Motability Car Scheme

Peter Dowd Excerpts

Tuesday 23rd February 2016 Westminster Hall

[Ben Howlett (Bath) (Con)]

Thank you, Mr Hollobone. I congratulate the hon. Member for Kilmarnock and Loudoun (Alan Brown) on securing this debate on a subject that I care about a great deal. I should declare an interest, in that my mother has benefited from a Motability vehicle for more than 10 years.

I want to make it clear that I agree with the Government about ensuring that everyone who needs a Motability vehicle should have access to one. However, for decades, the system has not been reformed and it must be changed in a fair and cost-effective way if we are to ensure its future effectiveness. To ensure that the most vulnerable receive the support that they need, those who no longer have a medical condition need to be told that reform must occur to ensure the future viability of the system. That is only fair to people such as my mother who really depend on the Motability scheme.

Before I move on to my substantive points about improvements to data sharing between the Department of Health, the Department for Work and Pensions and the NHS, I would like to seek assurances from my hon. Friend the Minister that the high volume of appeals that are currently being seen are constantly being reviewed. Although I understand that new systems take a while to embed, as we know from what happened when the previous Labour Government introduced the Atos system to handle work capability assessments, these things should be constantly reviewed.

Ever since I began to work alongside the NHS eight years ago, the UK has had a significant problem with data. Although I freely admit that it is not the most interesting subject in the world, it certainly is the most important when it comes to producing evidence-based policy. While I sadly do not have time to discuss the problems with evidence-based data collection and information governance, I want to focus for the last couple of minutes on the need for improved data sharing. All too often constituents come to my surgeries and ask why it is so complicated in today’s digital age to ensure that patient information is shared with the Department for Work and Pensions.

[Peter Dowd (Bootle) (Lab)]

Will the hon. Gentleman give way?

[Ben Howlett]

I will not give way because I have very limited time.

Sharing information would make a huge difference to all disabled people as well as people on the Motability scheme. It would save so much time and money if there were one joined-up system to enable a GP to identify a disability and to refer that person directly to a DWP contact in a joined-up and efficient way. Currently, it takes two sets of paperwork and a vast amount of time and communication, which can only be described as lacklustre at best. I completely back the Government in getting this sorted.

For too long, the most vulnerable have been let down. If there were a joined-up system, the GP could notify the DWP quite effectively if someone was no longer in need of a Motability vehicle. The efficiency savings that would be made could be driven into increasing support for those who desperately need it and would also help disabled people feel that the process is much more joined up when they probably need as smooth a process as possible to get through those tough experiences.

How can the Government achieve this? The Government have to identify weaknesses in the law that prevent data sharing between the Department of Health and the Department for Work and Pensions. As the Government look to produce a Green Paper on the impact of welfare on health and wellbeing, it is important for the DWP to formalise discussions with the Department of Health and consider the benefits of direct and indirect data sharing. Although I appreciate the sensitivities around data protection, charities are screaming out for changes and we should be doing everything that we can to help facilitate that.

I specifically ask for the Minister to work with his counterpart in the Department of Health to look into the Health and Social Care Act 2012 to understand why there is a problem with data sharing. Under that Act, the law allows personal data to be shared between those offering care directly to patients, but it protects patients’ confidentiality when data about them are used for other purposes. While I agree that these secondary uses of data are essential if we are to run a safe, efficient and equitable health service, we should consider new legislation that will further enable swift and effective data sharing between the NHS and the DWP.

--- Later in debate ---

[Angela Rayner (Ashton-under-Lyne) (Lab)]

It is a pleasure to speak under your chairmanship, Mr Hollobone. I congratulate the hon. Member for Kilmarnock and Loudoun (Alan Brown) on securing this important debate, and I welcome to his place the Under-Secretary of State for Disabled People. We have heard passionate speeches from many Members here about the devastating impact of the changes to mobility criteria on the lives of many people who are already struggling with everyday tasks. I thank all hon. Members for their contributions to this debate.

The purpose of Motability is to help those who would otherwise be unable to afford full mobility. As many hon. Members have outlined, the recent change from the disability living allowance to the personal independence payment for people of working age has had various damaging effects on those with disabilities.

[Peter Dowd]

Is my hon. Friend aware of any action taken by the Government to ensure that the most vulnerable people with disabilities are protected from being isolated in their communities if they lose their eligibility for mobility service under the changes from DLA to PIP? I do not know of any, and neither do many disability organisations, including Muscular Dystrophy UK.

[Angela Rayner]

Many Members have also raised that concern. I hope that the Minister will respond to it when he sums up.

Many speakers in this debate have given examples involving their constituents and told us of the devastating impact on their needs and self-esteem. Significant numbers of people who currently benefit from the higher rate DLA mobility component will fail to qualify for the enhanced rate mobility component in PIP. That is a deliberate outcome; it is what the Government said up front that they wanted to do. They wanted to cut those benefits. It is not based on need; it is based on making cuts and financial savings.

Many people have had the adapted vehicles that are vital to their lives and livelihoods withdrawn as a result. I thank the hon. Member for Bath (Ben Howlett) for raising the need for joined-up services, and my hon. Friend the Member for Cambridge (Daniel Zeichner), who told us the story of Lisa’s experience and the impact of the cuts on her life. The hon. Member for North Ayrshire and Arran (Patricia Gibson) spoke passionately about the responsibilities of society and community, and the cuts to the work-related activity group of employment and support allowance.

My right hon. Friend the Member for Enfield North (Joan Ryan) spoke of her concerns about the quality of the PIP assessment and the conflict with medical experts who know the person’s needs. It is simply not fit for purpose. The hon. Member for Ayr, Carrick and Cumnock (Corri Wilson) discussed Kayleigh’s experience and how only 50% of people get to keep the car after being assessed for PIP, and my hon. Friend the Member for Mitcham and Morden (Siobhain McDonagh) discussed the devastating impact of the removal of the cars before an appeal has been heard.

The reality is that £24 billion in support will be removed from nearly 4 million disabled people by 2018. The policy will hinder disabled people, not help them. It is about removing support, not providing it, for people to live and work independently. The Extra Costs Commission has shown that disabled people face an average of £550 in extra living costs a month as a result of their disability, which is the main reason why disabled people are twice as likely to live in poverty as non-disabled people. PIP is meant to help with those extra costs. The Government’s determination to maintain such a flawed rule is a direct assault on independent living for many, and it greatly hinders opportunities for those with disabilities to contribute to society.

Any one of us is likely at some time to be affected by disability, either directly or in caring for a disabled friend or relative. I know; my son is registered disabled. I urge the Government to rethink this policy.