Health and Disability Reform

Lord Bishop of Lincoln Excerpts

Wednesday 1st May 2024 Lords Chamber

[Viscount Younger of Leckie (Con)]

I take very seriously what my noble friend has said. On the PIP process, she is right. Work needs to be and is being done to modernise the health and disability benefit services to create a more efficient service, reduce processing times and improve trust in our services and the decisions that we make. As part of this, from July 2023, a limited number of claimants have been able to begin their claim for PIP entirely online, which we aim to roll out across England and Wales.

My noble friend’s substantive question was on the important subject of autism. She will be aware of the Buckland review. It is important to say that we will link whatever comes out of this conversation, which may include matters to do with autism, with the progress we are making on the Buckland review. I am aware of the huge challenges linked to assessing those who have autism. On a brighter note, we know most autistic people want a job, and evidence shows that they may bring positive benefits to their employers. Now is the time to raise our ambition. On 2 April 2023, World Autism Acceptance Day, the DWP announced the launch of this new review. My noble friend will know that a task group has been set up that will include people with direct lived experience of autism, and be chaired by a respected independent person who is separate from government and clearly represents autistic people and their needs. The members of the task group will cover a broad range of interest groups to ensure that their views are represented. It is important to link this to what we may do out of the review on PIP. I say “may do” because this is a consultation, and we want to hear from people.

[The Lord Bishop of Lincoln]

My Lords, I declare an interest as a bishop relating to L’Arche UK and worldwide, which cares for people with intellectual and physical disabilities. The aspiration outlined in the Ministerial Statement to create a Britain in which disabled people can be supported to thrive is one that we all share. At a time of economic challenge, any responsible Government must pursue priorities and make difficult choices, but I have been in your Lordships’ House for 10 years and this kind of Statement reminds me of the circularity of this debate about welfare provision within that 10 years, where we do not seem to have made huge progress. We heard a lot from previous speakers about the varied needs of people with disabilities, some people with temporary health issues and those with severe and enduring mental health conditions. The Joseph Rowntree Foundation has noted that almost two-thirds of people living in destitution or direct homelessness have a chronic health condition or disability. These people may be unable to meet their most basic needs to stay warm, fed, dry and clean. Does the Minister agree that energy for further reform of disability benefits might be best applied to meeting the needs of this cohort rather than seeking to make eligibility even tighter?

[Viscount Younger of Leckie (Con)]

I gently correct the right reverend Prelate, or give my view, which is that the current PIP system has served a purpose; that is a fair comment to make. However, as I said earlier, after 10 years—it was our Government who brought in PIP—now is the time to review it. To put this in perspective and explain why we are doing it now, I say that since 2015 the proportion of the caseload receiving the highest rate of PIP has increased from 25% to 36%, and 7% of working-age people in England and Wales now claim PIP or DLA, which is forecast to rise to 10% by 2028-29. Going back to 2022-23, the Government spent £15.7 billion on extra costs for disability benefits for people of working age in England and Wales, and the OBR has forecast that the cost will rise to £29.8 billion in nominal terms by 2028-29. On the right reverend Prelate’s question, we believe that now is the right time to do something. In fact, not doing something would be highly negligent. It covers everybody at all levels. I know he referred particularly to those who are the most vulnerable, and he was quite right.

Child Poverty

Lord Bishop of Lincoln Excerpts

Monday 29th April 2024 Lords Chamber

[The Lord Bishop of Lincoln]

My Lords, I too am grateful to the noble Lord, Lord Bird, for securing this debate and for his passion and his challenge. Like the noble Lord, I come from a poor London Irish family, but from south of the river, if that is allowed. We have heard from the noble Baroness, Lady Lister, about the causes of child poverty and that they are systemic, and about the potential for changing them—not by exceptionalism, as may have applied in our cases.

As the Bishop of Lincoln, I am very conscious that in greater Lincolnshire I see vibrant resilient communities but, in the midst of a commendable spirit, there are considerable challenges. The effects of deep poverty feel widespread and tangible in a way that I have not seen since I began as a priest in the mid-1980s. Damp, low-quality accommodation, particularly in the private rented sector, has an impact felt particularly by children at crucial stages of their development. In response to this, the Archbishops’ Commission on Housing, Church and Community set out five values for good housing: it should be safe, sociable, sustainable, satisfying and secure. Failure to deliver this only serves to entrench child poverty.

I worry particularly about the impact of intergenerational poverty. In many of our communities, the lack of employment and social opportunities is apparent. The industries that used to sustain towns such as Grimsby have changed. We have a fishing plant but no longer a resident fishing fleet. That affects employment prospects and a sense of pride in place. Children are profoundly affected by that context as they grow up.

The Institute for Fiscal Studies recently published a report to mark the 25th anniversary of the introduction of Sure Start centres, highlighting the extraordinary difference that these made to the educational outcomes of children who engaged with them or even those who lived near them. This second aspect explains why children living in poverty in rural areas in other parts of Lincolnshire and elsewhere did not benefit as much as those in urban areas. It is simply because those living in the countryside did not have the same access.

Partly this is a question of infrastructure—the transport links to ensure that services can be accessed. However, I wonder whether it is also a question of priorities of government and others. The recent Hidden Hardship report noted that disadvantaged young people in remote rural areas are 50% less likely to gain two or more A-levels or enter university than those living in major cities. A similarly ambitious approach to child poverty 25 years on from Sure Start must always keep in mind the rural context. What assessment is being made of the particular needs of rural communities as the Government assess the root causes of child poverty?

The noble Lord, Lord Bird, issued a challenge to the Church in relation to doing away with poverty, particularly child poverty. There is a crisis of capacity in the voluntary sector. Churches will continue to run toddler groups and open warm spaces where they are needed. Yet churches do not have an endless supply of volunteers. The real challenge for all of us is to think about what facilities we can make not just for children’s physical and food education, not only for their access to services and schools, but to think about what access they have to relationship-building and hope. A generation of hope is one of the most important things in this—giving children the possibility of confidence. One of the hidden areas of poverty in terms of relationships is the number of children who are child carers, looking after their single and sick parent. This is not being acknowledged much at all publicly. Often, one child is responsible for all their younger siblings.

One of the most impressive places which I visited recently, having done so several times, is the St John St Stephen & Shalom youth centre in Grimsby, in East Marsh, which has been celebrating its 50th anniversary. I never witnessed this before, but there is a plaque on the wall outside commemorating those former members of the centre who have been murdered or have died through drug-related incidents. This is the place where, over 50 years, 5,000-plus children and young people have been offered hope and the chance to build successful relationships with safe adults outside of their immediate family. I applaud this and hope that examples such as St John St Stephen & Shalom youth centre give us an incentive and hope not to give up on these children but to work with them and for them, in that way to transform our whole society.