Oral Answers to Questions

Debate between Justin Tomlinson and Marsha De Cordova

Monday 27th January 2020 Commons Chamber

[Justin Tomlinson]

My hon. Friend has worked hard in this area for a number of years. As part of the forthcoming Green Paper, we will be looking at how we can better use evidence, how we can continue to improve the claimant’s experience, and how we can reduce the need for unnecessary face-to-face assessments through the integrated assessment principle.

[Marsha De Cordova (Battersea) (Lab)]

The Government’s national disability strategy finally recognises that the assessment process for PIP and ESA is burdensome for disabled people. Given that the Government now admit to the failures of these assessments, given the mental distress that they have caused, and given that more than 70% of decisions brought to an appeal tribunal are overturned and thousands of disabled people have died after being found fit for work, will the Minister now do more than simply lessen the number of reassessments? Will he scrap these unfit-for-purpose assessment frameworks for ESA and PIP once and for all?

[Justin Tomlinson]

The hon. Lady calls for something to be scrapped while not setting out what the alternative would be. We recognise that when Labour introduced the work capability assessment it needed significant improvement. That is why we had five independent reviews and implemented more than 100 recommendations. We are now exceeding 92% claimant satisfaction with the work capability assessment, and 82% of PIP claimants are satisfied with the service they get. That is why, as a Government, we are now proud to spend an additional £10 billion a year supporting those with disabilities and long-term health conditions.

Economy and Jobs

Debate between Justin Tomlinson and Marsha De Cordova

Monday 20th January 2020 Commons Chamber

[Marsha De Cordova (Battersea) (Lab)]

May I congratulate you on your re-election, Madam Deputy Speaker? It is a pleasure to follow the hon. Member for North West Leicestershire (Andrew Bridgen) and to speak on the final day of this Queen’s Speech debate.

After a decade of austerity, damaging cuts to public services, continual underinvestment in our NHS and the dismantling of our social security system, I am afraid to say that the Queen’s Speech offers nothing new. There is nothing more pressing than the impending climate crisis facing our country, a crisis that could have been averted by policies that the Conservative Government opposed over the last decade. Instead, investment in clean energy has plummeted since 2015 and, after a decade of inaction and broken promises, the UK will fail to meet vital EU targets on air pollution, which will have a devastating effect on my constituents.

It is time for radical action. That means listening to our young people over big business. It means a more ambitious zero emissions target than the one outlined in the Queen’s Speech. And it means following the Mayor of London’s lead on tackling air pollution by introducing a new clean air Act. So I hope the Secretary of State will tell us something new and impressive today about what the Government are going to do to tackle the climate crisis we are facing.

Everybody in this country deserves a safe, decent and affordable home to live in, but successive Conservative Governments’ housing records are shaped by broken promises and missed targets. This winter, there are more than 3,000 homeless children in Wandsworth, a reality overlooked by this Government, as there is not even a mention of the word “homelessness” in this Queen’s Speech. We cannot trust this Government to deliver on their promises on housing, as the Tories have failed to build a single one of the 200,000 starter homes they promised in 2015. Not only that, but this Queen’s Speech does not include any measures to improve building and fire safety. Today we heard a statement from the Housing Secretary, but yet again no fixed deadlines have been put in place to compel local authorities, developers and the owners of those private blocks to ensure that they remove flammable cladding from people’s homes? Again, it is time for action on this issue, because my constituents who are living in homes wrapped in cladding are still unsafe. Perhaps the Minister will be able to say whether or not the Government can set out a deadline by which to ensure that flammable cladding is removed from those homes.

We face the housing crisis that I have talked about, with high rents and unaffordable homes. It is all fuelled by a jobs crisis and low pay. It is a national scandal that there are 14 million people living in poverty and 9 million of them are in families in which at least one adult works. After a decade of austerity, our economy is not working for working people. The Government are celebrating high employment rates at every opportunity, but the figures mask high levels of people in insecure work, under-employment and low pay. The recent announcement on the national living wage that will come into force this April will apply only to workers aged 21 years and above. That means there will still be 5 million workers in the UK who will be earning less than the real living wage. Why will the Government not choose to pay everyone a real living wage, regardless of their age? I hope the Minister can respond to that.

Not only that, but 3.7 million people are in insecure work or on zero-hours contracts. Again, this is something the Government need to address. If they are genuine about calling themselves the party of the workers, it is time they started treating our workers with respect and paying them a decent wage.

The Government have no plan to address the crisis of the race, gender and disability pay gap. The current disability pay gap for all employees stands at 15.5%, meaning that disabled people effectively work for free for 57 days—or eight weeks—of the year. That is scandalous and unacceptable. Analysis also found that disabled workers earn on average £1.65 per hour less than non-disabled workers, which is a gap of around £3,000 a year, based on a 35-hour week. So what action are the Government taking to address the disability pay gap?

I now come to a subject close to my heart: the Government’s national strategy for disability outlined in the Queen’s Speech, with a whole page and a half dedicated to it. I have to say that it is a little too late and does not address the real impact of cuts to public services and social security. Disabled people will not forget that the Government have promised such strategies before and failed to deliver, including on the national accessible housing consultation that was promised to us last year. I hope that consultation will commence this year.

In 2016, the chair of the UN Committee on the Rights of Persons with Disabilities labelled austerity as being responsible for “grave and systematic” violations of the human rights of disabled people, but the Government, despite the body of evidence to demonstrate the impact of their austerity on disabled people, continue to choose to bury their heads in the sand. The evidence is there.

The strategy offers little detail on the Government’s plans to reduce the disability employment gap—

[The Minister for Disabled People, Health and Work (Justin Tomlinson)]

What?

[Marsha De Cordova]

Yes, that is the truth. Under the Tories, the disability employment gap has stayed stagnant and the pay gap continues to widen. The Government have a real opportunity to rethink and reform employment support for disabled people. They have the Disability Confident scheme, but in its current format it lacks any credibility or accountability because it is possible to be a Disability Confident employer and not employ a single disabled person.

[Justin Tomlinson]

Will the hon. Lady give way?

[Marsha De Cordova]

No, she won’t.

When will the Government recognise that the Disability Confident scheme lacks any accountability? Will they follow Labour’s lead and place a requirement on all organisations with more than 250 employees to report annually on the number of disabled people they employ?

The Access to Work scheme is an essential form of employment support, but it remains one of the best-kept secrets, as only 43% of employers are aware of it. It is a good scheme from which I and many others have benefited, but the Government should try to promote it a bit more so that all employers are familiar with the scheme and can access it and benefit from it. The Access to Work scheme should be expanded to include disabled people who want to engage in work experience or volunteering opportunities. The Government could also follow Labour’s lead and introduce what is called a reasonable adjustment passport scheme, which would make it easier for disabled people to move from one job to another. It would be almost like portable support and would save money in the long run.

Let me move on to the assessment frameworks. The Government’s commitment to end the cruel reassessment for personal independence payments falls short of the systematic changes that are needed to social security assessments, which are failing too many disabled people. Indeed, 72% of PIP decisions that go to appeal are overturned in favour of the claimant. Disabled people are being forced to wait up to nine months before their case goes to an appeal tribunal. It is the same for employment and support allowance claimants, too. It is shameful.

The consequences of the failing system are devastating. Just last year, the Government released figures showing that 5,690 people had died within six months of being found fit for work under the work capability assessment. That is why Labour and many others were proud to support the Justice for Jodey Whiting petition that called for an investigation into social security-related deaths. The petition was signed by more than 50,000 people. Will the Government, as part of their national strategy for disabled people, finally agree to carry out an urgent inquiry into social security-related deaths?

In conclusion, the Government have an opportunity to address the misery they have caused over the past decade. On jobs, housing, the climate and disabled people’s rights, the Queen’s Speech has fallen short, which is why I will vote for the amendment tabled by the Leader of the Opposition, my right hon. Friend the Member for Islington North (Jeremy Corbyn). I urge the Government to think about what I have spoken about. This country and the people of my constituency of Battersea cannot afford any more missed targets or broken promises.

Oral Answers to Questions

Debate between Justin Tomlinson and Marsha De Cordova

Monday 7th October 2019 Commons Chamber

[Justin Tomlinson]

The two benefits link through together. It is set at 16 to allow time for adaptation, and we continue to work with stakeholders to make sure the process is as straightforward as possible.

[Marsha De Cordova (Battersea) (Lab)]

Figures recently published by the Department reveal that disabled people are being forced to wait up to 69 days for their mandatory reconsideration for PIP. This process is a barrier to accessing vital social security and, for many, is a deliberate delay to the appeal process. As 85% of MR decisions are upheld, almost three quarters of PIP assessments are overturned on appeal. Will the Minister lay out his plans to improve this failing process, or will he follow Labour’s lead and scrap this unfit-for-purpose assessment?

[Justin Tomlinson]

The hon. Lady is absolutely right to highlight the need to improve mandatory reconsiderations, which is why we brought forward the pilots in the spring. The pilots are proactively gathering the additional written and oral evidence that was often presented at the end of the independent appeal process, which would sometimes take a year or even longer—that was not acceptable. We have been doing this over the summer, and we are now doing it for all PIP and work capability assessments. I attended a PIP mandatory reconsideration in Cardiff over the summer, and we are seeing some fantastic results because, rightly, we are speaking directly to claimants to ask them why they are challenging a decision. That will make a big difference, and stakeholders warmly welcome it.

--- Later in debate ---

[Justin Tomlinson]

My hon. Friend is right to highlight this very important area and I am very proud that I helped to champion disability apprenticeships. Through the Access to Work scheme, which is now seeing record numbers benefiting, we saw a 34% increase in 16 to 24-year-olds using it, opening up more opportunities for employment.

[Marsha De Cordova (Battersea) (Lab)]

The catalogue of the Department for Work and Pensions’ own failings has created a hostile environment for disabled people. Figures released this year show that almost 6,000 people died within six months of being found fit for work. The announcement of the new independent serious case panel lacks any meaningful detail, terms of reference or purpose. Will the Minister confirm whether the new panel will review previous social security benefit deaths, and will he set out what the statement of purpose is for the new independent panel?

[Justin Tomlinson]

We work all year round with claimants, stakeholders and charities—organisations with real-life experience—to help to improve not only the training but the understanding of all areas of disability and health conditions. We back that with genuine financial support. The Government now spend £55 billion a year, 2.5% of all Government spending and 6% of GDP—a record high, at £9 billion in real terms, to support people with disabilities.

Oral Answers to Questions

Debate between Justin Tomlinson and Marsha De Cordova

Monday 1st July 2019 Commons Chamber

[Justin Tomlinson]

Under universal credit, from the initial conversation with a work coach, individual claimants—including those with disabilities—can get support. We continue to make improvements to the work capability assessment, following the five independent reviews. Over 100 different recommendations have been taken on board. I work very closely with stakeholders, as do all the ministerial team. We look to continue to improve the process.

[Marsha De Cordova (Battersea) (Lab)]

Support for disabled people in work should be a top priority for this Government, but on several occasions I have raised with Ministers a fundamental flaw under universal credit for disabled people in work, which is that to qualify for in-work support, such as the work allowance, one must be found unfit for work under the work capability assessment. That contrasts with legacy social security, where someone qualifies for in-work support by being in receipt of DLA or PIP. Does the Minister agree that this is absurd, and will he commit today to rectifying this illogical and damaging policy?

[Justin Tomlinson]

I will commit to continuing to do everything we can to ensure that all people with disabilities and long-term health conditions have the maximum chance to get into work. I am very proud of the fact that over the last five years alone, 950,000 more disabled people are in work, and we continue to make good progress towards our target of a further 1 million disabled people in work by 2027.

Oral Answers to Questions

Debate between Justin Tomlinson and Marsha De Cordova

Monday 13th May 2019 Commons Chamber

[Justin Tomlinson]

All claimants should be advised at the beginning of the process that there are alternative methods of communication. I welcome the introduction of the Citizens Advice provision across the jobcentre network, which is an additional layer of independent support, particularly for vulnerable claimants who may find it difficult to access services.

[Marsha De Cordova (Battersea) (Lab)]

May I welcome the Minister to his post? As the National Audit Office recently pointed out, the number of disabled people out of work has stagnated at 3.7 million during the past five years, because increases in the number of disabled people employed have not been matched by a decrease in the number of disabled people who are out of work. Under the Government’s flagship Disability Confident scheme, it is possible to be a Disability Confident employer without actually employing a single disabled person. Will the Minister now commit to independent evaluation of the effectiveness of that flagship scheme?

[Justin Tomlinson]

The Government have actually delivered an additional 930,000 job opportunities for disabled people over the past five years, and for the first time more disabled people are in work than out of work. The NAO also welcomed our joint work with the Department of Health and Social Care, particularly in the area of mental health. As for the Disability Confident scheme, I welcome the fact that 49% of the businesses that have signed up have said that it helped them to recruit at least one additional member of staff with either a disability or a long-term health condition.

Oral Answers to Questions

Debate between Justin Tomlinson and Marsha De Cordova

Wednesday 3rd April 2019 Commons Chamber

[Marsha De Cordova (Battersea) (Lab)]

13. What recent assessment he has made of the effect of the roll-out of universal credit on low-income families in Wales.

[The Parliamentary Under-Secretary of State for Work and Pensions (Justin Tomlinson)]

Universal credit is available in every jobcentre in Wales. Our welfare reforms are incentivising work and supporting working families. In the past 12 months alone, the employment rate in Wales has increased by 3.4 percentage points, the largest increase in any area of the UK.

--- Later in debate ---

[Justin Tomlinson]

It is not right that those of working age should be accessing pensioner benefits, but this Government have delivered the triple-lock pension support, which has given pensioners an extra £1,600 a year.

[Marsha De Cordova]

Will the Minister set out what discussions he is having with the Secretary of State for Work and Pensions on making it easier for private-rented sector tenants in Wales to have the housing element of universal credit paid directly to their private landlord?

[Justin Tomlinson]

I can confirm that I have regular discussions with the Secretary of State for Work and Pensions on this subject, about which she is incredibly passionate. We are making it easier, particularly for those on legacy benefits who already have direct payments.

Supporting Disabled People to Work

Debate between Justin Tomlinson and Marsha De Cordova

Thursday 28th March 2019 Commons Chamber

[Marsha De Cordova (Battersea) (Lab)]

(Urgent Question): To ask the Secretary of State for Work and Pensions if she will make a statement on the National Audit Office’s report “Supporting disabled people to work”.

[The Parliamentary Under-Secretary of State for Work and Pensions (Justin Tomlinson)]

The Department welcomes the National Audit Office report, which acknowledges the Department’s work to build our evidence base and deliver tailored support through jobcentres with partnership working, including healthcare services that deliver for disabled people. Between 2013 and 2018, disability employment has risen by 930,000, but there is more to do to deliver on our commitment set out in the “Improving Lives” paper. As the Secretary of State announced earlier this month, we will review our goal of 1 million more disabled people in work by 2027 to see if it can be made even more ambitious.

We know that personalised, tailored support and tackling the misconceptions and the barriers that people may face are effective in getting disabled people into work. Our initiatives give claimants the opportunity to access personalised support to help them to move closer to work and to help to achieve cultural change, including through our Disability Confident scheme, supporting employers to provide job opportunities. Since the “Improving Lives” paper was published in 2017, the Department has launched the Work and Health programme, which will support some 220,000 disabled people, and the intensive personalised employment support programme, which will start at the end of this year. Access to Work supported some 33,860 people last year, up 13% to a record high, and more than 11,000 employers have signed up to the Disability Confident campaign.

The Department routinely evaluates its labour market programmes and ensures that the evidence is used to provide the most effective interventions that help people move closer to the labour market. We will continue to build our evidence base by testing a range of initiatives and using this evidence to inform our future strategy. With universal credit, that is transforming the labour market prospects of disabled people, not only through earlier and more intense engagement, but by allowing them to move into and out of work without the fear of losing their benefits or having a new health assessment. This year, we will also introduce new disability employment adviser leader roles to support work coaches to build their skills and capabilities.

In conclusion, stakeholders will be at the heart of our future work. Together we will continue to do all we can to unlock disabled people’s potential.

[Marsha De Cordova]

Mr Speaker, may I start by thanking you for granting today’s urgent question?

Today, the National Audit Office published a damning report evaluating the Government’s progress in supporting disabled people into employment. The NAO concluded that, two years into the Government’s work, health and disability strategy, the Department for Work and Pensions lacks any clear measures or implementation plan to promote the employment of disabled people.

The report found that the number of disabled people out of work has remained stagnant—at 3.7 million—for the last five years, highlighting that the increase in the number of disabled people has not been matched by a decrease in the number who are out of work. The report also found that the Government have yet to evaluate the effectiveness of their employment support programme. Indeed, the head of the NAO has said that the Government

“has yet to make a significant dent”

in the number of disabled people out of work. The disability employment gap has stayed at a little above 30% for the last two years. Recently, the Secretary of State announced “a more ambitious plan” to increase the employment target beyond 1 million in the next 10 years. Given the NAO’s conclusions today, how does she expect to deliver that?

The NAO also found that the case load of work coaches is set to double as a result of universal credit. How will the Minister ensure that disabled people do not receive a worse service, and what additional resources will be made available, aside from just disability employment leads?

We all know that the Access to Work scheme is effective, but many employers are unaware of it. Will the Minister commit to expand the scheme and to remove the current cap? The Government’s Disability Confident scheme lacks any credible performance measures to ensure that disabled people get the right support, as well as any quality standards or independent evaluation. Will the Government now commit to getting the scheme independently evaluated? Will they also start to record the number of disabled people who are in work as a result of it?

Finally, it has been two weeks since there was a Minister for Disabled People. When will one be appointed?

[Justin Tomlinson]

The NAO report did welcome our approach to offering tailored and personalised support. We know from speaking to disabled people of all ages that that is something they very much welcome. All of us in society have our own unique challenges and opportunities as we navigate through life and particularly as we seek work. From the many visits I made during my time as the Minister for Disabled People, I know just how powerful the case is for doing everything we can to help disabled people into work, and particularly young disabled people, who want to have exactly the same opportunities as their peers.

The NAO report also welcomed our test-and-learn approach. There is no global, off-the-shelf book that says exactly how we can help every single individual. We have to develop new, innovative ways, and that was welcomed, as was our commitment to continue partnership working, particularly to support local, excellent initiatives that help to unlock people’s potential.

I do not recognise much of what the shadow Minister said, because there are 930,000 more disabled people in work over the last five years. This is real people having the opportunity to work; these are record numbers. Over 400,000 workless disabled people a year move into work. That is a welcome figure. However, we recognise that more needs to be done, which is why the Secretary of State was passionate about saying that we will review that target of 1 million more by 2027, and I will support that.

We are focusing our efforts on personalised and tailored support. We are increasing the number of disability advisers and their training. The personalised support package will unlock local initiatives. The work and health programme is helping 220,000 disabled people. We are doing joined-up working with the Department of Health and Social Care. Our proactive work supporting employers has also helped. I recognise the point about raising awareness of Access to Work, and we do need to do more on that, but we had a record number of people last year—up 13%. The cap has gone from 1.5 times average earnings to twice that amount, at about £57,900. I welcome the cultural change among employers who recognise that, with just a few small changes, it can be a win-win situation. I felt that as an employer, and a number of times when I engaged with businesses of all sizes. Those businesses benefit, as do disabled people, and we will continue to do all we can.

Personal Independence Payments: Merseyside

Debate between Justin Tomlinson and Marsha De Cordova

Tuesday 26th March 2019 Westminster Hall

[Justin Tomlinson]

It is important to set out the overview of where we are. That is why it was so important to highlight those cases in Liverpool and Merseyside, which shape how we do the administration. All our work is done in conjunction with stakeholders that have frontline experience. Hon. Members highlighted the excellent charities and support groups in Liverpool and Merseyside, which are feeding in. They are right to challenge, shape and help us implement the changes. I have seen many cases in which their frontline experience has brought to our attention common sense that should be applied. That has been done, but that work is not complete. I do not know all the details of the examples that hon. Members highlighted—sometimes there are two sides to a story—but presumably their offices have looked into the cases extensively. There are clearly issues that need to be looked at. Hon. Members have my commitment that we will look at those cases very carefully.

[Marsha De Cordova]

The Minister says that he will look at those cases, of which there are many, but does he recognise that there is a significant problem? We have had a snapshot from just one part of the country—Merseyside—but we know that there is a wider issue with the administration of PIP. Does he recognise that?

[Justin Tomlinson]

We always recognise that there is a need for improvement, and we continue to review all the processes—not just PIP, but all parts of Government activity. It is right to do that, and I am sure any party in government would make the same commitment.

Some 92% of claimants complete the forms, but that still leaves 8% who have challenges with them. We have already tried to make improvements by changing the language, tone and style, and shortening the paragraphs. We commissioned further independent research to support further changes. For those 8%, ahead of further changes, we can grant an additional two-week extension. We try to identify vulnerable claimants whom we may have to help with the initial application. With the support of charities and stakeholders, we have produced videos to explain the process. We are trying to make it clearer and remove claimants’ understandable anxiety. For claimants who have severe mental or behavioural conditions, learning disabilities, development disorder or cognitive problems and who cannot engage with the claims process, we will try to offer what support we can, beyond the excellent work of local organisations, which has been highlighted.

Many of the concerns that hon. Members raised were about the assessment process. We encourage help from carers, family friends, social workers or local support workers. I am really disappointed to hear the two examples from Liverpool and Merseyside of people who were trying to provide that support, which would have resulted in a better quality assessment. That should not be happening, and we should look into it. That is an incredibly important part of the process—not just because people are anxious or because demonstrating all their individual challenges is a complex process, but because for some people, particularly those with long-term health conditions, their issues have become a given. They no longer see those issues as a challenge and do not raise them, so they do not get the support that they should be getting. It sometimes takes having someone with them to say, “Actually, that isn’t right. We need to do something.”

Work Capability Assessments

Debate between Justin Tomlinson and Marsha De Cordova

Wednesday 13th December 2017 Westminster Hall

[Marsha De Cordova (Battersea) (Lab)]

I congratulate the hon. Member for Glasgow East (David Linden) on securing this important debate. He made some very valuable points, particularly about inaccurate decision making leading to a very high success rate at tribunal. I also share his hope that finally the Government will actually take some action following the inquiry that the Work and Pensions Committee are currently carrying out, which has had an overwhelming response.

I also thank all other hon. Members for their powerful contributions, particularly those sharing real-life examples of people’s experiences with work capability assessments. The Government have overseen the unnecessary suffering of many of the most vulnerable in society with these assessments, which have proven to be unfair and unfit for purpose. Despite the many Chamber debates, Westminster Hall debates and Select Committee hearings, we have seen little or negligible action.

[Justin Tomlinson]

Will the hon. Lady give way?

[Marsha De Cordova]

No, I will not be taking any interventions.

There is now a broad consensus that the work capability assessment needs to be reformed. Disabled people, disabled people’s organisations, and charities have been clear that it is a blunt instrument that often gets it wrong and frequently fails to link people to the appropriate support. Labour has made it clear that we will scrap both the work capability assessment and the personal independence payment assessments, and replace them with a holistic, supportive and enabling approach. Until then, we need to mitigate the most adverse effects of the work capability assessment.

We are all familiar with disabled people who wish to be in work and to have a career, but are left without the high-quality, impairment-specific employment support that they need to make that a reality. We are also familiar with disabled people who have no realistic prospect of work, but have been put in the wrong group—the work-related activity group of employment and support allowance. Some have even been found fit for work and put on jobseeker’s allowance or universal credit equivalents—forced on to lower rates of social security support for long periods.

There has always been tension regarding ESA and its predecessors on whether the main objective is to help those with the potential to move into work to find suitable employment, or just to save money by getting claimants on to the lowest rates of social security support wherever possible. Both objectives run side by side in uneasy co-existence, but the latter aim seems to have dominated recently, as poor-quality assessments and decisions have increased. A culture seems to have developed in which a good number of the Department’s contracted-out, private assessors seem to have a perception that the Government want to make a minimum award. There also seem to be parallel views among many DWP decision makers, even at the mandatory reconsideration stage, that that is indeed what their managers possibly require.

Some of the cases are truly appalling. A lady with muscular dystrophy was deemed ineligible for ESA after a WCA. The content of the questions in that WCA resulted in the entire assessment missing several key points about how her condition affects her, such as the dexterity in her hands, and her ability to lift her arms above her head or to use buttons. There was also no consideration of the pain or fatigue she experiences on a daily basis.

On Monday, the Work and Pensions Committee heard about a visually impaired woman with a medical certificate to prove her condition—the certificate of visual impairment—being asked by her assessor to read it out, and then asked to read other documents as a test. Disability organisations have raised the issue of a lack of knowledge and understanding among assessors, particularly of equality and the social model of disability. There is a lack of understanding about health conditions, and often inappropriate or unreasonable questions and treatment of those with disabilities. Assessment locations are often far away or inaccessible to people. Alternative forms and formats vary across providers. Questions that form the criteria of the WCA are often unsuitable to extract the information required to help the assessor to understand certain conditions. For some people, face-to-face assessments can also be unhelpful and counterproductive. Patients suffering from mental health conditions downplay their conditions, particularly if they have had negative experiences or fear being sectioned. Others have had their condition exacerbated by the process.

The Government have argued that as only a modest proportion of decisions are appealed, the rest must be right. That assumption is clearly unsound. More than 90% of mandatory reconsiderations are upheld, with some decisions made within 48 hours. That is not reconsideration; it is rubber-stamping. When we look at the results of those who go on to appeal, the success rate is drastically different: 60% for ESA appeals between 2013 and 2016. Clearly, many people simply accept decisions that are likely to be incorrect, and suffer as a result. We can all agree, across the parties, that the system is broken and unfit for purpose.

What assessment have the Government made of how many incorrect decisions go un-appealed? Faulty assessments and decisions not only penalise claimants, but swamp advice surgeries and services, and appeal tribunals. There are beginning to be concerns among the judiciary. Britain’s most senior tribunal judge has said that most of the benefits cases that reach court are based on bad decisions, where the Government have had no case at all.

Any work capability assessment should be rooted in the real world. In each case, the genuine employment prospects of that individual in the light of their disability or health condition, age, work history, qualifications, and so on, should be the subject of a skilled assessment. It should also not be a one-off event. Certainly, pointless reassessments of people whose disability or health condition is not going to improve should be avoided, but for those who have genuine future employment prospects, there should be positive engagement.

Since April 2017, new claimants in the employment and support allowance work-related activity group have been paid the same rate as JSA—a reduction of £29 per week. That measure removes any recognition of the barriers to work and the additional costs of undertaking work-related activity faced by many disabled people. The change also creates a cliff-edge of about £59 between the ESA support group and the WRAG.

This approach, linked to high-quality, impairment-specific, real-world assessments, points the way towards a much better system. I hope the Government listen to the judiciary, disabled people and disabled people’s organisations, and commit to scrapping the work capability assessment. They should also listen to Labour. We will replace the WCA with a personalised, holistic process. We will end the privatisation of assessments and the pointless stress of reassessments for people with severe long-term conditions. We will change the culture of the social security system, from one that demonises people not in work to one that is supportive and enabling. The Government must listen and ensure that there is “nothing about us without us”.