Asked by: Kerry McCarthy (Labour - Bristol East)
Question to the Department for Work and Pensions:
To ask the Secretary of State for Work and Pensions, what assessment he has made of the potential impact of plans to reform the fit note process on people with mental ill health.
Answered by Mims Davies - Minister of State (Department for Work and Pensions)
Good work is good for health. We know that good work can positively impact people’s physical and mental health and wellbeing. We also know that tailored work and health support can help break down the kinds of barriers that can make finding and staying in a job more difficult for those with mental health conditions.
In 2023, 24% of fit note episodes had a known diagnosis and of those, 33% are for mental and behavioural disorders. We are reforming the fit note process so that it starts with an assessment of what someone can do with the right support, rather than what they cannot. This builds on the £795m investment we made at Autumn Statement for additional funding over five years for mental health services to help support people with mental ill health to gain and/or retain employment, as well as our successful Employment Advisers in NHS Talking Therapies programme, which is now being rolled out across England.
Our ambition is to bring together preventative healthcare and employment systems to support people who are at risk of falling out of work or who have already fallen out of work due to ill health. We continue to work with stakeholders including mental health organisations and those with lived experience, to co-develop this policy, this includes seeking insight and evidence via a public call for evidence.
This work is an essential part of the Government’s ambition to improve health outcomes, and help people get access to the support they need to return to, remain and thrive in work.
Asked by: Marsha De Cordova (Labour - Battersea)
Question to the Department for Work and Pensions:
To ask the Secretary of State for Work and Pensions, what steps he is taking to support (a) young disabled Londoners and (b) young black Londoners into employment.
Answered by Mims Davies - Minister of State (Department for Work and Pensions)
Disabled people and people with health conditions are a diverse group so access to the right work and health support, in the right place, at the right time, is key.
The Government therefore has an ambitious programme of initiatives to support disabled people and people with health to start, stay and succeed in work. These include: Employment Advisors in NHS Talking Therapies; the Work and Health Programme; Access to Work grants; Disability Confident; a digital information service for employers; Disability Employment Advisers in Jobcentres; increasing Work Coach support in Jobcentres; increasing access to Occupational Health; and expanding the Individual Placement and Support in Primary Care programme.
Building on this, we announced significant additional investment during the 2023 fiscal events. Alongside the delivery of our existing initiatives, we are now focused on delivering this package which includes: introducing Employment Advisors into MSK services; a new voluntary employment programme called Universal Support (US) which will provide wraparound support to 100,000 people a year once fully rolled out; WorkWell in approximately 15 pilot areas to provide light touch work and health support; exploring new ways of providing individuals receiving a fit note with timely access to support through our call for evidence launched on 19 April 2024; and establishing an expert group to advise on a voluntary national baseline for Occupational Health provision.
The Department for Work and Pensions Jobcentre youth offer provides a range of options to those seeking employment, including young Black Londoners. Additionally, we are taking targeted action where there is a high ethnic minority employment gap. The DWP Youth Offer provides individually tailored work coach support to young people aged 16 to 24 who are in the Universal Credit Intensive Work Search group. This includes the Youth Employment Programme, Youth Employability Coaches for young people with additional barriers to finding work, and Youth Hubs across Great Britain.
Asked by: Vicky Foxcroft (Labour - Lewisham, Deptford)
Question to the Department for Work and Pensions:
To ask the Secretary of State for Work and Pensions, what steps his Department took to engage with (a) disabled people and (b) disabled people's organisations when developing the Work Well programme.
Answered by Mims Davies - Minister of State (Department for Work and Pensions)
The 15 WorkWell pilot areas, which were announced on 7 May, will receive funding to locally design and lead their integrated work and health support services to meet the needs of their local populations. Pilot areas will be engaging end users, including disabled people, in the design and delivery of these services.
The lessons we learn from WorkWell will be critical to our longer-term work and will bolster the evidence base around what works to support disabled people to start, stay and succeed in work.
Prospective WorkWell pilot areas submitted applications which were scored against four criteria published in the WorkWell Prospectus on gov.uk (www.gov.uk/government/publications/workwell):
- Their understanding of the geography and demography of their chosen footprint;
- Their approach to work and health strategy integration;
- Their proposed delivery model for their WorkWell service;
- Their experience of and approach to, governance and working effectively with delivery partners across local systems.
In addition, a decision was taken to ensure that at least one site was selected in each of the 7 NHS England regions, and at least two of the 15 areas would be classified as predominantly rural.
The Department has commissioned an independent consortium of evaluators to carry out a national evaluation of WorkWell that will look to measure the effectiveness of the pilot, using surveys, interviews and econometric measures of success.
Asked by: Vicky Foxcroft (Labour - Lewisham, Deptford)
Question to the Department for Work and Pensions:
To ask the Secretary of State for Work and Pensions, how his Department plans to measure the effectiveness of the WorkWell programme pilots.
Answered by Mims Davies - Minister of State (Department for Work and Pensions)
The 15 WorkWell pilot areas, which were announced on 7 May, will receive funding to locally design and lead their integrated work and health support services to meet the needs of their local populations. Pilot areas will be engaging end users, including disabled people, in the design and delivery of these services.
The lessons we learn from WorkWell will be critical to our longer-term work and will bolster the evidence base around what works to support disabled people to start, stay and succeed in work.
Prospective WorkWell pilot areas submitted applications which were scored against four criteria published in the WorkWell Prospectus on gov.uk (www.gov.uk/government/publications/workwell):
- Their understanding of the geography and demography of their chosen footprint;
- Their approach to work and health strategy integration;
- Their proposed delivery model for their WorkWell service;
- Their experience of and approach to, governance and working effectively with delivery partners across local systems.
In addition, a decision was taken to ensure that at least one site was selected in each of the 7 NHS England regions, and at least two of the 15 areas would be classified as predominantly rural.
The Department has commissioned an independent consortium of evaluators to carry out a national evaluation of WorkWell that will look to measure the effectiveness of the pilot, using surveys, interviews and econometric measures of success.
Asked by: Vicky Foxcroft (Labour - Lewisham, Deptford)
Question to the Department for Work and Pensions:
To ask the Secretary of State for Work and Pensions, what criteria his Department used to select the pilot areas for the WorkWell programme.
Answered by Mims Davies - Minister of State (Department for Work and Pensions)
The 15 WorkWell pilot areas, which were announced on 7 May, will receive funding to locally design and lead their integrated work and health support services to meet the needs of their local populations. Pilot areas will be engaging end users, including disabled people, in the design and delivery of these services.
The lessons we learn from WorkWell will be critical to our longer-term work and will bolster the evidence base around what works to support disabled people to start, stay and succeed in work.
Prospective WorkWell pilot areas submitted applications which were scored against four criteria published in the WorkWell Prospectus on gov.uk (www.gov.uk/government/publications/workwell):
- Their understanding of the geography and demography of their chosen footprint;
- Their approach to work and health strategy integration;
- Their proposed delivery model for their WorkWell service;
- Their experience of and approach to, governance and working effectively with delivery partners across local systems.
In addition, a decision was taken to ensure that at least one site was selected in each of the 7 NHS England regions, and at least two of the 15 areas would be classified as predominantly rural.
The Department has commissioned an independent consortium of evaluators to carry out a national evaluation of WorkWell that will look to measure the effectiveness of the pilot, using surveys, interviews and econometric measures of success.
Asked by: Margaret Greenwood (Labour - Wirral West)
Question to the Department for Work and Pensions:
To ask the Secretary of State for Work and Pensions, with reference to the Prime Minister’s speech on welfare of 19 April 2024, what the evidential basis is for the statement that people with less severe mental health conditions should be expected to engage with the world of work.
Answered by Mims Davies - Minister of State (Department for Work and Pensions)
Evidence shows that good work is generally good for health1. The Government therefore has an ambitious programme of initiatives to support people with mental health conditions, who are able, to start, stay and succeed in work. This includes:
1 Is work good for your health and well-being? An independent review - GOV.UK (www.gov.uk)
Asked by: Beth Winter (Labour - Cynon Valley)
Question to the Department for Work and Pensions:
To ask the Secretary of State for Work and Pensions, what steps he is taking to close the disability employment gap.
Answered by Mims Davies - Minister of State (Department for Work and Pensions)
Good work is generally good for health. This is why in the Health and Disability White Paper the Government reaffirmed its commitment to close the disability employment gap and stated its intention to set a new disability employment ambition.
The latest figures, released by the Office for National Statistics (ONS) for October to December 2023, showed that he disability employment gap was 27.9 percentage points. This was a decrease of 1.9 percentage points on the year. However, the ONS have advised caution when interpreting short-term changes due to the recent volatility in the data.
Disabled people and people with health conditions are a diverse group so access to the right work and health support, in the right place, at the right time, is key. The Government therefore has an ambitious programme of initiatives to support disabled people and people with health conditions to start, stay and succeed in work. These include:
o Employment Advisors in NHS Talking Therapies, which combines psychological treatment and employment support for people with mental health conditions; and
o The Individual Placement and Support in Primary Care programme, a Supported Employment model (place, train and maintain) delivered in health settings, aimed at people with physical or common mental health disabilities to support them to access paid jobs in the open labour market;
Building on this, we announced significant additional investment during the 2023 fiscal events. Alongside the delivery of our existing initiatives, we are now focused on delivering this package which includes:
From 2025, we are reforming the Work Capability Assessment (WCA) to reflect new flexibilities in the labour market and greater employment opportunities for disabled people and people with health conditions, whilst maintaining protections for those with the most significant conditions. Alongside these changes, a new Chance to Work Guarantee will effectively remove the WCA for most existing claimants who have already been assessed without work-related requirements removing the fear of reassessment and giving this group the confidence to try work.
Asked by: Imran Hussain (Labour - Bradford East)
Question to the Department for Work and Pensions:
To ask the Secretary of State for Work and Pensions, whether he has (a) made an assessment of the potential impact of proposed reforms to Personal Independence Payment on the mental wellbeing of people who become ineligible as a result of those changes and (b) had recent discussions with the Secretary of State for Health and Social Care on the adequacy of availability of Government-funded mental health services.
Answered by Mims Davies - Minister of State (Department for Work and Pensions)
Modernising Support for Independent Living: The Health and Disability Green Paper looks at different options to reshape the current welfare system so that we can provide better targeted support to those who need it most. We are considering these options through our 12-week consultation which was published on Monday 29 April and will close on Monday 22 July at 11:59pm. Further analysis of these options will consider potential impacts on claimants with different health conditions.
There will be no immediate changes to PIP, or to health assessments. All scheduled PIP assessments and payments will proceed as normal, and claimants should continue to engage as usual and provide any necessary information or updates regarding their circumstances.
The Government is committed to continuing to expand and transform NHS mental health care so that more people can access the support they need. The NHS forecasts that, between 2018/19 and 2023/24, spending on mental health services has increased by £4.7 billion in cash terms, compared to the target of £3.4 billion set out at the time of the NHS Long Term Plan. Of the key mental health commitments for the first 5-year period of the Plan, over half have been met, are on track to be met, or have exceeded their original target.
We encourage everyone to respond to the consultation which can be found here, so that we are able to hear from as many disabled people, people with health conditions, their representatives, and local stakeholders as possible on these important issues.
Asked by: Vicky Foxcroft (Labour - Lewisham, Deptford)
Question to the Department for Work and Pensions:
To ask the Secretary of State for Work and Pensions, what national specialist employment support his Department plans to provide for disabled people, in the context of the planned ending of funding for the Work and Health Programme.
Answered by Mims Davies - Minister of State (Department for Work and Pensions)
The government’s £2.5 billion Back to Work Plan will support over a million people to break down barriers to finding and staying in work through the use of NHS Talking Therapies, Individual Placement and Support, Restart and Universal Support which aims to support up to 100,000 disabled people, people with health conditions and people with additional barriers to employment per year, once fully rolled out, helping them to find, enter, and remain in work.
Any further announcements regarding the Work and Health Programme will be made in due course.
Asked by: Vicky Foxcroft (Labour - Lewisham, Deptford)
Question to the Department for Work and Pensions:
To ask the Secretary of State for Work and Pensions, what estimate he has made of potential costs of planned changes to the Work Capability Assessment on (a) the NHS and (b) mental health services.
Answered by Mims Davies - Minister of State (Department for Work and Pensions)
The Department is considering the effect of these changes on the NHS and mental health services; however, currently no assessment has been made. We are continuing to engage with a range of clinical experts and charities specialising in disability and health conditions as well as representatives from national organisations around the Work Capability Assessment changes and associated support.