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Let me move on briefly to amendment No. 89 and amendments Nos. 90 to 96, which relate to the work-focused health-related assessments. They are designed essentially to remove reference to work-focused health-related assessments and to replace that phrase simply with work-focused assessments for precisely the reason that I do not see why we cannot talk about work-focused assessments in the round. I have already made the point, but let me provide another example.
Someone who has been a wheelchair user from childhood or, like one of my constituents, is a wheelchair user as a result of an accident, may subsequently be far healthier than someone who is not disabled. The problem is not the health assessment of a wheelchair user, but assessing that persons capacity to
engage in work-related activity and, ultimately, to work. That can have a lot to do with access to the workplace, as the building may require ramps, lifts and so forth.
I genuinely do not understand why, when we are talking about work-focused assessments, which are crucial to the Governments strategy, we have to tag on the health-related provision. Someone somewhere, it seems to me, has a bit of the old medical model in the system and I am urging whoever it is to relax a little and look more broadly at the obstacles that people face, because they are not always entirely health-related.
work-focused health-related assessment means an assessment by a health care professional
a point that has been made already. I reiterate that work-focused assessments should not be restricted to health matters, so those who make the assessments should not be restricted to health professionals: that follows as night follows day.
such other matters relating to his
In summary, all 16 of my amendments are designed to recognise that capability for work or work-related activity is not solely a health matter and cannot be solved only by medical or health professionals. The Government obviously subscribe to the social model of disabilityhence the whole package of measures introduced over the past 10 years that have been all about empowering disabled people to remove the barriers that they face in work and elsewhere. That is what motivates the strategy. Clearly, the Oppositionand I mean both partiessubscribe to the social model of disability, so I feel sure that they will strongly support the sentiments that I have expressed.
To conclude, the danger of not seeking to deal with the concerns that I have expressed through the amendments is that the Government will deny themselves the possibility of framing regulations that adopt a broader approach to meeting individual need. If they are not careful, they will be less successful in achieving the objectives that we all share.
Mr. Hunt: It is a pleasure and privilege to follow the hon. Member for Kingswood (Roger Berry), who is extremely well known for his commitment to dealing with disability issues. I am sorry that listening to one of my speeches is no longer like winning the pools, as it might have been 12 years ago. I believe that there is indeed considerable understanding of the social model of disability in the Conservative party.
As the hon. Gentleman rightly said, his amendments are intended to promote the social as opposed to the medical model of disability. Some hon. Members might be tempted to think that this is all a matter of semantics, but if they did, they would be greatly mistaken. The social model is essentially a recognition
that, if we are to move towards including disabled people in the mainstream of society, we have to move beyond seeing disability as a purely medical condition. We must also accept the importance of removing the barriers faced by disabled people in society at largewhether they be practical barriers, such as problems with physical access to buildings or public transport, or psychological barriers caused by the attitudes and prejudices of others.
One of the disappointments of the Bill is that it says nothing about the responsibilities of the wider community to help disabled people achieve engagement in the world of work. There is plenty of talk about what might be called the supply side of the problemthat is, about getting people ready for workbut very little about the demand side of ensuring that opportunities are not stifled by outdated or prejudiced attitudes among employers or society at large. That is where the social model is very important.
In Committee, we had substantial discussions about the appropriate use of language. A number of amendments suggested using the phrase labour market disadvantage instead of limited capability for work at the beginning of the process. The Minister rejected that option, and he may be tempted to use the same arguments again today, but todays amendments are nothing like as strong, as they would simply replace the words medical examination with the word assessment. Omitting the word medical would not mean that no medical examination would take place, but it would make it possible for the medical examination currently planned to be expanded to cover a wider remit, as and when the Government consider that to be appropriate. The Minister may argue, as he did in Committee, that it is vital that the tests be objective. My response is that that objectivity is not confined to medical tests: when a person faces a barrier to employment that is linked to a disability, can that not also be looked at objectively?
Conservative Members accept that an objective assessment of a persons impairment must be the starting point. That means, at a bare minimum, that the phrase medical examination in clauses 8 and 9 should be changed to health and disability examination. The phrase medical examination strongly suggests an examination of a persons health, but it is clear from the PCA, the regulations and the 48 descriptors used to assess a persons limited capability for work-related activity that the medical examination will look at issues to do with that persons health and disability.
The amendments would remove the language problem. Removing the word medical and calling the process an assessment would allow the process to be defined much more broadly. It would also allow it to be defined nationally and consistently. The Minister made clear in Committee his legitimate concern that widening the assessment to take account of other, non-health related factors would be unworkable in practice, but I repeat that the amendments would not commit the Government to widening the scope of the assessment in a specific way that would make it unworkable. They would merely change the language
used to allow for a possible widening of the scope of the assessment at a later stage.
If the Government accepted the proposals, they would be signalling that they really understand that achieving the Bills objectives involves tackling the wider barriers that disabled people face, as well their individual impairments. Therefore, I hope that the Government will give the amendments careful consideration.
Danny Alexander: I shall be very brief, as I know that the Minister wants to respond to the debate. The amendments so eloquently explained by the hon. Member for Kingswood (Roger Berry) touch the conceptual basis of the Bill, and are profoundly important. He was right to say that all parties subscribe, to a greater or lesser degree, to the social model of disability. They agree that a disability is not merely a health condition or impairment, but has to do with the barriers that society puts in the way of people who are disabled. It is important that the Bill reflect that conceptual agreement, and the amendments draw attention to the language that is used in the Bill.
The hon. Member for South-West Surrey (Mr. Hunt) said that we debated amendments in Committee that would have used the term labour market disadvantage in relation to disability or impairment. I believe that that would capture much more accurately what the assessment procedure would determine, and todays amendments would allow the same thing to happen. They would not in every case lead to huge changes in how the assessment process worksalthough they might do so in respect of the work-focused health-related assessmentbut they would send the clear signal that the Bill makes real the Governments acceptance of the reality of the social model of disability. For that reason, I commend the amendments to the House.
I believe that the vast majority of people not currently in the labour force want to work. I have been a Member of Parliament for 18 months, and most of the people with disabilities whom I have met in that time have been desperate to re-enter the work force. I understand the arguments underpinning the amendmentsthat the words medical assessment attach a pejorative meaning to a condition that many people have come to terms with.
People with serious disabilities try to overcome them, and very often succeedto the extent that when one meets them on the street and asks how they are they respond by saying that they are feeling extremely well. They say that because they have moved on from their disability, and that is why the hon. Member for Kingswood is right to say that the word assessment is much to be preferred.
With this Bill, we are trying to help people re-enter the labour market. We are not burdening them with a medical condition, but are trying to find a route that eases them back into work. We are also trying to put in place the support systems that allow them to re-enter
the labour force with the mechanisms that they need to be productive and have successful and fulfilling careers.
Many of the people whom I have met feel excluded from the labour market because they believe that there is a lack of understanding of, or concern about, what they need to make the transition back into work. I know that my party supports these amendments, so my support for them will not upset anyone. People with disabilities face the stigma that they have a medical condition. If the amendments get rid of that, that is another excellent reason to support them.
Mr. Jim Murphy: I am pleased to have the opportunity to respond briefly to this important debate on the 16 amendments tabled by my hon. Friends the Members for Kingswood (Roger Berry), for Bradford, North (Mr. Rooney) and for Hayes and Harlington (John McDonnell).
My hon. Friend the Member for Kingswood was right to say that the Government have taken the social model approach to civil rights and the rights of people who are disabled, in relation to the labour market but in other aspects of public policy too. The Disability Discrimination Act 1995 was followed by the establishment of the Disability Rights Commission and other strengthening of disabled peoples civil rights. Although these amendments differ from the proposals discussed in Committee, for technical reasons I cannot accept them. If I have time, I shall explain why the wording used prevents that, but I assure my hon. Friend that I am happy to expand on the specifics in the regulations that are put forward.
In the minute and a half that I have left, I want to assure the House that the work-focused health-related assessment and the medical examination process will not look only at medical issues. Non-medical barriers will not be ignored; they will also be taken into account in the draft regulations based on these clauses that we will table for consideration. They will be specific and detailed in their approach, and will examine more than just the medical barriers faced by people with disabilities who want to re-enter the labour market.
The reason why we are using the phrase medical examination is that the word assessment is a catch-all that captures all three parts of the processgathering the evidence is part of an assessment; the medical examination is part of an assessment; and the work-focused health-related assessment is also part of a wider assessment. In clause 8 and in regulations we use the word assessment to relate to the whole process.
( ) Any decision which a person authorised to exercise any function by virtue of subsection (1), or by virtue of regulations under subsection (2), makes in exercise of the function shall have effect as a decision of the Secretary of State under section 8 of the Social Security Act 1998 (c. 14)..
include a reference to any function which the Secretary of State has by virtue of the application in relation to that enactment of section 8(1)(c) of that Act (decisions under certain enactments to be made by the Secretary of State).. [Mr. Heppell.]
(aa) for the question of whether a person has limited capability for work-related activity to be determined notwithstanding that he is for the time being treated by virtue of regulations under sub-paragraph (a) as having limited capability for work-related activity;. [Mr. Heppell.]
In Schedule 4 to the Pensions Act 1995 (equalisation of pensionable ages for men and women), in paragraph 1 (enactments for the purposes of which the rules for determining pensionable age apply) for and the State Pension Credit Act 2002 substitute , the State Pension Credit Act 2002 and Part 1 of the Welfare Reform Act 2007..
(1A) Regulations may provide that a determination that a person is disqualified for any period in accordance with regulations under section 17(1) to (3) of the Welfare Reform Act 2007 shall have effect for such purposes as may be prescribed as a determination that he is to be treated as not having limited capability for work for that period, and vice versa..
(4B) The Secretary of State may by regulations provide that, where the sanctionable benefit is employment and support allowance, any income-related allowance shall be payable, during the whole or a part of any period comprised in the disqualification period, as if one or more of the following applied
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