Social Security and Employment Support for Disabled People

Debate between Debbie Abrahams and Sarah Newton
Wednesday 6th March 2019

(5 years, 9 months ago)

Commons Chamber
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Debbie Abrahams Portrait Debbie Abrahams (Oldham East and Saddleworth) (Lab) (Urgent Question)
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To ask the Secretary of State for Work and Pensions if she will make a statement on the changes that her Department intends to make to social security and employment support, including the assessment process, for disabled people and people with health conditions.

Sarah Newton Portrait The Minister for Disabled People, Health and Work (Sarah Newton)
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Yesterday the Secretary of State provided the House with a written statement, and delivered a speech to Scope that included, among other announcements, an announcement about changes in the delivery of health and disability benefits.

We are making significant progress in improving people’s experiences of claiming disability benefits by working through the recommendations made by several independent reviews of personal independence payments and the employment support allowance, but we need to continue to make improvements in order to give better support to people with health conditions and disabilities. The written statement set out a number of additional measures that we will implement to make improvements, now and in the future, in support for disabled people and those with health conditions.

We will improve and simplify people’s experiences by no longer undertaking regular reviews of PIP awards for claimants at or above the state pension age unless they tell us that their needs have changed. We will also transform the delivery of assessment services. We have established a health transformation programme to undertake the significant task of combining the currently separate work capability assessment for ESA and universal credit and PIP assessment services in one unified, integrated service from 2021. We are extending the contract for the health and disability assessment service, which includes the delivery of the work capability assessment, and aligning it with the duration of the extended PIP contracts. That will allow for a safe and stable service now, and as we make the transition to the new integrated service.

The Department for Work and Pensions will also be testing how we can increase engagement and build a trusted and strong relationship between work coaches and people who are awaiting assessments for universal credit or who are found to have limited capability for work. The Minister for Employment will take that forward.

The health transformation programme will be co-designed with disabled people. The Secretary of State and I will engage regularly with disabled people, disabled people’s organisations and charities. All of us, whatever our age or need, want an equal chance to live a life of opportunity and fulfilment. We intend to support disabled people during all the phases of their lives, so that the pursuit of equality is a shared goal.

Debbie Abrahams Portrait Debbie Abrahams
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Thank you for granting the urgent question, Mr Speaker. I thank the Minister for her response. I am, however, disappointed that the Secretary of State was not here to respond, and that the Minister has had to respond to an urgent question rather than making an oral statement, given the extensive scope of the proposals.

I welcome yesterday’s announcement that there would be no PIP reassessment for disabled people above the state pension age, but why are not all disabled people—particularly those with progressive conditions such as motor neurone disease, multiple sclerosis and cancer—being exempted from repeat assessments? I have a constituent with terminal secondary breast cancer which has gone into her bones, and she has been refused PIP.

The launch of a transformation programme whereby PIP and WCA assessments will be integrated by 2021 is interesting, given that the Government have previously said that that could not be done. How exactly will the two assessments be merged? Who is involved? I am grateful that the Minister has said they will be co-designed with disabled people, but will she commit to supporting the principle of “nothing about you without you”? Will there be a pilot? If so, where and when, and what would be the sample size? Will there be an independent evaluation?

Who will provide the new service? There are real concerns about the profiteering enabled by this Government at the expense of disabled people. There are also worrying reports in various GP journals this week that the medical records of claimants will be made available to the DWP or their social security support will be denied. So I will be grateful if the Minister can confirm that this is not, and will not be, Government policy. Obviously there are huge issues around privacy and ethics.

There is also strong evidence of the physical and emotional harm that these assessments are having on disabled people, over and above their condition. What is being put in place before 2021 to improve the poor quality, validity and reliability of these assessments?

On UC and the role of job coaches in determining limited capability to work, the detail was most unclear in the written ministerial statement. Can the Minister expand on it and confirm that work coaches may start an assessment to determine a claimant’s capacity to work? Can she also confirm a shift in the Government’s approach to sanctions and expand on her Department’s approach to conditionality?

I welcome the review into the inadequacy of social security support for disabled people and more widely. Poverty is a political choice, and 4.2 million disabled people have been pushed into poverty as a result of the £5 billion in cuts since 2010. So what form will this review take and, again, who will be involved?

On the Government’s more ambitious targets to get disabled people into work, again the pendulum is swinging back. The Conservative general election pledge in 2015 was to halve the disability employment gap, but it is actually 4.4% lower than 2015. Then in 2017 there was a pledge about 1 million additional disabled people getting into work, but there was nothing about access to work.

Finally, what is the Minister going to do about the cultural changes needed in her Department to ensure that disabled people and other claimants do not feel demonised, even dehumanised, as happens all too often?

Sarah Newton Portrait Sarah Newton
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I fear I will test your patience, of Mr Speaker, if I try to answer all of those questions at once, but I will do my best.

I welcome the hon. Lady’s tone and her welcome for the measures we announced in the written ministerial statement. Clearly we have been listening very hard to Members across this Chamber and, most importantly, to disabled people themselves about the changes they would like to see, and that is what has driven the changes we are going to be making. I absolutely want to confirm that throughout the process—in fact this is how we work now—we engage fully with disabled people, enabling them to help us develop the services which are for them.

The hon. Lady touched on a few points about people being repeatedly reassessed. I remind her that we brought in the severe conditions criteria so that people who have reached the highest level of support on PIP will not be routinely reassessed; we have introduced a 10-year light touch review so that many people with the sorts of conditions and illnesses the hon. Lady described will not be undergoing further reassessments. We also have a special process for people who are terminally ill. I undertook research in the summer—and I have been delighted to work with the hon. Member for Bridgend (Mrs Moon) on the work she has been doing—looking again at how the special rules for people at the end of life are working. We have worked very closely with the medical profession, which I think was not often aware of the special processes that could so easily be put in place to enable people to get benefits within days. I will shortly be announcing new guidance which is the fruition of the work we have been doing over the last few months.

I want to remind everyone that in the transition from DLA to PIP many more people with mental health conditions are now receiving support, particularly at the highest levels. Concerns have also been raised about work coaches and their ability to work with people with disabilities and health conditions, and I want to reassure the House that all of our work coaches are receiving extensive training and will continue to do so. Over 10,000 work coaches have already received training in mental health services, so I believe that that personal relationship that we want all people claiming benefits to have with their work coach is a possibility and is happening the length and breadth of the country.

We are looking at conditionality and have taken up the recommendations given to us. When people with severe disabilities and health conditions apply for UC there is no conditionality; that conditionality will be switched off, and then as the relationship develops with the work coach, if and when they are prepared to take those steps to work, they will be fully supported by their work coach and other resources that they have available.

As would be expected, we listened to and worked with a range of stakeholders before the announcement to develop the new service. I can absolutely commit to the House that the co-design will be ongoing and there will be plenty of opportunities for everyone in the House to be involved in how we take that forward. But the simple ideal behind it is to reduce the number of assessments people have to take and reduce the amount of information they have to give to the Department. We have all heard in our surgeries each week particularly in terms of people in receipt of both ESA and PIP that they can be asked to complete a whole number of forms where they give us the same information, and are going to assessments where they give the same information. The whole aim of this is to reduce that and to simplify it, so that people give us the information once and we are able to make the best decision we can right from the outset.

Employment and Support Allowance: Underpayments

Debate between Debbie Abrahams and Sarah Newton
Monday 25th February 2019

(5 years, 9 months ago)

Commons Chamber
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Sarah Newton Portrait Sarah Newton
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I thank my hon. Friend for raising that question. This was an official error, so the income disregards do apply and his constituents should not be disadvantaged in the way he describes.

Debbie Abrahams Portrait Debbie Abrahams (Oldham East and Saddleworth) (Lab)
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Given that 20,000 disabled people have died while the review has been going on, it is a shame that the issue had to be investigated via an urgent question rather than an oral statement. We know that the figures have been amended since the last update and that 30,000 more people are being reviewed. Is it likely that the number will continue to change?

--- Later in debate ---
Sarah Newton Portrait Sarah Newton
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I disagree with the hon. Lady about our motivation. Since the issue came to light, we have had ministerial statements, written statements and debates in the House. We are absolutely determined to do the right thing by claimants.

Debbie Abrahams Portrait Debbie Abrahams
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Twenty thousand people have died—that deserves an oral statement.

Mental Health: Assessment

Debate between Debbie Abrahams and Sarah Newton
Tuesday 22nd January 2019

(5 years, 10 months ago)

Westminster Hall
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Sarah Newton Portrait The Minister for Disabled People, Health and Work (Sarah Newton)
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It is a pleasure to serve under your chairmanship, Ms Ryan.

I begin by my adding my praise to that of other Members for the hon. Member for Lanark and Hamilton East (Angela Crawley), both for securing this debate and for the way in which she addressed the House. She and others are absolutely right: I am utterly determined to make sure that we improve the system by which we assess people for employment and support allowance, the personal independence payment and of course universal credit. I am just as ambitious as everybody else in the room to ensure that we treat everyone in society with respect and dignity, and really promote their human rights.

On independent assessments, people who go on this journey—I do not want to call them claimants or customers; that was a good point well made by the hon. Lady—through the system give the approach that we have taken to both ESA and PIP a satisfaction rating in the high 80s. That is the vast majority of people applying for these benefits. This is not something we measure internally; it is properly independent research that we publish and is open to scrutiny. One poor experience is one too many. We are utterly determined to improve the experience at every stage of the journey, and really put the person at the centre.

PIP was introduced to ensure that mental and physical health conditions have parity of esteem. Many more people are benefiting from it than ever did from disability living allowance, and are getting the higher rates of support, for both their daily living and their mobility. Broadly, therefore, it is working, but as we have heard, there are some absolutely horrendous and terrible cases of unacceptable behaviour, where things are going wrong. I thank all hon. Members who have come along today. It is clear that everyone here wants to do the best they can for their people and to work with me to absolutely get this right, and I welcome that.

I want to answer questions, but I have been given very little time to respond; that is the nature of these debates. As always, I will write to hon. Members on any questions that I do not have time to address. I start with the invaluable work of the Work and Pensions Committee. It is great to have one of its members here speaking up for that. The Committee gathered a huge amount of evidence, and I looked through all the research findings and the Committee’s recommendations thoroughly. We have agreed to implement all those recommendations, and we are carefully working our way through every single one of them. I want to reassure hon. Members that I work very closely with SSAC. It is an invaluable body. Everyone in the Department always thoroughly considers its reports and recommendations, and whenever possible we seek to implement them.

A few hon. Members mentioned video recording, which, when I came from the Home Office to take up this position, I thought was a really good idea. One of the fundamental problems we face with people claiming benefits is a lack of trust. Unfortunately, too many people are worried. We have today heard eloquent contributions about people being really worried about having to go through the process. In spite of the fact that most people have a really good experience, most of them are worried before they enter the process. I obviously want to eliminate that, as does everyone in the Department.

I want people to fill in the forms confidently, and pick up the phone or go into their jobcentre thinking, “There will be compassionate people who will help me”. That is what we are all striving to achieve. I believe that video recording the assessments will play an incredibly important role in regaining people’s trust in the whole process. Hon. Members will know that audio recordings are already available, but they are not done with the most up-to-date equipment. It can be a clunky and difficult experience, and I want to make it as easy as possible.

Throughout the summer we did a lot of work both with people who are claiming benefits and with healthcare professionals. All assessments are undertaken by fully qualified healthcare professionals. They are mostly nurses, but they all have experience and they have additional training in how to undertake the functional assessments. They are highly motivated and trained individuals, and it was important to consider how they felt about the video recording, just as much as how people coming in to be assessed felt about it. Having taken all that into consideration, we have started a pilot, which is going well. It is voluntary, because we wanted to ensure that people felt really confident about having their assessments videoed.

The strength of the pilot will be that lots of people take up the opportunity. There is no point coming up with a videoing possibility if people are not prepared to say, “Yes, I would like my assessment to be videoed”. We have been working carefully on the pilot and will review the findings to see how and when we can roll the initiative out. There is an absolute determination and commitment to doing that, because it will build the trust and confidence in the system that we want.

We have also been looking at every single stage of the process. I really want to assure hon. Members that I regularly meet our stakeholders—the large charities and disability rights organisations. We have a PIP forum and a stakeholder team working with us on improvements to the work capability assessment, and disabled people are really getting alongside us and working with us on improving the process. I have already commissioned an independent review of the PIP application process. We have been looking carefully and in detail at every single part of the claimant journey—the person’s journey—through the system to see what more we can do, right through to how we can improve our mandatory reconsideration process. At the same time, as I said, we have been implementing the very helpful findings of the Work and Pensions Committee.

Going back to comments about what happens in the assessment, we will make a decision based just on the application, without sending someone to a face-to-face assessment, if we can gather enough information from the person applying for the benefit, and if they provide information from healthcare professionals, whether they be consultants, GPs or community mental health nurses. We will use that information whenever possible. A lot of our work over the summer was engaging with healthcare professionals to try to understand the barriers to their providing us with information. Relatively small numbers of people go to appeal, and relatively small numbers have decisions overturned. Most often, decisions are overturned because more information has become available by the time of the appeal. I am determined to see what we can do to have the information provided up front by healthcare professionals, so that we can make more paper-based assessments, without the need for face-to-face ones.

Hon. Members will know that we have introduced a set of new criteria called the severe conditions criteria, for employment and support allowance and now for PIP. If people have severe mental or physical health conditions that, sadly, are not going to improve, we put them into a category where they do not have to be reassessed, apart from a very light-touch reassessment after 10 years, just to ensure that their circumstances have not changed. That means that fewer people will be reassessed, and I hope that everyone here can commend that.

On some of the other observations on face-to-face assessments, we have had quite a discussion about the mental health questions. The questions that the assessors use and the training they receive is all approved by the National Institute for Health and Care Excellence. I think hon. Members were referring to the mental state examination questions. As my hon. Friend the Member for Central Suffolk and North Ipswich (Dr Poulter), who has left the room and is a doctor, said, this is the best practice of the medical profession. It is really important that the Department takes its duty of care very seriously—and we do. Right through from our job coaches in Jobcentres Plus to people in our telephony services, we have a really good process to ensure that anyone expressing suicidal thoughts is supported. For example, everyone in our jobcentres is going through mental health training to ensure that they feel able to chat to someone with suicidal ideation and keep them safe and in front of them while their colleagues secure additional support from the NHS. We take that extremely seriously and are led by the best evidence—

Debbie Abrahams Portrait Debbie Abrahams
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Will the Minister give way?

Sarah Newton Portrait Sarah Newton
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I have so few minutes and so many questions to answer.

I want to reassure hon. Members that our work in this area is led by the best possible clinical input. The deputy chief medical officer, Professor Doctor Gina Radford, oversees all this work, because keeping people safe is just as important as treating everyone with respect and dignity and ensuring that their human rights are upheld.

I will conclude, so that I can give the hon. Member for Lanark and Hamilton East a few moments to wind up. I am absolutely determined to carry on our work on fibromyalgia and on all the issues she has mentioned. I have invited people into the Department for weekly meetings, so that together we can make the changes we want to see.

Personal Independence Payments

Debate between Debbie Abrahams and Sarah Newton
Tuesday 11th September 2018

(6 years, 2 months ago)

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

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

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

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

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

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

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

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

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

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

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

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

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

UN Convention on the Rights of Persons with Disabilities

Debate between Debbie Abrahams and Sarah Newton
Wednesday 20th June 2018

(6 years, 5 months ago)

Westminster Hall
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Sarah Newton Portrait The Minister for Disabled People, Health and Work (Sarah Newton)
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It is a pleasure to serve under your chairmanship, Dame Cheryl, as you have taken a lifelong interest in disabled people and made a personal difference by introducing the first piece of legislation specifically supporting people with autism. I congratulate the hon. Member for Canterbury (Rosie Duffield) on securing her first Westminster Hall debate. Given the way she has approached it, I am sure it will not be the last. After the Government publish our response to the UN inquiry, I will be more than happy to come back to this Chamber to debate it with her.

Before I respond to the individual points that hon. Members made, let me say that, like everyone else in this Chamber, I want to ensure that every disabled person and person with a health condition in our country has the opportunity to play a full part in society, including at work, when they can do so. Of course, there are disabled people who cannot work, and they must be supported. However, I utterly refute the allegations that the Government have discriminated against disabled people, systematically undermined and violated their human rights and, worst of all, that we are targeting their welfare support.

Debbie Abrahams Portrait Debbie Abrahams
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Will the Minister give way?

Sarah Newton Portrait Sarah Newton
- Hansard - - - Excerpts

I have so little time and have been asked so many questions that I will not take an intervention.

The Government are utterly committed to the convention. Britain helped to develop and shape it, and we were one of the first countries in the world to sign and ratify it, in 2009. We are one of the very few nations that also ratified the convention’s optional protocol, which allows for individual complaints to be raised and permits the UN committee to investigate allegations of violations of the convention. That is what happened, and it was the first time it had happened. We were disappointed that the UN representatives who came to the UK simply did not take on board the evidence that the Government gave them and did not acknowledge the full range of support.

When we set out our response—I will set it out in full—we will clearly make our case and rebut the allegations levelled against us. We firmly believe that a disability or health condition should not dictate the path a person is able to take in life, including in society or in the workplace. That is the basis of everything we are doing to try to make sure that disabled people are able to realise their potential, including at work. We engage constructively with the United Nations and we have had constructive meetings, and I will of course meet all the reporting requirements in full.

As hon. Members will know, in line with the convention, disability is mainstreamed across the Government. I reassure everyone that we have strong legislation on our statute book to protect disabled people, through the public sector equality duty in the Equality Act 2010 and through the Northern Ireland Act 1998. Those protections are some of the strongest in the world.

The hon. Member for Oldham East and Saddleworth (Debbie Abrahams) asked why we have not performed a cumulative impact assessment of our welfare reforms. We undertake cumulative assessments of reforms for each fiscal event, because we want to be as transparent as possible on the cumulative distributional impact of Government policies, including welfare reforms, tax changes—direct and indirect—and public spending changes. To present as full a picture as possible, we publish the living costs and food survey, which includes all the information that Members have mentioned.

All that information enables me to say clearly that the proportion of people in relative poverty in a family in which someone is disabled has not risen since 2010. These allegations that we are driving people to food banks and forcing them into destitution are simply irresponsible. The proportion of people in absolute poverty in a family in which someone is disabled is at a record low, because we are spending more than £50 billion a year on benefits to support disabled people and people with health conditions. That is up by £7 billion since 2010; it is around 2.5% of our gross domestic product and accounts for more than 6% of Government spending. As a share of our GDP, public spending on disability and incapacity is the second highest in the G7; only Germany spends more. Disability spending will be higher than 2010 in every year through the spending review. There has been no freeze in the benefits that disabled people receive, and those benefits are not subject to the benefit cap.

It is important that we hear the facts in these debates. Of course there is more we can do and of course I want to close the disability employment gap, but let us actually deal with the facts of the situation and stop this quite irresponsible talk that we have heard in this Chamber and that we hear in the main Chamber. Who will suffer because of what we have heard from Opposition Members today? It will be disabled people and their families, who will be frightened to come forward and claim the benefits and support available to them.

In my few remaining moments, I will touch on some of the criticisms that we have heard about personal independence payments and employment support allowance. PIP and ESA have been subject to a number of independent reviews, with the findings from the most recent, undertaken by Paul Gray, published last year, and to which I have published my response. I responded positively to each and every one of his recommendations. We are moving forward with continuous improvements to PIP.

The Work and Pensions Committee undertook a full inquiry into the assessment process, and it has welcomed my response and the series of measures we are taking, particularly the video recording of assessments. It is important to me that we build confidence and trust in that assessment process. We know from independent data that the vast majority of people undergoing a work capability assessment or a PIP assessment feel treated with respect and dignity, and that the system works. However, one person receiving poor treatment or not getting the right result is one too many, which is why we are so determined to implement all our reforms.

Those reforms stretch from working more closely with medical professionals, which was raised several times today, to making sure that it is easier for medical professionals to provide data to the process, that companions can support people in those assessments, that home visits are implemented wherever that could support people and that all the forms are in an accessible format. I actively consider implementing each and every suggestion put to me. I have a huge amount of stakeholder involvement with disabled people and people who represent them through our PIP forum and through a whole range of bodies under the Department for Work and Pensions. People are co-designing these benefit systems with us. When PIP was introduced, it was developed with organisations that support disabled people and with disabled people themselves. We want to make sure that PIP remains a modern, dynamic benefit and that the Government treat people with mental health conditions equally seriously as people with physical health conditions.

Many more people are being supported and helped on PIP than they ever were under the disability living allowance legacy benefit. As we know, the evidence shows that more people receive higher rates of support on PIP than on DLA. Some 30% of people moved on to PIP get the highest levels of support; the figure was only 15% on DLA. It is important that disabled people or people with disabled family members who listen to and follow these debates know that there is support for them and that they should come confidently forward to receive it, in the full knowledge that, when we come across problems with the system, we work tirelessly to improve it.

There has been talk about Access to Work. We are very keen to see Access to Work grow and develop. We recently announced that the support available to each person each year is double the average income—that is just under £60,000 per person per year to support an individual into work. It is a demand-led scheme, and I am pleased that it grew by 8% last year. This is one budget that we are happy to see grow, because it means that more people are being supported into work.

I welcome the comments on Disability Confident, which is a growing and successful scheme, and I am grateful to the hon. Members here who have signed up to it. I hope more will come next week to the launch of the community challenge, where we will ask leaders in communities—that is us, as MPs in our local communities—to spend time in our summer recess dedicating ourselves to visiting businesses and employers and asking them to become disability confident and to provide more opportunities for disabled people in their communities. I hope as many people here as possible will come along to that event and will join in with those activities.

So many questions have been asked that I have not been able to answer. I will write back in detail on every point that has been made, so that we can all work together to make sure that every disabled person in our country is truly supported to be the best that they can be and to play as full a part as possible.