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The Minister of State, Department for Work and Pensions (Mike Penning)
It is the first time I have served under your chairmanship since you were knighted, Sir Roger. I congratulate you on receiving your knighthood from Her Majesty, and look forward to serving under your chairmanship in the future. I also congratulate my hon. Friend the Member for Ceredigion (Mr Williams) on securing this debate on an issue on which I receive correspondence as a constituency MP; indeed, in the four months that I have had this job, I have met colleagues from across the House about this issue.
On that note, I will explain a little about the role of the Minister of State with responsibility for disabled people. It is a completely new role. For the first time in the 40 years that we have had a Minister for this area, a Minister of State is responsible for it. Although I am based in the Department for Work and Pensions, I have a considerable role across Government in bringing Departments together, to break down some of the silos and see how we can go forward for a better future and with better aspirations for people with disabilities and long-term illnesses.
My hon. Friend has concentrated specifically on Atos and the WCA. I spoke to him before the debate, and I will concentrate most of my comments, if I may, on the WCA for ESA, and on Atos, which is in the title of the debate. Many matters he has raised this morning are not points with which anyone from across the House or any Minister could disagree. There is real concern out in the community, in the lobbying groups that represent so many of the individuals who are so worried about the assessment, and across the House. I noticed that before I came to this role, and have seen it since.
I have tried to be as open and pragmatic as possible in the past four months, meeting not only colleagues from across the House but the relevant specialist stakeholder groups that have asked to see me. I have been frank—I am often too frank—in saying that if those stakeholder groups want to help and to work with us to make the situation better, I have an open-door policy. If they want to throw abuse—and frankly some of my colleagues have faced abuse that has been absolutely appalling and reprehensible—I will not meet those groups, because that will not help the people whom those groups say they are trying to help. But I have had a completely open door; for instance, this afternoon I will again meet representatives from Macmillan to discuss its particular area of expertise. Although I agree that Citizens Advice has done and continues to do fantastic work, it is not the only organisation that is doing such work in representing the people affected. I pay tribute to colleagues across the House—who, believe me, write to me on a regular basis—for doing exactly what they should be doing in representing their constituents.
I am not a party political animal in ministerial terms, and colleagues in Departments that I have worked in previously know that, but I must be honest and ask whether we inherited the work capability assessment. Was it introduced by the previous Administration? Yes, it was. Do I agree with it? Yes, I do, but I do not agree with the way in which the contract was formulated with Atos as one single provider. That was a flawed decision. Sadly, under ministerial rules, I am not allowed to see the evidence that was put before Ministers in the previous Administration. Due diligence is not possible, as it would be if a company were taken over. That is rather strange. Although I have been in three Departments, I am not allowed to see that evidence, but I cannot understand why that decision was made. There was a move from a predominantly paper-based assessment, in which people were often written off. When I had my accident in the fire service, my certificate stated “until further notice”. I was written off, but I have been lucky and have come back to reasonable health and stability from my injuries. However, many people do not recover and there are many areas that we need to work on.
If people want to work, we want to give them all the assistance we can. If people could work but perhaps do not have the confidence, ability, skills or help to get back into the work place, the scheme will help them. Do I accept that mistakes have been made? Yes, I do, and it would be foolish to deny that. That is why, when the coalition Government came to power, Professor Harrington was asked to carry out a review. We accepted all his recommendations. The new review by Litchfield has just been produced, and I can tell the Chamber that we can accept almost everything that is recommended. We have not yet made a formal decision, but it contains many sensible suggestions that need to be in place.
I have attended some tribunals, which are public and not secret courts. I have sat there quietly and listened to what goes on. Do I agree with Citizens Advice and others that many cases should never have gone to a tribunal? Yes, I do. I am taking action to ensure that all the cases that are waiting to go to a tribunal are reviewed, and if senior case workers have got them wrong, we will prevent them from going forward. However, we tend to hear one side of the argument—when mistakes are made—but millions of people have gone through assessments and are back in the workplace. Under the previous Administration’s regime, people really struggled to get back into work. We want to help people to get back into the workplace and to be as self-sufficient as possible.
There are areas that I still have grave concerns about, and we are working on those. My hon. Friend the Member for Ceredigion alluded to mental health issues, and I often talk about hidden disabilities. One of the great things that came out of the Paralympics was that the public’s understanding of people with disabilities across the spectrum was vastly improved, and we need to build on that legacy. However, the parameters of mental health disabilities, learning disabilities and hidden disabilities are difficult.
My constituency has problems with misuse of blue parking badges for disabled people. Only the other day, a young man and his father got out of a car and walked off down the road as though they were fit and able-bodied. I know that family, and I know how poorly the young man is, but I heard the abuse from a member of the public who thought he was abusing the parking scheme. That abuse from the member of the public was wrong, but frustration arises from abuse of the system, and we must work with the Department for Transport on that. At the same time, we must address ignorance and lack of understanding among the public
Jim Shannon
I understand exactly the point the Minister is making. It is good to get people back to work, and many people want to go back to work, but as hon. Members in the Chamber have said, some people cannot work. The Minister indicated that he accepts that some change is needed. In the criteria for Atos, will more emphasis be given to the medical evidence?
Mike Penning
My hon. Friend—he has been a good friend, especially during my time as a Northern Ireland Minister—has read my mind, as usual. That is exactly what I am coming to. We are working closely on the descriptors to ensure that what we ask is exactly relevant to the conditions reported. Atos does not make decisions on diagnoses; evidence for those diagnoses will already exist. We are trying to ensure that the right decision is made based on the evidence provided, and descriptors are important in that.
Turning to why so many decisions are overturned by judges at tribunals, I have admitted that that is sometimes because we got them wrong. However, sometimes, on the day of the tribunal, new evidence, which we have never seen, is put before the judges. Within the rules, that is technically unacceptable, but the judges are allowed to use their discretion in allowing that to happen. I saw that the other day, and if we had seen the evidence that was put before the judge at that tribunal, the case would never have gone to the tribunal.
Mr Williams
I am grateful to the Minister for his last point. Charities have contacted me about progressive diseases and illnesses, and I know that he is working with them. With regard to his discussions about the descriptors, how satisfied is he that concerns about slowly progressive diseases and illnesses will be factored into any new descriptors?
Mike Penning
That is exactly what we are working on with the stakeholder bodies. I have asked them to sit down and work with us to address that. I completely agree that the descriptors must be fit for purpose. The matter is enormously complicated because of the sheer amount of different diagnoses across the medical spectrum.
I turn to the negotiations with Atos. I must be careful, because they involve contractual and legal issues. We have announced that we want more capacity. Otherwise, the backlog of people waiting for their assessment will increase, and the time they wait is increasing. We have said publicly that we want more capacity in the system. The balance is between quality of decision and throughput. One reason why so many cases go to a tribunal is that we based the system on throughput and we got too many wrong. I say “we” because I am the Minster responsible and the buck stops with me. Too many cases ended up in the appeal process and went to a tribunal. We have now improved the quality and ensured that our people spend time with the applicants, but that has caused a backlog. We are addressing that capacity issue.
Mr Williams
I welcome what the Minister says about the backlog, which is causing the huge delays and problems that I alluded to. May I plead for areas such as the one I represent—rural, sparsely populated west Wales—and raise the problem of people needing physical access to the assessments we are talking about? The position in south Wales and the cities of England, Scotland and Wales is very different from that in rural Ceredigion.
Mike Penning
I have a list of things I wanted to bring up, and if I have missed anything that hon. Members have raised, I will write to them after the debate.
During a meeting only the other day, my hon. Friend the Member for Gloucester (Richard Graham) raised the issue of access. There are two sorts of access issues: distance, and the suitability of the building for people with disabilities. I am the Minister with responsibility across Government for disability, and it seems ludicrous that I receive complaints about buildings that Atos and other companies use on my behalf and are not suitable. We are working on that. The problem is not just distance, but the sort of buildings being used.
When someone has been told that they are fit for work and then appeals, they can apply for jobseeker’s allowance while they are waiting for their appeal to be heard. If their GP believes that they are unfit for work, they will provide a sickness certificate. Everyone accepts, as did the previous Administration, that there should be an independent review of people’s capability because of the relationship between GPs and their patients. That relationship is very personal, as I found with my GP all those years ago after my accident. He would say, “Well Mike, you can’t carry on being a fireman,” instead of saying, “What can you do?”