Cost of Living: Pensioners

Dan Poulter Excerpts
Tuesday 16th January 2024

(9 months, 3 weeks ago)

Commons Chamber
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Dan Poulter Portrait Dr Dan Poulter (Central Suffolk and North Ipswich) (Con)
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It was right earlier to highlight the benefits of the coalition Government introducing the triple lock, which this year will mean an uptick of between £650 and £1,000 for pensioners. The coalition Government also introduced mandatory pension contributions and pension pots from employers. Does hon. Lady not think that that is the sort of long-term planning that will make a difference to help this generation to be in a better place financially when they retire?

Wendy Chamberlain Portrait Wendy Chamberlain
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I assume the hon. Gentleman is referring to automatic enrolment; if he waits, I will mention that. I will not let it go amiss.

Returning briefly to the gender pay gap, the Government’s own research puts the gender pensions gap at 35%. I would argue that we could call it the caring gender gap, because life is arguably more complicated for retirees with caring responsibilities. I am not just thinking about older couples who increasingly rely on each other as their health starts to deteriorate, but people who move into retirement while carrying on caring for their adult children or for other family members.

Constituents have written to me to protest about the injustice of having lost out on the opportunity to build up retirement savings and now, moving into pension age, losing their carers allowance but still continuing to provide unpaid care to their loved ones while others in their cohort settle into a more comfortable retirement. I would like to see a comprehensive plan from the Government, across Departments, to tackle that unfairness. Are there ways of bringing unpaid carers into auto-enrolment through a credit scheme? Could we increase the employer contribution to auto-enrolment to help to build the savings of those in low-paid work? How can we encourage more carers back into the workplace?

I was proud to pass the Carer’s Leave Act 2023, but that is not enough. We need policies on issues such as staying-in-touch days and we need a carer’s allowance that incentivises work. I look forward to meeting a colleague of the Minister on just that. There is definitely an education piece here. Auto-enrolment was an incredible policy, but it also means that people do not really think about their pensions. The Money and Pensions Service estimates that 22 million people say they do not know enough to plan for their retirement, while Department for Work and Pensions research last year found that attitudes to pensions are

“characterised by detachment, fear and complacency”.

I think that those views would be represented in this place, too, when I think about the different things I did before I came to this place and the different pension pots I have.

I understand that planning for retirement is difficult and complicated unless you are an actuary or a financial specialist. I can hear the response of my teenage children if I try to bring it up at home or see the eyes glaze over on the doorstep, but people do care about the result of not engaging. My challenge for the Minister is to bridge that gap and change our culture so that people knowing about their pension is normal, and not scary but a standard part of people’s financial planning and education.

I am interested to hear the Minister’s ideas, but I will put to him just one that keeps coming up when I speak with experts and stakeholders. Will he consider a trial to test the impact of automatically booking savers for pensions guidance appointments when they turn 50? Let us try to make it easy, because lots of things can happen in retirement: your health can change, you could be bereaved or divorced, you could become a carer. The economy could be crashed, causing a sustained cost of living crisis. To try to understand drivers of poverty among older people, Independent Age followed the outcomes for a cohort of pensioners who entered state pension age above the poverty line. Within 10 years almost half had fallen into poverty. Something else is clearly happening that we need to understand. I have talked about a lot of different moving parts in the overall pension and poverty landscape, but what we need—what older people need—is a comprehensive plan.

I will end by asking the Minister this: will he consider a cross-Government review of what support an older person needs to stay out of poverty? Will he bring Westminster up to the standards of other nations and support a Westminster commissioner for older people and ageing? I would like to get something done and I am sure that the Minister would too. I look forward to hearing his response.

British Sign Language

Dan Poulter Excerpts
Tuesday 17th October 2023

(1 year ago)

Westminster Hall
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Chloe Smith Portrait Chloe Smith
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Thank you, Ms McVey—I wanted to get that correct.

I first declare an interest relevant to the debate: I have worked with the RNID, the Royal National Institute for Deaf People, for some time. Currently, I am in discussion with the chairman and chief executive of the charity about how I can continue to support it through my last term in Parliament and beyond. That is not yet at a stage that I have been able to register it formally under chapter 1 of the code of conduct, but I declare the interest under paragraph 5(c) of chapter 2—although unpaid, it is clearly an “expected future interest” and clearly relevant to the debate.

I was pleased to see the first report under the British Sign Language Act 2022 published in July this year. That is why I called for this debate about the Act and its implementation, and what the report tells us about progress.

Let us look back to the autumn of 2021. Rose Ayling-Ellis was on our screens in “Strictly Come Dancing”, helping millions of mainstream viewers to see that deafness and signing is no barrier whatsoever to participation. Here in Parliament, Rosie Cooper was promoting a private Member’s bill to recognise British Sign Language as a language in the UK. As the then Minister with responsibility for disabled people, I was determined to work with her to achieve that. The result of our cross-party work, deeply rooted in the deaf community, is the BSL Act 2022.

Why did we need to do that? It was because, for decades up to that point, deaf people have suffered exclusion. Linguistic exclusion leads to social and educational exclusion, and it leads to worse services and to being left out in the workplace. That is wrong, and the Act is there to help put a stop to it in Britain. I was deeply proud to play my part, but it was just the start.

Today’s debate is about implementing all those good intentions. The journey begins now to achieve better for deaf people, built on official status for a vibrant and historic language, and on improvements in communications and public services. I urge hon. Members to look at the work of the British Deaf Association, in particular its 10-year strategic vision—rooted in consultation with the community and in learning for its own organisation—which sets out aspirations for deaf people in the UK for the next decade and beyond, following the historic legal recognition of the language. Deaf people and BSL allies alike are reaching for a more inclusive Britain, where all deaf children, young people and adults can thrive.

In my own instance, a deaf family member inspired me to take action. My father left the work that he loved, his profession and his passion, because he could no longer hear his customers. As an MP, I have seen how some constituents have struggled to get basic public services such as accessible health appointments or education.

I hope that the Act will provide a clear light by which to navigate. Its symbolism is central, but its practicality is essential, too—the guidance that is to be produced must improve public services. I also hope that the Act will spur greater understanding and accessibility in private services and throughout society. Our task today and in years to come is to closely scrutinise the delivery of progress in promoting and facilitating BSL within and beyond Government. I will ask three sets of questions of the Minister.

First, let us look at the reporting duty and the inaugural report. The report captures data on BSL usage in Government communications for the first time. It sets a baseline for ministerial Departments from which they can improve their promotion and facilitation of BSL in the months and years ahead. I am glad that the Government recognise that accessibility is essential in Government communications and engagement. That is of course so that everyone has access to important information and can engage with the Government, and indeed Parliament, on issues that will affect them.

Of course, I include Parliament in this process, and I am heartened to have seen the efforts of interpreters here—I understand that today’s debate is of course being supported by signing provision. That will make sure that a growing proportion of this institution’s work is signed and accessible. But there is more to do, including by Government. The report reveals some important good practice and case studies but also some concerning gaps—literally zeroes on the page. What will the Minister do to ensure that BSL is provided with all public announcements about policy or changes to the law, all publications such as plans, strategies and consultations, and in all Government press conferences, social media and websites, including at the highest levels of Government, led by the Prime Minister, for very significant communications that affect all citizens?

I am encouraged that the report sets out going further than the 2022 Act demanded. For example, although the Act requires a BSL report to be published only once every three years, the Government have said that they intend to do so every year for the next five years, which is welcome. It is also welcome that my successor as the Secretary of State for Work and Pensions will ask each ministerial Department to produce a five-year BSL plan, setting out how they intend to improve the use of BSL within their Departments. There will be a five-year plan and an annual checkpoint for each year of those five years, which I hope will help to drive improvement, highlight successes and ensure accountability. Therefore, today I ask the Minister: is he confident that the Departments are doing that work? What steps he is taking now to drive progress in this year, which we will all want to see in the report that he would wish to be able to present next July? For example, will he set targets for Departments?

It is good to see reference to ministerial responsibility to improve BSL use. Will the Minister give an assurance today that the ministerial disability champions have now met, that—as promised—July’s report has been discussed at their meeting, and that these Ministers, who after all have been asked by the Prime Minister to provide a personal lead and commitment to championing accessibility and opportunity for disabled people within their Departments, have all given him clear plans for doing so? Will he also give us an update on how he plans to use his forthcoming disability action plan to respond to the needs of deaf people and say what level of response he has received to the consultation, which closed earlier this month?

Secondly, let us consider the guidance that needs to be produced. When legislating, we were clear that there must be an advisory board that will ensure that the deaf community is at the heart of the Act’s effect. I am pleased that the Minister has been able to take this forward, completing the necessary appointments and launching the board. As July’s report confirms, the BSL advisory board will advise the Government on the guidance detailed in the BSL Act, and its implementation, to best represent the deaf community. This guidance will be published by the Secretary of State for Work and Pensions during the next BSL reporting period. I expect that we will see it between now and next April, although it would be helpful if the Minister also confirmed today that he intends to table the statutory instrument that I understand is required to enact part 3 of the BSL Act, which will allow Departments to publish that guidance.

Will the Minister also please give the House an update on the expected contents of that guidance and tell us what priorities he has received from the deaf community? I anticipate that those priorities will span every part of public services, because we know that our deaf constituents face compound problems. For example, the National Deaf Children’s Society reports:

“Access to family sign language support is currently a postcode lottery with too many families forced to pay to learn how to communicate with their own child.”

There are examples from people I chatted with at the Norfolk Deaf Festival earlier this year. Some deaf constituents are being advised that they must telephone the audiology department at one Norfolk hospital. Another constituent had a month-long in-patient stay in another Norfolk hospital, which must have been a lonely, distressing and indeed dangerous experience, because I am told that no signing was provided. I have, of course, pursued both these issues locally.

I can give a further example from a small business in Norwich, which has used AI to provide digital BSL services. It says:

“Many larger enterprises do not see a commercial value in BSL translation for their customers. Some BSL-dependent banking customers got banking products using interpreters and relay services, but when it was time for changes in terms and conditions, these were only offered in written English. As a direct result, people have suffered unnecessary debt and”—

my constituent was told—

“some have lost their homes.”

Building on the ministerial disability champions’ pledge to discuss the communications data arising from the Act and the first report, how will Ministers work together to enact effective improvement in what a person can expect when they attend a hospital, start school, look for a job, or look for private goods and services?

Dan Poulter Portrait Dr Dan Poulter (Central Suffolk and North Ipswich) (Con)
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I congratulate my right hon. Friend on securing today’s debate. She has rightly outlined some of the public service barriers faced by deaf people. A number of senior educationalists have suggested that British Sign Language be introduced as a GCSE in schools. Does she agree that that is worth exploring further? Will she urge the Minister to look at how that could not just break down barriers, but better support a lot of young people to understand the needs of deaf people and communicate with them better?

Chloe Smith Portrait Chloe Smith
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My hon. Friend, who is extremely well qualified, makes absolutely the right point. Indeed, I will urge the Minister not just to look at introducing a GCSE in BSL, but to tell us how he is getting on with doing so, because is a long-standing piece of work that the Government have focused on for some time. Actually, this goes much further than merely one qualification in the education system. What about the deaf children who start school at five? What about those who are learning to speak between, say, 18 months and pre-school age? From the perspective of those deaf children and their families, doing a GCSE would look like a very long time away.

Let me return to my questions for the Minister. What data do the Government collect on BSL users, and does he have plans to improve it? Will he also set out how he hopes the board will work and how it will respond to feedback? I have heard some deep concerns about representation on the board, and the BDA, which I have mentioned already, has said:

“a common theme emerging from the UK Deaf community is a desire for more Deaf leadership in BSL service delivery; for these services to be delivered by Deaf BSL signers themselves; for support to enable Deaf-led professional planning and budget setting on BSL issues.”

Will the Minister give us an update on progress in increasing the number of interpreters? That is a key issue for the deaf community. Will he give us a brief update on how Access to Work is being improved for deaf and other users? That was another key point heard throughout the passage of the Act, and it is fundamental to the work of his Department.

I want to ask the Minister a final set of questions about how the Act may be used to drive up standards via redress. We knew at the time that the BSL Act must work in tandem with existing legislation—most obviously the Equality Act 2010, which requires reasonable adjustments to be made by a wide range of people and sectors to ensure that disabled people have equal access to goods and services. What has the Minister learned so far about how the architecture is working together? Can he share case studies—either today or by writing to me and, no doubt, the chair of the all-party parliamentary group on deafness, the hon. Member for Nottingham South (Lilian Greenwood), who is present—that show how individuals have used the BSL Act and the Equality Act to get the right standard of access or service? Will the Minister explain how our constituents will be able to get redress in future, and how the tandem legislation will hopefully enable us to stop indignities and injustices happening again and again to deaf people? Does he agree with charities such as the RNID that the guidance should outline the minimum standards that BSL users are entitled to as a reasonable adjustment under the Equality Act? That would force service providers to meet the needs of deaf BSL users and increase the chance of people using legal redress when providers have failed to do so.

Ms McVey, thank you for allowing me to open today’s debate. I really welcome the fact that a number of right hon. and hon. Members from different parties, and from all parts of the United Kingdom, have come to speak for their deaf constituents. We all celebrated the British Sign Language Act and would all agree that hard work is needed to ensure that it is properly implemented and that our constituents benefit from the opportunities it presents. Only with granular focus such as this and determined attention will we see the strides we need in early years, education, employment, healthcare, social care, business, the workplace and the community. There has been linguistic exclusion for too long, and we can do better.

In-work Poverty

Dan Poulter Excerpts
Wednesday 28th June 2023

(1 year, 4 months ago)

Westminster Hall
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Tanmanjeet Singh Dhesi Portrait Mr Dhesi
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My hon. Friend has eloquently explained what the experts across our country are explaining: this is happening before our very eyes and we should not allow the situation to deteriorate any further.

As many will know, housing is a huge and growing driver of in-work poverty. Thanks to the Government’s failure to build enough new and affordable homes and new social housing, last year the gulf between price of houses and earnings in the UK was the worst since 1876. We really are back in Victorian times under this Government.

One of my Slough constituents privately rents and wrote to me for help. As many other private renters have experienced, they have been served with a section 21 no-fault eviction notice. Their partner works full time, but they themselves cannot work full-time hours because they have cancer. High rent costs mean that they cannot now find anywhere that is affordable. Although the family are on universal credit, it does not cover the basic cost of living. Even if they did find somewhere with an affordable rent, the need for a large deposit and a guarantor has erected huge barriers to finding new, long-term accommodation.

The supply of social housing has continued to plummet. The Government’s promise—cancelled, then reinstated—to build 300,000 new homes each year has not materialised. As my right hon. and learned Friend the Leader of the Opposition said at Prime Minister’s questions today, house building has collapsed and the Government are nowhere near their target, which means that more people are trapped in private rented accommodation as rents go through the roof. In turn, that means that people are taking longer to save for their first house. That is why levels of home ownership are down and private renting is up. Those who have been fortunate enough finally to buy a home after years and years of saving now face mortgage misery the likes of which we have not seen in generations or perhaps longer, thanks to this Government’s inability to get to grips with inflation.

Perhaps if Ministers were more focused on supporting those impacted by their child benefit cap than on removing the cap on bankers’ bonuses, and more focused on spending public money to invest in our public services than on giving away billions in failed personal protective equipment contracts to their mates and cronies, our economy would be in a much better place. Sadly, so many people are in dire straits. On top of stagnant earnings and unaffordable housing, we have a cost of living crisis, driving ever more people into in-work poverty. With food prices soaring and energy and utility bills going through the roof, many working people find themselves unable to put meals on the table, heat their home, pay their bills or provide for their families.

Dan Poulter Portrait Dr Dan Poulter (Central Suffolk and North Ipswich) (Con)
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The hon. Gentleman will not be surprised to hear that I have a slightly different interpretation of some of the issues that he has presented today. However, one thing that we certainly agree on is that a lot of public sector workers have seen real-terms reductions in their pay; I draw the House’s attention to my entry in the Register of Members’ Financial Interests as a practising NHS doctor. Does he agree that it is particularly important that the Government implement the recommendations of the national pay review bodies about public sector pay?

Tanmanjeet Singh Dhesi Portrait Mr Dhesi
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I thank the hon. Member for his intervention. We may disagree about certain things, but hard-hitting facts are hard to ignore, especially when the truth hits us. I agree that the work of the independent pay review bodies is very important, but even this week we have seen the Government, including the Prime Minister, not accepting their recommendations. The Government are very selective in when they agree to the recommendations of the independent pay review bodies. That must change. They should either comply with them or completely disregard them; they cannot do both to suit their needs as required.

Social Mobility

Dan Poulter Excerpts
Tuesday 21st March 2023

(1 year, 7 months ago)

Westminster Hall
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David Evennett Portrait Sir David Evennett
- Hansard - - - Excerpts

The hon. Gentleman is absolutely right. Of course, the whole thing about the Lifelong Learning (Higher Education Fee Limits) Bill is that it offers skills, training and opportunities. If people did not succeed at school, they can come back and get skills, training or qualifications later. That is a really positive thing that the Government are doing.

I have worked as a college lecturer, teaching women returners to the workplace after career breaks, the unemployed and those who needed additional qualifications to advance in their careers, or to change career. Unfortunately, too much of the education in colleges and universities has been for young people only, but I taught people who are older—those who would benefit from what the Government are doing with the lifelong loan entitlement. It will improve access to education and training, and accelerate the Government’s levelling-up agenda.

Providing people with opportunities to acquire skills will help them to obtain work, or to advance their careers. That is particularly important in the technological age we live in, where the need to learn new skills never stops. All of us are always learning. Lifelong learning has become a reality, as I am sure you will agree, Mr Robertson. Education played a vital part in my life, and I am grateful to teachers, employers and my family for support and encouragement. We should accentuate the positives and say thanks to the teachers and lecturers at colleges and universities, as well as businesses and industries that invest in their staff and help them to advance in their careers.

I recognise that education alone will not be enough to transform social mobility; nor are the Government’s actions alone. As we continue our recovery from covid, the Government are spending record sums on apprenticeships, which play a key role in boosting social mobility, improving people’s skills, and increasing earnings and opportunities.

Dan Poulter Portrait Dr Dan Poulter (Central Suffolk and North Ipswich) (Con)
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I congratulate my right hon. Friend on securing the debate. He rightly highlighted the challenges faced in raising educational attainment for white working-class boys and Caribbean boys. Under the coalition Government, many of the initiatives that he outlined were started, and they are beginning to bear fruit. There was also a Cabinet Sub-Committee, chaired by Deputy Prime Minister Nick Clegg, focusing on social mobility and how we could target groups who had fallen behind. Would my right hon. Friend recommend that to the Minister as something that could be taken forward? If we want to get real impetus behind improving social mobility, there needs to be much more focus centrally, and a Cabinet Sub-Committee is a good way of doing that.

David Evennett Portrait Sir David Evennett
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My hon. Friend makes a very good point, which I know the Minister will have noted. This focus is so important. We had it, but we have slightly stalled, which is why I sought this debate.

We need to see even more young people from disadvantaged backgrounds accessing higher and degree level apprenticeships, and to ensure that all young people have an understanding of the many and varied options available to them. Careers advice in schools, colleges and universities is vital to let individuals know what is out there and what their potential could lead them to. Additional funding is being provided to employers and training providers who take on apprentices aged 16 to 18, and apprentices aged 19 to 24 who have an education, health and care plan or have been in care. This targeted support incentivises employers to provide high-quality apprenticeships across all sections in disadvantaged areas. However, according to the latest figures, the share of apprenticeships in the most deprived areas has fallen from 26% in 2015 to 20% in 2020. That is why it is vital that everyone—in our constituencies, across Government and so forth—publicises the excellent opportunities that are available.

I have long advocated for more collaboration between businesses and education. Businesses should look to partner schools or colleges in their local area to provide more careers advice, work experience and support to pupils from disadvantaged backgrounds. This would improve social mobility and help to ensure that pupils obtain the skills necessary to succeed in the world of work. All children must be nurtured, valued, enthused and inspired by their schools, and although all children should study the basic curriculum, there should be the opportunity to have a curriculum with more relevance to their future life chances; there needs to be more focus on career opportunities, and it is important that students are shown the full range of opportunities that they may be able to pursue. Successive Governments have tried to improve the careers advice on offer, but unfortunately it still varies widely across the country, which is why the involvement of businesses is vital, as is the provision of advice and role models. Role models are so good to give people an idea of what they could become via training, skills and education.

A particular campaign that I have been very supportive of and promoted is the Social Mobility Pledge, which was founded by my friend, former parliamentary colleague and former Education Secretary, the right hon. Justine Greening, alongside entrepreneur David Harrison, who are both passionate about improving opportunities for all. Some 700 organisations have made the social mobility pledge, with 5 million employees and 2 million students covered by it globally. It encourages organisations to be a force for good by putting social mobility at the heart of their purpose. The pledge recognises that it is more important than ever for organisations to take steps to boost opportunity and social mobility, as we face the challenges of a growing opportunity gap post covid.

We all want Britain to be a country where all can get on in life, regardless of our background. Talent is spread across our country, and businesses, with the prosperity and careers they create for people, are key to improving social mobility locally and nationally. There are three parts to the pledge. The first is getting businesses to partner directly with schools or colleges

“to provide coaching through quality careers advice, enrichment experience and mentoring to people from disadvantaged backgrounds or circumstances.”

The second is access:

“providing structured work, experience and apprenticeship opportunities to people from disadvantaged backgrounds”.

The third is the adoption of more

“open employee recruitment practices which promote a level playing field for people from disadvantaged backgrounds or circumstances”,

with things like “name blind” and contextual recruitment. Businesses that are prepared to take those simple steps show their commitment to levelling the playing field of opportunity for everyone.

I was delighted that the Chancellor’s Budget last week recognised the need for further investment in removing barriers to work—in particular, by investing £485 million in support for unemployed people and those on universal credit working part-time. Assigning a work coach to those people will support them in obtaining full-time work. Supporting people into work is important, but we should also strive to support people into higher-paying jobs, as that is critical for social mobility. The Government’s job support initiative provides more than 120,000 low-income workers with tailored support and guidance so they can earn more and progress their careers. The Government’s various skills initiatives provide excellent opportunities to gain key skills such as numeracy and digital, but it is more important than ever—essential, in fact—that everyone is encouraged to take up those opportunities.

Our defining challenge in Britain is to level up opportunity and make sure everyone gets the chance to go as far as their talents or ambitions take them. Ultimately, it is about delivering generational change. That means looking right across people’s lives from childhood to adulthood. We cannot afford to leave any section of our population behind; otherwise, there will be discontent and disillusionment, which is terrible for individuals and frankly very bad for our nation. Aspiration, opportunity and achievement are the goals that we should be aiming for. In so many fields, we have entrepreneurs with business success, scientists, lawyers, clinicians—high achievers, all of whom need to be role models. The Government have a mission, but employers need to raise their own game and rise to the challenge. Britain remains a great country, but with a more skilled, enthused and aspirational workforce that is socially mobile, I believe we can be an even better one.

--- Later in debate ---
David Johnston Portrait David Johnston (Wantage) (Con)
- Hansard - - - Excerpts

It is a pleasure to serve under your chairmanship, Mr Robertson. I congratulate my right hon. Friend the Member for Bexleyheath and Crayford (Sir David Evennett) on securing the debate. I have heard him talk many times about how important social mobility is to him, and we have had conversations about it. He is right that we have slightly lost focus on the issue in recent years.

Social mobility has been very important to my own personal and professional life. I ran three charities for disadvantaged young people, the last of which was called the Social Mobility Foundation. I was on the original Social Mobility and Child Poverty Commission, when Alan Milburn was the chair. I chair the social mobility all-party parliamentary group. The two words “social mobility” have been very important in both my personal and professional life.

If there is one key point in what I will say, it is that it is everybody’s responsibility to make social mobility happen. On the commission, we used to say that we can get into a situation where employers blame universities, which blame schools, which blame families—and everybody blames the Government—and that, actually, if at each stage of people’s life cycles things were done slightly differently, obstacles that are in the way of social mobility would be removed.

Starting with the early years is very important, but it should not be an obsession. It does not necessarily provide what Geoffrey Canada of Harlem Children’s Zone calls the escape velocity that will take someone through the rest of their life—even though we might hope it does. Some academics would say that about 80% of our outcomes are about what happens in the home rather than in school. We focus on school in this place. That is why things like family hubs are so important; every parent wants to be able to do the right thing, but they do not necessarily get the right advice and guidance about what to do. Being school-ready at age five is so important to how children then access school as they move through their lives. That is one big area that is not within the Government’s control, but it is important that we encourage the right things.

Then there is school. The Prime Minister said that education is the closest thing to a silver bullet that we have for social mobility.

Dan Poulter Portrait Dr Poulter
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Before my hon. Friend moves on to school-age children, there are things the Government can do to support disadvantaged and vulnerable children at an early age to improve not only educational attainment, but many aspects of their lives. We can look at longitudinal studies of schemes like the Family Nurse Partnership, which targets vulnerable and poorer families, provides targeted support for new mums and dads, and helps children be school-ready. Will he briefly comment on that, because that is something the Government could put money towards?

David Johnston Portrait David Johnston
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My hon. Friend is absolutely right. We have to talk more about this because too often in politics people on the left fear they will demonise parents and on the right they fear they will appear to be the nanny state if they talk about it, but politicians and commentators who say those things are doing exactly the right things for their children. He is absolutely right about the Family Nurse Partnership and a whole range of other things, including family hubs.

The schools system is the easiest lever for politicians to pull, and we have seen huge increases in attainment through academies, free schools and various other initiatives. We have seen London state schools go from being the worst to the best, but we still have parts of the country where the standard of education is not good enough. We have a gender gap in education where girls do better than boys, and an ethnicity gap where certain ethnic groups do better than others, but the biggest gap in education is between children who have free school meals and those who do not. Although we have been making progress—albeit slow—covid has made that situation a lot worse, and has destroyed a lot of the progress we have made. As my right hon. Friend the Member for Bexleyheath and Crayford says, the national tutoring programme is important, but we have to do more to focus on that.

Let me quickly canter through some other areas. This is about further education colleges and ensuring that the courses they provide will help people in the employment market, which is what we were trying to get to with the Skills and Post-16 Education Act 2022. When it comes to universities, the success they often trumpet about the percentage of state school students they have masks the fact that a huge proportion of them went to selective state schools—grammar schools—and that the proportion of comprehensive school entry pupils is still low. There is more for them to do, particularly at the most elite universities.

Finally, on professions, Members will have heard me say previously that someone is 24 times more likely to become a doctor if their parent is a doctor; only 6% of doctors are from a working-class background. Again, that is not in the Government’s control. Employers have to do something about that. Some people will say that social mobility is not about people leaving their home area, going to a Russell Group university and getting a middle-class job, but show me someone who says that, and nine times out of 10 they will have done exactly that in their own life. That does not invalidate the point—we need to have both, and to move jobs and investment to those areas—but do not tell me that we should not be trying to get more people into those universities and professions, because they are controlling the country. If we are to get to a position where talent and opportunity is everywhere, everybody has to play their part.

Universal Basic Income

Dan Poulter Excerpts
Wednesday 15th June 2022

(2 years, 4 months ago)

Westminster Hall
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Angela Crawley Portrait Angela Crawley (Lanark and Hamilton East) (SNP)
- Hansard - - - Excerpts

I beg to move,

That this House has considered the potential merits of a universal basic income.

It is a pleasure to serve under your chairmanship, Ms McVey. I thank my hon. Friend the Member for Inverclyde (Ronnie Cowan) for his contributions in this place on the issue of a universal basic income. There is no better time to reopen the discussion on this subject. We are up to our necks in the cost of living crisis, which is pushing households across this country further into poverty and destitution. We need change, and we need it now.

Over more than a decade, the Conservative Government have carefully crafted a welfare system that designates recipients as being deserving of payments only if they meet conditions. I appreciate that the idea of implementing a universal basic income and removing the conditions on welfare payments would not normally sit comfortably with the Government. However, it seems that the Conservative party has had a change of heart. On Monday 6 June at the Treasury Committee, when the Chancellor of the Exchequer was questioned on the universal nature of energy bill discounts, which will leave third home owners £1,200 better off, he said:

“there will be some people who do not need the help. That is, unfortunately, the consequence of having to do policy in practical terms.”

He said that, having looked at all the options, the Government decided that the discount was “the most effective way” of reaching a “large number of people” and helping them when they needed it. Clearly, this Government have had a change of heart, and are open to universal policies, depending on who benefits, so it seems that the biggest barrier to implementing a universal basic income is ideological. I urge the Minister to consider extending his party’s new, compassionate approach to the benefits system, and to abandon the cruel and unforgiving system that depicts desperate people as undeserving.

I come to the benefits of a universal basic income. As we have heard many times here and in the main Chamber, a universal basic income would mean that every citizen was provided with a subsistence income. It would mean secure, regular payments into every individual’s bank account, without threat of disruption. In real terms, it would ensure that every person in this country was always able to afford food, keep a roof over their head, provide for their children and have a minimum standard of living.

Dan Poulter Portrait Dr Dan Poulter (Central Suffolk and North Ipswich) (Con)
- Hansard - -

In principle, the concept of a universal basic income is promising, but just so that I understand, will the hon. Lady answer these questions? Under her definition, would the universal basic income be the only income that a person received? Would they receive additional benefits if they were unemployed or had disabilities? At what amount would she consider setting a universal basic income?

Angela Crawley Portrait Angela Crawley
- Hansard - - - Excerpts

I thank the hon. Member for addressing those points. To be clear, we already have a system that recognises that individuals will need an approach that is tailored to their needs. Those who have disabilities will need additional support. Those who need additional support because of family requirements will have it. We have a system that already accepts that.

This is about acknowledging that every single person has the right not to be destitute. That is a basic, fundamental tenet. I find it uncomfortable that anyone in this place would consider it a radical motivation. A recent study by the University of York found that a universal basic income would cut poverty by more than half, bringing it to the lowest level for 60 years. It would cut child poverty and pensioner poverty by more than half and working age poverty by a quarter. It would be a driver of economic equality. Further research has shown that it would stimulate local economic growth. Introducing a universal basic income would allow us to incentivise people into work properly, and to move away from the current focus on cruelly sanctioning those who are desperate. Instead of our pushing people into precarious forms of employment and pretending that work programmes are actually working, a universal basic income would provide financial security. It would enable everyone to pursue employment that was more suitable for their lifestyle, hopes and ambitions, and it would allow everyone to engage in socially and personally productive activities, such as community or voluntary work, care giving, or entrepreneurial or creative activities.

The Scottish Government explored the feasibility of introducing a universal basic income, but found that it was impossible under the devolved settlement. With independence, the Scottish Government could be ambitious and look to a future where we could ensure that every citizen in Scotland had the support they needed. We do not have those powers yet and, without independence, we will not have them.

Instead, the Scottish Government commissioned research on a minimum income guarantee, which would transform Scotland’s fight against poverty. Rather than leaving those in need at the mercy of universal credit sanctions, it would at least guarantee that they did not drop below the poverty line. One of the Government’s core contentions, when this matter was last brought to the House, was the expense of setting up such a system. However, the UK Government already have the technology to implement a minimum income guarantee. We already have the tapers in place for the universal credit system, which has markers to ensure that those who need additional funds will get them; that answers the hon. Member for Central Suffolk and North Ipswich (Dr Poulter).

Universal credit was supposed to streamline and simplify the welfare system. Instead, it has led to the Government ploughing excessive funds and resources into empty work programmes, processing sanctions, and a target-driven jobcentre workforce unable to help those most at risk of poverty. If the Government wish to cut 90,000 civil service staff, and expect to keep this very complex welfare system running, it has another thing coming.

I ask the Minister to read through the numerous studies that have shown the benefits of introducing a universal basic income; to keep a close eye on the Scottish Government’s work on the minimum income guarantee; and to explain how the flawed and damaging universal credit system is in any way an adequate system by comparison.

The country is in crisis. As the cost of living crisis continues, we cannot ignore the worsening mental health crisis. The two are most definitely linked, and introducing a universal basic income would help to alleviate both. Innumerable studies show the detrimental impact of welfare conditionality and its impact on the mental health of welfare recipients. I do not think anyone here is in a position to argue with that. A universal basic income pilot scheme, conducted in Germany and Finland, showed that reform of the welfare state directly impacts the mental health of welfare recipients and their overall mental and physical wellbeing.

The Mental Health Foundation found that children who receive payments were less likely to use drugs and alcohol, more likely to stay in education, and more likely to have improved physical and mental health outcomes. The Finnish system showed that universal basic income helps improve cognitive functioning in adults, reduces feelings of anxiety and depression, and generally increases overall life satisfaction.

A universal basic income is a holistic policy that will have holistic effects across a whole area of social policy. Studies have shown that a universal basic income, although expensive in the beginning, pays for itself over time, through its far-reaching impacts.

Endometriosis Workplace Support

Dan Poulter Excerpts
Tuesday 29th October 2019

(5 years ago)

Westminster Hall
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Alec Shelbrooke Portrait Alec Shelbrooke
- Hansard - - - Excerpts

I am grateful to the hon. Lady for that important point. That goes back to the earlier example of the lady who suffered for so many years and who got a diagnosis only when she had ticked every single box of a workplace survey. That is why we need a debate with the Department for Business, Energy and Industrial Strategy—we need to work across so many areas of Government. The hon. Lady is right: any issue of women’s health, but especially menstrual health, is still taboo. Someone asked me why I secured this debate. The primary reason is that I have worked very closely on this with a previous constituent of mine, but I also think it important that a man stands here and says that women’s health is not a taboo subject. We are all human beings and we all have health issues. We should all stick together and help everybody, regardless of how embarrassing we might find the subject. There is nothing embarrassing about health and we need to look after people.

The stories that I have given all share the same underlying theme: “I was told by doctors that it was all part of being a woman.” Given the backdrop of the personal trauma that women with endometriosis suffer—years without a diagnosis, personal relationships breaking down and strain on personal finances—they should at least be able to expect the law to protect them in the workplace, like anyone else who suffers with a disability. The truth, however, is that a whole host of employers are completely unsympathetic to the disease, and often dismiss employees because of a “poor sick record”.

Dan Poulter Portrait Dr Dan Poulter (Central Suffolk and North Ipswich) (Con)
- Hansard - -

My right hon. Friend makes a very good case and highlights the challenges faced by many women with endometriosis. He will recognise that many people have other chronic health conditions, such as inflammatory bowel disease, Crohn’s disease, ulcerative colitis or rheumatoid arthritis, which can also be life-limiting in the ways that he has outlined. For clarity, is he saying that endometriosis is a special case, or do the principles that he is outlining actually apply to many other chronic health conditions, the sufferers of which often find that they are also discriminated against at work?

Alec Shelbrooke Portrait Alec Shelbrooke
- Hansard - - - Excerpts

Of course, all employers should support people in the workplace who have any of the whole host of chronic illnesses that my hon. Friend mentioned, but quite a few of those illnesses get diagnosed relatively easily, or in a shorter time than endometriosis. One of the problems is that there is such a long diagnosis time—I will refer to that later. The hon. Member for Sheffield, Brightside and Hillsborough (Gill Furniss) made a point about better education in the workplace. I absolutely agree with my hon. Friend the Member for Central Suffolk and North Ipswich (Dr Poulter) that this is not about singling out one disease—the whole range of workplace diseases must be covered—but it creates many issues when women cannot even get diagnosed, and cannot tell an employer, “This is what is going on.”

I was given a copy of this text message, which a lady received:

“Hey Karen,

I hope you are doing a bit better, i am sorry to hear you have so much going on physically.

We have had to pause your email access due to confidentiality as you are signed off sick. I am aware you may be off for a few months, so we will end your contact at this point as you are off for a prolonged period of time.

Should you wish to reapply when things work out for you please get in touch through the usual route.

I hope this all makes sense for you, and you can take the time you need to recover and get things back to normal.

Many thanks for all your input, and maybe hear from you again in the future.”

That last sentence perfectly encapsulates an utter lack of understanding and support that is far too commonplace.

I quote from an email I received this morning from the Open University, highlighting the work of PhD student Victoria Williams. She has given the following statistics, based on her doctoral research on the workplace:

“In a study of 7,000 women across 52 countries, over 40% had given up or lost their job because of endometriosis…Others are being pushed into part-time roles or becoming self-employed whether the motivation or support is present or not…Women lose an average of 10.8 hours per week due to pain…Women lose an average of £5,757.72 per year due to lost work days…Many suffer in silence in the workplace in a bid to protect their jobs, careers, credibility and reputation. Women live with the daily predicament of disclosing symptoms which may drive accommodations or negatively fuel workplace discrimination…Endometriosis is a condition that is closely connected to menstruation alongside a history of shame, secrecy and lack of knowledge, it is classed as a taboo topic that constrains requesting and/or receiving organisational accommodations and support. Currently there is no advice for working with endometriosis from government bodies, occupational health specialists or the CIPD.”

One woman told me,

“I have had to have extended probations, sickness meetings, ‘what are you going to do to make this better’ and you have to sit there knowing you can’t do anything as there’s no cure.”

Going back to the lady in my previous story, when she had to have the medically advised abortion, a manager said, “Should’ve worn a condom.” The lady said it was hard to describe how disgusted she was, as the manager knew what she was going through.

A catalogue of women starting jobs only to fail the probation period due to sick leave is, I am afraid, an all too common reality. However, it would be remiss of me not to name an employer that women have told me has tried very hard to help sufferers. NPower allowed one severe sufferer to work from home, on flexible working, and was understanding of hospital appointments and surgeries. Let me take this opportunity to highlight an employer that shows that it is not impossible to support women in the workplace with this terrible disease.

My ambition for today’s debate is to raise awareness, especially of support groups, such as the one that the hon. Member for Livingston (Hannah Bardell) mentioned, and others such as the Northern Endometriosis Sisters Support and Period Powerful Hub, to mention just two. I want better education in schools for young girls, as we can easily overlook the problem that a young woman with a single-parent father may have in understanding these issues. As I said, I hope that this debate will be recognised by several Departments, but I ask the Minister to ask the Department for Work and Pensions to do a full assessment of how the Department recognises endometriosis as a disability.

For too long, women with this disease have been dismissed as lazy, unreliable, dishonest and a nuisance. It surely must be illegal for a manager who is told of a sufferer’s condition to dismiss it out of hand by saying, “Should’ve worn a condom.” Women have described having to cope with blood seepage through their clothes, but another common factor can be a complete loss of bowel control, and having to dash to the bathroom unexpectedly. To have such an embarrassing and distressing situation used against them, and sometimes to be mocked in the workplace, must surely be illegal. The Equality Act 2010 is a piece of legislation we should all be proud of, but as with all law, it should evolve and change, especially when previously unrecognised situations come to the fore.

I want an assurance from the Minister that he will instruct his Department to do an assessment of how the blatant breaches of law on workplace humiliation, employment protection and, quite frankly, workplace bullying can be addressed, since this silent disease, which often has no physical appearance, can be so easily ignored by employers.

Dan Poulter Portrait Dr Poulter
- Hansard - -

One of the challenges that the Minister will face when responding to the debate is that while there are medical guidelines from the Royal College of Obstetricians and Gynaecologists, and I think there are some National Institute for Health and Care Excellence guidelines on how to diagnoses and support women with endometriosis, those guidelines are not particularly well known among all the medical community. I wonder whether more should be done by the Department of Health and Social Care to improve diagnostic rates. If more women had a confirmed diagnosis, it would strengthen this Minister’s hand in taking action in the workplace.

Alec Shelbrooke Portrait Alec Shelbrooke
- Hansard - - - Excerpts

I was just about to say that I need the Minister to work with the Department of Health and Social Care, because without a proper medical sign-off, this situation will keep arising, and by the time a diagnosis is finally made, many women have already seen their life destroyed. The Minister will have heard my hon. Friend’s intervention.

I close with some rhetorical questions. Why is a disease that affects 1.5 million women in this country so unrecognised, and so easily dismissed? Why is there not women’s health education in schools, to help young women through their life journey and illnesses they may be suffering from? Why do we have such poor medical diagnosis? How have we been able to go so long without in-depth training for gynaecological surgeons who can help tackle this disease? Fundamentally, and pertinent to this debate, why, despite decades of work on the protection of employee rights in the workplace, do employers try to not only ignore this disease, but shuffle sufferers out of the door?

More than 1.5 million women in this country have been desperately crying out for far too long. Let today be the day that we stop failing so many women in our society.

Universal Credit and Debt

Dan Poulter Excerpts
Wednesday 5th June 2019

(5 years, 5 months ago)

Westminster Hall
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Ruth George Portrait Ruth George
- Hansard - - - Excerpts

Absolutely. My local jobcentre also tells me that the major reason why people are seeking support with food parcels is that they simply do not have enough to get by on, often because of the deductions.

A mum from East Anglia told me that she has had to resort to loan sharks, and she almost got involved with a man just so that he could buy some food for her and her daughter. Now she has had letters saying that money will be deducted for her debts. She has lost jobs because she could not afford a bus pass and she has friends who resorted to selling their body for food because of their children.

Ruth George Portrait Ruth George
- Hansard - - - Excerpts

I will go across the House first.

Dan Poulter Portrait Dr Poulter
- Hansard - -

The hon. Lady is making some good points, and she is right to draw an association between adverse life events, debt and poor mental health. On the issue facing many of the people she is using as examples, who are experiencing difficulties with universal credit, is it not the case that the wait of five weeks to receive universal credit exacerbates debt issues and the challenges facing people in sometimes very difficult circumstances, and that the Government perhaps need to look at that as a priority in helping to improve the system?

Ruth George Portrait Ruth George
- Hansard - - - Excerpts

The hon. Gentleman has pre-empted part of my speech. The five-week wait for payments is doing a tremendous amount of damage, putting people into debt right at the start of their claim.

That is not to say that universal credit has not improved—I am sure we will hear a lot about that from the Minister. I pay credit to the Department for listening, and especially to the current Secretary of State, who has made changes beyond those forced on her by High Court cases. However, there is still an enormous amount to do to help people to get by and feel secure with universal credit.

Mental Health: Assessment

Dan Poulter Excerpts
Tuesday 22nd January 2019

(5 years, 9 months ago)

Westminster Hall
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Angela Crawley Portrait Angela Crawley
- Hansard - - - Excerpts

I wholeheartedly agree, and that is the point of this debate. If the system worked well and we did not have any complaints about it, we would not be here today, but the fact is that the system is not working as it should, nor as it was probably intended to work in its initial design or concept. It is simply not working in practice. If we were to amend that system and make it work better, we would probably spend less time going through administrative appeals and mandatory reconsiderations, which should incentivise the Government to get it right the first time.

Returning to my earlier point, it is my staff who deal with constituents’ cases every day, and I would like to say thank you to each and every one of them. Rhona, Josh, David, John, Mary-Jane, Carmen and, of course, Georgia—I have quite a few staff and think I have covered them all—work hard every day to have those cases overturned, because they can see the constituent before them and can see that person who is crying out for help and needs support.

Perhaps the assessors are just not getting that full picture of someone, and perhaps we are being unfair to all the staff who work at DWP, but there is a flaw in the process, which I will turn to now. The assessments are carried out by contractors of Maximus and Atos according to guidelines set by the Department for Work and Pensions. I know there have been changes and adaptations, but ultimately they are still not working. Turning to the administrative process administered by DWP, those assessment reports are then filtered into descriptors set by the policies of this Government. I do not believe that the assessors are given the correct level of training or resources to deal with mental health issues. I have written to the Department about that on a number of occasions and I have been assured that assessors are getting adequate training, but if that is not the experience on the ground, there is obviously a flaw or an issue there.

I do not believe that the criteria for assessments give enough credence to the crippling effects that mental ill health can have on people’s lives. As the hon. Member for Rutherglen and Hamilton West (Ged Killen) has outlined, that turns into a detrimental effect on people’s mental health, even if it did not start out that way. Indeed, many of my constituents complained that their mental health problems do not fit neatly into the assessment forms because the form is not designed to assess disability resulting from mental ill health, a point that the hon. Member for Morley and Outwood (Andrea Jenkyns) also covered.

One of my constituents from Hamilton, whose daughter has bipolar disorder and was denied personal independence payments, said,

“we see mental health brought up everywhere—in adverts, in TV soaps—and the advice is to speak out. But if you tell the DWP, they ignore you and do nothing to help, they have fallen behind the times and are not keeping up to the standard.”

In the assessment reports, indicators of mental ill health bear little relation to the advice of mental health charities and are at best unhelpful for diagnosis. The assessors will make wide-reaching assertions based on outdated ideas of mental health and often irrelevant judgments on the person’s appearance: “Was the person rocking in a chair? Were they trembling? Were they sweating? What was the person wearing? Had they washed or were they wearing make-up?” That is institutional stereotyping of people suffering from poor mental health. The fact that someone turned out that day and made the effort, even if it perhaps took them hours and days to prepare themselves for that experience, only to then have it marked against them, seems arbitrary and frankly ridiculous.

Dan Poulter Portrait Dr Dan Poulter (Central Suffolk and North Ipswich) (Con)
- Hansard - -

I am sympathetic to a number of the points the hon. Lady makes, although, for an experienced medical professional, one component of assessing somebody who is unwell is looking at how they appear, because that may be a symptom of distress, self-neglect or other issues, notwithstanding the points she has made. One of the challenges she raised is that of those patients with fluctuating conditions such as bipolar disorder, who can be well for periods and then become quite unwell. Does she agree that the system does not have adequate assessments in place to allow for patients who can become very rapidly unwell, and that those patients in particular can become distressed by the system and how it is put into practice by assessors?

Angela Crawley Portrait Angela Crawley
- Hansard - - - Excerpts

I agree with the second part of the hon. Gentleman’s intervention, but I return to my original point, which is that we are talking about a tick-box exercise that does not recognise the fluctuating nature of mental ill health—I think that is the point he is trying to make. Why should someone have the fact that they put make-up on that day, or made the effort to turn up and be there for the assessment, marked against them? It seems completely arbitrary and unnecessary.

The constituent I mentioned earlier has a nervous compulsion and, as a result, she picks at her nails. She has chosen to wear acrylic nails so that she will not unconsciously pick at her hands due to her nervous disposition. That was taken by the healthcare professional as an indicator that she was well kept and therefore mentally stable. It did not seem to matter that it was a form of self-harming and that she had had suicidal thoughts, which she outlined to the person. Those are Victorian and antiquated measures through which to identify someone with mental ill health, and they come up time and again. My constituent Donna from Carluke recently had a personal independence assessment. She acknowledged that she had two options: she could present as someone who had a mental illness and

“Present as they expect someone who has a mental illness to i.e and I quote here from your own assessment documentation ‘rock, shake, sweat, unkempt, poor eye contact and look unwell and troubled’”,

or she could present as she was on the day,

“which was apparently none of the above.”

That does not negate the fact that she has a mental health condition; it simply does not tick the markers on that sheet. The DWP tick-box system does not seem to account for that at all, nor for people who live with long-term chronic health conditions that fluctuate between good days, bad days and unimaginable days.

Donna has faced an extremely difficult few years trying to cope with severe depression. She has outlined that on one day she can be great and on another she is simply not. I take the point that the hon. Member for Central Suffolk and North Ipswich (Dr Poulter) made; I know it comes from a position of experience, and I greatly appreciate his expertise, but the fact is that Donna has been working in the mental health sector, so she has huge insight into her condition. She knew the only way she would get better would be by taking time and allowing herself to heal, which has taken longer than she had hoped, but now that she has returned to work, she has to fight to keep her personal independence payment, which has allowed her to stabilise her life.

I mentioned this case in a debate last week. Donna recently went back to work on very reduced hours, and through the personal independence payment, she was able to effectively self-manage her condition, meaning that she can lead a meaningful and purposeful life, return to work and provide for her family. Given the presence of her symptoms, that is only possible through the personal independence payment, which she is now being denied because the fact that she returned to work has been held against her. She exactly fits the purpose of those benefits and the criteria set out, but her claim was reassessed and, as a direct result of returning to work, she is no longer entitled to them.

It seems that all the valuable support Donna received over the last three years, combined with her self-determination, is now in jeopardy because, on the day of her PIP assessment, she was:

“well kempt, behaved normally, maintained eye contact and had good insight into my illness”.

Those are the assessor’s marks. They have decided against the criteria that she is no longer eligible for a personal independence payment, despite the fact that, as I am outlining, she relies on it and it has helped her to get back to work, which I believe is ultimately what the Government want. It is counter-intuitive. Healthcare professionals appear to be carrying out assessments without prior knowledge of how mental ill health works.

Angela Crawley Portrait Angela Crawley
- Hansard - - - Excerpts

I could not agree more with my hon. Friend, and with the comments from the hon. Member for Ashfield (Gloria De Piero) about the individual who prepared themselves for an assessment, only for the assessor not to turn up. These assessments are really distressing, and they do not take into account the condition that the person being assessed has, or the impact that the assessment might have. Another of my constituents, Denise from Hamilton, was denied assistance for bipolar disorder because, as the report repeatedly stated, she is not manic all the time or on most days. How does one assessor even know that?

The idea of requiring assistance during periods of mania completely misses the point about the problems that Denise faces. The report ignores the depressive cycles that follow, and her struggles to find a measure of stability. That is a reckless approach, as she would be sent into a manic state if she were not supported, or if she tried to live the way many of us without a disability take for granted. Some of the things that have triggered a manic state in my constituent over the years would wash over most of us without her condition, but that is why the condition is extremely harrowing and distressing for those who have it. Simple things such as preparing for Christmas or a family wedding, stressful news events such as the Grenfell Tower incident, wider health issues such as the menopause, and changes to Denise’s medication for bipolar disorder are all things that have exacerbated her condition. Additionally, she has sometimes entered into mania for no apparent reason. In other words, the condition is out of her control.

I have heard many reports of assessors using very inappropriate language during assessments for people with mental health problems. Several people, including constituents I have mentioned, have told me that when discussing suicidal thoughts, they have been asked bluntly, “Why didn’t you kill yourself?” I do not know what that adds to the assessment, or what it does to a person to be asked that, but this point has been repeated by many of my constituents. When they have discussed suicidal ideation, they have been asked by the assessor, “Well, why didn’t you kill yourself?” I cannot say why they have been asked that.

Dan Poulter Portrait Dr Poulter
- Hansard - -

Will the hon. Lady give way?

Angela Crawley Portrait Angela Crawley
- Hansard - - - Excerpts

I will if the hon. Gentleman is going to say something useful.

Dan Poulter Portrait Dr Poulter
- Hansard - -

I thank the hon. Lady for giving way; she is being very kind. In relation to getting a full picture of suicidality, there are sometimes protective factors that stop people wanting to take their own life. For example, they may have children. There may be other factors in their life that mean that they would not want to go through with the act of ending their life, even though they are having fleeting suicidal thoughts. It is relevant to a clinical examination or history of a person to work out what protective factors there may be, and why it was that, even though they were feeling very bad, very low, and having those thoughts, they did not want to follow them through. I just wanted to make that clinical point to the hon. Lady; it may be helpful for her constituents.

Angela Crawley Portrait Angela Crawley
- Hansard - - - Excerpts

That would be absolutely fine if the assessor had that level of medical qualification and experience. The point is that they do not. It is fine for a doctor to say that they would ask those questions, and of course any doctor reasonably would, but that is not how this has been delivered. It has not been asked by a trusted medical professional such as a doctor, psychologist, psychiatrist or other professional with the correct experience and understanding of how to handle the situation, the follow-up aftercare or anything that comes with it. The assessor is an individual sitting with a form; it is not the same experience, so I appreciate the hon. Gentleman’s point, but that is just not how it works in reality.

Universal Credit Split Payments

Dan Poulter Excerpts
Wednesday 10th October 2018

(6 years ago)

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Dan Poulter Portrait Dr Dan Poulter (Central Suffolk and North Ipswich) (Con)
- Hansard - -

I commend the hon. Member for Midlothian (Danielle Rowley) for securing the debate. I do not believe that my hon. Friend the Minister has fundamentally addressed the issues raised about the particular vulnerabilities of people who face abuse and of people with mental illness, who may well be at risk of exploitation. I ask him to take away from the debate the thought that rather than carving out exemptions for special cases, it would be much simpler to say, “There is a potential problem for vulnerable people, so let’s have split payments.”

Justin Tomlinson Portrait Justin Tomlinson
- Hansard - - - Excerpts

If my hon. Friend had been a little more patient and had not intervened, my very next point would have covered that.

It is important that when we design policy, we do not presume that everything is utopian. I have made a commitment today to Women’s Aid and Refuge—I stress that our meetings were in the diary before today’s debate was arranged—that over the next couple of weeks they will work with me and our operational frontline teams to check the typical experience. My hon. Friend makes a valid point about those with mental health issues; not everybody immediately says, “I am a victim or potential victim of domestic abuse,” so it is about identifying the signs and looking at what additional support can be given for those who, whether because of mental health or as a consequence of the abuse that they face, do not have the confidence to navigate the incredibly difficult and challenging journey to break free. We will therefore do a deep dive to look at what the typical journey is like for people, and at what more we can do through training and through providing local partnerships. Every single district will have a highly trained named team programme manager solely responsible for making those partnership arrangements locally and nationally.

Marriage in Government Policy

Dan Poulter Excerpts
Tuesday 30th January 2018

(6 years, 9 months ago)

Westminster Hall
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Derek Thomas Portrait Derek Thomas
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I welcome that comment. It is encouraging to know that there is still a commitment by the public, including among young people, and a natural, in-built desire to have a long and lasting stable relationship.

In recent years, the Government’s evidence on what causes poverty now and in the future has identified family instability as a root cause. Children in families that break apart are two and a half times as likely to experience long-term poverty and have almost double the risk of living in relative poverty than couple families.

I know the Government would wish to tell a positive story about their efforts to encourage work as the best route out of poverty. Despite significant progress, lone parents still have double the unemployment and more than three times the underemployment than couple families. Last year, the Department for Work and Pensions published data that showed that the children of parents who have separated are eight times more likely to live in a workless family than those whose parents have stayed together.

None of what I have said is ever meant to stigmatise lone parents, who face some of the most serious challenges, but it should make the Minister, his Department and Government across the board consider how we can reduce those figures by supporting families to stay together. Those statistics alone should alarm us. The break-up of families more than doubles the chances of experiencing poverty—two and half times the poverty risk and eight times the risk of worklessness. Not all couples are married, but we should reflect on where stability is found because the statistics are compelling.

My hon. Friend the Member for Mid Dorset and North Poole (Michael Tomlinson) mentioned that the Government have no reason to shy away from this subject. There is public support for marriage. There is some good news to be found in public attitudes and there is new evidence that the Government should not be afraid to talk about marriage. Last year, the Centre for Social Justice published opinion research that showed that almost half the public feel that marriage has become less important over the last few decades and agree that that is a bad thing, including 47% of adults in social grades C2, D and E, where breakdown is most acute. When people were prompted to consider the role of Government in supporting marriage, more than seven out of 10 agreed that marriage is important and that Government should support married couples, including more than two thirds of adults in social grades C2, D and E. We should all remember that the public support a Government talking about marriage.

I was privileged to be able to put my name to the strengthening families manifesto launched last year. The manifesto sets out some entirely sensible recommendations designed to strengthen the family unit and address many of the difficulties that I have briefly touched on. Among many sensible suggestions, the manifesto calls on Government to appoint a Cabinet-level Minister to ensure that family polices are prioritised and co-ordinated. It simply asks that in each Department there is a senior Minister responsible for delivering policies to strengthen families and for carrying out family impact assessments—something the Conservative Government had previously committed to.

Since arriving in this place, I have often heard that the Government aspire to Britain’s being a world leader on a whole raft of subjects that include innovation and research. The sad truth is that we seem to be a world leader on family breakdown, with half of all young people no longer living with both parents by the time they sit their GCSEs. There are obvious reasons why the Government would want to address this very important issue.

Dan Poulter Portrait Dr Dan Poulter (Central Suffolk and North Ipswich) (Con)
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I congratulate my hon. Friend on securing the debate. I am sympathetic to many of his points, but he raises a broader point about cohabiting couples and the benefits of a solid family base for supporting children and young people. What additional measures does he suggest should be put in place to support people who do not want to get married to live together and raise a family?

Derek Thomas Portrait Derek Thomas
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I believe that measures to support marriage, whether through taxation or by supporting and encouraging people who are considering marrying or moving in together, would actually support all people who are living together in families like those my hon. Friend describes.

I do not believe that promoting marriage or putting in place measures to support married couples would discriminate against any other type of family unit; it would help to strengthen them and give them access to support. I recognise—I hinted at this earlier—that moving into a family home together is a challenge for people and that unexpected difficulties often arise, so it is right that we should do what we can to help.

--- Later in debate ---
Fiona Bruce Portrait Fiona Bruce (Congleton) (Con)
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It is a pleasure to follow the powerful contribution of my right hon. Friend the Member for Chingford and Woodford Green (Mr Duncan Smith), which highlights the gravity of the issue.

I will begin by thanking the several Ministers who have recently stated in this place their desire to see policies developed that support and strengthen family life. They have done so in response to the publication in September of “A Manifesto to Strengthen Families”, which my hon. Friend the Member for St Ives (Derek Thomas) referred to. I congratulate him on securing this timely debate in the run-up to Marriage Week this year. The manifesto contained 18 policies, which are the fruit of many years’ work; many colleagues here today have spent several years speaking and working on the issue. After its publication in September, it garnered the support of more than 60 Back-Bench Conservative MPs.

The new Minister, whom I welcome to his place, need not worry if he has not seen the manifesto, because I will give him a copy at the end of the debate. After its publication, a number of Ministers spoke in support of it. Both the Leader of the House and the Health Secretary stated their interest in how the policies in that paper might feed into Government policy. The Prime Minister told the House in October that the Government are.

“looking into what more we can do to ensure that we see those stable families”.—[Official Report, 18 October 2017; Vol. 629, c. 846.]

She recognised the wide range of benefits that committed family relationships can bring, as we have heard today, such as improving wellbeing, reducing poverty and reducing Government spending.

On the wider beneficial aspects of marriage, the former Education Secretary, my right hon. Friend the Member for Putney (Justine Greening), said in this House that it was “exceptionally important” to include marriage in relationships education because:

“At the heart of this is the fact that we are trying to help young people to understand how commitments and relationships are very much at the core of a balanced life that enables people to be successful more generally.”—[Official Report, 6 November 2017; Vol. 630, c. 1189.]

As I have said, I congratulate my hon. Friend the Member for St Ives on securing the debate. It is so timely, because marriage has a key role in helping people to promote the stable relationships that support life chances for them and their children, their children’s educational attainment and future employment, boosting mental health and reducing the risk of addiction in later life. It can help combat loneliness in old age, help reduce the pressure on GP visits due to depression and reduce absenteeism at work. It can positively influence so many areas of life and, of course, beneficially influence the public purse.

I want to put it on record, as I always do in these debates, that there are difficult cases in which it is better for a child not to be in the same home as one of their parents. I always say that there are many single parents who work valiantly, and successfully, to ensure that their children flourish and have a positive future to look forward to, but we have to remember that the statistics speak for themselves. The Marriage Foundation, as we have heard, has recorded that 76% of married couples are still together when their child has their GCSE exams, but only 31% of unmarried couples are still together.

I am particularly concerned about the statistics showing that only 24% of those in lower income groups marry, compared with 87% of those in higher income groups. Marriage is such an important issue that we cannot afford to ignore it in public policy. I believe that, because family breakdown affects the poorest most, it is a social justice issue. In fact, it is one of those burning injustices that the Prime Minister spoke of so movingly on the steps of Downing Street when she took office. We need to address it, because if we do not, we will not only fail a generation of children who aspire to marriage, as we have heard, but let down the poorest of those children. That is why it is such an important issue of social justice.

Children from low-income households with an active father are 25% more likely to escape the poverty they grow up in. I will look at a number of policies, touching on some of those in “A Manifesto to Strengthen Families”. Research from the Social Trends Institute into families with children under 12 showed that Britain has the highest level of family instability in the entire developed world. We languish at the bottom of that table and successive surveys have shown that children in this country are among the unhappiest.

I have several points to make about policy, as I say. Will the Minister restate the Government’s commitment to the family impact assessment or family test, which was introduced by the last Prime Minister, David Cameron, to ensure that the Government never have a blind spot in this area? I recently tabled a number of parliamentary questions, asking what every Department of State is doing to ensure that this is appropriately applied. Will the Minister look at those responses, because they are extremely disappointing? The family test is not being applied in the comprehensive way that I believe the former Prime Minister intended.

New research from the Marriage Foundation confirms that family breakdown, which ultimately affects nearly half of all teenagers, is a clear cause of many children’s and teenagers’ emotional and behavioural problems. That should not really be news to us, but I encourage the Government to properly address family breakdown as part of its comprehensive review of mental health strategy. We need to ensure that we are not just helping the young people—the children themselves.

Dan Poulter Portrait Dr Poulter
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My hon. Friend is making a very good speech, and I agree with many of the points that she has made. I would caution about statistics and the difference between causation and association. She is pointing out an association between mental health and some of the points that she is raising, but actually young people’s mental health is far more complex than that and there are many confounding factors that may call into question that association. I caution that marriage should not be put at the centre of mental health policy for young children.

Fiona Bruce Portrait Fiona Bruce
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I disagree. I am a patron of a mental health charity that specialises in counselling young people in my constituency called Visyon. It now counsels children as young as four with mental health problems. It is overloaded—inundated—with counselling requests. Not long ago, I asked the chief executive officer, “How many of the children and young people you help to counsel have problems as a result of dysfunctional family relationships at home?”, and he looked at me and said, “Fiona, virtually all of them.” That is why it is so important, when we are counselling young people, that wherever possible we look at how we can also support their parents in their relationship. It is also why I am such a supporter of the “Emotionally healthy schools” programme, which is being pioneered by Middlewich High School in my constituency. When children in that school have problems, the headteacher, wherever possible, will ask the parents to come into the school, will meet them and will help them to ensure that the children’s home relationships are as healthy as possible to ensure that they have the best chance of flourishing, both educationally and in the future. We need more counsellors to be trained, to ensure that they are not just counselling young people but, wherever possible, working with their families to combat the epidemic of mental health problems in this country among young people.

--- Later in debate ---
Angela Crawley Portrait Angela Crawley (Lanark and Hamilton East) (SNP)
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It is a pleasure to serve under your chairship, Mr Rosindell. I congratulate the hon. Member for St Ives (Derek Thomas) on securing this debate and on his efforts to ensure that Marriage Week is celebrated in Parliament.

Marriage is a changing institution, and within our lifetimes it has changed dramatically. In fact, when the institution of marriage was originally created, the average life expectancy was 30 years. If we look at the statistics for marriage rates, we see that the number of people getting married each year is falling. At the same time, the age at which people are getting married is increasing: people of my generation are marrying on average 10 years later than their parents. On top of that, marriage rates are on the increase among over-65s, having increased by half between 2009 and 2014, which also says a lot about people living longer. So in my opinion, while marriage trends are changing and adapting to people’s wishes and needs, the institution of marriage does not appear to be under threat.

However, I am somewhat astounded, if no less grateful to the hon. Member for St Austell and Newquay (Steve Double), that equal marriage was finally mentioned one hour into the debate, although much of his attention focused on civil partnerships. I find it astounding that the Government did not take this opportunity to recognise all forms of marriage, and instead focused on nuclear and “2.4” families. I am sure that the Minister will address that in his response, but I just expected more from the Floor of the House.

While I welcome recent changes that allow same-sex couples across Scotland, England and Wales to marry, it is a great disappointment that that is still not possible in Northern Ireland. I hope that the hon. Member for Strangford (Jim Shannon) shares that concern. This is a great freedom for many couples who identify as lesbian, gay or bisexual, and as we approach LGBT History Month it has never been more important for the Government to put on record their support for same-sex marriage, recognising that everyone should be equal in the law and under the protections therein.

Giving same-sex couples the right to marry allows them to validate their relationship in a way that was previously denied. It is a move forward, closer to a more equal society, and allows those people to choose whether to get married, just like their peers. For many others, it is just as relevant not to marry. We have talked about cohabitation and suggested that it is not on an equal par with marriage, but I suspect that many families would disagree. I do not think that it is this House’s place to determine the sanctity of anyone’s relationship, whether they are cohabiting, married or otherwise. It is a choice, and we should simply enable that choice to be made by all individuals equally.

On many occasions, long-term cohabiting couples have just as successful relationships. So while I recognise the comments of the hon. Member for St Ives and the hon. Member for Congleton (Fiona Bruce) on the statistics—which, yes, are alarming—I would echo the sentiments of the hon. Member for Central Suffolk and North Ipswich (Dr Poulter), who cautioned us about the correlation of statistics in relation to marriage and mental health. The simple fact is that there are many successful families and they come in many shapes and forms, and marriage is not the sole indicator. While the hon. Member for St Ives outlined those statistics and suggested that children are more successful where there is marriage, I would caution that it is neither our role nor responsibility to lecture those who do not choose to marry.

As the term “marriage equality” suggests, the sanctity of marriage should be available to all, but we should also respect those who choose not to marry.

Dan Poulter Portrait Dr Poulter
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Will the hon. Lady give way?