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Tag Archives: social care

‘Cheques like confetti’ as ‘redundant’ NHS managers are rehired at cost

18 Tuesday Mar 2014

Posted by Mike Sivier in Business, Conservative Party, Corruption, Health, People, Politics, Public services, UK

≈ 8 Comments

Tags

Andrew Lansley, andy burnham, cheques like confetti, Coalition, Conservative, Dan Poulter, health, hire, Jeremy Hunt, Julie Hilling, Labour, manager, National Health Service, Never Again, NHS, Nicholas Timmins, nurse, Oliver Letwin, Parliament, pay off, pay rise, question, re, redundant, restructure, social care, Tories, Tory, waste


Bad budgeting: The NHS has spent far more money firing and re-hiring pen-pushers than it is willing to give in increased pay to nurses. In what twisted system is that fair? [Image: BBC]

Bad budgeting: The NHS has spent far more money firing and re-hiring pen-pushers than it is willing to give in increased pay to nurses. In what twisted system is that fair? [Image: BBC]

The Coalition’s ‘reformed’ NHS has been spending a fortune on re-hiring managers it had previously given large redundancy payments – while Jeremy Hunt has been telling us there is no money to give nurses a pay rise.

Tory health minister Dan Poulter (the Health Secretary himself was nowhere to be heard) had to admit that 3,950 staff whose jobs were made redundant after May 2010 have since been hired back, in response to a Parliamentary question from Labour’s Julie Hilling. The figures cover a period up to November last year, so the true number may be even more.

These are managers who received large payoffs as part of the £3-4 billion ‘restructuring’ of the National Health Service that began before Andrew Lansley’s Health and Social Care Act was passed by Parliament.

The aim, as revealed in Nicholas Timmins’ Never Again: The Story of the Health and Social Care Act 2012, was defined by Oliver Letwin as “encouraging staff to quit public sector employment while selling their services back through social enterprise”. In other words, after losing their jobs in the ‘old’ NHS – and receiving large redundancy settlements for the inconvenience – managers were to be re-hired at high cost to the ‘new’ NHS.

Shadow Health Secretary Andy Burnham had this to say: “It’s clear that people who received payoffs are now coming back to the NHS in ever greater numbers. We need to know whether the Prime Minister has honoured his promise to recover redundancy payments from people who have been re-employed by his new organisations.

“The sickening scale of the waste caused by Cameron’s reorganisation is finally becoming clear. It will infuriate people who can’t get a GP appointment or nurses who are struggling to pay the bills.”

He pointed out: “It will be utterly galling for nurses who’ve just had a pay cut from David Cameron to see he’s been handing out cheques like confetti to people who have now been rehired.

“On his watch, we have seen payoffs for managers and pay cuts for nurses.”

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Patsy Burstow and the next great NHS betrayal

12 Wednesday Mar 2014

Posted by Mike Sivier in Conservative Party, Health, Labour Party, Law, Liberal Democrats, Politics, Powys, Public services, UK

≈ 9 Comments

Tags

119, Act, administrator, amendment, andy burnham, betray, budget, clause, close, closure, collusion, company, Conservative, consultation, Democrat, finance, government, health, Health Secretary, hospital, Initiative, Interest, Lib Dem, Liberal, Mike Sivier, mikesivier, national, neuter, NHS, patsy, paul burstow, PFI, politics, Powys County Council, private, public, sell-out, service, shadow, social care, special, Tories, Tory, trust, TSA, Vox Political


140312paulburstow

Patsy n A person regarded as open to victimisation or manipulation; a person upon whom the blame for something falls.

Burstow n A patsy.

It seems a familiar story: The Tories plan legislation that is clearly no good at all – in this case, a legal clause to allow the closure of successful hospitals to prop up failing NHS trusts (Clause 119 of the Care Bill). The Liberal Democrats object and threaten to rebel. The Tories then offer concessions to make it seem less likely that this will happen and the Lib Dems withdraw their objections.

All seems well until the new rules are put to the test. Coalition MPs voiced disquiet at the powers being granted to allow a trust special administrator (TSA) to force through changes at a neighbouring hospital if they consider it necessary to save one that is failing. This power is considered likely to be used to save hospitals run under the Private Finance Initiative (PFI), which are therefore saddled with huge unnecessary interest bills on the money invested by private companies.

We are told there will be some form of public consultation. Great. Here in Mid Wales, Powys County Council consulted constituents on its plans to cut £20 million from its budget for 2014-15. After the answers came back, the council’s cabinet ignored every single word of the responses and pressed on with its plan. Changes were only brought in after the rest of the council made it clear that they weren’t putting up with those shenanigans.

So much for consultation.

The minute a hospital is closed to prop up the PFI place next door, the Tories will blame Patsy – sorry, Paul – Burstow. They’ll say he had a chance to do something about it but didn’t.

What makes it worse for him is that Labour weren’t going to put up with his shenanigans and forced a vote on his amendment – which would have completely neutered the offending clause. Burstow voted against it – that’s right, against his own amendment, helping the government to a narrow 47-vote victory.

So much for him.

One politician who does seem to have the good of our hospitals at heart is Shadow Health Secretary Andy Burnham. What did he have to say about all this, during the debate yesterday (March 11)?

“What we have seen … from the right hon. Member for Sutton and Cheam (Paul Burstow), who positioned himself as though he was going to make a stand for local involvement in the NHS, is the worst kind of collusion and sell-out of our national health service.

“Just as the Liberal Democrats voted for the Health and Social Care Act, again they have backed … the break-up of the NHS.”

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The end of patient confidentiality as NHS information is sold to insurers

24 Monday Feb 2014

Posted by Mike Sivier in Business, Conservative Party, Corruption, Cost of living, Health, Liberal Democrats, People, Politics, UK

≈ 32 Comments

Tags

agencies, agency, BBC, betray, care.data. General Patient Extraction Service, charities, charity, Coalition, companies, company, confidential, Conservative, credit, Daily Telegraph, database, Democrat, Department, drug, England, firm, form, George Freeman, government, GP. record, GPES, health, HSCIC, information, Information Centre, insurance, insurer, Jeremy Hunt, Lib Dem, Liberal, lie, lying, medConfidential, Mike Sivier, mikesivier, National Health Service, NHS, opt out, patient, Patients4Data, people, pharmaceutical, politics, premium, private, pseudonymise, Research, scaremonger, sell, sick, social care, sold, Tories, Tory, Vox Political


Americanised healthcare: It is appropriate that the only appropriate image I could find features dollars instead of pounds - because it is clear that the Tory government is changing the NHS into an Americanised insurance-based service.

Americanised healthcare: It is appropriate that the only appropriate image I could find features dollars instead of pounds – because it is clear that the Tory government is changing the NHS into an Americanised insurance-based service.

Confidential information on NHS patients has been sold to insurance companies who used it in combination with information from credit rating agencies to identify customers and “refine” their premiums – increasing the costs of policies for thousands of customers, despite all the Tory-led government’s assurances to the contrary.

According to the Daily Telegraph, “a major UK insurance company… was able to obtain 13 years of hospital data – covering 47 million patients.

“As a result they recommended an increase in the costs of policies for thousands of customers last year.”

The revelation comes only days after plans to sell the confidential medical information of every NHS patient in England were put on hold amid a public outcry.

The care.data system, also called variously the General Patient Extraction Service (GPES) or the Health and Social Care Information Centre, was dreamed up as a money-spinning device by Jeremy Hunt’s Department of Health.

The aim is that, if you are an NHS patient in England, your GP will be forced to provide your confidential records, showing every medical condition you have ever had and providing intimate details of your current state of health, to a huge national database.

From there, your information may be sold on to private healthcare and pharmaceutical companies for “research”. The government has said the information would be “pseudonymised”, in an attempt to reassure you that you cannot be identified from the information to be provided to outside organisations.

Only last Friday the BBC was reporting that critics of the scheme were “scaremongering”.

The Corporation – which has failed to report the new development – quoted Tory MP George Freeman, founder of Patients4Data, which represents charities and drug companies (and not patients, apparently) as follows: “We cannot let opponents peddling scaremongering myths stop patients benefiting from this quiet revolution of modern medicine.”

And last month, NHS England categorically stated: “No data will be made available for the purposes of selling or administering any kind of insurance.”

Vox Political has made it clear from the outset that this is not true, and in fact it will be entirely possible to trace your medical information back to you. Now we have proof.

NHS England has delayed compiling the new database of English NHS patients until the autumn. You could help sink the scheme altogether, if you don’t want your government – and your NHS – to sell your information into the wrong hands. Just opt out of the data sharing scheme, using a form designed by the medConfidential website.

Make no mistake – the Conservative Party and the Liberal Democrats in Parliament have betrayed you.

They have already sold hospital patients’ information to insurance companies, and there can be no doubt that the intention is to do the same with GPs’ confidential records, with a consequential increase in insurance costs to people across the country.

They are turning your beloved National Health Service into an insurance-based scheme, on the same lines as the vastly more expensive American system.

They have been lying to you.

They intend to profit from selling your information – to companies that intend to profit by using it against you.

Are you going to sit there and let them?

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Stalled – the plan to share NHS patients’ confidential information with big business

19 Wednesday Feb 2014

Posted by Mike Sivier in Conservative Party, Corruption, Health, Media, People, Politics, UK

≈ 10 Comments

Tags

approved organisation, care.data, choice, confidential, database, fail, failure, General Patient Extraction Service, government, GPES, health, hold, HSCIC, human, identified, identify, identity, Independent, Information Centre, informed, Jeremy Hunt, medConfidential, medical, Mike Sivier, mikesivier, NHS, NHS England, outcry, patient, people, Phil Booth, politics, private, pseudonymise, public, publicise, quality, record, Research, screening, secretary, sell, service, sick, social care, sold, stall, Vox Political


Freudian slip: The BBC's article on the care.data delay was accompanied by this picture of a hand drawing on a diagram of a pair of breasts. Is this a tacit implication that the Department of Health has boobed? (Sorry, ladies) [Image: BBC]

Freudian slip: The BBC’s article on the care.data delay was accompanied by this picture of a hand drawing on a diagram of a pair of breasts. Is this a tacit implication that the Department of Health has boobed? (Sorry, ladies) [Image: BBC]

A plan to sell the confidential medical information of every NHS patient in England has been put on hold after it caused a public outcry.

The care.data system, also called variously the General Patient Extraction Service (GPES) or the Health and Social Care Information Centre, was dreamed up as a money-spinning device by Jeremy Hunt’s Department of Health.

The aim is that, if you are an NHS patient in England, your GP will be forced to provide your confidential records, showing every medical condition you have ever had and providing intimate details of your current state of health, to a huge national database.

From there, your information may be sold on to private healthcare and pharmaceutical companies for “research”. A new proposal backed by NHS England (a body set up largely to support the increasing privatisation of the NHS, if my information is correct) would give non-NHS bodies including private companies the right to ask for access to the data.

The government has said the information would be “pseudonymised”, in an attempt to reassure you that you cannot be identified from the information to be provided to outside organisations. This is not true, and in fact it will be entirely possible to trace your medical information back to you.

The government claims the information will help experts assess diseases, examine the effects of new drugs and identify infection outbreaks, while also monitoring the performance of the NHS.

In fact, it seems far more likely that this is a widespread invasion of privacy, with the information likely to be used (for example) to sell you health insurance that you should not need.

We are told that NHS England organised a mass mailing to every household in England, explaining its version of what the planned system will do – but a BBC poll of 860 people last week found that fewer than one-third of them could recall receiving it.

Concern that people are likely to end up allowing their information to go into commercial hands without ever knowing about it has led to the scheme being halted – for the time being.

NHS England has accepted that its communications campaign must be “improved”, although we do not yet know how. A propaganda campaign on TV and radio seems likely.

Every NHS patient in England has the right to opt out of the data sharing scheme, and many have already chosen to do so. You can do it right now, using a form designed by the medConfidential website.

While NHS England and the Department of Health will continue trying to justify this scheme, there is no justification for selling your private information to commercial organisations.

It is to be hoped that this six-month pause will end with the abandonment of the scheme.

If the organisations that want the information genuinely intend to use it for humanitarian concerns, it would be fully anonymised and they would not be buying it.

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Are you happy for big business to have your confidential medical records?

21 Tuesday Jan 2014

Posted by Mike Sivier in Conservative Party, Health, People, Politics, UK

≈ 23 Comments

Tags

approved organisation, care.data, choice, confidential, database, fail, failure, General Patient Extraction Service, government, GPES, health, HSCIC, human, identified, identify, identity, Independent, Information Centre, informed, Jeremy Hunt, medConfidential, medical, Mike Sivier, mikesivier, NHS, patient, people, Phil Booth, politics, private, pseudonymise, publicise, quality, record, Research, screening, secretary, sell, service, sick, social care, sold, Vox Political


n4s_nhs1

Do you live in England? Are you an NHS patient? Have you realised that your Conservative-led Coalition government is selling your medical records to private healthcare and pharmaceutical companies? Do you know that these ‘anonymised’ records are in fact nothing of the sort, and anyone buying your details will be able to identify you?

Do you want to do something about it? It isn’t too late.

Vox Political warned last September that Health Secretary Jeremy Hunt is planning to sell records to “approved” private companies and also universities – that’s sell, mark you, to make money for the government.

The system was called the General Patient Extraction Service (GPES) – although exactly who it serves is entirely up for debate. It seems to have metamorphosed into the Health and Social Care Information Centre by now, but the purpose remains the same. You may also see it described as the care.data scheme.

Hunt wants us to believe that the information will be valuable for medical research and screening for common diseases.

In fact, the information could be used by private health companies as evidence of failures by the National Health Service, and could help those companies undercut NHS bids to continue running those services – this would accelerate the privatisation that nobody wanted.

This week, The Independent reminded us all that the system that will sell off your information will go live later this year.

The article warned: “Companies like Bupa or Virgin that already hold data on UK patients may be able to use the new anonymous data available from the centre to precisely identify where it has come from, according to campaigners.

Phil Booth, co-ordinator at patient pressure group medConfidential, said: “The scheme is deliberately designed so that ‘pseudonymised’ data – information that can be re-identified by anyone who already holds information about you – can be passed on to ‘customers’ of the information centre, with no independent scrutiny and without even notifying patients. It’s a disaster just waiting to happen.”

The information for sale to profit-making firms will contain NHS numbers, date of birth, postcode, ethnicity and gender.

Patients can opt out of the system by contacting their family doctor, but medConfidential has designed a form to make it easier.

On its ‘How to opt out’ page, the organisation writes: “Under changes to legislation, your GP can now be required to upload personal and identifiable information from the medical record of every patient in England to central servers at the Health and Social Care Information Centre. Once this information leaves your GP practice, your doctor will no longer be in control of what data is passed on or to whom.

“This information will include diagnoses, investigations, treatments and referrals as well as other things you may have shared with your doctor including your weight, alcohol consumption, smoking and family history. Each piece of information will be identifiable as it will be uploaded with your NHS number, date of birth, post code, gender and ethnicity.

“NHS England – the body now in charge of commissioning primary care services across England – will manage and use the information extracted by the Health and Social Care Information Centre for a range of purposes, none of which are to do with your direct medical care. Though the official leaflets talk a great deal about research, these ‘secondary uses’ for which your data may be used include patient-level tracking and monitoring, audit, business planning and contract management.

“In September 2013, NHS England applied to pass on your information in a form it admits “could be considered identifiable if published” to a whole range of organisations that include – but are not limited to – research bodies, universities, think tanks, “information intermediaries”, charities and private companies.

“Though you may be told that any data passed on will be ‘anonymised’, no guarantees can be given as to future re-identification – indeed information is to be treated so that it can be linked to other data at patient level – and NHS England has already been given legal exemptions to pass identifiable data across a range of regional processing centres, local area teams and commissioning bodies that came into force on April 1st 2013. The Health and Social Care Information Centre already provides access to patient data, some in identifiable form, to a range of ‘customers’ outside the NHS, including private companies.”

The opt-out form is downloadable from the medConfidential web page, along with a form letter in various formats, allowing patients to opt out themselves, their children and any adults for whom they are responsible.

This is a gross abuse of patient confidentiality for the purpose of commercial gain.

Don’t let it happen to you.

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Foiled! Lords veto Coalition bid to make being ‘annoying’ an arrestable offence

08 Wednesday Jan 2014

Posted by Mike Sivier in Conservative Party, Crime, Justice, Law, Liberal Democrats, People, Police, Politics, UK

≈ 18 Comments

Tags

Act, annoy, annoyance, Anti-Social, antisocial behaviour, arrest, ASBO, awful legislation, Behaviour, bill, cannabis, civil, Coalition, concession, Conservative, crime, criminalise, Democrat, freedom of speech, government, harassment, health, house, imprecise, injunction, IPNA, Lib Dem, Liberal, liberty, lobbying, Lord Blair, Lord Dear, Lord Faulks, Lord Justice Sedley, Lords, loud, Mike Sivier, mikesivier, music, nuisance, order, Parliament, Patrick Cormack, peer, people, police, policing, political, politics, Prevent, protest, setback, social care, Tories, Tory, transparency, upset, vague, Vox Political, window dressing


140108ipna

The Conservative-led Coalition government has suffered a major setback in its plan for an oppressive law to criminalise any behaviour that may be deemed a nuisance or annoyance.

The Antisocial Behaviour, Crime and Policing Bill was intended to allow police the power to arrest any group in a public place who constables believe may upset someone. It was rejected by 306 votes to 178, after peers on all sides of the House condemned the proposal as one that would eliminate carol-singing and street preaching, bell-ringing and – of course – political protests.

It seems the Lords are more interested than our would-be tyrants in the Conservative and Liberal Democrat Cabinet in the basic assumption of British law – that a person is innocent until proven guilty.

The politics.co.uk website, reporting the government’s defeat, said the new law would have introduced Injunctions to Prevent Nuisance and Annoyance (IPNAs) to replace Anti-Social Behaviour Orders (ASBOs).

It explained: “Whereas an Asbo can only be granted if a person or group is causing or threatening to cause ‘harassment, alarm or distress’ to someone else, an Ipna could be approved merely if a judge believes the behaviour in question is ‘capable of causing nuisance or annoyance to any person’.

“Opinion could have been swayed by a mistake from Lord Faulks, the Tory peer widely expected to shortly become a minister who was asked to give an example of the sort of behaviour which might be captured by the bill.

“He described a group of youths who repeatedly gathered at a specific location, smoking cannabis and playing loud music in a way representing ‘a day-by-day harassment of individuals’.

“That triggered consternation in the chamber as peers challenged him over the word ‘harassment’ – a higher bar than the ‘nuisance or annoyance’ threshold he was arguing in favour of.

“‘I find it difficult to accept a Conservative-led government is prepared to introduce this lower threshold in the bill,’ Tory backbencher Patrick Cormack said.

“‘We are sinking to a lower threshold and in the process many people may have their civil liberties taken away from them.'”

It is the judgement of the general public that this is precisely the intention.

Peers repeatedly quoted Lord Justice Sedley’s ruling in a 1997 high court case, when he declared: “Freedom to only speak inoffensively is not worth having.”

It is interesting to note that the government tried a well-used tactic – making a minor concession over the definition of ‘annoyance’ before the debate took place, in order to win the day. This has served the Coalition well in the past, particularly during the fight over the Health and Social Care Act, in which claims were made about GPs’ role in commissioning services, about the future role of the Health Secretary, and about the promotion of private health organisations over NHS providers.

But today the Lords were not fooled and dismissed the change in agreement with the claim of civil liberties group Liberty, which said – in words that may also be applied to the claims about the Health Act – that they were “a little bit of window dressing” and “nothing substantial has changed“.

A further concession, changing the proposal for an IPNA to be granted only if it is “just and convenient to do so” into one for it to be granted if it targets conduct which could be “reasonably expected to cause nuisance or annoyance” was torpedoed by Lord Dear, who rightly dismissed it as “vague and imprecise“.

That is a criticism that has also been levelled at that other instrument of repression, the Transparency of Lobbying Bill. Lord Blair, the former Metropolitan police commissioner, invited comparison between the two when he described the Antisocial Behaviour Bill in the same terms previously applied to the Lobbying Bill: “This is a piece of absolutely awful legislation.”

The defeat means the Bill will return to the House of Commons, where MPs will have to reconsider their approach to freedom of speech, under the scrutiny of a general public that is now much more aware of the threat to it than when the Bill was first passed by our allegedly democratic representatives.

With a general election only 16 months away, every MP must know that every decision they make could affect their chances in 2015.

We must judge them on their actions.

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Welfare reform: will the Lords hold their nerve?

14 Tuesday Feb 2012

Posted by Mike Sivier in Benefits, Health, Law, People, Politics

≈ Comments Off on Welfare reform: will the Lords hold their nerve?

Tags

amputees, anxiety, assessment, benefits, blind, Chris Grayling, Coalition, Conservative, deaf, Department for Work and Pensions, depression, disability, Disability Living Allowance, disabled, DLA, DWP, government, health, health and safety, illnesses, impairments, Incapacity Benefit, Jobseeker's Allowance, learning difficulties, Liberal, mental, mental health problem, Mike Sivier, mikesivier, Parliament, people, Personal Independence Payment, PIP, politics, problem, responsible reform, rocking, social care, Social Services, specialists, sweating, terminal, tick-box, Tories, Tory, trembling, tribunal, WCA, Welfare Reform Bill, wheelchair, work capability assessment


Today (February 14), the House of Lords will be debating the Welfare Reform Bill from 2.30pm. This is the Bill they sent back to the Commons with seven amendments, which MPs reversed out of hand. The government went on to state it would us ‘financial privilege’ rules to push the legislation through Parliament in its original form – an entirely undemocratic move that has led many to question the legality of the government’s tactics, and some to call for the Queen to deny Royal Assent to the Bill, on the grounds that it will not have been passed “in good faith”.

I think we all know by now that the aim of this Bill is to harm disabled people. The government has tried to create a myth about them being “benefit scroungers”, sponging off the State, but that has not succeeded with anyone other than readers of the Daily Mail. Ministers just want to take money away from those who are least able to defend themselves. Shame on them.

The question now is whether the Lords are prepared to stand up to the Coalition. Will they oppose the derisory attitude of their counterparts in the Commons, or will they just roll over and let democracy die out? How do they feel about the fact that their amendments were overturned? What do they think about the ‘financial privilege’ furore?

I suppose we’ll find out this afternoon, starting at 2.30pm.

For those of you with a deeper interest in the issues, I urge you to read Sue Marsh’s Diary of a Benefits Scrounger, but I will leave you with a quotation from today’s column: “At some point we must say “enough”. At some point, we have to accept that we have a broken system, broken procedures and that “majority rule” is not enough. If we have no checks and balances, no way to influence outcomes or mitigate harm, then the Commons is effectively a dictatorship – once elected free to wreak havoc wherever they see fit. Nothing in a manifesto, no hint of things to come, just a majority, cobbled together to deny process.”

I warned last week that we are seeing the signs of a dictatorship here. Do you really want to live under tyranny?

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Welfare Reform Bill: a request for information

07 Tuesday Feb 2012

Posted by Mike Sivier in Benefits, Health, Law, People, Politics

≈ 1 Comment

Tags

amputees, anxiety, assessment, benefits, blind, cancer, Chris Grayling, Coalition, complex, computer, Conservative, Coronation Street, deaf, Department for Work and Pensions, depression, disability, Disability Living Allowance, disabled, disabled charities, disabled charity, DLA, DWP, EastEnders, government, health, health and safety, illnesses, impairments, Incapacity Benefit, Jews, Jobseeker's Allowance, learning difficulties, Liberal, Maria Miller MP, mental, mental health problem, Mike Sivier, mikesivier, Nazis, Parliament, people, Personal Independence Payment, PIP, politics, problem, responsible reform, rocking, Roger Williams MP, social care, Social Services, specialists, sweating, terminal, The Guardian, tick-box, Tories, Tory, trembling, tribunal, WCA, Welfare Reform Bill, wheelchair, work capability assessment


In April last year I wrote to my MP, Roger Williams (Liberal Democrat) regarding the Welfare Reform Bill and changes to Disability Living Allowance. He had sent me a letter from Maria Miller (a DWP minister, I believe), claiming that it should reassure me. It didn’t.

Now, as the government is ramrodding this vile Bill through Parliament using a procedure that is not valid (as far as any of us can tell), I’d like to resurrect some of the issues I raised with him then, and ask whether any of them have changed in the 10 months since.

If any readers have answers for me, or stories about their own experiences, please send them to me via the ‘Comments’ box at the bottom of the page.

‘According to the letter,’ I wrote, ‘there will be an “objective assessment of an individual’s need”, developed alongside “a group of independent specialists in disability, social care and health, which includes disabled people”. Who are these independent specialists? To which organisations do they belong? Are any of them members of groups which have previously criticised the assessment of Incapacity Benefit claimants, on which the DLA assessment will be based? This letter does not provide that information.’

Does anyone know, today, who these people might be?

‘The letter states: “I can assure you that it (the allegedly-objective assessment of an individual’s need) will not only take into account physical impairments, but also mental, intellectual, sensory and cognitive ones. We also recognise the importance of ensuring that it effectively takes account of variable and fluctuating impairments.”

‘Before continuing, I would like to point out that taking information into account is not the same as making a decision based on it, and this comment cannot, therefore, be taken as an assurance of fairness.

‘As I understand it, the assessment will be carried out with the help of a computer, as has been the case with Incapacity Benefit since the new assessment for that benefit was introduced. Is this really the best way of analysing a person’s fitness for work? I don’t think so, and neither do charities working with the disabled, who have described it as a “blunt and unsophisticated tool”.

‘Let’s stay with the Incapacity assessment for a while. I think it is useful to use it as a way of gauging how the new DLA assessment will work because the latter will be based on the former. Since its preliminary rollout in 2008, we have all heard how people with terminal cancer have been found fit to work. In addition, people with mental health problems have complained their condition has not been taken seriously, and people with complex illnesses report that the tick-box system is not able to cope with the nuances of their problems. “Ensuring that it effectively takes account of variable and fluctuating impairments”? It doesn’t seem likely, in my opinion. Certainly not “effectively”.

‘A revised, even more stringent version of the assessment means blind claimants who can get around safely with a guide dog will be forced onto jobseekers allowance, as will deaf claimants who can read and write. Taking into account sensory impairments? Do you think this claim is justified?’

Is this still true?

‘To continue receiving benefit, a person must score 15 points. However:

‘*Claimants who can’t walk but who can use a manual wheelchair will no longer score points;’

Still accurate?

‘*References to hands have been removed from the picking up activity specifically in order to make it harder for amputees to score points;’

Is this still the case?

‘and *Some activities have simply been cut from the test altogether. For example, the activity of ‘Bending and kneeling’, for which 30 points are currently available, is to be completely removed for ‘health and safety reasons’ as people should not ‘bend forward when lifting’.’

Is this still the case? It seems strange to cut something from a test for health and safety reasons when at-work threats to a person’s health and safety are precisely the reason they are taking the test!

‘Half of all the scoring descriptors for mental health and learning difficulties have also been axed, making it much harder to get benefit for people with conditions such as depression or anxiety.’

Still true?

‘At the end of each session, the computer program generates a 25-page report summarising the person’s general state of health, and fitness for work. People with severe health problems who have been given zero points say that they have told their assessors what was wrong with them, and been met with a “computer-says-no” response.’

Still true?

‘Receipt of DLA means many claimants can also get free improvements to their homes from Social Services,’ I wrote. ‘How are disabled people supposed to get these improvements if they are downgraded to Jobseeker’s Allowance, which provides a lower amount that will be entirely spent on subsistence?’

I added that there is a level of vindictiveness in the assessment system, also.

‘The Guardian has reported on one man who was given only nine points in his first WCA, but went to tribunal, where the judge found him eligible for the higher level of benefit. Shortly after the tribunal he was called for another assessment, and this time was awarded zero points. At the time the article was printed, he was waiting to appeal a second time.

‘Part of the assessment has assessors extracting information sideways from claimants. People are asked: ‘Do you watch EastEnders or Coronation Street?’ If they say yes, then that’s interpreted as meaning they can sit in a chair for 30 minutes, and that they can concentrate for 30 minutes, and the assessor can then put this on their profile as indicating they are able to work. Ability to watch a TV show does not equal ability to work.

‘Assessors observe the claimants’ demeanour during the test. One report, explaining why a woman with mental health problems had been found ineligible for the benefit, states as justification that she “did not appear to be trembling . . . sweating . . . or make rocking movements”. The DWP manual states “rocking may indicate anxiety”. It may indeed, but this is not – and should not be interpreted as – the only possible indication of anxiety.

‘Let’s get back to the letter,’ I wrote. ‘It states: “Currently there are 11 possible different rates at which DLA can be paid, which makes it complex to administer. We are proposing two rates of benefit payable for each component. This will simplify the overall structure and make it easier to understand.” Hold on a moment! So what this means is the current system involves a bit of thought on the part of administrators that, reading between the lines, the current government is not prepared to support. Simplifying the structure would mean fewer different rates of payment – so there’s a saving to be made there – and also there will be a need for fewer people to administrate the system – so there’s another saving to be made.

‘This is all about money, isn’t it? Mr Grayling can carry on that there are no targets until he’s blue in the face, but the facts are telling a different story.’

I’m willing to bet that none of the above has changed, but I’d like to read comments from people who are more familiar with the system than I am.

I’d like to leave you with this thought: In 1930s Germany, the Nazis had the Jews. In today’s UK, the Coalition has the disabled. How long will it be before someone dies?

Or has that happened already?

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