Personal Independence Payments

Ian C. Lucas Excerpts

Wednesday 13th April 2016 Westminster Hall

[Ian C. Lucas (Wrexham) (Lab)]

It is a real pleasure to be in a debate that you are chairing, Mr McCabe—I think this is the first time it has happened for me. I apologise to all my colleagues because I have a great deal to say on the issue, and I propose to say it and then, hopefully, to take some interventions. I am very grateful to them for attending to listen to the debate, which has provoked an awful lot of interest not just from fellow colleagues, but from individuals who have contacted me. I thank all the people and organisations who have contacted me; I have read all the submissions they sent.

The Government’s present agenda on disability is to reduce the number of people receiving disability benefits and the amount of money they receive. There has been a marked increase in the number of constituents coming to my office to seek help in connection with disability benefits, particularly with the personal independence payment process. In preparing for this debate, I have worked very closely with, and I am very grateful to, Wrexham citizens advice bureau and the welfare rights service of Wrexham Council.

In recent months, it seems that the Department for Work and Pensions has targeted the Wrexham postcode, inviting large numbers of working age, pre-existing disability living allowance claimants to move to the replacement benefit, PIP. Failure to respond to the invitation results in the existing DLA award ceasing, with an associated knock-on loss of any premiums—for example, means-tested benefits, Motability car tax, blue badge entitlement and so on. At any time in the Wrexham area, about 10,000 people have been in receipt of various combinations and levels of DLA, and considerable numbers of them are now going through the migration process, which is almost entirely driven by DWP, not by the claimants themselves.

The DWP invitation gives people a limited amount of time to claim PIP and return the paperwork, with a claim form of about 40 pages in length. Many claimants struggle to complete social security benefits claim forms and seek help to do so. If constituents do not respond, the DLA stops. That is one way of the Government achieving their objective to reduce the benefit paid.

One constituent of mine—a former nurse—has a degenerative neurological condition, yet her PIP assessment resulted in her losing her Motability car, an outcome repeated and experienced by sufferers of Parkinson’s disease, according to a briefing sent to me before this debate. This does, of course, secure the Government’s objective of reducing the benefit paid to disabled people.

The changes to the system are being made against a backcloth of withdrawing specific benefits advice, reductions in legal aid eligibility and reductions in funding for citizens advice bureaux, welfare rights advisers and other sources of advice. The result is that little advice is available for vulnerable people, which further helps the Government to reduce the benefit paid. In any event, the system operated means that applicants invariably complete the long, complex forms without advice and without any knowledge of the criteria applied to award PIP. As a consequence, it is very often the case that the initial application results in previous recipients of DLA being awarded PIP, if at all, at a lower level.

When an application is made for mandatory reassessment, again the applicants have no detailed knowledge of the criteria, and the reasoning applied by assessors and communicated to the applicant is set out without specific reference to the points awarded for each individual disability. DLA was assessed by health professionals. The Government now contract private businesses such as Capita to carry out assessments. In Wrexham, the largest town in north Wales, there is no geographic base for personal assessments to be carried out and applicants are requested, as a matter of course, to travel more than 40 miles to Rhyl for an assessment. That is a disincentive to vulnerable people to proceed with the application.

On Monday evening, in the excellent “Dispatches: The Great Benefit Row”, presented by Ade Adepitan, we saw the shocking mindset of a number of the assessors. However, the views expressed in that programme reflect what I am told by my constituents. Individual applicants are subjected to rudeness from assessors when they question the obligation to travel distances. When one constituent of mine asked to have an assessment in Wrexham, rather than travel the considerable distance to Rhyl, the conversation went: “Do you receive DLA?” “Yes.” “Use the bloody money to get to Rhyl.”

When the mandatory assessment is completed, the appeal process is complex and difficult and, again, there is a paucity of advice available to applicants. There has been a huge increase in the number of individuals seeking advice in my office, and there are real capacity constraints in handling the quantity of them. Applicants are often vulnerable, stressed and upset by the whole process, and are intimidated by the complexity of the forms.

[Dr Lisa Cameron (East Kilbride, Strathaven and Lesmahagow) (SNP)]

Will the hon. Gentleman give way?

[Ian C. Lucas]

I am sorry but I am going to continue. I will try to take interventions later.

Applicants are also intimidated by the manner of the assessors and the way in which assessments are set out when they are presented to applicants. Having considered a number of the assessments personally, I find it difficult to draft responses to the assessments effectively. The process is much more difficult than drafting court pleadings—I am a solicitor—and, without training and support, it is very difficult even for those experienced in drafting documents.

It is essential to have detailed knowledge of the points awarded for individual actions in order to respond properly to assessments made. The reality is that most applicants do not have that information themselves and do not have adequate access to expert advice to help them. I quote the experience of one of my constituents, Lindsay Usher, who sent an email to me earlier this week. She says:

“I am a carer for my husband John who had a major stroke, aged 55, in October 2010 that left him with various disabilities. He was awarded indefinite DLA...and recently had correspondence to say that he had to now apply for PIP. I made the initial telephone call on his behalf and then the 40 page booklet appeared. We duly completed it and that in itself is stressful. John could not have done it on his own due to the complexity and ambiguity of the questions. They repeatedly try to trip you up and the stroke has left him with a degree of cognitive impairment. We returned it by the due date, 24 March. The receipt was acknowledged by the DWP by text message.

John then received a letter from Capita dated 28 March informing him that he would be assessed face to face by a ‘health professional’ at his home address on 11 April at 08.00 a.m. John takes about an hour and a half to get up, washed and dressed independently in the mornings (this information was written on the PIP claim form) but even though the timing of the appointment was not ideal we decided to accept it as the wording in the letter from Capita includes, in bold, ‘It is important that you go to this appointment. If you fail to go without a good reason, the decision-maker at the Department for Work and Pensions is likely to refuse your claim’. It’s quite intimidating. A further reminder letter dated 2 April was received from Capita confirming the appointment with the same ‘It is important that…’ sentence. Finally a text message was received from Capita on 6 April once again confirming the appointment…Roll forward to the appointment day…Alarms set for 06.00 a.m. Ready, waiting, stressed and nervous by 07.45 a.m. No sign of ‘health professional’. No email, no phone call, no text message. So I telephoned the Capita ‘Enquiry Centre’ at 08.56 a.m. The lady who answered had no idea why John had been ‘stood up’. I said we would give it a while longer. By 10.32 a.m. I phoned again. We got the obligatory ‘sorry’ but I told the young lady I spoke to that she could not be held responsible for the ‘health professional’s’ failure to appear.”

Another constituent became enmeshed in an argument over whether he was able to fully wash the top half of his body, as he has the use of only one arm due to a stroke; the assessor accepted that he could not wash the whole of the bottom half of his body. Parliamentary colleagues have approached me since this debate was listed to tell me of similar accounts affecting those they represent. This degrading assessment process makes sense only if it is understood that the policy’s central objective is to reduce the benefits of these disabled people. All these procedural steps work towards that end and make it more difficult for claimants to apply.

It made me sick to the stomach to see further personal independence payment cuts proposed in the Budget and to see the Minister defending them even before the Budget speech was made. At the same time, the Government cut capital gains tax and corporation tax. This rotten system endures and is often run by rotten people—we saw some of them on Monday night’s programme on Channel 4—who treat vulnerable people and their families with absolute contempt.

If the Minister wants to help disabled people—I respect him, and I am telling him what my constituents are telling me—will he now ask his Secretary of State to carry out a fundamental reappraisal of this appalling system? If he wants to salvage his reputation, that is the only way he will be able to do so. If he wants respect, he and his Department, and those who his Department employs and commissions, need to start treating vulnerable disabled people with the respect they deserve.

[Mr David Hanson (Delyn) (Lab)]

Everything my hon. Friend has said is applicable to the Delyn constituency in north-east Wales. It might help Members and the Minister to know that the value of the contract to Capita over 60 months in central England and Wales is £121 million. We can get better value and better, more compassionate performance out of that contract.

--- Later in debate ---

[Ian C. Lucas]

I agree entirely.

[Jim Shannon (Strangford) (DUP)]

I congratulate the hon. Gentleman on securing this debate. He is right that this is a massive issue. “Dispatches” highlighted the concerns that many people have about the PIP assessment. The same firm is contracted to carry out PIP assessments in Northern Ireland, where we have one of the highest DLA claimant rates in the whole United Kingdom because of the troubles. Like me, does he feel—perhaps the Minister will respond to this—that there is a great need for those who carry out the tests to have a higher level of competency?

[Ian C. Lucas]

The hon. Gentleman is absolutely right. There is clearly a major problem, and MPs are seeing that in their constituencies across the United Kingdom. The purpose of securing such debates is to draw to the Minister’s attention to the mistakes made by Government. All Governments make mistakes—mistakes were made under a Labour Government—and there is a real mistake in this particular case that he needs to address.

[Dr Lisa Cameron]

Given the information that we have, this is an extremely valuable and timely debate. As the chair of the all-party parliamentary group on disability, I have particular concerns about the lack of involvement of individuals such as mental health professionals and general practitioners in gathering the information. Does the hon. Gentleman agree that that should be standardised as part of the procedure?

[Ian C. Lucas]

Absolutely. These assessments, which often deal with vulnerable people who in many cases have particular complex medical needs, need to be carried out by individuals who know what they are talking about and who have not just been sent on an away day to establish whatever criteria Capita want to apply to let as few applications through as possible.

[Rosie Cooper (West Lancashire) (Lab)]

I congratulate my hon. Friend on securing this debate. One of my West Lancashire constituents had their mobility car repossessed following a PIP assessment, but that was before a mandatory reconsideration or a tribunal to reconsider the case. Where is the natural justice? Does he agree that that is just one more area where the PIP process is ineffective? It is not always cost-effective, and it is certainly uncaring in its treatment of people. All of that has consequences for those being assessed, and it is time for the Government to reconsider their absolutely appalling approach to this problem.

[Ian C. Lucas]

I agree entirely with my hon. Friend. The Motability issue is important and is causing concern on both sides of the House.

[Mr Andrew Smith (Oxford East) (Lab)]

I congratulate my hon. Friend on his speech and on securing this debate. Are not the shortcomings that he rightly describes underlined by the success rate at first-tier tribunal appeals? The Barton advice centre in my constituency has an 82% record in overturning such wrong decisions.

[Ian C. Lucas]

That is absolutely the case, and it is important to realise the impact of determinations, such as the withdrawal of Motability cars, which are taken back within days pending an appeal.

[Christina Rees (Neath) (Lab)]

Everything my hon. Friend says is happening in Neath. What is the Department for Work and Pensions doing to ensure that the healthcare professionals who undertake the assessments are mental health specialists, as Capita claims? What exactly does “mental health specialist” mean? Are they qualified mental health nurses, doctors or carers? In one case in Neath, a report was done by a paramedic.

[Ian C. Lucas]

I am sure that the Minister will address those points in his response, which I will now allow him to make. I am grateful to him for being patient while I have taken interventions.

--- Later in debate ---

[Justin Tomlinson]

I am sure there will be many other opportunities for the hon. Lady to ask me questions, and I look forward to them. Perhaps I have got a foresight of what her next question at Work and Pensions oral questions will be.

I acknowledge that when we first introduced the PIP process there were major problems with timings, but there has been a settled position for about a year now. It currently takes seven weeks for an assessment and 13 weeks—median end to end—to get a decision. The time taken has been reduced by about three quarters since June 2014.

I will now touch on the TV programme, which is obviously topical. I was as appalled as everybody else who watched that programme. To the credit of Capita, it has reacted quickly and the individual concerned— Mr Barham—has been dismissed, and rightly so. We have not been made aware of any evidence that this is a significant issue; it seems to be a disgracefully appalling but isolated one. We have been told, “The overwhelming feedback gathered so far is one of frustration, disappointment and anger about how this individual has let everyone down, undermining the hard work and effort that everyone puts in daily to deliver and continually improve the level of service provided both to the Department and the PIP claimant community.” Capita has assured me that it will conduct further checks to make sure that this incident was an isolated one, and I was genuinely as appalled as everybody else who saw that programme.

[Ian C. Lucas]

rose—

[Justin Tomlinson]

I will take one last intervention.

[Ian C. Lucas]

Before the programme was screened, individuals had been saying to me that the assessors’ attitudes were wrong. I recounted one particular case, and I have been given other examples that I did not have time to cover today. Will the Minister please speak firmly to Capita and tell it to start treating people with respect?

[Justin Tomlinson]

Absolutely. That is happening; that is a given.