(8 years, 9 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
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Apologies. I beg to move,
That this House has considered the Motability car scheme.
I am glad to bring the motion before the House today, but in truth it would be much better if this topic did not require consideration at all. The origins of this stem back to the previous Parliament and the change from the disability living allowance to the personal independence payment in April 2013. At the time, some of the changes were dressed up as fairness and giving people more control, but there is no doubt that there were concerns that DLA self-assessment, the automatic qualification process and, sometimes, the fact that there was no follow-up could possibly be abused.
That was the thought process that definitely drove the Tory ideology, and that has overshadowed how best to manage the system to help people with disabilities. Throw in a projected £2.5 billion saving and the fact that an estimated 600,000 fewer people would end up on PIP compared with DLA and we can see that this was just another assault on the disadvantaged. For me, the key change in assessing enhanced mobility was the reduction in the distance of the walking assessment from 50 metres down to 20 metres. Imagine it: somebody can go into an assessment centre and sit down and possibly be at risk of already meeting the walking test.
The enhanced rate is critical. The Motability scheme allows those receiving the highest rate of DLA or PIP to lease a suitable adapted vehicle, powered wheelchair or mobility scooter, in return for their weekly award. The Motability scheme is particularly important for enabling disabled people to be independent and to manage their condition. It allows users to participate in social activities and do the things that many of us take for granted, such as being able to continue to care for their children.
If we look back at the history, the Motability scheme was founded in 1977. It started out with a single car and has grown into a scheme that operates on a completely UK-wide basis, with nearly 650,000 users at present, which includes 15,000 using electric scooters and wheelchairs. It is a massively respected scheme, it is a charitable body and it has been praised by the National Audit Office for providing good value for money.
The Motability scheme plays a vital role for many disabled people across the country. Restricting access to Motability vehicles for those who have relied on them will undoubtedly increase the isolation that many disabled people feel.
I congratulate the hon. Gentleman on securing this very important debate. As he develops his speech, will he reflect on the particularly bad impact that the loss of Motability vehicles has had on people living in rural areas, to the extent that when constituents are waiting for an appeal to a tribunal decision, they cannot get to the meetings because there is no alternative transport? There is no public transport and they do not have a vehicle any more.
That is a fine intervention, and I agree with the point the hon. Gentleman makes. I was not going to focus particularly on rural issues, but he is absolutely right. I live in a rural area and I know that, particularly in England and Wales, the cuts to public transport and dial-a-bus services have compounded the problem of people being unable to manage when they lose their Motability vehicle, so I agree wholeheartedly with that sentiment.
(9 years, 2 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
I thank the Minister and look forward to seeing the exemptions, because so far it has not been made clear to us what they will be. This debate is a good time for us to be told about them. I also hope that the Minister will commit to publishing the regulations in time for a full debate in the House when the Bill is on Report.
My final point is about the sanctions regime. The increase in conditionality is significant, primarily because it will mean that parents with three or four-year-old children will be subject to financial sanctions—in other words, a loss in their weekly income. Any sanctions on claimants in my constituency, where nearly 10,000 are dependent on out-of-work benefits, will be catastrophic for their families. Barnado’s, Gingerbread, the Trussell Trust, Crisis and in fact all the charities and organisations tasked with helping those most affected by sanctions would describe the regime as unnecessarily punitive and not fit for purpose.
The Select Committee on Work and Pensions and other organisations have already repeatedly called for a broad independent review of conditionality and sanctions. It is imperative that such a review should take place before sanctions are extended to families with three and four-year-old children. We know that sanctions can be hugely disproportionate—a single mother missing an interview because her child became ill on the way to school, or a father delayed because he is on the phone to a school and misses an appointment by 10 minutes. Those are examples of everyday occurrences that will result in sanctions for people dependent on benefit. The resulting loss of benefits for weeks on end will leave families struggling to feed their children and to heat their homes. Barnardo’s has reported that parents using its services because of sanctions are being driven to food banks or further into debt.
I hope that, as a result of what I have said and what others will say, the Minister takes a message back to his Department and says that the voices of those affected by such cruel, punishing and crippling benefit changes need to be heard.
I congratulate the hon. Lady on her excellent speech, which has covered so many matters, but I want to ask about a couple more. Does she share the concerns expressed by organisations such as Parkinson’s UK about, first, the appropriateness of progressive disease sufferers being placed in the work- related group and, secondly, how under the Government’s Bill employment and support allowance payments will be cut to the level of jobseeker’s allowance? There are serious concerns about people such as sufferers of Parkinson’s in that regard.
I agree. No such section of society will not be affected by such heinous cuts. No section is safe from what is about to happen.
Voices need to be heard and what they are saying needs to be considered, with appropriate action taken. The damage that the cuts are having on the lives of vulnerable families is devastating. I urge the Minister to look into the eyes of a child suffering the effect of the Government’s policy and to reassure them that it is in their best interest. Removing “child poverty” from the narrative does not remove the problem. The Minister should look to his conscience, have a heart and take action now to stop any further damage to young lives.
(10 years, 6 months ago)
Commons ChamberAs the hon. Member for Cleethorpes (Martin Vickers) did, I apologise at the outset; following the stipulations from the Chair, my intended speech has been ditched and replaced by a more ad hoc one, although I hope to touch on one of my original points a little later.
In Ceredigion, if we took away the three largest employers—the universities, the national health service and the county council—from the employment base for my rural constituency in west Wales, we would be left exclusively with a small and medium-sized enterprise work force. It is the work force of the 600 family farms and the one and two-man bands running small businesses right across the piece that will benefit very strongly from the provisions in the Queen’s Speech, not least the small business Bill and in particular the remedial proposals for prompt payment and late payment.
Some Members might have visited the Montgomeryshire day event in the Jubilee Room today, sponsored by my hon. Friend the Member for Montgomeryshire (Glyn Davies). I asked a producer of local cider where he sells his products. He used to send them to a wholesaler, but the wholesaler could not pay his bills. His late payment problems had a direct impact on the cider producer’s selling of his product. The small business Bill will assist in many other ways, such as on the minimum wage.
I commend what the Government have done on the employment allowance. I can think of no more significant step to ratchet up the employment base in the small business sector than by offering that opportunity to many of my constituents. Unemployment in Ceredigion now stands at 601 people, which is a welcome figure, but no Government Member will rest on their laurels. The Government are to be commended for what they have done on rural fuel. My regret is that the rural fuel derogation does not extend widely enough to places such as Ceredigion and many rural areas in England, too, but action has been taken.
We will not rest on our laurels in responding to reports, such as “A Fair Start for Every Child” by Save the Children, which identified 200,000 children in Wales still living in poverty. To their credit, our Assembly Government in Cardiff have proposed some initiatives, such as Flying Start, Communities First and Families First, to assist and support families in their everyday lives and to encourage some of those parents into training activities that will help them later on seek work.
I have a particular gripe with the Assembly Government in Cardiff, because they slashed the funding to two rural Communities First projects in Ceredigion; they were excellent projects in two areas of need, the Tregaron Uplands and Penparcau. However, this Government are taking clear initiatives that will support and assist in the creation of jobs.
Madam Deputy Speaker, given that I have spent the bulk of my time speaking within the terms of the debate and the amendment, may I cite what I wanted to talk about initially, namely the proposals in the Queen’s Speech dealing with child neglect? The fact is that we will now have measures—in clause 62 of the Serious Crime Bill—that will take decisive action in tackling the lack of harmony between action that can be taken in the family courts and civil law against the psychological abuse of children, and action that can be taken in criminal law. It closes an important loophole. Action for Children has been campaigning for that with great vigour over the years. I had the opportunity in the previous Session to have a private Member’s Bill, the Child Maltreatment Bill, which did not get beyond its First Reading. However, I am glad that the Government have listened on this issue. They have listened to the late Paul Goggins, who was among those who campaigned for years on this issue, to close a loophole so that the police can intervene—if necessary—when all other interventions have failed and take action against this most dangerous and heinous form of child abuse, namely psychological abuse.
With seven seconds to go, Madam Deputy Speaker, I thank you and the House for showing tolerance of a rather unintended speech.
(10 years, 7 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
Housing benefit is an important issue for people in Wales. Forty-six per cent. of tenants in social housing have been affected by the Government changes that we call the bedroom tax; of the 40,000 households affected, 25,000 contain a person who is disabled. It is a significant problem.
In response to the report, the Government have said that they will be monitoring movement into the private rented sector. Will the Minister tell us what monitoring has been done? In their response, the Government also say that there is “no evidence” of cost to the taxpayer, but that is probably largely due to the small numbers of people who have moved into the private rented sector. As has already been mentioned, we know that in Wales there is only one available one-bedroom property for every 100 families that need to move. That figure was produced by Rebecca Evans AM after she got in touch with a number of housing providers: some 20,800 families were looking to move but only 280 properties were available.
Another problem is that there are not huge numbers of people on the waiting list who would qualify for those three-bedroom properties that we have in Wales. A family qualify for three bedrooms if they have a girl and a boy over nine, but a family of two parents and two children of the same sex aged up to 16 qualify only for two bedrooms. In fact, the vast majority of applicants do not qualify for three bedrooms. That is one of the problems. Even if a property is vacated, there are no savings to be made by moving other families into it.
The problem in Wales is that the landscape is semi-rural and there are former mining communities where no one would have settled were it not for the mines. Some of the valley tops are great distances from available work and it is difficult to rehouse people and to keep them in their communities.
The hon. Lady will be aware that large tracts of Wales are very rural. She referred to distances, and the distances that people might be expected to move are unacceptable. As the Chairman of the Select Committee said, they could amount to 50 miles.
Absolutely. It is a considerable problem.
The Government state in their response that they will not consider a blanket ban on forcing people in adapted premises to move. When there has been investment to make properties suitable many housing authorities in Wales try to keep them available for disabled people. Not having a blanket ban on hitting disabled people with the bedroom tax is a short-sighted policy. Apart from the tremendous upset for the individual, it is not good use of public funds.
It is a privilege to serve under your chairmanship this afternoon, Sir Roger. Given the interest in the subject and the number of people here, I will be as brief as I can and focus my remarks on bedroom tax, or spare room subsidy—or whatever we choose to call it.
Before I start, it would be remiss of me as a member of the Welsh Affairs Committee not to congratulate my hon. Friend the Member for Monmouth (David T. C. Davies) on his chairmanship of the Committee. He is right to say that the subject matter was not without controversy. The debates were always going to be spirited and the deliberations could be lively at times. It is perhaps remarkable that we reached the point at which there is a report to discuss today, but we have, and that is in no small part due to his endeavours as our Chairman.
I want to focus my remarks on three areas: first, the application of the policy to rural areas such as mine; secondly, the policy’s application to the homes of disabled citizens; and thirdly, the increasing concern expressed by members of the veterans community in my area about the application of the policy.
As we have heard from everyone so far, 40,000 housing benefit claimants in Wales will be affected by the policy. That is about 46% of the working age social rented sector housing benefit claimants—the highest proportion of people affected among the regions and nations of the United Kingdom. On top of that, it is a plain fact that the amount of accommodation required to pursue the policy simply is not available. My particular concern is that the shortage has a disproportionate effect in rural areas, as my hon. Friend and the hon. Member for Llanelli (Nia Griffith) said, where the large distances between communities and the potentially available—potentially being the key point—housing stock are far greater.
We asked—I remember asking this in one of our hearings—whether we should be asking people to travel 40 miles each way, each day, for their jobs, so disrupting family networks and inconveniencing children and their schools in terms of their education, particularly in areas where transport links can be difficult, non-existent or disproportionately more costly. Should we put people in the position of having to consider such things in the first place?
The reality on the ground is that the required social housing stock is not available. That is compounded in my constituency by two university towns, which have a huge effect, making the private rented sector highly competitive in Lampeter and particularly in Aberystwyth. The challenge to provide accommodation was brought graphically to our attention in Aberystwyth recently, when a development of social housing flats, Plas Morolwg, managed by the Tai Cantref housing association, was closed due to storm damage. The occupants of the 40 flats had to be rehoused under emergency arrangements. That was just about achieved—only just. It would be a near impossibility for 40 families to be moved under any other guise. I cite that example because it illustrates that there is no slack in housing, which is why we are right to question the Labour Assembly Government about their plans and record of house building to date.
One recommendation of the report was about whether we should incentivise the over-60s with cash payments to move. I am very relieved that the over-60s—people of pensionable age—were not included in the provisions in the first place. A lot of misinformation was going around at one point that they were included. I am very glad that that was sat on. Again, even if we could offer people choices, suitable housing for pensioner couples and individual pensioners is simply not available.
Does the hon. Gentleman find in his area, as in mine, that pensioners are queuing up to have smaller properties if they become available and that they do not really need incentives because they are very keen to move?
We could well have attended the same surgeries. It is certainly my experience that I have had people willing to move, but there is simply nothing available for them.
I was born on a council estate and lived on one for 27 years. There, the council built new single-person bungalows for pensioners who were living in three-bedroom houses, locating them right next to that community, so that all their social ties were maintained. Is the answer to move people from larger premises when, and only when, smaller premises are available in that community?
I agree. The key point, as the hon. Gentleman said, is that the housing is in those communities. What we have in front of us, were the proposal to be actioned, is communities unfortunately being split up and disrupted, and that cannot be appropriate.
I have not had many people coming to my surgeries on the issue of overcrowding—I know that will not be the experience of other Members in the Chamber today. I have had some casework about that, but the more common concern is that there is no housing at all. I repeatedly have to tell constituents of mine in the Aberystwyth area that there are lists of up to 400 people waiting for suitable accommodation.
I move on to housing with disabled adaptations. I remember being told during the passage of the Welfare Reform Bill that the matter would be dealt with through funds made available to local authorities from discretionary housing payments. To be fair, that is true in part: some moneys have been made available. My challenge to the Government is that the sums are inadequate. When the challenge was made to colleagues in the Government about the difficulties in rural areas, again, the Government rose to those concerns and made additional funds available, and they are much appreciated. However, they are, in my view, inadequate, which makes the situation in some local authority areas a disgrace: there is still money left in discretionary housing payment budgets that is not being spent. I still maintain that the Government need to look at the moneys available to us.
I appreciate what my hon. Friend the Minister said—no doubt, he can see Wales from his constituency, and I am particularly glad that he is here—about the need to define what we mean by disabled housing adaptations, but a particular problem needs to be addressed and the policy has caused huge anxiety. For example, there is a couple in my constituency, on the Ceredigion-Pembrokeshire border. The husband’s medical condition has meant significant multiple adaptations to his house, where his principal carer is his wife, necessitating an extra available room. That room has been made available by the children now having flown the nest. Above all else, when huge sums of public money have been spent on adapting that property, we cannot expect that couple to move anywhere else, not only for the social reasons that we have discussed, but just for the cost.
I cite the work that the Wales and West Housing Association has undertaken on the issue. It estimates that about 3,500 disabled households across Wales could be affected, and that £25 million has been spent on adaptations and another £15 million would be needed to adapt new properties. When we talk about wastes of public money, let us be clear what we are potentially countenancing, were some families with disabled relatives to move.
I understand the principle by which the Government are operating, the principles behind discretionary housing payments. Matters are constantly referred back to local authorities to make the judgment, but the guidance is hugely open to interpretation. I support the Government’s localist agenda. I support the capacity of local authorities to make judgments that affect their areas as they see fit. However, the guidance on these issues needs to be much clearer and much more detailed; otherwise we run the risk of a postcode lottery.
The Select Committee report said a great deal about monitoring the policy’s effects, including those on disabled people and local authorities. That is good to hear. Any good Government will monitor the effectiveness of their policies, but I ask the Minister to outline the extent to which that monitoring is taking place and what outcomes we can expect from the monitoring. I am delighted to hear what Lord Freud has been saying, but could the Minister allude to the outcomes? Will there be more discretionary housing payments and more exemptions in the future? What will the monitoring mean on the ground to our constituents?
The hon. Gentleman has catalogued many of the defects of the legislation. In retrospect, does he regret having voted for it?
I did not vote for the legislation at the time. I am a very modest person, as friends will testify, but I had the foresight on these matters not to vote for it. I deeply regretted not supporting my hon. Friend the Minister, but I did not vote for it and I stand by the reason why I did not. I want amendments to be made now to remedy the problems of constituents in Ceredigion and elsewhere.
I want to draw the Minister’s attention to the concerns expressed by some friends of mine in the veterans community. Three armed forces community champions from Ceredigion, Carmarthenshire and Pembrokeshire, who met on 17 April to discuss the policy’s effects on the ground among the veterans whom they represent, highlighted the fact that the exemption clause for armed forces personnel exists for people only when they are on operational duty. They assert that that overlooks the needs of many veterans locally. We have to be careful about definitions. I appreciate that and I am not arguing for wholesale exemptions. I will just convey to the Minister one of the points that a friend of mine in the veterans community has made. Councillor Paul Hinge, who has been working with another councillor in my constituency, Councillor Paul James, says that
“what I and the three community covenant boards find so unpalatable is that all of this”—
the legislation—
“is contrary to the meaning and purpose of the armed forces covenant”.
That is a sweeping statement, but he is making the assertion that in many instances for the members of that community—people who are in work and having difficulties and people who are out of work and having difficulties—the legislation is seemingly contradictory to the principles of the community covenant. He says that it is
“contrary to the meaning and purpose of the armed forces covenant that this Government placed great force in by enshrining it in legislation.”
This is his assertion, not mine. He says:
“Quite frankly it becomes empty rhetoric if they cannot and will not fulfil the promise in that document.”
That in part is a responsibility of our county council and its community covenant, but it is also, I believe, a responsibility of the Government to look at all the interest groups in society that are being affected by their legislation and to act accordingly.
The hon. Member for Ynys Môn (Albert Owen) mentioned the effect that the legislation is having on the voluntary sector and advice giving. People need to have sound financial advice. We need to place on the record our appreciation of the work of citizens advice bureaux up and down the country. They have been giving a great deal of advice and are under huge pressures themselves. I hope that the Minister, as time progresses, will give some thought to some of the changes or the implied suggestions for change that the Select Committee has made in its report, so that life for many of our people can be all the more bearable.
(10 years, 10 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
I am grateful, Sir Roger, for the opportunity to begin my speech a few minutes early, because I hope to participate in Welsh questions in the main Chamber later. I thank the Minister for his co-operation.
I am not unique in having concerns about the work of Atos. I am sure that there is such concern throughout the country. Last year citizens advice bureaux helped with some 450,000 problems to do with employment and support allowance, and 58,000 of those related to work capacity assessments carried out by Atos. Some 94,000 cases related to appeals. The Department for Work and Pensions is currently retendering for new contracts, and I hope that as part of the process the Minister and the Department are examining some of the failures of past contracts. Above all, I appeal to the Minister—he is a Minister who listens—to ensure that whatever conclusions are reached, and whoever gets the contracts, they will be held to account for poor quality assessments and bad customer service. That is the reason for the debate, and I shall give examples—I hesitate to use the word “anecdotes”; many Members of Parliament have constituency experience of the problems.
I am concerned that Atos may not be asking the right questions, and I encourage DWP to introduce regular independent scrutiny of its customer satisfaction surveys. It has asserted that 85% of clients are satisfied with the assessment process, but I question that figure. Citizens Advice has long-standing concerns about the accuracy of work capacity assessment reports provided to DWP as part of the Department’s decision-making process. Citizens Advice asserts that two thirds of reports have a medium level of inaccuracy, and that 40% have had a serious lack of accuracy, which could lead to the wrong decision being made. Those concerns are not confined to the issue of ESA; they could be replicated with respect to personal independence payment assessments.
Does the hon. Gentleman see the stress that multiple processes cause to people who are battling against serious conditions, such as the constituent I recently saw who has severe epilepsy? She waited months for a tribunal on a work capability assessment, and she won; but in the meantime, she lost her disability living allowance. She appealed and while she was waiting had to put in a claim for PIP, and is still waiting for a decision. I know that that is not all because of Atos, and that there is another debate to be had about Capita; but does the hon. Gentleman often see, as I do, people who are coping with worry and stress because of the system, in addition to their illness?
I thank the hon. Lady for that intervention, which she had notified me she wanted to make. She talked about multiple processes, and she is right; in particular she is right about the delays and the anxiety they cause.
There are reports of some disabled people waiting more than six months for face-to-face assessment; scheduling problems; last-minute cancellations; and difficulty in getting to assessment centres. I represent a large rural constituency in the west of Wales and access to assessment centres is a critical matter. We must factor in the lack of public transport and people’s difficulties in getting to their interviews.
That should all be seen in the context of the fact that many claiming benefit are doing so for the first time, after experiencing a catastrophic, life-changing event such as an accident, the sudden onset of disability or the deterioration of an existing condition. They face an urgent need for support, given the sudden extra costs. Everyone in the Chamber acknowledges that delay is unacceptable, although of course new systems have teething problems. I should emphasise, however, that not one of us, of whatever political persuasion, has a monopoly on empathy with the problems, which are understood by the Government, the Opposition and all parties. Nevertheless, I question the capacity of existing providers to carry out the work. The Minister is in a difficult position, because the tendering process is being embarked upon, but I hope that he can allay my fears.
I sought the debate because of the increasing numbers of constituents who are coming to my surgeries, writing to me and e-mailing me, and are facing the stress and anxiety of going through work capability assessments carried out by Atos for the DWP. That is perhaps inevitable given the increased pace of assessments but, as a result of, some would argue, the inappropriate system and process, many of our constituents are told that they do not qualify and are indeed fit for work. The constituent then appeals, but can be left in a state of limbo while this process takes place—delays take months or even years. One of my constituents had an assessment two years ago, but the case is still not resolved.
In response, local agencies such as Jobcentre Plus, Citizens Advice and the DWP itself have been advising my constituents to contact me to assist with their appeal or the speed of their claim. I would never turn a constituent away on any bit of casework, however big or small, because that is our duty and our function, and I am supported by excellent staff here in London and in Aberystwyth, so we will help in any way. There is something wrong, however, if DWP staff are themselves referring people to their MP. In one case, a DWP member of staff told my constituent to contact me to complain about the service. As such, it is my duty to bring these matters to the Minister’s attention.
This is such an important issue, not only for the hon. Gentleman, but for every one of us in the Chamber and for many outside. In addition to the examples he has rightly mentioned, I have a constituent who has ulcerated colitis and has been retired medically as a civil servant. Her doctor and her physiotherapist support her. In the appeal, however, she was declared fit for work. There is something seriously wrong with a system that ignores medical opinion and suggests that people can work, when they clearly cannot. Should the Minister take that on board?
The hon. Gentleman highlights a mismatch between the appeals process and the initial adjudication or assessment. I will come on to that. I am sure the Minister is mindful of it, although the hon. Gentleman is right to highlight it. As I said at the start of the debate, the situation is not unique to my constituency; it is commonplace in every constituency in the country.
My hon. Friend is making an important case, which should be heard, and we all have examples from our constituencies, as he says. Does he agree that the situation is difficult, given that the contract was a monopoly one—awarded by the previous Government—and is therefore awkward and possibly expensive for this Government to get out of?
My hon. Friend is right. I am not approaching the subject on a particularly partisan basis, because the problems are experienced in all constituencies, but he is right to talk about the circumstances in which this Government are dealing with the legacy of decisions taken under the previous Government. He is right to highlight that. I have every sympathy with many of the campaigning groups, on behalf of which I will talk in my later remarks, but we need to remember the origins of the decision, which the Labour Government made.
I want to talk specifically about delays. I met Atos representatives yesterday, so I know that they recognise the length of time taken to complete the process. One of my constituents, who I will call Mr P, had his Atos assessment two years ago and was failed. He appealed, and the appeal took eight months to be heard. The appeal judge took only three minutes to uphold the appeal. His backdated benefits were paid, but two months later he received a letter summoning him to another Atos assessment, because the process had taken so long from start to finish that the 12-month period before reassessment was almost up. At the second Atos assessment, my constituent was unable to complete some of the tests without causing himself considerable pain and anguish, so they were stopped halfway through. This went down on his medical report paperwork as a refusal.
The case, now complete, has gone to the ombudsman, and I would like to quote a section from my constituent’s letter to the ombudsman:
“I have paid my NI contributions and taxes all my life believing I would be protected by the welfare system should anything untoward happen to me. For 2 years I was afraid to open my post in case it was another letter stopping money...or another assessment. During this time I have been in pain, had needles...surgeons knives, ligaments removed, bones cut and metal plates inserted into me but I am still made to look like some kind of scrounging criminal by a system that was meant to protect me.”
I condemn certain sections of the press for the way in which they have characterised benefit claimants. A gentleman who is genuinely seeking support from the welfare state, into which he has paid all his life, is seemingly being let down.
In many cases, our constituents want to get on with the process of recovery and do not see benefit claiming as a long-term situation, but the delays make their condition worse. Another constituent who I am dealing with—she, too, will remain anonymous—said:
“I am currently receiving treatment and therapy and my therapist is not keen to discharge me yet. My health is not improving and is in fact being made worse by the anxiety caused from this void of information. I was feeling quite positive at one time that I may be put into the Work Related Activity Group…as this would be a great stepping stone to getting back into work from sickness, but I currently feel so low because instead of being helped forward towards getting back into work, I am stuck in an uninformed place that is not helping me recover at all.”
That indicates to me that the process for some conditions —by no means all of them—is making situations worse and adding anxiety to something that is already causing considerable stress to people.
In developing the debate, I am talking about some of the principles that I believe—I am sure people in all parties believe—should be governing our assessment system. My concern in addition to the delays is that the work capability assessment is not fit for purpose. Indeed, the charity Mind informs me that around 40% of people who are found fit for work appeal against the decision; of those who appeal, almost 40% win their appeal. As we know, capability to work is about not only those suffering with physical disabilities—it might be easier for ATOS assessors to see and report on a tangible factor—but those suffering with an invisible illness. This is true in particular of constituents who are suffering with mental health issues, or conditions relating to autism, which is an especially interesting example.
In my constituency, I was pleased that an excellent charity, Autism Cymru, developed a project to train people in the DWP to have greater understanding of the condition of autism. I used to be a primary school teacher and we had minimal training on this, but one thing that impressed itself on me was one particular feature of autism: asking a direct question gets a negative response. That is the nature of the condition, and it needs to be borne in mind in the assessments. The charities Rethink, Mind, the National Autistic Society and Citizens Advice have all made that point to me. I therefore ask the Minister to reiterate the Department’s concern and to ensure that, whichever providers undertake the work, the assessors are appropriately trained in complex conditions such as autism and mental health, so that the clients may be—and see themselves to be—assessed fairly and comprehensively.
Last autumn, with other Members, I undertook a mock assessment organised by the charity Rethink, to give MPs the experience of taking a work capability assessment. At that meeting was a Rethink campaigner, the retired vicar Dick Acworth, whose son has bipolar disorder and yet was deemed fit for work. People such as Dick’s son with a supportive family are lucky to be able to face the appeals process together, but there must be concern about the number of people who do not appeal, because they cannot face it, or simply do not know how to go about it, and they are very much left to struggle alone.
Does the hon. Gentleman agree that when someone has medical evidence from GPs, consultants and physiotherapists—people who know about the medical condition of their patient—it is important for Atos and for the Department itself to take greater cognisance of that medical evidence? It seems that that is not always the case.
I thank the hon. Gentleman for making, once more, that point. It is critical that all due consideration is given. I do not agree with the characterisation of constituents as simply going down to their doctor’s surgery, presenting a letter to the doctor and saying, “Sign this”, and then that letter being presented as part of a package for an assessment, or indeed a tribunal. Doctors are the experts. They know their patients and the situations in which they operate, and we need to give them all due consideration.
Concerns have also been expressed about people suffering from progressive illnesses such as cystic fibrosis, multiple sclerosis, Parkinson’s disease and rheumatoid arthritis. It has been asked whether the work capability assessment is fit for purpose for them. I am not sure whether the Minister has received it yet, but I recently signed a letter to him from colleagues from across the House—it is on its way—raising that concern. Organisations working on behalf of people with progressive conditions have found that that 45% of people with those conditions who put in a new claim for ESA between 2008 and 2011 were placed in a work-related activity group and deemed able eventually to return to work. The placement of those individuals represents the Department’s recognition that they were unable to work at the time of the assessment, yet some were given a recommendation for a return to work in few months’ time. But that directly contradicts the definition of a progressive condition, which of course can get worse over time. The letter is on its way, and I am sure that the Minister will respond to it even if he does not do so today.
I will move on to the flexibility of descriptors. I understand that Atos and Capita are under contract to the Department—I was going to raise at this point the point made by my hon. Friend the Member for Gloucester (Richard Graham) about the origins of those contracts—but Atos does not set the descriptors; they are set by Government. Given the concerns that many organisations in the third sector have about the descriptors, will the Minister tell us—I suspect I know the answer—what dialogue he has had with the third sector and what opportunities the third sector has to raise such concerns?
On that precise point, does my hon. Friend agree that Citizens Advice is probably the charitable organisation that has the greatest experience of dealing with the most serious and, often, heartbreaking experiences of people who have really struggled with the assessment and appeal process for WCA?
I agree, and I am sure that the Gloucester citizens advice bureau is as affected as the Ceredigion citizens advice bureaux in Cardigan and in Aberystwyth—although I am sadly not sure how much longer that CAB will remain open. Citizens Advice has that body of expertise, which is hugely important.
I have received an almost endless series of representations. I am mindful of the time, and that I have already spoken for 18 minutes—albeit that I have been generous with interventions—so I will simply make the general point that there are concerns about the extent to which the employees of assessment providers are being wholly sympathetic, about the huge backlog of cases that is leading to delays and, frankly, about the instances there have been of administrative incompetence.
I will give a final case study. One constituent I have been dealing with was assessed recently. He felt that the Atos assessor was completely apathetic to his conditions, and also felt under immense pressure to complete tasks put before him. He self-harmed considerably following the assessment. Several of the tasks he was unable to perform have now been put down as “refusals” on his medical report form. He gets very angry, has suicidal thoughts and is prone to paranoia—I am not being emotive in presenting such cases, as I think that they are replicated more generally. Shortly after the initial assessment, he got in touch with me to start the appeals process. Someone from the DWP phoned him to tell him that his appeal of the Atos decision had been unsuccessful, but we had not even started the appeals process at that point. They then called 10 minutes later to say they had made a mistake and he could appeal.
A simple mistake like that can have huge ramifications for people’s lives. A section of the decision maker’s letter to my constituent, whom I will call Mr Z, says that although it is accepted that Mr Z
“experiences pain and discomfort it should be remembered that activities do not have to be performed without any discomfort or pain.”
It goes on to say that the decision maker had chosen the descriptor that reflected Mr Z’s
“level of functioning for the majority of the time.”
If we look at the Government’s website, there is a contradiction, as that site says:
“The approved healthcare professional will consider all the information and exercise clinical judgement to reach an opinion on the nature and severity of the effects of the disabling condition. They will also take full account of factors such as pain, fatigue, stress and of the possible variability of the condition.”
My constituents—people such as Mr Z, Mr P and the lady I mentioned who is desperate to get back into work—are being let down by the system.
Finally, I reiterate the point mentioned by the hon. Member for Strangford (Jim Shannon). A number of my constituents have failed Atos assessments, but, after a long appeals process, that decision has been overturned by tribunal judges. The judges involved in the appeal are given the same descriptors as the Atos assessor, the same reports and the same medical information from the person’s GP, so why is it that judges who are upholding appeals and the Atos assessors are reaching such wildly different conclusions? For example, a constituent of mine had her Atos medical last March. She was given zero points, but her appeal was upheld and full points were awarded.
To me, that sounds like a system that is making those in our society who are vulnerable and unwell, sadly, more vulnerable and unwell. I look to the Minister for reassurance. I know that his role is in a tentative phase at the moment, but I hope that I have established some of the principles that some of us expect to see in our system of assessment.
My hon. Friend—he has been a good friend, especially during my time as a Northern Ireland Minister—has read my mind, as usual. That is exactly what I am coming to. We are working closely on the descriptors to ensure that what we ask is exactly relevant to the conditions reported. Atos does not make decisions on diagnoses; evidence for those diagnoses will already exist. We are trying to ensure that the right decision is made based on the evidence provided, and descriptors are important in that.
Turning to why so many decisions are overturned by judges at tribunals, I have admitted that that is sometimes because we got them wrong. However, sometimes, on the day of the tribunal, new evidence, which we have never seen, is put before the judges. Within the rules, that is technically unacceptable, but the judges are allowed to use their discretion in allowing that to happen. I saw that the other day, and if we had seen the evidence that was put before the judge at that tribunal, the case would never have gone to the tribunal.
I am grateful to the Minister for his last point. Charities have contacted me about progressive diseases and illnesses, and I know that he is working with them. With regard to his discussions about the descriptors, how satisfied is he that concerns about slowly progressive diseases and illnesses will be factored into any new descriptors?
That is exactly what we are working on with the stakeholder bodies. I have asked them to sit down and work with us to address that. I completely agree that the descriptors must be fit for purpose. The matter is enormously complicated because of the sheer amount of different diagnoses across the medical spectrum.
I turn to the negotiations with Atos. I must be careful, because they involve contractual and legal issues. We have announced that we want more capacity. Otherwise, the backlog of people waiting for their assessment will increase, and the time they wait is increasing. We have said publicly that we want more capacity in the system. The balance is between quality of decision and throughput. One reason why so many cases go to a tribunal is that we based the system on throughput and we got too many wrong. I say “we” because I am the Minster responsible and the buck stops with me. Too many cases ended up in the appeal process and went to a tribunal. We have now improved the quality and ensured that our people spend time with the applicants, but that has caused a backlog. We are addressing that capacity issue.
I welcome what the Minister says about the backlog, which is causing the huge delays and problems that I alluded to. May I plead for areas such as the one I represent—rural, sparsely populated west Wales—and raise the problem of people needing physical access to the assessments we are talking about? The position in south Wales and the cities of England, Scotland and Wales is very different from that in rural Ceredigion.
I have a list of things I wanted to bring up, and if I have missed anything that hon. Members have raised, I will write to them after the debate.
During a meeting only the other day, my hon. Friend the Member for Gloucester (Richard Graham) raised the issue of access. There are two sorts of access issues: distance, and the suitability of the building for people with disabilities. I am the Minister with responsibility across Government for disability, and it seems ludicrous that I receive complaints about buildings that Atos and other companies use on my behalf and are not suitable. We are working on that. The problem is not just distance, but the sort of buildings being used.
When someone has been told that they are fit for work and then appeals, they can apply for jobseeker’s allowance while they are waiting for their appeal to be heard. If their GP believes that they are unfit for work, they will provide a sickness certificate. Everyone accepts, as did the previous Administration, that there should be an independent review of people’s capability because of the relationship between GPs and their patients. That relationship is very personal, as I found with my GP all those years ago after my accident. He would say, “Well Mike, you can’t carry on being a fireman,” instead of saying, “What can you do?”
(11 years, 11 months ago)
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I thank my right hon. Friend for his intervention. He is right. Will the Minister look carefully at the report from Bron Afon in Torfaen, because it highlights specific examples of why the policy will hit Wales particularly hard?
There will be two levels of reduction. Those who are under-occupying by one bedroom will lose 14% of their housing benefit, which is equivalent to a loss of £12 a week. For those under-occupying by two or more bedrooms, there will be a 25% reduction, equivalent to a loss of £22 per week. In Wales, 46% of all housing benefit claimants of working age in the social rented sector will be hit, compared with a UK average of 31%.
The Department for Work and Pensions says in its own impact assessment that 40,000 tenants in Wales will be affected by the bedroom tax with an average loss of income of £12 per week. Like many of the Government’s benefit changes, this is hitting Wales disproportionately hard. With tax and benefit changes to be implemented by 2014-15, households in Wales can expect to lose 4.1% of their income on average or about £1,110 per year on top of rising food and heating costs.
Some 1,794 Newport City Homes tenants have received letters telling them that they will be affected, and a further 421 who rent from Monmouthshire Housing Association have received letters in communities like Caldicot, which is in my constituency. With 4,220 on the Newport common housing register and 2,536 on the Monmouthshire common housing register, it is not rocket science to realise that there is not enough social housing for people to move to. Of the Newport City Homes tenants who are affected, 359 have two bedrooms too many and 1,435 have one bedroom too many, 916 of them will be looking for one-bedroom houses or flats and 823 will be looking for two-bedroom properties.
Newport City Homes has only 1,264 one-bedroom properties in total and 2,680 two-bedroom properties. This week, just 36 properties are advertised on the Newport housing options website, so people have very few choices. Whole estates in Wales have very few one or two-bedroom houses.
The hon. Lady is making the case clearly for the urban context, but does she agree that in rural areas such as mine, which have faced a housing crisis for years, people face even less choice? I am sure that she will mention the fears that people living in houses with adaptations for disability have raised. Although more money is coming from the Government, it is less than clear how it will reach our constituents.
I thank the hon. Gentleman for his intervention. I will come on to mention that later in my speech. Other hon. Members have raised the issues of people with disabled children and of rural housing. As he says, there is very little housing stock available for people to rent anyway.
Let me talk about the Underwood estate, on the outskirts of Newport. It has 138 three-bedroom properties, 45 two-bedroom properties and no one-bedroom flats, apart from 12 that are reserved for pensioners and disabled people. In the past, we needed larger properties, so that is what councils built. Wales will be hit hard because of a relative shortage of smaller housing. Newport is clearly not alone, as many housing associations across Wales face the same issue. Scarcity of larger properties is a problem in big cities in England, but in Wales, there is a scarcity of smaller properties.