Personal Independence Payments

Mark Lazarowicz Excerpts

Tuesday 28th October 2014 Westminster Hall

[Mr Tom Clarke (Coatbridge, Chryston and Bellshill) (Lab)]

It is a pleasure to serve under your chairmanship, Mr Gray. I welcome this debate.

The measure of a Government’s compassion is their treatment of the most vulnerable members of society. Although we all recognise the unfortunate reality that we must deal with our nation’s deficit, that should never be done on the backs of that section of our society. I requested this debate in response to the dreadful experiences of some of my constituents with personal independence payments. Many of them require the state’s support in order to enjoy a life that those of us fortunate enough to enjoy good health often take for granted. For them, a fair measure of support makes the difference between spending their lives at home, isolated, alone and cut off from the rest of society, and enjoying as active a life as possible and participating in their communities.

Colleagues will know that in the past I have raised the deficiencies of the former disability living allowance. When a constituent of mine endured the difficulties associated with a laryngectomy—the removal of the voicebox, which is almost always carried out as a means of treating cancer—I spoke in the House. The benefits process was so convoluted that it resulted in an individual having to fill out an application form of massive proportions. That would be difficult for many of us, let alone for an individual with a profound physical or mental disability. In this individual’s case, using a telephone was just not possible. Enable, the charity supporting people with learning disabilities in Scotland, has said:

“Whilst it may be possible for many claimants to make this initial call without support, it is our experience that people with a learning disability are often unable to do this and require the physical support of advice services. This is especially true when no family or other support is available to assist.”

Citizens Advice Scotland agrees.

I sought this debate today not least to congratulate Citizens Advice Scotland, which runs the Scottish citizens advice bureaux, on its 75th anniversary. I warmly commend its excellent staff and many volunteers. Crucially, it released a report recently that shows that the rollout of PIP to replace DLA is in an utterly shambolic state. I commend that report to the House for its consideration, and I intend to make a number of references to it. For example, for some rural residents in the north of Scotland the nearest assessment centre is in Inverness, which requires an 80-mile round trip. In some cases, people have to go even further, travelling distances of up to 100 miles, and even in urban areas there are serious problems.

I will give another example of a person who was contacted by Atos for a home visit, so that they could receive a medical assessment for PIP. The individual was receiving in-patient care in hospital on the arranged date and informed Atos, which told her that non-attendance at the meeting would affect any award of PIP. Therefore, the patient had to arrange for an early discharge from hospital and pay for a taxi back to her home. Using a walking frame and with a nasogastric tube in place, she was told by the health care professional who arrived to see her that the assessment could not be carried out because she was too ill. Of course, that left the patient very upset and the health care professional informed her manager of this. Consequently, the health care professional was told that she could carry out the assessment if the patient agreed that it could go ahead. Afterwards, the patient had to get another taxi back to the hospital, at a cost of another £12.

Numerous cases involve what is at best a very sceptical line of questioning and at worst an outright interrogation of a claimant’s circumstances, and I know that many of my colleagues know of similar experiences.

Another decision involved an individual with heart failure who was initially refused any component of PIP, because she had walked from the car park to the assessment centre, albeit with enormous difficulty.

Time and again, the main reasons why people are asking for PIP decisions to be reviewed are, first, the failure to consider fully the impact of a client’s condition during the medical assessment, and, secondly, inconsistencies in the information provided by the Department for Work and Pensions following a decision.

Decisions about the refusal of the mobility component also cause problems. In its comprehensive report, Citizens Advice Scotland states that it has found selective use of evidence in order to make a decision not to award the benefit. Clients feel that not all of their circumstances have been considered, or that they have been over-simplified.

Another awful example is that of a client who had just been awarded a PIP daily living standard rate. He was told that he could drop dead at any time due to a heart condition, and he had a specialist cardiologist’s report from the beginning of last year stating that. The person is so traumatised by the wait and the hardship that have been caused that he cannot face the appeal; he has been told to avoid stressful circumstances at all costs. All that, and much more of what is in the report, is totally unacceptable.

Four in five advisors say that delays are causing worsening health, and in nine out of 10 cases are causing additional stress and anxiety, not to mention financial strain, while claims are being assessed.

[Mark Lazarowicz (Edinburgh North and Leith) (Lab/Co-op)]

I congratulate my right hon. Friend on securing this debate, and I am sure that we will continue to discuss this issue during the course of the day.

What can double or treble delays is the delay upon delay in the appeal procedure. I know of the case of someone who first applied for PIP back in September 2013. She was refused it in the first instance. She was then successful at the first-tier appeal, but the Department has not yet decided whether or not to appeal to the next tier up; because of various delays and errors, that decision has not yet been reached. So, 13 months after first applying, she is still facing nobody knows how many months of delay, and that kind of thing is causing people much tension and pressure, is it not?

[Mr James Gray (in the Chair)]

Order. Interventions must be brief.