Mental Health and Unemployment

Debate between Lord Beamish and Mark Harper

Tuesday 24th February 2015 Commons Chamber

[Mr Harper]

I am grateful, Madam Deputy Speaker, that you were also able to join in the congratulations to my hon. Friend and embarrass him still further.

It has been a very good debate. It is an important matter for our constituents because mental health conditions are very common, with one in six people being affected at some time in their life. That statistic has been mentioned a few times, including by my hon. Friend the Member for Windsor (Adam Afriyie) who put on record his contribution on the subject early in his parliamentary career. All Members made the clear link between mental health—whether good or bad—and someone’s employment position. Many Members also highlighted the fact that labour market outcomes are poorer for people with mental health conditions than for the population as a whole and those with health conditions in general. As my right hon. Friend the Member for Sutton and Cheam and others said, the vast majority of people with mental health conditions want to work.

I listened carefully to the statistics that my right hon. Friend quoted about people with severe mental health problems. In the spirit of trying to cheer him up a little, noting that he referred to some positive data from the Time to Change campaign about the changing views of employers on mental health, let me reassure him that although I am not in any way complacent, as the gap between those with a mental health problem working and those generally working is significant and far too wide, there was at least some improvement between the last quarter of 2013 and the last quarter of 2014, when the employment rate for those with a variety of common mental illnesses went up by 2.6%, with a further 70,000 people in employment. That is obviously positive and a step in the right direction. I will not overclaim for it, as it is just a step, but perhaps it shows that the good work of the organisations involved with the Time to Change campaign means that employers are open both to keeping people who develop a mental health problem in work and to employing people with mental health problems. We might be seeing the start of improvement in those employment figures, but I do not want to claim more than that.

We are doing a lot, but clearly there is also more to do. I want to pick up on a couple of points mentioned by the shadow Minister, the hon. Member for Stretford and Urmston (Kate Green). I absolutely agree with her comment early on in her remarks referring to employers who say that they would not employ someone with a mental health problem. She was absolutely right that if they employ a reasonable number of employees they almost certainly do, although they might not know that they do. Perhaps the employee does not know that they have a mental health problem either.

The statistics suggest that anyone who employs more than six people is likely to have at least one member of staff with a mental health problem. Perhaps they ought to look around their workplace, think about the people they employ who have a mental health problem and think about how well they support that person, not out of any sense of altruism, although it is of course the right thing to do, but, as the hon. Member for North Durham said, because it is the right thing to do for the business. The person will be more productive, will stay working for that business for longer and will be beneficial. That was a point well made.

Looking at the cast of characters in the Chamber, I recall clearly that three years ago my hon. Friend the Member for Broxbourne, the hon. Member for North Durham and my right hon. Friend the Member for Sutton and Cheam, who was then the Health Minister, participated in a debate in which my hon. Friend and the hon. Gentleman spoke about their own personal experiences. They were both nervous during the debate about how their comments would be taken outside this place. I followed it quite closely, and it was heartening to see that their remarks were taken positively, not just by the organisations that one would expect—those that are familiar with these issues—but more widely and, interestingly, among members of the public. They kicked off an interesting process and since then a number of other right hon. and hon. Members have talked about their own experiences both inside and outside the House. It is right that more Members are encouraged to do that.

The hon. Member for North Durham put it very well when he said that the more we talk about these issues, the more we are open about them, the more the House debates about them and the more we talk about mental health issues in the same matter- of-fact way—I mean that in the most positive sense—as we do about physical health issues, without making a huge drama about them, the more employees and employers will be encouraged to have those sensible conversations in the workplace.

Members spoke about a number of support mechanisms. My hon. Friend the Member for Halesowen and Rowley Regis (James Morris) mentioned the improving access to psychological therapies programme and the shadow Minister referred to the various talking therapies that are available. Those programmes have a proven record of delivering and were started by the Labour party when it was in government. They have been continued by us and expanded. By next month, they will have been expanded so that 15% of people who could benefit will have access, covering about 900,000 people a year. Next year, we will introduce for the first time access standards and waiting time standards in mental health services, and an £80 million investment will ensure that 75% of people will receive the IAPT treatment within six weeks, and more than 50% of people who are experiencing their first episode of psychosis will receive a treatment within two weeks. There is more to do, but I think that that is significant progress.

The hon. Member for North Durham talked about the work capability assessment and the performance of Atos in delivering that. With just a teeny bit of partisanship, I will remind him that it was his party’s Government who introduced the work capability assessment and appointed Atos as the contractor. We inherited that arrangement and spent quite a long time putting it right. I detected in what he said that he is not the biggest fan of Atos, so he will be pleased to know that it is exiting the contract to deliver that service in Great Britain. In fact, Maximus takes over next week, and ahead of that, in the next few days, Members will receive a communication from that company. The hon. Gentleman will be pleased to learn that one of the areas that Maximus takes very seriously and has itself highlighted, and where it is keen to improve WCA performance, is mental health. I hope that he will engage with Maximus, using his local expertise and his personal experience, to help to improve that performance.

[Mr Kevan Jones]

I am glad to see the back of Atos, but the fact is that for the past God knows how many years, the key issue raised has been the people doing the assessments. I have no problem with people with mental illness going through an assessment, but people with no mental health experience whatsoever have been responsible for concluding whether those individuals are fit for work. I just hope that the new provider employs people with mental health backgrounds to do those assessments, because that would be a huge step forward. It would be better for the Government and, more important, better for the individuals affected.

[Mr Harper]

The hon. Gentleman makes a perfectly good point. One of the things that Maximus plans to do is to increase the number of people it employs who are mental health specialists. I think it was the hon. Member for Huddersfield (Mr Sheerman), who is no longer in his place, who said that the people who undertake work capability assessments are not qualified, but that of course is not correct: they are all properly accredited health care professionals, although it is true that not all are mental health care professionals. Among other things, Maximus proposes to increase the number of mental health specialists it has, as well as the number of health care professionals with knowledge of specific health conditions, including but not only mental health conditions; and to ensure that it has across its organisation mental function champions to discuss mental health cases with other health care professionals, to bring that expertise to bear.

[Mr Jones]

That is a welcome move, but may I make a little suggestion? If Maximus is going to employ people with mental health backgrounds to conduct assessments, will the Minister ensure that anyone going for an assessment who has a clear mental health condition—it is why they are on employment and support allowance, for example—is assessed only by someone who has that expertise? That will save a lot of time and money for Government and will help the individual.

[Mr Harper]

It may not be that clear. Often, people going for an assessment do not have just a single health condition. It is important to remember that the assessment is not a medical diagnosis; it is about the impact of somebody’s health condition or disability on their ability to work. The assessor is not carrying out a diagnosis of a mental health problem; the assessment is about the impact of the condition on an individual’s ability to work.

The hon. Gentleman should look at the communication he gets from Maximus. I am sure that the company will be delighted—I mean that genuinely—to hear from him about his constituents’ experience, because it is genuinely committed to improving the performance of the work capability assessment. Of course, Maximus has experience in delivering health care assessments through other contracts around the world. The signs are positive for how the company will engage with the contract.

--- Later in debate ---

[Mr Harper]

I do not have a specific answer that I can give the hon. Gentleman immediately, but I will take that point away and look at it further. I listened carefully when he was setting it out for the House and there were some positive aspects to that approach.

About a third of NHS mental health trusts in England are using individual placement and support. The Department of Health is grant funding the Centre for Mental Health to extend IPS further, and my Department and the Department of Health are working with the Centre for Mental Health to try IPS with schizophrenia. From his expression, my right hon. Friend the Member for Sutton and Cheam appears to be familiar with that programme. One of the aims is to encourage at a local level my Department and Jobcentre Plus to work closely with the health service, and there are examples of such close working.

The fit for work service was referred to by several Members, including my hon. Friend the Member for Broxbourne, who said that the longer people were out of work, the less chance there was of return. The fit for work service, to which the shadow Minister also referred, which is obviously at a relatively early stage, is about helping employers and employees manage the sickness absence programme.

I was tempted to advertise another service that we offer earlier, but I resisted. When my right hon. Friend the Member for Sutton and Cheam opened his speech with the story of Anne-Marie, I thought that it was a good example of where she and her employer would have benefited from the mental health support service, which is part of Access to Work, which is clearly not as well known as it ought to be. As he said, it has a job retention rate of around 92%. It assesses an individual’s need to identify strategies that they can use to cope with their mental health problem, looks at a personalised support plan, either for returning to or remaining in work, and gives employers advice. That is important, particularly for small employers that do not have the capacity to have occupational health support in place.

As it happens, tomorrow I will be speaking at a disability confident mental health focus event, which is being supported by Mind, Remploy and the Business Disability Forum, and hosted by Royal Mail, specifically to raise awareness about the mental health support service. A significant number of employers are coming, and I have named several employers, including Royal Mail, who are committed to this.

Leadership has been referred to, and I attended an event with a KPMG senior partner—I hope it is in order to mention the company given that I used to work for it, although it was a long time ago—who has been open about his own mental health problem. It was heartening that he referred to the fact that the senior management of that organisation had created an environment in the business where, as a senior member of the management team, he felt comfortable with being open about his mental health problem. I know from talking to other members of staff that the fact that he has been able to do that and has been well supported by that employer has had a powerful effect on encouraging others in that environment to be open about their mental health problems. So there are other employers who recognise that. The right hon. Member for Hazel Grove (Sir Andrew Stunell) is not in his place, but he referred to a Disability Confident event that he has run. My right hon. Friend the Member for Sutton and Cheam is also interested in this area, and I hosted a Disability Confident event in my own constituency a couple of weeks ago. I have written to all right hon. and hon. Members to encourage them to do the same in their constituencies, partly to engage with those small and medium-sized employers that might otherwise be unfamiliar with the campaign.

My right hon. Friend the Member for Sutton and Cheam wrote an article for PoliticsHome today entitled, “I don’t like Mondays—how work can affect mental health”. My only criticism of the piece is that he urged UK plc to take action. I know what he meant, but it is worth remembering that we are also talking about UK Ltd, because half the work force is employed by small and medium-sized enterprises, and they do not always have the human resources support or access to services that larger businesses have.

My hon. Friend the Member for Broxbourne referred to BT. The head of occupational health and well-being there, Dr Paul Litchfield, has produced two independent reports for the Government. I waited until he had concluded that work, and therefore had only one hat on, before visiting BT, where I had a very positive experience. The hon. Member for North Durham spoke very positively about its programme. He is right that BT puts a lot of effort into supporting employees with mental health problems, and not only because it is the right thing to do, but because it is absolutely in its business interest. It has a very high staff retention rate. It keeps almost everybody who develops a mental health problem at work, and the vast majority in their existing roles, although sometimes they have to change role. I heard four individuals give powerful testimonials about the support they had received from the company. I thought that it was incredibly positive that they felt so open in discussing some quite difficult issues they had had in front of their management chain. They clearly work in a very positive environment.

I will mention universal credit before drawing my remarks to a conclusion, because the hon. Member for Stretford and Urmston would think it remiss of me not to do so. I do not pretend that universal credit solves every problem on the planet, but I think that there are two areas where it is very positive for mental health. The first is the way that it has been set up, because it is about getting work coaches to engage with people earlier, looking at what support they need. If someone falls out of work and approaches the jobcentre—I think this is the thrust of the point made by the hon. Member for North Durham—we want the support to be delivered earlier in the process, rather than later. Universal credit has been set up in such a way that it is about having that conversation, looking at what someone can do and delivering support earlier, which I think will help. It is not the only solution, but I think that it will make things better.

[Mr Kevan Jones]

I agree with the Minister, but will he also address the point I made about companies being paid by the Government to support individuals into work, even though that work is actually being done by the voluntary and community sector? If those companies are claiming to have helped those people and are getting paid for it, even though the work was actually done by the voluntary and community sector, that is a very serious issue.

[Mr Harper]

The hon. Gentleman anticipates my remarks, because I had not yet got to that point. There are two points that arise from what he said, and he was supported in that by the shadow Minister. The first relates to the ability of smaller private sector companies and the voluntary sector to be subcontractors to prime providers, and we will consider how to make that easier as we look to develop what follows the Work programme. The second point—the central one—is about ensuring that Work programme providers are paid only when they have done the work. He raised a specific concern about a third sector organisation in his constituency. If he can give me a little more detail, I will look into it. If a Work programme provider has done nothing at all, it should not pretend that it has done so in order to claim a payment. Either it should not be paid, or it should effectively be subcontracting with the smaller provider. If the smaller provider is very successful, clearly we would want it in the programme, working with the prime provider. If he gives me some more details, I will absolutely task officials with looking into it. It is not very sensible for the taxpayer to be paying someone for work they have not done. Moreover, we should be making sure that the money goes to support those who are successful at getting people back into work so that they can improve their organisations and become more successful and sustainable.

Electoral Registration and Administration Bill

Debate between Lord Beamish and Mark Harper

Monday 25th June 2012 Commons Chamber

[Mr Jones]

May I make a suggestion concerning the registration form? There should be a simple tick-box for people to register for a postal vote. In some cases, they have to register to vote, and on a different form register for a postal vote. A tick-box on the registration form would be much easier.

[Mr Harper]

Let me conclude my previous thought and I will come to that.

Some local authorities already use the register for the other purposes for which it can be used—for example, to run credit checks, or when people want credit for a mobile phone—as a positive method of encouraging people to be registered. This is where is it important to give EROs the power to consider their local circumstances. Depending on the area, depending how many people move, how often and the kinds of people, there are different messages that may work with different groups of people. The ERO should have the opportunity to do that. The Electoral Commission will be doing some work with us on this. When the commission suggests that certain things should be on the form and should be mandated, we have the powers to do that.

On postal votes and the point made by the hon. Member for North Durham, a separate form must be completed. In order to prevent fraud, people have to provide identifiers, such as date of birth and a signature for the electoral registration officer—[Interruption] The hon. Member for North Durham says, “On one form.” If we are moving towards allowing people to register electronically, a postal voter would still have to provide a hard copy signature, so the process cannot be made completely seamless. However, the hon. Gentleman makes a good point. Some local authorities may want to collect all the information, including date of birth, at one time. I will take his suggestion and see whether there is anything in our regulations which would prevent that. It may be one of the things that we can ask the Electoral Commission and some of our stakeholders to investigate to see whether that would be helpful for voters.

[Mr Jones]

I am grateful for the Minister’s response. I accept that a signature and date of birth are needed, but surely those could be provided on one form. That would save council administration and encourage people who want to apply for a postal vote to do so more easily.

[Mr Harper]

I recognise the hon. Gentleman’s suggestion, and, as I said, I will take it away and look at it. We will make sure that there is nothing that prevents such a suggestion, and we will also investigate it with our stakeholders, including the commission, administrators and a lot of the groups, particularly focusing on those who might find a postal vote helpful. We can perhaps trial some of that and see whether it is effective. That is a helpful suggestion from the hon. Gentleman.

Amendment 17 links Government Departments with responsibility for welfare payments, pensions, driving licences, revenue collection and national insurance with information about the electoral register. I agree with that up to a point and we will already be doing some of that. However, it would not be helpful to mandate that, given that most voters are already on the electoral register and quite a lot of people do not move about all the time. We do not want to insist on making every transaction with each of those Departments more complex. However, I agree with the hon. Member for Penistone and Stocksbridge about signposting and making that kind of linkage more effective.

The hon. Member for North Durham mentioned driving licences, and we are working with the Department for Transport on that. He also mentioned Directgov, and the Government Digital Service, which is working with us on developing the online registration tool, is also responsible for Directgov, so they will work seamlessly together. Where Departments deal with people who move about or new voters, we are considering signposting and giving people prompts. If we did that electronically and people needed only to tick a box, potentially they could be redirected straight to the site where they could register online. For some voters, that would be an effective way of driving up registration.

[Mr Jones]

Directgov would be a good system, because the identifier is down to the individual, and it allows one to do a whole range of things. To be able to register to vote through it, accepting that a form may be required to obtain a signature later, would be much easier for a lot of people, especially when they move house. A lot can be done through Directgov in one place, which is always useful.

[Mr Harper]

The hon. Gentleman makes some good points. Once we have an online method of registering in the first instance, that will be very effective. It already works very well in a number of local authorities for re-registering each year. I have just received my form in my constituency of the Forest Dean and I was able to re-register in a matter of minutes on my BlackBerry, putting in the code and ticking the opt-out box for the edited register. That worked very smoothly and a confirmation e-mail arrived. Many local authorities already do that. What they cannot do, because they are not empowered to do so, is effect new registrations in that way. Once we can do that, many people will move to that, either doing it themselves, or, if they need assistance, through an assisted digital method. It is important that people have that assistance and I think that is where people will start going.

The hon. Member for Penistone and Stocksbridge, like Members beforehand, raised concerns about younger voters, particularly attainers—16 and 17-year-olds who get registered. I have been to Northern Ireland and seen how they register young people directly in schools. The chief electoral officer’s staff do a presentation, focusing on the civic side and the need to register to have a vote and to have one’s say, but they are not above looking at some of the other reasons that young people might want to be registered to vote, such as credit. Northern Ireland has a voter ID card and electoral staff run also through some of its practical uses, such as proof of age. Interestingly, as I have said in debates before, now that younger voters are engaged with directly, a higher percentage of them are registered to vote than in Great Britain, where we rely on mum and dad to do that.

So, I am a bit more hopeful. Having spoken to young people when I visit schools, as I am sure have many Members, I think that such direct engagement is a way to get them not just to register to vote but to use their vote. One of the depressing points is that young people, even when registered, are the least likely to cast their vote. In a sense, getting lots of people registered just to see them not vote is not very encouraging, so I think that we can all do a better job on that. However, as I said, I am more hopeful about younger voters engaging directly. There is some evidence that if we can engage with voters directly, rather than relying on one person in the household, we might all be pleasantly surprised.

Review of Parliamentary Standards Act 2009

Debate between Lord Beamish and Mark Harper

Thursday 12th May 2011 Commons Chamber

[Mr Kevan Jones (North Durham) (Lab)]

I would add that it is not just about the local media; the BBC in the north-east has taken the approach of doing league tables rather than any analysis of the information. Even though I have tried to FOI the expenses of the journalists on the “Politics Show” in the north-east, the BBC has refused to release them, and I now have an appeal with the Information Commissioner. If this is about public money and transparency, should not other bodies such as the BBC also have their expenses published?

[Mr Harper]

The hon. Gentleman is trying to draw me into a much wider debate about public transparency, but this is not the right time for that. He will know that there are ongoing discussions between the BBC and the National Audit Office about various issues, and I am sure that they will carry on. I am not going to take his invitation to dwell on those issues today.

I want to return to the annual review that IPSA undertook. I think it is fair to say that it made some changes to the scheme and has made it better and easier for Members to operate. As my hon. Friend the Member for Windsor said, it has effectively given us more discretion about judging what things are relevant to our parliamentary duties and carrying out our responsibilities. That then raises some other questions, which is welcome. My hon. Friend the Member for Gainsborough (Mr Leigh), who chairs the liaison committee, acknowledged the progress that has been made on office costs and on travel, although he acknowledged that there was work to be done in other areas of expenses. It is worth saying that there has been progress, although I know that many Members think that there has not been enough and needs to be more.

Members referred to value for money, which is specifically mentioned in the motion. It is worth setting out a little more detail. The right hon. Member for Leeds Central referred to the NAO report. My right hon. Friend the Leader of the House has received a letter from the Comptroller and Auditor General setting out the details of that. The NAO is going to carry out a study of IPSA, and the report will be produced before the summer recess.

An interesting fact of which Members should be aware is that the NAO is going to survey all serving Members of Parliament asking about their experience of IPSA and the expenses scheme. It is moving quite swiftly on the study. It is going to send out questionnaires this coming Monday—16 May—allowing us a fortnight to respond before the Whit recess, and it has asked for Government support in encouraging Members to participate. I do not think, having listened to the debate, talked to several of my colleagues and heard what the right hon. Member for Leeds Central said about his conversations with the parliamentary Labour party, that Members will need much encouragement to send back their responses. They should take this opportunity to focus on how well the scheme is working, including value for money and ease of use, so that the NAO can take that into account.

Prisoners’ Right to Vote

Debate between Lord Beamish and Mark Harper

Tuesday 2nd November 2010 Commons Chamber

[Mr Harper]

My hon. Friend can be reassured by what I said earlier, which was that pretty much every Member on the Government Benches, from the Prime Minister down, is unhappy about having to implement this judgment. We are going to have to do it, however, but he can take it from the fact that we are not very happy about having to do that, that when deciding on the judgments we need to reach and in bringing our proposals forward, we will take into account everything that he has said.

[Mr Kevan Jones (North Durham) (Lab)]

Two Durham prisons contain 1,700 prisoners, including Ian Huntley, the Soham murderer. In the Minister’s deliberations, will he consider excluding individuals such as Huntley from getting the vote in Durham? Will he also consider the fact that 1,700 prisoners getting the vote in a marginal seat such as City of Durham could sway the outcome of an election?

[Mr Harper]

The hon. Gentleman makes a perfectly good point, of which the Government are well aware—and these are all exactly the sort of points that we are taking into account as we formulate our proposals.