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Blog Index Employment and Support Allowance reviewed.Rheumatoid arthritis and biological therapiesNew strategy for adults with autism. Assisted suicide- the new criteria.The Mid-Staffordshire Inquiry report.The other problem with social careHomeopathy and state fundingSocial Care and Politics part twoConditionality and disabled lone parents.Health beliefs and osteoarthritis of the kneeSmoking, drug companies and the nanny state.Social care, politics and the next electionHealth inequalitiesSocial care for an ageing societyMistakes in the benefits systemNational Stroke Strategy - some progress but not enough.Fit notes to replace sick notes in AprilMedical research funding.Predicting progression in Osteoarthritis of the Knee Being overweight may be good for the elderlyDisability and InequalityMoving Incapacity Benefit claimants to ESA (part 2)New hope for people with multiple sclerosis?Health inequalities and cancer.National Dementia Strategy in trouble alreadyMoving Incapacity Benefit claimants to Employment and Support Allowance.Self management and exercise for early osteoarthritis of the knee.Cannabis and multiple sclerosis Dementia research: an overviewHopes for 2010Access to Work- does it work?Knee and hip osteoarthritis and health inequalities.Breakthrough for skin and lung cancer.Dementia- some good news and some badNew welfare reform white paper and people with disabilities.Disability poverty - what should be done.The truth about TamifluDepression, the new elephant in the room.Self-care and long-term conditionsProposals for free care at home. Fast tracking drug approval.Foundation Trusts and patient safety.Breast cancer screening, latest American guidance causes major stir.Deducting tax debt from benefits- a new consultation. Salt intake, cardiovascular risk and the food industry.Vioxx and ostoarthitis pain, the sorry saga continues.Osteoporosis and assessing risk.Surgeons and research.Osteoarthritis and the Hedgehog protein.Euthanasia- the Dutch experience.Osteoarthritis and exercise. Breast screening and age. Osteoprosis and the menopause.Dementia research, the plot thickens. Heart risk and walking speed.Nice guidance and clinical practiceTreating Parkinson's Disease Tremors.The NHS and the next electionYvette Cooper speaks on Attendance Allowance, Disability Living Allowance and other things.New guidance on depression in people with chronic physical health problems.The BBC and swine flu.Direct payments and health care. The Conservatives and signs of things to come. The BBC and the reporting of drug trialsRheumatoid arthritis and cardiovascular risk againThe swine flu vaccine The future of Disability Living Allowance and Attendance Allowance continued. Is giving up work such a good idea?Conflicts of interest and medical journals (and ghostwriting). Pain relief for osteoarthritis of the knee and hip.Urate levels and Parkinson's Disease.Rheumatoid arthritis and the cost of drugs.Dementia and assisted suicide. Preventing falls with vitamin DThe Conservative Party on welfare reform - more of the same.Dementia care and doing the right thing.Drugs and people with dementia (again). Body fat and well-being in later life.Welfare reform and the latest on Disability Living Allowance.Putting patients at the heart of care.The fear of lower back pain Support for adults with autism spectrum disorder (ASD) Assisted suicide and the decision to prosecute Support for carers who want to work. Are doctors doing enough about cardiovascular disease?The dependency culture and people with disabilities. Carers' Allowance and complexity.Osteoarthrits- drug found to help stop cartilage loss in mice.Alzheimer's, genes, cholesterol and responsible reporting. Strong thighs may be good for youThe Equality Bill and people with disabilities. Osteoarthritis - a neglected conditionWelfare reform, the Conservatives speak. Medical research and conflicts of interest.When doctors get swine flu Cardiac rehabilitation- new survey reveals inadequate provision and poor uptake. Rheumatoid arthritis and heart risk.Taking disability rights seriouslySocial Care Green Paper and the future of Attendance AllowanceOsteoporosis, the good news and the bad news Dementia and diet and risk.The problem with social workThe start of workfare The future of social care and disability benefits.Quality in nursing homes Dementia and risk.Simplifying the benefits systemSwine flu, reasons for cautious optimism.Assisted suicide, the debate continuesPensioner poverty and disabilityThe future of social care- Government consultation on funding optionsAnxieties about Disability Living Allowance An inquiry (of sorts) into Mid-Staffordshire.The NHS and spending cutsPeople with disabilities and welfare rights and responsibilitiesPalliative care and the preferred place of death.Bypassing the regulation of drugs Fair care for Parkinson's DiseaseThe cost of drugs Welfare benefits, training and conditionalityNew Ministers take a softer line?Cancer and vegetariansSafety and the NHS Shortcomings in Diabetes CareDisabled children and health servicesStatins and the numbers gameAssisted suicide- the debate continues Carers and poverty Doctors and the private sectorDetecting Alzheimer's diseaseThe components of the Mediterranean DietDisability povertyCompression stockings and deep vein thrombosisSupporting adults with autismDementia CareFit notes consultationDementia and antipsychotic drugs.Using aspirin to prevent heart problemsStroke care continued.NICE guidance on low back pain. The BBC and conflicts of interest (polypill pt2)Human Rights and DisabilityEnd of Life Care continued.Mid-Staffordshire and the need for a public inquiry. Work and disability in the recession- the international perspectiveCancer and dietNHS EvidenceWelfare reform continuedStroke Care and the Elderly.Health Inequalities and Policy FormulationMedical Journal WarsNew Assessment Tool for Lower Back PainOne Voice- Pensioners in the UKSocial deprivation and heart surgeryFraudulent medicineWelfare reform continuedThe polypill- more questions than answersThe 2009 BudgetRheumatoid arthritis and the patient/doctor disconnect..Personalisation and carersManaging PainCarers' Allowance and value for moneyLessons from Mid Staffordshire TrustAssisted suicide and the lawResearch into Disability Living Allowance and Attendance AllowanceReducing the risk of strokeGlaxo sees the light.Welfare reform and workfareVitamin D Personal health budgets Welfare and public opinionArthritis and complementary medicinesUK Dementia Strategy UnveiledHealth and welfare legislationMarketing blockbuster drugs - a cautionary taleReforming the NHSThe cost of end of life care.Dementia and medication - the chemical coshGovernment and disability rights- a sorry tale.Febuxostat is approved as an alternative treatment for gout.Disabled people and the new welfare white paper.Pharmaceutical companies and the cost of drugsEnd of life care continuedAdult social care and the lawFalls and very old peopleCompassionate care in hospitalDisability and the benefits systemNew developments for multiple sclerosisDoctors' pay and performanceDisability review 2008Statins reconsideredDisability and the workplaceTop-up treatments and the NHSIndividual budgets and personalisation in social careDiabetes and AspirinDoctors' Pay and DeprivationManaging Knee Pain in OsteoarthritisEligibility for social careWithdrawal of anti-obesity drug.Statins and heart diseaseEmployment and Support Allowance and Welfare Reform Prolonging life and preventing serious illness.Mortality risk for COPD patientsCardiac rehabilitation and the postcode lotteryJames Purnell and incapacity benefitAlzheimer's patients and the right to die The Right Payment ProgrammeStroke care and polyclinicsWorkfare - DWP review produces a mixed pictureNICE Approves Treatment for Wet AMDQuality of Care for the Over 50sEnd of Life CareThe Alexander Technique and Low Back PainThe Experiences and Expectations of Disabled PeoplePerceptions of Disability Living AllowanceNew NICE guidance on acute stroke and transient ischaemic attackConditionality and the welfare systemA prescription for pain- NICE's latest appraisal of drugs for rheumatoid arthritis.Promising new drug for Alzheimer'sNight-time Experiences in Care HomesPoint Scoring for Employment and Support Allowance (ESA)Patient SurveyDrugs and Dementia contiuedTory Boot Camp FantasiesDementia and DrugsArthritis, Pain Relief and ExerciseNational Survey of NHS StaffEmployment and Support Allowance RatesPolyclinics- is bigger always better?New NICE Guidance on OsteoarthritisHealthcare for People with Learning DifficultiesIncapacity Benefit and Re-testingRheumatoid Arthritis - the latest researchChild poverty and disabilitySeroxat and GlaxosmithklineGPs and fit notesRecent Survey on Direct PaymentsNHS general practice and companies from the private sector.Unemployment - the Saga ContinuesEnhanced Rights for CarersDiagnosing DementiaConservative proposals for Benefit ReformPaying for social careNutrition and cancer.Work is good ? the New Labour mantra.New NHS strategy for stroke patients ? too little too late.
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Employment and Support Allowance (ESA) was introduced in 2008 in order to replace Incapacity Benefit (IB). From October of this year it is the intention of the Department of Work and Pensions (DWP) to start 'migrating' all IB claimants to ESA and putting them through the new Work Capability Assessment (WCA) which judges whether or not they are fit for work. Along with many others, I have argued that the WCA is far too stringent and concentrates on the wrong issues. I also feel that the sanctions regime (a key component of ESA is unfair on disabled people and may push some families deeper into poverty.
This week the DWP has published a small-scale evaluation of ESA which was undertaken by researchers from the Institute for Employment Studies. The aim of the study was to look at the experiences of ESA claimants and related staff groups. The researchers carried out the study between May and July last year, seven months after ESA was introduced.
The study found that:
This would seem to verify the concerns that many of us have about ESA. I am not at all surprised to learn that advisers have been surprised by the severity of some applicants' health problems nor is it unexpected that those with the highest needs should receive the poorest service. I am delighted that advisers are not applying sanctions when they should but this does highlight a major problem with the system. Is the claimant likely to have any confidence of faith in a person who has just stopped his or her benefit? It is also unforgivably inept to fail to inform claimants what work-focused interviews are about before they get to the interview. The DWP spent millions on preparing staff and systems prior to the launch of ESA, to overlook this fundamental aspect of the process suggests that this big spending government department can't even get the basics right. With regard to delays in the system, these will get much worse when the 1.5 million IB claimants start to 'migrate' and many more people with severe health problems will be coerced into finding jobs that don't exist.
ESA is one of the major 'planks' of the Government's 'work is good' agenda. This study (which the DWP commissioned) shows that it isn't working and won't get more people with disabilities back into the job market. This was obvious to some of us before it was introduced- it's a pity that we weren't listened to then and it will be interesting to see what action (if any) the DWP takes to address these fundamental problems.
John Armstrong. Benefitsnow Ltd. March 8th 2010.
At 8/03/2010 4:51:58 PM
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