Welfare Reform Bill

Lord De Mauley Excerpts

Wednesday 23rd November 2011 Grand Committee

[Lord McKenzie of Luton]

My Lords, the noble Baroness, Lady Meacher, has made a powerful argument about why the current provisions cannot be properly implemented and why they are not sufficient. In welcoming the Minister to his first slot at the Dispatch Box today, I ask him whether it is possible, perhaps not today, although today if he can, for him to set out for us each of the benefits that would be affected by these proposed changes, what the current arrangements for those benefits are in respect of appeal provisions, what happens to payment or otherwise in the interim and the extent to which that would change under these new provisions? That would be important in helping us to understand what might happen in practice.

I may have missed the point when the noble Baroness was speaking on this issue, but is there a time limit for the DWP to respond to a reconsideration request? There are time limits which flow from it, but under these new arrangements, what causes the DWP to have to respond quickly or within a fixed timetable, particularly if for some of the benefits the dispute is about whether a benefit should be in payment at all? It might be an argument about the capital rules for universal credit or about the category that somebody is in. If it is ESA, I think the claimant gets the assessment rate until the matter has been settled. If the noble Lord is able to clarify that, it would particularly help us understand the import of these proposed changes.

[Lord De Mauley]

My Lords, the noble Baroness, Lady Meacher, has eloquently explained her concerns and those of her noble friend Lady Grey-Thompson, who cannot be with us today, about Clause 99. Let me try to address them.

I assure your Lordships that the time limits for claimants wishing to request a revision, or make an appeal, in relation to most social security benefits are not changing. What is changing is that claimants will need to ask for the decision to be looked at again before they can appeal. I hope that noble Lords will agree that it is in everyone’s interests for disputed decisions to be resolved at the pre-appeal stage wherever possible. Previous figures have indicated that approximately 65 per cent of cases overturned historically were a result of additional evidence being provided that was not available to the decision-maker.

While the claimant will be required to apply for reconsideration within one month of being notified of a decision, the process for making the request is informal. It does not require the claimant to supply a substantial submission and can be done by telephone, face to face or in writing, so claimants should not be subject to additional expense.

The purpose of Clause 99 is to allow DWP to focus on revision rather than responding to appeals, enabling more disputes to be resolved at an earlier stage. Claimants will still be able to ask for a written explanation of the decision and, where they do, the one-month time limit for applying for reconsideration will be extended. In the event that a claimant fails to request a reconsideration on time, the deadline can be extended where there are special circumstances—for example, a hospital admission —which make it impracticable for the claimant to meet the deadline. I assure the noble Baroness that when a request for reconsideration is made beyond the one-month deadline, no formal submission of reasons will be required. They can be supplied by telephone, allowing a decision-maker to consider whether they meet the criteria for an extension of the deadline.

This clause does not change which decisions carry appeal rights; it will simply require claimants to go through the internal reconsideration process first. The purpose of this is to ensure that the decision-making and appeal process is both fair and proportionate.

Although reconsideration is already practised in DWP, there is no legislative requirement for it to be carried out when an appeal is made. Clause 99 will introduce this requirement. Currently, decisions are routinely reconsidered on appeal, so the reconsideration process takes place after the claimant has already decided to appeal to the tribunal.

Under the new arrangements, DWP will use direct contact with the claimant to gather additional evidence relevant to the decision and will provide an explanation of the outcome of the reconsideration. The process will allow a claimant’s decision to appeal to be informed by whether reconsideration had provided them with a clear justification for the original decision, and a clear explanation of it.

Some parts of DWP have already introduced a more robust and independent reconsideration process. However, claimants may often have already made a formal appeal before this process begins. As the noble Baroness has rightly pointed out, under Clause 99, where a decision is overturned upon reconsideration, this will save the taxpayer the cost of an appeal and the claimant the stress of appealing.

The noble Baroness makes the point that, under the current process, no one can get to a tribunal without confirming their intent to carry on. However, if a claimant does not respond to the TAS1, the appeal does not simply stop. The tribunal will still be required to make a decision to strike out the appeal.

Currently, the claimant has 14 days to respond to a TAS1, which is sent along with the DWP response to the appeal and often the reconsideration outcome. Unless the claimant appeals early, which is the issue that we are trying to resolve, this gives the claimant only a short time to consider this information and make an informed decision on whether to proceed with their appeal or to withdraw.

Clause 99 will allow the claimant to make an informed decision about whether to appeal, having passed through a less formal process. There is currently no time limit for the DWP to complete the reconsideration process, nor is one proposed, but it is important to the DWP that each stage of the decision-making and appeals process is carried out within acceptable timescales and does not result in unreasonable delays for claimants. The department is considering carefully how best to monitor and evaluate this in future.

The noble Baroness expressed a concern that claimants will not qualify for payment of ESA pending reconsideration. No appellants should be left without support, since other benefits such as JSA may be available. No decisions have yet been made to change ESA. The main focus of the DWP is to make the correct decision, based on all the available evidence, at the earliest point. Clause 99 will also help claimants distinguish between revision and appeal. The process will be clearly explained via decision letters, leaflets and through direct contact with claimants.

The noble Baroness referred to costs. There will, of course, be costs, particularly relating to IT changes, to implement this clause. The DWP expects to meet these within its spending review settlement. Furthermore, savings are expected to be made in both the DWP and the Ministry of Justice via a reduction in appeals.

I do not think that I have responded in detail—

[Baroness Meacher]

It seems to me that this is a tricky subject area. I am struggling as regards what benefit there might be in introducing Clause 99. It seems to me that one is shifting the responsibility from the DWP to get on and undertake one of these reconsiderations to the claimant requesting that this happens. I am sure that the Minister will accept that these claimants have a pretty difficult life to manage anyway. To add on another process that they have to go through is going to cause all sorts of problems. Why cannot the DWP improve its processes as regards the reconsiderations so that they can happen automatically if a claimant is concerned about a decision? The DWP should get on and undertake a reconsideration, asking for any further evidence or whatever it wants. If it comes out with the same decision, it then informs the claimant and asks him or her whether they wish to pursue their appeal. I am not clear about that process. Can the Minister help me with that?

[Lord De Mauley]

My Lords, we are not trying to introduce a new stage—reconsideration and appeal have existed before; we are trying to get a better process of reconsideration before we get to appeal so that we can avoid a large number of appeals that occur. We are introducing an element of flexibility and informality so that claimants are not held quite so rigidly to deadlines, information and the form in which it comes. We plan to make the process more streamlined for them as well as for the department. We require Clause 99 to effect that.

[Lord McKenzie of Luton]

I understand the thrust of the point the noble Lord has just made but I am also trying to understand the position of claimants who ultimately rely on a successful appeal to end up in the right category. If I understood what the Minister said, the reconsideration needs to take place before they can get to an appeal, and there is no timeframe within which the DWP has to go through that reconsideration process before that appeal starts. Other things being equal, that would mean that it could take longer for those who rely on a successful outcome of an appeals process to end up in the right category. The extent to which that matters depends on what people are being paid in the interim. If, under ESA, they are paid the assessment period rate—the JSA rate—until the appeal has run its course, at least they may have some resources. However, if the issue is whether or not the benefit is payable at all, as there may be a dispute about capital, as I said earlier, they would receive nothing for that period. That is part of the worry. However, we understand the point about streamlining and the improvement that the noble Lord is seeking to make.

[Lord De Mauley]

I am grateful to noble Lords for allowing me the opportunity to clarify that. It is important to the department that each stage of the decision-making and appeals process is carried out within an acceptable timescale and does not result in unreasonable delays for claimants. Alongside implementation of this power, we intend to make further improvements to the reconsideration process, which will include suitable arrangements for monitoring and, where appropriate, improving the speed of the process.

Taking the second point made by the noble Lord, Lord McKenzie, which is allied to that to a great extent because it is a matter of how a claimant affords to live in the mean time, whatever the outcome of the appeal, the tribunal’s decision takes effect from the date of the original decision. So if the tribunal rules in the claimant’s favour and, for example, makes an award of benefit where the original decision was that the claimant did not qualify, all the arrears of benefit will be paid in full from the date that the claim took effect. I do not think that that particularly addresses the noble Lord’s concern.

The noble Lord and the noble Baroness expressed the concern that claimants will not qualify for the payment of ESA pending reconsideration. I have said before and I will say again—I hope that this will address the point made by the noble Lord—no appellants should be left without support since other benefits such as JSA should be available in those cases. He also asked a broader question about benefits more generally and generously offered me the opportunity to write to him or meet him. I would be grateful if we could expand on that in such a forum.

[Lord McKenzie of Luton]

I am grateful to the noble Lord for that and very happy to deal with that matter through correspondence. However, what does he believe to be a reasonable timeframe within which the reconsideration should routinely take place? What is the target and the plan for the department?

[Lord De Mauley]

I do not have an answer for the noble Lord. He is right to raise this issue. Perhaps I may include that in the correspondence.

[Baroness Hollis of Heigham]

The Minister is being very helpful on this but I want to go back to the point made by my noble friend. This stemmed originally from what the noble Lord, Lord Freud, corrected, which was a misapprehension in the press some time back that people would lose ESA et cetera while they appealed. This was presented as an issue of moral hazard: why would anyone ever not appeal if they knew that through the process of appeal they would get a benefit even if subsequently this was not confirmed?

The other side of that moral hazard issue is: how many people, and under what circumstances and what benefits, could lose their income even though ultimately it might be reinstated by an appeals tribunal and backdated? During the process, which could very well take six weeks, what do they live on? The noble Lord may be able to respond now but, if not, perhaps he can write to us about in what circumstances, with what benefits and with what clients there could be a situation in which someone could lose their benefit, even though they were appealing and might subsequently be reinstated? During that process they could be living basically on the kindness of strangers.

[Lord De Mauley]

I understand what the noble Baroness wants and I am grateful to her for allowing me to write.

[Baroness Drake]

If there is an intention to put much more emphasis into making the reconsideration stage effective and efficient, is the department intending to commission an independent audit of that and to publish the findings so that people can have confidence in the effectiveness of the changes at the reconsideration stage?

[Lord De Mauley]

It will not be an independent process but it will be monitored closely in the department.

[Baroness Meacher]

I thank the Minister for that full response and the detailed explanations about a number of these tricky issues. I have no doubt that my noble friend who is unable to be with us today will read Hansard carefully and may want to come back to it later.

--- Later in debate ---

Clause 102 agreed.

[Lord De Mauley]

My Lords, this might be a convenient moment for the Committee to adjourn until Monday at 3.30 pm.

Committee adjourned at 8.10 pm.