Workplace Deaths: Scotland

Bill Grant Excerpts

Wednesday 24th July 2019 Westminster Hall

[Hugh Gaffney]

Yes. I thank my hon. Friend for making that point. Trade unions have a vital role in health and safety in the workplace. We have health and safety reps, and any worker joining any place of work should join a trade union. Trade unions are not just there for pay; they are there for the protection of workers.

That brings me to enforcement and oversight. The TUC estimates that the HSE’s budget has reduced by more than 40% since 2010. That means it has £100 million less in its budget this year, which undoubtedly impacts its ability to enforce and oversee health and safety in workplaces across the UK. Concerns have been raised by groups such as Families Against Corporate Killers that those cuts to the HSE have already hampered its ability to undertake health and safety inspections.

Ahead of today’s debate I spoke to Scottish Hazards, which has researched staffing levels in the HSE. It estimates that the HSE lost more than 1,000 staff between 2010 and 2018. That means we have lost inspectors and other specialists capable of enforcing and overseeing health and safety in the workplace.

[Bill Grant (Ayr, Carrick and Cumnock) (Con)]

Does the hon. Gentleman share the concerns expressed by National Farmers Union Scotland that the number of deaths in the agriculture sector increased by five to 13 in 2018-19? That happened despite the best efforts of the Farm Safety Foundation, the Health and Safety Executive and the NFU itself. In the UK as a whole, agriculture, forestry and fishing have the worst fatality figures of the main industrial sectors. Does he agree that the UK and Scottish Governments need to assist—

[Ms Karen Buck (in the Chair)]

Order. Interventions should be short.

Invisible Disabilities and Accessibility Challenges

Bill Grant Excerpts

Wednesday 5th June 2019 Commons Chamber

[Bill Grant (Ayr, Carrick and Cumnock) (Con)]

It is a pleasure to follow the hon. Member for Newport West (Ruth Jones). I thank her and the hon. Member for East Lothian (Martin Whitfield) for securing this very important debate.

People are often quick to form perceptions and slow to establish facts. For example, the young person not rising to give their elder a seat may in reality have a life-changing condition that genuinely prevents them from affording such a courtesy. Bowel and bladder cancer patients or persons with inflammatory bowel conditions may have undergone major surgery and be living with a stoma and discreetly concealed bag. The complexities of emptying and changing the bag in a sterile environment are difficult enough out in the community, without persons giving them the evil eye or, worse still, berating them for using an accessible toilet. Those with chronic obstructive pulmonary disease may not be at the stage of carrying an oxygen cylinder around with them, but they may nevertheless be unable to use a downstairs or upstairs toilet, opting for the accessible toilet on their level.

In 2017, the BBC’s “Newsbeat” ran an article on new signage appearing on accessible—formerly disabled—toilets, which read simply, “Not every disability is visible.” That is a fact; not every disability is visible. At that time, Tottenham Hotspur were reported to be the first football club to feature a revised sign on their accessible toilets. Two years later, I have not observed many such signs bearing that important additional information. Charities such as Crohn’s and Colitis UK are lending their support to have the more informative signs fitted. That would not be an immense cost to many organisations in the United Kingdom and it would be a kindly thing to do for those who need a bit of extra help.

“Can’t wait!” toilet cards have been available for some time to those with incontinence. When discreetly exhibited, the card confirms to others that the holder has a medical condition and needs to use the toilet urgently. That may mean using the accessible toilet, if the other toilets are occupied or there are queues. Those who daily face the fears and stresses associated with their conditions’ symptoms and side effects from treatment should not have to face the potential additional burden of confrontation from ill-informed and often wicked, thoughtless protagonists who believe that they know better.

There is a wider issue: the availability of public toilets in general. Such facilities are on the decline throughout the UK due to financial cuts, inappropriate use by substance abusers or needless vandalism. I have had constituents contacting my office to express concern that they are becoming not quite housebound, but limited in the activities they are able to undertake outwith their homes as a result of the closure of public toilets. Their confidence is affected and there is a risk of social isolation evolving. I think that the closure of toilets is something that applies throughout the UK. We do not really realise that there are invisible victims of these closures. I was a councillor for 10 years and, yes, I too carry the burden of responsibility for being part of the closure programme in South Ayrshire.

Groups such as Inclusion Scotland work to achieve positive changes to policy and practice so that disabled people are fully included throughout all Scottish society, as they should be, as equal citizens. The Disability Rights Commission seeks to ensure that people are aware of their rights. The Government have undoubtedly enhanced legal protection under the Equality Act 2010, which was mentioned earlier. They have expanded their disability sector champions scheme, continue to roll-out their Disability Confident scheme, have announced their inclusive transport strategy and are consulting on a change to English building regulations relative to Changing Places toilets for those with profound disabilities.

However, at a time of concerns over social isolation, for those with the illnesses I have touched on, it is the basic quality of everyday life that must be our immediate focus. Will the theory of the Government policies address the real and practical issues of not being, as people say, caught short, or of having to face the indignity of being refused the use of a facility or challenged in doing so, as it was so eloquently put by the hon. Member for East Lothian?

For the most part, I believe it is the able-bodied across the United Kingdom who require to be re-educated. We must as a Government be proactive in putting the message out there. I ask the Minister to consider how the Government could facilitate such important improvements for those living with invisible disabilities. As has been said, improved signage would be a start and it is low cost. The Government could work together with devolved Governments, local authorities, recognised charities and transport groups to ensure, where possible, that toilet facilities are provided and are accessible to all.

If I may, I will take a moment not to berate bus companies, which give a good service, but to point out that there are terminuses—a point of departure and a point of arrival—where there is no toilet facility. I will simply name Ayr bus station, but I am sure there are such bus stations throughout the length and breadth of the United Kingdom. Is it not important for people to have access to a toilet on boarding the bus and that on their arrival they can be confident of finding access to an accessible toilet? I ask local transport groups, such as the Strathclyde Partnership for Transport, to ensure that this goes on and I plead with bus station operators to go—dare I say it?—the extra mile for their customers.

For the wider community, I have a simple thought: be kind and thoughtful towards accessible toilet users as they may have invisible disabilities and accessibility challenges.

--- Later in debate ---

[Angela Crawley]

I wholeheartedly agree. Fundamentally, this is all I want the Minister to take home today. I genuinely want us to be able to work cross-party across the House to get this right, because this is not simply about levelling this at the Government. We all have a responsibility to make the system work better.

As the Minister knows, I am a member of the Women and Equalities Committee, and we have consistently argued that more can be done to support disabled people. I think he would agree that there is always more that we could do within the built environment to support those with a disability. It is often not the disability itself that disabling; it is the built environment and the structures within society that disable the individual.

[Bill Grant]

Is it not the case that the Scottish Government had the opportunity to recreate a Scottish social security system? The hon. Lady has spent some time berating the current system, yet the opportunity was gifted to the Scottish Government, as it should have been, through devolution.

[Angela Crawley]

The hon. Gentleman knows fine well that there is a Scottish social security service, and the approval ratings and general success of the implementation of that system provide evidence that where this is done correctly and with an ethos of integrity and respect, it works far better than an interrogative system that implies that people must prove that they are disabled. Frankly, I would expect more from the hon. Gentleman, who often makes the case in this House that it is the responsibility of the Scottish Government and Scottish taxpayers to mitigate this Conservative Government’s austerity measures. He knows that that is an inconceivable and ridiculous notion.

Once more, I call on the Government to define specifically what “reasonable adjustments” are, because too many employers are unable to provide the level of support required because “reasonable adjustments” have not been exactly defined. For that matter, the Equality Act 2010 is often not being enforced, particularly across Government Departments and in outside bodies that are accountable to the Government. There is more that the Minister can do to ensure that the Equality Act works for people and that the definition of “reasonable adjustments” is clear so that employers can support people.

We need to have a shift in the way we look at disability in this country. We should commend the companies and employers who are making the changes needed to help disabled people to continue into work, but we also need to ensure that the people who require welfare support are actually receiving it and not being excluded owing to processes that are not fit for purpose. The Minister has heard me make these asks several times, and I know that he is probably tired of hearing me make them, but I urge him to speak to his colleagues across the Departments —specifically, given his remit, to the Department for Work and Pensions—and to champion reforms with those disabilities in mind. If the true measure of a society can be found in how it treats its weakest members, right now we are coming up short. So, before yet another reshuffle and yet another Prime Minister, I urge this Minister to make a lasting impact and improve the lives of disabled people.

Arthritis and Employment

Bill Grant Excerpts

Tuesday 21st May 2019 Westminster Hall

[Bill Grant (Ayr, Carrick and Cumnock) (Con)]

I beg to move,

That this House has considered arthritis and employment.

It is a pleasure to serve under your chairmanship, Sir Graham.

I am delighted that my application for a Westminster Hall debate has been successful, as it provides an opportunity to highlight arthritis, a condition with which we are all familiar. It is estimated that, in its various forms, it will affect approximately one in five individuals in the UK by 2050. Arthritis disrupts the body’s locomotor system, which is the bones, joints and muscles that facilitate a person’s movements. There are many types, and most people will have heard of osteoarthritis and rheumatoid arthritis, but there are other forms of inflammatory arthritis, and other inflammatory conditions such as lupus and polymyalgia rheumatica.

Arthritis is a frequently debilitating condition and does not, as some assume, affect only the older generations.

[Kevin Brennan (Cardiff West) (Lab)]

I congratulate the hon. Gentleman on securing this debate on a very important subject. Like many Members, I have constituents and family members who are affected by arthritis. Does the hon. Gentleman agree that when we consider people with arthritis and employment, and the benefit system as well, it is important to take into account the fact that some days people are able to work and on other occasions that is not the case? That needs to be reflected in how we treat people with arthritis.

[Bill Grant]

Those three elements are indeed linked. Flexibility is the key. Employers and managers have to understand that those suffering from arthritis have good days and, as I will come on to later, bad days. We need to adapt the workplace and be flexible.

The symptoms may be identified in very young children or occur at any time in a person’s life. More than half of the 17.8 million people in the UK with arthritis and related conditions experience daily pain. The condition severely impinges on their lifestyle, whether it be their ability to live independently, to care for family, to work, to travel or to take part in sports and hobbies, all of which, in some instances, may lead to social isolation. I recall at an event trying on a tight-fitting gauntlet with the purpose of experiencing the restrictions caused by arthritis of the wrist and hand. I was concerned to note how I lost my fine motor skills for even the simplest of tasks. It must be so frustrating to be faced with such difficulties on a daily basis.

[Mary Robinson (Cheadle) (Con)]

I congratulate my hon. Friend on securing this debate on such an important subject. He speaks about social isolation; many people who suffer from arthritis have not been able to work for years, such as my constituent Russell, who came to my surgery. One of the things he does is volunteer: he is an ambassador, who goes out and helps other people in his community in a really positive way. However, he and potentially others have found that when they get expenses for helping out, they are charged as if they were in employment. Does my hon. Friend feel it is important that we make sure that people who want to volunteer when they can are able to do so without that fear?

[Bill Grant]

I thank my hon. Friend for that intervention, and I wholeheartedly agree with her. The modest expenses of somebody who makes a special effort to go and volunteer should not affect any other income that individual may have.

In my constituency of Ayr, Carrick and Cumnock, the second most common reason for awards of personal independence payments was musculoskeletal disease, including osteoarthritis, inflammatory arthritis and chronic pain syndrome, which accounted for some 20% of awards in the constituency. That is similar to the UK average of around 21%. Those of us who attended Versus Arthritis’s recent event in Parliament heard about new research, illustrating that some 43% of people with arthritis struggled with tasks at home, and some struggled for in excess of two years before sourcing equipment that could assist them.

[John Howell (Henley) (Con)]

It is not just about struggling at home. About a quarter of people with disabilities who are employed said that they did not get the right sort of support: their employers had not got advice from Access to Work to try to make their lives easier. Does my hon. Friend think that is something we can tackle?

[Bill Grant]

I thank my hon. Friend for that intervention. Access to Work is important, but as I will come to later in my speech, it is not widely known about. The Government and Departments have more to do to promote that scheme and make people aware of it, so that workplaces can be made that bit more acceptable to individuals with particular disabilities.

Versus Arthritis’s “Room to Manoeuvre” campaign has been set up to improve access to aids and adaptations in the home and—I would hope—in the workplace, as my hon. Friend the Member for Henley (John Howell) has suggested. Apparently, a remarkable 94% of people with arthritis said that those aids and adaptations had immensely improved their life. That independence is valuable to a person’s overall wellbeing, and reduces the strain on our NHS and local authorities.

[Hugh Gaffney (Coatbridge, Chryston and Bellshill) (Lab)]

I congratulate the hon. Gentleman on securing this debate. What Versus Arthritis is doing is fantastic, but does he agree that workers are now having to work longer, which they cannot do because of arthritis? This is not only about adaptations; there is a financial burden on them. What will this Government do for the people who have been forced to work longer for their pension?

[Bill Grant]

I thank the hon. Gentleman for that intervention, and to a degree, I accept his criticism. Consecutive Governments have made pension adjustments in 1995 and 2011 to reflect the equalisation of the pension age and people living longer, although I think we have plateaued in that regard. However, those who have disabilities and conditions such as arthritis will be impacted that bit more. For those who plan to continue a career but are impacted in extreme cases by disabilities such as arthritis, I agree with the hon. Gentleman. Maybe we need to think about how we can assist those people’s allowances more when they have to retire early, before their planned retirement.

The MPs who attended the “Room to Manoeuvre” event heard from Maureen, who suffers from rheumatoid arthritis. She said:

“I use aids at home, they help to keep me independent. However, I didn’t realise I could get them through the local authority and it’s not clear what to do when you need support. It’s important that MPs learn about the problems people with arthritis have accessing aids and adaptations, so they can make sure the right help is available.”

Arthritic conditions can be a drain on medical resources, requiring regular medication, blood checks, bone scans, and occasional time off work to attend appointments. They are often lifelong conditions, and remissions or flare-ups may occur. As was said earlier, we need to be flexible in our places of work to host and accommodate the issues that affect these individuals.

Being able to work is often seen as beating the challenge that such a condition presents: a person taking control of their condition, rather than the condition being in control of them. It allows that person to have dignity and pride in their personal achievements, which I think we would all agree they are entitled to. Versus Arthritis includes in one of its publications a quote from Dr Carol Black, the expert adviser to the Government on health and work:

“The evidence is clear that most people with these disabling conditions want to work. Indeed, with the right support and working arrangements, usually with modest adjustments, they can do so and be valued employees”

or continue to be valued employees in a company.

Let us endeavour to ensure that we do not unnecessarily lose talented and hard-working people from the workforce. The Equality Act 2010 requires an employer to make reasonable adjustments to support job applicants and enable an employee with a disability, or physical or mental health condition, to in effect wholly fulfil the duties of their post. I am aware that the Department for Work and Pensions has published guidance on employing disabled people with health conditions, and the Equality and Human Rights Commission has provided, or cited, examples.

Additionally, the Government’s Access to Work scheme affords an opportunity for funding extra assistance, bespoke to an individual’s specific needs, to help that person start work, stay in work, or move into self-employment. I will refer later in my speech to the work, health and disability Green Paper that resulted in the announcement of the personal support package, through which people with health conditions including arthritis will be able to receive employment support that is more tailored to their specific or individual needs. Such funding is available to both employees and the self-employed, and may be provided for specialist equipment, support workers, transport needs, or training for colleagues to ensure that they fully understand the needs of their fellow employee and how best to assist them with their day-to-day workplace activities. There is a maximum amount, which is uprated annually. The Government’s “Improving Lives” White Paper stated that the Access to Work scheme would be “significantly enhanced”; hopefully, the Minister will provide an update on that point.

It is certainly of concern that employees may not be aware that assessments under that scheme are free, and some people may not even be aware of the qualifying criteria. Although I am not overly well informed, I am aware of some of the available support and of the employer’s responsibility, as I have signed up to the DWP’s Disability Confident scheme. That scheme improves how employers attract, recruit and, importantly, retain disabled workers. I am pleased to note that some 5,000 businesses in the United Kingdom are already on board.

I employ a person with osteoarthritis, osteopenia and polymyalgia rheumatica. Reasonable adjustments feature in my constituency offices. New chairs were purchased to ensure appropriate lumbar support, and a document stand for copy typing was subsequently purchased at a low cost, for occasions on which stiffness restricts movement—a stiffness that, when untreated, my staff member describes eloquently as

“at times, a living rigor”.

Other staff are observant, supportive, and undertake heavy weight-bearing tasks; in other words, they are collaborative and work as a team. That involves permission, sharing information about the condition, and—as I said—teamwork. My staff member also has fantastic support from her general practitioner and practice nurses.

People with arthritis and related conditions can often experience a greater than normal degree of tiredness, stiffness, or the side effects of medication for the condition. Indeed, certain necessary medication such as steroids may deplete the calcium levels in the body, putting people at further risk, in that they may potentially develop osteoporosis in addition to their existing condition. It is also important to note that symptoms will often fluctuate, with the sufferer having good days and bad days. I understand that even the weather may have an adverse effect on an individual, particularly temperature changes.

Arthritis and related conditions are the biggest cause of pain and disability in the United Kingdom, and result in over 30 million working days lost per annum. The British Society for Rheumatology highlights the need for multidisciplinary teams, and the considerable cost of rheumatoid arthritis to the UK economy. I am pleased that as part of the work, health and disability Green Paper, Ministers have explored ways to improve support for people with conditions such as arthritis, so that they can find and remain in work.

The ministerial foreword stated:

“This government is determined to build a country that works for everyone. A disability or health condition should not dictate the path a person is able to take in life—or in the workplace. What should count is a person’s talents and their determination and aspiration to succeed…We are bold in our ambition and we must also be bold in action. We must highlight, confront and challenge the attitudes, prejudices and misunderstanding”.

That message is still relevant today, and I hope this debate will reinvigorate discussion and capture the wider public’s attention.

The work, health and disability Green Paper proposed a 10-year plan to remove employment barriers for disabled people, and the Fit for Work scheme is being reformed to focus on what people can do, not what they cannot. I welcome the fact that the Access to Work scheme is being expanded to help more disabled people into work. However, at present there appears to be a lack of knowledge about the scheme and it is crucial that the Government proactively promote that valuable opportunity. When Versus Arthritis conducted a survey between May 2018 and June 2018, it found that of those who responded, 59% had never even heard of the Access to Work scheme. A proactive promotion of the scheme would, I am certain, assist the Government in meeting their ambitious and commendable aim of having 1 million more disabled people in employment by 2027.

There is a degree of comfort in knowing that since 2013, some 600,000 disabled people have moved into employment. We must build on that with a sense of urgency. In addition, according to Versus Arthritis, it has been discovered that many of the people who qualify for assistance from the Government’s Access to Work scheme face problems with how it is operated. Administration processes can on occasion be cumbersome, and it may be that the Government could carry out a review to ensure that things are more user-friendly. I am sure the Minister will take note of that. That is a concern with a number of issues with the DWP.

One of my constituents felt that the DWP did not fully comprehend the consequences of her osteoporosis when asking her to attend a course, particularly as she relied on others for transport. I for one appreciate that the DWP has been increasing its advisers, including its community partners, small employer advisers, disability employment advisers and work coaches, as well as providing training for them. It may be that that needs to be further enhanced to provide greater awareness among some of the DWP’s frontline staff of the various arthritic and associated conditions and to adequately address the needs of service users. I do not say that with any intention to be unkind to those staff, because they do a wonderful job on our behalf on a daily basis.

[Hugh Gaffney]

The hon. Gentleman is doing a great job. We are talking about helping people, but can we not also help health and safety in the workplace by working with young workers to prevent arthritis later in life?

[Bill Grant]

I am not a medical expert—arthritis may or may not be related to the workplace—but where issues can be identified, such as repetitive work that might affect the musculoskeletal system of an individual, we can change it. We can automate it without losing the job, but we need to be conscious of what staff are subject to through 10, 20 or maybe 30 years of work. I agree with the hon. Gentleman: if those issues can be identified, they should be removed and we should mitigate the risks as best we can. Where possible, we should assist employers in doing so.

Spending on the Access to Work scheme has increased by 8% in recent times, supporting more than 25,000 people. Around £54 billion per annum is spent on benefits to support people with disabilities, equating to some 6% of all Government spending. Nevertheless, I make a plea to the Treasury to consider further increasing the allocation of funding for the scheme and introducing incentives to encourage employers to consider health and wellbeing initiatives to assist those with arthritic conditions. The benefits of physiotherapy have been recognised. In Scotland, the public may self-refer, but that may not be the case throughout the whole United Kingdom.

Finally, there is a problem that action does not always follow post-assessment recommendations. Will the Government consider what they can do to address any negative attitudes on the part of employers or managers, whether that be by further legislative provision or some other means? By sharing and encouraging best practice and putting the right support in place, we can make it easier for people with arthritis who want to work, helping to achieve the Government’s laudable ambition of getting 1 million disabled people into work.

[Several hon. Members rose—]

--- Later in debate ---

[Bill Grant]

I thank the hon. Members for Strangford (Jim Shannon), for Ellesmere Port and Neston (Justin Madders), for North Ayrshire and Arran (Patricia Gibson) and for North Tyneside (Mary Glindon), and my hon. Friends the Members for Moray (Douglas Ross) and for Stirling (Stephen Kerr), for their valuable contributions to the debate. Clearly, hon. Members understand the challenges we face and the need for means to mitigate them.

I thank the Minister for listening intently and responding to the concerns that have been raised, and I thank the shadow Minister for his welcome contribution. I also thank the charities that campaign tirelessly for, and offer support to, my constituents and people throughout the United Kingdom who suffer arthritic conditions. I thank people in science, medicine and the care services who undertake research and treatment and provide care packages—in doing so, they greatly assist and support people to live their lives. Last but not least, I thank the Commons staff, who worked behind the scenes to enable the debate to take place. I give special thanks to the Library staff.

Question put and agreed to.

Resolved,

That this House has considered arthritis and employment.

Devolution of Welfare

Bill Grant Excerpts

Tuesday 9th April 2019 Westminster Hall

[Bill Grant (Ayr, Carrick and Cumnock) (Con)]

It is a pleasure to serve under your chairmanship this morning, Mr Betts. I thank my hon. Friend the Member for Berwickshire, Roxburgh and Selkirk (John Lamont) for securing this important debate.

We have already heard about the foundation Acts of 2016 and 2018, enacted by the UK and Scottish Governments respectively to devolve various welfare powers to the Scottish Parliament and facilitate delivery of the new social security benefit scheme in Scotland. The Scottish Government’s website states that

“the benefits we will deliver may be different in nature but there is one common thread which binds them—an investment in the people of Scotland”.

I am afraid that that common thread is fraying. Delivery is delayed. The Scottish Government’s investment to date is not timeously delivering the promised benefits for the people of Scotland. The Scottish Government will, over time, take on only 10 of the original 11 devolved benefits. The severe disablement allowance remains with the UK’s DWP. The transfer of responsibility for a number of other devolved benefits, such as personal independence payments, is on hold—not until tomorrow or next week but until 2024.

[Neil Gray]

The hon. Gentleman mentioned severe disablement allowance and he will be aware that no new recipient has been admitted to that benefit for 19 years. Can he describe what changes, and what difference, the Scottish Government could make to that area of benefits?

--- Later in debate ---

[Bill Grant]

That is entirely up to the Scottish Government. It is devolved. It is another ball that they have dropped and are not prepared to pick up.

The state of preparedness of the Scottish Government’s social security agency is such that it is unable fully to administer and make its annual payments of circa £2.9 billion. The Scottish social security system is apparently failing to fulfil, at least in part, one of its own stated principles, which is

“to be efficient and deliver value for money”.

I understand that Audit Scotland is due to report on a further audit, of how effectively the Scottish Government are managing the delivery.

The Scottish Government’s stated aim of improving benefits for disabled people and people with ill health is laudable, and I applaud it. However, I note that assessments may not be carried out by the private sector, so there is potential for an already overstretched public sector to inherit that significant, important responsibility. In an earlier debate, I acknowledged previous concerns about the DWP assessments that are carried out by the private sector, and those concerns are being addressed. The Secretary of State for Work and Pensions advised in February 2019 that the average wait for an assessment had been reduced by nearly four fifths since July 2014, while the average end-to-end claim journey had been significantly reduced.

[Chris Stephens]

Would the hon. Gentleman be so kind as to give way?

[Bill Grant]

No. My concern with the Scottish plan of action is that constituents complain about the public sector, for both the length of time that they have to wait for an NHS appointment and the shortage of specialist medical staff. That said, I fear that either the waiting time for those constituents could increase or the decision-making process for benefit claimants could take longer. I note that the Scottish Government, in response to recent questions, have proposed to do away with some assessments and re-assessments unless there is no other way to obtain information.

In future, constituents need clarity. Will the Minister consider enhancing public awareness of the revised timetable for the Scottish Government—assuming that that is much wanted and desired—in their responsibilities to devolved benefits? The current situation is not good for the people of Scotland who rely on those benefits; it is not good for the Scottish devolution settlement; and it is not good for Scotland. It lies firmly and squarely at the door of the Scottish Government.

Disability Assessment Services

Bill Grant Excerpts

Wednesday 13th March 2019 Westminster Hall

[Bill Grant (Ayr, Carrick and Cumnock) (Con)]

I thank the hon. Member for Chichester (Gillian Keegan) for securing this debate. As MPs, we have all handled cases where errors have been made with disability assessments; that was the case before the introduction of universal credit and the personal independence payment. Sadly, no doubt it will continue to be the case as the system is further refined and improved. I do not say that to lessen the impact of the distressing cases we have all assisted with or read about, but to illustrate that individual mistakes do not alone indicate a fundamentally flawed system, just that the system has to improve.

I certainly had concerns previously that there was a lack of common sense and flexibility in the assessment process for those with longer-term disabilities. I know many in this House felt the same. Health conditions can change and hopefully improve over time, so there will always be a need for occasional assessments to establish the correct level of support, but one must recognise that for some conditions sadly there is no improvement or recovery. However, I am pleased that of late there has been a greater focus on flexibility in the assessment process, whereby those with the most serious conditions can now have their evidence reviewed by a DWP case manager without the need for a face-to-face and repeated assessment. I very much welcome that change.

The help to claim service in tandem with Citizens Advice, which was mentioned earlier, is free to the user and is to be launched next month. It is designed to help the most vulnerable claimants with their applications, whether through a home visit, over the telephone or online. It will assist universal credit claimants with their award until the first accurate full payment is received. I very much welcome the Government’s recent improvements to the PIP process and the measured approach with which the universal credit system itself is being implemented nationally. However, there is no room for complacency. I hope the Minister and the Department will develop a policy of continuous improvement, ensuring that client trust is established—particularly with clients with a disability.

Oral Answers to Questions

Bill Grant Excerpts

Monday 7th January 2019 Commons Chamber

[Alok Sharma]

As I highlighted in my earlier answer, we have made a change to the minimum income floor. The grace period will be extended to one year for all people coming in who are gainfully self-employed running a business. Ultimately, different businesses take different lengths of time to reach profitability, so, in the period before the minimum income floor is applied, we are giving people a chance to develop their business. That is also why we provide support through the new enterprise allowance.

[Bill Grant (Ayr, Carrick and Cumnock) (Con)]

Mention was made earlier of the fantastic fall in youth unemployment since 2010—around 50%, I believe. What action can the Minister take, or is the Minister taking, to ensure that that trend continues evenly across the United Kingdom so that our young people get the best start to their working lives?

Disability Support

Bill Grant Excerpts

Wednesday 19th December 2018 Commons Chamber

[Bill Grant (Ayr, Carrick and Cumnock) (Con)]

It is a pleasure to follow the hon. Member for Oldham East and Saddleworth (Debbie Abrahams). I commend her on her passionate speech.

In recent months, much has been said of the ongoing changes to the social security system. Indeed, some Opposition Members continually focus on negative experiences, to the exclusion of the positive aspects of change. I cannot agree with that often gloomy assessment, however well intended it is. I have spoken to those in my constituency who deal with the delivery of a changing welfare system at the jobcentre every working day, and who also dealt with the previous clumsy, fragmented social security system. I was pleased to note that staff are enthusiastic about the changes and advised me that the Government have listened to them on this long journey and continue to listen when areas of improvement are identified.

With the wholesale replacement of an entire welfare system that was tired and not fit for purpose, such gradual improvements are not surprising—indeed, they are an indication that the Government continue to listen to feedback from those best placed to offer it. The work coaches dealing with cases each and every day now have greater flexibility to help vulnerable individuals, assisting each in a different way, tailored to their particular circumstances. Coaches can focus on the most pertinent cases, while claimants who demonstrate their familiarity with the system through their daily work diary can be left, for the most part, to navigate the system by themselves, although assistance must always be available to them if required.

[Ruth George]

The hon. Gentleman is making some points about the universal credit system, but that system is not accessible by 50% of disabled people. They are unable to access it online or through their work journal. In my area, home visits are not being allowed either. What does the hon. Gentleman say to those people who cannot access such a system?

[Bill Grant]

It is difficult to say something positive about those cases, but I can relate that to my own experience—

[Ruth George]

These are people with disabilities.

[Bill Grant]

I can only relate that to my own experience. We have outreach workers who go and assist these individuals, and that assistance must be given when requested. I am saddened if that is the case in the hon. Lady’s area, but I am proud of the staff in Ayr and other local jobcentres.

Like many Members, I have had concerns that the implementation of such a comprehensive system may lead to errors, human or indeed systemic, in the support given in particular to vulnerable and disabled claimants. Indeed, I have referred to these concerns previously in this very Chamber. However, I have been reassured by recent measures, particularly those announced in the Budget, to ensure support during that transition. The additional £1 billion over five years to support the transition is especially welcome, but I accept that more would be welcome in that regard.

I have likewise been concerned by allegations of failings in the health assessments required under the personal independence payment scheme. However, on inspection of and after a closer look at the figures, this pessimism is not supported. I understand that only 4%—[Interruption.] There is a degree of pessimism. Of initial decisions, only 4% are overturned at appeal. Of course, we have all dealt with specific cases where errors have indeed been made—and, I hope, rectified—but the overall figures are encouraging. I repeat that the overall figures are encouraging. We need to monitor what we are doing to understand what we are doing. Almost 90% are satisfied with the PIP claim process.

Something that is often overlooked, sadly in my view, is the flexibility for those with disabilities returning to work that is encouraged by the revised welfare system. Where previously there were rigid rules—very rigid rules—there is now the flexibility to allow a phased reduction in benefits while a person builds up their hours and their confidence in a new role. This can be a challenging yet rewarding event for the individual. This is a sensible element of the new system in helping people back into work, where appropriate, and one I very much support.

The Disability Confident scheme, which has been with us for a number of years, also assists greatly with this process. I commend employers throughout the length and breadth of the country for embracing this excellent system. At this juncture, I note that disability benefits are not covered by the benefits cap, and rightly so.

[Dr Lisa Cameron (East Kilbride, Strathaven and Lesmahagow) (SNP)]

On the Disability Confident scheme, will the hon. Gentleman recommend that MPs should be joining it and trying to ensure that they engage with employment practices that support people with disabilities to come and work in the House of Commons? The Speaker’s internship scheme, which has been extended to include placements for people with disabilities, is an excellent scheme. Will he also suggest that we should be looking at people with disabilities not just as employees, but as employers, and doing all we can to support their progress?

[Bill Grant]

I wholly agree with the hon. Lady. Yes, we should be trailblazers and setting the example by giving employment to those who are seeking employment and want to contribute to society, and broadening that as best we can. We should also be encouraging local employers, as I am sure the hon. Lady does, to take that on board, and to build a bridge between the person who really is employable and wants to work and the opportunity for the employer that, perhaps with a minor adjustment to the workplace, can accommodate a disabled person. I thank the hon. Lady for that intervention.

I am sure hon. Members will be encouraged to note that in the United Kingdom—this proud nation of ours—spending on disability and health conditions is the second highest in the G7.

Universal credit is a comprehensive system, bringing about the much-needed modernisation of a dated and discredited welfare system. I have not found it to represent the draconian approach that some have suggested—their experiences of it are clearly different from mine—and I am encouraged by the much greater flexibility it offers in helping people return, where appropriate, to the dignity and self-esteem that employment must surely bring.

I am optimistic about the future of universal credit, should Ministers continue, as they have thus far, to listen and respond to concerns or suggestions from Members of this House, jobcentre staff and, most importantly, those who themselves rely on the support afforded by the welfare system in the United Kingdom.

Oral Answers to Questions

Bill Grant Excerpts

Monday 15th October 2018 Commons Chamber

[Sarah Newton]

The hon. Gentleman raises a serious point. Home assessments are of course an important part of our processes. I am very disappointed to hear about that case, which I will be happy to look into.

[Bill Grant (Ayr, Carrick and Cumnock) (Con)]

I commend the staff at Ayr jobcentre, who recently hosted a successful employment fair at which we discussed the value of flexibility in the universal credit system in helping vulnerable claimants back into work. Will my right hon. Friend consider what further support might be useful to jobcentres in hosting future employment fairs across the United Kingdom?

[Ms McVey]

I thank my hon. Friend for raising that point. I visited his constituency over the summer to see what terrific work his work coaches were doing. We will be implementing more work in outreach and developing our flexible fund to help more people.

Oral Answers to Questions

Bill Grant Excerpts

Monday 2nd July 2018 Commons Chamber

[Bill Grant (Ayr, Carrick and Cumnock) (Con)]

Will my right hon. Friend confirm that more than eight in 10 claimants are satisfied with their experience of universal credit?

[Ms McVey]

My hon. Friend is right—that is exactly the number. Actually, Patrick from Newport has said that it helped him with fares to get to a job and with the cost of clothing. He said:

“Thanks for all your help. It was really easy dealing with everyone who helped me back into work quickly and helping me buy what I need and travel back and forth.”

That was an example from Wales.

UN Convention on the Rights of Persons with Disabilities

Bill Grant Excerpts

Wednesday 20th June 2018 Westminster Hall

[John Howell (Henley) (Con)]

It is a pleasure to serve under your chairmanship, Dame Cheryl. I congratulate the hon. Member for Canterbury (Rosie Duffield) on securing an important debate.

The hon. Lady mentioned the problems created by the closure of jobcentres. There are other similar cases. For example, my own constituency has no jobcentre at all—the jobcentres are in neighbouring Oxford, Abingdon or Reading—but rather than moan about that and point out the difficulties that that creates, I have been working with the Secretary of State to try to put in place a solution to overcome it. That solution is a system of mobile jobcentres, the model for which is the way the Post Office runs its mobile post offices around the country. I envisage a situation where, in areas where a jobcentre has closed or there is no jobcentre, jobcentre vans turn up on certain days—they would have to be regular days—to provide the services and advice that many people want. I am happy to recommend that model to hon. Members—as I said, I am already working with the Secretary of State to try to get it ready.

My second point is about PIP. In a number of cases—I say this quite openly—PIP has been delivered appallingly slowly. Again, I have been working with the Secretary of State to look at how those payments can be sped up and at how information can be better integrated into how PIP is delivered, so that we do not continually knock the system but try our best to improve it.

My motivation for speaking in the debate was to highlight the excellent work done in my constituency by the Ways and Means Trust and its Greenshoots nursery, which provides excellent help to people with a whole range of disabilities, including mental disabilities, on how to do work. It provides lectures in various areas to try to give people a basic intellectual grasp of what they need to do, and it provides people with the physical work experience to be able to take that forward. I am sure that everyone looks forward to Christmas, for a range of reasons, but I look forward to it in particular because it means I can go to Greenshoots to get the wreath for my front door—they are made there in a particularly spectacular way.

[Bill Grant (Ayr, Carrick and Cumnock) (Con)]

I thank my hon. Friend for his contribution to this important debate. Does he agree that we have moved on since the UN report, which the Government refuted? Does he also agree that it is good that through the Disability Confident scheme 600,000 disabled people have secured employment and the dignity it brings? That must surely be a good thing—and that has happened in the past four years.

[John Howell]

My hon. Friend is quite right—it is very important to mention that. I will say something about the Disability Confident scheme in a moment.

Let me finish what I was saying about the Greenshoots nursery, because it is important. My hon. Friend highlighted the importance of dignity in employment. That is important for people who might otherwise be disadvantaged from taking employment. From what I have seen, Greenshoots delivers a tremendous boost to people’s confidence, wellbeing and ability to provide for themselves.

--- Later in debate ---

[Debbie Abrahams (Oldham East and Saddleworth) (Lab)]

It is a pleasure to serve under your chairmanship, Dame Gillan, and I congratulate my hon. Friend the Member for Canterbury (Rosie Duffield) on her excellent speech.

I will be brief because several Members still wish to speak. This debate is about the UN convention on the rights of persons with disabilities and the UN committee that investigated the UK regarding breaches of those rights. This started back in 2015, when I was the shadow Minister with responsibility for disabled people. I was interviewed by the committee, and its first report stated that there were “grave and systematic violations” of the convention. The findings published in 2016 charged the UK Government with failing to uphold the rights with which we as a signatory to the convention from 2009 had agreed to comply. The judgment was based on facts, testimony and evidence. We have been saying that we should judge things on the facts, and this judgment did just that. The Government must accept responsibility for the devastating impact of their austerity policies, which have had the biggest impact on disabled people.

For eight years, we have seen cuts to social security support—that has already been mentioned—but the convention’s judgment goes far beyond that. There have been cuts affecting disabled people who need social care and cuts to specific support for disabled people in the NHS. There have been cuts to support for those with special educational needs and disability in schools and to allowances for disabled students. The list goes on and on. We have recently debated trains, but there have been cuts to the Access for All programme that seeks to improve accessibility to train stations. There have been cuts to supported housing, legal aid and much, much more. What disabled people are going through is absolutely horrendous.

I would like to focus on a few points from the UN report. In August 2017, the UN committee met to consider whether any progress had been made since the devastating report of 2016, and unfortunately it said, “No, there is no progress. You are not a global leader on disability rights.” In the recent debate on the European Union (Withdrawal) Bill, there has been a fundamental disagreement about upholding rights, because of the failure to support the charter of fundamental rights that gives more protections under domestic law to disabled people.

[Bill Grant]

Will the hon. Lady give way?

[Debbie Abrahams]

I am sorry, but I will not give way because my colleagues still wish to speak.

The UN committee stated that cuts to social protection in the UK were “a human catastrophe”—a catastrophe! The UK’s human rights watchdog stated that the examination by the UN had seen a “disconnect” between the UK Government’s replies and the “lived experiences” of disabled people. That is what we are hearing, despite Government Members saying that everything is hunky-dory. In conclusion, the rapporteur stated that the committee was

“deeply concerned about the lack of recognition of the findings and recommendations of the conducted inquiry”.

The Government have said that they will not act on that report, but it is not the only such report. Indeed, the Council of Europe has also stated that it has significant concerns regarding upholding the rights of disabled people.

The Minister has said that the Government will set up a new inter-ministerial group to co-ordinate work across the Government and seek to reinvigorate our engagement with disability stakeholders to help shape our plans. Will she confirm what that engagement will involve, including which deaf and disabled people’s organisations will be engaged, as repeatedly recommended by the UN? Will she publish details of the membership and terms of reference for that group and say whether it will extend to the Department of Health and Social Care? There are real concerns that the consultation on the Green Paper on adult social care, which includes support for disabled people, is failing to engage with DDPOs.

The response to a question that I asked in the debate on social care on 25 April shows a complete lack of understanding about article 19 of the convention and what is meant by independent living. Last year, the UN disability committee brought out a general comment on article 19, in which it referred to how institutionalisation can occur in people’s own homes. People can become isolated and separated from society if they are not given that basic support, and we are effectively seeing the re-institutionalisation of disabled people due to current cuts to social care. Waiting until autumn to see the Green Paper on adult social care, as has been suggested, is not good enough. Some £7 billion has been cut from social care, and 1.2 million people, including disabled people, are not getting the support they need. To their shame, the Government’s failure to recognise and act on the social care crisis is affecting our most vulnerable citizens.

Finally, will the Government consider producing a cumulative impact assessment of all their policies on disabled people and their impact since 2010, as recommended by many organisations? It is time for a different approach, and that is summarised in the manifesto that we developed with and for disabled people: “Nothing about you, without you.” I know my hon. Friends are building on that commitment, which includes scrapping current disability assessments and replacing them with an holistic, person-centred approach that is based on the principles of dignity and inclusion. We have already committed to incorporating the UN CRPD fully into UK law—something that was rejected by this Government. We believe that, like the NHS, our social security system is there for every one of us. Nine out of 10 disabled people have become disabled—their disability has been acquired. We should recognise that that could happen to anyone and ensure that the support is there. It is time for things to change, and I hope the Minister will reassure us that that will happen.

--- Later in debate ---

[Dan Carden (Liverpool, Walton) (Lab)]

It is a pleasure to serve under your chairmanship, Dame Cheryl. I congratulate my hon. Friend the Member for Canterbury (Rosie Duffield) on securing such an important debate.

My hon. Friend the Member for Oldham East and Saddleworth (Debbie Abrahams) hit the nail on the head in her speech: the report is a condemnation of the Government. It cannot be emphasised enough just how damning the 2016 UN report is. Conservative Members can talk all they want, with weasel words, about the system getting better, but we know that that is not the case—certainly not in constituencies such as mine in north Liverpool, which is one of the most deprived in the country. I want to tell the hon. Member for Henley (John Howell) that we have had our two jobcentres closed. The council has worked so hard—tirelessly—to develop co-location plans and put any proposal in front of the Government to save those jobcentres, to absolutely no avail. I wish him better in Henley, but it certainly has not worked in north Liverpool.

The chairwoman of the UN’s Committee on the Rights of Persons with Disabilities described the Government’s treatment of sick and disabled people as a “human catastrophe”. That is not poetry or a rhetorical flourish; that language is used deliberately and precisely, based on the weight of evidence behind the report. That report came to the conclusion that the Government’s welfare cuts have resulted in “grave and systematic violations” of the human rights of disabled people. It is a national scandal, and one that I see in my surgeries every single week. I am going to talk about a few cases that I have had to deal with in recent months. The situation should be a wake-up call to the Government, but they learn no lessons. My constituency casework is loaded with complaints relating to personal independence payments. Instead of supporting people, the process is dehumanising and inaccurate, and it exacerbates the health conditions that my constituents suffer from.

It is no surprise that there is widespread distrust of the assessment, when 68% of PIP decisions that are taken to tribunals are overturned. As I said earlier, that means a nine-month wait to get the right decision and, often, to get the original decision overturned. In that time people lose their mobility vehicles—at what cost to Government, when they must return them? Something that I have seen happen in the system—and I wonder whether it is systematic—is people going from a low rate of care with high mobility to a high rate of care with low mobility. That seems to happen in case after case, because if someone’s care rate goes up they get a couple of quid extra a week, but if they lose their high-rate mobility they lose their car and their ability to leave the house—they lose their ability to exist.

At Prime Minister’s questions on 25 April, at column 879, I challenged the Prime Minister on a specific case—that of Anthony, who has a chronic, debilitating illness. After his PIP assessment he had a nine-month wait. Once that was raised in Parliament, the DWP intervened to overturn the decision. However, I see that every week—the Prime Minister is asked about this issue, and it is always an individual case. Well, it is not an individual case—it is built into the system. I should like to know what work the Minister is doing with the Ministry of Justice about tribunal waits. Is she working on that? There must be investment in the court system if the problem is to be resolved. I do not see any work being done on it at all.

The Government’s contractors, Atos, Capita and Maximus, have consistently failed to meet basic performance standards. One of my constituents was asked by an assessor about her cerebral palsy—a lifelong condition from birth. She was asked how long she had had it and whether it would get better. What on earth is going on, and what do the Government do when such cases are brought to light? Several other people have told me that the information in their assessment report was inaccurate and did not reflect what was said in the assessment, but for some of my constituents even getting that far is a challenge. My office has been inundated with reports of the unsuitability of assessment centres for disabled people. The range of problems includes a lack of suitable parking, no drop-kerb for wheelchairs and no disabled access button to open doors. A report released this month by Muscular Dystrophy UK found that two in five respondents had been sent to an assessment centre that was not accessible for disabled people. You could not make this stuff up. It is not a matter of individual cases, one by one. There is a systemic problem at the heart of the Government’s policy, and until they wake up to that fact nothing will improve.

[Bill Grant]

Will the hon. Gentleman give way?

[Dan Carden]

I will not.

The pointless reassessments of people with severe, long-term or progressive conditions are cruel, and an absurd waste of resources. I have a constituent with Down’s syndrome whose payments stopped after she was transferred to PIP, as did those of another constituent, who has multiple sclerosis. I welcome the announcement this week that the Government are preparing to end such unnecessary reviews of people with severe or progressive conditions, but that should not have taken the determined effort of disability campaigners. The Government need to understand that what they are doing is already debilitating for the people in question. Having to be part of national and local campaigns just to get basic human dignity in the assessment process is outrageous.

In any case, it is it is simply not enough to tinker around the edges. The truth is that all the problems are not glitches in the system. They are the system itself. Research published this month by the Joseph Rowntree Foundation found that almost 650,000 people with physical or mental health problems were destitute in the UK last year. That means being so poor that they cannot afford essentials such as heating, regular meals or basic toiletries. The systematic impoverishment and denial of basic rights highlighted in the UN report and others are part of what we now know to be a “hostile environment”, not just in one or two Departments but across the board. If a society is judged by how it treats its most vulnerable, what does that say about ours?

We must treat disabled people, and the vulnerable or dispossessed, with dignity, and it is absurd to think that we can do that when we have a programme of austerity and cuts in local authorities and across the board. That is what the report signals. Not only does the Government’s austerity agenda harm communities and society; it hits the most vulnerable and the poorest hardest.