Health and Disability Reform
Liz Twist Excerpts(6 months, 1 week ago)
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Liz Twist (Blaydon) (Lab)
Language matters, as we have heard, and the Government have been warned that the language and rhetoric—perhaps not from the Secretary of State himself but from others—risks minimising the impact of mental health conditions, which are real and serious. What are the Government’s plans to ensure that proper treatments are available—not just talking therapies but whatever treatment is appropriate—to ensure that people with mental health conditions are treated appropriately?
Mel Stride
The hon. Lady raises an extremely important point: the prevalence of mental health conditions in our country has grown. There are many reasons for that—I know the Labour Party like to say it is all about the NHS, but it is about many other things, not least social media among young people. There are many causes. The consultation will look at exactly the question she quite rightly raises. She mentioned the NHS talking therapies; I think that, particularly for some less severe mental health conditions, combined with work, they can make a real difference. I was very pleased when my right hon. Friend the Chancellor brought in 400,000 more of those talking therapies at his last fiscal event.
Budget Resolutions
Liz Twist Excerpts(8 months ago)
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Liz Twist (Blaydon) (Lab)
Listening to yesterday’s Budget, we could be forgiven for thinking that the Chancellor was living in a different universe from the rest of us. Wages are stagnating, taxes are rising, growth is stalling, and nothing the Chancellor announced yesterday has changed that. The OBR’s own figures tell us that this will be the worst Parliament on record for living standards. After 14 years of economic failure, his legacy is less money in people’s pockets and the highest tax burden since 1949.
The Chancellor tells us that absolute poverty has gone down and that growth can come only from a high-wage, high-skill economy, which we are supposed to believe his party is on the way to building. Let me tell him that that is not the reality that my constituents are dealing with.
The Chancellor may try to tell us that people are better off after cuts to national insurance contributions, but for every 5p that my constituents get back, they will be paying double that in extra tax according to his plans and the package. People are being squeezed further and further as prices continue to rise. Even a reduced inflation rate means that prices are going up and costing people hard. For those already on low pay, the benefit is even less. The cut is better for higher paid workers and comes at the cost of lower-paid workers, many of whom live in my constituency.
For generations, parents have hoped that their children would have it better than they did growing up. Of course, that has never been guaranteed, but for too many people today it is a far-off dream. There are 9 million young workers in this country who have never seen sustained average wage rises. This is the only Parliament on record where living standards have fallen. Consecutive Conservative Governments have seen inequality outstrip that seen in any other large European country, and our public services on their knees just as people need them more than ever.
Many of us in the House will recognise the stories behind these statistics in the constituents who come to our office doors in the most desperate of circumstances with nowhere else to turn. A report released in January by the Joseph Rowntree Foundation laid out the extent of rising poverty and destitution, which is hitting families with children and disabled members hardest. It said:
“This is a story of moral and fiscal irresponsibility”,
and it is one that affects constituents in Blaydon and across the north-east. In the north-east, the proportion of children in poverty who are from working families has risen from 56% to 67% in less than a decade. That is the impact of Tory Government decisions on real people’s lives day to day.
Times are really hard for people, and we know that there is a well-established link between socioeconomic factors, such as financial distress, and mental health problems, and vice versa. It was therefore disappointing to see nothing on offer in this year’s Budget to tackle our mental health crisis, and organisations such as the Samaritans, YoungMinds and the Mental Health Foundation have all commented on that. Despite uncertainty and anguish in the sector about the ringfenced funding for local suicide prevention plans, which is set to run out this financial year, we did not hear a word about those plans on Wednesday. Nor did we hear anything about specialist mental health support in schools, suggesting that the Government’s aspirations remain limited to covering just 50% of schools. The hon. Member for Redditch (Rachel Maclean), who is just walking into the Chamber, talked about people with mental health problems and bad nerves. Would it not be great if we could tackle NHS waiting lists for mental health services so that people could get the support and diagnosis they need and could improve their lives?
In the meantime, the picture on social care also remains bleak, with the Government’s ambition failing to meet the essential needs of older people, disabled people and their carers, and with local authorities struggling to balance their budgets. There is nothing to tackle that issue.
As a north-east MP, I noticed the Chancellor’s reference to a deeper devolution deal for the north-east. I am pleased to see the north-east getting more powers, and many more powers are needed regionally. However, our aspirations in the north-east are even higher than those in this deeper devo deal, and I have no doubt that we will continue to press for even more measures to reduce regional inequalities.
If one thing was clear from yesterday’s Budget, it was this: the Government are out of touch and out of ideas. Unable to face up to the crisis they have presided over, they are left spinning and scrabbling, trying to tell us that we are out of the woods, while our constituents feel the impact of the recession and tell us about it. The Government’s plan has failed. It is time for a new approach. It is time for a general election.
Mr Deputy Speaker (Mr Nigel Evans)
We come to the wind-ups. I call Liz Kendall.
Oral Answers to Questions
Liz Twist Excerpts(10 months, 3 weeks ago)
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Jo Churchill
The DWP regularly publishes statistics on its employment programmes, and the latest statistical release of the restart programme was published on 7 December. The back to work plan announced further measures to tackle long-term unemployment, such as mandatory placements for those who complete restart without securing a job. The policy detail, including the reporting, is yet to be worked through.
Liz Twist (Blaydon) (Lab)
Mel Stride
As the hon. Lady will know, these are matters for the Treasury, and specifically for the Chancellor of the Exchequer. He and I have conversations on these matters and others. Announcements will be made in due course, but of course the household support fund will be in place until the end of March.
Autumn Statement Resolutions
Liz Twist Excerpts(11 months, 1 week ago)
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Mel Stride
My right hon. Friend is right to draw attention to the self-employed and to the national insurance changes that my right hon. Friend the Chancellor announced in his autumn statement. Of course, my Department does a huge amount to support the self-employed. Many of our programmes are open to self-employed people to ensure that we are there to support them with the wages that they are able to bring home in self-employment, and we will continue to do exactly that.
A compassionate Government also need to be honest about the significant challenge that we face with the rising number of people leaving the labour market due to ill health or disability. Around 2.6 million people are currently off work with a long-term physical or, increasingly, mental health condition. Given the positive impact that work has, not just on finances but on health and wellbeing, there is a clear need to do more to help and encourage those people. In a tight labour market, with employers looking to fill nearly 1 million vacancies, there is also a wider economic imperative. Every time someone returns to work, they benefit and everyone benefits. It helps the economy to grow, debt to fall and inflation to decline still further.
Just as importantly, given the waste of human potential that inactivity often represents, there is a moral case to act. That is why, with the £2.5 billion-worth of investment over the next five years, our back to work plan will help thousands of disabled people and those with health conditions to stay in work, or if they fall out of it, to move quickly back with the right support. A key part of our approach is bringing together employment and health support, because we know that work and health go hand in hand.
Liz Twist (Blaydon) (Lab)
What steps is the Secretary of State taking to ensure that Access to Work schemes will be readily available, funded and put in place much more quickly than they are now?
Mel Stride
The Access to Work scheme is a fantastic scheme for encouraging those with disabilities to go into work. It is one of the reasons why disability employment is an area in which we have had so much success. In 2017, we set a 10-year target of getting 1 million more disabled people into work. We exceeded that target by 40% in just five years. Access to Work is part of that. The funding for Access to Work, as the hon. Lady will know, can exceed £60,000. It is an enormous commitment by a caring and compassionate Government to ensure that those who may need the assistance actually receive it.
That approach is at the heart of our new WorkWell service, which is integrating employment and health support at the local level. We will reform the fit note process to ensure that it is not a simple pass to sickness absence, but more of a prescription for the right support that is needed to keep someone close to work or to resume work after a period of illness. We are also doubling the number of placements available on our universal support programme, to help 100,000 people each year into roles, with up to 12 months of ongoing wraparound support to help ensure that they stay in work.
Liz Twist (Blaydon) (Lab)
There is much in the autumn statement on which I could comment, but I want to focus on one area. Having heard what was said by my neighbour, my right hon. Friend the Member for North Durham (Mr Jones), I was tempted to say the same, for I shall be touching on very similar themes.
Like many people, I hear regularly from disabled constituents who are desperately worried about their finances and their benefits. They feel that DWP assessments are designed to catch them out rather than help them, when it is appropriate, into good employment. For them, the autumn statement has been a source of great anxiety, with fears that the Government are doubling down on a culture that many have experienced as inflexible, ineffective, and even downright callous. Debra, a constituent who contacted me this weekend, has been on PIP and ESA for a long time, owing to a debilitating lifelong illness, and is now desperately worried that she will find herself in difficult circumstances as a result of the changes. There is an urgent need for the Government to clarify the details and put more flesh on the bones so that constituents like Debra are not worried sick about what will happen to them in the future.
Of course people who are able to work should be provided with the right support to help them to do so, because, as my right hon. Friend said, a job can be a source of structure and self-esteem, and people with mental health problems in particular are especially sensitive to the negative effects of unemployment. Crucially, however, as we have also heard, these jobs need to be good and appropriate. Insecure, demanding and low-paid work can be as bad for a person’s mental health as unemployment.
Last week, during a television interview, the Chief Secretary to the Treasury said that disabled people must “do their duty” and work from home, but figures from the Office for National Statistics show that only 16% of adults currently work exclusively from home in any given week, and that people are more likely to be able to work from home if they are in the highest income band and educated to degree level or above—groups to which people who suffer severely from mental illness, for example, are statistically less likely to belong.
I fear that disabled people competing for a small pool of fully remote jobs will find themselves pushed even further into poor-quality and insecure work. For others, particularly those with mental health problems, there is a risk that being pushed into homeworking will only serve to compound their social isolation and their difficulty in paying bills. We must be clear about the fact that while we need to provide better access to remote working, it cannot be a substitute for access to good-quality, hands-on support.
I want to say something about sanctions, because there is a well-established link between losing benefits, facing serious hardship and experiencing a deterioration in mental health, sometimes causing hospital admission. Previous research has established that people who are sanctioned also take longer to move into paid work, and that when they do, their earnings are lower. We need a holistic approach that covers the impact of the colossal NHS waiting lists—in particular those for mental health treatment, which are preventing many people from being able to work. We cannot ignore that fact when considering this issue. We need to consider the impact of young people’s experiences of education and living in poverty, and how they accumulate to exclude them from access to good jobs.
Along with mental health charities, I welcome the extension of the NHS individual placement and support scheme to provide intensive employment support for people with severe mental health problems, but I hope that the Government will consider the merits of that approach for more common mental health conditions, as well as taking a broader view of the factors that impede employment among people with poor mental health. Sadly, as we have heard, we did not see any new proposals for evidence-based preventive programmes, and I am particularly disappointed that we did not see the continuation of the vital funding to support local suicide prevention plans that is set to run out this year. As we have also heard, the cost of retaining that vital service is very small. The need for a public health approach to mental health has never been greater, and we need the Government to assess and show an understanding of the traumas that people have experienced, rather than creating new ones.
Finally, I want to say a little about childcare. Having spoken to staff at a nursery in my constituency, I know there is a real fear that the Government’s plans are not meeting the costs that are needed to provide high-quality childcare, and something must be done about that.
The Tories are desperately looking for a reset moment, but it is not the autumn statement.
Oral Answers to Questions
Liz Twist Excerpts(11 months, 3 weeks ago)
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Tonia Antoniazzi (Gower) (Lab)
Liz Twist (Blaydon) (Lab)
Fleur Anderson (Putney) (Lab)
Mel Stride
I think that our record is extremely clear. Since 2010, we have 1.7 million fewer people in absolute poverty, 400,000 fewer children in absolute poverty, and 200,000 fewer pensioners in absolute poverty. Under Labour’s watch, we had 1 million people parked on long-term sickness benefits for more than 10 years.
Liz Twist
There has been a shameful increase in the level of destitution in the UK, with 1 million children not having their basic needs met. In my constituency of Blaydon, nine children in every classroom are living in poverty. Across the north-east, there has been a 12% increase in emergency food bank parcels in the past year. Does the Minister agree that his Government have completely failed the most vulnerable children in the UK?
Oral Answers to Questions
Liz Twist Excerpts(1 year, 2 months ago)
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The Parliamentary Under-Secretary of State for Work and Pensions (Mims Davies)
The HSE’s focus has been on raising awareness of RAAC—reinforced autoclaved aerated concrete—through its engagement and stakeholder groups via the public sector, and this was actually raised in a bulletin back in April 2021. I will look into the point my hon. Friend has made, but I am certain there has been clear guidance to those who need it.
Liz Twist (Blaydon) (Lab)
The Parliamentary Under-Secretary of State for Work and Pensions (Laura Trott)
The hon. Lady asked about this last time, and I believe I informed her previously that all alive people will be receiving the benefits they are entitled to by the end of this year.
Cost of Living: Financial Support for Disabled People
Liz Twist Excerpts(1 year, 5 months ago)
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Paul Maynard
I share the hon. Lady’s view about the reality that her constituents, and indeed mine, are facing. I share some of her criticisms of the energy companies themselves. The Retail Energy Code Company is trying to provide an answer, which I hope the energy companies will listen to and I hope might just persuade her that it is worth a second look, but I do not know. Time will tell, perhaps.
When coming up with proposals for the disability sector, many charities emphasise the broadness of eligibility and auto-enrolment. That is entirely logical and sensible for them to do. They have learned from the reality of the priority services register. In my constituency, I find that the people who really ought to be on that register are the least likely to be on it, so charities are right to be concerned about whether some sort of voluntary enrolment would actually get to where we want it to go. At the same time, they are missing out the potential for a more tailored scheme, which goes back to my earlier point. Everybody’s energy costs are going to be different, and one-off payments do not necessarily meet that challenge.
Liz Twist (Blaydon) (Lab)
The hon. Gentleman is making a very thoughtful speech about a complex issue. Does he accept that having some money, while imperfect, has to be preferable to being left without that amount of money?
Paul Maynard
Something is better than nothing. However, part of the art of speech making is building an argument, as I hope the hon. Lady understands. I have not yet culminated my argument in what I think we should do. By all means, she can agree or disagree with my critique of what is being proposed, but I am about to come on to what I think should be done, which I hope might just persuade her yet again.
Mr Mower looked at what is being done in the Australian states. They have gone into great detail on this topic, looking at all the different forms of medical equipment that people are using and their energy intensity. Each piece of equipment has a different energy consumption rate. It cannot just be measured by minutes or hours; some of them are more energy intensive than others. Australian states have done calculations enabling them to oblige energy firms to discount the energy at the point of consumption. There is then no need to request a rebate from an energy company, or some supplementary top-up, because it occurs at the point of consumption of that energy. That helps to solve the problem of how we support those with energy-intensive equipment needs. However, I agree it does not meet the needs of those who have to heat their properties generally for their own health benefits.
The hon. Member for Battersea briefly mentioned the issue of the warm home prescription, which the Energy Systems Catapult has been introducing. It has had a limited roll-out in Gloucestershire, and I think it is now operating in four areas as a pilot. It has great potential, but where I issue caution is that we need to understand, if we do not already, whether it is actually saving the NHS money. The idea is that a social prescriber looks at a person’s energy consumption, the insulation in their home and their energy needs, and works out whether a form of prescription to help with energy prices is a way of forestalling more expensive treatment for more severe health conditions at some future date. That is quite hard to capture in a short period of time because we have not seen the long-term consequences yet, but that measure seems positive to me. It would deal with the issue of people needing to warm their homes over a longer period of time, so it is a twin-track approach.
I have tried to put Mr Mower’s report into my own words and not read it out verbatim, because that would be a boring way to make a speech. In his conclusion, he said that the electricity costs of these consumers—in other words, those who rely upon equipment—would best be met through a scheme that can tailor support to the needs of each eligible consumer, rather than a policy targeted at a wider range of vulnerable consumers, so that they can have full confidence that the costs of the relevant equipment are being met. To me, that is the key word in this debate: confidence. The hon. Member for Battersea mentioned it, as did other Members in interventions. Individuals with severe health conditions who do not continue to heat their properties and run their equipment are running the risk of disadvantageous health outcomes because they do not have the confidence that they will be able to afford their bills.
I urge the Minister, and the Minister for Energy Consumers and Affordability, who was present briefly, to really engage with the Retail Energy Code Company and look at the matter in great detail to bring together the NHS and the Social Prescribing Network—I know that social prescribing is the answer to everything in life these days, but in this case it might just be—and try to work out with Ofgem whether the twin-track approach could solve the problem that we are seeking to solve.
Liz Twist (Blaydon) (Lab)
It is a pleasure to serve with you as Chair, Sir Robert. I thank the Petitions Committee for arranging this important debate.
We know that many people are struggling at the moment as a result of the cost of living crisis generally, but, as we have heard, disabled people are struggling more than most, and households that include someone with a disability spend more on food, face higher energy costs and are more likely to have a lower household income. It was really interesting to hear my hon. Friend the Member for Battersea (Marsha De Cordova) talk about a survey that showed some tragic results for those experiencing such conditions, and I thank her for referring to that.
As we have heard, analysis by the disability charity Scope suggests that, on average, disabled households need an additional £975 a month to have the same standard of living as non-disabled households. That rises to over £1,100 if we account for this year’s inflation.
The figures account for disability payments such as PIP, which are designed to help address those costs. For some families, the costs have a shocking impact. Disabled people are almost three times as likely to live in material deprivation than the rest of the population, and 80% of households with a disabled person say that Government cost of living payments are just not enough to meet the increased costs that they face. Families might accrue costs due to expensive dietary requirements, running medical equipment or being unable to cut back on their heating because they need a higher temperature. Low temperatures can have adverse effects on the vulnerable.
This time last year, many of us would have attended a Marie Curie drop-in. Marie Curie published its report “Dying in Poverty” a year ago, which presented its research on the impact of poverty on terminal illness. At the drop-in, I and others met a lady with a terminal cancer diagnosis and her husband. They had a water meter and, without me asking, they said that they were running up huge costs because of the need to do constant washing in order to limit the risk of infection. What struck me from that meeting was how little is known about the help that is available for people through water companies and other initiatives. It is not enough to meet the general need, which is a tiny proportion in that case. Some people have much more significant costs than others.
The hon. Member for Blackpool North and Cleveleys (Paul Maynard) spoke about social tariffs. I am co-chair of the all-party parliamentary group on water, and we have been looking at the proposals for a social tariff for water and the impact of that. We have been working with the Consumer Council for Water. I am very disappointed to hear that the Government have dropped the idea of pursuing that social tariff, as was revealed in answer to a written parliamentary question I submitted recently. I acknowledge some of the difficulties the hon. Gentleman mentioned, but I think we need to look at something that supports people much more generally. He also talked about proposals for an energy social tariff and whether that is the best idea. I genuinely think he made a thoughtful argument about that, but we need to look very closely at how people—including disabled people, who we are focusing on today—can be supported.
The rising cost of energy is affecting disabled families the most severely. One respondent to a Guardian survey said he had stopped using a CPAP machine during the day, even when he was short of breath, in order to limit his bills. Ventilators, suction pumps, feed pumps, power chairs and electric beds are all pieces of equipment that cost money to run, and families are going days without heating or showering so that they can keep this equipment turned on. It seems that there is very little understanding of what may be covered. Assurances can be given that these costs will be covered, but in many cases they are not. We need to make sure that support is available.
For some families the extra costs are coming at a time when they are desperately trying to make memories with their loved ones who have terminal illnesses. Marie Curie has reported that the costs of energy bills can rise by as much as 75% in the aftermath of a diagnosis. It has also found that 90,000 people die in poverty every year. During Department for Work and Pensions questions in December, I raised with the Minister the issue of changes to the warm home discount scheme, which removed eligibility from 300,000 disabled people, leaving many families afraid of being unable to meet their heightened energy costs.
For goodness’ sake, £150 will not address the problem anyway, but it is better to have that money than to lose it as part of the system. That happened quite quietly and was little known about at the time, and it is important that we address it. The changes suggest that the Government were not willing to address the disability price tag. Excluding disabled households from the bulk of cost of living support, unless they are on means-tested benefits, forces them to absorb the additional costs themselves by emptying their pockets.
The £150 payment is equivalent to just £2.88 per week across the year. It does not do enough to reduce the costs down to the already staggering costs faced by households that do not have a member with a disability. Why should these families be worse off because one of them lives with a disability? This is a disparity that Government policy is failing to address.
Speaking in these general terms is great for drawing attention to the broader issues, but the reality is that in our constituencies each of us as MPs meets and supports people with disabilities who face exactly these problems—that is before we start talking about PIP assessments and eligibility and the support people need there. These are real people: individuals and families living in our constituencies. They are like those I and other hon. Members meet and the people we met at the Marie Curie drop-in. They deserve not to have the additional worry of struggling to meet their energy bills or of being cold and further damaging their health.
I hope having the debate will cause the Government to look again at the issue and reconsider the support they are providing. I hope they will ask themselves how much less money and resources they are comfortable with households with people with disabilities having compared to other families. Unless the answer is tens of thousands of pounds a year, there is still a huge amount of work for the Government to do. I believe people need much more support and there is much work to do.
Sir Robert Syms (in the Chair)
I call Amy Callaghan. You can speak seated if you would be more comfortable.
Jim Shannon (Strangford) (DUP)
Thank you very much for giving me the chance to speak today, Sir Robert. I thank all those who signed the petitions to enable us to discuss these issues. In particular, as I always do, I sincerely and honestly thank the hon. Member for Battersea (Marsha De Cordova) for setting the scene so well. She is a lady with compassion and understanding, and she delivered a message with which, as she said, we can all concur. I also thank all hon. Members who have made contributions and those who will follow, whose contributions I very much look forward to. I also look forward to the Minister’s contribution. I think the Minister understands the issues, and I wish to ask him a number of questions. I hope that we can achieve the goals that we wish to achieve and get the answers as well.
I have stated many times, as have many others, that the cost of living impacts on many people. The issues have not yet subsided: we still see incredibly high costs for the most basic needs and many struggle to afford them. I also wish to give a Northern Ireland perspective on debates—hon. Members expect it and they will get it. My observations and contributions will reflect what others have said.
The debate is specifically about the cost of living and support for disabled people, and I wish to focus on that. I see this every day in my office, more so over the last period of time. I am not blaming the Government, by the way; that is not what this is about. It is about solutions. I am always about solutions—I am solution-led and solution-driven. That is what I wish to see.
Many people, especially those who are disabled and are financially challenged, are struggling to afford things in the current climate. It is important that exceptions are made for them and that their specific needs are taken into consideration. I see poverty every day in my constituency. I see families struggling to deal with it and mums who starve themselves so that their children can get food. Those are the realities of where we are, and that is why I look to the Minister and the Government to make these important changes so that we can address the issues that we see every day. Every hon. Member in the Chamber sees those issues as well.
As the hon. Member for Putney (Fleur Anderson) said, the DWP needs to expedite its system and address the fact that progress takes so long for those who are disabled. We have asked this before in the Chamber, and we ask the same question today: can it be expedited? The week before last, on the front page of my local paper, there was a report on food bank referrals in my constituency. The manager of the food bank, which is the first Trussell Trust food bank in Northern Ireland, and a very active one, said that referrals were up as much as 50% in one year—wow, I need to take a deep breath when I say and understand that. Christians Against Poverty also states that referrals are significant. All those people come together to help, and I am encouraged by the number of churches and individuals who help such organisations.
The hon. Member for Putney also referred to benefit issues and ME as one example of how people cannot cope with the systems, and she spoke about how long the DWP appeals process takes. I would add to that those with anxiety, depression and emotional issues. People who come to my office can be quite anxious and extremely confused about the system. What is being done to help people with anxiety, depression and the emotional overtures that affect their everyday lives? I know the Minister wants to help, and I certainly do.
Complex physical needs compound the issues and sometimes confuse the DWP’s interpretation of what is needed when a person sits in front of them. I see it very clearly. I have a member of staff in my office who does nothing but benefits because not everybody understands the benefits system. People need coaxing, help and support, and we try to provide that.
One of the petitions that we are discussing concerns the £650 payment, which people with disabilities should be eligible for. People who suffer with disabilities have very specific needs, some in relation to their diet and the food that they eat. There is an important cost factor in a specialised diet.
Jim Shannon
The hon. Lady sets the scene very well. I thank her for that intervention because it reminds us all of the impacts on a section of the community across this great United Kingdom of Great Britain and Northern Ireland. We see the impacts every day, and we are trying to convey that to the Minister so that he can grasp what we are focusing on and give us the answers that we seek.
Inflation rates for food have gone up in the last year by 13.1% in Northern Ireland. Expanding the payment to people who suffer with disabilities would help them to stick to their routines and be able to rely on what they need to stay alive. I am not exaggerating the matter—they need it to stay alive. That is what I see in my constituency on a regular basis.
In addition, I have had numerous constituents raise concerns with me regarding the amount it costs to run certain types of medical equipment; the hon. Member for Blackpool North and Cleveleys (Paul Maynard) said the same thing. I deal with these matters every week: people with stairlifts, pumps for feeding tubes, electric wheelchairs, bath seats, and, more than ever, mobility scooters. Those of us who are able-bodied do things for ourselves, but we have constituents who cannot, without help, deal with the extra charges that come their way. I compassionately and respectfully urge the Minister and the Government to provide some form of grant to help ease the costs for the many people who must run medical equipment. Such issues are not momentary; they are there for a lifetime. The sad reality is that some people require those pieces of equipment to survive and continue to live. It is often a matter of life or death for them. That is the cold reality of where we are today with some of my constituents and those of others who have spoken.
Those constituents are no stranger to the increases in electricity and gas, and it is unfortunate that so many of my constituents have to deal with the impacts of that. We must do more to speak on behalf of those who are disabled and struggling to pay the increased cost of electricity and heating payments. There is certainly a conversation to be had about disabled people and employment. We need to air that today as well—today’s debate is perhaps a chance to do so—but in a constructive way. For some of those on non-means-tested benefits, there is an option for getting into employment, which must be made accessible to them. I welcome the many employers who have made a constructive and positive decision to be disability friendly. It is wonderful to see so many encouraged into work by so many, but there is still more to do.
Tom Pursglove
I will ask the Minister who was here earlier to provide an update to the hon. Lady on that particular point. Given that it relates to interaction with energy companies, it is important that the Minister is given the opportunity to comment on the point in question.
Before I move on to energy costs, I want to touch on the point that the hon. Member for Blaydon (Liz Twist) made about water schemes. Again, I am happy to take that away. I recognise that, as she said, water companies provide support, and I am happy to raise that issue with ministerial colleagues with a direct responsibility for water policy.
The hon. Lady mentioned the work that Marie Curie is doing and spoke about people at the end of life. I want to put on the record my thanks to Marie Curie for its brilliant advocacy and campaigning, and the work it did with my Department and officials at the DWP to help us get the changes to the special rules for end of life right. That will be a significant help to many families across the country; they should be spending that time with their loved ones—their family and friends—not worrying about their finances. The changes to the special rules for end of life, which allow the fast-tracked help to be provided for longer, are important. Members of this House and the charitable sector campaigned for them—I am proud that we introduced them collaboratively —and gave us fantastic insight, guidance and support to help us get that policy right. The changes were introduced a few weeks ago, and will be helping families across the country today. The second tranche of benefits is now subject to the changes. I am pleased to say that when those applications come in, they are dealt with very quickly—within a matter of days—so that people can get that important help. I am grateful for the opportunity to highlight that.
Looking to the future, the Government recognise that we need to consider energy affordability in the longer term, and as part of that we intend to move away from universal energy bill support and towards better targeted support for those most in need. As set out in the 2022 autumn statement, we are working with consumer groups, charities and industry to explore possible options for a new approach to consumer protection, such as a social tariff from April 2024 onwards as part of wider retail market reforms. There is ongoing engagement between Ministers and disabled people’s organisations and representative groups to understand what that might look like. We will ensure those views are included as we do that work.
That work includes thorough engagement with disability organisations to consider the costs for people with medical equipment and assess the potential need for specific support for vulnerable and disabled people using energy-intensive medical equipment in the home. That new approach will be aligned with our objectives of delivering a fair deal for consumers, ensuring the energy market is resilient and attractive to investors over the long term, and supporting an efficient and flexible energy system. Any new approach will also need to promote competition within the energy markets and be consistent with our wider objectives of improving energy security and delivering net zero.
We are looking at medical equipment on a cross-Government basis. The Department of Health and Social Care and NHS England are supporting the Department for Energy Security and Net Zero’s review of the energy rebates and refund schemes that are currently available for users of medical equipment at home. They are also supporting the Department’s policy development work in this area, which they plan to publish for low-income, vulnerable energy consumers post April 2024. I understand that there are arrangements in place involving specialised NHS services and integrated care boards, which we will no doubt want to consider carefully as we move forward with the energy reforms I have described.
Tom Pursglove
Again, we had a good debate about awareness last week. One of the things I undertook to do was to see what more we could do to increase awareness. That is why having such thorough engagement, including with disabled people and their representative bodies, is key, because we want to ensure the reforms reflect their views, experiences and needs. The awareness piece is fundamental to ensuring that people are aware of the support available to them. With that in mind, as set out in the energy security plan released in March, the Government intend to consult on options for this new approach this summer. We will invite and welcome the public and our stakeholders to use the consultation to feedback on our proposals.
Child Poverty in the North
Liz Twist Excerpts(1 year, 6 months ago)
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Liz Twist (Blaydon) (Lab)
It is a pleasure to serve under your chairmanship, Mr Hollobone. I thank my hon. Friend the Member for South Shields (Mrs Lewell-Buck) for securing this important debate. I also thank her co-chair of the APPG, the hon. Member for Cheadle (Mary Robinson), for her contribution to the debate and for the work of the APPG. It is incredibly important that we look at this issue.
Just over a year ago, I held a similar debate on the relationship between regional inequalities and child poverty, following the publication of the “Child of the North” report, which clearly illustrated all the factors involved in child poverty and the whole range of issues that build in disadvantage for children right across the north, such as education and health, which the hon. Member for Cheadle mentioned. I am pleased that work has continued following that debate, through the child of the north all-party parliamentary group, to make sure that we do not just have a one-off debate but actually continue to identify, and follow up on, the issues identified in the report.
The report was called “Child of the North”, but I want to concentrate on the region I know best, which is the north-east. Sadly, my region has the highest rates of poverty anywhere in England. That is not a claim I am pleased to make. It is shocking that children in my region are suffering poverty and deprivation and are being held back by that as they develop through the years. That is not something I am proud of, and it is something I would dearly like to change. Almost two in five children in the north-east are living in poverty. In my constituency, the number of children growing up in poverty increased by 13% between 2015 and 2021. That is absolutely shocking.
The numbers alone are difficult to think about, but it is even harder to think about what they represent—the struggling families and the children being held back. At an APPG evidence session, the North East Child Poverty Commission presented truly harrowing accounts from the people and families it works with, which brought home the true impact of this scandal on people’s lives. One account came from parents in my local authority of Gateshead who were using watered-down evaporated milk in their baby’s bottles because of the soaring price of baby formula and putting off weaning because of fears about the cost of solid food. That is absolutely shocking. It does not need saying—I hope—that that is simply unacceptable in the world’s fifth or sixth richest country. The report produced by the APPG following its evidence sessions—“Child Poverty and the Cost of Living Crisis”—illustrated clearly, as the hon. Member for Cheadle said, how the problem is compounded by the increases in the cost of living and the challenges people face. There has been a real deterioration there.
I am proud of our local community in Blaydon, and indeed of the many communities across Blaydon, for stepping in where the Government have fallen short. That includes the Gateshead food bank depots at Blaydon and Birtley, and we had the report from the Trussell Trust last week showing the huge increase in the use of food banks. There is also the Blaydon Community Larder, which helps people with food, the Gateshead West pre-loved uniform scheme and Feeding Families, which works across the north-east—I could mention many more organisations.
These organisations do all they can to support people with the basic necessities they need to keep their children safe, happy and fed, but they are struggling more and more to meet the growing demand for their help. According to the Trussell Trust, in the last 12 months the number of emergency food parcels distributed in the north-east rose by more than 50% compared with the previous year. That is the highest year-on-year increase anywhere in the UK. Sadly, Feeding Families, which has a huge depot in my constituency, has had to move premises, because over the last year its usage has increased by 100% as well. That is not an isolated example, and I know that people across the country and the north are also affected.
Families all over the UK and the north are struggling, and I do not want to play poverty Top Trumps—it is not a game I am interested in—but the trends in the north-east are particularly staggering. Last year, The Guardian reported on the 11 local authorities that had seen the highest percentage point increases in child poverty since 2015. All of them, sadly, were in the north-east. Alongside our neighbours across the Tyne, my local authority of Gateshead topped the list. That is not a list that I want us to be top of; I do not want us to be anywhere in that list, frankly, and I want action to put that right. This is a place-based crisis warranting a place-based explanation.
What is particularly striking about the rise in child poverty in the north-east is how it has affected families with working parents. We hear time and again from the Government how the best way to tackle child poverty is to get parents into work. But the number of children in in-work poverty in the north-east rose by 91% between 2015 and 2021, compared with a 27% rise across the rest of the UK, and that is before the cost of living really started to bite. It is clear that what we are seeing is the impact of a longer-term structural issue.
At 14.8% the north-east has the second highest rate of employee jobs paid below the Living Wage Foundation’s real living wage. Two in five of all children in key worker households in our region live below the poverty line—the highest proportion anywhere in the country. Do the Government really want to tell the children of those key workers— children who saw their parents celebrated for all the work they did during the pandemic—that their parents should get yet another job?
With large numbers of our local population relying on low and insecure pay, it should not come as a surprise that many families in our region rely on the universal credit system. Universal credit keeps many of our families going, but it is too often too flimsy a raft and a punitive one. According to figures from the North East Child Poverty Commission, 58% of children in families in Blaydon who receive universal credit collectively lose out on £111,000 per month in deductions from universal credit. That is an average of £73 per household that could have been used to purchase essentials that families scrape together every last penny to buy. Just last month we marked the sixth anniversary of the two-child limit, which has been recognised as one of the leading drivers of rising poverty for families with children. That limit affects 860 children in my constituency alone. It is clear that the system requires an urgent review.
Our social security system was meant to provide for people from cradle to grave, but it seems the Government cannot fulfil even the first part of that obligation. There must be action to ensure that the impact of the current crisis falls on those with the broadest shoulders and not on families who are already struggling to make ends meet. In the world’s fifth richest nation, that should be well within our capabilities.
I want to turn to some of the recommendations in the APPG’s report and the asks that have been touched on by my colleagues. I will keep it simple because the report has been published and can be seen—we are happy to share it with the Minister if she does not have it already. We need to ensure that families have enough money to live on and security of income; that children have enough healthy food to eat; that they have those healthy breakfasts that my hon. Friend the Member for South Shields talked about; and that they have access to the school meals they are entitled to—they should not lose out on free school meals when they are already entitled to them. Children also need to be brought up in warm, heated homes for the best start in life, and we need to use data to identify the families who need additional support and help. Finally, we need a joined-up approach across Government to look at the intersections between poverty, poor health, poor educational outcomes and poorer life expectancy. All of the data needs to be brought together to ensure that policies address all those issues. Our children deserve the best start in life, the chance to thrive and the best opportunities.
Before finishing, I would like to thank the North East Child Poverty Commission, with which I have worked over a number of years, for its work to ensure that we do not forget these issues and these children. I would also like to thank the co-chairs of the APPG, the NHSA and others who wrote the original “Child of the North” report. I hope that we can improve the chances of people in the worst situations and give every child the chance to develop, grow and thrive.
Mims Davies
I understand the hon. Lady’s point. I thank her for her passion and interest in this area, and for what she is doing for her constituents. There is no direct, objective way of clarifying what is an adequate level of benefit. Every person has a different level of requirements depending on their circumstances. Income-related benefits are not made up of separate amounts specific to beneficiaries’ expenditure, or food costs or whatever. The Government firmly believe that beneficiaries should be free to spend their benefits how they see fit in the light of their individual circumstances and needs.
The Government’s approach to welfare is to fully recognise the value and importance of work, which has been mentioned in this debate. Making it work for everybody is vital. We are determined not only to help people progress and be supported in work, but to protect and support the most vulnerable in society. Universal credit is adjusted monthly depending on a beneficiary’s circumstances. It is absolutely right that the people who need additional support, whether that is through the household support fund, hardship payments or an adjustment due to a change in circumstances, are able to come forward. I spent much of my childhood on benefits due to the impact of ill health and disablement, and we had to navigate through the same system. I personally understand it.
Whether people are on benefits for a short or a long time, it is important that they are supported, and know how to navigate the system to get the right support for their family. That is why I am always keen to reiterate the Help to Claim service, the Help for Households website and the work we have done on the household support fund. I thank our partners in particular for their work on delivering the household support fund for people, whether they receive benefits or not. We have heard today that because of the war in Ukraine and the changing impact of the pandemic, more people than ever have found things particularly tough. With the household support fund, I have made it clear that people on benefits, and those who are just above the threshold or just managing, or perhaps in a change of circumstances, will be looked for, found and reached out to so that that discretionary support can be given to those who need it most. Devolved Administrations will receive consequential funding to use at their discretion.
It is right that in our approach to tackling poverty, we are able to bring in different interventions and different changes. People can call it a sticking plaster, but for me it is a different intervention and a step change to support some of the people I have mentioned, who perhaps would not normally need to be supported by the benefits system. It is a firm belief that the best way to help families to improve their financial situation is through not only work but skills. My hon. Friend the Member for Cheadle (Mary Robinson) mentioned sectors and areas where people perhaps do not see a way into better-paid jobs and opportunities. It is vital that we engage and talk with them, and use Jobcentre Plus sits and local networks to help people see that there are opportunities just down the road from them. Their skill base, level of education or confidence—the word we hear continually at DWP—should not lock them out from the opportunities that are there. That is why those 1.1 million vacancies across the UK are our firm focus to help people to take further steps not just into work but to progress in work, and to be better off.
I will turn to some of the points that have been made today to hopefully underline that focus. On jobs interventions, there have been jobs fairs at the JCP in Birkenhead, and there are 16 employers with 400 roles available. In Sheffield, the NHS has very pleasingly streamlined the application process for universal credit claimants, ensuring that we actually attract the people who are down the road into the roles we need filling. In Doncaster, our local team has worked on jobs fairs particularly for those with health conditions and disabilities. In fact, there was recently a north-east jobs fair at the Stadium of Light with 50 employers and 1,800 people invited. It is absolutely vital that we use all different interventions to help people to be better off, including those additional interventions from Government as well as helping people to progress and be better off in work.
Liz Twist
I wonder if the Minister could comment on the figures I quoted on the number of people in the north-east who are actually working—many of them in different jobs—but still do not have enough to cope. What do the Government propose to resolve that issue? It is not just about work; it is about having good work.
Mims Davies
I completely agree with the hon. Lady. I believe just over £3.6 million has gone into the household support fund in Blaydon, and there have been nearly 11,000 cost of living payments in the hon. Lady’s constituency. We are making those interventions exactly as she describes, to support those people who may be working but whose circumstances have changed. We are in difficult times—let us not deny that—due to a combination of historical, generational problems, as hon. Members have pointed out today, but also off the back of the pandemic and a war on our continent. It is therefore absolutely right that Government are able to step forward. I am happy to write to the hon. Lady about the direct interventions we have made in her constituency to help those youngsters. That is what is at the heart of this matter: not statistics, but people like Sophie, who was mentioned earlier. These youngsters need to know and feel that the Government, and anybody from any political party or any intervention, are on their side and are helping to make things better. I hope that answers the hon. Lady’s question.
Liz Twist
I thank the Minister for letting me intervene again. I understand the amount of money that is put in through the household support fund. My question is: if we work on the basis that work should pay and getting into work is the best intervention to give children—as the Minister rightly says, children are individuals, not statistics—the best chance, what are we going to do outside the current cost of living crisis? This issue existed before the cost of living crisis and it will continue. It is, as I said, a structural issue.
Mims Davies
I think we are actually talking the same language here. It is about progression in work and being better off, as my hon. Friend the Member for Cheadle mentioned. How does someone go for those better-paid jobs, and how do they progress? Of course, it is also about ensuring that sectors are paying the right rates—good work, as the hon. Member for Blaydon (Liz Twist) mentioned. It is about ensuring that people are well remunerated and well supported in those roles, which is exactly why we have our in-work progression focus. We did a large report on that. It has been mentioned today that transport could be an issue for some people, and their educational base has been mentioned as well. It is about whether people are able to get to that next rung, where they are actually better off. That is what our in-work progression champions are doing in JCPs. Someone can be working all the hours God sends, but are they better off? That is something that answers that question. That is what we are determined to do.
Turning to the report, it is important to highlight what we are doing beyond the household support fund. We are investing £30 million to provide free breakfasts for children in up to 2,500 schools in disadvantaged areas; we have extended this programme through to July 2024. As we know, children continue to learn well if they receive a healthy breakfast. That is really important. Eligibility for free schools has changed several times as we have heard today, with more groups included and 1.9 million disadvantaged pupils being supported through the benefits-related criteria, while a further 1.25 million infant pupils are receiving free school meals through the universal infant free school meals policy.
I absolutely agree that the balance around doing well in education is vital, as we heard from my hon. Friend the Member for Cheadle. We are absolutely focused on these interventions, whether that is the breakfast clubs or the pupil premium, alongside the Department for Education. The schemes are there to help the most vulnerable children. There is also support for children under four and pregnant women through the Healthy Start scheme. We have heard about the holiday activities and food programme, or the HAF programme, which is an investment of £200 million a year. All those interventions are absolutely right. Both from the report and from comments, it has been clear throughout the debate that all our interventions need to change to make a generational shift for our communities. That includes those on in-work progression, our childcare offer and whatever is introduced from each part of the community or from Government.
The levelling-up agenda was mentioned. To unleash the full potential of every local economy, we must spread opportunity to every corner of the country to reverse decades of economic underperformance. As we heard, individuals can be locked out of their local economy if their education, confidence and network hampers them. We need strong local interventions, such as the jobs fairs that I mentioned.
The DWP has local teams that specialise in working in partnership with local authorities. They create the links with communities that are necessary to understand each local area’s needs and to tailor provision and support with the local labour market. Through those links, they regularly engage with local authorities and local leaders, some of whom have been mentioned, to ensure that all our interventions, including our restart programme for the long-term unemployed, work for them.
I will turn to food prices because I am mindful that they are particularly challenging. I am keenly looking at the issue and working on it with the Minister for Food, Farming and Fisheries, my right hon. Friend the Member for Sherwood (Mark Spencer). Rising food prices affect those on the lowest incomes. A combination of factors, including agrifood import prices, domestic agricultural prices, labour costs and manufacturing costs, have had a significant impact. That is why we focused on delivering the biggest support that we could in the spring Budget, including through our focus on childcare.
I am mindful that I have been speaking for some time. I am happy to respond in writing to hon. Members, and I will share those responses with the House. In conclusion, I will be very clear: this Government are fully committed to providing opportunities for parents. We have not heard a lot about parents, but theirs is a really difficult position to be in. They do absolutely everything and strive all they can, but must constantly ask themselves how they can make ends meet so that their children do better. We are determined. In my role as Minister for Social Mobility, I am determined to ensure that people will be able to prevail in every area of the UK. They will be sustained and supported. At the same time, we will ensure that the most vulnerable have the targeted support that they need in these very challenging times.
I thank all those at the coalface, supporting every child in need in every community. We all work diligently to reduce the number of children in need, so that we can see an end to this challenge across our communities—wherever those young people live.
Oral Answers to Questions
Liz Twist Excerpts(1 year, 6 months ago)
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Tom Pursglove
I am hugely appreciative of my hon. Friend, who is a passionate advocate of Disability Confident. I would hope that local authorities would want to engage with the scheme and set the example that they would like to see businesses and other organisations in their communities follow. I know he has good conversations on this question with Councillor David Thomas, the leader of the Conservative group, who I hope may be in a position in a few weeks’ time to help set the standard in the Torbay area and blaze a trail for Disability Confident at Torbay Council.
Liz Twist (Blaydon) (Lab)
Laura Trott
We have massively increased the number of people working on that at the moment. We are undertaking work against scams, we are prioritising cases in which the recipient is alive, and we will try to get that done by the end of the year. I am accelerating that as much as I can. I am very aware that it is a problem.
Oral Answers to Questions
Liz Twist Excerpts(1 year, 9 months ago)
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Liz Twist (Blaydon) (Lab)
The Secretary of State for Work and Pensions (Mel Stride)
The Department for Work and Pensions provides specialist help for those who are suffering from mental ill health, both through the Access to Work scheme and by funding advisers in the NHS Improving Access to Psychological Therapy services in England.
Liz Twist
Since 2019, economic inactivity due to mental illness and nervous disorders has increased by 22%. People with mental ill health need support in order to get back into work, and Access to Work grants are a vital resource in helping to ensure that they have that support, but in the past year alone waiting times have doubled and the size of the backlog has trebled. People have been forced to turn down jobs that they want to do because they cannot gain access to the support and flexibility they need. What will the Government do to address those delays?
Mel Stride
The hon. Lady is right: there is an issue with economic inactivity, which is why the Prime Minister has tasked me with reviewing this entire area, including the matters that she has rightly raised. We will, in due course, publish a White Paper to address some of those matters.