4 Vulnerable Groups
Creaming and Parking
100. Providers are increasingly being paid by
results, on the basis of the number of customers moving into work,
rather than a flat fee. There are two particular risks associated
with this approach. The first is that of 'creaming', where contractors
who are paid by results are likely to concentrate their efforts
on those participants who are closest to the labour market and
more easily placed in a job. The second is that of "parking"
where participants who are deemed furthest from the labour market
will receive a bare minimum of services and are unlikely to make
any progress whilst participating in a programme. In this way
providers seek to maximise their profit, focusing on customers
who will earn them outcome payments, while spending as little
as possible on customers who will not.
101. There is evidence that creaming and parking
is taking place in the Pathways to Work programme. Research by
the Department found that provider staff felt that the focus on
performance targets influenced their behaviour with clients, to
the extent that they spent less time than required with people
with multiple barriers to work (and perceived as harder to help).
They also felt that they needed to encourage job ready clients
to take jobs that would enable a swift return to work, rather
than take lengthier routes towards jobs that they wanted.[102]
102. In addition, most providers who took part
in the research perceived that clients were, on the whole, harder
to help than they had anticipated and some staff expressed concerns
that this had also led to job outcome targets being prioritised
ahead of clients' wellbeing and ability to sustain employment.[103]
103. Contracts are designed to allow providers
to make a profit when they meet targets. While providers are not
paid for meeting targets, a provider that is not meeting targets
will be receiving fewer outcome payments than they had anticipated.
This can lead to pressure to cut costs, for example by offering
less help to those unlikely to move into work and gain the provider
an outcome payment. Our previous report noted that "FND targets
would require a 37.5% improvement in job outcome performance over
what has been achieved by DWP contractors in the past, and this
is to be done with a significant reduction in funding compared
to the best performing DWP programmes".[104]
104. In oral evidence, the Minister, was asked
about creaming and parking in general (rather than specifically
in Pathways to Work). He said that tackling the problem was complicated
by those customers who might be happy to be parked:
It is very important to listen to customers, but
because of precisely the point that you raise, that there is the
potential for a bit of comfort on both sidesthat there
might be some customers who will be quite happy to be parked and
there might be some contractors who will be quite happy to park
themwe need to ensure that is not happening, [
] the
customer charters and all that are not going to expose that particular
problem because there is an area of complicity about that. [105]
105. We were disappointed, but
not surprised, to hear of evidence of "parking" on Pathways.
We also note the evidence that this was linked to pressure from
managers after it emerged that previously agreed targets were
unrealistic. As we noted in our previous report the targets for
FND are very challenging. The Department needs to focus on ensuring
that this pressure does not result in customers being parked.
The "accelerator model"
106. The FND payment structure consists of a
service fee and an outcome fee. However providers get the same
outcome fee for every customer who moves into work, even though
some customers are much closer to the labour market than others.
An alternative payment structure is the "accelerator model".
Under this model the provider receives increasingly large payments
per customer as they move more people into work. The idea is that,
although it gets increasingly difficult to move people into work
(as those who are closest to the labour market will move first)
the increasing payments mean it should always be in the provider's
financial interest to provide the additional help that the next
customer needs. If the payments accelerate at the correct rate
it should not be in the provider's financial interest to "park"
anybody. In our previous report we welcomed the Department's commitment
to pilot the "accelerator model".[106]
107. In oral evidence to this inquiry, the Minister
told us that alongside robust contract management he saw the "accelerator
model" as the solution to creaming and parking, particularly
for those customers who were happy to be parked and would not
complain.[107] The
Department had previously told us that it was looking into the
feasibility of piloting the "accelerator model" in the
Personalised Employment Programme Pilot.[108]
The Minister told us that that the Personalised Employment Programme
Pilot would include the accelerator model and would start in 2011.[109]
108. The Department has told
us that it will try and prevent "parking" through the
contract management system. However we believe that incentivising
contractors to work with all customers is crucial. We again welcome
the Department's plan to pilot an accelerator model of payment
and call on it to keep the Committee updated on its progress.
Cost of helping disabled people
109. RNIB and the National Autistic Society (NAS)
both submitted evidence that raised concerns about the needs of
disabled people. NAS was concerned about the parking of people
with autism. They felt that given the high cost of moving people
with autism into work it was "crucial that there is rigorous
monitoring of prime contractors".[110]
This monitoring would have to include monitoring results by impairment.
RNIB agreed that contracts which were let on a regional level
for all disabilities tended to lead to people with disabilities
like sight loss missing out, because they were a small group who
needed specialist help which was often expensive. RNIB quoted
figures from a range of DWP programmes showing poorer outcomes
for people with visual impairments.[111]
110. NAS were also concerned that prime contractors
would not offer enough money to sub-contractors to allow them
to help people with autism:
[...] whilst many prime providers rely on specialist
sub contractors to deliver support to those with more complex
needs we are concerned that the price offered will lead to specialist
providers being forced to either deliver support at a loss or
leave the market. These concerns are based on the fact that those
prime providers motivated by profit will bid for the contract
using costings based on the profit margin that would occur through
supporting the minimum number of clients into work.[112]
111. BASE said that its members had already experienced
problems with money, particularly in the new Work Choice programme,
which is still out to tender. Work Choice (previously the Specialist
Disability Employment Programme), will replace WORKSTEP in providing
specialist employment support for severely disabled people:
We are aware of prime providers offering subcontracts
with a 30% management fee deduction. [
] The new Work Choice
programme anticipates a higher level of outcomes despite reduced
funding. This is compounded by the new contract management costs
being taken from delivery funding rather than DWP management budgets.
We believe that this will drive provision away from the harder
to help clients.[113]
112. BASE also has evidence that prime contractors
are not aware of the needs of, and their duties toward disabled
people:
An event in the south east of England found that
only one shortlisted prime provider knew what PSA16 was about.[114]
Indeed, some said that they would refer such customers to local
authority provision. This is extremely worrying for a programme
whose primary focus should be to meet the needs of the PSA16 disability
groups. Indeed, DWP has just issued a note to prime providers
to remind them about PSA16. BASE is concerned that the shortlisted
prime providers do not fully understand the needs of the PSA16
customer group and that their anticipated outcomes and costs may
not be wholly realistic.[115]
113. However, we also heard that some prime contractors
were offering more money to subcontractors working with the hard
to help than they were receiving from the Department. Mr Lester,
Vice Chair, ERSA, and Director of Operations, The Papworth Trust.
said:
I know a number of providers who deliberately and
explicitly stream the customers. [
] they will identify
customers in different levels of support and they pay for that
accordingly. In the Papworth example, Papworth are paid by a
couple of our prime contractors at a rate which is greater than
they receive from DWP because Papworth is only dealing with those
people who are further from the labour market than others.[116]
114. Mr Murdoch, Chair, ERSA and Executive Director,
A4e told the Committee that prime contractors understood they
were expected to offer subcontractors more than the Department's
outcome fee for moving the hard to help into work:
You need to understand that within the programme
that FND was designed for there will be customers that you pay
far more than the average as well as others you invest less in.
That is the nature of the prime contractor within that so picking
partners where you invest in their services to move those people
into sustainable jobs.[117]
115. We were very pleased to hear that some prime
contractors were offering subcontractors these higher outcome
payments. However, we have heard evidence of parking on employment
programmes. We do not believe that the Department can rely on
the altruism of these prime contractors to ensure that these customers
are not parked.
116. We were very pleased to
hear that under Flexible New Deal some prime contractors were
offering higher outcome payments for the harder to help than they
themselves receive from the Department. However the Work Capability
Assessment is leading to more people with health problems on Jobseekers
Allowance, and to a higher proportion of the severely disabled
on Employment and Support Allowance. This will lead to providers
needing to work with customers with more severe barriers than
they had anticipated. The Department must work with providers
to ensure appropriate support is provided for these customers.
THOSE THAT PROGRAMMES DON'T SERVE
WELL
117. Mr Murdoch told the Committee that despite
some prime contactors offering higher outcome payments for the
harder to help, there were still those that FND would not help:
Those people who have more long-term conditions that
are furthest away from the labour market we must look at how we
fund the interventions to help those people enter sustainable
jobs and that is key. The funding for Flexible New Deal will
not be appropriate for those with higher barriers to cross.[118]
118. Mr Lester agreed, telling us:
We are absolutely certain that the employment programmes
that exist are good for the people they are designed to serve.
We are equally certain there are a whole bunch of people who
do not get served by those programmes and that worries us[
].
There are people who do not get the right support. That is a
statement of fact; it is not a criticism of those programmes that
exist because those programmes that exist work well.[119]
119. Mr Lester said that Papworth Trust had estimated
that there were between half a million and one million people
who were not properly served by any of the Department's programmes,
including FND.[120]
The Minister rejected this saying that "I am not sure I do
recognise that figure. FND providers have responsibilities to
deliver a service according to the individual needs of the customers
that are referred to them".[121]
He went on to acknowledge that the introduction of Employment
and Support Allowance had changed the profile of Jobseekers Allowance
claimants "a little" but said that "our expectation
is for FND providers to be able to deal with that, at times perhaps
working with some of [our]other programmes."[122]
120. Providers have told us
that for those with the greatest barriers to work Flexible New
Deal funding is not appropriate. One provider told us that there
are over half a million people who are not served by current DWP
programmes. We call on the Department to investigate the issue,
and to supply the Committee with its estimate of how many people
are not served by current programmes, and details of the measures
they are taking to ensure that FND and other programmes cover
all those who need help.
DWP monitoring
121. The Department can collect data on provider's
provision for people with disabilities in a number of ways. Monitoring
involves regularly collecting management information and collating
it to find out how many people with disabilities move into work.
It may be possible for detailed information to be collected either
on the basis of a customer's specific impairment, or more broadly
by impairment group, for example physical disability, sensory
impairment or mental health problem. Another option is an evaluation,
a one-off study of the quality and impact of service provision
for people with disabilities. In addition the Department should
use the contract management system to look at what services are
on offer for disabled people, and assess whether they are of good
quality.
122. NAS thought the solution to ensuring that
providers helped all groups was close monitoring by the Department
to ensure prime contractors had contracted specialist provision:
Without tighter monitoring of the relationship between
prime contractors and subcontractors, those with the most complex
needs are likely to miss out on specialist support. If prime providers
are to successfully engage with sub contractors it is important
that there is a strong Code of Conduct governing this relationship.[123]
123. RNIB was also concerned that while job outcomes
were important they should not be the only outcome monitored:
This is particularly true in terms of the progress
made by those people who do not obtain a job and even amongst
the top performing providers it is likely that these clients may
represent the largest single cohort.[124]
124. In oral evidence ERSA said that they welcomed
monitoring of outcomes for different groups. Mr Murdoch said that:
from ERSA's perspective, capturing that data and
responding to that is going to be key. It is our aim to make
sure we do not leave any customers behind [
] gathering
that data needs to be a core aim for DWP to give us feedback.
That is the stewardship role. If there are people being referred
to FND who are not getting the service they deserve, are they
appropriately referred? Why is the budget not available? Those
questions need to be answered.[125]
125. The Department said that its evaluation
of FND will include monitoring the outcomes for sub-groups of
customers. However, in oral evidence Mr Cave from DWP clarified
that there would not be a stream of management information classifying
people by impairment or disability. [126]
In oral evidence, Mr Davies from BASE told us that Work Choice,
despite being a programme specifically for disabled people, may
also not have monitoring by impairment:
I have heard talk that it may be resisted as micro-management
of providers. Certainly BASE will push very hard, along with
some of the national charities, to make sure there is some in-depth
evaluation of the Work Choice programme to make sure that specific
disability groups are not missing out, people with significant
mental health needs and with moderate to severe learning disabilities
and so on. There is a concern that we are going to capture that
data in enough detail to be able to tell.[127]
126. The Department has told
us that it is confident that Flexible New Deal will meet the needs
of all customers, including all those moving from Incapacity Benefit
onto Jobseekers Allowance. We also note the range of measures
it is taking to prevent parking. However, as the Department will
not be collecting management information by impairment, it will
not know whether these measures are working. The characteristics
of those claiming Jobseekers Allowance are changing and there
are increasing numbers of people with health problems and disabilities
receiving the benefit. The Department must recognise this and
ensure that the evaluation of FND examines the impact on different
impairment groups. In addition the contract management process
must pay close attention to what services providers are offering
people with disabilities. If problems emerge then monitoring by
impairment should be introduced.
127. We were concerned to hear
that there may not be monitoring by impairment on Work Choice.
This is unacceptable in a brand new programme specifically designed
for severely disabled people. We call on the Department to introduce
monitoring by impairment groups for the first two years; progress
can then be reviewed.
102 Katharine Nice, Jacqueline Davidson and Roy Sainsbury,
Department for Work and Pensions Research Report No 595
Provider-led Pathways: Experiences
and views of early implementation, 2009 p 95 Back
103
Katharine Nice, Jacqueline Davidson and Roy Sainsbury, Department
for Work and Pensions Research Report No 595
Provider-led Pathways: Experiences
and views of early implementation, 2009 p 95 Back
104
DWP's Commissioning Strategy and the Flexible New Deal, Second
Report of the Session 2008-09 p 24 Back
105
Q116 Back
106
Second Report of Session 2008-09, HC 59, para 117 Back
107
Q116 Back
108
DWP's Commissioning Strategy and the Flexible New Deal, Second
Report of the Session 2008-09 p 34 Back
109
Q116 Back
110
Ev 69 Back
111
Ev 44-5 Back
112
Ev 70 Back
113
Ev 96 Back
114
"PSA 16 disability groups" are people with moderate
to severe learning difficulties and those in contact with secondary
mental health services. PSA 16 is the Public Service Agreement
to "Increase the proportion of socially excluded adults in
settled accommodation and employment, education or training". Back
115
Ev 96 Back
116
Q40 Back
117
Q42 Back
118
Q42 Back
119
Q40 Back
120
Q42 Back
121
Q144 Back
122
Q144 Back
123
Ev 70 Back
124
Ev 43 Back
125
Mr Murdoch Q47 Back
126
Q146 Back
127
Q46 Back
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