Tag: WCA

Misleading DWP letter to GPs is depriving disabled people of lifeline support

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Credit: PA Images

Last month I reported about the issues raised by the Department for Work and Pensions’ ESA65B GP’s letter template, which was only recently placed on the government site, following a series of Parliamentary Written Questions.

Campaigners and MPs have called for the Department for Work and Pensions (DWP) standard letter to GPs to be scrapped after it emerged that ill and disabled appealing against unfair work capability assessment (WCA) decisions were left in near destitution after their GPs refused to provide further ‘fit notes’, because they were advised they did not need to by DWP officials.

It emerged that ministers ordered changes to the standard-issue letter to remove references that made it clear to GPs they may have to issue a medical statement if their patient wished to appeal against a WCA decision. The DWP claims this was not intended to dissuade GPs from issuing fit notes. 

Those people who challenge WCA decisions are entitled to continue to receive employment and support allowance (ESA) at basic rate, worth £73.10 a week while they await their appeal hearing, but to do so they must obtain fit notes from their GPs to prove they are too ill to work.

They must also await the outcome of a mandatory review.  Before a claimant may lodge an appeal, the must first ask the DWP to ‘reconsider’ their original decision. However, the DWP has a stated target of upholding 80% of their original decisions, so the majority of people then have to appeal following the review outcome. The law says that the claimant may claim basic rate ESA following mandatory review if they wish to proceed with an appeal.

So the misleading change to the template letter routinely sent from the DWP to GPs has led to people who have lodged an appeal against an unfair decision being blocked from claiming ESA while awaiting the appeal hearing. This prevents many low-income disabled people from accessing financial support while they wait for months on end to go to tribunal. Furthermore, we know that catastrophically inaccurate assessments within the DWP are pretty much the norm. Nationally, 72% of people who appeal against their work capability assessment decision are successful.

Entitlement to ESA pending appeal is enshrined in the ESA Regulations to cover the whole of the period leading up the hearing. It is also possible to have the payment backdated to cover the Mandatory Review waiting period too – it can take over six weeks for the DWP to review their original decision, over which time people are left without welfare support.

ESA pending appeal is not paid automatically – people usually have to ask for it, and must provide fit notes from their GP, presenting these along with their appeal acknowledgment letter from the Tribunal Courts to their local Job Centre. The Job Centre should report back to the DWP who will arrange for ESA pending appeal to be paid.

From last year, then minister for disabled people, Sarah Newton, responded to one of several Written Questions from Emma Dent Coad, saying: “The ESA65B letter is issued to GPs in every case where an Employment and Support Allowance (ESA) claimant has been found ‘fit for work’. This process was built into the IT system as part of the introduction of ESA in October 2008. 

“Following a Ministerial requirement by the Cabinet Secretary, which was endorsed by the Secretary of State for Work and Pensions, the content of the ESA65B letter has been improved in order to explain to GPs the type of support customers can expect to receive from their local Jobcentre, and to ask GPs to encourage customers in their efforts to return to work.” [My emphasis]. 

The decision to change the letter template was made without any scrutiny from or consultation with parliament or the public.

The standard letter, titled “Help us support your patient to return to or start work.” says: “We assessed [Title] [First name] [Surname] on and decided that [select] is capable of doing some work, but this might not be the same type of work [select] may have done before.

“We know most people are better off in work, so we are encouraging [Title] [First name] [Surname] to find out what type of work [select] may be able to do with [select] health condition or disability through focused support at [select] local Jobcentre Plus.

“In the course of any further consultations with [Title] [First name] [Surname] we hope you will also encourage [select] in [select] efforts to return to, or start, work

“Please do not give [Title] [First name] [Surname] any more fit notes relating to [select] disability/health condition for ESA purposes.

Minister for disabled people, Sarah Newton, responded to one of several Written Questions from Emma Dent Coad, saying: “The ESA65B letter is issued to GPs in every case where an ESA claimant has been found ‘fit for work’. This process was built into the IT system as part of the introduction of ESA in October 2008. 

“Following a Ministerial requirement by the Cabinet Secretary, which was endorsed by the Secretary of State for Work and Pensions, the content of the ESA65B letter has been improved in order to explain to GPs the type of support customers can expect to receive from their local Jobcentre, and to ask GPs to encourage customers in their efforts to return to work.” [My emphasis]. 

Professor Helen Stokes-Lampard, the chair of the Royal College of GPs (RCGP), said the lack of clarity over when GPs should issue fit notes could put patients’ finances and health at risk. “No GP wants that, and it only serves to threaten the long-standing trust that patients have in their family doctor.”

Until 2017 the standard letter advised GPs that if their patient appealed against the WCA decision they must continue to provide fit notes.

However, on (undisclosed) ministerial orders, the letter now states that GPs “do not need to provide any more fit notes for ESA purposes”. It does not mention the possibility that the patient may appeal, or that a fit note is needed for the patient to obtain ESA payments until the appeal is heard.

Frank Field, the chair of the work and pensions select committee, has also raised the issue with the then disability minister Sarah Newton back in January. Newton replied that the wording was amended “to make the letter simpler and clearer”, adding that DWP communications were intended to be “clear, understandable and fit for purpose”.

Field replied that the wording was “not having the desired effect”, and urged her to revise it to make clear ESA claimants on appeal were entitled to fit notes. “This simple step could greatly ease the stress and worry that people who are awaiting an appeal experience.”

A DWP spokesperson said: “These letters simply inform GPs when a claimant has been found fit for work and are not intended to dissuade them from issuing fit notes for ESA appeal purposes, to claim otherwise is inaccurate.”

However, there is a hint the letter may be changed. Newton told Field: “We are committed to ensuring our communication is clear, which is why the wording of this letter was cleared by both the British Medical Association and the Royal College of General Practitioners (RCGP). However, we will of course consider feedback when revising the letter.”  Newton tends to stick to a script in her responses, though. She told Emma Coad Dent exactly the same thing, almost word for word last year, in her response to a Written Question.

It remains very unclear on what basis the RCGP agreed to the new wording as the change was agreed at a DWP stakeholder meeting for which, according to Newton, there are no formal minutes. Newton confirmed this in the correspondence between herself and Field, as well as in her responses to Emma Coad Dent’s long series of Written Questions on this issue.

Firstly, on 16 May, last year, Newton says: “The Cabinet Secretary first issued the requirement to revise the ESA65B letter in November 2014.

“The wording of the ESA65B was changed to emphasise the benefits of work and to ask GPs to encourage their patients in their efforts to return to some form of work.”

Then, according to Newton: “The British Medical Association and the Royal College of General Practitioners agreed to the revised wording of the ESA65B on 4 August 2016.” 

However, in June last year, she also said, in response to a Written Question from Emma Dent Coad: “DWP’s Legal Service cleared the revised wording on 29 July 2016 and the then Secretary of State for Work and Pensions subsequently authorised the changes.”

Yet when asked in November last year what written evidence her Department holds on the British Medical Association and Royal College of General Practitioners agreement to the revised wording of the ESA65B letters sent to claimants’ GPs when they fail the work capability assessment, she replied: “There is no written evidence relating to the agreement obtained from the British Medical Association and the Royal College of General Practitioners on the revised wording of the ESA65B letter.

“In accordance with the Answer of 30 May 2018 to Question 146987, agreement on the final wording of the ESA65B was obtained via the regular meetings DWP holds with both organisations.” 

Newton had previously also said: “In accordance with the Answer of 3 July 2018 to Question 155402, the information is not available as there is no written minute of the meeting between officials from this Department and representatives from the British Medical Association and the Royal College of General Practitioners on the revised wording of the ESA65B letter.” 

In June last year, Dent Coad asked Newton who attended the meetings between officials in her Department and the (a) British Medical Association and (b) Royal College of General Practitioners on the revised wording of the ESA65B; and if she would place in the Library a copy of the minutes of those meetings. Newton responded on 03 July 2018:  

“The names of the participants representing the British Medical Association and the Royal College of General Practitioners who attended the meetings referred to constitute their personal data and in accordance with data protection principles, they will not be disclosed without informed consent. DWP officials did not take minutes of these meetings.”

And: “No other external stakeholders were consulted on the development of the revised ESA65B letter.”

Newton has also said in response to Written Questions: “The Department is committed to ensuring all of its communications are clear, accurate and understandable and we continuously improve our letters. We engage regularly with the welfare benefits advice sector and disability charities and take into account all of the feedback we receive.”

“We have received comments from a number of sources including MPs, stakeholder organisations and GPs on the current version of the ESA65B letter and will take all of their feedback into account when revising it.”

I should hope so. The idea of the state persuading doctors and other professionals to “sing from the same [political] hymn sheet”, by promoting work outcomes in social and health care settings is more than a little Orwellian. Co-opting professionals to police the welfare system is very dangerous. 

In linking receipt of welfare with health services and “state therapy,” with the single intended outcome explicitly expressed as employment, the government is purposefully conflating citizen’s widely varied needs with economic outcomes and diktats, isolating people from traditionally non-partisan networks of relatively unconditional support, such as the health service, social services, community services and mental health services.

Public services “speaking with one voice” as the government are urging, will invariably make accessing support conditional, and further isolate already marginalised social groups. Citizens’ safe spaces for genuine and objective support is shrinking as the state encroaches with strategies to micromanage those using public services. This encroachment will damage trust between people needing support and professionals who are meant to deliver essential public services, rather than simply extending government dogma, prejudices and discrimination.

 

Related

Jobcentre tells GP to stop issuing sick notes to patient assessed as ‘fit for work’ and he died.

GPs told to consider making fit notes conditional on patients having appointment with work coach

Let’s keep the job centre out of GP surgeries and the DWP out of our confidential medical records

 


 

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 going through Universal Credit, PIP and ESA assessment, mandatory review and appeal. The smallest amount is much appreciated – thank you.

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Campaigners organise ‘First Do No Harm lobby’, aimed at preventing further social security related deaths

this ESA round

Disabled campaigners, researchers and organisations who have played a key role in exposing the discrimination and harm caused by the government’s social security reforms have been travelling to Westminster to attend round table discussions with five Labour shadow ministers. The meetings are chaired by Shadow Chancellor John McDonnell. I was invited to attend by John McDonnell’s office in September, because of my own ongoing campaign work.

The meetings are also the launch of a series of campaigning efforts and consultation between the Labour party, disabled activists, researchers and allied organisations. Labour MPs also hope to secure support from members of other political parties in the longer term.

We will be continuing to challenge the government’s persistent denial of a ‘causal link’ between their draconian social security policies and the distress, systematic human rights violations, serious harm and deaths of disabled people that have arisen in correlation with those policies.

Unless the government undertakes a cumulative impact assessment of the harm and  injustices that have followed in the wake of their welfare reform acts, they cannot provide evidence to support their own claims and flat denials that their policies are causing hardship, harm and distress. 

Public health experts from the Universities of Liverpool and Oxford have also produced a research report titled First, do no harm’: are disability assessments associated with adverse trends in mental health? A longitudinal ecological study. It highlights that the process of reassessing people on incapacity benefit for the new employment and support allowance (ESA) from 2010 to 2013 was “associated with” an extra 590 suicides, 279,000 additional cases of self-reported mental health problems, and the prescribing of a further 725,000 anti-depressants.

Speaking to the Huffington Post last year, the shadow chancellor said that he became furious during a Parliamentary debate when he demanded a comprehensive assessment of the cumulative impact of welfare reforms on disabled people and the government refused. He praised the website Calum’s List, which details the cases of at least 60 deaths linked to welfare cuts.

He added:  “We said to the Government we know now from Calum’s List, listing people from reports in the press and elsewhere of people committing suicide as a result of Government cuts.

We knew the Government were monitoring some coroners’ reports and we wanted them published, but [then DWP minister Esther] McVey wouldn’t and I got really angry.”

“Next week, what we are doing is getting a group of campaigning organisations and a group of experts together to talk about the way in which Work Capability Assessments are still having an impact, to try to get to the bottom in terms of mental health and suicide.”

McDonnell added that Labour’s first Queen’s Speech include legislation “making sure we have a welfare and benefit system that lifts people out of poverty”.

He said that his Hayes and Harlington constituency casework now operates an open-door system four days a week due to demand from people hit by government cuts. 

He added: “Helen who runs my office said the casework now is on a scale and a depth of suffering that we’ve never seen before. And this in a constituency with the [Heathrow] airport, high levels of employment but wages not matching the housing costs and the pressure on people working all hours just to keep a roof over their heads.

“If anything goes wrong they fall out of the system. Last month we were dealing with two families living in cars. We also have the ‘beds in sheds’ phenomenon, families living in a shed or garage rented out to them, it’s staggering really.

“Before this last eight years, those sort of horrendous situations would be infrequent but you wouldn’t have someone so heavily sanctioned. The sanctions often impact on people with mental health conditions hardest.”

The Labour party’s track record of inclusion and democratic consultation with disabled citizens and their communities contrasts starkly with the Conservative’s exclusionary ‘we know better than you’ approach to disability policies. The government have imposed cuts on disabled people, acting upon them as if they are objects of policy rather than being citizens within a democracy.  

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, citizens’ accounts of the impacts of policies ought to matter.

However, in the UK, the way that welfare 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 to intentionally divert us from their aims and the consequences of their ideologically (rather than rationally) driven policies. Furthermore, policies have more generally become increasingly detached from public interests and needs.

The Labour party listen to citizens’ accounts, and have always acknowledged our concerns. John McDonnell was involved in the setting up of Disabled People Against the Cuts (DPAC). After a nationwide round of consultations with disabled people about policies which enshrine the Equality and Human Rights acts, led by Debbie Abrahams, the Labour party wrote an additional manifesto, outlining policies for disabled people, called Nothing about you without you, which many of us have contributed to.

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Alex Cunningham, me, Debbie Abrahams and Gail Ward after the Disability Equality Roadshow and consultation in December, 2016.

The First Do No Harm lobby on 13 February aims to expose the continued harm caused to disabled people by government social security reforms, and to seek safeguarding changes to the social security system. It follows many years of growing concerns about the controversial Work Capability Assessment (WCA) and the failure of Department for Work and Pensions (DWP) ministers to make the necessary changes to make the assessment process safe.

Disability rights campaigners and MPs will focus on the repeated failure of the DWP to ensure that the “further medical evidence” needed to demonstrate a disabled person’s eligibility for out-of-work disability benefits is always collected, particularly for claimants with mental health conditions.

The three key asks of the lobby are:

1. To incorporate the principle of “First Do No Harm” into the assessment process for disabled people in the welfare system.
2. To call for the publication of a cumulative impact assessment of social security changes to disabled people.
3. To implement an assessment framework that treats disabled people with dignity and respect.

The lobby has been facilitated by Labour’s Treasury and work and pensions teams, through shadow chancellor John McDonnell and shadow work and pensions secretary Margaret Greenwood. Both Labour MPs and activists hope that MPs from all parties will attend. 

Shadow chancellor, John McDonnell has previously said that he believed the ongoing meetings with disability rights campaigners and allied organisations could herald the start of “a significant movement to expose the brutality of the system” and secure “permanent change”.

He told Disability News Service: “Disabled people have had enough of the continuing austerity, attacks and discrimination.

“The lobby will brief on the plight of disabled people and lobby for reform to protect against this harm.” The aim is to push for the principle of “First Do No Harm” to be included in the benefits assessment process, through a framework that “treats disabled people with dignity and respect”.

The lobby also aims to push the government to acknowledge years of raised concerns by our community to carry out a cumulative assessment of the impact of its social security cuts and reforms on disabled people. 

Campaigners will also call for an end to the government’s punitive sanctions and conditionality regime.

The First Do No Harm lobby is the first organised action arising from the ongoing meetings between disabled activists and allies and Labour shadow ministers, including John McDonnell, Margaret Greenwood and shadow minister for disabled people Marsha de Cordova.

Both Margaret Greenwood and Marsha de Cordova are to speak at the briefing as part of the lobby on 13 February.

A mass lobby is one way of using your right to turn up to the House of Commons and request a meeting with your MP as one of his or her constituents. An MP’s role is to represent a constituent’s interests – even if he or she does not entirely agree with them. As each MP may have up to 90,000 constituents to look after, it is best to be as brief, clear and courteous as possible when you meet your MP.   

Disabled people or allies who want their MP to attend the lobby should write to their MP – you can find MP’s email addresses here: WriteToThem – to inform them you wish to seek an appointment on the day of the lobby. 

The lobby is due to take place on Wednesday 13 February between 1pm and 6pm, with the briefing from 2-3.30pm, in the Palace of Westminster’s committee room 15. The committee room can be used for one-to-one meetings with MPs or further discussions on the issue from 1pm-2pm and then from 3.30pm-6pm 

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The most recent meeting at Portcullis House, Westminster.

 

Related

John McDonnell attacks Tory disability cuts and vows to address suicides linked to welfare reforms

Lobby aims to persuade MPs that DWP must First Do No Harm on assessments

Labour’s Disability Equality Roadshow comes to Newcastle

Nothing about you without you – the Labour party manifesto for disabled people

I very much wanted to attend this very important mass lobby and contacted my MP in respect of this. However, unfortunately I am currently not well enough to travel down to Westminster. I will, however, be working hard promoting the event on social media. 


 

I don’t make any money from my work. But you can make a donation if you wish and help me continue to research and write informative, insightful and independent articles, and to provide support to others going through disability claims, assessments, mandatory reviews and appeals. The smallest amount is much appreciated – thank you.

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My response to Brandon Lewis when he invited me to support the Conservatives

Image result for brandon lewis and theresa May

I was surprised to get the following email from Brandon Lewis, the Conservative party chairman, yesterday. 

I’ve published my response below the email.

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Brandon Lewis 2

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My response:

I want to share some news with you, Brandon,

I won’t ever be supporting the Conservatives. 

The government claims that austerity will ensure our children don’t inherit debt. That’s utter rubbish. I have seen my 2 youngest sons struggle making ends meet to get through university. Their tuition fees cost a lot more than our young people are permitted to borrow through the student loans company to meet their living costs each year. Despite the poorest students struggling to get by, they will still come away from university with a debt that is the same size as my mortgage was in 2003. My sons also lost their Education Maintenance Allowance because of your government.  To be frank, your party have caused my family and loved ones nothing but increasing hardship.

That’s how much this government values young people. Not very much. Certainly not enough to invest in their future, or in in opportunities that are meaningful and secure. My generation had access to free higher education. This generation is the first in a long time to be worse of than their parents were, in multiple ways, and not just because of the heavy costs of an education.

Jobs have become increasingly precarious. Worker’s rights and conditions are deteriorating and exploitation is flourishing because you have viciously attacked trade unionism and undermined the principle of collective bargaining. You have also deregulated the labour market because you are, after all, the ‘business friendly’ party.

Conservative corporatocratic principles have tilted the balance of power away from workers, leading to blatantly exploitative employment practices and grim, insecure working conditions. Your ‘business friendly’ agenda is the reason for bank bailouts, excessive pay for CEOs, increasing socioeconomic inequality, as well as the exploitation of national treasuries, people, and natural resources. Such an approach constitutes proto-fascism. 

Historically, fascists have operated from a social Darwinist perspective of human relations. Like the Conservatives, they create and value inequality. In terms of economic practices, this has generally meant promoting the interests of successful and monopolistic big business while destroying trade unions and other organisations of the working class. Fascists also promoted nationalism. I’m sure you don’t need me to point out the numerous uncomfortable parallels here, including your party’s stranglehold on the media. 

“Fascism should more appropriately be called Corporatism because it is a merger of state and corporate power” – attributed to Benito Mussolini, but probably came from Giovanni Gentile, the philosopher of fascism, in the first edition of the Italian Encyclopedia (Enciclopedia Treccani).

In 2013, JP Morgan wrote a document, which I read at the time – The Euro Area Adjustment—About Half-Way There. Firstly,  they say that financial measures are necessary to ensure that major investment houses such as JP Morgan can continue to reap huge profits from their speculative activities in Europe. Secondly, the authors maintain, it is necessary to impose ‘political reforms’ aimed at suppressing opposition to the massively unpopular austerity measures being imposed at the behest of the banks. 

The authors write: “The political systems in the periphery were established in the aftermath of dictatorship, and were defined by that experience. Constitutions tend to show a strong socialist influence, reflecting the political strength that left-wing parties gained after the defeat of fascism.

“Political systems around the periphery typically display several of the following features: weak executives; weak central states relative to regions; constitutional protection of labour rights; consensus-building systems which foster political clientalism; and the right to protest if unwelcome changes are made to the political status quo. The shortcomings of this political legacy have been revealed by the crisis.

Whatever the historical inaccuracies in their analysis, there can not be the slightest doubt that the authors of the JP Morgan report are arguing for governments to adopt authoritarianism to complete the process of social counterrevolution that is already well underway across Europe.

What JP Morgan is making clear is that anything resembling ‘socialism’ or left inclinations must be removed from political structures; localism must be replaced with strong, central authority; labour rights must be removed, consensus (democracy) and the right to protest must be curtailed. In short, JP Morgan called for authoritarian measures to suppress the working class and wipe out its social gains since the post-war settlement. This is the unadulterated anti-philanthropic voice of neoliberalism, which your party has embraced. 

Last year 16,333 people in the London borough of Kensington and Chelsea voted in the general election for Jeremy Corbyn’s Labour party, a constituency that has always been Conservative. Curiously, as the Financial Times pointed out, Kensington is where the senior European bankers live.  Andrea Orcel, chief executive of UBS’s investment bank, is among its denizens. BNP Paribas employs 7,500 people in London, and above VP level, most of them live in the vicinity of South Kensington station. – 25% of inhabitants of the South Kensington neighbourhood in particular work in finance. It is inferred that the swing happened in part because of the complete hash that your party is making of Brexit.

Your ‘high employment’ narrative does not benefit citizens, who face zero hour contracts, little employment security and more than half of those people needing to claim welfare support are in work. Your definition of ‘employment’ includes people who work as little as one hour a week. It includes carers. It also includes people who have been sanctioned.

Now there is a perverse incentive to furnish a hostile environment of DWP administrative practices in action.

When your party took office in 2010, on average citizens earned £467 a week. The latest figures from the Office for National Statistics (ONS) show that we now take home £460 a week. In other words, average wages have gone down in real terms during the eight years of Conservative-Lib Dem and Conservative governments, while the cost of living has risen substantially. It’s a misleading to make these claims at all when weekly earnings are actually 1.3 per cent lower now in real terms than they were when the Conservatives took office in 2010.

Furthermore, the ONS also produced household data suggesting that the true rate of unemployment is 4 times greater than the government’s preferred statistic.

The Conservative’s official definition of unemployment disguises the true rate, of course. In reality, about 21.5% of all working-age people (defined as ages 16 to 64) are without jobs, or 8.83 million peopleaccording to the Office for National Statistics. I know whose statistics I believe, given your party’s track record of abusing figures and telling lies.

Here is more data here on the effect of chronic underemployment of the unemployment rate, and the depressing new reality of the gig economy.

Conservatives being conservative with the truth as ever.

As ever we are witnessing the same old cheap labour Conservatism, where profits grow and wages are a stagnated pittance. Private companies gatekeep resources and services that were originally intended to meet the most basic needs of citizens, costing the tax payer billions while offering nothing in return but misery and cruel ideologically driven behaviourist practices. 

The clue is in the name: the word “Tory” I guess. It derives from the Middle Irish word tóraidhe, which means outlaw, robber or brigand, from the Irish word tóir, meaning “pursuit”, since outlaws were “pursued men”. It was originally used to refer to an Irish outlaw and later applied to Confederates or Royalists in arms. The term was originally one of abuse. As far as I am concerned, it remains so.

The Tories live by plundering. They steal people’s wages, public services, human rights and liberties, public provision and labour, in order to raise more money for the rich.

People know that wages are low, because of their daily experiences. The cost of living has risen, while wages have remained depressed throughout the last 8 years. People in work have had to queue at food banks, and in-work poverty is growing. Meanwhile you have pared publicly funded welfare support down to the bone. We pay for public services that your government seems to think we shouldn’t need. Your government is a sanctimonious, arrogant Victorian relic, with scant regard for citizens rights and democracy.

A personal account of why I won’t ever support the Conservatives

I’m a disabled person and from where I am trying to stand, I can see very clearly and first hand how your government have taken money from the poorest citizens and handed it out to your very wealthy and powerful friends. At the same time that you were imposing austerity on the poorest citizens and savage cuts on welfare and public services – placing a disproportionate burden on disabled people in particular – you were handing out tax cuts to millionaires to the tune of £107,000 each per year. Your austerity programme was very class contingent. Your generosity is pure elitism in action. Your ‘accumulation by wealthy through dispossession of the poorest’ approach to economics creates a hole in our economy which you attempt to plug every time by squeezing the poorest citizens. It’s a vicious cycle of vicious class discrimination and despotic behaviour, Brandon. 

And you richly reward private companies to gatekeep publicly funded services, causing those who have funded and continue to fund those safety net provisions distress and harm when they need to access the support they have paid for.

I have experienced this first hand. After working for many years, I became too ill to work in 2010, just as the Conservative-led coalition took office. I was forced to give up a social work job I loved because I was very ill. The last 8 years have been the bleakest I have ever known. Not just because I am seriously ill, but because your government have treated my human rights and those of other disabled people as somehow optional and increasingly conditional. Yet the whole point of human rights is that they are universal.

Disabled people like me have been forced to carry the heaviest burden of austerity because of traditional Conservative prejudices. In the last 8 years I have undergone 4 assessments, mandatory review, appeal and years of unwarranted distress and hardship, exacerbating my illness. I lost my home.

At my last ESA assessment, I was so ill that I collapsed. It was just 3 months after I had won my appeal. The nurse who conducted my first assessment said I was fit for work and I scored zero points. Her report must have been about someone else, because it bore no resemblance to my disability, my illness, my life or the assessment. At my last ESA assessment, I ensured that the interview was recorded. The doctor I saw could not understand why the Department for Work and Pensions had sent me for a reassessment when I was so clearly very unwell and having to take chemotherapy. Remarkably, following my collapse, he kindly sent me home in a taxi and Atos paid for it. It was either that or an ambulance.

Because my experiences claiming ESA were so distressing, I couldn’t face claiming PIP for SEVEN years. My local council had helped me, despite the miserly cuts you have imposed on them, (especially in view of the current surplus) because I needed aids and appliances in my home to maintain my mobility, and they offered support with my PIP claim. The assessment experience was once again appalling, leaving me in a lot more pain than when I arrived for the examination. Furthermore, I was told I could not have a point awarded for cognitive difficulties, despite the fact it was noted in the report that I needed prompting during the interview several times, and that my short-term memory is poor – I need aids to remember to take my medication, for example.

The assessor, having acknowledged my cognitive difficulties, went on to conclude somewhat incoherently that it wasn’t a problem. The point was the difference between a basic award and an enhanced award.  The reasoning for deducting that point went as follows: I used to have a driving licence in 2003. I worked as a social worker until 2010 – when I became too ill to work. She also said that I have a degree (gained in 1996, long before I became ill). Therefore there is ‘no evidence’ that [in 2017] my illness has caused cognitive problems, despite it being known to do so. I haven’t been able to drive since 2005 because I developed a sensitivity to flicker, which causes partial seizures. Just driving past lamp posts, telegraph posts and trees triggers vertigo, blindness, severe coordination difficulties, speech difficulties, altered states of consciousness, and muscle rigidity and twitching. I haven’t worked for 8 years, since becoming seriously ill. 

The DWP didn’t even bother to respond to my request for a mandatory review.

My experiences are not isolated events. They have become commonplace. Your government continues to refuse to listen to people like me. You have dismissed us, deplorably, as ‘scaremongers’. Such political gaslighting is shameful.

You have refused to listen to the concerns raised by the United Nations regarding the systematic and grave violations of disabled people’s human rights because of your excruciatingly punitive policies that create hostile environments for those social groups your government clearly despises.

So I’m sure you will understand why I cannot ever support an authoritarian government that refuses to listen to so many citizens’ accounts of their experiences of extremely punitive government policies, or one that refuses to democratically include them in policy design and support them in participating in the economy and society.

What is the point of a government of a wealthy country that not only fails to ensure that all citizens can meet their basic survival needs, but also remains completely indifferent to those needs?

So my answer is no, Brandon.

Ask yourself: what has your party ever done for people like me, my loved ones and my friends? 

With utmost sincerity,

Sue Jones

 

Related

Conservatism in a nutshell

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DWP is facing investigation following the suicide of 42-year-old mum of nine

Jodey Whiting’s mother, Joy Dove, with Jodey’s daughter Emma Bell (Image: Ian McIntyre)

The Department for Work and Pensions (DWP) is facing a legal investigation after a mother of nine took her own life “because the DWP stopped her benefits”. 

Jodey Whiting, who suffered severely disabling medical conditions, ended her own life in February 2017, shortly after the DWP stopped her disability support payments. The payments stopped because was claimed by the DWP that Jodey failed to attend a work capability assessment (WCA).

However, her family claims that she never received the appointment letter and is blaming the Government for her suicide.

The 42-year-old grandmother was diagnosed with a brain cyst and curvature of the spine and could barely walk to her own front door, but an inquest has heard that despite her  disabilities, Jodey Whiting faced a distressing battle with the DWP for lifeline benefits.

Supported by volunteers from the Citizens Advice Bureau, Jodey appealed the DWP decision to end her claim, but was told that due to a backlog in appeals it could take up to sixteen months before her case was reviewed.

Her mother, Joy Dove, who assisted her daughter in claiming the lifeline support she was entitled to, has taken up the battle with the DWP following her daughter’s death. She told Gazette Live“To have to wait another 16 months is devastating, but we can’t do anything about the fact there are so many cases that need investigating.

“I’m glad they’ve taken the case on. We will always fight for justice for my daughter.

“She has kids and grandchildren left without a mum, and I’ve been left without a daughter. I want to make sure this doesn’t happen to anyone else.”

The case will now be investigated by an Independent Case Examiner (ICE), who will look at the circumstances surrounding Jodey’s death and whether the DWP’s decision to stop her benefits affected her metal state at the time of Jodey’s suicide.

The ICE will looks at five key parts of the case against the DWP:

  • The Citizen’s Advice Bureau sent a letter to the DWP regarding Jodey’s health issues on February 15, six days before her death, but it failed to act on it until March 23.
  • Despite being made aware of her death on February 23 using the ‘tell us once’ system, the DWP issued a claim to Jodey about her Employment Support Allowance claim on February 25.
  • The DWP failed to take appropriate action to upgrade their computer systems until March 1.
  • The DWP continued to call Jodey’s phone and leave her voicemail messages until May, despite knowing of her death.
  • The department failed to respond to Mrs Dove’s letter of April 13, 2017 until June 14, 2017.

Jodey had been sent a letter that instructed her to attend a work capability assessment on January 16 last year, but missed the mandatory meeting while being in hospital because of a brain cyst. She knew nothing about the appointment.

On February 6, the DWP ruled that Jodey had not ‘provided sufficient evidence’ for missing the appointment and stopped her disability benefits. Jodey raised concerns about the decision on February 10 and made a formal appeal on the 13th. She killed herself on February 21, before a different DWP decision maker had reviewed her case and decided on February 25 – just four days after her death – that she should have continued to receive disability benefits.

A message about the ruling was sent to Jodey’s mobile phone inbox after her death, despite the DWP being informed of her death.

Joy has also started a ‘Justice for Jodey’ petition, with the aim of persuading the DWP to look again at how it handles social security claims. You can sign it here: you.38degrees.org.uk/petitions/justice-for-jodey

She said that messages of support there have helped her as she struggles to overcome her grief: “We’ll never stop battling. The messages I get on the petition, and from people who have been in similar situations, are incredible.”

The DWP did not respond for requests for comment.


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Nothing about you without you – the Labour party manifesto for disabled people

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FOREWORD

Over the last seven years disabled people have borne the brunt of the cuts inflicted on them by the Conservative Government and the Coalition before them.

The cuts have had a detrimental effect on the lives of disabled people, cutting living standards and undermining their access to education, social care and to justice.

Two years ago the United Nations (UN) convened a committee to investigate state violations of the UN Convention of the Rights of Persons with Disabilities (UN CRPD). Last year the UN published their report and concluded that the Conservative Government had committed ‘grave, systematic violations of the rights of persons with disabilities.’

This is a damning indictment of the treatment of disabled people by the Conservatives, one which shames us as a country.

We believe in a social model of disability, a society which removes the barriers restricting opportunities and choices for disabled people. As such we will build on the previous Labour government’s commitment to disabled people in 2009 as signatories to the UN CRPD. A Labour government will incorporate the UN CRPD into UK law.

We are proud of the manifesto we have developed with, and for, disabled people, and would like to take the opportunity of thanking everyone who has taken part in Labour’s Disability Equality Roadshow over the last year. We have crossed the length and breadth of the country to engage with disabled people and their carers, capturing their views on what needs to change for disabled people to live full and independent lives.

We will continue to work with disabled people in government, fulfilling our promise of ‘nothing about you, without you’.

Jeremy Corbyn, Leader of the Labour Party

Debbie Abrahams, Shadow Work & Pensions Secretary

Marie Rimmer Shadow, Minister for Disabled People.

To access full CONTENT click here (PDF)

After seven years of punitive policies and systematic abuse of the human human rights of disabled people by the coalition and Conservative governments, it is such a profound relief to see Labour have developed this manifesto, using consultations as a democratic opportunity to HEAR and include us in political decision making, and will strongly support disabled people and their families. I am proud to have contributed to this via the consultation held in Newcastle.

Here is a brief summary of some of Labour’s policies:

  • Labour will make it a priority to repeal the numerous cuts in social security support for people with disabilities. They will do this through a new Social Security Bill that will be passed within the first year of the new parliament.

  • Labour will reverse the £30 per week cut that the Tories recently imposed on disabled people who receive Employment and Support Allowance (ESA).

  • Labour will scrap the Bedroom Tax that has cruelly and disproportionately hit over 400,000 families with disabled members with punitive charges for “spare” rooms that are often used to store medical equipment, or for carers to sleep in.
  • Labour will end the pointless and needlessly expensive continuous reassessments of disabled people with permanent disabilities, chronic illness and degenerative illness.

  • Labour will end the privatisation of disability assessments so that disabled people never again have to face the indignity degradation of having to prove their disability to some corporate bureaucrat with targets to throw as many disabled people off their benefits as possible.
  • Labour will scrap the discriminatory and degrading Work Capacity Assessment (WCA) regime that costs billions more to administer than it actually saves in reduced payments in social security support for disabled people.
  • Labour will end the privatisation of disability assessments so that disabled people never again have to face the indignity degradation of having to prove their disability 
  • Labour will scrap the Personal Independence Payment (PIP) assessment regime too.
  • Labour will replace the WCA and PIP assessment regimes with a system where personal advisers help to provide every disabled person who feels capable of work to develop a tailored personal plan, adopting a genuinely holistic approach. Those who feel they can’t work will be supported without punishment or threat of uncertainty.
  • Labour will incorporate the UN Convention on the Rights of Persons with Disabilities into UK law. And observe the law.
  • Labour will scrap  the draconian sanctions regime that has consigned hundreds of thousands of disabled people to absolute destitution. 
  • Labour will increase the Carer’s Allowance by £11 per week to bring it into line with the rate of unemployment benefit. 
  • Labour will reverse the Tories’ assault on the Bereavement Allowance.

The Labour Party manifesto is a fantastic demonstration that they have been listening to the concerns of disabled people and their families.

The manifesto presents a set of policies that will make people’s lives better.

I’ve summarised a handful of policies here, so be sure to read the full document.

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 Alex Cunnigham, me, Debbie Abrahams and Gail Ward at the Disability Equality Roadshow in Newcastle

Successful Appeals Against Disability Assessments – It’s As If There’s Something Wrong With The System

PAY-Protesters-with-posters-outside-the-Dept-of-Work-Pensions

Source: the Independent, written by James Moor.

It’s rapidly becoming clear that Prime Minister Theresa May’s bold pledge to create a Britain that works for everyone should have an asterisk attached to facilitate the addition of “except for those pesky people with disabilities, can’t we pack them off somewhere else?”

In recent days the Government’s plan to cut people with serious mental health conditions out of eligibility for personal independent payments has justifiably come under sustained fire. 

However, the attitude problem displayed by both May’s administration, and that of her predecessor David Cameron, goes beyond that, as a delve into the latest statistics demonstrates.

What they show is that the number of appeals against decisions made by the DWP on the basis of assessments made by the private, profit driven contractors working on its behalf is increasing at a similar speed to that at which Lewis Hamilton exits Silverstone corners. 

They show that there were 60,600 Social Security & Child Support appeals between October and December 2016, an increase of 47 per cent. Even Lewis might think twice about acceleration like that. 

Some 85 per cent of those appeals were accounted for by the Personal Independence Payment (PIP) and the Employment & Support Allowance (ESA).

The rate at which the decisions made by the DWP on the basis of information supplied by the Government’s contractors – Capita and Atos – are overturned is also increasing. 

People started taking notice when it was running at 50 per cent. Now close to two thirds of appeals in the case of the PIP (65 per cent) are successful. The figure is higher still when it comes to ESA (68 per cent). 

I’m given to understand that the people who sit on tribunals have been asked to keep June clear, in an attempt to reduce a growing backlog. So forget about an early summer holiday. 

Needless to say, these people have to be paid, which puts extra cost into the system at a time when the Government says it’s trying to save money. 

Simply applying for either benefit causes a great deal of stress to people with disabilities. Having to go to appeal only exacerbates that. Applicants find themselves in the middle of a process that is humiliating and dehumanising.

That process also seems to throw up scandals with alarming regularity. Channel Four, for example, infamously filmed a Capita assessor saying a claimant had a “disability known as being fat”. Another claimed to have filled out forms before even seeing clients amid pressure to get as many done as quickly as possible. 

Other scandals have involved people with weeks or months to live being told they’re fit for work in the case of ESA, which is paid to people whose fitness to do so is impacted by medical conditions and disabilities. 

Set against that backdrop, is it any wonder that there has been so much criticism of the process, and so many successful appeals? 

If the assessment process worked effectively, and as it should, the number should be limited, and you wouldn’t expect such a large majority to be successful.

Ken Butler, welfare rights advisor at Disability Rights UK, says he is “very worried for all those disabled people who get turned down for benefits and don’t have the time or energy to challenge poor decisions made by the Department for Work and Pensions (DWP)”. 

He adds: “We’d advise all claimants to get benefits advice and, if they are turned down, to use the independent appeals process.”

Butler says that the high success rate of appeals clearly demonstrates that there is something wrong with the system. 

Unless, of course, the system, also savagely criticised by the United Nations, was deliberately set up to be this way. 

Before you suggest that is me indulging in a conspiracy theory, take a moment to think about this. If you make something difficult, stressful and painful, if you litter it with traps, and take the view that everyone getting involved in it is a dirty scrounger until proven otherwise, a lot of people will get put off and won’t apply. Still more won’t appeal when turned down, saving the Government money it can use for things like millionaires tax cuts. 

Dealing with a disability presents enough of a challenge as it is, without having to get to grips with a state that operates in a manner that would have impressed some of George Orwell’s darker characters. Would anyone be terribly surprised to find O’Brien working as a civil servant in the DWP?

The cynicism on display is breathtaking, if my assessment is correct. Alternatively, the situation I’ve discussed could simply have been created by a toxic mix of bureaucratic callousness and incompetence. 

The net effect is the same regardless, which is why there will be peals of bitter laughter emanating from Britain’s disabled community every time those words of Theresa May’s are trotted out. 

You’d be able to hear them if it weren’t for the fact that so many people with disabilities are now trapped in their own homes.  

Research finds damaging mental health discrimination ‘built into’ Work Capability Assessment. Again.

Research conducted by academics at Edinburgh’s Heriot-Watt and Napier universities confirms what many of us already knew: that the government’s “fit for work” assessment is causing permanent damage to some people’s mental health, from which they are not recovering. 

The researchers say in their report that the Work Capability Assessment (WCA) experience “for many, caused a deterioration in people’s mental health which individuals did not recover from”.

The study comes at the same time as John Pring, journalist from the Disability News Service (DNS) has exposed private provider Maximus in their use of “brutal and dangerous” questions about suicide intention directed at people with mental health problems during their assessments. 

Dr Jay Watts, a clinical psychologist and academic, told DNS that people should only be asked about suicidal ideation by a trained mental health professional who can offer help, or someone in an “existing trusting relationship with the individual”.

Watts said that WCAs were “degrading and humiliating experiences for most if not all claimants” and were carried out in a space which was “not a trustworthy one”.

She said: “Individuals are required to parade their distress and feel compelled to answer intrusive questions (for the means to live relies on this).”

She went on to say: “To ask about suicide or self-harm in this context brings huge risks.”

She added that such questioning “can be suggestive if the environment is unsafe.”

She said that claimants were “battered with multiple questions about that which is most personal” in disability assessments and questioned about suicide while the assessors are “typing away” on their keyboards.

Watts concluded: “I have no doubt that questions on suicidal ideation, and the degrading manner in which they are asked, are one reason behind the suicide spike associated with the WCA process.”

The tragic case of Michael O’Sullivan, who killed himself after being found fit for work by the government’s disability assessors, has also cast a spotlight on the harmful consequences of the work capability assessment, particularly in relation to people with mental health problems. 

Though O’Sullivan’s suicide is the first to have been judged a direct consequence of being found fit for work, the DWP has conducted 49 internal reviews into benefit-related deaths since 2012, according to data released following freedom of information requests by the Disability News Service.

Of these, no fewer than 40 were conducted following the suicide, or apparent suicide, of a person claiming benefit. This is both profoundly shocking and entirely unsurprising. It is the wholly predictable result of a system designed and operated by people who appear to lack even the most basic understanding of the realities of living with mental illness.

Despite providing reports from three doctors, including his GP, stating that he had long-term depression and agoraphobia, and was unable to work, O’Sullivan was taken off employment support allowance (ESA) and placed on jobseeker’s allowance. The decision to find him fit for work was made after an assessment by a Department for Work and Pensions (DWP) doctor, a former orthopaedic surgeon, who did not factor in the views of any of the three doctors treating O’Sullivan.

Work capability assessments discriminate against people with mental health problems and should be “redesigned entirely”, according to Professor Abigail Marks from Heriot-Watt University’s Centre for Research on Work and Wellbeing. This recent study also established, through dozens of in-depth interviews of people who had been through the tests, that “in the worst cases, the WCA experience led to thoughts of suicide”. Mental health charities said the contents of the interviews “reflect what we hear from people every day”.

The researchers interviewed 30 people with existing mental health conditions who had taken the tests throughout 2016. The majority of subjects suffered from depression or anxiety, whilst a smaller number had more complex issues like bipolar disorder or borderline personality disorder. In addition, the team interviewed individuals from advocacy organisations, Citizens Advice Bureau and a former employee of Ingeus, one of the private Work Programme providers.

Marks said: “It is unacceptable that healthcare professionals who act as assessors for the WCA, for example, physiotherapists, nurses, occupational therapists are not fully qualified or trained to assess mental health conditions, yet they seem to be able to override participants’ own GPs, community psychiatric nurses, and therapists.

The WCA must be entirely redesigned, and focus on the potential barriers to work for both physical and mental health problems.”    

The report also highlighted that WCAs make non-Work Programme work experience, or other voluntary work, almost ‘impossible’ for people with mental health conditions. 

Dr Gavin Maclean, research assistant at Edinburgh Napier University, said: “Many of the participants in the study found the experience of the WCA so damaging that they stopped engaging in work-based activity and did not return to it.

This could further reduce their long-term employability and potentially increase their dependency on benefits.”

Dr Sue Cowan, assistant professor of psychology in the School of Social Sciences, said: “For people with severe and enduring mental health conditions, voluntary work may be as ‘good as it gets’, as one of our participants stated.

This does not mean a failure to obtain more. Rather, it is a recognition that an individual is making a choice, and the current system does not recognise or support that in any way.

The assumption that engaging in voluntary work means an individual is fit for employment should be scrapped; there has to be much greater flexibility about undertaking training while on ESA and much greater value must be placed on voluntary work and work-preparation activity.”

The qualitative study highlights in particular a lack of expertise in mental health problems among WCA assessors and advice from the WCA that was not consistent with what people going through the assessment had been told by their own GPs. In one case recorded in the study, a participant recounted a doctor “actually physically gasping” during an appeal because of the poor quality of evidence recorded by a WCA assessor. 

Some participants reported being in tears or having panic attacks during the tests, and others told the researchers that the assessments were “making me feel worse”.

The researchers said that the extreme stress having to deal with multiple stigmas of being unemployed and having a mental health condition became “self-reinforcing and self-perpetuating”, leading to the deterioration of peoples’ condition.

It says in the report: “Our research has reinforced the fact that people with mental health problems face more stigma and discrimination than those with physical health conditions and that this discrimination is built into the WCA.” 

Professor Marks, the lead author of the study, who is based at Heriot-Watt University, told the Independent that people who worked closely with such cases reported that deterioration in mental health conditions was an “almost universal” response to the tests.

Key causes of extreme stress were said to be a claimant’s fear of losing their lifeline income, the prolonged nature of tests, a lack of specialist mental health training amongst assessors, and the fact the test was “clearly geared towards people with physical disabilities.”

This said, many people with physical disabilities have also stated that the WCA experience has had an adverse effect on their mental health. 

Marks says: “A lot of the people we spoke to were in a position where they are preparing to go back to work before their assessment – they were doing training courses, community initiatives, or volunteering.” 

“They said that after the assessment, because the assessment had caused them so much stress, they were unable to go back and take part in those activities because their mental health had had such a deterioration.

“Talking to the advocacy workers, as well, they said it was almost universal that after people had gone through an assessment there was a significant decrease in their mental health.” 

In October last year the Government announced that it would stop repeat Work Capability Assessments for people with chronic conditions, characterising the repeat assessments it was scrapping as “unnecessary stress and bureaucracy”.

Mental health charity Mind said the WCA was clearly “not fit for purpose” and that its lengthy and costly appeals processes could well make matters worse.

“The findings of this report are concerning but sadly not surprising, as they reflect what we hear from people every day,” Ayaz Manji, the charity’s policy and campaigns officer, said.

“People with mental health problems tell us that the current fit-for-work test causes a great deal of additional anxiety. We know the assessors rarely have sufficient knowledge or expertise in mental health, meaning many people don’t get the right outcome and then have to go through a lengthy and costly appeals process. 

“The current approach is not fit for purpose and needs to be replaced by an open and honest conversation based on each person’s individual needs.”

Debbie Abrahams, the shadow work and pensions minister, said the study was more proof that the WCA “is not only unfit for purpose, but is causing harm to some disabled people”.

She added: “That’s why I have committed Labour to scrapping these assessments completely and replacing them with a holistic, person-centred approach.”

As usual, a Department for Work and Pensions spokesperson dismissed the interviewees’ experiences as not “statistically significant”.

Apparently, qualitative data doesn’t count as “empirical evidence”, or contribute to it. Or put another way, if the government don’t want to count it, it doesn’t count.

The spokesperson said: “Only thirty people were interviewed for this report, which fails to acknowledge any of the significant improvements we have made to our assessments – particularly for people with mental health conditions.” 

“Last year alone at least 35,000 work capability assessments took place in Scotland to help ensure people get the right level of support that they need.”

In fact, 37 interviews were conducted for the study. Furthermore, there is much evidence outside of this study that supports the findings. Qualitative evidence often provides richer, more in-depth, detailed evidence than quantitative studies tend to permit. Yet the government insist that citizens’ own accounts are not important, regularly dismissing them as “anecdotal”.

The government have also failed to conduct a quantitative investigation into the established correlation between WCAs and a deterioration in mental health conditions.

In 2015, the “fit for work” tests, introduced to assess eligibility for disability benefit ESA, were again found to have caused relapses in patients with serious mental health conditions, Dr Jed Boarman, consultant with the Royal College of Psychiatrists, called for an  overhaul of the process.

Boardman, a consultant psychiatrist at the South London and Maudsley NHS trust, also said the WCA discriminates against those with mental health issues. 

Boardman, who treats patients with serious and long-term mental health problems, said: “People with severe long-term problems get very distressed about being assessed, probably because mistakes are made, because the process isn’t perfect, because they don’t feel they are being listened to in their interviews.

“You do see people relapsing as a consequence of getting distressed.”

His comments followed a study, published the previous month, that linked the WCA tests with an additional 590 suicides, increased mental health problems and hundreds of thousands of antidepressant prescriptions.

The study, published by the Journal of Epidemiology and Community Health, showed a correlation between worsening mental health and assessments under the WCA.

The Department for Work and Pensions described the study as “misleading.”

The study’s main author, Benjamin Barr, said it was crucial the DWP takes seriously concerns that WCAs are “severely damaging” mental health. He called on the department to release data it holds to researchers to allow further analysis of the health impact of the controversial test.

Boardman added: “Their primary criticism of our study is that we don’t have data specifically on people going through the WCA and consequent mental health problems,” said Barr, from the University of Liverpool. “They have data on who has died following the WCA and they could facilitate linkage of that data with health causes.”

Thousands of claimants have died after being found fit for work, according to statistics released in August 2015 by the DWP, following a freedom of information request and a determined and successful court appeal by Mike Sivier of Vox Political. Ministers insisted that the figures they have released could not be used to link claimant deaths to welfare reforms, but the government has refused to release figures that would make it possible to assess whether the death rate for people found fit for work is higher than normal.

Boardman and Mark’s concerns are echoed by psychologists and benefit advisers working with claimants, who say they have gathered a lot of qualitative evidence that WCAs cause much additional psychological distress for those with mental health issues.

Related

Maximus ‘admits’ using brutal and dangerous suicide questions – John Pring

Man leaves coroner letter as he fears Work Capability Assessment will kill him

Doctors bribed with 70-90k salaries to join Maximus and “endorse a political agenda regardless of how it affects patients.”

What you need to know about Atos

The importance of citizen’s qualitative accounts in democratic inclusion and political participation

Dying from inequality: socioeconomic disadvantage and suicidal behaviour – report from Samaritans


I don’t make any money from my work. I am disabled because of illness and have a very limited income. The budget didn’t do me any favours at all.

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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