Universal Credit Bill Debate
Full Debate: Read Full DebateBaroness Tyler of Enfield
Main Page: Baroness Tyler of Enfield (Liberal Democrat - Life peer)Department Debates - View all Baroness Tyler of Enfield's debates with the Department for Work and Pensions
(3 days, 2 hours ago)
Lords ChamberMy Lords, to say that this Bill, in its various incarnations, has had a bumpy ride would be something of an understatement. The Bill is now being rushed through Parliament at what feels like an indecent pace and now, having been assigned as a money Bill, it means that this Chamber cannot undertake its normal scrutiny. In short, the Bill has had neither proper consultation nor in-depth scrutiny. To be blunt, the whole parliamentary process has been shambolic, and I fear that this has seriously damaged trust with disabled people, including those with mental health problems, who have needlessly gone through turmoil.
I totally understand that the current welfare bill is unsustainably high and that reform is needed, but if the Government are serious about cutting welfare spending at source, they would also get serious about fixing health and social care without delay so as to tackle chronic ill health at its root, rather than start by trying to cut funding for carers and some of the most vulnerable.
Having made those general points, I will focus on two issues which give me real cause for concern. The first is mental health. The initial plans in the Bill when it was introduced would have had a devastating impact on people with mental health problems. Although I welcome the announcement of the Timms review of the PIP assessment, to which I will return, there remain fundamental flaws with the Government’s plans. The cut to the health element of universal credit, which remains, will mean that about 750,000 disabled people will miss out on about £3,000 a year by the end of the decade. This will include many people with mental health problems who find themselves too unwell to work.
These cuts to universal credit are supposed to be safeguarded by the new severe conditions criteria, which apply to people who meet a set of requirements including having a lifelong condition and being likely to satisfy the relevant criteria for the rest of their life. This will mean two things: first, that at least one of the descriptors of people’s conditions applies to them “constantly”; secondly, that they will have been given an official diagnosis by an NHS practitioner. I share the concern of many in the sector about the requirement for a descriptor to apply constantly because, for many mental health problems, even severe ones such as schizophrenia, people’s mental health can fluctuate. This sort of fluctuating condition also applies to people with severe conditions such as MS and Parkinson’s.
I am also concerned about the new NHS diagnostic requirement, as we know that many people with mental health problems can wait years to receive a diagnosis and many feel forced to receive or seek treatment outside the NHS because of very long waiting lists or inaccessible services. It just does not feel fair to penalise people who seek private diagnosis and treatment due to the inadequacies of the current NHS.
I share the concern expressed by some about the extent to which the Timms review into personal independence payments will be a genuinely co-produced endeavour. Despite welcome promises to work closely with disabled people on changes to the system, the way this Bill has been handled so far—and, frankly, the way it fell apart—demonstrates a clear lack of consultation with the people most affected. It is also unclear what obligations the Government will have to implement the review’s recommendations and whether they will need to be bound by the current spending envelope of the cuts we have already seen. Can the Minister give me an assurance that there will be proper parliamentary scrutiny, including full debates in both Chambers, following the publication of the Timms review?
I return to the Bill’s impact on unpaid carers. Given that PIP is a crucial gateway for carer’s allowance and other carer benefits and that 150,000 disabled carers receive PIP, it is vital that the Government provide a firm commitment that unpaid carers and organisations that represent them will be consulted and fully engaged with throughout the Timms review. This time, we really need to take the time to get it right.
What assurances can the Government give that the outcome of the Timms review will not lead to significant numbers of unpaid carers being put at risk of losing their own benefits entitlement? It is worth reminding ourselves that the original Bill would have resulted in 150,000 carers losing entitlement to carer’s allowance. I quote one carer: “The extra costs we faced as carers will not disappear if the health element is cut. For those of us like myself who are carers and disabled, this will be a double whammy”.