Disability Support

Angela Crawley Excerpts

Wednesday 19th December 2018 Commons Chamber

[Luke Graham]

I could not agree more. I find it interesting that we have had an increase of around 800,000 people aged 16 to 64 who are now being classified as disabled. I understand that they had previous classifications within the welfare system and were receiving different benefits, so a simple change in the denominator would not indicate the impact.

The Government have made commitments to people in receipt of cash benefits. [Interruption.] It is a fair point. The hon. Lady asked me a direct question, and I gave her a direct answer. Again, I would happily debate the number of people who are now being classified as disabled.

There have been some positive movements in the Government’s changes. We have seen the employment rate for disabled people go up from 43% to 51%, which is welcome. I referred to Access to Work earlier, and £104 million went into the scheme in 2016-17, providing support to around 25,000 people.

Again, no Conservative Member is complacent. We are very clear that changes still need to be made. A number of my constituents have talked to me about their experiences of the assessment process, taking me through the paperwork. I have gone through that page by page with them to understand where they are having difficulties. From that, we can see that some of these changes have brought people into our offices; they have brought them into the welfare system. For a long time, they have lagged in the dark, whereas now assumptions are being challenged and new benefits are being offered. As a result, new questions are coming from our constituents, and we should try to answer them as best we can.

[Angela Crawley (Lanark and Hamilton East) (SNP)]

I commend the hon. Gentleman for giving a far more honest portrayal of his experience of his constituents than other Government Members. May I just challenge a point he made earlier about the figures? Of course, when he refers to these figures, he is being somewhat selective. The rate of inflation means costs have risen since 2010, so naturally the costs, output and spend he refers to will be higher, but that does not necessarily mean that people are not being affected disproportionately.

[Luke Graham]

We are looking at a 38% increase in cash terms, but if the compound inflation rate over the same period is taken into account, this would come out as less than 38%. I am happy to go through the calculations with the hon. Lady separately, but we would still find a real-terms increase in the benefits that are being paid out.

On all these policies, we, as constituency MPs, see people who come into our offices. They come to see me and my staff in my Alloa office and in my Crieff office, and we see some of the human impact of the changes made in welfare. I support looking at how we assess the impacts on disabled people, because we are putting in a considerable amount of money. My hon. Friend the Member for Ayr, Carrick and Cumnock (Bill Grant) made the point about the amount being spent on disabled benefits, and we are one of the highest spenders in the developed world, which should be applauded, but if the money is not getting to the right people at the right time, we need to see exactly how it is being administered and how our services are being delivered on the frontline right across our country.

Like other Members here, I have hosted debates on Disability Confident, which is a fantastic scheme. The hon. Member for East Kilbride, Strathaven and Lesmahagow (Dr Cameron) talked about how MPs should be signing up for that. My office is a member of the scheme and the same applies to colleagues from right across the House. The Minister visited the Glenalmond Timber Company in my constituency, and I hope everyone will be able to join me in congratulating Jed Gardner, its production manager, who now has Disability Confident leader status—the first in Scotland. I hope everyone will congratulate him on the fantastic work being done in Methven to give people with disabilities opportunities to work. When I visited the company and when the Minister did, too, we could clearly see the impact this has on not only individuals, but their family and friends. So some incredibly positive work is being done by this Government, although there are also areas where we need to review and assess continually.

Furthermore, in my constituency, we recently held a joint event with my hon. Friend the Member for Stirling (Stephen Kerr) on Disability Confident in Alloa, which the local community and the DWP attended. It was hosted in Inglewood House, which, I am glad to say, signed up to the Disability Confident scheme immediately following that event. Again, that is an incredibly positive action, showing that companies in Clackmannanshire, Perth and Kinross are taking Government initiatives from the green Benches here and applying them in a daily way where we can see real improvement in our constituents’ lives.

As I said, I have a number of concerns about how the assessment is taking place, and I would support looking at having an assessment of how these things are being delivered. I hope to work with my Government colleagues on how that would be done. I hope that such an assessment would be independent, or certainly objective, to make sure that our constituents, our Government and ourselves will have the best possible view on how these disability benefits are being delivered.

--- Later in debate ---

[Angela Crawley (Lanark and Hamilton East) (SNP)]

Madam Deputy Speaker, I appreciate your fortitude, and that of the previous occupant of the Chair, at this time of the evening. It has been a long week. I thank the hon. Member for Oldham East and Saddleworth (Debbie Abrahams) for bringing forward this important debate and the Backbench Business Committee for granting it.

Welfare reform has had a huge impact on my constituents, in particular on the lives of disabled people. That is the case not just in my constituency, but across the UK. Regardless of the rhetoric of those on the Government Benches that welfare reforms are helping people back into work, the reality is that the conditions are getting harder for those who are most in need of assistance.

Despite the War on Welfare petition with over 100,000 signatures calling on the Government to introduce cumulative impact assessments, the Government have been unrelenting in introducing these changes. For many, they have earned a reputation for having a hostile environment when it comes to these welfare changes, coupled with the Government’s austerity measures, notwithstanding the impact of Brexit and the potential for a further weakened economy. The reality is that it will be the most vulnerable and the disabled who will be hardest hit by Brexit. Whether it is Brexit, the initial 2012 changes or the 2016 welfare reforms, we have to acknowledge that they are not working as well as they could be in practice. That is not a political statement; it is a matter of fact that they are not working as well as they could be. Unlike some Ministers, I know that the Minister of State for Disabled People cares deeply and she will want to get this right.

We have heard many contributions from across the House from right hon. and hon. Members, who have conducted themselves, may I say, immeasurably better in the Chamber than in recent weeks. They have served their constituents admirably better on this important matter. It is worth highlighting some of those valuable contributions. The hon. Member for Oldham East and Saddleworth rightly highlighted the WOW campaign and the disproportionate impact on disabled people, families and carers. This is not a political statement, but something we all, across the House, want to get right. I know the Minister shares the same passion to get it right.

The hon. Members for Ayr, Carrick and Cumnock (Bill Grant) and for Clacton (Giles Watling), I am sorry to say, gave a rather rosy depiction. I am afraid I do not share the same optimistic view. I am grateful to the hon. Member for Ochil and South Perthshire (Luke Graham) for being a bit more realistic about the experience of his constituents. The fact is that there are elements of this that can be reviewed and reformed, and we all want to do that.

The hon. Member for High Peak (Ruth George) highlighted the range of cuts. The hon. Member for Bishop Auckland (Helen Goodman) spoke passionately, as always, about the impact on WASPI women, who are working longer and harder under the pension changes. The hon. Member for Eastbourne (Stephen Lloyd) rightly highlighted that many disabled constituents want to work but cannot. That reminded me of the phrase that a good friend, Susan Douglas-Scott, said to me: often, it is society that disables individuals, not the individuals themselves. The hon. Members for Aberavon (Stephen Kinnock) and for Bristol South (Karin Smyth) highlighted the UN report and the EHRC report, and the joint calls for cumulative impact assessments. Of course, no debate would be complete without the hon. Member for Strangford (Jim Shannon), who needs no further words.

My constituent Liam from Hamilton has been trying to get the limited capability for work element for his universal credit, but so far he has been unsuccessful in his work capability assessment. His doctor, however, is adamant that Liam should not be working. Liam was a heavy goods courier. After a work-related injury, he cannot stand for any length of time and he cannot walk without fear of falling or his knees giving way. He has experienced heart palpitations, high blood pressure, numbness of limbs and sleepless nights as a result of various medical treatments. Despite all that, the gravity of his disabilities is not reflected in his medical assessment. Many of the conclusions of the assessment were based on assumptions rather than evidence. That seems to be a theme in many of the assessments.

Liam was therefore required, as part of universal credit, to claim to search for jobs for which he is physically unsuited and to attend training sessions for jobs he cannot do. This included a session with Remploy, the specialist charity for disabled employment, whose staff are experts in this area, but which refused to put Liam forward for any jobs because he was physically unsuitable for anything it could offer.

It is a shame that Liam is in this position. He has a very strong work ethic and wants nothing more than to get back to work. He is becoming increasingly frustrated by this situation because he is unable to provide for his children. He is a single parent with shared custody and often unable to see his own children because there is no food in the house and he is unable to feed them. Is it right that families should be forced to make these decisions? The system is clearly flawed and not working. This man cannot work, yet he cannot even see his own children because he cannot afford to feed them. It is heartbreaking.

For many of those claiming PIP and employment support, the situation is not much better. The assessment criteria for these benefits do not appear to have been written by disabled people with disabled people in mind; rather they are tick-box exercises carried out by ill-trained staff. It is abundantly clear from many of the cases that have come through that my office and the assessors do not pick up on all the issues faced by disabled constituents. Yet I am asked daily to advocate on their behalf, when I do not even know the half of their situation or the magnitude of their disability. How can a work capability assessment or adviser assess that in less than five minutes, 20 minutes or half an hour? It is not possible. We have to be realistic.

On Friday, I visited a local charity in my constituency, Esteem, which I sponsored this year for my annual Christmas card competition and which supports people with mental ill health. It highlighted the experience of many of the clients it sees on a day-to-day basis who have gone through the jobcentre and faced horrible experiences. I know that that is not everyone’s experience, or the intention of any staff member in the local jobcentre, but Esteem has identified that employees and staff do not feel adequately trained or qualified to assess individuals and are bending over backwards to prevent people from receiving further cuts. They are doing everything they can. It is not the fault of staff that the policy is flawed, and I do not blame them for administering the policy set by the Government.

This flawed assessment process is resulting in inaccuracies being reported to the DWP and leading to far lower amounts of benefit being given than what is needed to fit people’s circumstances and to give them the right level of support. In some instances, DWP staff are advising people not to switch because it would be less beneficial for them. There might be issues with the legacy system, but clearly there are also issues with this system, if DWP staff are having to give that kind of advice to get people through the process. We have to acknowledge the flaws.

Having to fight to overturn a case causes huge stress to claimants as well as putting extra pressure on agencies, citizens advice bureaux and MPs’ offices. It is admirable that, as we have heard, Members across the House have gone out of their way to help individuals to fill in forms, go through mandatory reconsiderations and get the right support, but, ultimately, if the system worked as it should, we would not have to do that; we should not have to do that. It is not a good use of our office resources, staff or processes.

We have to get to the root cause. This situation demonstrates how unfit for purpose the current system is. Another of my constituents, Darin, suffers from a chronic condition as well as mental health issues, but he lost his entitlement to an enhanced rate of PIP and mobility element in a recent reassessment. The assessor clearly did not consider the full range of his needs. For example, he is deemed personally able to manage his own treatments, but in reality he relies on his mother to take care of his medication and to wake him up every morning to make sure he gets the appropriate medication and support. He cannot do that on his own, yet his mother’s caring role was completely disregarded. It was Darin’s mother who approached my office, which helped to get the case overturned under a mandatory reconsideration, but we should not have had to do that. That anxiety and stress could have been avoided altogether had the assessment been accurate in the first place.

Another constituent approached my office after losing the Motability element of his PIP reassessment. He had an adapted car, which was necessary for him to get to appointments and to maintain his independence. However, the assessor who carried out the review found that he did not require help with mobility, despite having lost one of his legs. He also lost all his entitlement to PIP during that reassessment. Again, he dealt with the matter through my office, and had to undergo the process of mandatory reconsideration—not to mention the impact on his family of the shock, the stress and the senseless removal of support. The fact was that he simply had no alternatives.

The system can be senseless and excessively technocratic, although that is not always the case. It takes no account of how the removal of financial support or help in the form of, for instance, a mobility car will affect disabled people, making their lives far more difficult.

In a similar case, my constituent Margaret, from Carluke, lost her Motability car during her transition from DLA to PIP, which left her housebound. She successfully disputed the distance that she could walk, reducing it from the 20 to 50 metres in the assessment report to 1 to 20 metres. Her Motability car was returned but, in the meantime, unfortunately, she had bought another. That meant that, although she was receiving the correct level of support, her living standards had been needlessly reduced by the reassessment process.

If the system works as well as we have heard it does in so many accounts, why does every single one of our offices, each and every day, have to help people to counter it? The fact is that it simply is not working as it should. I think it not unreasonable to suggest to the Minister that the motion offers the Government an opportunity to conduct a thorough review of the assessment criteria, with the meaningful involvement of disabled people and those with long-term conditions, to ensure that the criteria are fair and truly reflect the extra costs that people face and the myriad conditions that affect them. The hon. Member for Ochil and South Perthshire rightly admitted that a continual review and assessment were required.

Let me end by asking the Minister a simple question. If the Government can spend limitless amounts on Brexit and on planning for no deal, why can they not introduce an independent cumulative impact assessment of their welfare reforms?