1. Changes to the welfare system: implications for people with a learning disability Tatu Delaney Regional Campaigns Officer September 2012

2. Overview
Employment and Support Allowance (ESA) & the Work Capability Assessment (WCA)
DLA reform – the new Personal Independence Payment (PIP)
Wider changes under the Welfare Reform Act 2012:
Housing Benefit changes
A new Universal Credit
This presentation will cover:
1. The employment and support allowance
2. Reform of DLA
3. And then a little on the new Universal Credit and some changes to Housing Benefit which came out of the recent Welfare Reform Act 2012.

3. Part one – Employment and Support Allowance (ESA) and the Work Capability Assessment (WCA)

4. ESA and the WCA (1)
ESA to replace Incapacity Benefit, Income Support (because of a disability), and Severe Disability Allowance.
New claims from October 2008, ALL existing claimants from April 2011 – March 2014.
1.5 million people being re-assessed.
New assessment underpinning ESA – the WCA.
No exempt group as per the previous PCA – small number of exceptions. Likely that many of the people we support will be called in for a face to face assessment with a medical practitioner.
If a claimant does not attend the WCA they face a sanction.
So, what is ESA?
ESA was introduced in It replaces Incapacity Benefit, Income support (received because of a disability) and Severe Disability Allowance.
At first ESA was introduced for new claimants. However starting in April 2011 and going on to March 2014, all EXISTING claimants on any of these benefits will be reassessed for ESA. 1.5 million people are being reassessed.
This will affect LOTS of people with a learning disability.
When people are told that they will be reassessed for ESA, they will have to go through a new assessment. The Work Capability Assessment.
As part of this assessment process, most people will have to attend a face to face assessment with a healthcare practitioner.
(Atos is the company that has the contract from Government to deliver these assessments – people may well have heard of them as there was controversy of them sponsoring the Paralympic games!)

5. ESA and the WCA (2) Limited capability for work related activity?
Yes
Support group
Eligible for ESA
Yes
WCA No No
Fails the WCA
Work-related activity group
How does the WCA work?
It asks two questions:
Does the claimant have ‘limited capability for work’?
If the answer is ‘no’, s/he is found capable of work and therefore fails the WCA. S/he may be able to claim Jobseekers Allowance instead. If the answer is ‘yes’: s/he has limited capability for work, the claimant is found eligible for ESA.
But there are two parts to ESA. The second part of the assessment then decides which component of ESA someone is eligible for.
It asks:
2) Does the claimant have limited capability for work-related activity?
In other words, is it reasonable to expect the claimant to carry out activity which might help them to move towards or into work?
If the answer is that someone has limited capability for work-related activity they will be put into the support group. If they could reasonably be expected to carry out work related activity, they will be put into the WRAG and face some conditionality.
Apply for JSA
6 work focused interviews and some work related activity

6. IB migration - reassessment process
Near review date – letter from JCP
Telephone call from JCP
ESA 50 form
WCA (for the majority) – claimants can take a supporter, they can request help with taxi fares, in some cases they may be able to be examined at home
A decision maker will telephone to inform claimant of decision they are likely to make
This is just an overview of the process for existing claimants (i.e. those claimants on Incapacity Benefit, Income Support and Severe Disability Allowance).
This is what will happen to inform them that they will be being reassessed for ESA.
REFER TO HAND OUT ON IB MIGRATION FOR MORE DETAILS OF TIMINGS AND PROCESS – includes details about taking someone as a supporter to the assessment etc.

7. ESA claimants – what will they have to do?
6 work focused interviews
Identify activities or training that may help claimant move towards work
Work-related activity
“activity which makes it more likely that a person will obtain or remain in work or be able to do so”
Welfare Reform Act inserts ‘work experience’
Take part in Work Programme if required
So, as noted earlier… claimants in the work-related activity group have some ‘conditionality’ attached to them – i.e. there is some expectation on them to do certain things in exchange for their benefit. If they don’t, they may be sanctioned (i.e. benefit stopped or reduced).
Until recently, the expectation has only been that a claimant has to attend 6 work-focused interviews with someone at the jobcentre to talk about activities or training that may help them move towards work.
More recently, the expectation on claimants has included requiring them to undertake work-related activity. Things like work tasters, programmes to manage health in work
and job-search assistance.
Recently the welfare reform Act 2012 said that work-related activity can also include work experience.
WR Activity CANNOT include work or a requirement to apply for a job or undergo medical treatment
We are finding that some people are going to work focused interviews and not being required to do an work related activity.
Finally, a claiamant can be mandated to take part in the Work Programme. This is the Government’s welfare to work employment programme. The Government has contracted out this provision to charities and private sector organisations.
REFER TO MORE DETAILED HANDOUT ON CONDITIONALITY

8. Implications for people with a learning disability
Supportive of broad principles of ESA
BUT
Too many people being found ‘fit for work’
Staff training issues – DWP and Atos staff
Increased conditionality – but are claimants getting the right support? .
When ESA was introduced Mencap welcomed the recognition in ESA that there will be some people who face additional barriers to employment and may need extra support to get there. So, the idea of having a Work Related Activity Group seemed a good one in principle.
HOWEVER:
- The disability sector are worried about the high numbers of people failing the WCA and being found ‘fit fork work’. The figure for new claimants being found fit for work is about 60%, with 26% being found eligible for the WRAG group of ESA. When ESA was being introduced the Government suggested 46% for those in WRAG.
- We do not think the WCA is working well for people with a learning disability, with the thresholds for eligibility being too high. We also think that the process concentrates too much on the face to face assessment, when other evidence should be being taken into account by a DWP decision maker when an ESA decision is made.
- We also know that there are issues with Atos, where assessors don’t have expertise in the conditions / disabilities they are assessing. Further, we want to make sure conditions places on claimants are reasonable, therefore essential that DWP staff understand the support needs of pwld too.
Finally, are people getting the appropriate and expert employment support? What are people with a ld’s experiences of the Work Programme?

9. Part two – Reform of DLA and the new Personal Independence Payment (PIP)

10. DLA reform – the proposal
Replacement of DLA with the Personal Independence Payment or PIP (working age adults only)
Rising caseload and expenditure unsustainable
More enabling – helping people to manage their disability or condition
Periodic review
No automatic entitlement
PIP to be introduced 2013/14 – daily living and mobility component
To remains a non-means tested, extra costs benefit
Context: estimated 500,000 less people will receive PIP than under DLA
Many of you will have heard of Disability Living Allowance. This is a benefit aimed at helping disabled people meet the extra costs that they face because of their disability.
The Government are replacing DLA with the Personal Independence Payment. They have said that the expenditure for DLA is unsustainable and that it is not the best way of measuring disability related costs.
PIP will be different to DLA in a number of ways. While it will remain an ‘extra costs’ benefit, instead of having a care component and a mobility component, it will have a daily living and mobility component.
The Government is getting rid of life time awards and introducing periodic reviews. They are also getting rid of the automatic entitlements that exist for DLA. E.g. people with severe learning disabilities have an automatic entitlement for DLA without having to go through the assessment process.
The Government have estimated that 500,000 less people will receive PIP than under DLA.

11. Before and after… DLA to PIP
Non-means tested
DLA
PIP
Extra costs
CARE component
MOBILITY component
DAILY LIVING component
MOBILITY component
Highest rate £77
Higher rate £54
Enhanced rate
Enhanced rate
Middle rate £52
Lower rate £21
Standard rate
Standard rate
Just to show you what PIP will look like compared to DLA…
The grey boxes in the middle show the elements that are the same – i.e. PIP (like DLA) will remain a non-means tested benefit aimed at meeting the extra costs of disability.
Both components of PIP will have just two rates – an enhanced and standard rate. The actual rates have yet to be set, but the Government has said that the enhanced rates will be at least the same as the higher rates for DLA now.
Lowest rate £21
Automatic entitlement for those with “severe learning disabilities”

12. DLA to PIP – next steps
New assessment being designed – consultation on assessment and thresholds taken place
Regulations expected Autumn 2012 (i.e. some of the details – rates, finalised assessment etc)
Key dates
April 2013: PIP for new claimants
Autumn 2013 (- 2016): PIP migration
There has been a few PIP consultations, the main one being around what the new assessment will look like. Mencap has been inputting to try and ensure that pwld are taken into account.
The details are due to be published in the Autumn in regulations.
The Government are aiming to introduce PIP for new claimants in April 2013, with the migration process (i.e. the moving of existing DLA claimants across to PUP starting in the Autumn of 2013 and going on until 2016.

13. Implications for people with a learning disability
Half a million people to lose out
Focus on those with the “greatest need”
A threat to independent living?
The draft assessment – will it allow people with lower level needs to meet the threshold for eligibility?
Will the assessment process work for people with a learning disability?
Impact on passported benefits?
A huge concern that 500,000 people are set to lose out.
The Government have said that they want to focus resources on those with the “greatest need”, which implies that it is those people on the lower rates of DLA who are more likely to lose out.
For people with more moderate learning disabilities who may be living independently and are reliant on their DLA, this is incredibly worrying. IS this a threat to independent living?
DLA acts as a gateway to other support and benefits – things like blue badge eligibility, the motability scheme, higher rates of local housing allowance./ There are still aspects of how this will work under PIP, but the concern is that fewer people eligible for PIP will ultimately mean less people eligible for these passported benefits. 13

14. Part three – wider changes under the Welfare Reform Act 2012
The recent welfare reform act also introduced a number of other important changes.
I’m now going to briefly cover some changes to housing benefit and the new Universal Credit.

15. Housing Changes New size criteria (under occupancy / bed room tax)
450,000 disabled people affected
Some exceptions for those with a social care package including overnight carer
Household benefit cap
Upper limit, family: £26k (£500 / week)
Upper limit, single person £19k (£350 / week)
Exemptions – DLA recipient
Council Tax Benefit
Outside the Universal Credit
Council discretion, but with Government requirement to achieve 10% cut whilst maintaining concessions for older people
New size criteria
This is for Housing Benefit claimants in the social rented sector (e.g. council housing or housing association property). It’s also known as ‘under-occupancy’ or ‘Bedroom Tax’. This restricts housing benefit amounts to allow for one bedroom for each person or couple living as part of the household. In effect, this will, in many cases, reduce the number of bedrooms that an individual is entitled to. As a result, tenants will either receive a reduced amount of Housing Benefit - and have to make up any shortfall between this and their rent – or be forced to move home.
While there is one exception to the new size criteria for disabled people, this applies only to disabled tenants who need non-resident overnight carers (i.e. where this is paid for as part of their social care package). In particular, Mencap is concerned about those people with a learning disability who are reliant on their spare room to support informal care arrangements or who may be reliant on support networks within the area in which they live to provide support.
Household Benefit Cap
From April 2013 there will be a cap on the total amount of benefit that people of working age can receive. If someone’s total benefits assessment is greater than their cap their local authority will reduce their housing benefit payments. Households will be exempt from the cap where: someone is claiming the ESA support component or receiving DLA. Mencap is concerned that adults with a learning disability who are not in the ESA support group and ineligible for PIP could become subject to a benefit cap reduction, struggle to meet rent liabilities and possibly be at risk of homelessness.
CTB
Councils will see a 10% cut in funding, but have been told to retain the criteria and allowances currently in place - in particular, pensioner council tax support. Mencap is concerned that this 10% reduction in funding will impact working-age claimants, with authorities having discretion over how savings are to be realised.

16. Universal Credit Loss of Severe Disability Premium
To replace all means-tested support (i.e. Income Support, income-based Jobseeker’s Allowance, income-related Employment and Support Allowance, Housing Benefit, Child Tax Credit and Working Tax Credit).
Aim: improve work incentives (i.e. people are often not better off in work) and to make the system less complicated.
Basic allowance + additional elements for disability, children, housing costs etc.
First individuals expected to enter the new system from 2013.
Great in principle, but some issues with the details:
Loss of Severe Disability Premium
Children’s disability additions
Finally, perhaps most radical part of the Welfare ReformAct has been to legislate to introduce a new Universal Credit.
The Act provides for the introduction of a Universal Credit to replace most of the benefits and tax credits that currently provide means-tested support (i.e. Income Support, income-based Jobseeker’s Allowance, income-related Employment and Support Allowance, Housing Benefit, Child Tax Credit and Working Tax Credit).
Mencap welcomes the stated principles behind the Universal Credit: simplify the benefits system and making work pay.
However, we are concerned about the potential loss of income for disabled people through the merger in Universal Credit of Tax Credits and disability premiums. Thus, things like the Severe Disability Premium will no longer exist within the Universal Credit. There are other ways that disabled people will get extra support but there are some instances where we believe people will face a reduced income.
It is important to note with all of these changes that there are transitional protections, so that existing benefit claimants won’t see a massive ‘drop-off’ in their financial support.

17. Any questions or comments?