(13 years, 8 months ago)
Lords ChamberAs president of MS Cymru, I want to flag up the problem for people with fluctuating conditions. All the difficulties around the assessments have been clearly laid out and I will not repeat them, but there is a real problem for people who have an assessment and then, possibly a week later, dramatically deteriorate. It is the fluctuating nature of conditions such as MS that is causing a lot of anxiety to people out there. The provision for those on chemotherapy is greatly welcomed, but I ask the Minister to explain how the second part of Professor Harrington’s review, which he is doing in conjunction with the MS Society, will be incorporated. How will the Government handle the possibility of quite a lot of appeals or even challenges when the next phase is rolled out?
My Lords, most of the points that I wanted to make have been made, so I will be brief. I emphasise the serious concerns that have been expressed by disability organisations, most particularly that these changes are premature. As we have heard, the second phase of the independent review led by Professor Harrington is still under way, and the advice on refining the mental, intellectual and cognitive descriptors has not yet been seen by Ministers, so in all likelihood we will be faced with two major, costly and confusing changes to the WCA to be made in a single year.
I emphasise that the cost of these changes has not been covered. The cost of people having to go to tribunals when their assessment needs to be overturned is enormous in terms of stress, worry and consequent ill health, but it is also a waste of time and money for the country. As the CAB has pointed out, the current WCA assessment routinely fails to identify disabled people’s genuine needs and inappropriately allocates them to jobseeker’s allowance, only to have that decision overturned on appeal. Currently 40 per cent of cases are overturned on appeal, which must cost the state a considerable amount.
According to the Welfare Reform Bill documents, almost £20 million was spent in 2009-10 on appeals to the tribunal service and, according to figures from the Disability Alliance, that means that roughly £8 million was spent on appeals to rectify the failings in the current WCA. There is now a nine-month backlog for appeals in some areas. If the new descriptors go ahead as planned, these changes could lead to even greater pressure on the system, especially since, as the noble Lord, Lord Kirkwood, pointed out, new ESA claimants will be joined by an estimated 10,000 people per week being migrated off incapacity benefits from April 2011.
The Government’s expert independent body, the Social Security Advisory Committee, has recommended that these plans are not implemented now. I urge the Government to follow their advice.
My Lords, I thank the noble Lord, Lord Kirkwood of Kirkhope, for bringing up this matter. He understands these matters so well and I support what he has said. This is a complex matter. Disability is complex, as it differs in so many ways.
There is great concern from many disability groups, as has been said, as well as the national AIDS group, which has not been mentioned. HIV is a very complex condition. People with it have to live on drugs for the rest of their lives. On some days they are better than on other days, and some drugs work in different ways on different people. This is a complex matter.
I hope that the Minister will get these regulations right. I have two questions for him. Who will be doing the assessments? Will these people be adequate? This is of great concern to many people, and this debate has illustrated how very complex the whole matter is.
(13 years, 9 months ago)
Lords ChamberMy Lords, I can respond to that question positively in the sense that times have moved on: adaptations and aids have moved on since the DLA was introduced, and we are looking at a different environment in which people can be helped to live pretty normal lives with those adaptations. It is important that we have an assessment process and a personal independence payment that reflect what is really happening to people’s lives.
My Lords, does the Minister agree that the extra costs related to lack of mobility are far wider than just moving around—not least the need for extra heating, the extra wear and tear on clothes and the need to employ others to do decoration or repairs in the house and to look after the garden? How does this make the provision of aids relevant in the assessment of extra costs?
My Lords, the noble Baroness is right that we need to have a pretty broad view on what mobility implies. One of the big differences between the personal independence payment and DLA is that the personal independence payment looks at the person’s ability to plan and execute a journey, not just at their physical capacity. One of the big differences with the personal independence payment is that it puts a lot more emphasis on mental competences compared with physical ones, or it raises those competences in relative terms. Many of those adaptations are clearly for physical requirements; others, the ones to meet mental requirements, will be taken much more into account.
(13 years, 10 months ago)
Lords ChamberAs heralded by the noble Baroness, Lady Thomas, I will concentrate on the situation regarding disabled people. In recent years, disabled people have been given hope that we will achieve equality by 2025, but with these regulations we see yet again that the Government are imposing cuts that will disproportionately affect disabled people. That might not be the intention but it is the effect.
Disabled people are the group most likely to be dependent on benefits, so the most likely to be affected by these cuts. Only half of disabled people of working age are in work compared with 80 per cent of non-disabled people, and the poverty rate among disabled people is double that of the rest of the population. As we have heard, the likelihood is that significant numbers of people will be forced to move. Being one of the poorest groups, disabled people are more likely to face this threat than others. The Minister has repeatedly implied that this is no problem as people are constantly on the move. What understanding does the Minister have of what that means for disabled people?
First, for physically impaired people there is the major issue of finding accessible accommodation. The paucity of housing stock which meets disabled people’s needs is a disgrace and far too little is being done about it. Not only that, the actual process of moving will be difficult for many who are physically disabled or who have mental illness. Secondly, disabled people are likely to be more reliant on informal support from neighbours, friends and family. These networks are built slowly and cannot be turned on and off like a tap. However, if disabled people are forced to move, the dislocation will inevitably mean increased isolation and result in more reliance on the statutory agencies and charities. Related to that is the fact that existing relationships with health and social services will be broken so there will be additional costs of re-assessment and re-establishing the support to be borne by the statutory services. What assessment has been made of what it will cost the state in forcing disabled people to move as a result of these regulations?
The Minister may say that the increase in discretionary housing payments will meet our concerns but the increase is nowhere near sufficient to support all those who need it. Disabled people will be only one of the vulnerable groups in need of this funding as Leonard Cheshire Disability has pointed out. On the brighter side, I welcome the Government’s move to allow an extra bedroom for those who need an overnight carer. Cuts elsewhere will mean that this is not as beneficial as it sounds. RADAR has been contacted by Ann—not her real name—who was given housing benefit and the second bedroom rate for a live-in carer. As a result, her mother bought a two-bedroom property with a mortgage for Ann and her live-in carer to rent. So far, so good, but Ann has had problems getting somebody to live in. As a result, the council reduced the second-bedroom rate to a first-bedroom rate on the ground that it was not the main residence of the live-in carer. Now Ann cannot pay her mother the rent that she owes, and so her mother cannot pay the mortgage. This has left both of them in extreme financial hardship and her mother now has to look after Ann at night as well.
The severe cuts being imposed on local authorities have resulted in some appalling decisions, with local authorities trying to cut overnight carers and forcing people to use incontinence pads instead. Such was the case last year when the former ballerina Elaine McDonald, who was not incontinent but just needed help getting to the loo, took the royal borough of Kensington and Chelsea to court when it imposed this cut. She lost the case. Does this mean that there will be an inevitable domino effect with cuts by social services resulting in the loss of the extra bedroom allowance? Will the Minister give the House an assurance that this will not be the case and that if a person is assessed as needing overnight care, they will receive the extra bedroom allowance?
I regret that the noble Lord, Lord Knight, will not press his Motions but I urge all noble Lords to support the Motion in the name of the noble Lord, Lord Best. Will the Minister agree to commission primary research to monitor and evaluate the impact on disabled people in particular within the year, given that disabled people are likely to be disproportionately affected by these cuts?
My Lords, it is always a pleasure to follow the noble Baroness, Lady Wilkins. Her personal experience and powerful testimony are always of benefit to the House. We are very pleased to listen to what she had to say. However, I do not agree with the last point she made because, politically, it is absolutely apposite that the noble Lord, Lord Knight, took the decision that he did to leave a Division for now. That was the right thing to do and the debate benefited from it. It certainly makes it easier for people like me, who agree with a lot of the analysis and share a lot of the concern, to keep the pressure on the Minister for Welfare Reform. I am also grateful to the noble Lord, Lord Best, who admirably set the scene. Given the expert that he is, we would expect nothing else.
The politics of this are not hard to discern. Those of us who have been around long enough to remember the introduction of housing benefit in 1988 can see the Treasury’s fingerprints all over these cuts which have been on Treasury shelves since the income support system was changed in the welfare reform Act of 1986. Given the speed with which certainly the initial tranche of changes were introduced, some of which are reflected in the statutory instruments we are discussing, they could have been given no other thought than the Treasury insisting that DWP Ministers had to find changes.
As I keep saying, the noble Lord, Lord Freud, is a national treasure given that he is the architect of the universal credit, the principle of which I absolutely support. However, he had to pay a price for that. I well understand the concessions that have to be made between departments. Therefore, I do not blame my noble friend for what we are facing. However, the noble Lord, Lord Knight, was right to refer to the £15 excess. That was very welcome because if there is a feeling across the House that constructive measures can and should be taken to limit some of the damage referred to in many eloquent speeches this evening, that strengthens my noble friend’s hand in making representations to the department. In any case, this game does not finish this evening; it will be a long journey. Iterations of these cuts will be introduced over a period of years. Therefore, we have a little time to look at what is going on. We are not, to quote a phrase, lashed to the mast; at least, I would not like to think that we are.
If the Motion moved by the noble Lord, Lord Best, is accepted, and as long as the Minister for Welfare Reform is prepared to say that it is not just restricted to the regulations, which are only the start of a long journey which will make considerable changes, some of which will get considerably more acute come 2013, the House will have done a valuable piece of work. The Minister must also understand that he has to respond with a sense of responsibility, from an adult point of view, by being very firm about his assurances about what will be reviewed and reported, and how, when and why. We need to know what we are being asked to support.
The point was made eloquently by the noble Baroness, Lady Hollis, but I have always felt that housing policy driven by housing benefit is completely crackers. It has all got out of kilter. We all need to step back to consider some of the excellent work done by John Hills in his excellent report, Ends and Means, and the Kate Barker recommendations of 2004—all a bit long in the tooth now, but the direction of travel necessary in the long term is all there. That work can be built on in future.
The private rented sector is not a place for long-term, low-income households’ housing needs to be met. It is a device that should be for another segment of our society altogether. We have let it get out of control in a way that is difficult to justify. Like colleagues, I find it difficult to be sure that the savings set out in these plans will be realised as they are expected to be without unintended consequences. It is not just the June 2010 Budget proposals or the spending review proposals—as, again, the noble Baroness, Lady Hollis, said, it is the universal credit changes, which are profound.
The House can be reassured that it will get a chance to come back to some of these issues. I give an undertaking to the noble Lord, Lord Knight, that if we do not get a proper review or if we get a proper review but a red traffic light on the basis of the red, amber and green system of risk assessment on some of these issues, I will happily consider joining him in the Lobby if the Government do not measure up to the requirements, which are felt on all sides to be necessary, before we can go home this evening satisfied that we have done our job properly.
I conclude by mentioning four—well, four and a half—things that I want in the review. The first has been discussed earlier. I want to know exactly what proportion of the market the Government expect to be accessible to people who are on local housing allowance. I do not believe that the proportion of 30 per cent will hold. Once it is indexed to CPI, there is no real expectation that across the country LHA clients will be able to access 30 per cent of the market. That is my view in London and other areas.
The Government need to explain what proportion of the private rented sector they eventually expect the changes to make available to the client group. I think that the market will fragment. I think that the pressure coming into the private rented sector is likely to segment into a binary system where people who are unable to get on to the first rung of the owner-occupation ladder will be in a much more advantageous place. There are many more of them. The evidence that went into the DWP Select Committee report indicates that there is enough pressure there to keep rents rising and that demand will increase. There is a real risk that the sector will split. That will be made worse after 2013.
(13 years, 11 months ago)
Lords Chamber
To ask Her Majesty’s Government what steps they will take to ensure that disabled people are involved in the decisions taken by Ministers that affect them.
My Lords, on behalf of the noble Baroness, Lady Campbell of Surbiton, and at her request, I beg leave to ask the Question standing in her name on the Order Paper.
My Lords, under Article 4 of the UN Convention on the Rights of Persons with Disabilities, we are required to consult with disabled people on all decisions and policies that affect them. The Government are fully committed to that requirement. I and my colleagues are keen to champion an approach of involving disabled people during policy development across government. We will continue to talk as widely as possible with disabled people about matters that affect them.
I thank the Minister for that reply. As he says, Article 4 states:
“In the development and implementation of legislation and policies … relating to persons with disabilities, States … shall closely consult with and actively involve persons with disabilities”.
Article 33 requires the same involvement in the monitoring process. How did the Government discharge their obligation to consult closely and actively involve disabled people in the decision to remove mobility allowance from people living in residential care? What steps do the Government intend to take to include disabled people in the monitoring of that policy?
My Lords, perhaps I may first say on behalf of the whole House how much we look forward to seeing the noble Baroness, Lady Campbell, back in her place alongside the noble Baroness, Lady Wilkins.
The issue of the mobility allowance was raised in the context of the comprehensive spending review. At that stage the proposal had not gone through a full consultation process, but one would not expect all the measures in such a huge announcement to have gone through the full process. However, the measures will go through a process of full parliamentary scrutiny before they take effect in October 2012. The DLA reform document has also been put out to consultation, on which there have already been discussions with about 50 representative organisations. Those discussions will continue.
(14 years, 4 months ago)
Lords ChamberMy Lords, I place on record the Government’s determination to push ahead with the equality agenda for people with disabilities. We are monitoring the situation very closely. We are signed up to the UN convention, as this House will know. Transport is one of those areas within the convention on which we are determined to fulfil our obligations.
What steps have the Government taken in their discussions with RADAR to ensure their oft-repeated pledge that the cuts in public spending will not have a disproportionate impact on vulnerable and poor people?
My Lords, we are making sure that all the impact assessments that we are obliged by law to go through are being done on a timely and appropriate basis.