Disability Benefits: Assessments

Debate between Justin Tomlinson and Stephen Timms

Monday 4th September 2023 Westminster Hall

[Sir Stephen Timms (East Ham) (Lab)]

I am grateful for the chance to speak in the debate, to the Petitions Committee for having arranged it, and to the hon. Member for Carshalton and Wallington (Elliot Colburn) for opening it. He kindly referred to my Select Committee’s report on health assessments for benefits, which was published in April, and my speech will draw on what we said in that report. We also published the Government’s response to the report in June, since when I have been in correspondence with the Minister about some of the key points that arose.

The annex to our report is well worth a look. It is based on a survey of 8,500 people, who told us about their experience of using the system and going through the assessments. They included people with lifelong conditions and people with experience of the use of medical evidence, both of which are topics covered in the petitions.

I will not comment in the debate on the adequacy of the benefits—the Select Committee has an inquiry under way on UK benefit levels that is focused on that—but I must say that over the summer a good deal of concern continued to be raised about the benefits we are talking about not meeting claimants’ extra costs, as they are intended to.

The Government have recognised the need to transform the system, including in their White Paper. I welcome many of the reforms that have been announced—including, to pick up on a point made by the hon. Member for Carshalton and Wallington, in respect of the testing of the use of specialist assessors—but the problem is that they are going to take years to implement. We need to take further action, given the gravity of the problems that we have already heard about in the debate.

A very important recommendation in our report was that assessments should be recorded by default. They should always be recorded, unless the claimant chooses to opt out of having their assessment recorded. The Government have said no to that recommendation, presumably because it would cost a little more, but I really think that is a mistake. All the assessment providers that are contracted by the Department support the recommended change, as do many of the respondents to our survey. It is the only way to get to the bottom of why things go wrong so often.

The hon. Member for Carshalton and Wallington rightly gave the statistics that show that the great majority of appeals against the refusal decisions that come out of assessments are upheld. Surely that shows that something fundamental is wrong. We will get to the bottom of why that is only if assessments are routinely recorded, so that when things go wrong it is possible to look at what actually happened in the assessment and try to learn from the errors to get things right in future.

In his recent letter to me, the Minister said:

“claimants may need to discuss sensitive and personal information at the assessment and may not want this to be recorded”.

Of course, he is quite right about that, which is why we need a proper opt-out for applicants who do not want their assessment to be recorded. Has the Department considered how, if recording by default were introduced, it would be possible to mitigate those risks, which the Minister is right to be concerned about? Has it also looked at what the impact would be on mandatory reconsideration if recording by default were introduced, because I think it would be extremely helpful. If those assessments are not routinely recorded, we will never get the feedback needed to put these serious problems right.

I want to pick up the point about covert assessment, which was raised by both the hon. Member for Carshalton and Wallington and my hon. Friend the Member for Warrington North (Charlotte Nichols). This is a serious and real problem. We called in our report for the Government to

“urgently investigate the use of covert surveillance by assessors”.

Unfortunately, in their response, the Government said no—I am afraid I will be using that word quite a lot in what I have to say today. They said:

“all assessment providers strongly refute the suggestion that they undertake”

covert assessment, but reports of this happening are much too widespread to be ignored, and the Government should look at that.

We are concerned as well about the system for claimants aged 16 to 18. On turning 16 in England and Wales, claimants must move from disability living allowance to PIP through a full-claim process requiring—until recently—a face-to-face assessment, but claimants in Scotland can stay on DLA until the age of 18. The Government’s White Paper acknowledged the need to help with the transition from DLA to PIP, but our conclusion was that young people in receipt of DLA should not be required to claim PIP until the age of 18, and where under-18s decide to claim PIP, they should have light-touch, paper-based assessments until the age of 18.

[Justin Tomlinson (North Swindon) (Con)]

Will the right hon. Member give way?

[Sir Stephen Timms]

I will gladly give way to the former Minister.

[Justin Tomlinson]

It is a difficult and fine balance, because the counter-argument is that the current approach allows people, before they turn 18 and therefore become fully responsible for their own living costs and housing arrangements, to know exactly where they are. So it is not a black and white issue.

[Sir Stephen Timms]

The hon. Member is right: these are often difficult judgments, but I would like to know what discussions the Minister has had with Ministers in Scotland about how things have worked in practice there. I would also like to know what progress the Department has made on plans for 16 to 18-year-olds in work in the severe disability group. I take the point that there are often quite fine judgments to be made, but the unanimous view of the Work and Pensions Committee was that it would be right to move to a system where applicants were not required to move on to PIP until the age of 18.

The Minister will know of concerns that were raised over the summer about pre-application screening questions in the new online PIP application form, which is being developed at the moment, and of the fears being expressed that people will be wrongly put off claiming by those questions, which have not been a feature of the application process before. In winding up, will he say something about those concerns and update us on progress with the online claims system for PIP, which, in principle, is something I very much welcome.

At the moment, claimants have 20 days to return ESA and universal credit forms and a month for PIP forms, and of course they have to send all the supporting evidence in at the same time. Each of those forms runs to tens of pages. The Association of Disabled Professionals told us that this deadline is very difficult to comply with. The deadline starts from the date on the letter, not the date the letter was received. The Association said:

“it is extremely rare for a letter to reach the claimant within five to seven working days of the letter being sent.”

In the pandemic, claimants had three months in which to return the forms. I think there were considerable advantages to that. Mind told us that extending the deadline could

“reduce the need for Mandatory Reconsiderations or Appeals”

by ensuring that the right decision was made first time around. So we recommended a compromise whereby claimants would have two months in which to return forms. Unfortunately, in its response, the Department said no. However, I wonder whether the Minister recognises that the time to return forms is being reduced by delays in getting those forms out to people. We have been hearing that, typically, at least a week—seven of the 20 days—is disappearing before the claimant receives the request.

As we have heard, one of the e-petitions is about considering disability benefit claims on medical advice alone. I am sure the Minister will point out—he will be right to do so—that, as the Work and Pensions Committee heard, GPs and other medical professionals may not know exactly what is needed for a functional assessment. We certainly heard repeatedly that the British Medical Association is absolutely clear that doctors do not want to take on this additional job.

However, the Committee wanted better use of another kind of evidence, which is evidence from family and carers. We heard that the way in which their input is received “is incredibly patchy”, as is whether their input is welcomed or not. The PIP guidance for assessors is explicit that evidence from carers and family should be considered but, anecdotally, it appears quite often that it is not. So we called on the Government to review the guidance, and I am pleased to say that, on this occasion, the Government did respond positively to our recommendation. Will the Minister update us on progress with that review and say when it will be completed?

Oral Answers to Questions

Debate between Justin Tomlinson and Stephen Timms

Monday 25th January 2021 Commons Chamber

[Justin Tomlinson]

Further to the principle that if a claimant could be better off on UC than on legacy benefits they have the ability to apply to go on to UC, as a Government we have increased support for people with disabilities through the main disability benefits by an extra £3 billion in real terms since 2010. We are proud of our record.

[Stephen Timms (East Ham) (Lab)]

But people claiming severe disability premium cannot switch to universal credit; they are not allowed to. The costs facing many in that group have increased by more than average during the pandemic. Why is that particular group denied the £20 a week increase?

[Justin Tomlinson]

The SDP gateway comes to an end in a couple of days, so those claimants will also be able to see whether they would be better off under universal credit. However, as I said, it is part of the wider support available, and those with disabilities in particular will have benefited from the annual uprating increases in disability living allowance, personal independence payment and attendance allowance. That is how we have delivered the additional £3 billion-worth of support in real terms for those with disabilities and health conditions.

Statutory Sick Pay and Protection for Workers

Debate between Justin Tomlinson and Stephen Timms

Wednesday 18th March 2020 Commons Chamber

[Justin Tomlinson]

Let me make a little progress, because I think I am about to cover some of the things being asked about. I promise that I will take more interventions.

Extraordinary times call for extraordinary measures, which is why we have extended statutory sick pay to those who are self-isolating in line with the latest Government health guidance. The guidance is available online on gov.uk and ensures that eligible individuals, whether they are sick or self-isolating, will be entitled to statutory sick pay if they are unable to work because they are following Government advice.

The upcoming emergency Bill will mean that for people affected by coronavirus, statutory sick pay will be payable from day one, instead of day four, and currently it will be backdated to 13 March. We removed those waiting days to get support to people as quickly as possible. These are crucial measures to ensure that employees do not attend work when they should stay at home to help to keep themselves and others safe. The circumstances are exceptional and we urge employers to do the right thing, use their discretion and respect the medical need to self-isolate.

Statutory sick pay is a legal minimum, and employers can offer more. Where possible, employers should support their employees to work from home to help to slow the spread of the virus. If employers do feel the need to require evidence, people who are advised to self-isolate for coronavirus will soon be able to obtain an alternative to the fit note by contacting NHS 111 rather than visiting a doctor. We are all aware of the need to protect GP surgeries so that they can concentrate on key areas of work.

Accordingly, the Government will ensure that businesses are supported to deal with the temporary economic impact of the outbreak of coronavirus. Small and medium-sized enterprises are at the heart of our economy, symbolising the hard work and enterprising spirit of our nation. To support such employers with the increased costs of sick pay, the emergency Bill will provide that employers with fewer than 250 employees can reclaim up to two weeks’ statutory sick pay for sickness absences related to coronavirus. That includes those who are required to self-isolate in line with Government guidance. The measure could provide more than £2 billion of support for up to 2 million businesses, and will be crucial to ensure that our economy keeps running.

The measure on statutory sick pay is in addition to others to support businesses that were outlined by the Chancellor yesterday: £330 billion of Government-backed and guaranteed loans; additional cash grants of up to £25,000 for businesses in the retail, hospitality and leisure sectors with a rateable value of less than £51,000; and cash grants of £10,000 to 700,000 of our smaller businesses. The Government will do whatever it takes to support our economy.

Of course, not everyone is eligible for statutory sick pay, which is paid by employers. Gig workers and those on zero-hours contracts may be entitled to sick pay, and should check with their employer, but millions of hard-working people who are self-employed or in the gig economy will need our help, too. That is why we are making it easier to access benefits during this period.

The shadow Secretary of State talked about disability benefits and the announcement that we made earlier this week. The first decision was to remove face-to-face assessments, because we recognise that a significant proportion of those who could be claiming disability benefits are vulnerable. We want to avoid them needing to travel unnecessarily and to sit in busy waiting rooms, so we decided to stop face-to-face assessments. However, we do not want to stop new people gaining access to the support that they are entitled to, so we are seeking to continue to do paper-based and telephone reviews, but prioritising those who are new claimants, and looking at the workforce on a daily basis.

[Stephen Timms (East Ham) (Lab)]

I very much agree with the policy that the Minister is setting out. Will he clarify the intention for reassessments? He will know that Mind and one or two others have suggested that reassessments ought not to go ahead at the moment, partly because it is very difficult for people to get medical evidence in support of their reassessment claim at a time when doctors are very busy with something else.

[Justin Tomlinson]

I absolutely understand that point, and the right hon. Member and I discussed it when we first made the announcement. The absolute priority has to be new claimants who are seeking to get support through the disability benefit system, so we are looking on a daily basis at what we can do. I do not envisage that we will be able to do much beyond that, but I want to make sure that new claimants can get support. That was why, at the beginning of my speech, I paid tribute to the fantastic work of those who are working on the frontline, who—like all people—are anxious about events, but are still, when they can, coming in to make sure that the vulnerable people in society can access the support that they are entitled to.