13th November 2012: Rescare notes the exchange in the Commons between John Robertson MP and newly-appointed ‘Disability Minister’ Esther NcVey regarding the introduction of PIP and specifically on the guidance and guidelines that will apply to assessments.
John Robertson: … We must discuss what happens in those situations and where people are to go for help. Why? Because so many of the constituents who are coming to us about the issue want to know exactly that. They are scared, and as their representatives, we need to ensure that we have done everything that we can to protect their rights. Their concern, which is mine, is about the process itself and how it will be conducted. The PIPs system is intended to provide more face-to-face assessments than the DLA one. That raises several issues, the most important of which is that assessors should be given adequate training to enable them to identify disabled people’s issues and how they face such issues. That is an extremely difficult challenge, and I want guarantees that that has been thought through.
The number of disabilities is vast, and they vary from extremely physical ones to those that are less obvious to someone who has not been trained adequately. The system involves a very medical model, looking at what people can do, rather than what they cannot do. That might be appropriate for some types of disability. However, someone with a learning disability, for example, might be asked by an assessor, “How are you?” and they might reply, “I’m good.” Of course, they may be good physically, but such a conversation would not necessarily pick up the many problems that the person with a learning disability does not realise they have but needs support for.
Esther McVey: … The reforms are about targeting support more effectively and keeping the best elements of DLA — the ones that disabled people value — but also about bringing the benefit up to date and fit for the 21st century. I assure Members that we are fully committed to the implementation of the personal independence payment from April 2013 and that we are on track for delivery. We will start with small volumes of new claims in the north-west before the national roll-out begins in June 2013. I will not go into the details of that, however, because the hon. Gentleman has raised some specific points. It is important to get the assessment and assessor training right, with an emphasis on the importance of assessors being able to identify the wide range of barriers that people with disabilities and impairments may face. The Department for Work and Pensions has set clear standards for providers on the skills, training and competence expected of those assessors. We will work closely with the providers to ensure that training is of that required standard, and we will approve the training plans only when we are fully satisfied that they meet the necessary quality. All assessors will be health professionals with broad training in disability analysis, as well as training on specific impairments. Although we expect assessors to have good general knowledge of health conditions and impairments, they do not need specialist knowledge of particular conditions.
John Robertson: I totally disagree with the Minister’s last statement. There are certain times when specialists are required. Putting the onus on the assessor to make a decision on something that they know very little about suggests that the process is more about ticking boxes than an actual assessment.
Esther McVey: If I had reached the end of my paragraph, I might have answered those questions. Assessors will have broad knowledge and specialist knowledge, but the assessment will not be medical; the assessment focuses on outcomes and how the health condition affects the individual. We recognise, however, that assessors might need support on mental, intellectual and cognitive impairments when assessing individuals with, for example, mental health conditions, learning disabilities or autism. As such, we require providers to have mental and cognitive champions, as recommended by Professor Harrington.
Read the full debate here. As Rescare has observed elsewhere, the transition from DLA to PIP is scheduled to take place between 2013 and 2016. We will continue to monitor the transition, and especially the assessment procedures as eventually applied to people with learning disabilities.
Details of the ‘Harrington Review’ may be found via the DWP website here