Health: Economic Inactivity

Lord Evans of Rainow Excerpts

Thursday 18th May 2023 Lords Chamber

[Lord Londesborough]

To ask His Majesty’s Government what assessment they have made of the extent to which poor health is contributing to a rise in economic inactivity.

[Lord Evans of Rainow (Con)]

My Lords, long-term sickness is now the most common reason for economic inactivity among the working-age population. The number reporting being long-term sick or disabled as their main reason for economic inactivity has grown by 550,000 over the last four years to a total of 2.6 million people. We therefore announced a wide-reaching package in the Spring Budget to support disabled people and people with health conditions to work, building on our existing package of support.

[Lord Londesborough (CB)]

I thank the Minister for his response, but our nation’s deteriorating health requires urgent, in-depth analysis. The increase of 500,000 people on long-term sick leave is estimated to hit our economic output and productivity by between £30 billion and £50 billion per annum. Add that to our annual benefits for inactive working age people, which has grown by £35 billion in the last three years. It is a vicious circle: less economic activity, less tax revenue, less funds for healthcare and soaring benefits bills. When will we see insightful data on what lies behind the record 2.6 million who are long-term sick linked to NHS performance, particularly preventative healthcare?

[Lord Evans of Rainow (Con)]

My Lords, the Prime Minister tasked my right honourable friend the Secretary of State for Work and Pensions to look at workforce participation working across government. The Government are focused on supporting those groups where inactivity levels are higher and so employment support is most needed, including the long-term sick, the disabled, welfare recipients, people aged over 50 and parents. To tackle rising economic inactivity due to long-term sickness, a wide-ranging package was announced in the Spring Budget to support disabled people and those with health conditions to work. New investment broadens access to additional work coach support for disabled people and those with health conditions, introduces a new supported employment programme and focuses on providing faster access to joined up work and health support.

[Baroness Blackwood of North Oxford (Con)]

My Lords, I welcome the Government’s incentives for occupational health in SMEs and the health and disability White Paper. Are the Government considering embedding occupational therapists within GP practices for those who are self-employed?

[Lord Evans of Rainow (Con)]

The health and disability White Paper published in March sets out plans to transform the future system to support more disabled people to start, stay and succeed in work. We will reform the benefits system so that it focuses on what people can do. But, on the noble Baroness’s specific points, to my knowledge, GP practices are innovating and introducing such measures—but this needs to be expanded further.

[Lord Watts (Lab)]

My Lords, the Government have spent 13 years taking away money from the most deprived communities in Britain. Does the Minister accept the link between poor health and the money that has been reduced in those communities?

[Lord Evans of Rainow (Con)]

My Lords, it is great to see the noble Lord in his place. When I saw him sat there, I had déjà vu from his green Bench in the House of Commons—he is in exactly the same place to ask those Exocet questions. On his specific question, health can be linked to welfare payments, but it is also linked to unemployment because being in good-quality work benefits people’s health and well-being and that of all communities.

[Baroness Meacher (CB)]

My Lords, when chronic fatigue, whether triggered by Covid or some other virus, contributes so substantially to the numbers of economically inactive people, can the Minister explain what progress has been made to find a treatment for these very severely handicapped patients? What are the Government doing to make sure that a treatment is urgently found?

[Lord Evans of Rainow (Con)]

The noble Baroness asks a difficult question that I cannot answer in full. But the Government are supporting disabled people and have done for over a decade now. It is important that people who can work should do so, including disabled people. But I cannot give a fulsome response to the noble Baroness’s question, so I will write to her.

[Lord Allan of Hallam (LD)]

My Lords, the data shows that there has been a significant and worrying increase in the number of people leaving work because of long-term illness and disability, and it is in everyone’s interest that everything possible is done to keep people in work as their conditions develop. In that respect, and following the previous question on occupational health, what are the Government doing to ensure that sufficient occupational health professionals are available to support all of the businesses that need them? Will this profession be part of the long-awaited workforce development plan that we are looking for from the Government?

[Lord Evans of Rainow (Con)]

The noble Lord is absolutely right to talk about data and how we can learn from it. It is currently difficult to quantity the direct effects of this, but it is indeed a factor. Data on employment rates suggests that those awaiting treatment were often already inactive before Covid, and it is therefore possible that longer waiting lists may be exacerbating this. But the noble Lord raised a good point, and I agree with him: that is what the Government will be doing, because it is important to take each patient on a case-by-case basis, rather than a one-size-fits-all approach.

[Baroness Merron (Lab)]

My Lords, ONS data shows that, for every 13 people working, one is suffering long-term sickness—a record number of people not in work due to ill health. So could the Minister commit to expanding and tailoring specialist help for those who cannot re-enter the workplace due to long-term ill health? What preventative provision will be made to tackle the increase in mental health issues in young people and the increased incidence of back and neck pain, which are major contributors to the unprecedented numbers of people who are unable to work?

[Lord Evans of Rainow (Con)]

New investment in the Spring Budget broadens access to additional work-coach support for disabled people and those with health conditions, it introduces a new supported employment programme and it focuses on providing faster access to joined-up work and health support, including for mental health and musculoskeletal conditions—the two leading causes of economic inactivity due to long-term sickness. But the noble Baroness raises an important point: the Covid period exacerbated all of this, and the system is under pressure. As I said in my earlier answer, the best way to do it is to take each patient on a case-by-case basis to ensure that there is help and support into work. Jobcentre Plus is doing an amazing job on that, working with the health service.

[The Lord Bishop of Gloucester]

My Lords, we know that food insecurity is associated with poor health outcomes. Professor Greta Defeyter found that, for every £1 invested in the holiday activity and food programme, there is a wider economic benefit of £11. Can the Minister confirm whether funding is available to extend that programme beyond next year?

[Lord Evans of Rainow (Con)]

I apologise to the right reverend Prelate, but I am afraid I do not have that information to hand, so I will write to her with an answer.

[Lord Hannan of Kingsclere (Con)]

My Lords, the nature of the conditions that are keeping people off work has changed substantially: the biggest cause used to be back pain, and now it is mental health problems. This has happened largely since the lockdowns, and it is not surprising: if you tell people that a terrible virus is out there, there will be more anxiety and depression. Will my noble friend the Minister consider the long-term impact on health and mental health before we take a decision of that kind again?

[Lord Evans of Rainow (Con)]

My noble friend raises an important point, and he is exactly right: mental health and musculoskeletal conditions are the main issue for long-term sickness. The Covid pandemic meant that a lot of us worked from home in a sedentary position—we were not built for that; we were built for activity. Work always pays, but it also helps with mental health in the long term, so the key is to get as many long-term sick people back into work.

[Baroness Boycott (CB)]

My Lords, it is now well known that diet is the primary cause of not only early death but early ill health across the world. Some 60% of this country eats ultra-processed food as its main source of diet. It is not a coincidence that, in the last 30 years, we have seen ill health and a rise in mental health problems. This is new research, but it is powerfully backed by many scientists. Will the Minister consider meeting me and the relevant people to try to understand that, if we fed people well from the moment of pregnancy right through, a lot of this might be averted?

[Lord Evans of Rainow (Con)]

The noble Baroness raises an important point, and I am aware of those surveys. I am always happy to meet her.

[Lord Wallace of Saltaire (LD)]

My Lords, is the Minister aware that, when I was on the cardiac ward of St Thomas’ some years ago, almost all of the other men were there because of complications of diabetes. The scale of the diabetes and obesity crises—they are linked—is one of the major problems of poor health in our workforce. Unless we have a more coherent food strategy—the noble Baroness, Lady Boycott, suggested this—encouraging people to eat more wisely and perhaps increasing the regulation of food, we will not solve some of these problems of poor health in our workforce. Does the Minister agree?

[Lord Evans of Rainow (Con)]

I am pleased to see that the noble Lord made a fulsome recovery. He is exactly right: obesity is a global issue in the western world, and it leads to health complications that put huge pressures on our NHS.