Social Security (Special Rules for End of Life) Bill [Lords]

Debate between Justin Tomlinson and Patrick Grady

Committee stage
Thursday 8th September 2022 Commons Chamber

[Patrick Grady]

As others have said, there is a consensus across the House and I do not intend to do anything to disrupt that with new clause 1. It is probing by nature and the probing has taken place, because the Minister has responded in quite some detail, for which I am grateful, on some of what it was trying to achieve. It is worth spelling that out for the record, even if the exchange is a bit back to front as a result.

We heard on Second Reading that even with the Bill, thousands of households will continue to experience poverty as a result of a terminal illness diagnosis. The Government should therefore be prepared to keep the impact of the changes under review, which is what new clause 1 would require. In doing so, they should look at practice elsewhere, which would obviously include the devolved Administrations. That is why that specific requirement is in the new clause. The Scottish Government have decided to take a different approach—a distinct human rights-based approach—to social security. In this specific context, there is the deliberate lack of a time limit on the definition of terminal illness, and the qualification for payments is determined by a clinician, rather than by Government bureaucracy.

[Justin Tomlinson]

To be crystal clear, both systems have a clinical professional making the decision—there is no difference. Furthermore, there is no additional money in either our system or Scotland’s system. It is just about how quickly a person can access the fast-track service.

[Patrick Grady]

That is quite helpful. In the spirit of consensus, I think I would say that this is not job done. That is what I was trying to achieve with my amendment. The passing of the Bill is not where the Government tick a box and everyone pats themselves on the back and goes away. We will have to keep the impact of this under review. Yes, people both north and south of the border will have to look at how things are panning out and come back to it. That is the point that we are trying to make. The amendment provided the opportunity for that point to be made on Second Reading.

Subsections 4 and 5 urge us to consider what wider support might be available, even once people are able to access the additional benefits available through the Bill. That is why Marie Curie and others are calling for the state pension to be paid to anyone who is dying of a terminal illness regardless of their age. Working age social security payments, such as universal credit and employment and support allowance, are just that—they are security payments for when work is not possible or available for whatever reason. A pension is a contributory system. It is a contract. It has been paid into, at least in theory—that might not be how the state pension works in practice, but that is the theory behind it. Many private pensions will pay out, or have the option to be paid out, when a terminal diagnosis has been made, so allowing the same access to the state pension would be a further significant step forward in ensuring that people of working age who are terminally ill can spend their remaining time with some certainty and comfort.

The Government must agree that, in the 21st century in the UK, nobody should have to die in poverty. That is why this is a probing amendment. I am grateful for the pre-emptive response from the Minister and that she has taken this in the spirit in which it has been tabled. I hope that she will confirm that the impact of the Bill will be kept under review, that the Department will work with and learn from the experience of Scotland and elsewhere, and that, when and if more support is required for people, such as access to the state pension, it will be provided.

Question put and agreed to.

Clause 1, accordingly, ordered to stand part of the Bill.

Clause 2

Extent, commencement and short title

Government amendment made: 1, page 2, line 1, leave out subsection (6).

Clause 2, as amended, ordered to stand part of the Bill.

The Deputy Speaker resumed the Chair.

Bill, as amended, reported.

Bill, as amended in the Committee, considered.

Third Reading

Oral Answers to Questions

Debate between Justin Tomlinson and Patrick Grady

Wednesday 25th November 2020 Commons Chamber

[Patrick Grady (Glasgow North) (SNP)]

What steps she is taking to ensure the adequacy of support for disabled people on legacy benefits during the covid-19 outbreak.

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

The Government are committed to supporting disabled people affected by the covid-19 outbreak. We are ensuring that disabled people continue to have access to disability benefits and other financial support during it.

[Patrick Grady]

I wonder whether the Minister is aware that the Joseph Rowntree Foundation has shown that nearly half of people in poverty in the UK are either themselves disabled or live in a household with someone who is. As he says, covid has exacerbated that hardship, and the inequalities disabled people face will only be exacerbated by the fact that those who are on not on universal credit will not have benefited from the uplift of £20 that was applied to UC. So has he, or anyone else in the Government, carried out an equalities impact assessment on the decision not to extend the £20 uplift to legacy benefits?

[Justin Tomlinson]

Those on legacy benefits will have benefited from the 1.7% uplift as part of the annual upratings. Depending on individual circumstances, they may have also benefited from the changes to the local housing allowance; the increases in discretionary housing support; the various employment support schemes; and the additional discretionary support administered via local authorities. This year alone we anticipate expenditure on disability benefits to increase by nearly 5%.