Disability Support
Debate between Debbie Abrahams and Ruth George(5 years, 4 months ago)
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Debbie Abrahams
My hon. Friend makes an absolutely essential point. I will come on in a moment to the poverty that disabled people are experiencing by virtue of the additional costs that they face. She is right that a whole range of different methods can be used and we need to look at all of them to ensure that we can fully understand the impacts on disabled people.
Ruth George (High Peak) (Lab)
My hon. Friend is setting out an excellent case for what cumulative impact assessments can achieve. Does she agree with me on the holistic impact of other cuts, particularly on our health services? I am seeing GPs in my constituency who are refusing to write fit notes or assessments for medical evidence for people. We are seeing cuts in voluntary services, community transport and befriending services, leaving people with disabilities feeling utterly isolated, alone and bereft.
Debbie Abrahams
Absolutely. Again, my hon. Friend makes an essential point. The UN Committee investigating breaches in the UN convention on the rights of disabled people found those issues as well.
That was the EHRC’s cumulative impact assessment back in March. Although October’s Budget made some changes to universal credit, it restored, as analysis of the Office for Budget Responsibility showed, just half of what was cut in 2015, and only marginally helped those disabled people who are able to work. For those too ill to work, analyses by Policy in Practice shows that they will be financially worse off compared with when they were on legacy benefits. Importantly, today’s Work and Pensions Committee report confirmed the issues that many of us have already raised about the proposed managed migration of disabled people onto universal credit and said that it needs to be stopped. Furthermore, we need to ensure that the so-called natural migration that results when there is a change of circumstances needs to be properly looked at.
Apart from the changes in universal credit, there were absolutely no other measures for disabled people in the Budget. In fact, the OBR report showed that disabled people were set to lose more social security support by 2022. For example, personal independence payment spending is to be £1 billion less in 2022 compared with March this year.
I am sure that the Government will say that they are helping disabled people to improve their living standards by getting them into work. However, just over 51% of 4 million disabled people of working age are in employment compared with 81% of non-disabled people—a disability employment gap of just over 30%, a figure that has barely narrowed since 2015 when the Conservative party manifesto pledged to halve that gap. As we also know, there are more than 8 million households with at least one person in work that are living in poverty. Work is not, as is frequently said by Government Members, a route out of poverty.
Last year, the Government set more modest ambitions with a new target to get 1 million more disabled people into work, but even this needs a radical rethink. There are many reasons why the disability employment gap has hardly been reduced in the last three years, including the lack of information and advice for employers, but we must remember that discrimination against disabled workers is still quite prevalent. In a recent survey, 15% of disabled people revealed that they had been discriminated against when applying for a job, and one in five while they were in work. Information is not enough to address this; it needs leadership and cultural change.
Debbie Abrahams
Absolutely. I was going to mention employment tribunals, which I think have fallen by 80% since the cuts to legal aid. A cumulative impact assessment would enable us to see the impacts there.
With the best will in the world, the Disability Confident scheme just does not cut it. There needs to be a commitment to expand and properly resource access to work. Supporting under 34,000 disabled people a year at and into work is a drop in the ocean when there are over 2 million unemployed disabled people who want to work. But as we know, not all disabled people are able to work. The consequence of the inadequate support made available through our social security system is that 4.3 million sick and disabled people are living in poverty. As my hon. Friend the Member for Stretford and Urmston (Kate Green) mentioned, disabled people are twice as likely to live in persistent poverty as non-disabled people; 80% of disability-related poverty is because of the additional costs that disabled people face by virtue of their disability, and these have been estimated at £570 a month on average.
The cuts to social security mean that more and more disabled people are becoming isolated in their own home as their mobility vehicles or personal support are taken from them. Many are struggling to pay their rent or mortgage. Their health conditions have deteriorated and other conditions have developed, including mental health conditions, as they face the relentless stress and anxiety resulting from a social security system that is hostile, unsupportive and even dehumanising.
The sanctions regime that has affected over 1 million disabled people since 2010, the work capability assessment and personal independence payment assessment processes are all part of this. Quite frankly, it is grotesque that people with progressive conditions such as motor neurone disease have, until last month, been habitually forced through the personal independence payment assessment process. I understand that there are still issues with that, although it was meant to have stopped last month. I would be interested in the Minister’s response to that point.
There is also overwhelming evidence of the inaccuracies—some have called them lies—in these assessment reports. Why have the Government not been able to act on this? With over 70% of assessment appeals successful, whatever contract management processes the Government have in place, are clearly not fit for purpose. All these Government social security changes will have a huge toll on the health, wellbeing and even the longevity of disabled people.
A peer-reviewed study by my former colleague Ben Barr and his colleagues showed the detrimental mental health effects of the work capability assessment, including it being independently associated with an increase in suicides. On top of this, the Government’s own data reveal that the death rates for people on incapacity benefit and employment support allowance are 4.3 times higher than in the general population, people in the ESA support group are 6.3 times more likely to die than the general population, and those in the work-related activity group are twice as likely to die as the general population. I reported these figures back in 2015. People on IB and ESA are poorly; they are not feckless as too many people have tried to suggest. But again, the Government did not listen and went on to push disabled people in the support group and originally assessed as not fit for work through another work capability assessment process into the WRAG, and then cut their support by £1,500 a year in 2016.
Debbie Abrahams
If my hon. Friend does not mind, I am conscious that I need to make progress.
Last month’s British Medical Journal report from King’s College and other research centres showed the impact of social care cuts on additional deaths of disabled adults and older people. They estimate that for every £10 per head cut in social care, there are five additional deaths. They also estimate 150,000 additional deaths by 2020, on 2014 trends. I will just let that sink in—150,000 additional deaths.
National and international organisations have called on the Government to undertake a cumulative impact assessment of the effect of cuts on disabled people. They include the Government’s own Social Security Advisory Committee, the House of Lords Select Committee on the 2010 Equality Act and Disability, the UN Committee on the Rights of Persons with Disabilities, and, last month, the UN special rapporteur on extreme poverty and human rights.
However, I would just like to refresh everyone’s memory on last year’s findings from the UN committee investigating breaches since 2010 of the UN convention on the rights of persons with disabilities. These are breaches by this Government. It said that the Government were responsible for “grave” and “systemic violations” of the rights of disabled people, and that these failures amounted to a “human catastrophe”. Although it highlighted the poverty and shocking impact of cuts on disabled people’s ability to live adequately and independently, it went beyond social protection and social care issues, listing 60 recommendations right across all the articles of the convention and all Government Departments, from accessible physical environments, to education and access to justice. A key recommendation was that the UNCRPD should be enshrined in UK law.
The UN committee also expressed concerns regarding how the terms under which the UK leaves the European Union could affect disabled people. I noted with alarm a leaked DWP report in The Times last week that also suggests this. Since the 1990s, the UK has trailed behind Europe on the rights of disabled people. The Government’s refusal earlier this year to protect the rights of disabled people by incorporating the EU charter of fundamental rights into UK law as we leave the EU is deeply disappointing.
My other concern is how disabled people, who have been very poorly served by this Government, will do with an even weaker economy. In all the exit scenarios from credible analysts, the economy shrinks both in the short and the long term compared with the situation in our current relationship with the EU. Disabled people have been at the back of the queue in public spending terms since 2010. What will happen to them with an even smaller spending pot? Although a Labour Government would make different political choices to tackle poverty and inequality, with lower levels of economic growth, how quickly we can do this will be a real issue if we are to stick to the fiscal rules we set out in last year’s general election.
In recent days, in preparation for this debate, I have been contacted by hundreds of sick and disabled people with their stories of how these cuts have affected them. I would like to share a few of those stories. L, who is a single mum in Oldham, contacted my office recently after her UC was suddenly stopped. She was told that it was because her son, who has severe learning disabilities and who L is the carer for, had reached his 19th birthday. This “change in circumstances” meant that her son had to make his own claim. Unfortunately, no one had told L this. Instead, they just stopped her support payments. She was lucky in that her family helped her out for the five weeks until she had her payment reinstated, but she told me:
“At times I just want to end it all...it’s just so hard and I get no support or respite.”
Another of my constituents, John, was refusing to have the life-saving surgery he needs for a brain tumour because he was worried he would be sanctioned. He had been sanctioned for three months earlier in the year because he did not attend a work capability assessment, although he had explained it was because of his treatment for his tumour.
Beth told me:
“I was contributing £82.50 per month for my care but in 2017 I was informed that my contribution needed to increase and I would have to pay £81 per week. Nothing in my financial circumstances such as my PIP award had changed so I queried the increase and was told that it was correct. Now I have no money for my medication or the aids I need...the impact on me has been increased pain, isolation and anxiety.”
Beth has spina bifida, fibromyalgia and anxiety disorder.
Dawn moved from one local authority to another and fell foul of the change in circumstances rule. She was put on UC and lost her disability premium of £64 a week. Lee, who has severe mental health problems, was subject to seven assessments—seven—in six years. Jayne lost her mobility car after a PIP assessment because her degenerative condition was not considered bad enough, and now she has to rely on her friends and family for help. This is happening up and down the country. The despair in the messages is palpable, and I urge everyone to read the WOW campaign’s voices e-book, which collates these experiences and is so moving.
We are the fifth richest country in the world. How this Government have treated our disabled people shames us all. We must never forget that nine out of 10 disabilities are acquired. Any one of us could have an accident or contract an illness. Like the NHS, our social security system should be there for all of us in our time of need. People should not be vilified by a system that is meant to be there to support them.
In addition to understanding the cumulative impact of Government policy, which the motion calls for, we need to radically transform our social security system and develop a new social contract with the British people. I know that my hon. Friends on the shadow Front Bench have been working on this. Since 2010, we have seen social security spending cuts of nearly £40 billion, with another £12 billion planned by 2022. Although the Labour manifesto last year and our disability manifesto, which I was proud to write, were a start, we need to do much more—I know that that is recognised—particularly regarding the financial inadequacy in the social security system. We cannot expect people who are living in such hardship and poverty to wait a few years for a real living wage to kick in. What about the disabled people who cannot work?
The 1942 Beveridge report was the basis for a new welfare state, set up after the second world war, when the debt to GDP ratio was over 250%. Under Beveridge, we established the NHS in 1948 and expanded social security and our education system. It was heralded as a revolutionary system that would provide income security for its citizens as part of a comprehensive policy of social progress. But since then, society has changed. The pressures from globalisation, automation and an ageing society mean that we need to develop a new, sustainable social security system that we can be proud of.
We need a new Beveridge report for the 21st century, defining a new social contract with the British people; addressing the poverty, inequalities and indignity that millions of people—disabled and non-disabled, young and old, men and women—are enduring; and bringing hope to a new generation as it did 76 years ago. The poverty and inequalities that disabled people are facing are unacceptable, but they are not inevitable.
Universal Credit Project Assessment Reviews
Debate between Debbie Abrahams and Ruth George(6 years, 4 months ago)
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Debbie Abrahams
I am just going to carry on for a moment, if that is all right.
This is the second time in two years that I have brought to the House’s attention Information Commissioner rulings concerning the DWP that the Government have tried to thwart. The first time was when the Government refused to publish data on the number of people who had died after being found fit for work. Those data were shocking and vindicated those who had pushed for their release for several years. They gave cold comfort for the families and friends of those who had died and to those who were still going through the assessment process.
I appreciate that neither universal credit nor the project assessment review reports were initiated under the tenure of the current Secretary of State, but I do urge him to rethink and publish the reports forthwith. Taxpayers’ money must not be used to hide the Government’s embarrassment.
Ruth George (High Peak) (Lab)
When the only impact assessment of universal credit we have seen was published five years ago this month, it committed to a post-implementation review within five years and said:
“A comprehensive evaluation programme is being developed for Universal Credit”
to inform and evaluate long-term policy. Are we not now trying to get some crumbs of the evidence the Government committed to providing five years ago and should have provided?
Debbie Abrahams
My hon. Friend makes absolutely the right point. I commend her for her work on the Work and Pensions Committee to expose how important it is to get this right.
Universal Credit Roll-out
Debate between Debbie Abrahams and Ruth George(6 years, 6 months ago)
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Ruth George (High Peak) (Lab)
The Government’s figures indicate that 90,000 families will be transitioned on to universal credit full service over the next 90 days. Does my hon. Friend therefore agree that while the Government delay making a decision, about 1,000 more families each day, on average, will have to wait six weeks and get further into debt?
Debbie Abrahams
My hon. Friend is absolutely right, and that is why this debate is so urgent—we cannot wait. Although, yes, this is still a small proportion of the full number of people who will have universal credit rolled out to them, this amounts to a 63% increase in the number of people who will be on full service over the next six months.