Comment: Stroke survivors need proper financial help ONE in six of us will have a stroke at some point in our lives and stroke is the major cause of complex adult disability in Scotland. It can affect a person's ability to communicate, think, move and see and can cause fatigue, depression and anxiety. Stroke can also cause financial hardship. If you are a stroke survivor over 65 you will usually have access to a pension but if you are under 65 you will rely on welfare benefits if you are unable to work. Some 25 per cent of all stroke survivors are under 65 and many struggle to return to work after stroke. Their family carer may also have to give up work or reduce their hours. Income can be significantly reduced almost overnight. Yet people's living costs remain the same or can even increase following a stroke. There are around 35,000 stroke survivors of working age in Scotland. With the right support over months and years, some stroke survivors can return to work. Others may never be able to return to work. Both groups need and deserve adequate financial support through a welfare system that is understanding and supportive. This is surely a hallmark of a compassionate and caring society. The Stroke Association's new report - Short Changed by Stroke - shows the UK government's welfare reforms are having a very negative impact on many stroke survivors and their carers. Stroke survivors tell us that the work capability assessment (WCA) shows little understanding of their condition and problems and the assessment process is stressful and difficult. Stroke survivors can be declared fit for work when they are not. Many feel demeaned and isolated and are fearful of the future. We call on the UK government to make improvements to the WCA assessment process so it is fair and supportive for people with complex disability and illness such as stroke. We also call on them to ensure a fair and supportive assessment process for the new personal independence payment (which will replace disability living allowance). Maddy Halliday is director, Scotland, of the Stroke Association.