(6 months ago)
Lords ChamberI have to say that the gist of the argument that came from the noble Baroness’s question is, “What is going on?” I can tell her that around 1 million people are in receipt of carer’s allowance and that the vast majority of them—around 95%—were paid correctly. I do not entirely accept the statistics that the noble Baroness mentioned: the total overpayment rate for carer’s allowance was 5.2%, which represents about 60,000 people. About half of them ended up being given a penalty of £50—the basic civil penalty.
My Lords, on the statistics, can the noble Viscount tell us how many people owe more than £20,000? When he talks about responsibility, will he agree that the problem is that we have another instance where the information technology system has got away from human judgment? The IT system does not trigger action, so carers may wait months and months to be told that they owe significant amounts. The evidence now suggests that one of the effects of this is that some carers are not going to claim carer’s allowance because it is too risky. They are facing so much stress and this is one element of stress that they simply cannot handle.
Although I do not have the figure to pass on to the noble Baroness, I can say that the other main category for overpayments comes under the title of “conditions of entitlement”. That represents 2.8% of the total. This is when claimants have stopped caring and neglected to tell us, or when the claim has been fraudulent from the outset. I am aware of some extreme cases highlighted in the press—which, by the way, have been building up over many years—where the amount of repayment is particularly high. That amount is not particularly high, but I will certainly get the figure to the noble Baroness.
(6 months ago)
Lords ChamberMy Lords, I thank all noble Lords for their very valuable contributions to this important and wide-ranging debate. As it has highlighted, disabled people share the same hopes, aspirations and ambitions as non-disabled people to fulfil their potential and play a full part in society. However, I acknowledge that they often experience barriers that can prevent them realising this.
I pay tribute to the noble Baroness, Lady Hughes, who provided a good overview of the many issues that are challenges for disabled people. Although she would not expect me to agree with many of her conclusions, she raised a number of questions which I will attempt to cover. As the noble Baroness, Lady Donaghy, acknowledged, it may not be possible to cover all the many themes encompassing disability that were raised today. Having said all that, the noble Baroness, Lady Grey-Thompson, in her usual style, won the verbal marathon to canter through most of the issues.
Over the last 25 years, this country has made important progress in tackling the barriers, through the work of campaigners and across different Governments, from the Disability Discrimination Act 1995, which was alluded to by the noble Lord, Lord Addington—he was here in the House for that, which is interesting—to the Equality Act 2010 and, more recently, the British Sign Language Act and Down Syndrome Act. Today, in Mental Health Awareness Week and on Global Accessibility Awareness Day—I have a badge to match—I reflect that these are reminders of how far we have come in talking about, and having awareness of, disability and accessibility issues. They also highlight what still needs to be done.
I have listened carefully to all the issues raised. Let me say clearly that there is more to be done. My noble friend Lord Holmes is right that I should be aware— I reassure him and others that I am—of the lived experience of those who are disabled. I will take back to the relevant channels his points about floating bus stops, black taxi cabs and the bank issue; I very much noted that.
Having said all that, I am proud that this Government have continued to tackle the barriers faced by disabled people. As a bit of a pushback, let me say that there are now 2 million more disabled people in work when compared to 2010. We have 20 Ministers across government committed to championing accessibility and opportunity for disabled people within their departments. Our Disability Action Plan, which we published in February, sets out the actions that we are taking this year across these and other areas, and lays the foundations for longer-term change. I will talk more about this later.
To ensure that this country is the most accessible place in the world for them to live, work and thrive, we are going further through the support delivered through the benefits system, helping disabled people to start, stay and succeed in a more flexible and accessible labour market. We are also ensuring that disabled children—also mentioned today—get the best start in life, creating more accessible homes, which I will allude to later, and improving health and care outcomes.
This Government are delivering for disabled people. The noble Baronesses, Lady Hughes and Lady Sherlock, asked when disabled people can expect an update on the national disability strategy and the disability action plan. The actions set out in the disability action plan are planned to be delivered over 12 months, to lay the foundations for longer-term change. To track our progress, we will publish updates on the progress of actions from the disability action plan after six months and 12 months. The six-month update will also include an update on the delivery of the national disability strategy.
The noble Baronesses, Lady Sherlock and Lady Hughes, raised the differences between the documents. The disability action plan will be taken forward in parallel with the national disability strategy and is designed to complement the long-term vision set out in the strategy. In a Written Ministerial Statement of 18 September 2023, we announced how work on the strategy would be taken forward. Other significant work being taken forward by individual government departments in areas that disabled people have told us are a priority include reforms to employment and welfare via the DWP’s Transforming Support: The Health and Disability White Paper and strategies to address health and social care via the DHSC’s People at the Heart of Care White Paper, which the House will be aware of.
I turn to the support provided through our benefits system. I am proud that we have a strong and generous safety net for those who need it. We expect to provide £88 billion worth of support for disabled people through the benefits system this year. Last month, we increased the extra cost disability benefits by a further 6.7%. I have listened carefully to comments today on access to the benefits system. We know that, in some cases, people may not be able to engage effectively with the claim process due to various vulnerabilities. That is why the DWP has a range of different support measures at every stage of the benefit claim. This includes a “move to universal credit” helpline, a “help to claim” service delivered independently by Citizens Advice and face-to-face support in local jobcentres, where the staff will have been specifically trained and prepared for this work. Where a claimant cannot manage their claim due to a lack of capacity, they can appoint a third party to manage the claim on their behalf.
Our wider reforms look more fundamentally at different options to reshape the current welfare system. As the House will know, we have published a Green Paper, which was much spoken about today. It considers options to provide better-targeted support to those who need it most, ensuring that it is fit for the future. This subject was raised by my noble friend Lady Browning and the noble Baroness, Lady Sherlock. I was particularly pleased to hear the remarks from the noble Baroness, Lady Thomas—it is good to hear from her again.
My noble friend Lady Browning asked how PIP provides support to claimants with mental illness. PIP was designed to help disabled people and people with long-term health conditions by making a cash contribution towards their extra costs. As part of this consultation, we want to understand whether there are other forms of support that may be more suitable for people with mental health conditions. We know that being in suitable work is good for people’s physical and mental health, well-being and financial security. As we set out in 2023 in Transforming Support: The Health and Disability White Paper, the Government aim to support more people to start, stay and succeed in work.
The noble Baroness, Lady Hughes, asked about the reason for the rise in PIP, suggesting that it was not due to the increased prevalence of disability and health conditions but was perhaps linked to NHS waiting times. I reassure her and the House that cutting waiting lists is one of the Prime Minister’s top priorities. We are making good progress in tackling the longest waiting lists, to ensure that patients get the care that they need when they need it. This is incredibly important. Thanks to the incredible work of NHS staff, we have virtually eliminated waits of 18 months. NHSE management information from March 2024 suggests that these waits have been reduced by over 95% since September 2021, but there is clearly more to do.
Alongside the support available through the welfare system, the Government also recognise the valuable work and the needs of those who care for disabled people while holding down a job. My noble friend Lady Browning and the noble Baroness, Lady Donaghy, asked whether the PIP consultation was simply a money-saving exercise. It is not a money-saving exercise; this is about the Government’s long-standing approach to supporting disabled people and people with long-term health conditions. We want the system to provide the right support to those who really need it. It is right that we should look at this after 10 years or so—as I said, we introduced it in 2013.
As the House will know, the Carer’s Leave Act came into force in April, giving a new unpaid leave entitlement that is available from day one of employment for employed unpaid carers. I will briefly touch on the point raised by the noble Baroness, Lady Andrews. I am very aware of the issues surrounding overpayments for carers; the Government are taking this extremely seriously. It is the responsibility of individuals who receive the carer’s allowance to let us know if their earnings exceed £151 per week. We are looking very seriously at it, particularly to see how we can improve the communications exercise. Everyone will receive a letter every year to remind them, but I believe there is more that we can do. As was said the other day in the media, we are already ringing as many people as we can, from the information that we have received, to remind them of what happens if their earnings go over the threshold, so that they understand what to do.
My Lords, I am extremely grateful for what the Minister has said. Do I understand correctly that this is the response to the issue of the IT system not automatically triggering any action that would lead to information being sent immediately to the carer? Does the Minister think that this will address that issue?
I think that it will go a very long way. We are looking seriously at getting the information out quickly—the link with HMRC is incredibly important here. We already get real-time information from HMRC anyway. We are asking the same question: what more can we do to be sure that those who do not let us know, for whatever reason, will do so? We also must not forget that the vast majority do let us know. This is a very important point. I believe that there will be a Question in the House next week on this issue, which I will be willing and ready to answer.
The subject of work was raised in particular by my noble friend Lord Shinkwin. This Government will always protect the most vulnerable, but we must also do everything possible to support those who can to move into work. I echo the Prime Minister’s speech at the Centre for Social Justice on 19 April, which I attended:
“The role of the welfare state should never be merely to provide financial support … but to help people overcome whatever barriers they might face to living an independent, fulfilling life”.
That is why we are supporting thousands more disabled people to start, stay and succeed in work through our £2.5 billion back to work plan. That includes exploring reforms to the fit-note process through the call for evidence—another theme raised today—and rolling out WorkWell, to bring together local health and employment support. Questions were raised today about who is best placed to make health assessments for work. I do not intend to go further on that, but we may well receive some information through the conversation and the PIP consultation on that subject.
From 2025, we will reform the work capability assessment to reflect new flexibilities in the labour market while maintaining protections for those with the most serious conditions. My noble friend Lord Holmes of Richmond and others raised the disability employment gap. The Government have an ambitious programme of initiatives to support disabled people and people with health conditions. The disability employment rate was 52.9% in the first quarter of 2024, compared to 81.7% for non-disabled people. For disabled people, that is an increase of 0.1 percentage points. The disability employment gap was 28.8 percentage points in the first quarter of 2024, a decrease of 0.6 percentage points on the year before.
We are also expanding access to mental health treatment, with nearly 400,000 additional places through NHS talking therapies, which I think the House will be well aware of. All this builds on existing support, such as Access to Work grants, our Disability Confident scheme and disability employment advisers in jobcentres.
The noble Baronesses, Lady Donaghy and Lady Hughes, asked what the Government are doing to help those in poverty. There is a long answer I could give, but the short answer, which I think I have given in the House before, is that we are committed to supporting people on lower incomes and expect to spend around £303 billion through the welfare system in Great Britain in 2024-25, including around £138 billion on people of working age and their children. These statistics cover 2022-23, a year when inflation averaged 10% and benefits were uprated by 3.1%, in line with the CPI.
On the disabled, the latest statistics show that the number of people in families where someone is disabled and in absolute poverty—which is our preferred measure—fell by 100,000 between 2021-22 and 2022-23. The proportion of people in families where someone is disabled and in absolute poverty after housing costs has decreased by two percentage points since 2019-20, and the number of people in such families has increased slightly due to an increase in the number of people in families where someone is disabled.
Briefly, on education, which I think was mentioned by the noble Baroness, Lady Sherlock, and others, in the special educational needs and disability sector our improvement plan will establish a single national system so that children can achieve good outcomes. We have increased high-needs revenue funding for children and young people with complex needs to cover £10.5 billion this year, up 60% over the last five years. The Law Commission is also undertaking a review of disabled children’s social care legislation to help clarify the law and to ensure that families of disabled children receive the support that they need. I hope that this may help address the remarks from the noble Lord, Lord Addington.
I will go further on the question of what the Government are doing to achieve greater national equality in the support offered to children. Our improvement plan outlines our commitment to establish a single national SEND system with a proposal to deliver national standards. National standards will improve mainstream education by setting standards for early and accurate identification of SEND need, and they will include clarifying the types of support that should be available in mainstream settings and who is responsible for securing the support. Finally, national standards will create a more consistent SEND system. That may not provide the whole answer, but I hope that helps.
(1 year, 6 months ago)
Lords ChamberMy noble friend makes a very good point. As I said earlier, we are committed to supporting unpaid carers to balance the care they may give alongside work, if they are able to do so. Some caring responsibilities are extremely demanding. My noble friend may know that the Carer’s Leave Bill is currently going through Parliament. This will introduce a new leave entitlement as a right from day one to those being employed, available to all employees who are providing care to a dependant with a long-term care or support need.
My Lords, we have received the Government’s response to the report from the Adult Social Care Committee and we are grateful for it. Is the Minister aware that in that report we recommended that carer’s allowance be reviewed in the next year? We recommended that the threshold for the hours of caring be reduced so that people could access carer’s allowance more easily, and that the allowance be uprated in line with the national living wage. All those recommendations have been rejected. Can the noble Viscount tell me why?
First, I wish the noble Baroness a very happy birthday. Moving on swiftly to her question, I very much note the points the report has produced; I read it over the weekend and it makes some important points. I said earlier how much we value the role of unpaid carers. Yes, the rate of carer’s allowance is £76.75 a week. The total caseload is 1.4 million and I think it very important indeed that we continue to review the role of carers and the carer’s allowance, but, as I mentioned earlier, there is a means-tested element here and top-ups are available for those in need.
(1 year, 9 months ago)
Lords ChamberThe noble Baroness is right to raise PIP. We are targeting support at those with the greatest needs, as she raised. PIP exempts a household from the benefits cap and is uprated by CPI, and it is payable regardless of a person’s employment status. On her particular points, I am pleased to say that we continue to see an improvement in the way that we look at and pay PIP, and particularly in the clearance times—the noble Baroness will know that there have been some delays. I will write to her on her specific question about the content. As I say, the delays are very much a priority for my department at the moment.
My Lords, I take the Minister back to his answer on personal assistants. When we were taking evidence in the Adult Social Care Committee on the provision of personal assistants, it became perfectly obvious that there is a real crisis for those people who do not want to ask their families to care for them and who would really benefit from personal assistants. One lady we spoke to had employed 27 personal assistants in the course of a year, none of whom could stay with her because they could not afford to. What is the Minister going to do, if he is not going to do an impact assessment, to find out what is actually going on in the lives of these people, particularly in an area where the data is extremely short and where we also know that people are having to take on personal assistants and then act as small businesses to try to organise their national insurance? For many, that is a huge burden.