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welfare rights
       Claimants who need safeguarding





       Cases of death and serious harm among welfare claimants are                The guidance includes advice and
       rising. Charlie Callanan looks out how this is being addressed           information on how to deal with
                                                                                claimants who are at risk, whether from
       and what to do if a client is at risk because of benefit difficulties    themselves or from a third party. The
                                                                                risks include injury, neglect, domestic
                                                                                violence or psychological abuse, as well as
           hilippa Day, Errol Graham and Jodey                                  the risk of exploitation of children or
           Whiting are now sadly familiar names                                 vulnerable adults.
      Pto people with an interest in how                                          There is separate guidance for DWP
       vulnerable claimants are treated by the                                  staff on managing and escalating concerns
       Department for Work and Pensions (DWP).                                  about a claimant who is at risk of suicide
        Day and Whiting both took their own                                     or self-harm.
       lives, and Graham starved to death. All                                    A crucial part of the support for staff
       were claiming benefits because of health                                 is a new network of advanced customer
       problems, including mental health                                        support senior leaders spread through the
       difficulties. They died after their benefit                              regions of Great Britain. They provide
       was cut or stopped.                                                      escalation routes beyond the usual
        The Rethink Mental Illness charity is                                   DWP business channels for the most
       running a campaign called Stop Benefit                                   vulnerable customers who require
       Deaths. Its 2021 report, Tip of the                                      tailored, advanced support.
       Iceberg? Deaths and Serious Harm in the
       Benefits System, describes the system as                                 How to report concerns
       one “in which poor decision making and                                   However, what is notably absent from the
       administrative errors are compounded by                                  DWP’s publications are any guidelines for
       processes and communications that seem                                   relatives and carers or professionals such
       harsh and uncaring”.                Secretary of state for work and pensions Therese   as social workers on how to report to the
        It reveals that there have been at least   Coffey denies the DWP has any “legal” duty of   DWP any concerns they have about the
       268 internal reviews by DWP into deaths   care towards vulnerable, disabled claimants  risk of harm to individual claimants.
       of or serious harm to benefit claimants                                    If you have a client who is at risk of
       since 2012. In the two years before the   However, Coffey has denied that the   harm because of difficulties with benefits
       report, there were 124 such         DWP – a huge public body – has any   – for example if their employment and
       investigations. This is a huge rise.   “legal” duty of care towards the vulnerable  support allowance is stopped because
                                           people who form a substantial proportion   they fail to attend a medical assessment
       Stress points                       of their sick and disabled customers.   – then steps to take could include:
       Disabled claimants who are vulnerable or   Nonetheless, work is ongoing within the   l  Telephone the relevant benefit helpline
       have complex needs may experience   DWP to try to improve its record on    to explain your concerns; ask if it is
       difficulties at various stages. Stress points   safeguarding vulnerable clients, and   possible to speak to a supervisor
       cited in cases that ended in harm to   reduce the cases of serious harm and   l  Ask for an urgent, ideally same day
       claimants include:                  preventable deaths that have been      call back from the benefits office
       l  Failure to attend a medical assessment   documented in the past decade.  l  Request that the benefits office
        as part of a claim for or review of   The DWP has set up a service excellence   investigates and resolves the presenting
        entitlement to a disability or     group to help improve the experience of   issue urgently eg by giving the claimant
        sickness benefit                   claimants. This includes the serious case   another opportunity to attend their
       l  Failure to respond to a letter or form   panel, a senior staff group that meets   missed assessment
        sent by DWP, leading to benefit being   quarterly to consider systemic issues and   l  If the concerns are urgent and/or
        suspended and stopped              problems and makes recommendations to   serious enough, ask if the case can be
       l  Sanctions, with reductions to the   address these.                      referred to an advanced customer
        benefit, usually because of a failure to   internal process reviews that follow   l  If the issue is in connection with a
                                                                                  support senior leader
                                             These issues are identified in DWP
    International Maritime Organization/Flickr/CC BY 2.0  the DWP and the secretary of state for   DWP staff called Helping Customers Who   relevant assessment provider may be
        comply with claim “conditionality”
                                                                                  missed medical assessment, the
        (where the claimant has to meet certain  serious incidents or deaths, coroners’
                                           reports and complaints made to the DWP.
                                                                                  customer services department at the
        obligations to receive the benefit).
                                             There is now internal guidance for all
        Public pressure has been growing on
                                                                                  able to assist. For example, if the
       work and pensions, Dr Therese Coffey, to
                                           Require Advanced Support. It states: “This
                                                                                  claimant is particularly stressed or
                                           guidance aligns activity across DWP,
                                                                                  anxious about an upcoming assessment,
       address concerns about the many deaths
       thought to be related to difficulties with
                                                                                  the provider can be asked to consider
                                           providing practical steps for assisting
                                           customers who may need support putting
       claiming benefits. This pressure has been
                                                                                  information such as a psychiatric report
       brought by relatives of the deceased
                                                                                  to see if a decision can be made without
       claimants, disability pressure groups,
                                           tailored service at all points of our
                                                                                  the assessment. n
       coroners and journalists.
                                           customer experience.”
                                                                                l Stop Benefit Deaths: rethink.org
       www.cl-initiatives.co.uk            in place, supporting a compassionate,   Community Living  Vol 35 No 3  |  Spring 2022  7
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