Sunday, 22 May 2011

Welfare for the people, by the people - a Consultation

Did you ever wish you hadn't started something?

When I started this blog, I had some hazy idea that perhaps I could share my stories and it might help other sick or disabled people to feel connected. I thought I'd tippety-tap away now and again, saving my poor hubby the trauma of 24/7 news bulletins and political rants.

I didn't for one minute think many people would notice. I'd used the odd forum here and there and imagined a kind of cosy support group where "spoonies" "sickies" and "crips" could enjoy reading the ramblings of someone who actually "got it"

I didn't think I'd find myself reading endless transcripts of a dangerous and callous welfare reform bill. I didn't think I'd be on radio shows or in national newspapers opposing cabinet ministers. I didn't for one second imagine my blog would shoot into the top 50 political blogs and stay there and I certainly didn't think I'd be invited to the Compass conference next month as a guest speaker.

And that's just the stuff I can tell you about!!

You may have noticed fewer posts lately and if you knew the stuff I can't write about (though I will) you'd see why blogging is having to take a bit of a back seat.

I've always liked to learn and OH MY GOD have I been learning. In just over 6 months, I've read just about every theory put forward on welfare reform over the past two decades. I've read Blue Labour, Purple Labour, Policy Exchange, Progress & Compass reports, everything written by Iain Duncan-Smith, James Purnell, Frank Field and Jonathan Rutherford**.

Shall I sum them up for you in a natty soundbite?

"I despair"

Or another?

"Get a bigger stick, throw away the carrots and beat 'em to despair"

I read their "proposals" with incredulous dismay. I wonder just how many have ever actually experienced any of the problems they wish to solve. From the mid nineties, politicians who timidly took the first steps towards reducing the welfare bill have been encouraged to "think the unthinkable" and over the years, they've forgotten that it was ever considered unthinkable in the first place. The "unthinkable" is now not radical enough and, as I write on an almost daily basis, we've reached the tipping point. We are on the brink of removing sickness benefits altogether and disability benefits are to be slashed so far, that sick and disabled people have only the last resort of our judicial system.

We have reached a stage, where only the Human Rights Act or the European Court of Appeal can save us now.

Why? How has it come to this? When asked to "think outside the box", why did every last politician think inside a tiny, claustrophobic box tied up with ignorance-string? How did the "scrounger" narrative get such traction? Why did every last politician consider how to throw us off benefits with little care or concern for where we will go? Why did a succession of Oxbridge educated men choose to focus on a mythical hoard of cheats and skivers, convinced that with bigger and bigger sticks we could be forced into work? If fraud is just 1/2 a percent, what convinces these men that most could and should work? When medical evidence assures them that many of us can't and, in fact, work will make us worse, why do they ignore it?

Now let's see how successful they've been. Since 1994, successive "work programmes" and schemes have been rolled out to get sick or disabled people back into work. Has the welfare bill gone down? Has business embraced us and modified their structures to include us? Have the private companies, paid billions to find us work been successful?

No, No and No.

Not one single thing has changed in 25 years. The sickness and disability benefits bill has stayed stubbornly constant and work programmes have pathetic success rates of between 8 and 15% (almost identical to the number of people who find work on their own)

The solution? Cheat.

Change the descriptors, make certain that fewer people will qualify and break a million eggs to make a rotten omlette. Since Labour started "cheating" in 2008 the rate of those claiming sickness benefits has fallen. Now the Conservatives are about to cheat in such a spectacular way that the financial bill will certainly go down dramatically, but at what cost? Using the model of the past 25 years, this will be considered a "success" as costs will finally be cut. Eureka!! All they needed was one almighty stick and a sneaky bit of legislation or two that effectively all but stops sickness benefits altogether.

One might think that if a government are serious about stopping sickness benefits, they would have their best thinkers devising plans to make sure that the people affected had somewhere to go. That they wouldn't be left to starve without some pretty cast iron guarantees that there would be an alternative. One might think that there would be research available to prove that pulling support would in fact be empowering and manageable, but there is none.

Having said all this, we're no closer to finding out "why?" politicians are convinced that we can all pick up our beds and walk - or are we?

Ladies and gentlemen, I give you the "Psycho-Social Model"

Allow me to paraphrase. (The link above will give you the scientific stuff, I'll just put it in Sue-speak.)

We are all sick or even disabled because we choose to define ourselves as such. Despite our various diagnoses, those that manage to work have a better psychological grip of reality and do not become "victims". We choose to stop working from a lack of confidence or fear of failure and become lazy and plagued by doubts. The longer this fear develops, the less likely we are to find work and stay in it.

Any symptom, and disability can be overcome through perseverance and the right mental stance - we simply need re-training in our attitudes. Hence the conclusion we reach today, where you ask what work you can do, not how your illness or disability limits you. Those unwilling (remember none are unable) to find work they can do will be abandoned.

Time Limiting ESA will enshrine this in law. If you haven't overcome these "psycho-social" flaws within one year and found work, the state will wash it's hands of you. That's why the language speaks of "helping" us into work. The paternalistic state will stop our metaphorical pocket money and take away our sweets if we are disobedient. If "encouragement" doesn't work, there are a whole host of sticks to beat us with.

This also explains an assessment that focusses solely on what we are physically able to do and ignores any  pain or symptoms or distress. Pain and symptoms and distress can all be overcome according to the psycho-social model, they are simply a part of our psycho-social weakness; shields to keep the world away, to wallow in our own helplessness. If you can swallow or do up a button or pick up a penny, you must, no matter what it costs you, or you are simply allowing neurological impulses to get in the way of a full and financially productive life.

It might not surprise many readers to find that Frank Field and James Purnell are the most zealous advocates of a psycho-social approach to welfare. Reading my red-top precis, academics may nod sagely, believing there is much to recommend the theory. And that is the vast, putrid, hideous, terrifying problem.

If you don't have MS or bowel disease or cancer or schizophrenia or alcoholism or parkinson's or lupus; if your research is conducted in an academic bubble of theories and sociological studies and think-tank jargon, you might as well be designing policy for fish. However much an affluent, out-of-touch politician might think a theory is the answer to all their prayers, you simply cannot make an unsound theory fit reality without cheating.  An alpha-male, who has sailed through life without physical trauma, poverty or disadvantage, will simply be totally unable to empathise with the nuances of suffering. They can no more design a welfare system that works than I could design a new offside rule.

Until sick and disabled people start to put forward their own suggestions, their own answers, we will remain in the hands of ignorance and arrogance. Until we are at the heart of policy making, we will suffer policies that may as well have been designed by aliens. The time has come where it is no longer enough to oppose, we must educate and inform. We must save ourselves, because my endless nights spent poring over welfare papers has convinced me that we have no alternative. Privileged academics and politicians have proven themselves horrifically incapable of even beginning to understand our lives and if we are to get a welfare system that actually works for us, we need to start making suggestions. We have the experience, the knowledge and the understanding and they never will.

So today, please use the comment thread below to explain what would help you. Contribute your ideas and suggestions no matter how silly or unformed you think they are. Share your stories of trying to work and how the system has failed or supported you. Make them essays or make them just a few words. I don't care how long or short they are. Tell me what work you could do and what support you would need to do it. Does the state itself trap you? What could business do to enable you? Is there a working model that could suit you? What type of work would you like? Why is it unavailable? Do you want to work? Would it make you better or worse? Would it increase your affluence or plunge you further into poverty? In an ideal world, what would governments be doing to support you?

Remember, this is a brainstorm. Write anything. It can't possibly be more banal, mis-guided or unworkable than the suggestions of successive politicians.

Please help. Join in, engage, show politicians our endless strength, our great value and our hopes and dreams. Help me and I'll do my very, very best to help you.

As I started this article by explaining, I have been given a voice. I have the privilege of a platform. It's your platform too and I need you to share it. Otherwise, I might just end up as another mis-guided fool who thinks she knows it all. I can speak for myself, but I can't speak for you.


*Finally, please share this article with anyone you know who suffers from a chronic illness or disability. Urge them to contribute to the consultation, tweet it on twitter, share on Facebook and email to friends. Any consultation is only as good as the people who take part. It needs variety and balance. Thanks. 


**Rutherford is the one beacon of hope. He exposed the psycho-social model and opposed incompetent welfare reform before most of us knew it existed. Read more here 

232 comments:

  1. I think one of the main problems with many illnesses is that you can't state categorically that on any given day you will be able to work. Employers don't like that. They also don't like it when you have to take several weeks off for surgery. With all the technology available today it should be easier to be able to work from home on the days you cannot get out of bed. If there were funding available for employers to set up home working for the disabled or sick and also a bank of temporary staff they could tap at a reasonable cost to cover times when you are in hospital or going through a really bad spell, I think they would be more willing to take on the financial risk of employing someone who was disabled. Because until you level the playing field employers won't risk employing someone who in all likelihood will be unable to come into work every day. It simply will cost them too much. If an employer has a choice between someone who will probably make it into work most days and someone who probably won't make it into work at least 3-5 days a month, they are going to chose the healthy person, it's pure economics.

    ReplyDelete
  2. Great first comment, thank you!
    Please encourage others to take part too.

    ReplyDelete
  3. Seeing how much it's costing paying Atos Origin and funding the appeals & tribunals, it would make much more fiscal sense to instead rely more on the medical evidence provided by the claimant's doctors, therapists, specialists, etc. Then use the money that's saved to fund more and better DWP in-house investigation teams, using current laws such as RIPA to investigate claimants where needed.

    All the scrounger stories The Mail like to regurgitate with glee result not from Atos catching people out, but from investigations.

    "[T]hose that manage to work have a better psychological grip of reality" may actually more refer to the person's mental aptitude, and those that manage to work despite disability may have a higher mental aptitude in this regard, much like Liniford Christie has a much higher running aptitude, some disabled people have a higher coping aptitude.

    Not everyone can be as fast as Liniford. Not every cancer sufferer can run a marathon. Not every disabled people can work. I envy the ability of those who can.

    ReplyDelete
  4. I love the Linford Christie analogy.

    ReplyDelete
  5. First off Sue I would look at how we review disabled benefits by only having the review carried out by people who know about the condition there reviewing!
    I work as a volunteer with the HIV/ Aid's sector dealing with people from the begging of there diagnosis to the end of there lives!
    To many times we find they have had a review that's pushed them back into full time work because they look OK How people look and how they feel are two very different things!!
    Steve Worrall
    Only last November a friend who had been taken off the small amount of DLA he received (The lower band) to make him look for full time work! Sadly he had advanced cancer's a secondary disease caused by HIV disease which finally killed him so rapidly it was both shocking and sad! He went from fairly robust handsome man to a withering piece of living skin and bone!! (I can't think of another way to convey what happened)
    He wanted to work as most do but could not find anyone who would employ him with the time off he needed to attend clinic and hospital stays that a lot of people with his condition need! As it turned out he only needed to look for about 6 months for work before he became to ill.
    One night just before he died he told me his dignity was lost not through his illness but the way his review happened, he felt ashamed for receiving DLA after the person conducting the review said we want this money to go to the worthy (He felt he was not worthy because he looked OK)
    3 Day's later he passed just after I left him in his final deep sleep they induced to stop his suffering! That day I also lost my dignity! I should have stopped them taking his money but No I was busy as we all are at times, If I had been able to stop them taking his money then he would still have eaten better than he did and felt less of a BURDEN!
    Sorry I am not offering much in a way of review!!
    I guess it's best that we ask those who go through an illness to help shape service delivery! Those of us who are well will never truly understand what it's like!!.

    ReplyDelete
  6. If we must have a test that compares function v ablilty to work then it must be based in the real world. I havn't seen any jobs that are entirely based on me going into work picking up a box and thanks very much thats all for today.

    Yes lets look at what we can but we can't ignore what limits we have either, for most of us doing something will have negetive effects on other parts of our lifes/bodys.

    So let some clever person work out based on the ECA test what I can do and for how long and tell me what % of job I could do and if any jobs like this exist. Then by all means if this magic job exist put me on JSA until I get it, if like I suspect such job dosn't exist then they accept that in the real world some of us will need support.

    You cannot keep telling a group of people you can work yet no suitable jobs exist based on 'what we can do' model. Why does noone in goverment see this major error?

    ReplyDelete
  7. p.s By box I of course mean the large empty box in the ECA test not a real box with something in it! That would just be to much like real life!!!

    ReplyDelete
  8. I just lost my comment, and I'm rather pissed *curse*. I'll try and reiterate.

    I've had several self-employed businesses before this one; the last was soap/body products and as I told Sue over the phone, I broke even last year. However, it was hell - I have no car, very limited health and energy and even though I had return clients, more shows than I could even book into a week and plenty of fanbase, I had to stop running it. Again, this was NOT because the business wasn't successful- it's because it was becoming successful and I couldn't keep up. I didn't have enough to hire an employee but I desperately needed one; someone who could drive, handle accounts, send to fairs and trust with the money, and to wrap soaps or do packaging when I was having a really crap day. In theory Access to Work would have helped with this, but their budget was cut. So...bang when that theory.

    Now I'm doing writing and artwork. The tax credits are keeping me alive but I know very well that I have maybe two years max for this to work out. Two years, and if it doesn't all these cuts will put me on the street. I'll lose everything. I simply cannot fail. But again, I'm in the same situation; no car, no way to get to galleries (and of course the arts have been cut now as well). I have a special needs child and there is NO childcare for special needs children which is even remotely affordable, so I have to cut my days short so I have the energy to cope with my son when he gets home.

    So, what do I think needs to happen? First of all, if you're disabled and don't have a car, you need one. Public transport having gone private is the worst thing which could have ever happened to us, and we pay the price. I am not saying I want a Motability brand-spanking-new car; but I do know that at the end of their lease term, Motability cars are all over the place and no one has the money to buy them. What if after the three year term, Motability would give over these second-hand cars at a reduced mobility rate to self-employed disabled people? People who wouldn't normally qualify for high rate mobility but who don't have wheels and show a definite need due to employment - I have tried taking a traveller bag full of soap onto a bus and train to a show, it utterly sucked. I NEED a vehicle. I also need it to have adaptations and be licensed to someone else to drive. I can't get that without fighting DLA for High Rate Mobility and it makes no flipping sense. I don't like cars that much - they're expensive and they're a money sink. But I'm well aware in this day and age if you don't have one, you're stuck.

    ReplyDelete
  9. Sue

    off at a tangent as usual. Apologies for going off topic, but it is kind of relevant, hopefully.

    MP for Slough, Fiona Mactaggart, has MS and is an ovarian cancer survivor. And a fully paid up member of the human race. I saw her at a Tun Wells/Wealden CLP event recently. Was impressed when she got angry with a well meaning but ill informed critic in the audience (all 26 of us, and no, it wasn't me this time, honest). Chucked her papers to the floor. Then apologised. You should maybe get her on board, if you don't have her already.

    Do any of the great and good among your Facebook friends read your blog, and if so, any of them prepared to get stuck in on your behalf ?

    I have a positive story to tell about good employers supporting staff with serious health issues, but not here or now. Prefer to do the full personal background face to face. Not least because I do not quite agree with the official diagnosis. It's no secret, felt like half of KCC knew about it (I am egocentric that way), but it is complicated and I usually feel the need to gauge the response as I go along to tweak the storytelling.

    This should be a good thread. Will provide lots of ammunition for when the fighting starts.

    Any chance you will get invited to speak at the Labour Party Conference ? I think that could be a good idea.

    best wishes
    Chris Morris

    ReplyDelete
  10. Secondly, the childcare issue - childcare for children with special needs has got to be addressed. Childcare is insanely expensive, and more so if you have a child with special needs as you practically have to have a registered nurse there to watch over your child. I simply cannot leave my son in a mainstream childcare situation without disastrous results. This has got to be addressed; either we need accredited and state-supported special needs branches in main nursery franchises or the state needs to not be so tightfisted with its special school residential placements. It can't tell us we have to work and then offer no care options for our children.

    Thirdly, we all know the jobs are thin on the ground. I have yet to understand why there isn't an effective "pairing" system between disabled people and unemployed specialists who may want to try and get a business off the ground. Yes, this could be rife with abuses - disabled people are vulnerable and therefore could be targets to the less scrupulous. But there needs to be a realisation that some of the only work many of us can do is at home, and self-employed disabled folk is better than nothing; with the appropriate software and a more able person to help with some of the stuff we might struggle with (accountancy, ordering, fine detail work, driving and business accounts, etc etc) it leaves us with the time and energy to do what we do have the energy to do - typing or dictation, craftwork, fixing computers, creating art. For my part, I want to be left alone to do what I do best, which is create. All the actual "business" aspect of being self-employed is a drag. But maybe for someone else they love the challenge, but they don't have the ability. Put those two together and form a business partnership with agreed intellectual property rights and agreements beforehand, under contract to protect both parties.

    Would it be perfect? No. Are there loopholes? More than likely. But there is no such thing as a perfect system and has already been said, what is there to lose? Look at the options we're being given and tell me it would really be any worse than what we're about to face. I could go right back to my soap/body product job right now, actually if I had an extra pair of hands and a car to do it in. If I had a subsidised loan to buy the overpriced shop space on our High Street (another conversation entirely as my city is clueless, but there's no Lush here yet so I have no competition), I'd just dedicate myself to making new formulations at home and let someone else handle the store. I certainly had people calling time and again for my stuff, and I still get calls for it. It hurts to have to say I've stopped trading, especially when it was success which was doing me in, not failure.

    Honestly, why not? Why can't it work?

    ReplyDelete
  11. As someone who deals with mental health the thing I need most is support and help with the basic task of living.

    In the last three years I've lost count how many time's I've gone to my doctor trying to get referred to CBT so I can start on making improvements in my condition. Each time she insists I must go through First Steps despite her own belief I should need go straight onto CBT, she admits she doesn't have the power to refer me straight to CBT without first making me go through First Step.

    First Steps themselves have admitted to me they are ill equipped to deal with my condition, have limited resources and never made the appointment I was promised, instead I got letters reminding me to phone and make an appointment despite having already done so at great cost to my health. Again, my doctor knows full well I have difficulty with making phone calls and knowing full well this is the only method for making an appointment (email would have eased some of my anxiety, but is not an option).

    So for the umpteenth time I have been left to rot in my own ill health despite my desire to try and make improvements (even trying to do what I can on my own, but that's limited).

    The problem is too many people like myself are left to rot in their own mental health and we're the people who do stand a chance of improving our condition and potentially finding work.

    The hurdles need to be removed from the doctors so they can decide who needs First Step counselling and who is ready to move onto CBT (I've already had counselling and that is why my doctor wanted me to go onto CBT).

    Once you begin CBT you are then given your own social worker who can then help you with other aspects of living and these are the very things I need and still haven't received.

    Three years on and I am still no further on from when I first went off sick and despite my own personal efforts, I'm still limited as to what I can do on my own without social intervention. This is the help and support I so desperately need, but constant hurdles and brick walls prevent this from happening.

    ReplyDelete
  12. @ Oya's daughter

    my wife knows a few people in the arts world. It is very competitive indeed and to get anywhere you do need to be outstanding. My email address is Christophermwm@btinternet.com. If you have anything you can email me I can ask Felicity to take a look. Absolutely no promises, but you will at least get an honest, quite possibly brutally frank opinion and maybe some contacts can be set up if you do have the right stuff. If there is anything here I can get you to galleries. Elderly campervan a bit like the Tardis. But repeat, no promises. The work will stand or fall on its own merit.

    best wishes
    Chris Morris

    ReplyDelete
  13. I have both lupus and another unspecified illness which has resulted in quite severe physical disabilities (electric wheelchair, unable to dress etc, etc).

    I've been ill for around 15 years but was fortunate to have my dream job a la Hawking: theoretical math researcher at a university. This meant I could work from home in bed as much as I liked, no specific work hours, going to hospital appointments with no issues.

    But as both illnesses progressed I finally had to give even this up 18 months ago and was put in the ESA support group (although not without some hiccups along the way!)

    My problem with it is this though. What stopped me working was NOT the physical disability. If I had only had that I would still be working to this day. It is the effects of the lupus which are the most disabling and which prevent me from working.

    Yet I am absolutely certain that if I only had the lupus I would not qualify for the support group and in fact having read the descriptors am not even sure I would qualify for ESA at all.

    I am in the stupid position that I feel GRATEFUL for having a horrible progressive physical disability. Without it I would almost certainly be in the position of being totally unable to work yet not receiving the help I require.

    The test and the government and think tanks obviously don't understand the effects of illnesses such as lupus and how they can ruin and stop a career.

    ReplyDelete
  14. Overhauling the welfare state is easy i told my conservative mp and he agreed with me having put to him my idea i put about scrapping ATOS and just let the NHS /DWP link up with the consultants/ doctors/health workers for all information that is needed on a patient about weather he or she is fit for work or not
    Very simple especially for someone like me who has been unwell most of his life let us cut out all the bull.

    The government know full well that they are breaking the EU laws on the human rights of patients and every time that a court case comes up the judge always finds favour with the person or persons that are being punished THE SICK AND DISABLED through no fault of their own

    What will happen over the coming months to bring this matter to a head will be a sick or disabled person dousing themselves in petrol in a DWP department just like in Tunisia where Mohamed was a Tunisian street vendor who set himself on fire on December 17, 2010, in protest of the confiscation of his wares and the harassment and humiliation that was allegedly inflicted on him by a municipal official and her aides. His act became the catalyst for the Tunisian Revolution,
    And his act was defined by We must remember him says obama the USA president

    And that is regretfully what will happen in this country i feel and until that day comes about David Cameron will just keep beating us with his stick and killing as many of us as possible aided by IDS

    ReplyDelete
  15. These are really wonderful everyone. I'm fairly sure we will easily get more submissions than the average DWP consultation. It's really important that as many people contribute as possible - don't be shy, even if you think I won't like the comment or it sounds silly :)))

    ReplyDelete
  16. I suffer from something that affects us all, rich or poor, it's called old age. Compounded by COPD I am gradually finding I can do less and less of things even a few months or years ago would have bee undertaken without a thought, so I am finding I have a greater understanding of those with the various disabilities you mention. But I have an advantage in that I am not labelled a scrounger, but the elderly have different attacks to face mainly driven by jealousy etc. you know the ones "why should they get help with their heating in winter" or "why should the hard working taxpayer fund the gold plated public sector pension schemes" but I digress this is about disability and the social conscience that makes the welfare of our vulnerable in society important. The aim of helping those disabled who are able with some help to work is admirable but falls down by not recognising that all people are different and there desire for work as a goal varies. For instance limbless ex servicemen doing a polar trek is great but should you require all limbless people to join polar exploration groups and would the public purse be prepared to fund such a thing ?
    Employers are driven by cost and outcome goals so until it is made worthwhile for employers to employ those with disadvantages in either being reliable at turning up for most days and fully carrying out the required functions equal to a fit person they will by and large opt for the fit employee. Yes encourage those with the desire to work but do not penalise those who feel unable or as yet not ready for the challenge. The starting point should be to get employers to wish to actively seek out those with disabilities to employ as it will be advantageous for the said employer and only when jobs are likely to become available can you truly help those on welfare into work.
    Putting time limits on income puts needless pressure on those already feeling the lower self esteem generated by the "scrounger" tag.
    The "Daily Fail" screaming headlines of wheelchair bound claimants running around football fields winds up the general public to perpetuate the "scrounger" myth and probably even encourages some "flash Harry's" to try it on.
    Well time to get off the soap box and get some breakfast keep up the good work Sue.

    ReplyDelete
  17. Having trouble with comments here on Blogger, Pls feel free to comment on Facebook http://on.fb.me/m2Zwdr or email suey2y@hotmail.co.uk
    Thanks.

    ReplyDelete
  18. I really don't know what I can contribute to your collection of opinions, or even if my opinion is valid as I don't actually receive any disability benefits on my own behalf. I am saved from having my mental health assessed because I receive DLA and Carers Allowance for my youngest son who has an autistic spectrum disorder.

    I do know that, were it not for the benefits I receive because of my son's condition, I would be in the position of trying to find work despite my depression and anxiety. With mental health problems it could be said that the psycho-social model applies even more than for physical disabilities. After all, it's all in your head isn't it? Physically, I am capable of working; intellectually, I am capable of working; psychologically and emotionally I am completely incapable at this point in my life.

    As an example, I attended a National Autistic Society support group meeting on Friday morning. The other ladies present were lovely, friendly and welcoming and I was pleased to be asked to stay for lunch in the cafe afterwards with two other ladies. All of this was very pleasant and I enjoyed the social interaction, which is a rare thing in my life. However, the energy required to keep my "social face" on for that long was enormous and I was physically exhausted and emotionally drained for the rest of the day. I felt very low and struggled to cope with my youngest when I'd collected him from school. I couldn't manage to interact with other people for prolonged periods of time several times a week in order to hold down a job.

    If my circumstances were such that the authorities were trying to force me into work (still something that may well happen in the future), I would need to be able to have no pressure to be in a certain place for a certain length of time as that induces panic attacks. I would need to be able to walk out whenever the strain of being there became too much and I would have to be able to work when I was able and at a pace that I could cope with - the pressure of the deadlines when I was completing my OU degree were nearly enough to finish me, despite the flexibility of that method of studying.

    Is it all in my head? Possibly, but the last time I tried to return to the workplace I lasted just ten days before my GP advised me to stop work due to the effect it was having on me. That experience stays in my head and exacerbates my fear of attempting to try again.

    In the future it will be my son who is trying to find work in a hostile marketplace that does not understand his disability. He is a very intelligent and communicative child but his social impairments mean that he is abrasive and even aggressive and abusive in his manner and it will be nigh on impossible for him to work in any situation involving contact with the public, even working with colleagues may be beyond his abilities and he would need sensitive and understanding employers and workmates to make any form of employment possible.

    ReplyDelete
  19. Uk_Exile (on Twiiter)May 22, 2011 03:22 AM

    I think for serious mental health issues, the solution is quite simple.
    If you have serious mental health issues, you are already normally under a CMHT ( Community Mental Health Team ) You have allocated specialist Consultant & a care co-ordinator.
    These are the people who should decide, if you work or not.
    They just need a letter or a phone call from DWP, which could be done every year to review the case.
    No need for ATOS, in these cases. That will save some money.
    I must say that I am really dismayed that these so called 'functional' 'medical' assessments, take no account that a person is under psychological treament, on a waiting list for treatment, or not well enough mentally to engage.

    ReplyDelete
  20. You are just fantastic! This is what I would change

    I would change the descriptors to add in pain and fatigue. Being able to do something once does NOT mean you can do it all day and with MS every single day is different. Its not called MULTIPLE just for the fun of it - One day I can have bladder issues - The next I may be in pain all day - The next I may be fatigued all day - They need to understand that I cannot fit into a tick box system as MS does not work like that - No two people have the same MS. My mother has MS and hers is different to mine - with smoe similarities like fatigue and pain.

    I need them to understand MS and how it affects your body when you cannot keep up day to day with what you are able to actually DO!

    ATOS ned to be sacked - In this if they talked to the specialists that most people actually SEE - They would know how the impairment affects life. Then they get value for money cos the NHS people are already paid for. ATOS are only there for one reason and that is to deny people - They get extra money for everyone they deny - That is NOT how the system should work!

    I am so sure this breaks the Human Rights codes/laws - Where is the human right in telling people they are not disabled when everyone else knows they are? Where is the dignity in disability that people should have ?

    Just because i might be gifted with one good day (oh i am waiting for one) that does not mean that I am able to work - WHO would employ someone like me who has so many issues and doesnt know till the morning they wake up if they have the spoons to go to work all day or not? Its ridiculous to say someone is fine to work when it is known that is a lie and more ridiculous to make them sign on JSA when by signing that they are made into a liar as you sign saying you are looking for work and are ABLE to work.

    Therefore this govt are making liars and cheats out of us - Just because of the situation they are forcing us into.

    Its not that I dont want to work - I WANT MY LIFE BACK SO MUCH SO MUCH OOOOO MUCH but the mere fact is MS has taken so much from me that I am unable to - Not to mention if i pee on their floor they might get a tad angry at me..... specially after the 5th or 6th time eh

    ReplyDelete
  21. Making it easy to transfer in and out of work is an essential element I think. I've just found 4 weeks work, just above the ESA hours threshold... so I have to sign off and back on again. (not an easy task if you can't handle the phone).

    Finding a work I could do was a confidence sapping task constantly seeing jobs that I would be able to do except...

    4 weeks seemed like a perfect tester and chance to boost my confidence again... but the hurdles it's put in my way, and of course the risk of them saying I don't meet the criteria when I re-apply since I've managed a few weeks in work, make me think I've taken a big painful risk taking a little bit of work... I didn't want to still get benefits while I was in work, just to be able to easily stop and restart them. The cost of re-assessing me will way outweigh the saving of 4 weeks benefits, but I'm very unlikely to be able to get straight back into work... it's going to need to be a very gradual staged approach.

    Also "I can't believe it!!!" about what they are doing to "access to work", it kept me in full time work for 5 years before I had to finally go onto ESA... without it I'd have had 2 yrs part time then 3 years benefit claiming!

    So to summarise, my suggestion is:
    Invest to save
    in:
    things that make it possible to keep a job you have e.g. access to work
    things to help you gradually transition in/out of work e.g. flexible claims
    things that make it easy for an employer to take you on/keep you on... this is a long list that includes supporting the employer with the additional costs of temp replacements for people who have variable conditions and lengthy treatments

    How about getting a team of able people who just happen to be disabled and challenge a government office to run a project just using disabled people as staff, looking at barriers to employment and ways to overcome them.

    I'm not being facetious here... I am a very able Prince 2 qualified project manager (on days that I am able to work)... why don't we challenge the Government to learn experientially what it's like to employ disabled people and come up with some solutions to boot?!

    I'm serious enough, that I'd happily join a team to write a project proposal if there's a couple of people with relevant skills/contacts who are also interested?


    Oh and @Wokstation... paragraph 1... absolutely!

    ReplyDelete
  22. I believe somehow - some people (as many as possible) need to gang together and ALL somehow with help take this govt to court of human rights. Somehow. If there could be hundreds of people doing this - then I believe it is the only way That this govt would see that this is totally abhorrent and wrong. Or they would back down out of embarrasment - either way is good to me.

    ReplyDelete
  23. Comment from Rosemary O'Neill : As we both know, in its present form DLA can be used by those in work too, help with costs of getting to work. If it is withdrawn many ill/disabled people will need consider packing work in. Anyways, for me it is not just about being found 'fit for work', but also finding a suitable job that would be long term. What I mean is - if a disabled person found fit for work has his/her benefit reduced but takes for example over 6 months to gain employment, in those 6 months the disability is still there, the extra costs are still there, but the money isnt. 6 months figure is just used as an example...some may never gain employment. As someone involved in carer issues my concern too is the double whammy that will hit some families. If DLA reduced/withdrawn there is a risk carers allowance will go too. Yet the caring role will remain.

    ReplyDelete
  24. Silent Linda - please email me on suey2yblog@hotmail.com - I may have something you could help with.

    ReplyDelete
  25. I feel I have to say that while I would desperately love to work, I am simply not able to. My illness is severe, it is erratic and it is hugely debilitating. I have several other illnesses on top of the main one as well. When someone reads this it may seem like an exaggeration, I know because I've read it in the past and thought - really? But it is true. I could list them all, but I won't bore you. An employer might get about an hour a two a week out of me if they were lucky to catch me on a good week.

    And before anyone comments about 'how did you manage to read this blog and write a reply?' - I will respond - With enormous difficulty. It has taken me over 2 hours. I cannot look at the screen, or type, for long, so it has been done in short spurts. My eyes cannot focus, my head is spinning, my wrists and fingers are aching and my shoulder, elbow, hip, knee and ankle joints are agony as I sit in the chair to do this. I will be completely exhausted by the end of it. If I were to be forced to do this as work I would quite simply collapse.

    Employable?

    This fact must be rammed home to them - there are people who simply are too ill to work. And don't get me started on the psycho-babble social model! I was actually in the middle of a 4 year psychotherapy training when I collapsed and became bed-ridden for 4 years. I understand psychology. I did not choose to stop working from a lack of confidence or fear of failure. I have not become lazy and plagued by doubts.

    I sold my house and used up all my savings in order to try every treatment under the sun in an effort to get well - thereby leaving myself with no money to afford to buy another house. Nothing has worked. Twenty years later, I am still ill. I did not ask for this. My previous life has been devastated, no partner, no children, no home, no money, no possibility of cure.

    But I am still here - a valid member of society. They try to say that those who manage to work have a better psychological grip of reality - I would argue that those who manage to keep strong and keep going despite suffering the most horrendous illnesses are those who have a grip on reality where this is concerned. We are the ones who have a positive attitude which has been hard-won through years of fighting, struggle, disbelief, stigma, ridicule, hardship, humiliation, pain, exhaustion and physical, emotional and mental challenge.

    The solution?

    Stop treating us like liars and cheats. Stop using us as pawns in a political game.

    Accepting medical evidence from Doctors who are treating the patient must be the first port of call. After that, in the vast majority of cases, there may be no need for any further costly assessments, wasting tax-payers money.

    Not putting people who are seriously ill in the ESA group for people who are "fit to undertake work activity" and forcing them out of it after a year.

    Somehow the sane politicians out there must be made to see that for a large number of people whose disability is a debilitating life-long illness, this is an ideology that just won't work in reality.

    And somehow, some way, they must be put back in touch with their humanity - it must exist in there somewhere. Under all the ideological masks, the strategies, the in-fighting and point-scoring, the egotistical ambition and power-greedy ladder climbing.... there are human beings.

    ReplyDelete
  26. You can only get carers allowance sue if you get DLA at the medium /high personal; care only so if you get downgraded to lower personal care or lose it altogether your carers allowance goes also

    ReplyDelete
  27. Loads of good points. There are so many ways to help (some) disabled people into work, but they all cost money. What the Government has apparently forgotten is that parking most of us on benefits is actually the *cheap* option. Supporting our societal integration in all respects, including employment, costs the taxpayer more. The only way to keep the cost of it down would be to make absolutely sure it was done very very well and efficiently, and for that they need to listen very carefully to disabled people themselves, NOT people claiming to represent us. And as mentioned above, sack Atos.

    The only way I could work anytime soon would be if all compulsory qualities were removed. My problems began when I was raped at the age of 3, and, having remained traumatised for the next 15 years or so, I must have grown to associate any compulsory activity (eg. school) with violation. So now, being forced to do anything on pain of punishment (eg. withdrawal of income) makes me all... stabby. And I have no intention of taking it out on myself. I see no mention of the negative effects of the use of the stick in the Govts plans, presumably because they think everyone responds to it. Perhaps each individual needs to be asked whether the requirement to turn up to work would help or hinder their recovery/symptoms.

    I'm talking mainly about people who cannot work at the moment here, of course.

    ReplyDelete
  28. PLEASE NOTE, SOME COMMENTS GO INTO SPAM. DON'T DESPAIR IF YOU SPEND HOURS WRITING ONLY TO LOSE IT ALL. I'LL PULL THEM OUT OF SPAM AS SOONAS I SEE THEM.

    ReplyDelete
  29. I guess it is easy for the up there on their millionaire pedestals to say how we are scroungers - But who is the scrounger? The one who has to get help to live or the one who just happened to be born into a family of great wealth? If you got to go to eton just because your parents were rich - You did not EARN that through hard work and trying - No - All you did was be born - They look down on us like we are nothing - If ALL of us nothings did nothing - THEY would not be able to do a bloody thing either. I wish we could remove all their millions so they would be forced to see how the REAL people live.

    ReplyDelete
  30. To be able to work for HMS a varying physical condition and with fatigue and migraines. Would need the employers to enable people to work from home, provide them with laptops, be able to do the work when not affected by migraine or fatigue, provide with speech software for when wrists, arms, shoulders dodgy. Understanding that due to medications the work may sometimes not be accurate. Dont know how in certain jobs data protection is ensured re working from home. Allow time for hospital appointments and physio at home.

    Re benefits, NHS etc. The psycho/social model has become endemic in the NHS also so GP's and hospital consultants are being encouraged/forced to word things in ways that are non-negative about work ie 'fit notes' etc. and there is a sustained effort to push this model as being the only option. There are many conditions (mine being one) lupus, ME, Fybromyalgia - which are not fully understood re impact on the patient from the point of view of the medical profession, never mind welfare - understanding of this needs to be addressed and the understanding that this psycho/social model was set up by US insurance companies paying psychologists to find a way out of them paying claimants. It is of paramount importance to understand this and get rid of it.

    It needs to be easier to move between in and out of work and also ESA should be done on reports from consultants and drs with expertise in the field - a second opinion should be available for people whose drs dont understand their condition, by an expert in that area. Conditions which are for life should mean that once assessed for DLA/ESA the award should be for life - with a list of conditions which are life long. Any condition which a cure is found for could then be taken off the list and the people affected contacted and reassessed at that point.

    ReplyDelete
  31. "Conditions which are for life should mean that once assessed for DLA/ESA the award should be for life - with a list of conditions which are life long. Any condition which a cure is found for could then be taken off the list and the people affected contacted and reassessed at that point." [latest Anon]

    I like this, too.

    ReplyDelete
  32. YES!

    Quote*
    It needs to be easier to move between in and out of work and also ESA should be done on reports from consultants and drs with expertise in the field - a second opinion should be available for people whose drs dont understand their condition, by an expert in that area. Conditions which are for life should mean that once assessed for DLA/ESA the award should be for life - with a list of conditions which are life long. Any condition which a cure is found for could then be taken off the list and the people affected contacted and reassessed at that point.*

    ReplyDelete
  33. Thanks for this opportunity Sue. I was doing all right. I was seeing some recovery and doing a small amount of voluntary work but because I was naive enough to tell the nice ATOS lady they removed my benefit. This made me worse and I am now permanently under the care of the CMHT with the resources that uses. My recovery has been put on hold while I appeal that decision and our lives have been put on hold until we know the result of that. I lost my car, my independence, my sanity for a while and almost my life. I would like to know how that is helping. It's not so much the mechanics of losing my benefit, but when one is so vulnerable it is the feeling of being judged, of being ashamed, of being considered a fraud and of not being believed. My psychiatrist tells me that his objective letters about his client's conditions are being ignored and that many are in the same position as me. He tells me I won't get better until they sort my benefits out. With a tribunal in the offing there is no guarantee the outcome will be in my favour. I told him I was very frightened about what would happen then, as we will no longer be able to afford the rent.

    Maybe we are all too dependent? But making us MORE dependent by pulling the rug out from under is not the way to go forward. There needs to be massive investment in people, in mental health services, in preventative measures so that kids growing up realise there's more to life than getting stuff and celebrity, in helping society find meaning. Yes, foster self-help and an independency culture, but do it by supporting people, not by frightening them half to death.

    The fact that job centre staff are receiving training in how to deal with the suicidal should be sounding loud claxons in government.

    I need my benefit back. I would have coped with them saying, do you think you could do two hours paid work a week? Here's an appointment with an enabler to help you do that, and we'll scale your benefit down as you get into work. In fact I wanted that to happen. Now I'm as much use as a chocolate fireguard to an employer and I've got to climb that recovery hill all over again.

    ReplyDelete
  34. I know this may sound silly but when i watched Jamie's Dream School and learned a little more about Cherie Booth being a human rights barrister. I researched how to get in touch with her and wrote details in a note book or on a scrap of paper, which I have since lost. It would be quite a thing if she took this to the human rights courts wouldn't it?

    That aside. I want to work but I have not had a day for many years where I would be fit to do a gentle days work and then do it again the next day. I could not do the car boot sales I survived on after my ba and I was in the period of getting no help. Yes easier in and out of work access, especially in ways for those with a mortgage because those with rent may have it messed up for a while but at least it finally gets paid. A new claim if you have a mortgage does not get considered for 13 weeks.

    If I was able to get out and earn money selling my hats, scarves, bags, art, practising and teaching Reiki, if course I would be. I told them on my forms in 2004 that if I were supported I could make my wares and go out getting business. In fact I will never know but I think I may not have got so debilitated if I'd had adequate support to build myself up from the start. It never came and by the time my council did assess me the cuts had meant I fell through the new wider net. Malnutrition has complicated and exacerbated my conditions.

    I was saying a long time ago that if they spent money on properly supporting people, without bullying them then people would not be affected so badly by conditions that are magnified considerably with stress. This is why I have come to the conclusion that they are either very ignorant or very cruel. I have felt it more to be cruelness at times but maybe they genuinely think we are lazy and if we just pushed ourselves a bit and got confidence we could do things. It is very likely that there are some that could fit in this ideal, given support who could get a job and keep it. Before I became ill I was always able to get a job. After becoming a lone parent I worked in a bar, did art GNVQ then BA, car boots, Safeway deli, Tesco 1 shift, back to Safeway hell, paste up artist/receptionist in a print shop, klick, assistant manager of 2 charity shops, doing counselling skill courses and self employed.

    In fact I was asked to come back to one place I worked when I was very unhappy working in Safeway with a supervisor from hell and boss from heaven. She used to say how calming I was and how she felt better when i was there, safer. Those words have often been there in the defence when my inferior side thinks who am I to think I can make a difference, I don't have a superior side to that one, I have one of reason that reminds me of times I have been appreciated for being me. I don't think I am amazing but I know I have qualities that could be used in the written work i do and the art and also in maybe workshops. I have talents and strengths that could be utilised if I were given support and some dignity when i am too ill to bathe myself and feed myself. Flexible care and flexible ability to reapply benefits if able to work in bursts.

    My dignity would be served if yes they took advise from my doctor instead of paying an atos assessor and the tribunal. My confidence is that I will become well enough to work again, despite the extra stress they are putting me under. It has made me have to find a way to make peace with stress. I am painfully aware of the criteria all the time of what proves fitness in their eyes.

    ReplyDelete
  35. I have had many different jobs as a RAF wife obviously I moved with my husband and didn't get the chance to follow a career I've worked in the armoury tea bar, NAAFI, a nursery, prontaprint, bar, unemployment benefit office (when pregnant and my dad was terminally ill and we moved back to Germany), mum, NAAFI, mum. I was often less well than most people have the privilege to take for granted. I did have more health and vitality bodily more often. I so appreciated those times, especially after I had my tonsils out and remembered what feeling well was like. I managed to go to college and run my home much better than than I can now without small children to look after. You know the state of my home Sue.

    I've managed more with less side effects this last couple of weeks but I have managed to eat a little more and more often better meals. I find it hard to sustain managing my health, so to be declared for for work was like rubbing salt into a big wound. I was overcoming anxieties, I was building myself back up this time last year. I had been suicidal the November before as it became apparent I wasn't able to do a whole day of study a week. After 5 weeks of being totally wiped out and unable to even have a cup of tea when i got home, never mind food, if I had managed to make it I was just too exhausted to eat. Added to that my sleep problems, I requested a psychiatric assessment as suicide was getting increasingly tempting, my dog who pees all over the place but loves me and is my only companion for the vast majority of my time, I couldn't take him with me and who would love him, he is difficult and annoying and has anxieties but oh so loving and cute. I was given a false hope of getting help making my home safe and dry and getting a support worker which didn't happen.

    It wasn't till after my medical that I finally got assessed and WRVS came in, the first one last November and never came back. I thank god in many ways that they didn't when I was again really suicidal after the fit for decision and the breakdown that took me several steps back in my recovery. Some help is not delivered in a way that eases stress and some do their best but even that is difficult to deal with. I had 2 other WRVS people come in around the time of tribunal which was just over 8 weeks ago. I need to reply to an email but can't seem to bring myself to at the moment and want to as I think he may worry about me and that he has upset me, which he hasn't. Sorry i am going on and on...

    ReplyDelete
  36. Jo - "The fact that job centre staff are receiving training in how to deal with the suicidal should be sounding loud claxons in government..."

    Yes, but the worrying thing is that it is the government who are responsible for this - The new guidance was issued to all DWP staff on 30 March.

    ReplyDelete
  37. sorry my post is so long...I had a triumph today but cried as well...I made my bed...I don't hurt as much as I usually do...I was thinking about this as i was making it. I try not to think too much about how if I was seen doing this, that and the other they would say i am fit for work, if they see me how I live they would just say i am lazy. I am hoping to bath before I sleep or I may sleep on the sofa as I want to be clean in a clean bed.

    I have been up since 9pm last night, I slept on the sofa. My bed was very dirty, it hadn't been changed because I hadn't been able, although I did something else last week as well and if I hadn't done that I could have made my bed instead. I have no idea if payback will come tomorrow or if I will have a relatively good day. I've had mostly pain lately without the extreme fatigue and I have not been able to sleep properly. I have come to a peace with this is the way it can be and I could improve i could get worse at any moment, without much notice sometimes, although there tends to be a build up. I constantly have to assess what I can do. Because they ignore what we can't do it makes us focus on it more and rises the stress levels, neither help us and can more often make us feel very much worse.

    They need to educate the public what living with illness and disability is really like but to do that they would need to understand it first.

    ReplyDelete
  38. First thought: the government clearly think in terms of the psycho-social model, but keep calling it the social model. Are they confused, oversimplifying, or deliberately misleading?

    I think the biggest problem is the government seemingly never accepting the idea that some people will get worse with (at least some kinds of) work. On the most general level, almost all health issues, physical or mental, get worse with stress, and all work involves stress.

    The government, whatever party, has been redefining people out of sickness and disability for a long time. We need to make sure we publicise what they're doing with PIP, and contribute to the considerations that are still happening with that; preferably make sure we publicise what has happened with ESA as well. The descriptors for that now say something along the lines of "reliably and repeatable" for pretty much everything - this is a clarification, as it was meant to be a generally understood point. 'Can' and 'Able' are meant to mean "without undue pain or discomfort" as well. On both points, ATOS's assessment training and software seem to ignore this. We need to get people to hear this message. One reason they accept the narrative about scroungers and malingering is that it gets articulated louder than our voices. I don't know how we do it, but we need to get our voices out there to more than just the intelligentsia. I'm prepared to put what spoons and skills I can towards this. We ought to be able to get all sorts of general interest groups to support us, like religious groups. There are probably people who could raise it with local religious groups (Quaker Meetings are what I know about) if we could support them in doing so. Students' Unions like to engage on nice lefty areas like this; religious groups like to engage based on compassion. It needs to be coming from groups who aren't just disability groups. There's some work going on from some of these, but not as much as their could be. If I had more support and resources, I'd happily try to raise this in some way with a national body for young adult Quakers I'm going to a meeting of next weekend.

    We can collect and write-up testimonials about the failures of the benefits and assessment systems, as many as possible, we can produce clear and concise summaries of points. Maybe we can recruit respected academics and medical people to rebut the government's points and those of their media stooges. So much of our discourse is limited to an internet echo-chamber of like-minded people; I don't know how we change that, but we need to.

    What legal frameworks could we use to raise money to do grass-roots and mass-media campaigning? What sources of donations could we tap? Campaign organisations have a little bit of an issue becoming charities, but charities can campaign as part of their work. Maybe a new charity could be set up with goals of enhancing the understanding and support of disabled people in society in general; then it would be arguable that even political campaigning would be a sufficiently appropriate means of meeting that goal. I have a fair understanding of lots of charity law, and I am well-positioned to find out more, from an existing familiarity with the landscape of Charity Commission advice and regulations. Of course, there may be options other than charity status. I don't know how political campaign groups generally constitute themselves. One plus for charitable status, though, is that it would enable or encourage charitable groups like religious organisations to support us financially with collections from members. Maybe JRCT would be a good source of funds, depending on what we'd do with those funds.

    I just feel like we're shouting, but not being heard by many, and not being paid real attention to by government. We need to get past that.

    ReplyDelete
  39. I have Asperger syndrome, a both complex, i.e. composed of many parts, and paradoxical condition, e.g. "Excellent rote or photographic to semi-photographic memory" but "Difficulty in remembering where items used moments before are located".

    According to the Equality Act 2010's definition, it is a disability, i.e. (a) P has a physical or mental impairment (see section 7 of CDLA 1678/97 and Sections 8, 9 and 10 of CDLA/2288/2007, and (b) the impairment has a substantial and long-term adverse effect on P's ability to carry out normal day-to-day activities (section C of the DSM-IV's diagnostic criteria for Asperger syndrome states: The disturbance causes clinically significant impairment in social, occupational, or other important areas of functioning) and yet I continue to be asked, "Do you think you are disabled?"

    The DWP's Disability Handbook's chapter on Autism and Asperger's Syndrome is woefully inadequate because it fails to describe fully the impairments and impacts thereof and furthermore, refers only to children.

    Despite my psychiatrist's requests for a social worker and a community support worker, a Social Services head-of-department, refused on the grounds that people with Asperger syndrome are high functioning and therefore require no support. His uninformed comment flies in the face of, for example, Judith Barnard et al.'s Ignored or Ineligible, a 2001 House of Commons Debate on Asperger Syndrome, a 2003 House of Commons Debate on Asperger Syndrome, the National Autistic Society's I Exist campaign and the National Autistic Society's guide to Social Care.

    On Tuesday the 17th of May I received the new ESA50 form: I am to be reassessed for Employment and Support Allowance. Despite having, and attempting to use, a copy of that which I included in the form which I completed in the October of 2009 - it took me 61 1/2 hours - I have, thus far, spent 37 1/2 hours on the new form because of executive dysfunction, e.g. Executive Function Challenges: without a simple 'if/then', 'yes/no', i.e. 'closed question' system or a pre-prepared script, I find communicating via any means all but impossible but because of ignorance among HCPs, Social Services, et al, I feel defeated before I begin. During 2009, a former support worker telephoned JCP to request an ESA50 in a form accessible to people with autism spectrum conditions (ASC) but was advised to complete said form on my behalf but surely that flies in the face of the psycho-social model of disability; if JCP cannot accommodate people's disabilities and the impacts thereof, how can the government expect employers to make "reasonable adjustments"?

    ReplyDelete
  40. In an attempt to assist my completing the new ESA50, I have downloaded and read both The Employment and Support Allowance (Limited Capability for Work and Limited Capability for Work-Related Activity) (Amendment) Regulations 2011 and theRevised WCA Handbook ESA (LCW/LCWRA)Amendment Regulations 2011 but so doing has only served to make it more difficult, for example, page 80, section 3.6 and paragraph 4 of the Revised WCA Handbook ESA (LCW/LCWRA)Amendment Regulations 2011states:

    "Occasionally people whose principle diagnosis is Panic Disorder claim that they have difficulty making themselves understood during an episode of acute anxiety. Similarly those with severe Chronic Fatigue Syndrome may claim that speech becomes unclear when they are tired. Consider carefully whether such claimants should be assessed under the Mental Function Assessment. You should consider their ability to make themselves understood most of the time by any means."

    but work-related activity may cause someone with a Panic Disorder acute anxiety and someone with Chronic Fatigue Syndrome extreme fatigue so either those responsible for the content of the Revised WCA Handbook ESA (LCW/LCWRA)Amendment Regulations 2011 lack the intelligence to make such a connection or they have another agenda.

    As I have written, I have immense difficulty constructing novel sentences but in light (or the dark) of the above, how do I communicate the fact to ATOS HEALTHCARE in a way that an assessor will be able to both understand and accept? I have already prepared my father, mother and support workers of what I consider my only option should I fail to convince ATOS HEALTHCARE/DWP/JCP of the severity of my condition but even were I to succeed, the new Personal Independence Payment hangs above my head like the Sword of Damocles.

    This response has taken me precisely 4 hours and 31 minutes to compose and I must continue working working towards completeing the new ESA50 form.

    ReplyDelete
  41. I am a mother to four children. I was a very active and busy mother until my divorce. I am married to my second husband. I started with aches and pain unexplained? in 2001. Gradually got worse. I used to use the gym everyday and keep fit. That gradually stopped. I was diagnosed with Fibromyalgia. I am Bipolar and Schizophrenic. I have worked in between having my children and around my children at school. Now I see myself as unemployable. I went for an interview at a local supermarket and was asked about health, the interviewers face changed dramatically when I mentioned my health issues, was I supposed to lie?! no hell no! I can't help my health issues. So I now run my own Business. I retrained as Jeweller/Silversmith and I'm self taught. I am a Glass Artist also. I work from home now and around my health problems. My health is so variable it's impossible to put my symptoms into 'tick boxes' The whole DLA forms and Assessments need to change to accomodate us spoonies. I have flare ups and they can last up to 8 weeks, where I am unable to walk, move because the pain is so severe. I have memory problems that really does affect my life. I have digestive problems that I fear that I may have an accident. I have mental health problems. I hear voices every single day. I use my work (Jewellery making, glass art) to medicate me. It works for me, my Psychiatric team say I am unusual for how I lead my life with my difficulties that come with Bipolar Type 1 and Schizophrenia. I use my mental health positively and creatively. The DLA has paid for me to retrain, it's paid for my equipment (ergonomic chairs, work stations) so I can comfortably work. I need to take regular breaks about every hour, they call it pacing. What employer out there would happily employ me? What if I have a flare up that lasts up to 8 weeks? The stress and worry of working for someone else will dramatically make my health worse. So I've created a job for myself. I have a blue badge that allows me to park closer to shops so I can live as normal as possible. I get disgusted looks for people when I park in a disabled space, because yes I look ok on the outside. I'm scared one day someone will challenge me.

    ReplyDelete
  42. I am terrified of all these cuts, my husband is my carer and he works from home also so he can look after me. I work when I can. My job is not physically demanding. I'm scared that I will lose my DLA, my blue badge because there are days where I do feel well. I just never know when I'm going to be hit with a flare up and for how long. I've forgotten what I was going to say after reading all the replies because of my brain fog :( I'm 41 and I've worked since I was 14 and I'm still working, when I can I'm doing what I can when I can and I have this fear nagging at the back of my mind that I'm going to lose everything. I feel ashamed being on DLA I'll probably be classed as one who is 'not worthy' I've not had a mental health episode for a while now so again I could be classed as well. But that does take away the fact that the voices in my head every single day tell me to do bad things, say bad things, this takes alot of energy and control to not act on those things. Everyone has an internal dialogue, well for me I have several more and when I'm not well I get confused which is mine and which is not. Urges like to call people C**ts and urges to hit people is that someone you'd want in your work place? How do I get around it? Music I have music on all day while I'm working or just pottering around. I cannot bear silence in the house. I even have to fall asleep with the TV on. This is how I cope with my symptoms of Schizophrenia, now some may say take the medication, yes sure if I want to become morbidly obese with Diabetes?? I'm already borderline Diabetes type 2. Take Risperidone? yes sure I'd be a mindless dribbling zombie staring into space how would that help? how would that be for my children? how is that helping me? Chuck some pills at me and forget about me? No hell no, I fight every single day with Fibromyaglia, Bipolar, Schizophrenia, Asthma, life, kids etc.

    May have to come back to this when I remember what I was going to say

    ReplyDelete
  43. Further to my previous point, charitable status isn't a no-no, it's just hard. If you have an objective that is well-served by political campaigning, then that's okay, as long as it's not an excuse for it; social campaigning is far more acceptable. So, an aim/objective like "to promote understanding, acceptance and welfare of chronically ill and disabled people, with particular reference to..." could work (depending on how it was finished). My recollection of the public benefit test details would identify that as a valid public benefit.

    ReplyDelete
  44. Apologies if this has already been said - on a quick housework break so didn't get time to read all the responses.

    ESA

    Its a good idea but done the complete wrong way. There should be 2 groups, but with different aims. First I would pull Income Support and Carers Allowance into ESA. The Support group should be for people who can't work and are not reasonably expected to get better, carers of people with lifelong care needs etc. The Work Related group should be for people who are expected to recover after a course of treatment, single parents etc. Those in the support group would be left alone - there is no point reassessing them unless there is a medical breakthrough etc for their illness - and that would be relatively simple to keep track of with a handful of pen pushers and cost less than repeated assessments. The work related group can be reassesed in a sensible peroidic way, i.e. when dependants change or after their treatment and recovering time has elasped, and if found able to work should be supported back to work, not beaten into it.

    The assessments need to change - I would say total removal of Atos, and some of their suitable qualified medical professional employed direct by DWP as the decision makers. Evidence would be taken from all medical professionals dealing with a claimant and deciphered by DWPs doctors. Such evidence would include details of illness/disability, available treatments, prognosis, expected impact of work, home-life etc. It may seem invasive but it would be far more accurate and dignified than picking up a pen or penny.

    The benefit should be paid at a rate that is dignified. This will help people feel beter about themselves, look after themselves and of course means they have more to spend and plumb back into the economy as the money moves around.

    Getting them back into work is a whole other problem - we need a complete overhaul of employment law for a start. Employers should be encouraged (through tax breaks or grant 'add-ons') to provide suitable working options for ill/disabled, carers and working parents - like job sharing and working from home. Everything is in place for that, they just need to be nudged. If people have more flexibility they are more likely to be able to hold down a job. And rather than punish those that can't work, we should reward those that can - give them a cash 'gift' for holding down a job for x amount of months etc rather than cutting benefits for those that fail. The carrot is always better than the stick.

    Are we just doing ESA or can I do the whole welfare system here Sue? I got ideas...

    ReplyDelete
  45. Dombed - All ideas fine. I may not use them for this, but you never know when they might come in handy. Also I sometimes find it's difficult thinking about one benefit and ignoring all the others. they need to interact and work together.

    ReplyDelete
  46. I'm struggling to keep up with all the comments just now, but will read all thoroughly later and make notes.

    Just one thought though, I can see real hope and positivity coming from some of you. It pays me more than any wage to see people finally beginning to believe that we can change this. We can you know. It just takes hope and belief.

    ReplyDelete
  47. are email comments going to be posted Sue?

    ReplyDelete
  48. If it could be changed that the Jobseekers allowance and all welfare HELPED people in to work and supported them to support themselves rather than sanction them into any job at all whether it is right or not for a disabled person say - Is counterproductive. To make employment work for both the companies and the country is the best thing for all - But there will always be some people who are unable to work for disability reasons etc - To make them scapegoats is not the way...

    For the govt to attack the weakest in society just shows that it is an uncaring govt - And does not teach the country as a whole how to be integrated and humane to each other. YES there are alot of disabled people whoa re able to work, but there are also alot who need help and who are not. We need to support those who cannot, aid those who want to, and encourage those who have lost their way etc. Work has to be something that someone wants to AND is able to do long term as for people who continually have to leave through being forced into - then illness forcing them out of - just doesnt work (costs more on atos medicals also)

    ATOS is surplus to requirements, and to pay them so very much - does not seem very cost effective.

    I hope that this govt will see the futility of ATOS and actually use the information that they already hold in peoples medical notes etc. The information on all people is out there - You dont need a silly tick box computer program to 'tell' you how ill/well people are as people do not fit into these boxes, disabilities also do not.

    Why can they not just look people in the eyes and TALK to them - as humans. It would give people a much better view than people sitting there quaking whilst atos ignores them and just presses buttons on a computer.

    Computers are not always right! Hence all the error messages I keep getting LOL

    ReplyDelete
  49. I certainly will post email comments if the sender is happy for me to. I don't have any in inbox though?

    ReplyDelete
  50. Why dont the employers change their views on disabled people, after all we are more likely to be in work with a cold and flu than normal people. It just wont happen apart from remploy who have a factory near to where i live that is set up for disabled people, then after so many months you are cast back to the wolves. I fear we are fighting a losing battle. The human rights act seems a great way forward as well as grabbing the headlines and making our voice seen as well as heard is a good option.

    anon

    ReplyDelete
  51. re email comment - I sent one at around 1 o'clock - check your spam? Will re-send it now - 15.43

    ReplyDelete
  52. Thanks Sue. I'll try to be brief.

    DLA and carers.

    Currently DLA is very had to get and because of its passport nature, the lack of an award for DLA restricts access to vital care for many people, for example - I have caring responsibilities but am repeatedly told by DWP that if I reduce my work to care I will get no help, and treated as 'workshy' and sanctioned with absolutely no benefit entitlement unless the people I care for receive a certain amount of DLA, which they say they are not disabled enough to get, and also use the fact I have to leave them uncared for to go to work (which is because I had this job long before the care needs arose), as evidence for not awarding DLA. Catch 22. I get to choose between letting them die of neglect or starvation.

    If its happening to me I'm not going to be the only one.

    DLA needs to be more accessible for people. Its far too hard to get an award and often relies on the use of the 'correct termiology' rather than actual facts and, as with ESA, Atos are used to discredit claims. If people incur extras cost by being disabled they should be helped, if people need care they need care.

    The criteria for awarding DLA needs to be heavily relaxed - and the farce of PIP needs to end now, because it will only exacerbate the existing problems. We need to stop it being the only passport for all the other things too. Disability has far more degrees than the system allows for - all individuals do not fit in the same 3 boxes and the DLA system needs to reflect this.

    Carers need to be supported more - they save the state millions a year. Flexible working or leaving work to care must be made easier, and if DLA is not made more available we need to stop using it as the qualifier for needing care - maybe start using an independant statementing system instead. Just because you don't fit through one of the DWPs hoops doesn't mean you don't need help.

    ReplyDelete
  53. DAMN - EMAIL IS suey2yblog@hotmail.co.uk -COULD ANY WHO SENT SUBMISSIONS PLEASE TRY AGAIN, SORRY.

    ReplyDelete
  54. I believe that all claimants that are currently receiving benefits at such time should be left on them, they have already been judged eligible and if the government are going to try to take some people off of them then the government should be challenged in court.

    I think we also need some kind of sensible policy for new claimants so once people have been judged eligible for benefits they need not live in fear of them being removed because of some barking mad Atos policy. In fact it is time Atos was shown the door, I hear Atos are getting pretty "defensive" these days too!

    ReplyDelete
  55. Another point, if there are over 2 million unemployed and over 1 million 'off the sick' why dosn't the goverment proclaim in law that for every 3 jobs you have open you MUST employ a disabled or chronically sick person.

    Thats what they want, to 'support' us so wheres the money to fund that for employers, wheres all the PA and assistants, adaptions, flexable working time and money going come from? With all that and tax credits, child care costs, its not going save anyone any money. Isn't that the real point?

    ReplyDelete
  56. I still reckon if they wanna fiddle the jobless figures (like they like to all the time) this ain't gonna help people are being laid off all he time due to this economy so adding millions of disabled people into this will not help.

    Those with incurable lifelong conditions should just be pensioned off if they wanna fiddle the figures - dont know why they fiddle it but they seem to like to to make it out like there are less jobless - we all know its rubbish and just figure fiddling

    If this govt collected all unpaid tax (including that 6bn thy let off that phoen co) they would not be in such a mess - they cant expect to let off the ones who have billions in profits and the poor people have to subsidise it - Thst is ridiculous. Bring in robin hood tax - that will help no end!

    ReplyDelete
  57. To the anonymous who lost the post - mystery solved!! It's there! I took it out of spam a while after you posted it - it's at 12.00!!

    ReplyDelete
  58. Does anyone have any suggestions for how a totally different system might actually help them? Ways of doing things completely differently that would work around your disability or illness?

    ReplyDelete
  59. "A welfare system that works" ? Why would our betters and masters want that ? They want you dead unless you're contributing to their profits or furthering their careers and upward social mobility by contributing to the profits of their masters.

    ReplyDelete
  60. Well then how do we "contribute to their profits" in a way that works for us? Many have commented that the day they became unable to work was like a death. I'd like to work, but I know what stops me and what it'd take to help me.

    I don't mind being profitable along the way as long as I profit too ;)

    ReplyDelete
  61. YOU DON’T LOOK SICK!!! No I don’t. It’s hard to explain to someone when they have no clue. It’s a daily struggle feeling sick on the inside while you look fine on the outside.

    I contracted Viral Encephalitis in 2006 which has left me with acquired brain damage, severe asthma, depression I also have osteoarthritis in my spine, and both legs however I am as my husband says partially bionic as I have had a knee replacement all this at the age of 43.

    On some days I can look at objects and know the name of it in my brain, but somehow you could say that it gets lost in translation when I have to speak as it comes out as some garbled nonsensical word.

    The DWP said that in their view that I was fit for work and I did not need DLA.

    These people need to come down from their ivory towers and into the real world ...........

    ReplyDelete
  62. Thats the whole issue either they want to throw us off benefits to save them money or they want us to work. They dont understand for many people who could do some work it will cost the system more in terms of other support they need and top up by way of other benefits.

    Does our great PM want people to contribute but only if this is economical profitable to the rest of society or if we are able there is a big difference.

    ReplyDelete
  63. The new policies that I wont to set out for the future for those that claim sickness benefits DLA/INCAPACITY /ESA/

    Firstly in that in future all examinations on peoples health will be determined in their home buy their own doctor who will be assisted by their NHS care/support worker and also by a FULLY QUALIFIED independent doctor (ATOS)

    All hospital correspondence will also be available so that their are no errors being made with the medical assessment also in attendance will be a fully qualified benefits adviser whose role will be to fill in all forms and to make sure that all documentation and forms are fully completed and so that the right benefits are being paid to the right people to avoid fraud

    The proposal's that i have outlined above leave very little if any room for error and i recommend the above to this house

    ReplyDelete
  64. Since my husband was made redundant three years ago, he hasn't had any luck at all finding work. I think employers need to have more incentive to hire disabled people. I don't think all this stuff in the media portraying the sick and disabled as lazy, scrounging cheats has helped. What employer would want to hire someone like that? My husband does volunteer work, but when someone is disabled, I think employer's just view this as even worse because it just looks like no one wants to pay you to work for them so why should they?

    Why do we even have discrimination laws when they aren't being enforced? Not only for the disabled but for more mature workers as well? If the government can't at least crack down on these laws or be bothered to change employer's views on disabled prople in the workplace, then maybe there should be nore initiatives to help people start up their own business.

    ReplyDelete
  65. Fourbanks - But that's their stupid system and we know that doesn't work. Assuming that some should be supported fully on benefits, what about those who can and would like to work? How could we do that in a way that works for us?

    ReplyDelete
  66. Please people, CONSTRUCTIVE answers here. Yes, we know the system sucks, yes we know they seem to want us to fail. Preaching that one to the choir. So, sometimes the best way around is THROUGH; propose what would work for you personally just as a pie-in-the-sky idea. Let's try to stay on topic and not sink into the same posts of how-screwed-we-are over and over again.

    ReplyDelete
  67. I don't know if what I have to say has been posted, as I don't have the time and am in too much pain today to read all the comments.

    As someone who would love to work, but knows that being on strong opiates, injections which make me pass out and using an O2 tank no employer will even consider hiring me. O2 is a workplace fire hazard and, like the modifications I needed to make to my home, the workplace would need to be modified as well.

    And that is one of the biggest obstacles facing sick and disabled people: companies aren't willing to make changes to the workplace or allowances for peoples' sicknesses as it isn't good business sense (for them) and an unreliable sick person will not be as profitable for them as a reliable able-bodied person.

    The government wants more of us to work, yet they are not willing to give companies incentives to hire disabled people. In fact, they are thinking of removing workplace protection for disabled people under the guise of "cutting red tape".

    So they're kicking us off benefits while at the same time making it harder to find employment. And I am sure they are aware of this. It is not about "helping" us or anything of the sort. It is about saving money and to hell with the consequences for our most vulnerable.

    This may sound conspiratorial (and I am not conspiracy theorist) but I do believe there is now a concerted effort in society to either underfund or simply get rid of most things that are not "financially viable", or in easier terms, profitable. Many multinational corporations are richer and more powerful than some nation states. Now we are being told that these companies taking over our services is the only way to save said services. Of course, these companies will squeeze everything in order to make a profit.

    What we are seeing is the takeover of society by finance and big business. When everything is based on the bottom line, profitability, then supporting the sick and disabled is not viable. What is happening, IMO, is human beings are now being treated based on how much they contribute financially to society. If you or I are not well enough to work, then we are classed as "economically inactive" and are expected to be thankful for the tiny scraps we get.

    This will not do.

    We have tried letter writing, blogging, marching, engaging the media ad nauseam. And yet the media continues to smear us, the government continues to release wrong and misleading statistics about us. ATOS themselves are not adverse to threatening disabled people with legal action for simply telling the truth. The government, the media and large parts of society are now saying, in no uncertain terms, that they wish to wipe their hands of us.

    I do not say this lightly, but I do believe we cannot go on like this. We are by and large being ignored. We must push harder. We must be willing to take risks, even to our own health, to ensure the sick/disabled of future generations will receive the support they are entitled to.

    We must become more radical. We must shout instead of whisper. We must be prepared to take direct action. We must singe those who wish to destroy us with the fire we all have in our bellies.

    If we do not fight harder, stronger and with every ounce of being we have, then we are doomed.

    And I do mean this.

    ReplyDelete
  68. [QUOTE]Sue Marsh said...

    Fourbanks - But that's their stupid system and we know that doesn't work. Assuming that some should be supported fully on benefits, what about those who can and would like to work? How could we do that in a way that works for us[/QUOTE]?

    My proposals sue are not being implemented at all
    Medical assessments are not carried out in the home neither is a benefit adviser filling in the forms for accuracy all of this should be done by all of the NHS staff/doctors ETC that have been dealing with the patient over the years
    The ATOS doctors role should be just one of supervision to make sure that all of the correct procedures have been carried out on the government's behalf

    As for your other point i am not qualified to make a judgement on those who are sick and disabled who wish to work

    ReplyDelete
  69. Kat11 - That's an interesting idea about businesses.

    ReplyDelete
  70. Fourbanks - I just think the whole system is screwed. I don't think we need ATOS or assessments at all but your ideas of consultant led assessing is good I think.

    You DID work in the Bank of England, so I'm sure you have more experience than most of us on how we could work or set up our own businesses in a way that would serve the state AND support and help us?

    ReplyDelete
  71. I posted a rather long comment but it seems to have been removed or ju