A stroke can cause a wide range of disabilities — physical, cognitive, emotional, and communicative — and many stroke survivors qualify for PIP as a result. PIP is awarded based on how your stroke affects your daily life and mobility, not the stroke itself. Both Daily Living and Mobility components are often relevant.
Read more: See our PIP guide for a full overview of how PIP works.
How Stroke Affects PIP Activities
Different strokes affect different functions. The right-hand column shows which part of the PIP assessment applies.
| Stroke effect | Daily Living activity affected | Mobility affected |
|---|---|---|
| Arm/hand weakness (hemiplegia) | Preparing food, dressing, washing | — |
| Leg weakness or paralysis | — | Moving around (Mob. 2) |
| Aphasia/dysphasia (speech) | Communicating (Act. 7), Reading (Act. 8) | — |
| Cognitive impairment | Planning journeys, engaging with others | Planning journeys (Mob. 1) |
| Balance/falls risk | Moving around | Moving around (Mob. 2) |
| Fatigue | All activities (reliability) | All mobility activities |
| Vision changes | Reading, managing medication | Planning journeys |
| Swallowing difficulties (dysphagia) | Eating and drinking (Act. 2) | — |
Key PIP Activities for Stroke Survivors
Mobility Activity 1: Planning and Following Journeys
This is often the most significant activity for stroke survivors with cognitive effects:
| Descriptor | Points |
|---|---|
| Cannot plan and follow a route without another person | 10 (enhanced mobility) |
| Needs prompting to be able to undertake a journey | 4 |
| Experiences overwhelming psychological distress | 4 |
Stroke-related anxiety, cognitive impairment, and difficulty reading/interpreting signs all affect this activity. If you cannot safely leave home alone, you score the enhanced rate for Mobility — even without physical walking limitations.
Mobility Activity 2: Moving Around
| Walking distance | Points |
|---|---|
| Can walk 50–200m unaided | 4 |
| Can walk 20–50m unaided | 8 |
| Can walk 20–50m only with an aid | 10 |
| Cannot walk more than 20m | 12 (enhanced mobility) |
Lower limb weakness, spasticity, or falls risk from stroke all reduce functional walking distance. Use your worst day — if your leg fatigues or you fall after 50m, document that.
Daily Living Activity 7: Communicating Verbally
| Descriptor | Points |
|---|---|
| Can express and understand complex verbal information unaided | 0 |
| Needs communication support for complex information | 2 |
| Needs communication support for basic information | 4 |
| Cannot express or understand verbal information | 8 (enhanced Daily Living) |
Aphasia is commonly underestimated in PIP claims. Describe specific examples: “I cannot follow a conversation if more than one person is speaking,” “I lose words mid-sentence and the listener has to guess what I mean.”
Daily Living Activity 6: Dressing and Undressing
One-sided weakness (hemiplegia) almost always scores points here:
| Descriptor | Points |
|---|---|
| Needs prompting or assistance with some clothing | 2 |
| Cannot dress or undress at all without help | 8 |
Buttoning, zipping, pulling socks/tights, and fastening bras are all commonly affected. Describe what you genuinely cannot do unaided.
PIP Rates 2026/27
| Component | Standard rate | Enhanced rate |
|---|---|---|
| Daily Living | £72.65/week | £108.55/week |
| Mobility | £28.70/week | £75.75/week |
Enhanced Mobility is available if you score 12+ points on Mobility Activity 2 or 10+ points on Mobility Activity 1. Many stroke survivors with cognitive effects qualify for enhanced Mobility on Activity 1 alone.
The Reliability Test — Critical for Fatigue
PIP descriptors require you to complete activities reliably, repeatedly, safely, and in a reasonable time. Post-stroke fatigue — one of the most common and debilitating long-term effects — directly undermines reliability.
If you can dress yourself but it takes 45 minutes and you then need to rest for an hour, document this. If you can cook but fatigue means you have to sit down repeatedly, describe that. Unreliability and time taken are as important as total inability.
Building Your Claim
- Get a support letter from your stroke consultant, rehabilitation team, or GP. Ask them to describe functional limitations — not just the diagnosis.
- Contact the Stroke Association: free information and support line 03030 3033 100. Benefits advisers can help with the PIP2 form.
- Describe your worst days and the variability of symptoms — stroke recovery is non-linear and symptoms fluctuate.
- Include carers’ observations — a carer or family member can write a supporting statement describing what they see you struggle with daily.
For more see how to claim PIP, PIP for aphasia and communication, and benefits after disability.