Arthritis and Employment

Jim Shannon Excerpts

Tuesday 21st May 2019 Westminster Hall

[Jim Shannon (Strangford) (DUP)]

It is a pleasure to speak in this debate. I thank the hon. Member for Ayr, Carrick and Cumnock (Bill Grant) for setting the scene so well and for his obvious expertise.

From January to March 2019, 7.6 million people between the ages of 16 and 64—18% of the working-age population—reported that they had a disability. Some 3.9 million of those people were in employment, which represents an increase of 150,000 on the previous year. The Government have set a target for 4.5 million people with disabilities to be in employment by 2027. Where does that leave those people with disabilities who live with pain every single day, such as the 17.8 million people in the UK with arthritis and related conditions?

Arthritis can have a huge impact on mental health. It is all very well to look at the physical aspects, but we also have to look at the anxiety and depression that they can lead to, as well as the limits on the ability to stay connected and keep active. There are real physical, emotional and mental pressures. I know many people who work in local shops who are literally crippled with arthritis. Notably, they include women from the generation whom we have let down by changing their retirement plans with a sharp rise in pension age—the WASPI women.

We are pushing people to work with crippling pain every day, yet we have nothing in place to make life easier for them except stronger and stronger drugs. I am ever mindful that many of the people I know who work with arthritis have said that they cannot take the drugs because they make them fuzzy and unable to concentrate, among other side effects. Of course, being in pain also makes concentration incredibly difficult.

Many arthritic conditions fluctuate in severity, as the hon. Member for Stirling (Stephen Kerr) pointed out. People may feel good one day, but bad the next day—or even later the same day. People are left unsure how well they will be able to cope every day. In 2015-16, half a million people had a musculoskeletal disorder that was caused or made worse by work. Sometimes being in work does not make their condition any easier.

The estimated cost of rheumatoid arthritis to the UK economy is between £3.8 billion and £4.8 billion. Some 33% of people with rheumatoid arthritis stop work within two years from onset of symptoms, and almost 45% stop within five years. It is very clear that working sometimes significantly worsens the pain and the symptoms.

It is also clear that arthritis is a large-scale issue that needs a large-scale solution. I agree with the arthritis charities that more needs to be done. If we expect people to make their way to work regardless of the pain, we need to make it easier for them, but that can be done only with a co-ordinated approach and response.

The British Society for Rheumatology has been very clear about the steps that need to be taken. The joint work and health unit, collaborating with professional bodies, provides a guide for health professionals that outlines their responsibilities to their patient’s employer, what the employer is required to provide for their employee, and other outcomes to allow those who wish to continue working to do so. The Minister always responds well to questions that we put to him; if at all possible, I would like him to set out how the joint work and health unit will look after employees and address the responsibilities of employers.

A diagnosis must not be the death of working life for those who want to work through it and find a different way of working. This House and the Minister must play their part by helping businesses to understand that small changes can allow staff to continue working in a way that will not adversely affect the business. There are ways and means in each case, and we must connect them to help people.

I support the ideas that the hon. Member for Ayr, Carrick and Cumnock and other hon. Members have put forward. I look forward to the Minister’s response, because I believe that he will give us the answers that we want—no pressure at all.