Work Capability Assessments

Jeremy Lefroy Excerpts

Wednesday 27th October 2010 Westminster Hall

[The Minister of State, Department for Work and Pensions (Chris Grayling)]

I shall do my best to answer the questions asked by the hon. Member for North East Derbyshire (Natascha Engel).

I start by saying that there is a huge amount of agreement between us. Let us be clear: the proposals are not an exercise in money-saving. I have said time and again that they are about saving lives, not money. Yes, we will save money if we reduce the number of people who are welfare-dependent, but the starting point surely must be to try to help people make a better lot of their lives. That, effectively, is where the proposals came from.

If we look back to the last Parliament, there was—and, I believe, still is—cross-party consensus on the need to make the changes. The original proposal to assess current incapacity benefit claimants came in the Green Paper that I launched in 2008. James Purnell, who was Secretary of State shortly after that, took up the proposal for the migration and put in place many of the mechanics that were needed.

Given the hon. Lady’s comments, I believe that there is still cross-party consensus on the need to do something about the issue. Frankly, I regret that the assessment was not done years ago, because it is not right for anybody to be left on benefits, doing nothing, year after year without us seeking to find them a way back into work and helping them to make a better lot of their lives.

The hon. Lady is also right to say that we inherited the work capability assessment; it was set up by the previous Government, and was initially meant to operate with the employment and support allowance system for new claimants. It was designed by the previous Government and they put it in place, but it was not completely right; there were things that were wrong with it and needed to change.

One of the first things that I did after taking office this summer was make a number of changes to the work capability assessment—changes that were recommended by the previous Government following work that they did in their last few months in office. I looked at the changes and felt that they were sensible. They included: simplifying the language in the work capability assessment; making greater provision for people awaiting, or in between, courses of chemotherapy; making the higher rate of employment and support allowance available to more people with particular communication and mental health problems; and taking into account how people have adapted to a disability.

My view was that that was not enough, and I share the hon. Lady’s concern. It is not in my interests or the interests of the Government to get this wrong. I do not want to do down people who should not be trying to get back into work. I want to help those who have the potential to work, and to ensure that the work capability assessment is as effective as possible. There is no hidden motivation. I am not saying that we should make the test as tough as possible so that we can get more people off benefits and into work, thus saving money. I can categorically assure the hon. Lady that that is not the case.

There is no such thing as a perfect system, but we are working as hard as we can to make the system as effective as possible. Let me tell the hon. Lady some of the things that I have done to ensure that it is. Since the election, we have commissioned a further review of the work capability assessment. It is being carried out by a leading occupational health specialist, Professor Harrington of Birmingham university. We have assembled an advisory group to work with him, which includes Paul Farmer, the chief executive of Mind. I particularly wanted him to be on the review, because mental health is a big issue. Getting the facts right on mental health is essential. I do not want to say that people with mental health problems should not be able to work. Equally, I want to find the right dividing line to ensure that we do not do the wrong thing by people with mental health problems who would have genuine difficulty in working.

[Jeremy Lefroy (Stafford) (Con)]

I want to emphasise the importance of the assessment of mental health problems. A constituent of mine told me that he could have sat down and cried to prove that he had mental health problems. He did not and, as a result, he was categorised as having no mental health problems. That was despite the fact that his general practitioner had categorically said that he did.

[Chris Grayling]

I have told the mental health charities that I am happy to hear their proposals on how we can change the wording of the assessment to strengthen the way in which we deal with people with mental health problems. I am happy to look at such proposals and incorporate any sensible changes. I said to Professor Harrington and his team that I want them to bring forward recommendations on how to improve things and to knock off any rough edges so that we can make the system as fair as possible.

The majority of people—it is far from all—who are on incapacity benefit with mental health problems have issues with long-term chronic depression. We have a straightforward choice. We can either leave them at home for the rest of their lives—the hon. Lady mentioned that many people end up just retiring rather than ever moving off benefit—or we can try to do the right thing and help them back into work. I passionately believe that the second is the better option. In a moment, I will address the hon. Lady’s concerns about personalisation, because I agree with her on that.

What I am saying applies across the piste: we are either saying that we will leave these people passively on benefits for the rest of their lives, or saying that we will do something to help them turn their lives around. It may be that going back to work will involve them doing something different from what they were doing before. If, for example, they were doing a manual job and they had an orthopaedic problem, they may have to do something different, and that may be a huge wrench that damages their self-confidence. The hon. Lady was right to say that many people who are on long-term benefits have lost networks and self-confidence. I do not buy into the headlines that say, “They are all scroungers.” Hon. Members will not find me using such language.

The biggest issue is about detachment from the workplace. Some people who have been in work previously and who have become utterly detached start to lack confidence; they do not know what to do or how to go about getting work. Sometimes, people have grown up in an environment in which worklessness has been the norm, and they do not have the knowledge to be able to take the first steps into the workplace. Helping them not only with the assessment but over the hurdle of getting back into work is a huge challenge, and that is what our work programme is all about.

Let me touch on one or two of the other areas that the hon. Lady raised in relation to the assessment. Atos has no financial incentive to get more people through the assessment and back into work, nor would I countenance it having one. It is Jobcentre Plus that takes the decision and not Atos, and Atos does not design the test. The recommendations that we get from Professor Harrington’s review—as long as they are sensible, and I am confident that they will be—will inform our decision making about how the test should be shaped.

Women and Equalities

Jeremy Lefroy Excerpts

Monday 6th September 2010 Ministerial Corrections

[Jane Ellison]

8. To ask the Minister for Women and Equalities if she will hold discussions with the Secretary of State for Work and Pensions on proposals to change the access to work programme to increase opportunities for disabled people to find employment.

[Jeremy Lefroy]

10. To ask the Minister for Women and Equalities if she will hold discussions with the Secretary of State for Work and Pensions on proposals to change the access to work programme to increase opportunities for disabled people to find employment.

[Official Report, 26 July 2010, Vol. 514, c. 610W.]

Letter of correction from Maria Miller:

Errors have been identified in the response given to the hon. Member for Battersea (Jane Ellison) and the hon. Member for Stafford (Jeremy Lefroy) on 26 July 2010. The words ‘The Government Equalities Office is’ in the second paragraph should be replaced with ‘We are’.

The answer given was as follows:

[Maria Miller]

[holding answer 22 July 2010]: I have been asked to reply.

The Government are committed to ensuring disabled people are given the support they need to get a job and remain in employment.

The coalition agreement made a commitment on Access to Work. The Government Equalities Office is developing plans for delivering this commitment and further details will be announced in due course.

The correct answer should have been: