27/03/2017 House of Lords


27/03/2017

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that these house do now adjourn. As many of that opinion say aye. The

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ayes have it. In order, order. Wink-macro that is the end of the

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day in the House of Commons. We will now be going over live to the House

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of Lords. The members you can watch recorded coverage of all of today's

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business in the Lords after the day's politics tonight.

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I understand from Jane Hardy, the head of home support at Solent Mind,

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which supports people with mental health problems cost pole across

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Hampshire and Southampton, that she is in no doubt that the social

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isolation of many of her clients. Getting out of the House can be an

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extremely stressful experience for someone who suffers from paranoia,

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lacks confidence in social situations, or who feels unsafe in

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noisy, crowded environments such as on public transport. But the salient

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erections are also vital to their mental health and physical

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well-being, preventing them from becoming even more isolated and

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enabling them to be properly, pay their bills and attend important

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appointments. That is why it is so important that we seek to remove as

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many barriers to their mobility as possible through financial and other

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forms of support. And while it is so important that we do not differ it

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in a way that seems to be against people with mental health problems.

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His condition can be just as debilitating as someone with a

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physical disability. -- whose condition. I realise that many

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people with mental health problems have until recently missed out on

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being mobility equivalent of PIP. But the agreement is more in keeping

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with the original intent of the legislation than the amendment

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tabled by the Government, opening up additional support to allow and

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people with mental health problems. -- to around 160,000 people. We must

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be sure that the amendment is not undermining the intended aims.

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Those from the well form reform act of 2012. From the beginning it was

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intending not just to reset the threshold to determine who gets

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what, but to decrease the overall expenditure on benefits. By

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attempting to target them more effectively than the DLA and

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specifically to give more weight to mental health problems. The

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department said that of those with mental health conditions, receiving

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the mobility component within DLA, only 9% had been entitled to the

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higher rate. 27% of claimants receive the

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enhanced disability rate or 28% from the minister's letter of this

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morning. The Government's own consultee asked

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the permanent question, so what impairments do these 27% have? Are

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they are combination of physical and mental impairments? The department

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debated this question, saying that perhaps 27% was somewhat imprecise.

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So we don't know what will happen to any of those claimants who may be

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reassessed quite soon. But what we do know is that these new

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regulations undermine the welcome support given this those with mental

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health problems and I urge the Government to withdraw them for

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further consideration. I hope other members of the House will be as

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uneasy as I am at the Government immediately reaching for the statute

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book in order to negate a very careful decision of the upper tire

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tribunal. Ministers say it is to restore the original intention of

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the original, of the relevant descipor about planning, following a

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journey and insist the legislation is clear. But they got over the fact

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-- gloss over the fact that the Secretary of State himself said n

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the case in December, 2015, that and I quote, "Overwhelming psychological

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distress could, depending on its nature, frequency, duration and

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severity make a person unable to navigate and so to fulfil the terms

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of the ID 1 F. 1 F gives the higher rate." We are now told that the

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Secretary of State made a mistake and had to explain to the court the

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concession had erroneously been made. That is all very satisfactory.

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And leaves a particularly bad taste in the mouth. Whose hand is round

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the Secretary of State's throat? What he said sounds to me exactly

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what the original policy intention was. Why don't the Government come

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clean and say that they are changing the policy for enhanced rate

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mobility by not allowing psychological distress to be taken

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into consideration? And why the indecent haste in changing the law?

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As the Secretary of State is appealing the upper tribunal's

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decision, he could have used other powers he has to prevent the

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decisions of this tribunal from having immediate legal effect, by

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giving directions to decision makers and courts about how the descriptors

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should be interpretated. Why not wait for that outcome. The timescale

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is curious. If he was to wait three months from the judgment. Why not

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use that time to consult properly? The impact assessment estimates that

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71, 500 claimants in the current case load will go from standard rate

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to PIP, to nil. The same figure from enhanced rate to 0 and 21,000 from

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enhanced rate as standard. So, 143,000 claimants with an enduring

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health condition are east di mated to lose the benefit all together and

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as we have already heard, disorders likely to be affected, according to

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the DWP range from schizophrenia and autism to bipolar and cog native

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disorder. So much for esteem between physical and mental health. There is

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another aspect which must be considered. The Secretary of State

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is keen to say that no-one already getting an award under the old

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regulations will lose it. Presumably meaning that no-one will

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have their money clawed back, but some awards are only for a year

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before another assessment is demanded. Thousands of claimants are

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in this position. So the new assessment will presumably be under

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the new rules, meaning that many existing beneficiaries of standard

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or enhanced rate mobility will lose all entitlement. I accept that the

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reason the Secretary of State is making this change is not to make

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even more savings than have already been announced. But is it fair to

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tear up the carefully constructed mobility descriptors and the

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judgment which mix up case and without proper consultation. Is it

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not yet another tightening of the screw around the whole independent

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living pro-jectd, which is on every side? These regulations should be

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set aside to await proper consultation. I shall end with a

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word. I particularly address my friends and colleagues on the Labour

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benches. And I'm going to quote from the Cunningham committee report of

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2005, on the conventions of the UK Parliament. They say and I quote.

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"The Government appear to consider that any defeat of an NI awards is a

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breach of convention. We disagree. It is not incompatible with the

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revising chamber to reject - since A, the Lords, rightfully or wrongly

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cannot exercise its amending role by amending this or in any other way.

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And B, they can bring it forward again immeadiately, with or without

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substantial amendment." My Lords, we should have the courage of our

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convictions and vote to annual these regulations.

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-- annul these regulations. I declare my interest as a recipient

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of Disability Living Allowance and therefore have an interest in this

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type of benefit. Two very simple and basic points make the case against

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these regulations open and shut, in my view. The first, is that it's a

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clear breach of faith with the disability community. Back in 2012,

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when PIP was first introduced, Mind and other mental health charities

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raised concerned that people with mental health problems would only be

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able to score points dun der the ci ter -- under the criteria of

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psychological distress. The Government gave the reassurance this

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was not the case. And that people could score points under a range of

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criteria if their condition meant they struggled to plan and follow a

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journey. On this basis, PIP, was welcomed by the mental health and

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wider disability sector. Because for the first time people with mental

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health problems felt they would be given access to disable support

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equal to that with people of physical dacts. -- disabilities.

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My Lord's, these commitments were underlined in statements by

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ministers in debates on the welfare reform will at the time. The noble

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Baroness Lady Bakewell as quoted the statements, so I do not need to

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repeat them. However, in practise, the DWP hasn't deemed people who

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experience psychological distress eible for the full range of points,

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regardless of how severely that distress affects them. This has

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meant that 164,000 people have received a lower rate than they

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should have been entitled to. This is the origin of the two cases which

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came before the upper tribunal at the end of 2016. The tribunal's

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rulings didn't extend the role of PIP, as the Government suggests. But

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clarified it. That's what tribunals do. They don't

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make the law. They clarify what the law is. It's the Government who are

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now seeking to restrict the scope of PIP from what it has always been

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understood to be by removing psychological distress from ci

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Terrion 1 -- criteria 1 F, to not follow a familiar route without

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assistance. So the claimant can only be awarded four points under a

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mobility descipor, 1 B. So the regulations are in clear breach, if

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not of manifesto commitment on this occasion, then certainly of pledges

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given to these with mental health problems in 2012. This change do the

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eligibility criteria also flies in the face of the statement in the

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work, health and dablingt green paper - Improving Lives, that the

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Government will not seek to make any further cuts to disability benefits,

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following the controversial cut to those receiving employment support

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from 1st April this year. My second point can be made even more briefly.

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The proposed changes would create a legal distinction between those with

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mental health problems and those with other kinds of impairment when

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it comes to benefit assessments, a distinction which flies in the face

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of the Government's commitment to clarity of treatment to people with

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mental health conditions. The Government has said a person with a

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cog anythingive impairment -- cgniative impairment will have the

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highest mobility rate. It is far from covering the full range of

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people with mental health problems. My Lords, I believe these

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regulations are trying to move the goal posts by excludeing people who

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experience psychological distress from being eligible for the higher

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number of points necessary for the higher mobility rate for the higher

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rate of mobility component. In doing so, effectively discriminates

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against people with mental health problems. This is clearly against

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the original intention of PIP and runs count tore the commitment the

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Government has made to people with mental health problems that they

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would be assessed in the same way as other disabled people. I support the

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motions before us this evening to oppose these regulations and if the

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noble Baroness Lady Bakewell moves for a vote, I will support it.

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My Lords, as ever I've had a huge number of e-mails on this debate

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tonight. After the last debate that was tabled by the noble Baroness

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lady Thomas of Winchester on rule I had many hundreds. I understand many

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charities have writ on the the Prime Minister on this issue. I am

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concerned over the way that this has been misunderstood, about who is

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eligible. It is suggested it is not a big change, but like other noble

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colleagues tonight, I have many concerns. Just to add on something

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that my honourable friend of Surbiton said impairments. If you

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take the use of a blue badge, there is misunderstanding about who can

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qualify for that and who should have one and who shouldn't have one and

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how people are treated if it is perceived they are not disabled

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enough to need one. That's something which is relatively simple, let

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alone when you get on to some of the intry Kaysies of the assessment

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forms. My Lords, I do have issues with the name Personal Independence

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Payment. In itself it is not accurate. It is a contribution

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towards independent living. It doesn't cover all the costs of

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someone with a disability living independently. I am a recipient of

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PIP. I was a recipient. I went through the process last year. It

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was an interesting and arduous process. Just the forms to tell you

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have to transform over are complicated enough. When I made the

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phone call to register I was left on hold for over 25 minutes. With each

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passing minute you are worried the phone call will drop out. And then I

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was asked a number of questions which could be construed as

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confusing. My Lords, I have some understanding in this area and they

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were really difficult questions for me to answer. I was asked the same

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questions repeatedly came back and forth. I was asked the name of the

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medical personnel who could best desciep my -- describe my

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impairment. I am disabled. Not ill. It came to the time I was doubting

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my own answers. I am not lacking in confidence in able to understand and

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explain the challenges I face in terms of being mobile. My Lords, I

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have said it before and I will say again, it is absolutely essential we

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have a better decision-making process. The cost of mandatory

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considerations and tribunals is simply too high.

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Scope have said 89% of applicants who have gone through repeal to a

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tribunal in the last quarter have resulted in a new decision. That is

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89%. If decision-making was better, how

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much money could be saved to plough back into the system? I've got so

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many examples of people who'd been through really appalling treatment

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through this process. One person has been writing to me for last 18

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months. I'm very happy to pass on the person's details. Everything

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that could have gone wrong through the process has, including lost

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files, cancelled dates, and it has a huge effect on the individual's

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mental health and well-being. How was this helping? The system is not

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working as well as it could. It's time to re-evaluate. I would like

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the noble Lord Minister to reassure me that the chaos around the system

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is not going to be used as an excuse to potentially stop supporting

:17:55.:18:02.

disabled people through Personal Independence Payments. One worry I

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have is that it has been seen as such a disaster that actually some

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people might think it would be easier to stop it. That would be

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absolutely appalling. Personal Independence Payments are really

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important to help many, many disabled people live and lead

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independent lives. It's time that this works properly. I should also

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begin by declaring an interest as a recipient of the higher rate

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mobility component of disability and living allowance, or DLA, which is

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being replaced by PIP. As someone with a severe, permanent and

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constant disability, I depend on DLA for my mobility. Because it enables

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me to lease a car through Notability. Indeed, it gives me

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great pleasure to put on record my profound personal thanks to

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Motability and my noble friend, the Lord of Preston, for the

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modernisation and has made disabled people's lives in its first 40

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years. Long may it continue. And my Lords, long may targeted support

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continue. For those whose need is greatest. For help with meeting the

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extra costs of living with a disability. The most help to those

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who need it most. That is surely a founding principle of our welfare

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state, and the enduring basis of public confidence in the system.

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Which unrepentant the public's willingness to front the welfare

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state so generously through their taxes. As the then Deputy Prime

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Minister Nick Clegg then rightly said in 2012, one of the things

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about government is that it forces you to confront the inconvenient

:20:31.:20:41.

truths opposition chooses to ignore. One of those truths is that

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sustaining the public's trust in the welfare system is crucial. To

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sustaining the system which I and millions of disabled people rely on.

:20:57.:21:04.

So it's vital that the money gets spent where it's meant, and is seen

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to do so. I believe the taxpayer does not have a problem with someone

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needing assistance as a result of difficulties. For example, if the

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blind. They surely understand that conditions such as visual

:21:28.:21:33.

impairments and learning disabilities, where these are severe

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and enduring, are much less likely to fluctuate ban, for example,

:21:40.:21:45.

psychological distress. Indeed, it makes sense that people who cannot

:21:46.:21:52.

navigate due to a visual or cognitive impairment are likely to

:21:53.:22:00.

have a higher level of needs, and therefore face higher costs. My

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Lords, some noble Lords seem to believe that the world would be

:22:10.:22:14.

different if only their party was in power. Yet where they are in power,

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running councils like Lambeth, their party is actually adding to the cost

:22:26.:22:34.

of living with a disability. One way in which they are doing this is by

:22:35.:22:39.

giving parking tickets to disabled people who come home late from work,

:22:40.:22:48.

to find there are no parking spaces available outside their home. And

:22:49.:22:52.

therefore they have two Park on yellow lines. Will the council give

:22:53.:22:59.

them a designated disabled parking space outside their home? As

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happened less than a mile away in Westminster. No. It's not council

:23:06.:23:15.

policy. So today Lambeth Council, in 2017, is penalising some disabled

:23:16.:23:25.

people and imposing extra costs on them for a need directly relating to

:23:26.:23:32.

their being disabled. What a policy! How do I know they're doing this? I

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know because I am the person who cannot find anywhere else to park

:23:40.:23:46.

after returning home late from your lordship's House. Yet my request for

:23:47.:23:50.

a designated disabled parking bay has been rejected. My Lords, in

:23:51.:24:00.

closing, this is just one example of why we urgently need to join the

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dots on disability, if more disabled people are, as we all want, to live

:24:10.:24:17.

independently and to work. Until the journos dots, I cannot in all

:24:18.:24:26.

honesty justify expecting taxpayers to be even more generous in helping

:24:27.:24:33.

to meet the extra cost of living with a disability when the state

:24:34.:24:40.

itself imposes such indefensible extra costs on disabled people. My

:24:41.:24:48.

Lords, despite my sincere and profound respect for the noble

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Baroness Campbell of Surbiton, and the noble Baroness of Winchester, I

:24:56.:25:04.

cannot support these notions. My Lords, I have been listening to this

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debate and I'm concerned that the nature of our discussion may not

:25:10.:25:11.

reflect the actions that the Government is taking.

:25:12.:25:16.

It is my understanding that the Government is laying these

:25:17.:25:19.

regulations in response to a court case which has broadened the

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eligibility criteria of the PIP assessment beyond the original

:25:25.:25:30.

intent of this house voted for, at a potential increase in cost of

:25:31.:25:35.

billion. I want to be clear that I'm pleased to be part of this house, a

:25:36.:25:40.

house that has done so much to ensure that the rights and needs of

:25:41.:25:44.

those with disabilities are upheld. It is why I have spoken on the

:25:45.:25:51.

importance of halving the disability employment gap. I believe that a

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decent society should always recognise and support those who are

:25:59.:26:04.

the most vulnerable. However, I have read carefully what the Minister has

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said in the other place, and I do not think that this is what is at

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stake. Despite the wording of this fatal blow should cover it is worth

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reflecting on a fact that we in this country spend more on supporting

:26:23.:26:26.

people who are sick and disabled than the OECD average. We rightly

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spend around ?50 billion per year to support people with disabilities and

:26:31.:26:34.

health conditions. However, if you listen to be speeches in the chamber

:26:35.:26:39.

this evening, you would think that these regulations were about to

:26:40.:26:41.

reverse this level of support and the protections that are in place.

:26:42.:26:47.

So I would ask my noble friend the Minister to confirm that this is not

:26:48.:26:51.

the case, and that the level of support that this house legislated

:26:52.:26:59.

for will be protected. The wording of the regret motion tonight suggest

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that the regulations discriminate against people with mental health

:27:03.:27:07.

problems. And could put vulnerable claimants at risk. But against is my

:27:08.:27:10.

understanding that the Government has laid these regulations to

:27:11.:27:14.

address the impact of the court case, which broadens the eligibility

:27:15.:27:22.

of PIP beyond the original intent voted for by this house. I would ask

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my noble friend the Minister to confirm that this is indeed the

:27:27.:27:30.

case, and that there are no further savings beyond those that were

:27:31.:27:34.

legislated for here in this house, that being sought. Both houses of

:27:35.:27:41.

parliament voted for the changes on the DLA to PIP, and one of the key

:27:42.:27:46.

reasons for this was a recognition that PIP focus to support precisely

:27:47.:27:49.

on those experiencing the greatest barriers to living independently. At

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the core of PIP's design is the principle that awards of the benefit

:27:57.:28:00.

should be made according to a claimant's overall level of need,

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regardless of whether claimants suffer from physical or nonphysical

:28:06.:28:10.

conditions. And it has been good to see that 28% of PIP recipients with

:28:11.:28:14.

a mental health condition get the enhanced rate mobility component,

:28:15.:28:20.

compared receiving the higher rate DLA component. -- compared to 10%

:28:21.:28:24.

receiving the higher rate DLA component. And 56% get the enhanced

:28:25.:28:32.

rate daily living allowance, compared to 2% receiving highest

:28:33.:28:38.

rate DLA car. Which is precisely because -- compared to 22%. It is

:28:39.:28:45.

precisely because PIP addresses a discrimination inherent in DLA that

:28:46.:28:48.

this house supported the legislation in the first place. I would ask my

:28:49.:28:51.

noble friend the Minister to confirm that this not only remains the

:28:52.:28:59.

intent of PIP, but also the reality, and that these regulations are

:29:00.:29:03.

restoring the original intention of PIP, which was to make sure that

:29:04.:29:09.

there is a sustainable benefit to provide continued support to those

:29:10.:29:12.

who face the greatest barrier - whether that is physical or mental -

:29:13.:29:17.

to living independent lives. Thank you.

:29:18.:29:22.

My Lords, I'm going to forego the right to speak as extensively as I

:29:23.:29:26.

otherwise would, just to do three things now. The first is to say I

:29:27.:29:30.

very much support the motion of my noble friend Baroness Sherlock and

:29:31.:29:37.

the manner in which it was new. I also wanted to ask the minister a

:29:38.:29:41.

question about the original policy intent. Because we've heard this as

:29:42.:29:48.

a justification for these regulations on a number of

:29:49.:29:51.

occasions. Can we be very clear on this - the Government praised in

:29:52.:30:01.

aid, the PIP assessment guide, as evidence to the original policy

:30:02.:30:04.

intent. But can we understand precisely when that and the detail

:30:05.:30:08.

was discussed in parliament. Not by officials, by Parliament, to be able

:30:09.:30:14.

to justify the claim that was made. When finally just make two points on

:30:15.:30:20.

the finances. We shouldn't forget in all of this that PIP was introduced

:30:21.:30:24.

against a backdrop of the predecessor, DLA, having a 20% cut

:30:25.:30:29.

in its budget. And when we talk about the implications of government

:30:30.:30:36.

costs of 3.7 billion, let's just remember that a cost for caring

:30:37.:30:46.

about -- foregoing that government will mean resources lost. 3.7

:30:47.:30:54.

billion is something which a government might save from this. The

:30:55.:31:00.

losers are the disabled community, to a massive extent. My Lords, I get

:31:01.:31:05.

the impression that the House would like me to move this debate to what

:31:06.:31:12.

close and I hope that I can deal with some of the points that have

:31:13.:31:16.

been made during the course of what has been wide-ranging, and at times

:31:17.:31:20.

a passionate debate all across the House. Could I say that I recognise

:31:21.:31:28.

the concerns that have been raised and I welcome the opportunity to

:31:29.:31:31.

respond on behalf of the Government. I hope to make matters clear and

:31:32.:31:34.

provide reassurances on a number of points. My Lords, I would start by

:31:35.:31:41.

saying that we are committed to ensuring that our welfare system

:31:42.:31:45.

provides a very strong safety net for those who need it. That was what

:31:46.:31:50.

all of our reforms over the last few years have been about. That is why

:31:51.:31:57.

we spend something over 50 billion a year, as my noble friend Baroness

:31:58.:32:02.

Stroud said, just on benefits which support disabled people with health

:32:03.:32:07.

conditions. Spending on the main disability benefits went up over the

:32:08.:32:11.

course of the last Parliament and the course of that last coalition

:32:12.:32:16.

government, I should remind the noble Baroness Lady Bakewell. It

:32:17.:32:20.

went up by more than 3 billion and is set to be at a record high of

:32:21.:32:22.

nearly 23 billion this year. Personal Independence Payment

:32:23.:32:31.

providing help towards the additional costs that disabled

:32:32.:32:36.

people face, providing them with greater opportunities to lead full,

:32:37.:32:39.

independent lives, something which we all agree is the point behind

:32:40.:32:44.

PIP. The core of PIP's design is the principal that awards should be made

:32:45.:32:48.

according to a claimant's level of need and not whether their condition

:32:49.:32:52.

is physical or nonphysical in nature. I will say more about

:32:53.:32:59.

clarity of treatment in due course. This approach, by design, ensures

:33:00.:33:05.

the focus of support is on those who have a higher level of need, greater

:33:06.:33:10.

limitations on their ability to participate in society and higher

:33:11.:33:13.

costs associated with their condition. But those recent legal

:33:14.:33:19.

judgments that have been referred to by noble Lords have interpreted the

:33:20.:33:24.

assessment criteria for PIP in ways that are different from what was

:33:25.:33:29.

originally intended by the coalition Government. Coalition Government

:33:30.:33:34.

that Lady Bakewell's party was a part of. We have therefore made

:33:35.:33:41.

amendments to collar if I the -- collar if I the criteria, used to

:33:42.:33:50.

decide benefit claimants receive. The policy agreed by Government,

:33:51.:33:54.

which followed extensive consultation and adds essential

:33:55.:33:58.

clarity to all of it. Now it is important at this stage that I

:33:59.:34:04.

emphasise what the changes are not. They are not a policy change. They

:34:05.:34:12.

are not, as the Bishop of Winchester, the noble Lord, seemed

:34:13.:34:16.

to imply inconsistent with the primary legislation. They are

:34:17.:34:22.

bringing clarity to that legislation. And to the regulations

:34:23.:34:26.

that we put forward as the tribunal asked for. And I can say to the

:34:27.:34:33.

noble Baroness, lady sher lock, in answer to her question, that they

:34:34.:34:37.

will not result in any claimant seeing a reduction in the amount of

:34:38.:34:41.

PIP previously awarded by the Department for Work and Pensions. As

:34:42.:34:48.

my Right Honourable friend the Secretary of State said in his

:34:49.:34:52.

statement in the other place, which I repeated to this House, and I

:34:53.:34:58.

think was responded, I can add there'll be no further welfare

:34:59.:35:01.

savings in this Parliament beyond those that are already legislated

:35:02.:35:07.

for. It is untrue to describe this as inaccurate to describe this as a

:35:08.:35:12.

cut. This is merely the reassertion of the original policy intention. It

:35:13.:35:17.

is entirely appropriate, I believe, for the Government to act to restore

:35:18.:35:24.

that clarity to the law, particularly as that was something

:35:25.:35:27.

sought by the tribunals. As Governments have done before and no

:35:28.:35:32.

doubt Governments, the noble Baroness supported and no doubt will

:35:33.:35:35.

continue to do in the future. It is the duty of the Government to issue

:35:36.:35:40.

these orders. It is the duty of the Government to make policy. It is for

:35:41.:35:44.

the courts to interpret it. Where there is a need for clarity, it is

:35:45.:35:48.

for us, therefore, to bring clarity to those. It is appropriate that we

:35:49.:35:53.

try to restore a policy aim where that aim has been forgot. Let us not

:35:54.:35:58.

forget that PIP and the regulations under it were developed and

:35:59.:36:02.

approved, as I made clear and I make clear again to the noble Baroness,

:36:03.:36:08.

Lady Bakewell, under the coalition Government, a Government which I

:36:09.:36:11.

believe the noble Baroness supported. And I am grateful to my

:36:12.:36:17.

noble friend for reminding us of the words of the Deputy Prime Minister

:36:18.:36:23.

at the time, Mr Clegg, about how decisions had to be made and how

:36:24.:36:26.

important it is to maintain the trust of those who have to pay for

:36:27.:36:31.

the benefit system as well as those who benefit from it. And I will

:36:32.:36:35.

repeat that the Government is not making any changes whatsoever to the

:36:36.:36:44.

original policy intent. That intent was subject to consideration debate

:36:45.:36:48.

when the original bill passed through both Houses. And noble

:36:49.:36:52.

Lords, noble Baronesses will remember those. Now, I am mindful,

:36:53.:36:57.

however, that many of those who have spoken today do wish to see a

:36:58.:37:06.

review. That is Lady Sherlock's motion is seeking. A review of these

:37:07.:37:12.

policies. We want to ensure they are working and being delivered

:37:13.:37:16.

effectively. Within the department we will continue to regularly review

:37:17.:37:20.

our policies, including PIP. I wish to remind the House that this

:37:21.:37:25.

Government has already introduced two formal stat Tory reviews of PIP.

:37:26.:37:35.

The review of 2017, by the end of this month in legislation. And the

:37:36.:37:43.

Government is looking forward to considering the latest findings from

:37:44.:37:47.

this independent review and we will provide a full response to that

:37:48.:37:51.

independent review, conducted by Paul Grey, later this year. Now, I

:37:52.:37:56.

am not going to speculate about what our response to that review will be

:37:57.:38:00.

before I have seen it. But I can give an assurance that the House

:38:01.:38:05.

will consider the latest findings once the report is published and

:38:06.:38:09.

very carefully will consider those very carefully, will provide a full

:38:10.:38:13.

response to those recommendations some time later this year.

:38:14.:38:19.

Now, my Lords, despite the report not having yet been published, we do

:38:20.:38:24.

remain committed to continuous improvement. For example, we are

:38:25.:38:27.

making improvements to the PIP assessment and to our decision

:38:28.:38:32.

making and improving the advice we provide to claimants to guide them

:38:33.:38:38.

through the process. If I can, my Lords, I'd like to move on u

:38:39.:38:44.

obviously to the concerns that noble Lords expressed about mental health

:38:45.:38:51.

and the assessments there of. My Lords, supporting people with mental

:38:52.:38:55.

health will continue to be a priority of this Government, despite

:38:56.:39:02.

what the noble lady expressed. That is why we are spending more on

:39:03.:39:06.

mental health than ever before. Something of the order of ?11.4

:39:07.:39:12.

billion a year. We are working the health service to join up the health

:39:13.:39:17.

system and the welfare system and society more widely so we focus on

:39:18.:39:21.

the strengths of people with disabilities or health conditions

:39:22.:39:25.

and what they can do. It is for that reason, in the summer of 2015, the

:39:26.:39:29.

work and health unit was created with the Department of Health and

:39:30.:39:34.

why in October 2016 we published improving lives, the work and health

:39:35.:39:39.

green paper to seek a wide range of views on how best to achieve that

:39:40.:39:47.

aim. And in PIP we have ensured a clarity of treatment. I can offer

:39:48.:39:54.

that assessment to Lady Bakewell, the Right Reverend Bishop of

:39:55.:40:00.

Winchester. Party of treatment between mental and physical

:40:01.:40:05.

conditions. And it achieves that by looking at the overall needs of an

:40:06.:40:09.

individual and not just what conditions they have. The whole

:40:10.:40:14.

point, if I can put it this way of the PIP assessment is to distinguish

:40:15.:40:19.

between those differing levels of need and there's no discrimination

:40:20.:40:24.

in that. This means there are more people with mental health conditions

:40:25.:40:31.

receiving higher rates of both PIP components than the DLA equivalents.

:40:32.:40:37.

If I can quote figures. 28% of PIP recipients with a mental health

:40:38.:40:42.

condition get the enhanced mobility rate. Compared to 10% receiving the

:40:43.:40:50.

DLA mobility. Throughout each draft and in the final version of the

:40:51.:40:55.

criteria, the department was clear, what was referred to as mobility

:40:56.:41:01.

one, was designed to assess the impact of mental, intellectual,

:41:02.:41:08.

cognative and mental conditions to follow a journey. The intention on

:41:09.:41:16.

this criteria was that psychological distress should be relevant only to

:41:17.:41:27.

those descrip the, orsB or E. -- descriptorsB or E. Psychological

:41:28.:41:33.

distress fluctuates. Where the impairment is severe and enduring,

:41:34.:41:37.

with conditions such as a learning disability, it is less likely to

:41:38.:41:42.

fluctuate. Someone with psychological distress may need

:41:43.:41:45.

reassurance and prompting whilst conditions such as is severe

:41:46.:41:51.

learning disability can lead to the need for supervision, physical

:41:52.:41:55.

intervention and support above and beyond simply the reassurance. But

:41:56.:42:00.

let me make it clear, someone with a mental health condition can score

:42:01.:42:06.

the highest points on mobility activity alone and receive the

:42:07.:42:13.

enhanced rate of PIP. I don't know whether the House would like it, but

:42:14.:42:18.

if they would, I could give examples at this stage. But perhaps I will

:42:19.:42:24.

just confine myself to one and particularly one relating to the

:42:25.:42:32.

points raised by my noble friend, Baroness Browning, where he talked

:42:33.:42:34.

about the problems of those with autism. And I can give an assurance

:42:35.:42:44.

that someone with such a development disorder, such as autistic spectrum

:42:45.:42:58.

disorder which affects this, if they have difficulty responding then they

:42:59.:43:02.

could score 12 points under F, on the basis they need to be

:43:03.:43:05.

accompanied for their own safety. Let me be clear. Our approach in

:43:06.:43:09.

developing PIP and the amendments we have made, it is not about the

:43:10.:43:14.

Government attaching a higher value to one condition over another.

:43:15.:43:19.

Again, I go back to that clarity of treatment. Nor is it, as the noble

:43:20.:43:28.

Baroness's notion has suggested, discriminatory or in conflict to

:43:29.:43:31.

people with mental health conditions over those with physical conditions

:43:32.:43:36.

and PIP will continue to ensure parity between mental and physical

:43:37.:43:41.

conditions by looking at the impact of all conditions on an individual

:43:42.:43:45.

and their level of overall need, not on what conditions they have. My

:43:46.:43:52.

Lords, I turn now, briefly, to the points raised about consultation.

:43:53.:43:55.

This again was dealt with by my Right Honourable friend when he made

:43:56.:44:00.

a statement in another place. I don't think it was raised

:44:01.:44:03.

particularly here when the statement was repeated. But I can give the

:44:04.:44:08.

assurance that in the light of the significant and urgent consequences

:44:09.:44:14.

of judgments, those amendments were presented to the social security

:44:15.:44:18.

advisory commission, after the regulations were made on the 8th

:44:19.:44:21.

March. We welcome the response received from the committee that

:44:22.:44:24.

they did not wish to have the regulations referred to them for

:44:25.:44:27.

public consultation. That is what the committee made clear. We have

:44:28.:44:32.

responded in full to the recommendations made by the

:44:33.:44:35.

committee. In particular, we've made it clear that we are committed to

:44:36.:44:41.

continuous improvements and as such recognise it is important in terms

:44:42.:44:46.

of quality and consistency to ensure that PIP policy is clearly

:44:47.:44:51.

articulated. We also made it clear we will ensure health professionals

:44:52.:44:55.

who carry out the PIP assessments fully understand what the amendments

:44:56.:45:00.

mean and if necessary we will clarify the policy intent in the

:45:01.:45:04.

next version of the PIP assessment guide, which is scheduled for

:45:05.:45:08.

publication later in the spring. Now, could I also touch on the

:45:09.:45:14.

concerns expressed that there was not a sufficient engagement or

:45:15.:45:20.

consultation with others. I can give an assurance that my Right

:45:21.:45:28.

Honourable friend did, has spoken to a large number of the particular

:45:29.:45:35.

organisations, who has seen representatives of mine, from the

:45:36.:45:41.

epilepsy, and the minister for disabled people has spoken to other

:45:42.:45:45.

stakeholders. My Right Honourable friend, as I think is now quite well

:45:46.:45:53.

known, did ring the opposition to warn them, to tell them about the

:45:54.:45:58.

amendments being laid. But unfortunately didn't receive a

:45:59.:46:01.

response to his call for four days because they didn't listen to their

:46:02.:46:09.

answering service. I similarly spoke to Lady Sherlock and Lady Bakewell.

:46:10.:46:14.

I am grateful for her reminding the House I did so from the streets of

:46:15.:46:20.

Copeland. But that's, the noble Baroness will remember what happened

:46:21.:46:24.

in Copeland. We did consult. . We did make it clear that we were

:46:25.:46:31.

putting these new regulations out. And we have continued to engage with

:46:32.:46:37.

all concerned in this matter and we will continue to do so in the

:46:38.:46:40.

future. Could I owned by reiterating what

:46:41.:46:52.

the regulations do. -- could I end by reiterating. They restore the

:46:53.:46:57.

original aim of the policy, debated at considerable length in both

:46:58.:47:00.

Houses of Parliament. To ensure that we are delivering at Union -- PIP

:47:01.:47:04.

with its original intent as discussed at this house and the

:47:05.:47:09.

other place. And they have clarity to the rules for all users. We've

:47:10.:47:14.

ensure that the changes have been done as soon as is possible, so the

:47:15.:47:18.

claimants were not left in the unenviable position of not knowing

:47:19.:47:21.

what would be happening to their claim. And I want to stress once

:47:22.:47:26.

again that the changes will not result in claimants seeing a

:47:27.:47:29.

reduction in the amount of PIP previously awarded by the Department

:47:30.:47:33.

for Work and Pensions. On that basis I'd asked the noble Baroness, Lady

:47:34.:47:40.

Bakewell, to withdraw her motion. And I trust that the lady Baroness

:47:41.:47:47.

Sherlock will not feel it necessary to remove her causal.

:47:48.:47:51.

I thank the noble Minister for his response and for all those who have

:47:52.:47:55.

taken part in this debate, and those not able to speak because of time

:47:56.:47:59.

limitations. Time prevents me from commenting in detail on all

:48:00.:48:02.

contributions, although I would wish to do so. I'm disappointed that the

:48:03.:48:06.

Government are reluctant to move their position to support people

:48:07.:48:10.

whose lives are blighted by psychological and anxiety disorders.

:48:11.:48:13.

This was not the original intention of a coalition government's move

:48:14.:48:20.

from disability living allowance to Personal Independence Payments. I do

:48:21.:48:24.

not believe that the changes being clarity. The role of PIP as the

:48:25.:48:30.

successor to the DLA is to support disabled people need the additional

:48:31.:48:34.

costs of disability. Unlike other aspects of the welfare system, PIP

:48:35.:48:37.

is not an income replacer or booster, but hot to tackle the

:48:38.:48:43.

financial penalty of disability. These regulations do not engender

:48:44.:48:49.

trust. A great many people in the community, and this charitable

:48:50.:48:51.

organisations which support people with mental health and psychological

:48:52.:48:55.

disorders will be bitterly disappointed by the Government's

:48:56.:48:59.

response. I understand the position of the Labour benches and commend

:49:00.:49:04.

Baroness Sherlock for her approach to this matter. However this is an

:49:05.:49:09.

extremely important matter which affects a whole range of those in

:49:10.:49:12.

society, including those suffering from post-traumatic stress disorder,

:49:13.:49:15.

panic attacks and psychotic disorders. The Minister may have

:49:16.:49:21.

spoken to charities, but he quite clearly did not convince them since

:49:22.:49:26.

Scope, the disability benefits Consortium Sense, citizens advice,

:49:27.:49:33.

Rethink mental illness and Mind have also be same - that this decision

:49:34.:49:37.

should be reversed. I would like to test the opinion of the House. The

:49:38.:49:43.

question is that this motion we agreed to. As many of that opinion

:49:44.:49:51.

say content. To the contrary, not content. Clear the bar.

:49:52.:52:50.

The question is that this motion be agreed to. As many that opinion say

:52:51.:53:05.

content. To the contrary, not content. The contents will go to the

:53:06.:53:11.

right, by the throne. Not contents, to the left, by the bar.

:53:12.:00:17.

My Lords, they have voted. Contents, 75. Not content, 164. The not

:00:18.:00:33.

contents have it. Baroness Sherlock? My Lords, I'm grateful for the

:00:34.:00:36.

support different benches, particularly Baroness Lady Browning

:00:37.:00:41.

and my noble friend Lord McKenzie. I thank the Minister for his and was.

:00:42.:00:45.

I wish they had only been the answers to the questions I asked, or

:00:46.:00:51.

those added by either committee. We've had a long debate tonight and

:00:52.:00:55.

there has been concern expressed on every single bench here that these

:00:56.:00:59.

regulations will damage people with mental health problems and go right

:01:00.:01:01.

against parity of esteem. The response was not acceptable and I

:01:02.:01:09.

wish to test the opinion of the House. The question is, for many --

:01:10.:01:24.

for those about opinion say content. To the contrary, not content. Clear

:01:25.:01:25.

the bar. My Lords, the question is the motion

:01:26.:04:36.

in the name of Lady Sherlock to be agreed to. As many as agreed, say

:04:37.:04:41.

content. The contrary, say not content.

:04:42.:09:42.

The question is that the motion in the name of the Baroness will be

:09:43.:09:46.

agreed to. My Lords, 162 contents. Not content,

:09:47.:11:38.

154. So the contents have it. Further consideration on report of

:11:39.:12:04.

the technical and further education bill, Lord Nash. I beg to move that

:12:05.:12:08.

this bill now be further considered on report. The question is that the

:12:09.:12:16.

bill be now further considered on report. As many as or of that

:12:17.:12:21.

opinion will say content. To the contrary, not content. The contents

:12:22.:12:29.

have it. Amendment 30 four. My Lords, I feel this may be something

:12:30.:12:34.

of an anti-climax after the previous excitement but nevertheless I wish

:12:35.:12:38.

to move Amendment 34 in my name and speak to Amendment 35 also. These

:12:39.:12:45.

have the support of the noble Lords, Lord Lucas and Lord Watson and my

:12:46.:12:52.

noble friend Lord story. As we set out in committee, there are quite a

:12:53.:12:57.

few questions to be asked around the Institute's power to issue technical

:12:58.:13:00.

education certificates. We understand that it will not be the

:13:01.:13:04.

institute but this will be delegated to the skills and funding agency,

:13:05.:13:08.

but it will be public time and money being used to locate a function

:13:09.:13:13.

which is already very well covered under existing systems. This

:13:14.:13:16.

proposal was not set out in the skills plan. It potentially removes

:13:17.:13:21.

any continuing link between the awarding body and the qualifications

:13:22.:13:25.

produced and we are here attempting to clarify the relationship between

:13:26.:13:29.

the issuing of the proposed certificates and the qualification

:13:30.:13:33.

certificates issued by awarding organisations. So if the Government

:13:34.:13:36.

proposing to issue these technical education certificates alongside the

:13:37.:13:41.

awarding organisation certificate? We've heard earlier from the

:13:42.:13:44.

Minister that employers would pay for this certificate and it would be

:13:45.:13:48.

helpful to your more of who makes the application. Does it come from

:13:49.:13:52.

the employer or from the training provider or from the awarding body

:13:53.:13:56.

or is it automatically triggered by attainment of qualification? And I

:13:57.:13:59.

do not think we have had an assessment of the resources required

:14:00.:14:04.

by the Institute or the S F eight to dedicate, print and send out the 3

:14:05.:14:07.

million apprenticeship certificates to meet the Government target. Will

:14:08.:14:12.

the Institute require the addresses of all the candidates or will they

:14:13.:14:14.

be sent to the employer or training provider to distribute? I Lords,

:14:15.:14:20.

there is such a simple solution. Government issuing certificates is

:14:21.:14:23.

not common procedure at qualification level in any other

:14:24.:14:27.

area of the education and training system. And would appear to be still

:14:28.:14:32.

unnecessary cost, dedication and complexity onto whichever body is

:14:33.:14:36.

tasked with carrying it out. Would it not be simpler if the certificate

:14:37.:14:42.

issued by the awarding organisation also carried the logo of the

:14:43.:14:45.

Institute or of the Department for Education? This has been common

:14:46.:14:50.

practice in the past, including the National vocational qualifications

:14:51.:14:53.

and would have the benefit of adding Government backing of status to a

:14:54.:14:57.

certificate which is already being validated and processed and issued.

:14:58.:15:01.

And I do assure your Lordships that awarding bodies can produce some

:15:02.:15:04.

immensely impressive certificates to meet immensely impressive

:15:05.:15:08.

achievements. I do hope this amendment will be seen as positive

:15:09.:15:15.

and helpful and I beg to move. The amendment proposed, page 31, line

:15:16.:15:23.

26. By Lords, I am grateful to the noble lady and the noble Lord Lucas

:15:24.:15:28.

for tabling these amendments. One of the reasons for introducing the

:15:29.:15:30.

technical education performances to tackle the weakness in the current

:15:31.:15:37.

education system caused by fragmentation and variation in the

:15:38.:15:42.

quality and value of qualifications currently provided by many

:15:43.:15:46.

individual awarding organisations. To address this, it is important

:15:47.:15:49.

that the certificates are issued in a consistent way by one entity and a

:15:50.:15:55.

consistent branding so that they are recognised and understood by

:15:56.:15:58.

employers, regardless of the qualifications or where it was

:15:59.:16:02.

undertaken. The bill makes provision from the Secretary of State to issue

:16:03.:16:07.

technical education certificates to any person who has completed the

:16:08.:16:10.

technical education qualification and any other steps determined under

:16:11.:16:21.

new section A2DB. Those completing either an apprenticeship or a

:16:22.:16:25.

technical education course will receive a nationally awarded

:16:26.:16:27.

certificate from the Secretary of State. This will confirm that they

:16:28.:16:31.

have obtained as many of the key skills and behaviours as the

:16:32.:16:36.

Institute has deemed appropriate for a particular occupation. A technical

:16:37.:16:40.

certificate will also recognise the other essential elements such as a

:16:41.:16:47.

and maps and England's -- English. The certificate will demonstrate

:16:48.:16:50.

that individuals have attained the knowledge, skills and behaviours

:16:51.:16:54.

necessary to understate their chosen occupation. It will provide clarity

:16:55.:16:58.

for employers and support the portability and

:16:59.:17:04.

As currently drafted, they will allow the Secretary of State to use

:17:05.:17:11.

the DFE logo and standard wording on technical certificates, which she

:17:12.:17:15.

may already do. It is right that the certificate should barely

:17:16.:17:17.

Department's logo and wording. This will ensure that this certificates

:17:18.:17:24.

are lying as closely as possible but certificates for apprenticeships.

:17:25.:17:28.

This will not affect any arrangements.

:17:29.:17:40.

We expect costs to be incurred in issuing the certificate and the

:17:41.:17:48.

Secretary of State should determine whether to charge for the first

:17:49.:17:51.

technical education certificate, and how much to charge. This is

:17:52.:17:55.

consistent with the procedure already followed for charging for

:17:56.:17:59.

the issue of apprenticeship certificates. Our reforms will

:18:00.:18:03.

ensure we operated system for the future, providing a national

:18:04.:18:09.

certificate understood by employers regardless of where the

:18:10.:18:13.

qualification is undergoing -- undertaken. I hope that clarifies

:18:14.:18:21.

things. The information will come via the awarding organisation to the

:18:22.:18:28.

Institute. Students have too applied to the Secretary of State for their

:18:29.:18:32.

certificate. But if I haven't answered all of the points that

:18:33.:18:36.

she's concerned about, I'm very happy to discuss this with her

:18:37.:18:39.

further and provide more information. I hope in that spirit

:18:40.:18:42.

the noble lady will feel very assured to withdraw her amendment. I

:18:43.:18:48.

thank the Minister for his reply. I'm slightly bemused because

:18:49.:18:51.

employers seem to understand very well the previous certificates which

:18:52.:18:56.

went out with NVQ logos. There wasn't a particular confusion about

:18:57.:19:00.

the standards that. And as I said, given that the awarding

:19:01.:19:04.

organisations already issuing certificates, it would just seem to

:19:05.:19:08.

be a much neater operation if it were combined into one certificate

:19:09.:19:10.

instead of having the confusion of two. But I thank the noble Lord for

:19:11.:19:16.

his offer to have a further discussion on this, and meanwhile I

:19:17.:19:23.

beg leave to withdraw. The amendment is withdrawn. Amendment 35, not

:19:24.:19:26.

removed. My Lords, I beg to move up the House

:19:27.:19:29.

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