Disabled People

Ian Mearns Excerpts

Wednesday 10th July 2013 Commons Chamber

[Ian Mearns (Gateshead) (Lab)]

I am grateful to my Front-Bench colleagues for choosing to debate this cause, which I brought to the House’s attention in a Westminster Hall debate at the end of last year, on 18 December, when I urged the Minister for disabled people, the hon. Member for Wirral West (Esther McVey), to conduct a cumulative impact assessment on the real-term effects of welfare reform on the most vulnerable people in our society. I am sure she will remember that very well-attended debate.

The Chancellor and the Prime Minister have repeatedly lectured us about the need for fairness and said that we are all in this together. However, it is clear that it is not the richest, most powerful and most able in our society who will pay the costs of this Government’s cold calculation and uncaring disregard. Instead, it will be the least able, the most vulnerable and the least powerful—the disabled—who will pay the price.

We call for a cumulative impact assessment because a range of cuts and changes is taking place at the same time, and we need to assess their cumulative effect. I am sure Members have read, or at least heard of, the report “The Tipping Point” by the Hardest Hit campaign, which concluded:

“Many disabled people feel that they are living on the edge, and that the loss of even a small amount of income could tip their already complex lives into greater dependence and insecurity.”

That has been brought into stark relief by campaigns outside this House by organisations such as the National Association of Citizens Advice Bureaux, Mind and Carers UK, and the WOW petition and Pat’s petition. They have brought this to our attention, although I think Members already knew about it because in our surgeries we and our caseworkers are dealing with it in person, on the telephones and via e-mail on a daily basis.

“The Tipping Point” study discovered that disabled people and their families are struggling to make ends meet and feel increasingly nervous about the future, and because of that the Government need to act urgently to arrest disabled people’s slide into entrenched isolation and poverty. Members have heard of Pat’s petition, which had been signed by 62,500 people at the last count that I saw. It called on the Government to:

“Stop and review the cuts to benefits and services which are falling disproportionately on disabled people, their carers and families”.

I ask the Government not only to listen, but to act.

Let us look at the elements of welfare reform that are having an impact on disabled people, and their carers and families. The introduction of the universal credit will result in 2 million households seeing a drop in their income, with disabled people being among those worst affected. The DWP’s own equality impact assessment from November 2011 predicted that disabled households would lose £37 a week, compared with a figure for non-disabled households of only £26 a week.

Another major change is the introduction of the personal independence payment. Last year, in a Westminster Hall debate, the Minister with responsibility for disability matters said that 160,000 claimants would get a reduced award and 170,000 would get no award—that was before a single individual assessment had taken place, so it was a very mean prediction. That announcement concerned me greatly, given that the Minister already had figures on those who would get a reduced award and those who would receive no support before any assessments had taken place. Surely that suggests that the Minister is capping the number of those on PIP, rather than basing that benefit on individual need.

The issue of contribution-based employment and support allowance is affecting many of my constituents. The time limit of 365 days—one year—on those in the work-related activity group, and its retrospective implantation, is forcing many disabled people on to jobseeker’s allowance, given that there is no magic tree spouting jobs these days in places such as north-east England. As I am sure the Minister is aware, unemployment there is going up, not down, yet we seem to be expecting more people with disabilities, or profound disabilities, to get into the world of work, where jobs are already scarce.

Let me give an example from my constituency. It concerns a lady suffering from bronchial pulmonary dysplasia, who was too ill for a heart and lung transplant and who had been on steroids for 37 years. She had brittle bones—osteoporosis—kidney failure and was unable to walk. She regularly had fractures, she had osteoarthritis and she was diabetic. She was initially placed in the work-related activity group and told she would need to find work. As I am sure hon. Members have already fathomed out, she was housebound and bedridden. Thankfully, intervention from my office and other support groups showed that the DWP had clearly made a mistake and it was forced to retract that initial assessment.

I do not wish to talk extensively about the bedroom tax, but so many people who face it do not have spare rooms. These rooms are used to store specialist equipment or are for a family carer, often a spouse or a partner, to sleep in; if those rooms were not available, they would not get that much-needed sleep. We need to remember that those carers save the Government about £100 billion a year, because they take on the role of caring for those disabled people almost exclusively.

Before I move on, I need to talk briefly about Atos, its shocking assessments and the assessment process. I would need all day to discuss that, but I shall just say that the citizens advice bureau in Gateshead has undertaken 1,400 appeals on behalf of people, 1,200 of which have been successful.

[Yvonne Fovargue (Makerfield) (Lab)]

Does my hon. Friend agree that it is not just the welfare reform assessments that are affecting the people with disabilities, but the legal aid changes, which meant that people can no longer appeal against these welfare benefit decisions with help from the CAB?

[Ian Mearns]

I very much welcome my hon. Friend’s intervention, as she describes exactly why we need this cumulative impact assessment. So many different strands to this debate are having an impact on disabled people, and their carers and families.

Before I finish my contribution, I want to refer to a website, calumslist.org, which shows how many suicidal deaths have been directly attributed to welfare reform by a coroner’s court. The total so far is 33. When we had the debate in Westminster Hall in December the figure was 24, so that cost is going up by the month. We need to ensure that the assessment criteria take proper account of the full range of barriers faced by people with disabilities and health conditions, making the assessment and reassessment processes as simple, transparent and proportionate as possible and ensuring that robust evaluation and monitoring processes are in place. We need to bring all the strands together—the bedroom tax, housing, the welfare reform and the changes to legal aid. All those things will have an impact on people’s capacity to deal with the real changes occurring in their lives day by day. I ask all Members to support the motion.

[Mr Michael Meacher (Oldham West and Royton) (Lab)]

Research published in March by the think-tank Demos and by the disability charity Scope, which my hon. Friend the Member for Glasgow North East (Mr Bain) mentioned earlier, revealed that by 2017-18, 3.7 million disabled people will collectively lose £28 billion as a result of the Government’s cumulative benefit changes. If Scope and Demos can do a cumulative impact assessment, why cannot the Government? That is a staggering expropriation from arguably the most deprived and disadvantaged section of the entire population and it is perhaps worth rehearsing quickly the range of the cumulative impact: the incapacity benefit reassessment; the reassessment of the personal independence payments; the overall cap; the universal credit; the time limitation of employment support allowance; the change to local housing allowance; the bedroom tax; the abolition of the independent living fund; the 1% cap on benefit uprating; the localisation of and 10% cut in council tax benefit; and the 1% cap on various benefits and tax credits. That is the range of it.

The study found that 123,000 disabled people faced three benefit cuts that will lose them an income of £18,000 in the five years to 2018. A group of nearly 5,000 disabled people will suffer a combination of six benefit cuts, losing a total of £23,000 each over five years. That works out as £88 per week per person, which for people on the breadline is absolutely huge.

The gratuitous harshness of the Government’s treatment of disabled people comes out mostly in the initial attack on and forthcoming abolition of the independent living fund. The ILF gave new life, engagement, mobility and participation to severely disabled people. Two years ago, the Government closed the fund to any new claims and now they will devolve it to local authorities. Let me ask the Minister some questions—and I expect a reply. Will that be ring-fenced when it goes to local authorities? Will it be the same level of expenditure, with no reduction in public spending of the kind that the Government slipped in when they made the switch from DLA to PIP or in the devolution of the council tax benefit?

Then we have Atos and the work capability assessments. Frankly, the ESA system is simply not working. A Citizens Advice study found that nearly half the Atos reports included inaccuracies that were so serious that they would have affected the decisions made and 70% of them included incorrect factual recordings of the history given. Reviews have found considerable variability in decision making, and there is a 42% success rate at appeal; the rate is much higher when the individual disabled person is represented. There is a very low employment rate among claimants 12 to 18 months after the decision.

The inherent problems that remain with the ESA are legion. The descriptors do not capture a person’s state of health in a way that reflects their ability to work, while medical evidence from those who have detailed, accurate and relevant knowledge is ignored. The assessors lack the time, ability and medical knowledge to understand an individual’s condition and how it relates to work and the assessment is irrelevant to work because no attempt is made to discover what work an individual is supposed to be capable of doing.

As so many disabled persons who have been through the process have said, the worst aspect of the employment and support allowance assessment is fear and insecurity. There is the belief that a test has been created for people to fail, no matter how sick they are; the stress that makes ill-health worse; and the stress and uncertainty of repeated assessments, which are like a sword of Damocles hanging over people perpetually.

My hon. Friend the Member for Gateshead (Ian Mearns) referred to Calum’s List. I thought 30 people had died; he says it is now 33. In nine cases, the family believe that stress triggered the death, and in 20 the person took their own life. Who is responsible for this bleak, unforgiving trail of misery? Behind Atos stands the Department for Work and Pensions, with its guidelines, regulations and descriptors, which underpin the Atos work; its targets—which are, of course, denied—for return-to-work decisions; and the sanctions to make sure that the assessors produce results.

[Ian Mearns]

One of the things that I find regrettable about this debate and previous debates that I have taken part in is that Government Members feel as though they are engaged in some sort of academic exercise; they are talking about statistics, rather than the impacts on real people.

[Mr Meacher]

I have certainly felt that. The Minister made an extraordinarily complacent and bland statement; he read out a speech that he was given by a civil servant as though he was seeing it for the first time. [Interruption.] I am referring not to the Under-Secretary of State for Work and Pensions, the hon. Member for Wirral West (Esther McVey), but the Minister of State, Department for Work and Pensions, the hon. Member for Fareham (Mr Hoban); we will judge the Under-Secretary in a moment. The speeches from those on the Government Benches have been extraordinarily disappointing, but I want to keep to the subject of the debate.

Behind the DWP stands the Treasury and the Chancellor, who have parcelled out targets for huge expenditure cuts, as we all know, without any prior investigation whatever of the extreme variability in human disability, let alone the wide differentials in job opportunities across the country. This is not an exercise in genuine social policy, but a preconceived shoehorning of the sensitivities of disability into the Chancellor’s unremitting cuts agenda.

If the Under-Secretary wishes me to be a little more positive, I will be, gladly. It is not at all difficult to see what needs to be done. We should make much more use of evidence and the claimant’s own doctor; significantly increase the time available for an assessment; improve assessors’ questioning technique, and preferably transfer that whole function back to the national health service; provide the claimant with a copy of the medical report and an opportunity to discuss inaccuracies with the decision maker; and, above all, greatly improve the descriptors.

I am sorry, but not surprised, that the Minister who spoke earlier has fled the Chamber; it is a pity. As he knows well—the Under-Secretary also knows; I spoke to her about this yesterday—for five months, I have been asking the Minister to meet a representative delegation to discuss these matters. I had to give the Minister a prior commitment—he seemed to need it for self-protection—that it would be a constructive engagement. It will be; we want to work with the Government to make things better, because we care about disabled people far more than we do about attacking the Government, although they deserve that we should. Given that the issue involves 1.5 million seriously disabled people, the reluctance of the Minister responsible, and his procrastination for so long a period as five months, is utterly scandalous. In the Under-Secretary’s reply to the debate, to which I shall listen very carefully, I expect her to tell us exactly when the Minister will meet us.