(10 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.
This information is provided by Parallel Parliament and does not comprise part of the offical record
I am delighted to serve under your chairmanship, Mr Dobbin, and to see so many colleagues from the Fylde coast here, particularly the shadow Transport Minister, the hon. Member for Blackpool South (Mr Marsden), who has moved back one row following the previous debate. I know that my hon. Friend the Member for Fylde (Mark Menzies), who would have been here were it not for personal circumstances, would wish me to place on record his support for the points I intend to make today.
At a time of rapid changes in welfare provision, it can be forgotten that we need a large, active, professional and highly qualified staff to deliver those changes. The staff of the Department for Work and Pensions at the numerous sites across the Fylde coast perform with great professionalism, delivering consistently high levels of service against a challenging backdrop.
That backdrop is doubly uncertain because we know the rigours under which the Department is working. Its core budget is to be reduced by 26% by 2014-15, and corporate overheads are to be reduced by 40% by the same date. Clearly, that has resulted in some difficult decisions for Ministers and those who manage the service. As a written answer to my hon. Friend the Member for Wyre and Preston North (Mr Wallace) in June 2011 demonstrated, the headcount at the three main sites on the Fylde has declined from 5,116 in 2002 to 4,600 in 2011.
That, of course, raises many questions in the minds of those who work for the DWP on the Fylde about what the future might hold. It is unsurprising—indeed, it is natural—that they wish to see more job opportunities come to the Fylde. I do not think the Minister will be surprised to hear that: it is natural to want more work to come to the Fylde.
In defence of the Minister, the last time I asked how many compulsory redundancies we had seen on the Fylde specifically, the answer was three. The headcount has reduced due to managed programmes of people leaving the service. We have been fortunate on some levels that the cuts on the Fylde coast have not been worse. We must recognise that there will be ongoing challenges. We cannot assume that because we have escaped lightly so far, we will continue to escape lightly in future. For example, we will shortly face the closure of the Marton Mere site, which will mean 300 jobs have to move elsewhere.
The purpose of today’s debate is not to rehearse statistics about job losses or even to demand extra work for Fylde, but to look specifically at how decisions are being taken about which sites are to remain open, which are to close and, most importantly, where to move the staff to from the three main sites. I may end up being arcane in a moment—those who do not live on the Fylde might think, “What is he talking about?”—but although the three sites are only seven or eight miles apart, getting from Norcross to Peel Park is a significant logistical challenge. It is not something that many people who live on the Fylde would voluntarily choose to do, but the decisions being made are forcing many people to make difficult decisions about whether they can continue to work at the DWP, given the caring responsibilities they have in their families.
In 2006, my hon. Friend the Member for Wyre and Preston North secured an Adjournment debate on the identical issue of how decisions were being made about the Fylde. He was successful, in that he got the then Minister, the right hon. Member for Stirling (Mrs McGuire), to visit the Fylde coast to look at what was occurring there. We were fortunate in that she agreed to appoint a “cluster lead” for the Fylde, who would have an overall perspective on what was happening on the Fylde coast. Each of the main sites would also have a site lead, who would feed into that pyramid process. The key point I want to communicate to the Minister today is that that model added value to decision making.
Let me also remind the Minister that we are looking at the future of the sites. The future can be a difficult concept in government—we do not know what next week will bring, let alone what will happen in 2018. Many at Warbreck house see 2018, when the transfer from the disability living allowance to the personal independence payment will be completed, as something of a crunch point for the future of the DWP on the Fylde. Any comments the Minister can make about the future of Warbreck house in particular will be gratefully received.
Since 2006, we have seen natural wastage, as we would in any organisation. Cluster leads have retired or moved to other jobs, and the architecture has broken down. The decision-making process that made for better decisions has broken down. I shall take one, admittedly convoluted example, which might demonstrate my point. The decision was taken to wind down the most northerly site, Norcross, in September 2012. The last date of occupation was to be 31 August 2013, but on 18 December 2012, it was announced that some 220 staff would remain on the Norcross site at Tomlinson house, while the remaining staff would still transfer to Warbreck and Peel Park. Peel Park is the most southerly of the locations and Warbreck is squarely in the middle. Coping with the changes caused problems for our constituents. We were grateful that jobs were maintained on the Fylde, but the consequences of doing so were difficult.
More recently, the DWP announced that the landlord at Marton Mere wanted the DWP to leave the site, which meant that 265 people had to be rehoused, but there was great confusion. Marton Mere is nearest to Peel Park, at the southern end of the Fylde. There was uncertainty over whether the staff would move to Warbreck or Peel Park. No one could decide; there was oscillation between the two. In the end, the decision was made to switch from Peel Park to Warbreck, specifically because Peel Park had to accommodate those moving from Norcross. The most northerly staff had to go to the most southerly site. A cluster lead might have said, “Hang on a minute. Can’t we put the people nearest to Norcross into the spaces at Warbreck and accommodate the people from Marton Mere at Peel Park?” It might not have been possible, but at least a cluster lead and a system of site leads would have allowed such a debate to occur.
I am grateful to the hon. Gentleman, my constituency neighbour, for giving way. I want to reinforce the point he is making. Does he agree that the complexities and difficulties in the area are exacerbated by the fact that public transport access to Peel Park is still problematic?
(11 years, 2 months ago)
Commons ChamberIt is a pleasure to speak in this debate on this very important issue. I mean no disrespect to you, Mr Deputy Speaker, but it is a shame that Mr Speaker is not in the Chair, because he has been a great champion of speech, language and communication needs down the years. It is worth quoting his key comment from the Bercow report:
“'Communication is crucial. Recognising that is right in terms of equity for those in need and right in the national interest as we all wish to cut the costs of failure”.
Nowhere is that clearer than with augmentative and assistive communication. As that is rather a mouthful, I shall refer to it as AAC.
AAC is a series of aids, some complex and some not so complex, that assist those with neurological conditions that make it hard for them to express themselves. I was delighted when I received a commitment from the Prime Minister during Prime Minister’s questions in March that, as a result of the new commissioning landscape in the NHS, it would be available to more children and adults. I welcome that, and my aim is to ensure that it can actually happen.
I have a personal interest in this subject; it is not something I acquired when I was elected. I attended Hebden Green special school at the age of just three or four, and many of my fellow pupils would have benefited from these complex aids. It gives me real pleasure that one of my pupils, Alexis Egerton, recently gained a PhD thanks to utilising a complex powered aid—an example of how AAC can change people’s lives.
I am grateful to the Minister for the time he was able to spend yesterday meeting me and representatives from Communication Matters and the ACE Centre. I apologise for detaining him further today with a variation on the same theme. It is worth focusing on how the users of the aids feel about how the system currently works. Toby Hewson is an AAC user. He said:
“I cannot express adequately how frustrating it is for people with disabilities to have to battle with the system in the way we are forced to do...like a game of pass-the-parcel, people like me are sidelined and marginalised until we are exhausted.”
That is just an indication of the frustration so many people, and their families, feel about a system that has not yet worked properly for them.
I would be misleading the House and unfair to the Government if I did not make it clear that a great deal of progress has been made, not least through the Bercow report, the work of communication champion Jean Gross and the decision to ensure that most of the commissioning will occur at a national level. I hope that the Minister can act like a statin in the arteries of NHS England to allow what is good to occur, and for policy to be implemented in the way that I am sure everybody in the Department of Health wants it to be implemented.
However, I would also be misleading the House if I did not express some of the concerns about how policy is being implemented. The issue can be as fundamental as the funding mechanism deployed. I am sure that we would all agree that NHS England has to start from somewhere in deciding how much money it will allocate to this type of provision. I am reminded of the farmer leaning over a fence who is asked by a walker, “How do I get to Blackpool?” He replies, “Well, I wouldn’t start from here.” I would not start from where NHS England is starting, because it intends to use historical budgets, which might sound perfectly sensible—perfectly obvious perhaps—but if all that involves is ringing up a local hospital manager and asking how much he spends on AAC, when he might not even know what AAC is, I do not think it a particularly satisfactory starting point.
It is more frustrating still given the work done on levels of need by the communication champion—available to NHS England—and further reports since from the University of Manchester. We know the level of provision and unmet need: 0.014% of the population currently use a powered aid, but total need is 0.05%. I am sure that the Minister can do the maths. It is about 3.5 times what is currently being funded. I am not making the predictable everyday point that more must be spent—far from it—but I want NHS England to begin from a sensible starting point when making its decisions.
I am grateful to the hon. Gentleman, my constituency neighbour, for giving way. I warmly commend his work to bring this matter to public attention. He and I have constituents at Highfurlong school and other special schools in Blackpool where these issues are very important. I have had correspondence from two constituents involved with the school. I know that Governments are not always keen on ring-fenced budgets. Does he agree, however, that NHS England should take account of the technology to come, rather than relying on past practice?
Indeed. We disagree on many things, but on that issue the hon. Gentleman and I can agree. In Highfurlong, we have an excellent provider of specialist communication provision, so I hope he shares my concern at the proposals, which look to be coming from the local council, that could result in Highfurlong being shut. It causes me great concern, as it does many parents in his constituency and mine, so I hope he will join me in ensuring that Highfurlong is not threatened in the way it might be.
The funding decisions being made have consequences for the proposed hub-and-spoke model. I would welcome a commitment from the Minister that clinical commissioning groups should not interpret the existence of specialist hubs as a justification for winding down their investment in local spokes. That, to me, is crucial, if only because of the issue of complexity. The hon. Member for Blackpool South (Mr Marsden) alluded to that.
(11 years, 11 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
It is a pleasure to serve under your chairmanship, Ms Dorries. I welcome the Minister to his new role.
There is a paradox, in that the reason why many people move to seaside towns—this is not only about those who have lived there all their lives—is to retire, get well, and improve their physical lives but, sadly, illness and physical circumstances do not always permit that. That is the paradox in Blackpool, where the numbers of older people and those with disabilities are larger than average. Many of the disabilities and conditions are fluctuating and transient, and such transience adds to the mental and physical issues that people face.
I want to discuss what my office and I have seen of the experience of claimants who have been transferred from incapacity benefit and other benefits to the new employment and support allowance. In particular, decisions have been made about whether people go into a support group or a work-related activity group. In recent months, we have observed a gradual build-up of people bringing cases to us. There have sometimes been between three to five a week over several months, and as that has happened, I, and people from disability groups across Blackpool, have become more worried.
The concerns have related to the nature of the medical examinations, inaccurate recording and inconsistencies of judgment. Sometimes, they have been about the overall principle of the Atos assessments and what can be described only as a tick-box culture. Only half an hour ago, Advice Link in Blackpool e-mailed me to say that it was giving out advice that the ESA50 form that the claimant receives and the scoring system used by decision makers do not add up. We have seen particular problems with people who have had their Motability taken away.
It is important that I stress the nature of the conditions faced by those who have come to us. Many have chronic illnesses or deep-rooted mental problems, and a number have had degenerative conditions that, by all modern standards, are incurable. I was alarmed and concerned that two or three of the cases involved medical professionals employed by Atos whose methods and judgment we had expressed concerns about three to four years earlier. On that occasion, the Department admitted that they were inadequate.
I want to press the Minister about Atos. Who does it employ? What balance is struck between Atos and the decision maker? Research shows that the majority of decision makers do not feel that they can question much of what has been said. A research summary from the Department for Work and Pensions said:
“Some felt that they still had the ability to reach their own decision over borderline cases”,
but others felt very limited. They
“felt they had been expressly told that they could not make a decision that ran contrary to the Atos advice without securing Atos agreement to do this”,
which they had found that Atos was unwilling or unlikely to supply. What happens when the appeals process takes place, and what happens in the meantime?
One of my constituents suffers from osteoporosis of the spine, fibromyalgia, spondylosis and partial deafness. Following a medical by Atos last November, her disability living allowance claim was disallowed, which also impacted on her husband’s claim for carer’s allowance. My constituent submitted a request for reconsideration but less than 24 hours later, the decision maker rejected it, confirming the original decision. What capacity did the decision maker have to make a considered judgment on that assessment?
I stress the problems about changes to Motability. The rules now say that the Motability component has been altered, with a movement from six months to four weeks for the removal of a vehicle. That was introduced with scant publicity. I have already referred to the swiftness with which the decision makers rejected my constituent’s request, but the real problem, right across the piece, is the time that appeals now take. My constituent was told that it could be at least six months before her appeal was heard.
Another constituent, Mr L, said that his jobcentre adviser was putting him in touch with his mental health worker, but that the process had been undermined by two consecutive medicals. My constituent says, “The adviser bangs his head on the wall. His hands are tied because of the rules that the DWP are using.”
I recognise much of what the hon. Gentleman is saying, but will he clarify whether he supports the overall principle of reassessing the claims, or is he merely seeking to draw attention to inadequacies in the implementation?
I thank my constituency neighbour for that question. I do not think that the two questions are separate. The inadequacy with which some of these issues are treated inevitably casts light on the strength or otherwise of the process. If the hon. Gentleman is asking whether I am in favour of disabled people being given every opportunity to expand their capabilities and to work if that is proportionately possible, the answer is an unqualified yes—and that would be the case for most hon. Members—but that issue is not under discussion today.
The Minister also needs to think about the effects on the families and carers of people who are knocked back. One of my constituents, a lone parent of two sons in their teens, one of whom has Asperger’s, was knocked back last month. My constituent says, “Two days before being admitted after a series of operations on my shoulder, I received a letter to inform me of the results of the medical I had to attend with Atos, saying that I was fit for work and that my claim for ESA had ended from yesterday. Both my sons live with me, but my housing benefit will stop because my ESA claim has ended. I don’t want to be claiming benefits. I would rather be back working, but with the pain I am in, I am unable to do that.” I have already mentioned what happens to the income of the carers of partners judged fit for work.
Another claimant who was knocked back, who had had long-term depression, wrote to say, “Is there any way you could possibly have the appeal process speeded up? I have been told it could take up to eight months. I feel so lost and powerless.”
The stress falls not just on the person with a disability, but on the partner, particularly when, as a number of my constituents have told me, they were discouraged from going to the assessment because of the restrictions of the venue. That is a denial of human rights, as well as, practically, a very silly thing to do.
Another constituent with chronic pain has been through this revolving door and says, “I am now mentally preparing myself for the fact I will have to take my case to a tribunal. I have been without any payment from DWP since April and although my partner has taken on extra duties during the lunch hour, we still cannot meet our outgoings—full-time hours where she works will not be available.” That is the reality of these people’s lives in Blackpool; it is the reality of the work process there.
Ministers and officials needs to address some fundamental questions. Leaving aside the individual inadequacies of the Atos process, what are the jobs for which these people are alleged to be fit? How much will it cost the Government and the taxpayer to support them properly in those jobs and, in particular, given some of the new Government restrictions on working tax credit, will they ever be able to earn from them a living wage? I have already said that I fully support proportionate and fully rounded initiatives to enable such people to use their abilities, and I feel strongly about that, having had a mother disabled by osteoporosis for 25 years. However, there is a balance to be struck.
Yesterday, in my local newspaper, The Blackpool Gazette, in a piece written by the feature writer Jacqui Morley, the wife of one of the constituents who had come to me, who is a gentleman with a severe degenerative condition akin to motor neurone disease, said that her husband’s former bosses had moved heaven and earth to keep him until he had realised that he was taking more than he was giving. She said that unless the Government were prepared to give disabled people all the support they need—in her husband’s case, certain facilities, personal assistants, and aids and equipment that cost a fortune—this is just a tick-box exercise about integration, not real inclusion. The system also dictates that the man will have to go through the process again in three years’ time to be reassessed on that progressive degenerative condition.
Alan Reid, who manages Disability First, our Blackpool disability information service, has commented that many people in the town who are genuinely in need are being dumped by these assessments. He says, “They come to us desperate and, in some cases, suicidal.”
Some of these concerns were raised during pilots of the process—indeed, disability group representatives in the Blackpool area took part in those pilots—so it is not entirely surprising that some of the problems have come to pass. I strongly stress that there is a sense of waste and people saying, “Working for what?”
The same constituent’s wife who was quoted in the Gazette put her finger on the problem in the letter that she wrote to the decision maker at Jobcentre Plus. When talking about the test, she said that the question should be about to what end people could press a button and use a keyboard and mouse, and whether they could do so at a speed—and without the need for continued support—that would facilitate meaningful input and a financially viable outcome such that their employment could be sustained by an employer. Surely that should be one of the elements considered in the process.
I have cited all those examples in the context of Blackpool, but the truth, of course, is that this is a country-wide issue. That is why various disability groups, such as the disability benefits consortium, the Royal National Institute of Blind People, Parkinson’s UK and Scope, have all raised serious doubts. The DBC has said that the work-capability assessment is poor at identifying disabled people’s needs.