Nearly Half of PIP Reviews Saw Award Cut, According to Unpublished DWP Figures

Nearly Half of PIP Reviews Saw Award Cut, According to Unpublished DWP Figures

Nearly half of PIP reviews saw award cut, according to unpublished DWP figures

Nearly half of disabled people subject to "planned reviews" of their eligibility for the government’s new disability benefit are having their existing award either cut or removed completely, according to new figures obtained by Disability News Service (DNS).

The unpublished Department for Work and Pensions (DWP) figures show that the proportion of claimants of personal independence payment (PIP) who had their paymentsreduced after a planned review of their entitlement rose from less than 10 per cent in 2014 to nearly 20 per cent in 2016.

The proportion who lost their PIP completely after a planned review increased from 13 per cent in 2014 to nearly 25 per cent, or one in four of all reviews, in 2016.

This means that nearly half of PIP claimants (44 per cent) who had a planned review of their award in 2016 either saw it cut or lost it entirely.

But the proportion of claimants of PIP - which was introduced in April 2013 and is gradually replacing disability living allowance (DLA) for working-age claimants- who saw their award increased fell from 23 per cent in 2014 to less than 16 per cent in 2016.

The figures, which refer to the initial outcomes of the reviews - before any appeals - were obtained by DNS through a freedom of information request*, and suggest the government has secretly made it more difficult for disabled people to continue to claim PIP, which providesfinancial support to pay for the extra costs they face as a result of their impairments.

They also confirm anecdotal reports from welfare rightsadvisers, activists and MPs - as well as cases received by DNS - of growing numbers of disabled people who should have continued to be found eligible for PIP but have had their payments either cut or stripped away entirely.

Many of them have previously spoken to DNS as part of its ongoing investigation into claimants who have had their PIP reduced or removed after dishonest assessment reports compiled by healthcare professionals working for DWP contractors Atos and Capita.

Only last week, Labour's Derek Twigg told fellow MPs: "I just cannot understand why some of the people who come to see me have not been awarded their [PIP].

"I have had experience of cases such as these over a number of years now, and I have never come across such difficult cases as those I have seen recently."

In the same debate,Labour MP Clive Efford told MPs that he found it "impossible" to understand some of the decisions made on the PIP claims of his constituents and that he believed something was clearly "wrong" with the system.

DWP has previously published figures showing the proportion of DLA claimants who were awarded PIP after being assessed for the new benefit for the first time, with 23 per cent receivinga cut to their benefit, 25 per cent losing entitlement completely, but 40 per cent seeing their awards increased.

But this is believed to be the first time DWP has released figures showing how it has cut the benefits of disabled people who had already been found eligible for PIP, and they show a much bigger gap between those who lost out and those who gained from the new assessment than the DLA reassessment figures.

Disabled researcher Stef Benstead, from the Spartacus Network,said PIP was aimed at people with long-term conditions, most of which do not improve, so she "would be surprised to learn that 44 per cent of PIP claimants actually have a condition which improves within a few years".

She said it was difficult to know the explanation for the figures "without the government being transparent on this".

She said: "I think any change made, whether to guidelines or training or legislation, should be publicised, so sick and disabled people know what they're facing.

"The government will probably argue that it is improving the accuracy of assessments.

"But its arguments regarding the mobility threshold, aids and appliances, and now on mental health, show that it has no evidence that people are getting more help than they need, and plenty of evidence that people are getting less help than they need.

"It's disturbing that the government plays with benefit assessments in this way without any scrutiny, justification or decent evidence.

"If it's going to shaft people, at least let it do so in the open."

Anita Bellows, aDisabled People Against Cuts researcher, said the figures "show a very worrying trend over three years in the number of PIP claimants being reassessed and either losing their award or having their award decreased.

"They show that 44 per cent of PIP claimants lost out and only 16 per cent gained [in] 2016 when they were reassessed.

"Interestingly, and unlike employment and support allowance, these reassessment statistics are not published as part of DWP normal statistics releases.

"It looks like DWP is not keen to have these figures in the public domain."

When asked for an explanation for such a sharp rise in disallowances and reductions in PIP awards, and whether this was taking place because DWP was trying to cut spending on disability benefits, a DWPspokesman failed to provide any explanation for the figures.

Instead, he provided a lengthy statement** which included information about levels of spending on PIP, why the government had introduced the new benefit, and why there was a need for regular reviews.

But he also said that DWP "did not start most reassessments of DLA cases onto PIP until mid-2015.

"As we've explained, many claimants moved across to PIP will not have had award reviews yet and therefore will not be represented in the data.

"We will have to wait many years to see the full outcome of transferral from DLA to PIP represented in statistics."

Meanwhile, members of the House of Lords will next week debate new regulations that will make it more difficult for people with severe mental distress to secure the mobility-related support they need through PIP.

Peers will debate both a motion to "annul" the regulations, brought by the Liberal Democrat work and pensions spokeswoman Baroness Bakewell, and a "regret" motion, brought by the Labour work and pensions spokeswoman Baroness Sherlock.

The motion to annul could see the new regulations thrown out, if backed by both peers and MPs, but the motion of regret would have no affect on the regulations even if it was passed by peers.

A similar attempt to secure a debate on the regulations in the Commons has so far been ignored by the government, with Labour's shadow work and pensions secretary Debbie Abrahams raising a point of order with the Commons speaker on Tuesday about the failure to schedule a debate before the Easter recess.

She said this was a "sad reflection" on the government's attitude to the House of Commons, as more than 160 MPs had signed an early day motion "praying" against the introduction of the regulations.

DNS was unable to contact the government whips' office for a comment on the failure to schedule a debate in the Commons because of yesterday's terrorist attack outside parliament.

The new PIP measures came into force last weekand were brought in to reverse two upper tribunal rulings.

The government's decision to reverse the rulings means an estimated 164,000 claimants will not now be eligible for the mobility component of the benefit or will receive a lower level than they would have received, while an estimated 1,500 PIP claimants who need support to take medication and monitor a health condition will now either not be eligible for the PIP daily living payment or will receive a lower level.

*In its freedom of information response, DWP warned that the release contained "unpublished data" and "should be used with caution" and "may be subject to future revision"

**This is the rest of the DWP statement in full:

"Spending on disability benefits (PIP and DLA) is at a record high – up by more than £3 billion since 2010 and higher every year to 2020.

"27 per cent of claimants are now receiving the highest rate of support under PIP, compared to just 15 per cent under the outdated DLA.

"PIP award rates and their durations are set on an individual basis, based on the claimant's needs and the likelihood of their needs changing.

"Regular reviews for PIP claimants are a key feature of the benefit, and ensure that benefit payments accurately match the current needs of claimants – something fundamentally missing from DLA, which PIP began to replace in 2013.

"Under DLA, 70 per cent of all claimants had indefinite awards with little prospect of a review.

"As a result, a significant number of claimants (whose condition had deteriorated) were not receiving the right amount of benefit.

"We designed PIP to be a more interactive benefit with enough contact with claimants to ensure any changes in functional ability can be identified and that claimants receive the right support at the right time.

"PIP is a different benefit to DLA; moving from DLA to PIP does not mean someone is automatically entitled to PIP, nor guaranteed the same level of award.

"PIP has also been designed to focus support on those who need it most: 34 per cent of reassessed cases given an award of PIP were given the highest possible rate of benefit compared with only 15 per cent on DLA (working age, April 2013).

"DLA was in urgent need of reform and many DLA claimants had not undergone any kind of assessment of their needs for several years.

"PIP is a better – and fairer – system designed to focus support on those experiencing the greatest barriers to living independently.

"In all cases, the outcome depends very much on individual circumstances and the needs arising as a result."

23 March 2017

PIP investigation: MPs expand search for evidence, but again sidestep dishonesty claims

A committee of MPs is seeking fresh evidence about a disability benefit assessment process, but again appears to be trying to dodge concernsabout dishonesty among the healthcare professionals who carry out the tests.

Disability News Service (DNS) has provided the Commons work and pensions select committee with substantial evidence of widespread dishonesty among personal independence payment (PIP) assessors in the reports they prepare for government decision-makers.

That evidence helped trigger an urgent evidence sessionof the committee earlier this month, but none of the four welfare rights experts who gave evidence were asked by MPs about claims of dishonesty.

DNS had told the MPshow its investigation had revealed that assessors working for the outsourcing companies Capita and Atos – most of them nurses – had repeatedly lied, ignored written evidence and dishonestly reported the results of physical examinations.

Now the committee has written to selected organisations to ask for "further written evidence" about PIP, and asking five questions about the assessment process.

The letter, from the committee's chair, Labour's Frank Field, asks which aspects of the process are not "conducive to accurate decision-making", and whether Atos and Capita staff have "sufficient expertise" to carry out the assessments and "take enough account of additional evidence supplied by claimants".

Field also asks in the letter if the face-to-face assessment is appropriate for claimants with different conditions; what changes are needed to improve the accuracy of initial decisions; why so many decisions are being overturned on appeal; whether the government's mandatory reconsideration process is working properly; and what is the impact on claimants of delays in securing an accurate decision on their PIP claims.

But there is no explicit request for information about any concerns the organisations might have about dishonest assessment reports.

One PIP claimant, Sally, told DNS that she experienced a nurse PIP assessor who had "disregarded, misinterpreted and disputed" her medical evidence, was "extremely aggressive", and was "rude, bigoted and dishonest".

The assessor's report led to her being found ineligible for PIP, despite previously having a lifetime DLA award, including the highest rate of the care component.

A tribunal subsequently overturned the original decision and awarded her the enhanced daily living rate of PIP.

She said: "There seems to be a lot of evidence that dishonest PIP assessors are not unusual and Iwas 'assessed'by one myself.

"The consequences of assessors who are lying must be obvious even to that committee.

"I would also add that not only is there a problem with dishonest assessors, but Capita are not responding appropriately to complaints about dishonest assessors and government ministers seem to be ignoring correspondence from people who haveevidence that all this is happening.

"And the DWP also fails to deal with the issues of dishonest assessors and Capita's failureto respond to complaints appropriately."

Inclusion London, one of the disability organisations asked by the committeeto give evidence, said it would be raising specific concerns about assessors not honestly reporting what they had been told in face-to-face assessments.

Mark Lucas, who next week will give evidence to an inquiry into PIP assessments set up by Stoke-on-Trent City Council, said he did not believe the committee would consider any evidence of dishonesty in the process.

He has told DNS previously of the "shockingly poor and dishonest service" he and other disabled people have experienced in their PIP assessments.

He said: "I am sure the committee are concerned about the high number of 'mistakes' but are never going to admit or even highlight the fraud on an industrial level by PIP assessors.

"Whilst I am disappointed, it is in line with the response I got from the police, who... believe the DWP or their contractors would never commit fraud."

One group of PIP claimants with a rare neurological condition, who have previously raised concerns with DNS about the assessment process, said they would be writing to the committee with answers to Field's questions.

They told DNS earlier this month that they believed there was "systemic malpractice" by healthcare professionals who carry out PIP assessments and then write "fraudulent reports" for the government.

Speaking on behalf of the group, Mary, the wife of one of the claimants and herself a former nurse,welcomed the committee's decision to expand its investigations.

She said: "We think this is an excellent opportunity for disability organisations to provide evidence to the committee about the systemic problem of inaccurate PIP assessments.

"We can submit documentary evidence of healthcare professionals making false statements and ignoring specialist evidence; also evidence that healthcare professionals systemically apply an incorrect threshold test which upper tribunal cases confirm is a material error of law.

"It is extraordinary that the DWP continue to accept and act on healthcare professional assessments containing such a basic error.

"This malpractice is an astonishing waste of public money that needs to be stopped."

DNS was unable to confirm the committee's position yesterday (Wednesday) because of the terror attack in Westminster.

23 March 2017

Ministers forced into sickness benefit u-turn over 'sanction fodder' measure

Ministers have been forced to scrap a drastic change to benefit rules that meant seriously ill claimants found unfairly "fit for work"were no longer allowed to take an extended period of sickness absence, even if they had a sicknote from their GP.

Under the new rules - introduced through a Department for Work and Pensions (DWP) memo to jobcentre staff in November,and without notifying parliament - claimants forced to claim jobseeker's allowance (JSA) faced having their benefits sanctioned if they were too ill to look for work.

They were previously entitled to up to 13 weeks of an "extended period of sickness" (EPS) if their doctor felt they were too sick to work or look for work, despite being found fit for work by DWP.

This meant that those appealing against being ineligible for employment and support allowance (ESA) - with the latest figures showing that more than two-thirds of ESA appeals are successful at tribunal - had a way to continue claiming benefits to pay for food, energy bills and other essentials if they were too ill to look for work and were waiting for their DWP mandatory reconsideration*.

But the government quietly removed that option by issuing a memo on 7 November last year.

It stated that EPS was not intended for claimants who "claim JSA when found fit for work, following a Work Capability Assessment and potentially may be appealing that decision".

The memo meant that JSA claimants who had never tried to claim ESA could be able to use a sick note successfully, but someone who had failed with an ESA claim would not be given time to recover from the same level of illness.