#newapproach alternative to the wca v2.0
Post on 22-Aug-2014
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New approach
Social protection – not exclusion
Spinning people round in a circle of statistics is no answer
DWP Figures 2008 -‐ 2013
4.3 million claims
made since Oct 2008
2.4 million claims
ended since Oct 2008
ESA hasn’t worked
6 Million caseload 4.1 Million
assessments
1.2 Million appeals
1.4 Million ‘fit for work’ 0.7
million reclaims
No economic benefit
2.6 million claimants 2008
2.45 million
claimants 2014
-‐ 150,000
ReducEon?
ESA related job outcomes
4,000,000 (4 Million) Work Capability Assessments
10,760 job outcomes for new ESA claimants (0.25 %)
980 Job outcomes for incapacity /ESA claimants
60 Job outcomes for Incapacity /ESA claimants with a mental health problem
New approach has done the sums
In most incapacity benefit /ESA cases the claimant’s doctor was right
2.6 million on incapacity prior to ESA
1.22 million tested for ESA
0.98 million qualified
0.25 million found fit for work by DWP
0.13 million appealed 980 job outcomes
0.22 million reclaimed incapacity benefit
A new approach is the only way
Abolish the WCA
Claimants need the right support
You can’t tell what a person’s limita>ons are just by looking at them
A need to recognise all barriers
A full support package
A new approach to assessment
A new in and out of work credit
Early stage exclusion for those who are too unwell
Certain condiEons are automaEcally excluded
The GP can indicate exclusion on the ‘MED 3’ fit note
A help line for exclusion cases is available to all GP’s
All exclusion cases receive maximum support
Four Way Assessment
The claimant has their say
The claimant’s clinician provides
their opinion
An independent
HCP provides an
overview
Employability is considered
A new four way assessment process
Claimants are assessed flexibly
Claimants can apply for personal limitaEon based credit (LBC)
LBC ranges from 0% to
100% paid in or out of work
On top of any basic personal allowance when out of work
Most claimants with a limitation are able to apply for LBC
LBC can be paid to working age claimants who are seeking work or who are unable to seek work
More compatible with modern labour market challenges
Grouping and tick box testing doesn’t
work
Flexible intelligent assessment is the way forward
“The problems surrounding growth in incapacity for work claims have been with us for more than 3 decades. The soluEon isn’t to be found in more 45 minute Eck box tesEng; we need blue sky thinking revolving around a completely new approach”
The claimant isn’t just a naEonal insurance number
They state what they see as their full range of limitaEons
Where unable to do so they consult a support assistant within The advice sector
The claimant’s doctor completes a much more
informaEve fit note indicaEng if exclusion applies and the areas where the claimant is most likely to have a
problem
The DWP & Work Programme providers have to consult with trained Disability Employment Advisers to assess how the claimant will cope in the
workplace
Independent occupaEonal healthcare assessors
objecEvely overview the evidence (carrying out a face
to face assessment if necessary) and jusEfy their
recommendaEon
ImparEal decision – makers draw up a statement of
limitaEon & awards limitaEon based credit
An assessment which looks at the person rather than the politics….
Jill…. “At last, they’ve really started to show they
understand me”
The statement of limitation
Statement of LimitaEon Dear Jill. You recently asked us to consider your limitaEons. We have carefully considered the following: • What you have told us • What your doctor advised us • The advice we received from an employment adviser • The advice of an independent occupaEonal healthcare professional We have decided that you are reduced in your capability for work and can award you a Personal LimitaEon Based Credit of 75%. This means you are enEtled to £30 per week which is paid on top of any other benefit you receive and also in addiEon to any wages you are paid if you find work. This is an important documentaEon which you should show your doctor and (if in work) your employer. They may be required to make certain adjustments to improve your prospects of finding work or staying in work. Please see the rest of this lejer for more informaEon.
Jill feels more reassured by a statement which recognises her limitaEons
Jill know she can get her personal credit both in and out of work
The statement means her doctor has to look at gekng her much needed help
An employer has to make adjustments for Jill’s 75% limitaEon
Flexible assessment 0 – 24% may not result in payment but may lead to non – financial support-‐ claimant
is expected to seek / prepare for work
25 – 49% results in payment as well as non financial support – claimant is expected to prepare for work
50 – 74% results in payment as well as non – financial support – claimant is expected to prepare for work
75 – 100% results in maximum support – claimant can chose to prepare for work with no mandatory condi>ons aJached
How it works for Jill
Jill has mul>ple health problems including early age arthri>s, an ea>ng disorder and severe anxiety/depression. She has many problems, wants to work but hasn’t been able to since leaving school.
Jill is ini>ally assessed at 100% and receives maximum credit, her statement of limita>on also recommends she receives a programme of counselling and aids to improve her mobility.
With the appropriate support, Jill starts to overcome her ea>ng disorder, anxiety and depression. Her progress is reviewed and her credit reduces to 75% reflec>ng the improvement. She feels ready to take on work.
In >me Jill feels able to take on work. She’s reassured because she knows she will keep her credit which can be paid on top of her wages. She feels beJer about the level of support she is receiving.
How flexible credits work Although LBC is awarded in increments of 25, 50, 75 & 100% -‐ it is ‘tapered’ to reduce in payment by units of 10% -‐ providing the claimant with a gradual decrease.
LBC taper can be increased as well as decreased to provide for situa>ons where the claimant suffers a set back.
As the claimant’s LBC reduces, the employer receives an incen>ve subsidy for employing someone with reduced limita>on. This is subject to a full appraisal.
There is an equal duty on the DWP, healthcare providers & employers to work towards integra>ng claimants in to work when possible and to ensure that claimants who are not able are excluded from assessment without fear of sanc>on.
A new approach worthy of investment
Jill never thought this was achievable
Jill’s employers are delighted with her
End “New Approach is commijed to working with the disabled community, advice sector and representaEve bodies to find a viable alternaEve to the Work Capability Assessment. Based upon a specialist knowledge of the UK welfare benefits system we have provided our second stage proposals and now welcome feedback from interested parEes to enable us to take these forward to Parliament.” Nick Dilworth – co founder of New Approach In partnership with Jane Bence, Rick Burgess & Wayne Blackburn
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