GP: "It is too difficult for ill people to claim benefits"

"The government withholding funds from sick and needy people through a bureaucratic claim system."

The British Medical Journal has a piece from a GP, Dr Anne Dyson, who writes that it is too difficult for ill people to claim benefits (£):

I have worked in the NHS as a principal and partner in general practice providing primary care for patients since 1986. I have met patients who have told me of the difficulties they’d had claiming sickness benefits, but I had previously had no personal experience of the system. . .

I was shocked by the bureaucracy of a system that is supposed to be a safety net for people who fall sick through no fault of their own and have paid national insurance contributions all their lives. Fortunately, I am not reliant on receiving any state benefits for my living expenses because I have sufficient private provision, but I am sure that many of my patients are not in such a lucky position. Furthermore, I do not feel ill or unwell as such, otherwise I might not have had the strength and perseverance to persist with my claim. And nor do I have hearing loss or a speech impairment, which would make a telephone interview impossible. I am also organised enough to know where to find my birth and marriage certificates and so on.

It is a scandal that the system is so complicated: it is likely to fail the very people who are most in need of help. I suspect this may be a deliberate government ploy to reduce the number of benefit claims and reduce the overall cost of welfare. If so this should be publicised and shown for what it is: the government withholding funds from sick and needy people through a bureaucratic claim system.

It's a view which is rarely allowed into the media, yet this is the natural end point of arguments that we should be more aggressive in withdrawing sickness benefits from people who "don't need them". In order to do that, you have to subject thousands of people who do need them to batteries of tests designed to prove that they aren't fraudulently claiming. And all of this in a system which suffers very low levels of fraud. The DWP estimated that the disability living allowance – no longer granted, due to reforms by the department – had a fraud rate of just 0.5 per cent.

Protestors campaign against ATOS, a company responsible for assessing benefit claimants. Photograph: Getty Images

Alex Hern is a technology reporter for the Guardian. He was formerly staff writer at the New Statesman. You should follow Alex on Twitter.

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How Labour risks becoming a party without a country

Without establishing the role of Labour in modern Britain, the party is unlikely ever to govern again.

“In my time of dying, want nobody to mourn

All I want for you to do is take my body home”

- Blind Willie Johnson

The Conservative Party is preparing itself for a bloody civil war. Conservative MPs will tell anyone who wants to know (Labour MPs and journalists included) that there are 100 Conservative MPs sitting on letters calling for a leadership contest. When? Whenever they want to. This impending war has many reasons: ancient feuds, bad blood, personal spite and enmity, thwarted ambition, and of course, the European Union.

Fundamentally, at the heart of the Tory war over the European Union is the vexed question of ‘What is Britain’s place in the World?’ That this question remains unanswered a quarter of a century after it first decimated the Conservative Party is not a sign that the Party is incapable of answering the question, but that it has no settled view on what the correct answer should be.

The war persists because the truth is that there is no compromise solution. The two competing answers are binary opposites: internationalist or insular nationalist, co-habitation is an impossibility.

The Tories, in any event, are prepared to keep on asking this question, seemingly to the point of destruction. For the most part, Labour has answered this question: Britain will succeed as an outward looking, internationalist state. The equally important question facing the Labour Party is ‘What is the place of the Labour Party in modern Britain?’ Without answering this question, Labour is unlikely to govern ever again and in contrast to the Tories, Labour has so far refused to acknowledge that such a question is being asked of it by the people it was founded to serve. At its heart, this is a question about England and the rapidly changing nature of the United Kingdom.

In the wake of the 2016 elections, the approach that Labour needs to take with regard to the ‘English question’ is more important than ever before. With Scotland out of reach for at least a generation (assuming it remains within the United Kingdom) and with Labour’s share of the vote falling back in Wales in the face of strong challenges from Plaid Cymru and UKIP, Labour will need to rely upon winning vast swathes of England if we are to form a government in 2020.

In a new book published this week, Labour’s Identity Crisis, Tristram Hunt has brought together Labour MPs, activists and parliamentary candidates from the 2015 general election to explore the challenges facing Labour in England and how the party should address these, not purely as an electoral device, but as a matter of principle.

My contribution to the book was inspired by Led Zeppelin’s Physical Graffiti. The track list reads like the score for a musical tragedy based upon the Labour Party from 2010 onwards: In My Time of Dying, Trampled Underfoot, Sick Again, Ten Years Gone. 

Continued Labour introspection is increasingly tiresome for the political commentariat – even boring – and Labour’s Identity Crisis is a genuinely exciting attempt to swinge through this inertia. As well as exploring our most recent failure, the book attempts to chart the course towards the next Labour victory: political cartography at its most urgent.

This collection of essays represents an overdue effort to answer the question that the Party has sought to sidestep for too long.  In the run up to 2020, as the United Kingdom continues to atomise, the Labour Party must have an ambitious, compelling vision for England, or else risks becoming a party without a country.

Jamie Reed is Labour MP for Copeland.