Blue badge permits: Councils ‘must provide enough spaces’

Councils must make sure there are enough disabled parking spaces to cope with the extra demand a blue badge scheme expansion will bring, the charity Scope has said.

As of Friday, people with hidden disabilities in England are now also eligible to apply for blue badges.

Scope welcomed the move but said if spaces are scarce, the badges “are not worth the paper they’re printed on”.

The Local Government Association said councils regularly review parking.

Currently, about 2.35 million people with physical disabilities in England have a blue badge.

Blue badge holders are allowed to park in spaces which might be restricted to other drivers, for example parking on yellow lines for up to three hours, for free in pay and display bays, or in spaces designated “disabled”.

Under Friday’s change – which is the biggest shake-up of the blue badge scheme since it was introduced nearly 50 years ago – people with hidden disabilities, such as dementia, autism or anxiety disorders will also be eligible to apply for the permits.

However, not everyone with hidden disabilities will quality for a badge, as it will still be up to local councils to decide if an applicant meets the eligibility criteria.

The change has been widely welcomed by charities, including the head of the National Autistic Society, who called it a “huge relief”.

“A blue badge can be life changing,” said Tim Nicholls, from the charity, who said many autistic people are often so anxious they may find it hard to leave the house.

Ceri Smith, policy and campaigns manager at Scope, also welcomed the move, saying: “Today’s change should make a real difference for many disabled people with invisible impairments and conditions who have been shut out of the blue badge scheme to date.”

However she added: “But in order for it to work, it’s vital that councils issue blue badges to people who are newly eligible to apply.

“More also needs to be done by councils to ensure that there are enough allocated blue badge spaces near shops and amenities to meet increasing demand.”

Earlier this week, Scope responded to figures from company Confused.com claiming many UK councils in charge of parking provisions have not planned to extend their number of blue badge spaces.

Ms Smith said: “With spaces already scarce, it’s extremely worrying that so few councils have prepared for the expansion of the blue badge scheme, despite knowing it was coming for months.

Charity Disabled Motoring UK, which campaigns for disabled drivers and blue badge holders, warned the increase in demand “may undermine the entire scheme and render it not fit for purpose”.

“The end result may mean it will let down the people it was originally intended to help as well as disabled people with hidden disabilities,” it said in a statement.

“The charity predicts that when the number of blue badge holders increases from August 2019, we will be contacted more and more by disabled people who find their blue badge completely meaningless as they will be unable to find adequate parking because it will be so oversubscribed.

“We implore all local authorities and private parking operators to take this change seriously, review their disabled parking provision and stress the importance that they all enforce disabled parking properly so that disabled bays are kept free only for genuine blue badge holders.”

‘Not just councils’
Last year, 859,000 blue badge permits were issued in England, a decrease of 3.2% compared to the year before.

Earlier this year, Essex County Councillor John Spence said the new rules could lead to a 20% increase in the number of applications in Essex – putting further pressure on stretched disabled parking provision.

The Department of Transport, launching the expansion of the scheme on Friday, said councils will get £1.7m in the first year of the programme, to help with the expected spike in applications.

But it added that councils may need to review parking provision to increase the number of spaces available.

In a statement, the Local Government Association – which represents councils in England and Wales – said the availability of spaces for blue badge holders was not just down to councils as there was also “significant private provision of parking”.

“Councils know that blue badges are a vital lifeline for disabled people which help them get out and about to visit shops or family and friends and many have already been approving badges for people with non-physical disabilities,” the LGA said in a statement.

“Councils regularly review parking provision in their areas, including both public and private, in order to help meet the needs of the public, including those with blue badges.

“Overall provision will depend on private operators, council resources as well as competing demand for road space and public land.”

https://www.bbc.co.uk/news/uk-49521867

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Has welfare become unfair – a new report by the Disability Benefit Consortium

Today’s report by the Disability Benefits Consortium (DBC), ‘‘Has welfare become unfair – the impact of changes on disabled people” looks at the financial impact and lived experiences of welfare reform on disabled people.

Changes to the welfare system over the past ten years have left disabled adults four times worse off financially than non-disabled adults, according to new research commissioned by the Disability Benefit Consortium.

While many people who receive welfare support have experienced cuts of an average of £300 as a result of changes to the welfare system, disabled people have typically lost around £1,200 per year.

The research funded by the Three Guineas Trust and conducted by the University of East Anglia, the University of Glasgow and Landman Economics is the first comprehensive study looking specifically at the cumulative impact of welfare changes on disabled people. The research also found:

The more disabilities you have the more you lose out, for example someone who has six or more disabilities loses over £2,100 each year on average, whereas someone with one disability loses around £700 each year
Households with one disabled adult and one disabled child lose out the most, with average losses of over £4,300 per year
As part of the research, 50 people living with a variety of conditions and disabilities were interviewed about their experiences. People said that they found the application and assessment processes highly stressful, and that they did not feel trusted, and constantly challenged.

The report also states that the current system has become so complex and dysfunctional, that many disabled people have found it has had a devastating impact on their wider health and wellbeing.

You can find the full report here.

‘Misleading’ DWP letter causing ill and disabled people to lose benefits

Advice removed for GPs to provide notes for patients challenging fit-for-work tests

Chronically ill and disabled people are being left for months without benefits because officials are sending “misleading” letters to their GPs saying they no longer need to supply medical evidence on behalf of patients who are declared fit for work.

Campaigners and MPs have called for the Department for Work and Pensions (DWP) form letter to be scrapped after it emerged claimants appealing against a fit-for-work decision were left near-destitute after their GPs refused to provide “fit notes” because they were advised they did not need to.

Claimants who challenge work capability assessment (WCA) decisions are entitled to continue to receive employment and support allowance (ESA) worth £73.10 a week while they await their appeal hearing, but to do so they must obtain fit notes from their GPs to prove they are too ill to work.

It has emerged that ministers ordered changes to the standard-issue letter to remove 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. The DWP claims this was not intended to dissuade GPs from issuing fit notes.

Raji Hunjan, the chief executive of the 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.”

Z2K said one of its clients, called “Louis”, was refused a fit note by his GP while appealing against a WCA decision. He ran up rent arrears and became reliant on food banks before he was eventually able to switch GPs and get the medical statement he needed to claim benefits. After an eight-month wait, he won his appeal.

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. “No GP wants that, and it only serves to threaten the long-standing trust that patients have in their family doctor.”

The WCA is hugely controversial because of widespread concern over its accuracy and reliability. Nationally, 72% of claimants who appeal against their WCA decision are successful. Z2K said nine out of every 10 WCA cases it takes to appeal are successful.

Last month, 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.

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.

Frank Field, the chair of the work and pensions select committee, raised the issue with the then disability minister Sarah Newton in January. Newton replied that the wording was amended “to make the letter simpler and clearer”, adding that DWP communications were intended to be “clear, understandable and fit for purpose”.

Field replied scathingly that the wording was “not having the desired effect”, and urged her to revise it to make clear ESA claimants on appeal were entitled to fit notes. “This simple step could greatly ease the stress and worry that people who are awaiting an appeal experience.”

A DWP spokesperson said: “These letters simply inform GPs when a claimant has been found fit for work and are not intended to dissuade them from issuing fit notes for ESA appeal purposes, to claim otherwise is inaccurate.”

However, they hinted the letter may be changed: “We are committed to ensuring our communication is clear, which is why the wording of this letter was cleared by both the British Medical Association and the RCGP. However, we will of course consider feedback when revising the letter.”

It is unclear on what basis the RCGP agreed to the new wording as the change was agreed at a DWP stakeholder meeting for which, according to the Field-Newton correspondence, there appear to be no formal minutes.

https://www.theguardian.com/society/2019/mar/18/misleading-dwp-letter-causing-ill-and-disabled-people-to-lose-benefits

 

Blue Badge (disabled parking) scheme eligibility review

Summary

Proposals to extend Blue Badge eligibility to people with non-physical conditions.

This consultation closes at
11:45pm on 18 March 2018

Consultation description
We are proposing changing the eligibility criteria for the Blue Badge scheme to include people with non-physical conditions.

This is part of the government’s objective is to ensure that those people with the greatest need have access to badges, whilst ensuring the scheme remains sustainable.

https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/675301/blue-badge-scheme-consultation-on-eligibility.pdf

https://www.smartsurvey.co.uk/s/R2OF6/

or

Complete a response form and either

Email to:
bluebadge.consultation@dft.gsi.gov.uk

Write to:
Vida Browne-Campbell
Department for Transport
Traffic and Technology Division
3/27 Great Minster House
33 Horseferry Road
London SW1P 4DR

https://www.gov.uk/government/consultations/blue-badge-disabled-parking-scheme-eligibility-review

Autistic boys and girls found to have “hypermasculinised” faces – supporting the Extreme Male Brain theory

By Christian Jarrett

According to the Extreme Male Brain theory of autism, there are certain cognitive and behavioural characteristics that manifest more often in men than women, on average, such as a bias for systematic rather than empathic thinking. Autism can be seen as as extreme version of that typical male profile, the theory proposes, possibly caused by prenatal exposure to higher than usual amounts of testosterone in the womb.

A related observation is that exposure to high concentrations of prenatal testosterone leads to the development of “hyper masculine” facial features. It follows that if the Extreme Male Brain theory of autism is accurate, then autistic people will have hypermasculine faces.

A new study in Scientific Reports put this logic to the test, and consistent with the Extreme Male Brain theory, found that autistic girls and boys had more masculine faces as compared with neurotypical control children.

Past research into whether autistic people tend to have stereotypically masculine facial features has been mixed. Women with sub-clinical autistic traits or a diagnosis of autism have been found to have more masculine than average faces, but studies with autistic men have sometimes found no difference from controls, or they’ve found the autistic men to have androgynous rather than hyper masculine features.

For their new paper, the research team led by Diana Tan at the University of Western Australia, deliberately sought to test pre-pubescent autistic and neurotypical children, thus removing the possibility that hormonal changes during puberty might conceal or reverse any facial signs of prenatal exposure to high testosterone levels (as may have been the case in the earlier research involving adults).

Tan and her colleagues also employed a new 3D facial mapping process, tested on 48 neurotypical boys and 53 neurotypical girls, to provide a highly accurate and objective measure of the facial features that most typify a male and female child’s face. Using these features, the researchers’ algorithm was able to correctly categorise the sex of children’s faces with around 98 per cent accuracy.

Next, the researchers deployed their 3D facial mapping algorithm to score the facial features of 54 caucasian autistic boys, 20 caucasian autistic girls and age-matched neurotypical caucasian boys and girls. This showed that the autistic boys and girls had more masculine than usual faces – to use the researchers’ jargon, their faces were hypermasculinised.

Moreover, when the researchers compared the autistic children and control children’s faces on the six facial features (mostly related to the positioning of the nose and upper lip) that most strongly distinguished neurotypcial boys’ faces from girls’ faces, the autistic kids of both sexes were found to have a more masculine score than controls on five of these features.

Finally, among the autistic boys and girls, the more masculinised their faces, the more social and communication difficulties they tended to have, as scored in their diagnostic test for autism.

The sample sizes for this study were relatively small, but the study’s biggest weakness is that it asks us to make a logical leap – high prenatal testosterone levels are known to cause faces to appear more masculine, autistic children have more masculine than average faces (as shown by the new results), therefore high prenatal testosterone levels contribute to autism (in line with the Extreme Male Brain Theory). However, as the researchers’ themselves acknowledge, this study featured no data on the testosterone levels that the children were exposed to prenatally, meaning there could be other explanations for the results. “Further investigation that tracks longitudinal links between early testosterone exposure, postnatal facial morphology and autism phenotype will provide more direct tests of the hypothesised relationships,” they said.

The Extreme Male Brain theory has inspired important research into the causes of autism, but it has also been controversial. Cordelia Fine, the author of Delusions of Gender and Testosterone Rex, cites the theory as an example of contemporary “neurosexism”. And other recent research has uncovered findings that are inconsistent with the theory – for instance, last year a brain imaging study found that, compared with male neurotypical controls, autistic boys and men had resting connectivity patterns that resembled what’s more typically seen in women, while autistic girls and women showed a more masculine neurological profile, lending support “to the notion that autistic spectrum disorder may constitute a disorder of sexual differentiation or androgeny rather than a disorder characterized by masculinization in both genders.”

 

Autistic boys and girls found to have “hypermasculinised” faces – supporting the Extreme Male Brain theory

DWP presentation on ESA plans ‘confirms worst fears’ about green paper

Ministers have been accused of ignoring a public consultation and ploughing ahead with plans that will make their “fitness for work” testing regime even more stressful and unfair for sick and disabled people.

A presentation delivered by two senior Department for Work and Pensions (DWP) civil servants earlier this month suggests that ministers have decided – as many disabled activists feared after the publication of last year’s green paper – to introduce new benefit sanctions for sick and disabled people with the highest support needs.

The presentation at a DWP “Operational Stakeholder Engagement Forum” appears to confirm that the government had decided how it would reform the system of out-of-work disability benefits before its “consultation” process had finished on 17 February.

The government had claimed that it wanted to make the work capability assessment (WCA) less of an ordeal for claimants, with work and pensions secretary Damian Green telling last October’s Conservative party conference he wanted to support those disabled people who cannot work, and “sweep away unnecessary stress and bureaucracy which weighs them down”.

But slides from the presentation appear to show that his new regime will be even harsher, and that many employment and support allowance (ESA) claimants with the highest support needs and barriers to work will for the first time face having their benefits sanctioned if they do not co-operate with the regime.

The slides show DWP has already begun introducing a compulsory, face-to-face “health and work conversation” (HWC) with a jobcentre work coach that will apply to nearly all new claimants of ESA, weeks or even months before they go through the WCA process to decide whether they are not fit for work and eligible for the benefit.

The presentation says that “vulnerable” claimants will not have to take part in the face-to-face HWC.

A DWP spokesman has told Disability News Service (DNS) that work coaches will be “issued clear guidance on who will be exempted from the HWC” and “will also be able to defer the HWC if the claimant cannot attend due to temporary circumstances”.

But disabled activists have warned that these decisions will be taken by non-medically trained civil servants.

The slides say: “Currently Jobcentre staff do not routinely engage with ESA claimants before the Work Capability Assessment (WCA) which can take place many months into the claim.

“We know that the start of the claim can be a challenging time for claimants and that the longer a claimant is on benefit, the more difficult it is for them to move into employment where appropriate.

“The Health and Work Conversation (HWC) will provide this early support to claimants.”

The presentation said the HWC – which it claimed was co-designed with some disabled people’s organisations – will draw on “behavioural insight techniques and research” to “develop voluntary action plans” and help claimants “move closer to the workplace”.

And it said that all new ESA claimants would have to sign a new “ESA Claimant Commitment”, which would “set out the expectations and legal requirements that claimants will be required to accept in order to receive ESA”.

http://www.disabilitynewsservice.com/dwp-presentation-on-esa-plans-confirms-worst-fears-about-green-paper/

Maximus ‘admits’ using brutal and dangerous suicide questions

BY JOHN PRING ON MARCH 9, 2017

One of the outsourcing giants paid to assess disabled people for their eligibility for benefits appears to have admitted that it is standard practice – approved by the government – to ask claimants with mental health conditions why they failed to take their own lives.

A leading clinical psychologist has warned this week that such questioning “brings huge risks” and is one of the reasons behind the increase in suicides associated with the government’s work capability assessment (WCA) process*.

The admission from Maximus, which carries out WCAs for the Department for Work and Pensions (DWP), came after a disabled campaigner produced a recording of his own assessment.

On the recording, shared with Disability News Service (DNS), a Maximus assessor – an occupational therapist – is heard asking Jonathan Hume a series of questions during his WCA, while typing on a keyboard.

She asks him [his replies have not been included]: “Back to some questions that we have to cover…

“Have you ever tried to harm yourself or take your own life or needed to go to hospital?

“Do you have any thoughts around that at the moment, any intentions or plans to hurt yourself currently?

“When you say desires, how often are you having thoughts like that?

“And what is it that stops you from acting on the thoughts that you have?

“Can you think of any reason that you’re not doing that? Is it friends or family support?”

Hume’s assessment took place in Sunderland last September, and both Maximus and DWP appear to have conceded that the DNS transcription of the questions is an accurate description of what took place.

Hume came forward after fellow disability rights activist Alice Kirby sparked a horrified reaction on social media last week after revealing how the healthcare professional who assessed her eligibility for personal independence payment (PIP) had asked her: “Can you tell me why you haven’t killed yourself yet?”

After she shared her experience, many other claimants came forward to say that they had been asked the same, or a similar, question by their assessors.

Hume said he had raised concerns with Maximus about the questioning by email on the day of his assessment, before he knew the result of his employment and support allowance (ESA) claim.

He told DNS: “As both clinicians and claimants have made clear, the WCA is a hostile, stressful and coercive situation and the carelessness and brutality with which these questions are asked has the potential to do a great deal of harm to vulnerable people, many of whom are already avoiding claiming their rightful benefits due to a system which is degrading and stressful from the first phone call.

“We are forced to justify our very survival in a hostile context to answer questions which are only dubiously related to the legal criteria of ESA.

“Such information, if truly necessary for the claim, could be gained in so many other ways that avoid putting claimants in significant distress and risk, such as written statements from the claimant’s therapists or other carers.

“There are no grounds to continue such questioning.”

Dr Jay Watts, a clinical psychologist and academic, told DNS that people should only be asked about suicidal ideation by a trained professional who can offer help or someone in an “existing trusting relationship with the individual”.

She said that WCAs were “degrading and humiliating experiences for most if not all claimants” and were carried out in a space which was “not a trustworthy one”.

She said: “Individuals are required to parade their distress and feel compelled to answer intrusive questions (for the means to live relies on this).”

She added: “To ask about suicide or self-harm in this context brings huge risks.”

And she said that such questioning “can be suggestive if the environment is unsafe.

“If someone is low or anxious, for example, made to feel they are a ‘skiver’ for needing benefits, an implication that if they were really ill they would have killed themselves can be the final straw. It may lead directly to an attempt on one’s life.”

She said that claimants were “battered with multiple questions about that which is most personal” in disability assessments and questioned about suicide while the assessors are “typing away” on their keyboards.

Watts said: “I have no doubt that questions on suicidal ideation, and the degrading manner in which they are asked, are one reason behind the suicide spike associated with the WCA process.”

She called on Frank Field, chair of the Commons work and pensions committee, to carry out an urgent review of the way disability benefit assessments are carried out.

In a statement, a Maximus spokesman said that its role was “to carry out high quality and sensitive functional assessments”.

He said: “Mr Hulme [sic]contacted us last year and a doctor reviewed the recording of his assessment and the report.

“We are satisfied that the healthcare professional who conducted the assessment did so in line with our policies and guidelines.

“Every healthcare professional we employ is trained to ask people with a mental health condition a series of clinical questions to assess how their condition affects their daily lives.

“The assessment report was passed to the Department for Work and Pensions, who make the decision on eligibility for benefits.”

He had failed to clarify by noon today (Thursday) whether the questions asked of Jonathan Hume were standard questions; if DWP was aware that such questions were being asked in assessments; and whether Maximus and DWP believed that they were appropriate and safe questions to ask of someone in his situation.

Despite requesting a copy of the recording, which was provided by DNS – with Hume’s agreement – DWP also failed to provide clear answers to a series of key questions.

These include whether it accepted that the questions were asked in Hume’s assessment; whether asking such questions was appropriate and safe in an assessment, particularly for assessors who are not trained mental health professionals; and whether these were standard, DWP-approved questions asked of ESA and PIP claimants with suicidal ideation.

Instead, in response to the DNS questions, a DWP spokeswoman said: “We are not aware of any complaints made to DWP on this issue, but would investigate any allegations thoroughly.

“All PIP assessment providers receive training on mental health conditions, including suicidal issues.”

She said that assessors “receive training in order to conduct functional assessments on behalf of the DWP and their training includes conducting a mental health assessment which may, if appropriate, include questions about suicide or self-harm.

“Health professionals are medically qualified professionals and as such, they should have the appropriate skills to enable them to deal with people in a supportive and sensitive way.

“If an individual has mental health issues or a there is an indication of suicidal thoughts or intentions, this will be given careful and sensitive exploration to establish the circumstances.”

She added: “There is a duty of care to act where appropriate, for example if the individual is considered to be in substantial and imminent risk.

“Both the department and our contracted providers have a duty of care where there is any indication or possibility of suicidal thoughts or intentions, and it would therefore not be appropriate to not explore this further.”

Government-funded research by public health experts from the Universities of Liverpool and Oxford concluded in late 2015 that the programme to reassess people on incapacity benefit through the WCA was linked to 590 suicides in just three years. Maximus declined to comment on the research at the time.

 

http://www.disabilitynewsservice.com/maximus-admits-using-brutal-and-dangerous-suicide-questions/