Personal Independence Payment
Sarah Newton Excerpts(5 years, 4 months ago)
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The Minister for Disabled People, Health and Work (Sarah Newton)
I would like to update the House on the improvements my Department is making in personal independence payment (PIP). The guidance available to PIP case managers was updated in August 2018 to ensure those who are awarded the highest level of support whose needs are unlikely to improve or will deteriorate receive an ongoing award with a light-touch review at the 10-year point. Following on from the introduction of that guidance in August, we have now commenced activity to review the claims of existing claimants on the top level of support to identify those individuals who, in light of the new guidance, should be receiving an ongoing award. This is still in the early stages and being dealt with in date order, prioritising claimants whose awards are coming up for an award review, but commencing this activity is a really important step to reducing the number of individuals having to undergo an unnecessary award review where their needs are only likely to deteriorate.
A copy of the guidance for case managers has been placed in the House of Commons Library and is available at: http://data.parliament.uk/DepositedPapers/Files/DEP2018-1113/UIN_174062_-_Award_period_ guidance_10.10.18.pdf.
The light-touch review process and guidance itself has not yet been developed, but we aim to do so well in advance of the first such reviews taking place. We intend to consult with stakeholders as part of that process.
My written statement of 25 June 2018 (HCWS793) informed the House that my Department had begun an exercise to identify anyone who may be entitled to more support under PIP as a result of the MH and RJ decisions of the upper tribunal. The MH decision broadened the interpretation about how symptoms of overwhelming psychological distress should be assessed for the purpose of mobility activity 1 in PIP. The RJ decision concerned how the Department considers a claimant to be carrying out an activity safely and whether they need supervision to do so. I committed to regularly updating the House of developments regarding this administrative exercise.
The Department has today published an ad hoc release of management information on the administrative exercise: https://www.gov.uk/government/collections/dwp-ad-hoc-analyses#2018.
As at 23 November 2018, 140,000 cases had been cleared, of which 1,000 had been paid arrears. The average payment made is approximately £4,500. We are monitoring the numbers of, and reasons for, revised awards closely and making regular quality checks in order to ensure that our decision making is accurate and fair.
Given the complexity of the exercise we have started at a relatively small scale to test our processes and ensure they are effective before ramping up. At the same time we have recruited over 250 additional staff to increase resources available for this exercise, with more to follow over the coming months.
In addition, we are redirecting resource from other areas of PIP. This means the administrative exercise will conclude in 2020. Some DLA to PIP reassessments that would have taken place in 2019-20 will move to the following year. I believe that prioritising cases where claimants are entitled to arrears is the correct approach.
Further information on how the administrative exercise is being undertaken is set out in an updated frequently asked questions. I will deposit a copy of this document in the Library of the House.
Furthermore, I would like to inform the House that the Department implemented another upper tribunal decision on 17 December and will commence a review exercise in the new year.
This exercise regards the decision in OM which was handed down on November 2017. This decision refers to DLA claimants transferring to PIP, who failed to attend or participate in their PIP consultations, and who had their DLA terminated as a result, but where, subsequently, DWP decision makers or tribunals have decided the claimant had a “good reason” for not attending or participating. The decision states that in these instances claimants’ DLA awards should be reinstated, until a final decision on their PIP claim, and back paid, as necessary. We accept that the same approach applies where claimants who failed to provide information or evidence were later found to have “good reason” for the failure to comply.
The Department has been working at pace and taking the necessary steps required to implement the ruling. We expect around 4,600 people to gain as a result of this review exercise, all claimants who benefit from the upper tribunal decision will be notified by the Department.
[HCWS1224]
Disability Support
Sarah Newton Excerpts(5 years, 4 months ago)
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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.
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.
The Minister for Disabled People, Health and Work (Sarah Newton)
I should like to add my voice to those congratulating the hon. Member for Oldham East and Saddleworth (Debbie Abrahams) on securing such an important debate. It is to the great credit of the House that, after what have been an emotional, long and tiring few weeks here, Members from every country of Great Britain are here tonight to speak up so well and so passionately for their constituents. This is probably our last full debate before the Adjournment debate tomorrow, and it is right that we have focused on such an important issue as the disabled people in our country and the amazing contribution that they make.
Of course, we should rightly focus all our efforts on what more we can do for those who are vulnerable and need our support, and I am sure that all hon. Members will want to ensure that we are doing everything we can to live up to the ideals of the United Nations conventions, which we helped to design, and to those of the Disability Discrimination Act 1995, which a Conservative Prime Minister introduced in this House. There is also cross-party support for the Equality Act 2010, which underpins so much of what we are doing. These are important issues that should unite the House, and I am pleased to have heard a lot of constructive comments this evening. I have very little time, and I will not be able to answer all the questions that have been raised, but I will write to hon. Members if I have not been able to address their concerns. I want to focus on the motion, as it is so important.
I want to reassure hon. Members that the Government do publish distributional analysis of the cumulative impact of Government decisions on household finances at every fiscal event. The last publication was in October, to accompany the autumn Budget, and assessed the tax, welfare and public spending changes announced from the 2016 autumn statement onwards that carry a direct and quantifiable impact on households. Her Majesty’s Treasury uses its intragovernmental tax and benefits microsimulation model to produce that analysis, and the underlying data comes from the Office for National Statistics annual living costs and food survey.
Her Majesty’s Treasury uses the LCF survey, because it is the primary source of data about what income people have, how they spend their money and what public services they have accessed. The survey is unique in capturing all that information. Only by assessing the impact of Government policy on each of these areas can an accurate and fully comprehensive assessment of the total impact of all Government policies on welfare, taxes and spending on public services be made. Looking at only one aspect, such as changes to income from benefits, does not provide a complete picture and is misleading. For example, the Government have committed to increasing spending on the NHS by £20 billion, which will have a positive and direct impact on the lives of millions of disabled people. To look only at benefits would be really misleading.
The LCF survey came into existence in 2007, but a household food consumption and expenditure survey has been run by Government since the 1940s. The primary purpose of these surveys has always been to collect detailed expenditure data for a sample of people, which is then used to assess changes in people’s spending patterns in order to adjust the basket of goods used to estimate inflation. The survey does not collect information from the sample of individuals that would allow us to assess whether a person is disabled—it has never been able to do that. As with all Government surveys, taking part is voluntary and a difficult balance has to be struck between the amount of information we are asking respondents to provide, and therefore the time it takes to complete the survey, and the proportion of the sample who are willing to take part. The survey sample is designed to be representative of the population, and the more people who do not respond, the more the estimates from the survey potentially suffer in quality.
Therefore, the lack of information about disability means that the information does not exist for the Treasury to estimate the cumulative impact of all Government policies on disabled people. However, the Office for National Statistics is currently undertaking developments to its household surveys to integrate various surveys and to link various sources of administrative data held by the Government, which means it might be possible to have the required information on disability status in future. The ONS is consulting users, and I have instructed my officials to raise the issue of disability status in the living costs and food survey. I encourage stakeholders, and all Members who care about this as much as I do, to contact the ONS, which is independent, and raise the issue. If we had that information, and if the ONS proceeds in the way I have just described by linking datasets, it would be possible for us to undertake the sorts of assessments that people have articulated so well this evening.
However, although a cumulative impact assessment is not possible now, the DWP does undertake a wide range of other research and analysis to assess and monitor the impact of policies on disabled people. The DWP runs its own household survey—the family resources survey—which collects information from a sample of households, with detailed information on sources of income, the amount of income families receive and detailed information on the characteristics of the people in those households.
Sarah Newton
I have said that I will not take interventions, in order to answer all the questions, but I will write to any Members I am unable to answer in the time available.
The family resources survey collects the information required to make an assessment of the disability status of people in a household. The information is then used to provide estimates of the amount of income that families with disabled people have. The DWP publishes estimates of the numbers and percentages of people within households with disabled people who have low incomes in the annual “Households below average income” publication.
In the 2016-17 survey, we saw that 16% of people in families with a disabled person were described as in absolute low-income poverty before housing costs, with a weekly income after tax of £280 or less for a couple with no children, compared with 19% in 2009-10. Absolute low-income poverty, on a before housing costs basis, has actually improved by three percentage points since 2010 for families with a disabled person.
Looking at all four measures of low-income poverty—before and after housing costs, and on a relative and on an absolute basis—poverty for people in families with a disabled person has improved since 2010 on three of the four measures, and there was no change in the fourth. I am not complacent. One person living in poverty in this country is one person too many, which is why we are determined to do everything we can to put more money in people’s pockets.[Official Report, 5 February 2019, Vol. 654, c. 2MC.]
Sarah Newton
Let me make these points. I have been asked to address a lot of issues, and I really want to do that.
As well as the poverty figures, the Department for Work and Pensions publishes impact assessments for every new policy that carefully consider the potential impact of those policies on people with protected characteristics, in line with its legal obligations and its strong commitment to promoting fairness. The DWP has a continual and broad programme of research and evaluation of policies affecting disabled people, which is often contracted to independent research bodies, and all the findings are published. A recent example of such work is the research into the experience of PIP claimants, which was published in September and provided valuable insight into how PIP is working to inform policy development.
We have had some appalling misuse of statistics tonight. Of all the people who have applied for PIP, 9% have gone to appeal and 4% have been overturned. I work with a great number of colleagues in this House, with the Select Committees, with the all-party parliamentary groups, with disabled people and with those who represent disabled people. When we hear recommendations on how we can improve the process, we implement them. The Work and Pensions Committee did an extremely valuable piece of work on assessments for ESA and PIP, and we are delivering on implementing those recommendations.
The hon. Member for High Peak (Ruth George), who is a member of the Work and Pensions Committee, spoke about the video recording of PIP assessments. I am determined to see that happen, because it will restore a lot of confidence in the process. We spent the summer carefully speaking to people with disabilities and to those who undertake the assessments—let us not forget that they are fully qualified healthcare professionals—about video recording. Putting all that information together, we started live testing the video recording of PIP assessments only a few weeks ago. That work will be completed in the new year, and we will be able to report back to the Select Committee and to the House on our progress and on how we will roll it out.
We are also undertaking a huge, large-scale test—it is actually the largest randomised control trial of its kind in the western world—as well as research into the employment and support package, to look at all the things that work to enable people with disabilities who want to work to get into work. It was interesting to listen to the personal experiences of the hon. Member for Eastbourne (Stephen Lloyd), and there are many disabled people who want to work but face unacceptable barriers to work, although we have made a lot of progress.
The latest data from the ONS shows that 900,000 more people are in work over the last five years, which is a steady increase in the employment rate from 43% to 51%, but we are very ambitious and want to see that gap close completely so that employers can draw on all the talents of the nation. We have set ourselves the goal of having 1 million more disabled people in work, on which we are making good progress.
Not only are we helping those people who can work into work, but we are always looking at what more we can do to improve our main health and disability-related benefits. Let us be absolutely clear that we are spending record sums on those benefits—over £50 billion this year, which is much larger than our defence budget. The figure has grown by more than £5.4 billion since 2010, and it is forecast to rise in every single year of this Parliament. All those benefits that are about the additional costs of disability were not frozen and were not part of the benefits cap, and include payments for carers, so it is simply not true to say, as Members have this evening, that we have been reducing the amount of money that we spend on the social security system.
Stephen Timms
Professor Alston produced a punchy report, and it made some telling points. He referred to
“the dramatic decline in the fortunes of the least well off in this country.”
He added:
“The Government has remained determinedly in a state of denial.”
From what the Minister is saying, it seems she is confirming Professor Alston’s point. There has, has there not, been a dramatic decline in the fortunes of the least well-off?
Sarah Newton
I was very pleased when the hon. Member for Oldham East and Saddleworth opened this debate by saying that she is an evidence-based policymaker, because I am too. I spent time serving on the Science and Technology Committee, where I was instrumental in having social science brought into its purview, and I was on the board of the Parliamentary Office of Science and Technology. It is very important to me to make sure we use statistics, data and research accurately, and I am quoting from independent, impartial information.
As I said, one person in poverty is one too many, but let us not forget that we have had to deal with the legacy we were left by the previous Government of “There is no money”. We have had to make difficult choices about public expenditure, but we made sure that we increased the amount of money for people with disabilities and we increased money for the NHS. That extra money going into the NHS is directly benefiting people with health conditions and disability.
I have little time to wind up, but I want to mention that we have talked about other barriers that people face to fulfilling their aspiration to play a full part in our society, on which I completely agree. Employment is really important. All of us will be going back to our constituencies. We will do some Christmas shopping, go to carol services and enjoy a panto—we will be doing things with our families—but so many disabled people in our country will not be able to do that. We are absolutely determined through what we do with our sector champions and on our inter-ministerial working groups to make sure that every disabled person in our society can play their full part. We are removing those barriers. We are absolutely committed to living up to all the UN standards that we have signed up to, which are certain to make positive differences and changes.
Cancer Treatment: Psychological Support
Sarah Newton Excerpts(5 years, 5 months ago)
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The Minister for Disabled People, Health and Work (Sarah Newton)
I am sure that I speak for everyone here in congratulating the hon. Member for Alyn and Deeside (Mark Tami) not just on securing such an important debate, but on the bravery he showed in his speech by sharing with the House his family’s experience. It is very important that we bring the voices of the people we all seek to serve in this place into the Chamber, as well as the experiences that were shared from CLIC Sargent and Macmillan, so I thank him for that. I know that he is doing extremely good work through a number of organisations in the House to ensure that cancer patients are getting the very best treatment and support. He has also given a huge amount of support to setting up the all-party group on children, teenagers, and young adults with cancer. Although the hon. Member for Bristol West (Thangam Debbonaire) has left the Chamber, I praise her work on the really good report that she and the hon. Gentleman produced. I read it last night and thoroughly recommend it to other Members.
I am standing in for the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Winchester (Steve Brine), who has ministerial responsibility for cancer. He is very sorry that he cannot be here this evening and he was very pleased to be able to contribute to the APPG’s report. He asked me to remind the House that he has agreed to respond to everything—all the recommendations—in the report, so the hon. Member for Alyn and Deeside will get a full written response from him.
I am pleased to respond on the Government’s behalf to this debate, because it brings together two vital issues, which are crucial to the health of the nation and are at the top of the Government’s priority list. Approximately one in four people in the UK experience a mental health problem every year. In England, one in six people report experiencing a common mental health problem, such as anxiety and depression, in any given week. Cancer affects one in two of us—there will not be anyone here this evening who has not been dreadfully affected by this disease—so it is absolutely important that the Government are focusing on these priorities.
Since 2010, cancer survival rates have been improving year on year. We estimate that some 7,000 people are alive today who would not have been here just 18 years ago, but we are not at all complacent. We know that there is more to do to make sure that our results are the best in the world. That is why last month the Prime Minister announced a package of measures, which will be rolled out across the country and which aim to see three quarters of all cancers detected in the earliest stages by 2028. The plan, backed by a record level of investment in the NHS—an extra £20 billion a year by 2023—will radically overhaul screening programmes and provide new investment in state-of-the-art technology to transform the process of diagnosis and boost research and innovation.
However, what I really want to talk about in the few moments available to me is the support that we must give to people who are living with and beyond cancer. The recovery package, which is a key component of that priority, consists of a set of four interventions that are designed to help patients and clinicians to assess patients’ holistic needs and plan appropriately for their care and support. They include a holistic needs assessment and a care plan, which guide conversations about patient’s holistic needs—not just physical and psychosocial needs, but financial, social and mental health needs. An HNA should take place within 31 days of diagnosis and at the end of each acute phase of treatment, and the care plan should be updated on each occasion. Both interventions enable patients to be referred to appropriate psychological support when necessary.
That personalised follow-up and support to help people to live well with and beyond cancer is a crucial element of the cancer strategy, and helps us to create the world-class cancer services to which we aspire. NHS England will roll out recovery packages nationwide by 2020, so that the support that they provide is available to all cancer patients in England regardless of where they live. All Cancer Alliances are receiving the necessary funding this year to support full implementation of the recovery package.
As the hon. Gentleman has said, some cancers, such as chronic blood cancers, can sadly never be cured. Blood cancer patients are frequently on a regime of “watch and wait”, often over many years, to establish whether their cancer has progressed to a point at which treatment needs to begin. Understandably, that can take a huge psychological toll on not only patients but their families, which is why the recovery package takes a holistic approach and fully considers the patient’s mental health needs. The package is already being commissioned and delivered, in full or in part, by many clinical commissioning groups across England, but NHS England’s aim is to accelerate the process to ensure full implementation by 2020 so that every cancer patient is given that full package of care.
Of course we need to ensure that cancer patients, and their families and carers, can access appropriate mental health services if and when they need such support, which is why the Prime Minister has made improving access to mental health services an absolute priority for her Government. There has been a fivefold increase in the number of people accessing Talking Therapies since 2009-10, and that is excellent progress, but we are not complacent; we know that much work needs to be done. In July last year, the Government announced an additional £1.3 billion to expand the mental health workforce and allow the NHS to treat an extra 1 million patients by 2020-21. That will help to ensure that cancer patients can be referred promptly to any psychological support that they need as part of their recovery package. We know that clinical nurse specialists can provide not just clinical but crucial emotional support for cancer patients as they go through cancer treatment, and—often more important—in the follow-up after their treatment.
Mark Tami
Does the Minister agree that we use the word “cured” far too often, as though there were a cut-off point when people are cured and therefore exactly the same as everyone else, and exactly the same as they were before? The problem with that is that it is not true: it does not take full account of the reality.
Sarah Newton
The hon. Gentleman has made a very important point. That is why the tailor-made, holistic approach to treating every person as an individual is so important: no two people will respond in the same way. No two people have the same family or community support networks around them, so it must be tailored to the individual. There must also be a recognition that some people might need a lot more help over a longer period of time than others. That is why it is so important that NHS England has committed to more people having access to clinical nurse specialists, and why last year’s cancer workforce plan produced by Health Education England committed to greater investment to make sure that everybody has access to that support. There is also a great opportunity here to signpost people to be supported by the wonderful voluntary sector organisations that the hon. Gentleman mentioned this evening.
In conclusion, I want to reaffirm the Government’s utter commitment both to improving people’s survival rates from cancer and to making sure they have tailor-made, supported arrangements, including psychological services, so that people can, not just survive cancer, but live well with cancer and continue to play their full part in society.
Question put and agreed to.
Oral Answers to Questions
Sarah Newton Excerpts(5 years, 5 months ago)
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James Heappey (Wells) (Con)
The Minister for Disabled People, Health and Work (Sarah Newton)
In the Budget, my right hon. Friend the Chancellor announced a £1,000 a year increase in the work allowances under universal credit, which will provide a £630 boost to working disabled people and families on low incomes. That is in addition to the additional support for claimants in receipt of severe disability premium announced in June.
Mr Streeter
I thank my hon. Friend for her reply. Will she join me in welcoming the success of the Disability Confident programme, which many employers in both the private and public sectors are embracing with enthusiasm? Is it making a difference to the number of disabled people who are in employment?
Sarah Newton
I am delighted to echo my hon. Friend’s words. We are determined that every disabled person has the opportunity to fulfil their potential, and Disability Confident has helped many employers recruit and retain talented disabled people. The latest data indicates that there are now 3.9 million disabled people in work, which is an increase of 973,000 since 2013.
James Heappey
Somerset’s economy is characterised by tens of thousands of small businesses and start-ups. How many start-up loans have been granted to people with disabilities, and what steps is the Department taking to help to ensure that those with disabilities across the Wells constituency have the support that they need to start their own small business?
Sarah Newton
That is an excellent question. The new enterprise allowance supports people to set up a business, and a quarter of the 220,000 new entrepreneurs have a self-declared disability. The personal support package, the Work and Health programme and Access to Work all support self-employed disabled people. A record 33,860 people were supported through Access to Work this year, an increase of 13% on last year.
Dr Paul Williams (Stockton South) (Lab)
That may be so, but the charity Scope reports that the disability employment gap has remained stubbornly at 30% for about a decade. Will the Minister make a bold commitment to disabled people up and down the country and reinstate the previous target of halving the disability employment gap?
Sarah Newton
I hope that the hon. Gentleman will, like Scope, welcome data published last week by the Office for National Statistics showing that, for the first time since records were kept, there are more disabled people in work than out of work. We are utterly determined to close that unemployment gap to make sure that the whole nation draws on all the talents of disabled people.
Carol Monaghan (Glasgow North West) (SNP)
The Department for Work and Pensions was due to bring forward regulations to protect the severe disability premium. Can the Minister tell the House when we expect to see them published?
Sarah Newton
A very good question. The regulations will be published before Christmas, and I hope that everyone in the House will vote for them so that people on the severe disability premium will have that protected in universal credit.
Marsha De Cordova (Battersea) (Lab)
The DWP has repeatedly ignored evidence of the devastating impact of cuts to social security on disabled people. The UN report into extreme poverty found that
“compassion...has been replaced by a punitive, mean-spirited, and...callous approach”
to social security. The Government have a history of dismissing UN recommendations on disabled people, but the Department now has a chance to end that. Will the Minister finally listen and accept the conclusions of the most recent UN report?
Sarah Newton
We are putting in place record levels of funding to support people with disabilities. In every single year of this Government we increase our expenditure for people with disabilities. I published a very full response to the previous UN report, and I utterly repudiate the conclusion that this country does not support disabled people. I am determined to make sure that every disabled person in our country has the opportunity to fulfil their potential.
Marsha De Cordova
The UN report condemned the Government’s sanctions regime as “debilitating”, “draconian”, “harsh” and “arbitrary”, and urged the Government to conduct an independent review, yet Ministers recently admitted that they broke their promise and failed to carry out such a review. Has the Department learnt its lessons about creating a hostile environment, and will the Minister commit to carrying out an independent review of sanctions and conditionality on disabled people?
Sarah Newton
The benefit system is there to provide personalised and tailored support for its recipients. There were factual errors in the reporting by the UN rapporteur. For example, on mandatory reconsiderations, he absolutely denied the fact that decisions were overturned, yet 19% of mandatory reconsiderations found in favour of disabled people. We have undertaken a huge number of independent reviews of our benefit system and we do not hesitate in making improvements when they are identified.
Julie Elliott (Sunderland Central) (Lab)
Toby Perkins (Chesterfield) (Lab)
The Minister for Disabled People, Health and Work (Sarah Newton)
In the first six months of 2018, 71% of PIP decisions and 51% of UC decisions heard and decided at appeal were revised. For context, of the 3.5 million PIP decisions made to date, 9% of all decisions have been appealed and 4% have been successfully appealed. We remain utterly committed to ensuring that we get decisions right first time and reduce the number of appeals.
Toby Perkins
The Minister may be committed to reducing the number of appeals, but the statistics she has just revealed show how awfully the system is working for many of the most vulnerable in our society. As she says, 71% of appeals are successful. That is putting a huge financial strain on the system but, more importantly, some of the most vulnerable are going through incredibly stressful processes. Will the new Secretary of State work with the Minister to improve the system so that the people who come into our surgeries every single week and tell us how awful the system is can stop going through the process as they are currently having to?
Sarah Newton
I am sure that I will have the support of the Secretary of State in continuing our comprehensive plan for improving PIP. However, I hope that the hon. Gentleman will welcome the fact that, according to the most recent data from the Ministry of Justice, there has been a 15% decline in the number of appeals, and the customer satisfaction rating for PIP has risen from 76% to 87%. I have always said that one person’s poor experience is one too many, but we will continue to do everything that we can to get it right first time.
Vicky Ford (Chelmsford) (Con)
If 9% of PIP decisions are being appealed against, does that mean that more than nine out of 10 people do not appeal against theirs because they do not wish to challenge them? Will the introduction of video recording improve that rate so that there is even more confidence that the decisions are right?
Sarah Newton
My hon. Friend makes a very good point. As I have said, the customer satisfaction ratings are high, and the assessments themselves consistently meet our quality target, which is over 90%. I am pleased to say, however, that our plans for the video recording of the assessments are going very well, and the live testing trial will start later this month.
Henry Smith (Crawley) (Con)
Michael Tomlinson (Mid Dorset and North Poole) (Con)
The Minister for Disabled People, Health and Work (Sarah Newton)
Employment has increased by more than 3.3 million people since 2010 to a record high of 32.4 million. This is on average 1,000 more people in work every day under this Government. In the recent Budget, the Chancellor was able to confirm that our economy is growing strongly and that we will see increases in opportunities for people to be able to work.
Sir Edward Leigh
Surely it is not enough for us to stress the record number of new jobs created; we have to convince people that these are real jobs, with workers’ rights being protected, and above all we have to convince people that the pay of indigenous workers is not being undercut by mass immigration.
Sarah Newton
My hon. Friend is quite right to say that it is really important that we want to build on our strong record of protecting and enhancing employment rights. We are determined to grow full-time high-quality jobs, and that is just what we are doing. The latest labour market statistics show that the number of full-time jobs is up 82,000 on the quarter, up 416,000 on the year and up almost 2.7 million since 2010. That is a record high. The statistics also show that average earnings are rising in real terms.
Michael Tomlinson
Notwithstanding the previous question, this country remains the jobs factory of Europe, creating more jobs than almost 12 other nations combined. Will my hon. Friend update the House on the youth employment figures and tell us how they compare with those of our European allies and neighbours?
Sarah Newton
My hon. Friend makes an important point. This is the future of our country. I am proud to say that the overall level of youth unemployment in the UK has nearly halved since 2010. Our youth unemployment rate is lower than that of France, Spain and Italy. The UK youth unemployment rate is 5.8 percentage points below that of the euro area, and 3.9 percentage points below that of the EU28 average.
Paula Sherriff (Dewsbury) (Lab)
As the Minister knows, many of the jobs created since 2010 are low paid and insecure, and the number of people in in-work poverty has risen. Will she therefore tell us what assessment her Department has made of the increase in the use of loan sharks and other illegal money lenders?
Sarah Newton
I am afraid that the hon. Lady is just factually incorrect. The vast majority of jobs have been full-time, well-paid jobs. I have the honour of representing my home, the area where I grew up, and I can tell her that I have seen at first hand the growth of full-time well-paid jobs all around my constituency since 2010. That is what this Government are delivering all over the country.
Matt Western (Warwick and Leamington) (Lab)
We have seen an exponential increase in underemployment since 2010, through the growth of part-time jobs and zero-hours contracts. Does the Minister therefore agree that what we have actually seen is a jobs mirage rather than a jobs miracle?
Sarah Newton
I am afraid that the hon. Gentleman is just factually incorrect. We have seen the growth of many full-time jobs, and the number of zero-hours contracts is going down. Speaking as a woman who raised her family, I can tell him that part-time employment can be an extremely good option for many people in our labour market.
Theresa Villiers (Chipping Barnet) (Con)
Maggie Throup (Erewash) (Con)
The Minister for Disabled People, Health and Work (Sarah Newton)
I thank my hon. Friend for asking that really good question. People who qualify for PIP before retirement age are able then to carry on claiming PIP, so long as they are eligible, into retirement. That is in addition to pension or any other benefits to which they are eligible.
Margaret Greenwood (Wirral West) (Lab)
The UN special rapporteur on extreme poverty and human rights said in his report that the rising level of child poverty is not just a disgrace but is a
“social calamity and an economic disaster”,
and that Government policies are locking millions of children
“into a cycle of poverty from which most will have great difficulty escaping.”
According to Joseph Rowntree Foundation research published today, the current freeze on working-age benefits is the single biggest driver behind rising child poverty levels. Will the new Secretary of State end the benefits freeze and make tackling child poverty the priority it should be once again?
Alex Burghart (Brentwood and Ongar) (Con)
I am delighted to welcome the new Secretary of State to her place, and I thank the old Secretary of State—[Hon. Members: “Former!”] My apologies—I thank the former Secretary of State for all she did, not least in acquiring the additional money for universal credit. I am delighted to say that we now have record disability employment in this country. Will the Minister confirm that the Department will continue to work on giving assistive technology to disabled people to help them to find work?
Sarah Newton
I thank my hon. Friend for that question about a really important matter. It is great to see the use of the tech fund in access to work. We are always working on this, and on Wednesday we should have a really good announcement to make on expenditure through the challenge fund, which will enable even further use of technology to support people into work.
David Hanson (Delyn) (Lab)
In congratulating the new Secretary of State, may I commend to her the “Panorama” programme that was filmed in my constituency last week? It showed chaos in the universal credit system, poverty and people being evicted, as well as landlords not accepting that the system worked in their interest. Will she watch that programme and report to me on its contents?
Work and Pensions
Sarah Newton Excerpts(5 years, 6 months ago)
Ministerial CorrectionsRead Full debate Read Hansard Text Read Debate Ministerial Extracts
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:
Sarah Newton
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 we will pay out £420 million to the pre-2014 group.
Employment and Support Allowance Underpayments
Sarah Newton Excerpts(5 years, 6 months ago)
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Urgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
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Marsha De Cordova (Battersea) (Lab)
(Urgent Question): To ask the Secretary of State for Work and Pensions if she will make a statement on the updated figures on the employment and support allowance underpayments.
The Minister for Disabled People, Health and Work (Sarah Newton)
The Department is correcting some historical underpayments of ESA that arose while migrating people from incapacity benefit to employment and support allowance. We realise how important it is to get this matter fixed. The mistakes clearly should not have happened and it is vital that the situation is sorted as quickly as possible.
For the initial stage of the exercise, we expect to review around 320,000 cases, of which around 105,000 are likely to be due arrears. We now have a team of more than 400 staff working through these cases and have paid around £120 million of arrears. We expect to complete the vast majority of this part of the exercise by April 2019, and we have to date completed all cases where an individual is terminally ill and has responded to the review, thereby ensuring that they receive due priority. The additional cases will be undertaken throughout the course of 2019.
The announcement in July to pay cases back to the point of conversion requires us to review an additional 250,000 cases, of which we estimate around 75,000 could be due arrears. We will undertake this work throughout the course of 2019. An additional 400 members of staff will be joining the team throughout this month and November, and we will be assigning further staff throughout the review of the 250,000 cases. That will enable us to complete this very important activity at pace.
The Department has prioritised checking the claims of individuals who, from our systems, we know to be terminally ill. To date, we have completed all cases from the initial 320,000. Where an individual is terminally ill and has responded to the review, we want to ensure that they get that money as soon as possible. We are therefore now contacting cases identified as most likely to be have been underpaid according to our systems. Some of those cases will undoubtedly be the most complex ones.
The Department yesterday published an ad hoc statistical publication, setting out further detail on the progress we have made in processing cases, and revised estimates of the impacts of the exercise, including details on the number of claimants due arrears and the amounts likely to be paid. Yesterday, I also updated the frequently asked questions guide and deposited it in the Library, and I will continue to update the House.
Marsha De Cordova
I thank Mr Speaker for granting this urgent question.
Yesterday, it emerged that up to 180,000 ill and disabled people have been underpaid vital social security dating back to 2011. In July this year, the Government initially estimated that 70,000 ill and disabled people were underpaid, but it is now clear that more than double that amount were underpaid £5,000 on average, after having been wrongly migrated from incapacity benefit to contributions-based ESA, thereby denying them the additional social security support payments such as the severe disability premium. It has taken the Government six years to acknowledge these mistakes and seven years to find out how many disabled people have actually been affected. Some disabled people will wait 10 years to receive back payments.
The Department for Work and Pensions now estimates that it will pay up to £1 billion as a result of this shambolic error, so will the Minister tell us what mechanisms the Department has in place to ensure that the timeline for repayment is followed? Will she ensure that she will keep this House updated? Will her Department pay compensation to those who have been pushed into rent arrears, debt and destitution? What support will the Department provide to the estates of the ill and disabled people who have tragically passed away before receiving their back payment? How much of the Government’s total expenditure on social security is spent on underpayments, and what actions are the Government taking to put this right? Given the scale of the error made transferring people to ESA, how can the Government ensure that they will get it right when transferring up to 1 million disabled people on to universal credit? Perhaps the most important question is this: will the Minister apologise to the almost 200,000 disabled people and their families who have been denied vital social security support?
Sarah Newton
We first came to the House to talk about this issue last December, and we have regularly updated the House since. I myself have already apologised. Clearly, this was a dreadful administrative error in the Department and should not have happened. The permanent secretary has also apologised to the Public Accounts Committee and the National Audit Office for the administrative mistakes.
It is important to recognise that, when people were transferring across from IB to ESA, a very paternalistic approach was taken, meaning the claimant was not involved in the transfer at all. All the funding they were receiving from the Department was transferred across, so nobody had anything taken away from them; rather, people missed the opportunity to receive additional support by way of an additional premium. We are now making sure, by reviewing these cases, that people get everything they are entitled to, because it is important that our benefits system benefits those who are entitled to it.
The hon. Lady raises important questions about what we have learned. We have learned a great deal from this exercise. As we have regularly told the House and Select Committees—the permanent secretary was before the Work and Pensions Select Committee only yesterday answering questions—the culture and mechanisms in the Department for spotting errors have been fundamentally reviewed. As we have discussed at length—this is a matter of public record—people in the Department and stakeholders came forward and pointed out some of the problems with the migration, but the Department responded in the belief that they were a series of one-off errors.
By 2014, it was recognised that some people were not being migrated accurately, and guidance was put in place. These were administrative errors that occurred in the Department, and officials took the appropriate action to the best of their ability. In fact, it was thanks to the good housekeeping of the DWP that the scale of the error was spotted. It was during the routine work undertaken on fraud and error that it was detected. At that point, Ministers were told, and they then undertook the administrative exercises that have led to the situation today.
As the Minister responsible now, I am looking towards the next huge migration of people—from ESA to universal credit—and the Secretary of State has made it absolutely clear that we will take an extremely careful test-and-learn approach and make sure that this time we involve the claimant in the migration. That is how we will avoid the situation reoccurring.
Sir Mike Penning (Hemel Hempstead) (Con)
The Minister has rightly apologised, and I, too, apologise, because I was the responsible Minister during part of the migration. Mistakes happen in all Governments—they happened during the 13 years Labour was in government and before that when we were in government. The question is how we handle it. In a Department with a budget in excess of £250 billion a year, mistakes will be made, but will the Minister make sure, where compensation payments are required—because there will be people who have suffered—that we admit it and address it, rather than taking a partisan attitude, which I am sorry to say we have heard here today? Mistakes were made before, and mistakes have been made now. We have to address that today.
Sarah Newton
I appreciate what my right hon. Friend says. As I have made clear from the start, and as is completely supported by the Secretary of State, my focus is to fix the problem as soon as possible. We have put in considerable additional resource to make sure people get back payments as soon as possible. As far as possible, we are reaching out and getting the money to those who will most benefit from it.
I also want to reassure the House that the families of people who would have benefited from this additional payment and who tragically have died are being contacted. We are trying to find their families so that they can have that money.
Then there is the whole issue of whether people have missed out on passported benefits; I think that is the point that my right hon. Friend was raising. Each passported benefit is the responsibility of the Government Department concerned, and it would be very impractical for us to find out whether people accessed particular schemes. For example, the Department of Health, as we all know, has a low-income prescription scheme that some people might have accessed and some might not have done. We are going through the process of, wherever possible, making sure that people get the money that they should have as soon as possible. We have ongoing discussions with the other Departments that have passported benefits to make sure that people on low incomes get those benefits.
David Linden (Glasgow East) (SNP)
It is absolutely staggering that this error has happened on the DWP’s part. The fact that it was allowed to happen over so many years should be shocking, but actually it is not, because I and many of my colleagues see, week in, week out—every single week—the absolute ineptitude of the Department for Work and Pensions. I have a lot of respect for the Minister, but to suggest that this was somehow due to a housekeeping issue on the part of the DWP really is laughable, because it has been an absolutely unacceptable situation.
Will the DWP be undertaking investigations to find out what impact having less money has had on these people? How many of them were forced into poverty, and how many had to use food banks? How many suffered physically or emotionally as a result of this catastrophic error, and was their condition impacted? What investigations are the Department undertaking to ensure that similar errors have not been repeated? How is the Minister strengthening the Department’s internal mechanisms to ensure that these errors can be rectified more quickly in future?
Sarah Newton
The permanent secretary has been discussing with the Public Accounts Committee and the National Audit Office the very substance of the hon. Gentleman’s question about strengthening procedures within the Department to make sure that this does not happen again. The National Audit Office made a series of recommendations to the Department about strengthening procedures within the Department which the permanent secretary has accepted and which are now in place. For example, if members of staff or stakeholders raise concerns about something going wrong or some unintended consequences with regard to the administration of benefits, they are referred to a committee in the Department and those matters are properly considered. We have much wider and deeper stakeholder engagement. It is particularly important now, as we move forward in designing the new benefit of universal credit, that stakeholders work with disabled people themselves—who are obviously experts on their own condition—and with us to shape those processes to make sure that we absolutely get them right. I am absolutely determined to make sure that that is the case.
Alex Burghart (Brentwood and Ongar) (Con)
I welcome the Minister’s apology and the comments she has made about system learning—that is extremely important. How long does she envisage it will take before everyone affected is repaid the money they are owed?
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?
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, 22 October 2018, Vol. 648, c.2MC.]
Bob Blackman (Harrow East) (Con)
We are talking about some of the most vulnerable people in society, who will be assisted by either carers or charities. Can my hon. Friend update the House on what assistance is being given to charities and carers? Is there a helpline or somewhere that people who may not be contacted by the Department can seek help and assistance?
Sarah Newton
My hon. Friend is a doughty champion for the most disadvantaged people in society, so I would expect no less a question from him. To reassure him, I visited the main centre in Oldham where we are contacting people who we feel may have been affected and then beginning to collect information, so that we can ensure that we pay them what they are owed. We are being very careful to ensure that we send letters, and in the letter there is information about a helpline that people can call.
We are very happy to speak to people’s carers. As my hon. Friend says, some people with severe disabilities may not be able to engage with us, and people with mental health conditions may be anxious and not want to engage with us. I was incredibly impressed by the care, compassion and professionalism of my colleagues in the Department for Work and Pensions in Oldham who are undertaking this very important exercise.
Stephen Timms (East Ham) (Lab)
The National Audit Office did not find the Department to be transparent when it was raising concerns about this; it found it to be defensive. Unfortunately, that has characterised the Department for a number of years around universal credit, as the NAO has pointed out in the past. With this much bigger transfer ahead, which the Minister mentioned, are there any proposals to change the culture of the Department and to be more open when problems of this kind are raised?
Sarah Newton
I am grateful for the right hon. Gentleman’s question, and I deeply respect the work that he has done throughout his time in Parliament to stand up for the most vulnerable people in our society. I can reassure him that we are learning a lot of lessons from what happened when we migrated people from incapacity benefit to ESA. I think he was in the House when the Labour party created the work capability assessment and ESA. We have been working very hard to improve that benefit and to ensure that we learn lessons.
These problems arose because of the way that the migration was handled, and I am determined to ensure that when we go forward into UC, claimants are involved, to ensure that they are not missing out on any of the benefits to which they are entitled. We are working very closely with disabled people, people with health conditions, charities, citizens advice bureaux and disability rights organisations to ensure that we get that process absolutely right.
Tom Pursglove (Corby) (Con)
Can my hon. Friend confirm how those affected will be communicated with and how quickly? Is appropriate guidance and advice being cascaded to commonly used community advice services?
Sarah Newton
Once we scan the cases of those who have been underpaid to see who is most likely to benefit, we write to them and give them a telephone number so that we can work with them to complete their form as quickly as possible. We of course very much welcome the support that people get from carers and other professionals to do that. There is a telephone line, and we do work very carefully and considerately to make sure that people can work with us as easily as possible.
Thangam Debbonaire (Bristol West) (Lab)
My constituent L has been without ESA since September 2017 and has been surviving on personal independence payments. After lodging an appeal with a sick note, he should have been put on the appeal payments rate, but he was not, despite the intervention of his support worker, until I intervened, which is not satisfactory. He is now receiving the appeal rate, but even if his appeal was successful today, he would be owed over £4,000—money he needs—and he still has no appeal date. I know the DWP staff are doing their best, but they have told my staff that L has slipped through the net. Is the system not supposed to be the net? Does the Minister think this is acceptable?
Sarah Newton
I clearly do not think that that case is acceptable at all. Clearly, there was a mistake there. I am pleased that the hon. Lady has been able to intervene and that the gentleman is now getting the benefit to which he is entitled. We are always working to improve our processes and our systems.
Philip Davies (Shipley) (Con)
May I commend the Minister, who is a decent person? She is an excellent Minister, and she is doing a great job of dealing with an issue that predates her period as a Minister by an awful long time. She should be commended for the work she is doing in trying to put this matter right. That is in stark contrast, I might say, to the Labour party.
My hon. Friend the Minister will recall the scandal of tax credits, when half the people were paid incorrectly—some underpaid, some overpaid and millions paid the wrong amount—and those people are still, in many cases, owed those debts today. May I commend her for the work she is doing? She should not allow herself to be sidetracked by Labour Members, who sound all indignant when it suits them, but when they were in office and tax credits were introduced—I believe the right hon. Member for East Ham (Stephen Timms) was in government at the time—they made a complete Horlicks of it and never fully cleared up the mess they created.
Sarah Newton
I thank my hon. Friend for his kind words. It is an honour and a privilege to have this job, and I am absolutely determined that we will do everything we can to make sure that people get the back payments they rightly deserve. He makes a very good point about the absolute devastation that tax credits caused to so many people’s lives, and he is quite right to remind us of that. I want to point out that when people were transferred from IB to ESA, nobody had a loss of income. What we are talking about is money to which they might have been eligible at the time but did not get at the time, but everybody transferred across on the benefit they had.
Ian Mearns (Gateshead) (Lab)
I say to the hon. Member for Shipley (Philip Davies) that I am sorry, but two wrongs do not make a right, and his party has been in government for eight years—I repeat, eight years—now.
This involves hundreds of thousands of the most vulnerable people in our society, which I am afraid to say makes me angry and very sad. Given the time that has elapsed since this came to light, some if not many of the individuals who are known to be terminally ill will, sadly, have died. Their loved ones will have lost a loved and treasured family member in the knowledge that they had to endure increased hardship due to wrongly withheld benefits. What are Ministers doing to console those families and to compensate them for their loss?
Sarah Newton
I absolutely agree with the hon. Gentleman that these are some of the most vulnerable people in society. That is why we have put in place everything that we can to reach out to them and make sure that they get the benefits they absolutely deserve to have, and where people, tragically, have passed away, that their families receive those benefits. I have apologised, the Secretary of State has apologised and the permanent secretary has apologised. This mistake should not have happened, and we are absolutely determined to sort it out as swiftly as we possibly can.
Stephen Doughty (Cardiff South and Penarth) (Lab/Co-op)
I am afraid that the Minister coming to the Chamber and praising the Department for good housekeeping is extremely ill-judged and inappropriate in such a serious situation. Of course, this is just the top of the hill. I have had vulnerable constituents waiting for up to a year, and receiving reduced payments or nothing at all. Before this scandal even came out, one of my constituents had to be paid £2,000 backdated, but only—like my colleague, my hon. Friend the Member for Bristol West (Thangam Debbonaire)—after my and my team’s intervention. Will the Minister tell us how many claims are allowed following an appeal, and how long is the current waiting time for those appeals?
Sarah Newton
The hon. Gentleman is now bringing up cases of people who applied for ESA more recently—I think that is what he is talking about—which is different from the people who were migrated across from incapacity benefit to ESA. Clearly, it is really important that we get the decision right first time for everyone. That is what we absolutely want to do: make sure that people applying for ESA are treated with respect and dignity, and get the right result.
I always look at the claimant experience, because behind every statistic is a real live person. The independent data shows that, when asked how they experienced the work capability assessment, over 90% of ESA claimants are satisfied. Obviously, some people, about 9% of people who apply for ESA, take their cases to appeal because they are not satisfied with the results. About 4% of those cases are upheld. Often, that is a case of more medical information being brought forward. I do not want there to be any appeals; I want to make sure we make the decisions right first time. That is why we put in place independent reviews and put in a huge amount of work to improve the work capability assessment and improve the benefit. [Interruption.] From a sedentary position, people are shouting out, “How long is the waiting time for appeals?” [Interruption.] I think the custom in the House is that Members rise to their feet to ask a question. [Interruption.]
Mr Deputy Speaker (Sir Lindsay Hoyle)
Order. Lots of Members want to get in. We need short and accurate answers.
Sarah Newton
I want to come on to answer the question about the waiting time for appeals. That is the responsibility of the Ministry of Justice. I am working very carefully with the MOJ to reduce the amount of time people have to wait for appeals. It is coming down. In the last set of statistics I saw, it had come down by 9%. Over 200 judges have been recruited to the tribunal service, so we can see improvements—
Mr Deputy Speaker
Order. Can I just say that it is not fair to keep going? I am sure there will be a written question to which there will definitely be an answer.
Deidre Brock (Edinburgh North and Leith) (SNP)
Will the Minister confirm that the money will not come from existing budgets? Will she also make representations to the Chancellor to ensure the extra spending will not impact on additional spending urgently needed in other areas, such as universal credit?
Sarah Newton
I very much want to confirm that there is no impact on any of our existing benefits claimants. For anybody who is on benefits now, their money is not impacted by this whatsoever. We are absolutely making sure we have the right resources, both in staff and in paying out these benefits. It will not have an adverse effect on existing claimants.
Diana Johnson (Kingston upon Hull North) (Lab)
Due to the serious nature of this issue, I am surprised that there has had to be an urgent question, not a ministerial statement. I am also disappointed that the Secretary of State is not here, because of the seriousness of the situation. Thirdly, I am very disappointed that the Minister is talking about action at pace, when it seems that it will be months and months and months ahead before this will be resolved. My question is this: what is the impact of disability premiums on tax credits? Will they also be repaid by Her Majesty’s Revenue and Customs?
Sarah Newton
Let us be clear: the Secretary of State came to the House last December and we have made a series of statements. Just yesterday, there was a written statement. We have put out information. The choice of urgent questions is a matter for Mr Speaker; it is not a matter for us. We have regularly updated the House with written ministerial statements. We had oral questions on Monday, so there was the opportunity for Opposition Members to raise these questions then. There was an opportunity again during yesterday’s debate. We are regularly in this House. We are absolutely accountable to Parliament and will continue to update the House regularly.
Fiona Onasanya (Peterborough) (Lab)
For the record, as stats were published yesterday, this could not have been raised on Monday. The Secretary of State advised that the disabled would be better off under universal credit. Where can those calculations be found? Other statistics have shown that the disabled will be worse off—this affects 750,000 people. Furthermore, constituents have written to me regarding work capability assessments and feel that leading questions have been asked and wrong decisions made on claims. However, the Minister said that on ESA, the Government have tightened what they are doing now, things have been looked into and they are trying to make it more streamlined and more consistent. On the question asked by my right hon. Friend the Member for East Ham (Stephen Timms), I would like to know what safeguards are in place to ensure that vulnerable people are protected and assessments are fair.
Sarah Newton
The work capability assessment was at the heart of the hon. Lady’s question, and it has been the subject of consultations and huge amounts of stakeholder engagement. We are absolutely determined to continuously improve the work capability assessment. Healthcare professionals who undertake the assessments are all medically qualified and they are all trained. We have a huge amount of stakeholder engagement working with us constantly to improve the work capability assessment and in fact, the whole claimant journey through ESA.
Sarah Newton
I reassure the hon. Lady, if she has any doubt in her mind, that we take this matter extremely seriously. We want to make sure that everybody who is underpaid gets their payment as soon as possible. We absolutely have to get this right. We talked about how vulnerable some people are and the complexity. It is really important that we get this right. There is a lot of legislation around official error and the laws that apply to underpayments and how they should be repaid.
The hon. Lady has raised a specific case that I am not familiar with, so the best thing to do is for me to write to her on that specific case, because I do not want to mislead the House in any way.
Alison Thewliss (Glasgow Central) (SNP)
A constituent of mine, a young woman with fibromyalgia, had her ESA stopped and was told by the DWP to move over on to universal credit while waiting for a mandatory reconsideration. My understanding is that if she had done so, she would not be able to move back on to ESA even if the mandatory reconsideration was successful. How are people being tracked through this labyrinthine system and how certain is the Minister that everybody will get back-payments who is entitled to them, particularly if they have moved from one benefit to another over this period?
Sarah Newton
It is always very difficult to comment without the full details of the specific case. As the hon. Lady knows, I am always happy to meet Members of the House and go through particular cases. If I may talk in general terms, ESA within UC is the same: people apply, they have a work capability assessment and they are assessed. I reassure her that the process is the same and that if the Department makes mistakes, we do back-pay, as we have heard today. But let us meet on that specific case, so that I can give her the best possible advice for her constituent.
Chris Elmore (Ogmore) (Lab)
The Minister’s apology is welcome, but it brings little comfort, as she will appreciate, to anyone who has been affected. At least she is acknowledging that things could be resolved.
There has been much talk today across the House about whether this is our fault or the Government’s fault, and everything else. I make the point to the Minister that in September last year a UN report on the Government’s policies on disabled people by the Committee on the Rights of Persons with Disabilities said that those policies were creating a “human catastrophe” for disabled people. That is something that has never been put to a Labour Government. Does she not understand that this massive underpayment of ESA is only reinforcing the fact that the Government are destroying disabled people’s lives?
Sarah Newton
I utterly reject the suggestion that we are destroying the lives of disabled people. We did not agree with the United Nations at the time, because we did not think that it had taken into consideration all the evidence that we had given to it. I published a full response to the UN, which I hope very much that the hon. Gentleman will read. It is in the Library, and it shows the huge amount of support that we are giving to disabled people.
Benefits for disabled people in our country have never been higher, but we are not at all complacent. We know that there is more to do. I want all disabled people in our country to be able to live their lives independently and play their full part in society, and we will continue to ensure that that is the case.
Jessica Morden (Newport East) (Lab)
A constituent who rang my office this morning was concerned that if they received the money that was underpaid, it might then be clawed back from other benefits. Will the Minister confirm that that will not happen?
Sarah Newton
That is a very good question, and I can assure the hon. Lady’s constituent that it will not happen. The full details are in the “frequently asked questions” section in the Library.
Employment and Support Allowance
Sarah Newton Excerpts(5 years, 6 months ago)
Written StatementsRead Full debate Read Hansard Text Read Debate Ministerial Extracts
The Minister for Disabled People, Health and Work (Sarah Newton)
This written statement is a further update to the House on progress in correcting historic ESA underpayments and paying arrears.
The Department began work to assess cases in December 2017. For that stage of the exercise we expect to review around 320,000 cases, of which around 105,000 are likely to be due arrears.
We now have a team of over 400 staff working through these cases and have paid around £120 million in arrears. We expect to complete the vast majority of this part of the exercise by April 2019, and have to date completed all cases where an individual is terminally ill and responded to the review, thereby ensuring they receive due priority.
The announcement in July to pay cases back to the point of conversion requires us to review an additional 250,000 cases, of which we estimate around 75,000 could be due arrears. We will undertake this work through the course of 2019. We now have a team of over 400 staff working through these cases, with a further 400 due to join the team through October and November, and will be assigning more staff to review the additional 250,000 cases. This will enable us to complete this important activity at pace.
The Department is publishing an ad hoc statistical publication today setting out further detail on the progress it has made in processing cases and revised estimates of the impacts of this exercise, including details of the number of claimants due arrears and the amounts likely to be paid. This will be published on gov.uk.
There are currently around 2.3 million working-age people on employment and support allowance. In 2018-19, £54 billion will be been spent on benefits to support disabled people and people with health conditions this year, which is over 6% of all Government spending and a record high.
A frequently asked question guide will also be will be deposited in the Library of the House for further information.
[HCWS1017]
Oral Answers to Questions
Sarah Newton Excerpts(5 years, 6 months ago)
Commons ChamberRead Full debate Read Hansard Text Read Debate Ministerial Extracts
Ruth Cadbury (Brentford and Isleworth) (Lab)
The Minister for Disabled People, Health and Work (Sarah Newton)
Let us not forget that behind every statistic is a person. That is why I focus on the claimant satisfaction survey data. Overall the customer satisfaction rate is positive, with 87% for PIP and over 90% for the work capability assessment in ESA. We continually look at how we can improve accuracy in our processes.
Ruth Cadbury
Many of my disabled constituents are contacting me about their assessments for PIP and ESA. Of just two who contacted me about their health assessments, I identified 14 failures of due process—for just two cases. Given that 65% of appeals completed on the initial fit-for-work decisions were overturned and that the courts have consistently struck out DWP assessment decisions, does the Secretary of State not think that the money spent on defending those cases would have been better spent supporting disabled people?
Sarah Newton
I thank the hon. Lady for bringing up those specific cases, and of course I would be happy to meet her to look into them. Actually, of all the millions of people who have been assessed for PIP, only 9% have appealed those decisions, and 4% have been upheld, mostly because at that point, more medical information is brought forward. One person’s mistake is one too many, and that is why we are constantly improving the process.
Mary Robinson (Cheadle) (Con)
Given that people with autism can become particularly distressed and anxious at the prospect of a face-to-face assessment, what more can be done to support those people and perhaps conduct the assessment without the face-to-face interview?
Sarah Newton
I thank my hon. Friend for her question. It is important that we put people at the centre of our processes and make sure that they work for everyone, irrespective of their impairments, and that is what we seek to do.
Luciana Berger (Liverpool, Wavertree) (Lab/Co-op)
My constituent David Gamble has a number of degenerative conditions that are so serious that he was granted higher-rate mobility DLA indefinitely, but when it came to his PIP assessment he was given a score of zero. It has been 18 months since then, his appeal has been adjourned three times through no fault of his own and still the DWP has not even applied for his full medical records. Will the Minister intervene to ensure that he can have a proper decision?
Sarah Newton
Something clearly has gone terribly wrong in that situation and of course I would be delighted to meet the hon. Lady.
Marsha De Cordova (Battersea) (Lab)
NHS survey data show that, under the Conservatives, 43% of those in receipt of ESA have attempted suicide. Leading academics, disabled people’s organisations and clinicians have raised concerns that the work capability assessment is causing a mental health crisis. The WCA is not fit for the 21st century—it is outdated and is causing preventable harm—so I ask the Minister: is it not time that the Government scrap the WCA that is pushing so many people to suicide?
Sarah Newton
First, I remind the hon. Lady that it was the Labour party in 2008 that introduced the work capability assessment. Ever since then, we have been using independent advice to reform the work capability assessment.
Mr Speaker
Order. I apologise for barking at the hon. Member for Battersea (Marsha De Cordova). She has asked her question with considerable force and eloquence, but the Minister is entitled to reply. It is not for the Chair to take sides in these matters, but I do want to say that the Minister is unfailingly courteous and she must be treated with courtesy, whatever people think of the answer. The Minister must be heard.
Sarah Newton
Especially on such an incredibly sensitive subject as people wanting to take their own life. Our chief medical officer, Professor Gina Radford, has made it absolutely clear that the NHS data shows there is no causal link between applying for benefits and people tragically taking their lives.
Luke Pollard (Plymouth, Sutton and Devonport) (Lab/Co-op)
Andrew Jones (Harrogate and Knaresborough) (Con)
The Minister for Disabled People, Health and Work (Sarah Newton)
We support disabled people into work through a wide range of initiatives, including our £500 million Work and Health programme and the £330 million personal support package, and Access to Work supported over 25,000 people last year. I had meetings all through the summer with our Work and Health Programme providers, including Reed in Partnership in Yorkshire, and I saw fantastic work being done to take a health and wellbeing approach to enable people back into work.
Andrew Jones
Many employers have signed up to the Disability Confident scheme—as I have—to ensure that disabled people have the opportunity to achieve their ambitions and employers can choose from a wider selection of talent available. I am now encouraging businesses in Harrogate and Knaresborough to sign up. Will the Minister join me in encouraging employers right across our country to sign up to this impressive initiative?
Sarah Newton
I thank my hon. Friend for his question and for his fantastic leadership in his constituency. I am delighted to say that hundreds of employers are signing up every week to the Disability Confident scheme, with more than 8,300 having signed up in total, including well over 800 in his own constituency. Many Members have taken up the community challenge, and it is not too late for those who have not participated. I encourage everyone to help people to sign up to be disability confident.
Lucy Powell
Thank you very much, Mr Speaker, but I am afraid that I am not smiling about the Minister’s replies, because they are so far detached from the reality that many of us are seeing on the frontline. She will know that those facing a change in circumstance are not protected by the transitional protections. This is affecting dozens of disabled constituents of mine, such as Dean, who has lost £300 a month, having lost his disabled premium going from tax credits to universal credit, and Erica, who has now built up £5,000 of overpayments due to the same thing. The principles of universal credit are now in tatters—it is not helping people to work. When will the Government review this?
Sarah Newton
I am afraid that the hon. Lady is completely wrong. We have put in place transitional protection for people on the severe disability premium; under our new regulations, that protection is now there.
David Warburton (Somerton and Frome) (Con)
Lloyd Russell-Moyle (Brighton, Kemptown) (Lab/Co-op)
The Minister for Disabled People, Health and Work (Sarah Newton)
I advise the hon. Gentleman’s constituents to use the telephone service or for one of their friends or family members to call up, because it is absolutely essential that people who have any sort of disability that prevents them from accessing their benefit have those barriers overcome: so pick up the phone and the support will be available.
Andrew Bowie (West Aberdeenshire and Kincardine) (Con)
Philip Davies (Shipley) (Con)
I recently hosted a Disability Confident event in Baildon in my constituency. As somebody who employs somebody with multiple disabilities, I know that many workforces are losing out on a huge pool of talent. May I therefore urge the Minister to advertise the benefits of Access to Work more widely so we can get even more disabled people into work?
Sarah Newton
I congratulate my hon. Friend on his personal leadership in his constituency and for employing a disabled person and drawing on all the talents that our nation has to offer. Access to Work is a fantastic scheme helping record numbers of people and we will continue to do everything we can to make sure disabled people can work.
Grahame Morris (Easington) (Lab)
My constituent Paul is agoraphobic and has a personality disorder, heart damage and a history of self-harm. After a tribunal accepted that he could not attend an assessment centre, the centre for health and disability assessment has blocked his employment and support allowance and universal credit by refusing him a home assessment. Will the Minister apply some common sense and overrule the decision?
Sarah Newton
The hon. Gentleman raises a serious point. Home assessments are of course an important part of our processes. I am very disappointed to hear about that case, which I will be happy to look into.
Bill Grant (Ayr, Carrick and Cumnock) (Con)
I commend the staff at Ayr jobcentre, who recently hosted a successful employment fair at which we discussed the value of flexibility in the universal credit system in helping vulnerable claimants back into work. Will my right hon. Friend consider what further support might be useful to jobcentres in hosting future employment fairs across the United Kingdom?
Kirstene Hair (Angus) (Con)
On Friday, I am hosting Angus’s first Disability Confident event in Forfar. Will my hon. Friend join me in celebrating employers who are taking part to learn how they can benefit from the untapped potential of those living with disabilities in our communities?
Sarah Newton
My hon. Friend is an absolute champion for all her constituents, but particularly those with disabilities and health conditions who want to work. I really welcome her setting up of this jobs fair in her constituency on Friday and encourage as many local people as possible to sign up to Disability Confident.
Chris Elmore (Ogmore) (Lab)
One of the concerns being expressed by constituents about the universal credit roll-out is literacy levels and people’s unwillingness and fear about being able to complete forms. Given that universal credit is to be fully rolled out in my constituency in December, what assurance can the Minister give me that those with poor literacy levels with receive the support they need to get the benefits that they need and deserve?
Women and Equalities
Sarah Newton Excerpts(5 years, 7 months ago)
Ministerial CorrectionsRead Full debate Read Hansard Text Read Debate Ministerial Extracts
Patricia Gibson (North Ayrshire and Arran) (SNP)
Sarah Newton
The hon. Lady will be aware that £1.1 billion of concessions have been made, and it is really important to note that as a result of our reforms, more than 3 million more women will receive £550 a year more by 2030.
[Official Report, 13 September 2018, Vol. 646, c. 866.]
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 the response I gave to the hon. Member for North Ayrshire and Arran (Patricia Gibson).
The correct response should have been:
Patricia Gibson (North Ayrshire and Arran) (SNP)
Sarah Newton
The hon. Lady will be aware that £1.1 billion of concessions have been made, and it is really important to note that as a result of our reforms, more than 3 million women will receive on average £550 a year more by 2030.
Personal Independence Payments
Sarah Newton Excerpts(5 years, 8 months ago)
Commons ChamberRead Full debate Read Hansard Text Read Debate Ministerial Extracts
The Minister for Disabled People, Health and Work (Sarah Newton)
I congratulate the hon. Member for Coatbridge, Chryston and Bellshill (Hugh Gaffney) on securing this very important debate. I would like to add my personal congratulations to his, and those of his colleagues, to the hon. Member for North West Durham (Laura Pidcock). I am pleased to hear that she has had her baby and both are doing well. Please extend those congratulations to her. I hope to see her back in her place in due course so that we can continue our work together.
It is very clear to me that all Members who have spoken here today care deeply about their constituents and want to see the best possible outcomes for them when they are going through the process of claiming the personal independence payment. I can assure them that this Government are equally committed to supporting everyone to achieve their full potential in society and to lead as independent and full lives as possible. The successful roll-out of PIP is integral to our vision that we have a really fair and compassionate society and that people get the support that they need.
Figures have been bandied around this evening, and it is really important that we deal with the facts. We are committed to providing a strong safety net for those who need it. That is why we are spending about £54 billion this year just on the benefits that support disabled people and those with health conditions. We are focusing on those main disability benefits through employment and support allowance and other benefits in addition to PIP. Expenditure has increased by more than £5.4 billion since 2010. It is set to be at a record high this year, and it will continue to be higher in every year to 2022 than in 2010.
Sarah Newton
The hon. Lady is a very experienced Member of Parliament, and she understands that in an Adjournment debate we have very little time. My door is always open to all Members here tonight if they want to raise constituency cases or broader points with me. I will not be able to address these points if I take interventions. [Interruption.] I ask the hon. Lady please to come and see me, and I will be more than happy to listen and respond carefully to what she wants to say.
These disability benefits are also exempt from the benefits freeze, so they will increase again this year to make sure that they are going up in line with inflation. We have about 5.25 million people of all ages on benefits, but we are supporting 1.8 million on PIP. Again, we have heard the misquoting of information about appeals. Of all the people who have applied for PIP, about 9% have gone to appeals, of which only 4% have been overturned. One person who has a poor experience of PIP—one person who does not get the treatment that these people all richly deserve—is one too many. We are utterly committed to a continuous improvement programme.
It is really important to remember why we looked again at the disability living allowance. It was a benefit for its time. It was mostly focused on physical disability. It did not take into consideration all the mental health conditions that we know people live with. It did not take into consideration learning difficulties or sensory impairments like blindness. Understanding of other conditions such as autism has changed immeasurably. DLA was too reliant on self-assessment, and people had very little opportunity to be reassessed, so they could be underpaid in their benefit.
In fact, PIP has achieved many of its objectives. We can absolutely see that when we look at the results. Over 1.88 million people are now in receipt of PIP. Over 225,000 more working-age disabled people are now receiving DLA or PIP compared with when PIP was first introduced, and more support is now going to those that need it the most. Over 30% of claimants are receiving the highest level of support under PIP, compared with 15% under DLA.
There has been much talk, quite rightly, about people with mental health conditions. It is really important to note that 65% of PIP recipients with mental health conditions receive the enhanced rate of daily living component, compared with 22% of people on DLA. Clearly, where we were aiming to make sure that people with mental health conditions were benefiting from this new benefit, that is happening. It is a holistic benefit that looks at a whole range of conditions with regard to people’s ability to lead independent lives.
I have consistently listened to colleagues in the House. I regularly meet charities and stakeholders to ensure that we make improvements to PIP. We have had independent reviews of PIP. We have had a Select Committee inquiry, which made many recommendations that we have accepted. We are absolutely committed, and a lot of changes have already happened.
I would like to take this opportunity to update the House on the extensive work we have been doing on implementing the reforms to PIP that I have set out and communicated regularly to the House. Starting with the beginning of the applicant’s journey, we have done work on improving communications, including making changes to the forms, ensuring that people understand that they can bring people along to support them and providing far more access for disabled people. We have independent evaluation where we engage with our PIP claimants to ask them how we can improve the process. Some 87% of them found it a positive experience, but of course other people are not finding it a positive experience, and they are the ones we are working with. We are working with individual disabled people and organisations, and we have listened and acted.
I have been asked about particular changes we have made. Over the summer, we have done a huge amount of work to get ready for a proper pilot of recording PIP assessments. I would like to say to the hon. Member for Coatbridge, Chryston and Bellshill that using the private sector to undertake assessments is not a new thing. It was brought in by the Labour party when it brought in ESA back in 2008. It was the Labour party that introduced work capability assessments and used health professionals to undertake those assessments.
Let us remember who these health professionals are: they are the nurses, physiotherapists, doctors and occupational therapists we all depend on when we go to our local hospital or engage with our local health service. Those are the healthcare professionals undertaking the process. They are highly dedicated and motivated healthcare professionals who receive very thorough ongoing training, particularly in mental health. There is a huge amount of stakeholder engagement from voluntary sector organisations that support disabled people to ensure that the assessors undertaking these assessments are completely up to date, and this is a continuous improvement process. We have also introduced a lot more guidance, support and training for our case managers. Healthcare professionals undertake the health assessments, and that information is then passed back to the Department, where experienced case managers are the decision makers.
Over the summer, I was also able to ensure that we implemented other important changes that we said we would to PIP. For people who have severe conditions from which we know, from their medical information, they will not recover, we have built on the work we have done on ESA by working in partnership with disabled people and the voluntary sector to make changes so that once people on ESA receive the highest level of support, they have a lifetime award, with a light-touch review after 10 years. We have now introduced that to PIP.
Sarah Newton
I have so much more that I would like to update the House on, but we are simply running out of time.
We remain absolutely determined to roll out at pace the whole suite of reforms to PIP that we have set in train. We are already seeing improvements in those processes. This is something we take extremely seriously, and we are working at pace and with great urgency. There is no doubt that Government Members want exactly what Opposition Members want, which is to ensure that all disabled people and people with health conditions in our country are treated with respect and dignity and get the support that they richly deserve. We have committed to and continue to spend more money than ever on benefits supporting people, and we will continue to do that every year in this House.
Question put and agreed to.