Health-related Benefit Claims

Question

15:10:00

Asked by

To ask His Majesty’s Government what plans they have to deal with the rising cost of health-related benefit claims.

My Lords, this Government are committed to supporting people into work, improving outcomes for all and ensuring long-term fiscal sustainability. Our plans as announced in the Budget include £240 million to tackle the root causes of inactivity through the “Get Britain Working” White Paper. In 2025 we will also bring forward proposals to reform health and disability benefits.

I thank my noble friend the Minister for that Answer. Does she agree with me that whatever your politics, we should all care about helping more people back to work? It is good for the individual, the economy and the social security bill. Most people claiming health-related benefits are not feckless or lazy; they want to work but have often suffered bad luck, such as an accident or an illness. Has my noble friend seen the work of the Resolution Foundation, which highlights a particular concern with younger workers and mental health issues? Can she outline what the Government are doing to help our younger people get back to work?

I thank my noble friend for some very good questions. Evidence shows that appropriate work is generally good for health and well- being, so we want everyone who can to get work and get on in work, whoever they are and wherever they live. But that means proper support for those who are living with health conditions or disabilities. In relation to younger people, the Resolution Foundation report on this matter had some very interesting findings. One that struck me particularly was that young people who have lower skill levels are more likely to be workless as a result of health conditions than those with higher skill levels. That tallied with the evidence I have seen. Back in 2012, one in 13 of the young people who were not in education, employment or training reported a mental health problem. Now, it is one in five. We have a real challenge with young people and mental health. We are doing two things: directly improving mental health support for young people in schools and in the community, and trying to do what we can to get them into work. The Budget money announced will help to establish eight youth guarantee trailblazer areas across England to test new ways of supporting young people into employment, training or apprenticeships, working with local suppliers. That will inform the development of a youth guarantee for all 18 to 21 year-olds.

My Lords, I pick up the Minister’s reference to mental health. Some estimates suggest that up to two-thirds of those claiming incapacity benefits are doing so on the basis of mental health-related issues. Can the Minister tell us whether a focus on young people, in particular their use of things such as smartphones and social media, is being both researched and fed into the Government’s early intervention strategy?

My Lords, there certainly has been a growth both in the number of young people reporting mental health issues and in the number of people on sickness or disability benefits as a result of mental health issues—although, because the numbers still skew towards the older age, there are still more older people with mental health issues. However, we definitely have a challenge with young people and mental health issues. If my department is doing any research on mobile phones, it has passed me by, but I will go back and ask that specifically. However, I am working with my colleagues in the Department for Education to look at the well-being of young people. For example, a children’s well-being Bill will put children’s well-being at the centre of their education. We are looking at providing every single school with a mental health professional who can work with young people. Outside that, we will have youth hubs, with drop-in services and mental health support. If we want our young people to go on to live fulfilling, thriving lives, we need to tackle this problem as early as possible and give them the help they need.

My Lords, does the Minister believe that the reason for health-related benefits claims is the state of the health service, including people’s access to their GP for a face-to-face appointment? If we do not deal with that, we will not deal with health-related benefits. What are the Government doing to pursue those aims?

My Lords, the noble Lord points out another of the contributory factors. A complex web of things brings people to this point. As far as we understand it, a number of contributory factors are driving the rise in health-related benefits. Disability has gone up in prevalence over the last 25 years, including a rise in mental health issues. Also, longer NHS waiting lists are thought to increase claims for benefits before people are treated, because they are waiting longer, and potentially after they are treated, because they have poorer outcomes as a result of problems in the National Health Service. This Government are absolutely committed to fixing our NHS. We have seen record investments, and the plans that came out in the Budget mean that we are absolutely committed both to engaging directly in supporting the NHS and to tackling some of these problems. As part of “Get Britain Working”, we will have trailblazer areas across England and Wales bringing together health, employment and skills services. In three of those areas, money will go to the NHS to develop evidence on how the health system can prevent ill-health-related economic activity. We are going to sort this.

My Lords, I remain to be convinced that the measures the Government are taking to get more inactive people on benefits into work, including those with mental health challenges, will bear fruit—I hope that they will. I have lost count of the number of consultations that have been announced. Crucial for this is a willingness of employers to hire. Have the Government not made matters much worse with the rise in national insurance contributions for employers announced last week?

My Lords, I ask the former Minister not to prejudge this—we have not even published the White Paper yet. He may not be convinced by it, but I hope to convince him yet. When it comes out, I will happily talk him through it as there are some excellent plans. He raises an important point about employers. My department is doing a lot of work with them, and we have plans to do even more. If we are to get people into work—particularly people who have challenges, such as mental health issues or other barriers—we need to get the right people into the right jobs with the right support. Otherwise, the danger is that we get people into jobs but they fall back out of them and do not stay there. We are absolutely committed to working with employers, making sure that we can get employers the staff they need and people the jobs they need.

My Lords, is the Minister aware of whether CAMHS are being properly financed?

My Lords, there is no doubt whatever that there are real problems with child and adolescent mental health services, but we will address them. In the meantime, we have plans in place to recruit another 8,500 mental health professionals to support both children and adults, and we will look carefully at that. We are very conscious that there is no point in identifying mental health problems if there is nowhere to refer young people when they need help.

My Lords, the most effective treatment for mental illness is cognitive behavioural therapy. It works very well and has been shown to save money because it is quick and effective. It requires clinical psychologists. Do we have enough of them, and what are we doing to fill the gap?

Honestly, I have no idea—but I have colleagues in the Department of Health who will. As a Government, we are developing significant extra support and making sure that there is an NHS fit for the future, including by providing appropriate support. I am afraid that I will have to find someone to write to my noble friend about the number of CBT therapists.

My Lords, many schemes have been getting people on benefits into work, but research shows that one of the biggest challenges is keeping people in work and enabling them to move on to a second, third or fourth job and a career. What are the Government doing to support keeping people in work?

What a great question. We are absolutely committed to this being a strategy not just to get people into jobs but to get people into good jobs, to keep them there and to help them progress over time. The focus of the “Get Britain Working” White Paper will be on that. In this country we need good jobs and we need people to get them. They need to be given the support to get there—and continuing support, if they need it, while they are there—and then to have the ability to progress. Our three-part scheme will not just include the youth guarantee but bring together the national jobs and careers service as well as skills and help-at-work support. It is all about trying to get people in jobs and make sure that they progress when they are there. I thank the noble Baroness for asking a great question.

My Lords, following the important points that my noble friend Lady Hazarika made about young people with mental health problems, and the point that was made about CAMHS, does the Minister agree that there needs to be a seamless transition between CAMHS and adult mental health services if we are to end fragmentation and help young people with mental health problems back into work? Will she emphasise that to the Department of Health?

My noble friend makes an excellent point. I am sure that many noble Lords will have heard cases of individuals who found that they were getting appropriate support sometimes when they were children but then found the transition to adult mental health services problematic afterwards. The NHS, as well as investing in support for young people, is investing in mental health care, but I will make sure that specific point is conveyed to my colleagues in the Department of Health.