Health and Disability Reform

Debate between Mel Stride and Sammy Wilson

Monday 29th April 2024 Commons Chamber

[Mel Stride]

My hon. Friend raises important points that are core to the consultation that is being carried out. The corollary to my hon. Friend’s argument is that we should not do anything and stay with a system that has not been revisited for over a decade, despite the fact that the terrain has changed substantially, not least in terms of the increase in those suffering from mental health conditions. I say no to that. We need to have a grown-up conversation about these matters if we are to provide better support for the people whom hon. Members across the House care about.

[Sammy Wilson (East Antrim) (DUP)]

The Minister is right: economic inactivity rates have soared because of ill health, and where possible we want those people to get back into work. It is for their own good. It is also for the good of the hard-working taxpayers to have those costs minimised. However, given that these proposals come at the tail end of a Government, who have just weeks or months to go, I doubt very much that the measures will become a reality for many people. I have one question for the Minister: as this issue is devolved to the Northern Ireland Assembly, has he had any discussions with the Executive about these proposals? If he has, what response did he get? Should the Executive go in a different direction, what will the economic consequences be for the Northern Ireland Executive’s budget?

[Mel Stride]

The right hon. Gentleman is absolutely right to talk about the importance of work in the context of mental health. That is my strongly held belief. He is also right to raise the issue of the fiscal sustainability of our welfare system. If the public are to continue to have confidence in that system, we must get the balance right between the requirements of the taxpayer and our absolute determination to support those most in need of help.

The right hon. Gentleman asked a specific question about the Northern Ireland Executive. He is right: it is possible for Northern Ireland to decide to manage its benefits in a different way to England. That is not traditionally what has happened. Traditionally, Northern Ireland has followed the moves that we have made. As to discussions, absolutely, there are always close, ongoing discussions between my Department and our counterparts in Northern Ireland.