Work and Pensions (CSR)

Natascha Engel Excerpts

Thursday 4th November 2010 Westminster Hall

[Mr Heald]

Yes. These are the two worst examples I have heard. One person had terminal cancer, and the other attended a provider for a work discussion session with a drip. I think those problems have been ironed out to some extent. I hope that the review and the panel will help. There is possibly an issue about communication between the assessors and the people being assessed. Certainly in London, there are quite large minority communities, and I have been told by providers that one of the problems can be that Atos will have an assessor for whom English is not his or her first language, and the person being assessed may not have English as a first language. Apparently there have been quite a lot of problems as a result. Will the Minister consider whether there is a need to look at the question of communication, in London particularly?

[Natascha Engel (North East Derbyshire) (Lab)]

Although I do not dispute the point raised by the hon. Gentleman, I do dispute the disparities around the country. In the Adjournment debate I had last week, we heard that organisations that had taken people to tribunal to appeal against assessments in Oxford had had over 90% of them overturned. In Derbyshire, people supported by welfare organisations have a 75% success rate. That goes to show that the issue is the involvement of welfare rights organisations rather than a question of minority groups.

[Mr Heald]

The hon. Lady makes her point. There is some research, which I do not think has been published yet, that looks at the eastern region and London. It comes to the conclusion that the work capability assessments are working far better in the eastern region than in London. Talking to providers about why that might be, they raise the point that about a third of the population in London comes from minority communities. I thought the Minister might want to look at that issue.

My next point is one I mentioned before about getting CVs and help to young people early on. I made the point about going online. I hope that that is something that the Government will look at.

With regard to the movement from incapacity benefit and employment and support allowance on to jobseeker’s allowance, one issue that needs to be looked at is the fitness of our work force and the people who are moving from one benefit to the other. There is no doubt that there are a lot of people who start off with a back condition or possibly stress, and it is not treated quickly enough and becomes a chronic condition. I have made that point in debates such as this for years, and I think it is time that the Department of Health and the DWP looked more carefully at the issue of fitness. About two years ago, Dame Carol Black produced an excellent report about fitness and the work force. I know that she is still involved and I hope that it will be possible to build on her work and try to do more in this area, so that we end up with a work force who are fitter.

--- Later in debate ---

[Neil Carmichael]

Thank you. My hon. Friend is absolutely right. This is much more about the overall impact of the CSR.

The changes that this Government are introducing were anticipated in some respects by the last Government. It is misleading to say that we are suddenly coming in with a wild charge to cut expenditure simply because we want to, or even because we need to, although we certainly do. There is a general feeling that changes in the pension benefits arrangements are necessary. A good example is moving incapacity benefit on to employment and support allowance. That was not our idea from just a few months ago; it was already the direction of travel of the last Government. I will discuss that in a bit, but I have four points to make.

The first is that the CSR has certainly propelled changes in the ESA; quite right, too, for the reasons that I have given. Secondly—it is important that we make, understand and keep repeating this point—people who really need help will not go without help. Severely disabled people will get appropriate support. It is critical to make that point, because we do not want anybody to be unnecessarily alarmed.

[Natascha Engel]

I was not going to intervene; I am grateful to the hon. Gentleman for giving way. That is the big problem. The number of errors being made in the reassessment of people who are on ESA—and now, also, incapacity benefit—is so high that our worry is that exactly the opposite of what he is describing will happen. People are being left destitute who are already vulnerable and poor. That is exactly what we are worried about.

[Neil Carmichael]

I thank the hon. Member for—I will have to learn a few more constituencies.

[Natascha Engel]

North East Derbyshire.

[Neil Carmichael]

Thank you. The fact of the matter is that we are reviewing those processes. I have mentioned Professor Harrington and said that our processes must be fair and decent, and that is what the Government are working to ensure.

The saving from the changes to the ESA will be approximately £2 billion, which makes a difference to our target of saving money through the CSR. However, what is critical is helping people to get to work by introducing a Work programme that delivers and encouraging the voluntary sector to help with CVs and so forth. It matters that we help people fulfil their lives by getting work if they want it and can do it; we must recognise that.

The key tool for transferring from incapacity benefit to employment and support allowance is the work capability assessment, which was introduced in 2008. It has some imperfections that we will improve, but it was introduced by the Labour Government for precisely the purpose that we are discussing. That is another important point to make.

The assessment process, as I understand it, takes account of medical conditions, mental problems and so forth and considers carefully how health policy, initiatives and solutions are being advanced. It is a fair and relatively flexible tool—