(1 month, 2 weeks ago)
Commons ChamberThis year, in Bath alone, more than 4,000 patients waited over 12 hours in A&E. Getting seen quickly can be a matter of life and death, and with a lot of extra funding now coming forward, my constituents in Bath must see tangible change quickly. I welcome the extra investment in the NHS, but I would have liked to have heard direct mention of eating disorder services in the Budget.
Eating disorders are a national emergency. They have the highest mortality rate among mental health disorders, and there are over 1.2 million sufferers in the UK. The illness has seen an alarming rise, especially since covid, yet the current services and funding are a fraction of what is required. Between 2015 and 2019, for example, eating disorders accounted for just 1% of the UK’s mental health research funding. Charities are becoming completely overwhelmed amid NHS capacity issues. The charity SWEDA in my constituency saw a 150% increase in people seeking support in 2023 compared to pre-pandemic figures. We cannot depend on charities to plug the gap. It is unforgivable that since the urgent referral waiting time targets for child and adolescent eating disorder services were set in 2021, they have never been achieved.
At the end of 2023-24, more than 10,000 children had entered treatment for an eating disorder, but 12% of them were waiting over three months—three times the target for a routine referral. Even more alarmingly, an access and waiting times standard does not even exist for adults. Delays to eating disorder treatment can be fatal. Some sufferers are now being told that they are too ill to be treated, and the only treatment offered is palliative care. This is tragic and totally unacceptable. Eating disorders are treatable and sufferers can make a full recovery. It is shameful beyond words to give up on them. I urge the Government to take eating disorders seriously and ensure that services are meeting the needs of sufferers, and that the funding that is so desperately needed is made available.
I would like to say more about care providers, but I do not have time. I urge the Government to look at them in the round, not just to make exemptions for public service providers.
(1 year, 7 months ago)
Commons ChamberNo assessment has been made of the adequacy of PIP for people with disabilities. PIP is intended to provide a contribution towards paying for the additional costs faced by disabled people. Individuals then have a choice and flexibility in prioritising according to their needs.
A report by the Work and Pensions Committee found that people experience “psychological distress” due to the health assessment required as part of the PIP application process. Many of my Bath constituents feel the process does not reflect their needs and are concerned about the lack of support—some of those issues were covered by earlier questions. The Government have promised to trial the use of specialist assessors with knowledge of specific health conditions. Can the Minister please clarify which conditions are covered and how the assessors are being trained?
When we are able, we will set out more detail of the relevant conditions and the approach we will take in delivering on this commitment. I raised the issue in my conversations with officials this morning, because I am keen to progress this as quickly as possible. I see real benefit and value in matching assessors with specialisms to people with particular conditions. It is clear from the feedback that people believe this will make a significant difference. Along the lines I set out earlier, we want to reduce PIP journey times as much as feasibly possible, and I want to make sure that we get more decisions right first time and that we focus on quality, which is precisely what the reforms will do. We will share further detail with the House when we are able to do so.
(1 year, 9 months ago)
Commons ChamberRegardless 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.
The Government are projected to spend £30 billion—about 1.3% of GDP—on support for renters. Approximately £100 million has been allocated for the discretionary housing payment in 2023-24 to help local authorities, if necessary, which can top up from their own funding to help the hon. Lady’s constituents.
(2 years ago)
Commons ChamberAs I set out, the amount being spent on housing and housing support is almost £30 billion a year. That has grown strongly over the last decade or so and is on a trajectory to reach £50 billion by 2050. The Government are therefore putting huge support into that area. In addition to LHA, there are, as I have said, discretionary housing payments. When it comes to the homeless, we have brought forward a £2 billion package to help to resolve those issues.
The answer is yes. We want universal credit to provide support to claimants even where they have suffered bereavement of a child. Where a bereavement happens, we seek to ensure that the child element, disabled child element, childcare, carer element and housing element with the run-on provisions will all continue, notwithstanding the loss.
I am not entirely certain whether the Minister just announced a change in what the Government are doing, but may I press him on the issue affecting my constituents? The loss of these benefits places a heavy financial strain on parents who are already suffering from overwhelming grief. One of my constituents knows this. I have asked the Minister and his predecessor on several occasions for a meeting to see how to mitigate that. If he has just announced a change, I would be happy if he could explain what has now changed. Will he please meet me to explain what the changes are?
The hon. Lady may not know, but I lost twin boys and fully understand the difficulties her constituent faces in terms of bereavement. It is clearly the case that there are the run-on provisions, but I would happy to sit down with her to explain the run-on provisions and the extent to which there is ongoing support for the bereaved.
(2 years, 9 months ago)
Commons ChamberI am grateful for my hon. Friend’s support for his constituent. Verification of identity remains a critical requirement for all DWP benefits, and we are recruiting an additional 2,000 trained specialists to identify and stop scammers. We work hard to make sure that victims of identity fraud are not penalised and that universal credit benefits staff have access to information and intelligence from other sources prior to the payment, which allows them to make a real-time risk assessment on a case. Anyone who contacts us about a notification regarding a debt for a claim that they believe they never made will have their case referred to our stolen ID team, and we will endeavour to contact them within 48 hours.
The Secretary of State is legally required to conduct an annual review of benefit rates to determine whether they have retained their value in relation to the general level of prices. We have used the same approach since April 1987 of uprating benefits based on the increase in the relevant inflation index, the consumer prices index, in the 12 months to the previous September. We will spend over £59 billion this year, 2021-22, on benefits to support disabled people and people with health conditions.
One of my Bath constituents, who is disabled, has been told by his energy supplier that his bill will go up by £130 in April. He is on legacy benefits; he is not eligible for a top-up. He does not know how to cope. According to the charity Scope, he is not alone: disabled people are more than twice as likely to have a cold house and more than three times as likely not to be able to afford food. Thousands of disabled people are losing trust in the system. To improve trust and transparency in the DWP, will the Minister commit to automatically providing audio recordings of assessments, unless a claimant opts out, and to providing all claimants with a copy of the assessor’s report by default?
We take seriously the points that the hon. Member makes. Each interaction is key. We want to make sure that people get the support that they need, and we can achieve that through vehicles such as the household support fund, but I will take away her specific point and write back to her with a full response.
(3 years, 8 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
I am grateful to the right hon. Member for Romsey and Southampton North (Caroline Nokes) for securing this important debate, and to the Women and Equalities Committee for their report. I fully support the Committee’s call for an independent inquiry into the causes of adverse outcomes for disabled people.
From delayed and confusing guidance over shielding to difficulties accessing food, many disabled people have felt abandoned throughout the crisis. To this day, as we have already heard, we are waiting for the live British Sign Language interpretation of the Government’s press briefings on TV. One of my constituents in Bath was born with a rare and incurable breathing problem, and is in a high-risk group. Despite registering as extremely vulnerable on the Government’s website to receive food parcels in March last year, she did not receive her parcel until mid-June. Of the Government’s guidance about ending shielding, another constituent said:
“I don’t understand anything the Prime Minister said at all. It is so confusing. Why can’t they just say this in basic language?”
One of the most obvious failures we see again and again is that services are being designed for disabled people without actually consulting them. This pandemic has hit disabled people particularly hard, and in so many ways. In employment, disabled people have been disproportionately affected by furlough, reduced hours and redundancies. Despite this, the Chancellor’s plan for jobs made only one reference to disabled people, and contained nothing to address the specific challenges facing them. Recent figures released by the Department for Work and Pensions reveal that the number of disability employment advisors has fallen by 32% during the pandemic, at a time when knowledge of the barriers faced by disabled people will be even more necessary. Everyone should have the right to secure employment. I sincerely hope that promotion of inclusive workplace practices will be a top priority in the Government’s national strategy for disabled people. We need a targeted strategy to tackle barriers to work for disabled people as we emerge from the pandemic.
Covid has also exposed how isolated some disabled people can be. Many of those with mental health difficulties in Bath have already been struggling without face-to-face care. The value of our social care sector and its workforce has never been clearer, and I pay tribute in particular to the 7.3 million unpaid carers in the UK, without whom the pressures on adult social care services would be even greater. Many are facing extreme financial hardship. The Liberal Democrats are calling for carer’s allowance to be raised by £1,000 a year—the same as the uplift in universal credit. The underfunding of social care was a problem long before covid. Now its effects will be felt even more severely. I support the Select Committee’s recommendations, which highlight that the £300 million in additional grant funding for local authority social care budgets falls far short of what is needed.
We are now 25 years on from the Disability Discrimination Act 1995. Unless we truly recognise the value of the social care sector, we risk going backwards on the progress we have made towards equality for disabled people.
(4 years ago)
Commons ChamberI would be delighted to extend my thanks to the dedicated and hard-working team at the St Austell service centre and their colleagues across the rest of the DWP, who have played their part in processing a 90% national increase in UC claims since March. I agree with my hon. Friend’s point about the Opposition. Without the agile, digital universal credit system, we simply would not have been able to quickly and safely process millions of additional claims and get money and support to the people who needed it most in this health emergency.
We are committed to ensuring that people with disabilities and long-term health conditions get the vital support that Access to Work provides. That includes working with more than 19,000 Disability Confident employers to enable them to promote access to work through their networks.
According to recent research, 42% of employers feel discouraged from hiring people with a disability because they are not confident about how to support their needs through the pandemic. Will the Government consider fast-tracking Access to Work applications for disabled people through the kickstart scheme, as recommended by the charity Leonard Cheshire?
I thank the hon. Member for that question. I know I am meeting the hon. Member on 14 December to discuss this in more detail. I am also meeting the new chief executive of Leonard Cheshire, so I will discuss that report in detail. I am very proud, as a Government, that we have delivered record disability employment, and last year 43,000 people benefited from Access to Work—up 20%. Through schemes such as Access to Work and Disability Confident, and our highly trained and skilful work coaches, we will continue to engage with employers of all sizes to give them the confidence to take advantage of the huge wealth of talent that is available with a diverse workforce.
(4 years, 7 months ago)
Commons ChamberFirst, I thank my right hon. Friend for praising staff at the DWP. He is right to do so, and I thank him for that. I am very aware of the issue he is bringing to my attention, and I am actively looking at that particular scenario, where people, not realising some of the eligibility rules, have then made the application and are no longer effectively going to receive working tax credits. I cannot give an answer to my right hon. Friend or the House today, but I assure him that I am looking very carefully into what changes we could make to address that situation. I have already asked for the website to be updated, so that people are crystal clear when they apply.
May I, too, thank the staff at the DWP for their very hard work? The hospitality, arts and tourism sectors, which are vital industries in my constituency, will not recover overnight, even when the restrictions are lifted. Many of my constituents will have no option but to go on universal credit, with no job prospects any time soon. Does the Secretary of State think—she has even been reminding company directors of their eligibility for universal credit —that the current universal credit allowance of just under £5,000 a year for the over-25s is enough to live a dignified life?
With regard to the hospitality and tourism sector, the hon. Lady will be aware of the generous approach taken by the Government, whether that is grants, the furlough scheme or the other reliefs that are being applied. The figure that she quotes is solely the standard allowance. There are other elements of universal credit that people may be entitled to, such as if they have children or housing costs. It is the rolling up of six benefits into one. She focuses only on one, which equates currently to about £94 a week. I think that is a reasonable assumption, disregarding the other costs.
(5 years, 7 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
I believe that is not the case. We need to ensure that the parliamentary pension fund becomes zero-carbon. We as Parliament need to say, “Divest Parliament.” That would show leadership both to public schemes, particularly in local authorities, and to the wider sector. Let us remember that we have already discovered four to five times the fossil fuels the world would need to exceed a climate change budget. We already have too many fossil fuels. We should not invest in more. We should disinvest now.
The previous Government target to cut carbon emissions by 80% by 2050 is no longer relevant because we have to cut our emissions to net zero, so fracking, which is a source of carbon fuel, is no longer an option for this country. Should not the Government reflect that new reality and issue new planning guidance for local authorities or give them new powers? Such leadership would have an immediate consequence: investment in fracking as a source of fossil fuel would no longer be an option or attractive to investors.
I totally agree with my hon. Friend. In government, we placed tough regulations on that sector, which were based strongly on environmental considerations. It has not been able to grow to meet them. It has nowhere to go.
(5 years, 9 months ago)
Commons ChamberIt is a pleasure to speak in this debate. I would like to put on the record my thanks to the Backbench Business Committee, the hon. Member for Hackney South and Shoreditch (Meg Hillier), who leads the Public Accounts Committee so well, and the National Audit Office. It is fair to say that I rely heavily on the reports the NAO produces and I think it does a wonderful job. I would also like to give a shout out to Botley Primary School—I am a governor—because it got the call from Ofsted yesterday and is in the thick of it. Given that the first thing I am going to talk about is Ofsted, it would be fair to wish the school good luck today. I know they will do us all very proud.
As governors, we focus heavily on school funding. In my local area, a school recently wrote to parents to ask for pencils and pens because it cannot afford them. Another school—I will not mention which one—is consulting, quietly and behind the scenes, on going down to a four-day week, because it cannot afford to keep its teachers at full-time level; if it did, it would have to start going into severe deficits. In the context of the estimates, what we want to know is this: if there are funding pressures, are they affecting outcomes? In the end, that is what it is about. Are they affecting outcomes? Are they driving value for money or not? What are the outcomes of the policy decisions themselves? Today is about not party political speeches, but looking at the evidence in front of us.
The Public Accounts Committee has been looking at a whole host of issues, including school accountability and governance. When, with the Department for Education, governors and parents, we have explored where the buck stops on school accountability, the picture is, unfortunately, quite muddled. No one can tell us empirically where the buck is meant to stop. The Department for Education says that it is up to the multi-academy trusts or local authorities, who say that it is down to the governors, who rely very heavily on Ofsted to be able to say whether or not these funding pressures are leading to lower or higher outcomes. In fact, I think Amanda Spielman slightly overstepped her initial remit—but quite rightly—in saying that there are definitely outcome failures in the FE sector as a result of the financial pressures that many Members have mentioned today. She said that we do not empirically know whether that is happening in schools or not, but our argument is that if we had the proper data, we could probably get a better idea of what is going on.
This is at a time when Ofsted’s own budget is under pressure. Its remit has expanded significantly since 2000, with successive Governments of all colours having asked it to do more and more. As well as schools, its remit now covers other sectors including children’s social care, early years and childcare, further education and skills providers. Meanwhile, its budget has had a decrease—a cut—of 40%. I will go on to talk about more things that I wish Ofsted would do, but the better question may be: what is our mechanism for school improvement and accountability? Is Ofsted the right provider to be able to do this? I know that the Department is consulting on the new Ofsted inspection framework, which we absolutely welcome, but as part of that, we need to carefully consider whether introducing even more into Ofsted’s budget is the right thing to do or whether it is time to have another body altogether.
Passing the buck is more than just a financial matter and more than just about data and numbers; it is also a matter for the community and its parents. One of the more striking sessions in the Public Accounts Committee was when we had campaigners from Whitehaven Academy, whose community shouted from the rooftops about the financial mismanagement and irregularities that were happening in that school. One of the questions that we asked was, “What does it take to get these things looked at?” It took two MPs of different parties, one of whom was forcibly removed from the premises when they visited the school. There was a “Panorama” investigation and we still do not fully know the outcome of what has happened in Whitehaven. This continues to drag on and my Twitter feed is full of parents who are shouting yet again from the rooftops, “Where does the buck stop?”
Meanwhile, we have the Durand Academy, whose school was transferred to the Dunraven Educational Trust. The first canaries in this case were back in 2014. The Public Accounts Committee had a hearing on this issue in January 2015 and in it identified a
“lack of clarity about who ultimately owned assets”,
governance arrangements that were “overly complex and opaque”, a
“lack of effective timely intervention by the”
Department for Education and the FSA, and that the
“lack of an appropriate fit and proper persons test”,
had allowed directors to run the trust who developed “inappropriate business interests”. How on earth did it take until August 2018 for the funding to finally be cut? It is extraordinary.
Our argument is that this is partly because we now have a muddled twin-track system of schooling, where there are local authority-maintained schools of the older style with this new academies system. It has really been only this year—the first time was last year, and now this year—that we have seen the accounts, so that we can properly assess how this system is working alongside the other. We know, for example, that it takes a certain amount of money to convert schools into academies. In fact, in 2017-18 the Department for Education spent £59 million on conversion and re-brokering, but what about the extra costs to local authorities in doing that? What about the hollowing out of local authorities’ ability to support maintained schools? That was an area that the Public Accounts Committee was concerned about. It is an example of cost-shunting by removing an aspect of the system in one part of schools. As far as kids are concerned, they do not care whether they are in academies, free schools or maintained schools.
In my constituency, schools are now almost completely responsible for funding support services. Currently, local schools are covering a shortfall of £2.3 million for higher needs schools. Does my hon. Friend agree that this represents a total failure of the Government to invest in the future of our children?
Indeed, we have heard about the higher needs block; that is yet another area where there is cost-shunting.
On the twin-track system, what we need to do is look beyond: is one system better than the other? Actually, we have a lot to learn from the sorts of innovations that we are seeing in schools, but I am not convinced from the evidence we have seen in the Public Accounts Committee that we have a handle on the data. In our recommendations to the Department we have asked it to look at, for example, different types of multi-academy trusts—is there a difference between those that are locally based and those that are spread out or between the rural and the urban? Is there a north-south divide when it comes to academy trusts? What can we learn from the data? At the moment, when the accounts are produced, we do not have that data.
I very much echo what the right hon. Member for Harlow (Robert Halfon) was saying earlier. I firmly believe that this is not just a question of more money for schools. More money is welcome to get them working as they hope to now, but the issue is also about driving efficiency and spreading best practice. Without the data, how will we know what is working best?