(8 years, 10 months ago)
Commons ChamberI congratulate my hon. Friend the Member for Christchurch (Mr Chope) on his persistence, as the hon. Member for Oldham East and Saddleworth (Debbie Abrahams) put it. I am very proud to be one of the Bill’s supporters. Although this is, regrettably, going to be a very short debate, it has been a useful one. My hon. Friend has set out a case that will strike a chord with many people around the country, and certainly with many people in the Shipley constituency. It has also been helpful to hear the hon. Lady entrench the Labour party as the party of welfare and keep up its 100% record of opposing any attempt to restrict this country’s welfare system. At least the Labour party has always been consistent on that matter.
Could the hon. Gentleman give a specific example of where I did that in my speech?
The hon. Lady said she was against the Bill, which is about restricting benefits for foreign nationals. I presume that means that she wants to continue to give benefits to foreign nationals, which means that she is against welfare reform. If I have misunderstood her, I apologise, but I do not think that is a controversial interpretation of her remarks, which were of no great surprise to any of us who have known her for a number of years.
I want to make a few points. The hon. Lady said that she opposed the Bill because it is not evidence-based. The whole point about the Bill is that it is about principle. It is about the principle of who should be entitled to claim benefits in the UK. Should foreign nationals who come here without having made any contribution to the UK economy be able to claim benefits straight away?
I will press on, if the hon. Lady does not mind; time is short, and she made her case earlier.
We do not need evidence to discuss matters of principle. In principle, surely it cannot be right that foreign nationals come to the UK and start claiming benefits straight away. We do not need any evidence about that. I am not even interested in how many people do that. I am arguing that, as a matter of principle, that should not be allowed to happen.
I specifically said that we should protect and secure our contribution-based system and that those people who contribute should be supported.
But this country does not really have a contributory system in the same way as other EU countries. That is part of the problem. It is no good the hon. Lady wanting to protect something that does not exist and opposing something that would actually do what she claims she wants to achieve. Her actions on this issue are more important than her words, and if she opposes the Bill, her actions clearly do not follow on from her words. I do not see the need for evidence. This is a Bill about a principle that is important to many people. It is about fairness, not evidence.
I would have some sympathy with the hon. Lady’s opinion if we had to give all these benefits away to secure a free trade agreement with the European Union, and that had a net benefit for our economy. If we had to give away something in order to achieve that, it might be worth doing. Given that we had a £62 billion trade deficit with the European Union last year, and that if we were to leave the EU we would be its single biggest export market, it is perfectly clear that we could have a free trade agreement with the EU for nothing. We do not have to give it access to our benefit system, and we do not need to give it a £19 billion a year membership fee. We can have what we want from the EU—free trade—for nothing. That is the deal that we should be seeking to secure. I do not think anybody can sustain the argument that if we were to leave the EU and stop giving benefits to EU citizens when they came to the UK, Germany would want to stop selling Mercedes, BMV and Volkswagen cars to people in this country. Of course they would not; it is complete nonsense for anybody to suggest that.
(9 years, 2 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
Fantastic. As the first MP to become a Dementia Friends champion, I ran a Dementia Friends session in Parliament to launch the “dementia-friendly parliament” last year.
We have also heard about the importance of involving young people. A lot of work has been done in my constituency, where, for example, the youth council has received training to be Dementia Friends. Making Oldham a dementia-friendly community is a priority of mine and, after starting with just a few hundred, we now have 2,000 Dementia Friends. I am proud that Oldham is one of more than 100 communities across the country that is working towards becoming dementia friendly, but we need to go further. Our ambition should be to ensure that everyone living with dementia feels included in their community and feels that they have control over their lives.
Secondly, we need improvements in the quality of care and support for people with dementia and their carers, which, as we heard today, is just not good enough in some parts of the country. Too often, people with dementia receive no care and their families get no support. Over the last Parliament, cuts of £3.5 billion were made to adult social care services, which have had a real impact on people with dementia and their families. Some 87% of social services departments can provide care only for people with critical or substantial need. For example, I called on a woman in her late 70s in the middle of the afternoon during one of my regular door knocks. She opened the door, looking dishevelled and confused, and had an empty bubble pack of medication in her hands. Her first words to me were, “I don’t know what I have to do.” I was able to call the pharmacy and to get support for her, but what if I had not been there? She obviously needed support and was not getting it.
Councils are doing their best to save money through changing the way that care is provided and working more closely with the NHS, but the scale of the cuts is forcing many to cut the support that would have helped to keep people out of hospital. As a consequence, more and more people with dementia are ending up in hospital, with some estimates suggesting that one in four hospital beds are occupied by someone with dementia. The NHS has also seen delayed discharges from hospital hit a record high in recent months, costing some £526 million since 2010. Once people are in hospital the support is simply not in place in the community to enable them to return home.
In 2009 the then Health Secretary, my right hon. Friend the Member for Leigh (Andy Burnham), called for national care services to be developed and to be provided on the same basis as for health. He has repeated that call. We will not be able to improve the quality of dementia services until we find a solution to the funding crisis facing social care.
At a meeting with the Saddleworth carers group in my constituency, I listened to predominantly elderly carers describing the hundreds of hours of often back-breaking work that they were providing for their loved ones. They did that because no support or respite was available. How are they meant to cope? Given that the Government have delayed the implementation of the care cap until 2020, or possibly later, and have gone back on their promise to raise the £118,000 assets threshold before someone has to pay for their own care, will the Minister tell us what assessment has been done to estimate the number of families with a family member with dementia who will be affected by that between now and 2020? In addition, is the Minister committed to the Alzheimer’s Society proposal to drive up the quality of residential care for people with dementia? If so, how is that being monitored, for example in the use of anti-psychotics?
My final point is about research. Research for a cure for dementia provides hope for people in the future. In addition, however, we must focus research into the cause and prevention of the different forms of dementia, and into how we can best care for people who are living with dementia today. The Government’s commitment to double dementia research by 2025 is welcome, but we are starting from a low baseline. Other countries have shown much greater ambition.
Last month Alzheimer’s Disease International called for a significant upscale in research support, given the 35% increase in the global cost of dementia since 2010. It estimated that by 2018 the cost will have increased to $1 trillion, equivalent in size to the 18th largest economy in the world. Will the Minister report on the progress made, as has been asked by other Members?
Order. I have to ask the shadow Minister to bring her remarks to a close.
(9 years, 5 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
As I was about to say, I had a meeting with Mind yesterday. One of the people in attendance said that he is due to have his PIP assessment tomorrow, and he is absolutely terrified. About a third of respondents to a survey of more than 4,000 Parkinson’s sufferers became financially worse off after they were diagnosed; for a quarter of them, money concerns are having a negative impact on their Parkinson’s. Those impacts are compounded by the process and their experience of PIP.
Dame Anne got it right two and a half years ago, and it is a shame that the Government did not listen at the time to her and my other former colleagues on the Select Committee on Work and Pensions, Sheila Gilmore and Glenda Jackson. It was not until the February 2014 National Audit Office report described “poor early operational performance” and “long uncertain delays” for new PIP claimants, and until the Public Accounts Committee and the Work and Pensions Committee pointed to the unacceptable delays, that the Government finally took action. At that time, the average wait was 107 days, and in some cases many months more, whereas there was a 74-day target for completion. For terminally ill claimants, claims were taking 28 days on average when they should have taken only 10 days.
Last year’s report by the Work and Pensions Committee made a number of recommendations; in particular, it suggested that penalty clauses in the contracts for assessment providers be used to recoup money when the providers fail to deliver value for taxpayers’ money. What moneys have been recouped? I am pleased that we are now seeing progress, for the sake of claimants and the taxpayer, but we are still not getting it right, as the hon. Member for Beverley and Holderness has shown. Some 42,000 people are waiting more than 42 weeks, and four out of 10 people are still waiting for their PIP claim to be processed.
I heard from a woman whose partner has cancer and is waiting for radiotherapy. They have been living on £113 a week since they applied at the beginning of April, and there is also an effect on passported benefits such as carer’s allowance, disability premiums and concessionary travel. I have also heard about the case of someone who received a full PIP award last July but has been told by the Department for Work and Pensions that she has to go through the process again. That beggars belief.
I recognise that the median waiting time has been coming down, and I am pleased about that, but I am concerned about the measures that have been used to bring it down. We have heard about people having to travel considerable distances to remote assessment centres. One person with Parkinson’s was required to get to a 9 am appointment in Deptford from Crawley, which exacerbated their condition. What steps is the Minister taking to ensure that paper assessments can be undertaken instead of face-to-face assessments? On the training and skill of assessors, what steps has he taken to ensure the use of skilled assessors who are able to interpret clinical evidence for a range of clinical, physical and mental health conditions? Given the recent capacity issues, will the Department be revising the roll-out of PIP to a further 1.7 million DLA claimants in October?
My final couple of points are about the independent review of PIP that was published last year, which recommended that there be a full evaluation. I have already mentioned the concerns about the effectiveness of the assessment process, and it was recommended that the Government put in place a rigorous quantitative and qualitative evaluation strategy. When might we expect to see that strategy? Finally—this is definitely my final point—we know that the Chancellor will be announcing further cuts to social security in next month’s Budget. What cuts are being considered to disability and associated benefits, including through taxation? Will the administration of those benefits also be affected? Given that the introduction of PIP did not have an impact assessment, which was a big failing, will the Minister guarantee that any changes to disability benefits will have the necessary impact assessment?
I will try to make myself a bit clearer. I will call the Front Benchers from 5.25 pm, and if we carry on with speeches of that length at least one person will not get in. I urge people to be mindful of others who wish to speak.