Oral Answers to Questions Debate
Full Debate: Read Full DebateMark Harper
Main Page: Mark Harper (Conservative - Forest of Dean)Department Debates - View all Mark Harper's debates with the Department for Work and Pensions
(10 years, 2 months ago)
Commons Chamber1. What assessment he has made of the level of charges levied by doctors for completing benefit assessment information.
The Department is able to request medical information from doctors as part of the process of assessing an individual’s entitlement to benefit; for example, doctors have to complete the fit note and the ESA113 forms and they have also to complete, where we pay them, forms related to the application for the personal independence payment.
I thank the Minister for that answer, but East Staffordshire citizens advice bureau has raised with me concerns that GPs are charging vulnerable constituents of mine up to £135 to provide information requested as part of the work capability assessment. Although his Department is not responsible for those charges, does he share my concern that vulnerable people on benefits are being charged this amount of money and may actually not be able to access benefits to which they are entitled?
I am grateful to my hon. Friend for raising that point. Certainly as far as the WCA for the employment and support allowance is concerned, GPs are contractually required to provide a fit note and to provide the ESA113 form, so perhaps if he and I speak afterwards I can get further details of the specific case he mentions, because it may raise some issues that need to be drawn to my attention.
Might the Minister extend that invitation to other Members of the House who are equally concerned about the charges made on our poorer constituents so that they can make benefits appeals? I am talking about ESA. Can he justify a group who are among the top 1% of salary earners in this country charging our constituents these extraordinary rates, in order that our constituents may try to establish their right, for example, to ESA?
As I said in answer to my hon. Friend the Member for Burton (Andrew Griffiths), when people are applying for ESA in the first place the Department obviously asks them to provide any medical information they think will be helpful, and as part of that process GPs are required contractually to fill in a specific form. Constituents should not be charged for extra information provided on top of that as part of their application. If the right hon. Gentleman wants to give me the information, I will be very happy to look into the specific case he mentions.
Does the Minister share my concern that one major reason for inappropriate decisions is a complete lack of evidence submitted by general practitioners and hospital doctors, without whom no appropriate decision can be made? What views does he have on trying to encourage hospital doctors also to provide this information, to allow the right decision to be made first time around?
Again, the rules are very clear: under a long-standing agreement, NHS hospitals and trusts are obliged to provide the relevant information free of charge and within 10 working days. However, from listening to my hon. Friend’s question it sounds as if he may have encountered at least one case where that has not happened. I will speak to him afterwards to see whether that raises any issues about whether this policy, which is clear, is actually being implemented by NHS organisations.
When people in my office were chasing up Atos the other day, they were told that it is still dealing with ESA claims from the beginning of 2013, and that one reason for not being able to process claims more quickly was a difficulty in recruiting doctors to submit the medical information. Will the Minister examine this situation urgently, because it is obviously causing huge distress to people who are having to wait well over a year for their claims to be looked at?
2. What steps he is taking to ensure that employees will not be auto-enrolled into high-cost pension schemes.
13. How long the average wait for an assessment for a personal independence payment was on the latest date for which figures are available.
The straightforward answer is that claimants have to wait for too long. We are committed to putting that right by clearing backlogs and improving processing time. Analysts in the Department are currently considering what information we should publish in future. We will pre-announce that publication in due course, in line with the UK Statistics Authority’s code of practice.
How much has the Department for Work and Pensions returned to the Treasury because of the delayed implementation of the PIP?
The Department has not returned any money to the Treasury as a result of the delays. There have been delays in processing these payments. I know they cause issues for constituents, which is why my right hon. Friend the Secretary of State made a clear commitment to reduce the waiting times by the autumn and then again by the end of the year. One of my top priorities, having started this job in July, is to get that reform process under way so that we can deliver that improved performance to benefit all our constituents.
One of my constituents, a single mum who has been undergoing chemotherapy for breast cancer, waited over nine months for her PIP claim to be processed. It was sorted out only after my intervention. When will the Minister admit that it is not just how long the claims are taking to process but the fact that the system is utterly shambolic that is causing untold hardship to many people who are already living in very difficult circumstances?
I would say two things. Clearly, I am disappointed to hear about the circumstances that the hon. Lady’s constituent has faced, which is why we are focusing on improving the system. My predecessor, my right hon. Friend the Member for Hemel Hempstead (Mike Penning), put a lot of work into improving the position for constituents who have terminal illnesses. We have made significant strides there, reducing processing times almost to the level we would expect, which is a matter of days. We are now focusing on other claims, so that constituents such as those of the hon. Lady will not have to wait for that length of time in the future.
In his earlier response, the Minister said that claimants are having to wait too long, but is it not the case, as Atos acknowledged in an e-mail to me, that that is on average 26 weeks? Surely it is wholly unacceptable to leave people in hardship and distress while they wait. What will the Minister do to sort out that chaos?
First, I agree that the wait is too long. My right hon. Friend the Secretary of State has made it clear that no one should be waiting longer than 26 weeks by the autumn, and 16 weeks by the end of the year, and we will make sure that that happens. As regards hardship, PIP is not an income-replacement benefit for those out of work. It is paid in work and out of work. There are other benefits available such as employment and support allowance, which can help those people who have lost their jobs through no fault of their own.
What scope is there for increasing the number of people who can get PIP without having to go through the medical assessment? If written evidence is clear that they are entitled to it, why waste everyone’s time by going through an assessment?
I agree with my hon. Friend. It is a relatively new benefit, and what we are trying to ensure is that in cases where there is clear medical evidence for the impact of someone’s disability, the decision can be made without their having to come in for a face-to-face assessment. That was not happening enough in the earlier stages; it is one of the improvements that we are making.
A constituent has contacted me to tell me that when he turned up for his assessment he was told that it had been cancelled because there were too many people waiting, so he was sent home. He then missed two further appointments, arguably through no fault of his own, and has now been refused a further assessment. Will the Minister intervene to ensure that, as the first one was cancelled through no fault of his own and was a result of a mistake by the assessors, a new assessment can be booked for him as soon as possible?
May I first welcome the Minister’s refreshingly clear and straightforward response to the initial question? To get things right, we must first admit that things are not working perfectly. To that end, has he been able to assess how different assessment centres compare against one another and whether any good practice from one can be carried over to the others?
My hon. Friend makes a very good point. He will know that we have committed to two independent reviews of the PIP assessment, the first of which will report to Parliament at the end of this year. Last week I had the opportunity to meet Paul Gray, who is carrying out that review, and I am confident that his report will give us lots of useful things that we can do to improve matters on top of the things that we already do.
Delays in getting a decision are causing other problems which I hope the Minister will look into. First, people are waiting so long that the sum they eventually get from the DWP puts them above the capital limits, which can affect their income-related benefits and cause problems with their housing benefit. Secondly, there seems to be some sort of computer glitch that means that when somebody is on ESA and is then awarded PIP the ESA stops and it takes some time for them to get that payment. Will the Minister consider both problems?
I will certainly consider the points that the hon. Lady makes. I am due before her Select Committee a week Thursday for an extensive session on the personal independence payment. I am sure that she will ask me that question then and I hope that I will have a detailed answer prepared for her in advance.
6. How many people were awaiting a work capability assessment on the latest date for which figures are available.
Between April and the end of July, the number of people awaiting an employment and support allowance work capability assessment fell by 75,000 to 637,000. It is worth saying, as I have said in answer to the hon. Member for Bristol East (Kerry McCarthy), that claimants will normally be in receipt of benefit while they wait for an assessment, and that any arrears due are paid once a decision is made.
The Work and Pensions Committee said in its recent report that the flaws in the system were so grave that simply rebranding the work capability assessment for eligibility for employment and support allowance by giving it a new contractor would simply not solve the problem. Does the Minister agree, and what changes will he make to the new contract?
I am not going to prejudge at the Dispatch Box the detailed response I shall give to the Work and Pensions Committee’s detailed look at the work capability assessment, but clearly one of our key priorities is to continue Atos’s work to the end of its contract, get the new provider in place and ensure that the process is working. The Select Committee made some thoughtful remarks about steps for the future. We shall respond to them in due course, when I respond to its report.
I am delighted to congratulate the Minister on his new appointment.
Last month, it emerged that some people have been waiting a year and more for a work capability assessment—we heard that again from my hon. Friend the Member for Bristol East (Kerry McCarthy) this afternoon. The Minister is right that many of those people will receive some benefit while waiting for their claim to be processed, but they may also be subject to inappropriate conditionality and a deep sense of uncertainty and insecurity. What action is he taking to ensure that assessments and claims are finalised within 13 weeks, as the Government intended?
I thank the hon. Lady for welcoming me to my post. I agree with her. She is absolutely right—I have said that we want to drive down the length of time that people are waiting. My priority is, first, to ensure that Atos performs against its commitments to the end of its contract in February, that we get a new contract awarded to a new provider, and that the new provider picks up the reins smoothly from Atos and continues to drive down the backlog, so that our constituents wait as little time as possible. Those are the things I shall be focused on between now and the election.
7. What progress he has made on the introduction of face-to-face pensions advice.
10. What recent discussions he has had with representatives of local authorities on transition plans relating to the closure of the independent living fund.
The Department continues to work closely with the independent living fund, and just last week I met the chief executive and chairman of the board of trustees. The independent living fund continues to work closely with all local authorities in England and the devolved Administrations in Scotland and Wales.
North Lincolnshire council tells me that it has insufficient information about the transfer to engage properly with recipients of the ILF to give them a better sense of their future. The Government have consistently failed to give assurances that the changes will not mean that recipients lose their independence. Will the Minister give that assurance today?
I am surprised by the hon. Gentleman’s comments about his local authority, because the information provided to me is that local authorities actively engage with the ILF: they have attended more than 90% of the meetings with users. The hon. Gentleman will also know that the Government are fully funding local authorities and the Scottish and Welsh Administrations for the amount of money that would be provided to people under the ILF. If he has specific concerns, he and I should have a conversation.
As the Government are fully funding local authorities for this obligation, can there be any possible justification for councils removing support from current recipients of the independent living fund?
My hon. Friend will know that local authorities have a statutory duty to make sure that they properly support those who require social care. A third of the 1.3 million people who already get social care—444,000 people—are of working age, compared with 17,000 who are beneficiaries of the ILF, so I think local authorities are well practised at this and should have no excuse for not doing the job properly.
May I remind the Minister that while local authorities may be well practised, they are certainly used to the fact that more and more aspects of social care are heaped on them without their having the ability to pay? He is bankrupting local authorities up and down the country and should not make the excuse that this particular benefit is being funded.
I agree that local authorities have had some funding challenges due to the appalling budget deficit we inherited from the Labour party. Local authorities can set priorities. When my own local authority in Gloucestershire was making its difficult spending decisions, it rightly put adult social care and child protection at the top of that list of priorities and I am very grateful that it did so.
11. When he expects the business case for universal credit to be fully signed off.
14. What progress his Department has made on its Disability Confident campaign.
In July last year, the Prime Minister launched the Disability Confident campaign, which sought to encourage employers to become more confident about employing disabled people. We have reached over 1,100 local and national employers throughout Great Britain, and have received more than 200 pledges from companies in their quest to have better employment outcomes for disabled people. My predecessor wrote to colleagues and I encourage them to hold Disability Confident events in their constituencies.
I thank the Minister for his response. May I convey to him how positive the Disability Confident events are, having joined one in my constituency this summer? Will he congratulate Pluss, a great social enterprise in my constituency that has worked with more than 500 Cornish businesses to enable more than 800 people to get into work?
I am grateful for my hon. Friend’s question and for the work that she is doing. I am pleased to be able to congratulate Pluss. I think that I am right in remembering that I visited it when I shadowed this brief in opposition. The work that it does and the success of the event are testimony to its efforts to get more disabled people into work.
The outcomes for people on the Work programme who are unemployed on health grounds are simply abysmal. What will the Minister do about that?
The important thing is to see whether people who have health conditions are able to work. If we put people through a work capability assessment and they are clearly not able to work at all, we want to ensure that they get the appropriate help, but if people can work, we want to ensure that they do. That is why we have the Work programme and other schemes that give people proper support to get them into work.
15. What assessment he has made of recent trends in employment in (a) North Lincolnshire and (b) North East Lincolnshire local authority areas.
T2. A number of my constituents have experienced lengthy delays while waiting for a decision on a review of their personal independence payment application. That is a time of great uncertainty and stress for all concerned. In addition to the efforts that the Minister has already outlined, will he tell us what steps he will take to speed up the application, review and appeal processes?
My hon. Friend will know from earlier answers the priority that we attach to this. As well as ensuring that the assessment can take place faster, we are also ensuring that the DWP decision makers will be able to cope with the increased number of cases as those cases move through the system, so that, once we have got the assessment process sorted out, those decisions will be made in a timely way which will benefit her constituents and mine.
T4. Ministers have talked about bedroom tax exemptions, but in reality these do not protect unpaid family carers. In fact, 60,000 carers are hit by the tax, and Carers UK has found that 75% of the carers it surveyed were cutting back on food and heating to make up the shortfall. Will the Minister now accept how cruel and unfair it is to make unpaid family carers pay the bedroom tax?
The hon. Lady will know that the spare room subsidy is about making sure that people have the size of home that they are entitled to, and that if people regularly need carers to stay overnight, that is considered an acceptable reason for having an extra bedroom. She will also know that we have made considerable funds available to local authorities through the discretionary housing payments, many of which have not even been spent.
T3. I welcome the Minister’s commitment to reducing the waiting times for processing benefit applications. At a recent meeting that I organised for Atos, the DWP, citizens advice bureaux and MPs’ caseworkers in Gloucestershire, representatives of the CABs expressed their suspicion that DWP contractors were paid according to how many people they could take off benefits. Will my hon. Friend confirm that that is absolutely not the case? Will he also encourage CABs to work closely with MPs’ offices so that we can intervene sooner to help our constituents who have problems?
I can confirm to my hon. Friend and constituency neighbour that contractors are not paid based on any sort of incentive arrangement to get people off benefits. They are paid to make an accurate assessment, which they then provide to departmental decision makers. Citizens advice bureaux should continue their work with MPs’ offices, which is incredibly helpful.
T5. Despite the Minister’s earlier optimism, is it not clear that it has all gone badly wrong when the Government can organise to pay disability benefits to an on-the-run convicted killer such as David Richards, who as I understand it just walked out of jail, but cannot organise for some of the poorest disabled people in my constituency even to have their applications assessed within six months?
T7. In a few weeks, I will hold my eighth Reading jobs fair. At the previous seven, 20,000 jobseekers and 300 local businesses have already been welcomed. Will my right hon. Friend the Secretary of State join me in thanking all the businesses and partner organisations that have made that possible, and in welcoming the impact that it has had on reducing unemployment in the Reading area?
T8. My hon. Friend the Member for Worsley and Eccles South (Barbara Keeley) mentioned the carers caught up in the bedroom tax. How many of them are still caught up in it?
The hon. Gentleman knows that, as I have just said, if someone has an overnight carer, that is a perfectly acceptable reason for having a room. He will also know that local authorities have been given significant sums in discretionary housing payments to deal with difficult cases that do not clearly fit the rules. Most local authorities are not spending the money that the Government have allocated to them.
On 11 March last year, I asked the Secretary of State about under-occupancy. I said:
“Does the Secretary of State agree that no benefit reduction should take place until people have at least been offered somewhere appropriately sized and located?”—[Official Report, 11 March 2013; Vol. 560, c. 22.]
The Secretary of State said, “I agree”. What has he done to deliver that?