Disabled People
Debate between Tom Greatrex and Robert Flello(11 years, 4 months ago)
Commons ChamberRead Full debate Read Hansard Text Read Debate Ministerial Extracts
Tom Greatrex
If the Minister will not see my right hon. Friend, how can he know of the level of constructive engagement that the group is offering? The judgment he made at the start of that exchange was precisely that he would refuse to see it because he did not want to engage with it. I will leave the matter to my right hon. Friend, who I am sure will wish to speak about it. That is the point I am trying to make in relation to a number of consistent examples. I hope the Minister will reflect on it today and over the summer.
The National Audit Office commented last summer on the DWP’s failure to apply the penalties or service credits within the WCA in relation to Atos Healthcare’s underperformance and failure to seek adequate financial redress. It was almost as if it just did not want to apply them, because that would indicate that there was a problem in the system.
Robert Flello
My hon. Friend is making an extremely important speech. I am sure that his experience will be the same as mine: when constituents come to see me, time and again they mention Atos. That is the only word I seem to hear some days because of the nightmare that that company is and the problems it causes to my constituents.
Tom Greatrex
I thank my hon. Friend for his intervention; he makes an important point. It is partly about Atos Healthcare, which has delivered the contract appallingly, but it is also about the deficiencies in the contract, which this Government, particularly—it gives me no pleasure to say this—since the current Minister has been in place, seemingly refuse to deal with.
Dr Greg Wood is a doctor who was employed by Atos until he left its employ at the start of May this year. In the middle of May, he made a series of serious and very specific allegations about his experience as a doctor working at an Atos centre and the way in which the work capability assessment was carried out. For the record, he suggests not that we should get rid of the assessment, or even that it gets cases wrong at either end of the scale, but that people in the middle are being caught because of the flawed way in which the system is designed and implemented. He said that
“claimants are often not being assessed in an even handed way… HCPs are not free to make independent recommendations, important evidence is frequently missing or never sought in the first place, medical knowledge is twisted and points are often wrongly withheld through the use of an erroneously high standard of proof”.
He said that if Atos assessors
“show deviation from the official line the HCP is instructed to change the report”
and:
“In about a quarter of assessments important documentary evidence is missing but the assessments go ahead regardless.”
He said that training of new HCPs creates an environment where they
“expect that they will see in the course of their work score too few points to qualify for ESA. This is often the de facto starting hypothesis, with the effect that the claimant usually faces an uphill struggle before the assessment has even begun.”
He said that HCPs often “begrudgingly” score claimants and that an attitude is drilled into them
“which leans towards finding reasons not to award points”.
Those are very serious and specific allegations that I would have expected the Government to take seriously, given the warm words we frequently hear from the Minister and the Secretary of State, who has now left his place, about improving this process and constantly being vigilant about making it better for people.
I wrote to the Prime Minister on the same day asking him to investigate the allegations. He passed the correspondence to the Secretary of State, who wrote back to me on 22 June. I got back a one-page letter—I have it here—that made absolutely no reference to any of the specific allegations. It did not say that there was a problem; it was just a standard response. The Government wanted to brush it under the carpet. That attitude belies the problems that exist.
On the same day, the Secretary of State’s private office e-mailed me, by mistake, a copy of a letter to another Member of Parliament—a Government Member—raising an individual’s case to which there was a much more systematic and detailed response. That is perhaps because the initial letter came from me, or from a Labour Member. I very much hope not, because they were very serious allegations that the Government decided to ignore completely.
This is not just about the frustrations of seeking information from the Government, although I admit that I do get frustrated about that. It is not just about the waste and inefficiency in a programme that is costing £110 million a year for the Atos contract, and now up to £70 million this year in the appeals process to correct the mistakes. It is not just about an attitude, although I say again that I have found the Minister to be dismissive, evasive and sometimes partisan in our engagement on this issue. It is also about the experience of real people in every single part of this country who often have to adjust their life circumstances due to events completely beyond their control due to illness, accident or incident. It is about people who will have seen a system that is not working properly because the Government rolled out the migration from incapacity benefit without taking into account the lessons identified in the pilot projects, with the consequences that we have seen since. Most of all, it is about decency, compassion and helping people, not hounding people. The system is wrong and it needs to change.
Fixed-odds Betting Terminals
Debate between Tom Greatrex and Robert Flello
Tom Greatrex
I thank the hon. Lady, who makes her point well. It is easy to dismiss concerns as coming from people who are anti-gambling or who want to abolish it. I understand that that is not her position, and it is certainly not mine. She is absolutely right to highlight the fact that there has been clustering of an increasing number of betting shops in certain communities. I have evidence of that in my constituency, and there is a danger of people being drawn in. That is why I think it is the Government’s responsibility to monitor the situation closely. As the hon. Lady said, the impact on some people should be of concern to any individual constituency MP.
Robert Flello (Stoke-on-Trent South) (Lab)
I am taking great notice of what my hon. Friend is saying as it is important not to characterise this debate as being either for or against gambling; it is not as simple or straightforward as that. May I put the record straight and say that not all online gambling is offshore? Indeed, the excellent bet365 in the adjacent constituency to mine is most determinedly remaining onshore in the face of competition—
Robert Flello
Indeed, as my hon. Friend says from a sedentary position, the chairman of Stoke City is also the chairman of bet365. As well as putting that important point on the record, may I stress that other aspects in life are regulated, such as drinking? We are not for or against drinking just because we raise a concern about alcohol, but we are rightly expressing a point. It is important that my hon. Friend the Member for Rutherglen and Hamilton West (Tom Greatrex) has initiated this debate, and I look forward to listening to more of his speech.
Tom Greatrex
I thank my hon. Friend for his intervention. He is right to make that point about bet365 and the chairman of Stoke City, although I am not sure what odds he would have put on Stoke winning at the weekend and seemingly escaping relegation for another year, and near enough relegating Queens Park Rangers in the process, which I am not necessarily hugely unhappy about—I digress, Mr Deputy Speaker.
My hon. Friend is right to make a point about how this issue is sometimes characterised and how things are regulated. As I said earlier, my inclination is that we should not try to over-regulate individual behaviour. Where harm is caused, however, the Government need to take the issue seriously. The right level of regulation is always a balance that the Government need to strike on the basis of evidence, and I will come on to that. That, however, is a different position from a blanket opposition to gambling, and I am grateful to my hon. Friend for intervening and allowing me to reiterate that point.
I was referring to the younger members of the Gamblers Anonymous group whom I met, and my concern has developed from those individual accounts. In recent weeks I have met those campaigning against a proliferation of these machines—people from a range of different organisations, both locally and nationally, who are concerned about their potential impact—as well as representatives from high street bookmakers. I have spoken to my own local authority, South Lanarkshire council, and received briefings from a range of organisations, including the Association of British Bookmakers. I believe the Government should be concerned about some of the issues that arose from those discussions.
As the Minister will be aware, and as I said earlier, it takes 20 seconds to complete a spin, and for each spin the maximum stake is £100.
Tom Greatrex
Since the former Member for Hammersmith and Fulham is an Arsenal fan, that is right. The experience of my hon. Friend the Member for Hammersmith (Mr Slaughter) in visiting betting shops mirrors mine in terms of where people are and what they are doing. It is the same at different times of the day.
On the limit, I am sure that the Minister will refer to the consultation, which recently closed. A range of organisations made submissions. The ABB briefing makes the case for the economic impact of changing the stake, but there is a social and economic impact in favour of such a change. I hope the Minister considers that carefully along with other representations. My hon. Friend was right to describe the stake as an anomaly. The machines are different from the fruit machines that we find in pubs, clubs and other places, and different from other gaming machines. I am not suggesting that everybody would stake that amount of money each time, but people can do so. They might have access to that amount of money for only a short period and it could be better used in other ways. If people have developed or are in the process of developing a problem, they might well stake that amount. I do not claim that every single machine user will bet £100 a go or £300 a minute. As I said in response to my hon. Friend the Member for Wansbeck (Ian Lavery), I suspect that people doing so would win as well as lose. Suggesting that someone could lose £18,000 in an hour is extreme—it is possible but highly unlikely.
I am concerned both by what I have seen and by the research that I asked my member of staff to carry out ahead of the debate. It is very easy to gamble a lot of money very quickly. People almost do not realise the amount they are gambling and the speed with which they are doing it. The nature of the machines is that they encourage people both to chase their losses and to try to increase their wins. It is impossible to deny that people can play roulette on an FOBT in the bookies at four and half times the speed they can play roulette in a casino. The ability to get hooked, even for a short period, is apparent. That is the experience of those I have met who have gambled on FOBTs, partly because they are perceived by punters to be a good bet. Why would people not believe that? The machines tell people that there is a 97% payback, which is not that far from 100%. People therefore believe they have a good chance of winning. Why would they play a £70 jackpot machine in the pub when they can nip next door to the bookies and play for a £500 jackpot on a machine that they believe has 97% payout?
However, people only believe that there is a 97% payback. I asked representatives of one of the large bookmakers how those figures were calculated. They told me that the 97% payback is not what an individual will win, and that it is unlikely that someone playing for 10 minutes or half an hour will win at that rate. The 97% is an average taken from the cash inputted into all machines against the return as a whole. That confusion could be addressed relatively easily. Will the Minister therefore press representatives of the gambling industry to use a more appropriate and straightforward figure? The Gambling Act 2005 states that gambling should be “fair and open”. Surely explaining the chances of winning in a much clearer way, and in a way that is much less likely to be misunderstood, is the least we can expect.
Another aspect of the debate—this has been mentioned in interventions—is high streets. Those of us who live close to high streets and main streets throughout the UK have seen a number of betting shops opening in recent years. The most recent ABB briefing to MPs and its press release boast of the number of shops in the high street and their employment impact. A cluster of betting shops in one street or one part of a street has become a common sight. Sometimes, branches of the same firm are in very close proximity. My right hon. Friend the Member for Tottenham (Mr Lammy) has highlighted that previously. The Government’s review of the high street—the Portas review—drew attention to that point with a proposal for betting shops to be put in a distinct category. As I am sure many hon. Members are aware, betting shops are currently in the same bracket as banks and building societies, and there is no need to apply for change of use through the planning processes.
Many retail businesses, including estate agents and coffee shops, cluster together, and retailers will always seek to locate where they believe there is a market—supermarkets are notoriously focused on, and efficient at, doing so—so why is there a problem with betting shops?
The Minister is of course aware of the increase in the number of these machines in the past five years. As I have said, there are almost twice as many as there were just five years ago. I am sure he also knows that half the profits of high street bookmakers come from the machines and that there is a limit of four machines per betting shop. It is increasingly apparent that the opening of new betting shops is driven by the ability to have more machines. From the figures available, it is also apparent that clustering tends to occur in places with more social deprivation and lower overall incomes.
I do not believe that the Government should seek to determine on a national level whether there is over-provision of businesses in a particular area, but it should be open to local authorities and licensing authorities to do so. The case being pursued by Newham council is indicative not just of a community that feels it has enough betting shops and machines already, but of a wider frustration that all too often local authorities feel there is very little they can do to address their concern. I do not expect the Minister to comment in detail on that case as it is in the process of going through the courts, but does he think that it should be possible for local councils and licensing boards to have the flexibility to determine whether there is a need for further betting shops in particular communities and how many machines should be available in each betting shop?
The thrust of the campaign postcards we have been receiving in recent weeks is that machines make a contribution to the economy, keeping betting shops going and employing people in constituencies across the UK. The economic impact of betting shops is important, but it needs to be assessed in the context of the total impact on local economies. As the Minister may be aware, a recent study by Landman Economics found that the £1 billion in FOBT spend supports 7,000 jobs in the gambling sector, compared to 20,000 jobs if that expenditure were used elsewhere. Put another way, there could be 13,000 fewer jobs for every £1 billion spent through the machines. Money being used to gamble in local high streets may be good for the big chains and their overall profit margins, but the local impact can be less beneficial. More and more betting shops are employing fewer staff, as gambling through machines has less need for personal interaction.
The gambling industry groups are robust and sometimes dismissive in their response to those concerns. Their perspective can be summarised thus: something being popular means that it does not cause problems; look at all the people employed in betting shops and the shops’ contribution to the local economy; and everybody knows exactly what they are doing because lots of them have A-levels. That type of attitude highlights precisely why the Government should keep the impact of the machines under review and not leave the industry to act under its own initiative.
While the industry argues that there is no evidence to suggest that FOBTs are addictive, anecdotal evidence suggests that there is a problem. The confusion in the Government’s own statements is apparent. In the consultation document I referred to earlier, they say that the causal link “remains poorly understood”. However, they also say that the association between high stake, high price machines and gambling-related harm is widely accepted, which makes the decision to end the gambling prevalence study all the more concerning. Will the Minister respond, in particular, to the point that research is required to determine the evidence on the likelihood of problem gambling? I am conscious that the people I have spoken to in my constituency are those with problems and that there are many who do not have problems, but the level of concern suggests that much closer attention should be paid.
Robert Flello
My hon. Friend seems to be concluding his remarks and I want to ask this question before he does so. On the impact of gambling addiction on communities, the cost to the Government of families where there is an addicted gambler spending money that should be spent on the children is huge. The cost to the nation of such addiction is massive. Does my hon. Friend agree that it would be in the Government’s best interests to have the best possible analysis of the impact of machines on addiction rates, so that it could guide their policies and ultimately, perhaps, even save some money?
Tom Greatrex
My hon. Friend makes an important point about how we assess the cost to the public purse and the impact on communities. It is an argument often used in relation to other policy areas, such as early-years intervention and so on, that can save money. I hope therefore that the Minister will comment on the level of evidence required, and how wide-ranging it needs to be, in order to assess the scope of the problem and how it could best be addressed.
There is some evidence on the proportion of gambling that is problem gambling. I think the Minister will be aware of the Birmingham university study based on analysis of the 2010 British gambling prevalence survey. It is a valuable piece of work that starts to consider some of these issues, but it needs to be constantly monitored and updated. In 2007, when the Department for Culture, Media and Sport commissioned a scoping study on the impact of the Gambling Act 2005, it recommended that FOBTs be closely monitored because they contained features closely associated with problem gambling. Will he explain what his Department has done, and will be doing, to monitor their impact?