The Trades Union Congress (TUC) exists to make the working world a better place for everyone. We bring together around 5.5 million working people who make up our 48 member unions. We support unions to grow and thrive, and we stand up for everyone who works for a living.
We welcome the opportunity to respond to this inquiry, and to share our initial views on the impacts of DWP’s announced changes to disability and health-related benefits for working people across the country. This response focuses on policy changes announced to date. We will engage actively with government as they consult on wider reforms over the period ahead.
Eligibility
Entitlement
Additional elements not being consulted on include:
Impact on disabled people
The savings come principally from tightening the gateway for PIP, which is estimated to reduce PIP awards for around 800,000 claimants. In addition, three million claimants will be impacted by reducing the value of the health-related Universal Credit element. The reductions are partially offset by the small increase in the standard allowance for the over 6.5m families on Universal Credit, and the decision to reverse the 2023 reforms that tightened the work capability assessment (WCA). 1
The government’s own assessments show the significant financial impacts these changes will have for claimants 2 3 4
Based on current 2024/25 prices the TUC calculate the below (this excludes the marginal gain from the standard allowance of Universal Credit). Those who:
The Resolution Foundation has found that overall, 68 per cent of the welfare cuts announced are concentrated on households in the bottom half of the income distribution.6
Z2K has published accounts from clients who stand to be directly affected by restricting the daily living component of PIP. 7 The proposed measures will see support denied to people who have serious physical health conditions including stroke survivors and amputees, and people who have serious mental health conditions including psychosis. The cuts will also apply to people deemed to be the most severely disabled, those receiving the ‘enhanced’ rate.
Carlos is 60 years old and has recently had a stroke which has left him needing the support of a walking stick and unable to move his right arm, along with memory problems. He requires round the clock support from his family. The plans would see his income reduced by around one-third.
Anatoli has had his left foot and the toes on his right foot amputated. His wife has to help him with dressing, using the toilet and bathing. He stands to lose over £300/month under the government’s plans, which would leave him struggling to afford food and bills.
Mohammed has psychosis and experiences hallucinations and delusional thinking. He is under the care of a social worker and a psychologist. He faces a significant cut to his income under the government’s plans, which threatens to destabilise him and jeopardise his mental health treatment. 8
Conclusions
The TUC strongly supports the government’s wider plans to Make Work Pay, along with the ambitions of the Get Britain Working White Paper to boost employment rates and put new initiatives in place, including a national jobs and careers service and a meaningful Youth Guarantee.
But we are concerned that as Pathways to Work package stands it will not support the government’s ambitions to enable more disabled people to remain in work, or move from worklessness into employment. Rather, the risk is that large numbers of disabled people remain out of work and in poverty. Those set to lose their entitlements include people who need assistance to, for example, wash their hair or body below the waist or get in or out of the bath or shower. People who need supervision or prompting to be able to manage toilet needs, and who need assistance to be able to dress or undress their lower body, are also set to lose significant income.
Disabled people already face a much higher risk of poverty because of the additional costs associated with disability, and the additional barriers they face to entering employment. The latest official data shows of the 14.2 million people in poverty, 6.3 million were in a family with a disabled family member. Trussell Trust data shows more than a quarter (26%) of disabled people experience food insecurity, nearly three times higher than the rate among non-disabled people (10%). Seven in 10 (69%) people referred to Trussell's community of food banks are disabled, and three in four (75%) have at least one disabled person in their household. 9 Cuts to social security increase and deepen poverty.
If the government continues with these plans, meaningful transitional protection must be expedited. The sanctions regime must also be overhauled – removing the WCA and tightening PIP eligibility could lead to a significant number of disabled people and people who have health issues subject to work search requirements and conditionality with the UC system for the first time. There is a high risk that the current sanctions regime will simply lead to further deterioration in claimants’ health rather than promoting employment. We are also concerned that the full roll out of the £1 billion employment support package will not take place until 2029/30. This should be brought forward.
We recognise the difference that good quality employment support can make to disabled people’s lives. But it is also important that the outcome rates these schemes can realistically achieve are not overstated. Previous analysis shows that employment gains are often more limited after social security reforms than governments expect they will be. Even the most successful programmes like Work Choice (specialist employment support to disabled people) show how challenging it is to increase employment levels. Eight years after referral to Work Choice early cohort participants had a payrolled employment rate 10.9 percentage points higher than the comparison group, four years after referral to Work Choice later cohort participants had a payrolled employment rate 11.4 pp higher than the comparison group.10
New analysis of employment support outcomes by Learning and Work Institute has found that the additional funding for employment support could help 45,000-95,000 more disabled people into work. 11 While welcome, this is set against at least three million people with health and disability issues who will see very large cuts to their incomes.
More widely, we remain concerned that public debate has failed to recognise that PIP is not an out of work benefit. It is a working-age disability benefit which helps individuals deal with the extra costs of being disabled. Around one-sixth of PIP recipients are in work, and PIP can provide important support to enable people to access and remain in work. Reforming social security to increase work seeking behaviour is not best achieved by cutting these entitlements. Previous DWP figures show that 41% of new successful claims for PIP in March 2023 were from people who were in work, and this percentage has been increasing in recent years, from 29% in April 2016. 12
UK social security spend must also be put into wider context. Analysis by NIESR shows in 2010 the UK was the 14th largest spender out of 38 OECD countries prior to the reforms. By 2019 the UK had fallen in the ranking to the level of the 21st largest spender, which is below the OECD average. These figures do not support the claim that UK is a high welfare country.13 In 2019 the UK spent 1.3 of GDP on sickness and disability benefits, and even with the predicted increase to 2.2 % of GDP this remains lower than many of our European neighbours (based on 2019 data).
These changes come alongside a wider package of reforms announced by the government, some of which will be consulted on and many of which are a step in the right direction (although the proposal to consider removing the health element of Universal Credit from young people aged 18-21 is not the best way to support this group into education, employment or training). As set out above we welcome increased investment in employment support. It is also right to consider how reform can enable more disabled people to try work without the fear of losing their social security income, to consider a new role for contributory social security and to improve the operation of Access to Work. But the scale of the spending cuts that have been announced, and which mainly apply to benefits that can be claimed by those in and out of work, are not the solution to low employment rates. Decisions that affect millions of people’s lives must be made with care - both to protect the wellbeing of those affected and to ensure that the higher labour market participation rates we need are secured.
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