Disability Support Debate
Full Debate: Read Full DebateDebbie Abrahams
Main Page: Debbie Abrahams (Labour - Oldham East and Saddleworth)Department Debates - View all Debbie Abrahams's debates with the Department for Work and Pensions
(5 years, 11 months ago)
Commons ChamberI beg to move,
That this House calls on the Government to commission an independent assessment of the cumulative impact of changes to the social security system on sick and disabled people and their families and carers.
It has been a long day for everybody, but I appreciate the fact that we are able to hold this debate, as it is so important to the millions of disabled people, many of whom will be watching today. We applied to the Backbench Business Committee for this debate back in June, and I am grateful to the Committee’s members for supporting this debate, but in six months a lot has marched on.
Let me refresh everybody’s memories. Back in 2013, nearly 105,000 people signed a petition launched by the War On Welfare campaign—WOW, for short—that called on the Government to carry out a cumulative impact assessment of the effect of Government cuts on disabled people. Back in February 2014, we held that debate, and Members from all parties raised the alarm about the cumulative effects of austerity on disabled people. Disappointingly, the Government’s response at the time was to deny that the public spending cuts—not only in social security but across other Government Departments—were having such a detrimental impact on disabled people. They also said that cumulative impact assessment methodology was very difficult. At that time, Scope and Demos estimated that the cumulative effects of the changes in the Welfare Reform Act 2012 alone amounted to £28 billion-worth of cuts for 3.7 million people.
It is abundantly clear from the numerous inquiries, reports and analyses, as well as from the personal testimonies of disabled people themselves, that austerity is doing immense harm to disabled people and their families and carers. I shall expand on that in a moment, but first I wish to clarify exactly what a cumulative impact assessment—or a CIA; it is a mouthful to keep saying that every time—is. A CIA involves various methods and processes to assess the overall effect of a set of changes—for example, Government policies such as tax or welfare reforms—on a particular population, which in this case is disabled people. The assessment can not only quantify the impacts—for example, by looking at the net changes in income—but use qualitative methods to understand how the policy changes affect disabled people or other groups. As whole, impact assessments are decision-making tools. They should inform policy development based on the evidence and findings that the assessments present. They can also be used retrospectively. The power of CIAs is that they consider a number of policies together to see how they affect each other.
I believe passionately in evidence-based policy. Too often, it is the other way around: policy-based evidence—we select the evidence that suits the policies that we want. CIAs can help to avoid that. For me, they are an essential component of open and transparent policy making. If a politician says, for example, that they want to tackle burning injustices in society, CIAs will say whether or not a policy programme can achieve that. They are therefore also a way to hold politicians to account.
We should bear it in mind that the Government, at least at the two most recent general elections, wanted to save about £12 billion from the welfare budget, so all these systems are geared towards that end. That is why we have major problems with universal credit. For people with disabilities, there are issues with the independent living allowance, which really unsettled a lot of families, to say the least. More importantly, every so often a person with disabilities is subject to a review, which causes great anxiety, and in some instances leads to mental stress and strain. It is not a very fair system, and the private sector should not be involved because at the end of the day it is very much about saving money.
Yes, and I shall come to exactly some of the points my hon. Friend raised. He managed to get quite a bit into that intervention.
What CIAs have been done so far? Back in March this year, the Equality and Human Rights Commission published its report on the cumulative impact of tax and welfare reforms. The report looked at the effect, since 2010, of tax, welfare, social security and public spending on people with protected characteristics as set out in the Equality Act 2010. It included assessments of the impact on disabled people. The EHRC looked at the measures introduced in both the 2012 Act and the Welfare Reform and Work Act 2016, including the move to personal independence payments from disability living allowance; the cuts in support to the employment and support allowance work-related activity group; the introduction of universal credit, which involved the removal of the severe and enhanced disability premiums; the freeze in the uprating of social security support payments; and more. The EHRC analysis found that, by 2021, households with at least one disabled adult and a disabled child will lose more than £6,500 a year—that is 13% of their income. Households with six or more disabilities lose almost £3,150 a year, and disabled lone parents, predominantly women, with at least one disabled child lose almost £10,000 of their net income.
My hon. Friend is outlining analysis of the loss of income experienced by disabled people, but I know that she will also want to acknowledge the work of the Social Metrics Commission led by Baroness Stroud from the other place, which has also identified the additional costs that are experienced by disabled people and which has properly, or more accurately therefore, portrayed the poverty that they experience compared with some of the measures that we have been able to use previously. Does she agree that a cumulative assessment is about drawing together many different ways of measuring the impact of cuts, changes and access to public services and the additional costs that disabled people and their families experience?
My hon. Friend makes an absolutely essential point. I will come on in a moment to the poverty that disabled people are experiencing by virtue of the additional costs that they face. She is right that a whole range of different methods can be used and we need to look at all of them to ensure that we can fully understand the impacts on disabled people.
My hon. Friend is setting out an excellent case for what cumulative impact assessments can achieve. Does she agree with me on the holistic impact of other cuts, particularly on our health services? I am seeing GPs in my constituency who are refusing to write fit notes or assessments for medical evidence for people. We are seeing cuts in voluntary services, community transport and befriending services, leaving people with disabilities feeling utterly isolated, alone and bereft.
Absolutely. Again, my hon. Friend makes an essential point. The UN Committee investigating breaches in the UN convention on the rights of disabled people found those issues as well.
That was the EHRC’s cumulative impact assessment back in March. Although October’s Budget made some changes to universal credit, it restored, as analysis of the Office for Budget Responsibility showed, just half of what was cut in 2015, and only marginally helped those disabled people who are able to work. For those too ill to work, analyses by Policy in Practice shows that they will be financially worse off compared with when they were on legacy benefits. Importantly, today’s Work and Pensions Committee report confirmed the issues that many of us have already raised about the proposed managed migration of disabled people onto universal credit and said that it needs to be stopped. Furthermore, we need to ensure that the so-called natural migration that results when there is a change of circumstances needs to be properly looked at.
Apart from the changes in universal credit, there were absolutely no other measures for disabled people in the Budget. In fact, the OBR report showed that disabled people were set to lose more social security support by 2022. For example, personal independence payment spending is to be £1 billion less in 2022 compared with March this year.
I am sure that the Government will say that they are helping disabled people to improve their living standards by getting them into work. However, just over 51% of 4 million disabled people of working age are in employment compared with 81% of non-disabled people—a disability employment gap of just over 30%, a figure that has barely narrowed since 2015 when the Conservative party manifesto pledged to halve that gap. As we also know, there are more than 8 million households with at least one person in work that are living in poverty. Work is not, as is frequently said by Government Members, a route out of poverty.
Last year, the Government set more modest ambitions with a new target to get 1 million more disabled people into work, but even this needs a radical rethink. There are many reasons why the disability employment gap has hardly been reduced in the last three years, including the lack of information and advice for employers, but we must remember that discrimination against disabled workers is still quite prevalent. In a recent survey, 15% of disabled people revealed that they had been discriminated against when applying for a job, and one in five while they were in work. Information is not enough to address this; it needs leadership and cultural change.
Does my hon. Friend therefore agree that a cumulative impact assessment would also identify the lack of access to legal aid when people may need to take forward discrimination cases in employment?
Absolutely. I was going to mention employment tribunals, which I think have fallen by 80% since the cuts to legal aid. A cumulative impact assessment would enable us to see the impacts there.
With the best will in the world, the Disability Confident scheme just does not cut it. There needs to be a commitment to expand and properly resource access to work. Supporting under 34,000 disabled people a year at and into work is a drop in the ocean when there are over 2 million unemployed disabled people who want to work. But as we know, not all disabled people are able to work. The consequence of the inadequate support made available through our social security system is that 4.3 million sick and disabled people are living in poverty. As my hon. Friend the Member for Stretford and Urmston (Kate Green) mentioned, disabled people are twice as likely to live in persistent poverty as non-disabled people; 80% of disability-related poverty is because of the additional costs that disabled people face by virtue of their disability, and these have been estimated at £570 a month on average.
The cuts to social security mean that more and more disabled people are becoming isolated in their own home as their mobility vehicles or personal support are taken from them. Many are struggling to pay their rent or mortgage. Their health conditions have deteriorated and other conditions have developed, including mental health conditions, as they face the relentless stress and anxiety resulting from a social security system that is hostile, unsupportive and even dehumanising.
The sanctions regime that has affected over 1 million disabled people since 2010, the work capability assessment and personal independence payment assessment processes are all part of this. Quite frankly, it is grotesque that people with progressive conditions such as motor neurone disease have, until last month, been habitually forced through the personal independence payment assessment process. I understand that there are still issues with that, although it was meant to have stopped last month. I would be interested in the Minister’s response to that point.
There is also overwhelming evidence of the inaccuracies—some have called them lies—in these assessment reports. Why have the Government not been able to act on this? With over 70% of assessment appeals successful, whatever contract management processes the Government have in place, are clearly not fit for purpose. All these Government social security changes will have a huge toll on the health, wellbeing and even the longevity of disabled people.
A peer-reviewed study by my former colleague Ben Barr and his colleagues showed the detrimental mental health effects of the work capability assessment, including it being independently associated with an increase in suicides. On top of this, the Government’s own data reveal that the death rates for people on incapacity benefit and employment support allowance are 4.3 times higher than in the general population, people in the ESA support group are 6.3 times more likely to die than the general population, and those in the work-related activity group are twice as likely to die as the general population. I reported these figures back in 2015. People on IB and ESA are poorly; they are not feckless as too many people have tried to suggest. But again, the Government did not listen and went on to push disabled people in the support group and originally assessed as not fit for work through another work capability assessment process into the WRAG, and then cut their support by £1,500 a year in 2016.
If my hon. Friend does not mind, I am conscious that I need to make progress.
Last month’s British Medical Journal report from King’s College and other research centres showed the impact of social care cuts on additional deaths of disabled adults and older people. They estimate that for every £10 per head cut in social care, there are five additional deaths. They also estimate 150,000 additional deaths by 2020, on 2014 trends. I will just let that sink in—150,000 additional deaths.
National and international organisations have called on the Government to undertake a cumulative impact assessment of the effect of cuts on disabled people. They include the Government’s own Social Security Advisory Committee, the House of Lords Select Committee on the 2010 Equality Act and Disability, the UN Committee on the Rights of Persons with Disabilities, and, last month, the UN special rapporteur on extreme poverty and human rights.
However, I would just like to refresh everyone’s memory on last year’s findings from the UN committee investigating breaches since 2010 of the UN convention on the rights of persons with disabilities. These are breaches by this Government. It said that the Government were responsible for “grave” and “systemic violations” of the rights of disabled people, and that these failures amounted to a “human catastrophe”. Although it highlighted the poverty and shocking impact of cuts on disabled people’s ability to live adequately and independently, it went beyond social protection and social care issues, listing 60 recommendations right across all the articles of the convention and all Government Departments, from accessible physical environments, to education and access to justice. A key recommendation was that the UNCRPD should be enshrined in UK law.
The UN committee also expressed concerns regarding how the terms under which the UK leaves the European Union could affect disabled people. I noted with alarm a leaked DWP report in The Times last week that also suggests this. Since the 1990s, the UK has trailed behind Europe on the rights of disabled people. The Government’s refusal earlier this year to protect the rights of disabled people by incorporating the EU charter of fundamental rights into UK law as we leave the EU is deeply disappointing.
My other concern is how disabled people, who have been very poorly served by this Government, will do with an even weaker economy. In all the exit scenarios from credible analysts, the economy shrinks both in the short and the long term compared with the situation in our current relationship with the EU. Disabled people have been at the back of the queue in public spending terms since 2010. What will happen to them with an even smaller spending pot? Although a Labour Government would make different political choices to tackle poverty and inequality, with lower levels of economic growth, how quickly we can do this will be a real issue if we are to stick to the fiscal rules we set out in last year’s general election.
In recent days, in preparation for this debate, I have been contacted by hundreds of sick and disabled people with their stories of how these cuts have affected them. I would like to share a few of those stories. L, who is a single mum in Oldham, contacted my office recently after her UC was suddenly stopped. She was told that it was because her son, who has severe learning disabilities and who L is the carer for, had reached his 19th birthday. This “change in circumstances” meant that her son had to make his own claim. Unfortunately, no one had told L this. Instead, they just stopped her support payments. She was lucky in that her family helped her out for the five weeks until she had her payment reinstated, but she told me:
“At times I just want to end it all...it’s just so hard and I get no support or respite.”
Another of my constituents, John, was refusing to have the life-saving surgery he needs for a brain tumour because he was worried he would be sanctioned. He had been sanctioned for three months earlier in the year because he did not attend a work capability assessment, although he had explained it was because of his treatment for his tumour.
Beth told me:
“I was contributing £82.50 per month for my care but in 2017 I was informed that my contribution needed to increase and I would have to pay £81 per week. Nothing in my financial circumstances such as my PIP award had changed so I queried the increase and was told that it was correct. Now I have no money for my medication or the aids I need...the impact on me has been increased pain, isolation and anxiety.”
Beth has spina bifida, fibromyalgia and anxiety disorder.
Dawn moved from one local authority to another and fell foul of the change in circumstances rule. She was put on UC and lost her disability premium of £64 a week. Lee, who has severe mental health problems, was subject to seven assessments—seven—in six years. Jayne lost her mobility car after a PIP assessment because her degenerative condition was not considered bad enough, and now she has to rely on her friends and family for help. This is happening up and down the country. The despair in the messages is palpable, and I urge everyone to read the WOW campaign’s voices e-book, which collates these experiences and is so moving.
We are the fifth richest country in the world. How this Government have treated our disabled people shames us all. We must never forget that nine out of 10 disabilities are acquired. Any one of us could have an accident or contract an illness. Like the NHS, our social security system should be there for all of us in our time of need. People should not be vilified by a system that is meant to be there to support them.
In addition to understanding the cumulative impact of Government policy, which the motion calls for, we need to radically transform our social security system and develop a new social contract with the British people. I know that my hon. Friends on the shadow Front Bench have been working on this. Since 2010, we have seen social security spending cuts of nearly £40 billion, with another £12 billion planned by 2022. Although the Labour manifesto last year and our disability manifesto, which I was proud to write, were a start, we need to do much more—I know that that is recognised—particularly regarding the financial inadequacy in the social security system. We cannot expect people who are living in such hardship and poverty to wait a few years for a real living wage to kick in. What about the disabled people who cannot work?
The 1942 Beveridge report was the basis for a new welfare state, set up after the second world war, when the debt to GDP ratio was over 250%. Under Beveridge, we established the NHS in 1948 and expanded social security and our education system. It was heralded as a revolutionary system that would provide income security for its citizens as part of a comprehensive policy of social progress. But since then, society has changed. The pressures from globalisation, automation and an ageing society mean that we need to develop a new, sustainable social security system that we can be proud of.
We need a new Beveridge report for the 21st century, defining a new social contract with the British people; addressing the poverty, inequalities and indignity that millions of people—disabled and non-disabled, young and old, men and women—are enduring; and bringing hope to a new generation as it did 76 years ago. The poverty and inequalities that disabled people are facing are unacceptable, but they are not inevitable.
I congratulate my colleague the hon. Member for Oldham East and Saddleworth (Debbie Abrahams) on securing this important debate and I appreciate the Backbench Business Committee’s granting it.
This is an interesting situation, because I support some elements of UC. I remember supporting it in the coalition. There were elements of it that I pointed out at the time would cause problems. Some of what I said was taken on board, but unfortunately some was not and we have reaped the whirlwind all these years later. A key element of UC that I supported avidly was around working allowance, and I was disappointed that that was cut to ribbons in 2015, although I was delighted only a few months ago that £1.7 billion was restored, if not the full amount. So, there has been a bit of progress.
I worked with my hon. Friend the Member for Oldham East and Saddleworth—I call her my hon. Friend even though we are in different parties—on the Work and Pensions Committee between 2010 and 2015, and we saw a lot of things in the same light. That is one of the reasons that I think today’s request is not unreasonable. Anyone who was born with a disability or acquired it when very young faces an enormous challenge to get work. I know this because I have been working in this area for more than 30 years. After the kerfuffle earlier today, I should tell the House that I have been hard of hearing for 50 years and I am quite a good lipspeaker. I have kept silent about that, however. I decided that there was enough Sturm und Drang without my chucking any more into it. I am going to rise above that.
Disabled people face barriers to employment, to education and in many other areas. A Conservative Member made the point that it was the Conservatives in the early 1990s who introduced the Disability Discrimination Act 1995. I know that well, because I helped to campaign for it, all those years ago when I was young and had no grey hair. I met John Major at the time, and he was very impressive on the issue. The DDA was a huge game changer. Without that law, we would not have made anywhere near the number of advances on disability discrimination in services and employment that we have in fact made. However, there is a long way to go, and that is often because people do not understand the barriers that disabled people face.
Governments on all sides often point out that, under the DDA, someone who acquires a disability while working can keep their job. That is a great thing, and it is really important, but I know loads of disabled people who would give their right arm just to get in the door and be given a job. The system is now much better at protecting people who, sadly, acquire a disability through illness, for example, and that represents fantastic progress. However, the thing that has not changed in all the years I have been in politics, and all the years before that when I was involved in this area, is that it is still incredibly hard for a disabled person to get a job.
On top of that, people have to deal with the incredibly unwise move by the DWP a couple of years ago—before the present Ministers were in situ—to change elements of the capability assessment. The Government kept the support group and a couple of the other groups, but they changed the part of the employment and support allowance that helps disabled people to get work. They changed the income so that it was the same as that of jobseeker’s allowance, or just above it, rather than retaining the higher amount that was available to the support group. That was such a foolish move. I was not an MP at the time—I had a brief two-year period after 2015 when I was not an MP, then I came back—and I remember writing to my colleagues and to the then Ministers about the decision.
Human nature is human nature, and if the additional payment is reduced by 20% for disabled people who are prepared to try to find work, with support, those people will of course strive darn hard to get into the support group. That is not wrong; that is what happens. If I had been off work for six or seven years, and I had been persuaded by my work coach at the Jobcentre Plus to go into an ESA cohort that would give me a little more money than pure JSA—a little less than in the support group but more than JSA—I would be willing to go into that group because there would be more income and also because the work coach would be there to help me to find work. If the rules were then changed, so that my money was exactly the same as it would be on JSA, I would try to stay in the support group—it would be bonkers not to, to be perfectly honest. That is just human nature. That was really frustrating, so I was not surprised to learn that there have been real problems in that area over the ensuing years, and that a lot of people have moved over to the support group who perhaps would not have done so.
There are still some really odd anomalies. I have recently been helping a constituent who had worked for the DWP at the local Jobcentre Plus for x number of years. Unfortunately he became ill, and after a few years it was clear that his illness was stopping him working effectively, even part time. The DWP did its best to help him through the process, but eventually he was let go, under proper due process—I have no complaints about that, and neither did he. Two years later he was on ESA and had to go for a work capability assessment, because the DWP’s system had said, “No, you’re not disabled enough to have these benefits.” He was disabled enough to be made redundant but not disabled enough a few years later to actually get the benefits, which was ridiculous. I do not believe that it was a conspiracy; I believe that it was classic dim bureaucracy. I try to provide support at tribunals where possible, so one member of my office team—I am training up a second colleague—joined my constituent to act as an advocate at tribunal. He won and is now getting all the benefits to which he is entitled.
My point is that that clunkiness happens more often for someone who is disabled. I know so much about this subject, having worked with so many thousands of people over the years, so that is why I believe we need an assessment. I do not think that is unreasonable. I do not agree with all the things that it is suggested are required. My colleague the hon. Member for Oldham East and Saddleworth would be surprised if I agreed with her on everything, but I agree with her on this. We need a specific assessment of the impact that the changes are having on disabled people. If we do not have that, I fear for the really huge migration—the million migration—although I accept that the Government have been making some good amendments to universal credit, sometimes through gritted teeth. That is why I do not think that it is unreasonable to ask for an independent impact assessment that is focused on disabled people.
Is the hon. Gentleman aware that the Centre for Welfare Reform recently published an analysis of the Government’s reasons for not producing a cumulative impact assessment? In summary, it found no good reason why the Government should not evaluate the combined impact of their policies.
I was not aware of that, but it makes my case perfectly. As the hon. Lady knows, that is a good lobby group, from a different perspective—from the right of centre. What we have is left of centre, centre—an empty void these days, but that is by the by—and right of centre all telling the Government to have the impact assessment.
It is a pleasure to follow the hon. Member for Eastbourne (Stephen Lloyd), who is clearly well informed on these issues and who shares my love of statistics.
I congratulate the hon. Member for Oldham East and Saddleworth (Debbie Abrahams) on securing this debate. Opposition Members have talked about the UN report and the Government’s supposed complacency, and I make it clear that, in the 18 months I have been here, not one of my colleagues or I have been complacent about the welfare policies we see play out in our constituencies every single day. I will elaborate on some of the areas where I think we are doing quite well and on other areas where there is still scope for further reform, on which I am sure colleagues will want to work with me and, of course, with Ministers in trying to deliver.
We are having this debate against the backdrop of significant changes to our welfare policy. DLA is being phased through to PIP, along with attendance allowance for pensioners with care needs. We have seen a big difference in how the money is being spent, too.
Some Opposition Members have criticised the Government, saying that costs have been cut on the backs of the most vulnerable in our society. I have heard that allegation made against Ministers time and again, which is why I went to the Library to look at the overall expenditure within our welfare system. Breaking it down, around £10.3 billion was being spent on DLA in 2009-10—we did not have PIP in 2009-10—and in 2017-18 around £16 billion was being spent on DLA plus PIP. In cash terms, there has not been a reduction in overall expenditure.
The hon. Member for Bishop Auckland (Helen Goodman), who is no longer in her place, said that we are cutting costs on the backs of the most vulnerable, which is neither fair nor accurate. If we are to have a proper debate on how to help the most vulnerable in our society, we should speak to the right facts. The facts and statistics have come up as an issue time and again, including in the House this week. We owe it to all our constituents to speak to the facts, and if Opposition Members dispute the facts, they should take it up with the Library.
In looking at how the policies have come across, not only has the way in which the money is distributed changed, but so has how services are delivered. What has happened with a lot of the welfare reforms—I have seen it, and my constituents have come to my office to speak about it—is that many people on legacy benefits are, for the very first time, having some of the assumptions challenged and are being asked for reassessments. Sometimes that is for the good, but sometimes there has been a detrimental impact where they have fallen through the different changes. They might have had a change of circumstances, or they might have moved between counties or to different parts of the country, which has had a negative impact. I have asked questions of Ministers in the House to try to tackle those issues.
How many disabled people were supported by the social security system in 2009, and how many are supported now? It is important to have the denominator value so that we have a rate, not just cash values.
I could not agree more. I find it interesting that we have had an increase of around 800,000 people aged 16 to 64 who are now being classified as disabled. I understand that they had previous classifications within the welfare system and were receiving different benefits, so a simple change in the denominator would not indicate the impact.
The Government have made commitments to people in receipt of cash benefits. [Interruption.] It is a fair point. The hon. Lady asked me a direct question, and I gave her a direct answer. Again, I would happily debate the number of people who are now being classified as disabled.
There have been some positive movements in the Government’s changes. We have seen the employment rate for disabled people go up from 43% to 51%, which is welcome. I referred to Access to Work earlier, and £104 million went into the scheme in 2016-17, providing support to around 25,000 people.
Again, no Conservative Member is complacent. We are very clear that changes still need to be made. A number of my constituents have talked to me about their experiences of the assessment process, taking me through the paperwork. I have gone through that page by page with them to understand where they are having difficulties. From that, we can see that some of these changes have brought people into our offices; they have brought them into the welfare system. For a long time, they have lagged in the dark, whereas now assumptions are being challenged and new benefits are being offered. As a result, new questions are coming from our constituents, and we should try to answer them as best we can.
Again, let me thank the Backbench Business Committee and all contributors to the debate, who have been fantastic, highlighting what is happening in their constituencies up and down the country. I also wish to thank the thousands of people who have been in contact with me over the past months and days. I thank the disability people’s organisations—WOW, Disabled People Against Cuts, Disability Inclusion and the many charities that have provided their briefings, including the Centre for Welfare Reform, which said that such a cumulative impact assessment would be possible. Given that the Treasury accepts the Equality and Human Rights Commission’s cumulative impact assessment modelling, it seems bizarre that the Minister is saying that it cannot happen. I am conscious that if I do not finish before 9.36 pm, we cannot have a vote on this motion. So, once again, I ask us all to remember the stories we have discussed this evening as we leave to go on our Christmas breaks.
Question put and agreed to.
Resolved,
That this House calls on the Government to commission an independent assessment of the cumulative impact of changes to the social security system on sick and disabled people and their families and carers.