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The Parliamentary Under-Secretary of State for Work and Pensions (Maria Miller)
It is a pleasure to serve under your chairmanship, Mr Crausby. I thank all hon. Members for coming to this debate and for taking the time to voice their concerns and their constituents’ thoughts about the measure. In particular, I congratulate the right hon. Member for Coatbridge, Chryston and Bellshill (Mr Clarke) on securing this debate. At the beginning of his remarks, he called for clarity, which is exactly what the measure is designed to address and deliver. I hope that he will be able to see that in my comments.
We as a Government owe a duty to disabled people to promote their independence and equality, but we also owe a duty to the country to ensure that we have the right governance in place to deliver support efficiently and sensibly. The problem is that we inherited a system that some might say is not fit for purpose. The hon. Member for Edinburgh East (Sheila Gilmore) called for a full reassessment, not piecemeal reform, of disability living allowance. I reassure her that that is exactly what we are doing, and I hope that we will have her support when we introduce our full measures in the coming months.
Sheila Gilmore
I want to make it clear that our support depends, obviously, on the contents of those measures. This policy appears to be a piecemeal measure.
Maria Miller
I thank the hon. Lady for her intervention. I can say to her that we will shortly be consulting in full on this and other measures on disability living allowance. Hon. Members, their constituents and interested parties will have a full opportunity to give their thoughts and see the measures that we are introducing.
Across the spectrum of disability living allowance, we see overlaps, duplication and gaps in provision created by a series of opaque, confusing and inefficient systems. The debate has highlighted just how out of kilter the current system is, with different payment streams and delivery mechanisms spanning different lines of departmental responsibility. We have to address the underlying issues, which is why we are proposing major disability living allowance reform. That is the only way we can ensure that the clarity we need is put in place.
Karen Bradley (Staffordshire Moorlands) (Con)
I am still a little unsure about when the reform will take effect—2012 has been mentioned. Would the Minister clarify exactly when the measure will be introduced and perhaps give some further information on other measures that will affect disability living allowance?
Maria Miller
As the Chancellor has set out, the measure is due to come into place in October 2012, and others will come into place in a similar time frame. It is important to focus on time because, as hon. Members have said, that will give us the opportunity to work across the Departments affected by the measure to ensure that good provisions are put in place and delivered effectively.
We remain fully in support of the principles of DLA as a non-means-tested cash benefit contributing to the extra costs incurred by disabled people. However, we must ensure that the benefit reflects the real needs of disabled people today and their aspirations for greater control in the future and that the system is sustainable in the long term. As the hon. Member for Glasgow East (Margaret Curran) will know from her colleagues who were in government, more than 3 million people currently receive DLA and the expenditure this year is forecast to be £12 billion, which is substantially more than was intended when the allowance was introduced.
Jenny Willott (Cardiff Central) (LD)
The Government are trying to make savings in that budget, but has the Department considered maintaining support for at least the most vulnerable, for example by keeping the higher rate mobility allowance for those living in care homes, as they have the highest costs and the greatest need for mobility support?
Maria Miller
We are absolutely committed to ensuring that the independence of disabled people living in care homes is maintained, and that is our prime responsibility. I will give more details on how we intend to do that later, but I am conscious of the fact that other Members have raised points and that I should make progress in answering them.
At a time when we are spending £120 million a day in interest payment on the debt we inherited from the previous Government, the unbridled expansion of DLA is unsustainable. We need to be certain that public money is focused where it can have the most impact in an affordable manner, helping people to lead independent lives. That is why we propose an objective assessment, which we are developing with the help of medical experts and disabled people.
Margaret Curran
I appreciate that time is short and so thank the Minister for giving way. Would she address the issue at hand? The debate is not about the general reform of DLA, but about the specific cut. We should focus on that, as there are many answers that people are looking for.
Maria Miller
The hon. Lady must understand, as her hon. Friend the Member for Edinburgh East has said, that the measure has to be seen in the context of the wider reform of DLA, so I will outline a little more on that. The reform of DLA will allow us to ensure that we accurately and consistently assess people’s support needs and reassess those receiving the allowance as their needs change over time, which is also currently lacking. We believe that that is crucial. As a result of the reforms, we believe that we can focus resources where they are most needed.
I will now address the specific measure on the mobility element of DLA. We believe that the mobility element plays an important part in helping disabled people lead more independent and autonomous lives, an ambition with which I am sure all Members agree. However, that element also includes duplication and overlap, which is why we have set out to tackle the disparity as part of the spending review. At present, some people in residential care receive DLA cash directly for their mobility needs, and at the same time they receive varying levels of mobility support at local level from care services, funded by their local authority. That issue was raised by the hon. Member for Stretford and Urmston (Kate Green) in her contribution. In some cases care homes provide excellent mobility support, but in others there is only basic provision, which means that some people receive cash support for services and others do not.
Mark Durkan
The Minister referred to the confusion and overlap that the measure is intended to remedy, but what representations have been received about that? Who has made the case that there are chronic difficulties and that all sorts of confusion are seizing people with worry and bewilderment?
Maria Miller
I am sure that the hon. Gentleman knows that it is the role of the Government to ensure that systems are clear and straightforward, and he will also know from his constituents who are disabled that the push towards personalisation is something that disabled people feel strongly about. Unless we have clear budgets and budget lines, it is difficult for that to happen. I hope that he will understand that it is incumbent on the Government to be able to deal with that.
Maria Miller
Hon. Members must forgive me, but I want to address more of the issues that have been raised directly, and there have been many contributions throughout the debate.
The arrangements are further confused by different funding streams, as Members have pointed out. For example, NHS-funded individuals in residential care do not receive the DLA mobility component, while those funded by local authorities do. If we want to be fair—not only to disabled people, but to taxpayers—we have to tackle the gaps and overlaps and ensure that everyone gets access to the mobility they need, without the taxpayer having to pay again for needs that have already been met. In the current fiscal climate, that is exactly what Members would expect the Government to do.
Maria Miller
The hon. Lady must forgive me, but I have taken a number of interventions already.
We simply cannot continue to accept that lack of clarity. We currently have mismatched systems for assessing the needs of disabled people: one for DLA, which assesses mobility and need in terms of cash; and another that provides, via local authorities, a more generic needs assessment reflected in services contracted with care homes. Those mismatched systems produce huge potential for duplication, uneven expectations and varying provision. We have to change that and target the right funding on the right people.
I will answer some of the direct issues that Members have raised. There has been a broad question on what consultation there has been with the Scottish Government and Scottish local authorities. I would like to reassure Members that the forthcoming DLA reform consultation document and the legislative process will allow disabled people and other affected groups ample opportunity to provide their views on the measure. My hon. Friend the Member for Worthing West (Peter Bottomley), who has had to leave the debate to attend a meeting, made several important points. I would be happy to meet representatives from Leonard Cheshire homes to discuss the matter further.
My hon. Friend the Member for Harlow (Robert Halfon) made an important contribution to the debate and asked a number of specific questions. He, too, has had to leave, to attend a Select Committee meeting. I can clarify that the measure was designed to remove overlaps in the payment of mobility support, as I have outlined. It is not intended to lead to a loss of independence and we remain committed to promoting greater personalisation for disabled people. I reiterate that milestones have been agreed with the Association of Directors of Adult Social Services, including the growth in personal budgets, and that we are absolutely committed to the implementation of personalisation across the board.
The hon. Member for Glasgow North East (Mr Bain) talked about the ability of people living in residential care homes to get into work. I would like to be clear that the ability of individuals in care homes to take advantage of access to work, which can cover their travel costs, makes an enormous difference to them. The hon. Member for Stretford and Urmston talked about DLA being paid for social and medical needs. To be absolutely clear on that point, we will shortly be consulting on the wider reform of DLA and are absolutely committed to a social model for it, not a medical model. She mentioned article 20 of the UN convention on the rights of persons with disabilities, which sets out the right to personal mobility and promotes the greatest possible independence. The Government’s measure is designed not to reduce the mobility of disabled people, but to address the current complexities in the system.