Personal Independence Payments
Debate between Kate Green and Laura Pidcock(6 years, 3 months ago)
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Laura Pidcock
There are hundreds of stories of people with conditions that will not change being reassessed. That is terrible.
There are extensive concerns about the suitability of PIP assessors—that was a clear theme throughout the correspondence—who often do not have the medical expertise to assess claimants with particular medical conditions. A midwife, for example, may assess a claimant with mental health problems, but they will not know every sign and symptom of every mental health condition, as they are not qualified. That calls into question the accuracy of the assessment.
Constituents have told me how brutal and gruelling the medical assessments are, as they lay bare the claimant’s disability and how they cope with it, but they are based on a medical model of disability rather than a social one. One person put it brilliantly: they said the assessment was like a functionality test, and that it did not capture or consider how someone can live their life each day. The fact that assessors do not take notice of professional medical assessments from doctors or psychiatrists, and that that information is considered only at tribunal stage, is not even questioned. Assembling that information at assessment stage is such a waste of energy for people, especially since doctors charge for medical assessment letters. In my view, that cost should be met by the state, not by the person making the claim.
Kate Green
I am extremely grateful to my hon. Friend for giving way. Does she agree that the costs that pile up at tribunal are in part a function of a mandatory reconsideration system that, again, does not look at additional evidence properly?
Laura Pidcock
That is right. I will come on to mandatory reconsiderations in a second.
The outsourcing of the assessment process is very much part of the problem. Some 60% of assessment reports completed by Capita healthcare professionals and sent to the DWP were judged to be of an “unacceptable” standard. Neither Capita nor Atos has ever met the DWP contractual target that no more than 3% of reports should be found unacceptable. I wonder what it would take for those companies to lose a contract with the Government. No action is taken, because the Government are ideologically wedded to the outsourcing model, despite such poor results. Incredibly, I have read that those companies pay people bonuses for completing extra assessment reports, which in my view incentivises rushing and contributes to inaccuracies. Many feel as if they have been lied about in their reports—that is all part of the same inadequacies. I have even had reports of healthcare professionals who conduct the assessments asking claimants if they have thought about killing themselves. While I understand that it is a difficult subject to broach, sensitive language needs to used when dealing with such topics; otherwise, it can be damaging and triggering for that person.
If a claimant is not awarded the points they think they are entitled to, or they are told that they are not entitled to PIP, they must challenge the DWP’s decision through a mandatory reconsideration. Constituents of mine, and many people who have been in touch, have said that the process is completely pointless due to the DWP not reviewing medical evidence or investigating whether the decision maker’s report was accurate. Actually, DWP workers feel unable to challenge the assessor’s report. Advice and support agencies also state that hardly anyone has their decision overturned at that stage. I cannot help but think that is just another stage in the process to grind people into submission.
If the mandatory reconsideration process is unsuccessful, the decision must go to tribunal, putting tribunals as well as claimants under enormous pressure. Advice and support agencies say that they are under a great deal of strain, trying to deal with the demand from people seeking representation. Latest figures show that 68% of PIP decisions are overturned on appeal, so the DWP’s systems are clearly not working. That is completely indefensible: all that trial and trauma for claimants to be proved right, if—it is a big if—they manage to go that distance. People have reported that they have to wait over a year for a tribunal date.
What is very clear is that the assessment process is working against claimants entitled to the benefit. Many campaigners believe that the companies who provide medical assessments are heavily encouraged to hit targets by the Government in order to cut the welfare budget, and I believe them. Perhaps it is because there is an ambivalence to these people, or—more likely—because the Government do not see it as the state’s role to provide that support.