Welfare Reform Bill

Debate between Baroness Grey-Thompson and Baroness Hayter of Kentish Town

Thursday 3rd November 2011 Grand Committee

[Baroness Grey-Thompson]

My Lords, I, too, support this amendment and I, too, wish to speak about the assessment process. A number of people have contacted me just on this amendment alone—around 45 at the last count, and the figure is increasing daily. They want to express their concerns in this area and they are using very strong words. People are telling me every single day that they are terrified by the process they are being asked to go through. I accept that it is a difficult process. We demand that through the system we should grade impairment, which is a necessary part of the process, and we try to put people in boxes. However, disability and impairment affect people in such different ways. The process expects yes and no answers and that is almost impossible when we are considering a static condition, let alone fluctuating ones. Many people writing to me say that there is little room to give medical evidence or provide supplementary data and that every step of the process feels very confrontational. It is essential that the test is appropriate for disabled people.

I am also concerned about the number of people who tell me that the facilities used for the assessments are simply not accessible. One example is the Croydon assessment centre; it has a lift for wheelchair users but wheelchair users are not allowed to use the lift due to health and safety reasons. To enter the centre, you have to navigate 46 steps. If you cannot do that, the nearest centre is a 14-mile round trip away, which is very challenging for a number of people.

I have also received a number of e-mails saying that there is a yo-yo process going on. One ex-serviceman was assessed in 2003 as being 30 per cent disabled and yo-yoed eight times in the next five years or so between being 30 per cent and 70 per cent disabled. These various reassessments and appeals were carried out at significant expense to the public purse and distress to the individual. When he questioned the process, this man was told by the assessor that he was moved back and forth so many times because they did not really understand trauma.

As the noble Baroness, Lady Wilkins, has said, disabled people are constantly being labelled in the media as benefit scroungers. The rise in the amount of hate crime is a real concern. Could the Minister reassure disabled people who are feeling vulnerable and afraid, who see no light at the end of the tunnel and no improvement in the process? They want to work and be part of society but they feel themselves to be victims of what is happening.

[Baroness Hayter of Kentish Town]

My Lords, I support this amendment. As has been stated, the WCA is about deciding whether a claimant has limited capability, either for work or work-related activity. As the noble Baroness, Lady Howe, said, there is no definition in the Bill, nor indeed in regulation, about what is meant by “work”. This is particularly important for those with fluctuating conditions, who are, at different times, both fit for work and incapable of work within the same month. We already know that, apart from any assessment, people with unpredictable fluctuations find it difficult to obtain employment or to keep it. This is partly because of their previous work records, partly if any of these fluctuations occurred during a probation period, and partly if they are honest and open with a potential employer.

It goes without saying that we support the principle of helping all those who are able to work to do so, but I am concerned about the apparent drop-off in the number of new customers helped by the Access to Work scheme, which has gone down to 13,240 compared with 16,520 in the previous year—a fall of nearly a quarter. It would be interesting to know what is thought to be the reason behind that, because it is an important way of helping people into work.

The really important word in this amendment is “sustainable”. Sustainable employment is defined as 15 or 16 hours a week and on a basis probably of 26 weeks. This amendment is particularly important, as the Government are proposing that regulations about defining capability for work or work-related activity are to be subject only to negative resolution procedure and thus with no opportunity for debate.

We have had a note which states that the Government’s intention is that regulations made under subsection (3) will set out the detailed circumstances and descriptors used to determine limited capability for work and limited capability for work-related activity. These regulations will be based on the Employment and Support Allowance Regulations 2008 and the subsequent amendments contained in the Employment and Support Allowance (Limited Capability for Work and Limited Capability for Work-related Activity) (Amendment) Regulations 2011 and any other changes to the ESA provisions before the introduction of UC in 2013.

We understand that the Government are undertaking further work to develop a supplement to the assessment to accurately identify individuals with enduring health conditions that limit their long-term ability to fully provide for themselves through work. However, regulations under Clause 41, which are also subject to the negative resolution procedure, will define the meaning of “work”. Given that this is another area where we remain unclear of the Government’s plan, it will be particularly important to have assurances about how people with fluctuating conditions are to be protected.

Welfare Reform Bill

Debate between Baroness Grey-Thompson and Baroness Hayter of Kentish Town

Monday 24th October 2011 Grand Committee

[Baroness Grey-Thompson]

My Lords, I have a few words to add to those of the noble Baroness, Lady Thomas, about people in manual wheelchairs. I have been contacted by a number of disabled people recently who are very keen to get into work, but they have told me some heartbreaking stories of the hidden discrimination that they have faced. One young lady had very good skills and qualifications and she applied for more than 40 jobs but was turned away from each of them for some quite interesting reasons. It all boiled down to the fact that it would be too difficult to employ her. I think it was a case of providing a little extra support. We want to get that group of people into work and they want to be in work. It is important for them to be in work so that the rest of society can see their range of impairments and disabilities. That will encourage people to be much more open-minded. I am really concerned that we are not doing everything we can to ensure that that group of people get a fair crack of the whip.

[Baroness Hayter of Kentish Town]

My Lords, we support this group of amendments, which seeks to ensure that a person’s long-term health condition or impairment is taken into account, both when drawing up a claimant commitment and when considering compliance and, therefore, possible sanctions. Amendment 51CE requires that evidence from a claimant's own health professionals is part of any health assessment required in drawing up the work preparation requirements, along the lines set out by the noble Baroness, Lady Hollins, and emphasised by the noble Baroness, Lady Meacher.

The amendments affect both those claiming ESA and those who fail the assessment process and are asked to claim JSA instead. They apply to people with long-term physical or mental health conditions and impairments. I particularly bring to the attention of the Committee the fact that many of these long-term conditions also fluctuate, as has been mentioned, particularly things like multiple sclerosis. As the Committee will know, MS is twice as prevalent in women as it is in men, so it will excuse us taking a moment on it. Some long-term conditions, such as relapse-remitting MS, also happen to have what can appear to be very non-specific symptoms, such as fatigue, generalised pain and cognitive difficulties. It is vital that the assessors understand those, along the lines mentioned by the noble Baroness, Lady Meacher, and that the advisers take full account of the claimant’s own physician.

The DWP note states:

“Claimants with a health condition, or who are undergoing regular treatment to manage their health condition (but do not have limited capability for work) will be required to provide evidence of any limitations on what work (hours, nature of work, and location) they are capable of doing. This will be taken into account when setting … requirements”.

However, as has already been touched on, if a claimant raises reasonable objections to their work availability and work-search requirements, although those will be considered by the adviser, where there is no agreement, the claimant can only get them reviewed by another officer. That was mentioned earlier by my noble friend Lord McKenzie. That falls short of a proper right of appeal.

As we know, the process for assessing whether someone has limited capability for work is not perfect. It is not easy. Will the Minister update us on the implementation of the year 2 recommendations from the Harrington review following last month’s closing date for evidence? This continued process and the very real concerns that it is causing disabled people mean that it is important that long-term health conditions are considered when the claimant is asked to sign up to that claimant commitment or when good cause is being considered as to whether a sanction should be imposed for failure to comply.

Even if the review process is perfect, there will still be some people with long-term health conditions who are able to undertake work search but who need their conditions to be taken into account. They may, for example, be able to work very competently and fully but for only part of the day or a few days a week from time to time. In other words, they can work well but not necessarily on a sustainable basis. The resulting absences or the requirement for additional time to travel to work or extra support at work need to be taken fully into account when assessing both their search for jobs or subsequent work record. The descriptors relating to fluctuating conditions will be crucial in assisting the assessors.

Because the claimant commitment is new, we do not know the extent to which DWP advisers will take long-term or fluctuating conditions into account. There is a precedent for health conditions to be taken into account when good cause for turning down a job is considered. Those are already set out and include,

“any condition … that suggests that a particular job or carrying out a jobseeker’s direction, would be likely to cause you excessive physical or mental stress or significant harm to your health”.

The draft regulations do not list how this issue will be dealt with under universal credit. Will the Minister outline what is intended in this regard?

I want to finish by bringing to the attention of the Committee the concerns of Scope, which is very worried about the proposals as they stand. It fears that,

“there will not be adequate safeguards to ensure that sanctions are not applied to disabled people who are unable to meet the conditions due to factors relating to their impairment or condition”.

Scope is,

“not convinced that applying long-term sanctions … will incentivise those to comply after the sanction has been introduced”.

Moreover, Scope is,

“deeply concerned that the use of stricter sanctions will impact upon disabled people receiving JSA”.

After all, sanctions are most likely to affect those who did not fully understand that penalties could be imposed. This frequently involves claimants who already face multiple barriers to work, including various disabilities.

Scope also believes that there is little to suggest that sanctioning such claimants in this way will actually do much to change behaviour when a claimant, perhaps with a learning disability, has not understood why they were sanctioned in the first place. Scope is concerned that conditionality requirements and sanctions, as has been mentioned by other noble Lords this afternoon, will not be applied to disabled people until there has been proper consideration of need. A thorough assessment of need and barriers to finding work must be carried out before any decision is taken to apply a sanction. I look forward to hearing from the Minister how he responds to the concerns raised by the noble Baronesses, Lady Hollins and Lady Meacher, and other noble Lords who have spoken.