The duplicity in the latest attack on the sick and disabled by the Conservatives is enough to make anybody ill – including the doctors it targeted.
People claiming Employment and Support Allowance because they are too unwell to work, but who have their claim turned down by assessors from the private company hired by the Department for Work and Pensions, are entitled to receive the benefit while they await their appeal hearing.
But they need ‘fit’ notes from their doctors, to prove they are too ill to work – and it has emerged that “ministers” (we don’t know which) have ordered changes to the standard letter sent to GPs, in order to make them think these notes are not necessary.
It’s clearly a scam to undermine the law; sick people can’t receive the benefit if they don’t have a note from their GP, so the government has told GPs to stop providing these notes.
Amazingly, the DWP has claimed that the removal of references that made it clear to GPs they may have to issue a medical statement if their patient wished to appeal against a WCA decision was not intended to dissuade GPs from issuing fit notes.
In that case, why change the letter at all?
And why are we told that the wording was changed by agreement with the British Medical Association and the Royal College of General Practitioners (although it is significant that there appear to be no formal minutes of the meeting at which this agreement was made)?
According to The Guardian:
The standard letter, called an ESA65B, is sent automatically to the GPs of all claimants who fail a WCA and are declared fit enough to work. Until 2017 the letter advised GPs that if their patient appealed against the WCA decision they must continue to provide fit notes.
However, on ministers’ orders, the letter now states that GPs “do not need to provide any more fit notes for ESA purposes”. It does not mention the possibility that the patient may appeal, or that a fit note is needed for the patient to obtain ESA payments until the appeal is heard.
And what has been the result? Back to the Graun:
Advice charity Z2K said the effect of the revised letter could be devastating. “We have seen how our clients, who are seriously ill, suddenly have zero income, become reliant on food bank vouchers and loans, and face a very real threat of homelessness.”
There was national outrage over the case of Stephen Smith, 64, who was deemed fit for work despite suffering from multiple debilitating illnesses, having his weight plummet to 38kg (6 stone) and being barely able to walk. Smith won his appeal after waiting 12 months for a hearing.
Prof Helen Stokes-Lampard, the chair of the Royal College of GPs (RCGP), said the lack of clarity over when GPs should issue fit notes could put patients’ finances and health at risk.
The reason for the change is obvious – it is well-known that 72% of claimants who appeal against their Work Capability Assessment decision are successful.
As readers of This Site know, the Conservatives like to persecute people with long-term illnesses and disabilities to their deaths. So they are trying to make it impossible for claimants to survive long enough to win their appeals.
It seems former minister for disabled people, Sarah Newton (ah, so that’s her name! I had forgotten it already) may have ordered the change. She certainly protested to the Work and Pensions select committee that the change had been to make the letter “simpler and clearer”.
Committee chair Frank Field’s acid reply was that the wording was “not having its desired effect”.
Do you think the DWP will change it back?
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