Oral Answers to Questions Debate
Full Debate: Read Full DebateTom Pursglove
Main Page: Tom Pursglove (Conservative - Corby)Department Debates - View all Tom Pursglove's debates with the Department for Work and Pensions
(1 year, 6 months ago)
Commons ChamberOur recent White Paper sets out our ambitions to create a better experience for disabled people when applying for, and receiving, health and disability benefits. Our proposals will transform support, so more disabled people can start, stay and succeed in work.
A disabled constituent who came to my advice surgery recently described the many hurdles she had to go through to get welfare support. She felt stigmatised by the whole process and was subjected to really frustrating delays, so I am keen to hear from the Minister what the Government are doing to reform assessments and improve the way the benefits system works to help disabled people get the support they need without it feeling like a battle.
I really appreciate my right hon. Friend highlighting the concerns raised with her by her constituent. I know she supports the fundamental change we are determined to bring about, whereby we will focus more on what people can do. We will remove what is a structural barrier to work: the impediment that means people feel prevented from trying work because of the fear that if it does not work out they will lose their entitlement and have to go back through a re-application and reassessment processes. I hope she will welcome the steps we are taking, for example to link expert assessors with particular conditions to help us to get decisions right first time, as well as the commitment we have made to reduce the assessment burden more generally.
The experiences of the constituent of the right hon. Member for Chipping Barnet (Theresa Villiers) are, unfortunately, far too common. The assessments disabled people go through often go badly wrong and the great majority of appeals against refusal succeed. It all causes immense and unnecessary anxiety for disabled people. The Select Committee on Work and Pensions recommended that all assessments should be recorded to help put things right. The assessment providers all support that recommendation. Will the Minister give the House an assurance that he will give that recommendation very serious and sympathetic consideration?
I am always grateful for the opportunity to hear from the Chairman of the Work and Pensions Committee. It is important to recognise that both the Minister for Employment, my hon. Friend the Member for Hexham (Guy Opperman), and I are set to appear before the Committee next week. What I will not do this afternoon is make specific commitments, but I can say—I have said this regularly now, including in the many conversations we have had with disabled people and various stakeholders that we want to work constructively to get the reforms right. This is the biggest set of welfare reforms for over a decade, so I am very willing to consider all views about how we can improve processes. Of course, people are able to make recordings of assessments at the moment, but we should look at that. I am very willing to do that, and to come back to the Committee formally.
On a recent call with stakeholders in the Department for Work and Pensions, the Department revealed that only 11 individuals had so far been included in the severe disability test group, which, as the Minister knows, is aimed at simplifying the application process for those with the most severe disabilities and health conditions. Worryingly, there also appears to be very little clarity about the definition of severe disability. Despite that, the Department signalled that it was preparing to further roll out the group. Can the Minister confirm today whether that number is correct, provide further information on which individuals qualify, and confirm when the Department will start the roll-out?
What I am certainly very willing to do is to provide further detail to the shadow Minister, separate from this afternoon’s proceedings. I am absolutely clear that the severe disability group has an important role to play, recognising the challenging conditions people have and that, for many, those conditions will not improve. I am keen to reduce the reassessment burden on people wherever we can, streamline processes, and ensure that people feel properly supported and properly cared for during the course of those processes. That is the right step to take. I am determined that we get this right. Exactly as I said just now, I want to work collaboratively and constructively as we move forward with the White Paper reforms. We have made commitments to test and trial various things, and we will get on and do that.
The health transformation programme is modernising the entire personal independence payments service, including the application process, to improve the claimant experience and ensure the service meets the needs of claimants over the longer term.
I thank the Minister for his answer, but my constituent Gary Thacker was diagnosed with autism later in life and, despite the assistance of a friend, it took him many hours to complete his PIP form. I know the Minister has introduced a variety of formal methods of assistance, which are provided by organisations such as Citizens Advice, but Mr Thacker was unaware of those. What steps is the Minister’s Department taking to make sure applicants know about the levels of support that are available?
It is fair to say that the Department offers support according to ability and according to need. For the very vulnerable and in exceptional cases, we are able to refer claimants not only to visiting officers, but to the forms completion service. If my hon. Friend provides me with more details about his case, I will be happy to take a look, but I hope I can reassure him by saying that we are looking to digitalise the personal independence payment journey. That is currently in testing; it should help to provide greater signposting within the processes and towards other support for which people may be eligible, which I think is really welcome. I hope that he will welcome it, too.
In February, a survey carried out by the charity Mind and Censuswide found that 66% of people with a mental health issue who had experience of the benefits assessment system discovered that it made their mental health worse. The majority of negative decisions that make it to a tribunal are eventually overturned. When does the Minister expect an improvement in decision making and in the impact on people’s mental health?
I certainly think that journey times are an important factor. We want to provide certainty as quickly as possible in relation to people’s claims. Waiting times for PIP claims have come down very considerably, and the PIP journey is certainly shorter than in the pre-pandemic period. As I have said, I genuinely believe that there is a significant opportunity, through the reforms that we are introducing in the White Paper, to focus on quality decision making. Reducing the assessment burden will help us to get decisions right the first time, as will matching people who have particular conditions with assessors with the right expertise.
I call the shadow Secretary of State.
No. What this Government are doing is making sure that we support people into work. We are removing the structural impediment to getting into the workplace. We believe that scrapping the work capability assessment is the right thing to do; we have had many debates about the issue in this House over the years, and we think that we are responding properly to the feedback we received on the Green Paper proposals. There was a strong message that people wanted to see that happening, and we will get on and deliver it. We will focus on quality decision making and on making sure that people are transitionally protected. There may, for example, be people not currently claiming the PIP who will be entitled to it; I would always encourage people to access the benefits to which they are entitled.
I must say that it is rather surprising to hear the shadow Secretary of State’s comments today, given what one newspaper has written:
“Disability benefits changes: Labour pledges to scrap reforms but shadow minister holds back details”.
Where are Labour’s plans?
I can certainly assure the House that SNP Members will not be trumpeting ideas advocated by right-wing think-tanks such as the Centre for Social Justice.
The health and disability White Paper introduces a new universal credit health element, with eligibility through PIP that could be far more restrictive than work capability assessments. Indeed, the Tories’ new in-work progression offer will inevitably mean exposure to sanctions for disabled people. Given that the Department’s own published report, which it tried to keep under wraps for many years, shows what we knew all along—that sanctions do not work—why will the Minister not finally do the right thing and just scrap them?
May I congratulate the hon. Gentleman on his marathon time yesterday? He put in an impressive effort. I know the training, commitment and dedication that go into running a marathon, so I congratulate him on it.
I do not accept the hon. Gentleman’s characterisation of the Centre for Social Justice. I think that these are genuinely common-sense reforms that reflect the feedback that we received from disabled people and from their representative bodies. We will work with them to make sure that we get this right. Replacing the work capability assessment is the right thing to do, recognising that we want to concentrate more on what people can do than on what they cannot do, and doing so on a tailored, individual basis.
Of course we know that more than 20% of disabled people could start work within the next two years, and that they want to do so and, with the right support, would. We think that the right way of dealing with that, and supporting that employment, is to work constructively with them on plans which work, meeting their circumstances and needs. That is what the Budget announcements were all about. There is good practice out there, and we want to extend it.
Unpaid carers can play a vital role in supporting disabled people to live active lives, including through working when they are able to do so. The White Paper sets out how we will create a better experience for disabled people, people with health conditions and their carers when applying for and receiving health and disability benefits.
I am grateful for the Minister’s answers, because carers are integral to looking after people up and down the country, especially with an ageing population who are living longer and with more frequent and difficult disabilities. Will he make sure that they are at the centre of the White Paper, because if this policy is to succeed, we need to support our unpaid carers.
My hon. Friend is absolutely right. The insight and experience of carers and their feedback were invaluable through the Green Paper process in helping us to come up with our final White Paper proposals. As we move forward into the implementation stage, it is key that we continue to sustain that engagement and focus on meeting the aspirations of carers and the disabled people they care for. I also want to look at this issue from the other end of the telescope, in looking at what more we can do to support those with caring responsibilities to access employment if they want to do so, because from a health and wellbeing perspective, there is real value for them in that too.
No 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.
I have a bedbound constituent who relies on food banks and is unable to do basic tasks such as getting herself dressed and collecting food. She has two young children who are happy to take on these tasks, yet she has been told that her PIP assessment will take four months. How can the Minister justify families having to rely on food banks while they wait for a PIP assessment? What will he do to change this?
Again, I refer to my earlier remarks on the steps we are taking to improve PIP journey times as far as possible. I am keen for the hon. Lady to share the details with me so that I can ask officials to look at this specific case. I want people to have certainty on their PIP claim as quickly as possible, as people require this important help. I would always encourage people to apply for PIP if they believe they might be eligible. If she provides me with those details, I will gladly look at them as a priority.
Disability employment advisers have expertise on how to help disabled jobseekers into work and build work coach skills to help these claimants. That is in addition to broader support, including our increased work coach support, the Work and Health programme and intensive, personalised employment support.
Successive Tory Governments have failed to reduce the multiple barriers facing disabled people entering work. Research by Sense has found that disabled jobseekers say that they do not have the support and equipment they need to look for work, and it is vital that every jobcentre across this country is accessible and has essential pieces of assistive technology so that disabled people can find and apply for work. If this Government want to finally get serious about reducing the disability employment gap, which remains at about 30%, will they commit today to a jobcentre assistive technology fund to support disabled people to look for work?
I categorically reject the initial point made in the hon. Lady’s question. The fact is that this Government set a target of getting 1 million more disabled people into work and we met it five years early, but now we must go further. That is precisely why we have brought forward the reforms in the White Paper, which we genuinely believe will remove that structural barrier to work. We will have the packages of support alongside this, which I believe people will want to engage with, because they are aspirational and want to enter the workplace. We will never ask people to do anything that is not appropriate for them. We will work on an individualised, case-by-case basis to support customers. Of course, it is absolutely right that we make sure that our services are as accessible as possible, and that is the whole thrust of the reform. The health model officers are helping us to test what works, and we will continue to work along those lines. I hope she will want to work with me, in the spirit of partnership, to make this a success.
One frustration for disabled people occurs when they have an assessment that identifies what support or adaptations they need in order to go into work and then that support is never actually available or employers cannot provide it. Is there some source of optimism to be found in the funds and the changes announced in the spring Budget that support will be lined up in advance, so that people can take a job when one is offered to them?
It is really welcome that the whole of Government are focused on what more we can do to support disabled people and people with health conditions into work, if that is appropriate for them. That was reflected in the commitments that the Chancellor made on the Work Well programme and on universal support. Of course, we are also introducing additional work coach time into jobcentres, the latest tranche of which will go live this week in another third of jobcentres. Those are really important steps forward. Alongside initiatives such as Access to Work and Disability Confident, we have the opportunity to transform matters in our society to make our workplaces more inclusive and, on a tailored, individualised basis, not only to support people into a role, but to help them retain it.
The DWP uses private company Maximus to assess benefit eligibility for a number of people in the claims process. That includes responsibility for deciding on former mineworkers’ entitlement to industrial disablement benefits. What training and qualification requirements are there for Maximus assessors making these potentially life-changing decisions that affect so many of my constituents?
Continual quality assurance processes are in place that monitor and keep tabs on the quality of the decisions made by any of the assessment providers that work with the Department. Of course, we always keep that under constant review. If there are specific issues that the hon. Lady is keen for Ministers to look at, I would be very happy to do that. She knows that I am always willing to work collaboratively and constructively along those lines. If there is feedback about areas where she or her constituents feel that improvements could be made, including on responsiveness, I would be happy to look at that. I also go back to the point I made about the reforms earlier, where, for example, the work we are doing to try to match expert assessors with conditions will really help to improve people’s confidence in decision making, as well as build capacity and performance.
My hon. Friend is a passionate advocate of the join-up between health and work, and work as a determinant of better health outcomes for people. It is important to note that a number of jobcentres and Health Model Offices have work coaches working with GP surgeries to provide employment support to customers with health conditions. That is a valuable approach, and we are determined that the Work Well partnerships programme that was announced in the Budget will build on this to design an integrated approach to work and health with that proper join-up on the ground reflective and responsive to local needs. I shall take on board his observation as we look to shape that.
I am hugely appreciative of my hon. Friend, who is a passionate advocate of Disability Confident. I would hope that local authorities would want to engage with the scheme and set the example that they would like to see businesses and other organisations in their communities follow. I know he has good conversations on this question with Councillor David Thomas, the leader of the Conservative group, who I hope may be in a position in a few weeks’ time to help set the standard in the Torbay area and blaze a trail for Disability Confident at Torbay Council.
My constituent had a brain injury 20 years ago and was receiving personal independence payment for care and mobility support. A recent review said that there was no change to his condition, but somehow the decision has been made to stop his benefits. The Minister has already indicated that he is considering this matter, but will he meet me to discuss that particular case?
I am always very happy to meet colleagues from across the House to discuss such issues, and this circumstance is no different.
A new Work and Pensions Committee report on the health assessments for disability benefits such as PIP and employment support allowance has found that “issues or errors” in the DWP health assessment system have, in some ways, contributed to the deaths of claimants. What assurances can the Minister give the House that those issues and errors will not continue to kill our disabled constituents?
We take those matters incredibly seriously, which is why we have internal process reviews in the Department to look at them. We have serious case panels constituted by senior leaders from within the Department, and the independent case examiner, for example. Where there are issues and learning that must be taken on board, that must always happen. This is structured through that. We will look very carefully and closely at the Select Committee report, and we will, of course, respond appropriately in the normal way. The hon. Gentleman can be absolutely assured that these processes must always be looked at carefully, and that any learning is taken on board and acted on.
On 19 April last year, the Equality and Human Rights Commission informed the Government that it was issuing a section 23 agreement against them under the Equality Act 2006, in response to serious concerns regarding discrimination against sick and disabled people. Twelve months on, that agreement still has not been reached. When will it be reached and why has it taken so long?
I cannot give the hon. Lady a definitive conclusion date, but what I can say is that we have entered into a phase of advanced discussions with the Equality and Human Rights Commission. We will come forward with further detail as soon as we are able to do that, and the process will be concluded in the proper way.
I welcome my hon. Friend the Minister for Disabled People, Health and Work to his place. I look forward to working closely with him on the review into autism and employment, which we have embarked upon this very month. What further measures will the Government take to close the appalling gap in employment, such that only two in 10 adults with autism are currently in work?
It is fair to say that we have had a good debate this afternoon about the whole host of initiatives that we as a Government are determined to take forward to shift the dial and make meaningful improvements to support more disabled people and people with health conditions into work, and autism is no different. I am delighted that my right hon. and learned Friend has agreed to take on this review on behalf of the Government. I look forward to his bringing forward recommendations, suggested areas for improvement and initiatives that we might want to embark on, focusing on knowledge and responsiveness, seizing the opportunity for workplaces to unlock the talent that undoubtedly exists out there, and helping to improve people’s lives for the better.
For the final topical question, I call Stewart Malcolm McDonald.