Disability: Cross-Government Approach
Justin Tomlinson Excerpts(4 years, 10 months ago)
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The Minister for Disabled People, Health and Work (Justin Tomlinson)
Today I am pleased to launch a new cross-Government approach on disability which is guided by a vision that recognises the contributions that disabled people make and where disabled people can participate fully in society. To drive forward this approach, Government will establish a new cross-departmental team in the Cabinet Office, recognising that disabled people face barriers across a wide range of aspects of their lives and co-ordinated cross-Government action is therefore vital.
To inform this new approach, Government are committed to strengthening the evidence base on disability and to improve engagement with disabled people and disabled people’s organisations, in line with relevant recommendations from the United Nations.
The Department for Work and Pensions and the Department for Health and Social Care will consult on how employers can best support disabled people and people with long-term health conditions to stay and thrive in work. This will include measures to reform statutory sick pay so that it is better enforced, more flexible and covers the lowest paid employees as well as improved quality, cost effectiveness and capacity in the private sector occupational health market.
Alongside this, the Ministry of Housing, Communities and Local Government will consult on raising mandatory accessibility standards for all new homes in autumn. The Department for Work and Pensions will also in the coming months bring forward a Green Paper on health and disability support, to enable a conversation about building a welfare system for the future that is an ally of disabled people. The Department for Business, Energy and Industrial Strategy will also be setting out plans to work with Departments, regulators and stakeholders to improve consumer outcomes for disabled people through developing metrics to compare how well companies deliver for disabled customers in essential markets.
The team will work closely with disabled people, disabled people’s organisations and charities to take forward this new approach to disability, with their views and experiences at the forefront of any new policy.
This written statement aligns with the Prime Minister’s written statement tabled today on Machinery of Government change for the Office for Disability Issues.
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Office for Nuclear Regulation Annual Report and Accounts 2018-19
Justin Tomlinson Excerpts(4 years, 11 months ago)
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The Minister for Disabled People, Health and Work (Justin Tomlinson)
Later today the Office for Nuclear Regulation’s annual report and accounts for 2018-19 will be published. Having consulted the Secretary of State for Business, Energy and Industrial Strategy, who is accountable for nuclear security, and the Office for Nuclear Regulation, I can confirm, in accordance with paragraph 25(3) of schedule 7 to the Energy Act 2013, that there have been no exclusions to the published document on the grounds of national security.
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Invisible Disabilities and Accessibility Challenges
Justin Tomlinson Excerpts(4 years, 11 months ago)
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Mrs Sharon Hodgson (Washington and Sunderland West) (Lab)
This has been a fantastic, high-quality debate. It is a shame that the attendance was a bit—[Interruption.] Yes, it is quality over quantity, which is what we tend to find at the moment. Perhaps other things are going on and focusing minds elsewhere. I would like to begin by thanking my hon. Friends the Members for East Lothian (Martin Whitfield) and for Newport West (Ruth Jones) for securing the debate and for their excellent and passionate opening speeches. They both mentioned Grace and her “have a heart” campaign. That is a fantastic example of a lived experience-led campaign, and they are often the most powerful and successful. I join my hon. Friends in commending Grace and her campaign, which I wish widespread success.
At this juncture, I also want to mention the Changing Places campaign, which I have been involved with in my constituency on behalf of a constituent whose son has spina bifida. I was shocked to find out how few facilities there are across my constituency; no doubt the same applies to all constituencies.
I thank all hon. Members who have taken part today, including the hon. Members for Chatham and Aylesford (Tracey Crouch) and for Ayr, Carrick and Cumnock (Bill Grant)—[Interruption.] I am going to crucify all these constituency names with my Geordie accent. I also thank my hon. Friend the Member for Ellesmere Port and Neston (Justin Madders)—I just about managed that one—and the hon. Member for Cheadle (Mary Robinson), as well as the hon. Member for Lanark and Hamilton East (Angela Crawley), who spoke for the SNP. I thank them all for their excellent speeches.
Members may have noticed that I am not a Department for Work and Pensions shadow Minister—I am shadow Public Health Minister—but I am happy to be closing this debate on behalf of my hon. Friend the Member for Battersea (Marsha De Cordova). I do chair the all-party parliamentary group on dyslexia and other specific learning difficulties. Those are also, of course, invisible disabilities; I shall come back to that aspect later.
As we have heard, in the last census, one in five people in the UK reported having a disability or limiting long-term health condition. The vast majority of disabled people have hidden impairments not immediately obvious to others—neurodiversity, Crohn’s disease, colitis, dementia, arthritis, or mental distress and energy impairment conditions such as myalgic encephalomyelitis, or ME, and chronic fatigue syndrome, to name but a few.
According to Scope, nearly half the British public are not aware that they even know someone who has a disability. People with invisible impairments face attitudinal barriers in every part of their lives, from accessing public toilets to using disabled parking bays, but I will concentrate mainly on education, access to social security and employment.
People with invisible disabilities often face significant exclusion and stigma in education. For example, the lack of awareness of autism in schools affects autistic students at every level. As a result, fewer than half of children and young people on the autism spectrum say that they are happy in education. SEND provisions are woefully inadequate and have been devastated by brutal cuts to our schools and sixth forms, worth £2 billion per year.
What assessment has the Minister made of the impact funding cuts have on children with autism and their ability to stay in mainstream schools? The issue is about accessibility and access to the curriculum. Autistic children are sometimes forced to wait for more than a year for the SEND support that they need, and just one in 10 parents is satisfied by the education, health and care plan for their child. As I know, children with dyslexia and other specific learning difficulties experience that, too: my son is severely dyslexic, and as I mentioned earlier, I am the chair of the APPG on dyslexia and other specific learning difficulties.
Earlier this year, our group released a report entitled “The Human Cost of Dyslexia—the emotional and psychological impact of poorly supported dyslexia”. It outlined the ways in which missed or poorly supported dyslexia during education has made such children feel stupid, unvalued by society, guilty—as if the problem was their fault—and disinterested in education. The implications can lead to under-achievement at every level of education, in careers and work life thereafter and, at the extreme end, to disengagement from society. That is reflected in the fact that there are proportionately more people with dyslexia in the criminal justice system than among the general population. The same can be said for a number of SEND conditions.
Unfortunately, the issues faced by people with invisible disabilities during childhood do not disappear but actually worsen in adulthood. The employment gap between disabled people and non-disabled people is 30.1 percentage points and has remained just above 30 percentage points for the past decade. This is something that the last Labour Government were trying to tackle. We had the Valuing People Now partnership boards—before he had to dash to a meeting, my hon. Friend the Member for Gateshead (Ian Mearns) told me that he chaired the successful board in Gateshead—but, sadly, the coalition Government scrapped them in 2012. Three years later, in 2015, the Government pledged to halve the disability employment gap to 15 percentage points. [Interruption.] The Minister is getting frustrated.
The Minister for Disabled People, Health and Work (Justin Tomlinson)
Does the hon. Lady not welcome the fact that just short of 1 million more disabled people were in work in the past five years alone and that for the first time ever, which I emphasise, more than half of disabled people are now in work? We have made significant progress. There is much, much more to do, but we are in a significantly better position than we were in 2010.
The Minister for Disabled People, Health and Work (Justin Tomlinson)
It is a real pleasure to respond to this proactive and constructive debate. Until the last two, the majority of speakers stuck to the spirit of this incredibly important subject, and I know that people worked incredibly hard to get this vital debate secured through the Backbench Business Committee. First, I say to the hon. Member for East Lothian (Martin Whitfield), “Yes, yes and yes.” How about that? There are not many debates in which a Minister can just totally and whole- heartedly agree.
I had a stroke of luck, because on Saturday a Red Box was dispatched to my house. We knew this debate was coming up, so a 3,500-word draft speech was prepared and there was a lot of briefing on what subjects would be covered. I thought that the best thing to do was to pop the kettle on, have a cup of tea and look at something else first. As I did so, I found an invitation to a meeting of the all-party group on this very subject on Tuesday. As a matter of luck, I was therefore able to attend a brilliant meeting to discuss exactly what would be coming forward. I had further luck, as the various areas of priority for us were then connected to three further meetings I had later in the week, prior to this debate, and I will be covering all those in a little more detail.
There is a huge amount of respect for the hon. Gentleman, who has built a brilliant reputation in this area for a long time, both in his role before he came to the House and in the House. He is widely respected and he is right to recognise the progress that has been made since the Equality Act 2010. I pay tribute to the Labour party for its work in that area. Our Government has rightly continued, as I am sure all future Governments will, to work with stakeholders to build on that incredibly important step, which does make a real difference.
The hon. Gentleman is right to highlight that we need to improve awareness. He talked about how 93% of people who challenge feel that they are doing the right thing because they want to stand up for those who are marginalised in society, and I am acutely aware of that point. This was summed up by an incident I saw where someone with a disabled autistic daughter parked in a disabled parking space, with a blue badge, yet received abuse.
It was not a one-off—I am sure it happens all over the place. On that stat—93% of people would challenge someone—they probably feel that they are doing the right thing, but because of the lack of awareness and the additional challenges of hidden disabilities, society is creating awkwardness and putting people off and that is affecting people’s lives.
I shall come shortly to Grace, the inspiration, but first let me whizz through some of the excellent speeches and respond to them directly. My hon. Friend the Member for Chatham and Aylesford (Tracey Crouch) has done brilliant work, both in her constituency with the partnership board and in her former role as everybody’s favourite sports Minister. When I was previously a disability Minister, we worked together carefully to push organisations such as the Premier League, which was, to its credit, very proactive. Richard Scudamore, the departing chief executive, took a personal interest in improving disability access in premier league stadiums. I could not have asked for more support from the sports Minister in that policy area.
My hon. Friend was absolutely right to highlight the importance of the Special Olympics. The point that I really picked up on was just how happy people are—in all the visits in my 19 years as an MP, a Minister and a councillor, nothing has come close to the joy that I saw when I went to a learning disability netball session. I literally thought that the young adults were going to explode with excitement. I am glad that my hon. Friend also took the time to highlight the work of my hon. Friend the Member for Daventry (Chris Heaton-Harris), who has done a huge amount in this policy area.
The hon. Member for Newport West (Ruth Jones) has made a good impression since her recent arrival in the House, from which we are all benefiting. This is the second debate to which she has contributed and I have responded. She brings real-life experience in this area, particularly in respect of strokes, and it was really important to highlight that. She reminds us how important it is that we do this because some people will need extra time and space. That is crucial.
My hon. Friend the Member for Ayr, Carrick and Cumnock (Bill Grant) led a brilliant Westminster Hall debate just a few weeks ago and carried on today in the same form. Not every disability is visible. He was right to highlight that there is not an immense cost to making a real difference in this policy area. That came through in many speeches, and I will cover it in more detail later.
Through the direct experiences of his wife, the hon. Member for Ellesmere Port and Neston (Justin Madders) raised some incredibly important points about access to work and sanctions. He has raised them before in other debates and he always raises them in a constructive manner. I want to try to keep to the spirit of the debate, so I offer him a personal meeting so that we can explore the issues in more detail and do them justice.
My hon. Friend the Member for Cheadle (Mary Robinson) was absolutely right to highlight the challenges in respect of public transport, an area on which she has worked tirelessly. She also raised the issue of assistance dogs, on which British Guide Dogs has been one of the best and most visible campaigning charities, particularly in respect of the misunderstanding of what taxi drivers should or should not do and how we can tighten things up through licensing. My hon. Friend was also right to highlight the brilliance of medical dogs that can smell certain conditions—it is the equivalent of detecting one particle in a swimming pool, which is absolutely amazing. What a difference we can also make in the retail environment, which I will cover a little later.
Perhaps the hon. Members for Washington and Sunderland West (Mrs Hodgson) and for Lanark and Hamilton East (Angela Crawley) did not quite follow the spirit of the debate—that is one of the challenges when one arrives with a pre-written speech. I gently say to them that we are spending £55 billion a year on supporting those with long-term health conditions and disabilities. That is a record amount and is up £10 billion. Only 16% of DLA claimants had the highest rate of support, compared with 32% of those on PIP. Disability employment is at a record high: in respect of our target of 1 million by 2027, we are at 440,000 after two years. As I said in an intervention earlier, for the first time we have more disabled people in work than not in work. There is still more to do, though, specifically for people with autism in jobcentres. I am grateful for the work of Autism Alliance UK, which helped to create the autism toolkit. In the spirit of the debate, I am happy to meet both Members to discuss all those issues in detail, but will keep to the theme—
Justin Tomlinson
Let me keep to the spirit of the debate.
This debate has happened because of Grace Warnock, a truly inspirational superstar who had a fantastic teacher, who can take some credit for starting this brilliant journey. She is an amazing young person dealing with the challenges of Crohn’s disease. She was targeted with abuse because of her hidden disability. Understandably, many people, including many of us, would have shied away. I am sure that, day in, day out, people are shying away, but she stood her ground and she has made a difference. We should all celebrate her courage. I am very proud that she was awarded the Prime Minister’s Points of Light award in 2018—the very least that we can collectively do to celebrate her brilliance. It is absolutely right that her energy, enthusiasm and ideas are used to drive us forward.
Sense sent us all a briefing in which it summed up why we should listen carefully to Grace. It said that many public facilities are not currently fully accessible. Many people have multiple complex and/or invisible disabilities and require greater support and accessibility in order to access the local community, but these facilities are often not provided. Change could include the invisible disability sign, greater Changing Places provisions, improved accessible public transport and greater staff awareness for people working in public places. Greater provision of such facilities would lead to better inclusion and help to improve attitudes towards disabled people. Every one of us in this place would agree with every word of that.
That brings me to the all-party group meeting that I attended only yesterday. It was fantastic to see such cross-party support and some really impressive individuals making a difference in an area which, as the hon. Member for East Lothian rightly highlighted, is complex. We all agree that we want Grace’s sign to be a stepping stone to improved signage that is internationally recognised but, as ever, it is not simple. Everything in the political environment takes a little bit longer than perhaps we would like. To get international recognition of a new symbol involves a process with various stages from the initial proposals, through to consensus building, public consultation and publication. It can take a number of years, but that does ensure that, when it is done, it is done properly and is of long standing.
In our country, the British Standards Institution, the UK national standards body, in effect audits and approves something before it is considered by the International Organization for Standardization. The APPG gave an update and a presentation on the work that is being done and I was thrilled that the BSI was fully involved and fully supportive. It is right to highlight those people, beyond the MPs on the APPG, who have done so much work. Lucy Richards, the designer, has taken on Grace’s idea to international stellar levels. I was incredibly impressed by that. Having run a marketing company, it gave me a warm glow to remember the joys of looking at designs. There has been support from Life Changes through Anna Buchan, who provided the funding needed to carry out that extensive work. I should also mention user experts such as Dr Gordon Hayward, Steve Milton and Robert Turpin from the BSI. We had all the movers and shakers making sure that this has been fully road tested, so that when we are ready to take it to the international standards organisation it will tick all of the boxes. I thank the hon. Member for Newport West (Ruth Jones), the right hon. Member for Broxtowe (Anna Soubry), the hon. Member for Rhondda (Chris Bryant) and my hon. Friend the Member for Ayr, Carrick and Cumnock (Bill Grant), who were all present and supportive of that vital work. I will do everything that I can to support that going forward.
I did say that I was lucky with the other meetings that came up. This week, I met various sector champions who are helping to represent all of us to challenge those particular areas to do more and to highlight best practice. The first of those was retail sector champion Samantha Sen. Many of the speakers today have talked about the importance of getting it right in retail. That highlights the fact that this is a win, win. This is not just for those with hidden disabilities. If retailers can get it right, they can access the combined spending power of disabled people, which stands at £249 billion—those 13 million disabled people have considerable spending power.
Seventy-five per cent. of disabled people and their families have left a shop because of poor customer service. I do not believe that there is a single retailer who wakes up in the morning and says, “I want to turn away business.” I do not think that, on any of our visits, we have ever had a retailer saying, “I have too much business. Please do less.” I had the pleasure this morning of speaking at and opening the Retail Forum, at which many of the leading retailers and estate owners—including British Land and the Crown Estate—were present. They absolutely buy into this. They have a real appetite for sharing best practice. It is being channelled through the Purple Tuesday campaign, which many MPs support. On 12 November, we will have a genuine focus on this issue. When they set that up, they expected 70 retailers to be involved; it was actually over 700, and this year they expect it to be over 900. That is making a difference in retail and I commend all those retailers for being so engaged.
I also met Stephen Brookes, who is our transport sector champion. Many people will have worked with him on his brilliant work to tackle disability hate crime, which made a real difference to the Government’s way of going forward. He has real expertise; he initially started with the challenges on the Blackpool buses and spread out to rail and buses across the whole country. Part of the way through our conversation—this was amazing—I said I had been to an all-party parliamentary group that was beginning to look at how we can improve signage. I said, “One of the things I would like you to do is to meet the members of the APPG to give your expertise.” He said, “I have got something to show you. I have seen a sign that is amazing,” and he brought out the sign that had been presented at the all-party parliamentary group. He has confirmed that he would be delighted to support the APPG’s work. That will build on the Government’s new inclusive transport strategy to create a transport system that provides equal access for disabled people by 2030. That is a really important area, because disabled people should be able to travel confidently, easily and without extra cost.
Stephen Brookes reassured me that, over the last three years, there has been a complete shift, particularly with the rail companies and providers such as Network Rail. Any of their major improvements now have to go through their built environment access panel, for which there is a pan-disability group, to make sure they get things right for everyone and that they get them right at the beginning—it is a lot easier to do that then than it is to retrospectively fix things. I was encouraged that so many providers have understood the importance of this issue.
I also met Andrew Miller, who is our arts and culture sector champion. He, again, talked about the huge progress that is being made in our cultural venues and our live music venues. I pay tribute to Attitudes is Everything, one of my favourite charities, which makes live music venues accessible. When I was first a disability Minister, and I insisted on having a picture of Attitudes is Everything, my officials airbrushed out the pint glasses some of its members were enjoying as part of their evening entertainment, saying that that probably was not right for a ministerial wall. I got that corrected and the picture was put back in place.
I understand the importance of this issue, given that my first graduate job was as a nightclub manager. Interruption.] There are not many who could say that. [Interruption.] Mr Deputy Speaker has suggested that that was maybe because I liked dancing; actually, I was probably a manager because I was not very good at dancing. Andrew Miller and I talked in detail about what more all these venues, which an individual may visit only once or twice, could do. Many now put a lot of additional information up in advance on their websites so that users can check. What disabled users do not want to do is travel all the way to a venue and be left red faced when the facilities are not accessible.
I had a look at a website, which looked, in theory, like it was following good practice. It talked about free admission for carers or helpers; free loan of a wheelchair or motorised scooter; providing a personalised guiding scheme for unaccompanied disabled people, as long as it was booked in advance; subtitled video and large print being available; low-level counters; the induction loop system; and guide, hearing and assistance dogs being welcome. However, there was not a single point of contact, and probably the most important thing that any retailer or leisure provider can do is make it crystal clear that there is one. Those with disabilities do not fit into a neat box—everybody has their own unique challenges —and being able to talk things through and knowing where to go if there is a problem can make a real difference. It can also benefit facilities, which can then tap those 13 million customers with their £249 billion.
Finally, I met Huw Edwards, who is our physical activity and leisure sector champion. As my hon. Friend the Member for Chatham and Aylesford highlighted the importance of sport, I pay tribute to Sport England for doing lots more to focus on opportunities for those with disabilities, recognising the importance of sport and physical activity for disabled people through the Sporting Future strategy. I welcome the fact that we are seeing increases in activity. Again, there is still lots more to do, but it is right that we promote opportunities and share best practice. So many want to do more but need this information.
As I initially indicated with my triple yes, I am keen to do everything I can, as quickly as possible, to get this. I was blown away yesterday when I saw the designs and the right balance of the imagery, dealing with all the competing demands across the pan-disability spectrum and getting more detail with the words. I think this will make a real difference. As was said, not all things have to cost a huge amount of money. On this issue, everybody will do everything they can to make sure that Grace’s brave stand really does make a difference, not just in the UK but internationally.
It has been a real pleasure to take part in such a constructive and positive debate. Parliament is at its best today.
Arthritis and Employment
Justin Tomlinson Excerpts(4 years, 12 months ago)
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Douglas Ross (Moray) (Con)
It is a pleasure to serve under your chairmanship, Sir Graham. I congratulate my hon. Friend the Member for Ayr, Carrick and Cumnock (Bill Grant) on securing this debate and on his outstanding speech, which showed his passion and enthusiasm for this topic. I listened carefully, and I do not think he declared an interest at the start, so the spring in his step that we see from him every day around Westminster is perfectly natural and his interest in this debate comes not from any self-interest, but is for his constituents, who have rightly raised the issue. It was good to hear what he has done in his office to accommodate a member of staff.
I want to briefly give some figures from my constituency of Moray. Nationally, 63% of people of working age who have arthritis are in work. When we look at the figures more closely, in Moray, people over 45 with osteo- arthritis of the hip number 4,757. There are 7,848 people over 45 with osteoarthritis of the knee. There are 653 people with rheumatoid arthritis. There are 15,526 people in Moray with back pain. Had it not been for my hon. Friend’s debate today, I would not have known that such a large number of people within my community suffer day in, day out with this condition.
We heard from the hon. Member for North Tyneside (Mary Glindon) about a young person who lives with arthritis. It is testament to them that much of the time when we see them in our communities, they put on a very brave face. They work hard to live with their condition while in excruciating pain. This debate has shown that there is support for them, and we have to do all we can to encourage them to take up that offer of support, but we should also realise how many of those we work with day in, day out in our communities suffer from arthritis.
Arthritis and related conditions are the biggest cause of pain and disability in the United Kingdom, and account for 28.2 million working days lost each year. Nearly half of all work-related illnesses in Scotland are related to arthritis and joint pain, so it is a considerable issue, both in Scotland and across the United Kingdom, and something that we really need to tackle.
I welcome the presence of the Minister, who I am sure will speak about the Access to Work scheme. It is an excellent scheme that we should promote, but as my hon. Friend the Member for Ayr, Carrick and Cumnock said, we need to promote it because there is not enough awareness of its benefits. As he said, between May and June 2018 Versus Arthritis surveyed 15,082 people with arthritis and related conditions. Those people live with it, day in, day out, and are acutely aware of the need for assistance and support. Yet almost 60%—59%—had never heard of the scheme, so the people we are trying to target are unaware of a scheme that is designed to help them.
Worryingly—I would appreciate the Minister’s response to this, if he is aware of why it has happened—the number of people with arthritis who benefit from the scheme has fallen each year.
The Minister for Disabled People, Health and Work (Justin Tomlinson)
indicated dissent.
Douglas Ross
That was from a briefing that I received ahead of the debate. If the Minister does not believe that to be the case, it would be useful to clarify that on the record. Certainly the campaign group supporting the debate and briefing MPs says that it has fallen, year on year, over the last five years. I welcome any update from the Minister on that.
I welcome the debate, which is an opportunity for us all to raise awareness of this crippling condition, to support those in our communities who live with arthritis, and to try to get them better services to allow them to work. They all want to be part of the community, and part of the working community. We can support them as a Government and as MPs. Today, because of my hon. Friend the Member for Ayr, Carrick and Cumnock, we have done that.
Mike Amesbury (Weaver Vale) (Lab)
It is a pleasure to serve under your chairmanship, Sir Graham. I thank the hon. Member for Ayr, Carrick and Cumnock (Bill Grant) for securing such a vital debate, which has been informed by a number of charities, which work so hard for the benefit of people with disabilities and those who suffer with arthritis and related conditions.
As we have heard through the very powerful contributions from the 13 Members present from across the House, living with the condition can be debilitating and have a negative impact on quality of life. Arthritis and related conditions are the biggest cause of pain and disability in the UK. As a result, 28.2 million working days are lost annually. Every year, one in five people—20% of the UK population—consults a GP about musculoskeletal problems. More than half of the 17.8 million people in the UK with arthritis and related conditions live with pain every single day. My hon. Friend the Member for North Tyneside (Mary Glindon) highlighted that with the stark case of Danielle. Her condition has a huge impact on her life, slowly intrudes on everyday life, and affects her ability to work, to sustain work and to live independently.
Arthritis can also have a huge impact on an individual’s mental health, as hon. Members have highlighted. Living with a painful condition can lead to depression and anxiety, as well as placing limits on a person’s ability to keep active and to stay connected within communities and society.
We should pay particular attention to the disturbing fact that people in the most deprived areas of the UK are much more likely to report arthritis or back pain than people in equivalent age groups who live in less deprived areas. Some 40% of men and 44% of women in the poorest households report chronic pain, compared with 24% of men and 30% of women in more affluent households. There is a real social class and inequality issue here.
Versus Arthritis, the charity whose excellent work is dedicated to changing the lives of people who live with arthritis and related conditions, estimates that 10% of the UK population aged over 45 suffer with osteoarthritis of the hip, 17% suffer with back pain and 18% suffer with osteoarthritis of the knee. Many Members have highlighted the higher prevalence in their constituencies, which is also the case in mine.
This Government’s apparent antipathy and lack of regard for those who suffer with arthritis and related illnesses has been demonstrated in their limited approach to the promotion of the Access to Work scheme, which has been highlighted by Members across the House. The charity Leonard Cheshire has argued that there has been no significant extension of the programme over the last nine years.
Mike Amesbury
The Minister shakes his head, but that is from the Government’s own figures.
Will the Minister tell the House what plans are in place to help people with musculoskeletal conditions in the workplace? Arthritis sufferers who have applied to the Government’s Access to Work scheme said they have faced problems with how the scheme operates. In a survey of people with arthritis and related conditions carried out by Versus Arthritis in 2018, 59% had never heard of the Access to Work scheme, with many more unaware of what help was available. It is almost the best kept secret, as my hon. Friend the Member for Ellesmere Port and Neston (Justin Madders) said.
Some 25% of respondents said they did not receive all the support that was asked for, or that had been recommended by the Access to Work adviser, with a further 10% saying they did not receive any support whatsoever after applying. Will the Minister tell the House what the Government are doing to ensure that recommendations made by the Access to Work scheme are enacted?
The Equality Act 2010 placed a legal responsibility on employers to provide reasonable adjustments to support people with a disability in the workplace, so that they would not be disadvantaged. However, the Equality Act does not define what those reasonable adjustments are. As a result, it can be difficult for someone with arthritis to know exactly what their employer should be doing to help them, especially if they are not unionised, as was pointed out. Will the Minister tell the House whether the Government plan to undertake work to clarify the meaning of “reasonable adjustments”? Would he agree to work with Versus Arthritis on that?
One in eight of the working-age population has a musculoskeletal problem, but only 63% of that group are in work, compared with 81% of people with no health condition. What steps are the Government taking to close the disability employment gap for people with arthritis and related illnesses?
The Government have pledged to see 1 million more people with disabilities and long-term health conditions in work by 2027—just 100,000 people per year. Curiously, the Office for National Statistics reports that the increased number of disabled people in work has not been matched by a reduction in the number of disabled people who are out of work. We are now two years into the Government’s 10-year strategy for supporting disabled people into work. However, the National Audit Office reports that they have yet to develop a full implementation plan to achieve their goal.
Through whatever kaleidoscope of smoke and mirrors we look when measuring our employment figures, facts are facts: the disability employment gap remains stubbornly at 30% and this Government are failing to get a grip on that dismal statistic. I ask the Minister to listen to the concerns raised by all the Members here today and to commit to addressing and rectifying the unacceptable existing inequality of support for those who suffer with arthritis.
The Minister for Disabled People, Health and Work (Justin Tomlinson)
It is a pleasure to serve under your chairmanship, Sir Graham. I pay tribute to all the speakers—perhaps with the exception of the last one—for their very proactive and constructive speeches on this incredibly important subject. It reflects well on the brilliant opening speech given by my hon. Friend the Member for Ayr, Carrick and Cumnock (Bill Grant), who demonstrated a real passion, knowledge and interest in this area, that it was picked up and reflected in each and every speech. People who have listened to the debate will be encouraged at the great level of interest—it is not as if nothing else is happening in Parliament today. It is brilliant that this issue has captured so much interest.
My hon. Friend was spot on when he quoted Dame Carol Black, who said:
“The evidence is clear that most people with these disabling conditions want to work. Indeed, with the right support and working arrangements, usually with modest adjustments, they can do so and be valued employees.”
He made the powerful point that there is a misconception that this impacts only on older people. In fact, it can affect people throughout their lives. One in six people will develop a disability or long-term health condition, and many of them will be of working age. This is a common challenge and barrier that people need to overcome. I welcome the hon. Member for Newport West (Ruth Jones)—with her expertise in this area, I am sure that she will be a valuable addition to Parliament.
Despite the previous, pre-written speech, the reality of the disability stats is that there are now 947,000 more disabled people in work in the past five years. We have taken disability employment from 44.2% to 51.7%, which is a record high. For the first time, more disabled people are in work than not. However, it is not enough. We are an ambitious Government, and we set out two years ago our ambition for a further 1 million disabled people to be in work. In those first two years, over 400,000 more disabled people are in work. We are ahead of schedule, but it is still not enough.
We will continue to do everything we can to empower businesses to have the confidence to tackle the barriers and take advantage of the huge amount of talent that is all too often overlooked. I do not just preach as a Minister; I say that as an employer. Before I became an MP, my own business benefited from employing disabled people and having the confidence to make small changes. Actually, I benefited. I have been in a series of stakeholder meetings and events today, and everyone was united in saying we have to ensure it works for everyone.
The majority of today’s speeches focused on Access to Work, and I recognise that it is right to challenge the scheme. However, we must recognise that 33,800 people were helped last year—up 13%, and a record high. My hon. Friend the Member for Moray (Douglas Ross) asked whether funding had been increased or decreased in this area. We do not record that specifically, but people who listed conditions that relate to the arms and hands, legs and feet or back and neck—we would expect those to be covered predominantly in this area—as their primary medical condition accounted for about 10% of our spend, which was up 2% on last year.
I recognise hon. Members’ broad point that more people need to benefit from the Access to Work scheme, especially in this area—particularly as technology plays an increasing part in removing barriers and creating opportunities, which I have seen on visits. The hon. Member for Lanark and Hamilton East (Angela Crawley) discussed her caseworker and explained how she is benefiting from small changes that can be replicated right across the board.
The key is improving the awareness of Access to Work. We are looking at improving awareness in jobcentres, so that in the initial conversation we take into account everybody’s unique opportunities and challenges, particularly on health, and that it is ingrained in all our frontline staff that this is an option to help unlock barriers. That goes right to the core of the principle of the joint work and health unit. I had a meeting about that earlier, and we recognise just how important it is. We need to work more closely with stakeholders to promote this to their members as something that can be utilised. We should work with GPs and health professionals to ensure that they are aware of the opportunity.
On fit notes, GPs can highlight the fact that there are fluctuating health conditions that can limit the amount of work someone can do. I understand the point that was made, and we are working with medical professionals to look at what more can be done in that area. We need to look at our health and work providers and ensure they include it—it should be embedded in their options. Through the Disability Confident scheme, we are now at 12,000 businesses—a record high. We have ambitions to increase that rapidly and are looking at putting additional requirements on the highest level of Disability Confident. We should perhaps look at signposting from general benefits. If we have identified people with health conditions through disability benefits, we could perhaps signpost people for additional local support. It is not something that they must have, but providing such information could be helpful for people.
There is one area where I think we can make a real difference. The hon. Member for Ellesmere Port and Neston (Justin Madders) made a really good point: how can we be sure that businesses have an understanding? For many, particularly small and medium-sized businesses, this is not necessarily a common occurrence, and they like to have confidence. There is an opportunity through the Health and Safety Executive. It is a pretty good given. As part of the Health and Safety Executive, we lead internationally on safety. We have just recruited a new chief executive, and I made it very clear to her that the real priority going forward has to be looking at health. The HSE is brilliant at engaging with businesses of all sizes as part of those assessments, and they can identify areas of improvement within working environments. A one-stop shop can be a portal to signpost additional support, particularly on not letting people slip out of work. It is a darn sight harder to get people back into work than it is to keep them in work in the first place.
I was very interested to talk to my Access to Work team about ways in which we can help. Initially, I thought it was perhaps simply about technology. I was looking at some case studies—we cannot give names, for obvious reasons—and in some cases it is about technology. It is sometimes about making adjustments to the equipment that people use. Access to Work will talk to an employer and perhaps suggest changing the working hours or recognising that there might be times when they will have to limit them. Perhaps they could even look at changing people’s roles, which is incredibly important. If someone works for a big employer that has HR and personnel teams, we would expect them as a given to get this right. However, 40% of private sector jobs are in small and medium-sized businesses. They do not necessarily have bad intentions, but they do not have the confidence or expertise. Through organisations such as the HSE we can do a lot more.
I pay tribute to Versus Arthritis, with which I will definitely be working very closely. I will be speaking at its event in July. It is one of our key stakeholders in the Access to Work scheme, which goes through, line by line, how we are doing and what improvements we need to make. The Versus Arthritis report was very proactive and helpful.
I was genuinely impressed by how proactive and constructive the speeches we have heard were. There is a real cross-party commitment to get this right—it is such an important issue. Not everybody is looking for a full-time job or career. I have met young disabled people for whom simply being able to do one hour is a life-changing opportunity. Wherever there is a barrier, we as a Government are absolutely committed to remove it. We want businesses to have the confidence to take advantage of the huge amount of talent that, I am afraid, is all too often overlooked. We are heading in the right direction, but we are ambitious to do more. I thank each and every hon. Member for what they are doing to highlight all the opportunities that people can take advantage of.
Oral Answers to Questions
Justin Tomlinson Excerpts(5 years ago)
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Alex Chalk (Cheltenham) (Con)
The Minister for Disabled People, Health and Work (Justin Tomlinson)
We support disabled people to enter employment through initiatives such as the Work and Health programme, which is expected to support 220,000 disabled people over five years, the personal support package, and the new intensive personal employment support programme. Access to Work approved support for nearly 34,000 disabled workers last year, and we engage with employers through Disability Confident.
Huw Merriman
Employment prospects for young people with hidden disabilities or who are on an education, health and care plan are much lower than the mainstream average. Supported internships offer a way through, but the take-up from employers is painfully low. Given that the Department for Work and Pensions is responsible for overall targets, may I ask the Minister to work across the Government to ensure that we can use the apprenticeship levy to fund employers to enable them to take up more of these excellent opportunities?
Justin Tomlinson
My hon. Friend has been a real champion in pushing forward the opportunities created through supported internships and traineeships, and through our efforts to open up apprenticeships to those with learning disabilities. I will continue to work with the Department for Education and the Department for Business, Energy and Industrial Strategy to increase awareness among employers, and I very much welcome the fact that last year Access to Work saw a 28% increase in take-up for those aged between 16 and 24, in part because of the expansion of the supported internships.
Alex Chalk
Specsavers in Cheltenham has teamed up with the GEM project to recruit people with disabilities into the world of work, and the impact has been transformational, resulting in improvements in staff morale and in productivity. What more can the Government do to ensure that the message gets out that recruiting people with disabilities is good for the individuals themselves and good for society?
Justin Tomlinson
My hon. Friend has worked really hard to promote opportunities for employers in his constituency to employ people with disabilities. I welcome the fact that, over the past five years, this Government have seen an extra 930,000 more disabled people in work and that, for the first time ever, there are now more disabled people in work than not in work. The key is to give businesses the confidence to realise that they can benefit, and that this is a win-win for the disabled person and for the business.
Debbie Abrahams (Oldham East and Saddleworth) (Lab)
My concern relates to the number of people who are dying after being found fit for work. Further to my letter to the Secretary of State, will she commit to publish the Department’s internal reviews of the cases of those who have died? Will she also commit to an independent inquiry? Will she ensure that if any evidence of wrongdoing by someone in public office is found, that information will be forwarded to the police?
Justin Tomlinson
This Government are committed to working with stakeholders and those with frontline experience to continue to make improvements. There have been two independent reviews of the work capability assessment, and we have accepted and implemented over 100 improvements. We will continue to do all that we can to improve the process for claimants.
Chris Elmore (Ogmore) (Lab)
Justin Tomlinson
All claimants should be advised at the beginning of the process that there are alternative methods of communication. I welcome the introduction of the Citizens Advice provision across the jobcentre network, which is an additional layer of independent support, particularly for vulnerable claimants who may find it difficult to access services.
Marsha De Cordova (Battersea) (Lab)
May I welcome the Minister to his post? As the National Audit Office recently pointed out, the number of disabled people out of work has stagnated at 3.7 million during the past five years, because increases in the number of disabled people employed have not been matched by a decrease in the number of disabled people who are out of work. Under the Government’s flagship Disability Confident scheme, it is possible to be a Disability Confident employer without actually employing a single disabled person. Will the Minister now commit to independent evaluation of the effectiveness of that flagship scheme?
Justin Tomlinson
The Government have actually delivered an additional 930,000 job opportunities for disabled people over the past five years, and for the first time more disabled people are in work than out of work. The NAO also welcomed our joint work with the Department of Health and Social Care, particularly in the area of mental health. As for the Disability Confident scheme, I welcome the fact that 49% of the businesses that have signed up have said that it helped them to recruit at least one additional member of staff with either a disability or a long-term health condition.
Paul Masterton (East Renfrewshire) (Con)
Dr Rosena Allin-Khan (Tooting) (Lab)
The Minister for Disabled People, Health and Work (Justin Tomlinson)
We support disabled people in employment through initiatives such as Access to Work, which last year approved support for nearly 34,000 disabled people; Disability Confident, to which almost 12,000 employers are now signed up; and the £55 billion we will spend on benefits this year to support disabled people, including those who are in employment.
Dr Allin-Khan
Sarah Jeffers in Tooting requires a specialist wheelchair owing to her cerebral palsy. The Department for Work and Pensions has told her that she is required to pay £17,000 to fund the replacement of her broken wheelchair. Sarah’s job each day is to get disabled people back into work. However, without her wheelchair, she herself cannot work. The DWP has also stated that it cannot provide further funds for her wheelchair because she already receives support for her car from the Motability scheme. Will the Minister meet Sarah and me to discuss this complicated case?
Justin Tomlinson
The hon. Lady has been working brilliantly to support her constituent, whom we all want to remain in employment. From the details given to me already, it sounds as if Access to Work would have the potential to help with the funding towards her constituent’s wheelchair. I am happy to look into the details of the case as quickly as possible.
Patrick Grady (Glasgow North) (SNP)
The Minister for Disabled People, Health and Work (Justin Tomlinson)
The Government remain committed to tackling poverty so that we can make a lasting difference to long-term outcomes. This Government have lifted 400,000 people out of absolute poverty since 2010, and income inequality has fallen.
Patrick Grady
Very few people in Glasgow North moving on to universal credit feel as if they are moving out of hardship and poverty. As my hon. Friend the Member for Airdrie and Shotts (Neil Gray) said, 60% of claimants across the country automatically apply for the advance payment, which means that they automatically start receiving less universal credit as the repayments kick in, regardless of their means. How on earth is that helping to tackle hardship or people’s ability to manage their money? Will the Department urgently review the advance payment system?
Justin Tomlinson
The hon. Gentleman highlights the importance of ensuring that claimants do not go without any money, which is why we welcomed the improvements to make advance payments more accessible. Let us remember that, under the complicated six legacy benefits, more than £2.4 billion of benefits were left unclaimed every year, worth an average of £280 per month; that meant that 700,000 of some of the most vulnerable people were missing out on their entitlement.
Ruth George (High Peak) (Lab)
A constituent of mine who is a single mother with three children was persuaded to apply for a loan to replace her cooker. The loan company took her details and made an application for universal credit on her behalf, unbeknown to her, and claimed a large advance payment that they told her was the loan. When she reported this to the police and to the DWP and asked them to look into her case, they insisted that it was a valid claim for universal credit. She has had her advance payment, and she is left—pregnant, with three young children—with no access to any money until the end of the month. Please will the Minister or the Secretary of State look into this and make sure that vulnerable people cannot be treated in this way?
Justin Tomlinson
The circumstances just described sound horrendous. We will absolutely look into that as a matter of urgency and report back as quickly as possible.
David T. C. Davies (Monmouth) (Con)
Wes Streeting (Ilford North) (Lab)
The Minister for Disabled People, Health and Work (Justin Tomlinson)
I thank the hon. Gentleman. I welcome the fact that record numbers benefited from Access to Work last year—an increase of 13%—but operational improvements still need to be delivered. I would welcome an opportunity to meet the hon. Gentleman to look at some areas of priority for us.
Mrs Pauline Latham (Mid Derbyshire) (Con)
Justin Tomlinson
I thank my hon. Friend, who has been a real champion in this really important area of work. The Government are fully committed to protecting people with disabilities in the workplace and elsewhere. We welcome the fact that over 1 million employees are now protected by the voluntary employers charter, and this is a real step forward. There is more work to be done, and I welcome the fact that MPs are working together cross-party on this vital issue.
Tonia Antoniazzi (Gower) (Lab)
Carol Monaghan (Glasgow North West) (SNP)
Earlier this year I met representatives of those who carry out work capability assessments and representatives from the previous disability Minister’s office. I was assured that those carrying out capability assessments were well aware of unseen conditions such as ME, but since then I have been overwhelmed with correspondence saying that people with ME are being declared fit for work. What work is the Minister doing to ensure that the assessors are aware of conditions such as ME?
Justin Tomlinson
There is a real emphasis on ensuring that assessors are best placed to identify how fluctuating health conditions and hidden disabilities will impact on the assessment. I am disappointed to hear what the hon. Lady reports and I would be happy to meet her to discuss it further.
Thangam Debbonaire (Bristol West) (Lab)
My caseworkers recently updated me on the thousands and thousands of pounds of public money that they have helped to recover for constituents who are entitled to it, often after many months of delays. I am not satisfied with that; I am angry that this Government Department is keeping so many of my constituents and, I presume, others across the country in poverty for so long when they are owed this money. What is the Government doing about reviewing DWP’s shameful record on paying people money to which they are entitled?
Severe Disability Premium
Justin Tomlinson Excerpts(5 years ago)
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Urgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
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Margaret Greenwood (Wirral West) (Lab)
(Urgent Question): To ask the Secretary of State if she will make a statement on support for people formerly receiving severe disability premium who have transferred to universal credit.
The Minister for Disabled People, Health and Work (Justin Tomlinson)
Universal credit is the biggest change in the welfare system since it was created. It is a modern, flexible, personalised benefit reflecting the rapidly changing world of work. When designing universal credit, a choice was made not to replicate every aspect of the disability provision in the legacy system.
However, I want to make it very clear that our intention was that no money from this area would be taken out of the system. Universal credit was therefore designed with all the money from the old disability premium recycled to target support on the most severely disabled. Disabled people are some of the biggest beneficiaries of universal credit, with around 1 million disabled households having on average around £100 a month more on universal credit than they would have had on the legacy benefits.
On Friday, the High Court handed down a judgment in relation to universal credit and the severe disability premium. The severe disability premium is an additional premium payable with mean-tested benefits such as employment and support allowance. Universal credit is more targeted, and support is focused on those who need it most. Transitional protection will be available for people who are moved on to universal credit from other benefits, provided their circumstances stay the same.
We are pleased that the court recognises that it is for Ministers to frame the appropriate transitional arrangements for moving claimants on to UC, and we will consider all our options. The Government are committed to delivering a welfare system that supports disabled people.
Margaret Greenwood
On 7 June, the Government pledged that severe disability premium claimants would no longer have to transfer to universal credit until managed migration started. Yet for months afterwards, the claimants were still required to do so—until the Government finally introduced a statutory instrument, which came into force on 16 January.
Severe disability premium does not exist in universal credit, so, in transferring, those claimants lost about £180 a month. Often, that was just because they moved home; their postcode changed, but their needs did not. Yet the Government planned to pay them only £80 a month in compensation—far less than they would have received if they were to transfer under managed migration. It is little wonder that the High Court said in its damning judgment on Friday that the Government’s decision had no logical foundation! Payments to former SDP claimants are part of the regulations for the managed migration pilot. The Government have still not scheduled these for debate, so no payments at all have been made; the judgment throws the Government’s plans for the pilot into question, too.
Will the Government ensure that payments to former SDP claimants who have transferred to universal credit fully reflect the loss they have suffered? How many SDP claimants in total transferred to universal credit before 16 January? What assessment have the Government made of the hardship that former SDP claimants who have transferred to universal credit are suffering, and of the impact on children who have had to take on additional care responsibilities as a result of their families’ loss of income? Will the Government publish a clear timeframe to identify and compensate disabled people for the losses that they have incurred? Will the Government separate regulations for the payments to former SDP claimants from those for the pilot for managed migration, so that Members of this House can vote on each separately?
By definition, these people are already having to cope with some of the most severe medical conditions and with disabilities. They should not have to fight through the courts for the support to which they should be entitled. They deserve better.
Justin Tomlinson
To reiterate, we have not taken any money out of the system. We are, rightly, targeting support at those who need it the most. For example, under legacy benefits, those on employment and support allowance would have expected to get £160.05 a month, but under universal credit it is significantly higher—in fact, more than double, at £336.20 a month. That is why over 1 million households with disabled people will on average be over £100 a month better off.
That goes hand in hand with our attempts to simplify the system. We are taking seven disability premiums down to two. The legacy system was difficult to deliver, prone to error and often confusing. Under the legacy system, over £2.4 billion of benefits went unclaimed every year. Some 700,000 of the most vulnerable people were, on average, missing out on £280 a month.
In addition to this support, many claimants will be entitled to support with personal independence payment, disability living allowance, attendance allowance or adult social care. Those going through the managed migration will get full transitional protection. We went further with good intentions by introducing the gateway on 16 January, including for those with changed circumstances. We will be considering all options in the light of the judgment and we will update the House in due course.
Sarah Newton (Truro and Falmouth) (Con)
I welcomed the introduction of the gateway back in January. Will my hon. Friend confirm that this means that existing recipients of severe disability payments will be moved on to universal credit with transitional protections, so that they are fully protected as they move across?
Justin Tomlinson
I pay tribute to the former Minister, who did a huge amount of work in this area to ensure suitable transitional protection for some of the most vulnerable people in the system. It is absolutely the case that those who are part of the managed migration will get full transitional protection.
Alison Thewliss (Glasgow Central) (SNP)
We welcome the High Court decision and commend the individuals who brought their case for their perseverance. It is absolutely extraordinary that the Department for Work and Pensions thought it could get away with short-changing claimants who had already been made worse off by being moved on to universal credit. Because of the entirely arbitrary cut-off point where the DWP decided to stop naturally migrating SDP claimants, many thousands will miss out on £1,000 a month. That is completely unacceptable.
The ruling acknowledges what the SNP has been arguing since December: the Tories in Westminster are short-changing claimants who are owed back payments as a result of having their severe disability payments stopped. It is not only appalling that the DWP is short-changing claimants; it is appalling that people will now have to wait for those back payments until managed migration regulations are put through. Even then, it might take months to administrate them. My hon. Friend the Member for Glasgow North West (Carol Monaghan) has twice written to the Secretary of State asking for her to immediately initiate back payments, so that people do not have to wait.
Will the Minister tell the House why the payment of that money has been pegged to the managed migration regulations? Now that the ruling has allowed him to take stock, will he sort out this issue once and for all, and immediately put together regulations that legislate for the full back payments as a matter of urgency? There are now not one, not two but three ongoing cases where the DWP needed to investigate and initiate back payments of disability benefits on an enormous scale owing to error or to their policies being deemed unlawful. Will he ensure that no cuts to other areas of Government spending are being made to cover the cost of clearing up his Department’s mess? Does he really believe that, after all this, disabled people who require support can have any confidence whatever that the DWP has their best interests at heart?
Justin Tomlinson
I thank the hon. Member for the points she raises. To be absolutely clear, those who are part of the managed migration will get the full transitional support. The whole point of the gateway was to provide additional support for those who had changed circumstances that would not have been entitled to the full transitional protection. I absolutely understand the point about the urgency of bringing forward the regulations, but we want to ensure they are done in the correct manner so we do not replicate the errors of the difficult and complex legacy benefit, which we see in our surgeries as individual constituency MPs, whereby some of the most vulnerable people in society are missing out on the benefits to which we all agree they are entitled.
Peter Heaton-Jones (North Devon) (Con)
Of course people with disabilities must be properly served by our benefits system; I know the Minister well, so I know that he will be working extraordinarily hard to ensure that that happens in his Department. Is it not a fact that universal credit is targeted far more effectively at ensuring that help is given to those who most need it?
Justin Tomlinson
I know that my hon. Friend works extremely hard in this area; I have made several visits to his constituency, where I have seen him championing local organisations that make a difference to disabled people in his community. Universal credit targets support at those who most need it, which is why, on average, more than a million disabled households will be £100 a month better off.
Ruth George (High Peak) (Lab)
The severe disability premium does what it says on the tin: it goes to those with the most severe disabilities. Why, then, is the Minister claiming that people who most need support are gaining, when more than 10,000 people entitled to the severe disability premium are now waiting for back payments—like my constituent who is owed nearly £1,000 by the DWP? People are building up rent arrears and are in danger of eviction. Why are the Government not treating them properly by bringing forward this legislation and paying them what they are due?
Justin Tomlinson
We are all keen to bring forward those regulations, but I remind the hon. Lady that where under the legacy benefit an ESA claimant would expect £167.05, the equivalent under universal credit will be more than twice that: £336.20 a month.
Martin Vickers (Cleethorpes) (Con)
Hon. Members of all parties have had experience of the problems that our constituents, particularly our disabled constituents, face with the transfer to universal credit. However, we must not lose sight of the successes. Yesterday, the Grimsby Telegraph carried a report in which Mr Mark Coad said that, following the death of his partner,
“I signed up for Universal Credit, and it has been one of the best things that I have ever done, because it not only got me back into work, but provided me with some support mentally, as it forced me to get out of the house and stop wallowing in my grief.”
Does the Minister agree that we must focus on the successes and ensure that all cases have an equally successful result?
Justin Tomlinson
My hon. Friend raises an important broad point: universal credit offers personalised, tailored, bespoke support, for the first time. If hon. Members visit their local jobcentre and talk to staff, particularly to experienced staff, they will hear how for the first time they feel empowered to make a real difference to people’s lives.
Christine Jardine (Edinburgh West) (LD)
Does this latest botched attempt not underline that one reason why the Government are having trouble with universal credit is that it was primarily designed as a work-related benefit and that it continually misses out the people who need it most? Will the Government now re-table the managed migration regulations without the hard stop?
Justin Tomlinson
I do not recognise that point. As a Government, we are spending £5 billion more a year on supporting people with disabilities and long-term health conditions through the main disability benefits. We are rightly targeting support at those most in need in society. Through universal credit, that is coupled with a personalised, tailored and bespoke service.
Gerald Jones (Merthyr Tydfil and Rhymney) (Lab)
The loss of the severe disability premium continues to cause hardship to people in my constituency and throughout the country. In some cases, it has forced people into rent arrears and extreme poverty. What are the Minister and the Department doing specifically to support people in those situations?
Justin Tomlinson
Through the universal credit system, for the first time, they will have a named work coach who can help them to navigate not only any individual challenges that they face, but the additional support that they can get. Rightly, we are making sure that the most vulnerable people in society get both the financial support and the time from their named work coach to make sure that they are in their best position.
Tom Pursglove (Corby) (Con)
What steps is the Minister taking to cascade the detail of this policy to advice services so that they can best help and support those who come to them seeking help?
Justin Tomlinson
My hon. Friend raises an important point. Not only do stakeholders and those with real, genuine frontline experience work closely with us and help to shape our policies, but we recognise that they can play a key part on the frontline. I therefore very much welcome the announcement that Citizens Advice will be present across the jobcentre network to provide additional support for claimants above and beyond what our frontline staff do.
Chris Stephens (Glasgow South West) (SNP)
We know that approximately 20,000 people died before the Department was able to review their backdated ESA payments. That must not happen with the severe disability premium payments. Has the Department investigated whether it has happened to claimants who were owed such payments? If so, how many? In the event of death, who will receive the back payments?
Justin Tomlinson
The key priority is to make sure that we get money to the most vulnerable in society as quickly as possible. That is why our commitment remains that we will bring forward the regulations at the earliest opportunity.
Vicky Foxcroft (Lewisham, Deptford) (Lab)
In March, I raised with the Minister the case of a constituent with a severe brain injury who applied for universal credit in August 2018 and immediately lost his severe disability premium. The Minister requested that I write to him. As yet, I have received no response. My constituent has now been without his severe disability premium for almost nine months. This vulnerable individual needs action. Will the Minister get a grip on this?
Justin Tomlinson
I apologise to the hon. Lady that I have not seen the letter yet. I will make sure that I do as a matter of urgency and will respond personally.
Thangam Debbonaire (Bristol West) (Lab)
My constituent suffered severe trauma and mental illness. When he filled in his form four years ago, some mistakes were made, but those mistakes could and should have been picked up. However, he has had to wait years for money he was owed in back payments.
The problem I want to raise with the Minister is that our local Money Advice Service was not able to get a response from the DWP. It was only when my caseworkers got involved that the £15,000 my constituent was owed was repaid. What will the Minister do to ensure that DWP staff are responding in a timely manner to Money Advice staff?
Justin Tomlinson
I am very sorry to hear about that, because what we would like to see—there are many, many cases of best practice—is local support organisations working hand in hand with local jobcentres, so that the most vulnerable claimants in particular get additional support as they go through the system.
Hywel Williams (Arfon) (PC)
Despite the Minister’s words about paying more money, I am afraid it seems to me that he is robbing Peter to pay Paul. Given the weakness of local advice services, particularly in rural areas such as mine, will the Minister provide hon. Members with a breakdown of the geographical distribution of the 10,000 or so cases so that we can reach out properly?
Justin Tomlinson
I thank the hon. Gentleman, whom I have worked with closely on other issues. To be absolutely clear, in going from the legacy benefit to universal benefit, we have not taken money out but are targeting it at the most vulnerable people. Overall, our spending on those with disabilities and long-term health conditions has increased by £5 billion per year. The key is that all jobcentres will have the support of Citizens Advice to provide additional support for claimants who want it.
Jessica Morden (Newport East) (Lab)
A constituent of mine who was forced on to universal credit with no protections lost a considerable amount of money to help with her living costs when her severe disability premium stopped. Now we learn that she may have to wait six months to see any money, even when the regulations are passed. How on earth are disabled people supposed to cope in the meantime?
Justin Tomlinson
The priority in our reforms is to make sure that the most vulnerable get the most support within the system. Without knowing all the details of that case, it is difficult to comment, but I am happy to look at the details.
Patricia Gibson (North Ayrshire and Arran) (SNP)
Has the Department contacted all those who have lost out on payments? If not, when will the Department do so? Will the Minister commit to ensuring that absolutely no burden is placed on claimants in applying for back payments of the severe disability premium, and that his Department will take on the burden of gathering the available evidence to ensure that payments are made as soon as possible?
Justin Tomlinson
The judgment was given only on Friday, but we are urgently considering all the options available to us. Once we are in a position to do so, we absolutely will make sure that we communicate with all claimants.
Mr Jim Cunningham (Coventry South) (Lab)
Has the Minister not got the message that this system is not working? As has been pointed out repeatedly, it is not working. About a fortnight ago, I visited one of the biggest food banks in the west midlands. They are the ones helping people who cannot claim their benefits. Why do the Government not scrap it and start again?
Justin Tomlinson
I could not disagree more. Under the legacy benefits—the benefits the hon. Gentleman is seemingly advocating that we go back to—700,000 of the most vulnerable people, many of whom are those using the food banks, are missing out on £2.4 billion of support.
Justin Tomlinson
The hon. Gentleman can shake his head, but these are some of the most vulnerable people. We are creating a simpler, clearer system so that those vulnerable people do not miss out on the support they are entitled to.
Stephen Lloyd (Eastbourne) (Ind)
It is rather frustrating that, yet again with this Government, people have had to go to court before they get some change and acknowledgement. I know and respect the Minister, as he has been very helpful to me on a number of issues. Will he just give a commitment on the Floor of the House that the DWP will ensure that anyone who has missed out on severe disability premium will have retrospective payments so that, ultimately, they get what they are entitled to?
Justin Tomlinson
I thank the hon. Gentleman for his kind words. I have enjoyed working with him on a number of issues. Obviously we only saw the judgment on Friday, and we must consider the options. The issue was additional support through the gateway, and we will have to look at that, but we remain committed to ensuring that those who are part of the full transition will receive the full support.
Ten Years of the Work Capability Assessment
Justin Tomlinson Excerpts(5 years ago)
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The Minister for Disabled People, Health and Work (Justin Tomlinson)
It is a pleasure to serve under your chairmanship, Sir Henry; you have expertly managed the timekeeping. I pay tribute to the hon. Member for North West Durham (Laura Pidcock). I know this is an area that she has campaigned on since she was first elected, and she does so with real passion and a determination to see improvements right across the system. That was echoed by all speakers. I might not have agreed with absolutely every point—hon. Members would not expect me to—but it is clear that there is a real desire to see continued improvement and an emphasis on how important that improvement is to people who are going through the process.
The hon. Member for Lincoln (Karen Lee) highlighted a particular story, which I was very touched by. I would like to meet her to discuss it further, as I think there are lessons to be learned from that case. I am certainly sorry for the experience that person has gone through.
This area is a real priority for me. I have been the Minister for Disabled People before, when I was a Parliamentary Under-Secretary. I have been an elected representative for 19 years, so I recognise the comments—we see first-hand through our casework instances where things have not gone right. I have spent my parliamentary career being proactive, working with MPs across the House, and stakeholders, charities and experts in this area. I listen to what is said, I try to do my best to make improvements and I certainly hope that that was reflected in my record as Minister for Disabled People last time. I will continue in the same vein.
The Government are focused on this area, and we have rightly increased funding for those with disabilities and long-term health conditions. This year, we are expected to spend £55 billion, which is a £10 billion increase in real terms since we came to office. It is a record high and it is 2.5% of GDP, which is higher than the spend of any other G7 country. It is 6% of total Government spending, and I think every penny is rightly supported by the wider public.
The debate today is focused on the 10-year anniversary of the work capability assessment, which I note a few speakers did acknowledge was introduced by the last Labour Government. Clearly, it was not perfect and there has been much-needed improvement since its introduction. We are all committed to playing our part in improving the process and to taking account of the developments in healthcare, modern workplaces and flexible working arrangements.
Backing up those improvements were the five independent reviews. The first three were carried out by Professor Harrington and the final two were carried out by Dr Litchfield. More than 100 recommendations were made that we have accepted and delivered. As the Secretary of State set out in her recent speech, we need to do more, and that is a real priority.
Many people have highlighted concerns with the frontline staff and process. Since 2015, the Centre for Health and Disability Assessments has taken over the delivery of the work capability assessment, and the focus has been on improving the operational process. It has increased the number of healthcare professionals by 82% and 1,300 staff are now directly involved in supporting assessments. It has increased the number of assessment rooms and significantly improved the training programme—many speakers highlighted these issues, in particular in relation to individual conditions. There is broad training on disability analysis and on specific conditions, including multiple and complex conditions, which covers three distinct areas—principles and professional standards; the assessment process; and scrutiny and file work, with an emphasis on quality. Training is predominantly modular, with competency testing at every stage. The healthcare professional must then undergo the continuing medical education programme and is subject to regular case reviews and audits. For complex cases, we expect the healthcare professional to refresh knowledge prior to the assessment.
One very important and welcome addition that has begun to be rolled out is the introduction of customer champions. I absolutely recognise just how anxious and nervous people can be when going for assessment. I absolutely get that. The customer champion can assist those claimants, before and after assessments, to ensure that they receive the best service. We have had good feedback on that, and the intention is that there will be one in every single assessment centre.
I also recognise the comments about communication—the brown envelopes coming through. There is a commitment from me to work further with stakeholders to improve the letters that come out. I have seen this as a constituency MP; I have taken a deep breath at the poor quality of some communications. We need to improve that.
Justin Tomlinson
I cannot give a broad-brush answer. I know what the hon. Lady is saying and I am coming on to the use of evidence and how we can do more earlier and, potentially, then with paper-based assessments. I will come on to that. I understand, but I cannot give a definitive answer, because every claimant has their own unique challenges that have to be addressed.
In addition, SMS text message reminders about appointments have been welcomed, and there has been a lot of work on the website, which includes mock assessment videos so that people can get an idea of the sort of things to expect. Those things are all looking to remove some of the anxiety and worry about assessments. There is more to be done in that area, but we recognise that.
The improvements in the training and the extra healthcare professionals have meant that median clearance time halved from 25 weeks in March 2015 to 10 weeks in 2018, and customer satisfaction has exceeded the 92% target since that point. However, that does not mean that we are getting it right every time, and that is what I want to turn to now in focusing on MR and appeals.
All of us as Members are frustrated when what seem to be clear-cut cases come to our constituency surgeries asking for our help. There are times when we think, “How on earth can this have happened?”, and ultimately the person could have a very long appeal process to go through to get the right decision. In the majority of cases, appeals are successful because of additional oral and written evidence. That has to be addressed. We rightly are going to tackle it and will do so in two stages—first, with the MR process. We have started doing this with PIP. We are seeking to contact the claimant who is disputing a decision and talk to them directly to get the additional oral and, potentially, written evidence at that stage to see whether we can improve decisions at that point, rather than waiting for the evidence to come at the end of the appeal process.
Debbie Abrahams
Does the Minister think that it is unacceptable that any Government policy should cause their citizens to take their own life or to die? If he does, should there not be a moratorium on this policy until it is got right? Surely one death is one too many.
Justin Tomlinson
We all recognise that suicide is a tragic and complex issue, and we take it extremely seriously. We take the death of any claimant seriously and, where we are made aware that a person has died and it is suggested that that might be associated with the DWP directly, a review will be undertaken to identify whether any lessons can be learned and can be actioned.
Justin Tomlinson
Let me make some progress, because this is a very important point about the MR process. We are in the early stages with a new way of looking at MRs, but there have been very positive results, and we will now roll this out to all the PIP dispute sites. We intend to do the same for the ESA sites as well.
The second stage has to do with the appeal process. Again, we recognise that people will submit additional, late written and oral evidence.
Justin Tomlinson
Let me just make this point. I want to explain one of the challenges. The shadow Minister, the hon. Member for Battersea (Marsha De Cordova), talked about a 30-week wait, in some cases, for an appeal. The person may have got the additional evidence in week six, but then the system is saying, “I’m sorry, but you’re going to have wait another 24 weeks until we can actually take that into account.” That is clearly not an ideal situation, so we are looking at how we can lapse appeals, where there is new evidence, to reconsider the decision with the additional evidence and be able then to give them a different decision. If we do not think that that should change the decision, they have the right to carry on right through to the final appeal process, but if it is something that is clearly going to change the decision, we should act as quickly as possible.
Justin Tomlinson
In a second. Over the past five years, only 4% of work capability assessment ESA decisions have been revised at appeal, but we recognise that it is in no one’s interest that things should be picked up only after a lengthy appeal process, so we are absolutely committed to being proactive in this area, and this issue will be a real priority.
Patricia Gibson
I thank the Minister for giving way. I just wanted to ask for clarification on one point that he made, which was about appeals being successful because of new or additional information. How does he respond, then, to the fact that people who go on to appeal do so on the basis that the information that they see about themselves is badly or very badly expressed and incorrect, and to Citizens Advice saying that 81% of the customers it sees have inaccurate information recorded about them, which leads to a wrong decision?
Justin Tomlinson
I am coming on to how we can do more to ensure that the right evidence is put into the system at the earliest possible moment and in the right way. We do not want people who should be getting support to have to go through a lengthy process unnecessarily. We all agree on that, and I hope that hon. Members can see that what I am describing is an important improvement. It is still at an early stage, but as I have seen in previous debates, it is the sort of thing that stakeholders want us to do, and we are rightly going to take it forward.
Let me come on to the point about evidence. It is referring to the integrated service. There is a bit of confusion in terms of what people thought that this would be. The view was that it ultimately would be a panacea whereby people would go for one single assessment for PIP and for the work capability assessment. The reality is that very few people apply for both benefits at a similar point in time. However, for the very few people who do, it might make sense for them to have, if they wish, both of the assessments on the same day instead of having to come in on the Monday and then again on the Wednesday. That may be what people want to do, but we are talking about very small numbers.
The thrust of this is to share evidence if the claimant wishes that to be done. One point that many hon. Members made was about the challenge that often arises of getting the evidence, whether from the GP, the physiotherapist or the hospitals, in a timely manner and in a way that is helpful for their assessment. If they have managed to do that once and they would like us to use that evidence again, with their consent, that is something that we would seek to do as part of building the new digital system and ensuring that the claimant has consistent, better information. Being able to share evidence will reduce the burden of providing the same evidence multiple times. It could potentially lead to fewer face-to-face assessments if we can gather crucial, vital, clear-cut evidence earlier in the claim.
I want to pay tribute to all the stakeholders, the medical experts, the charities and all the MPs across the House who regularly engage on this issue. Over the coming months, we will be doing a series of roundtables and regional events to gather further evidence, with a real emphasis on those with real experience of this area, so that we can further improve the system. We want to build trust, transparency and consistency and we want to improve the claimant’s experience through a more personalised and tailored approach. As a returning Minister, I am committed to supporting disabled people and those with long-term health conditions to claim and receive the benefits to which they are entitled and to ensuring that people are treated fairly and with dignity. I thank all the Members across the House who have contributed today.
Office for Nuclear Regulation Corporate Plan
Justin Tomlinson Excerpts(5 years ago)
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The Minister for Disabled People, Health and Work (Justin Tomlinson)
Later today I will lay before this House the Office For Nuclear Regulation corporate plan 2019-20. This document will also be published on the ONR website.
I can confirm, in accordance with schedule 7, paragraph 25(3) of the Energy Act 2013, that there have been no exclusions to the published documents on the grounds of national security.
[HCWS1513]
Social Security Benefits Uprating Order 2019: Ministerial Corrections
Justin Tomlinson Excerpts(5 years, 1 month ago)
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The Parliamentary Under-Secretary of State for Work and Pensions (Justin Tomlinson)
The Social Security Benefits Up-rating Order 2019 maintains the Government’s commitment to the triple lock for both the basic state pension and the new state pension. The order also increases benefits for carers, guardians and those with disabilities and long-term health conditions; sharing the proceeds of economic growth with some of the most vulnerable in society.
I would like to clarify the following points I made during the Social Security Benefits Up-rating 2019-20 debate on 4 March 2019 and apologise to the House for these inadvertent errors:
That the order reflects the Government’s continuing commitment to increase the full rates of the basic and new state pensions by the triple lock.
Regarding the pension credit standard minimum guarantee—the means-tested threshold below which pensioner incomes should not fall—from April 2019, the single person threshold of this safety-net benefit will rise to £167.25—over £1,800 a year higher than it was in 2010.
With this up-rating order, I am bringing forward plans to increase support for some of the most vulnerable people in society to the tune of £3.7 billion, with £3.6 billion alone to help those with disabilities and long-term health conditions, and pensioners—key people who the Government, as we share the proceeds of growth, will continue to target support towards.
The severe disablement allowance will increase from £77.65 to £79.50. The severe disability premia for a single person have increased from £64.30 to £65.85.
The transcript to the original debate can be found here:
https://hansard.parliament.uk/commons/2019-03-04/debates/1E3A4E87-E2BC-4C53-98D5-E4497A48722D/SocialSecurity.
[HCWS1474]
Supporting Disabled People to Work
Justin Tomlinson Excerpts(5 years, 1 month ago)
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Marsha De Cordova (Battersea) (Lab)
(Urgent Question): To ask the Secretary of State for Work and Pensions if she will make a statement on the National Audit Office’s report “Supporting disabled people to work”.
The Parliamentary Under-Secretary of State for Work and Pensions (Justin Tomlinson)
The Department welcomes the National Audit Office report, which acknowledges the Department’s work to build our evidence base and deliver tailored support through jobcentres with partnership working, including healthcare services that deliver for disabled people. Between 2013 and 2018, disability employment has risen by 930,000, but there is more to do to deliver on our commitment set out in the “Improving Lives” paper. As the Secretary of State announced earlier this month, we will review our goal of 1 million more disabled people in work by 2027 to see if it can be made even more ambitious.
We know that personalised, tailored support and tackling the misconceptions and the barriers that people may face are effective in getting disabled people into work. Our initiatives give claimants the opportunity to access personalised support to help them to move closer to work and to help to achieve cultural change, including through our Disability Confident scheme, supporting employers to provide job opportunities. Since the “Improving Lives” paper was published in 2017, the Department has launched the Work and Health programme, which will support some 220,000 disabled people, and the intensive personalised employment support programme, which will start at the end of this year. Access to Work supported some 33,860 people last year, up 13% to a record high, and more than 11,000 employers have signed up to the Disability Confident campaign.
The Department routinely evaluates its labour market programmes and ensures that the evidence is used to provide the most effective interventions that help people move closer to the labour market. We will continue to build our evidence base by testing a range of initiatives and using this evidence to inform our future strategy. With universal credit, that is transforming the labour market prospects of disabled people, not only through earlier and more intense engagement, but by allowing them to move into and out of work without the fear of losing their benefits or having a new health assessment. This year, we will also introduce new disability employment adviser leader roles to support work coaches to build their skills and capabilities.
In conclusion, stakeholders will be at the heart of our future work. Together we will continue to do all we can to unlock disabled people’s potential.
Marsha De Cordova
Mr Speaker, may I start by thanking you for granting today’s urgent question?
Today, the National Audit Office published a damning report evaluating the Government’s progress in supporting disabled people into employment. The NAO concluded that, two years into the Government’s work, health and disability strategy, the Department for Work and Pensions lacks any clear measures or implementation plan to promote the employment of disabled people.
The report found that the number of disabled people out of work has remained stagnant—at 3.7 million—for the last five years, highlighting that the increase in the number of disabled people has not been matched by a decrease in the number who are out of work. The report also found that the Government have yet to evaluate the effectiveness of their employment support programme. Indeed, the head of the NAO has said that the Government
“has yet to make a significant dent”
in the number of disabled people out of work. The disability employment gap has stayed at a little above 30% for the last two years. Recently, the Secretary of State announced “a more ambitious plan” to increase the employment target beyond 1 million in the next 10 years. Given the NAO’s conclusions today, how does she expect to deliver that?
The NAO also found that the case load of work coaches is set to double as a result of universal credit. How will the Minister ensure that disabled people do not receive a worse service, and what additional resources will be made available, aside from just disability employment leads?
We all know that the Access to Work scheme is effective, but many employers are unaware of it. Will the Minister commit to expand the scheme and to remove the current cap? The Government’s Disability Confident scheme lacks any credible performance measures to ensure that disabled people get the right support, as well as any quality standards or independent evaluation. Will the Government now commit to getting the scheme independently evaluated? Will they also start to record the number of disabled people who are in work as a result of it?
Finally, it has been two weeks since there was a Minister for Disabled People. When will one be appointed?
Justin Tomlinson
The NAO report did welcome our approach to offering tailored and personalised support. We know from speaking to disabled people of all ages that that is something they very much welcome. All of us in society have our own unique challenges and opportunities as we navigate through life and particularly as we seek work. From the many visits I made during my time as the Minister for Disabled People, I know just how powerful the case is for doing everything we can to help disabled people into work, and particularly young disabled people, who want to have exactly the same opportunities as their peers.
The NAO report also welcomed our test-and-learn approach. There is no global, off-the-shelf book that says exactly how we can help every single individual. We have to develop new, innovative ways, and that was welcomed, as was our commitment to continue partnership working, particularly to support local, excellent initiatives that help to unlock people’s potential.
I do not recognise much of what the shadow Minister said, because there are 930,000 more disabled people in work over the last five years. This is real people having the opportunity to work; these are record numbers. Over 400,000 workless disabled people a year move into work. That is a welcome figure. However, we recognise that more needs to be done, which is why the Secretary of State was passionate about saying that we will review that target of 1 million more by 2027, and I will support that.
We are focusing our efforts on personalised and tailored support. We are increasing the number of disability advisers and their training. The personalised support package will unlock local initiatives. The work and health programme is helping 220,000 disabled people. We are doing joined-up working with the Department of Health and Social Care. Our proactive work supporting employers has also helped. I recognise the point about raising awareness of Access to Work, and we do need to do more on that, but we had a record number of people last year—up 13%. The cap has gone from 1.5 times average earnings to twice that amount, at about £57,900. I welcome the cultural change among employers who recognise that, with just a few small changes, it can be a win-win situation. I felt that as an employer, and a number of times when I engaged with businesses of all sizes. Those businesses benefit, as do disabled people, and we will continue to do all we can.
Robert Halfon (Harlow) (Con)
I strongly welcome what my hon. Friend has said. My constituent, Lacey-Rose Saamanthy, a Harlow resident, is deaf and she was recently offered a role at Broomfield Hospital as a catering assistant. However, her offer of employment email did not make it clear that that offer was conditional on a risk assessment, and it was subsequently retracted. To me, that is outrageous. The risk assessment identified a number of risks that Ms Saamanthy believes could easily have been mitigated. Will the Minister explain the role that disabled employees can play in the workplace, and help stop such outrageous discrimination against a deaf person who was offered a job but who then had that offer rescinded?
Justin Tomlinson
I pay tribute to my right hon. Friend’s work in supporting what I and my hon. Friend the Member for Blackpool North and Cleveleys (Paul Maynard) have done to introduce disability apprenticeships. He mentions a terrible case, and disability employment advisers can help to provide constructive advice to employers—particularly small employers that do not have HR departments—and give them confidence to ensure that all people, regardless of their disability, can contribute to those employers.
Neil Gray (Airdrie and Shotts) (SNP)
Although I have enjoyed our debates on this subject over the years, the Minister knows that it should not be him at the Dispatch Box but a new, dedicated disability Minister. The fact that the Prime Minister has not even bothered to replace the Minister for Disabled People after nearly two weeks is a shameful indictment of a Tory Government who have collapsed into crisis and chaos. They are so consumed by their Brexit folly that they are completely ignoring the day job. That is costing the country dearly, and it adds insult to injury for those disabled people who have been left unrepresented and impoverished by Tory policies.
We should not be surprised by the NAO report. Will the Minister explain why his party dropped its ambitious policy at the last election to halve the disability employment gap? We see in the NAO report that the Government’s new watered-down goal of having 1 million more disabled people in work cannot be used to measure the success of those efforts—even the Department for Work and Pensions acknowledges that. What is the Minister’s assessment of the NAO’s conclusion that his Department has no idea of what works when it comes to disability employment support? Why have all the schemes to support disability employment been underspent?
Finally, the NAO report does not cover the interaction between disabled people and the benefit system. Does the Minister see that cutting disability benefit support—as this Government have done with employment and support allowance and universal credit—while not having a clue about what impact their employment programmes are having, is the height of irresponsibility, and a neglect of the needs of disabled people?
Justin Tomlinson
I reassure the hon. Gentleman that I am happy to be here answering this urgent question, and I am passionate about this role. As I said, my work in this area, both as a former Minister for Disabled People and today, is particularly guided by meeting young disabled people and their families, and there is a passion and determination for them to have the same opportunities as others. In some cases that involves full-time work; other times it can be as little as one hour a month, but for some people that is life changing, and the Government are committed to that. It is right that the Secretary of State reviews our ambitious target of an extra 1 million disabled people in work, and it is the actual number that counts. Every one of those 930,000 disabled people involved with this scheme in the past five years now has the opportunities that so many others take for granted.
The hon. Gentleman spoke about the sign-up rates of various different packages, but I gently remind him that they are voluntary—we do not want to mandate anything. That said, however, through the personalised support package there is the opportunity to look for local initiatives. All our constituencies have examples of best practice, and through the personalised support of the individual work coach, we can unlock access to those initiatives, linking them to local employers and giving people—particularly those who have been away from the jobs market for a long time—the very best chance. As I said, I have seen the joy of individuals who work for as little as one hour a month, and what a difference that makes to their life.
Sir John Hayes (South Holland and The Deepings) (Con)
I know that you, Mr Speaker, regard the report by the all-party group on acquired brain injury, “Time for Change”, as required reading. I hope the Minister will, too. It sets out how hundreds of thousands of Britons across all our constituencies are affected by head injuries, with physiological and psychological effects. Neurorehabilitation can help those people to recover and lead purposeful, meaningful and fulfilled lives, but I have to say that that requires Government Departments working together to bring these hidden disabilities to light and to give people new chances and new lives.
Justin Tomlinson
I thank my right hon. Friend. This is a very, very important issue. I know that the former Minister met stakeholders, as have I. My right hon. Friend has been a real champion in raising, in particular, hidden disabilities and long-term health conditions. It is absolutely right that we have joined-up working, which is why we are working so closely with the Department of Health and Social Care through the joint Health and Work Unit. Many claimants need a combination of support to unlock their full potential.
Stephen Timms (East Ham) (Lab)
The disability employment gap fell steadily in the years up to 2010. It has since got stuck at a level just above 30%. David Cameron, in the 2015 election campaign, promised to halve it by 2020, a pledge that was quickly abandoned after the 2015 election. What does the Minister now believe will happen to the disability employment gap over the next five years?
Justin Tomlinson
The right hon. Gentleman is one of the most constructive and proactive Members of the Opposition pushing on this very important area. When we came to office, disability employment stood at 44.1%. It has now gone to 51.5%. That is up 7.4%, with the gap closing by 3.6%. I expect that trend to continue over the next five years.
Rachel Maclean (Redditch) (Con)
I was very pleased to sign up my constituency office to the Disability Confident scheme, because I know, as a former employer in a small business, that there are practical and awareness barriers. Will the Minister update the House on some of the practical measures he is implementing to help employers employ disabled people who really want to work?
Justin Tomlinson
I thank my hon. Friend for showing real, tangible commitment to supporting this and to creating new opportunities for disabled people. The Government rightly have to lead on this, but we also need employers to be proactive offering work experience, interviews and, ultimately, jobs. The key message we give to employers is that it will benefit them. We have huge skill gaps in this country and often with just very small changes they can benefit. I am not just preaching as a Minister, but as somebody who ran my own business for 10 years and benefited from making very small changes to get some excellent new members of staff. We will continue to work and to give as much advice and support to businesses as we can.
Ann Clwyd (Cynon Valley) (Lab)
Labour Members fought very hard in this Chamber to keep the Remploy jobs going. I had a Remploy factory in my constituency, which was a lifeline to so many people. I am sure the Minister has the best intentions, but I have heard these platitudes before. Can the Minister tell us how many Remploy people who lost their jobs are now in work?
Justin Tomlinson
I will have to write to the right hon. Lady to give her the exact figures, but the principle we have to look at is giving individuals who are more than two years away from the jobs market, real and intense support to help them get there. At the moment, the best route is through the specialist employment support. Last year, we had 1,520 starts, of which 600 people were able to get at least a placement for 13 weeks, leading to permanent jobs. We need to continue to do everything we can on personalised support and linking up with local employment opportunities.
Sir Mike Penning (Hemel Hempstead) (Con)
As a former disabilities Minister—I had other roles within the Department as well; it was not just disabilities, but that was the lead issue—I say to those on the Front Bench, and I hope the Prime Minister is listening, that we should have a Minister for this role as soon as possible. I do not understand why that has not taken place.
Disability Confident is a great success. As parliamentarians, we can push it forward in our own constituencies, as we have in my constituency of Hemel Hempstead, so that people have the confidence to get into work and employers can employ the right people.
Justin Tomlinson
My right hon. Friend is absolutely spot on. We can help to raise the awareness of Disability Confident. We can do our own Disability Confident events, and we can write to employers to encourage them to sign up and to work with local organisations that support disabled people to find job opportunities. It should be a real priority for all of us.
Neil Coyle (Bermondsey and Old Southwark) (Lab)
The National Audit Office makes it clear that there is no evidence that the £386 million spent on Disability Confident has resulted in a single disabled person getting into work. Would it not be better to devolve that resource and extra responsibilities for employment programmes to local and regional government—such as in Southwark, where we have a Labour council committed to becoming a full employment borough—to allow them to innovate to get more disabled people into work?
Justin Tomlinson
To be fair, I think the figures speak for themselves: 930,000 people in the last five years have gained—[Interruption.] However, I accept the thrust of the point about looking at local solutions and empowering local communities, because they know their job market and where the skills gaps are. I accept that principle. We are moving in that direction through the personalised support package so that work coaches can look at local initiatives. There is a lot more work in that area. I very much welcome that question.
Vicky Ford (Chelmsford) (Con)
One of my constituents who is disabled has written to me, suggesting that this Government are putting less into disability benefits than previous Governments, and my constituent is very concerned that there could be an impact from Brexit. Will my hon. Friend confirm that there is more money going into disability benefits and that the Government will continue to support those with disabilities, no matter what happens regarding Brexit?
Justin Tomlinson
Our support for people with disability benefits is now at £55 billion, up £10 billion in real terms since 2010. That is a record high. The amount that we are spending on employment support for those with disabilities is showing a real-terms increase following the spending review and will continue to do so.
Mr Barry Sheerman (Huddersfield) (Lab/Co-op)
I hope that the Minister would agree that this is a bit of a wake-up call, but what the Government have been doing is not all bad and I welcome some of the moves that are happening. As chair of the Westminster Commission on Autism, may I offer more of a partnership? The neuro-diverse community and people on the autism spectrum are differently abled. We have some wonderful organisations such as AchieveAbility and Genius Within that are going out looking for people who are a bit quirky in their thinking, who think differently. The gig economy and some of the techy areas are looking for these people. They are very valuable assets and we need to encourage them. Will the Minister meet some of these people, whom I can introduce him to?
Justin Tomlinson
I thank the hon. Gentleman, who has done a huge amount of work in this area. These are the sorts of points that were picked up in the Maynard review. We have worked very closely with a lot of the leading autism charities. They rewrote the training guidance for our frontline staff and fed into the autism toolkit within jobcentres. He is absolutely right: if employers are savvy and look at their skills gaps so that they can match them to the huge amount of talent and potential of people with autism, they will benefit. That is the key message to employers. We are not looking for favours; we are looking for a win-win for the disabled individual and the business.
Kirstene Hair (Angus) (Con)
I recently visited Remploy in my constituency in Arbroath. It does a fantastic job of transforming lives and supporting and getting people with disabilities into work. It had its first placement on a farm in Angus recently. Does the Minister agree that the Government have fantastically ambitious targets and that we should ensure that all industries wish to widen their talent pool?
Justin Tomlinson
I thank my hon. Friend for championing this cause in her constituency. She highlights the point that a lot of these local organisations are doing a great amount to support disabled persons, building up their skills so that they are ready to enter the workplace. We all need to try to unlock as many doors as we can with employers, so that there are more opportunities that everybody can benefit from.
Lilian Greenwood (Nottingham South) (Lab)
I was proud to speak at the Disability Confident conference in Nottingham last Friday and I pay tribute to the work of local DWP staff and local employers such as Nottingham Trent University, which is sharing its experience of improving the accessibility of its recruitment and retention practices. When the charity, Leonard Cheshire, surveyed disabled people in work or previously working, only 23% had received support from Access to Work, and the vast majority had had to wait more than three months for their application to be approved. What is the Minister doing to ensure that everyone is aware of the Access to Work support that is available and that they can get that support promptly?
Justin Tomlinson
I thank the hon. Lady for taking the time to pay tribute to the frontline staff in jobcentres, who do a huge amount of work to support disabled claimants. That often goes unnoticed, but it makes a real difference to those claimants. A record number of people received support from Access to Work last year, and I welcome the 13% increase, but we will continue to step up our efforts to ensure that businesses—particularly small businesses, which provide 40% of employment opportunities—are aware that both financial support and advice are available to unlock the potential of disabled staff.
Alex Burghart (Brentwood and Ongar) (Con)
Will the Minister build on the point that he has just made, and congratulate all the businesses—such as Brentwood Community Print in my constituency—which, entirely off their own bat, go out and provide work for people with disabilities, and help them to rebuild their lives and find a way forward?
Justin Tomlinson
I am delighted to pay tribute to Brentwood Community Print. It has recognised that it can benefit from being an innovative business in terms of recruitment, and I hope that many other businesses will look and learn the lessons that it has set out.
Holly Lynch (Halifax) (Lab)
The head of the National Audit Office has said that it is “disappointing” that the Department for Work and Pensions still does not understand “what works” when it comes to helping disabled people into work. However, further to the point made by the hon. Member for Brentwood and Ongar (Alex Burghart), may I invite the Minister to visit the brilliant ISCAL factory in my constituency? ISCAL is a leading manufacturer of tissue coasters and napkins, and offers supported employment opportunities to people with mental and physical disabilities. It really is transforming lives.
Justin Tomlinson
The NAO welcomes the fact that we are offering precise and tailored support, and that we are using innovative methods and a test and learn programme. There is no global definition: there is nothing that we can take off the shelf and say “This will work for everyone.” There is no one size fits all. Everyone is an individual, and everyone has individual challenges and opportunities.
We are rightly investing in that innovative research, and will use our findings to share best practice and roll it out. We welcome the fact that the number of disabled people in work has risen by more than 930,000 in the last five years. I am thrilled to hear of the success of the hon. Lady’s local initiative, and I will certainly suggest to the Department a potential future visit.
John Lamont (Berwickshire, Roxburgh and Selkirk) (Con)
I was delighted to attend a Disability Confident event in one of my local jobcentres in Galashiels, whose staff do a tremendous amount to get disabled people back into work. Can the Minister confirm that the financial support that disabled people currently receive is more generous than the support that they received under the system that we inherited?
Justin Tomlinson
My hon. Friend is another champion in his constituency, ensuring that disabled residents have the maximum opportunity that so many of us take for granted. We are spending £10 billion more in real terms on disability benefits than we were in 2010, and that is making a difference to some of the most vulnerable people in society.
Chris Stephens (Glasgow South West) (SNP)
It is good to see that the Minister survived his grilling from the Work and Pensions Committee yesterday. Has he seen the report from the think-tank Demos, which has found that there is a “chronic” lack of trust between disabled people and the Department, and that 60% of disabled people do not believe that it understands their concerns? What will he do to address that perception?
Justin Tomlinson
It is always a pleasure to appear before the Select Committee, and in particular to respond to the hon. Gentleman’s challenging and probing questions. We, as a Department, are incredibly passionate about working closely with stakeholder groups with real, frontline experience, not just listening to them but allowing them to help to shape the development of our policies and training guidance, so that we can do everything possible to unlock all people’s potential.
James Cartlidge (South Suffolk) (Con)
It is important for us to get disabled people into work, but it is equally important for that work to pay. Does my hon. Friend agree that we should look not just at the benefits system, but at how it interacts with general measures such as the higher income tax threshold which support better take-home pay for all?
Justin Tomlinson
I think all Members will welcome the thrust of the point that my hon. Friend has made. It also gives me an opportunity to emphasise the benefit of universal credit to people with fluctuating health conditions. They do not keep crashing out of the benefit system and having to go through health assessments again and to reapply at a time when their health should be their primary concern. Universal credit offers that flexibility and tailored support.
Ian C. Lucas (Wrexham) (Lab)
The DWP is the biggest-spending Government Department, but its spending is opaque. I have tabled questions about whom it pays in my constituency, and I cannot get a straight answer. Excellent local businesses such as Empower are helping disabled people. I want to work with local providers and the Department to provide placements, but I cannot get through to the Department. Will the Minister help?
Justin Tomlinson
I thank the hon. Gentleman. That is a really good question. Through the principles of the personalised support package, we have to find ways to support those local initiatives. There is not a one size fits all and a lot of that support will match the local market. That is a very important point and I will make sure that he has a meeting with the appropriate Minister.
Kevin Foster (Torbay) (Con)
At a Disability Confident event I hosted some time ago, we saw some great examples of very talented people being employed by local employers. What work is the Department doing to ensure those employers are recognised not just for the fact that they have done something good but because they have taken on some brilliant people?
Justin Tomlinson
I thank my hon. Friend, who has worked tirelessly in the area, and that is exactly why the Secretary of State has been so passionate about saying that our target has to be ambitious. We owe it to every single one of those individuals looking for work, whether full-time work or the occasional bit of work. It makes a huge difference and we are incredibly proud that the number of disabled people in work has risen by 930,000 in the last five years—a record high.
Derek Twigg (Halton) (Lab)
The report says that people with mental health conditions and learning disabilities fare worse than the rest. A number of parents in my constituency who have young people with learning difficulties in adult education find it very difficult and are in despair that their children are not going to find work. What more can the Government do to ensure that efforts are particularly focused on young people with disabilities getting into work?
Justin Tomlinson
That is very important because those with learning disabilities have about a 6% expectancy of finding work. Very early on in my time as a disability Minister, I met some young adults with a learning disability who desperately wanted that chance and that is what drove me to set up the Maynard review with my hon. Friend the Member for Blackpool North and Cleveleys (Paul Maynard), so we could unlock the potential of the apprenticeship programme. I am delighted that last year that came live and now people with learning disabilities who would not necessarily have got the grade C in maths and English are benefiting from apprenticeships, giving them a real, tangible chance of getting the work they so desperately want.
Mr Philip Hollobone (Kettering) (Con)
I commend my hon. Friend the Minister for his commitment and dedication to the role and particularly commend the speed of response to correspondence, which is an outstanding example that other Ministers should be encouraged to follow.
How many disabled people are employed in the DWP?
Justin Tomlinson
I thank my hon. Friend and I do understand the importance not just of responding to individual MPs’ correspondence but offering an opportunity to meet, particularly on the more complex cases, and there are many Members I can see here today whom I have met in recent weeks on a variety of issues. We are all first and foremost constituency MPs who are here to champion those in our communities who have challenges. On the question about how many disabled people are employed in the Department, I will have to write to my hon. Friend because I would not wish to give somebody of such experience anything other than the exact answer.
Diana Johnson (Kingston upon Hull North) (Lab)
Following on from the question from my hon. Friend the Member for Halton (Derek Twigg) about young people with learning disabilities and their ability to access the job market and get employment, can the Minister explain why this report from the NAO did not recognise what the Minister has just said from the Dispatch Box—the review that has been carried out has not had the effect he has just claimed it has?
Justin Tomlinson
To be fair, that is looking historically and this came in last year—so it is the first wave of people starting to look—but it is all combined with making sure employers have the confidence that they can take on people who may have some challenges. Often it only means small changes, but we are incredibly proud that we will leave no stone unturned, so that not just the 930,000 people who we have seen over the last five years, but more people, of all disabilities, will have an opportunity to work.
Christine Jardine (Edinburgh West) (LD)
This disappointing report today surely underlines the need for a Minister for disability, so following up on what other Members have said and the reports in today’s paper that there will not be a Minister until after Brexit, when will the Government reassure the public that they are actually acting on this and care about disabilities?
Justin Tomlinson
I can reassure the hon. Lady that nobody cares more than our Department, led by a Secretary of State who is very passionate about this, and I have been very happy to support the various parliamentary debates and meetings that have gone on since then—and if we would like Brexit to be wrapped up, I urge all colleagues on all sides of the House to support the Prime Minister’s deal.
Mr Paul Sweeney (Glasgow North East) (Lab/Co-op)
The hon. Member for Angus (Kirstene Hair) mentioned the great opportunity of the Remploy factory in her constituency, but unfortunately in my constituency, in Springburn, that opportunity was stripped from my constituents when the Remploy factory was closed in 2013, putting 50 disabled workers out of work. Indeed one of those workers was found dead on the day the factory was closed; it was another callous and shameful episode of the coalition Government. So will the Minister commit to extending the protected places scheme for disabled workers, particularly at Blindcraft in my constituency, where 250 people work producing world-class furnishings and high-quality joinery? It is a world-class example of how this can actually work as a proper sustainable model. I encourage him to go and look at that particular example, to extend the protected places scheme and to broaden that opportunity for disabled workers. It is a wonderful factory.
Justin Tomlinson
I thank the hon. Gentleman for highlighting what is clearly a very successful local initiative. This goes back to some of my earlier answers, in that we are committed to finding ways of getting support to those innovative local initiatives that are making a real difference on the frontline, and I will feed in to the Department his suggestion of a visit.
Ian Austin (Dudley North) (Ind)
Will the Minister organise a meeting with me and his colleagues from the Department for Transport? The Ring and Ride service, which is used by thousands of disabled people and pensioners in the Black Country, has been put at risk after its operator collapsed into administration. The service is a lifeline for the many disabled people who use it to get to projects to boost their skills and confidence, and for the pensioners who use it to meet friends, do their shopping and get to social events or projects that prevent loneliness and isolation. It is really important that this service should be saved.
Justin Tomlinson
I thank the hon. Gentleman for highlighting the importance of that, and I will certainly ensure that an appropriate Minister meets him to see what support can be offered.
Patricia Gibson (North Ayrshire and Arran) (SNP)
The Tory vice-chairman, the hon. Member for Braintree (James Cleverly), is reported to have said that no Minister for the disabled will be appointed until the Brexit chaos has passed. Will the Minister tell us why that is? Three Members have asked this question already, but to no avail. It is disturbing that the Minister seems to be blaming MPs for the lack of a disabilities Minister because they have not supported the Prime Minister’s doomed deal. What signal does he think this sends to disabled people about the Government’s priorities? Why are disabled people paying the price for this Government’s Brexit chaos?
Justin Tomlinson
As I said in my earlier answers, I am happy to attend and support debates and meetings. I am also proud to have served as the Minister for disabled people a few years back, and my passion has not diminished one bit. We all collectively owe it to those people who need that extra bit of support to do everything we can, and I am proud to do that.
Jim Shannon (Strangford) (DUP)
First, I thank the Minister for his honest endeavours on behalf of disabled people. They are much appreciated. Can he outline whether there are any grants for small and medium-sized enterprises to make accessibility issues easier? If not, would he consider such a scheme?
Justin Tomlinson
I thank the hon. Gentleman for his question. He has been a passionate advocate over the years in a number of the debates that I have responded to in this area. He is a real credit to his constituency. The Access to Work programme and the personalised support package can help to unlock opportunities within small employers. That is a really important area of work, and I am glad that he has taken the time to highlight it.
Deidre Brock (Edinburgh North and Leith) (SNP)
Citizens Advice has identified that some disabled people could be worse off under universal credit by as much as £300 a month because the work allowance is not available to disabled people who are assessed as fit for work unless they have children. Will this damning report finally make the Government address this huge shortfall?
Justin Tomlinson
What is clear is that, under universal credit, over 1 million disabled families will be on average more than £100 a month better off. On universal credit, for the first time, people with disabilities or long-term health conditions, particularly those with fluctuating conditions, will remain in support rather than crashing out of the system and then having to apply for new forms and re-navigate a new health assessment. This is incredibly important, and it is repeatedly highlighted by stakeholders with genuine experience of what goes on.