there are no negative consequences for the clinician or the patient if the individual lives longer than the 12-month prognosis. Doctors registered with the General Medical Council (GMC) can claim a fee for completing the SR1 by requesting a separate fee form from the DWP.
This update, delivered on 3 December 2025, clarifies the government's position and directs those in need towards the established, accelerated support system already in place, rather than creating a new financial benefit aligned with the state pension.
