Demonstrators at an anti-Atos protest. The company has since abandoned its contract with the DWP.
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How do we make the fit-for-work tests fit for purpose?

Maximus has just taken over the running of the controversial Work Capability Assessment from Atos. What’s broken and how can they fix it?

David waited nervously to see the physiotherapist who would judge whether his learning disability stops him from working, just as thousands like him do every month.

David already knows the answer – for him, it does. But he felt powerless.

Half a million other people are waiting for this assessment who, like David, want to live normal lives and just need a little help. Whether extra help to find a job, or support because they can’t work, the Work Capability Assessment (WCA) is the gatekeeper to a lifeline that millions of disabled people rely on. This lifeline, the out-of-work benefit Employment and Support Allowance (ESA), helps disabled people to live the kind of life that most people take for granted.

David lives independently with a carer - someone who helps him to shop, cook, manage his money and even get out of the house - things he struggles to do alone. They told the physio this, and more, in his scarcely 15-minute long assessment. Several months later, David got a letter telling him he’d been refused ESA and was ‘fit-for-work’.

His choice was to either go hungry or claim Jobseekeer’s Allowance (JSA). This would force him to spend 35 hours every week applying for jobs on a computer. He can’t use a computer or spend 35 hours per week looking for a job because of his learning disability. David would probably end up being sanctioned as a result and eventually go hungry anyway.

David and his carer couldn’t believe it, especially as the physio’s report didn’t reflect David’s needs at all. Like many people with a learning disability, David tends to agree with questions he doesn’t understand - something the assessor clearly wasn’t aware of. ‘Tick box’ is how many describe the assessments, designed by the Department for Work and Pensions (DWP) and carried out by a third party.

David couldn't see how badly the assessment had been, as he couldn’t read his own report; his carer had to. Bizarrely the DWP doesn’t provide alternative formats like ‘easy read’ for their disability benefit assessments.

When asked to reconsider their decision, the DWP maintained that David was fit-for-work and had to find a job. David now has to face a tribunal, represented by his 75-year-old dad, leaving him feeling even more powerless than when he walked into that assessment.

In 2012/13, £66m of taxpayers’ money was spent defending ESA tribunals like David’s, with just four in ten being upheld.

At the start of March, Maximus took over the running the WCA from Atos. Perhaps Maximus will improve the quality of assessments, the quality of training (which clearly isn’t adequate), and perhaps more people will get the right results.

Maximus could improve the assessment right now by matching claimants with more suitable assessors - ending the current lottery of whether you’ll get a doctor, nurse, physiotherapist or occupational therapist who may not understand your disability.

But Maximus can only change so much. It’s up to the DWP to fix the rest of the issues. Issues like the backlog of half a million people, the flawed ‘tick box’ interview, the refusal to provide information that disabled people can understand (here's an easy read sample – it’s not hard to make). Things like the rigid format of the assessments and the fact that people on ESA - no matter their condition - repeatedly undergo assessments, whether or not their condition has changed or even can.

We don’t know how Maximus will fare. We don’t know if the DWP will make those changes. We do know that changing the company conducting the assessment won’t fix a fundamentally flawed system.

We don't need a system that forces thousands of our society’s most vulnerable people, like David, to live in fear of the next letter dropping on their floor, the next ring of their phone, or the next knock on their door.

We need a fit-for-work test that is itself fit-for-purpose. 

James Bolton leads work on welfare and health policy at Mencap and is the co-chair of the Disability Benefits Consortium, a group of over 50 health and disability charities. James was an expert witness for the Public Accounts Committee’s investigation into Personal Independence Payments in 2014. He tweets at @JamesABolton.

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Let's seize our chance of a progressive alliance in Richmond - or we'll all be losers

Labour MPs have been brave to talk about standing aside. 

Earlier this week something quite remarkable happened. Three Labour MPs, from across the party’s political spectrum, came together to urge their party to consider not fielding a candidate in the Richmond Park by-election. In the face of a powerful central party machine, it was extremely brave of them to do what was, until very recently, almost unthinkable: suggest that people vote for a party that wasn’t their own.
Just after the piece from Lisa Nandy, Clive Lewis and Jonathan Reynolds was published, I headed down to the Richmond Park constituency to meet local Green members. It felt like a big moment – an opportunity to be part of something truly ground-breaking – and we had a healthy discussion about the options on the table. Rightly, the decision about whether to stand in elections is always down to local parties, and ultimately the sense from the local members present was that it would be difficult  not to field a candidate unless Labour did the same. Sadly, even as we spoke, the Labour party hierarchy was busily pouring cold water on the idea of working together to beat the Conservatives. The old politics dies hard - and it will not die unless and until all parties are prepared to balance local priorities with the bigger picture.
A pact of any kind would not simply be about some parties standing down or aside. It would be about us all, collectively, standing together and stepping forward in a united bid to be better than what is currently on offer. And it would be a chance to show that building trust now, not just banking it for the future, can cement a better deal for local residents. There could be reciprocal commitments for local elections, for example, creating further opportunities for progressive voices to come to the fore.
While we’ve been debating the merits of this progressive pact in public, the Conservatives and Ukip have, quietly, formed an alliance of their own around Zac Goldsmith. In this regressive alliance, the right is rallying around a candidate who voted to pull Britain out of Europe against the wishes of his constituency, a man who shocked many by running a divisive and nasty campaign to be mayor of London. There’s a sad irony in the fact it’s the voices of division that are proving so effective at advancing their shared goals, while proponents of co-operation cannot get off the starting line.
Leadership is as much about listening as anything else. What I heard on Wednesday was a local party that is passionate about talking to people and sharing what the Greens have to offer. They are proud members of our party for a reason – because they know we stand for something unique, and they have high hopes of winning local elections in the area.  No doubt the leaders of the other progressive parties are hearing the same.
Forming a progressive alliance would be the start of something big. At the core of any such agreement must be a commitment to electoral reform - and breaking open politics for good. No longer could parties choose to listen only to a handful of swing voters in key constituencies, to the exclusion of everyone else. Not many people enjoy talking about the voting system – for most, it’s boring – but as people increasingly clamour for more power in their hands, this could really have been a moment to seize.
Time is running out to select a genuine "unity" candidate through an open primary process. I admit that the most likely alternative - uniting behind a Liberal Democrat candidate in Richmond Park - doesn’t sit easily with me, especially after their role in the vindictive Coalition government.  But politics is about making difficult choices at the right moment, and this is one I wanted to actively explore, because the situation we’re in is just so dire. There is a difference between the Conservatives and the Lib Dems. Failing to realise that plays into the hands of Theresa May more than anyone else.
And, to be frank, I'm deeply worried. Just look at one very specific, very local issue and you’ll perhaps understand where I'm coming from. It’s the state of the NHS in Brighton and Hove – it’s a system that’s been so cut up by marketisation and so woefully underfunded that it’s at breaking point. Our hospital is in special measures, six GP surgeries have shut down and private firms have been operating ambulances without a license. Just imagine what that health service will look like in ten years, with a Conservative party still in charge after beating a divided left at another general election.
And then there is Brexit. We’re hurtling down a very dangerous road – which could see us out of the EU, with closed borders and an economy in tatters. It’s my belief that a vote for a non-Brexiteer in Richmond Park would be a hammer blow to Conservatives at a time when they’re trying to remould the country in their own image after a narrow win for the Leave side in the referendum.
The Green party will fight a passionate and organised campaign in Richmond Park – I was blown away by the commitment of members, and I know they’ll be hitting the ground running this weekend. On the ballot on 1 December there will only be one party saying no to new runways, rejecting nuclear weapons and nuclear power and proposing a radical overhaul of our politics and democracy. I’ll go to the constituency to campaign because we are a fundamentally unique party – saying things that others refuse to say – but I won’t pretend that I don’t wish we could have done things differently.

I believe that moments like this don’t come along very often – but they require the will of all parties involved to realise their potential. Ultimately, until other leaders of progressive parties face the electoral facts, we are all losers, no matter who wins in Richmond Park.


Caroline Lucas is the MP for Brighton Pavilion.