(8 years, 6 months ago)
Commons ChamberMay I first start with apologies from my hon. Friend the Member for Pontypridd (Owen Smith)? He is attending a debate on the EU with the former Secretary of State, taking the opportunity to consider that issue in relation to its impact on disadvantaged people.
We have had a very interesting debate, with many well-informed and well-argued speeches. I pay tribute to the hon. Member for Airdrie and Shotts (Neil Gray) and wish his nephew with cerebral palsy all the very best with his GCSEs. [Hon. Members: “Hear, hear.”] My hon. Friend the Member for Workington (Sue Hayman) talked about her constituent who had gone through the PIP process and how it was affecting her ability to work. The hon. Member for South Cambridgeshire (Heidi Allen) gave a characteristically brave and honest speech, which we in this place have come to expect from her. My hon. Friend the Member for Blaydon (Mr Anderson) talked about his experience as a care worker and said that he has a family member with muscular dystrophy. He is the chair of the all-party group on that condition and made a very well-informed speech.
The hon. Member for Banff and Buchan (Dr Whiteford), with characteristic forensic analysis, talked about the issues we currently face in social security policy, in particular the lack of evidence for many of the measures the Government have introduced. The hon. Member for East Kilbride, Strathaven and Lesmahagow (Dr Cameron) focused on the disability employment gap and the variations relating to different conditions—a very important point. My hon. Friend the Member for Cardiff Central (Jo Stevens) described in detail her constituent’s dreadful and deskilling experience of working for the Fit for Work programme. The process focused on data, not people. We need our interest to be focused on people.
About 12 million people in the UK are living with a disability, an impairment or a limiting, long-term illness: 5.7 million are of working age; 5.2 million are over the age of 65; and 0.8 million are children. Although 4 million people with disabilities are working already, another 1.3 million are fit for work and want to work, but they are currently unemployed. However, as we have heard, the gap in the employment rate for disabled people, compared with non-disabled people, has grown under the Government to 34%—a 4% increase since they took office. Given that the vast majority—90%—of disabled people used to work, that is such a waste of their skills, experience and talent.
As study upon study has shown, the Government’s pledge to halve the disability employment gap rings hollow, with estimates that it will take until 2030 to do that at the current rate. The shelved White Paper, with the promise of a strategy defining support for disabled people, is yet another broken promise. Although I recognise that the Green Paper is coming, why did that not happen in the first place? Why has there been this about-turn?
The issue comes down to whether the Government believe in the principles that underpin the UN convention on the rights of persons with disabilities, to which we are a signatory. Fundamentally, disabled people should be able to participate fully in all aspects of society, including work, and to access the same opportunities as everyone else, and that includes being able to use their talent and skills to the best of their ability. No one should feel that they are unable to reach their best potential or that their hopes and dreams do not matter. Do the Government therefore support the principles and articles of the UN convention? If so, when will they publish the UN committee’s report investigating the UK’s breaches of the convention and their response to it?
I am sorry, but I will not—I have a lot that I want to say.
The Government set the tone for the culture of society explicitly through their policies and laws, and more subtly through the language they use and what they imply. Collectively, those things tell us who they think is worthy or not. The Government have made their views abundantly clear. Their swingeing cuts to social security support for disabled people—including the recent ESA WRAG cut of £1,500 a year—total nearly £30 billion since 2010 to 3.7 million disabled people.
The Government’s overhaul of the work capability assessment manages to be both dehumanising and ineffective, and it has been associated with profound mental health effects, including suicide. Their sanctions policy targets the most vulnerable, bringing people to the brink, and some have died under it. The PIP debacle is making it harder for disabled people to stay in work. There is also the closure of the independent living fund. I could go on and on. This is happening across all Government Departments—Business, Innovation and Skills; housing; Transport; Education; Justice; and Culture, Media and Sport. Disabled people are being completely marginalised.
(8 years, 9 months ago)
Commons ChamberNo.
So how does living in poverty affect children’s development? People—
May I just make these points? Then I will give way to the hon. Gentleman.
People on low incomes are often juggling to heat or eat, as we heard in this morning’s Westminster Hall debate on the bedroom tax. Being able to pay their rent is an increasing issue; 443,000 are currently affected. Having a secure, warm home with healthy, nutritious food are basic physiological needs. When these needs are not met, people’s health suffers both physically and mentally. This is particularly the case for children as they are developing. Being in work or well educated does not guarantee these essential needs; money does. Again, I make my key point: two thirds of children in poverty now are from working families.
The lack of evidence, to which my hon. Friend the Member for City of Durham (Dr Blackman-Woods) was alluding, is stark. Why was there no Government impact assessment of these proposals? We should look at the evidence from the United States, for example. It has been analysing the effects of its social security reforms, and that shows that programmes that focus specifically on parental employment failed; in fact, they had no effect or exacerbated children’s health issues. Conversely, programmes focused on supplementing the income of low-income families improved health.
The point here is about making the Government accountable for their policies that may in turn be affecting those measures.
I know the hon. Member for Gloucester (Richard Graham) wanted to intervene, too.
The hon. Lady is very kind. Both her party and ours are committed to ending child poverty, so the starting point is the same. The difference, in a sense, is the value of the relative indicator. She knows that one of the difficulties with the relative indicator is that quite often it will apparently improve during times of recession, but go down in times of growth. How effective does she think that is, therefore? About £300 billion was spent on benefits between 2003 and 2008. How effective does she think that expenditure was?
This is a serious question. If the hon. Lady is saying that the evidence shows that the mortality rate of poor children in this country is worse than in the whole of the rest of Europe and the benefits that we are giving are greater than those in the whole of the rest of Europe, something is not working. What does she think needs to be done to improve that?
Again, the hon. Gentleman possibly does not have all the evidence. On spending-to-GDP comparisons, we do not do particularly well. The Marmot review of health inequalities concluded:
“One quarter of all deaths under the age of one would potentially be avoided if all births had the same level of risk as those to women with the lowest level of deprivation.”
Again, we should recognise that we are talking about people living in our constituencies. Evidence to the all-party inquiry showed that eliminating UK child poverty would save the lives of 1,400 children under 15 every year. Furthermore, good early development is strongly associated with many positive outcomes in later life, including higher educational attainment and improved employment prospects in adulthood. As another of the witnesses to the inquiry said, we are facing a child poverty crisis. Having made real progress in reducing child poverty in the UK, it is imperative that we continue to invest in our children, and protect and support the most vulnerable in our society. The introduction of the so-called “living wage”, the increase in personal tax allowances and more free childcare will not, as the Institute for Fiscal Studies has clearly shown, offset the net loss to low-income households from tax and social security changes, including those in this Bill. I therefore urge Members from all parts of the House to support this amendment—our children’s futures depend on it.
Lords amendment 8 seeks to remove clause 13 and Lords amendment 9 seeks to remove clause 14. Clause 13 seeks to abolish the employment and support allowance work-related activity component for new claimants from April 2017 and replace it with universal credit. That would mean that social security support for people with a disability, impairment or serious health condition will reduce from £102.15 to £73.10, a cut of nearly £30 a week or £1,500 annually. The Government have argued that this is needed to
“remove the financial incentives that could otherwise discourage claimants from taking steps back to work.”
The Lords rejected this on a number of grounds. First, people in the ESA work-related activity group have gone through the work capability assessment and been found not fit for work. This includes 5,000 people with progressive conditions such as multiple sclerosis and Parkinson’s—conditions that will not improve. It also includes people with cancer. A survey conducted by Macmillan Cancer Support found that one in 10 cancer patients would struggle to pay their rent or mortgage if ESA were cut. The key issue is that these people are not fit for work, so suggesting that removing financial incentives will somehow make them fit for work is ridiculous.
I am sorry but I have given the hon. Gentleman a number of opportunities to intervene.
Secondly, there is overwhelming evidence of the extra costs faced by sick and disabled people, the associated poverty they experience as a result, and the clear implications for their condition. We know that 5.1 million out of the 12 million disabled people in this country live in poverty. We also know from the Extra Costs Commission that disabled people are twice as likely to live in poverty, 80% of which is due to the extra costs they face because they are poorly—because they have a disability.
Lord Low of Dalston, Baroness Grey-Thompson and Baroness Meacher’s excellent report “Halving the Gap?” expressed real concerns that the Government’s assessment of the impacts of this cut on disabled people, including the potential increase in the number of disabled people living in poverty, was inadequate. They assessed that the cut in financial support would have an injurious impact on this vulnerable group. The Equality and Human Rights Commission agreed, with its analysis being that it
“will cause unnecessary hardship and anxiety to people who have been independently found unfit for work.”
Thirdly, there is scepticism that there are employment opportunities for those sick or disabled people who may recover from their condition in the future. Approximately 1.3 million disabled people who are fit and able to work are currently unemployed, accounting for the disability employment gap of nearly 30% between disabled and non-disabled people. The Government have rightly said that we need to halve that, but they have been less open on how that can be achieved, and I agree with what the hon. Member for Airdrie and Shotts (Neil Gray) said about the disability White Paper. There is one specialist disability employment adviser to 600 disabled people trying to get into work.
(9 years, 1 month ago)
Commons ChamberI entirely agree with my hon. Friend. In fact, I am going to move on to a section specifically concerned with incentivising work and how on earth people with, for example, progressive conditions can be incentivised.
I welcome the hon. Lady to her place. On the specific issue of trying to help people in the work-related activity group to get into work, does she agree that the current system is not working as well as it should and that we need to spend more money on helping them find jobs? It is harder for them to find jobs than it is for other people on jobseeker’s allowance. In answer to the point made by the hon. Member for Wansbeck (Ian Lavery), that is precisely why we should be transferring money into helping them to get jobs.
I thank the hon. Gentleman for his intervention, but his question belies the facts. Some £640 million is being withdrawn from people in the ESA WRAG, while £100 million is meant, in some undisclosed manner, to provide support. There is no information from the Government on how that will support disabled people back into work.
As I was saying, there is no analysis of the impact that this will have on the disabled people who will be pushed into poverty. Disabled people are twice as likely as non-disabled people to live in persistent poverty, and 80% of disability-related poverty is caused by their extra costs. Last year, there was a 2% increase in the number of disabled people who were pushed into poverty. That is equivalent to 300,000 people. The Minister’s recent reply to me did not address this particular point, so I would be very grateful if that could be explained. Half a million disabled people will be affected and lose £30 a week—nearly a third of their weekly income. What is the Government’s estimate of the increase in the number of disabled people who will be living in poverty?
I invite the hon. Lady to come to the opportunities fair in my constituency on 6 November, which is specifically focused on helping people in the ESA WRAG category to find opportunities for getting back into work. It will be very similar in tone to the first Disability Confident fair we held a year ago, and I am sure she would want to encourage Members from all parts of this House to hold these events and champion people like that who are trying to find jobs.
In return, I ask the hon. Gentleman to ask his constituents who are on ESA WRAG how they will be affected by these proposals and whether they will have to cut back on such journeys and work fairs because of the cuts the Government are likely to impose. Up and down the country good work is being done to support people back into work, but this measure is not part of that.
(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.
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My hon. Friend is absolutely right. I cannot remember whether it was during the Budget or the autumn statement, but it is absolutely shocking that the Chancellor used that language. Incapacity benefit and ESA are recognised as good population health indicators, so what is implied by words such as “shirkers” and “scroungers” is not supported by the evidence.
I am worried by the hon. Lady’s language. She is attempting to project the party of government as demonisers who are against people with disabilities, which is offensive to those of us who employ people with physical and mental disabilities. I ask her to look at the other side of the coin, which is the work that some of us have been doing on events such as Disability Confident to help get people back into work. What many people with disabilities in my constituency want is not more endless handouts but the respect of being encouraged and enabled to get jobs. Today some 320,000 more people with disabilities are in jobs than was the case a year ago.
I would not want to impugn the hon. Member’s reputation because I know he is an honourable gentleman, but, frankly, I refer back to the language that is being used. We can see a pattern and, again, the Government have to be responsible for that. I will come on to what the Government have done, or how little the Government have done collectively, to support people with disabilities into employment.
Unfortunately, the regular misuse of statistics is another way that the Government are trying to harden the public’s attitude. The facts are that, in an ageing population, the largest proportion of social security recipients are pensioners and not, as is often implied, the workshy. Again, fear and blame are not the Government’s sole preserve. We all need to be very careful of the language that we use and how it is perceived. As the Government prepare to cut £12 billion from the annual social security budget in next week’s Budget, there are real concerns that, in addition to potentially slashing tax credits for the working poor, they will cut further support for working-age people with disabilities.
A recent analysis of trends in disability benefit spending showed that, far from being generous, disability benefits are approximately 15% of average earnings. With the recent changes—the 1% uprating and the indexation to the consumer prices index—they will fall even further. The 2012 public spending on people with disability was just 1.3% of GDP. If we compare that with our European neighbours, we find that that is lower than Austria, Belgium, Croatia, Denmark, Estonia, Finland, Germany, Hungary, Iceland, Luxembourg, Italy, the Netherlands, Norway, Portugal, Serbia, Spain, Sweden and Switzerland.
That figure has decreased since 2012, given the Government’s welfare spending cuts in 2013. Total social security spending in the UK in 2012, before the cuts, was only 15.5% of GDP. That spending supports our pensioners, the sick and disabled, people in low-paid work and people out of work. We are 17th out of 32 EU states. Again, I contrast that with the fact that the Government are trying to say how generous we are in terms of what we provide.
The hon. Gentleman makes a good point. The work capability assessment’s insensitivity to mental health conditions, progressive conditions and fluctuating conditions makes it unfit for purpose at the moment, and there is a lot of evidence to support that.
The hon. Member for North Antrim (Ian Paisley) raised an interesting point about MND sufferers. Has the hon. Lady also thought about people suffering from multiple sclerosis, a condition that often deteriorates over time? Some of my constituents with MS who have been assessed physically and moved from disability living allowance to personal independence payments are receiving an increased amount of money because their condition has worsened over time. It varies from condition to condition and situation to situation, does it not?
It does indeed, but the fact is that 600,000 fewer people will be eligible for PIP than currently receive DLA; those are the statistics. However, I will come to that.
The UK currently has a disability employment gap of 30%. The Oldham fairness commission, which I chaired, found that the local disability employment gap is 34%. As the vast majority of disabled people—90%—used to work, that is a waste of their skills, experience and talent. Attitudes, perceptions and judgments can often get in the way of identifying someone’s talent or skills—
(11 years ago)
Commons ChamberIt is a pleasure to follow the right hon. Member for Salford and Eccles (Hazel Blears), who has spoken so well and done so much work on this subject along with her colleagues, my hon. Friend the Member for Chatham and Aylesford (Tracey Crouch) and the right hon. Member for Sutton and Cheam (Paul Burstow). All three major parties now have at least one significant dementia champion to raise this important issue. I know that the Minister will enjoy responding to the debate, because he has covered a number of debates on the subject before. Much has been said on dementia, and much action has been taken. The right hon. Lady was right to mention the Prime Minister’s initiative and his championing of this issue. Many people are suffering as a result of dementia, not only those suffering directly from the disease, and there is still no cure, so it remains a significant challenge for science and society.
I have just a few points to add to what has already been said. The Minister will recall that I led a debate recently in Westminster Hall on what was being done about dementia in Gloucestershire and on the ways in which I believed we had adopted best practice. However, a critical question is: do we really know what best practice is? How do we measure the quality of what is being done in our local hospitals and care services? How do we measure the contribution of organisations such as the Barnwood Trust, a mental health charity specialising in these conditions which we are lucky enough to have in our area?
As the right hon. Lady said, it would be useful if the Minister could share his thoughts on a guide to best practice, not only for commissioners—although I agree that that is important—but for MPs. Representatives of the Gloucestershire family of NHS services recently told me in a meeting that they had received an award for the care and services they provided for old people in general and for dementia sufferers in particular. That was terrific news—I am always delighted when people win an award—but it would be useful to know what we are doing best, and what is being done better in different areas, so that we can have a nice, easy frame of reference. People could then see whether their area offered a four-star or a five-star dementia service, for example, and we could assess how we might attain a higher standard if we did certain things differently.
Is the hon. Gentleman suggesting that, in addition to building up the evidence base through randomised controlled trials that establish a causal relationship between therapies and outcomes, some kind of action-based research would be appropriate? Such research could be carried out and interventions could be offered and evaluated while providing the service at the same time. It would be a case of learning as we went along. Does he agree that we need different approaches because of the scale of the issue that we are facing?
I think I agree with the hon. Lady. Different things need to be tried. Singing and music were mentioned earlier. In my mother’s case, they were the last things she was able to relate to and enjoy before Alzheimer’s closed over her. So I agree that different things are always worth trying, and that is where the charities can play a role as well.
My first question to the Minister is: could we have star ratings for dementia services and, if so, how would we identify and measure best practice? My second point relates to how we are using the Prime Minister’s initiative to get dementia on to the G8 summit agenda for the first time. We should work with other countries on this. A number of us have received briefings suggesting that the United States and France, among others, are also doing great things in dementia research. Should we not all be able to share our findings? Perhaps we could have what is known as a global inter-operative data sharing base, so that all the work being done by organisations such as Alzheimer’s Research UK could be shared, rather than being duplicated. Effort could then be spent on taking research forward, rather than replicating it.
The aim of trying to join up what organisations around the world are doing is a key reason for the Prime Minister getting this topic on to the G8 summit agenda, and I hope that the result will be an international plan involving more pooling of thinking, research and ideas. I sense that science is beginning to feel more confident about finding solutions to this ghastly disease, and if the G8 summit can give an enormous turbo-boost to pooling research and getting closer to finding solutions, the actions of the Prime Minister and the Government will have been worth while, not only for the 800,000 people in this country who have dementia today but for the many millions who will suffer in the future.
It is always a pleasure to follow the hon. Member for Ogmore (Huw Irranca-Davies), who reminds us of the quality of rhetoric from Wales.
I welcome the Queen’s Speech because, above all, it focuses on the core issues that will make a real difference to the cost of living for my constituents. Let me quickly highlight four key points. First, the National Insurance Contributions Bill will, through the employment allowance, provide £2,000 and should therefore eliminate entirely national insurance bills for 450,000 small businesses throughout the country, encouraging them, and, above all, small employers in my city, to take on more employees. The hon. Members for Ogmore and for Denton and Reddish (Andrew Gwynne) commented on the absence of jobs, but let us not forget that 750,000 more people are in work today than there were at the time of the last general election. Let us hope that there will be more after the National Insurance Contributions Bill takes effect.
Secondly, the Immigration Bill will ensure the deportation of dangerous foreign-national criminals, with appeals only after they have been deported, and will prevent immigrants from having access to public services to which they are not entitled. As Lord Mandelson said yesterday, Labour’s overseas search parties for immigrants meant that
“the entry to the labour market of many people of non-British origin is hard for people who are finding it very difficult to find jobs”.
The hon. Members for Ogmore and for Denton and Reddish should reflect on those comments.
Thirdly, we are all agreed that the cost of energy has risen significantly and is a hard burden for many poor and older constituents especially, and the Energy Bill will enable all our constituents to have clearer information and get on to the best energy tariff. That will be a significant and necessary achievement to help them combat the rising costs of living.
Fourthly, I turn to pensions; I declare an interest as chair of the all-party group on pensions. I absolutely support the Pensions Bill’s new flat rate from April 2016. Above all, it will reward women who took time out of the workplace to look after their children and will now, rightly, get a full state pension at a much higher rate than the basic state pension today.
Lastly, there is the Care Bill, which will guarantee that none our constituents will have to sell their homes during their lifetimes and puts a cap for the first time on the cost of care. Many of us who have had parents with dementia, for example, realise how difficult that situation can be.
I now give way to the hon. Member for Oldham East and Saddleworth (Debbie Abrahams).
I want to ask the hon. Gentleman whether he is aware that the employment rate is lower now than in 2008; that relates to a remark he made earlier.