Disability Benefits

Tanmanjeet Singh Dhesi Excerpts

Tuesday 26th March 2024 Westminster Hall

[Mr Tanmanjeet Singh Dhesi (Slough) (Lab)]

I beg to move,

That this House has considered Personal Independence Payment and other disability benefits.

It is a pleasure to serve under your chairmanship, Mrs Latham.

I am grateful to the House authorities for allowing me to secure this important debate on an issue of huge concern to many across our country, including in my constituency. Often, constituents have come to my advice surgeries with tears streaming from their eyes, in absolute despair at the predicament they face, especially when they are struggling to make ends meet in the midst of a cost of living crisis.

This evening, I stand before the House to draw attention to the state of disability benefits in our nation. Those in our society with disabilities and other health conditions that often prevent them from working are valuable members of our society. They cannot be summarised by statistics, nor by how much they cost the public purse. Behind every such figure is a disabled person.

Successive Conservative Governments have again and again undermined social security in our country, whether through cutting support, a punitive culture towards disabled applicants, or—perhaps most disappointingly—divisive rhetoric about the most vulnerable in our society from none other than senior Government Ministers. My belief is that how we treat the most vulnerable is a benchmark of how healthy our society is.

I am proud to say that under a Labour Government, every stage of the social security system will be supportive and accessible. Labour understands the importance of every person with disabilities being treated with the respect and dignity that they deserve. Unfortunately, that is not a view shared by everyone in our society. Under the Conservatives, many disabled people feel that the Department for Work and Pensions is failing them, with an assessment process that does not understand their needs.

[Ruth Jones (Newport West) (Lab)]

My hon. Friend is making a powerful speech on a very important subject. Elinor, one of my constituents, got in touch with me recently. She had a young child and was pregnant; she was reassessed, her money was dropped—she found out just before she had her second child—and then the money was reinstated on appeal. Does my hon. Friend agree that the assessment process is mad at the moment? It is crazy. It is not sensible. We need to change it, and fast.

[Mr Dhesi]

I thank my hon. Friend for making the case for Elinor in her constituency. Indeed, my hon. Friend is a strong champion of her constituents, and no doubt she and other hon. Members in this place will have helped constituents to regain thousands of pounds in support that they are due. I agree that the assessment process is something that needs to be looked at, and I hope the Minister will give us some good news at the end of this debate.

[Debbie Abrahams (Oldham East and Saddleworth) (Lab)]

I, too, congratulate my hon. Friend on securing this debate. We have unfortunately had some tragic cases in recent years, including people who have gone through the transition from the disability living allowance to the personal independence payment. One person in particular sticks in my mind: Philippa Day, who took her own life because of the appalling transition process and all the mistakes that were made. We need to ensure that we have policies and systems in place, for health assessments and elsewhere, that protect vulnerable people and do not make things worse. I am sure he agrees.

[Mr Dhesi]

My hon. Friend speaks with a great deal of experience, having served previously as a shadow Secretary of State. The word to use is indeed tragedy. There have been countless tragedies. That is why the likes of me have been calling on the Government to deal with issues with compassion and empathy. These are real people that we are talking about and often, unfortunately, they have lost their lives or been put in a state of such despair that they do not know how to get out of their predicament.

My Slough constituent, Monika, told me about her struggles being assessed for PIP. Monika was informed that she was required to have a health assessment to extend her PIP. After appealing against 27 pages of discrepancies and outright untruths in the report from her previous assessment, she was predictably very worried about how she would get through the process again. Her assessment ended up being delayed for a month and taking place when she was suffering particularly ill health. Monika was again left in the lurch by the DWP and faces another appeal, which she is dreading.

Unfortunately stories like Monika’s are, as my hon. Friends have already eloquently explained, not news to any of us. We all have constituents who are failed by the system and by the DWP. Labour has a plan to replace the Government’s current flawed system of work capability assessments with a system that can support people to live with security.

Many benefit claimants are aspirational, but fearful that if they go back into work and find themselves unable to cope, they will be left high and dry—assessed as being able to work, but finding themselves unable to work full-time. Labour’s plan was born out of a desire to deliver for disabled people, helping those who can work back into work.

Too many disabled people say the current system does not work for them. Labour has pledged to introduce the “into work guarantee”, which I hope the shadow Minister will explain at length. That will allow claimants to agree with their benefits adviser that, if they try paid work and it does not work out, within a period of a year, they can go back to the exact benefits that they were on without fresh health assessments. With 288,000 PIP claims outstanding in October 2023, does the Minister agree that Labour’s plan will help to reduce the number of disabled people who want to work, but do not want to risk having their benefits reassessed?

This January, the latest statistics from the House of Commons Library found that the most common main disabling conditions among claimants of PIP were psychiatric disorders. Nationwide, 37.7% of PIP claims were due to those. With mental health waiting lists ballooning under the Conservatives, it is unfortunately not a surprising statistic. When the Government leave suffering people for far too long—people often see their condition worsen before being able to access treatment—it is no wonder that the number is so unacceptably high. I believe that begs a question: will the Minister admit that her party’s policies on mental health over the past 14 years have significantly contributed to the PIP backlog?

The latest numbers from Macmillan Cancer Support show that claimants are still waiting 15 weeks on average for their PIP claim to be processed. Unacceptably, that is higher than it was at the same time last year. Four in five people living with cancer are facing an increased financial impact from their diagnosis, even before the pandemic and the cost of living crisis. It is unacceptable that the Government have failed to fix those issues, which affect our constituents at some of the most difficult periods in their lives. The Government announced extra funding for processing disability claims in the Budget, but can the Minister clarify how exactly that will be used to reduce delays?

Among PIP claimants in my Slough constituency, 16.3% of claims are due to musculoskeletal disorders. MS Society research found that the current disability assessment system is not fit for purpose for those living with multiple sclerosis, a condition that significantly varies in its impact from day to day. A staggering three in five people with MS have reported being unable to explain adequately the effects of their condition on the standard application form. That figure highlights a systemic failure to capture the true extent of disabilities that are not constant, but fluctuate, and underscores the Government’s failure to create a nuanced system that understands the lived realities of those with MS and other conditions.

Furthermore, based on its findings, the MS Society urges the Government to consider the elimination of the 20-metre rule used in mobility assessments, and to seek a more flexible approach that accurately reflects the variable nature of MS. Current criteria fail to accommodate the day-to-day changes in symptoms that people with MS experience. On one day, walking 20 metres is achievable; on others, it is downright impossible. That clearly leads to assessments that do not reflect disabled people’s actual needs.

Incorporating those changes into our approach to disability benefits would not only make the system fairer, but ensure that individuals with MS and similar fluctuating conditions receive the support that they truly need. I am proud that Labour is committed to delivering a system that works for disabled people, ensuring that every person with a disability receives the respect, support and dignity that they deserve.

In conclusion, I thank the constituents who have asked me to share their stories. I am also grateful to various voluntary organisations that make such an enormous impact to help those in dire need. As we conclude this debate on personal independence payments and other disability benefits, let us remember the essence of what we are discussing: the lives and wellbeing of some of the most vulnerable members of our society.

The accounts we have heard serve as a stark reminder of the critical work that lies ahead. It is evident that our current system, in its rigidity and lack of understanding, falls short of providing the necessary support to those living with conditions such as MS. The call to reform, to dismantle barriers such as the 20-metre rule and to embrace a more nuanced approach to disability assessment is more than just policy revision; it is a moral imperative.

We stand at a crossroads where the choices we make can significantly enhance the lives of thousands. By advocating for a system that truly understands the variable and complex nature of disabilities, we advocate for a society that places dignity, empathy and support at its heart. This is not just about adjusting guidelines or streamlining processes; it is about ensuring that every individual feels seen, heard and valued. Our commitment to reforming PIP and other disability benefits is a testament to our dedication to justice and equity for all citizens, regardless of their physical or mental health challenges.

Let us leave this room with a renewed dedication to serving those within our constituencies and beyond, ready to enact the changes necessary for a fairer, more compassionate benefits system. Together we have the power to transform lives. Let that be our guiding principle in the days ahead.

--- Later in debate ---

[Mr Dhesi]

Will the Minister give way?

[Mims Davies]

I will give way to the hon. Gentleman shortly.

With PIP, there were three million decisions from October 2018 to September 2023; 8% were appealed, with 5% cleared at tribunal and 3% overturned. However, I appreciate that the hon. Member for Slough made the point, of which I am very mindful, that none of these statistics are just statistics; they are individual people with individual needs, and we should be very mindful of that.

[Mr Dhesi]

I thank the Minister for giving way. Given the time, I would like an answer to one of my various questions. The Government announced extra funding in the Budget for processing disability claims. Can she clarify exactly how that will be used to reduce the huge delays?

[Mims Davies]

Yes—I am keen to try to come on to that. There were many questions this afternoon and I am trying to get through as many of them as I can.

The chance to work guarantee was mentioned, which will effectively remove the work capability assessment for most claimants; they are already assessed without work-related requirements. That will remove the fear of reassessment and give the group the confidence to try work within the existing permitted work rules in employment support allowance and work allowance rules in universal credit. I am absolutely delighted about what we have done around disability employment. I am keen to do and say more around it, which should feed in again to the process of trying to allay some of the concerns that have been expressed this afternoon.

The proportion of those people in receipt of PIP with a mental health condition who are getting top rates is actually six times higher compared with DLA—PIP is at 41% and DLA is at 7%. I will just point out that customer satisfaction for PIP customers was 77%, with different scores according to different providers; again, I will go away and have a look at that. People being treated with dignity and satisfaction with how they are treated is extremely important to me. Indeed, this morning I raised the issue of disability services complaints. The number has decreased from 2,690 in 2021-22 to 2,330 in 2022-23. I am very mindful again that all of this is about individual experience.

Let me quickly try to canter through a couple of other questions before I close. The hon. Member for Slough talked about PIP clearance times. We have increased the number of case managers—health professional assessment providers—to deal with the increased demand and we have addressed the blend of phone, video and face-to-face meetings, to ensure that it is more centred on service users and is suitable. We have also empowered case managers, where they have robust evidence, to make decisions on award reviews, without referral to an assessment provider, so that decisions are quicker and we can avoid claims going out of payment. I am very much looking at that myself, and the end-to-end claim process for new claims has been reduced from 26 weeks in August 2021 to a current wait of 15 weeks. We are in a better position than we were before the pandemic. That is an achievement that I am proud of. Is there more to do? Absolutely, yes, but again I want those who are watching or listening to this debate to see that this is a big focus.

We are fully committed to delivering on the issues that matter to the British people. This is delivering for disabled people. It is an absolute mission for me in this role to make sure that the most vulnerable members of our society lead decent, fulfilling lives and I will use my time in this role to make sure that I can make the changes that everybody would wish to see.