Snail-paced DWP creates two-tier welfare system for dying people in the UK

Press release published

Following landmark legislation announced in Northern Ireland, a charity has lambasted the "snail's pace" of change at the Department for Work and Pensions (DWP), which will see terminally ill people in England and Wales fall foul of a two-tier benefits system for the dying.

Ministers in Stormont announced compassionate reforms to the benefits system this week, which will help people with terminal illness access welfare support if their clinicians say they may not survive for 12 months.

In contrast, people in England and Wales will have to attend demeaning assessments, face long delays and mountains of paper work to access support, despite being at the end of their lives, unless they can prove they have, at most, six months to live.

This is despite a cross-party parliamentary report, which found the "six month rule" to be cruel, and despite doctors saying that it is not possible to accurately predict survival for the terminally ill[1].

Mark Jackson, Policy and Public Affairs Manager at Marie Curie, said:

"Today's decision is perhaps the biggest deviation in welfare policy between the Northern Ireland Assembly and Westminster in history. It is clear that Assembly members support the need to care for dying people in our communities. Quite frankly, who wouldn't."

"Nearly two years ago we welcomed a DWP review into how the benefits system treats dying people. Sadly, the snail's pace of change at the DWP means that review hasn't seen the light of day. The heart-breaking thing for dying people is that it is finished and is gathering dust somewhere in Westminster. The Prime Minister and the DWP need to look at the compassionate changes that are being made in the devolved nations, they need to pull their fingers out and act to level the playing field for dying people now. Each day they delay, 10 people die without the financial support they need and are entitled to."

MND Association's Head of Policy and Campaigns Susie Rabin said:

"This new ruling is really positive news for those people in Northern Ireland who need fast and sensitive access to vital support from the welfare system. However, there is now a real disparity in access to benefits across the United Kingdom for people with terminal illness. This needs changing now to ensure no one has to suffer the indignity of a long, drawn out claims process.

"We have been waiting two years for the publication of the review into benefits for people who are terminally ill – that's two years in which people have been dying without the financial support they desperately need. We need the Department for Work and Pensions to act right now, publish the review and scrap the outdated and frankly inhumane six-month rule."

The Scottish Government has already changed the law with new rules due to start to come into force later this year.

The end of life charity, Marie Curie, and the Motor Neurone Disease Association, have been campaigning to scrap the six month rule. They have said the pace of change within the DWP will mean more people in England and Wales will die without vital financial aid.

They are calling on the DWP to publish its review and make changes to the laws in England and Wales that the public[2], clinicians[3] and MPs have all said needs to change.

In July 2019 the Secretary of State at the time, Amber Rudd, launched a review into the benefits system for terminally ill people. This followed the #Scrap6Months campaign from Marie Curie and the Motor Neurone Disease Association.

Data obtained from the DWP shows that 10 people a day die in England and Wales waiting for a decision on their benefits application [4]. Furthermore, the charities recently exposed that 100 people a month are rejected by the welfare system and die within six months [5].

Notes to editor

[1] https://pubmed.ncbi.nlm.nih.gov/31308109/: "clinician predictions alone have been shown to be unreliable and over-optimistic." A wider body of academic research supporting this can be supplied on request.

[2] https://www.mariecurie.org.uk/media/press-releases/jim-carter-in-downing-street/254501 Polling, conducted by Marie Curie, is also available on request to demonstrate public support for the campaign's proposed changes.

[3] A letter was sent on March 29 2021 to the DWP from representatives from the Association of Palliative Medicine, Royal College of General Practitioners, Royal College of Physicians and Royal College of Nursing expressing the need for the department to publish its review and "bring forward your proposals for replacing the six-month rule and other much-needed reforms to the system as soon as possible."

Full letter available on request. Further to this letter, clinicians contributed evidence to the APPG on Terminal Illness's report on the six month rule, which found it to be arbitrary, out-dated and cruel.

[4] https://questions-statements.parliament.uk/written-questions/detail/2020-08-28/81700

"Between April 2018 and 30th April 2020, the latest date for which data is available, 1,662,080 registrations were made for PIP New Claims and Reassessments from DLA. Of these, 7,260 (less than 0.5%) claimants died prior to a decision being made on their case."

To arrive at "10 people a day die in England and Wales waiting for a decision on their benefits application" in the above press release you divide 7,260 by 730 day (i.e. number of days in two years), which equates to 9.9.

[5] Written questions and answers - Written questions, answers and statements - UK Parliament

"There were 2,140 claimants who were disallowed at initial decision under Normal Rules or Special Rules who had registered a claim between April 2018 – October 2019 and died within 6 months of that registration. Of these, 280 originally applied under Special Rules"

To arrive at "100 people a month are rejected by the welfare system and die within six months" in the above press release you divide 2,140 by 18 months (i.e. April 2018 – October 2019), which equates to 118.8.

About Marie Curie
Marie Curie is the UK's leading end of life charity.  The charity provides essential frontline nursing and hospice care for people with any terminal illness, a free support line and a wealth of information and support on all aspects of dying, death and bereavement. It is the largest charity funder of palliative and end of life care research in the UK. Marie Curie is committed to sharing its expertise to improve quality of care and ensuring that everyone has a good end of life experience. Marie Curie is calling for recognition and sustainable funding of end of life care and bereavement support.

National Day of Reflection - 23 March

An opportunity for the Nation to reflect, remember and celebrate the lives of everyone that died during the pandemic – from Covid and other causes. The charity believes it is important to talk more openly about dying, death and bereavement to improve experiences at end of life and to help reduce the lasting effects of grief.

Please note we are 'Marie Curie' (not 'Marie Curie Cancer Care')

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