Personal Independence Payment Applications

Neil Gray Excerpts

Wednesday 17th June 2015 Westminster Hall

[Debbie Abrahams (Oldham East and Saddleworth) (Lab)]

It is a pleasure to serve under your chairmanship, Mr Davies. I congratulate the hon. Member for Beverley and Holderness (Graham Stuart) on securing this important debate, and on the measured way in which he introduced it. I reiterate his point about the High Court ruling on 5 June, paragraph 93 of which stated that the way two claimants’ applications for PIP were processed was “not only unacceptable” but “unlawful”. They had been waiting for 13 and 10 months respectively. I wanted to set the record straight on that point.

PIP has been beset with problems since it was introduced. In October 2012, I remember the former Chairman of the Work and Pensions Committee, Dame Anne Begg, debating this issue. She raised concerns about the migration from incapacity benefit to employment and support allowance. At that point, 40,000 assessments a month were being undertaken; the further 70,000 assessments estimated for DLA/PIP that would be breaking point for the assessment providers. She did not feel the capacity was there, and she has been proven right on this issue, as on others.

Opposition Members welcome welfare reforms where we can see there will be genuine benefit. I mentioned the other assessment process; we feel that the accumulation of assessments has not necessarily been wise. They underpin what is behind the Government’s welfare reform agenda. An estimated 607,000 people in receipt of DLA will not be eligible for PIP. In total, it has been assessed that the Government will have cut nearly £24 billion from 3.7 million disabled people by 2018. Concerns have been raised about the reliability of the assessment process, as well as the limited involvement of the Royal Colleges on specific conditions, and of disabled people themselves in determining the metrics. The toll of the PIP process cannot be overestimated.

[Neil Gray (Airdrie and Shotts) (SNP)]

I congratulate the hon. Member for Beverley and Holderness (Graham Stuart) on securing this debate. Does the hon. Member for Oldham East and Saddleworth (Debbie Abrahams) agree that, for people with mental health issues or particularly traumatic disabilities who finally get to an assessment centre, the process can be traumatic? Perhaps the process needs to be reconsidered for such people.

[Debbie Abrahams]

As I was about to say, I had a meeting with Mind yesterday. One of the people in attendance said that he is due to have his PIP assessment tomorrow, and he is absolutely terrified. About a third of respondents to a survey of more than 4,000 Parkinson’s sufferers became financially worse off after they were diagnosed; for a quarter of them, money concerns are having a negative impact on their Parkinson’s. Those impacts are compounded by the process and their experience of PIP.

Dame Anne got it right two and a half years ago, and it is a shame that the Government did not listen at the time to her and my other former colleagues on the Select Committee on Work and Pensions, Sheila Gilmore and Glenda Jackson. It was not until the February 2014 National Audit Office report described “poor early operational performance” and “long uncertain delays” for new PIP claimants, and until the Public Accounts Committee and the Work and Pensions Committee pointed to the unacceptable delays, that the Government finally took action. At that time, the average wait was 107 days, and in some cases many months more, whereas there was a 74-day target for completion. For terminally ill claimants, claims were taking 28 days on average when they should have taken only 10 days.

Last year’s report by the Work and Pensions Committee made a number of recommendations; in particular, it suggested that penalty clauses in the contracts for assessment providers be used to recoup money when the providers fail to deliver value for taxpayers’ money. What moneys have been recouped? I am pleased that we are now seeing progress, for the sake of claimants and the taxpayer, but we are still not getting it right, as the hon. Member for Beverley and Holderness has shown. Some 42,000 people are waiting more than 42 weeks, and four out of 10 people are still waiting for their PIP claim to be processed.

I heard from a woman whose partner has cancer and is waiting for radiotherapy. They have been living on £113 a week since they applied at the beginning of April, and there is also an effect on passported benefits such as carer’s allowance, disability premiums and concessionary travel. I have also heard about the case of someone who received a full PIP award last July but has been told by the Department for Work and Pensions that she has to go through the process again. That beggars belief.

I recognise that the median waiting time has been coming down, and I am pleased about that, but I am concerned about the measures that have been used to bring it down. We have heard about people having to travel considerable distances to remote assessment centres. One person with Parkinson’s was required to get to a 9 am appointment in Deptford from Crawley, which exacerbated their condition. What steps is the Minister taking to ensure that paper assessments can be undertaken instead of face-to-face assessments? On the training and skill of assessors, what steps has he taken to ensure the use of skilled assessors who are able to interpret clinical evidence for a range of clinical, physical and mental health conditions? Given the recent capacity issues, will the Department be revising the roll-out of PIP to a further 1.7 million DLA claimants in October?

My final couple of points are about the independent review of PIP that was published last year, which recommended that there be a full evaluation. I have already mentioned the concerns about the effectiveness of the assessment process, and it was recommended that the Government put in place a rigorous quantitative and qualitative evaluation strategy. When might we expect to see that strategy? Finally—this is definitely my final point—we know that the Chancellor will be announcing further cuts to social security in next month’s Budget. What cuts are being considered to disability and associated benefits, including through taxation? Will the administration of those benefits also be affected? Given that the introduction of PIP did not have an impact assessment, which was a big failing, will the Minister guarantee that any changes to disability benefits will have the necessary impact assessment?

--- Later in debate ---

[The Parliamentary Under-Secretary of State for Work and Pensions (Justin Tomlinson)]

It is an absolute pleasure to serve under your chairmanship, Mr Davies, especially as you were the first to invite me to come on an official visit to a constituency. I am very much looking forward to it, but we will wait to see whether I will be invited a second time. The tone and the constructive and proactive nature of the debate are a real credit to Members. It is such an important subject, and Members gave a lot of first-hand experiences that will help shape how I take things forward, and I am grateful for that.

In the limited time I have, I will try to respond to as many of the points that were made as I can. If I have missed something, I will follow up on it after the debate. The debate is a credit to my hon. Friend the Member for Beverley and Holderness (Graham Stuart), who is widely respected for standing up for his constituents. He faces the challenges of representing a rural community, and he has done it a good service today. I am delighted that the particular cases that were highlighted at the beginning of his contribution have, we believe, been resolved. It was absolutely right, however, to highlight the principle.

This is my first debate as the Minister for disabled people. As a Conservative, I am very proud that, when William Hague was the Minister, we introduced the Disability Discrimination Act 1995. We have made a clear commitment to halving the disability employment gap, which we would all welcome and support. It is a role where I know I can make a tangible difference. I have already spent a huge amount of time engaging and working with stakeholders, and I have made numerous visits.

During my five years as a constituency MP, I have done a huge amount with local organisations, charities and businesses acting in that area, and the one big thing that I get when I talk to people is that they are enthused about opportunity, and in particular about the opportunity to work. Only this morning, I met Liz Sayce of Disability Rights UK. She said that disabled people are too often seen as recipients when all they want is to be net contributors. That was brought home to me when I went to the fantastic charity Whizz-Kidz. I met the Kidz Board ambassadors, George Fielding, who is the chair, and Kayleigh Miller. George is a politics student, and he knows more about politics than all of us. He will come to take our jobs before too long. They made it clear that they want a focus that gives them the same opportunities that their friends enjoy in going to work. They both have fantastic career prospects. As a former employer who has employed people with disabilities, I would snap them up without hesitation.

It is important to reflect why we are doing what we are doing. There was a real need for reform. DLA was too often a crude, blunt instrument in providing support. Only 6% of claimants had a face-to-face assessment. Some 50% were assessed without any medical evidence and 71% of people were given an indefinite award, yet one in three will have their circumstances change within 12 months. It could be that their circumstances got worse and they were not getting appropriate support. The system needed to be changed. PIP considers how impairment affects a person’s life, rather than labelling individuals on the basis of their impairment. It rightly recognises that every disability is unique.

Through the face-to-face assessment, there is an opportunity to articulate individual challenges that cannot be done purely on a paper-based form, and in my visits, it has been repeated to me how important that is. Trained healthcare professionals can tease out exactly what support is needed. I have sat through an assessment in my constituency of Swindon. Those professionals do it in a fantastic manner and try to be supportive. I understand that people are nervous, and I am keen to see a lot more videos put online so that people can see in advance what to expect. That is an important message that has come forward today, and I want to see more work on that. Crucially, the system will pick up on such things as mental health conditions and learning disabilities, which it was felt that the paper-based system simply did not pick up on, and there is broad stakeholder support for that. For the most vulnerable people who need the most support, 22% of people who go through the system will expect to get the highest rate of support. Under DLA, that was only 16%.

Members have rightly highlighted that there have been delays, and in some cases that is clearly unacceptable. However, a huge amount of work has been done by the Department, the providers, my predecessor and me. I am having two or three meetings a day on PIP, and am beginning to dream about it. The headline is that we have quadrupled the number of healthcare professionals. I went to Cardiff to sit through a claimant’s entire journey, and I will continue to look closely to try to find ways to improve that process. We have over 200 more assessment rooms. We have doubled the number of DWP staff. In the initial stages, productivity levels for decision makers was at about four cases a day; it is now up to about eight a day, which is making a big difference. The IT systems have been improved and are a lot more reliable, which was greatly welcomed by the staff in Cardiff at a question and answer session I attended. There are also more prompts in the system, so if the same things are being written repeatedly, that will be picked up. Again, that improves productivity.

On communications, letters are being improved to remind people of the types of evidence they need to bring in so that the system flows more smoothly for them. We are being proactive: when people are sent forms to fill in we would expect them to be returned within 28 days. If after 20 days we have not heard anything, the system automatically triggers two telephone call reminders, as well as a letter, and we are now looking at text messaging. We are trying to be proactive, and that is making a big difference. We are clearing the backlog. Since August 2014, every month, month on month, we have seen cases being cleared. Between January and April this year, we cleared about 71,000 claims a month, against an average of 52,000 new claims a month coming into the system. That is four times the rate in January 2014.

[Neil Gray]

I welcome the Minister to his post. I appreciate the statistics he is rolling out, but they do not reflect the comments that I hear from my constituents. There are concerns that the delays will continue. In that vein, will he consider supporting the devolution of all welfare powers to the Scottish Parliament through the Scotland Bill? That would be supported by Enable Scotland and Inclusion Scotland. Will he also consider delaying the roll-out of PIP until that process is complete?

[Justin Tomlinson]

My job is to continue with the roll-out. Greater minds than mine are continuing the discussions, and it may well be that welfare powers will be devolved, but we will leave it to the greater minds that represent us both to decide that.

Average claimant waiting time has been reduced by around three quarters since June 2014, so we are now looking at a new claimant waiting just five weeks for an assessment, with reassessments down to four weeks. Crucially, the median time for the whole journey, end to end, is now 11 weeks, which is a considerable improvement. Having cleared significant amounts of the backlog, we expect to be operating as “business as usual”. That is very welcome. The end-to-end time for terminally ill people, which was highlighted, is now down to six days, with 99% of claimants awarded.

I am conscious of time, so will try to rattle through—