Tuesday 23rd February 2016

(8 years, 9 months ago)

Commons Chamber
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Priti Patel Portrait Priti Patel
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I have just touched on what we are doing to find extra employment support. As I have said, we are working with other organisations, and I have named only some of them. However, the issue of mental health is crucial to the way in which we connect our systems, working with the NHS. A joint working group from the Department for Work and Pensions and the Department of Health is looking into how we can help members of the ESA work-related activity group with mental health conditions, provide signposts for them, and secure treatment for them as well.

Richard Graham Portrait Richard Graham (Gloucester) (Con)
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When the Opposition talk about income, what they really mean are welfare benefits. That is not what we mean when we talk about income. All the evidence shows that 75% of children in relative poverty will be removed from the poverty indicator if both parents in the household are working. There are now more children in families in which people are working than ever before: that is this Government’s record.

As for ESA, some of us have met people with significant disabilities who are working, such as the people from National Star College in Gloucestershire who are now working with EDF Energy. It is amazing to see what a difference that makes not just to their incomes, but to their overall life chances and life happiness.

Priti Patel Portrait Priti Patel
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My hon. Friend is right to highlight the importance of work to people who have previously been locked out of employment opportunities. We have many schemes, but Disability Confident is a very good example of how we can work with employers to deliver sustained employment opportunities for people with disabilities. The Government are doing additional work on a wide-ranging employer strategy, working with employers specifically to establish how we can address the disability employment gap and how they can give people with disabilities more structured and sustained employment opportunities.

It is important to recognise that the changes in employment and support allowance and universal credit work together, and cannot be dealt with in isolation. We have invested a significant amount in universal credit to ensure that we keep people connected and engaged with the labour market from the outset of their claims. Unlike those claiming employment and support allowance, universal credit claimants with a health condition or disability are offered labour market support, when that is appropriate, at the very start of their claim. That helps them to remain closer to the labour market, even if they are not immediately able to return to work. It also provides them with employment support, advice or training to get back into work, which, in the long run, will help them to obtain jobs.

I stress that this change does not affect those in the ESA support group or the universal credit equivalent. It also does not affect the premiums that form part of income- related ESA. Moreover, existing ESA claimants will not be affected. There will be no cash losers, and the policy applies only to those who apply for ESA and subsequently enter the WRAG from April 2017. We also aim to protect those who move off ESA to try to work. Those who were receiving the component and returned to ESA within 12 weeks because they could not cope with work will be able to reclaim ESA and receive the component again. Hopefully, that will help to dispel the myth that everyone who is currently in the work-related activity group will be affected by the change. Universal credit works in a different way from ESA, but we aim to put similar protections in place.

This reform is a first and necessary step towards a wider reform package. In the autumn statement, my right hon. Friend the Chancellor announced that the Government would publish a White Paper this year that would set out our plans to improve support for people with health conditions and disabilities to further reduce the disability employment gap and promote integration across health and employment. That will include exploring the roles of employers.

Clauses 13 and 14, together with the additional practical support announced in the Budget, will provide the right support and incentives to help people with limited capability for work move closer to the labour market and, when ready, into work. In the light of those arguments, I hope that Members will feel able to support the Government.

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Debbie Abrahams Portrait Debbie Abrahams
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No.

So how does living in poverty affect children’s development? People—

Richard Graham Portrait Richard Graham
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Will the hon. Lady give way?

Debbie Abrahams Portrait Debbie Abrahams
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May I just make these points? Then I will give way to the hon. Gentleman.

People on low incomes are often juggling to heat or eat, as we heard in this morning’s Westminster Hall debate on the bedroom tax. Being able to pay their rent is an increasing issue; 443,000 are currently affected. Having a secure, warm home with healthy, nutritious food are basic physiological needs. When these needs are not met, people’s health suffers both physically and mentally. This is particularly the case for children as they are developing. Being in work or well educated does not guarantee these essential needs; money does. Again, I make my key point: two thirds of children in poverty now are from working families.

The lack of evidence, to which my hon. Friend the Member for City of Durham (Dr Blackman-Woods) was alluding, is stark. Why was there no Government impact assessment of these proposals? We should look at the evidence from the United States, for example. It has been analysing the effects of its social security reforms, and that shows that programmes that focus specifically on parental employment failed; in fact, they had no effect or exacerbated children’s health issues. Conversely, programmes focused on supplementing the income of low-income families improved health.

Debbie Abrahams Portrait Debbie Abrahams
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The point here is about making the Government accountable for their policies that may in turn be affecting those measures.

I know the hon. Member for Gloucester (Richard Graham) wanted to intervene, too.

Richard Graham Portrait Richard Graham
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The hon. Lady is very kind. Both her party and ours are committed to ending child poverty, so the starting point is the same. The difference, in a sense, is the value of the relative indicator. She knows that one of the difficulties with the relative indicator is that quite often it will apparently improve during times of recession, but go down in times of growth. How effective does she think that is, therefore? About £300 billion was spent on benefits between 2003 and 2008. How effective does she think that expenditure was?

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Debbie Abrahams Portrait Debbie Abrahams
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Again, my hon. Friend sums it up perfectly.

Richard Graham Portrait Richard Graham
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This is a serious question. If the hon. Lady is saying that the evidence shows that the mortality rate of poor children in this country is worse than in the whole of the rest of Europe and the benefits that we are giving are greater than those in the whole of the rest of Europe, something is not working. What does she think needs to be done to improve that?

Debbie Abrahams Portrait Debbie Abrahams
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Again, the hon. Gentleman possibly does not have all the evidence. On spending-to-GDP comparisons, we do not do particularly well. The Marmot review of health inequalities concluded:

“One quarter of all deaths under the age of one would potentially be avoided if all births had the same level of risk as those to women with the lowest level of deprivation.”

Again, we should recognise that we are talking about people living in our constituencies. Evidence to the all-party inquiry showed that eliminating UK child poverty would save the lives of 1,400 children under 15 every year. Furthermore, good early development is strongly associated with many positive outcomes in later life, including higher educational attainment and improved employment prospects in adulthood. As another of the witnesses to the inquiry said, we are facing a child poverty crisis. Having made real progress in reducing child poverty in the UK, it is imperative that we continue to invest in our children, and protect and support the most vulnerable in our society. The introduction of the so-called “living wage”, the increase in personal tax allowances and more free childcare will not, as the Institute for Fiscal Studies has clearly shown, offset the net loss to low-income households from tax and social security changes, including those in this Bill. I therefore urge Members from all parts of the House to support this amendment—our children’s futures depend on it.

Lords amendment 8 seeks to remove clause 13 and Lords amendment 9 seeks to remove clause 14. Clause 13 seeks to abolish the employment and support allowance work-related activity component for new claimants from April 2017 and replace it with universal credit. That would mean that social security support for people with a disability, impairment or serious health condition will reduce from £102.15 to £73.10, a cut of nearly £30 a week or £1,500 annually. The Government have argued that this is needed to

“remove the financial incentives that could otherwise discourage claimants from taking steps back to work.”

The Lords rejected this on a number of grounds. First, people in the ESA work-related activity group have gone through the work capability assessment and been found not fit for work. This includes 5,000 people with progressive conditions such as multiple sclerosis and Parkinson’s—conditions that will not improve. It also includes people with cancer. A survey conducted by Macmillan Cancer Support found that one in 10 cancer patients would struggle to pay their rent or mortgage if ESA were cut. The key issue is that these people are not fit for work, so suggesting that removing financial incentives will somehow make them fit for work is ridiculous.

Debbie Abrahams Portrait Debbie Abrahams
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I am sorry but I have given the hon. Gentleman a number of opportunities to intervene.

Secondly, there is overwhelming evidence of the extra costs faced by sick and disabled people, the associated poverty they experience as a result, and the clear implications for their condition. We know that 5.1 million out of the 12 million disabled people in this country live in poverty. We also know from the Extra Costs Commission that disabled people are twice as likely to live in poverty, 80% of which is due to the extra costs they face because they are poorly—because they have a disability.

Lord Low of Dalston, Baroness Grey-Thompson and Baroness Meacher’s excellent report “Halving the Gap?” expressed real concerns that the Government’s assessment of the impacts of this cut on disabled people, including the potential increase in the number of disabled people living in poverty, was inadequate. They assessed that the cut in financial support would have an injurious impact on this vulnerable group. The Equality and Human Rights Commission agreed, with its analysis being that it

“will cause unnecessary hardship and anxiety to people who have been independently found unfit for work.”

Thirdly, there is scepticism that there are employment opportunities for those sick or disabled people who may recover from their condition in the future. Approximately 1.3 million disabled people who are fit and able to work are currently unemployed, accounting for the disability employment gap of nearly 30% between disabled and non-disabled people. The Government have rightly said that we need to halve that, but they have been less open on how that can be achieved, and I agree with what the hon. Member for Airdrie and Shotts (Neil Gray) said about the disability White Paper. There is one specialist disability employment adviser to 600 disabled people trying to get into work.