Working-Age Disabled People

Stephen Lloyd Excerpts

Thursday 25th October 2012 Westminster Hall

[Stephen Lloyd (Eastbourne) (LD)]

It is a privilege to serve under your chairmanship, Mr Amess. It is also a privilege to follow the hon. Member for Aberdeen South (Dame Anne Begg), Chair of the Work and Pensions Committee, of which I am a member.

Some of my colleagues already know that, unfortunately, and in true DLA style, my hearing aid conked out a few days ago, so I do not have it with me. I am rather deaf, so if the folk on my right want to intervene, they should wave furiously. If I miss that, Mr Amess, please let me know. I apologise, but that is the reality of disability.

Introducing a new disability benefit in place of one that has been around for a number of years is fraught with complexity, anxiety, and often inaccurate media reporting. Consequently, I intend to drill down to a number of the specific features and concerns that the Select Committee has with the new personal independence payment benefit, and the current response from the Department for Work and Pensions. This is a complex issue. The hon. Lady mentioned a number of areas where we have concern. I have flagged some of them up before, and I am going to be precise.

I hope that all of us in the Chamber agree, to a varying extent, that disability living allowance is a benefit based on unclear criteria, is not well understood and has no proper system of reviewing awards. The Committee recognised that. For example, the 2004-05 national benefit review found that approximately £630 million of DLA per year was overpaid as a result of unreported changes in circumstances, while £190 million was underpaid—vital support not reaching the people for whom it was intended.

The concept behind the introduction of PIPs is to ensure that the state, rightly, can continue to support those individuals experiencing the greatest barriers to living an independent life while ensuring that the benefit continues to remain affordable and sustainable. It is also worth noting that the new PIP assessment has been developed in conjunction with a group of independent health, social care and disability experts, and the DWP believes that it will be fairer, more objective and consistent. The theory is that there will be a more responsive and individualised process for ensuring that claimants continue to receive the right support. In taking evidence, the Committee found that the complex DLA claim forms can make it difficult for people to make a claim. Therefore, I and the Committee broadly support the Government’s intention to address those issues.

In addition, we found that there is no proper system for reviewing DLA awards; for instance, 24% of working-age DLA claimants have either had no change in, or no review of, their award for more than a decade, which underlines the Government’s point.

[Sheila Gilmore (Edinburgh East) (Lab)]

The problem I have with the 24% figure is that it mixes up two things. We have to acknowledge that. It seems to refer to people who have never been reviewed and to people who have had no change, which is not the same as not being reviewed. It could well be that they have been reviewed, but have had no change in their circumstances. The 24% figure is often put across as if people are not assessed. My experience with constituents is that a lot of working-age recipients of DLA are being assessed, because they come to me with their problems.

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[Stephen Lloyd]

That is a moot point, because I know some people, even in my constituency, who have not been reviewed for many, many years, and who, in normal and sensible circumstances, would be going through a review process. The DWP has come up with the statistic and I think it is reasonably robust, but I take the hon. Lady’s criticism. Perhaps the Minister will clarify the matter.

Media coverage is one of the most challenging issues. The Department says that it recognises the need to work together and to do more to challenge and change negative attitudes towards disabled people. That is why, according to the Department, it is in the process of developing a new cross-Government disability strategy to give renewed impetus to the Government’s commitment to disability equality. Frankly, I do not think it is doing a very good job. I am disappointed with some of the media coverage in the past year or so, and, on occasion, with some of the responses, or even some of the stories that have been set running by either Ministers or the DWP.

The Committee recommended that the Government take on as a priority the fact that public opinion towards disabled people and disability benefits can be and is influenced by the media. We felt that the Government should take more stringent steps to ensure that their own contribution to media stories is accurate and contextualised by actively encouraging robust reporting of their own statistics on benefits.

[Anne Marie Morris (Newton Abbot) (Con)]

Does the hon. Gentleman agree—I think this emerged from the Select Committee report—that no Government and no political party can control the byline in a newspaper? I suspect that one of the challenges we have is that while we clearly need accuracy, we need to be mindful that we cannot control what the media write.

[Stephen Lloyd]

I agree to a great extent. The way that some of the media, particularly some of the tabloids, have been reporting the issue has been disgraceful. I have said that more times than anyone can possibly imagine. However, the DWP and the Government have an enormous responsibility when they are introducing such a seismic change to a benefit. Some of the time, the Government and Ministers have been good and positive, pushing strongly and actively the social model and what they are trying to achieve; at other times, they have been guilty of pandering to people who are more focused on what I might term the tabloid agenda.

The Government have an enormous responsibility, and I would like them to be aggressive. If one of the papers—I do not even need to mention them; we all know the ones I am talking about—comes out with a particularly inaccurate story, I would like to see the Minister and the Secretary of State dealing with it aggressively on the airwaves.

[Glenda Jackson (Hampstead and Kilburn) (Lab)]

Bylines in newspapers may not be the responsibility of the Government, but it is certainly the responsibility of the Government and the DWP to point out the fact that DLA is an in-work as well as an out-of-work benefit, which they markedly fail to do. They should also highlight the fact that more than 35% of families who claim housing benefit are in work, and that the reason they qualify for housing benefit is because their pay is so very low.

[Stephen Lloyd]

I agree entirely. A lot of people do not understand that the DLA was introduced to help to support disabled people in leading independent lives. I do not know the exact figures, but I know that an enormous percentage of people on DLA are in work. That is a very important point.

I retain doubts about whether that Select Committee recommendation has been followed, either by Ministers in their speeches or by the DWP, and urge that it be made a priority for the Government. However, I strongly support the steps taken by the coalition Government to involve disabled people in the process for devising and implementing PIP, which have proved effective. The DWP has continued to engage extensively with organisations that represent disabled people since May 2011, through its implementation development group, which has more than 50 members and represents a broad range of national and local disability organisations. Engagement at such a level should ensure that the operational design, implementation and ongoing operation of PIPs considers the informed perspectives of disabled people and their representative organisations.

As a consequence of advice and lobbying from me and other Select Committee members, the Department dropped its original proposals to end payment of the DLA mobility component for care home residents, after the Low review, and to extend the three-month qualifying period under DLA to six months under PIP.

I urge the DWP to continue to listen, consult and take on board advice from disabled people and their representative organisations, particularly about the descriptors in PIPs, which I shall come to later. For the record, the disability pressure groups and charities also have a responsibility to be factual in their advice, lobbying and media coverage, as much as the Government do. The victims of misreporting on both sides are disabled people themselves. That simply is not right.

I welcome the Government’s decision to support a three-month qualifying period for PIP, rather than extend it to six months as they originally intended. However, I support the Select Committee’s view that there is evidence of significant financial hardship caused during the current three-month DLA qualifying period, particularly for those with sudden-onset conditions. I ask the coalition Government seriously to consider the Select Committee’s recommendation to implement a facility for early eligibility, which could operate in the same way as that for terminal illnesses.

I welcome the changes made to the first draft of the PIP assessment criteria, which demonstrate that the Government have listened to concerns expressed by disabled people and their representatives. I have had a number of discussions with Lord Freud and his office, drilling down on how some descriptors written into the initial draft were inadequate. I look forward to the final draft, as does the Select Committee.

The DWP deserves credit for the way it has involved disability groups and disabled people in the co-production approach it has adopted to the development of the PIP criteria. However, thus far, mobility descriptors still concentrate too heavily on the ability to move a fixed distance and do not include barriers to accessing public transport, or the difficulties of some locations for individuals where routes to shops, public transport and so on are particularly challenging.

The PIP assessment criteria also tend towards the medical model of disability. This is an incredibly important point. I value the fact that the DWP understands, or appears to understand, the social model of disability and that it is about providing support for disabled people so that they may lead independent lives. However, within the PIP criteria, we seem to be slipping back to the medical model. I urge the Minister to watch that closely. For instance, those criteria do not properly take on board the barriers to being independently mobile that a blind person may have face. Yes, they may be able get to the shops or their workplace via a route they know, but the descriptors do not take into account the challenges that a blind person might face if they were travelling to a destination they did not know, which is not uncommon for all of us on a weekly basis. If I had a visual impairment and was using a route that I do not know, I would face a series of different challenges. The descriptors need to show understanding of that and to take it into account.

I was encouraged by the language used by the Minister’s predecessor, who described the PIP assessment as a conversation between claimant and assessor. It is vital that the PIP assessment does not take the same mechanistic approach, based on an inflexible computer system, as originally adopted for the work capability assessment by the previous Government. In time, though, I would like there to be a checking system or review system—call it what we will—that allowed PIP recipients to be reviewed without having to go through the stresses of face-to-face assessment. I suggest that a letter of support from a consultant or other expert in the field—someone with knowledge of their disability—should suffice once the face-to-face assessments have been completed.

I understand why the coalition Government are going through the process of face-to-face assessment—some people have not been reviewed for many years—but it is important that the DWP take on board the profound worry and stress that many disabled people and their families are going through because of the proposed changes. If the Government do not take this on board, they will be perceived as uncaring and their stated desire—our stated desire—to support the social model of disability and to provide additional support for those who need it while being properly careful with the public purse will turn to nothing. I for one will become not a supporter of the Government’s objectives, but a highly vocal opponent. I really do not want this to happen.

My many years in the field of disability lead me to recognise that the system is not good enough. An annual overpayment of more than £600 million and an underpayment of almost £200 million show that it is heavily flawed, but I request that the Government do all they can to ensure that we replace DLA with something better and fairer, and that works. PIP could be that, but it is not yet. I believe it can be and profoundly hope that it will be, by the time it is rolled out in the pilot scheme in April 2013. The coalition Government must get this right, because people’s financial security, their level of comfort and their daily lives heavily depend on it.

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[Jane Ellison (Battersea) (Con)]

Unfortunately, I have to go to a meeting between 3 and 4 pm, so I apologise to all colleagues in the Chamber and in particular to the Front Benchers if I miss any part of the wind-ups. It is nice to get an opportunity to comment, but as someone who hopes to join the Select Committee officially in the next few weeks, once the bureaucracy can be sorted out, I leave the detailed commentary to those who have helped to prepare such a detailed report and can comment with more expertise. I will confine myself to a few general observations and to a couple of things that I have taken from a brief glance at the report and the Government response.

One of the striking things is the consensus on the need to reform DLA. Clearly there are diverging views on how that might be done, but the consensus is interesting to see. I think it is generally agreed that DLA is a confusing benefit. I understand that fraud levels are low, so I agree with those comments, and I shall come back to the points about media coverage and so on. The DWP’s own figures estimate, however, that there is more than £600 million of overpayment and, more significantly, nearly £200 million of underpayment. Any benefit involving that level of misallocation of resource clearly needs to be looked at carefully to see how it can be reformed.

Once I knew I was likely to be joining the Select Committee and, in particular, to be contributing to this debate—although I have tried to speak in other debates on disability-related benefits—I made a particular point of talking to disabled people. I also have a disabled staff member, and over the last few days I have talked to carers of disabled people and looked at the case load that comes to my constituency surgery to try to get an insight into people’s lives and how they can be supported.

I took from the Committee’s report the concern about a big bang approach, and I note that the Government have said that the reforms will be phased in, although the Chairman of the Select Committee raised some concern about the phasing-in looking fairly big bang-ish, and I am sure the Minister will comment on that. However, it is sensible that some of the reforms have been characterised by not being big bang changes. The previous Government introduced some big bang reforms, and I understand from what former Ministers have said that they spent several years afterwards dealing with the consequences. I am sure that the Select Committee’s work is invaluable in trying to advise on how some of the reforms can be introduced without causing people unnecessary problems.

I also took from the Committee’s report—this goes partly to the point about coverage—concern about interaction with disabled people and the groups that represent them. The Government have responded positively to that. The snappily named personal independence payment implementation stakeholder forum is now holding a dialogue, and I am sure that the Minister will comment on its work and how it is informing the Government as they proceed.

I was interested to see that the Government have responded to some of the Committee’s recommendations, but other issues have been raised today to which they must also respond. I am firmly in the camp of my hon. Friend the Member for Eastbourne (Stephen Lloyd) as someone who very much wants the reforms to work, but I will use the knowledge that I have gained on the ground in my constituency and feed it back into areas where we may need to do something differently, because there is a slight danger. To put that into context:

“Our goal is to make responsibility the cornerstone of our welfare state.”

That could have been said by the Secretary of State, but it was in the Labour party’s manifesto at the last general election.

There is enormous consensus on the cornerstone of responsibility. I am not being partisan, but there is sometimes a danger that throwing up a series of practical concerns about implementation may add up to a cumulative whole that, if followed to its logical conclusion, might present an overwhelming case for not pressing ahead. I believe that there is an overwhelming case for pressing ahead and working through some of the implementation challenges, because there is a huge danger in not doing so. It may sometimes appear that throwing up such problems amounts to saying, “Let’s just put this in the ‘too difficult’ tray and come back to it in a few years.” That has been happening for decades, and it does a great disservice to the welfare state.

I want to pick up something that my hon. Friend the Member for Eastbourne said about the dialogue on welfare reform, and particularly that involving disability. I completely agree with the comments about some of the tabloid coverage, and I am sure that Ministers have taken on board the need for all of us to be responsible, but there is a flipside, and those charged with representing disabled people—the activist groups, charities and pressure groups—also have a responsibility not to alarm people unduly. I will give a practical example.

I recently went to the annual general meeting of an organisation that provides support and advice to people with disabled children. A lady from a welfare advisory group gave a 25-minute presentation, during which she presented, almost without exception, the possible downsides of the reforms without knowing anything about the personal circumstances of the people in the room, many of whom I knew pretty well because they were constituents and people I had dealt with. Some of them had much to gain from some of the reforms she was talking about, but her starting point was how things could get worse.

Two things struck me about the lady’s talk. In 25 minutes, she did not at any point mention work. She made an assumption that none of the people she was addressing were in work or would progress towards work. That was dispiriting. It is important that those on both sides of the argument do not exaggerate for effect, and the Chairman of the Select Committee made the point about some people’s vulnerability.

I take issue with the suggestion that all disabled people are among the most vulnerable people in our society. I do not believe that. An obvious and clichéd example is that many of the Paralympians we admired during the summer—they were clearly not vulnerable. They had a disability, and we wanted to help them to get over that disability and make the most of what are already fulfilling lives. My friend who works for me has a disability and needs help to fulfil his working life, but he is not intrinsically vulnerable. I take slight issue with that suggestion.

There are two recent reports—“The Tipping Point”, and “Holes in the Safety Net” which Baroness Grey-Thompson introduced last week.

[Stephen Lloyd]

My hon. Friend reminds me that I was at a meeting only last week when the partner of a blind person said that because his wife was blind and could not work they needed support. That was frustrating because, although I am sure he loves his wife, he was making the assumption that a blind person could not work. I know blind people who are earning more than £100,000 a year. We need to change public perception.

[Jane Ellison]

I could not agree more. It is central to these important reforms that we ask people what they can do, instead of what they cannot do.

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[Jane Ellison]

I do not disagree with the hon. Lady, and I have not used the word “oppositionist”. What I am trying to convey is that by constantly focusing on the things that might go wrong or sometimes do, we are not always talking about the things that have gone wrong; sometimes, we project forward and consider things that could go wrong, and that in itself can become a reason to doubt the point of the reform. That is the point I am making. We need to try to show some balance.

Finally, I believe in the welfare state. It is an enormously important, civilising aspect of our modern society. A problem we have at the moment is that there is not a general buy-in from the general public. We have talked about the media and some of the red-top coverage, and so on. This is a critical juncture for the welfare state. If we care about it and believe that it is vital to everything that we are as a country, that should make us more determined to press on with reforming the parts of it that clearly are not working.

[Stephen Lloyd]

I thank the hon. Lady for giving way. Does she agree that the welfare state, which I, too, passionately support, should be about a hand-up and not a handout? There are many tens of thousands of people with disabilities and disabled people already in work, and many more who would do outstandingly in jobs if they were given the right support to do those jobs and not seen by society as victims, which they are not.

[Jane Ellison]

I absolutely agree, and that is why it is so important to rebuild the general confidence across our nation in our welfare state. Reform cannot be put off any longer, and although there might be difficulties and practical hurdles, we have to work through them. So long as people do not see the welfare state and disability support through the prism that my hon. Friend described, but instead have an unhelpful, negative, tabloid view of it, we will continue to lose the trust and the buy-in. That point is absolutely fundamental, and I hope that as part of the Work and Pensions Committee I can play a thoughtful and responsible role in holding the Government to account. I support the broad thrust of the Government’s reforms, because the future of the welfare state and the respect in which it is held are at stake if we do not press on and get this right.

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[Sheila Gilmore]

I hope that employers would not form that view, but there are dangers.

If the Government wanted to reform, the way to start would have been to discuss seriously the issues around DLA, not to start from an assumption that it was somehow old-fashioned, not working and that people did not understand it, so we had to throw the whole thing in the air and start all over again. That leaves aside how the reform was couched in terms of financial savings.

If the Government wanted to make a change, it would have been helpful to have the discussion and carry out the research. If we think back to when the White Paper came out in late 2010, an extraordinarily short time was given for people’s responses. It was a generalised paper, and the extensive response to it was responded to in a very simplified fashion. That did not help. If we had sat down with a lot of the groups in the first place, we might have come out with a better ending.

Obviously, as a Select Committee, we look at the details. The hon. Member for Battersea was correct to say that we have to be careful that we do not end up seeing the trees and not the wood, but details are part of the job of a Select Committee. One thing that we all say, and we all feel strongly about, is that we must get the assessments right first time, which is precisely what appears not to have happened with the WCA.

We know that the cost of appeals is met by the DWP, not the provider.

[Stephen Lloyd]

I completely concur with the hon. Lady about the statistics on the WCA and the level of successful appeals. Does she agree that the changes to the WCA that the coalition Government have brought in, with Professor Harrington’s reports, will mean that the first assessment is wrong for fewer people and that the new WCA is more effective and productive?

[Sheila Gilmore]

Unfortunately, the statistics do not yet show a huge change. The latest statistics show a small reduction in the number of successful appeals, but the number is still very high. Statistics always lag back a few months, so it may be that further improvements are still to come, which would be good. It is particularly important that we get this benefit reform right.

Many people, including those in the disability field and Opposition Members, have asked whether there is any penalty of any sort on the assessor for not doing the job as they should. We are constantly told that we cannot have the information because it is all commercially sensitive. I can understand that perhaps being the case during the tendering process, but I am not clear why it is deemed to be quite so commercially sensitive once the contract is awarded. We still do not know. Public money is going to these organisations, so it is important that we have confidence that this time there is a system in place.

The Select Committee’s recommendation was:

“DWP contracts with private companies for the delivery of the PIP assessment”

should

“directly link the payment of public funds to the production of reliable assessment reports that are ‘right first time’.”

Now that the contracts have been awarded, I hope that the Minister can tell us whether that has been done and whether it will be monitored and reported on. Obviously, if the assessments are much better, there will not be many penalties, but we need to know now whether that link has been made. It would give people more confidence in the process.

The Chair of the Select Committee, my hon. Friend the Member for Aberdeen South (Dame Anne Begg), briefly mentioned contracting. The PIP assessments have been let on a regional basis. In Scotland and the north of England, Atos won the contract, but it appears to be subcontracting to NHS Lanarkshire to carry out the assessments.

If Atos is not doing the work, what is it getting out of the contract? How much of the contract price goes to Atos and how much to Salus? Salus is the not-for-profit arm of NHS Lanarkshire; it does other forms of occupational health work, which is why it was selected. It is not unreasonable to ask those questions. Such arrangements are becoming all too typical in this new world of outsourcing to large, all-purpose, public service, private companies.

We saw it in the Work programme. At the apex are the big boys such as G4S, A4e and Serco. Sometimes they do the work themselves; sometimes they subcontract; sometimes the subcontractors subcontract. At the bottom of the heap some of the sub-subcontractors see little of the payments. That is a major problem.

What are some of those big companies being paid to do? Are they being paid just to put the contract together? Are they just creaming something off the top? They are certainly not shouldering the risk for their subcontractors, because when those get into trouble—with the Work programme, at least—they are not bailed out by the prime contractor. The main contractors do not carry a financial risk of that kind.

We need to know what is happening with the process. The question arises whether it might not have been easier to contract the work in the first place directly to the NHS. If we talk about these things a lot, it is because people naturally think there may be a connection. My hon. Friend the Member for Oldham East and Saddleworth (Debbie Abrahams) pointed out that in statements that have been made in the past the connection with WCA was made overtly. It is not only we who make it.

The question of targets has been controversial. Atos has said there are no targets in relation to WCA. The Government have vehemently denied that there are targets. However, it now seems clear from people who have worked as health care professionals in this field for Atos—and this came out of the television documentaries in the summer as well—that there are expectations about normal and correct outcomes of assessments. Health care professionals whose performance deviates from those expectations are audited so that their performance can improve towards them. We must ask ourselves at what point an expectation becomes a target, or when there is very little difference between the two.

If there are such expectations, what cognisance will there be of regional variations in ill health—and even variations within regions? Partly because of industrial history, certain forms of ill health are more prevalent in some areas and they are likely to have a greater number of people with certain conditions than others. If there are to be targets or expectations, whatever we may call them, such things must be taken into account. However, since we do not know the guidance, we do not know whether they are taken into account. I hope that they are.

If the Government want people to be more confident about the changes, they must be more open and transparent about them. In the absence of such openness and transparency people reach conclusions, rightly or wrongly, which tend, in modern parlance, to go viral around the disability community. People then get very frightened.

Another aspect of the matter that has, I suppose, come out of the WCA experience, is to do with what kind of assessment is being carried out and the attempt to restrict complex conditions to a simple set of descriptors. The aim from the outset seems to have been, certainly with WCA, to create a system that could perform large numbers of assessments and achieve reliable and replicable results. People have often complained about a tick-box approach, and that seems to me to be a direct result of that attempt.

It is not just bad practice by Atos; sometimes, critics concentrate too hard on Atos and not enough on the underlying system. I think that what happens is inherent in the adoption of what is effectively a computerised test approach. I am sure it was sold to the Government as the IT answer to carrying out assessments. I think that we all know that IT magic miracle cures are often oversold by those who sell them. Before the Minister says so, I know that it was the previous Government who introduced the WCA and the form of test in question. The fact that they turned out to have inherent difficulties should not mean that we should not criticise them and consider whether we were perhaps naive to think an IT solution could deliver all that was needed.

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[Esther McVey]

Thank you, Mr Sheridan.

I have been corrected, so perhaps the right hon. Member for Stirling could wave to me a few minutes before the hon. Member for Aberdeen South (Dame Anne Begg) speaks.

When hon. Members spoke about the whole DLA reform and consultation, I do not think they necessarily knew the full length of the consultation that has been embarked on. The consultation has been very thorough and has taken place over a long period. The Government code of practice on consultation recommends a minimum of a 12-week consultation, but I will put into context how we set about this consultation.

When there was a debate on whether we should change DLA to PIP, there was a consultation with disability groups, health groups and social care groups. That consultation was long before any change came into being and lasted for 10-and-a-half weeks. After that, there was a 10-week consultation on the reforms to which more than 5,500 people responded. There was then a 16-week informal consultation on the initial drafts of the assessment, followed by a further 15-week formal consultation on the second draft of the assessment, after which there was a 14-week consultation. In total there have been 55 weeks of consultation, which is a year-plus. By anybody’s reckoning that is a considerable amount of consultation. The consultation has been a real listening exercise, because there is no point in having it if we do not amend and change things as we see fit. As the Bill progressed and became the Act, key things were altered. Again, we are listening, and when we do finally table all the assessments, I believe the consultation will be reflected in them, too. Questions have been asked about when that will happen; it will be later on in the year, but it will be as soon as possible. There are many things to balance: we have to fit a specific timetable, which, as the hon. Member for Aberdeen South said, begins in April, but it would be incorrect to put something in play if we had not listened to everyone for as long as we possibly can.

I will pick up some of my notes, because the hon. Member for Edinburgh East (Sheila Gilmore) asked whether there are targets for the length of assessment. No, there are no targets for how long an assessment should take or for how many assessments should be completed in a week or a day. She is right: there are challenges, and it will be tough, but this is written into the contract. I met the two key providers yesterday to discuss how they have to engage with people and how the system has to be humane. They have to listen and be caring and all of those things, because—she is right—we need rigour and confidence in the system.

On the monitoring of quality and consistency across the PIP providers, guidance has been very strict, and training will be strict, too. They will be closely monitored for quality, auditing and the work of the health professionals. We are seeking feedback from claimants. They will be monitored again in two years, as well as this being ongoing. Should we see any discrepancies in appeals and reassessments where there seem to be issues, that will be monitored, too.

The hon. Member for Edinburgh East asked about other types of targets. There are no targets or expectations for assessor performance in the work capability assessment, and there will not be any in PIP. Yes, performance is monitored and assessors are audited. Where abnormal results occur, we will look into them, but everything has to be of the highest possible quality.

The hon. Lady talked about the initial start-up in Bootle and how it would roll out across the country. The Department will test the effectiveness of the IT system, and the assessment and referral and claiming process. The Department will also be able to validate assumptions about the timings of the process: the initial telephone call, the claim form, the completion and the assessment duration. All of that will be tested in the original bit, which goes from April to June.

The hon. Lady asked many more questions, but I wonder whether I should move on to another question, which I think all hon. Members asked, about how disabled people are portrayed in the media. The right hon. Member for Stirling correctly pointed out that the superheroes of the Paralympics make up a tiny percentage of people with disabilities. Just as I will never be an Olympian, most people with disabilities will never be a Paralympian. However, the Paralympics shone a light on an area that we hope to capitalise on and open up disabled people to mainstream media. To that end, as somebody who worked in the media for 14 years, I hope that I can bring some insight and knowledge. I have asked straight away for—I would like to say a media summit, but that might make it sound even more highfaluting than it actually is—for a media round table. When one considers that there are 11 million people with disabilities in the UK and what percentage of the population that represents, it seems only right that such organisations as the BBC or ITV would look at that as a significant audience they should be reflecting, not just occasionally but daily, in all their programmes, whether they are dramas, news or current affairs.

It may be that we have to be even more careful about the language we use. If we know that the issue will be polarised and put into headlines and TV captions—we know that that will happen—then we need to be more careful about how we talk. I have never mentioned the word “scroungers”. I am mentioning it now because other hon. Members have mentioned it, and maybe we should all stop using it.

[Stephen Lloyd]

I thank the Minister for giving way. She is covering a lot in a very short time, and I forgot to congratulate her on her new post. As I asked in my speech, will she commit, when the Government get it wrong, to going out on behalf of disabled people and very aggressively putting it right in the media?

[Esther McVey]

I agree that we should all do that, and that is what I am aiming to do. I have, in fact, been interviewed myself and felt that the interviewer was using the wrong language. I picked up on that, because I thought it was inappropriate. Whether that was to catch me out or whatever, I felt it was inappropriate.

I am aware of the time, so I would like to answer some of the questions raised by the right hon. Member for Stirling. Many hon. Members brought up the figure of the 20% cut. The right hon. Lady said that the impression sticks, so let me try to unstick it. Where did the 20% figure come from? I have to say, and I say this hand on heart, that when I walked into the Department and took on this daunting position—a huge task, with huge shoes to fill—I said, “I want to know how those numbers came about, because I do not honestly believe I can stand up in front of people unless I know the integrity of what I am saying.” If it is not right, I will change my words accordingly. As the hon. Member for Eastbourne (Stephen Lloyd) said, if this is not what he thinks it will be, he will be a vocal opponent of it.

I have the figures. I have the numbers of what the spend would be, and this is what it was about. I asked all the medics who were setting the assessment, “Where did the numbers come from?” They said, in all honesty, they were given the task of looking at what a benefit would be for 2013—looking at the disabilities now as we perceive them. We are not looking at DLA of the 1990s—that was very much skewed towards people with physical disabilities. This had to take in everything: sensory, mental conditions, learning difficulties, and how that would be done and how it is best placed to fit. They said that they came back with this assessment, this is how it was structured, and these were the results.

The actual sums that were paid out were £12.5 billion in 2010-11, and by 2014-15 the expected, real-terms spending will be £13.2 billion. The 20% cut that people talk about was the cut in the expected rise in the benefits, because they had risen exponentially by 40% in 10 years and everybody felt that that was unaffordable. Therefore, if we wanted to give the benefits people wanted, if we wanted to look after those who were most in need of support, but equally those with great needs as well as the greatest need, this is what had to be done to be sustainable. Those were the figures and those were the facts I was given. I believe them, and that is why I am standing here today.

Let me see if I can come on to any more questions. The hon. Member for Aberdeen South asked rather a lot. I reaffirm my commitment to working with people on disability benefits. Wherever possible, we will be working with everybody. As I am running out of time and the hon. Lady will be speaking in a moment, I will come to a conclusion and send her my response.

In conclusion, the London 2012 Paralympic games truly captivated the hearts of the nation, and undoubtedly helped to shift attitudes towards and perceptions of disabled people. We now have a once-in-a-lifetime opportunity to capitalise on that. The Government want to build on that success and I am adamant that I will do so.

I have just remembered that the right hon. Member for Stirling asked a question about Atos. I am not fully aware of the answer, but it is of concern. I will address it, and my team will look at it straight away.

We have to ensure that those who face the greatest barriers get the support they need. By replacing DLA with PIP, we are safeguarding that support for the future. Not only are we doing that, but we are modifying a benefit to ensure it keeps pace with the needs of disabled people today.

I hope my comments have reassured hon. Members. I know that they wanted more reassurance, but I do not have the time. Our proposals have been developed following extensive collaboration and consultation with disabled people and, when viewed as part of a wide package of support available, are intended to enable those disabled people who face the greatest barriers to lead full, active and independent lives.