Victory for sick and disabled as Lords reject welfare reforms

Peers have voted against reducing support for cancer patients and young disabled people. Where next

Cuts to sickness and disability allowances were resoundingly rejected by the Lords last night, as government proposals faced three embarrassing defeats.

As my colleague George Eaton blogged yesterday, Iain Duncan Smith's welfare reform bill would restrict the period that the sick and disabled could receive Employment and Support Allowance (ESA) to just 12 months, and would means-test it.

The amendments, brought by crossbench peers Lord Patel and Lord Listowel, mean that:

  • Young disabled people who are unable to work are automatically eligible for ESA (this was passed 260 to 216)
  • Claimants are reassessed after two years, not 12 months (234 in favour)
  • Cancer patients are exempt from the time limit between reassessments (passed 222 to 166)

This marks the fourth defeat for the government on the flagship legislation, following a vote before Christmas on housing benefit cuts. It is a big success for disability campaigners, who have been lobbying hard against the changes.

So, what next for the welfare reform bill? The government maintains that the changes are necessary in order to meet its targets on bringing down the deficit. Welfare Minister, Chris Grayling, was defiant on the Today programme this morning, signifying that this is not the end of the road:

We have said very clearly that we will seek to reverse the amendments in the Lords when it comes back into the Commons. We are dealing with some extraordinarily difficult economic times financially.

It is difficult to see exactly how the government will get its way after three heavy defeats in one night, but it is likely that ministers will fight hard for the 12 month time limit. Officials claim that extending the limit from one year to two would cost £1.6bn over five years. Lord Freud argued that the one year time limit strikes "a reasonable balance between the needs of sick, disabled people claiming benefit and those who have to contribute towards the cost".

Yet, clearly, the counter-argument -- that the books must not be balanced on the backs of society's most vulnerable -- prevailed in the Lords. Patel said:

If we are going to rob the poor to pay the rich, then we enter into a different form of morality.

All of this suggests that peers are willing to fight, and bodes well for upcoming votes on further controversial measures such as changes to disability living allowance. The vote is not the end of the road on the battle for welfare, then, but was a significant victory for fairness and compassion.

 

Samira Shackle is a freelance journalist, who tweets @samirashackle. She was formerly a staff writer for the New Statesman.

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A swimming pool and a bleeding toe put my medical competency in doubt

Doctors are used to contending with Google. Sometimes the search engine wins. 

The brutal heatwave affecting southern Europe this summer has become known among locals as “Lucifer”. Having just returned from Italy, I fully understand the nickname. An early excursion caused the beginnings of sunstroke, so we abandoned plans to explore the cultural heritage of the Amalfi region and strayed no further than five metres from the hotel pool for the rest of the week.

The children were delighted, particularly my 12-year-old stepdaughter, Gracie, who proceeded to spend hours at a time playing in the water. Towelling herself after one long session, she noticed something odd.

“What’s happened there?” she asked, holding her foot aloft in front of my face.

I inspected the proffered appendage: on the underside of her big toe was an oblong area of glistening red flesh that looked like a chunk of raw steak.

“Did you injure it?”

She shook her head. “It doesn’t hurt at all.”

I shrugged and said she must have grazed it. She wasn’t convinced, pointing out that she would remember if she had done that. She has great faith in plasters, though, and once it was dressed she forgot all about it. I dismissed it, too, assuming it was one of those things.

By the end of the next day, the pulp on the underside of all of her toes looked the same. As the doctor in the family, I felt under some pressure to come up with an explanation. I made up something about burns from the hot paving slabs around the pool. Gracie didn’t say as much, but her look suggested a dawning scepticism over my claims to hold a medical degree.

The next day, Gracie and her new-found holiday playmate, Eve, abruptly terminated a marathon piggy-in-the-middle session in the pool with Eve’s dad. “Our feet are bleeding,” they announced, somewhat incredulously. Sure enough, bright-red blood was flowing, apparently painlessly, from the bottoms of their big toes.

Doctors are used to contending with Google. Often, what patients discover on the internet causes them undue alarm, and our role is to provide context and reassurance. But not infrequently, people come across information that outstrips our knowledge. On my return from our room with fresh supplies of plasters, my wife looked up from her sun lounger with an air of quiet amusement.

“It’s called ‘pool toe’,” she said, handing me her iPhone. The page she had tracked down described the girls’ situation exactly: friction burns, most commonly seen in children, caused by repetitive hopping about on the abrasive floors of swimming pools. Doctors practising in hot countries must see it all the time. I doubt it presents often to British GPs.

I remained puzzled about the lack of pain. The injuries looked bad, but neither Gracie nor Eve was particularly bothered. Here the internet drew a blank, but I suspect it has to do with the “pruning” of our skin that we’re all familiar with after a soak in the bath. This only occurs over the pulps of our fingers and toes. It was once thought to be caused by water diffusing into skin cells, making them swell, but the truth is far more fascinating.

The wrinkling is an active process, triggered by immersion, in which the blood supply to the pulp regions is switched off, causing the skin there to shrink and pucker. This creates the biological equivalent of tyre treads on our fingers and toes and markedly improves our grip – of great evolutionary advantage when grasping slippery fish in a river, or if trying to maintain balance on slick wet rocks.

The flip side of this is much greater friction, leading to abrasion of the skin through repeated micro-trauma. And the lack of blood flow causes nerves to shut down, depriving us of the pain that would otherwise alert us to the ongoing tissue damage. An adaptation that helped our ancestors hunt in rivers proves considerably less use on a modern summer holiday.

I may not have seen much of the local heritage, but the trip to Italy taught me something new all the same. 

This article first appeared in the 17 August 2017 issue of the New Statesman, Trump goes nuclear