HC Deb 09 March 2000 vol 345 cc802-4W
Angela Smith

To ask the Secretary of State for Social Security what changes he plans to make to the all work test in Incapacity Benefits. [114333]

Mr. Bayley

We are laying regulations today which, together with regulations made in November (The Social Security (Incapacity for Work) Miscellaneous Amendments Regulations 1999), give effect to the changes to the All Work Test which were introduced by the Welfare Reform and Pensions Act.

The All Work Test provides an assessment of the effect of a person's medical condition on their functional abilities, to determine whether they reach the threshold at which it is appropriate to pay incapacity benefits rather than to treat them as unemployed. It is a negative test in that it currently looks only at people's incapacities and not at why they are able to do despite their illness or disability. The very name gives the wrong impression that people who reach the benefit threshold are unfit to do any work. But many sick and disabled people already work, and many more want to and may be able to, given the right encouragement and support.

From 3 April 2000 the All Work Test will be replaced by the Personal Capability Assessment. The threshold for entitlement to incapacity benefits, and the way that incapacity is assessed will not change in any way. But the doctor who advises the decision maker will also be able to prepare a Capability Report, with positive and constructive advice on what the person can do despite their incapacity and on measures such as workplace adaptations which might help them to work. This report will not be seen by the benefit decision maker but will go to Personal Advisers, to help them and their clients plan a return to employment.

As part of the ONE pilots, our doctors are already providing Capability Reports in appropriate cases. The process was trialled successfully last summer. We aim to extend the use of Capability Reports as we gain experience through the pilots and as Personal Adviser services are expanded.

Ms Walley

To ask the Secretary of State for Social Security if he will list the pilot areas for enhanced medical assessment for incapacity benefits in respect of incapability information; and on what basis they were selected. [113046]

Mr. Bayley

From 3 April, the All Work Test for incapacity benefits will be replaced by the Personal Capability Assessment. This will continue to determine benefit entitlement in exactly the same way as now but will also allow the doctor who assesses a person's incapacity to prepare a separate Capability Report with positive information on what they can do despite their medical condition and on measures such as workplace adaptations that might enable them to return to employment.

Capability Reports will not be seen by benefit decision-makers. They are intended to assist Personal Advisers in providing advice and support to people who want to plan a return to work. Some initial trialling of the Capability Report was undertaken for a short period last summer in Bolton, and in Bristol, East and Bath, two of the areas in which Personal Adviser services are being piloted as part of the New Deal for Disabled People. Since last November, the new procedure has been included in the 12 ONE service pilots. The ONE pilot areas were selected on the basis of a number of criteria including the need to cover a range of geographical and labour market conditions so as to minimise bias and enable results to be extrapolated nationally.

The areas are:

  • Clyde Coast and Renfrew Lea Roding
  • South Essex
  • Warwickshire
  • Calderdale & Kirklees
  • Gwent Borders
  • Buckinghamshire
  • Somerset
  • 804W
  • Leeds
  • Suffolk
  • North Nottinghamshire
  • North Cheshire.

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