Disabled People: Support

Paul Maynard Excerpts

Wednesday 27th January 2016 Westminster Hall

[Neil Coyle]

I completely agree that that training needs to be there. It would be useful to hear from the Minister how whatever new programme is put in place in 2017 will make training and dedicated, specialised support available.

Another thing we have seen is that the number of disability employment advisers, who have specialist knowledge, has dropped by 20% since 2010. There is now less than one adviser per 600 disabled people who are meant to be supported, so we are heading in the wrong direction.

People have been in touch with me about the Access to Work programme. For anyone who is unfamiliar with it, it is a specialised programme that helps disabled people to retain or attain work. The Department for Work and Pensions used to accept—it seems to shy away from accepting this know—that, for every pound spent on Access to Work, about £1.48 was returned through things such as national insurance contributions and income tax. However, fewer disabled people are now supported under Access to Work than in 2009-10—the figure has dropped from just over 37,000 to 36,700. That needs addressing, and it would be welcome if the Minister told us whether there will be more targeted support under Access to Work to increase those numbers.

In 2014, the Government said they were expanding Access to Work to include work placements acquired by the individual disabled person. I have asked questions about that and received no information to show whether the Government are actually delivering on that. In 2011, the Government said that they accepted all the recommendations of the Sayce review, including those on Access to Work. Perhaps we could have an update on how they are taking forward the review’s retention and promotion aspects. In the 2015 spending review, the Government announced that Access to Work funding would support 25,000 additional disabled people by providing IT help, but we have no information on what that means or how it will be rolled out in practice. It would be useful to hear more about that significant target.

The Down’s Syndrome Association has been in touch and has provided briefing for the debate to highlight its WorkFit programme. The association says the programme has supported 75 individuals with Down’s syndrome into work, but that only three have met the stringent eligibility criteria for Access to Work. The association feels that that needs to change, and it is keen to hear from the Minister whether the Government will take forward its recommendations.

I want to raise the issue of assessments and accessible information. I have a constituent called Norma who lives in Walworth. Her daughter, who is about 50, has learning disabilities and a visual impairment, and she is deaf. The DWP has been contacting Norma to press for her daughter to be assessed, and Norma feels that her daughter is being told she should be working, even though she cannot leave her home without support. Norma feels she is under considerable pressure. I will write to the Minister about this specific example after the debate, and I will encourage him to explain why Norma and her daughter feel they are under such pressure from the DWP.

Disabled people have also been in touch with significant concerns about universal credit. Some projections suggest that universal credit will be about 1,000 years in delivery, so perhaps some of the fears are unnecessary, as we will not be here. However, it appears that the Government have scrapped the limited capability for work element before any disabled person has been able to access it, which will leave 116,000 working disabled people £40 a week worse off. Once again, the idea that the Government want to support people into work is undermined by their policies. Citizens Advice has also highlighted in a report that in-work single disabled people will be worse off because of the scrapping of the severe disability premium, which will leave almost 250,000 disabled people worse off by between £28 and £58 a week. The Children’s Society has pointed out that, under universal credit, 100,000 disabled children could also lose £28 a week. I ask the Minister what message that sends to those disabled people.

Employment and support allowance is also a significant concern for many of my constituents, 5,630 of whom receive it. The Government recently announced that a cut of £1.4 billion will affect disabled people in the work-related activity group; that is £30 a week for half a million disabled people. DWP statistics show who those people are. They include a quarter of a million people with learning disabilities, autism or significant mental health problems. Again, I ask the Minister why those specific people were chosen for that measure. What are the Government seeking to achieve by targeting such a disadvantaged and vulnerable group?

An example given to me by Parkinson’s UK shows something of the challenge that disabled people have in accepting that the Government agenda is genuine. In a written answer to a question by my hon. Friend the Member for Birmingham, Hall Green (Mr Godsiff) on Monday, the Minister for Employment revealed that since 2008, when ESA was introduced, 200 people with Parkinson’s in the work-related activity group were assessed and given a medical prognosis by the DWP that they would not be able to return to work for at least two years, or longer. The Department is telling people whom it has assessed as unable to work for two years that they will be receiving £1,500 less per year to get them back into work within that period. I hope that the Minister will comment on that. I hope, too, that he will answer the suggestion raised elsewhere that there will be no change for those already in the work-related activity group. Does that include those whose circumstances change, and those who undergo repeat assessments?

The change to ESA follows previous changes, including the time limiting of some support, which has left 280,000 disabled people with no out-of-work benefit. Some have very low incomes, and it is most unfortunate that the Government have managed to pick that group for an increase in poverty. I would welcome a comment from the Minister about that.

I want briefly to cover sanctions. In its briefing, the Child Poverty Action Group highlighted the fact that some sanctions mean that 100% of a person’s financial support goes. Those sanctions can last up to three years, under the increasingly automated system introduced by the previous Government. [Interruption.] I am glad that some Members find that funny. I find that very strange. Would the hon. Gentleman like to intervene?

[Paul Maynard (Blackpool North and Cleveleys) (Con)]

No, because I am about to make a speech, but I thank the hon. Gentleman for the offer.

[Neil Coyle]

The hon. Gentleman is welcome. Perhaps I will enjoy his contribution as much as he appears to be enjoying mine.

The concern that I have about sanctions is the growing number of disabled people who experience them; 70,000 sanctions have been imposed on ESA claimants between December 2012 and June 2015 alone. The Select Committee on Work and Pensions highlighted the fact that safeguards may not always work effectively. My question for the Minister is: if he believes the system is adequate, how has he responded to the Committee’s recommendations, and when will the Department publish its own findings of a review of sanctions? Furthermore, as sanctions and benefit changes are specifically mentioned in some people’s suicide notes, how does the Department support Jobcentre Plus staff and other agencies in handling suicidal claimants and those who raise the matter of suicide in meetings with Government officials?

Disability living allowance and personal independence payments are a growing concern for many disabled people. In Bermondsey and Old Southwark, 3,600 working-age disabled people will be affected by the abolition of DLA and hundreds more children will be affected as they reach the age of 16. The DWP has revealed that 607,000 disabled people will lose help with the abolition of DLA. That struck me as quite odd, given that a former Minister for Disabled People accused charities of scaremongering, such as when the Disability Action Alliance suggested that half a million disabled people would be affected. Now that the Government have revealed that the figure will be 607,000, perhaps Ministers should apologise to the charities they accused. Instead, the Government attacks charities’ ability to challenge the Government agenda, which is most unfortunate.

The Disability Benefits Consortium, among others, recommended that there should be better trials of the new assessment process. The DWP chose to ignore that advice; then the National Audit Office reported that the early operational performance of PIP was poor, and the Public Accounts Committee suggested that early delivery was

“nothing short of a fiasco”.

What assessment is the Minister making and what monitoring is the Department undertaking of those changes and how they are affecting disabled people’s ability to work, in the context of the stories about Denise Haddon and others? What is the impact of the changes on NHS demand, for example? It would also be useful to have an update on the backlog of PIP assessments. Citizens Advice reported in August that PIP has now overtaken ESA as the most complained-about benefit system.

I want briefly to focus on the bedroom tax. The DWP acknowledges that two out of three people affected by the bedroom tax are disabled people. That is 440,000 disabled people. Assuming that average amount is £14 per week since the introduction of the bedroom tax, by the time it reaches its third birthday at the end of April, it will amount to a disability tax of almost £1 billion. Disabled people are also affected by issues such as the freezing of benefit of uprating. Even for those on ESA, the value of the uprating for the vast majority of their benefits is lower than the rises in their energy bills or transport costs, for example.

On housing, I have been contacted by John, who is pleased about this debate and the one this afternoon. He says that he lives in supported housing, which he relies on to live independently. He says that he has

“lived securely, independently and safely in a social housing wheelchair designated flat provided by Habinteg for 27 years and this is now potentially under threat.”

Many of his neighbours have considerably greater needs and are equally threatened. He finds the threat alone destabilising, let alone what could happen if the changes go through as the Government intend. He believes that the Government’s plans will stem the supply of wheelchair-accessible housing, particularly as there is already a shortfall in the availability of genuinely accessible housing. Has the Minister undertaken any impact assessment of how that specific change will affect the supply of accessible housing over time, given that we have an ageing population and growing demand for wheelchair-accessible homes?

On social care, a recent report from the Royal National Institute of Blind People and Age UK suggested that more than 12,000 blind and partially sighted people over 65 lost access to social care between 2009 and 2013. That is more than a third of those who were previously getting support. The role of the Under-Secretary of State for Disabled People should not just be to act as an apologist for the DWP. It should be cross-Government. I am intrigued to know what monitoring the Minister is undertaking with colleagues at the Department for Communities and Local Government, or the Department of Health, about where those disabled people go next if they lose social care. For example, is there a rise in demand for NHS services? Reductions in support for disabled people inevitably mean an increase in the demand for informal carers, who, without adequate support, can go on to experience health conditions and impairments of their own. There has been a rise in the number of children providing support for disabled parents and grandparents, which is a risk to their own long-term prospects if they do not receive sufficient support.

The independent living fund is being abolished. Its 18,000 users are very nervous about what happens next. It would be useful to have an indication from the Minister about how the people who lose it will be monitored, to see where they go next, given that the Association of Directors of Adult Social Services estimates that social care has lost £3.5 billion in funding since 2010. Many councils are losing about 28% of their budget but are spending about a third of their entire budget on social care. Councils cannot pick up the loss; they cannot step in and fill that gap.

I am sure that the Minister will want to mention the better care fund. My understanding of that fund is that it will only support new services, so those losing independent living fund support may not qualify for help. Scope, Mencap, Leonard Cheshire Disability and the National Autistic Society have estimated that one in six care users have fallen out of the system since 2008, and a further 36,000 working-age disabled people could lose access under the latest cuts as a result of the autumn statement. Will the Minister comment on what that loss could mean for other Government services?

Not only have social security and social care services been undermined by changes since 2010, but changes to a whole range of services used and needed by disabled people have had a negative impact. For example, there are 3,000 fewer nurses and hundreds fewer doctors in mental healthcare than in 2010. In my borough, we have therefore seen a rise in crisis treatment—that is, a rise in the number of people with mental health problems arriving at A&E, rather than having the right support further upstream.

In education, we have seen changes to the disabled students’ allowance. Randstad provided a briefing for this debate in which it highlights its concerns about both the changes to DSA and the regulatory change to how provision is administered. It quotes its survey of disabled students, which found that almost 28% of disabled students would not have attended university if DSA had not been available. Another third said they were unsure whether they would have attended university. The survey also found that more than three quarters of disabled students said that attending university as a disabled student was more expensive, with 42% saying they were more likely to drop out as a result of losing DSA. Furthermore, 87% of students said they were concerned that not completing their studies would impact on their future employment prospects. Will the Minister try to demonstrate that the Government are taking a long-term approach and looking at what DSA changes might mean in lowering income for disabled people and lowering tax contributions to the Government in the longer term?

Even on legal aid, the Government have acknowledged that changes to funding have the potential to discriminate against disabled people unduly. That is borne out in the case summaries since the changes. In 2011-12, there were 7,676 disability discrimination-related cases. That has fallen to 3,106 cases—less than half—in the last year stats were available. That collapse is not due to discrimination ending, though it would be useful if that were so. The Government’s concern should be that, without disabled people receiving the right support, the Government will not meet their commendable target to cut the employment gap for disabled people.

I suspect that the Minister will mention in his contribution the £50 billion a year spent on disabled people. The Resolution Foundation estimates that disabled people have lost more than £28 billion in support under a range of funding changes since 2010. If the Minister were to use that figure, he would therefore acknowledge that the Government have cut resources by about one third. That is not a record I would trumpet. It would be welcome if that figure were broken down into the different pots of support it covers. My concern is that it includes social care funding, without taking into account the charges that many disabled people pay to use social services, so it is not representative.

I want to conclude with a reference to the UN Committee on the Rights of Persons with Disabilities inquiry into the rights of people with disabilities in the UK, which should report next year. Investigations by the committee are confidential, and the process, extent and scope of the inquiry are unknown, but it is widely believed that it will consider policies introduced by the coalition Government since 2010 in relation to welfare and social security benefits and, in particular, their compatibility with articles 19 and 28 of the convention on the rights of persons with disabilities, which cover their rights to live independently and to enjoy an adequate standard of living.

The UK is the first country in the world to be investigated by the UN in relation to that convention. We have moved from being at the forefront of disability rights, respect and inclusion globally to being the first state in the world under investigation for rolling back disabled people’s rights and undermining their equal citizenship. I simply end by asking the Minister this: can he genuinely be proud of that position for the UK?

--- Later in debate ---

[Paul Maynard (Blackpool North and Cleveleys) (Con)]

It is a pleasure to serve under your chairmanship, Mr Crausby. I congratulate the hon. Member for Bermondsey and Old Southwark (Neil Coyle) on his wide-ranging speech and obvious knowledge of the issues concerned.

I have learned in my time in the House that it is often best not to attack an individual Member before they have stood up to speak, just in case that Member might actually intend to be helpful to the cause. At least the hon. Gentleman has saved me that dilemma, in a sense. I learned another lesson today, which is never to have stray thoughts during any parliamentary debate. I was not expecting to be here today—I was due to have a meeting at 10 o’clock, which got cancelled. I had an ironic thought about why it had been cancelled and the chance that I happened to be here, but if the hon. Gentleman in any way took offence at me making an audible noise, I apologise.

Since the hon. Gentleman thought I was referring to sanctions, let us talk about that for a few minutes. Sanctions are a particular concern in my constituency. I was fortunate to serve with the shadow Minister, the hon. Member for Oldham East and Saddleworth (Debbie Abrahams), on the Select Committee on Work and Pensions, where we looked into sanctions. Indeed, I tabled amendments to our Committee’s report that went beyond anything even the shadow Minister felt able to table.

The hon. Member for Bermondsey and Old Southwark mentioned suicide notes citing sanctions. I remain a firm supporter of the idea that where there is any question of the benefits system playing a role in any untoward event, there should be a body—similar in scope to the Independent Police Complaints Commission, perhaps—that looks at the individual’s entire journey, from the first day they engaged with any Government Department to the end of their life, to establish what went wrong and where. Often, the fact that people experience a sanction is the end of a process of being poorly served by the benefits system, not the start of a process. I was pleased to see that mentioned in the final report.

I also gently make the point to the hon. Gentleman that much of what the Government brought forward in response to our Committee’s report far exceeded my reasonable expectation. I am sure it did not satisfy the shadow Minister, because she and I rarely agreed in our time on that Committee, but it went beyond what I reasonably expected the Government to deliver, so I welcome that.

The other interesting lesson I have drawn today, in addition to how I should keep a straight face during debates, is what happens when I walk past an annunciator. Walking past an annunciator yesterday, I saw that the short title of today’s debate was, “Support for disabled people,” and I thought, “Gosh! That’s very wide, isn’t it? That could almost cover anything at all.” I see today, however, that the title is actually, “Changes to funding of support for disabled people.”

An interesting observation we can make here is that support can never just be financial. One frustration I have found in my six years in this place is that when we discuss disability, we often start from a financial perspective. Most of the critique is about the amount of money going left, right and centre. I do not dispute for a moment that without a stable financial base of support for disabled people and a well run benefits system giving support to those who need it most, anything else is simply window-dressing. We always need to look at the wider picture of disability: support needs to be about more than just the amount of money we happen to give someone in some way. The Minister’s role has to be far more than administering our benefits system. Indeed, the hon. Member for Bermondsey and Old Southwark pointed out that the Minister’s role has to be cross-governmental; it cannot just be located within DWP.

The hon. Gentleman rightly mentioned the Government’s welcome commitment to halve the disability employment gap. I said in this place just over a week ago that the Conservative party was the only party to make that commitment. We get a lot of credit from the various component parts of the Disability Benefits Consortium for making that commitment. They want to see it evidenced in policy, and I accept that entirely. I know how hard the Minister is working on the Disability Confident campaign, which may be nebulous in its concept and hard to measure but is fundamental to changing the nature of the debate. Once again, it is about not only the amount of money that the state gives but the amount of money that individuals themselves can obtain through employment, and the benefits that will flow from that.

We need to take other aspects of funding of support for disabled people into account as well. Given the hon. Gentleman’s professional background before he came into the House, I am sure that he is aware of Scope’s Extra Costs Commission, which reported just before the last election. The commission looked at the issue of the “purple pound”, as we like to call it now, and why we often talk about the poverty premium as a disability premium, too. It is a cost that people face.

Although disability living allowance and the personal independence payment are there to cover extra costs faced by disabled people, very often they cannot cover all of them. Scope rightly tried to look at how we can not only increase PIP, but decrease the extra costs. Why is it so hard for charities to perform collective energy price switching on behalf of many of their members and supporters? Why has there never been a Competition and Markets Authority investigation into why aids and appliances seem to have over-inflated prices, compared with the cost of producing them? The commission produced a thick, voluminous report, full of very challenging ideas, many of which can be taken hold of not only by Government but by the market. The hon. Gentleman talked about the Minister having a more wide-ranging role, and that is the sort of thing I envisage.

The hon. Gentleman was right to draw attention to the current controversy over employment and support allowance and the work-related activity group, and I do not disagree that it is a difficult area for Government. His speech was a bit of a Christmas tree of briefings from all the different charities within the DBC, many of which I have met too. They seem to have great unanimity on what the Government are doing wrong, but when it comes to solutions and what we should do instead, I have found great differences in what they are suggesting. Each charity seems to have its own answer about what should be done, even though their analysis appears to have a degree of commonality.

I certainly see a specific problem in my constituency. People may not pass or get the result that they want from their work capability assessment. They may then not accept the judgment and might even reject participation in the ongoing process, but what they do not feel able to do is transition on to jobseeker’s allowance, whereby they might get different, more appropriate levels of help that might get them back into work. They get stuck in a no man’s land, because of the financial jeopardy of losing money as they transition on to jobseeker’s allowance. I accept that removing that financial gap is not the answer for every single person, but it is an honest attempt, in my view, to solve what I see as a real problem in my constituency.

In the longer term, however, I urge the Government to look at ESA as a whole. To me, it is now one of the last in the suite of disability benefits that was conceived when we saw disability mainly as a physical manifestation. Nowadays, we know about the interaction between mental health and physical health, and I think that benefits now—particularly PIP—are doing much more to look at how mental health comes into the picture.

I think that ESA needs more than just tinkering with; it needs substantial reform, because two people with an identical degenerative condition might be at the same stage in their prognosis but might be responding to that undoubtedly terrible news in very different ways. One might have a positive get-up-and-go approach and the other might be totally bowled over by it and unable to cope. Both responses are perfectly legitimate, but they have a major impact on how that person engages in the workplace. The benefit system has to be able to accommodate both those outcomes, without judging them in any way, shape or form. At the moment, I am not convinced that ESA is able to do that. That is why I would argue for a much more fundamental reform. As with other reviews of both WCA and PIP tests, for which we have the annual review, I feel that all we are seeing is more and more people being placed in the support group, almost as a default doctrine. I do not think that would fulfil the Government’s policy objective in the medium term.

I realise that we are trying to keep speeches brief, so I will try to do so. The hon. Gentleman mentioned Access to Work. We are always right to keep pressing the Government about how they are spending Access to Work money, which is a really important pot of money. The fact that there is no cap on it means that I would always argue for more ways to spend it, and he identified a few. I am very keen to see apprenticeships and pre-work situations being brought into the programme’s remit. Many people find, for example, that when they leave university they cannot access the help they need to demonstrate that they can do a job, so that they can get credibility with an employer and get the job offer. Bringing that process to a pre-appointment stage might give employers slightly more confidence that the person they want to employ can be employed and supported in the job. I continue to urge that we do far more to use Access to Work to keep people in work. I know that the Minister is doing more on that issue, but I think more could still be done.

The hon. Gentleman talked about IT. In my understanding, that relates mainly to some of the more mental health-focused interventions that Access to Work is now involved in. There has been, if I recall correctly, a 200% increase in the number of people benefiting from mental health interventions. Given the current levels of demand, I suspect that that needs to be 2,000%, but it is a good start none the less.

Finally, when it comes to financial support for disabled people—if we take that as the title of the debate—there is always room for continuous improvement in the delivery of benefits. I cannot think of a single suite of benefits that the Work and Pensions Committee could look at and not find recommendations on how it could be improved. I live in a constituency that is perhaps a bit similar to the hon. Gentleman’s, with a very high level of transience in the population. Many people do not have addresses that are stable from month to month. The methods of communication are often not suited to those highly vulnerable people, who are often facing addiction challenges of one sort of another. There are always ways of improving how we deliver the benefits necessary to support the most vulnerable, so the Minister’s role will always be about continuous improvement, but it cannot just be about managing a benefit system, because financial support has to come in numerous ways. Part of that financial support is considering what else the Government can do to lower the extra costs across the community—it is not just about how we give people more money to meet those extra costs. Both are important, and we need to give more attention to how we meet some of the extra costs through non-benefit means as well.

My speech was not short enough, but it was an attempt at being short, Mr Crausby.

[Several hon. Members rose—]