(11 years, 11 months ago)
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That highlights why I thought it was important to have this debate. It gives us the opportunity to raise issues on behalf of those affected by thalidomide and, at this crucial point, to get some indication about the future of the grant following the pilot. Thalidomiders argue that the most cost-effective answer is to give each of them the financial flexibility to develop their own solutions. They want the flexibility to combine all their different needs and to obtain one solution. They may need additional paid assistance if they have elderly carers or if their family circumstances change. They may need bespoke adaptations for their homes. We are used to homes being adapted for people with disabilities, but the cost of such adaptations for people affected by thalidomide might be way in excess of anything that that is done routinely for adapted housing. They may need better mobility solutions to enable them to travel and to use public transport, or they may need to make permanent lifestyle changes to help them to manage pain and other problems, and the health grant has been used for such things.
I congratulate my hon. Friend on securing the debate. The number of Members in the Chamber shows the importance of the matter throughout the country.
The second evaluation report from the Firefly research consultancy states that steps taken now would limit further deterioration and/or prevent future problems, and that that would mean in the long term that we would have fewer demands on the NHS. Surely that shows that investment now would have a greater benefit for the NHS and local services in the long term?
My hon. Friend makes an important point that goes to the nub of the matter. The evaluation report shows that the pilot scheme had an important impact that was significant to the lives of individuals because it allowed them to retain or obtain more independence, and that it was cost-effective to the NHS and other social services.
Some people who are affected by thalidomide receive disability living allowance, which provides a proportion of the special costs, but there is worry that many will lose the mobility component of DLA when the system changes to personal independence payments. I suspect that we could spend another half an hour on that topic, but I wanted to put it on record.