Posts tagged ‘Unemployment’

Independent Researcher Blasts Secretary of State Coffey over DWP Indifference to Preventable Harm


 

 

 

 

 

Mo Stewart Author of Cash not Care and Independant Researcher, who has been a continued supporter of disabled people, being a Disabled Veteran and Health Professional herself, has lashed out at the continued injustice metered out to disabled people via  her ‘Preventable Harm Project’ over the last decade.

 

In the evidence recently given to the WPSC, the DWP Permanent Secretary celebrated the success of the roll out of Universal Credit (UC).

Apparently, all is well, ‘customers’ are quite happy with their experience, and the Secretary of State uses her much celebrated PhD in science to analyse various aspects of UC that will help people chose their dream job and improve their ‘careers’…. Oh dear….

https://parliamentlive.tv/Event/Index/d8df2ad7-4c03-45be-a922-b077d4c0e537   (WPSC live evidence session 16th Oct 2019)

Now Therese Coffey’s claiming that ‘Universal Credit is the biggest change programme in Europe, and the UK is seen as a world leader in welfare…’

https://www.theyworkforyou.com/wms/?id=2019-10-31.HCWS66.h&s=welfare+reform#gHCWS66.0

 

Time for a reality check, so I dropped the Permanent Secretary a line.

Letter to Peter Schofield

DWP Permanent Secretary

https://www.mostewartresearch.co.uk/wp-content/uploads/2019/10/REDACTED-letter-Peter-Schofield-DWP-Permanent-Secretary-DWP.pdf

To look at her website please click the link: https://www.mostewartresearch.co.uk/

Health Transformation Programme – The Next Step


 

 

 

 

 

 

 

 

 

 

 

 

 

 

Reader Trigger Warning for those with sensitive disposition >>>>

Since March 2019 the mutterings of  merging assessments has been muted which sent shivers through people with disabilities as they felt another onslaught was coming and saw this as a negative move. Its linked in part to Health and Work Programme too, which Department of Health combined to help design,  to enable DWP plans to close the disability employment gap and get more people into work. This doesn’t exclude other groups in society as it all part of welfare reforms and part of Universal Credit  and Social Prescribing is likely to be part of this complex joined up thinking by the government.

Contracts were first noticed in 2019 when the then Minister was Amber Rudd made a statement  on Improvements to Universal Credit, so when I went looking and  it’s part of ‘Intergrated Health Assessment Services’ Contract.

I remembered reading about it in the government 2016  ‘Improving Lives’ the work,health and disability Green Paper,which like most things are slipped in under the radar, by the DWP Ninja’s with the date of 2021 start date. I also recall IDS flunky Charlotte Pickles writing about it and Dame Carol Black in think tank reports way back.  This week Theresa Coffey the new minister being grilled about  by the DWP Select Committee about universal failures of Universal Credit, where she lost the plot when Frank Field  challenged the minister ,and she blurted out they were not uncaring they were trying to make things better quoting the previous ministers statement, which jogged my memory. So off I went down the rabbit hole which is my archive documents to search for these mutterings. I recall Alex Tiffin Campaigner also wrote something on it at the time.

OBR & Rudd

“The idea of of this was the cost involved in repeat assessments which were costing the DWP millions when 72% of PIP appeals were overturned according to Rudd and ESA appeals on top were also very successful,which seriously highlighted the administration of this in turn cost the taxpayer a small fortune. Contracted assessors should have been shown the door and financially penalized, but no this government instead extended those contracts to continue carrying out the assessments while they still were getting the majority wrong. The OBR report showed:

The admission, quietly revealed in the Office for Budget Responsibility’s (OBR) economic outlook report, suggests the DWP never had sufficient staffing levels to carry out the repeat assessments for personal independent payments (PIP) alongside its other workloads.Repeat assessments to check eligibility for PIP, a benefit intended to help pay for extra living costs as a result of having a disability or long term condition, have been labelled “unnecessary and stressful” for claimants.

Those transferring from DLA to PIP were also being failed adding to the pressure in the dept and like it or not Rudd was one of the better ministers to hold this post before quitting over Brexit.”
The issue is as Coffey announced they are looking at more reforms, the new forms designs, the IT structure to enable this project will cost more taxpayers money but also cost disabled people a lot more in terms of stress. Is it for instance one assessment which means you are eligible for both benefits as suggested by many in field, or is it really one assessment lose all scenario as that could potentially mean PIP is going to become means tested which it currently isnt? Lots of disabled people also just get one of these benefits for instance and work already. many severely disabled people with chronic illnesses get both as they are deemed unfit to work, and others can be looking for some limited type of work they could manage. The last ten years have left many traumatised by the DWP and sadly some have taken their lives over DWP tyranny inflicted upon  the disabled community as a whole as fighting for what they are genuinely entitled to.
Many DWP projects are dressed up as the dept being helpful and inclusive with IDS mantra of ‘Work Sets You Free’ ideological warfare, this is unlikely to be a positive experience either.
Only last week they were caught red handed asking people to downplay their illness to make them more employable and use positive statements and avoid using certain words to describe their disability or Illness. What many have failed to spot is the managed migration of those deemed too ill to work date also starts in 2021-23 is the date coincidence, I doubt it!
Rudd stated

“The corporate empire will be able to rake in millions of pounds more from the ‘Work Capability Assessment’ – to pave the way for a massive shake-up in 2021.Benefits outsourcing giant Maximus will have its contract for hated ‘fit-for-work’ tests extended by more than a year, ministers announced today.

The corporate empire’s benefit testing firm will carry out ‘Work Capability Assessments’ for ESA payments for a further 16 months to July 2021.

The extension – the second since the contract began in 2014 – will allow the firm to rake in millions of pounds more taxpayers’ money from the tests.

But ministers insist it is a temporary measure to ensure “stability” ahead of a huge shake-up of disability benefit tests to help claimants.

Two separate tests will be merged into “one unified, integrated service” from 2021, Work and Pensions Secretary Amber Rudd announced.

The tests are Work Capability Assessment for Employment and Support Allowance (ESA) or Universal Credit – run by a subsidiary firm of Maximus called Centre for Health and Disability Assessments Ltd – and separate assessments for Personal Independence Payments (PIP), run by Capita and an arm of Atos. Today’s extension comes despite more than two-thirds of appeal tribunals (68%) overturning fit-for-work tests last year.

Yet confirming the contract extension, Ms Rudd argued it would pave the way for “a more joined-up claimant experience” in future.She added: “This will allow for a safe and stable service now, and as we transition to the new integrated service.” The announcement came ahead of a wide-ranging speech by Ms Rudd vowing to improve the disability benefit system after years of warnings it is throwing people into destitution.She admitted disabled people feel “put on trial” by the DWP process and “we need to do more” to “close the gap” between intentions and reality. She said the enormous rate of appeals ruling against the government – 72% for PIP last summer – is “of particular concern” and the number is “too high.” according to The Mirror in March this year.”

IDS in 2015 when he launched Universal Credit claimed 

“I have said many times that I believe work is the best route out of poverty.

It provides purpose, responsibility, and role models for children.

As a one nation government, we believe everyone in the country should have the chance to benefit from the security and sense of purpose that comes with being in work.

That is why our guiding principle has been to place work at the heart of everything we do in our reforms.

Getting people into work is more than just earning a salary and certainly more than balancing the public purse.

These matter, of course, but they are not the primary reasons.

For culturally and socially, work is the spine that runs through a stable society.

Let me be clear – a decent society should always recognise that some people are unable to work because of physical or mental ill health – or both.

It is right that we protect these most vulnerable people in our society. And that support is there.

For despite the scaremongering, it is worth reflecting on the fact that we in this country spend more on sick and disabled people than the Organisation for Economic Co-operation and Development (OECD) average.

To put that in perspective – and according to the OECD, the UK spends more on incapacity than France, Germany, or Japan.

However, we are also ensuring that the resources are in place to support people into work.

I’m proud that we are providing significant new funding for additional support to help claimants into work – £60 million in 2017 rising to an additional £100 million a year by 2020.”

This will no doubt strike fear into the heart of the disabled community as it will many other groups who will be targeted on Universal Credit,via its Health & Work Programme and its Social Prescribing of  Intergrated Health Asessment Services. No Guidance is currently available. Its been a very long journey for many of us campaigners ,who are also trying to inform and support many as well as look after their own health and manage their own disabilities, but it appears that this journey still has still a long way to run.
“DWP under the Health Transformation Programme (HTP) are exploring the future delivery of Health Assessments with the objective to transform the health and disability assessment services provided for people with disabilities and health conditions.
The Health Assessments help by providing advice to DWP Decision Makers to determine eligibility for benefits paid to claimants across a range of benefits including Personal Independent Payments (PIP) Employment Support Allowance (ESA), Universal Credit (UC) and a number of smaller benefits.
Currently the services are delivered through a multi health assessment provider base with varying commercial and delivery operating models. The aim of the transformed service will be a more effective, efficient integrated service for customers.”
Please try to read some of the links provided below as I know this blog has been a long one for those who cannot deal with Info overload.

https://www.gov.uk/government/speeches/work-health-and-disability

https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/564038/work-and-health-green-paper-improving-lives.pdf

https://www.gov.uk/government/news/millions-awarded-to-help-people-with-health-conditions-stay-in-work

https://www.gov.uk/government/news/40-million-personalised-support-package-for-long-term-unemployed-disabled-people-launched

https://inews.co.uk/news/dwp-quietly-admits-never-had-capacity-pip-reviews-pensioners-disabilities-dwp-benefits-505474

https://www.mirror.co.uk/news/politics/dwp-extends-maximus-fit-work-14089513

https://www.parliament.uk/business/publications/written-questions-answers-statements/written-question/Lords/2019-04-11/HL15269/

http://www.pulsetoday.co.uk/news/gp-topics/legal/government-could-automatically-access-gp-patient-data-for-benefits-assessments/20038333.article

https://www.independent.co.uk/news/uk/home-news/dwp-benefit-claims-medical-data-sharing-nhs-healthcare-doctors-charities-a8797991.html

https://www.theregister.co.uk/2019/02/19/dwp_health_data_tool/

https://www.digitalmarketplace.service.gov.uk/digital-outcomes-and-specialists/opportunities/8859

https://www.parliament.uk/business/publications/written-questions-answers-statements/written-statement/Commons/2019-03-05/HCWS1376

https://www.huffingtonpost.co.uk/entry/dwp-universal-credit-pip-and-welfare-reform-outsourcing-contracts-bill-revealed_uk_5c17a7a9e4b05d7e5d84273e

https://blog.sense.org.uk/2019/03/is-combining-pip-and-esa-assessments-really-a-good-idea/

https://www.gov.uk/government/speeches/closing-the-gap-between-intention-and-experience

https://www.theguardian.com/society/2019/oct/08/jobseekers-told-to-call-their-depression-low-mood-on-applications

https://www.contractsfinder.service.gov.uk/Notice/359865b3-b1e1-4071-8bc6-f02067c9f216?p=%40FQxUlRRPT0%3DNjJNT08%3DU&fbclid=IwAR1l0AvqucHKCGYBU-cWx0V-0YwBSP0zV2id_2kh4UhgudPu4K6c7t9u9b4

 

 

 

 

 

 

 

CLASS- THE STRUGGLE OF THE MANY


 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Class is a way of describing the hierarchy of society. Where you fit on the social class ladder affects your opportunities in life, because it determines your social, cultural, and financial resources.

Many either talk about it in real terms or deny its existence, but the fact is the working class communities were broken up by Thatcher but previous efforts of others prior to Thatcher that led to hunger marches 1923-36  also echo as loud today as they did then.  . The class system has always been around and depending on the definition used, it changed politics and utterly devastated the communities who worked and were just able to sell their labour for a price and keep their heads above water. In Modern Politics it is used less and less.

The workplace has changed in the UK many industrial and manufacturing processes are now lost,  and more and more people work in the public sector, in offices, IT, and other service areas with a few exceptions such as the Construction/Steel industry,  where hard manual labour is still happening just about.

Research suggests that working-class people place a higher value on the good of the group, whether that is the family, co-workers, or the neighborhood, than middle-class people do. Working-class culture focuses on everyday life, while middle-class or professional-class families tend to focus on individual advancement. No definition can adequately capture the complexity and diversity of the working class is today. But regardless of the nuances, working-class people have some things in common – strong commitment to family and community, economic vulnerability, a solid work ethic, occupational health risks, negative cultural stereotypes, limited access to education.

Parts of the United Kingdom have disappeared from public view over the past 30 years, and been erased from social memory. The coal mining communities in the North, in the Midlands and in Kent, that once roared in their fights for the dignity of the working class are now silent, long forgotten.Political, economic, and institutional power has moved away from the docks, the mines, and the shipyards and found a new home in London, with the financial and political action. As a consequence, vast parts of the country are now deemed uninteresting; they’ve been left unfunded, unheard and uncared for by politicians, the media, and business. Their voices were raised in June 2016, though, when many of these communities voted to leave the European Union. That made people takes notice.

But they were still misunderstood. Many would have you believe these communities voted for Brexit because they are stupid, ignorant or racist. In fact, they voted Leave because the system simply doesn’t work for them anymore. They understand that they are dispensable to our ‘economy’ and they resent the fact that ever since the manufacturing industries went and the large warehouses arrived, they have been exploited and left with zero-hour contracts, low wages, and poor quality jobs with little chance of moving on to something better. Being working class isn’t an identity I wear in order to get funding, or a free place at a seminar, my type of working class doesn’t get these things anyway, my type of working class has come through experience and a history that has been passed down to me by generations, my values, how I see and think about the world is knowledge that has been shared with me by mother, by her mother, by her mother and her mother before her, my dad, my granddad and so on, by Mrs Bell my next door neighbour who looked after me when I was a child and her collective knowledge, being working class to me is about power, history, and experience. Being working class is about the relationship a group of people have with other groups of people, looking at each other and seeing that pain, but in turn having others look at you as ‘other’ and not one of them. This collective knowledge isn’t about nostalgia, and the past, it’s about the past the present and the future, a pain I inherited and a pain I have passed on. Working class people are hurt from the day they are born, even before they are born, questions are asked about our inception, about our family’s abilities, and the moral fibre of what we may become the minute our eyes are open. If class isn’t political its nothing. Says working class academic Lisa Mackenzie.

 

 

One thing for sure is the Labour movement was built on the collective movement of the people and we should never forget that, or we will surely pay the price at the ballot box.  Today we have swathes of working class people forgotten and left behind, disenfranchised who have been abandoned and it is down to us to reunite them with the Labour Party and it values.

We are part of huge political turmoil with Brexit where Corbyn’s ‘For the Many not the Few ‘ring out loudly but not loud enough to engage those who feel they don’t have a voice or are not listened too. When I talk to those who feel silenced I hear ‘politicians don’t care about me and mine’. We need to listen, feel their pain in Austerity Britain of the 99%, where those in work are struggling and having to ask the state for a helping hand because they are not paid a living wage, while the 1% whose wealth has tripled ignores the many . We need to be rebuilding those communities at the core of Corbyn’s ideas to rejuvenate that collective to stop the rise of the far right narrative poisoning of minds of the future generations.  It would be a dereliction of duty not to do so as a socialist movement.

 

https://lisamckenzie1968.wixsite.com/website/blog/class-politics-is-about-power-not-identity

https://lisamckenzie1968.wixsite.com/website/blog/a-howl-of-anger-from-the-heart-of-forgotten-britain

 

Will UBI Be The Right Solution?


 

 

 

 

 

 

This Week Labour has been talking about the prospect of UBI if a Labour Government came to power.

A report by Guy Standing for the Progressive Economy Forum UBI Pilots who is deemed the expert in this field published his ideas on how the UK could make this work.  This blog will about that discuss this and the flaws in his argument.

Firstly his claims that other pilots have been successful is a matter of opinion, I cant see how this claim can be made,  given each of the pilots mentioned operated very differently so therefore are not comparable as they would need to be identical in operational terms. Many have been scrapped and reported as failures.This idea has been around since C 1200 yet none of the previous UK governments have implemented it , even though it has been discussed many times. Why because it was deemed it wouldn’t work.  Are Labour digging up a corpse?

The Pilots suggested by Guy Standing are as following:

Five types of basic income pilot that are
recommended:
• Model A. Under this variant, a sample of people – a whole community defined
as a locality – would be provided with basic incomes, with additional separate
benefits for those with special needs. The basic income would be provided
instead of existing means-tested benefits, with the exception of housing
benefit, which should be retained (or be replaced by an equivalent to
compensate for any loss of the housing element of Universal Credit).
Provisionally, it is proposed that every adult in a selected community would be
provided with £100, with £50 for each child, and with additional separate
benefits for those with disabilities. As indicated later, the selection of the
community should be random and be drawn from a group of low-income
communities.
Bearing in mind that existing benefit levels have been allowed to fall in real
terms and that there is nothing optimal about existing tax rates, this model
should be regarded as realistically aspirational, in that it the test would be to
see the impact on the population, recognising that funding such a scheme
nationally would involve a significant cost that would have to be met by tax
increases, diversion of public spending from other uses (such as subsidies and
tax reliefs) or the establishment of a national commons fund as described
earlier. A primary purpose of this Model would be to determine whether the
benefits of such a scheme – such as improved health, reduced stress, more
work and less crime, as found in pilots elsewhere – would merit consideration
of this option in the future.

• Model B. Under this variant, a sample of people – again, preferably all members
of an identifiable locality – would be provided with basic incomes of £70 per
week for working-age adults, and £20 per week for children on top of Child
Benefit. Tax codes for every recipient would become BR, thus imposing the
basic rate of income tax on all earned income below the higher rate tax
threshold. Means-tested benefits would be left in place, and basic incomes
would be added to the means taken into account in their calculation, so each
recipient household’s means-tested benefits would be automatically adjusted
downwards, and their means-tested benefits would also be automatically
adjusted upwards by the changes in net earnings brought about by the tax
code change. Administration of the scheme would be possible if the recipient
community were to be defined by postcode boundaries and the government
was able to instruct HMRC and DWP to make the necessary changes within
the recipient community.

• Model C. Under this variant, a sample of people – again, preferably everybody
in a local community – would be provided with basic income as a supplement
to their existing state benefits. This would be firmly in the spirit of common
dividends, and the per capita amount could be less than in the first case. One
option might be to provide every adult in a community with a tax-free £50 per
week for one year that was not taken into account in determining access to
means-tested benefits. This would strengthen income security and be
progressive, since the amount would represent a larger proportion of the
income of a low-income person than for others.

• Model D. Under this variant, a sample of welfare recipient adults would just
have existing conditions for entitlement to existing means-tested benefits
removed, so as to make the benefits closer to a basic income, notably by
removing forms of behavioural conditionality that permeate Universal Credit
and other benefits at the moment. This type of experiment is close to what is
currently being tested in The Netherlands and Finland, as described in
Appendix A. It would have minimal net cost, and might even save public money.

• Model E. A fifth type of experiment is very different from all the others. This is
sadly relevant to the austerity era, and would be a refinement of an approach
taken in the City of London some years ago. As described in Appendix A, the
gist of the policy was that a group of homeless were given a cash grant instead
of the various measures made available, and it led to most of them obtaining
places to stay, and thus actually saved the council considerable money over
the longer term. Given the horrifying growth of homelessness across the
country, this experiment should be repeated in a few other, randomly chosen
places. It should not be made a national policy, but the results could be taken
into account in formulating and implementing a national basic income system.

To make UBI work in the UK it would take some radical changes not just in thinking ,but with certain groups in society who cannot work such as Disabled People,Carers ,Elderly for a variety of reasons. One annoying trait with all governments is the focus on getting people into jobs, which isn’t a bad idea in itself if they can , but with total disregard to those who cannot, as if it is like some sort of Utopian world view where work is the be all and end all of life. With many on low wage zero hr contracts and not enough FT jobs or skilled workforce to fill current vacancies. Many people are working less than 3 hrs a week but classed as employed by government ,yet complaining about the welfare cost rising and counted as claimants too . Many are grandparents/ parents who are picking up childcare for example or carers which actually saves Governments an absolute fortune in service provision.

For any UBI scheme to work in the UK  these marginalized and demonized groups need to be included and additional bolt ons, like disability premiums,PIP, AA,Carers Premiums,Child Elements,Housing Benefit must be retained and set at a realistic level  and to cope with modern society after Brexit,  if that happens, with rising costs and inflation etc. The figures quoted by Standing are unrealistic in the modern world with AI creeping into the workplace and less than current payments on Universal Credit for some and in Scotland even less money.

A flat rate fits all approach will fail without doubt and plunge many into a worse situation than they are currently facing under Universal Credit. we shouldn’t throw the idea out altogether but if Labour wants this to work, it first needs to Listen to those on the receiving end of the policies put forward not just so called experts. Sanctions and Behavioral Conditionality,  the awful WCA/PIP assessment processes  that currently are costing a fortune both monetarily and with reported deaths of claimants should be abolished as promised and the rapid rise of homelessness. There should be a claw back process for those who gain employment set at a certain threshold ie: 50k.

Disabled people in particular have higher costs (500mth) because of disability and social care needs, we need to make it possible for those who can work to get jobs, keep mobility vehicles to enable them to get to work , eat healthy food, put clothes on their backs and pay their bills  and even a holiday which will all benefit long term costs in other areas as well as make them healthier both mentally and emotionally and  initial costings will in the  long term cut costs in other areas.

Critics on all sides make wild claims for and against this idea but if well thought out , it might just work! Piloting different approaches are not helpful in some ways as they are costly on both sides of the argument, but a well thought out UBI might work for the many and not the few .

I’m still wary of ‘False Prophetic’ claims of a brave new world of welfare state, in fact I may not live to tell the tale, but this has to be done properly for the generations to come who need support of a safety net just because they Can’t!

 

For those wishing to read Standings report: https://www.progressiveeconomyforum.com/wp-content/uploads/2019/05/PEF_Piloting_Basic_Income_Guy_Standing.pdf

 

Independant Researcher Mo Stewart Challenges DWP Cheif Medical Officer


 

 

 

 

 

 

 

 

 

 

Independant Researcher Mo Stewart today challenged the Chief Medical Officer at the DWP Prof Dame Sally Davies in a letter  at the research that she and many others have done over many years, regarding the preventable harm committed by the state on disabled people in the UK.

 

The DWP are found wanting on many levels as the truth is becoming more transparent to many people who circumstances means they need state support, under the falsehood of Austerity.  After years of welfare reforms and the terrible consequences of these policies in the media cannot be hidden any longer,although the press have colluded in this failing to report such cases. Disabled people have taken to direct action and doing research which has been presented to the UN who were scathing of the Government reforms and treatment of disabled people In UK, stating ‘Grave and Systemic Violations of disabled people in the UK’.

 

Now Universal Credit the flagship policy  by Iain Duncan Smith is causing widespread criticism and hardship has hardly been out the headlines due to it endemic failures of administration which is cumbersome to say the least, let alone very costly to the public purse and the savings forecast at its launch will be unlikely to emerge  . The Government’s cavalier attitude ‘carrying on regardless’ attitude is a failure of the state to protect the very people they said would be protected and who thus far have born the brunt of savage cuts to welfare spending than any other group in society so far.

 

 

Link : Mo Stewart letter

 

Redacted Letter Prof Dame Sally Davies 3rd MAY 2019 by Gail Ward on Scribd

The Death of the Welfare State-Joining the Dots Series -Part 4


 

 

 

 

 

 

 

 

 

By blueannoyed and Paula Peters

Finally we get to to the next stage of government bullying via the NHS. How this links in to Social Security Claimants and their ability to keep some sort of financial security while fighting off the despicable onslaught of the Government who is out of control  , whom have sociopathic  tendancies.

Today I discussed the situation of the NHS  10 year plan , The new 5 Year GP Contract , Social Prescribing,and the  needs of claimants trying to get support or access to services they need to maintain their well being, in this survival of the fittest campaign launched by their government with Dr Bob Gill,  a GP who has spoken out against the great NHS heist of Privatisation.

I asked Dr Gill How he thought the relationship between patient and claimant could be damaged with the new GP Contract which every GP will have to sign up to in May 2019?

I also asked him about social prescribing and its potential impact on patients who need state support and claim Social Security?

 

He described to me that Patients are already coming to surgery with anxiety and depression or ill health due to hostile environment that austerity is creating, and the system is making people ill, or in a lot of cases more ill than they were.  Making it unlikely they will be able to manage their conditions in same way they currently do.

He stated that perverse financial incentives for ‘sociopathic ‘ assessors are leading to really bad outcomes for claimants and  pressures upon the public purse, as well as increased workload on GP’s whose patients need help with appeals etc. This contract will effectively making GP’s Gatekeepers which is not what they chose to be when studying medicine to become a GP.

He said the Government is driving a wedge between the patient and their GP and pitting them against each other,  and that will most likely mean the good GP’s will leave while those without no consciousness will reap the rewards offered by the Government and DWP .

Social Prescribing, is blaming the patient for their situation and the whole treatment process of being denied to the proper care that the patient needs. I asked him about the potential that with ‘patient coaches’ (aka work coaches) who have too much power could lead to those who most need support and are extremely vulnerable ,are likely to  disengage with their GP and fall through the cracks and could ultimately end in their demise which he agreed with my assumption. He stated that Patients/Claimants and GP’s are victims of a government who doesn’t care.

 

The definition;  Sociopathic tendencies in people are often marked by lack of conscience within the person. They just care about their own needs and desires

 

Video:

 

This is the tip of the iceberg of how it could impact on claimants needing further medical evidence support, getting a Fit Note if they are off work through ill health to claim state support, which under Universal Credit they would need to do so repeatedly.

The breakdown of trust between claimants and GP or other NHS staff has the potential to cause a rise in further deaths which have happened already under its predecessor ESA. That’s without the 120,000 who died due to poor care in NHS, etc as diseases previously eradicated are now making a comeback due to austerity measures and abject poverty.

This is Government Quackery on the cheap by unqualified people, dismissing medical opinion of professionals while eroding our NHS services and underfunding essential services that patients need and a NHS they can trust and flogging it to their mates. It beggars belief that the public would allow this to continue or collude with the government by being taken in about better services and cutting waste of NHS resources, or blaming migration, when they have slashed NHS budgets for decades along with New Labour who are not blameless in this re PFI acceleration under Blair.

Below Published with Kind Permission of ck999 Blog Page which has lots more  information,  link is  below in further reading.

Instead of caring for a few thousand patients, a primary care network will have anywhere between 30K-70K patients on its list. In order to provide out-of-hospital care, as hospitals are centralised and cut, it will “integrate” a range of services, provided by a “multidisciplinary team”.

 

A number of primary care networks will be linked to a “locality hub”. There are various versions of what this is, but the British Medical Association has endorsed locality hubs as “ alternative mechanisms to meet the urgent needs of patients when local practices have reached capacity”

 

 

A BMJ graphic shows other activities taking place at Locality Hubs, as well as handling GP “overspill”.

Only patients with complex needs will see GPs

Many GPs are not at all happy about this fundamental change to their role.

The way it works is that a care navigator signposts patients to other services, with no reliance on GPs. This has already been happening in GP surgeries for some time and as all GPs are forced to join Integrated Primary Care Networks, it will now become the norm.

Patients with complex needs – who are at risk of admission to hospital through A&E – will be identified through a process of “risk stratification” which segments patients into various categories.

Risk stratification requires the use of digital health technology (so called telehealth and telecare) and shared electronic patient records.

The concern of primary care networks is to cut the costs of the most expensive categories of patients

These are broadly:

  • Frail elderly with complex health problems
  • Mothers and babies
  • People suffering from the “modern epidemics” of obesity, diabetes, heart and respiratory problems
  • People with disabilities

However there is no real evidence that the “care models” designed to treat these categories of patients cut costs. Or give them better care.

Cutting most patients’ access to GPs will have extremely damaging effects on patients who need a Further Medical Examination for benefit claims, because they need access to a doctor to write letters. Without a Further Medical Examination, a disabled person won’t be able to claim benefits. This is about the destruction of the welfare state. It’s about taking rights away.

The DWP now have people in mental distress top of their target list to get back to work. Which is where Universal Credit will really come into play with this.

The mental health charity MIND won the Individual Placement Support contract – part of the DWP/NHS Health and Work Programme. Individual Placement Support is about the ‘health and work conversation’: Work is good for Anxiety and Depression. What barriers are there to you working?

This is where social prescribing link workers come into play – where they look at barriers to you working. And then prescribe self management. Self care. Via a behaviour change scheme most likely run by a cash-strapped 3rd sector organisation with no therapeutic skills.

The “work is a health outcome” programme – a dangerous partnership between DWP and the NHS – is creating a toxic environment that is compromising doctors’ ethics of Do No Harm.

This link between the DWP and the NHS needs to be broken once and for all.

But the NHS Long Term Plan has no such intention. It name checks Sheffield City Region’s “Working Win” large scale research trial.

It focusses on using a new type of Individual Placement Support to get people with mental health and musculoskeletal conditions into employment. (These are the two main conditions that prevent people from working.)

This list is in NHS England’s new Health Services Support Framework, which identifies approved suppliers that NHS commissioners and providers can hire to tell them how change to the way they work in order to fit the global corporate model of healthcare.

Unsurprisingly the approved suppliers include all the usual suspects and then some:

How did this happen?

The government and its quango NHS England – official name NHS Commissioning Board – have engineered this by drastically cutting primary care funding and driving hundreds of GP practices into bankruptcy, while GPs in droves have been taking early retirement or emigrating to places like Australia where the GP workload is far more manageable.

GP practices are folding at the rate of one a week. In the last year, tens of thousands of patients have found themselves losing a practice, or having it merged with some random practice more or less in the same neighbourhood.

Simon Stevens, the NHS England Chief Exec, has been saying for years that the corner shop version of family doctors has to go, to be replaced by a supermarket version of large scale integrated primary, community health and social care services.

Now he is making that happen.

 

Your NHS is on life support, welcome to the American style  health care system you allowed to happen, hope you got deep wallets or insurance which is the real end game , if not  you will be one of those unfortunate that will meet a early end of life because you happen to be poor and can’t afford Insurance.

 

 

Gp Contract 2019 by Gail Ward on Scribd

https://www.scribd.com/embeds/403999299/content?start_page=1&view_mode=scroll&access_key=key-Jj5snwwqSUkSKkijC8SX&show_recommendations=true

 

Further reading can be found below: Also check out my Social Prescribing Blog

 

 

http://www.hcbgroup.co.uk/is-there-a-cure-for-the-healthcare-and-wellness-marketplace-confusion/

https://www.kingsfund.org.uk/sites/default/files/media/commission-appendix-uk-private-health-market.pdf

https://www.nhsconfed.org/resources/key-statistics-on-the-nhs

https://www.thetimes.co.uk/article/benefits-staff-want-permission-to-trawl-through-patient-records-qgfx3qwv6?fbclid=IwAR2_NnYlbY30iDY0R7A5g1kDduyMYQyz3jSVSEtwvuHDauSi2qFIBjQT7GI

https://www.digitalhealth.net/2019/01/hancock-gp-it-systems-shake-up/

https://digital.nhs.uk/services/gp-systems-of-choice?fbclid=IwAR17Oz6RjrDf3JwafPgYKoYNZpZaer6PccQ6CAfpp3F1UCILUbM0yM_NQ5Y

Scotland : https://bjgp.org/content/67/660/294

https://www.hsj.co.uk/policy-and-regulation/all-gps-expected-to-sign-up-to-network-contracts/7024128.article?fbclid=IwAR2n3-PhhNIqkIyk7koL68UUJgbjRvwfUk7oozFRn0r9sKT4j6a4hqkuQl4

https://calderdaleandkirklees999callforthenhs.wordpress.com/2019/02/16/large-scale-integrated-primary-care-networks-what-lurks-beneath-the-buzz-words/?fbclid=IwAR1UKBhGpV9lrEyZNHJAlrbIUhn4gyf1LTZzUhzwgXZY2zBeUDDl5RKvhDI

https://www.gov.uk/government/news/nhs-can-move-towards-more-coordinated-and-continuous-care?fbclid=IwAR1dV1Lsx0UW-eryC0hphKqR9H_kV8g7urVdcWRBRo8eMI14U1oueyonVi4

https://www.gov.uk/government/news/nhsx-new-joint-organisation-for-digital-data-and-technology?fbclid=IwAR2ekyJayhEU-K3qMZWBETmBEnj3JpLWxEDbhfjOADCSL-MrM85Fdu0nH9E

https://www.telegraph.co.uk/news/2019/02/12/nhs-ends-block-smartphone-gps/?fbclid=IwAR2UprOiA8MK8gTpJtKHcKw2wzFj4XZYvCVvVXFx5i67dCuiacfXBxMSVUk

https://www.theregister.co.uk/2019/02/19/dwp_health_data_tool/?fbclid=IwAR1fIqnGW0naqOcwRhVigQvi7RELPmbsnkcL58r8_dKMY8R9r-rhbqEKFvY

https://www.telegraph.co.uk/news/2019/02/12/nhs-ends-block-smartphone-gps/?fbclid=IwAR2UprOiA8MK8gTpJtKHcKw2wzFj4XZYvCVvVXFx5i67dCuiacfXBxMSVUk

https://www.england.nhs.uk/2016/11/back-to-work-support/

https://kittysjones.wordpress.com/2019/02/15/the-dwp-is-trying-to-co-opt-gps-in-forcing-ill-people-into-work/?fbclid=IwAR1DcTZFX3tIyJ4ogkvYaSf-p-y3zktL7W1mPqUYcRYVlZcmWotLlJe2I30

http://www.pulsetoday.co.uk/news/hot-topics/gp-contract-2019/20/all-the-headlines-from-the-2019/20-gp-contract-at-a-glance/20038181.article?fbclid=IwAR3mfOnFVg97TfSd0z2MwbdC_3SlFDzhi45MX350SynIJihZl3Ij7GpCw5U

https://www.independent.co.uk/news/health/tory-austerity-deaths-study-report-people-die-social-care-government-policy-a8057306.html?fbclid=IwAR2A_EzuW0s_CCrblXJMqvI5MlVwj6aT8Ca5GVeXiyGmp53lqvSz6aJNBKA

http://www.pulsetoday.co.uk/physician-associates-can-do-gps-work-more-cheaply/20009818.article#.XGgjirXD-vI.mailto

The Death of the Welfare State-Joining the Dots Series -Part 3


 

 

 

 

 

 

 

 

 

 

By blueannoyed and Paula Peters

So here we are  with the Tories in power and the many Welfare Reform Bill’s that have been passed  in full swing including the introduction of a further change called Universal Credit in 2013 , which was to be rolled out later across UK  to those on certain Income related benefits, including story after story of people being denied benefits unlawfully and their hardship or worse still the fatal consequences in some cases being highlighted across the HOC by MP’s from all sides. This caused outrage  except with the general public who had not a clue what was happening  thanks to the Tory propaganda machine hiding it all and the media colluding in it except for a few exceptions of some journalists, like Frances Ryan,Patrick Butler, Amelia Gentleman,Sonia Poulton and a few others. to those claiming it was like living in a Orwellian nightmare they had no chance of escaping.

DPAC collected stories and sent them to the UN  asking for help and intervention to bring this to the attention of the public and others highlighting it by taking the Government to the High Court.  This UK Government is only one in history to be found guilty of ‘grave and systemic violations of disabled people’ and further visits by the UN rapporteur Philip Alston condemned them in further reports.   Meanwhile many were distracted by the fact that David Cameron called a referendum which would divide a nation  and privatization of the NHS accelerated to bring it all together to remove the welfare state under the NHS Five year Forward View,and the  Work & Health Programme which is part of Universal Credit, In 2016  The Dept of Health and DWP joined forces  the message was to cut the disability gap for disabled people to be able to work  and remove barriers to work in the green paper Improving Lives-The future of Work,Health, Disability. The catch phrase was ‘Work is a Health Outcome’  This replaced the 2010 work programme’s.

The Impact this will have now and in the future is going to see many people moving into work that can and those that cant forced into impossible situation of mandatory schemes  to get them back to work.The Work and Health Programme is a Welfare to Work programme commissioned by the Department of Work and Pensions (DWP). It is designed to improve employment outcomes for people with health conditions or disabilities and those unemployed for more than two years.

The rollout of UC has to say the least been controversial  the media stories of hardship forced many changes under various ministers (8 to date) who came and went faster than a windy day due to its failings, yet this government still refuses to scrap this dangerous policy to save face , even when it has been pointed out it wont work for so many and is cruel and twisted ideology behind it is flawed.  Even the media have called for it to be stopped, and it has been subject to the making of a few programmes which have shocked even the hardest critic of those claimants ‘Sitting on the Dole’ ‘Something for Nothing Culture’ screaming about their taxpayers money being spent on ‘Dole blaggers’! The huge increase in hate crime and towards anyone that didn’t work , homeless, disabled and the hostile environment created by this Government has had even some of its supporters  say enough is enough and it must change or stop and fix the problems, but No this government carries on regardless with claims its working and employment rates are highest they ever been which doesn’t bear scrutiny .

 

Further reading;

 

https://kittysjones.wordpress.com/2015/10/28/the-government-plan-to-nudge-sick-and-disabled-people-into-work/

https://kittysjones.wordpress.com/2017/10/22/the-connection-between-universal-credit-ordeals-and-experiments-that-electrocute-laboratory-rats/

https://www.england.nhs.uk/2016/11/back-to-work-support/

https://www.shaw-trust.org.uk/Services/Work-and-Health-Programme

https://blueannoyed.wordpress.com/2018/11/14/panorama-universal-car-crash/

https://blueannoyed.wordpress.com/2017/11/30/iapt-the-governments-magic-cure-for-mental-health/

https://blueannoyed.wordpress.com/2017/11/04/health-work-programme-universal-credit/

https://blueannoyed.wordpress.com/2019/02/09/health-work-programme-part-2/

 

The next blog will be how the NHS changes will affect the many and how all this will link together and the effects of patients and those who will be affected by Universal Credit such as Social Prescribing , access to GP and a Interview with Dr Bob Gill who has been telling us all about the privatisation of the NHS for some years.

Health & Work Programme Part 2


Well Folks as with my previous blog on Universal Credit there are 4 stages to this training programme so I am just going to put the shit shows on this blog so you can see for yourselves the behavioral science behind this horror of a policy. Apologies for its length.

 

Introduction;

About Me;

My 4 Steps;

My Values;

My Action Plan;

Warm Home Discount – DWP being Conservative with Truth


 

 

 

 

 

 

 

 

 

 

 

Well  folks they done it again…… For many years I have been entitled to the Warm Home Discount to help those on struggling to cover utility costs to the value of £140 off the Electric bills. Many Suppliers have different criteria with Pensioners  coming first as rule of thumb.

So this year I dutifully filled in my application to be told all of a sudden I wasn’t entitled when I had checked that I was. I challenged this with the supplier only to be told that it was because I was on Contributory ESA  you have to be on Income Related to qualify and that the DWP had told the supplier to the contrary.

Now I knew I got CB ESA plus a IR top up should have made me eligible. so I call DWP as suggested by supplier for letter of proof, that I was indeed eligible and posted it off to my supplier on arrival.  Lo and Behold  today I received my supplier letter stating that indeed I was entitled to it and my account will be credited in February.

How many more have the DWP denied is the point because not everyone knows which type ESA they get. So folks don’t give up challenge it !

 

Revealed….How Private Insurance Moves to Replace the Welfare State


Image result

Image Courtesy of Legal & General

 

I have in many of my blogs mentioned the fact that Insurance was to replace the welfare state, many still don’t think it will happen well listen up, it is around the corner and thanks to deregulation via brexit it going to happen, and would have happened sooner if EU law had not protected you. There will many who will live to regret the vote for Brexit.

The government has finally introduced it ugly game plan and they wont stop there as the same insurance company is linked to social care which is undergoing a review also.

Looks like insurance for care through legal and General. Names of independent experts invited by government to provide advice and support engagement in advance of the green paper:

Caroline Abrahams – Charity Director of Age UK
Dame Kate Barker – former Chair of the King’s Fund Commission on the Future of Health and Social Care in England
Sir David Behan – Chief Executive of Care Quality Commission
Dr Eileen Burns – President of the British Geriatrics Society
Professor Paul Burstow – Chair of the Social Care Institute for Excellence
Jules Constantinou – President-elect of the Institute and Faculty of Actuaries
Sir Andrew Dilnot – former Chair of the Commission on the Funding of Care and Support
Baroness Martha Lane Fox – Founder and Executive Chair of Doteveryone
Mike Parish – Chief Executive of Care UK
David Pearson – former President of the Association of Directors of Adult Social Services and Corporate Director for Social Care, Health and Public Protection at Nottinghamshire County Council
Imelda Redmond – National Director of Healthwatch England
Nigel Wilson – Chief Executive of Legal and General

Quotes Linda Burnip DPAC

Many income related benefits are being moved across to Universal Credit the governments flagship policy which is sinking fast as the holes in this policy are more flawed than the WCA where more complex claimant issues are exposing the holes in a policy which in theory was meant to revolutionise social security and catapult it into 21st century. Well now their focus are those on contributory JSA/ESA which they plan to be part of the Social Insurance Scheme and the only reason they have not done so already is quoted below

Had contributory benefits been abolished whilst UK social
security was bound by EU law, this would have exposed Universal
Credit (the significantly larger budget) to exportability. In light of the
British vote to leave the EU, however, there is now the possibility of
reforming contributory benefits without breaching EU law.

Employers and all those with a stake in this horrendous policy will not just be looking at savings made, but also the huge concern is denial when it comes to delivering on payouts as long as the state doesnt have to foot the bill. Insurance schemes around the globe are littered with claims of those who took out Insurance only to be denied it  upon making a claim leaving many no option but to be destitute or borrow money to take companies to court to get what was rightly their’s in first place. We keep hearing that state support isn’t sustainable, NHS isn’t sustainable yet majority of the country fell for the last National Insurance Scheme which isnt paying out either, due to an empty pot, which is incredulous really given some dont live to collect a state pension, and those who do never get payments reflecting the thousands they paid in over 40yrs of their worklife.

The only winners here are the banks who underwrite such policies. However Legal & General have Capita to manage the shareholders assets Capita’s Shareholder Services Team is available to answer any questions that you have in relation to your Legal & General shareholding.

and non other than….

  • Group Health and Safety Committee – Chaired by Ian D Smith – Head of HR, Shared Services.

It sure as hell is a murky business, this government is up to its neck and following it mantra “we are all in it together”

So whats the crack I hear you all say get to the point, well this is how it meant to work:

The larger the number of premium payers, the lower the risk profile across the total claimant

population and the lower the total cost of enrolment. L&G estimate
a cost of around 0.5% of payroll earnings at approximately £11 a
month. Total pay-out would be £900 a month for a maximum period
of one year, with a 50% replacement rate.6
After one year, a claimant would return to the state benefit system.
A total of £10,800 could be claimed via the social insurance product.
Ultimately this ‘rainy day guarantee’ has been designed so that a
claimant would receive more than they otherwise would have on
state welfare, and so that significant costs are delivered to both the
taxpayer and to employers.

Individuals
previously eligible for contributory JSA and ESA would fall into one
of three categories: ‘full Universal Credit entitlement’, ‘partial entitlement,’
and, finally, ‘no entitlement’. The projected annual savings
from individuals who fall under ‘no entitlement’ and have no welfare
claim would amount to £60m from JSA and £290m from ESA per annum. Total savings over the 2015–2020 period would come to
approximately £1.66bn

So when many breathed a sigh of relief they were not included in Universal Credit  , they soon will be under a different process.

Read Documents Here:

https://drive.google.com/file/d/1QBdAdIfZCAv4uC5L_zK8ozaPE0WCHxQj/view?usp=sharing

https://drive.google.com/open?id=1iuQAL0YlsiVS8ypZn3P3jQWEvou3eFA

Update: https://www.ft.com/content/cda0499e-9ba1-11e8-9702-5946bae86e6d

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