After 33 years of renal treatment, four failed transplants and 14 heart attacks, Paul is now so ill doctors have taken him off the transplant list, as he would not survive a fifth operation. After his Employment and Support Allowance assessment, Paul was placed in the work-related activity group, which would require him to attend the job centre regularly and prepare for work. Paul says, “How ill do I need to be? Apart from being dead, I don’t know how I can get much worse. It makes me so angry. My wife and children have all worked since leaving school. We’re not a family on the take.”