Benefits health assessment system ‘contributed to death of claimants’ – report finds
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.”
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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.
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.
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“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.
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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.”
In mid-May, the World Health Organisation assessed that there were “nearly half a million people in a catastrophic situation of hunger, acute malnutrition, starvation, illness and death”.
“This is one of the world’s worst hunger crises, unfolding in real time,” its report concluded.
Warning: This article contains images of an emaciated child which some readers may find distressing
Israel‘s decision this week to reverse the siege and allow “a basic level of aid” into Gaza should help ease the immediate crisis.
But the number of aid trucks getting in, so far fewer than 100 per day, is considered dramatically too few by aid organisations working in Gaza, and the United Nations accuses Israel of continuing to block vital items.
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“Strict quotas are being imposed on the goods we distribute, along with unnecessary delay procedures,” said UN secretary general Antonio Guterres in New York on Friday.
“Essentials, including fuel, shelter, cooking gas and water purification supplies, are prohibited. Nothing has reached the besieged north.”
Nineteen of Gaza’s hospitals remain operational, all of them are overwhelmed with the number of patients and a lack of supplies.
Baby Aya at Rantisi hospital in northern Gaza is dangerously thin
“Today, we receive between 300 to 500 cases daily, with approximately 10% requiring admission. This volume of inpatient cases far exceeds the capacity of Rantisi hospital, as the facility is not equipped to accommodate such large numbers,” Jall al Barawi, a doctor at the hospital, told us.
At least 94% of the hospitals have sustained some damage, some considerable, according to the UN.
Jall al Barawi, a doctor at Rantisi hospital
Paramedic crews are close to running out of fuel to drive ambulances.
The lack of food, after an 11-week blockade, has left thousands malnourished and increasingly vulnerable to surviving injuries or recovering from other conditions.
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Children are the worst affected.
Our team in Gaza filmed with baby Aya at the Rantisi hospital in northern Gaza. She is now three months old and dangerously thin.
Her skin stretches over her cheekbones and eye sockets on her gaunt, pale face. Her nappy is too big for her emaciated little body.
Aya’s nappy is too big for her emaciated little body.
Lethal spiral
Her mother Sundush, who is only 19 herself, cannot get enough food to produce breastmilk. Baby formula is scarce.
Aya, like so many other young children, cannot get the vital nutrition she needs to grow and develop.
It’s a lethal spiral.
This is what Aya looked like shortly after she was born
“My daughter was born at a normal weight, 3.5kg,” Sundush tells us.
“But as the war went on, her weight dropped significantly. I would breastfeed her, she’d get diarrhoea. I tried formula – same result. With the borders closed and no food coming in, I can’t eat enough to give her the nutrients she needs.”
“I brought her to the hospital for treatment, but the care she needs isn’t available.
“The doctor said her condition is very serious. I really don’t want to lose her, because I lost my husband and she’s all I have left of him. I don’t want to lose her.”
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Aya and her mother Sundush
Some of the aid entering Gaza now is being looted. It is hard to know whether that is by Hamas or desperate civilians. Maybe a combination of the two.
The lack of aid creates an atmosphere of desperation, which eventually leads to a breakdown in security as everyone fights to secure food for themselves and their families.
Only by alleviating the desperation can the security situation improve, and the risk of famine abate.
World
Police launch ‘major operation’ after 12 people injured in knife attack at Hamburg train station
Twelve people are reported to have been injured after a knife attack at Hamburg’s central train station.
A “major operation” has been launched and a suspect was arrested, police said in a post on X.
The identity of the suspect has not been revealed.
Reports in Germany said the suspected attacker was a woman.
The fire service said six of the injured were in a life-threatening condition, three others were seriously hurt, and another three sustained minor injuries, news agency dpa reported.
Bild newspaper said the motive for the attack was so far unknown.
Hamburg is Germany’s second biggest city, with the train station being a hub for local, regional and long-distance trains.
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The man suspected of shooting dead two Israeli embassy workers in Washington DC leaned over and fired at them repeatedly after they fell to the ground, the FBI has said.
Elias Rodriguez, 31, has been charged with murdering Sarah Milgrim and her boyfriend Yaron Lischinsky, after they left an event at the Capital Jewish Museum on Wednesday night.
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Footage has showed Rodriguez, from Chicago, chanting “free, free Palestine” as he was arrested.
It later emerged Mr Lischinsky had bought a ring and planned to propose to Ms Milgrim.
Authorities are investigating the killings as both a hate crime against the Jewish community and terrorism.
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‘I did it for Gaza’
It comes as the FBI has said in a charging document on Thursday that surveillance footage shows how Ms Milgrim and Mr Lischinsky died.
Rodriguez is allegedly seen passing the couple after they left the museum before shooting them in the back.
The FBI says the footage then shows him leaning over the couple and firing at them several more times after they fell to the ground.
The video then shows Ms Milgrim attempting to crawl away before “(Rodriguez) followed behind her and fired again”, the charging document says.
The suspected gunman is then accused of reloading his weapon and firing at Ms Milgrim as she sat up.
According to the charging document, Rodriguez then jogged to the museum and once inside asked to speak to a police officer before stating that he “did it” and that he was unarmed.
He is then said to have told police: “I did it for Palestine, I did it for Gaza, I am unarmed.”
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The court document also states that 21 expended 9mm bullet cases were found at the scene and the gun was slide-locked – meaning it was empty of ammunition.
An empty gun magazine was also recovered from the scene.
The FBI says it has obtained travel records which show Rodriguez flew from Chicago’s O’Hare International Airport to the Reagan National in Washington DC on Tuesday with the gun in his checked baggage.
Rodriguez had bought the weapon in the state of Illinois on 6 March 2020, according to the charging document.
The FBI has said that while Rodriguez was in custody he “expressed admiration” for a US Air Force member who set himself on fire in front of the Israeli embassy in Washington DC on 25 February 2024.
Aaron Bushnell died in the apparent act of protest against the war in Gaza.
Rodriguez also told police he bought a ticket to the museum around three hours before the event that was attended by Ms Milgrim and Mr Lischinsky.
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During a brief court appearance at the E. Barrett Prettyman Federal Courthouse in Washington DC today, Rodriguez was charged with two counts of first degree murder and with the murder of foreign officials.
He has also been charged with causing the death of a person through the use of a firearm and discharge of a firearm during a crime of violence.
Rodriguez was told he could face life in prison or the death penalty if he is found guilty.
He remained calm throughout the hearing, paying attention to the proceedings throughout and confirmed that he is asking the court to appoint an attorney on his behalf.
He will next appear at a federal court in Washington DC on 18 June.
Murdered couple ‘were perfect for each other’
Meanwhile, Ms Milgrim’s father, Robert, says he feared his daughter might be in danger when he saw news alerts of a fatal shooting in Washington DC.
Ms Milgrim’s mother Nancy opened a phone locator app and saw Ms Milgrim was at the Capital Jewish Museum.
“Shortly after that, the Israeli ambassador called us on my wife’s phone,” Mr Milgrim told Sky News’ partner network NBC News, fighting back tears.
He added that it was the ambassador who told them Mr Lischinksy had bought a ring and was planning to propose to Ms Milgrim.
“They were perfect for each other, he said.
Mr Milgrim continued: “They just brought us joy, and her memory, which is a blessing, will continue to bring us joy – but it’s not the same as her not being here.”
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