Personal Independence Payments

Debbie Abrahams Excerpts

Tuesday 11th September 2018 Commons Chamber

[Hugh Gaffney]

I am sorry, but I do not agree with the hon. Gentleman. I do not know who goes into his surgery to talk to him, but I certainly do not hear that from the people who come in to talk to me.

Many colleagues have consistently raised PIP with the Government over recent months and years. My hon. Friend the Member for North West Durham (Laura Pidcock) is one and I congratulate her on the birth of her baby boy and I hope that they are both doing well.

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

I just wish to pick up on the point made by the hon. Member for Ochil and South Perthshire (Luke Graham). Does my hon. Friend agree that, in fact, the introduction of PIP has been used as a means of cutting support for disabled people? When we look at the figures from charities such as Mind, we can see that more than half of the people who started off on disability living allowance and transferred to PIP are to get reduced points or no points at all. This is purely a means of cutting support for disabled people.

[Hugh Gaffney]

I totally agree with my hon. Friend and I thank her for her intervention.

Many MPs have spoken on the issue over the past few months and years. My hon. Friend the Member for North West Durham highlighted how the mental health conditions of those with chronic disabilities is also a factor. My hon. Friends the Members for Gower (Tonia Antoniazzi), and for Oldham East and Saddleworth (Debbie Abrahams) have also spoken on the issue. My hon. Friend the Member for Rutherglen and Hamilton West (Ged Killen), in my neighbourhood of Lanarkshire, raised a very good question with the Government around the actual number of challenges to original assessment decisions that have been successful. My hon. Friend the Member for Hornsey and Wood Green (Catherine West) legitimately asked the Government whether claimants would be entitled to receive a copy of their PIP assessment reports.

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[The Minister for Disabled People, Health and Work (Sarah Newton)]

I congratulate the hon. Member for Coatbridge, Chryston and Bellshill (Hugh Gaffney) on securing this very important debate. I would like to add my personal congratulations to his, and those of his colleagues, to the hon. Member for North West Durham (Laura Pidcock). I am pleased to hear that she has had her baby and both are doing well. Please extend those congratulations to her. I hope to see her back in her place in due course so that we can continue our work together.

It is very clear to me that all Members who have spoken here today care deeply about their constituents and want to see the best possible outcomes for them when they are going through the process of claiming the personal independence payment. I can assure them that this Government are equally committed to supporting everyone to achieve their full potential in society and to lead as independent and full lives as possible. The successful roll-out of PIP is integral to our vision that we have a really fair and compassionate society and that people get the support that they need.

Figures have been bandied around this evening, and it is really important that we deal with the facts. We are committed to providing a strong safety net for those who need it. That is why we are spending about £54 billion this year just on the benefits that support disabled people and those with health conditions. We are focusing on those main disability benefits through employment and support allowance and other benefits in addition to PIP. Expenditure has increased by more than £5.4 billion since 2010. It is set to be at a record high this year, and it will continue to be higher in every year to 2022 than in 2010.

[Debbie Abrahams]

rose—

[Sarah Newton]

The hon. Lady is a very experienced Member of Parliament, and she understands that in an Adjournment debate we have very little time. My door is always open to all Members here tonight if they want to raise constituency cases or broader points with me. I will not be able to address these points if I take interventions. [Interruption.] I ask the hon. Lady please to come and see me, and I will be more than happy to listen and respond carefully to what she wants to say.

These disability benefits are also exempt from the benefits freeze, so they will increase again this year to make sure that they are going up in line with inflation. We have about 5.25 million people of all ages on benefits, but we are supporting 1.8 million on PIP. Again, we have heard the misquoting of information about appeals. Of all the people who have applied for PIP, about 9% have gone to appeals, of which only 4% have been overturned. One person who has a poor experience of PIP—one person who does not get the treatment that these people all richly deserve—is one too many. We are utterly committed to a continuous improvement programme.

It is really important to remember why we looked again at the disability living allowance. It was a benefit for its time. It was mostly focused on physical disability. It did not take into consideration all the mental health conditions that we know people live with. It did not take into consideration learning difficulties or sensory impairments like blindness. Understanding of other conditions such as autism has changed immeasurably. DLA was too reliant on self-assessment, and people had very little opportunity to be reassessed, so they could be underpaid in their benefit.

In fact, PIP has achieved many of its objectives. We can absolutely see that when we look at the results. Over 1.88 million people are now in receipt of PIP. Over 225,000 more working-age disabled people are now receiving DLA or PIP compared with when PIP was first introduced, and more support is now going to those that need it the most. Over 30% of claimants are receiving the highest level of support under PIP, compared with 15% under DLA.

There has been much talk, quite rightly, about people with mental health conditions. It is really important to note that 65% of PIP recipients with mental health conditions receive the enhanced rate of daily living component, compared with 22% of people on DLA. Clearly, where we were aiming to make sure that people with mental health conditions were benefiting from this new benefit, that is happening. It is a holistic benefit that looks at a whole range of conditions with regard to people’s ability to lead independent lives.

I have consistently listened to colleagues in the House. I regularly meet charities and stakeholders to ensure that we make improvements to PIP. We have had independent reviews of PIP. We have had a Select Committee inquiry, which made many recommendations that we have accepted. We are absolutely committed, and a lot of changes have already happened.

I would like to take this opportunity to update the House on the extensive work we have been doing on implementing the reforms to PIP that I have set out and communicated regularly to the House. Starting with the beginning of the applicant’s journey, we have done work on improving communications, including making changes to the forms, ensuring that people understand that they can bring people along to support them and providing far more access for disabled people. We have independent evaluation where we engage with our PIP claimants to ask them how we can improve the process. Some 87% of them found it a positive experience, but of course other people are not finding it a positive experience, and they are the ones we are working with. We are working with individual disabled people and organisations, and we have listened and acted.

I have been asked about particular changes we have made. Over the summer, we have done a huge amount of work to get ready for a proper pilot of recording PIP assessments. I would like to say to the hon. Member for Coatbridge, Chryston and Bellshill that using the private sector to undertake assessments is not a new thing. It was brought in by the Labour party when it brought in ESA back in 2008. It was the Labour party that introduced work capability assessments and used health professionals to undertake those assessments.

Let us remember who these health professionals are: they are the nurses, physiotherapists, doctors and occupational therapists we all depend on when we go to our local hospital or engage with our local health service. Those are the healthcare professionals undertaking the process. They are highly dedicated and motivated healthcare professionals who receive very thorough ongoing training, particularly in mental health. There is a huge amount of stakeholder engagement from voluntary sector organisations that support disabled people to ensure that the assessors undertaking these assessments are completely up to date, and this is a continuous improvement process. We have also introduced a lot more guidance, support and training for our case managers. Healthcare professionals undertake the health assessments, and that information is then passed back to the Department, where experienced case managers are the decision makers.

Over the summer, I was also able to ensure that we implemented other important changes that we said we would to PIP. For people who have severe conditions from which we know, from their medical information, they will not recover, we have built on the work we have done on ESA by working in partnership with disabled people and the voluntary sector to make changes so that once people on ESA receive the highest level of support, they have a lifetime award, with a light-touch review after 10 years. We have now introduced that to PIP.