Universal Credit and Personal Independence Payment Bill Debate
Full Debate: Read Full DebateJohn Milne
Main Page: John Milne (Liberal Democrat - Horsham)Department Debates - View all John Milne's debates with the Department for Work and Pensions
(2 days, 8 hours ago)
Commons ChamberAs my hon. Friend will know, my amendment specifically mentions MS, and she and I have had shared friends who have suffered with that condition. We must ensure that there is a clear understanding of the reality of such conditions on the ground, so that when these provisions are delivered in reality by assessors, people are able to access the additional support that they need.
Welfare reform is undoubtedly needed after the mess of a system that we were left by the previous Government, but wherever possible we must ensure that the wording of the Bill is as clear as possible. We must ensure that those affected are in no doubt about what our intent is, so that that is indisputable and we truly give effect to the intentions behind the Bill. I again thank the Minister for his incredibly helpful intervention, but we will ensure that the reality reflects the Government’s excellent intentions.
I rise to speak in support of amendment 36. Over the past weeks, I have met numerous disability organisations, from Parkinson’s UK to Action for ME, and heard directly from those living with complex fluctuating conditions. I have also seen the impact at first hand as an employer of people with long-term invisible disabilities. What I have heard, seen and lived is simple: the current proposals risk unacceptable consequences for those who are already among the most vulnerable. The Government’s redefinition of “severe conditions” hinges on the word “constantly”—a single word that is of dubious clinical value. I appreciate the clarification given to other Members, but it is very late in the day to be getting such important information.
Conditions such as ME/chronic fatigue syndrome, MS, epilepsy and bipolar disorder do not operate on a schedule. They are unpredictable and they fluctuate, yet the Bill would exclude many individuals who have them from vital support, simply because their symptoms do not comply with a Government definition. Amendment 36 would ensure that our assessment system respects the United Kingdom’s obligations under the UN convention on the rights of persons with disabilities. This affirms the principle of non-retrogression so that we do not roll back hard-won rights. It insists that we take invisible and episodic conditions seriously, and it protects people from falling through the cracks.
The Bill has had an extraordinary passage through Parliament, and at this point the most obvious course of action would be simply to pull it altogether and start again. I realise the political difficulties that that may involve, but vulnerable people’s lives are at stake. When the Government come to look again at some of the deleted clauses via the Timms review, it is essential to approach the issue from a “needs first” angle, not a “how much can I save?” angle, because so many Government cuts in the past have ended up costing more than they have saved.
I accept that the Government do not have infinite funds, but the PIP proposal represented an arbitrary change in eligibility—the four-point rule—with the crude objective of making a predetermined saving. It has all been the wrong way around: we should wait to understand needs first, and only then consider to what extent the Government can afford to meet them.
Does the hon. Gentleman recognise that the concessions that the Government have brought forward and the amendments that are before us today ensure that we are getting it the right way around? It is explicit in the terms of reference that the changes are about a fair and fit-for-the-future assessment, rather than to generate further savings, so does he agree that the Bill allows us to get the Timms review done and to bring forward proposals after that?
I cannot agree with the hon. Member, and I will partly explain why in a moment.
We need a more honest assessment of the overall financial situation that is being used to justify these drastic cuts, because the wrong diagnosis leads to the wrong solutions. The dramatic rise in PIP claimants is at least partly driven by other Government policy; perhaps one quarter of the rise is simply due to raising the pension age. Large numbers of people who are older, and therefore more likely to be disabled, have been pushed out of pension support into benefit support. The state pension is paid out of current taxation, not past contributions, so the impact is immediate.
The hon. Gentleman mentioned the NHS and waiting lists. Does he share my concerns about the severe conditions criteria and the requirements for the diagnosis to be made by an NHS professional, in the course of NHS duty, when people may not have access to that? There is also a requirement for the condition to be considered “lifelong” by NHS professionals or health professionals, who may be unwilling to say that schizophrenia or bipolar disease, for example, are “lifelong” because they do not want to tie people down to that diagnosis.
Yes, I agree that that is an additional concern.
The implication has been made, both by this Government and the previous one, that much of the rise in claims is down to benefit chasing and people simply exaggerating their conditions. This is an assumption that needs serious interrogation because it looks to be substantially untrue. For all these reasons and more, the best course of action would be to pull the Bill now and to make a fresh start. Denying adequate support today will only shift the burden tomorrow on to social care, the emergency services and our already overstretched NHS. We have been warned by the UN not once, but three times, that our welfare system is failing disabled people. Amendment 36 is a chance to show that we are listening.
I am concerned about some of the amendments before us today, in particular those that call for delays to legislation. We are one year into a five-year term—20% of this Parliament is gone—and the public need to see progress, not further delay.
I am mindful that Ministers have already done a huge amount of heavy lifting to rebuild trust with disabled people and disability organisations since the election. We should all recall that in July 2024, the Department for Work and Pensions was under formal investigation by the Equality and Human Rights Commission for unlawful treatment of disabled people. This Government have made considerable progress since then in trying to rebuild trust, including through measures in this Bill and linked to it, such as abolishing the work capability assessment. I have been here for 10 years—some might say it feels like longer—but before entering this place, I campaigned, as the chair of the Disability Benefits Consortium, to abolish the work capability assessment. I know that disabled people and their organisations are grateful and thankful for the inclusion of that measure in the wider package that the Government are bringing forward.
Although it seems to have been lost in some of the debates we have had on the subject, I am also mindful that in my own constituency, the number of claimants for PIP will rise in this Parliament, spending on that will continue to rise in this Parliament, and the 12,700 universal credit claimants in my constituency will get an additional payment under this Government’s plans, which will be the first ever above-inflation rise in universal credit. There is much to gain and much that is supported by disabled people and their organisations in the package that the Government have brought forward.
I particularly welcome the Government’s commitment to support more disabled people into work. We need to challenge ourselves a little more in this place about some of the language of vulnerability. Being seen automatically as vulnerable because of a health condition or impairment is not in line with the social model of disability. Many disabled people find that patronising and offensive, and we need to update our system, just as we updated our system thanks to previous Labour Governments. We had the first ever blind Secretary of State in David Blunkett—now Lord Blunkett—at a time when the benefits system said that blind people were not required to participate in work-related activity. The benefits system is not a static beast: it is an evolving creature that needs to be updated to reflect changes in assistive technology, medication and adaptation and advances in technology.
We must not end up with a system in which people are written off and parked in a system because it is too difficult to get them into work. That is not a Labour solution. We are the party of full employment, which must and should include disabled people if we are committed to disability equality and if we are the party of progress. I will chip in that this party takes no lectures on what is progressive from nationalists, whether it is Scottish nationalists or the populists in Reform. We see the costs to disabled people of parking under the former benefits system and legacy benefits: the longer that somebody is out of work, the more ill health that they experience, including mental health and depression, and the more costs that they incur for the NHS. There are state benefits and individual benefits for getting the right support.
I speak from rather too much personal family experience. My mum has schizophrenia and my dad had a stroke in his 40s. He was told by the jobcentre, “This is what you will get. Now, basically, sod off—we do not want to see you, and we do not expect to provide you with anything.” He found his own way back into work through going to university as a mature student—well, not that mature—at Newcastle University, and he graduated in the same year as me.
We should look at the wider picture of full employment. I particularly welcome the Government’s broader aim of reducing the disability employment gap, which was deeply neglected for 14 years, and transforming jobcentres from benefit administration centres. They had been failing not because of a lack of will or frontline staff, some of whom are absolutely excellent, but simply because the job they were given to do had changed from being about supporting people into work to simply administering a failing system that, as we discussed earlier, had the highest fraud levels ever seen in the UK social security system.
I think most of us believe that disability equality is measured not in the amount of benefits that individuals receive, but in the shared opportunities and access to life chances open to all in our country. I am deeply mindful of that, because while we had a lost generation under the 14 years of the Conservative Government and the Lib Dem coalition Government, we had a previous Government who were deeply committed to those issues. That Government published a report, 20 years ago today, called “Improving the life chances of disabled people” with an implementation and delivery date that was meant to provide those opportunities and equal access by 2025. Sadly, those coalition and Conservative years set back the clock.
The report is still available to all those who want to see it, and it talks about pathways to work and dedicated employment programmes being necessary, such as the new deal for disabled people. Those programmes were largely demolished by the coalition. It talks about the importance of the role of the NHS, GPs, occupational health and rehab. Again, a Labour Government are now fixing the wider NHS problems to make those aims and objectives deliverable today. The then Prime Minister’s strategy in the report committed to changing the system so that it tested functionality and ability to contribute, rather than writing people off. Again, this Government have had to come back to that after a lost decade.
We had a report 20 years ago that talked about the necessity of a better equipment system and the need to improve access to work—something that Ministers are committed to today and are beginning to transform with faster assessment processes and by delivering the kit needed. The report also talks about the importance of engaging with employers and the positive role that Jobcentre Plus could play in engaging employers early in the process. Sadly, we have seen a long delay in delivering those improved life chances, but this is a Labour party back in government and trying to deliver disability equality and improve the life chances of disabled people. The measures in this Bill are integral to that aim.
As I say, I am concerned about some of the amendments before us. I also have some concerns that the Bill needs to go further in tackling barriers to work for disabled people, such as the benefits structure, including for those in supported accommodation. It is great that we have the right to try, but more is necessary. We also need to go a bit further with employers, including around reasonable adjustments and ensuring that employers do not accept resignations based on ill health immediately, but look at the packages of support that might be necessary, as well as working with them to tackle discrimination. The Federation of Small Businesses in particular, which has done work on this issue previously, would be a really useful partner to have going forward.