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32 die a week after failing test for new incapacity benefit

102 replies

ttosca · 08/04/2012 13:41

By Nick Sommerlad on April 4, 2012 11:00 PM in Health

More than a thousand ­sickness benefit claimants died last year after being told to get a job, we can reveal.

We've highlighted worries about the controversial medical tests for people claiming Employment Support Allowance which are being used to slash the country's welfare bill.

The Government has boasted that more than half of new ­claimants are found "fit to work" - failing to mention that over 300,000 have appealed the decision and almost 40% have won.

Instead, employment minister Chris Grayling (below) says this ­"emphasises what a complete waste of human lives the current system has been".

Chris-Grayling.jpg

Here's another waste of human life.

We've used the Freedom of Information Act to discover that, between January and August last year, 1,100 claimants died after they were put in the "work-related activity group".

This group - which accounted for 21% of all claimants at the last count - get a lower rate of benefit for one year and are expected to go out and find work.

This compares to 5,300 deaths of people who were put in the "support group" - which accounts for 22% of claimants - for the most unwell, who get the full, no-strings benefit of up to £99.85 a week.

We don't know how many people died after being found "fit to work", the third group, as that information was "not available".

But we have also found that 1,600 people died before their assessment had been completed.

This should take 13 weeks, while the claimant gets a reduced payment of up to £67.50 a week, but delays have led to claims the system is in "meltdown".

Mr Grayling admitted last month that 35,000 people are waiting longer than 13 weeks. Commenting on the deaths of ­claimants, a Department for Work and Pensions official said: "It is possible that the claimant had already closed their claim and then ­subsequently died, meaning that these figures may be ­overestimating the true picture."

Of course, they're bound to include some people who died of ­something completely unrelated to their benefit claim.

David-Groves.jpg

But there are plenty of tragic cases - such as that of David Groves (above) who died from a heart attack the night before taking his work ­capability assessment.

The 56-year-old, from Staveley, Derbyshire, worked for 40 years as a miner and telecoms engineer but stopped on doctors' orders after an earlier heart attack and a string of strokes. His widow Sandra said: "When Dave was called in for a medical, he felt like he was back to square one.

"He was in a terrible state by the day he died. It was the stress that killed him, I'm sure."

Stephen Hill, 53, of Duckmanton, Derbyshire, died of a heart attack in December, one month after being told he was "fit to work", even though he was waiting for major heart surgery.

Citizens Advice told us it has found "a number of cases" of people dying soon after being found fit for work.

"There seems to be a clear link between the cause of death and the condition they were suffering from that led to the claim," said Katie Lane, head of welfare policy.

"We have always supported the idea that people who could work and want to work should be helped to do that. But we are seeing a lot of seriously ill and disabled people being found fit for work.

"We have serious concerns about whether the test used to decide if people are fit for work is the right test."

The work capability assessments are carried out by private firm Atos, on a £100million a year contract.

The firm made a £42million profit in 2010 and paid boss Keith Wilman £800,000, a 22% pay rise on the previous year.

The response to our FOI request:

Thank you for your Freedom of Information request of 16 February 2012. You asked:

Can you please provide me with the number of ESA claimants who have died in 2011?

Can you please break down that number into the following categories:
? Those who are in the assessent phase
? Those who have been found fit to work
? Those who have been placed in the work related activity group
? Those who have been placed in the support group
? Those who have an appeal pending

The table below provides data on the numbers of Employment and Support Allowance (ESA) claimants where the Department holds information on a date of death being recorded in 2011 and whose latest Work Capability Assessment (WCA) date (or activity towards assessment) was before the end of August 2011, the latest data available.

In total, between January 2011 and August 2011, some 8,000 claims ended and a date of death was recorded within six weeks of the claim end. This represents about 1% of the total ESA caseload in May 2011 (the latest caseload data available). The table below shows the position of these claims when they were closed.

Those in the Support Group receive unconditional support due to the nature of their illness, which can include degenerative conditions, terminal illness and severe disability.

Note it is possible that the claimant had already closed their claim and then subsequently died, meaning that these figures may overestimate the true picture. Care should therefore be taken when interpreting these figures.

WCA Outcome at most recent assessment and number of claimants with a recorded date of death

Assessment not complete 1,600
Work Related Activity Group 1,100
Support Group 5,300
Total 8,000

All figures have been rounded to the nearest 100.

Data on the number of ESA claimants that have died following a fit for work decision is not available, as the Department does not hold information on a death if the person has already left benefit.

The Department does not hold information on the number of claimants who died whilst an appeal was in progress.

We then asked for:

The total Employment and Support Allowance caseload figures most comparable with the ones in the FOI request, eg Jan-Aug 2011, showing how many ESA claimants are put in support group, WRAG group, fit to work or claim ended.

Clarification on whether these figures are only new ESA claims or whether they include the transfer from Incapacity Benefit?

Clarification on the six-week cut off figure - why was that selected?

We were told:

As at August 2011 there were around 730,000 people receiving ESA. In the three quarters Jan-Sep 2011, 380,000 people left ESA. It is not possible to provide the further detail you request.

These figures only cover new ESA claims - claims from IB recipients are not included.

The six-week figure is used routinely within the department when looking at where people go after leaving benefits.

However, there are more figures on the outcome of Work Capability Assessments on the DWP website here and here.

blogs.mirror.co.uk/investigations/2012/04/32-die-a-week-after-failing-in.html

OP posts:
Nancy66 · 10/04/2012 10:59

I meant the report by Nick Sommerlad - the one that's cut and pasted by OP
The report wasn't compiled by the government - the figures were supplied by them.

SardineQueen · 10/04/2012 11:20

But the text of the FOI data is attached, I assume that is where you got your figures from? They are the ones that are used in the article.

SardineQueen · 10/04/2012 11:21

Here

"The response to our FOI request:

Thank you for your Freedom of Information request of 16 February 2012. You asked:

Can you please provide me with the number of ESA claimants who have died in 2011?

Can you please break down that number into the following categories:
? Those who are in the assessent phase
? Those who have been found fit to work
? Those who have been placed in the work related activity group
? Those who have been placed in the support group
? Those who have an appeal pending

The table below provides data on the numbers of Employment and Support Allowance (ESA) claimants where the Department holds information on a date of death being recorded in 2011 and whose latest Work Capability Assessment (WCA) date (or activity towards assessment) was before the end of August 2011, the latest data available.

In total, between January 2011 and August 2011, some 8,000 claims ended and a date of death was recorded within six weeks of the claim end. This represents about 1% of the total ESA caseload in May 2011 (the latest caseload data available). The table below shows the position of these claims when they were closed.

Those in the Support Group receive unconditional support due to the nature of their illness, which can include degenerative conditions, terminal illness and severe disability.

Note it is possible that the claimant had already closed their claim and then subsequently died, meaning that these figures may overestimate the true picture. Care should therefore be taken when interpreting these figures.

WCA Outcome at most recent assessment and number of claimants with a recorded date of death

Assessment not complete 1,600
Work Related Activity Group 1,100
Support Group 5,300
Total 8,000

All figures have been rounded to the nearest 100.

Data on the number of ESA claimants that have died following a fit for work decision is not available, as the Department does not hold information on a death if the person has already left benefit.

The Department does not hold information on the number of claimants who died whilst an appeal was in progress.

We then asked for:

The total Employment and Support Allowance caseload figures most comparable with the ones in the FOI request, eg Jan-Aug 2011, showing how many ESA claimants are put in support group, WRAG group, fit to work or claim ended.

Clarification on whether these figures are only new ESA claims or whether they include the transfer from Incapacity Benefit?

Clarification on the six-week cut off figure - why was that selected?

We were told:

As at August 2011 there were around 730,000 people receiving ESA. In the three quarters Jan-Sep 2011, 380,000 people left ESA. It is not possible to provide the further detail you request.

These figures only cover new ESA claims - claims from IB recipients are not included.

The six-week figure is used routinely within the department when looking at where people go after leaving benefits.

However, there are more figures on the outcome of Work Capability Assessments on the DWP website here and here."

Which figures were you using?

carernotasaint · 10/04/2012 13:54

of course the stress of being reassessed if you are ill can contribute to making your illness worse. the stress of being forced to attend an Atos medical centre when you have breathing problems due to a lung condition or are sick and weak from chemotherapy can make an illness worse or even cause a death. You dont half talk bollocks Nancy. im willing to bet you would be more than happy to accept that report if it was going against the ill claimant.

Nancy66 · 10/04/2012 14:28

This story is claiming it killed them - not made them worse.

The stories used to highlight this are:

  1. man who had already suffered series of strokes and one heart attack.

  2. man awaiting heart surgery

these were people already seriously ill. It cannot be stated that the stress of an interview finished them off - there is no way of knowing this.

2old2beamum · 10/04/2012 14:44

So why can't we leave these people who were already ill alone surely a GP's report should suffice, or are the powers that be suggesting GP's are cheats as well

twofingerstoGideon · 10/04/2012 14:58

FGS Nancy, the point is that the man awaiting heart surgery, who subsequently died, was of course seriously ill. However, he was told he was fit for work. Whether it was the illness or the stress of the interview that 'finished them off' (nice choice of words, by the way) is immaterial. They clearly were not fit for work.

Nancy66 · 10/04/2012 15:12

That's one point, yes.

amicissimma · 10/04/2012 15:14

This reply has been deleted

Message withdrawn at poster's request.

twofingerstoGideon · 10/04/2012 15:25

If you just compared the numbers with the mortality statistics for England and Wales, some of the 'population at large' - probably a sizeable number - would die from old age. I think you would need to compare people claiming ESA/being re-assessed with a group of working age people, wouldn't you? ie. the comparison should exclude anyone over retirement age as this age group would not be assessed for its fitness for work. You need to compare like with like in terms of age, no?

twofingerstoGideon · 10/04/2012 15:25

Disclaimer: Not a statistician...

SardineQueen · 10/04/2012 16:09

twogoldfingers yes you would need to find data with a similar age and sex profile who are also actively working. I think they would be the figures to compare to.

Looking at stats for the entire population will give quite a different story. People of working age and who are actually working would have a much better mortality risk than people in the general population due as you say to elderly people and also those who are seriously ill (full circle).

SerialKipper · 10/04/2012 17:55

twofingers and sardinequeen yes, you're completely correct. It's definitely wrong to use the overall death rate as amicissimma does, because that includes all the old age deaths.

I found the ONS series for population stats yesterday, have just been rather lazy and not put them together yet.

It's a bit of work because you need to extract and then work with data for 16-64 yr old men and 16-59 yr old women (since these are the working age groups eligible for ESA), from both popn and death rates, making sure you're doing like for like (eg checking it's all England & Wales data, not UK data).

But I can do this at some point.

SerialKipper · 10/04/2012 19:31

Death rate for the general population in England & Wales in 2010 was 0.2 percent.

(Working below for anyone who wants to check; 2010 was most recent yr for which I could find all the stats, but no reason to imagine major changes for 2011.)

But we don't know the death rate in the WRAG, because we'd need to know the total number of people in the WRAG (and then scale up FOI request figures up from 8 months to 12).

And it's all a bit meh anyway, because we don't have the age distribution in the WRAG. If it's predominantly older working age people, that will make the comparison to general working age population invalid.

__
Tables are from the Office for National Statistics.

?Vital Statistics: Population and Health Reference Tables - Autumn 2011 update?. Table 1.4, cell P81 gives population of England & Wales 16-64M/59F (working age Male and Female) in 2010 as 34,054,000.

In that document death ages aren't shown over suitable ranges. So we need another document showing the deaths per individual age. That data can be found here: ?Death registrations by single year of age, United Kingdom 2010?

Table 3 gives us deaths of males. Summing cells AW20 to AW68 gives us 48,796 deaths of males aged 16-64 in 2010 in England & Wales.

Table 4 gives us deaths of females. Summing cells AW20 to AW63 gives us 20,558 deaths of females aged 16-59 in 2010 in England & Wales.

Total working age deaths in 2010 in E&W is: 69,354.

As a percentage of the total working age population in E&W, that?s 69,354 / 34,054,000 x 100 = 0.2 percent.

ttosca · 10/04/2012 20:06

Charity chief quits over fit-for-work test

Paul Farmer says he has resigned to publicise his anger at an 'inhumane system' that is telling severely ill and disabled they are fit to work

---

Here's the moral dilemma that faced Paul Farmer, chief executive of the mental health charity Mind, last week: should he continue to sit on a government advisory panel, charged with scrutinising a policy that his charity believes to be inhumane? Or should he resign, publicising his anger at the coalition government's refusal to listen to the charity's concerns, and remove himself from the room where improvements are being discussed?

Farmer chose to leave the panel responsible for monitoring the functioning of the work capability assessment (WCA), the new fitness-for-work test that determines who is eligible for sickness benefits, frustrated that the government was not paying attention to the growing chorus of alarm over the reliability of the test.

-----

con'td...

www.guardian.co.uk/society/2012/apr/10/charity-chief-quits-over-fit-for-work-test?CMP=twt_gu

OP posts:
SardineQueen · 10/04/2012 20:23

Blimey.

That is a big deal.

2old2beamum · 10/04/2012 20:34

I find statistics fascinating,interesting and plausible. Sadly we at ground level are dealing with people not statistics. I will accept I am not as erudite as you but I respect your findings so please keep them coming.

johnhemming · 10/04/2012 22:15

Death rate for the general population in England & Wales in 2010 was 0.2 percent.
That is a bit surreal. So if everyone lives to the same age and only 0.2% die each year (and population is constant) then the average age people live to is ... wait for it ... 500 years.

If the figure was 1% the figure would be 100. I accept that the population has increased which is why the predictions are not the same, but 0.2% is nonsense.

ttosca · 10/04/2012 22:23

Disabled People Against Cuts appeal for funds so people can travel to the action in London on the 18th:

bit.ly/GUPPlS

Please support by them donating any amount if you can. Thanks!

OP posts:
SerialKipper · 10/04/2012 23:07

Sorry, that first sentence should have had "working age" in it.

But once again goes to show you never read the detail, john. The rest of that post says, "working age" over and over again.

SerialKipper · 10/04/2012 23:12

And indeed the whole discussion leading up to it was about calculating working age death rates.

SerialKipper · 10/04/2012 23:19

Just to be clear.

Death rate for the general working age population in England & Wales in 2010 was 0.2 percent.

ESA is only available to the working age group.

SardineQueen · 11/04/2012 08:28

Thing is we don't know the rate in the groups we are looking at so it's all a bit moot really Grin

Enjoyed your sums though!

johnhemming · 11/04/2012 09:41

But once again goes to show you never read the detail, john. The rest of that post says, "working age" over and over again.

I do at times read the detail. However, if something starts with a statement that is clearly wrong then I tend to stop reading.

SardineQueen · 11/04/2012 10:23

The entire conversation led up to that post, TBF

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