Universal Credit and Personal Independence Payment Bill Debate
Full Debate: Read Full DebateStephen Timms
Main Page: Stephen Timms (Labour - East Ham)Department Debates - View all Stephen Timms's debates with the Department for Work and Pensions
(2 days, 14 hours ago)
Commons ChamberThe hon. Member advocates powerfully for his constituent and all those with fluctuating conditions, who never know how they will fare, perhaps because of the season of the year. Some people may develop more chest infections over the winter while being well for the rest of the year, yet they will be receiving a health element of just £50 a week, not £97 a week.
Will my hon. Friend recognise how the Bill protects people in exactly the situation that she describes? Those who receive the universal credit health premium at the moment will be fully protected, and once they go into work they are likely to continue to receive universal credit, so their protection will carry on. If their income exceeds the universal credit level, there will be a further six months when they are earning at a significant level when if they come out of work afterwards they will come straight back on to the position they were in at the start. There are very strong protections for exactly the people she is describing.
I am grateful for that intervention from the Minister. This is where this gets incredibly technical. There cannot be an assumption that all of those people are on low wages. Many of them have worked all their lives as their condition has developed and are therefore in the later stages of their career, so their salary perhaps does exceed the thresholds. With many of the conditions I have listed and many more, someone could have a period of remission for eight or nine months, or even more, and they would therefore not be able to continue with the six months of support. They will exceed that and would be seen, according to our previous discussions, as a new claimant, and would drop to £50 a week rather than remaining on £97 a week.
My amendment will protect those people. It will also protect people with cancer, who could recover, go back to work and then receive the news that the cancer has returned or metastasised. If they then lose their job, do they go back to £97 a week or £50 a week? Can they eat or not eat? As if life was not hard enough for them, they may then receive that shattering news. My amendment would be a remedy for those people and for the many who need this support.
I worry that without such a guarantee—and with the single assessment, to be co-produced by the Timms review, according to “Pathways to Work”—we do not know either whether the eligibility criteria for qualifying for the UC health element, because of its association with PIP, will be more or less stringent than they are now; the Bill does not say.
No! The Timms review is about personal independence payment; I am talking here about are the descriptors relating to limited capability for work—they are totally different things. I do not understand how the Timms review could possibly cover this paragraph, because it is about personal independence payment and the assessment process for that. If it is covered by the Timms review, why have the Government not removed it from the Bill? Why is there not a clause in the Bill right now that removes the severe conditions criteria and that specific paragraph?
The form of words in the Bill, including the word “constant”, exactly replicates the way the severe conditions criteria are applied at the moment. The “constant” refers to the applicability of the descriptor. If somebody has a fluctuating condition and perhaps on one day they are comfortably able to walk 50 metres, the question to put to that person by the assessor is, “Can you do so reliably, safely, repeatedly and in a reasonable time?” If the answer to that question is no, the descriptor still applies to them. The question is whether the descriptor applies constantly. If it does, the severe conditions criteria are met.
That clear information from the Dispatch Box is what I was asking for. Hearing that will give people a lot of comfort. As the Minister is aware, a commitment from the Dispatch Box will be looked at when it comes to any sort of legal challenge in relation to the descriptors. If people are not asked if they can or cannot do something reliably on other days, I will expect disabled people’s charities to use the Minister’s comment from the Dispatch Box when they bring mandatory considerations or challenges to say, “The Minister was utterly clear that I have answered the question correctly, in line with the legislation.” I encourage them to do so.
Given the way the legislation is written, I will still not support the severe conditions criteria and the cut. I agree with colleagues who have said that 750,000 people are expecting to lose money as a result of this. As one of my Labour colleagues, the hon. Member for York Central (Rachael Maskell), has said, this is still £2 billion of cuts on disabled people that the Labour party has chosen to make, or that is what it says in the impact assessment. It has chosen to make that cut to 750,000 people, asking itself, “Where can we make £2 billion of cuts? I know, let’s do it to disabled people.” We could have an additional £2 billion in taxes on the very richest people who do not rely on that money for the everyday items that they desperately require.
I will speak to amendment 17, which I tabled with the support of 62 Members from across the House. It would ensure that if a person has a fluctuating condition such as Parkinson’s or multiple sclerosis, that is a factor in considering whether they meet the severe conditions claimant criteria.
I have been working with Parkinson’s UK, and as the new chair of the all-party parliamentary group on Parkinson’s, I have heard concerns from those living with the condition, and their carers and families, about the problems they already face in accessing support through the welfare system, because of fundamental misunderstandings about the fluctuating nature of the condition. Those concerns have been exacerbated by the Bill, particularly paragraph 6 of schedule 1, which states that in order to meet the severe conditions claimant criteria,
“at least one of the descriptors…constantly applies.”
Someone with Parkinson’s, MS, ME or other similar conditions may be able to carry out one of the activities in the descriptors such as walking for 50 metres or pressing a button in the morning, but then not be able to do so by the afternoon. Under my initial reading of the Bill, that means that someone with Parkinson’s could never be a severe conditions criteria claimant because they would not meet the descriptor “constantly”.
I thank the Minister and his team for their extensive engagement with me on this matter, but the language used in the Bill has caused concern and fear for those with Parkinson’s. As the Minister has helpfully said, and as he explained to me prior to the debate, much of the explanation that I have received centres around existing guidance that a person must be able to undertake the activity in the descriptor “repeatedly, reliably and safely”. If they cannot, the criteria will count as applying constantly and they will be considered a severe conditions criteria claimant.
I thank my hon. Friend very much for all the work he has done on this, and for helpfully highlighting that concern. It might help if I read briefly to him what the current training material for people applying the severe conditions criteria says about what level of function will always meet limited capability for work and work related activity:
“Although this criterion refers to a level of function that would always meet LCWRA, this does not in any way exclude people diagnosed with a condition subject to fluctuation or variability.
The key issue is that the person’s condition is not subject to such variability that their function would ever be significantly improved from the LCWRA descriptor identified”.
I hope that that, together with my earlier intervention, will give some reassurance to my hon. Friend.
I thank everybody who has spoken in this debate. If someone can work, they should. My hon. Friend the Member for Hendon (David Pinto-Duschinsky) was absolutely right to remind the House that that principle underpinned the creation of the welfare state by the post-war Labour Government. If someone needs help into work, the Government should provide it, and those who cannot work must be able to live with dignity. Those are the principles underpinning what we are doing.
The UK, uniquely in the G7, has a lower rate of employment today than we had before the pandemic. My hon. Friends the Members for Ealing Southall (Deirdre Costigan) and for Hendon were right to point out that that is uniquely a UK problem. In large measure, it is because of the traps in the universal credit system that this Bill addresses. The system needs to be fixed and it is urgent to get on and do that.
My hon. Friend the Member for Bermondsey and Old Southwark (Neil Coyle) was right to point out to the House that delay is not the answer. The delay being called for by the Conservatives is not the right way forward. Abandoning people, in the way the system has for years, has been catastrophic. There are 2.8 million people out of work on health and disability benefits, and hundreds of thousands want to be back in work and say they could be, if only they had the support to get back into a job. We are determined to provide them with that support.
When the Bill started its life, the Government were advocating for cuts for PIP and UC health claimants now and in future. They conceded that now was not right and that it was only for future claimants. Then they conceded that it should not be PIP claimants in future, leaving only UC health claimants. Does my right hon. Friend understand the anxiety and confusion that this has caused people in the disabled community? Would it not be better to pause, wait for the review and do it properly?
No, because reform is urgently needed. We were elected to deliver change and that is what we must do.
It is particularly scandalous that the system gives up on young people in such enormous numbers, with nearly 1 million not in employment, education or training. My hon. Friend the Member for Peterborough (Andrew Pakes) was absolutely right to highlight that point. We need to get on and tackle the disability employment gap.
The Bill addresses the severe work disincentives in universal credit. It protects those we do not ever expect to work from universal credit reassessment, and the poverty impact assessment, which has now been published, makes it clear that 50,000 children will be lifted out of poverty. We are rebalancing support here.
I am grateful for the Minister’s generosity, which he always shows in this Chamber. Based on the poverty assessment, he now says that 50,000 children will be uplifted and taken out of poverty. Given that the decision was taken because of the fiscal impact of the Chancellor’s Budget, I asked him last week about the £5 billion of savings that then became £2.5 billion. He then said that he had not costed his decisions, which would have put an extra 150,000 children into poverty. Will he tell the House how much extra the measures on which he has capitulated will cost the taxpayer?
I am happy to give the hon. Gentleman the same answer that I gave him last week, which is that the figures will be published by the OBR in the usual way.
A number of amendments that have been discussed relate to clause 5, which, as the House knows, we are removing through Government amendment 4, so the Bill will make no changes to PIP. Parallel amendments to schedule 2 cover Northern Ireland and, as has been pointed out, Government amendment 5 changes the Bill’s name, once enacted, to the Universal Credit Act 2025. We will now make PIP fit and fair for the future with the wider review to conclude by autumn next year. The Opposition’s amendment 45, on face-to-face assessments, therefore no longer fits in the Bill, but I would say to the shadow Minister, the hon. Member for East Wiltshire (Danny Kruger), that we are indeed going to get ahead with increasing the number of face-to-face assessments, and the point that he needs to recognise is that that should have been done after the pandemic and it was not done. We are getting on and fixing the problems.
I am grateful to my hon. Friend the Member for Penistone and Stocksbridge (Dr Tidball) for giving the House, in her new clause 11, a helpful checklist of the desirable features of our co-produced review. I have committed to Disability Rights UK and to others that I will shortly discuss these matters with them, but let me set out my thinking now in response to my hon. Friend’s new clause. I accept subsection (1) of her new clause. The UN convention on the rights of persons with disabilities has featured a bit in this debate—my hon. Friend the Member for Walthamstow (Ms Creasy) referred to it, as did others. To quote article 4.3 of the convention, we should
“closely consult with and actively involve persons with disabilities”
in carrying out the review. I accept the point, made by my hon. Friend the Member for Penistone and Stocksbridge, that that is what co-production entails.
Let me make just a little more headway. I will give away a little bit later.
As my hon. Friend the Member for Penistone and Stocksbridge and I have discussed, I do not agree that the review must be finished within 12 months. We want to complete the review by autumn of next year, and with no four-point threshold, I do not think it is in anybody’s interest to rush it. I accept her proposal, in subsection (4) of her new clause, for a group to co-produce the review, not so much to provide independent oversight as to lead and deliver it. I will chair the group, and we will work with her and others to include disabled people with lived and professional experience in its leadership and in shaping its meetings, with around a dozen members and with capacity to engage others as needed on specific topics.
My hon. Friend has made helpful suggestions for who some members of the group might be. We will want disabled parliamentary representation to be involved in the process as well, and arrangements to involve disabled people more broadly. I agree with her that the majority of the group’s members need to be disabled people or representatives of disabled people’s organisations, and that they need to be provided with adequate support, including towards their costs of travel and taking part.
I am grateful to the Minister for accepting so many aspects of new clause 11 and for his assurances from the Dispatch Box. I will not be pressing the new clause to a vote if he can offer further assurances that there will be sufficient links between the Timms review recommendations and subsequent legislation on PIP to ensure accountability and that the voices of disabled people are heard.
I can give my hon. Friend that assurance, yes. The outcome of the review will be central to the legislation that follows.
I really welcome the fact that disabled groups are going to be meaningfully engaged, according to the Minister’s proposal, and I look forward to seeing the full details of that, but how will carers’ groups be engaged as well? I would welcome some assurance on that.
The hon. Gentleman raised that point very reasonably in the debate, and it is certainly something we need to consider as well.
I welcome the commitment to work with disabled people. The Minister will know that the difference between consultation and co-production is that every participant has to have a veto of the outcomes in order to co-produce. Otherwise, with the greatest will in the world, it is just another form of consultation. Can he give us an assurance that disabled groups will have a veto over the proposals, to engage the consultation process?
We will aim for a consensus among all those taking part, and that is what I hope we will achieve.
I will not give way for a moment or two.
On Parliament’s handling of the review outcome, which is also raised in new clause 11, I would envisage a ministerial oral statement. I can commit on behalf of the Government that there will then be a general debate on it, in Government time, and that the legislation to implement the review outcome will not be brought forward until that has happened.
Not just at the moment.
Clause 1 introduces the first ever sustained above-inflation rise to the universal credit standard allowance. The previous Government ran universal credit down. They did not uprate it; they froze it, forcing mass dependence on food banks. The increase is accompanied by a reduction, as we debated, in the health top-up for most new claimants, as set out in clause 2.
Clause 3 set out that the health top-up would be frozen until 2029-30 for existing claimants and for those with the most severe lifelong conditions or those near the end of life. The Government amendment means that, for existing claimants, the standard allowance plus the health top-up will rise at least in line with inflation up to 2029-30. That also applies to people with severe lifelong conditions who we do not ever expect to work and those near the end of life. Clause 4 and the amendment to it mirror the universal credit changes in employment and support allowance.
The Bill will protect existing claimants in a powerful way, including those with fluctuating health conditions, but it will move decisively to a more proactive, pro-work system. That is what we need, and the protection for those who are on universal credit at the moment—
Let me make just a little more headway.
The protection for those who are on universal credit at the moment and who are on the LCWRA rate is that if they go into work, they are likely—depending, of course, on their income—to stay on universal credit, so that protection will continue while they are in work. If their income rises to the level where they are lifted off universal credit, for six months they will retain that protection, and if they go back, they will return to their original rate, so there is very strong protection there.
No, I will not give way.
Some amendments seek to change the new universal credit arrangements. The increase to the standard allowance—the first permanent real-terms increase in the headline rate of out-of-work benefits for decades—is an important step forward, as my hon. Friend the Member for Morecambe and Lunesdale (Lizzi Collinge) highlighted. Balancing that with a lower health top-up for most new claims is key to tackling—
On a point of order, Madam Chair. We were told that the Bill was going to bring a £5 billion saving to the Exchequer, then it was £2.5 billion. Is it in order not to have any idea what this will cost the taxpayer?
That is a point of debate, not a point of order. Continue, Minister.
Will the Minister ensure that the universal credit health element forms part of the co-produced Timms review when reviewing the assessment process, as the UC health element will be assessed under the new PIP assessment? Furthermore, can we ensure that all disability benefits and support are in scope, so that we can truly get an assessment process fit for the future?
My hon. Friend is right that the Green Paper set out our proposal that the PIP assessment will in future also be the gateway to the universal credit health top-up, giving it indeed a broader role. Our aim is specifically a co-produced benefit assessment. If that works well, there may well be a strong case to apply the same approach, maybe even using the same or a similar group to other challenges, and perhaps including other aspects of the health and disability benefits system, but that would need to follow successful completion of the task immediately in hand.
Let me finally make an important point, which was made by my hon. Friend the Member for Dunfermline and Dollar (Graeme Downie) and others. The severe conditions criteria in the Bill exactly reflects how the functional tests are applied at present. That is in guidance. It is being moved in this Bill into legislation. It does take account of Parkinson’s and MS because people need to meet these descriptors reliably, safely, repeatedly and in a reasonable timeframe, so I can give a firm assurance to those concerned about how the severe conditions criteria will work for those with fluctuating conditions. The word “constantly” here refers, as I said in my earlier intervention, to the functional criteria needing to apply at all times, not to somebody’s symptoms.
This Bill begins to repair a broken system that holds people back, by removing work disincentives from universal credit. We will provide record employment support for disabled people, for people with health impairments—