SAMH research has highlighted significant problems with how face-to-face assessments for PIP work for people with mental health conditions, including a lack of understanding by assessors of the impact of mental health; the inability of face-to-face assessments to accurately assess the impact of fluctuating conditions; and stigmatising attitudes and behaviours by some assessors. The cumulative impact of those failings has been a loss of trust in the PIP assessment process and, in some cases, a deterioration of applicants’ mental health.