Tag: incapacity benefit

Employment and Support Allowance – Another Mean Cut From IDS – Sheila Gilmore

Originally posted in the Huff Post, by Sheila Gilmore.

544840_330826693653532_892366209_nCruel cuts.

Policies developed on a false premise will inevitably run into problems. When these policies apply to people this can also cause great harm.

The Government’s policy on ‘sickness benefits’ is framed on the assertion that previous governments ‘dumped’ people on these benefits who never worked again. For their own good they needed to be re-tested on a new basis. Many people would then be returned to the labour market and spending on the benefit would be cut. The trouble is that numbers haven’t reduced much, and projected savings haven’t been made. But rather than review the basis on which their policy was built, it appears that the Government is simply going to cut by £30 per week the benefits of many of those its own test has found unfit for work for the time being. 

Like all good myths this has some elements of truth. Incapacity Benefit was used to deal with the problem of those displaced from industries like coal, textiles and steel during the 1980s. Job opportunities where they lived were limited, and many genuinely suffered from work related poor health . This was particularly true of older workers whose chances of a new job were always the slimmest. Under the Conservatives between 1978/79 and 1996/97, the total number of claimants more than doubled from 1.204 million to 2.569 million. This rate of increase slowed under Labour, with total numbers eventually peaking at 2.678 million in 2008/09 when ESA was introduced.

As this Budget rolls out I suspect we are going to hear a vigorous refreshing of the ‘people being callously dumped’ argument from Tory Ministers and backbenchers. However the truth is more complex. Even where total numbers have remained similar over a fairly long period, these are not by any means the same people. There is substantial flow both on and off benefit. Of those who are long term claimants , many have long term conditions making employment difficult, sometimes impossible.

 The Government insisted on rolling out the transfer of all existing Incapacity Benefit claimants to Employment & Support Allowance from 2011 , believing that the more stringent test applied for ESA would result in many existing claimants being found fit for work. In its first three years ESA was for new claimants only, with around 35% being found fit for work. The correctness of the testing process has rightly been the subject of much controversy , but applying the same test to those moving from IB produced a different result with only 23% being found fit for work initially.
One conclusion which may be reached is that in fact many people in receipt of IB actually were more unwell or disabled than the Government’s propaganda keeps suggesting . Not a conclusion it appears the Government wants to accept.

Even more crucially despite all the numbers being found ‘fit for work’, trumpeted by the Government as proof of their assertions, when you look at the total numbers in receipt of ESA, together those still on the older benefits, this number remains very high. The total number in receipt of ESA and IB is only 100,000 lower than in 2008/9.

Yet taking just the period between April 2011 and March 2013 some 234,600 former IB claimants had been found fit for work. With the toughness of the test also applying to new claimants, and the time-limiting of contributory ESA to a year for many , one would expect the total number of claimants to drop by more than the number of Incapacity Benefit claimants declared Fit for Work – but bizarrely it has dropped by considerably less.

With unemployment falling since 2008/9, one might hope that more people with health issues would have been able to find work.

Something unexplained is going on. Despite all the stress to individuals, the increasing cost and difficulty of administering the system (the migration process created a huge backlog in the assessment process), nothing much seems to have changed and savings not achieved. Are more people are becoming ill or disabled? This seems unlikely.

But what if the initial assumptions were wrong, and that there are not lots of ‘fit’ people sidelined onto incapacity benefits. Three quarters of those being ‘migrated ‘ from IB are not fit for work. The proportion of new claimants being found fit for work has fallen to 23%, and has been steadily falling . In addition I suspect that a good number of those declared Fit for Work, are simply not getting better, not getting jobs, getting less well and end up reapplying for ESA and being awarded benefit the second time round.

If we accept that most claimants actually face significant barriers to returning to work, we need to be putting more effort into both giving them the help they need, and encouraging employers to take people on. This was what the Work Related Activity Group was intended to do, but for many the support offered is minimal . People are invited to ‘work focused interviews (in letters that contain severe warnings about the consequences of not attending) and are then sent away for a year in some cases. Box ticked but no help given. Some are referred to the Work Programme which has very poor outcomes for this group, not surprising given that those attending say that all the emphasis was on the mechanics of job search with little reference to their heath.

Taking away £30 pw of income won’t tackle these weaknesses of the system. Will there still be a Work Related Activity Group at all? The only difference from being on JSA will be less conditionality (although there is still some and examples of ESA-WRAG claimants being sanctioned).

Nor are we dealing here with people with minor illness. Charities report that 45% of people who put in a claim for ESA, and had Parkinson’s, Cystic Fibrosis, multiple sclerosis, or Rheumatoid Arthritis, were placed in the Work Related Activity Group (WRAG).

While this change isn’t due to start until 2017 it won’t take long for it to apply to a substantial number of people . Around 700,000 apply each year for ESA, of which number around 60% proceed to full assessment (the others generally return to work before the process is complete). Currently around 14% of these go into the WRAG. That’s around 60,000 people affected every year.

37079_433060243430176_1848475368_nPictures courtesy of Robert Livingstone

Government turns a blind eye to work capability assessment related deaths and expect the public to do the same

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Tory ministers are facing further pressure to reveal information about how many people have died after being assessed as “fit for work.” Labour MP for central Newcastle-upon-Tyne, Chi Onwurah, has joined over 120,000 people that have signed a petition to demand that the Government release the figures.

Many campaigners have been calling on the Department for Work and Pensions (DWP) to publish the figures since November 2012.

Mrs Onwurah, who led a Commons debate on welfare earlier this year, said: “One of the most powerful and distressing examples in my debate was of a man who had committed suicide.

“If someone dies after being found fit to work it doesn’t necessarily mean that being found fit to work had an impact in their death, so I can understand that the Government might fear the figures would be misinterpreted.

“But if the Government has figures then they should share those, and allow people to interpret them fairly.

“This isn’t just a matter of dry statistics. It is about about the health-affecting impact that having been found fit to work can have on claimants.

“And I know that because I see them in my surgery on a regular basis.

“When bad decisions are made I know they can have a life-destroying impact on vulnerable people. So it makes sense for the Government to share that data.”

It was in January of this year that Mrs Onwurah told MPs about a vulnerable constituent who had tragically committed suicide after being found fit for work. He was claiming Employment Support Allowance and incapacity allowance. He was being supported by Newcastle Welfare Rights, who told the DWP that after suddenly being found fit to work:

“.. he was acutely distressed; he struggled to talk, he was having thoughts of suicide, he had also started drinking alcohol to cope and had struggled to leave the house”

Despite supporting psychological assessments, other evidence, and an attempted suicide, the decision was not reversed and in January 2014 he was found hanged by his neighbour.

Mrs Onwurah said: “My constituent was found hanged in his home by a neighbour. He was well known to Newcastle Welfare Rights, from which he had received considerable support in his dealings with the Department for Work and Pensions.

“He had been in receipt of employment and support allowance, and previously incapacity benefit, and he was engaging well with Newcastle Welfare Rights until November 2013, when he underwent a work capability assessment.”

The Department for Work and Pensions (DWP) insists it is irresponsible to suggest deaths which follow an assessment that claimants are fit to work were caused by the assessment.

The DWP originally published statistics in July 2012  after several of us submitted Freedom of Information requests (FOIs). The released statistics indicated that 10,600 people had died between January and November 2011 who had been claiming Employment Support Allowance (ESA), and where the date of death was within six weeks of the claim ending.

The DWP publication caused huge controversy, although many people disagreed over what the figures actually showed. Ministers subsequently blocked publication of any updated figures.

At the time, I made a statistical cross comparison of deaths, and the information released showed that people having their claim for Employment Support Allowance (ESA) stopped, between October 2010 and November 2011, with a recorded date of death within six weeks of that claim ceasing, who were until recently claiming Incapacity Benefit (IB) – and who were migrated onto ESA – totalled 310. Between January and November 2011, those having their ESA claim ended, with a recorded date of death within six weeks of that claim ending totalled 10,600. The DWP did not provide information regarding whether or not people had died before or after their benefit claim was ended, which complicated matters.

However, there is a very substantial and significant statistical variation over a comparatively similar time scale (although the 10,600 deaths actually happened over a shorter time scale – by 3 months) that appears to be correlated with the type of benefit and, therefore, the differing eligibility criteria – the assessment process – as both population samples of claimants on ESA and IB contain little variation regarding the distribution in the cohorts in terms of severity of illness or disability. 

Bearing in mind that those who were successfully migrated to ESA from IB were assessed and deemed unfit for work, (under a different assessment process, originally) one would expect that the death rates would be similar to those who have only ever claimed ESA.

This is very clearly not the case. And we know that the ESA assessment process has actually excluded many seriously ill people from entitlement because of the media coverage of individual tragic cases, when a person deemed fit for work by Atos has died soon after the withdrawal of their lifeline benefit, and of course, such accounts of constituents’ experiences and case studies, as evidence, informs Parliamentary debate, as well as the ongoing Work and Pension Committee inquiry into ESA, details of which may be found on the Hansard parliamentary record.

An official watchdog has also ordered the Government to release further information about how many people have died after going through the work capability assessment (WCA) which had resulted in a decision that they were fit for work, since the last publication in 2012.

The ruling was made after an appeal by Mike Sivier, a fellow campaigner, freelance journalist and a carer that runs the Vox Political blog who has himself been pushing for the figures to be published since the summer of 2013.

Being assessed as fit for work would mean that someone is expected to start looking for a job, take part in training designed to “prepare them for employment”, including workfare programmes – and would face the prospect of sanctions as part of the strict welfare conditionality regime – losing their lifeline benefits – unless they comply.

Mike also used the Freedom of Information Act to ask how many people who died between November 2011 and May 2014 had been found “fit for work”, or told they should move towards finding work.

But the Department for Work and Pensions refused his request, saying it was already preparing to publish the information.

Mr Sivier appealed to Information Commissioner, Christopher Graham, who ordered the DWP to publish the data within 35 days of his ruling on April 30, 2015.

But the Department of Work and Pensions has instead decided to appeal this ruling.

Campaigners now want to know what the government is trying to hide and the online petition demanding that Work and Pensions Secretary Iain Duncan Smith stop attempting to block publication of the statistics has been signed by more than 120,000 people on the website: www.change.org.

A spokeswoman for the DWP said: “We have been clear that we intended to publish these statistics – but we need to make sure they meet the high standards expected by the UK Statistics Authority before we do so.”

Many sick and disabled people have said that the constant strain, anxiety and stress of what they have described as a “revolving door process” of assessment, review, appeal and re-assessment, has contributed significantly to a decline in their health.

The previous figures from the DWP, and the marked contrast between the ESA and IB death statistics certainly substantiate these claims that the assessment process places a great deal of stress on people who are often seriously ill. Anyone with a chronic illness will tell you that stress invariably exacerbates their condition.

At a meeting in June 2012, British Medical Association doctors voted that the Work Capability Assessment (WCA) should be ended “with immediate effect and be replaced with a rigorous and safe system that does not cause unavoidable harm to some of the weakest and vulnerable in society”.

The vote has not been acknowledged by Atos or by the Government, although it was reported widely in the media at the time. On 22 May 2013, a landmark decision by the courts in a judicial review brought by two individuals with mental health problems ruled that the WCA is not fit for purpose, and that Atos assessments substantially disadvantage people with mental health conditions. Despite the ruling’s authoritative importance, the decision had a similar lack of real-world effect as it did not halt or slow down the WCA process: Atos and the DWP have ignored the judgement and its implications.

In mid-January 2012, there was a significant scandal as media were alerted to the fact that the WCA had found a man in a coma to be “fit for work”. Work Capability Assessments have found patients with brain damage, terminal cancer, severe multiple sclerosis, and Parkinson’s Disease to be fit for work. On 24 April 2013, a woman who was a double heart and lung transplant patient died in her hospital bed only days after she was told after a WCA that her allowance was being stopped and that she was fit for work.

In August 2011, twelve doctors working for Atos as disability assessors were placed under investigation by the General Medical Council because of allegations of misconduct in relation to their duty of care to patients. One doctor was forced to resign from Atos after being told to change a report about an individual, pointing out “the General Medical Council makes it clear that doctors must not change a report and risk being disciplined for unprofessional conduct if they do”.

There are many more well-documented problems with the Work Capability Assessment. It’s mired in controversy. Yet since 2010 the current government has continued to expand its role to reassess millions of  people that the DWP had already judged to be entitled to Incapacity Benefit. The government also made changes to the framework of the test to make ESA more difficult to claim.

Despite the controversy, the government continues to show a somewhat baffling and extremely troubling disinterest in the serious problems related to the increased means-testing and conditionality of sickness and disability benefits that they have introduced.

Another major area of concern is that there is a clear absence of impact monitoring, regarding the changes they have made to policy. I find it curious that whilst the DWP couldn’t state either way which side of a claim ending that the deaths happened, journalists and the government shrug the figures off, rather than actually INVESTIGATING the matter.

I have lost 3 friends during the past three years, who each died tragically just after being told they were fit for work, their lifeline benefit support was ended. Families who have suffered bereavement related to ESA claims consistently report that it is the stress of the assessment, the strain of being told they are fit to work when they are not, and the fact that chronically sick people then have to fight for their lifeline benefits that causes a further decline in their health, and the exceptional stress, caused by government welfare policy that is very punitive in nature, that is leading to some people dying.

It’s inconceivable that the government have failed to understand that placing very ill people in a position where their lifeline benefit is stopped so they have to fight for the means to meet their most basic needs – those of food, fuel and shelter – will potentially be very harmful, having a detrimental impact on their health, which may be fatal.

Further related reading:  Cross-party concerns raised in Parliament about Atos assessments, with evidence – presented cases studies of people who died AFTER their lifeline benefit was withdrawn – Atos comes under attack in emotional Commons debate

How many persons has Atos killed today? – Michael Meacher MP

Black Propaganda

What you need to know about Atos assessments

Clause 99, Catch 22 – State sadism and silencing the vulnerable

Labour would end this Government’s demonisation of benefits claimants – Chi Onwurah MP

Essential information for ESA claims, assessments and appeals

Remembering the victims of the Government’s welfare “reforms”


Thanks to Robert Livingstone for his excellent pictures.

UKIP: Disability claimants are “parasitic underclass of scroungers”




With thanks to Political Scrapbook

Accused of “pointing at immigrants and the disabled and holding his nose” on Question Time last night, Farage retorted that he “never has” criticised people with disabilities.

Yeah, Nige. Apart from in that manifesto policy document which was mysteriously deleted from the UKIP website last year.

The party claimed that 75% of incapacity benefit claimants “are fit and healthy”, dubbing them “a parasitic underclass of scroungers” and handing them a £1,300 cut in state aid:

“The welfare state has also created a brazen culture of benefit “scrounging”, whereby individuals who are perfectly capable of working refuse to do so, and go on benefits instead. They frequently justify this by feigning illness.

“This gives rise to a parasitic underclass of “scroungers”, which represents both an unreasonable tax burden on the working population

What is that if not an attack?





UKIP: Parochialism, Prejudice and Patriotic Ultranationalism.KIP

Not that I can ever endorse Russell Brand, either, for the reasons outlined here: Apathy and the alchemical dissolution: bring on the dancing horses

1380472_552739704795562_483105758_nThanks to Robert Livingstone  @LivingstonePics