(7 years, 11 months ago)
Commons ChamberI am keen to improve their effectiveness in that regard, and I also take my hon. Friend’s point about the pressure on GPs. In the consultation document we consider the possibility of extending the issuing of fit notes to other healthcare professionals, and I shall be interested to see what response we receive, not just from those who receive the fit notes but from the professionals involved.
I strongly support my right hon. Friend in respect of this specific policy. Does he agree, however, that as the consultants—as it were—to whom patients are referred will be work coaches, it is critical that those people receive training that will enable them to deal with the hardest cases among those who are unemployed, particularly those with pressing mental health problems?
I agree with my hon. Friend and am grateful for his support. I am happy to reassure him that all work coaches will complete specific training for their role, including a course that combines the knowledge, skills and behaviour that they will need to deal with the people with whom they work, particularly those with mental health conditions. Obviously, work coaches will need specific skills to handle the many issues that will arise from such conditions.
(8 years ago)
Commons ChamberI feel that the hon. Gentleman has had his fair share of the time, having used more than 35 minutes of a three-hour debate, and I want to turn to the specific option that he proposed. He mentioned the Landman Economics report that modelled the impact of several options. The SNP’s preferred option would roll back the 2011 Act entirely, returning to the timetable in the 1995 Act. He said that that option would cost £8 billion, but I disagree. Our analysis suggests that the cost has to go beyond 2020-21 and must include the effects on national insurance payments and tax collection, which his economic model entirely ignores, and that it would cost over £30 billion.
Even if we accept the hon. Gentleman’s figures, his other suggestion is that the costs could be met from the surplus in the national insurance fund that he conveniently discovered. In fact, there is no surplus in the fund because it is all used to pay contributory benefits. If we take from the national insurance fund £8 billion, £30 billion or whatever number one cares to mention, we take it from people who receive benefits. The surplus of £16 billion that he identified is two months’ expenditure—an advisory level recommended by the Government Actuary as a prudent working balance. The money has been put there by a Treasury grant to maintain the fund at the recommended long-term balance. The Government Actuary does not forecast a long-term surplus, so this convenient pot of money for the SNP does not actually exist.
May I add to that? Others have tried to alight on this fund as a source of expenditure, but the then Financial Secretary Ruth Kelly said in 2003:
“The national insurance fund provides security for those contributory benefits. It is ring-fenced and cannot be used for other Government expenditure.”—[Official Report, 21 October 2003; Vol. 411, c. 231WH.]
I am grateful to my hon. Friend, who is knowledgeable about such matters.
The hon. Member for Ross, Skye and Lochaber used to work in the financial services industry and has been a fund manager, so he knows what he is talking about. However, he must know that his characterisation of the national insurance fund as involving some kind of individual contract that relates what someone gets out of it to what they pay in is not true. The state pension is a social security benefit, funded through national insurance contributions.
(8 years, 1 month ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
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I am reassured to hear my right hon. Friend say that the number of claimants for this subsidy is actually falling and that part of that is due to the fact that people are moving into work from benefits. There are always difficult cases in the welfare system—cases that fall outside the normal rules—but the big picture is that worklessness, which is the biggest cause of poverty, is at an all-time low, and that the spare room subsidy has played a part in delivering that.
I agree that the subsidy has played a small role. It is also consistent with the rest of our welfare policy, which is about making sure that, as work is the best route out of poverty, as few people as possible face worklessness and that they are helped better than ever before. We have helped more people to get into work and progress in work. [Interruption.] I am afraid that the Opposition do not understand any of that.