Supporting People Nearing the End of their Lives

Tom Pursglove Excerpts
Wednesday 29th March 2023

(1 year, 1 month ago)

Written Statements
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Tom Pursglove Portrait The Minister for Disabled People, Health and Work (Tom Pursglove)
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The Government are committed to providing support to people who are nearing the end of their lives. For people in this position, special rules allow simple and fast access to financial support through the benefits system.

Today, I am pleased to announce the commencement of the Social Security (Special Rules for End of Life) Act 2022, which will apply from 3 April 2023.

The Act enables more people nearing the end of their lives to get fast-tracked access via the special rules. It applies to three key disability benefits: personal independence payment, disability living allowance and attendance allowance.

This change means that people nearing the end of their lives who meet the eligibility criteria for one of these benefits, can receive vital support in their final year, six months earlier than they can currently. Those eligible under the “special rules”, get their claims fast-tracked, which means they do not have to wait as long to start getting payments. They are not required to take part in a medical assessment and, in most cases, those claiming will qualify for the highest rate of benefit.

The new 12-month special rules criteria align with the end-of-life approach in the NHS where, for those with 12 months or less to live, clinicians are encouraged to think about what help their patient may need, including financial help.

The Government introduced similar changes to universal credit and employment and support allowance on 4 April 2022. The Act ensures a consistent approach across five key health and disability benefits.

These changes to the special rules for end of life are a culmination of many years of work since the then Secretary of State launched an in-depth evaluation of how the benefits system supports people nearing the end of their lives in 2019. I would like to pay tribute to her and my predecessors in my role, the hon. Member for North Swindon (Justin Tomlinson) and my right hon. Friend the Member for Norwich North (Chloe Smith).

I would also like to thank the many people nearing the end of life, groups and charities that have supported the Department for Work and Pensions. Their input has helped improve the support provided by the benefits system in this area.

I am proud to say that when someone is in their last year of life, they can now benefit from improved support from the benefits system. By expanding eligibility, we will provide thousands more people with financial support to allow them to focus on sharing the valuable time they have left with the people who matter most to them.

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Child Support (Enforcement) Bill

Tom Pursglove Excerpts
Tom Pursglove Portrait The Minister for Disabled People, Health and Work (Tom Pursglove)
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I am grateful to my hon. Friend the Member for South Ribble (Katherine Fletcher) for promoting the Bill here today. We have rightly heard many tributes to her during the debate. She has been a dextrous stunt double for our hon. Friend the Member for Stroud (Siobhan Baillie). I can think of no better steward or co-sponsor of this Bill to deliver on these Third Reading proceedings today, and she should be incredibly proud of the contribution that she is making to the Bill’s passage. I am also most grateful to my hon. Friend the Member for Stroud and I congratulate her on navigating the Bill successfully through its previous stages in the House.

I welcome the broad cross-party support that we have heard from both sides of the House during the debate. That has been reflected in the various contributions, many of which have been impactful and drawn on constituency cases brought to colleagues’ attention. In that spirit, I thank the Opposition for their support for the Bill and extend my gratitude to all hon. Members who spoke during previous stages of the Bill to highlight important points. I am appreciative of their insight. I pay tribute to the Minister responsible for social mobility, youth and progression—the Under-Secretary of State for Work and Pensions, my hon. Friend the Member for Mid Sussex (Mims Davies)—who has so excellently supported the Bill through to this stage, and to my noble Friend Viscount Younger of Leckie, who has recently taken over ministerial responsibility for the CMS. He has undoubtedly hit the ground running and has been strenuous in his efforts to further improve the service that it provides. I know that he is wholeheartedly committed to continuing in the other place the support for the Bill’s important measures that it is my privilege to provide in its final stages in this place.

As my hon. Friend the Member for South Ribble highlighted so eloquently, the Bill is so important for securing money for children more quickly from parents who fail or who simply refuse to support them. We all understand how child maintenance payments can play an effective role in helping to lift children out of poverty and enhance the life outcomes of children in separated families. The Government are absolutely committed to improving the efficacy of the CMS. The Bill is another significant step forward to ensure that the right action is taken at the right time.

I know and understand why the performance of the CMS is a matter of concern for many colleagues who regularly deal, as I do, with inquiries from constituents who may feel that they are not receiving the level of service that they and their children deserve. However, the CMS has made and continues to make substantial improvements to the service that it provides to many of our most vulnerable constituents. It is committed to delivering service and support to the highest standard and is working hard to transform itself into a more customer-focused, digital organisation, which I am sure is something we all welcome. Although there is still much more we can do, the CMS should no longer carry the stigma with which its predecessors were associated.

That is where I would argue the Bill has an important part to play. It will speed up the enforcement process, which in practical terms will mean getting money to children more quickly, as many hon. Members highlighted in their contributions this morning. It will remove an administrative step while retaining an important appeal right. I understand that the appeal mechanism is tried and tested and works well elsewhere.

It is unsurprising that the Bill has received such a wide welcome. Ultimately, there is no disadvantage to anyone in speeding up the processes and removing the burden on them. The Bill will achieve that by ending the current situation, which requires us to get a liability order through the court. Let me put that into context: applications to the court for a liability order typically take up to 20 weeks to process, which means five months in which no tangible activity can take place to get money to children who are waiting for it. That cannot be right, and it is certainly not preferable. We also want to focus on reducing the burdens on courts as a result of the processes they have to work through, which we want to see streamlined wherever possible.

After the Bill comes into force, we will make regulations under the affirmative procedure, which will allow further scrutiny before their commencement. As my hon. Friend the Member for South Ribble explained, hon. Members and their constituents can be assured that the powers will be used proportionately. The regulations will be developed to help provide that assurance. The secondary legislation setting out the appeal provisions in more detail will follow the affirmative procedure, as I say, so hon. Members will be able to vote on our proposals.

More broadly, we are looking at our enforcement processes and carefully considering how we can make the system work more efficiently overall. Hon. Members may be aware of the excellent work that the Department and my hon. Friend the Member for Hastings and Rye (Sally-Ann Hart) are doing to ensure that parents using the service who have suffered any form of domestic abuse will benefit from the additional protections in the Child Support Collection (Domestic Abuse) Bill, which went through its Report stage and received a Third Reading in this House on 3 March. I look forward to following that Bill’s successful progression in the other place.

In conclusion, it is to the huge credit of my hon. Friend the Member for Stroud that she has successfully brought the Bill forward on a cross-party basis and navigated its passage through its earlier stages, most ably supported by my hon. Friend the Member for South Ribble today. Let me also place on record my thanks and those of my ministerial colleagues to officials for all their efforts in helping to get the Bill to this stage and for the work that I know that they will do to help us take it forward.

With that, I am delighted to restate that the Government support the Bill and will continue to support it as it moves through Parliament. I wish it every success. As my hon. Friend the Member for Newcastle-under-Lyme (Aaron Bell) said, ultimately, this reform is about getting money to children quicker. It is very much a reform with children at its heart.

Katherine Fletcher Portrait Katherine Fletcher
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With the leave of the House, I take the opportunity to thank the Minister and Members on both sides of the House for their support. I extend my appreciation and that of my hon. Friend the Member for Stroud (Siobhan Baillie) to the Public Bill Office and officials in the Department for Work and Pensions for their guidance.

I am very grateful for the cross-party support that the Bill has received. We have heard from Members from all the nations of the United Kingdom. I particularly give my thanks to the hon. Member for Rutherglen and Hamilton West (Margaret Ferrier) and my hon. Friends the Members for Cities of London and Westminster (Nickie Aiken), for Clwyd South (Simon Baynes), for Heywood and Middleton (Chris Clarkson), for South West Hertfordshire (Mr Mohindra), for Orpington (Gareth Bacon), for Newcastle-under-Lyme (Aaron Bell) and for Southend West (Anna Firth).

I would point out that my hon. Friend the Member for Stroud who, as we have all acknowledged, has done so much work on the Bill, has legal training, so I will leave it Members to decide whether potential libel has been committed today by their suggesting that I could possibly be her stunt double. I know that she believes very passionately in this Bill, as do I, and it is an honour to pick it up. On behalf of people in South Ribble and across the country, I am proud to support it. It will make essential improvements to child maintenance processes and, importantly, it will get money to children more quickly. I wish it success as it moves to the other place.

Question put and agreed to.

Bill accordingly read the Third time and passed.

Personal Independence Payments

Tom Pursglove Excerpts
Thursday 16th March 2023

(1 year, 1 month ago)

Written Statements
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Tom Pursglove Portrait The Minister for Disabled People, Health and Work (Tom Pursglove)
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Today, the department will publish the latest statistics on making backdated payments to personal independence payment claimants who are affected by the KT and SH decision of the upper tribunal. The release will be published at https://www.gov.uk/government/publications/list-of-upcoming-releases-of-management-information-and-ad-hoc-analyses.

The KT and SH UT decision, handed down on 21 August 2020, concerned how we decide whether hearing impaired or deaf people need an aid, appliance, or supervision, to wash or bathe safely under the PIP assessment.

The department revised the guidance used for the PIP assessment process, for all new decisions, on 17 May 2021. We started the administrative exercise to check eligible claims back to the date of the UT decision on 4 April 2022.

Since April 2022, we have reviewed around 4,000 cases against the KT and SH decision. This includes cases where claimants have previously been assessed as needing an aid or appliance to hear. All reviews have been carried out by a case manager within the department.

Around 4,000 arrears payments, totalling around £11 million, have been made. No one should have seen their PIP reduced because of this exercise.

Although we have completed the exercise, claimants can still ask the Department for Work and Pensions to conduct a review of their case, if they think they are affected.

Our approach demonstrates that we have prioritised claimants who are most likely to benefit, to make backdated payments as quickly as possible.

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Health and Disability White Paper

Tom Pursglove Excerpts
Thursday 16th March 2023

(1 year, 1 month ago)

Commons Chamber
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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.

This information is provided by Parallel Parliament and does not comprise part of the offical record

Marsha De Cordova Portrait Marsha De Cordova (Battersea) (Lab)
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(Urgent Question): To ask the Secretary of State for Work and Pensions if he will make a statement on “Transforming Support: The Health and Disability White Paper” published by the Government.

Tom Pursglove Portrait The Minister for Disabled People, Health and Work (Tom Pursglove)
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Yesterday, the Secretary of State published “Transforming Support: The Health and Disability White Paper”. This White Paper is a significant milestone, demonstrating the Government’s commitment to ensuring that disabled people and people with health conditions can lead independent lives and fulfil their potential. It sets out an ambitious policy reform package that will transform the health and disability benefits system, and help disabled people and people with health conditions to start, stay in and succeed in work.

We will deliver action in three ways. First, we will transform the future benefits system so that it focuses on what people can do, rather than on what they cannot, including by removing the work capability assessment. In our new system, there will be no need to be found to have limited capability for work or work-related activity in order to receive additional income-related support for a disability or health condition. We will introduce a new universal credit health element that people receiving both personal independence payment and universal credit will be entitled to, which will enable people to try work without the fear of losing their benefits. We will roll this out carefully from 2026-27, and we will ensure that no one currently on universal credit and with limited capability for work or work-related activity will lose out once they move on to the new system.

Secondly, while de-risking work is one side of the coin in supporting disabled people and people with health conditions into work, we know that we also need to provide more employment and health support for this group. The White Paper sets out how we will introduce a new personalised approach to employment support and engagement, with the aim of helping people to reach their potential and live a more independent life. We are investing in additional work coach time and tailored support. The Chancellor also set out yesterday that we will introduce a new programme called universal support, which will provide wraparound support for individuals and employers, as well as additional money to provide more mental health and musculoskeletal treatment for this group.

Finally, we will ensure that people can access the right support at the right time, and have a better overall experience, by testing new initiatives to make it easier to apply for and receive health and disability benefits. I am certain that our White Paper reforms will support more people to reach their full potential and reap the health and wellbeing advantages of work.

Marsha De Cordova Portrait Marsha De Cordova
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Thank you, Mr Speaker, for granting this urgent question.

Although we know that most of the proposals set out in the White Paper will not be implemented until the next Parliament, a significant number of ill and disabled people will be impacted. We see the Government using a carrot-and-stick approach, which will leave many sick and disabled people with the stick and the real threat of the ramping up of sanctions, as indicated by the Chancellor during his Budget statement yesterday. Just this week the Information Commissioner’s Office ruled that the Department for Work and Pensions must release “sensitive” research into its sanctions regime following the Work and Pensions Committee report, which found that there is very little evidence that the sanctions work. Instead, it found that they have a significant impact on the health and finances of those who have been sanctioned. There are real consequences to some of the Government’s actions.

Nobody is arguing that scrapping the work capability assessment is not welcome. However, relying solely on the PIP assessment is not the solution, given the current experiences of PIP assessments, which show that they are deeply flawed; the DWP is losing or conceding in four out of five appeals. Moreover, the Institute for Fiscal Studies said yesterday that up to 1 million people currently on incapacity benefits could lose out as a result of scrapping the work capability assessment and relying on using PIP only. Also under the new proposals disabled people will not automatically be in the “no work-related requirements” conditionality group and will now be subject to the decisions of a work coach.

We also did not hear any additional investment in the Access to Work scheme, so can the Minister say how many people will be impacted and what the cost is of these new proposals? It is estimated that 1 million people will lose out. How are the Government intending to mitigate that? Will the PIP assessment framework change or stay as it currently is? Given the poor decision making on so many PIP assessments, what action is being taken to fix the flawed decision-making process and the assessment itself? How will the DWP ensure that the policy proposals do not remove vital protections against sanctions and risk pushing people further into poverty? Finally, when are the Government intending to publish the sensitive research into the sanctions regime?

Tom Pursglove Portrait Tom Pursglove
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I am hugely appreciative of the hon. Lady, who always speaks with great passion on these issues. I welcome the cautious welcome from her about the broad thrust of the reform we are trying to deliver, which is to remove the structural disincentive to work. That manifests itself in the many conversations I have with disabled people and their representative groups, when they tell me that many disabled people would like to try to work, but fear doing so and then losing their entitlement if it does not work out. That is not an acceptable situation, and it is right that we change it. I hope that as a House, as we move forward with these reforms, we can come together and deliver something that achieves that objective, which is plainly the right thing to do.

It was before my time in the House, but I well remember debates in previous years about the work capability assessment. It is welcome that we are scrapping the work capability assessment through these reforms. The reforms also offer an opportunity to focus on quality when it comes to the PIP assessment and on making sure that we get the right decisions first time. The hon. Lady will note, for example, that one of the commitments we have made in the White Paper is trying to match specialist assessors with people’s conditions. That is another thing people have regularly been asking for, and we are determined to test that and see what difference it can make. Again, this is all about being responsive to the feedback we have received.

On the issue of sanctions that the hon. Lady mentioned, I know that the legal case she touched on is under consideration by Ministers elsewhere in the Department at the moment. No doubt we will come forward and say more about that in due course, but I want to be clear that it is not my intention or the Department’s intention to force anyone to do something that is not right for them. We are committed to personalised, tailored support that meets individual needs and aspirations. The Secretary of State will talk about that in more detail during the Budget debate later. A lot of that will be voluntary. I would hope that people will want to engage with universal support and will want to engage with Work Well, because this is about trying to help and support people. For people with health conditions, for example, this is a way in which we can work harder and tirelessly with them to help them get better. Work is of course an important determinant of better health outcomes. The White Paper is explicit in saying that we will move forward with this in a way that is appropriate for individuals. For those where work is not appropriate, they will not be expected to do it.

It is also important to set out for the House that there will be transitional cash protection in place. No one who currently has limited capability for work or work-related activity will lose out as they move to the new system. We are specifically protecting those with pregnancy risk or who are undergoing cancer treatment, and we are also keeping a contributory health and disability benefit. Of course, what I really want to do—this is key to all of the work I do in this role—is to work constructively with the hon. Lady and with disabled people and their representative groups to make sure that we get this reform right. This is the biggest welfare reform for over a decade, and we have to get this absolutely right.

Selaine Saxby Portrait Selaine Saxby (North Devon) (Con)
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I warmly welcome the announcement of the Government’s new universal support programme. Does my hon. Friend agree that it will help disabled people in my constituency find an appropriate job, backed by £4,000 of resources per person? It will further enhance the exceptional work done by Disability Confident and the Barnstable Jobcentre Plus. Might he come to visit and see for himself?

Tom Pursglove Portrait Tom Pursglove
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I commend my hon. Friend for the work she does on the ground in her constituency, working constructively with the jobcentre and employers to help facilitate employment opportunities. I am really excited about the opportunities universal support will bring. We know from existing schemes that where people are supported in taking and then retaining roles, it is hugely powerful and effective in bettering their health and employment outcomes. That is precisely what we are doing through universal support with those 50,000 opportunities. I am excited to work with my hon. Friend on implementing that in her area, and I would of course be delighted to visit and see more of what is going on on the ground.

Lindsay Hoyle Portrait Mr Speaker
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I call the shadow Minister.

Karen Buck Portrait Ms Karen Buck (Westminster North) (Lab)
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No one will mourn the passing of the work capability assessment; Labour has been calling for reform of that for a long time. It needed to change, because people’s lives do not fit neatly into a binary system of work or no work. However, disabled people and those with serious health issues want and deserve support and reassurance in work and out of it, and what people fear, understandably, is that under the guise of reform their lives will be made harder and vital financial support might disappear.

The devil is always in the detail, so I have a few questions for the Minister. The PIP assessment is designed for a totally different purpose from the WCA; how will he reconcile those completely different systems? What will happen in future to those people who do not currently receive PIP—those on the limited capability for work and work-related activity element of universal credit, and particularly those with short-term and fluctuating conditions? Unless it is the Minister’s intention that some 750,000 people will lose £350 a year, an alternative needs to be in place; what will that alternative be?

Do the Government believe that it is fair that the hundreds of thousands of people with disabilities that prevent them from even engaging in work-related activity should receive less financial support through UC than people who are entitled to PIP, and if so what is the basis for that justification? If the intention is to allow work coaches to use discretion in all such cases, how will we ensure consistent decision making and decision making that is based on a proper understanding of serious health conditions and their impact on daily life? What provision is made within the Department to ensure that capacity for that is in place?

As transparency and openness are so essential in building confidence, will the Minister now publish the report on the operation and effectiveness of sanctions? By publishing the White Paper, the Government have started this debate; the minimum we need now is openness and clarity about how those ideas are intended to work in practice.

Tom Pursglove Portrait Tom Pursglove
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May I first welcome what I think is a cautious welcome from the Opposition for the reforms that we are seeking to advance? I think it reflects some of the utterings that we have heard from Labour Members over recent weeks and months about the direction of travel they want, recognising that there will be people for whom work is not appropriate. I repeat the point that, where that is the case, we will not be expecting people to engage with this support, but it is right that that structural impediment to work is removed from the system, that those who want to work are supported in being able to do so, and that we make sure that we have a system that is responsive to that and that also has health as a focus. I hope we can move forward on a cross-party basis on those terms.

On the specific point about PIP, again it is important to recognise that we will look very carefully at whether those individuals who are not currently in receipt of PIP meet the PIP criteria, and we will act accordingly. Also of course, anybody who thinks they may be eligible for PIP is able to apply for it. I would always encourage people who might be eligible for any given benefit to apply for it.

On the point about the health top-up, I can confirm that the award rate for the new UC health element will be at the same level as is currently awarded to those who have LCWRA. I again make the point about the approach that we intend to take: the reform will be carried out on a staged geographical basis, beginning with new claims in 2026-27. Of course, legislative steps will need to be taken to bring this reform to fruition, but there is much to welcome and I hope we can come together. On the point about the legal case, as I said earlier, colleagues elsewhere in the Department are considering next steps and will come forward in due course.

Iain Duncan Smith Portrait Sir Iain Duncan Smith (Chingford and Woodford Green) (Con)
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I welcome the announcement in the Budget. As my hon. Friend will recall, I wanted to introduce the universal support package alongside universal credit. Its purpose was to intervene and help to change people’s lives, which was what was missing for all those years and needs to be there now. It was intended to replace what has been a very difficult benefit, originally introduced by Labour along with the work capability assessment. Throughout that time, I wanted to see universal credit together with universal support to help people get over their difficulties.

According to a recent survey on sickness benefit, 700,000 people want to find work, but the limits to what they can do seem so difficult that they fear losing their benefit. This measure, hopefully, should change that. However, I urge the Government to do the final bit, which is to bring in the other group who are still receiving employment and support allowance and not yet receiving universal credit, so that the interventions can help them and we can have a progressive, positive way of helping people with sickness or disability to fulfil their potential and lead productive lives, because work is a health treatment.

Tom Pursglove Portrait Tom Pursglove
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My right hon. Friend speaks with passion and authority on these issues, and he has a wealth of experience of delivering meaningful change in the welfare system that has improved the lives of millions of people. This is the next chapter—the next step in that journey—and one thing I know for sure is that I shall want to draw on my right hon. Friend’s experience and expertise and hear his ideas about how we can get this right. Like him, I am excited about the opportunities that universal support can provide in matching people to roles and supporting retention, with all the wraparound care and support that goes with that. There is a great deal of best practice from which we can learn. I was in Tower Hamlets yesterday, and saw a fantastic example involving NHS talking therapies. I want to ensure that more people are able to engage with that sort of support.

Lindsay Hoyle Portrait Mr Speaker
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I call the Scottish National party spokes- person.

Marion Fellows Portrait Marion Fellows (Motherwell and Wishaw) (SNP)
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Why do this Government intend to expose more disabled people to the punitive benefits sanction regime? It does not work, and the automation of sanctions will make the position even worse.

Why was there no guidance in the White Paper on statutory timescales for reasonable adjustments to enable more disabled people and those with long-term conditions to work? The SNP and many stakeholders continue to call for urgent improvements to end the payment gap. Why is there no mention of that? Why will the Government not ensure that flexible working is a day one right by default, rather than the onus being on the worker? Why is there no uplift for legacy disability claimants who were missed out during the pandemic? PIP assessments are already failing many disabled people and forcing them into challenging decisions which are ultimately overturned. Why is more being added to PIP assessments?

Will the Minister consider using dignity, fairness and respect as the White Paper proceeds into legislation, as the Scottish Government do?

Tom Pursglove Portrait Tom Pursglove
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I would argue that dignity, fairness and respect underpin all the work that I do as Minister for Disabled People, Health and Work, all the work of my colleagues in in the Department for Work and Pensions and, of course, all the work of our officials, who approach their responsibilities with real seriousness and want to help and support people in a way that is appropriate for them. That goes to the heart of these reforms.

This is about a tailored approach, whereby people are helped into work when that is appropriate for them. When we can improve people’s health outcomes, we ought to be doing so in a joined-up way. No one will be forced to do anything that is not appropriate for them. As I said earlier, I want people to feel that they would want to engage with the employment support we are offering, and that is reflected in the fact that so many disabled people tell us that they wish to try these opportunities, but fear losing their support if it does not work out.

The PIP journey is now down to 14 weeks, but there is more to do in that regard. I am not complacent about it, and I want to drive forward work on digitalisation. Let me also say that I have a very constructive working relationship with the Scottish Government Minister with responsibilities in this area, and I absolutely commit myself to working with him as we deliver this reform. I know I am set to meet the hon. Lady next week, when we may be able to follow up some of these points.

Christopher Chope Portrait Sir Christopher Chope (Christchurch) (Con)
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The Government’s initiative to emphasise the need to improve health outcomes is fundamental to this. May I draw my hon. Friend’s attention to today’s edition of the Daily Express and its Justice for Jab Victims crusade? A two- page article describes the problems that thousands of people are experiencing as a result of receiving covid-19 vaccines that have not worked out in the way they had hoped.

Tom Pursglove Portrait Tom Pursglove
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I appreciate my hon. Friend’s welcome for our proposed reforms. I have not seen the article to which he refers, but I will certainly have a look at it once I have left the Chamber, and I shall be happy to speak to him separately about it.

Lindsay Hoyle Portrait Mr Speaker
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I call the Chair of the Work and Pensions Committee.

Stephen Timms Portrait Sir Stephen Timms (East Ham) (Lab)
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There are very welcome measures in the White Paper, although a lot of the detail is still missing. The work capability assessment is to be scrapped, starting in three or four years’ time, and replaced with

“a new personalised health conditionality approach”

to assess entitlement to what the Minister just referred to as the “health top-up” in universal credit. That sounds like a new assessment of some kind. Can he tell us what it means?

Tom Pursglove Portrait Tom Pursglove
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I suspect that these issues will come up when I appear before the Select Committee along with my hon. Friend the Minister for Employment in a few weeks’ time. I look forward to that opportunity to delve into these reforms in some detail. The detail of our proposed approach needs to be worked through. I am clear that stakeholder engagement, working with disabled people and hearing views from this House will help to inform that. I want people to feel that they can engage with the programmes announced in the Budget, as well as with the existing provision. That will happen on a voluntary basis, but we need to move the reform forward in a pragmatic way. We will say more about it as we move forward with implementation.

Mark Jenkinson Portrait Mark Jenkinson (Workington) (Con)
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I thank my hon. Friend for bringing forward steps to abolish the work capability assessment. Does he agree that that will enable more disabled people in my constituency to take up work without fear of losing financial support?

Tom Pursglove Portrait Tom Pursglove
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My hon. Friend hits the nail on the head about what we are trying to achieve with these reforms. He is a passionate campaigner for employment opportunities in Workington, and has had considerable success in that regard during his time in this House. I appreciate his welcoming the reforms, which are about helping people to achieve their aspirations. If work is something that people want to do, Government ought not to put barriers in place to prevent that. That is precisely what we are determined to do away with.

Florence Eshalomi Portrait Florence Eshalomi (Vauxhall) (Lab/Co-op)
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I thank my hon. Friend the Member for Battersea (Marsha De Cordova) for asking this important urgent question.

The sanctions do not work. Measures to tackle disability employment gaps are way overdue, and I pay tribute to many groups across Vauxhall, including Autism Voice in Clapham, which I recently visited. They do a lot of work to try to help disabled people back into the work market but, sadly, the employment gap is still there. Many employers discriminate and are not prepared to give disabled people an opportunity, because of the widespread perception that disabled people are less capable, regardless of whether they are the best candidate. What are the Government are doing to tackle negative attitudes about disabled people, which are preventing many of them from fulfilling the opportunities that they should be taking?

Tom Pursglove Portrait Tom Pursglove
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The hon. Lady is right to raise this issue. We all have a duty and a responsibility to be brilliant advocates and allies of disabled people, promoting opportunities for them at every turn. I expect that we will be in a position to say more about autism specifically over the coming weeks—something that I feel very passionately about as Minister for Disabled People. We are doing work on perceptions, and there is more work to be done over the coming months. We have a campaign that I expect to come to fruition in the not-too-distant future. I want to see more employers sign up to schemes such as Disability Confident. There is more to do, although we have seen real strides forward, with 1 million more disabled people in employment achieved five years early, but we must take the next steps forward. There is so much untapped potential from people who can contribute and offer so much to their workplaces.

David Simmonds Portrait David Simmonds (Ruislip, Northwood and Pinner) (Con)
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I welcome the focus in the White Paper on people with learning disabilities. For many years my constituent Jeremy Child has run the project Community ConneX, formerly Harrow Mencap, which supports adults with learning disabilities to grow their confidence with a view to entering the workplace. Does the Minister agree that such projects are a critical part of the infrastructure that will make this White Paper a success in practice?

Tom Pursglove Portrait Tom Pursglove
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I thank my hon. Friend for raising the work of Community ConneX, which makes a huge difference in his community. I see that replicated in many of the visits that I undertake in this role. I was in Bristol just before Christmas and it was inspiring to see the work experience placement opportunities that are being provided, often by charitable organisations. I want to work with them to translate those early steps towards employment into roles in other workplaces—full-time work if that is appropriate for someone, or part-time work if that is appropriate in other circumstances.

There is so much that we can do, and I want to place on record my thanks to everyone who works in those initiatives—they are often charitable endeavours, as I say—for everything that they to do help to facilitate this. Working with them will be a key part of how we move this forward.

Justin Madders Portrait Justin Madders (Ellesmere Port and Neston) (Lab)
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May I suggest to the Minister that, as part of this, he looks at reforming statutory sick pay? The pandemic laid bare the inadequacies of that system. Millions of people do not qualify at all, and the rate is one of the lowest in Europe. If we are genuine about getting people with long-term health conditions into the workplace, we need a proper safety net for when they fall ill.

Tom Pursglove Portrait Tom Pursglove
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I appreciate the hon. Gentleman’s thoughts on statutory sick pay. If there are particular ideas or suggestions that he would like me to consider, I would be very happy to do so.

Luke Evans Portrait Dr Luke Evans (Bosworth) (Con)
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I am really pleased that the Government are dealing with the issue of an ageing population and the difference between good health and poor health. The reality is that many people will live with long-term health conditions. I have seen at first hand that when someone has a heart attack or a stroke, they struggle to get back into the workplace. Is this part of changing the environment to make sure that people have support all the way through, from diagnosis to desk? If so, how will my hon. Friend ensure that the environment is compassionate and supportive all the way through to getting people back into work?

Tom Pursglove Portrait Tom Pursglove
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Compassionate and supportive is precisely the approach that I see when I carry out my visits and look at the employment support that is being provided. As I said, I was at the NHS talking therapies service in Tower Hamlets yesterday, and I saw that for myself. It was inspirational to hear the testimony of people who have been through that service about the difference that it has made for them. It has supported those with mental health conditions, in particular, by seeing work as a real determinant of better health outcomes for them and supporting them to work.

My hon. Friend knows more than many Members in this House just how valuable better health is for people. The work that he has done in his professional life means that he has a lot of experience in this area, which I am keen to pick up. I know we are due to meet, and I would be keen to hear his ideas.

Rachel Hopkins Portrait Rachel Hopkins (Luton South) (Lab)
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Waiting times for Access to Work grants have skyrocketed under the Conservative Government, with the average clearance time now more than two months. Although plans to enhance the Access to Work support offer are welcome, how does the Minister plan to reduce waiting times so that disabled people can access the support that is available before an employer pulls a job offer?

Tom Pursglove Portrait Tom Pursglove
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I am not satisfied with where we are in relation to Access to Work, and that is why I am driving a real effort within the Department, which is resulting in more staff being dedicated to it. We are refining our practice, streamlining processes and reflecting feedback, particularly on workplace assessments and travel claims. Those are two areas where some really constructive ideas have come forward and we are now looking to roll them out.

As I said in relation to PIP, digitalisation is key to this. It is about making sure that processes are easy to access and navigate. When we bring those factors together, they will help us to make a meaningful difference in shifting the dial on Access to Work applications.

Robbie Moore Portrait Robbie Moore (Keighley) (Con)
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I welcome this health and disability White Paper, because we know that health issues may mean that people feel unable to carry on working or struggle to continue in the working environment. I thank my hon. Friend for the Government’s new £400 million fund to increase the availability of mental health and musculoskeletal resources. Does he agree that this support will help people across the country, including in Keighley and Ilkley, who need such support to stay in work for longer?

Tom Pursglove Portrait Tom Pursglove
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My hon. Friend is a brilliant champion for his constituents, and he is always arguing for improved employment opportunities for residents in his area. The Budget commitments, which my right hon. Friend the Secretary of State will no doubt touch on during today’s debate, amount to more than £500 million of employment support by 2025-26. That very much reflects the best practice that is being delivered out there in the country, building on it and cascading it further. I think it is fair to say that my hon. Friend’s constituents and mine, and those of hon. Members across this House, will feel the benefit of this work in the years ahead.

Jim Shannon Portrait Jim Shannon (Strangford) (DUP)
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I thank the Minister for his answers on this important issue. Large numbers of my constituents have disabilities and are on benefits, and have understandable concerns, so I seek some reassurance. Will he outline whether greater financial incentives can be offered to employers to take time to put in place procedures to allow disabled people to be part of the team yet work from home? That would allow more people to overcome their physical restrictions and be a huge asset to a team, and thereby gain confidence and independence through employment.

Tom Pursglove Portrait Tom Pursglove
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The hon. Gentleman is right to touch on the fact that disabled people contribute so much to our workplaces, and I want to extend their contribution further so that we can unleash the potential in our society. With the right help and support, we will build on the successes that we have seen in getting people into work. The target of getting 1 million more disabled people into work was met five years early, but that is not the end of the story.

We need to continue to move forward, which is why the hon. Gentleman is right to also touch on the support that we have in place and our work with employers. Access to Work is an important part of that, because it supports the physical things that people need in workplaces to facilitate employment opportunities. Another area that I am passionate about and want to look at closely, and relates to what the Chancellor said yesterday about occupational health, is what more we can do to improve soft skills for employers to ensure that they have good-quality workplace conversations to best support those who are coming to work for them, and those who work for them already.

Martin Vickers Portrait Martin Vickers (Cleethorpes) (Con)
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The report points out that autistic people are the least likely of all disabled people to be in work. It goes on to reference the nine local authorities where there has been a pilot, which is to be extended to a further 28. Does that 28 include the nine? Can the Minister outline the criteria for local authorities to participate?

Tom Pursglove Portrait Tom Pursglove
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I am happy to provide further detail for my hon. Friend separately. We recognise that there is real value and opportunity in having locally led and locally initiated employment opportunities and support that are tailored to meet localised needs on the ground and that work closely with the health system. That is reflected in our announcements. We need to take that forward in a joined-up way and work across Government. There is a real determination from not just Ministers in the Department for Work and Pensions but the Prime Minister, the Chancellor and Ministers in the Department of Health and Social Care—this is a cross-Government effort. I am happy to provide him with more background about the work that we are doing.

Andrew Jones Portrait Andrew Jones (Harrogate and Knaresborough) (Con)
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It is fantastic that we have seen 2 million more people with disabilities enter the workplace in the last decade and that, as my hon. Friend said earlier, those who want and are able to work are supported to do so. I have spoken before about my support for the Disability Confident and Access to Work schemes. The White Paper builds on all the progress made thus far. Can he outline more about how the Access to Work scheme will evolve with an enhanced package and about the flexibility? Basically, can he update the House? The programme is fantastic, but there needs to be significantly greater awareness.

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Tom Pursglove Portrait Tom Pursglove
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It is fair to say that the Access to Work scheme is a flagship scheme that has made a big difference over the years in helping to support disabled people into work. As we move forward with the reforms, we want to look at how we can be more ambitious on Access to Work and, as I touched on earlier, what more we can do to support employers to have those soft skills so that they have good-quality workplace conversations with employees about how they can be best supported. We also want to ensure that we deliver digitalisation to bring waiting times down. Frankly, I do not want anyone to have to wait longer than necessary to start work, if that is something that they want to do. We must support people to retain their roles.

Oral Answers to Questions

Tom Pursglove Excerpts
Monday 6th March 2023

(1 year, 2 months ago)

Commons Chamber
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Andrew Bridgen Portrait Andrew Bridgen (North West Leicestershire) (Ind)
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8. What steps his Department is taking to reduce benefit fraud.

Tom Pursglove Portrait The Minister for Disabled People, Health and Work (Tom Pursglove)
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We take all fraud very seriously and have a range of measures in place, supported by two tranches of additional investment totalling around £900 million, which will prevent a further £2.4 billion of loss by 2024-25. In May last year, we published “Fighting Fraud in the Welfare System”, which details our proposals for reducing fraud and error, including legislative change and closer working across Government.

Andrew Bridgen Portrait Andrew Bridgen
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I thank the Minister for that answer, but I have had numerous reports from constituents of alleged incidents of benefit fraud and what they perceive as a lack of action when they report them to the Department, so will the Minister inform the House by how many his Department plans to increase staff in the counter-fraud teams?

Tom Pursglove Portrait Tom Pursglove
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I am very appreciative of my hon. Friend raising this point. It is fair to say that we are coming after those who commit benefit fraud: it is unfair on the taxpayer, it is wrong, and that message must go out in the strongest terms. That is being backed up by action, as we set out in the plan. For example, over the next five years, we will see 2,000 specialists dedicated to getting across 2 million universal credit cases. That is an important contribution to make sure that we bring this money back into the Department where it rightly belongs.

None Portrait Several hon. Members rose—
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Tom Pursglove Portrait Tom Pursglove
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The hon. Gentleman is right to raise this point, and it is important to note that we work on a case-by-case basis. Of course, where there are instances of error of that kind, we work on an individual basis to work out a repayment plan that is appropriate for those individuals, taking into account any financial vulnerabilities or challenges they might face.

Alexander Stafford Portrait Alexander Stafford (Rother Valley) (Con)
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9. What steps his Department is taking to support the most vulnerable households with increases in costs.

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Tom Pursglove Portrait The Minister for Disabled People, Health and Work (Tom Pursglove)
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Six million people receiving an eligible disability benefit received a £150 disability cost of living payment last year, and they will receive a further £150 payment this year. Those on a qualifying means-tested benefit will also receive up to £900 in cost of living payments.

Luke Evans Portrait Dr Luke Evans
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People in Bosworth will be grateful for the disability support they have, but a key challenge that I saw as a GP was getting people who are disabled back into work. We know that work is good for their welfare and their wallet, so what more can we do to create a conducive environment, from diagnosis all the way through, for those suffering from a disability to get back into the workplace?

Tom Pursglove Portrait Tom Pursglove
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My hon. Friend is absolutely right to raise that issue. We are committed to supporting people into work and, importantly, to retain roles once they have them. We recognise, working across Government, that for many disabled people work is a determinant of better health outcomes. No doubt we will continue to take on board feedback about what more we might do in that space, and I would be delighted to have a conversation with my hon. Friend, based on his experiences, about the support we already provide and where we might go from here.

Alyn Smith Portrait Alyn Smith (Stirling) (SNP)
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On benefits, I am delighted to hear that some things are being done, but, from a Scottish perspective, I really do not think that it is enough. 38 Degrees has done polling across all our constituencies, and 70% of respondents in Stirling agreed that this UK Government

“do not understand the impact the cost of living crisis is having on people”.

Do Ministers accept that vote of no confidence?

Tom Pursglove Portrait Tom Pursglove
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Certainly not, and I am delighted that I actually have a far more constructive working relationship with the Scottish Minister responsible for these issues than the question from the hon. Member suggests.

Paul Maynard Portrait Paul Maynard (Blackpool North and Cleveleys) (Con)
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Many families with disabled children are struggling with energy costs right now. The £150 for those receiving personal independence payment is clearly welcome, but if someone is dependent on a machine, such as a powered wheelchair, a ventilator, an oxygen concentrator or a ceiling hoist, the cost is more like £150 a month, not £150 a year. What more can the Department, and the Government more widely, do to ensure that those families do not turn their machines off and put their children’s health at risk?

Tom Pursglove Portrait Tom Pursglove
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It is fair to say that none of us would want to see people putting their health, or their relatives’ health, at risk. We of course have a comprehensive package of support in place, as my hon. Friend is aware. There is also discretionary support provided through the household support fund and administered by local authorities, as well as the energy support that Ministers elsewhere in Government are leading on. However, I am very mindful of the need to future-proof people against those costs, and that is work that I am currently looking at.

Marion Fellows Portrait Marion Fellows (Motherwell and Wishaw) (SNP)
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This might help the Minister, who is very aware that disabled people are more likely to live in poverty than non-disabled people and are particularly vulnerable to the cost of living, as has been demonstrated by colleagues. Legacy benefit claimants, many of whom are long-term sick or disabled, have been unjustly denied the additional uplift that universal credit claimants got during the pandemic. Will the Minister commit to remedying that injustice by reintroducing the universal uplift, increasing it to £25 a week and giving it to all legacy benefit claimants?

Tom Pursglove Portrait Tom Pursglove
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I thank the hon. Lady for her suggestion of new policy. As a Government Minister, I am not in a position to create new policy on the hoof. What I would say, however, is that there are significant cost of living support measures in place, and individuals will be able to access the support that is appropriate for them.

Lindsay Hoyle Portrait Mr Speaker
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We now come to the shadow Minister.

Vicky Foxcroft Portrait Vicky Foxcroft (Lewisham, Deptford) (Lab)
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My hon. Friend the Member for Battersea (Marsha De Cordova) and I have asked numerous written questions about the shocking 461% increase in the number of personal independence payment claims disallowed for the non-return of the AR1 review form between 2017 and 2021. The Minister, sadly, has no idea why the increase has happened, or by extension whether vulnerable people are being left struggling to manage, as the Department does not collect information on the reasons for the non-return of the AR1 form. So I ask the Minister again today: when will he take action to investigate this issue?

Tom Pursglove Portrait Tom Pursglove
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There may be many and varied reasons why individuals choose not to return the forms. [Interruption.] If the hon. Lady will allow me to answer the question, that would really benefit the House. The bottom line here is that there may be many and varied reasons why people do not return the forms, including their circumstances changing materially, but I am very happy to take the point away and look at it further.

Philip Hollobone Portrait Mr Philip Hollobone (Kettering) (Con)
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13. How many people have received the pensioner cost of living payment in (a) Kettering constituency, (b) north Northamptonshire and (c) England.

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Margaret Ferrier Portrait Margaret Ferrier (Rutherglen and Hamilton West) (Ind)
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T4. A constituent recently contacted me about the lack of reasonable adjustments in place at the local jobcentre for those with mental health or cognitive difficulties. How do Ministers plan to improve staff awareness and the reasonable adjustments offering?

Tom Pursglove Portrait The Minister for Disabled People, Health and Work (Tom Pursglove)
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I am grateful to the hon. Lady for raising this issue in such constructive terms. I expect teams to be responsive to needs for reasonable adjustments. Perhaps she could share the details of the specific experience so that I can look into it. It is fair to say that staff go through ongoing learning, and we refresh the guidance at regular intervals.

Robbie Moore Portrait Robbie Moore (Keighley) (Con)
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T3. Can my hon. Friend provide an assessment of how personal independence payment appointments are being administered? Many constituents have kindly contacted me to say that they are still having claims processed over the phone rather than at an in-person appointment. I am sure he agrees that in-person appointments are vital to ensuring that our constituents get the right level of support.

Tom Pursglove Portrait Tom Pursglove
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Regardless of the form that PIP assessments take, the structure is the same. Evidence suggests that both forms are equally effective, but I hope that I can reassure my hon. Friend by saying that if individuals want to have a face-to-face assessment, they absolutely can.

Wera Hobhouse Portrait Wera Hobhouse (Bath) (LD)
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T7. In Bath and North East Somerset, the gap between local housing allowance and rent for the cheapest three-bedroom property is nearly £4,000. My inbox is full of emails from desperate families on low incomes who are being squeezed out of living in Bath. Will the Secretary of State unfreeze the local housing allowance so that benefits are better aligned with rent in the local area?

Tom Randall Portrait Tom Randall (Gedling) (Con)
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T5. A constituent of mine who has been in full-time work since he was 16 is now in his mid-40s and is unable to work as he awaits major surgery. For people like him, navigating a complex welfare system for the first time is difficult and worrying. Does my hon. Friend agree on the importance of people such as my constituent being able to access clear advice about the welfare benefits system to remove added financial worries? Will he outline the support available for people in such circumstances to access high-quality occupational health support to help them get back to work?

Tom Pursglove Portrait Tom Pursglove
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I wholeheartedly agree with my hon. Friend and send my best wishes to his constituent for their surgery. The Department offers support through disability employment advisers who work alongside all work coaches, specialising in finding the right support to help customers who have a disability or health condition into work. I know that the dedicated team in Nottinghamshire would certainly be delighted to engage with my hon. Friend or his constituent and try to help with this issue.

Tanmanjeet Singh Dhesi Portrait Mr Tanmanjeet Singh Dhesi  (Slough) (Lab)
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T9.   At the end of last year, the National Audit Office found that levels of benefit fraud and error were “unacceptably high”, totalling £8.6 billion for the year. How exactly will the Secretary of State reduce benefit fraud and error and claw back this appalling waste of taxpayers’ money?

Tom Pursglove Portrait Tom Pursglove
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I would argue that the Public Accounts Committee report does not reflect the steps that we took and that we set out in the plan that was published last May. As I set out to the House earlier, we are taking a tough approach to the issue, and rightly so—this is taxpayers’ money. For example, the work of the 2,000 extra officials on targeted case reviews, 2 million of which are in universal credit, is a really important part of getting that money back.

Jack Brereton Portrait Jack Brereton (Stoke-on-Trent South) (Con)
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T6. I know from speaking to staff at Longton jobcentre that additional support has been put in place to help the over-50s back into work. Will the Minister update the House on what more is being done to upskill adults and help more of them to get back into work, especially in Stoke-on-Trent?

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Justin Madders Portrait Justin Madders (Ellesmere Port and Neston) (Lab)
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Further to the question from the hon. Member for Strangford (Jim Shannon), I have a constituent who is facing the consequences of an overpayment in employment and support allowance. She has been able to show that she gave the Department the correct information time and again, but according to the Department, that is not relevant to whether she should pay the full sum. If the Department is not subject to any comeback after making mistakes, how will it ever improve?

Tom Pursglove Portrait Tom Pursglove
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It is important to note that official error loss fell from 1.3% in 2019-20 to 0.9% in 2020-21 and to 0.7% in 2021-22. It is of course right for us to work constructively with individuals to identify appropriate repayment plans, ensuring that we live up to our legal obligations to get the money back into the Department, but I expect officials to work constructively with people, taking account of their specific financial circumstances. I should be delighted if the hon. Gentleman shared the details of this case with me so that I can look into it.

Flick Drummond Portrait Mrs Flick Drummond (Meon Valley) (Con)
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T10. What steps is the Minister taking to raise employers’ awareness of the impact of the menopause?

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Andrew Jones Portrait Andrew Jones (Harrogate and Knaresborough) (Con)
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Working with Disability Action Yorkshire in my constituency, I have observed the important and growing role in the jobs market played by people with disabilities. I have spoken before about the Access to Work programme. Will the Minister update the House on what is being done to promote that excellent scheme among employers?

Tom Pursglove Portrait Tom Pursglove
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My hon. Friend is a brilliant advocate for Harrogate generally, but on this issue he is a passionate advocate for Access to Work and Disability Confident. We work to promote those schemes through our social media, through working with stakeholders, through working with local employer partnership teams and employer associations and through the Disability Confident scheme generally. I would certainly welcome the opportunity to look at ways in which we can spread the word further, including on a localised basis. I am about to do that as a constituency MP in Corby, and perhaps my hon. Friend could do the same in Harrogate.

Carol Monaghan Portrait Carol Monaghan (Glasgow North West) (SNP)
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On Friday night I was given the terrible news that a popular business in my constituency, Mortons Rolls, had ceased trading, putting at risk 250 jobs. Will the Secretary of State take the time to meet me to discuss what can be done to support that business and the 250 staff who are now threatened with redundancy?

Chloe Smith Portrait Chloe Smith (Norwich North) (Con)
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I echo the concern of my hon. Friend the Member for Harrogate and Knaresborough (Andrew Jones) about Access to Work. Can I ask what progress is being made on the disability action plan and how the Minister will ensure effective work across Government?

Tom Pursglove Portrait Tom Pursglove
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The disability action plan is a really valuable opportunity to drive forward meaningful progress in a number of areas to help to improve the lives of disabled people. We are in the process of assembling the ministerial disability champions, and I want to see ideas from across Government brought together. We will then hear from disabled people, get out there and consult on the plan, then make sure that we deliver it over the next 18 months to two years. This is about quick wins and getting those off the stocks and delivering for disabled people.

Jonathan Gullis Portrait Jonathan Gullis (Stoke-on-Trent North) (Con)
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I want to place on record my thanks to the Pensions Minister for her incredible hard work on automatic pension enrolment to get the age and the earnings lowered. Does she agree that it is a major concern for the people of Stoke-on-Trent North, Kidsgrove and Talke that 25% of people leave work without a workplace pension in place? That is why the Pensions (Extension of Automatic Enrolment) Bill is so important and I am grateful to have had support for it from colleagues across the House.

Diffuse Mesothelioma Payment Scheme Levy 2022-23

Tom Pursglove Excerpts
Tuesday 31st January 2023

(1 year, 3 months ago)

Written Statements
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Tom Pursglove Portrait The Minister for Disabled People, Health and Work (Tom Pursglove)
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The Diffuse Mesothelioma Payment Scheme (Levy) Regulations 2014 require active employers’ liability insurers to pay an annual levy, based on their relative market share, for the purpose of meeting the costs of the Diffuse Mesothelioma Payment Scheme (DMPS). This is in line with the insurance industry’s commitment to fund a scheme of last resort for persons diagnosed with diffuse mesothelioma who have been unable to trace their employer or their employer’s insurer.



Today I can announce that the total amount of the levy to be charged for 2022-23, the ninth year of the DMPS, is £20.3 million. The amount will be payable by active insurers by the end of March 2023.



Individual active insurers will be notified in writing of their share of the levy, together with how the amount was calculated and the payment arrangements. Insurers should be aware that it is a legal requirement to pay the levy within the set timescales.



I am pleased that the DMPS has seen nine successful years of operation, assisting many hundreds of people who have been diagnosed with diffuse mesothelioma. The eighth annual report for the scheme, along with the annual statistics, was published on 22 November 2022 and is available on the www.gov.uk website. I hope that Members of both Houses will welcome this announcement and give the DMPS their continued support.

[HCWS533]

Oral Answers to Questions

Tom Pursglove Excerpts
Monday 23rd January 2023

(1 year, 3 months ago)

Commons Chamber
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Peter Dowd Portrait Peter Dowd (Bootle) (Lab)
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7. What steps he is taking to help tackle the disproportionate impact of the cost of living crisis on people with Parkinson’s disease.

Tom Pursglove Portrait The Minister for Disabled People, Health and Work (Tom Pursglove)
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Six million people receiving an eligible disability benefit received a £150 disability cost of living payment last year, and will receive a further £150 cost of living payment later this year. This is in addition to other Government support, such as up to £900 for those on a qualifying means-tested benefit.

Peter Dowd Portrait Peter Dowd
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I thank the Minister for his answer. According to a Parkinson’s UK survey, people with Parkinson’s disease will pay an extra £1,196 in heating costs to manage symptoms. Those receiving the £150 disability cost of living payment are already £1,000 a year out of pocket, so will the Minister meet me and representatives of Parkinson’s UK to discuss this very important issue?

Tom Pursglove Portrait Tom Pursglove
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I am very grateful to the hon. Gentleman for his question. We have worked together constructively on issues in the past, and I would certainly be delighted to meet him on this occasion to discuss this important issue. Of course, one point that I would make is that many people who are receiving the disability cost of living payment will also be receiving other elements of the Government’s cost of living package, but I am happy to talk to the hon. Gentleman about his views on this particular issue.

David Evennett Portrait Sir David Evennett (Bexleyheath and Crayford) (Con)
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We all know, including the Minister, how disabling and terrible Parkinson’s disease is—members of my own family have suffered from it. I therefore urge my hon. Friend the Minister to keep in mind the extra costs of heating that the hon. Member for Bootle (Peter Dowd) has referred to, which these people need to keep their mobility. We should do anything that can be done to help them overcome and live with this awful affliction.

Tom Pursglove Portrait Tom Pursglove
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I thank my right hon. Friend for making that point. Those additional costs that people with conditions such as Parkinson’s often experience are something that I am incredibly mindful of. The Government are committed to having a look at the issue of social tariffs, and I will be meeting with the Energy Minister, my right hon. Friend the Member for Beverley and Holderness (Graham Stuart), to talk about that issue. I will also take this opportunity to signpost the household support fund, which is a discretionary fund that is there to help, through local authorities and on a discretionary basis, where needs are not necessarily being met through the wider package.

Christine Jardine Portrait Christine Jardine (Edinburgh West) (LD)
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8. Whether his Department plans to take steps to compensate women affected by changes in the state pension age.

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Peter Aldous Portrait Peter Aldous (Waveney) (Con)
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16. What steps he is taking to help tackle the disproportionate impact of the cost of living crisis on people with a disability.

Tom Pursglove Portrait The Minister for Disabled People, Health and Work (Tom Pursglove)
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As I said earlier, six million people receiving an eligible disability benefit received a £150 disability cost of living payment last year and will receive a further £150 cost of living payment later this year. This is in addition to other Government support, such as up to £900 for those on a qualifying means-tested benefit.

Peter Aldous Portrait Peter Aldous
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The £150 disability cost of living payment is indeed welcome, but those living with a disability spend more on heating costs, as they are invariably less mobile and spend longer, if not the whole day, in their home. As the hon. Member for Bootle (Peter Dowd) and my right hon. Friend the Member for Bexleyheath and Crayford (Sir David Evennett) have mentioned, Parkinson’s UK estimates that additional cost at £1,200. Will my hon. Friend set out what the Government are doing to provide advice and help those with a disability to bridge that funding gap?

Tom Pursglove Portrait Tom Pursglove
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I can certainly extend the offer to my hon. Friend to join the meeting that I agreed to in an earlier exchange. I am keen to have his insight and input on this issue. It is important to set that £150 payment in the context of a wider package of support that has been provided: the £900 cost of living payment; the £300 pensioner payment; and the support that has been provided through the energy price guarantee, as well as discretionary support. It is right, particularly with reform in the offing from April 2024 around energy support, that we look at this issue in the round.

Aaron Bell Portrait Aaron Bell (Newcastle-under-Lyme) (Con)
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17. If he will review whether vaccine damage payment awards should be disregarded for the purposes of universal credit.

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Helen Morgan Portrait Helen Morgan (North Shropshire) (LD)
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T4. I have been contacted by two separate disabled constituents who were previously eligible for the warm home discount. This year of all years, however, they have been told that they are no longer eligible, because of the way that the various support schemes interact. Will the Minister meet me to look into those two individual cases, and the wider issue, to ensure that the most vulnerable people are not missing out on the support that they need?

Tom Pursglove Portrait The Minister for Disabled People, Health and Work (Tom Pursglove)
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I am grateful for the hon. Lady’s question. It is important to point out that the reform to the warm home discount, which expands the support available, means that 160,000 more households where a person is disabled or has a long-term illness will receive a rebate. If she provides me with the details of the cases in question, I will be happy to look at them.

Kevin Foster Portrait Kevin Foster (Torbay) (Con)
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I know that the Minister for Disabled People shares my enthusiasm for the Disability Confident campaign and ensuring that more employers sign up to it. What discussions is he having with the Migration Advisory Committee to ensure that, when considering representations from sectors about, for example, the shortage occupation list, being a Disability Confident employer is part of what is considered?

Tom Pursglove Portrait Tom Pursglove
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It is fair to say that my hon. Friend and I have experience of such matters from previous roles. I know that there is no bigger advocate of Disability Confident in Torbay than him. Of course, we want to continue to build on the brilliant work that has happened through that scheme and its success in getting disabled people into work, which I think should be an overarching mission for the whole of Government.

Sarah Olney Portrait Sarah Olney (Richmond Park)  (LD)
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T5.   I welcome the Secretary of State’s earlier remarks about looking to address the causes of economic inactivity in the over-50s. The people and skills element of the UK shared prosperity fund could be well placed to fund the kind of support that that age group needs to get back into the workforce, but that funding will not be available until 2024-25, which is much too late to address the current crisis. Will the Department work with the Department for Levelling Up, Housing and Communities to bring the funding forward to 2023-24?

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Lee Anderson Portrait Lee Anderson (Ashfield) (Con)
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The Rumbles café in Sutton-in-Ashfield does marvellous work with people with Down’s syndrome, helping to train them and get them back into the workplace. People with Down’s syndrome are living longer and more independently, but they are struggling to get into the workplace, so what more can the Government do to help people with Down’s get into the workplace?

Tom Pursglove Portrait Tom Pursglove
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I am grateful to my hon. Friend. Perhaps we could organise a visit so that I can see this organisation for myself. I had a really rewarding visit to Bristol just before Christmas, where I saw the huge difference made by work experience opportunities organised and facilitated by charitable organisations. I would be delighted to visit.

Mick Whitley Portrait Mick Whitley (Birkenhead) (Lab)
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T8. Last week, the Prime Minister became the second holder of his office to have been found to have broken the law while serving in No. 10. He has now been issued with a fixed penalty notice, his second in 12 months. But unlike many of my constituents who have been hit with punitive benefits sanctions, the Prime Minister is unlikely to be forced to resort to payday loans and food banks in order to get by. Will the Secretary of State concede that the Government policy of sanctioning claimants for even the most minor and accidental breaches of the rules is simply too severe?

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Margaret Ferrier Portrait Margaret Ferrier (Rutherglen and Hamilton West) (Ind)
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Attention deficit hyperactivity disorder and autism are severely underdiagnosed in women and girls, and are often misdiagnosed as mood disorders. What discussions have Ministers had with the Health and Social Care Secretary about the impact this is having on women’s ability to access and maintain employment, and what steps will be taken to support them?

Tom Pursglove Portrait Tom Pursglove
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I am grateful to the hon. Lady for raising this issue. It is fair to say that Ministers in the Department for Work and Pensions meet Ministers in the Department of Health and Social Care and across Government. We are in the process of appointing the new ministerial disability champions to take a lead on taking deep dives into particular issues. I am really happy to take that one away to raise with DHSC colleagues.

Jonathan Gullis Portrait Jonathan Gullis (Stoke-on-Trent North) (Con)
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The people of Stoke-on-Trent North, Kidsgrove and Talke would like to ask when the Minister for Pensions is going to act on the recommendations of the 2017 automatic enrolment review to lower the age threshold for automatic enrolment from 22 to 18, and to remove the lower limit of the qualifying earnings band, so that contributions are paid from the first pound earned.

UN Committee on the Rights of Persons with Disabilities: Follow-up Report

Tom Pursglove Excerpts
Thursday 15th December 2022

(1 year, 5 months ago)

Written Statements
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Tom Pursglove Portrait The Minister for Disabled People, Health and Work (Tom Pursglove)
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Today, I will place in the Library of the House a copy of the UK’s 2022 follow-up report to the UN Committee on the Rights of Persons with Disabilities, following the 2016 inquiry.

This Government are committed to eliminating barriers faced by disabled people, in order to realise their full participation and inclusion in society. The follow-up report demonstrates how we are implementing the UN Convention on the Rights of Persons with Disabilities and showcases positive action taking place across the UK to support disabled people.

The UK Government have implemented numerous policies and programmes to tackle the barriers faced by disabled people relevant to the articles examined by the inquiry, as highlighted in our latest report to the UN Committee for the Rights of Persons with Disabilities.

We have seen 1.3 million more disabled people in work than in 2017—delivering a Government commitment five years early. We are investing £1.3 billion over three years in employment support for disabled people and people with health conditions.

The Government are providing households with cost of living support totalling over £37 billion this year. This includes a £650 cost of living payment for people on means-tested benefits. In addition to this, six million eligible disabled people have received a one-off, disability cost of living payment of £150 to help with additional costs.

We are reforming social care support to improve disabled people’s access to care services and ensure integrated health and care support. Increased funding for adult social care will also ensure a fairer cost of care for both carers and patients. Improvements in the accessibility of homes and transport are helping disabled people to live independently and have a better standard of living.

We supported the passage of the British Sign Language (BSL) Act (2022) which recognises BSL as a language of England, Wales and Scotland in its own right. A BSL advisory board is being established to guide implementation of the Act from the perspective of people who use BSL.

Recognising the need for wider societal change across all industries, our 19 disability and access ambassadors are using their expertise and influence in business to help drive and support changes in access for disabled consumers and employees.

Alongside this, we recognise the importance of co-ordinated action across Government, reflecting the full range of services and opportunities that deliver full participation. Our ministerial disability champions have been supporting and driving forward work on disability in their respective departments.

We continue to engage with disabled people and stake-holders through disabled people’s organisations, networks and relevant organisations. This is to ensure that lived experience underpins regular and co-ordinated action across Government. We remain committed to improving the lives of disabled people and making our society a more inclusive and accessible place for all disabled people.

[HCWS454]

Personal Independence Payment

Tom Pursglove Excerpts
Thursday 15th December 2022

(1 year, 5 months ago)

Written Statements
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Tom Pursglove Portrait The Minister for Disabled People, Health and Work (Tom Pursglove)
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Today the Department will publish the latest update on progress on making backdated payments to personal independence payment claimants who are affected by the MH and RJ decisions of the Upper Tribunal (UT). The release will be published at: https://www.gov.uk/government/collections/pip-administrative-exercise-progress-on-cases-cleared.

The MH decision changed how overwhelming psychological distress is considered when assessing someone’s ability to plan and follow a journey. The RJ decision changed how we decide whether someone can carry out an activity safely and if they need supervision.

As at the end of November 2022, we have reviewed around 990,000 cases against the MH decision. This includes cases where claimants have previously been assessed as having “overwhelming psychological distress” or who have a “psychiatric disorder” as one of their health conditions. We have also reviewed around 1,100,000 cases against the RJ decision. This includes cases where claimants have a “neurological disease” as one of their health conditions. All reviews will have been carried out by a case manager within the Department.

Around 8,400 arrears payments, totalling around £44 million, have been made. No one should have seen their PIP reduced because of this exercise.

In addition, we will continue to review any case for any claimant who asks us to.

This has been a complex and substantial exercise, involving over 2,090,000 reviews against two UT decisions. Our approach demonstrates that we have prioritised claimants who are most likely to benefit, to make backdated payments as quickly as possible.

We have set out further background to this release in an updated “Frequently Asked Questions”. I will deposit a copy of this document and the statistical release in the Library of the House.

[HCWS451]

Oral Answers to Questions

Tom Pursglove Excerpts
Monday 5th December 2022

(1 year, 5 months ago)

Commons Chamber
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Debbie Abrahams Portrait Debbie Abrahams (Oldham East and Saddleworth) (Lab)
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19. What assessment he has made with Cabinet colleagues of the adequacy of levels of benefit payments to support people with disabilities with the cost of energy.

Tom Pursglove Portrait The Minister for Disabled People, Health and Work (Tom Pursglove)
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Ministers across Government, of course, discuss policy proposals. The Government are spending £37 billion this year to support people on low incomes and disabled people with rising costs of living and energy prices. On top of that support, which includes cost of living payments, we have committed to a further £26 billion in cost of living support in 2023-24.

Liz Twist Portrait Liz Twist
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Earlier this year, 300,000 disabled people were taken out of eligibility for the warm home discount scheme, causing them huge worry. What does the Minister say to those 300,000 worried disabled people, who lost £150 because of his Government’s decision to remove them from the warm home discount scheme?

Tom Pursglove Portrait Tom Pursglove
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I am happy to raise with Ministers across Government the hon. Lady’s point about eligibility for the scheme, but I would make the argument that this Government have put in place a comprehensive package of support that is worth £37 billion this year and £26 billion next year. It is comprehensive support, meeting a number of needs. Of course, there is also discretionary help to meet particular needs where they exist in particular households.

Debbie Abrahams Portrait Debbie Abrahams
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We should not forget that since 2010, £34 billion of social security support has been taken away from working-age people, including disabled people. Back in April, the Equality and Human Rights Commission identified requiring the Department for Work and Pensions to enter into a section 23 agreement as one of its areas of focus. Eight months on, that agreement has still not been presented. At the Work and Pensions Committee last week, I asked the Secretary of State when it would be agreed. I would like some confirmation—here, today—of when exactly that will happen.

Tom Pursglove Portrait Tom Pursglove
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The position is exactly as the Secretary of State described it to the Select Committee last week. We, as Ministers, continue to engage constructively on that section 23 issue, and will provide further updates whenever we are able to do so.

Lindsay Hoyle Portrait Mr Speaker
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I call the shadow Minister.

Vicky Foxcroft Portrait Vicky Foxcroft (Lewisham, Deptford) (Lab)
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Many disabled people are having to make unimaginable sacrifices to keep life-saving equipment running in the face of huge energy bills. For instance, Carolynne Hunter’s 12-year-old daughter Freya requires oxygen for chronic breathing problems, and the bills that she had to pay to keep her daughter alive rose to £17,000. Thankfully, Kate Winslet stepped in and donated the full amount after being “absolutely destroyed” by the family’s story, but disabled people should not have to rely on celebrities to swoop in and save the day. When will the Government finally ensure that all disabled people are receiving the support they so desperately need?

Tom Pursglove Portrait Tom Pursglove
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I thank the shadow Minister for raising the issue of Carolynne’s situation. I am, of course, under no illusions about how challenging many people are finding the current circumstances and climate. We are providing the package of support that I have already described—which is the right thing to do—in addition to the discretionary help that is there to address particularly pressing needs in individual cases. As the hon. Lady will know, the Chancellor announced in the autumn statement that as part of ongoing future work we would be considering, for instance, social tariffs, and I also want to look into what more we can do in the longer term to help families deal with continuing significant costs.

Helen Morgan Portrait Helen Morgan (North Shropshire) (LD)
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14. If he will take steps to compensate women born on or after 6 April 1950 affected by changes to the state pension age.

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Justin Tomlinson Portrait Justin Tomlinson (North Swindon) (Con)
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16. What recent assessment he has made of the adequacy of processing times for personal independence payments.

Tom Pursglove Portrait The Minister for Disabled People, Health and Work (Tom Pursglove)
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We are committed to ensuring that people can access financial support through PIP in a timely manner. By prioritising new claims, increasing resources and using different assessment channels, we reduced the average new claim process from 26 weeks in August 2021 to 18 weeks in October 2022.

Justin Tomlinson Portrait Justin Tomlinson
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Capacity is key to assessment. What progress is being made to extend the severe conditions criteria in the PIP system, learning the lessons of the changes we have made to the special rules for the terminally ill, which would potentially allow us to remove 300,000 unnecessary assessments from the system, benefiting claimants and the taxpayer?

Tom Pursglove Portrait Tom Pursglove
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I am hugely grateful to my hon. Friend, who is of course a distinguished former Minister for disabled people and whose views on these matters I listen to incredibly carefully. We announced in “Shaping future support: the health and disability green paper” that we will test a new severe disability group, so that those with severe and lifelong conditions can benefit from a simplified process to access PIP, employment and support allowance and universal credit without needing to go through a face-to-face assessment or frequent reassessments. We will consider the test results, once they are complete, to influence thinking on the next stages of this work.

Cat Smith Portrait Cat Smith (Lancaster and Fleetwood) (Lab)
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18. What steps his Department is taking to support pensioners with increases in the cost of living.

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Greg Smith Portrait Greg Smith (Buckingham) (Con)
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T2. Research by Macmillan shows that 83% of people with a cancer diagnosis experience a financial impact from that, with the average figure being £891 a month on top of their usual expenditure, which sometimes means they cannot afford to get to their medical appointments. What more can be done to ensure that those with a cancer diagnosis get rapid access to everything to which they are entitled?

Tom Pursglove Portrait The Minister for Disabled People, Health and Work (Tom Pursglove)
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I thank my hon. Friend for raising this point. The experience he describes illustrates the troubling and worrying times for families when a diagnosis of cancer comes through. We are committed to ensuring that people can access financial support, through the personal independence payment and other benefits for which they are eligible, in a timely manner. We are seeing a gradual improvement on PIP claims, with the latest statistics showing that the average end-to-end journey has steadily reduced from 26 weeks in August 2021 to 18 weeks at the end of July 2022. However, I am not complacent on this; digitisation clearly plays an important part and we are going to go further.

Lindsay Hoyle Portrait Mr Speaker
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We come to the SNP spokesperson.

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Duncan Baker Portrait Duncan Baker  (North Norfolk) (Con)
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T3.   One of my constituents has motor neurone disease. She became disabled after she reached pensionable age and the only support she can now claim is attendance allowance, which, as we know, has no additional mobility element of payment. Others who have the same condition but are under pensionable age can claim and receive the mobility addition. Does my right hon. Friend agree that people on benefits who end up with these health issues should be able to claim for their disability based on a disability and not their age?

Tom Pursglove Portrait Tom Pursglove
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Nearly 1.5 million pensioners are receiving attendance allowance, at a cost of about £5.5 billion this year. It is normal for social security schemes to contain different provisions for people at different stages of their lives, which reflect varying priorities and circumstances. People who become disabled or develop mobility needs after reaching state pension age will have had no disadvantage on grounds of their disability during their working lives. I understand that that position is long standing, having been in place since the 1970s, under successive Governments.

Virendra Sharma Portrait Mr Virendra Sharma (Ealing, Southall) (Lab)
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T5.   Unemployment in my constituency is still significantly higher than it was before the pandemic and it is twice the national average. Ministers keep saying that times are tough and that we need to make difficult decisions. Will the Minister commit to raising payments in line with inflation to prevent misery for thousands in Ealing, Southall? Will he work with his colleagues to help the economy, not hinder it?

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David Evennett Portrait Sir David Evennett (Bexleyheath and Crayford) (Con)
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Can my right hon. Friend give the House an update on the new disability action plan that the Government are preparing at the moment?

Tom Pursglove Portrait Tom Pursglove
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I am grateful to my right hon. Friend for asking about that. It is right that we work across Government to identify priority areas where we can deliver meaningful change and progress for disabled people to improve their lives. That is what that action plan will do. We will be drawing up ideas, consulting on them, and then getting on delivering them. I look forward to hearing his views as we take that work forward.

Andy McDonald Portrait Andy McDonald (Middlesbrough) (Lab)
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T8. My constituent, Brandon, was medically discharged from the armed forces in 2020 after serving six years. He sustained a number of physical injuries and mental health consequences, but the DWP is failing to adhere to the armed forces covenant and to recognise the Ministry of Defence’s medical assessment for universal credit purposes, or to recognise the assessment of Combat Stress for personal independence payment purposes. Will the Minister consider his case and take the appropriate action to address those deficits?

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Dan Jarvis Portrait Dan Jarvis (Barnsley Central) (Lab)
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I raised 11-year-old Harry Sanders’s disability living allowance appeal at the last DWP questions, but despite a letter from the Minister, for which I am grateful, his parents are still waiting for a tribunal date. Will the Minister look again at Harry’s case, understand why the long wait is causing such anxiety and work with me to resolve this matter as soon as possible?

Tom Pursglove Portrait Tom Pursglove
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Again, I thank the hon. Gentleman for raising this issue so constructively. He is right to say that I responded to his earlier question in a letter last week. This matter is sitting with the HM Courts and Tribunals Service, which of course relates to the work of the Ministry of Justice and is independent as part of the judiciary. I will take his point away and flag it with Justice Ministers so that they can see whether there is anything that they can do to raise it.

Nia Griffith Portrait Dame Nia Griffith (Llanelli) (Lab)
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The Secretary of State mentioned the reduction to 25% of the deductions to universal credit to claw back overpayments or advances, but deducting 25% of money that barely covers the essentials is far too much. A report by Lloyds Bank Foundation says that even at 25% the deductions are pushing people into other debt and leaving them without enough to live on. The Secretary of State will also know that the Work and Pensions Committee has recommended pausing debt recovery during the cost of living crisis. Will the Secretary of State now pause that debt collection and, when it resumes, resume it at a lower level?