Social Security and Employment Support for Disabled People

Debate between Ruth George and Sarah Newton

Wednesday 6th March 2019 Commons Chamber

[Sarah Newton]

I point out gently to the hon. Lady that 8% of people who apply for ESA go to appeal, and 4% are overturned. I do not want that to be 2%, 1% or 0.1%; I want us to get the decision right the first time, but we must use the information accurately. It is important that we are evidence-based policy makers. When it comes to who will carry out the assessments from 2021, the healthcare professionals doing so have always been clear that by creating this transformed service and our own digital platform, many more people will be able to come forward to say that they can undertake the services, and I would be particularly happy if NHS trusts said that they would do so.

[Ruth George (High Peak) (Lab)]

I welcome the fact that Ministers are seeking to improve the accuracy of PIP and ESA assessments and to reduce the number of appeals, but it still takes 48 weeks for an appeal to be heard in my constituency. May I ask the Minister to look urgently at how people are treated while they are awaiting an appeal? My constituent had a serious heart condition, and his doctor said he was not fit to go back to work. The DWP said that that was its decision, not the doctor’s decision. My constituent died on his first full day back at work, which he was forced into. He was awaiting his appeal. It is too late for him, but his wife has asked me to take it up with Ministers to seek a better solution for people who are awaiting appeals, many of whom are rightly and justly appealing.

[Sarah Newton]

I pass on my sincere condolences to the hon. Lady’s constituent. Of course I will sit down with her to review the case in great detail, because it is a very, very sad to hear what happened to her constituent. Her Majesty’s Courts and Tribunals Service has employed hundreds more people so that cases can be heard sooner. I am particularly pleased that we have introduced an online resolution service so that, once people’s information is uploaded on to the system, DWP decision makers can look at that information. If we can make a decision earlier that could prevent people from having to go to a tribunal, we will do so. I am very hopeful that we will start to see waiting times reduce significantly.

Disability Support

Debate between Ruth George and Sarah Newton

Wednesday 19th December 2018 Commons Chamber

[Ruth George (High Peak) (Lab)]

Government Members appear to be arguing that there should not be a cumulative impact assessment for disabled people for which my hon. Friend the Member for Oldham East and Saddleworth (Debbie Abrahams) has argued so eloquently.

[The Minister for Disabled People, Health and Work (Sarah Newton)]

indicated dissent.

[Ruth George]

I am glad that the Minister is disagreeing and I very much hope that she will put me right and will agree to this.

There are plenty of figures out there. We know that 30% of families including someone with a disability are in poverty. That is 10% higher than the rest of the population. In fact, according to the Social Mobility Commission, half of people in poverty—nearly 7 million people—are in a household with an adult who has a disability. Fixing the problems of poverty for people with disabilities will go a long way to fixing the problems of the UK’s high level of poverty.

Over the last eight years, we have seen successive cuts to benefits that affect people with disabilities. From 2013, we saw a 1% benefit uprating for three years. Employment and support allowance lost over 5% of its value compared to the retail prices index and 3% compared to the consumer prices index. The four-year benefits freeze will take off 6.5% compared to the CPI and a full 10% compared to the RPI; 15% of the value of that benefit will be lost over seven years. These are not generous benefits in the first place.

In addition, many disabled people have had to cope with the cuts to local housing allowance, which is down to 30% of median rents. They therefore have to bulk up their rent out of their meagre ESA. Child tax credit has been frozen. The childcare element in tax credits has been at the same maximum since 2005, and the amount of help people can get with childcare costs has reduced from 80% to 70%. In addition we have the bedroom tax, which affects so many people with disabilities, and £30 a week has been abolished for those in the work-related activity group under ESA.

People with disabilities have been facing all those cuts, even before the cuts under universal credit. That is why people with disabilities feel so strongly that there needs to be a cumulative impact assessment of the full impact of the history of serious cuts to their income. Under universal credit, we are also seeing cuts that affect children with disabilities. The Government claim to support and protect the most vulnerable in society, but my constituent—a single parent with a son with a disability—wrote to me saying, “My son is six years old. He is practically bed-bound, yet the Government want to transfer me on to universal credit because I can no longer work to support him, and his support will be reduced. If my disabled son is not one of the most vulnerable people who needs protection and support, then who is?” I put that question to the Minister today.

The difficulties in claiming universal credit for people with disabilities have been set out in many cases elsewhere, but because roll-out so far has been mostly to people who have been on JSA—not to people with disabilities on employment and support allowance—we have not seen the scale of support that is needed. However, as I mentioned earlier, I am already seeing problems in my constituency with regards to people with disabilities getting the home visits that they feel they need.

Families in particular are feeling the cuts, including parents who are disabled with children who are disabled. My hon. Friend the Member for Oldham East and Saddleworth set out the appalling level of cuts—a reduction in income of nearly £10,000 a year—that those families will see under universal credit. It is no wonder that families fear universal credit. A constituent with a four-year-old son who is autistic and non-verbal wrote to me to say that she has had to give up work to care for him because she cannot get care in the school holidays, so as well as losing her own wage, she has also lost tax credits. The family looked to claim housing benefit, but found that they would need to claim universal credit instead. Given that they have already racked up rent arrears because their income has been so reduced, if they faced five weeks’ wait for support under universal credit, they could end up losing the house they have been tenants in for the last 21 years. I hope that the Government will be listening to these real stories of people who are already suffering. I have had universal credit in my constituency for only two and a half months, and I am already seeing constituents who are suffering under it.

That is on top of all the constituents who are suffering from employment support allowance and PIP assessments. In the Work and Pensions Committee, I set out to the Minister the very harrowing account that I had heard of a group of survivors of sexual violence and their experiences of PIP assessments—how one woman was curled up on the floor crying and sobbing uncontrollably while the assessor simply repeated the questions at her deadpan and offered her no support or understanding whatsoever. I was very pleased that the Minister agreed that that was a disgusting situation that should not be allowed to continue. In response to the Committee’s report on PIP and ESA assessments, the Government promised to look at the recording of those assessments and to bring that in. However, on questioning the permanent secretary today in the Committee, we heard that he had no idea how that was being rolled out, although the commitment to do so was made eight months ago.

A constituent who was looking to claim PIP said that she was forced to purchase her own recording equipment if she wanted her assessment to be recorded, whereas she knows that in the past the assessment centre had used its own equipment. She was also looking to get support with getting to the assessment centre. She was told that she could get there in a taxi but that it would cost £100 up-front and she could only claim that back 30 days after her assessment. People with disabilities are not being treated in the way that they should be treated. I am afraid that this is a culture that we are coming across time and again in what we hear in our constituency surgeries.

The Disability Benefits Consortium found that eight out of 10 people who underwent a PIP assessment found that it made their health worse. Two thirds felt that they had been poorly assessed. Constituents with mental health difficulties, in particular, find that those difficulties are not adequately assessed. One constituent said that, although she presented with serious mental health difficulties, the bulk of the questions she was asked were aimed at her physical health, where she has only minor conditions that do not prevent her from working. Only a third of the time was spent covering her mental health, and those questions were loaded. When she tried to expand and explain her answers, she was told to stick to the questions.

My constituent has been left on the verge of suicide by that assessment and the struggle of waiting for a response as to what will happen as a result. As my hon. Friend the Member for Oldham East and Saddleworth set out so starkly, there has been an increase in suicides by people who have been undergoing work capability and PIP assessments. None of us want to see this happen. In Committee, I raised with the Minister the fact that constituents of mine were being asked why they had not yet committed suicide. I was very pleased that she again took up the issue. That question has not come up in the cases that I have received more recently, so I very much hope that that practice is spreading through the privatised companies that do these assessments. However, there is so much more to do, as cases just from my one, very rural and relatively affluent constituency show.

Work and Pensions

Debate between Ruth George and Sarah Newton

Monday 22nd October 2018 Ministerial Corrections

[Ruth George (High Peak) (Lab)]

I apologise, Mr Deputy Speaker, for having to head off to the Select Committee meeting in a moment.

Will the Minister confirm how much of the £1 billion underpayment now being cited is due to payments made before October 2014, thanks to the Child Poverty Action Group’s successful court action, and thanks only to that? When Her Majesty’s Revenue and Customs makes someone overpay tax going back years due to official error, they are paid interest and often compensation. Will the Minister confirm that these ESA recipients, who are often in a much worse position than taxpayers, will receive similar interest payments backdated to when their payments should have been made?

[Sarah Newton]

I thank the hon. Lady for that question. I know that she does fantastic work on the Work and Pensions Committee, and no doubt we will discuss this further at the Committee.

Let us be really clear about what happened. The advice that the Department got was that section 27 of the Social Security Act 1998 applied. That was why we felt we had to make the decision to back-pay to 2014. When additional information came forward from the National Audit Office and the Child Poverty Action Group about official error, the Secretary of State took the decision that, of course, we must do what the law says and go right back to the point of conversion. It was not in any way that the Government were trying not to do the right thing. We have proactively been utterly transparent and open with the House about this error, and we want to fix it as soon as possible.

The hon. Lady asked about the two phases. The first group of people that we are looking at date back to pre-2014 and the second group are from 2014. We have started to make payments to both groups of people, and so far we have paid out £420 million to the pre-2014 group. [Official Report, 18 October 2018, Vol. 647, c.793.]

Letter of correction from the Minister for Disabled People, Health and Work, the hon. Member for Truro and Falmouth (Sarah Newton):

An error has been identified in my response to the hon. Member for High Peak (Ruth George).

The correct response should have been:

Employment and Support Allowance Underpayments

Debate between Ruth George and Sarah Newton

Thursday 18th October 2018 Commons Chamber

[Sarah Newton]

We are working as fast as we possibly can, and we confidently expect everyone to be paid by the end of next year. As I say, we prioritised the people who we think are most likely to have been affected by the underpayments so that they can have their money fastest. We have regularly updated the House. We released the statistics yesterday so that the House could be fully apprised of the situation, and I will continue to do that.

[Ruth George (High Peak) (Lab)]

I apologise, Mr Deputy Speaker, for having to head off to the Select Committee meeting in a moment.

Will the Minister confirm how much of the £1 billion underpayment now being cited is due to payments made before October 2014, thanks to the Child Poverty Action Group’s successful court action, and thanks only to that? When Her Majesty’s Revenue and Customs makes someone overpay tax going back years due to official error, they are paid interest and often compensation. Will the Minister confirm that these ESA recipients, who are often in a much worse position than taxpayers, will receive similar interest payments backdated to when their payments should have been made?

Accessibility Challenges: Invisible Disabilities

Debate between Ruth George and Sarah Newton

Monday 18th June 2018 Commons Chamber

[The Minister for Disabled People, Health and Work (Sarah Newton)]

I congratulate the hon. Member for East Lothian (Martin Whitfield) on securing this really important debate. I join him in saying what a privilege it was to be in the Chamber for the preceding debate, on acquired brain injury. It is very timely that we can talk about hidden disabilities following that debate. It is a very important topic. I also congratulate the hon. Gentleman on the tone he has taken in wanting to work so collaboratively with Members across the Chamber. He is right to say that each and every one of us are powerful advocates for change in our constituencies across our great country. There is something we can all do.

I think we can all understand that all disabled people face barriers in their daily lives, but people with hidden disabilities have to overcome the fact that it is not always easy to understand the support they might need. That is why we need to have debates such as this one and to think each day about people around us who may well have hidden disabilities that we are not aware of. It is all too easy to recognise somebody with a mobility need if they have a device or a wheelchair. Somebody with a visual impairment may have an assistance dog or a cane, but as we have heard this evening many health conditions— dyslexia, autism, acquired brain injuries and all sorts of other conditions—are simply not visible to the human eye.

The Equality Act 2010 has a very clear definition of disability. It says that it is anyone with a long-standing illness, disability or impairment which causes substantial difficulty with day-to-day activities. I am sure that, while we can all understand that as a legal definition of disability, not everyone within these groups identify themselves as disabled.

The hon. Gentleman asked me about numbers. People have told us they have a hidden disability: 14% of disabled people have a learning disability, 24% have a mental health condition and 17% have an impairment that can impact on their memory. These statistics, like any other statistics around disability, relate to people who have come forward to say, “This is how I feel. This is how I report.” We know that the information is limited, but just because it is limited does not mean that we do not take this really seriously. We absolutely do, and we want to build a culture and create a community in our country where people feel confident to come forward to their loved ones, families and employers and say, “I have this disability. I have this impairment. This is what it means to me. Can you support me, so that I can play my full part in society and achieve my potential with that support?”

[Ruth George (High Peak) (Lab)]

I thank my hon. Friend the Member for East Lothian (Martin Whitfield) for securing the debate, and I thank the Minister for the spirit in which she is responding and her recognition of invisible disability. I hope that in her role in the Department for Work and Pensions, she will make sure that these factors are taken into account in assessments for employment and support allowance and personal independence payment. Conditions such as complex regional pain disorder, on which I have an Adjournment debate tomorrow evening, are not recognised for the purposes of personal independence payment, in spite of it being one of the most painful and debilitating conditions.

[Sarah Newton]

I thank the hon. Lady for her intervention. I will listen with interest. If I cannot be there myself, I will read the Hansard report of what she has to say on the issue. It is really important that the support that we provide through the benefits system recognises the disabilities, impairments and challenges that people face each day, and that we provide the support that they need. That is why I want to confirm to the hon. Member for East Lothian that my role does include invisible disabilities. They are just as important as physical disabilities. The Government have been very clear about the parity of esteem that we give to people, whether their disabilities are visible or invisible.

We have heard about the great work that Grace has done. She has a very fluctuating condition—one that is quite difficult for people to understand. I understand that the fluctuation itself can make it even more challenging for her, and I am absolutely delighted that the hon. Gentleman has brought the campaign for her sign to the House’s attention today, as he did on 24 May. It is really important that we keep talking about this issue and celebrate the work that Grace has done. It is marvellous that she got the award from the Prime Minister, and I would like to put my congratulations on the record. As her former teacher, the hon. Gentleman must be very proud indeed of what she has done.

I reassure the hon. Gentleman that I have been working with the Leader of the House. We have accepted the challenge to make sure that we can get the sign up on the parliamentary estate. I look forward to working with the Speaker to make sure that that is the case, and I accept the challenge this evening to see what I can do to make sure that across Government Departments we can take up the sign that Grace has so beautifully designed and ensure that this is extended. It is remarkable that somebody from the age of 10 picked up that the sign would have such a huge impact on improving the quality of life, not just for her, but for people throughout our country.

It was really great to hear of the progress that has been made. I understand that Iain Gray, the Member of the Scottish Parliament, has been working with the hon. Gentleman and providing a lot of support to make sure that the Scottish Parliament is using these signs, and it was great to hear this evening that now Edinburgh airport, the stadium and shops all over the country are, too.

It is important to emphasise that businesses need to think very seriously about providing accessible toilets. As the hon. Gentleman knows, we have championed the Changing Places toilets and how important they are. We have a consortium that we support in the DWP. I have listened to many people who have provided Changing Places toilets, and they have told me that the footfall to businesses, stadiums and outlets has increased, so it means that the businesses are getting more business from people with disabilities.

I am passionate about making sure that all disabled people have improved access to goods and services. There are 13 million disabled people in the UK, and they and their families have a huge combined spending power estimated at about £250 billion every year. This is often called the “purple pound”. Many businesses are missing out on this potential market because their goods and services, whether online or in the real world, are inaccessible to disabled people. Of course, that includes accessible toilet facilities. To tackle this issue, I have appointed 14 disability sector champions whose job is to identify and drive improvements in their sectors. They represent a range of sectors and businesses from retail to arts and culture and sport, and they are using their influence as leaders in their industries to drive improvements in the accessibility and quality of services.

Last November, I established a retail forum with our retail sector champion, Helen Drury, to raise the importance of improving accessibility in the retail sector. Helen has recently been promoted and is moving into the financial services industry, but I am grateful for her work in helping me to set up the forum and in developing an accessibility toolkit that has been widely welcomed by landlords of shopping centres and retailers themselves and which shows them how relatively easy and straightforward it is to make minor adaptations so that their businesses are far more welcoming and inclusive. I am pleased to announce that Samantha Sen, head of policy and campaigns at Revo, will take over as a temporary replacement for Helen until we can complete our recruitment exercise towards the end of the year.

The forum brings together high-level leaders in the retail sector, both retailers themselves and landlords, to roll out good practice across the sector. At our last meeting in March, a member highlighted the success that his business had had with the “Disability can be invisible” sign—it put it on its bathroom doors and seen the positive impact it could have. The forum is working with me on a new initiative called Purple Tuesday. Thanks to the hon. Gentleman’s having raised Grace’s sign with me this evening, I will make sure that the toolkit we develop for the implementation of Purple Tuesday includes the sign.

We are working with a not-for-profit disabled people’s user-led organisation called Purple to develop a new annual retail event, which we are calling Purple Tuesday, to raise awareness of the value of the purple pound and to encourage retailers to put on events to encourage people into their stores and to make those minor adaptations so that they can not only provide an inclusive environment but realise some of that £250 billion for their own businesses. We hope that the first Purple Tuesday will be on 13 November. I will make sure that the Department does everything to support it. I will update Members nearer the time once the plans are more developed, because it is something we can all get behind; we can all encourage retailers on our high streets and in our communities to do that. I hope that by introducing Purple Tuesday we will not just support retailers to improve the accessibility of their services and the customer experience of disabled people, but improve our understanding of disability, bust some of those myths and get rid of the stigma around disabled people.

We know from similar campaigns, such as the Time to Change campaign, that it is possible to change attitudes over time, and I was pleased to see the most recent results from the Time to Change national survey, which showed that the overall attitude trend between 2008 and 2016 was moving in the right direction: just under 10% of people have changed their minds and improved their attitudes towards people with disabilities. That is 4.1 million people. It is possible, then, to make progress, and I am determined to do everything possible to make sure that disabled people in our country are as appreciated as everybody else and enabled and supported to play the fullest part they can in society.

I am grateful that we have had the opportunity to talk about the importance of making toilets accessible and of getting people to stop and think again if they see someone using such a toilet. The fact that a person’s disability cannot be seen does not mean that the person does not need to use that facility.

I look forward to working with the hon. Gentleman on Grace’s campaign, and to ensuring that all her signs appear on the parliamentary estate, in Government buildings, and in high streets throughout our country. Congratulations to him, and congratulations to Grace.

Question put and agreed to.

Drugs Policy

Debate between Ruth George and Sarah Newton

Tuesday 18th July 2017 Commons Chamber

[Sarah Newton]

Our published drugs strategy definitely recognises the relationship between those who take drugs and those who drink alcohol, and understanding that relationship will be a key part of our recovery programmes. In our modern crime prevention strategy, we have a whole series of actions around alcohol. Public Health England and the NHS do a lot of work in that area as well. We are very understanding of the hon. Gentleman’s point, and it will form part of our joined-up integrated approach. Is there a further question I can take before making some progress?

[Ruth George (High Peak) (Lab)]

An enormous part of the harm that is done by drugs is when people, particularly young people, do not know what it is that they are taking. If we are considering a harm prevention strategy, should we not be trying to ensure that we can protect people and help them to know what they are taking? Does that not include making drugs available legally so that we can test them and properly protect people?

[Sarah Newton]

I thank the hon. Lady for her question. We need to be really clear here: we do not ban substances without an evidence base that shows that they are harmful to people’s health. The reason why we put in those protections—whether it is through the Psychoactive Substances Act 2016, or the Misuse of Drugs Act 1971—is that the evidence base clearly shows that these substances are harmful. There is no safe way that people can take these products. It would be terrible to confuse young people by saying that they can, somehow, safely take a legal high. I know how difficult it is to have these conversations with young people; I have three children in their 20s. I understand the world in which they live and the temptations with which they are faced, but that is why it is so important that we have very clear messages and effective education tools for teachers, which we are investing in now. We will be legislating to make personal, social, health and economic education statutory in schools so that every young person understands the risks of taking alcohol and drugs, which will make them more resilient and more able to resist the temptations. I have said to my own children, “If you can’t go into Boots or any other reputable pharmacist and buy something, then it will not be good for you.” It is really important that we have very simple and clear messages for young people.

--- Later in debate ---

[Sarah Newton]

I am going to make a little more progress if the hon. Gentleman does not mind.

The hon. Member for High Peak (Ruth George) touched on the issue of resources. Having a good, well implemented strategy requires resources, of course. There was a lot of misunderstanding about funding this afternoon. The Public Health England budget is ring-fenced. Yes, it is given to local authorities, which need to make decisions, based on consultation with and the health needs of their communities, about the allocation of resources. If some local authorities are disinvesting, that is sad to hear, because we put the evidence out there and the benefits of investment in good recovery services are clear—not just to the individuals concerned, but to the whole community.

I expect local authorities to use their ring-fenced budgets for public health for those services. But there is not just that budget. The Government have made record sums available for mental health services, and the national health budget is growing. The homelessness prevention funding has been ring-fenced and there is investment in innovative ways of working on homelessness prevention. There has also been the troubled families funding. The issue is about joining up those funds so that we can use the money in a smart way and tailor it to the needs of each family and person—they are all different—so that we can be really effective.

[Ruth George]

All the funds that the Minister mentioned are stretched beyond compare, especially the mental health funding. Yes, public health funding is ring-fenced, but it has been cut by £85 million. Drug treatment services are being cut, I am afraid, even though there is increased need.

[Sarah Newton]

What I see when I go around the country is a great deal of innovation where people are learning to use their resources more effectively.

One of the very important jobs of the champion is to look at what is happening well in parts of the country where people are not disinvesting in services and have excellent examples of partnership working. I praise the work that the hon. Member for Bristol West (Thangam Debbonaire) is doing in really getting into the weeds in her community and understanding this issue. In doing so, she knows that it is only by joining up all the services in the community and involving employers that we are going to make the step change that we need to see. I am very clear—