Personal Independence Payments

Debate between Lord Low of Dalston and Baroness Buscombe

Tuesday 23rd July 2019 Lords Chamber

[Baroness Buscombe]

I shall do my best to respond to the noble Baroness, who of course knows so much about this area. On waiting times, we are committed to processing PIP claims as quickly as possible while ensuring that we have all the evidence we need to make the right decisions. A key issue has been not having sufficient medical information in the first instance. We are working with the NHS to see what we can do to rectify that. In the last quarter, February to April 2019, 55,097 claims on average were processed each month. The average new claim or reassessment claim waits just six weeks for assessment. However, PIP is needs based and not condition based, and reviews are a key part of the benefit to ensure that the right support continues to be delivered.

In a nutshell, we believe that PIP is working so much better. There were originally some quite difficult issues around it. We are constantly working to improve the situation. That is why now have a mental health champion in each PIP assessment centre. We are making sure that there are experts behind each assessor. We have videos to help people understand what the process is so that they can feel comfortable about that engagement at the assessment centre. We also encourage people to come with a trusted third-party individual to support them through that often quite emotional process.

Yes, it is a complex process. We are committed to doing all we can. We will report back to the House with further information in relation to the Supreme Court’s decision, but we continue to spend more on supporting those with mental health issues—quite rightly.

[Lord Low of Dalston (CB)]

My Lords, notwithstanding what the Minister says about the judgment, it is clear that there are still major problems with assessment of disabled people for benefits. Figures recently obtained from the DWP under the Freedom of Information Act indicated that more than a third of PIP assessments carried out by Capita were found to be defective—up 4% in the two years since 2016. This makes it clear that things are going in the wrong direction, and not the right direction as the Government habitually claim when such concerns are raised. What can the Minister say to assure the House that the Government are getting on top of these problems?

[Baroness Buscombe]

My Lords, we are working hard to get on top of these problems, and no one is working harder than my honourable friend in another place the Minister for Disabled People, Justin Tomlinson MP. We recognise that for the most severely disabled claimants the award review process can seem unnecessarily intrusive. That is why those with most severe lifetime disabilities are more likely to have their evidence reviewed by a DWP case manager without the need for another face-to-face assessment, which we know has caused issues. Additionally, in August 2018 we introduced updated guidance for case managers which will ensure that those who receive the highest level of support under PIP, where their needs are unlikely to change or may even get worse, will now receive an ongoing award with a light-touch review at the end of the 10-year period. As I said earlier, we are working hard with the NHS to see what more we can do to get the right medical evidence to make sure that we make the right decision in the first instance.

Personal Independence Payment

Debate between Lord Low of Dalston and Baroness Buscombe

Wednesday 10th October 2018 Lords Chamber

[Baroness Buscombe]

The answer to all those questions is simply yes.

[Lord Low of Dalston (CB)]

My Lords, what the Minister says is all very well but she will be aware of the publicity recently given by the chairman of Scope to inconsistencies that he experienced in his assessment for PIP, with different weightings being given to characteristics that had not changed from one assessment to another. What reassurance about the fairness of the system can the Minister give to people like the chairman of Scope, for whom this is an all too common experience?

[Baroness Buscombe]

I think it is important not to conflate the appeals figures with assessment or decision-making quality. Having said that, we are constantly looking at how we assess the quality of those decisions. On the appeals themselves, oral evidence, which is critical in determining appeal outcomes at tribunal, often greatly assists in drawing out the right evidence more effectively, as the Social Security Advisory Committee has said. New written evidence provided at the hearing that has not previously been seen by decision-makers can make the difference. Also, tribunals sometimes draw a different conclusion based on the same evidence. However, it is important to add that we are talking about nine different possible awards, and each and every one of those is capable of mandatory appeal. It is not so straightforward when people have such individual and complex needs.

Improving Lives: The Future of Work, Health and Disability

Debate between Lord Low of Dalston and Baroness Buscombe

Thursday 30th November 2017 Lords Chamber

[Lord Low of Dalston (CB)]

My Lords, I welcome the Government’s objective to get 1 million more disabled people into employment over the next 10 years. The Minister will recall the review, Halving the Gap, which I led with the noble Baronesses, Lady Grey-Thompson and Lady Meacher, with support from disability charities. That review looked specifically at the £30 a week cut to employment and support allowance and the corresponding limited capability for work component of universal credit. Over half of the disabled people who responded to our call for evidence said that the cut would push them further from the workplace rather than closer to it. Does the Minister agree that, in the light of that, it is time to reconsider this damaging cut, which can only have the effect of making it more difficult for the Government to achieve their objective?

[Baroness Buscombe]

As the noble Lord, Lord Low, will know, employment and support allowance was introduced in 2008 to replace incapacity benefit and income support. Since the ESA, as we call it, was introduced, we have conducted five independent reviews of the work capability assessment and have accepted and implemented the majority of recommendations. As to cuts, we spend more than £50 billion a year on benefits to support disabled people and people with health conditions, an increase of more than £7 billion since 2010. This is 2.5% of GDP and over 6% of government spending. This demonstrates that we are doing all we can to support the very people the noble Lord references.

Work Capability Assessment

Debate between Lord Low of Dalston and Baroness Buscombe

Monday 9th October 2017 Lords Chamber

[Baroness Buscombe]

My Lords, the Improving Lives Green Paper was published in October 2016. I am pleased that we received around 6,000 consultation responses supported by 166 accessible events across the country. That is good; it is all about us listening to people, to understand what is truly needed and how we can tailor support to meet the needs of different people. Since the Green Paper consultation, our officials have been working hard to analyse that fantastic response. We are working towards an autumn publication which will set out our response to the consultation and how it has informed what we are going to do next.

[Lord Low of Dalston (CB)]

My Lords, to ensure that the work capability assessment is fit for purpose, will the Government undertake to carry out a thorough inquiry into the alarming reports that assessors are disregarding evidence of unfitness to work put before them by claimants; and that claimants are even taking their own lives as a result of the stress to which they are subjected by work capability assessments, something which has been confirmed by coroners’ findings?

[Baroness Buscombe]

My Lords, it is important to point out that we are talking about approximately 2.4 million claimants who make up the employment support allowance caseload. Obviously the references made by the noble Lord to particular individuals are of concern, but the nominal expenditure forecast for 2017-18 is £15.3 billion. In that case, we have to proceed with care in the changes we make, to ensure that the delivery of assessments works for everyone. Since the Centre for Health and Disability Assessments took over the contract to carry out assessments in 2015, a number of improvements have been made to claimants’ experience of them. The number of HCPs has been increased by 68%—