Personal Independence Payments

Mark Harper Excerpts

Tuesday 25th November 2014 Westminster Hall

[The Minister for Disabled People (Mr Mark Harper)]

It is a great pleasure to serve under your chairmanship, Mr Crausby. I congratulate the hon. Member for Bolton South East (Yasmin Qureshi) on securing the debate and on allowing other Members to raise their concerns. She started her contribution with some general points. I will touch on them only briefly, as I want to deal with the specific cases that she mentioned and the specific points raised by other Members.

The hon. Lady made a point about judging the Government on their overall approach. I can confirm that we spend £50 billion on disability benefits. The latest unemployment statistics show that our “Disability Confident” campaign has been successful in that more than 250,000 more disabled people are in work, increasing the employment rate for disabled people. Overall, we are supporting disabled people to get back into work and participate successfully in society. However, I will not dwell on that, as I know hon. Members want to focus on the details of personal independence payments.

The hon. Lady mentioned some specific cases, which I will deal with in the order she raised them. She raised the Booth case with my predecessor on 7 July. We had made a backdated decision on that case just before she wrote to us. One point arose out of that case that I wanted to mention, because it was also raised by another hon. Member—I forget whom. The hon. Lady mentioned that the person in the case was out of work. It is worth putting on record that the personal independence payment is designed, as many hon. Members said, to deal with the extra costs of being disabled. It is not an out-of-work benefit. Those who are unable to work owing to their disability or health condition should claim either jobseeker’s allowance or employment and support allowance. Just to be clear, those are income-related benefits; PIP is not. Some hon. Members in previous debates have elided the two, although I am sure she has not done so.

[Sheila Gilmore]

Obviously, the Minister is right about the distinction between the two benefits, but many people do not get out-of-work benefits because they have a working partner or because they have run out of contributory out-of-work benefits. The extra costs of their illness or disability still apply, so the household income decreases considerably over that period. That must be borne in mind.

[Mr Harper]

I accept the hon. Lady’s point. I mentioned it because some hon. Members have raised cases in which there have been two issues: a decrease in income because someone has been out of work, and extra costs. I am simply making the point that, in those cases, it is reasonable to expect PIP to cover the extra costs, but it is not a benefit designed to deal with the fact that someone is not working.

The hon. Member for Bolton South East wrote to us about the Booth case, but I do not think she has written to us on the Pope case at this point, so I do not have the specific details. If she wants me to consider it, I am happy for her to drop me details after the debate. The third case, about which she has written to the Department, is the Syddall case. I put on record my apologies for the delays in that case. When someone has a terminal illness, which was not the case or was not known about in this instance, we obviously prioritise their claim. As the hon. Member for Stretford and Urmston (Kate Green) mentioned, my predecessor put in place those changes to the process, and we are currently dealing with cases involving people with a terminal illness in about the expected time period of 10 days. In cases such as the one raised by the hon. Member for Bolton South East, when the person does not know that they have a terminal illness and dies while awaiting a decision, we deal with the claim based on the evidence we have. Any arrears of benefit, if applicable, are paid to the estate. A decision has now been made in that specific case. It will be communicated to the family shortly, and I will write to her shortly after that to give her the full details. I hope that is helpful.

[Yasmin Qureshi]

I thank the Minister for the letter that is on its way to my constituents and me regarding the position on Mr and Mrs Syddall. There is a fast-track procedure for people who are terminally unwell. Is it possible to extend that fast-track procedure for people who may not be terminally unwell, but who are obviously disabled and in need of benefit, such as those who have had a stroke? Perhaps the concept of a special fast-track procedure could be extended to slightly different categories of case.

[Mr Harper]

I will come to that in a minute, because I will discuss the point made by the hon. Member for Edinburgh East (Sheila Gilmore) about paper-based reviews, meaning assessments made based on the paperwork without having to call someone in.

The general point arising out of the specific cases raised by the hon. Member for Bolton South East and other Members is on delays. I have been frank that delays are not acceptable since I made my first appearance at questions; when I gave my evidence at length to the Work and Pensions Committee, on which the hon. Member for Edinburgh East serves; and during the summer when I dealt with Members’ correspondence. The top priority when the Prime Minister asked me to do this job was to get the delays dealt with. That is my priority. I have been spending a considerable amount of time with my officials and meeting with both assessment providers to put it right. A new team of officials have taken over the work and are driving improved performance. We are working with the assessment providers and working with the oldest cases to improve it.

The hon. Lady asked for specifics. Between them, the two assessment providers have doubled the number of health professionals working through recruitment and training, and have increased the number of assessment centres—I will cover specifically the points raised by the hon. Member for Plymouth, Moor View (Alison Seabeck) in a minute—and extended their opening hours.

We have increased the number of paper-based assessments, so in many cases it should be possible, based on the paperwork that people produce, to make a decision without having to call them in for an assessment. The hon. Member for Edinburgh East is right that, at the beginning of the process, the number ran very low and below where we expected it to be. We have improved the process. I hope she will be pleased to know that, when claimants have been unable to work and have gone through the work capability assessment, we are joining up the process, so that we take the ESA85—the report from the work capability assessment—and put it with their PIP form and any other evidence they have provided. That is enabling us to make more decisions based on the paperwork without needing to call people in for assessments. I hope that is sensible.

[Jim Shannon]

Those are admirable steps in the right direction, and we appreciate them. Might it also be a good idea to set targets to reduce those figures within a certain period, given all the things that are happening? Sometimes if things are emphasised with targets, they are delivered.

[Mr Harper]

I will come to that in a minute, but let me deal with the point I was going to make on the hon. Gentleman’s constituents and Northern Ireland. These issues are, of course, devolved, so all the points he made about his constituents and the welfare system, although perfectly reasonable, should be addressed not to me but to the Minister responsible in the Northern Ireland Executive. I have no responsibility for such issues in Northern Ireland; they are devolved.

[Jim Shannon]

Will the Minister give way again?

[Mr Harper]

I will let the hon. Gentleman intervene once more, but I want to deal with the issues for which I am responsible, rather than ones for which I am not.

[Jim Shannon]

We know where the responsibility lies, but we also know that Capita is the company responsible not only for Northern Ireland but for central England and Wales. I am conscious that the system came in because the Government drove through the new PIP system. That is universal, so there is, in effect, a policy in Northern Ireland. The Minister is not the person responsible—I understand that the Minister in Northern Ireland is responsible—but the debate was secured for the purposes of illustrating where the PIP system is falling down across the whole of the United Kingdom.

[Mr Harper]

I am pleased to deal with the issues in Great Britain, but in Northern Ireland this is not my responsibility; there is a separate contract for Northern Ireland. I am happy to be accountable and to have people beat me up—figuratively speaking only, hopefully—for the things I am responsible for, but I am not responsible for the welfare system in Northern Ireland. That is the responsibility of the Northern Ireland Executive and the Minister for Social Development. The hon. Gentleman’s points are perfectly well made and I will deal with them as best I can—he has raised the same issues as Members from Great Britain. However, for Northern Ireland, I am afraid he needs to direct his points to the Minister and the Executive.

The initiatives I was setting out have meant that providers have quadrupled their output since January. Hon. Members quoted the latest published statistics, which were published in September. They gave the statistics for July, showing that, by then, we had increased the number of decisions to more than 35,000 per month, and there will obviously be a new set of statistics published in December, which will bring the figures up to date to September.

The Department was referred to by a couple of hon. Members. Changes to our processes, our IT systems and the work we do with providers have improved the process.

The hon. Member for Bolton South East referred to claimant communications, emphasising the need to be clearer to claimants. We have improved the communications at the front end of the process so that claimants know what the best evidence to supply is. We have also been clearer with people to let them know how long their claim may take. I know that it is not great when people are told that their claim will take a long time. I will go on to say a bit more about what we are doing about the delays, but at least we are being clearer with people, so that they know what to expect, which is better than their not knowing and having to keep chasing up progress reports.

Since April, we have been confirming to people, by sending a text message, that we have received their PIP form, so they know it has been received and not lost. I cannot remember who asked me about that—I think it was the hon. Member for Plymouth, Moor View. I do not have the data to hand on the number of people who have reported that they have sent a form back that has then been lost, but I will go away and consider it. I do not know whether we have that data, but I will investigate and write to the hon. Lady. In fact, I will write to all hon. Members attending the debate so that they are aware of the data.

[Alison Seabeck]

Of the nine cases I listed so that they could be discussed today, a third involved files being lost.

[Mr Harper]

That was why we put the text message system in place—so that, when claimants send their form back, they receive a confirmation that we have received it, and therefore do not have to wait and make inquiries later before say, “We’ve never had your form.” They receive that confirmation at the beginning. The assessment providers also provide claimants with improved information about where they are in the process, how long a claim may take and who to contact at each stage of their claim.

Face-to-face consultations are a key part of the assessment process for most individuals, enabling a proper look at their circumstances and giving them an opportunity to put across their views about the impact of their health condition on their everyday lives. Of course, PIP is not based on the diagnosis of a medical condition; it is based on the impact of that medical condition or disability on someone’s daily life. However, if we have enough evidence to make an assessment or recommendation, individuals do not have to come in for a consultation and we will do it on paper. As I alluded to following a previous intervention, we can currently make far more decisions on paper than we could make in the earlier part of the process because we have the information. When we can do so, it clearly makes sense for us not to put somebody through an assessment.

Of course, it is worth saying that part of the purpose of the change from the disability living allowance to PIP, to which the hon. Member for Stretford and Urmston referred, is dealing with the conditions that DLA was not very good at dealing with. The PIP assessment process is better than the DLA assessment process at dealing with people who have mental health problems, cognitive impairments or fluctuating conditions. The fact that the DLA assessment process was not good at recognising those conditions was part of the reason for the change to PIP.

Let me deal other specific issues that came up in the debate. There is one issue that I will touch on only briefly because the Secretary of State dealt with it in the Chamber earlier. I was getting mixed messages from Opposition Members about the best way to roll out PIP. Before the hon. Member for Edinburgh East came into the Chamber, the hon. Member for Bolton South East said that we should roll it out more slowly, be more careful and thoughtful, and that sort of thing. Of course, that is exactly the process we are following on universal credit. I am guessing—probably accurately—that, when the Secretary of State was in the House earlier, the shadow Secretary of State for Work and Pensions, the hon. Member for Leeds West (Rachel Reeves), was beating him up and saying he was not going fast enough. That is what the hon. Member for Edinburgh East said in the debate—she believes we are going too slowly.

The Opposition cannot have it both ways. I accept the point about the problems, but we have adopted the test-and-learn approach to universal credit and been criticised for that, too. That is simply the point I was making.

[Several hon. Members]

rose—

[Mr Harper]

I am spoilt for choice. Let me take an intervention from the hon. Member for Stretford and Urmston before taking one from the hon. Member for Edinburgh East.

[Kate Green]

I merely wanted to point out that, in part, it is a matter of expectations. We were assured throughout the process by the Secretary of State that universal credit would come in without difficulty, and in full, by 2017, and each time he has been called to the Chamber to report on its progress we have heard something to that effect, but obviously reality has not borne him out. On the other hand, we are very early on in the process of PIP. MPs, Lords and outside groups suggested that it would be sensible to pilot the programme first, but Ministers chose not to do so. We are merely saying how important it is that Ministers not only adopt the right process, but communicate what they are going to do and then do it.

[Mr Harper]

I have been clear about communicating what I have been doing to improve the process.

Let me just try to make progress on responding to the issues raised in the debate. I congratulate the hon. Member for Plymouth, Moor View on battling through the effects of her dental treatment. I am not sure how painful it was, but we got her point on terminal illness. Just to be clear, it is not only in cases of terminal illness that we can make decisions on paper. That can be done in any case in which the position is clear. We have a separate process for terminal illness, which is about speeding up the assessment process to 10 days. She also asked about existing DLA claimants. That point has been raised personally with me by my hon. Friend the Member for Blackpool North and Cleveleys (Paul Maynard). I am considering those cases and I will report to the House in due course on whether we can make a change. However, she made a good point, and it has made to me previously.

Under-staffing is a problem. As I have highlighted, both providers have made considerable progress in hiring new members of staff.

There is a problem with some work capability assessment centres, but all PIP assessment centres are accessible—no PIP assessment centre is on the first floor. In Plymouth, a new six-room centre was opened in September to boost capacity, building on two centres in the Atos supply chain in Plymouth. We have new centres opening in Chelmsford, Edinburgh and Newcastle. In addition, Atos opened a large 18-room assessment centre in Manchester, and there are further plans for centres in Liverpool, Wakefield, Preston, Blackburn, Wigan, Carlisle and Lancaster. Providers are increasing not only the number of staff they have, but the size of their estate.

On statistics, I am sure that few Opposition Members, with the possible exception of the shadow Minister, the hon. Member for Stretford and Urmston, are assiduous readers of the PIP statistics website on the gov.uk page. If they are assiduous readers, they will know that, last week, we set out that we will publish the PIP clearance times statistics, and waiting or outstanding times statistics, for the first time in March, which is before the election. The release will be pre-announced in line with the UK Statistics Authority release protocols. My statisticians have been working on getting figures that will give a proper and rounded picture, without leading to any perverse incentives. I will not go into that now—I have set out my views on it clearly and at length for the Work and Pensions Committee.

The hon. Members for Stretford and Urmston and for Edinburgh East mentioned success rates, which the Department is looking at. The priority has been ensuring that we not only deal with the delays but keep the quality of the assessments high. The hon. Member for Edinburgh East said that the problem is delays—admittedly, she said she had only anecdotal evidence, but evidence has come from elsewhere. When people have had their assessments, generally the experience has been a positive one. I am not saying that every single case has been positive, but generally speaking the experience has been positive. It is important that we do not lose sight of that.

Finally, in response to a point made by a couple of hon. Members about our forecasts for the cost of the system, they will not be surprised to learn that I will not pre-empt what the Chancellor will set out next week in the autumn statement, when further forecasts will be published—not mine, but those of the Office for Budget Responsibility.