Tag: ESA

Very important consultation on the migration of people onto universal credit from legacy benefits

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The Social Security Advisory Committee (SSAC) has launched an important public consultation on the government’s proposals for moving all existing claimants of a working age income-related benefit to Universal Credit.

From next year the Department for Work and Pensions (DWP) will begin the process of moving claimants in receipt of one or more of the following benefits to Universal Credit:

  • Working Tax Credit
  • Child Tax Credit
  • income-based Jobseeker’s Allowance
  • income-related Employment and Support Allowance
  • Income Support
  • Housing Benefit

The wide-ranging draft legislation, which was presented to the Committee for scrutiny at its meeting on 20 June 2018, sets out the government’s proposals on:

  1. requirements for claimants on existing benefits to make a claim for Universal Credit (including the deadlines for doing so) and arrangements for ending their existing benefit
  2. the calculation, award and ongoing treatment of transitional protection

The task of safely moving around 3 million claimants (in around 2 million households) from legacy benefits to Universal Credit raises important questions about the delivery challenge facing the department and the potential impact on claimants.

SSAC has therefore decided to examine this draft legislation, and the impacts that flow from it, in more detail. To help inform this work, the committee would welcome evidence from a broad range of organisations and individuals who have good insight into and/or experience of the following aspects of these proposals:

  • the overall migration timetable
  • arrangements for contacting claimants and inviting claims from them
  • issues associated with making a claim, and ending legacy benefit claims
  • the calculation of transitional protection (including the treatment of earnings and capital)
  • the impact of proposed transitional protection (including how easily it will be delivered and the degree to which it will be understood by claimants)
  • the impact on workers, including the self-employed
  • equality impact (whether there will be particular effects for different groups and how these can best be addressed), for example are there any groups that will not be covered by transitional protection?
  • monitoring and evaluation

The Committee would welcome responses to ensure that its advice to the Secretary of State for Work and Pensions is informed by a range of perspectives. The committee would welcome real or hypothetical case studies or specific examples as part of that evidence.

Paul Gray, the Committee’s Chair, said:

“The planned rollout of Universal Credit is now reaching its most critical and challenging stage. The government’s draft proposals involve major issues on both detailed entitlement rules and delivery logistics, and are due to be debated in Parliament later this year. SSAC is keen to ensure that the scrutiny report it submits to ministers and Parliament is as well-informed as possible, and we therefore strongly encourage all organisations and individuals with relevant evidence to take part in this consultation process.”

The government has said that migration onto Universal Credit will take place between 2019 and 2023. Under the recent government proposals, people currently receiving Employment and Support Allowance (ESA) will receive a letter informing them that their benefits will be stopped and asking them to make a new claim to Universal Credit. The proposals suggest people will be given between one and three months to do this, with some circumstances in which that would be extended.

Some thoughts on the government’s proposals

The ‘managed migration’ entails claimants making a new claim for Universal Credit, which could mean that people with health problems may see their benefits stopped entirely while they struggle with the difficult and lengthy process of applying for Universal Credit. These are people who have already been through a rigorous and stressful assessment process and declared eligible for benefits because they are disabled or unwell. A gap in support for ill or disabled or people would leave them very vulnerable, and may have distressing and potentially harmful consequences.

It’s not as if the government have a particularly good track record on managing migrations. It’s difficult to find any good faith regarding the ‘managed’ transition to Universal Credit for so many people from a complex variety of legacy benefits, when the Conservatives’ welfare ‘reforms’ have had such a profoundly damaging effect on so many people already. This is because the word ‘reforms’ has been used to euphemise cruel austerity cuts that have fallen disproportionately on the poorest citizens.

Nor have the government demontrated that they are particularly observant of human rights frameworks and equality legislation. In fact their track record indicates they hold such safeguards and mechanisms of accountability in contempt.

This is a good reason why the 50 page poorly worded government document requires very careful scrutiny via a consultation. It’s not appropriate or adequate for the government to adopt a ‘test and learn’ approach that lacks safeguarding measures for those at risk of vulnerability through a cut or delay in their lifeline income, while the government attempts to get this right through trial and error at their expense. 

The ‘safeguards’ that government has proposed simply do not address the concern that people will be left without a source of income during the migration. It’s completely unfair to place all the responsibility on severely unwell people to have to reapply for a new benefit and risk losing their income in the process.

The government should take full responsibility for migrating ill and disabled people onto Universal Credit smoothly and safely while protecting their income, health and wellbeing. 

If people have to make a claim for Universal Credit due to a change in circumstances, such as moving house, or living with a new partner, rather than simply being migrated from the legacy benefit, that may also potentially place at risk any transitional protections they would have been entitled to, such as the severe disability premiums that some people are entitled to on ESA, since those are not included in Universal Credit. It’s also not clear if such a group would have to go through reassessment. That would also cause hardship and distress, because of the long waiting period between assessments, mandatory review and appeal.

Originally, the government had implied that migration from ESA to Universal Credit would not entail having to make a claim, and that provided the claimant’s circumstances have not changed, they would receive a transitional protection to compensate for the loss of the severe disability allowance and other amounts under legacy benefits which are not covered by Universal Credit. 

A regulation [2(6)] has been ‘inserted’ which will introduce a ‘Gateway Condition’ into previous social security regulations from 2014, so that claimants who are receiving:

  • income-related Employment and Support Allowance (ESA(IR);
  • income-based Jobseeker’s Allowance (JSA(IB));
  •  Income Support (IS); or 
  •  HB; 

and have the Severe Disability Premium (SDP) included in their award will not be
able to claim UC. Instead, rather than naturally migrate to UC, they will remain on
their existing benefit if they have a change of circumstance that would require a new claim for a benefit that UC is replacing to be made.

This is because of a recent landmark High Court ruling, earlier this month, in which the Court ruled that the Department for Work and Pensions (DWP) unlawfully discriminated against two severely disabled men, who both saw their benefits dramatically reduced when they claimed Universal Credit, as they lost their SDP under Universal Credit rules. 

However, there is no clear mention in the document of what will happen to those who receive Enhanced Disability Premium (EDP) on ESA, which is also not payable under Universal Credit. Also, there needs to be more discussion and debate around clarifying the details of how the tapering of transitional protections is going to happen, and indeed, if this should happen at all. 

It’s difficult to forget that disabled people who were ‘migrated’ from Disability Living Allowance (DLA) to Personal Independent Payment (PIP) were also ‘invited’ to apply for PIP following notification of their claim for DLA being closed, which meant facing reassessment. Many people lost their eligibility for this lifeline support, and others were assessed as eligible for only part of an award, leaving them with rather less money than they had before they claimed PIP. Many have lost their motability vehicles as a consequence of losing the mobility component at reassessment for PIP.

These are just some of the worrying issues that the government’s latest proposals raise, which need to be addressed. We need to respond collectively to this consultation as a matter of urgency. 

The overall effect and impacts of the proposed amendments placed before the Committee, outlined in the 50 page government document, are to be subject to a government ‘test and learn’ approach to implementation. It is unacceptable that those migrated first onto Universal Credit are regarded by the government as a sort of group of experimental test cases, when a rigorous impact assessment would have been much more appropriate to safeguard these citizens from hardships and distress created by government policy and administration.

People who need social security, paid for by the public, among whom are people needing social security support, and those who may in the future, are not lab rats for the government to experiment on without their consent. Most unemployed, underemployed, disabled or ill people have contributed to the Treasury and deserve better management of their money, adequate provision and rather more competent policy administration by the government.

Having read through the government proposal document, it does say that there are certain protections for claimants who have a disability or a health problem when they ‘transition’ to UC from ESA or incapacity benefits. Such protections include:

  • ensuring that a capability for work determination for ESA can automatically be applied to the UC award; and 
  •  paying the Limited Capability for Work addition in UC if they have been continuously entitled to ESA and entitled to the Work-Related Activity Component in ESA prior to 3rd April 2017. 

Glancing through this document, it not very clearly outlined what will happen to those people with a more recent award of the Work-Related Activity Component, or to those where there has been a break in their previous entitlement since April 2017. 

Regulation 19 states that in cases where ESA claimants had the Support Component (SC) or Work-Related Activity Component (WRAC) applied to their award immediately before they make a claim for UC, if ESA claimants have the SC applied to their ESA award, the Limited Capability for Work and Work-Related Activity (LCWRA) element in UC would be applied to their UC award, without the need for a Work Capability Assessment (WCA), from the start of their first (UC) assessment period.

An assessment period is one month. Entitlement to Universal Credit depends on your circumstances and your income in each complete assessment period. This potentially introduces a degree of uncertainty for people on long-term disability support, who rely on a degree of financial security to manage day-to-day living with additional needs. 

UC is ordinarily paid monthly in arrears, and there is very little discussion in the government proposal document about how the gap will be bridged when legacy benefit claims are closed. There is mention that in some circumstances, where a claim for full housing benefit is in place, people migrated onto Universal Credit may claim a kind of ‘run on’, for a two-week period. However, housing benefit is always paid in arrears, and the two week run-on would simply cover the period of arrears from legacy benefits.

Regulation 20 states that with cases where the ESA assessment phase has not ended at the point the claimant claims UC, any unspent portion of the 13-week ESA assessment phase is carried forward and, if awarded, the appropriate UC element will apply. 

The proposed regulations will be subject to the affirmative resolution procedure and, as such, will need to be debated in both Houses of Parliament. Affirmative procedure is a type of parliamentary procedure relating to statutory instruments (SIs), which are traditionally reserved for non-controversial policies. 

An SI laid under the affirmative procedure must be actively approved by both Houses of Parliament. Certain SIs on financial matters are only considered by the Commons. However affirmative resolution SIs require the approval of Parliament.

SSAC is an independent advisory body of the Department for Work and Pensions. The Committee’s role is to give advice on social security issues; scrutinise and report on social security regulations (including tax credits) and to consider and advise on any matters referred to it by the Secretary of State for Work and Pensions or the Northern Ireland Department for Communities.

The Committee’s Chair is Paul Gray. Its membership comprises: Bruce Calderwood, David Chrimes, Carl Emmerson, Chris Goulden, Philip Jones, Jim McCormick, Grainne McKeever, Dominic Morris, Seyi Obakin, Judith Paterson, Charlotte Pickles, Liz Sayce and Victoria Todd.

Most social security regulations go before SSAC for scrutiny, the only significant exceptions being regulations which go to other advisory bodies or set benefit rates. When SSAC has considered regulations which it has asked to be formally referred, its response is made in the form of a report to the Secretary of State for Work and Pensions. That report must be presented to Parliament when the regulations are laid with a statement from the Secretary of State showing what has been done (or is intended to be done) about the SSAC’s recommendations (section 174(1) and (2) of the Social Security Administration Act 1992).

Please read the regulations and explanatory memorandum in full if you intend to send a response regarding the consultation.

Responses should be submitted to the Committee Secretary by no later than 10am on Monday 20 August:

The Committee Secretary 
Social Security Advisory Committee 
5th Floor 
Caxton House 
Tothill Street 
London 
SW1H 9NA 

Alternatively responses can be emailed to – ssac.consultation@ssac.gsi.gov.uk

I will need to read through all of the government proposals carefully in order to make my own full response, which I’ll publish in due course.

And of course, Universal Credit, its impact, adequacy and performance as a form of social security, needs some more careful scrutiny, too. 

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I don’t make any money from my work. I’m disabled through illness and on a very low income. But you can make a donation to help me continue to research and write free, informative, insightful and independent articles, and to provide support to others. The smallest amount is much appreciated – thank you.

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It’s time government ministers stopped lying about their attack on disabled people

Image result for centre for welfare reform simon duffy

Earlier this year, I wrote an article about the Universal Credit (UC) rules which will leave many disabled people who are new claimants, who experience a change in circumstances or a break in their claim, without their Disability Income Guarantee.

Those people who qualified for the support component of income-related Employment and Support Allowance and (ESA) are eligible for a disability premium (also called the Disability Income Guarantee.) However, as a result of the abolition of both the severe disability premium (SDP) and enhanced disability premium (EDP) under UC rules, according to the disability charity, Scopethe cut to the disability income guarantee will see disabled people lose as much as £395 a month.

Two disabled people decided to take the government to court over the brutal cuts to their income, which has caused them severe hardship.

Earlier this month, in a landmark judgment, the High Court ruled that the Department for Work and Pensions (DWP) unlawfully discriminated against two severely disabled men who both saw their benefits dramatically reduced when they claimed Universal Credit. 

Lawyers representing the men said the ruling showed that the new benefit system was “not working” for the disabled or other claimants, and urged the government to halt the roll-out and overhaul the system to meet peoples’ needs and not “condemn them to destitution”. The two claimants, known only as TP and AR, had both previously been in receipt of the Severe Disability Premium (SDP) and Enhanced Disability Premium (EDP), which were specifically aimed at ensuring the additional care and needs of severely disabled people living alone with no carer are met.

Both people were required to make a claim for universal credit when they moved into new local authorities where the controversial new benefit was being rolled out. According to both the men, they were advised by DWP staff that their benefit entitlement would not change. Yet despite repeated assurances from the government that “no one will experience a reduction in the benefit they are receiving at the point of migration to universal credit where circumstances remain the same”, both men saw an immediate drop in their income of around £178 a month when they were moved over to UC.

When they asked for the top up payments promised by the DWP, they were told that Government policy was that no such payments would be paid until July 2019 when managed migration is due to begin.

As both claimants testified to the court, the sudden drop of income had a devastating impact on them, both physically and psychologically. TP, a former City banker who suffers from a terminal illness, has been struggling to address his care needs, and AR, who suffers from severe mental health issues, has been unable to afford basic necessities.

Earlier this month, the DWP committed the government to ensuring that no severely disabled person in receipt of the SDP will be made to move onto universal credit until transitional protection is in place and also, made a commitment to compensate those like the claimants who have lost out.  

Despite this, following the judgment, the Secretary of State for Work and Pensions has sought permission to appeal, maintaining that there was “nothing unlawful” with the way the claimants were treated. 

Their lawyer, Tessa Gregory from the human rights team at Leigh Day, told the Court: “Nothing about either of the claimants’ disability or care needs changed, they were simply unfortunate enough to need to move local authorities into a Universal Credit full service area.”

The judge said the impact on the individuals was “clear”, and said the way they were transferred onto universal credit was “manifestly without reasonable foundation” and “failed to strike a fair balance”.

Following the ruling, Ms Gregory said: “This is the first legal test of the roll out of Universal Credit and the system has been found to be unlawfully discriminating against some of society’s most vulnerable. 

“Whilst we welcome the Government’s commitment to ensuring that no one in our client’s position will now be moved onto Universal Credit until top up payments are in place, it comes too late as it cannot make up for the months of suffering and grinding poverty our clients and many others like them have already had to endure.

“We call upon Esther McVey to compensate our clients and all those affected without any further delay, and urge her to focus on fixing Universal Credit rather than wasting more public funds appealing this court decision.

“Today’s decision shows again that Universal Credit is not delivering what was promised at the outset. It is not working. It’s not working for the disabled, it’s not working for parents, it’s not working for low-income and part-time employees and it’s not working for the self-employed.  

“The government needs to halt the rollout and completely overhaul the system to meet peoples’ needs, not condemn them to destitution. If this doesn’t happen further legal challenges will inevitably follow.

“Disability premiums are not a luxury. They play a crucial role in helping disabled people pay for essentials like food, clothing and bills. The needs of the people involved in this case haven’t changed, and yet they have lost more than £170 per month in support. This isn’t  fair.

Until the Government fully addresses these issues, it will unfairly penalise disabled people for moving over to universal credit.”

A DWP spokesperson said: “The court found in our favour on three of the four points raised by the claimant. We will be applying to appeal on the one point the court found against the Department. This government is committed to ensuring a strong system of support is in place for vulnerable people who are unable to work.”

Clearly the government is committed to trying it on by paying people as little as they can possibly get away with from the public fund. Deliberately cutting money from disabled peoples’ crucial lifeline support can hardly be described as “ensuring a strong system of support is in place”. This response indicates quite clearly that the cut was fully intentional on the part of the government.

The spokesperson added: “Last week, the Secretary of State announced that we will be providing greater support for severely disabled people as they move onto universal credit. And we have gone even further, by providing an additional payment to those who have already moved onto the benefit.”

Yes, because the cut has been ruled as discriminatory and unlawful, not because a choice was actually made to do so. Only the Conservatives could turn prejudice, discrimination and breaking the law into some kind of virtue.

Again this response indicates clearly that these were intended changes, and not merely  a consequence of administrative incompetence. There was not a shred of regret expressed by the government regarding the severe hardship these cuts have caused for disabled people. 

And this still leaves disabled people claiming the disability support component of Universal Credit for the first time without the Disability Income Guarantee. That is also discriminatory. 

The Department for Work and Pensions have claimed UC means that support is “focused on those who need it most”, but a government removing Severe Disability Premium and Enhanced Disability Premium, which is support designed to help severely disabled people who live without a carer – is pulling a basic safety net from citizens with the greatest needs. The premiums were also designed in part to address the problem of cumulative poverty for severely disabled people who cannot work, or who face disadvantage in the labour market because of additional needs and barriers. 

This cut will also potentially affect disabled lone parents who may rely on their benefit support to pay for support to shop, cook and wash, for example. The cut may mean that they will be forced to rely on their own children as carers.

Austerity has been carried disproportionately by disabled people

The UC system has made an estimated £11bn in savings, mainly through Treasury cuts to the original set level of universal credit rates – most notably through reductions to work allowances, which will save around £3bn, and the removal of £2bn in disability premium payments – but UC planning and delivery has also incurred £8.5bn in expenses.

Government statistics published last year show 47 per cent of people who were formerly receiving Disability Living Allowance (DLA) saw their support fall or stop altogether when they were reassessed for Personal Independent Payment (PIP).

Of a total of 947,000 claimants who were reassessed in the year up to October 2017, 22 per cent saw their support reduced, while a quarter were disallowed or withdrawn altogether — meaning 443,000 people will have had their claims reduced or removed.

However, the success rate for claimants when appealing Personal Independence Payments (PIP), for example, was 65% in 2016/17. The Mirror has recently reported that the rate of PIP appeal success has hit an all-time high of 71% for the first quarter of 2018.

Labour MP Rosie Duffield secured a debate (her first) which took place a couple of days ago (20 June) about the report by the UN committee on the Rights of Persons with Disabilities (UNCRPD). The report said successive UK governments had committed “grave” and “systematic” violations of disabled people’s human rights. The chair of the committee said the government had created a “human catastrophe” for disabled people. (You can read the full debate here).  

The debate addressed last autumn’s report on the UK’s implementation of UNCRPD, and the conclusion of the UN’s disability committee that the UK government should make more than 80 improvements to the ways its laws and policies affect disabled people’s human rights.

In a briefing prepared ahead of the debate, the Equality and Human Rights Commission  the other official and independent bodies responsible for monitoring the UK’s progress in implementing the convention – had called on the UK government to describe how it would “comprehensively address” the UN committee’s findings. However, the government has not made any commitment to implementing the committee’s recommendations.

During the debate, Labour MPs accused Sarah Newton, Minister of State for the Department for Work and Pensions, and the government, of making disabled people a “forgotten class”; of allowing the DWP to “endlessly mistreat” them, and of creating a “national scandal”.

Newton dismissed Labour’s comments, using techniques of neutralisation that I’ve written about before. In short, Newton used a tactic that the Conservatives have used many times before – an indignant and outraged denial. She actually accused the opposition of ‘scaremongering’ again, (and by default, she attempted to discredit disabled citizens’ accounts of their own experiences, which of course flies in the face of democratic accountability). 

The Conservatives are denying responsibility for the consequences of their policies, denying harm, denying the victims and condemning the condemners. 

In her attempt to defend her government’s appalling record on cuts to social security, she also told MPs that there had been “no freeze in the benefits that disabled people receive”.

But this is not true, a fact that has been repeatedly pointed out to Tory ministers and her party.

Although disability living allowance (DLA), personal independence payment (PIP) and the employment and support allowance (ESA) support group top-up are exempt from the benefits freeze – which is set to last to 2020 – there is no exemption for the main component of ESA and the top-up paid to those in the ESA work-related activity group, which continues to be frozen.

Newton claimed that the UN, opposition and again, by default, disabled citizens, were making “irresponsible” allegations. And the courts. Again, this is a technique of neutralisation called “condemning the condemners”, used to ‘switch off ‘someone’s conscience when they plan, or have done, something to cause harm to others. The technique may also be used to push at the normative and moral boundaries of groups and the wider public.  (*See below for a full outline of the techniques).

Newton also said that the government was “very disappointed” that the UNCRPD did not “take on board […] the evidence that the government gave them. They did not acknowledge the full range of support.” That’s because it isn’t there.

The UNCRPD report presented extensive, meticulous evidence with their thorough report, gathered from disabled people that have been affected by the welfare cuts, campaign groups, charities and research academics. It also condemned the UK government’s attempts to misrepresent the impact of policies through “unanswered questions”, “misused statistics”, and a “smoke screen of statements.” 

It isn’t ‘scaremongering’ to express concern about punitive policies that are targeted to reduce the income of social groups that are already struggling because of limited resources, nor is it much of an inferential leap to recognise that such punitive policies will have some adverse consequences. 

Political denial is oppressive – it serves to sustain and amplify a narrow, hegemonic political narrative, stifling pluralism and excluding marginalised social groups, excluding qualitative and first hand accounts of citizen’s experiences, discrediting and negating counternarratives; it sidesteps democratic accountability; stultifies essential public debate; obscures evidence and hides politically inconvenient, exigent truths. Denial of causality does not reduce the probability of it, especially in cases where a correlation has been well-established and evidenced. The government have no empirical evidence to verify their own claims that their punitive policies do not cause harm and distress.

Government policies are expressed political intentions regarding how our society is organised and governed. They have calculated social and economic aims and consequences. In democratic societies, citizen’s accounts of the impacts of policies ought to matter.

However, in the UK, the way that policies are justified is being increasingly detached from their aims and consequences, partly because democratic processes and basic human rights are being disassembled or side-stepped, and partly because the Government employs the widespread use of linguistic strategies and techniques of persuasion and neutralisation to intentionally divert us from their aims and the consequences of their ideologically (rather than rationally) driven policies. Furthermore, policies have become increasingly detached from public interests and needs.

Damian Green, who was the work and pensions secretary at the time the UN report was published. dismissed the highly critical findings . He said, shamefully, that the report was “patronising and offensive” and presented an outdated view of disability in the UK. He said Britain was “a world leader in disability rights and equality”.

But many of us – disabled citizens, disability activists, campaigners, charities and researchers – welcomed the report, saying it accurately highlighted the real economic and social hardships faced by disabled people after years of harsh spending cuts to social security and social care.

The shadow work and pensions secretary at the time, Debbie Abrahams, said the UN report was “crystal clear” in its identification of UK government failures. “It confirms that, despite Theresa May’s warm words, this government is failing sick and disabled people,” she said.

The UN committee said a range of measures introduced since 2010, including the bedroom tax and cuts to disability benefits and social care budgets, had disproportionately and adversely affected disabled people.

Spending cuts had negatively affected the rights of disabled people to live independently, to work and to achieve an adequate standard of living, the report said. The UN urged UK ministers to ensure the rights of disabled people were upheld.

Green said: “At the heart of this report lies an outdated view of disability which is patronising and offensive. We strongly refute its findings. The UN measures success as the amount of money poured into the system, rather than the work and health outcomes for disabled people. Our focus is on helping disabled people find and stay in work, whilst taking care of those who can’t.”

The government said at the time that it spent about £50bn a year to support sick and disabled people – a bigger proportion of GDP than countries including Canada, France and the US.

However, this is plainly untrue. In 2015, the government’s own figures show that even before some of the cuts were implemented, the UK was ninth out of 28 countries, when ranked in terms of the size of its social protection expenditure as a proportion of its gross domestic product (GDP). 

In fact Newton’s highly selective statistical ‘data’ was contradicted by the Office for National Statistics (ONS) who also reported that the UK actually spends less than France, as well as Norway, Germany and Spain on disability benefits.

Furthermore, Newton’s figure includes amounts that are not directly related to disability benefit, such as carers’ allowance, housing benefit, council tax allowance, and it also includes some NHS spending.

The government actually spent £39 billion on disability, incapacity and industrial injury benefits in 2017/18. That’s 76% of the total £51 billion that Newton claimed was spent.

Abrahams said the report echoed warnings Labour had been making since 2011 about the effects of the government’s policies on disabled people. It certainly echoed warnings many of us have been making – in my own case, since the welfare “reforms” in 2012.

“The UN committee is clear that its report examines the cumulative impact of legislation, policies and measures adopted from 2010 to October 2016, so the government’s claim that it is outdated does not stand up to scrutiny.

“I am also concerned that the government is labelling the report as patronising, when they are the ones dismissing the concerns raised by disabled people who helped instigate the inquiry in the first place.”

This dismissal is despite being presented with evidence from a wide range of organisations as well as disabled citizens, to whom Conservative policies are causing harm and distress.  Yet the government continue to distance themselves from the consequences of their own decision-making, opting to deny them instead. Those are not the reasonable actions of an accountable, democratic government. 

Decades of findings in sociology and psychology tell us that as soon as a social group are defined as an outgroup, the public start to see them differently. Because politicians have stereotyped people who claim welfare support, portraying only negative characteristics, the public also perceive only those characteristics. The government, with the help of the media, has purposefully portrayed people claiming welfare support as folk devils: lazy, dishonest, stupid and as scroungers, and so on. This is profoundly dehumanising. 

The people being harmed by policies have become outsiders, they’ve been pushed out of the circle of our moral community. The government clearly don’t think of the people enduring terrible distress and hardship as experiencing the same range of autonomy, needs, thought, emotion and motivations that they do; they don’t imagine them feeling things in the same way that they do. This disconnection – a failure to recognise common human characteristics in the other – means that they are denied some measure of empathy, and consequently a sense of ethical and democratic obligation and inclusion.

The Conservatives talk a lot about “evidence-based policy”, but they don’t walk the talk. A weight of evidence has highlighted the cruel, draconian effects of the Tories’ social polices. The government have chosen to deny and ignore it. 

This lack of appropriate response indicates a deliberately prejudiced, vicious attack on a significant minority of the population, which the government has absolutely no intention of stopping or putting right any time soon.

 

You can watch the whole debate that was secured by Rosie Duffield here

 

* Techniques of neutralisation: 

Used to switch off the conscience when someone plans or has done something to cause harm to others. 

The idea of techniques of neutralisation was first proposed by David Matza and Gresham Sykes during their work on Edwin Sutherland’s Differential Association in the 1950s. Matza and Sykes were working on juvenile delinquency, they theorised that the same techniques could be found throughout society and published their ideas in Delinquency and Drift, 1964.

They identified the following psychological techniques by which, they believed, delinquents justified their illegitimate actions, and Alexander Alverez further identified these methods used at a socio-political level in Nazi Germany to “justify” the Holocaust:

1. Denial of responsibility. The offender(s) will propose that they were victims of circumstance or were forced into situations beyond their control.

2. Denial of harm and injury. The offender insists that their actions did not cause any harm or damage.

3. Denial of the victim. The offender believes that the victim deserved whatever action the offender committed. Or they may claim that there isn’t a victim.

4. Condemnation of the condemners. The offenders maintain that those who condemn their offence are doing so purely out of spite, ‘scaremongering’ or they are shifting the blame from themselves unfairly. 

5. Appeal to higher loyalties. The offender suggests that his or her offence was for the ‘greater good’, with long term consequences that would justify their actions, such as protection of a social group/nation, or benefits to the economy/ social group/nation.

6. Disengagement and Denial of Humanity is a category that Alverez
added to the techniques formulated by Sykes and Matza because of its special relevance to the Holocaust. Nazi propaganda portrayed Jews and other non-Aryans as subhuman. A process of social division, stigma, scapegoating and dehumanisation was explicitly orchestrated by the government. This also very clearly parallels Gordon Allport’s work on explaining how prejudice arises, how it escalates, often advancing by almost inscrutable degrees, pushing at normative and moral boundaries until the unthinkable becomes tenable. This stage on the scale of social prejudice may ultimately result in genocide.

Any one of these six techniques may serve to encourage violence by neutralising the norms against prejudice and aggression to the extent that when they are all implemented together, as they apparently were under the Nazi regime, a society can seemingly forget its normative rules, moral values and laws in order to engage in wholesale prejudice, discrimination, exclusion of citizens, hatred and ultimately, in genocide.

In accusing citizens and the opposition of ‘scaremongering’, the Conservatives are denying responsibility for the consequences of their policies, denying harm, denying  distress; denying the victims and condemning the condemners.

 


 

I write voluntarily, to do the best I can to raise awareness of political and social issues. In particular I research and write about how policy impacts on citizen wellbeing and human rights. I also co-run a group on Facebook to support other disabled people going through ESA and PIP assessments, mandatory reviews and appeals.

I don’t make any money from my work. I am disabled and don’t have any paid employment. But you can contribute by making a donation and help me continue to research and write informative, insightful and independent articles, and to provide support to others. The smallest amount is much appreciated – thank you.

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The revolving door of disability assessments and appeal is still killing people who are chronically ill

 

Sandra Burns

Sandra Burns

Social security was originally designed to ensure that everyone was protected from the worst ravages of unfettered capitalism. To say that we have regressed as a society since then is an understatement. 

‘Behavioural economics’ are currently embedded within our current welfare system. This is a technocratic solution to essentially politically created problems. It addresses social problems by simply shifting the blame and responsibility from state to individual. This has led to an increasingly punitive social security system, aimed at pushing people into employment, regardless of whether or not they are able to work. ‘Nudge’ is increasingly being used by an authoritarian Conservative government to ensure citizens behaviours are aligned with neoliberal ideology and policy outcomes.

People who are chronically ill are suffering terribly because of the government’s anti-welfare ideolology. Yet most of us have paid tax and National Insurance to ensure that we have access to social security if or when we need it, only to find that the hostile environment created by by the government has made claiming support an ordeal. 

Back in 2013, I wrote about the terrible impact of  stressful, continuous work capability assessments on disabled people, particularly those with chronic illness. It’s long been understood that stress exacerbates the symptoms of illness. 

Many people have described a “revolving door” process of endless assessment, ceased ESA claim, (based on an outcome of almost invariably being wrongly “assessed” as fit for work), appeal, successful appeal outcome, benefit reinstated, only to find just three or four months later that another assessment is required.

The uncertainty and loss of even the most basic financial security to meet the bare necessities to survive that this process creates, leading to constant fear and anxiety, is having a damaging, negative impact on the health and wellbeing of so many. It’s appalling that in a first world so-called liberal democracy, sick and disabled people are being punished for being ill and disabled by a system that was originally intended to support them in meeting their most basic living costs.

Five years on, nothing has changed. People are still dying because of a system that is fundamentally flawed and not fit for purpose. The government are not listening to us. 

I write all too regularly about disabled citizens who have been treated brutally because of Conservative policies, many who have died as a consequence of a system that is intentionally designed to punish people for their need. 

I’m saddened to report that disabled woman has died from a heart attack after she was repeatedly refused vital financial support following disability assessments carried out by a private benefits firm, Atos, over a five year period. 

Sandra Burns, who lived in Luton, was found dead at the bottom of the stairs at her home on 16 April. She was surrounded by letters from the Department of Work and Pensions (DWP) and overdue utility bills, having suffered what is believed to be a massive heart attack. 

Sandra’s brother, Ian, told Luton Today: “She was found dead at the foot of her stairs, apparently of a massive heart attack. 

“She was surrounded by letters informing her that the gas, electricity, water, telephone and television were all in danger of being cut off.” 

“This debt and anxiety lay all around her on the floor”.  

Ian also said that the stress of the process had a degenerative impact on Sandra. He says that the work assessments were “punitive” and that they “ignored the comments of her GP”.

“These appeals would take six to eight months. Every single time, she won the appeal and got a backdated payment. But in that period, she would get into debt and lose her credit rating. 

“And then she’d get back on an even keel until the next year, when the same thing would happen,” he added.

Sandra, who was 57, had worked in retail for 30 years before severe back pain caused by five fused vertebrae in her spine forced her to give up working. She had failed a number of work capability assessments over a five year period but had successfully challenged each decision at appeal. 

The disability assessments were carried out at the time by Atos, on behalf of the DWP, who withdrew from a contract to carry out assessments for Employment and Support Allowance (ESA) following widespread failures and mounting criticism. 

Each time she failed an assessment, Sandra found herself looking at a growing mountain of debts while she fought to have the harsh decisions overturned at appeal.

In a letter sent to the DWP before her death, Sandra wrote: “I am old school and would still be working if I could do it. Do you think I would be silly enough to do this? I have always worked.”

Why do they think it’s ok to treat me like this? It’s not acceptable”.

Her Brother Ian said the difficulties of living with a chronic health condition, coupled with having to repeatedly fight for the benefits she desperately needed, caused her health to deteriorate. 

He says that Atos “based their assessment on the fact she could walk the five or six steps of the stairwell to the interview room”.

“She could walk small distances and couldn’t stand for long”, he said.

Every time ATOS assessed her, they judged her fit for work.”

“She described how one man said, ‘I’ve been watching you walk from the waiting room and as far as I’m concerned, you’re fit for work’.”  

Ian Burns, who lives in Denmark, said his sister had become reclusive during the last year of her life, adding that he had last spoke to her on 3 April.

Having not heard from his sister for some time, Ian asked a friend and neighbour to check up on her. 

He said: “They knocked on the door and went around the back. Through the kitchen window, they could see piles of dishes.

“The police came quarter of an hour later. They got through the back door and found her at the bottom of the stairs.”

Ian came to his sister’s home the following day. “I came the next day … all around the sofa was a pile of letters and debts.

“It was terrible heartbreak and I just feel it could have all been avoided… everyone is treated as cheats or maybe the DWP have an agenda.

“Whatever it is, it’s putting people like Sandra under incredible amounts of stress.”

A DWP spokesman, offering the usual discordant platitudes, said: “Our thoughts are with Ms Burns’ family. We are absolutely committed to ensuring that people get the support they’re entitled to. 

“Assessments are carried out by qualified healthcare professionals who look at how someone’s disability or health condition impacts them on a day-to-day basis.”

Disabled people protesting about the punitive disability assessments in Parliament

 

If you have been affected by the issues raised in this article and need support, please contact the Samaritans free on 116 123 (UK).

Related

What you need to know about Atos assessments

Thousands of disability benefit assessments deemed ‘unacceptable’ by the Government’s own quality audits

Atos’s PR company director wants me to phone him about one of my articles

The connection between Universal Credit, ordeals and experiments in electrocuting laboratory rats

The ESA ‘Revolving Door’ Process, and its Correlation with a Significant Increase in Deaths among Sick and Disabled People

Government guidelines for PIP assessment: a political redefinition of the word ‘objective’

Disability Income Guarantee abolished under Universal Credit rules – a sly and cruel cut

 


 

I don’t make any money from my work. I’m disabled through illness and on a very low income. But you can make a donation to help me continue to research and write free, informative, insightful and independent articles, and to provide support to others. The smallest amount is much appreciated – thank you.

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Disabled people facing government hostility in the UK – Mo Stewart

A protest outside Atos in London in July 2017

 

Last year I wrote an article about how the social security system in the UK has been re-structured around “ordeals”, which were introduced by the Conservative government in order to discipline and “disincentivise” citizens from claiming welfare support, by undermining any sense of security people may have of fulfiling their most basic needs.  Welfare support is extremely conditional and precarious. Ordeals are intrinsic to a system of punishment that the draconian Conservatives claim will “change the behaviours” of underpaid, unemployed and disabled people. By creating a hostile environment, the government are somehow claiming that it’s possible to simply punish people out of poverty. 

My friend, Mo Stewart writes, today in the Guardian (Letters 

“The British public have reacted to “a sense of betrayal of that so-called British value of fairness” (The hostile environment? Britain’s disabled people live there too, the guardian.com, 26 April). This “sense of betrayal” was only possible because the national press reported the plight of the Windrush scandal, but this is not always the case. Some of the press were happy to promote the exaggerated claims of the Department for Work and Pensions (DWP) which, during five years of coalition government, knowingly misled the public regarding “fake” claimants of disability benefit. Coincidentally, disability hate crimes increased by 213% during the coalition’s term in office.

Influenced by a US healthcare insurance “consultant”, who funded DWP-commissioned research used to justify welfare reforms, the work capability assessment (WCA) adopted the bio-psychosocial model of assessment which has failed all academic scrutiny. The WCA is used by the DWP to resist access to the employment and support allowance (ESA) sickness and disability benefit, which is the financial equivalent of jobseeker’s allowance, so there is no financial incentive when claiming ESA.”

This DWP assessment totally disregards diagnosis, prognosis, past medical history and all medical opinion. Deaths of genuine claimants were always inevitable. There is a reason why the DWP has refused to publish updated ESA mortality totals since February 2014, as suicides linked to the ESA assessment climb. It’s time for this ideological DWP tyranny to end, and for the national press to stop disregarding another national atrocity impacting on disabled people.”

The letter was signed by:

Mo Stewart Independent disability studies researcher 
Professor Woody Caan Editor, Journal of Public Mental Health 
Dr Tanya Titchkosky Professor of disability studies, University of Toronto 
Professor Peter Beresford Professor of citizen participation, Essex University
Dr Marion Hersh Senior lecturer, biomedical engineering, Glasgow University
Dr Dominic Griffiths Senior lecturer in Inclusive Education and SEN, Manchester Metropolitan University
Dr Anne Daguerre Assistant professor in work, employment and welfare, Middlesex University
Dr Simon Duffy Director, Centre for Welfare Reform
Vin West Chair, Arfon Access Group,
and others.

Related image

 

Related

Rogue company Unum’s profiteering hand in the government’s work, health and disability green paper

The connection between Universal Credit, ordeals and experiments in electrocuting laboratory rats 

Conservative MPs accuse citizens of ‘scaremongering stories’ about experiences of Universal Credit

 


 

I don’t make any money from my work. I’m disabled through illness and on a very low income. But you can make a donation to help me continue to research and write free, informative, insightful and independent articles, and to provide support to others. The smallest amount is much appreciated – thank you.

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The DWP are being Conservative with the truth, yet again

Sarah's story: Turned out to be fiction rather than fact

Sarah’s story: Turned out to be fiction rather than fact


In 2015, Welfare Weekly exposed the Department for Work and Pensions for using fake testimonies from fake characters via a well-placed freedom of information (FoI) request, revealing that the lengths that the government is prepared to go to justify extremely punitive policies. Remarkably, even the 
Chartered Institute of Public Relations (CIPR)  were alarmed at the level of deception, and said it had written to all of its members who work at the Department to find out whether they had played any part in putting the leaflet together. 

Sarah Pinch, the CIPR’s president, said: “Falsely creating the impression of independent, popular support is a naive and opaque technique which blatantly disregards the CIPR’s standards of ethical conduct. It is deeply disappointing if public relations professionals allowed it to be published.” 

This happened during the same month that the it was only this month that the UK statistics watchdog censured the DWP for understating the scale” of its sanctions regime – essentially failing to release adequate data to give jobseekers or the public a genuine picture of the way it’s imposing sanctions, and of monitoring the real impact of this draconian policy. The revelation that the DWP has faked information to distort the reality that so many citizens face is reflective of how deep the rot is in the entire system. 

Then there are the fictional statistics. Iain Duncan Smith was rebuked by the Office for National Statistics (ONS) for the ‘misuse’ of benefit statistics  his claim that 8,000 people moved into work as a result of the benefit cap is “unsupported by the official statistics”, says the UK Statistics Authority. 

In letter to Duncan Smith, Andrew Dilnot writes: “In the manner and form published, the statistics do not comply fully with the principles of the Code of Practice, particularly in respect of accessibility to the sources of data, information about the methodology and quality of the statistics, and the suggestion that the statistics were shared with the media in advance of their publication.”

Another claim by Duncan Smith later in the same month also drew criticism and a reprimand. The (then) minister said around 1 million people have been stuck on benefits for at least three of the last four years “despite being judged capable of preparing or looking for work”.

However, the figures cited also included single mothers, people who were seriously ill, and people awaiting testing. Grant Shapps was also rebuked by UK Statistics Authority for misrepresenting benefit figures the Tory chairman claimed that “nearly a million people” (878,300) on incapacity benefit had dropped their claims, rather than face a new medical assessment for its successor, the employment and support allowance.

The figures, he claimed, “demonstrate how the welfare system was broken under Labour and why our reforms are so important”. The claim was faithfully reported by the Sunday Telegraph  but as the UK Statistics Authority confirmed in its response to Labour MP Sheila Gilmore, it was entirely fabricated.

In his letter to Shapps and Duncan Smith, UKSA chair Andrew Dilnot wrote that the figure conflated “official statistics relating to new claimants of the ESA with official statistics on recipients of the incapacity benefit (IB) who are being migrated across to the ESA”. Of the 603,600 incapacity benefit claimants referred for reassessment as part of the introduction of the ESA between March 2011 and May 2012, just 19,700 (somewhat short of Shapps’s “nearly a million) abandoned their claims prior to a work capability assessment in the period to May 2012. 

The figure of 878,300 refers to the total of new claims for the ESA closed before medical assessment from October 2008 to May 2012. Thus, Shapps’s suggestion that the 878,300 were pre-existing claimants, who would rather lose their benefits than be exposed as “scroungers”, was entirely wrong. Significantly, there is no evidence that those who abandoned their claims did so for the reasons ascribed by Shapps.

Now the DWP have been found out submitting fake claims to the Work and Pensions Committee. The DWP claimed the Institute for Fiscal Stdies (IFS) had reviewed its data which asserts that UC will help more than 250,000 people into employment, once the flagship welfare reform is fully implemented across the UK. However the IFS have contradicted the claim, leading to heavy criticism regarding the DWP’s statement and ‘evidence’ regarding Universal Credit’s ‘causal relatonship’ with employment. 

The Committee says:

“A central part of the Department for Work and Pension’s (DWP) case for the benefit of Universal Credit (UC) is their assertion of its effect on employment. In to a request for an estimate of the magnitude of that effect, DWP stated it has “determined” that UC will result in 250,000 more people in employment once it is fully implemented.

How the Department ‘arrived’ at these figures

In a follow up letter to Employment Minister Alok Sharma (PDF PDF 1.38 MB)Opens in a new window the Chair asked a set of specific questions about how the Department had arrived at each of the stated constituent parts of that figure:

  • 150,000 more due to “increased financial incentives to work” 
  • 50,000 more due to “increased conditionality”
  • 60,000 due to “simplification of the benefit system”

(That’s basically euphemisms for cuts, sanctions, and more cuts and sanctions)

The Department’s response (PDF PDF 800 KB)Opens in a new window did not answer any of the Chair’s specific questions, although it did supply an account of academic research papers that have informed the Department’s work on UC, and restated the principles underlying those three ostensible benefits of the reform.

DWP concluded by stating: “The approach to our analysis underpinning these estimates was reviewed by the Institute for Fiscal Studies.”

Accordingly, the Committee wrote to the Institute for Fiscal Studies (IFS) (PDF PDF 141 KB)Opens in a new window asking if, in that review, it had found those three estimates reasonable, and what the margin of statistical error might be on the numbers.

The IFS’ reply (PDF PDF 197 KB)Opens in a new window starts out “clarifying the role we had in reviewing DWP’s approach” in coming up with the numbers:

Note that at no stage did we review their approach to estimating the impact of increased conditionality or simplification, to which they attribute 50,000 and 60,000 respectively of the overall 250,000 forecast effect on employment”.

The employment impact of Universal Credit is highly uncertain

The IFS goes on to say: “Neil Couling’s letter to Baroness Hollis on 16 November states that the 250,000 figure is based on the same methodology we reviewed in 2012. For the reasons given above, that can only be true of the element (150,000) which is a result of changes to financial incentives. And we are not in a position to confirm whether and to what extent DWP took on board our comments and implemented our recommended improvements before applying the methodology….”

The employment impact of UC is highly uncertain. The move to UC involves a number of changes for which it is hard to find comparable precedents (especially UK precedents)” — casting doubt on DWP’s use of academic evidence to substantiate its estimates — “It is not even possible to produce statistical margins of error for estimates of the employment impact, as the nature of the uncertainty is not conducive to standard statistical analysis…”

Sadly, it will be difficult even after the event to produce convincing estimates of the overall employment impact of UC. The early impact estimates that DWP have published – cited in the Minister’s letter of 12 March – apply only to a small group of claimants who are not affected by UC in the same way as most other claimants […]” and;

“We emphasise that the overall employment impact of UC will conceal very different effects for different groups in the population, with employment rates likely to rise for some and fall for others.”

The last point contradicts what DWP have previously told the Committee when asked about the impact on other groups:

“We remain committed to producing robust comparative analysis of the employment impacts of Universal Credit. As we informed the Committee we are planning to expand the analysis for single cases in the Live Service to couples and families in both services.

This analysis will estimate a labout market impact for these broader claimant groups. In this instance it is misleading to draw a distinction between two services. The underlying policy for both is the same so any comparative analysis will hold true for both systems”.

Lack of evidence

Rt Hon Frank Field MP, Chair of the Committee, said:

“The ongoing lack of evidence to back up the much-vaunted employment impact of Universal Credit was already extremely disappointing. But to have our specific queries about basis of this claim answered with airy, irrelevant and, it appears, plainly inaccurate assertions adds insult to injury.

The IFS’ letter shows that Old Mother Hubbard hasn’t got much in the cupboard, despite the bragging of the Department. This clumsy and ill-judged attempt to piggyback on one of the most trusted, unimpugnable authorities on public policy and finance would be farcical if it was not so deeply worrying.”

Call it what it is, Frank. It’s just more glib, ideologically driven lies

Image result for Universal credit criticism


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Grieving daughter handed her mother’s ashes to ESA assessor to prove she wasn’t ‘fit for work’


A grieving daughter furiously handed an urn containing her mother’s ashes to a benefit health care professional who turned up to assess if the dead woman was fit for work, following an inexcusable and heartless blunder by the Department for Work and Pensions. 

Louise Broxton had suffered a host of neurological problems for which she received welfare support. She tragically died from lung cancer at the age of just 47 in August.

Her daughter, Hatti, immediately informed the authorities of her mother’s death and all her benefits were cancelled. After initially saying the information had been placed on file, however, some seven months later the Department for Work and Pensions sent an assessor to the door of her home in Wolverhampton to see if Louise was “fit for work.”

Hatti, a prison administrator, said: “I’m so upset and angry about what’s happened.

“It’s our government that has done this to us.

I’m only 27 and my brother has just turned 17. We’ve been through enough already and we don’t need this.

“I told the DWP afterwards I’d love to live in the world that the DWP live in, the one where my mum’s still alive. But she’s been gone for seven months.

When Mum passed away August last year, everyone was notified.

“I got an acknowledgement from the DWP themselves to say that mum had died.

“They stopped paying her benefits, and paid the arrears they owed her into my account because I am her next of kin.

“But on February 28 we got a letter addressed to Mum saying they were going to do a home visit on March 13 to assess her disabilities for ESA.

 

Hatti continued: “I was furious about it so I decided not to phone them about the mistake. Instead I waited to see if they would actually have the balls to do the home visit.

“I booked the day off work and stayed at home to wait for someone to come. My cousin came round to support me.

The letter stated they’d be coming between 11am and 2pm and they would contact to book an appointment.

“Obviously they haven’t been able to contact Mum because her phone has been cut off. They had my details as next of kin but they didn’t contact me.”

At 1pm Hatti had a knock on the door from the Employment and Support Allowance assessor.

She invited him inside and, seeing her cousin sat on the sofa, the doctor asked if she was Louise.

Hatti said: “My cousin replied, ‘No, I’m not,’ and I said, ‘Hang on a minute.’

“I walked over to the mantle piece in the lounge where we keep mum’s remains in an an urn decorated with a rose. I picked up her urn, turned around, and said ‘This is Louise Broxton and you’ve come to assess her?’

“He was completely mortified, as you would be. He apologised and offered his condolences.

I told him, ‘I’m not doing this to embarrass you, but the letter and having you on my door today, that’s twice the DWP have missed something.’”

Hatti says the assessor had not looked at her mum’s medical records, which would have shown him she was dead.

She also believes the Department for Work and Pensions (DWP) missed three opportunities to realise something was wrong – when they sent the letter, when no one responded to their request, and when the doctor missed Louise’s medical records.

Hatti asked the doctor to leave and inform his bosses of the mistake straight away. 

She said: “I had gone through all the correct channels to report my mother’s passing and his visit was very upsetting.

“He admitted he hadn’t even been through mum’s medical records which would have said quite clearly at the end – deceased.

She said: “It’s not the case that my mum died a couple of weeks ago. Then a crossover would be understandable and I would accept their apology. 

After the doctor left, within 10 minutes the DWP rang. The lady apologised and offered her condolences, but after admitting their mistake she tried to leave it at that. 

“That’s not good enough. I want policies in place and procedures to be followed. I don’t want anyone else to be in my situation.” 

A DWP spokesperson said: “We’ve apologised to Ms Broxton for the distress caused by the administrative error.” 

Hatti’s mother, Louise Broxton

 


I don’t make any money from my work, as a disabled researcher and writer. But you can help by making a donation to help me continue to research and write informative, insightful and independent articles, and to provide support to others. The smallest amount is much appreciated – thank you.

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Disability Income Guarantee abolished under Universal Credit rules – a sly and cruel cut

social justice man

Many of us have said previously that the government’s ‘flagship’ policy, Universal Credit (UC), is about implementing further cuts to welfare support by stealth. However, the loss of income to disabled people through hidden cuts has been under-reported. 

Despite the systematic cuts to support that was originally calculated to provide sufficient support to meet the costs of citizens’ basic living needs, UC is on course to deliver only marginal taxpayer savings despite driving through the huge cuts in benefit payments to many claimants, according to the Office for Budget Responsibility (OBR), last month.

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Disabled people who qualified for the support component of income-related Employment and Support Allowance and (ESA) are also eligible for a disability premium. This is also called the Disability Income Guarantee. However, as a result of the abolition of both the severe disability premium (SDP) and enhanced disability premium (EDP) under UC rules, according to the disability charity, Scope, the cut to the disability income guarantee will see disabled people lose as much as £395 a month

The UC system has made an estimated £11bn in savings, mainly through Treasury cuts to the original set level of universal credit rates – most notably through reductions to work allowances, which will save around £3bn, and the removal of £2bn in disability premium payments – but UC planning and delivery has also incurred £8.5bn in expenses.

Legal challenge

A terminally ill man is challenging the government regarding their catastrophic universal credit (UC) policy. Known only as ‘TP,’ a 52-year-old ex-City worker – who has non-Hodgkin lymphoma and a condition called Castleman disease which affects the lymph nodes – is launching a landmark challenge at the high court after becoming worse off under the new benefit system. The outcome of the legal challenge could have widespread implications for an estimated 230,000 disabled people who will be hit by the removal of disability premiums under UC rules.

TP discovered his illness is terminal in 2016 and he moved to London to receive treatment, but as it was an area where UC had already been rolled out in the capital, his lifeline support was cut by £178 a month.

The government has previously claimed that disabled people will be protected by ‘top-up payments’ as they transfer to UC but such payments are not planned to be implemented until July 2019. Transitional Protection will only be available to people who are moved over to Universal Credit from ‘legacy’ benefits (even though nothing has happened which makes them need to start a new benefit claim). The government calls this process ‘managed migration’. There will not be any managed migration until the Universal Credit full digital service is available in all areas – July 2019 or possibly later. No further details, as yet, have been published by the government regarding transitional protection. 

The Department for Work and Pensions have claimed UC means that support is “focused on those who need it most”, but a government removing SDP and EDP, which is support designed to help severely disabled people who live without a carer – is pulling a basic safety net from citizens with the greatest needs.

This cut will also affect disabled lone parents who may rely on their benefits to pay for support to shop, cook and wash, for example. The cut may mean that they will be forced to rely on their own children as carers.

This exceptionally cruel cut will affect a social group that have already been hit the hardest by austerity. It’s difficult to imagine that these further targeted withdrawals of support are not deliberate.

facade welfare
Furthermore, councils hit by government funding cuts are increasingly charging disabled people for social care – and those who need to claim SDP don’t have a family carer, and so often have a greater need for council social care support. Scope found earlier this year that disabled people have to pay on average an extra £570 a month for the costs of disability for anything from specialist equipment and treatments excluded from charge exemptions on prescription, to taxis and a special diet, with one in five paying more than £1,000 extra per month. 

As Frances Ryan says Since its rollout, UC has become synonymous with hardship, often heaped on the most disadvantaged families: from an increase in food bank use and rent arrears, to now one million children set to miss out on free school meals because of UC’s new earnings threshold. But the threat to disabled and chronically ill people has up until now gone largely under the radar.

“Yet severely disabled people will collectively lose £2bn in disability premium payments (a fraction of what the government is spending on UC’s delayed rollout). Or to put it another way, a mother with multiple sclerosis won’t be able to afford to put the heating on or pay for a carer to help her wash.”

Universal Credit doesn’t meet the aims stated by government and lacks a political consensus of support

Last October, the Resolution Foundation said that a spree of Treasury-driven welfare cuts since 2015 has left UC unable to meet its original aims of ‘strengthening work incentives’ and supporting the incomes of low-income families.

The Foundation warned that the current fragile political consensus in support of universal credit risks breaking down unless ministers refinance the reform and fix multiple design and implementation problems.

At the time, Conservative MP Wendy Morton, David Gauke and other Conservatives responded by claiming that Universal Credit ‘helps’ people into work and  criticised opposition MPs for ‘scaremongering.’ However, the new benefit has pushed people into debt and rent arrears, with some forced to rely on food banks to survive. It’s difficult to see precisely how a social security benefit that creates those extremely challenging circumstances could possibly help people into work. 

The leader of the House of Commons, Andrea Leadsom, was accused by senior Conservatives MPs of “paving the way for tyranny”, after the government whipped its MPs to abstain on a Labour motion on universal credit. Labour’s motion  passed unanimously despite the concerns of several Conservative rebels, but some Tory MPs were infuriated at being urged by their own party to ignore it.

Leadsom faced criticism from some Conservative MPs because she said the government was not bound by the reasonable resolution, which called for the rollout of the controversial welfare changes to be paused.

Frank Field’s letter regarding the DWP’s non-existent/existent data: a Schrödinger kind of paradox

cat schro

The data is only real when someone looks for it

Following on from the article yesterday, (DWP spent £100m on disability benefit appeals over 2 year period), I have copied Frank Field’s letter to Esther McVey below, which highlights the discrepancy between what McVey informed the Work and Pensions Committee when they asked her to provide evidence regarding the costs of disability benefit appeals and mandatory reconsiderations in an inquiry into disability benefits, and the details provided, following a timely Freedom of Information request. 

Key facts

  • Department for Work and Pensions (DWP) spent £108.1 million on Personal Independent Payment (PIP) and Employment and Support Allowance (ESA) reviews and appeals since October 2015
  • Ministry of Justice (MoJ) spent £103.1 million on social security and child support tribunals in 2016/17
  • Around two-thirds of PIP and ESA tribunals have been won by claimants this year
  • More than 300,000 PIP and ESA decisions have been changed at review or appeal since October 2015

Figures obtained by the Press Association through a Freedom of Information (FoI) request show that the Department for Work and Pensions (DWP) has spent £108.1 million on direct staffing costs for ESA and PIP appeals since October 2015.  The cost covers mandatory reconsiderations, an internal DWP review, and appeals to tribunals run by HM Courts and Tribunals Service. 

This staggering amount of money is being spent on the administrative costs of a Department fighting to uphold the outcomes of its own incompetent and deeply flawed decision-making. This is unacceptably leaving thousands of ill and disabled people having to fight to receive lifeline support to which, as the high proportion of successful appeal outcomes informs us, they are legally entitled. Furthermore, when provided with a second chance to remedy incompetent decision-making at mandatory review, the Department has persistently continued to uphold the original flawed decision in many cases. 

Since October 2015, 87,500 PIP claimants had their decision changed at mandatory review, while a further 91,587 claimants went on to win their appeals at tribunal. In the first six months of 2017/18 some 66% of 42,741 PIP appeals went in the claimant’s favour, highlighting that both the original decision-making process and mandatory review are failing to effectively ensure eligibility for support is fairly and accurately assessed.

The figures for ESA since October 2015 show 47,000 people had decisions revised at mandatory reconsideration and 82,219 appeals went in the favour of those let down by the current system of assessment and DWP decsion-making.

It’s as if the system is weighted to refuse as many people as possible their lifeline support.

So far in 2017/18, 68% of 35,452 ESA appeals have gone in favour of the claimant.

Conservative peer Baroness Altmann, a former minister at the DWP, said the money could be spent on benefits for those who need them, rather than on the costs of fighting their claims.

“Disability benefits need an overhaul and, of course, we must not let people make bogus claims, but the extent of the appeals we are seeing clearly indicates that something is seriously wrong with the system,” she said.

Figures released to the select committee’s inquiry show further costs to taxpayers.

The Ministry of Justice says it spent £103.1 million on social security and child support tribunals in 2016/17, up from £92.6 million the year before and £87.4 million in 2014/15.

Around 190,000 cases were cleared with or without a hearing in 2016/17, the Ministry told the committee.

The select committee is due to publish the results of its inquiry into PIP and ESA on Wednesday.

Chair Frank Field has written to Esther McVey, the Work and Pensions Secretary, in the wake of the figures to question why MPs were not given such information.

DWP gave the committee the average costs of a mandatory reconsideration and appeal for PIP and ESA.

However, Field, a Labour MP, said the committee was unable to work out the full cost of the appeals process.

This was because it was told information on PIP appeals was not available on whether they were appeals from new claimants or those being reassessed, which have different costs.

The information released to the Press Association was broken down into costs for new claims and those undergoing reassessments.

Here is Field’s letter:

letter head

From the Chair
                                                                                                                            9 February 2018
Rt Hon Esther McVey
Secretary of State
Department for Work and Pensions

PIP appeal data

During our inquiry on PIP and ESA assessments, your Department kindly provided to us estimated unit costs of MRs and Appeals. This indicated that different costs are attached to PIP appeals depending on whether they relate to new or reassessed claims. 

Seeking to understand the financial implications of appeals for the Department, Committee staff inquired on 30 January: 

Of the 170,000 PIP appeals since 2013, how many were for new claims and how many were reassessments?  

We were duly informed:

The information on the number of PIP appeals is from HMCTS published statistics and this information is not available from HMCTS for new claims and reassessments separately.    

We were therefore unable to estimate the full cost of appeals to your Department, although the Ministry of Justice informed us that in 2016/17 its appeals expenditure was £103 million. 1

It was with some surprise, therefore, that we today received data released in response to an FOI request. This provided estimated costs per month spent on PIP appeals—broken down by new and reassessed claims.

You will be aware that we are shortly due to publish our report. That this data was provided in response to an FOI request, but not for our Report, is doubly regrettable since the key theme of our report is the need to introduce much greater trust and transparency into the PIP and ESA systems.

Might you please explain how this occurred?


1 Cost of Social Security and Child Support appeals, of which the majority relate to PIP/ESA.Franks sig

 

 

 

 

 

 


Related

A critique of the government’s claimant satisfaction survey

DWP spent £100m on disability benefit appeals over 2 year period

Thousands of disability assessments deemed ‘unacceptable’ under the government’s own quality control scheme

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DWP spent £100m on disability benefit appeals over 2 year period

Image result for welfare reform disability UK

Part 1 of this article is from the Press Association and part 2 is written by me.

 

The Department for Work and Pensions (DWP) has spent more than £100m in just over two years on administering reviews and appeals against disability benefits, figures show. 

Tens of millions of pounds a year are also spent by the Ministry of Justice on the appeals, about two-thirds of which were won by claimants in the past 12 months. 

The costs were described as “staggering” and a former Conservative minister said “something is seriously wrong with the system”. 

The DWP said a small proportion of decisions were overturned and most employment and support allowance and personal independence payment claimants were happy with their assessments. (However, please see: Summary of key problems with the DWP’s recent survey of claimant satisfaction.)

But the department is facing questions from the work and pensions select committee over the figures, following claims that it was not given similar information for MPs’ inquiry into PIP and ESA.

Figures obtained through a freedom of information request show the DWP has spent £108.1m on direct staffing costs for ESA and PIP appeals since October 2015. 

“Thousands of disabled individuals have had to fight to receive support to which they are legally entitled.”  

Since October 2015, 87,500 PIP claimants had their decision changed at mandatory reconsideration, while 91,587 others won their appeals at tribunal.

In the first half of 2017-18, 66% of 42,741 PIP appeals went in the claimant’s favour. 

The figures for ESA since October 2015 show 47,000 people had decisions revised at mandatory reconsideration and 82,219 appeals went in the claimant’s favour. 

So far in 2017-18, 68% of 35,452 ESA appeals have gone in favour of the claimant.

Ros Altmann, a Conservative peer and former DWP minister, said the money could be spent on benefits for those who need them, rather than the costs of fighting claims. 

Figures released to the select committee inquiry show further costs to taxpayers. 

The Ministry of Justice spent £103.1m on social security and child support tribunals in 2016-17, up from £92.6m the year before. 

In a letter to the committee, the then justice minister Dominic Raab said the average cost of an appeal had more than doubled to £579 in 2014-15 because PIP cases “now comprise a much larger proportion of the caseload” and require more members on the tribunal.

The MPs are due to publish the results of their inquiry on Wednesday. 

Frank Field, the committee chairman, has written to Esther McVey, the work and pensions secretary, to ask why MPs were not given the information. 

The DWP gave the committee the average cost of a mandatory reconsideration and appeal for PIP and ESA, but Field said it was unable to work out the full cost because information on whether PIP appeals were from new claimants or those being reassessed, which have different costs, was not available.

“That this data was provided in response to an FoI request, but not for our report, is doubly regrettable, since the key theme of our report is the need to introduce much greater trust and transparency into the PIP and ESA systems,” Field wrote.

A DWP spokeswoman said it was working to improve the process, including recruiting about 190 officers who will attend PIP and ESA appeals to provide feedback on decisions.

“We’ve already commissioned five independent reviews of the work capability assessment, implementing more than 100 of their recommendations, and two independent reviews of PIP assessments,” she said. 

“Meanwhile, we continue to spend more than £50bn a year on supporting people with disabilities and health conditions.”


Part 2

I’ll add to this, however, that according to the Office for National Statsitics (ONS) spending on sickness and disability, combined with social care costs was £53,275bn for 2016/17. Sickness and disability benefit spending was £43,545bn, and personal social services was 9,730bn.  

The National Audit Office (NAO) scrutinises public spending for Parliament and is independent of government. An audit report in 2016 concluded that the Department for Work and Pension’s spending on contracts for disability benefit assessments was expected to double in 2016/17 compared with 2014/15. The government’s flagship welfare-cut scheme will be actually spending more money on the assessments themselves than it is saving in reductions to the benefits bill – as Frances Ryan pointed out in the Guardianit’s the political equivalent of burning bundles of £50 notes.

The report also states that only half of all the doctors and nurses hired by Maximus – the US outsourcing company brought in by the Department for Work and Pensions to carry out the assessments – had even completed their training.

The NAO report summarises:

5.5
Million assessments completed in five years up to March 2015

65%
Estimated increase in cost per ESA assessment based on published information after transfer of the service in 2015 (from £115 to £190)


84%
Estimated increase in healthcare professionals across contracts from 2,200 in May 2015 to 4,050 November 2016

£1.6 billion
Estimated cost of contracted-out health and disability assessments over three years, 2015 to 2018

£0.4 billion
Latest expected reduction in annual disability benefit spending

13%
Proportion of ESA and PIP targets met for assessment report quality meeting contractual standard (September 2014 to August 2015).

This summary reflects staggering economic incompetence, a flagrant, politically motivated waste of tax payers money and even worse, the higher spending has not created a competent or ethical assessment framework, nor is it improving the lives of sick and disabled people. 

The National Audit Office (NAO) found last year that the number of completed ESA assessments were below target, despite an expected doubling of the cost to the taxpayer of the contracts for disability benefit assessments, to £579m a year in 2016/17compared with 2014/15.

The NAO said that nearly 1 in 10 of the reports on disabled people claiming support were rejected as below standard by the government. This compares with around one in 25 before Atos left its contract. 

The provider was not on track to complete the number of assessments expected last year and has also missed assessment report quality targets. 

Atos abandoned its contract early following mounting evidence that hundreds of thousands of ill and disabled people have been wrongly judged to be fit for work and ineligible for government support. 

The proportion of Capita PIP tests deemed unacceptable reached a peak of 56% in the three months to April 2015.

For Atos, the peak was 29.1% for one lot in June 2014. 

More than 2.7million people have had a DWP decision regarding PIP since the benefit launched in 2013 – this suggests that tens of thousands went through an ‘unacceptable’ assessment.

The PCS union, which represents lower paid workers at the Department for Work and Pensions (DWP), told MPs during the Work and Pensions Committee inquiry: “We do not believe that there is any real quality control.

“Our belief is that delivering the assessments in-house is the only effective way for DWP to guarantee the level of quality that is required.” 

In evidence submitted to the Work and Pensions Committee, Capita said 95% of assessments are now deemed acceptable – giving the figure for the past year. The company said:

“This represents a significant improvement from previous years and producing quality reports for the DWP remains a top priority within Capita.”

“Additionally, we use a range of intelligence as indicators, to identify disability assessors who may not be operating at the high quality output levels we expect.

“This includes data from audit activity, coaching and monitoring.

“This enables us to continually monitor performance, and take appropriate internal actions… where necessary to ensure we continue to deliver a quality service.”

Atos claim that 95.4% of tests are now acceptable and more work was needed to ensure the auditing process itself is “consistent”, adding: “We strive to deliver fair and accurate assessment reports 100% of the time.”

It also emerged that Atos and Capita employ just FOUR doctors between them. Most employees within the companies are nurses, paramedics, physiotherapists or occupational therapists. Capita’s chief medical officer Dr Ian Gargan confessed he was just one of two doctors at the firm’s PIP division, which has 1,500 staff.

He told the Commons Work and Pensions Committee: “Two thirds of our professionals have a nursing background and the remainder are from occupational therapy, physiotherapy and paramedicine.”

Dr Barrie McKillop, clinical director of Atos’ PIP division, admitted they too only had two doctors among their staff. 

Frank Field said: “You’ve got two doctors each, mega workload – maybe there’s a lot of doctors out there who would long for some part-time work.” 

“You haven’t sought them out to raise your game, have you?”

However Dr McKillop insisted Atos’ current model “is a strong one” and people “bring clinical experience in different areas”.

You can listen to this submission to Work and Pensions Committee’s PIP and ESA evidence session here. 

The witnesses are: Simon Freeman, Managing Director, Capita Personal Independence Payments, Dr Ian Gargan, Chief Medical Officer, Capita Personal Independence Payments, David Haley, Chief Executive, Atos Independent Assessment Services and Dr Barrie McKillop, Clinical Director, Atos Independent Assessment Services.

You can access the written evidence here.

Many of us have been campaigning for reforms to the failing system – complaints about PIP rose by nearly 880 per cent last year – work and pensions inquiry report adds more pressure on the government to address a system that is failing so many people.

Since 2013 there have been 170,000 PIP appeals taken to the Tribunal: Claimants won in 108,000 cases – 63%. In the same time, there have been 53,000 ESA appeals. Claimants won in 32,000 – or 60% – of those cases.

Ministers have been citing statistics from a recent survey about satisfaction with Department for Work and Pensions services. However, I have critiqued the survey, and in particular, I faulted it because those claimants whose benefit had been disallowed by the Department were excluded from the survey. This means that the people most ikely to register their dissatisfaction with the Department in the survey were not allowed to participate.

I also found some statistics that are not fully or adequately discussed in the survey report – these were to be found tucked away in the Excel data tables which were referenced at the end of the report – and certainly not cited by Government ministers, are those particularly concerning problems and difficulties with the Department for Work and Pensions that arose for some claimants. 

It’s worrying that 51 per cent of all respondents across all types of benefits who experienced difficulties or problems in their dealings with the Department for Work and Pensions did not see them resolved. A further 4 per cent saw only a partial resolution, and 3 per cent didn’t know if there had been any resolution.

disatisfied

–  means the sample size is less than 40.

In the Employment and Support Allowance (ESA) group, 50 per cent had unresolved problems with the Department, and in the Personal Independent Payment (PIP) group, 57 per cent of claimants had ongoing problems with the Department, while only 33 per cent have seen their problems resolved. 

It is time that the Government stopped glossing over the fundamental problems with a system of assessment and decision making for disability benefits that is costing so much to administrate, it’s causing distress, hardship, and sometimes, it is costing people their lives. Fake statistics and PR designed surveys don’t hide the mounting evidence of the catastrophic impact that the Conservative reforms have had on many people.

The impact of the welfare reforms on disabled people has been brutal. More than a third of those who have had their benefit cut say they’re struggling to pay for food, rent and bills, while 40% say they’ve become more isolated as over 50,000 disabled people lost access to Motability vehicles.

To the government’s utter shame, they have claimed that this state of affairs is acceptable for the past 4 years.  It never was, and it needs to change.

 


 

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Our social security has been redesigned. It’s now a welfare deterrent

PIP

Hunger and desperation used quite ruthlessly by a “health care professional” to controversially justify refusing a disability support claim. Access to food banks can only happen if you are referred by a professional, such as a doctor or social worker. Furthermore, you can generally have a maximum of only 3 referrals per year. The ESA and PIP eassessment guidance says that a person must be able to walk the distance specified “reliably, consistently, safely and in a timely manner.”

universal-credit.jpg
Iain Duncan-Smith struggled financially once, but then he got off his backside and was given a Tudor mansion by his father-in-law, the fifth Baron Cottesloe, which proves rewards come to those prepared to make an effort.  Reuters.

“Universal Credit doesn’t go far enough – work won’t pay until people are running naked through stinging nettles to get their benefits.

As Universal Credit develops, it can encourage other skills, so if your electricity has been cut off, you have to screw your application form into a ball and dribble it through a line of cones before kicking it into a bucket. That way you can soon come off benefits and earn £5m a year as a winger for Manchester City.” Mark Steel, writing for the Independent

The Conservative notion of “deserving” and “undeserving” poor is a false dichotomy. No-one deserves to be poor

“Deserving” is a politically divergent word if there ever was one. The Conservatives have used it to apparently wage an all out class war, using austerity as a smokescreen. They certainly don’t take the side of the proverbial underdog. In fact the more need you have, the less this government considers you “deserving” of support and sympathy.

Policies aimed at people with what are politically regarded as “additional needs” are largely about ensuring your compliance, conformity and commitment to “behavioural change”, on the assumption that people somehow erroneously “choose” to need financial support. Claiming any form of state support has come to entail a deeply hostile and extremely challenging process that is causing psychological distress and often, physical harm, to our most vulnerable citizens. There are plently of examples of cases where this has happened documented on this site alone.

Such a disciplinarian mindset is now embedded in social security policy, rhetoric and administration. But we’ve been here before, back in 1832, when the Poor Law Amendment Act was aimed at categorising and managing “deserving” and “undeserving” poor. Those considered “deserving” were unfortunately placed in workhouses and punished by a loss of citizens freedoms and rights, in order to “deter” people from being poor. (See also The New New Poor Law, 2013.)

I’ve yet to come across a single case of someone being punished out of their poverty. Someone ought to send every government minister a copy of Maslow’s hierarchy of human needs, and remind them all that our post-war social security was originally designed and calculated to ensure people could meet the costs of basic survival needs, such as for food, fuel and shelter.

It was recognised back then that people struggling with basic survival requirements were highly unlikely to fulfil other higher level psychosocial potential, such as looking for work. If we want people to find work, we must first ensure they have the necessary resources to do so. And that the work available will make a real difference to their standard of living. 

Poor people don’t create poverty, state decision-making does. The economy and labor market conditions do. The punitive approach to poverty didn’t work in the 1800s and 1900s, and it isn’t working and can’t possibly be made to work now. It’s an ideological dead horse. It died because of the brutal and unrelentless use of too much political brutality, the heavy hand of the state offering all stick and no carrots for poor people.

Being poor is itself punishing enough. Now the poor are being punished for being punished with poverty.  No-one chooses to be poor, our overarching socioeconomic organisation is founded on the very principles of competition. Neoliberalism invariably means there will be a few “winners” (1%) and a lot of “losers” (99%). It’s embedded in the very nature of such a competitive system that emphasises individualism, rather than collectivism, to create increasing inequality and poverty. 

It’s worth considering that people on low pay, or with part-time hours in work are also being sanctioned, if they claim “top up” benefits to supplement their exploitative rate of pay or poor and unstable work conditions. This fact is hardly a good advertisment for the government’s claim of “making work pay”, unless of course we refer back to the poor law reform “deterrence” of 1834. Apparently, making welfare sufficiently punitive to deter people from claiming it is how we make work pay, not by raising wages in line with the cost of living. Silly me. I mistook a propaganda soundbite at face value. It seems old ideolologies die hard, with a vengeance.

Apparently it’s an individual’s fault for not “progressing in work”. Nothing to do with increasingly precarious employment situations, executive decision-making, or a deregulated labor market, of course. 

In-work benefits have effectively subsidised employers’ wage costs. Yet low paid workers are being punished by the government for this state of affairs.

It’s not so long ago that we had a strong trade union movement that used collective bargaining as a method of improving wages and working conditions. But the free market ideologues don’t like trade unions, or welfare provision. They like a neat, tidy and very small, limited interventionist state. Or so they claim.

The paradox, of course, is that in order to reduce supportive provisions, and dismantle the welfare state in order to fulfil the terms and conditions of neoliberalism, the government has to implement strategies that ensure citizen compliance. Many of those strategies are increasingly authoritarian, rather than “non interventionist”, in nature.

It’s not the welfare state, but the state of welfare that is the pressing problem

Private companies have become more firmly embedded in the core concerns of all departments of government in designing and delivering on public and social policies, and policies have become increasingly detached from public need, and more directed at meeting private interests, largely involving making huge and private profits. The Conservatives don’t seem to consider that rogue private businesses like G4S, Atos, Maximus, A4E, and so on, are extensions of the state, fulfilling what are, after all, state-determined functions.

Of course this creates an imbalance between the role of the welfare state in aiding private capital and its role in maintaining and supporting labor, and fulfilling the basic needs of citizens. Corporate welfare underpins neoliberal economies, and it costs the public far more than reduced public provisions promises to save.

In January 2016, the National Audit Office (NAO) published its evaluation of the DWP’s health and disability assessment contracts. It said the cost of each Work Capability Assessment (WCA) had risen from £115 under Atos to £190 under Maximus. The report also states that only half of all the doctors and nurses hired by Maximus – the US outsourcing company brought in by the Department for Work and Pensions (DWP) to carry out the assessments – had even completed their training.

The NAO report summarised:

5.5
Million assessments completed in five years up to March 2015

65%
Estimated increase in cost per Employment and Support Allowance (ESA) assessment based on published information after transfer of the service in 2015 (from £115 to £190)


84%
Estimated increase in healthcare professionals across contracts from 2,200 in May 2015 to 4,050 November 2016

£1.6 billion
Estimated cost of contracted-out health and disability assessments over three years, 2015 to 2018

£0.4 billion
Latest expected reduction in annual disability benefit spending

13%
Proportion of ESA and Personal Independence Payment (PIP) targets met for assessment report quality meeting contractual standard (September 2014 to August 2015).

Before 2010, cuts to disability support were unthinkable. Now the Treasury regards our provision as their pocket money for tax cuts for the very wealthy

This summary reflects staggering economic incompetence, a flagrant, politically motivated waste of tax payers money and even worse, the higher spending has not created a competent or ethical assessment framework, nor is it improving the lives of sick and disabled people. Some people are dying after being wrongly assessed as “fit for work” and having their lifeline benefits brutally withdrawn. Maximus is certainly not helping the government to serve even the most basic needs of sick and disabled people.

However, Maximus, and other private companies involved in the delivery of welfare programmes are serving the needs of a “small state” doctrinaire neoliberal government, and making a massive profit in doing so. It would cost much less to simply pay people the support they were once simply entitled to. However, the Conservatives are systematically dismantling the UK’s social security system, not because there is an empirically justifiable reason or economic need to do so, but because the government has purely ideological, anticollectivist prescriptions. 

As well as the heavy cost of each assessment to the public purse, there is also the considerable cost of many tribunals, because of the many “wrong decisions”on the part of the Department for Work and Pensions. That’s despite the fact that the government introduced another layer of bureacracy in the form of “mandatory review” in order to deter appeals. People going through mandatory review for a decision to stop their ESA cannot claim ESA again until after mandatory review (if you need to appeal, you can claim ESA once you have the review decision), and so are forced to either try and claim Universal Credit, going 6 weeks at least without any support, or to wait out the Review outcome, which has no set time limit, but usually takes at least 6 weeks for the decision about the original decision. Which is usually the same decision as the original decision, due to outrageous targets that were revealed in the department’s response to a Freedom of Information request, that stated staff conducting mandatory reconsideration reviews were held to a “key performance indicator” that said “80 per cent of the original decisions are to be upheld”.

This is a government that claims social security is “unsustainable” and a “burden” on the public purse, yet has no problem with an extraordinary profligacy with public funds and dispossessing tax payers when it comes to implementing “cost-cutting” and draconian welfare “reforms.” Conservative anti-welfare dogma and traditional prejudices are costing the UK billions of pounds. 

The Tories are all about ideology and not facts. As two authors astutely noted recently, the government seems to be driven by an idea that creating the conditions of purgatory for those they consider “undeserving” will somehow cleanse, redeem and purify people into not being so sinfully poor.  So it’s not actually “welfare” any more, but rather, it’s a “correctional” institution, for coercing citizens into conformity, compliance and a class contingent meekness, with a liberal dash of the protestant work ethic in with the catholic inquisition flavoured ingredients in the mix. Yes, the nasty authoritarian Conservatives really do think like this.

Disability support is virtually impossible to access for many people that doctors consider severely disabled, and involves a measured and ritualised humiliation. The assessments are solely designed to look for “discrepancies” in people’s accounts of how their illness/disability impacts on your day to day living. In other words, it is aimed at looking for reasons, no matter how flimsy, to ensure that welfare support for disabled and ill people is pretty much unobtainable.

Those questions you are asked by the (inappropriately named) Health Care Professional (HCP) that seem like innocent conversation, such as “Do you watch TV? Do you like the Soaps?” translate onto a report that says “Can sit unaided for at least half an hour”. “Do you have a pet?”becomes “Can bend to feed cat/dog.” “Do you use the internet at all?” becomes “No evidence of focus or cognitive difficulties, adequate hand dexterity.”

If you wear any jewellry, that may be noted and used as evidence that you have dexterity in your hands, even if you have severe arthritis and can’t fasten your buttons or a zip,  you won’t be asked if you ever remove your locket/ring/earrings. It will be assumed that you do. It’s a kind of opportunism of neglect and assumption used by HCPs to justify refusing some elements of PIP, or all of your claim. Or it’s the difference between being placed in the ESA Support Group, being placed in the WRAG on the lower award, or simply being refused an award altogether, and told you are “fit for work”. 

If you are unfortunate enough to need a referral to a food bank, and you actually manage to get to the appointment,  because you are desperate, that may also be used as evidence that you can walk further than 200 or 500 metres, even if you can’t, and managed to get a lift there and back.

Challenging such ridiculous assumptions wears you down. It creates distress when someone acting as a gatekeeper to the support you need dismisses your medical reports and account with such disdain, just stopping short of calling you a liar. Challenging the reasons provided for the DWP refusing you a PIP or ESA award is tedious, very stressful and time consuming and tiring. I’m sure that if you manage to do so successfully, even the fact that you managed to collate evidence, ask you doctor for supportive evidence and so forth may be used as evidence that you can function too well to warrant any support. If you demonstrate any ingenuity in coping with your condition, you’ve basically had it.

Once upon a time, support for disabled people was designed to help us remain independent, and to enable us to participate in society. PIP is non means-tested and people can claim it (allegedly) whilst in work.

However, I worked for social services until I became too ill to work. I loved my job, and my salary was very good, too. It was a terribly dehumanising experience to have to face the fact I was no longer well enough and fit for my post. 7 years later, at my PIP assessment, it was decided that my previous job “proved” that I don’t currently have “any cognitive problems.”

That’s despite the assessor acknowledging  in the report I now even need an aid to remember to take my treatments and medications, and that during the appointment, I had to be reminded several times what I’d been asked, as I kept forgetting what I was supposed to be answering. I have systemic lupus erythematosus (SLE), and cognitive dysfunction is very commonly experienced  symptom of this illness

People have even been refused PIP at appeal because they “spend too much time on Facebook.” Too much for what, exactly? Last time I checked, there were no laws in place that meant sick and disabled citizens were prohibited from using social media. Since when did it become acceptable for government officials to endorse and promote the social exclusion of disabled people online? 

But apparently, contradictions and paradoxes are allowed if you happen to be the assessing HCP. The report said that I was “thin” abut “adequately nourished”. She didn’t check my vitamin and mineral levels at all. Nor did she ask me about what I ate and how often. She just said that the aids I have were “adequate” (a perch stool, easy to use tin opener and specially designed easy to use cutlery, which are not especially designed for disabled people, but are easier for me to use because of the handle design and the steak knives instead of standard ones.)

What’s the point of welfare “support” if so few people are able to access it, despite their obvious need?

The United Nations (UN) inquiry into the allegations many of us made regarding the systematic abuse of the human rights of disabled people in the UK has exposed the multiple injustices of targeted cuts and the disproportionate burden of austerity heaped on sick and disabled people, their carers and their families, evidencing and detailing the effects of a range of policy measures affecting them that have been introduced since 2010. These include the bedroom tax and cuts to disability benefits, funds to support independence and social care.

The report concludes that the overall effect of what is now an essentially punitive welfare regime, which has been based almost entirely on unevidenced political claims and assumptions, has had an extremely detrimental and regressive effect on the rights of disabled people, to live independently, to meet their basic needs, to seek and stay in work,  and to be able to live an ordinary life as citizens.

The UN report documented multiple violations of disabled people’s rights, including the way that they are politically portrayed as being lazy and a “burden on taxpayers”, the harm to health caused by unfair assessments, the cuts to legal aid and curtailed access to justice, the imposition of the bedroom tax and the ending of the Independent Living Fund.

I wrote a lengthy article about the unsurprising but nonetheless disquieting report findings and recommendations, as I read throughit at the time, here.

The government have of course indignantly refused to accept the findings of the UN, or accept the accounts of individuals and campaigners like me, disability groups and charities, and other organisations. That’s because the government prefer to cling relentlessly to free market dogma and their traditional prejudices rather than face empirical evidence, facts and truths.

The days of genuine support, to ensure disabled people can maintain dignity and independence, and to be socially, economically, politically and culturally included, are gone. PIP and ESA focus exclusively on what you can’t do: on “functionality”. If you walk your dog or take a holiday, this is taken to somehow indicate that you are not ill or disabled enough to need support. In fact the media turns you into some kind of nasty folk devil and state parasite for trying to live as normal life as possible. If the government and media had their way, we would be trapped indoors in abject misery, or institutionalised.

How dare we try to live an ordinary life.

The government have formulated draconian policies aimed particularly at disabled people. And unemployed people, low paid people, and young people. And migrants. And old people who, like many disabled people, have paid in contributions towards a welfare system, should they need it, but now they also have to work until they drop.

Hey, and you thought governments are elected to meet public needs and spend our money wisely? No, apparently we’re here to serve government needs, to behave exactly as the Conservatives think we should. 

Welfare as a deterrent to… well, welfare.

 

Image result for poverty welfare punishment

And social security has been redesigned to punish those citizens who have the misfortune to find themselves in poverty.

 


 

I don’t make any money from my work. But you can support Politics and Insights and contribute by making a donation which will help me continue to research and write informative, insightful and independent articles, and to provide support to others. The smallest amount is much appreciated, and helps to keep my articles free and accessible to all – thank you. 

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