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11 Dec 2002 : Column 369continued
Paul Holmes: As I pointed out, the 2001 manifesto was fully costed and it said where the money would come from and where it would be spent. The argument depends on the number of severely disabled people: if it were about 1 million, the cost would be #200 million while the cost for the maximum suggested1.7 million peoplewould be #340 million. That compares with the #1.7 billion paid out to 11.5 million pensioners last year.
Malcolm Wicks: Yes, indeed. We are spending the #1.7 billion and we are, perfectly properly, spending a considerable amount more on benefits for people with disabilities. At some stage, those on the Liberal Democrat Benches must get out their calculator and work out whether all their demands on the public purse add up to a penny on income tax, which seems to be their main funding commitment in the 21st century.
The hon. Member for Chesterfield did not allow for the fact that those receiving the winter fuel payment include about 850,000 people who get DLA and all 1.3 million who get attendance allowance, as they are over 60. He talks about people with disabilities as if none are receiving the winter fuel paymentlarge quantities of them are. In fact, about 60 per cent. of all people with disabilities already get the winter fuel payment, which he does not seem fully to understand.
Of course we are aware that people with disabilities can face extra costs in doing what others take for granted, especially, perhaps, younger people. That is why there are specific benefits available for disabled people in recognition of their extra costs. Let us consider the benefits available. The hon. Gentleman predicted that I would talk about DLA, but why should I not do so? I do not know whether he understands the public expenditure implications, but that allowance alone costs #7.6 billion in the current year. Quite properly, a considerable sum of public money is being spent on one allowance; he referred to it rather pejoratively as just one allowance. Does he have any understanding of the considerable support that that money gives to people with disabilities? He simply did not recognise that.
The care component of DLA ranges from #14.90 to over #56 a week, and the mobility component is up to #39. That means that the maximum DLA is over #95 a week. DLA is a contribution towards extra costs resulting from the effects of disability and the amounts payable are not based on the calculation of specific costs. People are free to spend the money according to their priorities and needs. I repeat that the amount we are spending, well over #7 billion, is considerably more than that involved in what could in a sense be described as the rather modest proposal presented by the hon. Gentleman.
Disability living allowance is a contribution to the extra costs facing people with disabilities. It never constituted a guarantee to cover every extra penny that a person might spend. In the late 1980s, however, the then Government commissioned four surveys from the Office of Population, Censuses and Surveys to provide
We give extra financial support to the poorest people with disabilities. For example, a severely disabled person receiving the highest rate of care componentmore than #56and a higher rate of mobility componentmore than #39of the allowance could be entitled to both the disability premium of #23 and enhanced disability premium of more than #11 in his or her income support. That represents some #6,700 extra benefit per year.In dismissing this as a single allowance, the hon. Gentleman deliberately understated the amount that we are giving people with disabilities.
The new disability income guarantee from April 2001, which includes the enhanced disability premium in the income-related benefits, is helping 125,000 of the poorest severely disabled people under 60, ensuring an overall income of at least #144 a week for a single person over 25 and #189 for a couple. This is detailed arithmetic and comes rather late in the day, but I am forced to present it here because of the rather cursory way in which the hon. Gentleman has dismissed the considerable support that the Government, on behalf of the wider community, are properly giving to people with disabilities.
From April 2002, young people disabled early in life who have not had the opportunity to work can receive up to #28 a week more in incapacity benefit than they would have received under the old disablement allowance. Since October 2000 families with a disabled child have received extra help through the disabled child tax credit, and from April 2001 very severely disabled adults and children can receive the enhanced disability tax credit. Both are part of the working families tax credit and the disabled persons tax credit. Those disability and enhanced disability elements will be carried forward into the new child tax credit and working tax credit, which replace working families tax credit and disabled persons tax credit next April.
People whose income support includes a disability premium are also entitled to cold weather payments. If the average temperature drops below zero degrees centigrade for seven consecutive days, a payment of #8.50 is made automatically. Such extreme circumstances may well be recognised, and the payment triggered, during the current cold period, but it will be up to the Met Office to decide. The amount that needs to be spent is only one element of the problem of fuel poverty, however. Fuel poverty is caused by a combination of factors including poorly constructed and poorly insulated houses, inefficient heating systems, under-occupancy and fuel prices as well as low incomes.
In June 2000, the Government launched the new home energy efficiency scheme to help those households most at risk from cold-related ill health. The scheme is now marketed as warm front, and offers a range of insulation and heating measures to those who receive certain benefits. Both attendance allowance and disability living allowance are benefits that can entitle a person to help from the scheme. The grant maximum for people under 60 has been increased to #1,500 this year.
The warm front team acts as the delivery mechanism for the scheme. It recognises the wide range of organisations that are involved in identifying households in need and in delivering help to them: voluntary organisations, doctors, health professionals, social services, local authorities, as well as the installers and scheme managers. I have been referring to England but, of course, Scotland, Wales and Northern Ireland have similar schemes.
I hope that hon. Members will see from what I have said that people with severe disabilities can, and do, receive considerable help. I hope that hon. Members will encourage their constituents to claim the help that they are entitled to. However, we are still convinced that winter fuel payments should remain targeted at the people they were introduced to help: older people.
Richard Younger-Ross: I fear that the Minister is missing a key element of what my hon. Friend the Member for Chesterfield (Paul Holmes) was saying. We on the Liberal Democrat Benches would not decry a lot that the present Government have done to help disabled people; we welcome it. However, the Minister is not recognising the essential difference for people who are very poor and struggling. If they are on benefit, by definition, they do not have a lot of money. They would never argue that being on benefit makes them wealthy and gives them a lot of disposable income. Ministers and Members of Parliament do have disposable income. We spend our money throughout the year without regard; it is easy. Winter budget and summer budget differences are key for people who are poor. If they spend more money in winter, it is difficult to cope. The winter fuel allowance picks that up and recognises the difference between summer spending and winter spending.
Of course, it is always easyI do not mean that pejorativelyfor Back Benchers to suggest ways in which other groups, often with great needs, should be allowed to benefit from different social security entitlements. I can well imagine someone in an Adjournment debate making an eloquent case as to why winter fuel payments might go to poorer families with children under five, for example. One could put together quite a good speech on that issue, but the winter fuel payment is a benefit that works because of its simplicity. I have also argued that considerable resources are expended, properly, in other ways on people with disabilities, some of whom depend on their homes virtually 24 hours a day, while some, because of the disability living allowance and mobility component, can go into the community and work in the mainstream labour market like the rest of us can. To say that it would be a very targeted benefit if we provided it to all people on disability benefits is a little inaccurate. It is easy to come to the House and argue that we should spend public funds in other ways.
One of the reasons why I am pleased to be here is that at least we are discussing a winter fuel payment scheme; if we did not have a scheme we could not discuss it. This reminds me of debates about whether the minimum wage should be higher. I welcome those debates, because we now have a minimum wage and winter fuel paymentsthanks to this Government.
I have not come here tonight just to read a speech written by my Department to defend our policiesalthough I am happy to do that. As long ago as 1972, as a young social scientist, along with consultants in geriatric medicine and other scientists of different kinds, I took part in the first ever survey of environmental conditions and body temperatures affecting elderly people in Britain. We published our work in the British Medical Journal in 1973, and produced the first ever estimate of the extent to which our elderly people are at risk from low body temperature.
Some years later I wrote a book called XOld and cold: hypothermia and social policy". I assure the hon. Member for Chesterfield that whatever our differences, I have a deep commitment to the issue. We can argue about the extent to which other groups should be included in the policy, although I am proud to make a robust defence of our position, and our policies on disability and winter fuel payments.
Although I am proud of the progress that we have made over the 30 years since I did my research with others, I am nevertheless struck by the fact that as we meet tonight in a well heated House of Commons, the cold spell is currently affecting at-risk people. Despite our efforts with home energy efficiency, with winter fuel payments and in other ways, there will be people who take to their bedrooms at 6 or 7 o'clock this evening because that is the only warm place that they have.
I know that the excess winter mortality rate in this country, compared with that in other European countriesnot least the cold countries of Scandinaviais far too considerable. I am not complacent, but I am confident that we have in place fuel policy strategies, insulation strategiesand yes, our winter fuel payment schemes tooallied to our other policies on