Reviewed by Matilda Rose Edwards. Researches and maintains every calculator and guide on this site.
Part 1 of 5
The support group becomes the health element
There is no support group in Universal Credit. What the support group buys you is the health element, formally limited capability for work and work-related activity, and it does the same three jobs. It adds money to the award, at £429.80 or £217.26 a month depending on which rate applies. It takes every work-related requirement out of your claimant commitment, so there is nothing to attend and nothing you can be sanctioned for failing to do. And it exempts your household from the benefit cap. The work-related activity group is the one that loses out here, because the limited capability for work element is closed to new awards and nothing replaces it. If you were in the support group, none of that applies to you.
Part 2 of 5
You usually keep your existing assessment
DWP will not normally put you through a fresh Work Capability Assessment if you move straight across. Three conditions have to hold: you moved from ESA to Universal Credit with no break in between, you had already completed a Work Capability Assessment, and you were in the support group or the work-related activity group at the point you made the Universal Credit claim. Meet all three and you do not need to send fit notes either. Two things still bring a new assessment. If your existing assessment was already flagged for review, that review still happens on Universal Credit. And if your condition changes, in either direction, DWP can look again. A gap in entitlement before you claim breaks the chain, which is one more reason not to let a claim lapse.
Check the date on the figures
Part 3 of 5
Which of the two rates should apply
The health element has been paid at two rates since 6 April 2026: £429.80 a month, and £217.26 for awards made after that date. Three things decide it: when you declared the condition, whether it is a severe lifelong condition, and whether you are nearing the end of your life. The last two give the higher rate no matter when you claimed. The higher rate is protected for anyone already receiving the element before 6 April 2026, anyone who reported the condition before that date, anyone meeting the severe conditions criteria, and claims under the special rules for end of life. There is a bullet for the support group specifically: you get the higher rate if you had the support group component of income-related Employment and Support Allowance before 6 April 2026 and kept getting it right up to the day you claimed Universal Credit. The continuity matters, because a gap in entitlement before you claim breaks it. In a couple, if either of you qualifies for the higher rate the household gets the higher rate. Read your first Universal Credit statement rather than assuming: if the lower rate has been used, ask for a mandatory reconsideration within a month.
Part 4 of 5
The three-month wait should not restart
On a new Universal Credit claim the health element does not begin immediately. It normally starts after a relevant period of three calendar months running from the first medical evidence, and it is then paid from the assessment period after the one in which that period ends. If the evidence lands on the first day of an assessment period the money appears in the fourth payment; land it mid-period and it is the fifth. Coming from the support group you should not serve that wait again, because you were already in the equivalent group when you moved and the assessment carried across with you. Check the first statement for it. If the element is missing, the usual cause is DWP treating the claim as a new health claim rather than a continuation, and that is worth raising in the journal at once, with the date of your ESA decision and the group you were in, before months of underpayment build up.
Part 5 of 5
What else changes, and what does not
Other benefits are untouched. Personal Independence Payment is separate and not means-tested, and neither it nor Carer's Allowance nor Child Benefit changes. New Style ESA continues to be paid fortnightly and is then deducted from Universal Credit pound for pound. What does change is shape. ESA premiums have no Universal Credit equivalent, which is what the transitional element exists to cover where you claimed by the deadline on a migration notice. Payments become monthly in arrears rather than fortnightly. Rent that went to your landlord normally becomes yours to pay. And because the health element brings a work allowance, the first £427.00 a month you earn is ignored where the award includes housing, £710.00 where it does not, before the taper starts.
Rates
The figures behind this guide
Every amount here is 2026/27 and is read from the same table the calculators use, so the page and the tool cannot drift apart.
- Health element, higher rate
- £429.80
- What the rate is worth a year
- £2,550.48
- Moving without a break
- No new WCA
- Benefit cap
- Exempt
Monthly, 2026/27
Higher against lower
Unless a review was already due
The health element lifts it
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