Atos Work Capability Assessments

Kate Green Excerpts

Thursday 17th January 2013 Commons Chamber

[Kate Green (Stretford and Urmston) (Lab)]

Last week I held a meeting in my constituency for a number of disabled constituents, their carers and family members, and the organisations that support them. I want to highlight to the Minister two or three messages that build on some of the things that have been said this afternoon.

First, and most importantly, the Minister needs to understand how totally discredited this whole system has become. My constituents told me categorically last week that they believe that the whole system was deliberately designed and operated to trick them—to make them incriminate themselves and to catch them out. They firmly believe that the system is deliberately designed, not to assess and then help them into work if they are fit for it, but simply to stop paying benefits wherever possible. I regret that they continue to believe—I know that this is not the case—that Atos is paid to bring that about.

Whether or not the system is deliberately designed to trick them, it is clear that there are far too many instances of trickery and misleading people and of distorting what they have done, said and reported and drawing conclusions from that. That is happening far too often. It is an absolute disgrace that we should run a public assessment process in such a discredited way.

[Bob Stewart (Beckenham) (Con)]

Will the hon. Lady give way?

[Kate Green]

I will not, because others wish to make speeches.

The Minister has to either sort out the process or address the fundamental scepticism and mistrust of the system. Many Members have already said that we do not believe that that is possible unless the system is scrapped and we start all over again.

I say to the Minister—because I think I know what he will say in his response to the debate—that I understand that this is an occupational assessment, not a medical assessment. I understand why it is not just doctors, but other occupational health professionals who can carry out the test, but it is disgraceful when those professionals have no understanding of the underlying medical condition and can arrive at such distorted judgments on a person’s fitness for work.

I also want to report to the Minister that, of the couple of dozen constituents I met last week, about half of them had no idea that they could take a companion to the assessment process. They said that they had not been told. Of those who did know that they could take a companion and who had sometimes done so, that companion was not made to feel welcome and was not able to assist them. Someone who suffers from autism is likely to behave in a particular way when responding to the questions asked—by trying to please and to give the answer that they think is wanted, rather than accurate—so I am sure that the Minister will appreciate that a companion who can support them and, if necessary, intervene is very important indeed. This bit of the system is not working and the Minister needs to look at it very carefully.

When the work capability assessment was introduced, we knew that it would be difficult and that we were trying something new. We built in the review process that led to the appointment of Professor Malcolm Harrington and some of the early improvements, which I think we all welcomed. Today, however, we have to face up to the fact that it is no longer possible to make the kinds of improvements that would make the system viable.

I get the impression—perhaps the Minister will correct this—that the Government have moved from trying to improve the system to either defending it or, to be frank, washing their hands of it. I honestly do not believe that that is a good enough response. If the Minister intends to say that there is not a problem, that improvements can continue and that these are simply still early days teething troubles, I say to him that the extent of the reports from throughout the House and the country of repeated, systemic problems means that it is time to look again.

I am sure that the Minister and many Members will remember—I most certainly do—the last time we had such a failure, whatever the intentions, of public policy implementation: the Child Support Agency. It took us 20 years to realise that the design that had been put in place simply could not work. Please let us not wait 20 years to realise that this system cannot work and must be started again.