Debbie Abrahams
MP for Oldham East and Saddleworth · Labour · United Kingdom
“I thank my right hon. Friend for his statement and congratulate him on not just the content, but the tone of his delivery. He has elevated the status of not just this Parliament and this Government, but this country, by ensuring that everybody—all states and all individuals—are seen as equal before the law and in terms of human rights.”
“I welcome my right hon. Friend to his place and thank him for his statement. I particularly agree with what he was saying about social security and tackling the drivers of the high rates of young people not in education, employment or training.”
“] I have just about half a minute left, if that is convenient, Madam Deputy Speaker. The Committee recommends a more holistic approach to future assessments. The Department should consider the cumulative impact of policies on individuals.”
“We also heard that almost half of people aged 60 to 66 in the lowest income quintile were already classified as frail. These are people who are vulnerable to deterioration in physical and cognitive functioning.”
“The evidence that we received was clear: financial resources, the capacity to work, and good health help people manage the transition to a higher state pension age. However, many people reach their early 60s in poor health and unable to work, after years in low-paid and often physically demanding work.”
“There are other reasons why people leave work before state pension age, including becoming family carers. On the flip side, we heard about older workers who wanted to work but could not find a suitable job, and people who had left employment because of illness or caring responsibilities and could not get back into work.”
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“If this is being truly co-produced with disabled people and their organisations, the review should determine the new process, the new points and the new descriptors. We should not predetermine it as four points now.”
“I am grateful to my right hon. Friend for her statement. I absolutely agree that we must reform our social security system; under the previous Government, it neither supported nor protected disabled people. I am also very supportive of the principles that the Government have set out. May I query some of the points that the Secretary of State has raised, however, particularly about a new PIP assessment process under the PIP review that my right hon. Friend the Minister for Social Security and Disability will be undertaking? The Secretary of State said that the four-point requirement will not apply until November 2026, and that the review will report in November 2026, but surely the PIP review should determine the new process.”
“Q8. In Oldham, 727 families are currently living in temporary accommodation, and 8,000 families are on the waiting list. That obviously has a devastating impact, particularly on children in those families. Will the Deputy Prime Minister outline how she will use the £39 billion that was allocated to her Department in the spending review to fix the housing crisis left by the Opposition, so that families in Oldham, Saddleworth and wider can get the affordable homes they need?”
“Can my hon. Friend update me on the conference that was due to be held at the weekend but was postponed following the bombing of Iran by Israel, at which the potential for recognition was to be discussed?”
“Previous changes in eligibility for disability benefits have resulted in significant adverse health impacts, including an additional 600 suicides in 2010 and 130,000 more people with new onset mental health conditions in 2017. What estimates have the Government undertaken of the impacts on health of the Universal Credit and Personal Independence Payment Bill, which is due to have its Second Reading next week?”
“I would first like to associate myself with the condolences to all those who have lost loved ones. We are increasingly seeing foreign leaders not only flout international law but ignore our international rules-based system, which was hard-won after the second world war. What is my right hon. Friend doing to ensure that we can get this back on track?”
“Between 2001 and 2011, the 15% health inequalities weighting in NHS allocations made a positive, measurable difference to the health of deprived people. Unfortunately, it was cut to 10% in 2015. With the spending review’s increase in funding to the NHS, when will the health inequalities weighting reach 15%?”
“I thank my right hon. Friend for her statement. I also pass on my thanks to Dame Louise Casey for meeting Oldham victims and survivors of CSE. They want no further delays to justice, and for perpetrators to face the full force of the law now. It is unacceptable that some are being given court dates for 2028, with all the risks that that implies. They want no more red tape, and they want survivors to be at the heart of rooting out perpetrators and getting justice. Can the Home Secretary ensure that this will happen, and will she now consider making misogyny a hate crime?”
“I know that my right hon. Friend will be working tirelessly and using all his diplomatic skills and those of his office to resolve this new, immediate crisis, but as others have said, how will he balance that with getting aid in, a permanent ceasefire, getting hostages out and recognition?”
“16. What assessment he has made of the potential impact of extending the warm home discount to all households in receipt of means-tested benefits on people receiving those benefits.”
“I congratulate the Minister, and his team and officials, on all that they have done. I do not underestimate the amount of work that has been put in, especially the work with our international allies that has brought us to where we are. As the Minister can see, however, there is always a demand for more, as there should be given what we know is going on. May I add my voice to those of all who have said that hopefully this is the lead-up a successful announcement next week, with our allies, about recognition of the Palestinian state?”
“I am sure the Minister can sense the frustration across the House and from all parties. I support their frustration. We were at a meeting yesterday with the former UN secretary-general for human rights, Andrew Gilmour. He said that the lack of action that the international community is taking now on this issue reminded him of the lack of action during the Rwandan genocide in the 1990s. That is a lesson we all should closely heed. I will not ask the Minister everything that everybody else has asked about sanctions and recognition—he knows where I stand on that. I will ask him about the coalition of the willing for Palestine, as we have a coalition of the willing for Ukraine. How are we building up our international allies to ensure that recognition and everything else that needs to happen has an international consensus?”
“As a consequence, we have hundreds of people involved in Oldham, and have set up a dementia-friendly Oldham, with an annual memory walk and lots of other groups that support families affected by dementia. I am very proud of that. I appreciate that the Government have yet to publish any plans on dementia, but given that dementia, as we have heard today, is the leading cause of death in the UK—above heart disease and above cancer—and affects nearly 1 million people, with an equivalent number of carers, I know that the Minister will give it the focus and attention it deserves. We have also heard that a quarter of NHS beds are occupied by someone with dementia who is fit and able to be discharged, but who cannot be discharged because of the crisis in social care.”
“I congratulate the hon. Member for South Devon (Caroline Voaden) on securing this important debate and on her excellent speech, and I wish her father-in-law and cousin all the very best. I have been the co-chair of the all-party parliamentary group on dementia for the past 10 years. Like my co-chair, Baroness Angela Browning, I became involved because of a loved one who had acquired the disease. In my case, it was my mum, who was also called Angela and who was diagnosed with Alzheimer’s disease at 64; along with my stepfather and brother, I cared for her until she died in 2012. After her death, I became a dementia friends champion—the first MP to do so—which allowed me to do a number of dementia friends sessions.”
“Excess alcohol consumption is another factor; fewer than 14 units a week is the guidance for a healthy life, but 18 is excessive. Social isolation is really bad for dementia, as is traumatic brain injury. I am supporting Football Families for Justice, which is run by Nobby Stiles’s son, to try to get compensation and support for footballers who have been affected by their sport throughout their careers and are suffering from brain diseases as a consequence. We are calling on football authorities to take responsibility. Footballers are now paid fantastically well, but that was not the case in the past and we need to make sure that those players are cared for; this is an occupational disease.”
“Our “Raising the Barriers” report around the inequalities in dementia diagnosis also needs further attention. Those inequalities are not just by geography, but by different cohorts of people. In my last minute or so, I will talk about prevention, as we have heard only a little reference to that. With young-onset dementia, we are able to track the start of changes in people’s brains from the age of 30 that are associated with different cognitive diseases. What is good for our heart is also good for our head, but there are other things to consider, including reducing air pollution. We know that smoking and heart disease is a real no-no, as is obesity and high blood pressure. It is also important to be on top of hearing loss and related issues.”
“That is a very long question. I certainly believe that we need to improve care. Dementia is obviously an umbrella term for several different diseases, and we cannot make recommendations that apply to each specific disease; I think that has unfortunately not had the airing that it might have. The APPG has undertaken a number of inquiries of which I am incredibly proud. A few years ago, we published “Workforce Matters”, which is still very relevant today. We have heard some of the recommendations around specialist care. Unfortunately, we have a postcode lottery; the APPG heard some fantastic examples of care, but also some not-so-great examples. There was also a survey of nearly 2,000 people. There is still lots to do there, and I hope the Minister will look at those recommendations.”
“Can the shadow Minister remind us about the commitment in the 2019 Conservative manifesto on the dementia moonshot and tell us if and when that was delivered?”
“On a point of order, Madam Deputy Speaker. In his response to my question about the dementia moonshot, I think the shadow Minister, the hon. Member for Hinckley and Bosworth (Dr Evans), might have got his figures wrong. Could you advise me on how we can correct the record?”
“I support the increase in defence spending and I recognise the reasons behind it, but will the Minister indicate what impact it may have on the non-proliferation treaty?”
“I welcome the SDR, in particular the reference to an increase in investment in the defence medical services. Given that 70% of veterans have a clinical mental health condition, will my right hon. Friend explain how the interface with NHS mental health services will be managed?”
“I thank my right hon. Friend the Foreign Secretary and the ministerial team, who have done so much work to get the statement out and other deliverables. Given that 14,000 babies are about to lose their lives in the next 48 hours and hundreds of Palestinians have been slaughtered overnight, what are the red lines and what is the timeframe for action? If babies have only 48 hours, it needs to be of that order.”
“David was a veteran who died after being sanctioned, which, for the uninitiated, means that his financial support was stopped. He could not pay for power, and the insulin in his fridge no longer worked. The cases kept coming. Errol Graham, who had serious mental illness, had his employment and support allowance incorrectly stopped. He starved to death, and his emaciated body was found in his flat. Philippa Day, a young mum with mental health issues who relied on the personal independence payment, took her own life. I will never forget hearing the recording of Philippa phoning DWP and pleading for her money not to be stopped. There have also been the cases of Kevin Gale, Michael O’Sullivan, Alexander Boamah, Faiza Hassan Ahmed, Emma Day, Terence Talbot, Nazerine Anderson, Afolabi Ojerinde, Richard Brookes— [ Interruption. ]”
“The Department for Work and Pensions is responsible for the delivery of essential services to millions of people each year. That includes some of the most vulnerable people in society, who rely on benefits—or, as I prefer to call it, social security support—as their main source of income. Our predecessor Committee opened the inquiry on 23 July 2023, primarily in response to concerns that inadequate safeguarding practices in DWP had contributed to the deaths of claimants, including through suicide and starvation. I first became aware of these appalling facts over 10 years ago, when the first Work and Pensions Committee on which I served undertook an inquiry into sanctions and the case of David Clapson came to light.”
“I also thank the members of the previous Committee, who contributed to the thinking behind some of our recommendations. I want especially to thank the Committee staff—some of the unsung heroes in this place. From the previous Committee, I thank Danielle Nash and particularly Sarah Dixon. From the current Committee, I thank John-Paul Flaherty and especially Alexandra Ming. I also thank everyone who contributed to the report—the many people and organisations who submitted written and oral evidence, and who took part in roundtables and surveys. Finally, I wish to mention all the people who have not been treated or supported as they should have been by the Department for Work and Pensions. Ultimately, this report is for them and tries to ensure that others do not have to endure what they did.”
“I thank the Backbench Business Committee for allocating time for me to make this statement to the House, which marks the publication of the first report of this Parliament, “Safeguarding Vulnerable Claimants”. The inquiry that led to this report was first launched in 2023 by our predecessor Committee under the stewardship of the former Chair, my right hon. Friend the Member for East Ham (Sir Stephen Timms), who is now the Minister for Social Security and Disability. I pay tribute to him for both initiating and supporting the inquiry. We were not able to conclude the inquiry before the general election last year, so when I was elected as Chair of the Work and Pensions Committee last September, it was a priority to bring it to a conclusion. I was pleased that the new members of the Committee agreed, and I thank them for their support.”
“I praise those staff, and we need more of them. Effective communication and making sure that people are aware of what support they can access is also important, and we need more of it. That also applies to training and capacity building for frontline staff, which needs to happen to achieve the cultural changes we need. Finally, collaboration with other agencies needs to be a statutory responsibility, and there needs to be DWP membership of the safeguarding adults boards. I am very grateful to you, Madam Deputy Speaker.”
“It also recommends adding victims of abuse to the additional support area in universal credit, and implementing proactive measures to identify and support vulnerable claimants. Ensuring that vulnerable people can access the benefits they are entitled to is crucial for delivering equitable welfare provision. The removal of the Help to Claim face-to-face service has made it more difficult for some individuals to apply for universal credit. The report recommends that the DWP ensures that jobcentres provide thorough support, and that detailed information about additional support is proactively offered to claimants. In that regard I do give praise, because there are so many good people in the Department, such as the advanced customer support senior leaders, who are integral to helping frontline DWP staff.”
“The report calls for systematic recording and publication of all cases of serious harms and deaths involving claimants. The Department should commit to publishing this information annually to aid transparency. The report also recommends improving transparency in the processes used to learn from serious mistakes and failures, and the introduction of an independent body—the Department should not mark its own homework—to investigate serious harms. On defining and identifying vulnerability, the Department’s current approach is seen as flexible, lacking in clarity and consistency. The report calls for a formalised definition of vulnerability that is clearly communicated in public-facing documents.”
“In addition to the statutory duty, the report makes a number of other important recommendations, which I will go through quickly. As I have mentioned, it is recommended that all significant new policies are analysed by the Department’s chief medical adviser’s team. Currently, such assessments are not routinely carried out, leading to policies that may inadvertently harm claimants or exacerbate existing vulnerabilities. By making these assessments a standard part of policy development, we hope to ensure that the impacts of policies on the health and wellbeing of claimants are considered and harms mitigated. The report stresses the importance of having a robust, clear and accessible complaints procedure to prevent failures recurring. As I have stated, the true scale of deaths and harms is not known.”
“This distress is compounded by a lack of trust in the system, driven by continual cost-cutting measures and an unhelpful media narrative. To rebuild trust, the DWP must prioritise safeguarding and support over cost cutting, and this means creating a system that not only helps people to find sustainable work, but compassionately supports those who may never work. The report also emphasises the importance of learning from past mistakes. The Department has conducted a number of IPRs, but the full scale of harm is much higher. The ongoing investigation by the Equality and Human Rights Commission into the Department’s treatment of disabled people and those with long-term mental health conditions underscores the need for transparency and accountability.”
“We see a new statutory duty as the cornerstone of a bigger cultural shift that is needed in the DWP. For too long, the focus has been on cost cutting, often at the expense of providing genuine support. That approach has led to a system in which claimants feel undeserving of support and fearful of the very Department that is meant to assist them. The necessary cultural shift must be driven from the top down, with Ministers and senior officials leading the way. A statutory safeguarding duty would help to focus minds, improve accountability and ensure that safeguarding becomes everybody’s business in the DWP. The need for deep-rooted cultural change in the Department cannot be overstated. The process of engaging with the DWP often leads to mental distress for claimants.”
“The duty would include the proactive consideration of the safeguarding needs of claimants, the ability to refer vulnerable individuals to other agencies with a duty of care, and, again, the proactive consideration of the impacts of key policies and legislation on the health and wellbeing of claimants before they are implemented. The need for a new legal obligation is clear. The current approach to safeguarding in DWP has been described as “piecemeal and lacking coherence”, and the Committee agrees. For that reason, the report calls for a comprehensive, systems-based approach to safeguarding that integrates into every stage of policy development, implementation and review. The approach must involve everyone in the DWP to ensure that safeguarding becomes a fundamental part of the Department’s culture.”
“Before I turn to the findings and recommendations of the report, I should acknowledge that in the “Pathways to Work” Green Paper, published in March, the Government said they were consulting “on a new DWP safeguarding approach to make it clear what the department and its staff are expected to do in order to safeguard the public.” I welcome that, and I was heartened by the Secretary of State’s evidence to the Committee last November. Our principal recommendation is for a statutory safeguarding duty to be placed on the DWP to protect claimants. Although the Secretary of State would be accountable for this duty, reflecting the leadership needed to drive these changes, it would make safeguarding in the DWP everyone’s business: at all levels of the organisation and at all stages of policy development and implementation.”
“The fact that the Equality and Human Rights Commission issued a section 23 notice on the DWP for potential discrimination against disabled people in 2022, and the investigation that was subsequently launched last year after the failure to reach an agreement, added to the evidence that the Work and Pensions Committee collected on the DWP’s inadequate approach to safeguarding. The inquiry set out to examine the support that the Department provided to vulnerable claimants, how it had learned from mistakes and failures, and what needed to change. The new Committee agreed to reopen the inquiry on 30 October 2024.”
“In some cases, the experience of engaging with the system and the processes has been so difficult and distressing that it has contributed to claimants deciding to take their own life. Some of the most serious cases of harm—where a coroner’s inquest has found that DWP contributed to a claimant’s death—have resulted in prevention of future death reports. Since 2010, DWP has been issued with 10 prevention of future death reports relating specifically to the deaths of benefit claimants.”
“That was just the intervention that I needed. There have also been the cases of Jodey Whiting, Mark Wood and many, many others. Our report recognises the significance of every death and harm experienced by claimants, and the impact of these cases on their loved ones. We know that 40 deaths and 13 serious harms of claimants were investigated by the Department in 2023-24 alone as part of its internal process reviews, but in common with the National Audit Office’s 2020 report, we believe that the actual numbers are much higher. We heard evidence that the process of accessing DWP support, and some DWP policies themselves, can create or exacerbate existing vulnerabilities. For example, sanctions or the threat of sanctions can lead to material deprivation, stress, and the deterioration of physical and mental health.”
“I thank my hon. Friend for her question. On the pathways to work Green Paper, one of our recommendations is that any analysis undertaken by the CMA’s team should be published and made available. More generally, we also ask that analysis of the impact of key policies and legislation on the health and wellbeing of claimants is considered beforehand and responded to appropriately.”
“The right hon. Member makes an excellent point. There are some systems, but the inquiry found that they are very fragmented and a little too ad hoc. This is about making a coherent case that this is everybody’s business. Yes, we should be proactively identifying and assessing the vulnerabilities of claimants when they present, and we should be able to signpost them to other agencies that may, for example, have a statutory duty of care.”
“I am grateful to my hon. Friend and thank her for all that she has done since becoming a member of the Select Committee. I wholeheartedly agree with everything she says, and I do hope that the Government response comes sooner rather than later.”
“I thank my hon. Friend for that important question. As I said to my hon. Friend the Member for York Central (Rachael Maskell), this is really important. The bedrock of the report is that safeguarding needs to be integrated into policy development at all stages and at all levels of the organisation, and before policies and legislation are implemented, so it is absolutely key to the legislation that is being considered and that will be going through the House.”
“I am grateful to my hon. Friend, who is my vice-Chair on the Committee, and I thank her for all that she does. The culture is one of the key things, and both the statutory duty and making sure we have a system-based approach to safeguarding are absolutely key. I will never forget a quote from one of our witnesses, who had lived experience of using the system, when she said she felt that “a system that is meant to wrap its arms around us is strangling us”. That just should not happen in this country, and with such an important Department.”
“In addition to calling for the release of all hostages, Tom Fletcher, the UN emergency relief co-ordinator, asked last night what action we will tell future generations that we each took “to stop the 21st century atrocity to which we bear daily witness in Gaza.” What action will the Government take if, in the next 24 hours, Israel does not allow aid into Gaza?”
“I basically want to thank the Minister. This has been quite a robust and rough journey, but he has listened to comments from across the House, analysed the arguments we have made and listened to the other place. I think this is now going to be a very strong Act that will help enormously to shift our global supply chains and get the transparency I think everybody in this House wants, so I thank him.”
“On 15 May we will commemorate the 77th anniversary of the 1948 Nakba, which saw hundreds of thousands of Palestinians displaced from their homes and dispossessed, and it still continues today. I pay tribute to Ministers for the diplomacy they are engaged in and for the recent memorandum of understanding that was agreed with Palestine, but the children of Gaza cannot wait weeks and months. They need food and water now. What more can we do?”
“I am grateful to my right hon. Friend for what she said about resolving the issues with the application process for Access to Work. Will she also kindly reassure disabled people about the future of Access to Work, and that there will not be cuts in the budget for it?”
“I will be brief. I want to draw Members’ attention to a report published on Friday that provides evidence of the impact by constituency. It clearly shows the impact on northern areas: an average of £269 per working adult in the north-east, and similar in the north-west and in Yorkshire and Humber. The cumulative impact could be tens of millions of pounds for each constituency. The impact on local economies, which we have not explored in great detail, is significant. My constituency of Oldham East and Saddleworth will lose £15 million a year, which will have a huge impact on our local economy. Importantly, the financial losses will be highest in the constituencies with the lowest life expectancies, which means that health inequalities are likely to widen even further.”
“I wholeheartedly support the Minister in his calls for de-escalation. I reiterate my condolences to the families who have lost loved ones in the attacks last month and overnight. About 20% of my constituents have Pakistani-Kashmiri heritage but, for our common humanity, we should extend our condolences to anyone of any religion or origin, from either side of the line of control, who has lost a loved one. Will the Minister confirm which international allies he has been working with to de-escalate tensions? Has the Minister been in contact with the United Nations Military Observer Group in India and Pakistan, which was established back in 1951 and has extensive intelligence in the region? If so, what has been said?”
“I, too, associate myself with the condolences for the innocent families who have become victims of this appalling attack. It is important that there is an evidence-based investigation and I hope that, from what the Minister has said, Pakistan is assisting India in identifying the perpetrators and ensuring they are brought to justice. Tensions are certainly high, both within India and Pakistan. I appreciate the Minister’s remarks on the assistance being provided at the moment, but can this be used as an opportunity to also look at the longer- term issues that Kashmir has faced for decades?”
“I commend my hon. Friend on all the work he is doing—I know that a huge amount is going on behind the scenes—and particularly on the memorandum of understanding and the additional funding. When I hosted a meeting of the Britain-Palestine all-party parliamentary group last night, it was quite clear how grateful Prime Minister Mustafa was for the stance that the UK was taking, and that he saw it as part of a sequence of steps towards recognition. Yes, he wanted that as soon as possible, but he recognised the steps that needed to be taken, because of the difficult international context, to ensure that recognition would make a difference. However, who among our other allies, either the E4 or the Five Eyes—except the US, obviously—has provided a similar sort of MOU that can be built on?”