Disability Benefits

Debbie Abrahams Excerpts
Tuesday 26th March 2024

(2 days, 13 hours ago)

Westminster Hall
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Tanmanjeet Singh Dhesi Portrait Mr Dhesi
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I thank my hon. Friend for making the case for Elinor in her constituency. Indeed, my hon. Friend is a strong champion of her constituents, and no doubt she and other hon. Members in this place will have helped constituents to regain thousands of pounds in support that they are due. I agree that the assessment process is something that needs to be looked at, and I hope the Minister will give us some good news at the end of this debate.

Debbie Abrahams Portrait Debbie Abrahams (Oldham East and Saddleworth) (Lab)
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I, too, congratulate my hon. Friend on securing this debate. We have unfortunately had some tragic cases in recent years, including people who have gone through the transition from the disability living allowance to the personal independence payment. One person in particular sticks in my mind: Philippa Day, who took her own life because of the appalling transition process and all the mistakes that were made. We need to ensure that we have policies and systems in place, for health assessments and elsewhere, that protect vulnerable people and do not make things worse. I am sure he agrees.

Tanmanjeet Singh Dhesi Portrait Mr Dhesi
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My hon. Friend speaks with a great deal of experience, having served previously as a shadow Secretary of State. The word to use is indeed tragedy. There have been countless tragedies. That is why the likes of me have been calling on the Government to deal with issues with compassion and empathy. These are real people that we are talking about and often, unfortunately, they have lost their lives or been put in a state of such despair that they do not know how to get out of their predicament.

My Slough constituent, Monika, told me about her struggles being assessed for PIP. Monika was informed that she was required to have a health assessment to extend her PIP. After appealing against 27 pages of discrepancies and outright untruths in the report from her previous assessment, she was predictably very worried about how she would get through the process again. Her assessment ended up being delayed for a month and taking place when she was suffering particularly ill health. Monika was again left in the lurch by the DWP and faces another appeal, which she is dreading.

Unfortunately stories like Monika’s are, as my hon. Friends have already eloquently explained, not news to any of us. We all have constituents who are failed by the system and by the DWP. Labour has a plan to replace the Government’s current flawed system of work capability assessments with a system that can support people to live with security.

Many benefit claimants are aspirational, but fearful that if they go back into work and find themselves unable to cope, they will be left high and dry—assessed as being able to work, but finding themselves unable to work full-time. Labour’s plan was born out of a desire to deliver for disabled people, helping those who can work back into work.

Too many disabled people say the current system does not work for them. Labour has pledged to introduce the “into work guarantee”, which I hope the shadow Minister will explain at length. That will allow claimants to agree with their benefits adviser that, if they try paid work and it does not work out, within a period of a year, they can go back to the exact benefits that they were on without fresh health assessments. With 288,000 PIP claims outstanding in October 2023, does the Minister agree that Labour’s plan will help to reduce the number of disabled people who want to work, but do not want to risk having their benefits reassessed?

This January, the latest statistics from the House of Commons Library found that the most common main disabling conditions among claimants of PIP were psychiatric disorders. Nationwide, 37.7% of PIP claims were due to those. With mental health waiting lists ballooning under the Conservatives, it is unfortunately not a surprising statistic. When the Government leave suffering people for far too long—people often see their condition worsen before being able to access treatment—it is no wonder that the number is so unacceptably high. I believe that begs a question: will the Minister admit that her party’s policies on mental health over the past 14 years have significantly contributed to the PIP backlog?

The latest numbers from Macmillan Cancer Support show that claimants are still waiting 15 weeks on average for their PIP claim to be processed. Unacceptably, that is higher than it was at the same time last year. Four in five people living with cancer are facing an increased financial impact from their diagnosis, even before the pandemic and the cost of living crisis. It is unacceptable that the Government have failed to fix those issues, which affect our constituents at some of the most difficult periods in their lives. The Government announced extra funding for processing disability claims in the Budget, but can the Minister clarify how exactly that will be used to reduce delays?

Among PIP claimants in my Slough constituency, 16.3% of claims are due to musculoskeletal disorders. MS Society research found that the current disability assessment system is not fit for purpose for those living with multiple sclerosis, a condition that significantly varies in its impact from day to day. A staggering three in five people with MS have reported being unable to explain adequately the effects of their condition on the standard application form. That figure highlights a systemic failure to capture the true extent of disabilities that are not constant, but fluctuate, and underscores the Government’s failure to create a nuanced system that understands the lived realities of those with MS and other conditions.

Furthermore, based on its findings, the MS Society urges the Government to consider the elimination of the 20-metre rule used in mobility assessments, and to seek a more flexible approach that accurately reflects the variable nature of MS. Current criteria fail to accommodate the day-to-day changes in symptoms that people with MS experience. On one day, walking 20 metres is achievable; on others, it is downright impossible. That clearly leads to assessments that do not reflect disabled people’s actual needs.

Incorporating those changes into our approach to disability benefits would not only make the system fairer, but ensure that individuals with MS and similar fluctuating conditions receive the support that they truly need. I am proud that Labour is committed to delivering a system that works for disabled people, ensuring that every person with a disability receives the respect, support and dignity that they deserve.

In conclusion, I thank the constituents who have asked me to share their stories. I am also grateful to various voluntary organisations that make such an enormous impact to help those in dire need. As we conclude this debate on personal independence payments and other disability benefits, let us remember the essence of what we are discussing: the lives and wellbeing of some of the most vulnerable members of our society.

The accounts we have heard serve as a stark reminder of the critical work that lies ahead. It is evident that our current system, in its rigidity and lack of understanding, falls short of providing the necessary support to those living with conditions such as MS. The call to reform, to dismantle barriers such as the 20-metre rule and to embrace a more nuanced approach to disability assessment is more than just policy revision; it is a moral imperative.

We stand at a crossroads where the choices we make can significantly enhance the lives of thousands. By advocating for a system that truly understands the variable and complex nature of disabilities, we advocate for a society that places dignity, empathy and support at its heart. This is not just about adjusting guidelines or streamlining processes; it is about ensuring that every individual feels seen, heard and valued. Our commitment to reforming PIP and other disability benefits is a testament to our dedication to justice and equity for all citizens, regardless of their physical or mental health challenges.

Let us leave this room with a renewed dedication to serving those within our constituencies and beyond, ready to enact the changes necessary for a fairer, more compassionate benefits system. Together we have the power to transform lives. Let that be our guiding principle in the days ahead.

Oral Answers to Questions

Debbie Abrahams Excerpts
Monday 18th March 2024

(1 week, 3 days ago)

Commons Chamber
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Mims Davies Portrait Mims Davies
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I thank my hon. Friend for highlighting this point. There is the household support fund, help to claim, and opportunities to pop into the local library to get additional support, for example. There is also an extra £500 million out there on top of the £1 billion through to the end of this month. I would say to anybody: “The benefits calculator is out there, and do talk to the CAB and your local council”—perhaps in Swindon.

Debbie Abrahams Portrait Debbie Abrahams (Oldham East and Saddleworth) (Lab)
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Today the Government are in Geneva defending their policies to the UN committee that is investigating the UK for breaches of the convention on the rights of persons with disabilities, including article 28 on the right of disabled people to social protection. Given that drastically cutting disabled people’s social security support between 2012 and 2019 and austerity were found to be responsible for 148,000 avoidable deaths, how will the new wave of austerity announced in the Budget affect the health and wellbeing of disabled people?

Mims Davies Portrait Mims Davies
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I am pleased to have this opportunity to make it clear to the House that the Government are committed to the UN convention on the rights of persons with disabilities and we look forward to outlining the UK’s progress on advancing the rights of disabled people across this country. Our national disability strategy and the disability action plan are delivering tangible progress. This includes ensuring that disabled customers can use the services they are entitled to, as we have spelled out today. Disabled people’s needs are better reflected in planning for emergencies as well. We are making sure that this country is the most accessible and, importantly, equal place to live in the world.

Child Maintenance Service

Debbie Abrahams Excerpts
Tuesday 27th February 2024

(1 month ago)

Westminster Hall
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Nigel Mills Portrait Nigel Mills (Amber Valley) (Con)
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I congratulate the Chair of the Work and Pensions Committee, the right hon. Member for East Ham (Sir Stephen Timms), on arranging this debate.

It is not too naive to say that we would all like parents who separate to reach an amicable arrangement on access and maintenance for their children, so the state does not have to get involved at all. However, I suspect that is somewhat unlikely to happen in every case, hence why we need to have this service. The problem is that the service is not sufficiently effective. It creates more need for itself because some parents think that they can get away with it and try not to pay, so we force the family through the system to try to fix the situation.

If there was a general feeling that a parent who did not pay their maintenance would get caught and have to pay more, we might actually push more parents to reach an amicable arrangement rather than try this route, and we would not end up having to be the referee or the battering ram that we were desperately trying to avoid in the first place. I remind the Minister that having a service that actually works is not inconsistent with the Government’s overall aim of not getting involved unless they really need to: that would stop some of the demand in the first place.

The cases that most frustrate me are the ones that are superficially easy. The parent who should be paying is in employment and has a relatively stable income, which we can see through a real-time information feed, and they either do not pay at all or do not pay regularly. It is incredibly frustrating to see how long it takes for any enforcement action to be taken in that situation. We see scenarios where that person does not pay for a bit, finally gets some threats and starts paying for a couple of months, and then stops paying again, and the whole process has to start again. It is effectively just a game that they are playing. We end up with huge arrears building up, the parent with care struggling financially and the child losing out.

I hope that, now we have administrative liability orders in place that can be brought in much more quickly, we can stop those situations from arising. I certainly hope the CMS can monitor how fast arrears are building up and how quickly the orders are being put in place, so that we can show real progress and so those arrears do not get to the stage they have been getting to in the past.

Debbie Abrahams Portrait Debbie Abrahams (Oldham East and Saddleworth) (Lab)
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I am grateful to my colleague on the Work and Pensions Committee. He and I were at the roundtables we had in Greater Manchester where we heard from both paying and receiving parents. There were harrowing stories of parents who were in arrears. We heard a story of someone who unfortunately had died. Is he as concerned as I am about the reports around the deaths of both paying and receiving parents, and the fact that that has not been adequately considered in the handling of those parents by the CMS? What does he think we should be doing about that?

Nigel Mills Portrait Nigel Mills
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I agree with the hon. Member that those stories were incredibly concerning. That reinforces the point that if we get this right early, and everyone knows what they should be paying and it is enforced, hopefully some of that stress goes away. The Chair of the Select Committee, the right hon. Member for East Ham, rightly made the point that we should be looking at the thresholds and the calculations to ensure that they are fair on all parties.

The other situation that frustrates me concerns when somebody has arrears and is sent the demand. I have seen cases where someone is sent five demands in a week, all with different numbers and vastly different by thousands of pounds. I naively assumed that when somebody is sent a demand with arrears, a calculation is made on the system to come to that number and that when somebody asks for it, CMS can just press a button and it will be emailed over, so the person can work out how it has come to that number. That is not the case. It takes weeks and weeks. The chief executive said before the Select Committee that it is a 12-week turnaround.

How can the CMS send a demand out for arrears without calculating it? When that person finally gets the calculation, they think, “I’m paid monthly, and there is a certain percentage I have to pay. I get paid two grand a month and pay 15%. That is £300. I have paid £200, so I owe £100”—a simple calculation. What they get is 16 sides of calculations and, for some reason, it is done by weekly income. It is totally unfollowable. I would seriously urge the Minister to look through some of these calculations, if he has not done so. There must be a better way of doing it, so that everybody understands what they owe and can check it to prove whether it is right. It cannot be that complicated.

Finally, will the Minister look at where child maintenance arrears sit in the universal credit deductions? They sit a long way down, and below debt owed back to the Department. If we really think this money is essential for child welfare, we should be letting the parent with care have that money before we take it back to pay debts owed to the state, and it should be much higher on the list.

Oral Answers to Questions

Debbie Abrahams Excerpts
Monday 5th February 2024

(1 month, 3 weeks ago)

Commons Chamber
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Mel Stride Portrait Mel Stride
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Cost of living payments can be affected by when people are paid, and therefore by whether they are on universal credit and qualify at precisely that point. I do not have the figure to hand that the hon. Lady requests, but I will of course get back to her with it.

Debbie Abrahams Portrait Debbie Abrahams (Oldham East and Saddleworth) (Lab)
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This morning’s report by the Academy of Medical Sciences revealed that our appalling child health and infant mortality rates are worse than those of 60% of similar countries and is the key driver of child poverty. What assessment has the Secretary of State undertaken to make on the impact that stopping the household support fund in April will have on relative child poverty and, subsequently, infant mortality?

Mel Stride Portrait Mel Stride
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As the hon. Lady will know, the number of those in child poverty has decreased by 400,000 since 2010. We do not yet have a decision on the household support fund, to which she refers, but I point her to the very significant uplift in the local housing allowance, which will give 1.6 million people £800 a year more on average, thereby taking many of them out of poverty.

Disability Action Plan

Debbie Abrahams Excerpts
Monday 5th February 2024

(1 month, 3 weeks ago)

Commons Chamber
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Mims Davies Portrait Mims Davies
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I am grateful to my hon. Friend for his experience and insight. I have met the ministerial disability champions already to ensure: that disability inclusion is a priority and is ultimately delivered in their Departments’ work; that they continue to be accountable for their contribution to the development and delivery of the national disability strategy and the disability action plan; and that they continue to show their commitment to disabled people by creating opportunities, protecting their rights and ensuring action on everything that we have spoken about today, in terms of contributions to society.

On making playgrounds more accessible and my hon. Friend’s impeccable work in his constituency, there is a lot of information on disability inclusion in organised sport, physical activity and exercise, but information on making playgrounds accessible is unfortunately not easily available. We want to make it available, work with the partners he mentioned and achieve best practice among local authorities. That will be part of this plan, and we will measure its delivery in six months and 12 months.

Debbie Abrahams Portrait Debbie Abrahams (Oldham East and Saddleworth) (Lab)
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I have huge regard for the Minister, but I gently say to her that we must recognise the context of this disability action plan. Between 2011 and 2020, the equivalent of £20 billion was cut from working-age people, predominantly disabled people. Individually, they lost thousands of pounds every year, as my hon. Friend the Member for Lewisham, Deptford (Vicky Foxcroft) pointed out. The Joseph Rowntree Foundation’s “UK Poverty 2024” report identified that disabled people have been disproportionately impacted by that, and are likely to suffer deep poverty and destitution. On the Government’s commitment, I hope that the Minister can reassure me: it is approaching two years since the Equality and Human Rights Commission found that the Department was discriminating against disabled people and issued a section 23 notice, and we still have heard nothing from the Department on that. Could the Minister reassure us that it will publish something on that in the next few weeks, and certainly before the second anniversary of that notice?

Mims Davies Portrait Mims Davies
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I thank the hon. Lady for her points. I know that she has long been pushing for a response, and I will write to her further on that matter. As I said to the hon. Member for Lewisham, Deptford (Vicky Foxcroft), there has been substantial cost of living support, but I understand the point about disability costs that has been made today. Again, I point people towards the household support fund, which is there for exactly those additional costs. In fact, we are doing research and evaluation on where that support is going, and it is making a difference to people’s daily lives. I want those people to know that, beyond the cost of living payments, which start again tomorrow, further support is available through their local authorities or from devolved moneys.

Social Security

Debbie Abrahams Excerpts
Wednesday 31st January 2024

(1 month, 3 weeks ago)

Commons Chamber
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Debbie Abrahams Portrait Debbie Abrahams (Oldham East and Saddleworth) (Lab)
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I start by welcoming the uprating order, including the uprating of the local housing allowance, which has been frozen for over 10 years now. That is a significant move forward, but as my hon. Friend the Member for Wirral South (Alison McGovern) said, we need to recognise the context in which this apparently positive uprating is being brought in. We need to look at what has happened since 2010, particularly the various cuts and freezes to working-age support over the past 14 years.

I was going through some figures just before the debate started, and I noted that between 2010 and 2012, the uprating was about 1.5%; between 2012 and 2016, it was 1% a year, and between 2016 and 2020 it was zero. Of course, the average annual CPI increase for each of those years was about 3%. That is the context. There has been a steady and consistent erosion in the value of social security, and this has affected universal credit, jobseeker’s allowance, employment and support allowance, income support, housing benefit, child tax credits, working tax credits and child benefits.

The Resolution Foundation estimated at the time that this was the equivalent of a cut of over £20 billion a year. That is £20 billion a year taken out of the support for working-age people. What is not well understood is that these are predominantly people in low-paid work; yes, a small proportion of people are on unemployment support or in long-term unemployment, but they are a tiny fraction of the population. This is predominantly support for people in low-paid work.

The hon. Member for Glasgow East (David Linden), a fellow member of the Select Committee, mentioned the Joseph Rowntree Foundation’s “UK Poverty 2024” report. I invite people to read it, and if they cannot read the whole document, they should read the summary. It is absolutely shocking. The headlines are that levels of relative poverty now are equivalent to those we had before the pandemic. The Government prefer to talk about absolute poverty because that is to their advantage, but in terms of relative poverty, we are back to where we were before the pandemic. So that everyone understands, what happened during the pandemic—who was affected, where was affected—reflected that poverty; those inequalities drove who was going to get ill. They drove what happened during the pandemic, and now we are back there, not having learned very much.

There are 14.5 million people living in relative poverty, of whom 6 million are in deep poverty. Deep poverty describes people who are living on less than 40% of median income. My fellow Select Committee member mentioned another level below that: very deep poverty. That is even worse poverty. The average income of somebody in very deep poverty is 59% below what we recognise as the relative poverty level. How on earth can we think that is acceptable in this country? We heard last year about the increase in destitution, which is another category altogether. There is deep poverty, very deep poverty and—the worst of the worst—destitution. The number of people in destitution has doubled, meaning there are 3.8 million people who cannot afford to meet their basic physical needs to stay warm, dry and clean, and to feed themselves.

My hon. Friend the Member for Wirral South talked about the children in the families who are affected. For every 1% increase in child poverty, 5.8 extra children out of 100,000 live births—I apologise for the fractions—will not reach their first birthday. That is the consequence of poverty. For those who survive, poverty affects every aspect of their development, including how their brains are wired, how they will develop and their attainment at school. It is a disgrace that we have such levels of poverty in this country.

John McDonnell Portrait John McDonnell (Hayes and Harlington) (Lab)
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We have this debate every year and it becomes increasingly distressing. For me, one of the most distressing statistics this year is the European comparison of growth rates: the height of children in this country is now falling behind the height of children in Europe. What does that mean? That is not a cosmetic issue, but one that concerns the health of the child and their ability to flourish.

--- Later in debate ---
Debbie Abrahams Portrait Debbie Abrahams
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My right hon. Friend makes a very important point, which I will come on to.

We have talked about children, but disabled people are another cohort who have been punished over the last 14 years. Again, that is disgraceful—I apologise for repeating the same phrases, but I cannot think of adequate vocabulary to express my rage about what is happening in different terms. Ethnic minority communities are also disproportionately affected.

Matt Rodda Portrait Matt Rodda (Reading East) (Lab)
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My hon. Friend is making a deeply important speech. Does she agree that it is also important to consider the effect poor-quality housing has on all the groups she mentions, in particular the combination of poverty and poor-quality housing, which leads to actions such as parents turning heating down?

Debbie Abrahams Portrait Debbie Abrahams
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That is a very good point. The Department for Work and Pensions has the largest spending across Government. The state pension accounts for the largest part of the Department’s spending, followed by universal credit, but third on the list is housing benefit and the support provided through the housing element of universal credit. Given that the Government are investing a large amount of taxpayers’ money in housing, one would think there was some way to safeguard its quality.

My hon. Friend the Member for Wirral South made important points about the escalation in the use of food banks. As I have said before, we did not have a food bank in Oldham before 2010; we now have several to meet the need. We are aware of the impact of poverty on the labour market, which I know is of interest to the Minister. We need a healthy labour market to be able to provide the growth we all want to see across the country, but, again, all the evidence suggests that will not happen for the reasons set out by my right hon. Friend the Member for Hayes and Harlington (John McDonnell).

This is becoming an increasingly unhealthy country. Our healthy life expectancy is declining and our life expectancy is declining, and that has been happening since 2017. At the time, Professor Sir Michael Marmot warned what the consequences would be, and he was right. In the report that he produced at the beginning of the year—I asked the Prime Minister a question about this just last week—he said that

“if everyone had the good health of the least deprived 10% of the population there would have been 1 million fewer deaths in England in the period 2012 to 2019. Of these, 148,000 can be linked to austerity”—

directly linked to austerity.

“In 2020, the first year of the covid pandemic, there were a further 28,000 deaths”

that could have been prevented. Those are the consequences of the poverty and inequality that we have in this country.

The Select Committee is undertaking an inquiry into the adequacy of social security support. With that in mind, I once more commend the Joseph Rowntree Foundation and the Trussell Trust, which have put together some interesting recommendations on the essentials guarantee. They suggest that what we provide should be based on need rather than on some quite subjective view of what the level of support should be. I hope the Work and Pensions Committee can support some aspect of that. Finally, I will just mention that £120 per week for a single person, instead of the £70 currently, would be a good step in the right direction. Thank you for your latitude, Madam Deputy Speaker.

Oral Answers to Questions

Debbie Abrahams Excerpts
Monday 18th December 2023

(3 months, 1 week ago)

Commons Chamber
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Paul Maynard Portrait Paul Maynard
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As pensions Minister, my main focus is on making sure that we have a high-quality, sustainable pension system that, year on year, keeps the value of the overall state pension as high as possible and that meets our manifesto commitment to the triple lock. That is the best way of focusing on the value of the state pension.

Debbie Abrahams Portrait Debbie Abrahams (Oldham East and Saddleworth) (Lab)
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Twenty months ago, the Equality and Human Rights Commission issued a section 23 agreement request to the Department, following concerns regarding breaches and potential discrimination against disabled people. Why has the Department still not reached an agreement?

Mel Stride Portrait Mel Stride
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As the hon. Lady will know, there are ongoing discussions on these matters. By virtue of the legislation that underpins those interactions, the discussions are necessarily held in private. I am informed that they have resulted in positive engagement, and that the Department and the EHRC will come forward with a response as soon as possible.

Autumn Statement Resolutions

Debbie Abrahams Excerpts
Monday 27th November 2023

(4 months ago)

Commons Chamber
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Mel Stride Portrait Mel Stride
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As usual, my right hon. Friend makes characteristically insightful remarks about the UK economy, not least about unemployment, where he is right: the expectation during covid was that unemployment would rocket up to the kind of levels that we last saw in the 1980s. The fact that no such thing happened is a testament to many of the Ministers, as my right hon. Friend suggests, and not least to our current Prime Minister, who as Chancellor came forward with the furlough scheme and the support for business.

Our commitment to supporting the most vulnerable is clear, including in the substantial the Government have provided to help families with the cost of living. That includes the millions of cost of living payments, landing directly into the bank accounts of those on the lowest incomes, as well as to millions of pensioners and disabled people. Of course, one of the most important actions that we have taken to help families is to deliver on the Prime Minister’s pledge to halve inflation. A compassionate Government recognise that, for the poorest families, cost of living pressures remain, which is why we are increasing universal credit and other benefits by 6.7% from next April in line with September’s inflation figure.

A compassionate Government recognise that rising rents are affecting private renters on the lowest incomes, which is why we are increasing the local housing allowance to the 30th percentile of local market rents from April next year. A compassionate Government back their pensioners, which is why we are honouring the triple lock, with an increase to the full state pension of 8.5 %. That is the second biggest ever increase, following last year’s increase of 10.1%.

Debbie Abrahams Portrait Debbie Abrahams (Oldham East and Saddleworth) (Lab)
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Will the Secretary of State comment on the number of deaths that are anticipated, as I mentioned last week, due to elements of the policy proposals around forcing people into work, and taking their benefits off them if they are unable to fulfil that?

Mel Stride Portrait Mel Stride
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I will come to benefit reform momentarily, but let me assure the hon. Lady—I know that this is a particular concern of hers, and she is right to be concerned about these matters—that my Department is extremely concerned to ensure that all changes in our benefit reforms are proportionate and are introduced in the most sympathetic and supportive way possible. Underlying those reforms, however, is a simple belief: we believe that where people want to work—where they have the ability to work—work is good for them. We want to open our door to as many people as possible, including many who are currently long-term sick and disabled, to give them exactly that opportunity.

Work Capability Assessment Consultation

Debbie Abrahams Excerpts
Tuesday 5th September 2023

(6 months, 3 weeks ago)

Commons Chamber
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Mel Stride Portrait Mel Stride
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I dealt in my statement with my hon. Friend’s question about why we are doing this, given that we will be getting rid of the WCA in due course: I said that there is no reason why we cannot bring forward these benefits earlier, even though we are going to be removing the WCA altogether. As for the numbers impacted, we know that about one in five people on those benefits do want to work, given the right support. Until the consultation is concluded and we know the exact nature of the policy changes that we may or may not be making at that point, we will not be able to assess the numbers exactly.

Debbie Abrahams Portrait Debbie Abrahams (Oldham East and Saddleworth) (Lab)
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This will lead to a lot of fear among disabled people. I appreciate the tone that the Secretary of State has taken, but the record of the past 13 years has been one of excluding the most vulnerable disabled people from more support than they need. We know that disabled people are a group who are living in huge poverty. We also know that some of them have died, not just through suicide, but because of the lack of safeguarding in the Department and how it operates. So I urge him to ensure that the safeguarding system within the Department ensures that people are protected. I agree with the SNP spokesperson about Access to Work; we are talking about 4 million disabled people able to work and 35,000 being provided with it through Access to Work.

Mel Stride Portrait Mel Stride
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I listen to the hon. Lady’s remarks with great respect; having appeared before her at the Select Committee, I know how serious she is about the issues she raises and how strongly she promotes her ideas and concerns. She mentioned the lack of support available for the people in the situation we are describing, which is precisely why I want to start providing more support to them by making these reforms. Let me make an important point in an area where I am in agreement with her: we need to do this in the right way. We need to listen carefully to those who will be affected by any changes we may bring forward, which is why we have a full eight-week consultations. My Ministers and I will be engaging closely with the various stakeholders, disabled people and so on. We will of course welcome her comments as part of that process.

Disability Benefits: Assessments

Debbie Abrahams Excerpts
Monday 4th September 2023

(6 months, 3 weeks ago)

Westminster Hall
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Stephen Timms Portrait Sir Stephen Timms
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The hon. Member is right: these are often difficult judgments, but I would like to know what discussions the Minister has had with Ministers in Scotland about how things have worked in practice there. I would also like to know what progress the Department has made on plans for 16 to 18-year-olds in work in the severe disability group. I take the point that there are often quite fine judgments to be made, but the unanimous view of the Work and Pensions Committee was that it would be right to move to a system where applicants were not required to move on to PIP until the age of 18.

The Minister will know of concerns that were raised over the summer about pre-application screening questions in the new online PIP application form, which is being developed at the moment, and of the fears being expressed that people will be wrongly put off claiming by those questions, which have not been a feature of the application process before. In winding up, will he say something about those concerns and update us on progress with the online claims system for PIP, which, in principle, is something I very much welcome.

At the moment, claimants have 20 days to return ESA and universal credit forms and a month for PIP forms, and of course they have to send all the supporting evidence in at the same time. Each of those forms runs to tens of pages. The Association of Disabled Professionals told us that this deadline is very difficult to comply with. The deadline starts from the date on the letter, not the date the letter was received. The Association said:

“it is extremely rare for a letter to reach the claimant within five to seven working days of the letter being sent.”

In the pandemic, claimants had three months in which to return the forms. I think there were considerable advantages to that. Mind told us that extending the deadline could

“reduce the need for Mandatory Reconsiderations or Appeals”

by ensuring that the right decision was made first time around. So we recommended a compromise whereby claimants would have two months in which to return forms. Unfortunately, in its response, the Department said no. However, I wonder whether the Minister recognises that the time to return forms is being reduced by delays in getting those forms out to people. We have been hearing that, typically, at least a week—seven of the 20 days—is disappearing before the claimant receives the request.

As we have heard, one of the e-petitions is about considering disability benefit claims on medical advice alone. I am sure the Minister will point out—he will be right to do so—that, as the Work and Pensions Committee heard, GPs and other medical professionals may not know exactly what is needed for a functional assessment. We certainly heard repeatedly that the British Medical Association is absolutely clear that doctors do not want to take on this additional job.

However, the Committee wanted better use of another kind of evidence, which is evidence from family and carers. We heard that the way in which their input is received “is incredibly patchy”, as is whether their input is welcomed or not. The PIP guidance for assessors is explicit that evidence from carers and family should be considered but, anecdotally, it appears quite often that it is not. So we called on the Government to review the guidance, and I am pleased to say that, on this occasion, the Government did respond positively to our recommendation. Will the Minister update us on progress with that review and say when it will be completed?

Debbie Abrahams Portrait Debbie Abrahams (Oldham East and Saddleworth) (Lab)
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Is my right hon. Friend as concerned as I am about the safeguarding of our most vulnerable claimants when they apply for PIP or have a work capability assessment and about their inability in some cases to complete that process? As a consequence, we are seeing an increasing number of prevention of future death reports from coroners that are directly related to work capability assessment or the PIP assessment process?

Stephen Timms Portrait Sir Stephen Timms
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My hon. Friend is absolutely right, and she has done a great deal of extremely valuable and important work on this subject, both on our Select Committee and in the Chamber. I do share her concerns and, as she knows, because it was substantially at her instigation, we are undertaking an inquiry specifically on the safeguarding of vulnerable claimants to look at these issues. I do share her concerns, and they are reflected in our report. The point about the time people have to send the forms back is important for people who are struggling, for the kind of reasons she sets out, to complete the forms within the very tight deadline that is set at the moment.

Shortly before we published our report, the Department published its long-awaited health and disability White Paper. The Minister knows, because he has kindly given me the opportunity to tell him about it, of my concern that people may miss out on support under the new system because they will not meet the eligibility criteria, although they do under the current system. Quite how that will be resolved is not yet clear, but can the Minister provide reassurance today that claimants and groups representing them will be involved in developing the new system?

There is much more I could say based on our report, but it is absolutely clear—it is already clear from this debate—that these assessments are not working well. We need significant changes to make them work better in the future, and I hope that, before too long, more of the recommendations in our report will be accepted than have been as yet.