Issues or errors surrounding the system of health assessments for benefits has contributed to the deaths of some claimants, MPs have heard.
The Work and Pensions committee said they are “deeply concerned” people are still experiencing psychological distress because of the process – despite an inquiry five years ago highlighting “significant problems”.
In a new report published on Friday, the committee said: “In some cases, issues or errors in the system are associated with or have been found at Coroner’s Inquest to have contributed to the deaths of claimants.”
It recommended the government review the impact of its assessment process and implement safeguarding and suicide prevention training for staff.
Commenting, the SNP’s Social Justice spokesperson, David Linden MP, said: “Five years ago, the Tories were warned by this very committee that the DWP’s health assessment system required urgent change. They didn’t act, and now some claimants have paid the ultimate price.
“This is a scandalous revelation which lies squarely with the Tories.”
In 2020, the National Audit Office found that at least 69 suicides could have been linked to problems with benefit claims over the last six years.
But it said the true number could be “far higher” as the DWP had failed to actively seek information from coroners or families, or investigate all of the cases that have been reported to it.
Advertisement
The committee report did not have an updated figure on deaths but heard from experts who noted a “very strong association between those places where more people had been through the (health assessment) process, and a rise in mental health problems and suicides”.
Professor Ben Barr, from the University of Liverpool, was asked about research he carried out in 2015 which looked at the impacts of the increase in Work Capability Assessment (WCA) as claimants were reassessed to move onto Employment Seekers Allowance.
He said across England the process had led to an additional 600 suicides, 300,000 additional cases of mental health problems and a large rise in the prescribing of antidepressants over a nine-year period.
Please use Chrome browser for a more accessible video player
2:54
Chancellor announces changes to welfare system
“We looked at whether it could be explained by other factors or other economic trends, but there was quite a unique pattern in the increase in mental health problems, and the most likely explanation was that it was due to the reassessment process”, he told the committee.
He said it is difficult to assess improvements since this study as “there are no systems in place” to monitor the impact of the health assessments and potential adverse outcomes.
But MPs on the committee pointed to a survey from the University of Kent last year which found half of claimants who have been through the WCA process said it made their mental health worse.
Dr Ben Baumberg Geiger, who led the research, said at the time: “It is not sufficient to say that this is a historical problem and that everything is fine now. If there were more transparency, it would be easier to know a bit more about it, but the evidence suggests that there are still major problems with the WCA that could lead to an increased risk of poor mental health.”
The committee urged the government to improve its data on deaths and serious harm related to health assessments as part of a series of measures to improve the system.
WCA’s are in place to help those with disability or ill-health access benefits, but accounts of poor accessibility, factual inaccuracy, delays, and communication problems “speaks to a system that is still not adequately supporting often vulnerable people,” the report found.
MPs surveyed more than 8,000 people as part of the inquiry and discovered “a profound lack of trust in the system as a consistent theme”, according to the committee chair and Labour MP Sir Stephen Timms.
It comes ahead of a shake-up of the entire system, with the government planning to scrap WCA’s to get more disabled people into work by focusing on what they can do – and not what they can’t.
This means there will only be one assessment in the future, the Personal Independence Payment (PIP) assessment, however the WCA will remain in place until at least 2026.
Sir Stephen said many “will welcome the changes” but added: “Waiting years for changes won’t cut it when quicker wins are available: flexibility of choice on assessment by phone or face-to-face; recording assessments by default; extending deadlines to reduce stress; and sending claimants their reports.
“All this will give much-needed transparency to a process that so few trust yet affects their lives so fundamentally.”
A DWP spokesperson said: “This government is committed to ensuring people can access financial support in a timely and supportive manner and therefore reducing processing times and further improving the claimant experience are key priorities for the DWP.
“The proposals set out in our recent Health and Disability White Paper will make it easier for people to access the right support and improve trust and transparency in our decisions and processes.”
Donald Trump’s special envoy, Steve Witkoff, has reassured the remaining Israeli hostages held in Gaza that they will soon be reunited with their families, saying that “miracles can happen”, as the country prepares for a momentous reunion.
In an emotional speech at a rally in Tel Aviv’s Hostages Square on Saturday, Mr Witkoff directly addressed the hostages, declaring, “You are coming home”, prompting loud cheers from the tens of thousands gathered in the square.
“Your stories have lived in every heart, here tonight and in mine since I began this job,” he said.
“And now, as you return to the embrace of your families and your nation, know that all of Israel and the entire world stands ready to welcome you home with open arms and endless love.”
Speaking alongside Mr Trump‘s daughter and son-in-law, Ivanka Trump and Jared Kushner, Mr Witkoff said he had “dreamed of this night” and that “it’s been a long journey”.
Some in the crowd yelled, “Thank you, Trump, thank you Witkoff,” and booed when the envoy mentioned Israeli Prime Minister Benjamin Netanyahu.
Image: Steve Witkoff, Jared Kushner and Ivanka Trump at the rally in Tel Aviv’s Hostages Square. Pic: Reuters
Addressing the families of the hostages, Mr Witkoff said, “each and every one of you have carried the moral weight of this nation”.
More from World
“Your courage has moved the world and has touched me in ways that I have never been touched before in my entire life,” he added.
Please use Chrome browser for a more accessible video player
1:54
‘Quite a reception’ for Witkoff but Netanyahu boos ‘not surprising’
Mr Kushner said they would celebrate on Monday, when the remaining hostages will be released. Twenty hostages are believed to still be alive, 26 have been declared dead, while the fate of two more is unknown.
The president’s son-in-law, who played a key role in the negotiations, also acknowledged the “suffering” in Gaza.
Meanwhile, the president’s daughter, Ivanka, addressed the crowds, saying, “the president wanted me to share, as he has with so many of you personally, that he sees you, he hears you, he stands with you always”.
Once all the hostages are released, Israel will free 250 Palestinian prisoners serving life sentences and 1,700 Gazans detained after the October 7 attacks.
Please use Chrome browser for a more accessible video player
6:59
How will peace plan unfold?
Israelis at the rally hugged, took selfies, and many waved US flags.
“It’s a really happy time, but we know that there are going to be some incredibly difficult moments coming,” said Yaniv Peretz, who was in the crowd.
Gaza ‘completely destroyed’
The speeches in Tel Aviv came as the Gaza ceasefire continued to hold for a second day, with tens of thousands of Palestinians returning to neighbourhoods devastated by the conflict.
“Gaza is completely destroyed. I have no idea where we should live or where to go,” said Mahmoud al Shandoghli in Gaza City as bulldozers clawed through the wreckage.
The World Food Programme has announced it is prepared to reopen 145 food distribution centres across Gaza, once Israel allows increased aid deliveries. Prior to Israel’s closure of the territory in March, UN agencies had operated 400 such centres.
Please use Chrome browser for a more accessible video player
2:59
Final preparations for hostages
While details about the timing and method of food entry into Gaza remain uncertain, reopening these sites would significantly expand access to food.
Roughly 170,000 tonnes of food aid are currently stockpiled in neighbouring countries, awaiting Israeli approval to enter.
About 200 US troops have arrived in Israel to monitor the ceasefire with Hamas.
They will establish a centre to coordinate the delivery of humanitarian aid and provide logistical and security support.
“This great effort will be achieved with no US boots on the ground in Gaza,” Admiral Brad Cooper, the head of the US military’s Central Command, has said.
Please use Chrome browser for a more accessible video player
2:36
How the war shattered homes in Gaza
Summit in Egypt
World leaders and diplomats are heading to the Egyptian city of Sharm el-Sheikh for an international summit on Monday aimed at finalising permanent peace terms.
Before chairing the summit, Mr Trump is expected to visit Israel on Monday where he will address the Knesset, the Israeli parliament.
Representatives from regional countries, along with European leaders including Sir Keir Starmer, are expected to attend the summit and sign the agreement as guarantors.
Meanwhile, the deputy head of the Palestinian Authority has told the Saudi Al Arabiya news channel that he will meet former UK prime minister Tony Blair in Jordan on Sunday.
Hussein al Sheikh said the pair will discuss the “day after” the war in Gaza.
Image: People in Hostages Square hold placards with pictures of the remaining hostages. Pic: Reuters
As part of Mr Trump’s 20-point peace plan, the former prime minister is set to head the international interim administration that will govern Gaza in its transitional period.
However, the prospect of Mr Blair being part of an international supervisory body in Gaza is unpopular with many Palestinians.
The secretary general of the Palestinian National Initiative told Sky News, “we don’t need him for many reasons”.
“His reputation in Iraq is horrible, he has a not very clear reputation I would say, and finally when he was here in Palestine for seven years he didn’t do anything,” Mustafa Barghouti said.
Drones have been a common sight in Gaza for a long time, but they have always been military.
The whine of a drone is enough to trigger fear in many within the enclave.
But now, drones are delivering something different – long, lingering footage of the devastation that has been wreaked on Gaza. And the images are quite staggering.
Whole city blocks reduced to rubble. Streets destroyed. Towns where the landscape has been wholly redesigned.
Image: Whole city blocks reduced to rubble
Decapitated tower blocks and whole areas turned into black and white photographs, where there is no colour but only a palette of greys – from the dark hues of scorched walls to the lightest grey of the dust that floats through the air.
And everywhere, the indistinct dull grey of rubble – the debris of things that are no longer there.
More on Israel-hamas War
Related Topics:
Image: Gaza is full of people returning to their homes
The joy that met the ceasefire has now changed into degrees of anxiety and shock.
Gaza is full of people who are returning to their homes and hoping for good news. For a lucky few, fortune is kind, but for most, the news is bad.
Umm Firas has been displaced from her home in Khan Younis for the past five months. She returned today to the district she knew so well. And what she found was nothing.
Image: Umm Firas returned to find nothing
“This morning we returned to our land, to see our homes, the neighbourhoods where we once lived,” she says.
“But we found no trace of any houses, no streets, no neighbourhoods, no trees. Even the crops, even the trees – all of them had been bulldozed. The entire area has been destroyed.
“There used to be more than 1,750 houses in the block where we lived, but now not a single one remains standing. Every neighbourhood is destroyed, every home is destroyed, every school is destroyed, every tree is destroyed. The area is unliveable.
“There’s no infrastructure, no place where we can even set up a tent to sit in. Our area, in downtown Khan Younis used to be densely populated. Our homes were built right next to each other. Now there is literally nowhere to go.
“Where can we go? We can’t even find an empty spot to pitch our tent over the ruins of our own homes. So we are going to have to stay homeless and displaced.”
It is a story that comes up again and again. One man says that he cannot even reach his house because it is still too near the Israeli military officers stationed in the area.
Another, an older man whose bright pink glasses obscure weary eyes, says there is “nothing left” of his home “so we are leaving it to God”.
“I’m glad we survived and are in good health,” he says, “and now we can return there even if it means we need to eat sand!”
Image: A man says there is ‘nothing left’
Image: A bulldozer moves rubble
The bulldozers have already started work across the strip, trying to clear roads and allow access. Debris is being piled into huge piles, but this is a tiny sticking plaster on a huge wound.
The more you see of Gaza, the more impossible the task seems of rebuilding this place. The devastation is so utterly overwhelming.
Bodies are being found in the rubble while towns are full of buildings that have been so badly damaged they will have to be pulled down.
Humanitarian aid is needed urgently, but, for the moment, the entry points remain closed. Charities are pleading for access.
It is, of course, better for people to live without war than with it. Peace in Gaza gifts the ability to sleep a little better and worry a little less. But when people do wake up, what they see is an apocalyptic landscape of catastrophic destruction.
The thought of Hamas publicly thanking Donald Trump for his peacemaking efforts would have been impossible to imagine just days ago.
This, after all, is the president who vowed “all Hell” would be unleashed on Hamas if the hostages weren’t returned.
And yet, in an exclusive interview with Hamas’s senior leader Dr Basem Naim, that’s exactly what happened.
“Without the personal interference of President Trump in this case, I don’t think that it would happen to reach this end, the end of the war,” Dr Naim told me.
“Therefore, yes, we thank President Trump and his personal efforts to interfere and to pressure Israel to make an end of this massacre and slaughtering.”
He was speaking from his office in Doha, where last month he and a group of Hamas leaders, meeting to discuss Trump’s plan, were targeted in an Israeli air strike.
He survived the attack, and in the days that followed, international condemnation seems to have helped build momentum towards the ceasefire deal finally being reached.
More on Gaza
Related Topics:
Image: It’s been a week in which news of a major peace plan breakthrough came in a surreptitiously passed note. Pics: Reuters/AP
Serious pressure
This is the unpredictable, and frankly unbelievable, world of global politics right now: A Hamas leader, who narrowly escaped assassination just weeks ago, telling me he believes Donald Trump is the key man to ensure Israel sticks to the ceasefire agreement.
Let’s be clear: Hamas is under serious pressure.
It is facing calls to step away from governing Gaza and disarming altogether, not just from Israel and the US but regional powers as well.
Please use Chrome browser for a more accessible video player
2:43
Could Gaza ceasefire lead to a much bigger peace?
Gaza needs an enormous amount of aid, investment and reconstruction.
A humanitarian catastrophe which has killed 67,000 Gazans, destroyed or damaged 90% of people’s homes and forced 1.2 million people to become displaced.
The message from major international powers is that their long-term commitment will require a new ruling force in the strip.
Dr Naim told me the organisation was willing to cede political control but rejected calls to lay down their arms until a comprehensive agreement was reached.
Please use Chrome browser for a more accessible video player
1:23
Hamas statement on peace deal
“We are ready to hand over government, we are ready to be totally away from any government or government body but when it comes to Hamas as an entity, as a Palestinian liberation movement, I think no one can overcome or exclude Hamas,” he said. “Our weapons are only going to be handed over only to the hands of a Palestinian state and our fighters will be integrated into a Palestinian national army.
“Before that, no one has the right to deny us the right to resist the occupation by all means.”
The negotiators of Wednesday’s deal in the Egyptian resort of Sharm el-Sheikh may choose to ignore those comments for the time being.
Image: Displaced Palestinians begin to head to what is left of their homes in southern Gaza Strip. Pic: AP
There is, after all, undeniable relief that the fighting has finally stopped, the hostages will be released and 2 million Gazans can sleep safely without the fear of Israeli bombardment.
But for the next phase of this deal to be realised, it will need clear answers as to who runs Gaza?
Follow the World
Listen to The World with Richard Engel and Yalda Hakim every Wednesday
Donald Trump and his team believe former British prime minister Sir Tony Blair will have some role to play, something the Hamas official was quick to dismiss.
Image: Sir Tony Blair ‘not welcome’. Filepic: Reuters
“To be honest, when I hear the name Tony Blair, I can see this could be Balfour Declaration 2… I think all Palestinians, not only in Hamas, not only in Gaza, have very bad, and very negative image of him.
“And I do not believe that he will be very welcome.”
There will be many who read his comments as proof the organisation has no intention of relinquishing control of Gaza.
Hamas itself may feel some sense of achievement that it was the only representative of the Palestinian political factions involved in the negotiations earlier this week.
But the key question now is, who will be responsible for the governance of Gaza and the daunting security challenges that millions are facing.