Welfare Reform Bill

My Lords, I rise to speak briefly in support of Amendments 51CD, 51CE and 51FA and the related amendments concerning Clause 44, 46, 49 and 56, which were all tabled by my noble friend Lady Hollins. As she said, they concern claimant commitment and sanctions. The objective of these amendments, as I understand them, is to ensure that claimants' long-term conditions or impairments are understood by Jobcentre Plus. The claimant commitment ensures that the claimant's problems are recognised and that the necessary adjustments are made and that when sanctions are being considered the likely impact of the health condition or impairment on the claimant's failure to comply with some condition is fully taken into account. I shall take these three points in turn. The first is the need for Jobcentre Plus to understand the long-term conditions and impairments of claimants. Here the training of staff is paramount. In view of the incredible range of disabilities to be dealt with and the precision of the assessments required, can the Minister confirm that people with mental health or learning difficulties will be dealt with by specialist Jobcentre Plus staff in those particular fields? That has not been the case in the past, and the consequences have been absolutely appalling, yet the need for specialist knowledge will be even greater when this Bill comes into effect. I have referred in previous discussions around these issues to a conversation that I had with a Jobcentre Plus manager about people's mental health problems. When I asked that manager what happened to those people, he said, ““Oh, my staff don't understand mental health problems””. I said, ““Well, so what happens when someone with a mental health problem comes in seeking help?””. He said, ““We can't really help them, so what happens is that they become homeless and then they go back into hospital, and so then they get some help, and the process starts again””. That is such a statement about the failures of the past, and the reasons why I fear that with all this precision about what everybody has to do things will be very much worse for this group in future. We know that an awful lot of these people will fall into jobseeker's allowance—and we know what happens then. Many case histories have been sent to me, and no doubt to many other noble Lords, which illustrate the impossibility of the task and the consequences of mistakes being made. I want to quote one case to illustrate the point. Just as my noble friend referred to a case where a person had been given nul points—no points—I am also aware of somebody with a mental health condition assessed with no points a year ago. This person was placed on JSA and failed to cope with the conditions; her health deteriorated and she was reassessed and given 33 points. There is something terribly wrong about that. This lady, who was solely concerned to get back into work, complained that she had lost a year of her life. When she could have been getting the support that she needed and getting back into work, she has been sitting there deteriorating. This error, as I see it anyway, probably cost the taxpayer a year of benefits. That is one of my concerns. I have absolute respect for the intentions, and certainly the intentions of the Minister, but the fine-tuning on all these things will not work. I cannot see it working. In that context, I support the comment of my noble friend Lady Hollins in asking for a medical opinion in relation to these complex cases. We are all aware that psychiatrists in their teams spend weeks and weeks assessing a person and their needs and assessing what the problems really are—and even then they get it wrong sometimes. So how somebody in a single interview who does not have the experience or skill can do that job is really pushing it, I would suggest. That is not quite the language for this House, but I could say much more on that issue—and no doubt we will come back to it on Report. I move on to the importance of the claimant commitment and recognising the claimant's problems. The first step is for the Jobcentre Plus to understand—we have dealt with that. The next step is for something to be done about those problems. Here it seems to me that for claimants with mental health problems who are not under a secondary mental health trust—they are a different group altogether and I shall not talk about them here—but the million or so who are under a GP or not receiving any help at all, who are assessed as appropriate for RAG due to a mental health disorder, usually caused by anxiety or depression, it is surely vital that the claimant commitment includes very clearly the requirement that the person should be referred to a professional therapy or health service. IAPT as an obvious choice for many of these people, but not all of them. But my point is that it should be very clear in the claimant commitment—and this takes us back to the responsibility of the Secretary of State—that there is that responsibility there for the referral to be made. My concern is that this very substantial group will finish up with these providers, who probably will not have any real understanding of these kinds of issues. They will quite likely refer these people to a rather cheap option. I know that they will have £14,000, which is wonderful, but you wonder what they might want to spend that money on. If these people are referred to a cheap or inappropriate option, they will not get back into work. Something relatively simple like a requirement that a therapy or health service that a person requires should be specified in the claimant commitment could transform a system from an incredibly ineffective one to one that would effectively get people back into work. I know that the Minister has high hopes for Professor Harrington's work, and I share his optimism to some extent, having played a very peripheral role in that work. However, I do not believe that Professor Harrington's work will address the issue that I am raising here. His work should improve the quality of the assessments, particularly of mentally ill people and those with fluctuating disorders, but as I understand it, it will not at all ensure that the right help is available to this very large group of claimants. The whole edifice will fail if this crucial link is missing. Another issue that I want to touch on is the need to take full account of the claimant's condition in considering sanctions following a failure to fulfil one of the benefit conditions, such as a failure to attend an interview, work-related activity and so forth. I was going to mention the agoraphobic claimant to whom my noble friend Lady Hollins referred. The crucial point is something that the Minister said a little earlier: everybody must attend interviews. They must do this and must do that. In my view, an agoraphobic claimant could not do anything realistically except, with help, get along to get their treatment—professional treatment, not a cheap option. If that happened, and their symptoms were brought under control, you could then start talking about other things that that person should do. I understand the Minister's point about needing eight processes or whatever, but for some claimants it is vital to stick with the first one until that is done. Otherwise, sanctions will be applied completely inappropriately and destructively. It will not help. In fact, it would make things a lot worse. The extent of errors is well illustrated by the fact that 29 per cent of those in the work-related activity group are placed there only after reconsideration on appeal having originally been found fit for work. For 29 per cent of people, they get it wrong in the first place. The suffering those people go through is appalling. I was struck by the level of fear in the voice of the carer who is herself a service user at a recent meeting of our service users and carers in east London. She had just attended a reassessment and said that it was terrifying. She said, ““He had no idea about my disability””, and had no idea about her responsibilities to her mentally ill son. Under the new system, a claimant can obtain a report from a healthcare professional of their choice. That is great progress. However, there are major concerns, and I look forward to the Minister's response. Sitting suspended for a Division in the House.