Working-Age Disabled People

Anne McGuire Excerpts

Thursday 25th October 2012 Westminster Hall

[Sheila Gilmore]

Unfortunately, the statistics do not yet show a huge change. The latest statistics show a small reduction in the number of successful appeals, but the number is still very high. Statistics always lag back a few months, so it may be that further improvements are still to come, which would be good. It is particularly important that we get this benefit reform right.

Many people, including those in the disability field and Opposition Members, have asked whether there is any penalty of any sort on the assessor for not doing the job as they should. We are constantly told that we cannot have the information because it is all commercially sensitive. I can understand that perhaps being the case during the tendering process, but I am not clear why it is deemed to be quite so commercially sensitive once the contract is awarded. We still do not know. Public money is going to these organisations, so it is important that we have confidence that this time there is a system in place.

The Select Committee’s recommendation was:

“DWP contracts with private companies for the delivery of the PIP assessment”

should

“directly link the payment of public funds to the production of reliable assessment reports that are ‘right first time’.”

Now that the contracts have been awarded, I hope that the Minister can tell us whether that has been done and whether it will be monitored and reported on. Obviously, if the assessments are much better, there will not be many penalties, but we need to know now whether that link has been made. It would give people more confidence in the process.

The Chair of the Select Committee, my hon. Friend the Member for Aberdeen South (Dame Anne Begg), briefly mentioned contracting. The PIP assessments have been let on a regional basis. In Scotland and the north of England, Atos won the contract, but it appears to be subcontracting to NHS Lanarkshire to carry out the assessments.

If Atos is not doing the work, what is it getting out of the contract? How much of the contract price goes to Atos and how much to Salus? Salus is the not-for-profit arm of NHS Lanarkshire; it does other forms of occupational health work, which is why it was selected. It is not unreasonable to ask those questions. Such arrangements are becoming all too typical in this new world of outsourcing to large, all-purpose, public service, private companies.

We saw it in the Work programme. At the apex are the big boys such as G4S, A4e and Serco. Sometimes they do the work themselves; sometimes they subcontract; sometimes the subcontractors subcontract. At the bottom of the heap some of the sub-subcontractors see little of the payments. That is a major problem.

What are some of those big companies being paid to do? Are they being paid just to put the contract together? Are they just creaming something off the top? They are certainly not shouldering the risk for their subcontractors, because when those get into trouble—with the Work programme, at least—they are not bailed out by the prime contractor. The main contractors do not carry a financial risk of that kind.

We need to know what is happening with the process. The question arises whether it might not have been easier to contract the work in the first place directly to the NHS. If we talk about these things a lot, it is because people naturally think there may be a connection. My hon. Friend the Member for Oldham East and Saddleworth (Debbie Abrahams) pointed out that in statements that have been made in the past the connection with WCA was made overtly. It is not only we who make it.

The question of targets has been controversial. Atos has said there are no targets in relation to WCA. The Government have vehemently denied that there are targets. However, it now seems clear from people who have worked as health care professionals in this field for Atos—and this came out of the television documentaries in the summer as well—that there are expectations about normal and correct outcomes of assessments. Health care professionals whose performance deviates from those expectations are audited so that their performance can improve towards them. We must ask ourselves at what point an expectation becomes a target, or when there is very little difference between the two.

If there are such expectations, what cognisance will there be of regional variations in ill health—and even variations within regions? Partly because of industrial history, certain forms of ill health are more prevalent in some areas and they are likely to have a greater number of people with certain conditions than others. If there are to be targets or expectations, whatever we may call them, such things must be taken into account. However, since we do not know the guidance, we do not know whether they are taken into account. I hope that they are.

If the Government want people to be more confident about the changes, they must be more open and transparent about them. In the absence of such openness and transparency people reach conclusions, rightly or wrongly, which tend, in modern parlance, to go viral around the disability community. People then get very frightened.

Another aspect of the matter that has, I suppose, come out of the WCA experience, is to do with what kind of assessment is being carried out and the attempt to restrict complex conditions to a simple set of descriptors. The aim from the outset seems to have been, certainly with WCA, to create a system that could perform large numbers of assessments and achieve reliable and replicable results. People have often complained about a tick-box approach, and that seems to me to be a direct result of that attempt.

It is not just bad practice by Atos; sometimes, critics concentrate too hard on Atos and not enough on the underlying system. I think that what happens is inherent in the adoption of what is effectively a computerised test approach. I am sure it was sold to the Government as the IT answer to carrying out assessments. I think that we all know that IT magic miracle cures are often oversold by those who sell them. Before the Minister says so, I know that it was the previous Government who introduced the WCA and the form of test in question. The fact that they turned out to have inherent difficulties should not mean that we should not criticise them and consider whether we were perhaps naive to think an IT solution could deliver all that was needed.

[Mrs Anne McGuire (Stirling) (Lab)]

Does my hon. Friend also accept that the previous Government had already established some monitoring and evaluation of the WCA as it was initially introduced? They did not go for a big bang approach but were going to role it out gradually, so that lessons could be learned.

[Sheila Gilmore]

Certainly the system had been operating for some time before the roll-out to all the existing invalidity benefit claimants, but it is not clear that the evaluation was put in place first. I think at the time we said that as some concerns were being considered, and new ways of doing things were being found, it would have been more sensible to put those changes in place before moving everyone else across.

The WCA experience tells us that IT is a tool, and should never become the master of the process. The computerised test should not be the whole of the assessment process. What comes through loud and clear from Professor Harrington’s report is the importance of seeing the computerised assessment as only a part of the whole. Gathering essential documentary evidence early in the process is important. I often heard the previous Employment Minister say that people come to WCA appeal tribunals with information that was not there in the first place—as if people keep it hidden at home and deliberately wait for the appeal to produce the information. Many of the appellants say that no one asked them for it. Some people have even said that they turned up at assessments with information that was not looked at. We must ensure that information is made available from the outset.

The other important thing, according to Professor Harrington, was that DWP decision makers should not simply rubber stamp the computerised assessment. They should consider the position in the round—look at the documentary evidence and consider the situation again. That change should now be in place for the WCA, and there are signs that that is happening, although when I have asked the Government questions about how many Atos assessments are changed by DWP decision makers, I have been told that the information is not kept in that form. Again, it is quite difficult to know exactly what is happening.

The Minister’s predecessor gave us to understand that the PIP assessment would be very different. In the Government’s response to our report, they said:

“The face-to-face consultation, as part of the Personal Independence Payment assessment, is fully intended to be a two-way conversation between the claimant and the health professional, allowing a detailed exploration of how the claimant’s health condition or disabilities affect their day-to-day lives. The discussion at the consultations should not be mechanistic and should be tailored to individuals. This is being clearly expressed to potential providers as part of the tendering for Personal Independence Payment assessment contracts and will be set out in detail in the supporting guidance for providers and their staff. The guidance will stress the importance of positive interaction throughout all aspects of the assessment. The contract will require assessors to have excellent interpersonal and communication skills, including the ability to interact with people sensitively and appropriately.

The Department is not placing targets on the time required for face-to-face consultations and is making clear to potential providers that consultations will need to be as long as necessary to reach evidence-based conclusions on individual cases.”

That sounds wonderful, and if it happens we will definitely have a much better assessment process than the WCA one that we have criticised. I have a problem reconciling it with the contract approach. Has it been built into the contracts? How will it work? If an assessment on one day, for one person, takes as long as is needed, what happens to the other people sitting in the building waiting to be assessed?

Are those people going to be sent home or asked to come back another day? What effect will that have on the number of assessments carried out? What are the targets or expectations of how many assessments should be carried out each week or month? There is a conflict—a tension, at least—between those hopeful and optimistic words and a contract-based system that has expectations of putting through a large number of people over a short space of time.

The Committee was also concerned about the frequency of reassessments. Although we accepted that there should be more reassessments than previously, we had concerns about how often people should have to go back through that process. It is very stressful and expensive for claimants. Stress can affect people’s health and make them worse rather than better.

--- Later in debate ---

[Mrs Anne McGuire (Stirling) (Lab)]

Thanks very much, Mr Sheridan, for calling me to speak. It is a pleasure to serve under your chairmanship.

First, I welcome the Minister to what I think is her first set-piece debate on an issue in her portfolio. She follows a distinguished line of Conservative Ministers for Disabled People. We should never forget that her colleague, the Foreign Secretary, piloted the Disability Discrimination Act 1995 through the House. Frankly, he did so in the teeth of opposition from his own party, and he should be recognised for the contribution that he made with that first step along the road of legislating for the rights of disabled people. I welcome the new Minister to her post.

I also thank my hon. Friend the Member for Aberdeen South (Dame Anne Begg) for mentioning Lord Morris of Manchester, who was the first Minister for Disabled People, and certainly a great source of advice and opinion to me when I was the Minister. Along with his colleague, Lord Ashley, he made sure that we all kept on our toes on these issues. They were at the forefront and the pioneers of parliamentary activity, as well as activity outside Parliament, in ensuring that the rights of disabled people were recognised. The memorial service for Lord Morris will be held soon and I hope that many colleagues can attend.

I also particularly thank members of the Work and Pensions Committee for their valuable report. I appreciate the time and effort that have gone into accumulating the evidence and presenting the report to Parliament. It is an interesting comparison that we in Westminster Hall this afternoon are competing with a badger cull debate in the main Chamber. I will let that comment stick to the wall and say no more.

I offer a vote of thanks to my hon. Friend the Member for Aberdeen South, who has been a Member of the House since 1997. She came into Parliament with me as one of the so-called Blair babes. At times, we felt like Blair’s grannies, but never mind. My hon. Friend has served the House with distinction since that time, no less than during the past two years in her chairmanship of the Work and Pensions Committee. She brought to the report, and indeed to her contribution to our deliberations today, her very particular and personal insight into disability benefits.

Sometimes I think that MPs give the impression that somehow they are not real people, and that we do not live lives out there that have nothing to do with politics. I know from my hon. Friend’s activities, both as a teacher and as a political activist, that she has provided inspiration to many people who are disabled—not only in the way that she conducts campaigns and is articulate on behalf of disabled people, but because of a very particular knowledge. We should recognise that and not hide her particular light under a bushel. I want to pay that particular compliment to her. She has done that work while managing yet another difficulty, having just spent more than three months in hospital.

I thank the Work and Pensions Committee for providing a pretty comprehensive picture of the changes that are taking place. I appreciate that the report is a little dated now in some respects, but the views that underpin it have not dated, not least the view of the context and environment in which the changes are taking place. I will come back to that point shortly.

I also welcome the Government’s response to the report, although I must say that in many places it is pretty inadequate. It is full of fine words, but as some people in some parts of the country say, “Fine words butter no parsnips.” There are a lot of people out there who think the Government response is camouflage rather than one of substance.

However, I welcome the Government’s recognition that more work needs to be done before personal independence payments are introduced in April 2013. We have heard some of the reasons why more work needs to be done. We are talking about an incredibly tight timetable for a change that will throw the financial stability of many disabled people in this country up in the air. We should not run away from that, and I hope that the Minister will not run away from it. Therefore, will she update us on the progress on her deliberations on those changes that are necessary and that the Select Committee report has identified as necessary?

I hope that the new Minister will not underestimate the distress that the uncertainty is causing out there; I do not think she will. Yesterday, I met with some young people from a Royal National Institute of Blind People group called Haggeye. You, Mr Sheridan, will not be surprised to learn that that is a Scottish group; they have amalgamated our national food with their own disability to name the group. They were joined by some other young blind and visually impaired people from other parts of the country. They had a tour of Parliament, and they met with some MPs and Mr Speaker.

At one point during the day, I had a conversation with them and I must say to the Minister that that conversation with those young blind and visually impaired people encapsulated many of the discussions that I have had, and I am sure other Members of the House have had, during the last several months. We talked about their fear of the future. One young woman said to me, “I don’t think I’m going to qualify.” There are grave concerns out there among visually impaired people about whether they will qualify for the new PIP. She also asked, “What happens to me?” The financial underpinning that allows her to conduct her life could be taken away.

The Government must accept responsibility for the environment that they have created. I welcome the words of, I think, the hon. Member for Battersea (Jane Ellison), and indeed of the hon. Member for Eastbourne (Stephen Lloyd), who are supporters of the coalition Government. They recognised that throwing a hand grenade into the debate on the disability agenda in June 2010, without any warning or consultation, did not set the right tone for the debate.

The Minister needs to look again at what is meant by “co-production”. The hon. Member for Eastbourne made a valiant attempt to say that that announcement in June 2010 was an example of co-production. It was not co-production; co-production would have meant that disabled people were involved in discussions before the announcement was made. If he wants to see some experience of co-production, in 2005, my right hon. Friend the Member for Sheffield, Brightside and Hillsborough (Mr Blunkett) started on the route to our welfare reforms and he did so by talking to disabled people and involving them from the beginning, rather than saying, “The Chancellor has said that and we now need to manufacture a new benefit around it.” The Chancellor effectively said that there would be a cut of whatever billions of pounds he happened to conjure up at that time. I appreciate that the Minister is new to her post, but the Government must accept some responsibility for that environment.

I also want to highlight some other issues that I hope the Minister will address. I note, for example, that the response by the Department for Work and Pensions fails to reply effectively to the evidence given by Professor Sainsbury, who, at paragraph 38 on page 15, says that

“he was ‘at a loss’ as to where the 20% figure came from”

and did not know how it could have been put into the public domain

“before any work had been done on the criteria and thresholds for the benefit.”

Although we have heard fine words that the change is about serving the needs of disabled people and so on—we all know the script—the reality is that the figure was put into the public domain and policy arena as a savings target, not to define a new benefit to meet the needs of disabled people. No matter how much work has been done in recent months to try to ameliorate that impression, it still sticks, because that is where it emanated from. I hope the Minister will allude to that initial statement by the Chancellor.

Moving on, the Government’s response says on, I think, page 5 that the 20% figure was

“a high level assumption”

and that further work is being undertaken on

“assessment criteria and the detailed policy that will underpin primary legislation. More detailed and updated expenditure savings figures will be provided”.

Will the Minister provide us with some of that information to allow people to start to flesh out exactly what is meant by this new benefit? It is disturbing that anguish has been caused to many disabled people on the basis of a high-level assumption of a 20% cut, translated into the withdrawal of benefit from between 500,000 and 640,000 people—that is the rough spectrum, depending on how we cut the statistics. I hope she will refer to that. Are there current working assumptions for the reduction in spend and numbers? If so, will she share them with us?

I was pleased that various Committee members here, and indeed the Committee as a whole, highlighted the issue of media coverage. The reality is that the Government set the initial context. We should not run away from that, and I hope that the Minister will not because some of her ministerial colleagues were disgraceful in how they never or rarely rebutted any of the scrounger stories in the national newspapers. I was delighted that the hon. Member for Eastbourne mentioned some of those issues. Indeed, on occasion, the Secretary of State fuelled such media stories. I remember one about disability living allowance for children and Motability cars. He said—it was in quotation marks—that all people had to do was fill in an application form for DLA and, Bob’s your uncle, they could move almost directly into their new Motability car.

[Dr Whiteford]

The right hon. Lady is making an important point about how disabled people have been vilified in the press in recent months. Does she agree that far from being a benefit paid to people who cannot help themselves, DLA actually helps a lot of disabled people keep themselves in work, making them and their families less dependent on the state?

[Mrs McGuire]

That is right, and it is a part of this debate that has been missed. Although a significant number of people on DLA are not in work, an equally significant number are, and they use their disability cars, if they have them, to get from home to their workplace. If they are not on the higher rate, they can use their allowance to meet some of the additional costs. One of the young visually impaired people I met in my discussions with Haggeye yesterday said that he used his DLA for a taxi to work, because it was too difficult for him to navigate the roads. He worried about that. The hon. Lady is quite right.

I will give the Minister a bit of flexibility, as this is her first outing, but the newspapers have been awash with stories equating in the public mind those on disability benefits with scroungers. Glasgow university, commissioned by Inclusion London, delivered a report showing that the number of negative stories about disability had increased. Frankly, many people felt that the Government had set up an Aunt Sally and then knocked it down. Instead of being honest about what disability living allowance is for, they set up the image that everybody who claimed it was not entitled to it. There have been instances of hate crime, with people being harassed because others did not think they were as disabled as they made out to be. The way that the debate has been conducted has had a domino effect.

I thought optimistically that the Secretary of State had seen the error of his ways but, disappointingly, he has proved himself a serial offender. He was at it again this morning, this time talking not about disabled people but about people with families. I use this to illustrate my point about setting the context. I was aghast to hear him say in his interview this morning that there are tens if not hundreds of thousands of families out there on benefits who have multitudes of children. A freedom of information document published by the DWP on 12 September shows that there are 10 families in receipt of benefits who have 13 children. It is not until we get to families with one, two and three children that the numbers run into hundreds of thousands.

I do not think that a family with three children is large. I certainly do not think that a family with four children is large, having come from one myself. To set a context by saying that reform—in this case, reform of other benefits—is essential because tens of thousands of people are out there abusing the system is disrespectful to the people who, more often than not, want to get out of the benefits system. The Government certainly set the context quite nicely in terms of disabled people, because disabled people have been feeling threatened since then.

I was interested to read on page 5 of the Government response that the Department is

“developing a case study approach to illustrate the contribution disabled people make to society”.

Again, what exactly is happening? When is it happening? What newspapers have been approached? It is fine for the Minister for Disabled People to write features for major disability organisations, but it is not the opinions of those organisations that we need to change; it is those of the mainstream press. I am interested to hear her response.

I appreciate that we have taken a lot of time and will probably run out of time, and that the Minister has a lot of questions to answer. On the assessment of the impact of introducing PIP, will she consider a cumulative impact assessment of all the benefits affecting disabled people? The previous Minister used to say that it was too difficult, but it is astonishing to me that a Department with more than 100,000 civil servants should find it too difficult to come up with a cumulative impact assessment of their policies on disabled people. Disabled people know what the impact will be, and if the Government are not prepared to accept some of the findings of the Hardest Hit campaign and Baroness Tanni Grey-Thompson’s report earlier last week, they are duty bound to come up with their own impact assessment. They cannot just discredit everyone else’s and say, “We’re not going to do one.” I hope that the new Minister will think about that.

Can the Minister tell us when we will see the final regulations? Time is getting tight; there is no doubt about that. PIP is coming in next April, and we have not yet seen the final regulations. I am also interested in knowing what the Minister’s interpretation of co-production is. It is not just consultation after the effect; it is the involvement that I have mentioned.

I, too, welcomed the comments made by the previous Minister for Employment, the right hon. Member for Epsom and Ewell (Chris Grayling), about the idea of there being a “conversation”, but let me test the logistics of that idea because this is a crucial issue. The Government’s response says that there will be no time limit, which I am sure is a welcome statement, but although there might not be explicit targets, if a company has to carry out some 100,000 reassessments in a short time, as my hon. Friend the Member for Aberdeen South has said, there is an implied target. There might not be a target in the contract, but one is certainly implied, particularly I understand that Capita has already found out that 60% of people would like home visits. I just do not know how the Government will do this.

On the prime contractors, many colleagues have identified that there is no great confidence in at least one of them, and the Minister might be aware that in Scotland Atos has contracted with an NHS social enterprise called Salus. Atos told Third Force News, the newspaper of the voluntary sector in Scotland, that

“subcontracting the work to the NHS would help assessors make more informed decisions as they would work alongside local health boards when it came to assessing claimants.”

Why would Atos contract with an NHS unit only in Scotland? Is there a particular reason, perhaps concerning the politics of Scotland or because Atos feels that there is more sensitivity there? To whom is it subcontracting in the other areas in which it has the contract? Regarding the trail of public money, is it not ludicrous that the Department for Work and Pensions, as a public sector organisation, is contracting with a private sector organisation, in this case Atos, which is then subcontracting to a public sector organisation? What way is that to run a business?

[Dr Whiteford]

The right hon. Lady asks a valid question. Does she share my view that we might now get more accurate assessments?

[Mrs McGuire]

The expectation would be that there might be more accurate assessments, but we must also take on board the comments of my hon. Friend the Member for Edinburgh East (Sheila Gilmore), who said that the assessment criteria are set not by Atos but by the Government. The issue is how those assessment criteria are interpreted further down the line. We might get better, more valuable assessments, but as the previous Minister said on more than one occasion in this House, the ultimate decision is made by the decision maker in the Department for Work and Pensions, and the criteria are set down by that Department. We must always remember that.

I want to come on to an issue relating to Atos, of which the Minister may or may not be aware. I understand that this afternoon some major disability organisations are up in arms about the fact that Atos has apparently named them in the contract. They did not know anything about it. As a matter of fact, they are incandescent with rage, because their being named in the contract has given the company an element of credibility. In one instance the contract states, I think, that those voluntary organisations are going to carry out the disability training of Atos staff and do various other kinds of partnership work with the company. Someone in one of the organisations has said, “It is difficult to know whether we should fall about laughing, because it is so ridiculous.”

Will the Minister tell us whether Atos named in the contract organisations that it had not contacted? What is happening now that those organisations are challenging the fact that Atos has put them down there? If the contractual system has proved to be flawed, will the Minister say that she will have to review the contracts? We cannot have a situation in which a private sector contractor uses as cover disability organisations in the voluntary sector, when those organisations have not given their permission and have in some instances said that they would have nothing at all to do with Atos.

[Sheila Gilmore]

Does my right hon. Friend agree that this is all part of the opacity of the contracts? Public money is going out, and we do not know what is in the contracts or, in the case of the subcontracting, who is getting what money and what Atos is even being paid for, if it is getting other people to do the work.

[Mrs McGuire]

My understanding is that the disability organisations involved did not know that they were listed as Atos partners, if I can call them that, until some of the information was published recently. There are serious questions here. I do not know whether the Minister will have an answer this afternoon, but if she does not, I suggest that she might need one pretty quickly, because some organisations are up in arms.

Finally, I want to come on to young people. I note from page 19 of the Government’s response that they still think that the age of 16 is the appropriate cut-off. There is a myth that the changes will have no impact on young people and children, but by the end of the roll-out of the process a 14-year old who is in receipt of disability living allowance now will be affected by the changes brought in with PIP. The previous Minister told me that 16 was the appropriate age because it is the natural point at which a child transitions to adulthood, but I suggest that the Minister reconsider that. The school-leaving age is going up, and I assume that that will have an effect on disabled young people at school. If a child or a young person was moved from a benefit at the age of 16, when they were still going through their school career, they could be in the ludicrous position of having qualified for DLA but not for what the Government have promoted as the tighter benefit of PIP. Young people in what would be fourth year in the Scottish education system—I do not know what it would be in England—should not be put under such additional stress. I suggest that 16 is no longer the appropriate age. The Government have stated that they are considering a transitional arrangement for people aged 16 to 18, and I am keen to find out the Minister’s view on that.

In conclusion, I will quote an optimistic sentence spoken by the Chancellor just before the emergency Budget, which is highlighted in the Hardest Hit report:

“Too often, when countries undertake major consolidations of this kind, it is the poorest—those who had least to do with the cause of the economic misfortunes—who are hit hardest.”—[Official Report, 22 June 2010; Vol. 512, c. 180.]

There is a strong sense out there that disabled people are the hardest hit. [Interruption.] I am delighted that the hon. Member for Battersea is back in her place. I am sure that she will be a great asset to the Select Committee.

In the Hardest Hit report that I have mentioned, the Paralympian David Clarke stated:

“There are hidden costs [to being disabled]. Computing what those costs are is very difficult…but fundamentally they exist. Withdrawal of [that] additional funding to cover those additional costs, if that is being planned, will jeopardise the independence of disabled people.”

Paralympians did wonderful things this summer, but many of them will say that one reason why they could do those things was because of the additional support from something like disability living allowance. I hope that the Minister will address that issue because we need to consider that there are extra costs to disability. PIP will, according to the Government, recognise the people who are most severely disabled and those in the greatest need, but there are people in great need, and people in greater need. No matter how laudable, if we concentrate all the effort and finance on those who are most severely disabled, there will still be disabled people who require some help to meet those additional costs. That is the dilemma the Government face.

[Jim Sheridan (in the Chair)]

Before I call the Minister, I remind colleagues that we are scheduled to conclude at 4.30 pm. As has already been said, the Minister has been asked to answer a number of serious questions, but the Chair of the Select Committee has indicated that she would like a few minutes at the end to conclude.

--- Later in debate ---

[Esther McVey]

I checked the numbers before I came here today, and the over-65s are not the vast majority, but a third of the total. Interestingly—I think my hon. Friend the Member for Weaver Vale (Graham Evans) brought this up, although many people have touched on it—DLA is not a static benefit; it is a dynamic benefit in so far as 3.3 million people are on it and the conditions they have will change. Some might stay the same and some might get worse, but some people’s condition may get better, and we have to acknowledge that when people get better, they will move off the system. There is a natural movement within the system, and we have to consider all those incidents, which is why we believe the reform is required.

I know I am short of time, so I will address the assessment and answer as far as I can some of the specific questions that were raised. If I do not have enough time, because there were so many points, I will write to hon. Members.

[Mrs McGuire]

Will the Minister address the Atos contract for PIP?

[Esther McVey]

I will get to that at the very end. Perhaps the right hon. Lady should wave to me about a minute before the end so I can ensure that I get there with what I have.