Sunday, 4 January 2015

Benefit Related Deaths and the Need for Evidence-Based Policy and Training - draft of Sunday 4th Jan 2015

Benefit Related Deaths

The horrible truth is that there have been a large number of benefit related deaths [1] [2] [3] [4] [5] [6] [7] [8] [9] [10] [11] [12] [13] [14] which are now becoming more publicly known. Despite this DWP (Department of Work and Pensions) knowledge and training in Suicide Prevention, Mental Health First Aid [19], and aspects of physical and mental health is poor. Such poor understanding, driven by DWP and Government policy, and incompetence can often be a matter of life and death. In fact there is evidence of a deliberate sanctions policy that puts people at risk [22]. Examples of campaigners' activities and publications against these dangerous benefit failures are in [15] [16]. The Independent [17] states "The spending watchdog" (National Audit Office) "has found that disabled people are facing 'distress and financial difficulties' because of the mismanagement of a new Government benefit scheme."

Suicide, and Mental Health Resources 

These are some resources for suicide prevention training [18], mental health first aid training [19], and help for people who have lost someone through suicide [20]. Resources on benefits are available in [5].

Sanctions

Are any benefit sanctions legal? Benefits are what the Government says a person needs to live on. Everyone has the right to life! MIND [21] explain why sanctions are harmful to mental health and wellbeing. Of course financial results of sanctions can be poverty, physical health issues, and death also. There is evidence of target driven sanctions being used as a political tool [22] [23] [24] [25].

DWP claims it & ATOS help people into work, but only assess people & sanction them. Money spent on that nonsense should on creating jobs and helping people into them. When a DWP customer can't get a job they get sanctioned for 'not making enough effort' - when customer does get a job - 'DWP got them a job'. Many of the sanctions are for ridiculous reasons and they are dangerous to health and wellbeing [26] [27] [28] [29] [30] [31] [32] [33] [34] [35] [36] [37] [38] [39] [40] [41]. Sanctions are applied to sick and disabled people who should be exempt, as they have been judged not fit to work [28] [29] (only capable of certain work related activities under medical advice).

In a January 7th discussion of the Oakley report- Jobseeker’s Allowance sanctions: independent review [42] several experts heavily criticised Government policy on sanctions, at a relevant parliamentary committee  hearing. Professor Peter Dwyer Welfare conditionality project - asked whether current consensus on conditionality to 'prevent worklessness' is ethical. He questioned whether there was any evidence in favour of the consensus amongst politicians and policy makers, and whether evidence against this policy had been ignored. Dr David Webster - articulated that DWP are sanctioning people willy nilly, at that there is no legal basis for this. Hence sanctions are overturned on appeal, as the only requirement is to be available and look for work, not to do so in a way prescribed by DWP. He argues that sanctions problems inevitable from secret system without safeguards and that sanctions are a secret penal system that runs parallel to the legitimate court system, which addresses any illegality. This is also argued in [43]. Dr David Webster explains that training works best when it's voluntary, most people who are unemployed want to work, and that the best way with DWP to be involved is to assist the DWP service user to follow their own plan and engage with the person to advise as necessary. Citizens advice explained that in their experience conditions imposed by DWP are inappropriate to the, and thus they are set up to fail. Chris Mould of Trussell Trust gave results from responses as to why people had to be referred to foodbanks as catastrophic collapse in income leading to access to foodbanks. The referral form has been consistent for many years, and does not specifically refer ask about sanctions (also service users may not necessarily use that term). For all these reasons benefits experts are urging the Government and DWP to suspend sanctions in general and specifically when people with mental health issues or disabilities are impacted [44].

Also on January 7th 2015 Newcastle MP Chi Onwurah demanded an end to demonisation of people on benefits [45]. Inevitably the issues of sanctions are linked with severe poverty in families, and with benefit related deaths [46]. Biased and inaccurate fitness for work tests [47], the sanctions regime, and other failures in benefit provision compound each other. The result is that jobsearch requirements on many people are unachievable because they are on the wrong benefit. E.g. They should be on ESA (Employment and Support Allowance) but are on JSA (Jobseeker's Allowance), or people are in the wrong group.
.
In general the benefit system is poorly suited for people with disabilities, leading to appalling financial problems [48] and [49], and upset from poor communications [50] and procedures.

Because of the assumptions that the DWP system understands and enforces the return to work plan to the service user rather than engaging with their plan failures are inevitable [51] [52] [53], any assumption that the jobseeker is lazy, worsens this service [54]. Reasons for this failure are outlined in My blog post (Why forcing people to work for benefit won't work - http://peterhaleserviceuser.blogspot.co.uk/2013/10/why-forcing-people-to-work-for-benefit.html - Wombling for Welfare!) counters the reasoning of the DWP policy of pressuring people to work for free. People need their basic needs catered for before they can develop career goals. The Keep Volunteering Voluntary Campaign [55] encourages organisations to opt out of participating in any scheme that is compulsory or for which people are pressured to take part. As ethical organisations pull out of involvement in compulsion and workfare, only the least ethical and most profit centred organisations are left to take part. Thus meaning that organisations such as Poundland, who have no motive other than profit gain free labour. It is not in the interests of voluntary organisations to 'employ' people on workfare, ethically or for provision of services, and of course compulsory volunteering, and working for free are contradictions in terms.

Inevitably all of these sanctions and other DWP failures and policies lead to fear [56]. Policy should be evidence driven [57]. The alternative of the opposite unethical, unscientific approach used in a fake DWP Psychometric test [58].

"Sanctioning someone with a mental health problem for being late for a meeting is like sanctioning someone with a broken leg for limping" - Paul Lewis - https://twitter.com/paullewismoney

Poverty and Hunger

Government- benefit cuts do not help people lift themselves out of poverty. People can't lift themselves when they can't eat enough, and heat homes. The Guardian makes this point [59]. Also, food poverty is causing people to be hospitalised [60] [61]. The largest cause of referrals to food banks is that of welfare failings [62] [63] [64] [65] [66] [67] [68] [69] [70] [71] [72] [73]. How benefit failings are leading to a rise in use of food banks was researched by Sheffield University [74], and is explained in [75] [76] [77] [78] [79] [80] [81]. There has been considerable criticism of the contrast between Government members professed Christian views, and the actuality of the increase in UK food poverty and food bank use [82] [83] [84] [85]. Government needs to be more in touch with the consequences of its policies [86] [87]. The rising cost of living has also been a major cause of the increase in use of food banks [88]. More information on food banks is available in a Daily Mirror guide [89]. Government must address this issue because poverty has a catastrophic effect on people's mental health [90] [91] [92] [93].

Fitness to Work

DWP claims it and ATOS help people into work, but they only assess people, stop benefits, and sanction people. Money spent on that nonsense should go to finding people work and training. Ironically the assessment process itself has not been assessed by the Government, nor have any of its users been involved significantly in its design, nor in their own medicals. The focus has been on finding people fit for work, and as with anything where wishes and bias interfere with objectivity, bias is introduced. This is the opposite of evidenced based policy and as it involves people and health it has been a massive unethical experiment on huge numbers of ill people. Inevitably this has caused a lot of deaths, illness, poverty, and misery.

The Government and DWP set the rules for these failed fitness to work tests and drove the policy - It is not just ATOS failing - it is DWP and even CPS (Crown Prosecution Service) [94].

For the NHS - patient involvement is important and structured, this combines with regulatory inspections such as hospital inspections [95]. The need for this has been agreed and provided for because lives are at stake. The same is true for fitness to work assessments, sanctions regime, and assessment for Personal Independent Payments. Lives are at stake if these decisions are wrong. This would entail recruitment of a "small army" of doctors, nurses, patients and carers [95]. Inspection could also help ensure that staff are not being lost to the NHS [96]. Fitness to work tests are completely unsuitable for those with mental health issues [97] [98] [99] (and also for those with physical health issues). This unsuitability is partly due to the confrontational nature of the tests [100] [101] [102] [103] [104], and partly due to bias and inaccuracy [105] [106] [107] [108] [109]. This whole system is expensive [110] [111] [112] [113] [114]  and leads to avoidable hardship and avoidable appeals for so many wrong decisions.

Despite DWP showing little interest in listening to the views of users of its service or in allowing inspections, campaigners have made considerable progress in bringing the problems into focus, and reporting on them [115] [116] [117] [118] [119] [120] [121] [122] [123] [124] [125] [126]. This has also involved working with politicians and press to put pressure on the Government over policy [127] [128] [129] [130] [131] [132]. An appalling case of a person in a persistent vegetative state being sent a letter inquiring if he was fit to work has been highlighted [133].

ATOS are at last leaving the fitness for work process but this is unlikely to result in resolution of any of the problems in its design and implementation [134] [135] [136] [137] [138] [139] [140] [141] [142].

All of these problems are a very real risk to people with all kinds of disabilities [143]. These are some resources available for people having to encounter the fitness for work system [144] [145] [146] [147].

Bedroom Tax

Disabled people and carers are worst affected by bedroom tax and welfare reforms, and there have been many injustices [148] [149] [150] [151] [152] [153], legal challenges and human rights complaints over this [154] [155] [156]. More generally the bedroom tax has been heavily criticised for causing misery, poverty, and homelessness [157] [158] [159] [160] [161] [162] [163] [164] [165]. Further criticism emerged over ineffectiveness, inefficiency, lack of savings [166], impossibility of bedroom tax payers moving to smaller homes [167] (lack of smaller homes, and those adapted for disabilities), and financial pressure on councils [168]. All of these failings have led to the bedroom tax becoming an important election issue [169] [170] [171]. These problems are of the institutions themselves, systems, computing, and arguably on the policy itself and focus on policy change around welfare reforms and cuts.

Universal Credit

In command-and-control organisations, the ILLUSION of control is much more comforting - and hence valuable - than any actual control. Iain Duncan Smith put his faith in new leadership of Universal credit. This isn't how big IT projects succeed. They succeed when users and staff are the main drivers. Government plans to deliver Universal Credit on time and on budget, simply by increasing the budget and putting back the date. It will still fail. This blog post of mine explains why, and goes into technical reasons for all the other problems that cause the human suffering -

Government Digital By Default - Reality Check - http://userdrivenmodelling.blogspot.co.uk/2013/08/government-digital-by-default-reality.html - Digital by Default will leave vulnerable people more vulnerable and excluded.

Labour considered the idea of Universal Credit to be too risky and impractical to implement [172]. There are very many serious practical problems [173] [174] [175] [176] [177] [178] [179] [180] [181] [182] [183] [184] [185] [186] [187] [188] [189] [190] [191] [192] [193].

Solutions

Two essential things that need to happen with this are short term improvements to reduce benefit related death rates within the current failed system, and a medium term reconstruction of the system based on what previously worked.

It used to be that one of the key aims of jobcentres was to assist the person to find work. This was at a time of relatively full employment. Even then it was understood that there would be a structural rate of unemployment due to people moving in and out of work. This structural rate could still be reduced by good careers advice, and assistance, help to find work, and prompt and efficient payment of benefits. This is all of greater importance in times of high unemployment, something that has been persistent now for decades. This importance is because it is possible to reduce both the structural rate of unemployment, and that above this rate, and because people who are in work create work via both their work and their spending.

However, it has become increasingly difficult for jobseekers to deal with jobcentres, and the benefit system in person. Rules have become more inflexible and administration more remote from the 'customer'. Now most assistance is provided by telephone helplines in a remote location from people with no understanding of the jobseeker nor any flexibility in decision making. This problem is exacerbated by very poor, and biased fitness assessments with virtually no involvement of the people assessed in construction and monitoring of this system, nor in their own assessments. An overcentralisation of systems due to a misguided strategy of digital by default (leaving the most vulnerable and poor excluded) adds to this problem. An example is the failing Universal Jobsmatch system [184].

For mental health (and with all other types of health) this breaks the evidenced-based policy of 'No decision about me without me'. For mental health this also breaches the evidenced-based policy of parity of esteem for mental health. For everyone this is a breach of Equality Rights and Human Rights.

The role of evidence-based policy in hindered by the current coalitions repeated refusal to undertake a Cumulative Impact Assessment of the way the Welfare Reform Act affected Sick and Disabled people [185] [186].

In summary, issues are -
  • Remoteness of services from those who use them
  • Sanctions
  • Wrong belief that poverty motivates people
  • Biased and incompetent fitness for work tests
  • Digital by default, those left behind
  • Lack of assistance for work, carers advice, training, and benefits
  • Poor DWP knowledge and training for disabilities, both physical and mental health

Mental Health and Blogging

BBC News - People asked to blog about their mental health illness - http://www.bbc.co.uk/news/health-29861510 - 'I blogged my way to mental health' – Video

References

Benefit Related Deaths

1. Mainstream media wakes up to benefit sanctions’ death toll - Vox Political - http://voxpoliticalonline.com/2015/01/04/mainstream-media-wakes-up-to-benefit-sanctions-death-toll/ - Casualty storyline – Observer, Guardian

2. Suicides highlight the grim toll of benefits sanctions in austerity Britain http://www.theguardian.com/society/2015/jan/03/benefits-sanctions-leading-suicides-dwp-depression?CMP=twt_gu  via @guardian

3. Benefits Cuts, suicides and deaths - http://politicsuk.eu/archives/12537 - Politics UK - 26 Dec 2012

4. DWP urged to publish inquiries on benefit claimant suicides - http://www.theguardian.com/society/2014/dec/14/dwp-inquiries-benefit-claimant-suicides?CMP=twt_gu via @guardian

5. Suicide and the unspoken side of welfare 'reform' | Wayne Blackburn http://www.theguardian.com/commentisfree/2013/may/31/suicide-welfare-reform-cuts?CMP=twt_gu - but there are people and organisations who can help

6. Full report: People considering suicide after losing ill-health benefits, says charity - http://www.itv.com/news/tyne-tees/update/2013-12-12/charity-people-are-considering-suicide-after-losing-ill-health-benefits/ - Video and Article.

7. The 60 benefits-related deaths we may never hear about - http://www.independent.co.uk/voices/comment/government-benefit-cuts-are-already-being--blamed-for-the-deaths-of-three-vulnerable-people-and-there-may-be-60-more-9942735.html - Benefit cut blamed for deaths of many vulnerable people

8. Half-blind woman killed herself after her disability payments stopped - http://www.dailymail.co.uk/news/article-2513284/Half-blind-woman-crippled-pain-killed-benefits-bosses-stopped-disability-payments--following-TWO-MINUTE-assessment.html via @MailOnline following TWO MINUTE assessmnt

9. Another Tragic Atos Death: RIP Jacqueline Harris - http://johnnyvoid.wordpress.com/2013/11/25/another-tragic-atos-death-rip-jacqueline-harris/ via @johnnyvoid stripped of benefits after being found ‘fit for work’

10. The single killer question from ATOS that drove a woman to suicide - http://tompride.wordpress.com/2013/11/25/the-single-killer-question-from-atos-that-drove-a-woman-to-suicide/ via @ThomasPride - Kingswood, Bristol.

11. Bristol woman "killed herself after benefits were stopped"- http://www.bristolpost.co.uk/sister-killed-disability-benefit-stopped/story-20170841-detail/story.html - partially sighted walked with stick-Kingswood, Bristol

12. Sick nurse killed herself after disability benefits were cut and she was ruled 'fit to work' - http://www.mirror.co.uk/news/uk-news/sick-nurse-jacqueline-harris-killed-2851486 via @DailyMirror

13. Atos, deaths and welfare cuts | Big Issue - http://www.bigissue.com/features/3637/atos-deaths-and-welfare-cuts - Was it public outrage or the impossible task that made Atos want to stop?

14. The most cold hearted letter ever sent by a Minister - http://www.greenbenchesuk.com/2012/11/the-most-cold-hearted-letter-ever-sent.html

15. Interview:Disabled People Against the Cuts (DPAC) - Red Pepper blog - http://www.redpepper.org.uk/interview-disabled-people-against-the-cuts-dpac/ - campaign of disabled people not for disabled people

16. What were Iain Duncan Smith's 'welfare reforms' really about? Sue Marsh - http://www.theguardian.com/commentisfree/2013/sep/05/what-were-welfare-reforms-about?CMP=twt_gu @guardian failed & frightened most vulnerable

Suicide, and Mental Health Resources 

18. ASIST - Applied Suicide Intervention Skills Training - See more at: http://www.elament.org.uk/training/asist-applied-suicide-intervention-skills-training.aspx#sthash.mN5zlIkR.dpuf

19. Mental Health First Aid England - http://mhfaengland.org/ - Mental Health First Aid is an educational course which teaches people how to identify, understand and help a person who may be developing a mental health problem

20. Recommended in Parliament Suicide Prevention Debate- Losing someone close through suicide. Free Booklet - Help is at Hand - http://www.nhs.uk/Livewell/Suicide/Pages/Suicidebereavement.aspx

Sanctions

21. Mind - People Need Support, Not Sanctions - http://www.mind.org.uk/media/933438/2014-support-not-sanctions-report.pdf - Fulfilling Potential? ESA and the fate of the Work Related Activity Group

22. Senior DWP Manager Congratulates Staff For Hitting Sanctions Targets - http://samedifference1.com/2014/12/10/senior-dwp-manager-congratulates-staff-for-hitting-sanctions-targets/ via @samedifference1

23. BBC News - Benefits stopped 'to meet targets', PCS union claims - http://www.bbc.co.uk/news/uk-england-tyne-25885078 - "enormous pressure" to stop claimants' Jobseeker's Allowance

24. Benefits sanctions show government at its Kafkaesque worst - Ally Fogg - http://www.theguardian.com/commentisfree/2014/apr/08/benefits-sanctions-government-kafkaesque-bureaucracy?CMP=twt_gu - bureaucratic nightmare manufactures injustice

25. Government fiddles unemployment figures by excluding everyone 'sanctioned': - http://www.leftfutures.org/2014/03/government-fiddles-unemployment-figures-by-excluding-everyone-sanctioned/

26. Sanctioned jobseeker turns tables on Duncan Smith with viral blog - http://dpac.uk.net/2014/11/sanctioned-jobseeker-turns-tables-on-duncan-smith-with-viral-blog/ via @Dis_PPL_Protest

27. Understanding Welfare Support & Sanctions - invite-organisation to support major national research project - more at: http://www.disabilityrightsuk.org/news/2014/september/understanding-welfare-support-and-sanctions-research#sthash.GUqDG8oM.dpuf

28. BBC News - 'Shocking increase' in ESA sickness benefit sanctions - http://www.bbc.co.uk/news/uk-28776102 - according to homeless charity Crisis.

29. DWP target mental health claimants for ESA sanctions - http://www.benefitsandwork.co.uk/news/2717-dwp-target-mental-health-claimants-for-esa-sanctions - 6 out of 10 - vulnerable people - mental health or learning difficulty

30. The 11 most senseless benefit sanction decisions known to man - http://i100.independent.co.uk/article/the-11-most-senseless-benefit-sanction-decisions-known-to-man--x1dmkd2_Me - From the Independent

31. MPs ‘Lying’ About Benefit Sanction Targets, Says Whistleblower - http://www.welfareweekly.com/mps-lying-benefit-sanction-targets-says-whistleblower/ via @WNSNews - August 6th 2014

32. 'No one should die penniless and alone': the victims of Britain's harsh welfare sanctions - http://www.theguardian.com/society/2014/aug/03/victims-britains-harsh-welfare-sanctions?CMP=twt_gu via @guardian

33. Government Say They Will Change Treatment Of Sanctioned Claimants After Report - http://sdbast.wordpress.com/2014/07/24/government-say-they-will-change-treatment-of-sanctioned-claimants-after-report/ via @sdbast

34. BBC News - Ministers to review letters about benefit sanctions - http://www.bbc.co.uk/news/uk-politics-28424391 - "legalistic" and lacked personal explanations

35. The Government should conduct an investigation into the Sanction Culture at Job Centre Plus: https://annebegg.wordpress.com/2014/07/10/the-government-should-conduct-an-investigation-into-the-sanction-culture-at-job-centre-plus/ via @annebegg

36. New Scottish Government Expert Group on Welfare Report: Scrap Work Capability Assessments, Workfare and Benefit Sanctions Regime - http://blacktrianglecampaign.org/2014/06/04/indyref-new-scottish-government-expert-group-on-welfare-report-scrap-work-capability-assessments-workfare-and-benefit-sanctions-regime/

37. PCS Conference: Jobcentre Staff Demand End Of ‘Despicable’ Benefits Sanctions From Iain Duncan Smith - http://kittysjones.wordpress.com/2014/05/24/pcs-conference-jobcentre-staff-demand-end-of-despicable-benefits-sanctions-from-iain-duncan-smith/ - kittysjones

38. Unemployed Face Benefit Sanctions If Bad Weather Prevents Them From Getting To Jobcentres http://unemploymentmovement.com/forum/unemployment-and-job-centre-plus/8353-sanctions-from-bad-weather-if-you-fail-to-attend-job-centre

39. A Selection of Especially Stupid Benefit Sanctions - http://stupidsanctions.tumblr.com/ - Cruel, arbitrary and ridiculous reasons why peoples' benefits stopped

40. War hero's benefits axed - because he was selling POPPIES - http://www.mirror.co.uk/news/uk-news/war-hero-stephen-taylors-benefits-2895202 - via @DailyMirror

41. Conditionality and Sanctions Update - News archive http://www.pcs.org.uk/en/department_for_work_and_pensions_group/dwp-news.cfm/conditionality-and-sanctions-update via @pcs_union - Performance Improvement Plans (PIPs) - Re: sanctions

42. Oakley report - Jobseeker’s Allowance sanctions:independent review - DWP First published:22 Jul 2014-updated:18 Dec 2014 - https://www.gov.uk/government/publications/jobseekers-allowance-sanctions-independent-review

43. The Secret #Sanctions article shared below was originally published in the Big Issue of the North and written by Gary Ryan - https://imajsaclaimant.wordpress.com/2014/10/14/the-secret-sanctions/

44. Iain Duncan Smith Urged To Stop Benefit Sanctions Regime - The Huffington Post UK - http://www.huffingtonpost.co.uk/2015/01/08/iain-duncan-smith-benefit-sanctions_n_6434852.html - until a review is carried out of their impact, particularly on the mentally ill and disabled

45. 'demonisation' of benefit claimants, Newcastle MP Chi Onwurah demands - http://www.chroniclelive.co.uk/news/north-east-news/end-demonisation-benefit-claimants-mp-8394454#ICID=sharebar_twitter - Chronicle Live

46. MPs Probe Benefit Sanctions Death Toll / Sputnik UK - News, Opinion, Radio - http://uk.sputniknews.com/uk/20150106/1013342546.html

47. BBC News - Disability benefits system flaws 'grave', MPs warn - http://www.bbc.co.uk/news/uk-28437630 - replacing Atos would not address problems "on its own" - 23 July 2014

48. MSPs were told how blind former health worker was reduced to begging as result of UK government's welfare reforms - http://www.youtube.com/watch?v=mDHmXfdt2kU&feature=youtu.be

49. Tens of thousands of sick and disabled patients face YEAR-long wait for cash help - http://www.mirror.co.uk/news/uk-news/tens-thousands-sick-disabled-patients-3958136#.U94POokMvfo.twitter

50. BBC News - Brain injury victim's family disgusted at 'work' letter - http://www.bbc.co.uk/news/uk-northern-ireland-foyle-west-23839671 - man permanent vegetative state after assault.

51. BBC News - Back-to-work schemes are 'making mental illness worse' says charity - http://www.bbc.co.uk/news/uk-politics-30415243 - Mind surveyed 439 people

52. BBC News - Work Programme not doing enough for sick and disabled, providers say - http://www.bbc.co.uk/news/uk-22969902

53. Funding for disability employment support schemes being misdirected, finds study - http://www.communitycare.co.uk/2014/03/27/funding-disability-employment-support-schemes-misdirected-finds-study/#.UznR1LjNLrl.twitter - Andy McNicoll-Mar 27 2014 in Mental Health

54. BBC News - Benefit levels 'do not promote laziness', study suggests - http://www.bbc.co.uk/news/uk-scotland-24974745 - Europe-wide study has found- University of Edinburgh

55. Campaign - keep volunteering voluntary - http://keepvolunteeringvoluntary.net/ - The keep volunteering voluntary agreement

56. Iain Duncan Smith Blames Benefits Reform 'Fear' On Grant Shapps, and Journalists - http://www.huffingtonpost.co.uk/2013/12/09/iain-duncan-smith-welfare_n_4412941.html?utm_hp_ref=tw via @HuffPostUKPol - Article and Video

57. Research outputs, and Evidence Based Policy - http://www.vitae.ac.uk/researchers/346441-622841/Research-outputs-and-Evidence-Based-Policy.html - Vitae Blog Post - Research outputs, and Evidence Based Policy.

58. Academic paper: fake DWP psych test is tool of neoliberal manipulation - See more at: http://www.dorseteye.com/north/articles/academic-paper-fake-dwp-psych-test-is-tool-of-neoliberal-manipulation - paper - http://www.academia.edu/4783809/Nudging_into_subjectification_Governmentality_and_psychometrics

Poverty and Hunger

59. Big society? Cutting welfare to 'aid recovery' is just a big lie - http://www.theguardian.com/business/2013/dec/29/big-society-cutting-welfare-coalition-big-lie - Heartless policies are merely adding to the plight

60. BBC News - Food poverty: Experts issue malnutrition health warning - http://www.bbc.co.uk/news/health-28892360 - Faculty of Public Health - Article and Video

61. Malnutrition cases in English hospitals almost double in five years - http://www.independent.co.uk/life-style/health-and-families/health-news/malnutrition-cases-in-english-hospitals-almost-double-in-five-years-8945631.html - People who are so hungry they are hospitalised

62. Almost 50% of referrals to food banks in the UK are due to 'issues with the welfare system' - The Independent - http://www.independent.co.uk/news/uk/home-news/almost-50-of-referrals-to-food-banks-in-the-uk-are-due-to-issues-with-the-welfare-system-9910973.html

63. Food bank Britain: Thousands need charity handouts because of welfare system failings | UK | News | Daily Express - http://www.express.co.uk/news/uk/443511/Food-bank-Britain-Thousands-need-charity-handouts-because-of-welfare-system-failings

64. Food bank is expanding as hunger bites | Evening Times - http://www.eveningtimes.co.uk/news/food-bank-is-expanding-as-hunger-bites-169073n.24604861 @TheEveningTimes - pulling off lids and eating with their fingers

65. Top Tory lord Norman Tebbit admits hard-up food bank families are wrongly being denied benefits - http://www.mirror.co.uk/news/uk-news/top-tory-lord-norman-tebbit-3597647

66. BBC News - UK government 'in denial' over food bank use, says Holyrood committee - http://www.bbc.co.uk/news/uk-scotland-scotland-politics-27640544 - DWP in food bank 'denial' say MSPs

67. BBC News - Food banks see 'shocking' rise in number of users - http://www.bbc.co.uk/news/business-27032642- 913,000 food parcels in last year, up from 347,000 year before

68. BBC News - 'Shocking' rise in use of food banks - http://www.live.bbc.co.uk/news/uk-27045797 - Video and Article - more than 900,000 food parcels in last year

69. BBC News- Poorest families 'need more help over debt' - http://www.bbc.co.uk/news/uk-25012492 - Conservative-leaning think tank says - Centre for Social Justice

70. Britain's hunger crisis: One MILLION food parcels handed out despite UK having sixth richest economy - http://www.mirror.co.uk/news/uk-news/food-banks-britain-handed-out-3417601

71. The food poverty scandal that shames Britain: Nearly 1m people rely on handouts to eat and benefit reforms may be to blame - http://www.independent.co.uk/news/uk/politics/churches-unite-to-act-on-food-poverty-600-leaders-from-all-denominations-demand-government-uturn-on-punitive-benefits-sanctions-9263035.html

72. Food bank visitors in Coventry: ‘Compassion has disappeared out of the welfare state’ - http://www.independent.co.uk/news/uk/politics/food-bank-visitors-in-coventry-compassion-has-disappeared-out-of-the-welfare-state-9263042.html

73. Hundreds of thousands of people in UK will go hungry this Christmas, but they don't have to - Comment -The Independent - http://www.independent.co.uk/voices/comment/hundreds-of-thousands-of-people-in-the-uk-will-go-hungry-this-christmas-but-they-dont-have-to-9911206.html

74. Need for food banks is caused by welfare cuts, research shows - http://www.theguardian.com/society/2014/apr/08/food-banks-welfare-cuts-research via @guardian Hannah Lambie-Mumford, Sheffield University

75. The crisis in local welfare assistance explained - http://www.theguardian.com/politics/datablog/2014/apr/20/the-crisis-in-local-welfare-assistance-explained via @guardian - What has happened?

76. Benefits blunders forcing thousands to use food banks says TORY think tank - http://www.mirror.co.uk/news/uk-news/welfare-cuts-benefits-blunders-forcing-3200686#.UxTexuBdhsY.twitter - Policy Exchange - Michael Gove and Francis Maude

77. Benefits blunder adds to Christmas misery for thousands as food bank users triple in 12 months - http://www.mirror.co.uk/news/uk-news/food-banks-benefits-blunder-adds-2959370

78. The year government cuts changed the face of welfare state - http://www.theguardian.com/society/2013/dec/18/review-of-year-cuts-nhs-welfare-charities - dramatic rise of food banks,drastic withdrawal of benefits

79.Food bank Britain: Thousands need charity handouts because of welfare system failings | UK | News | Daily Express - http://www.express.co.uk/news/uk/443511/Food-bank-Britain-Thousands-need-charity-handouts-because-of-welfare-system-failings

80. Two million poorest families hit by welfare reforms, says Oxfam - http://www.independent.co.uk/news/uk/home-news/two-million-poorest-families-hit-by-welfare-reforms-says-oxfam-9273531.html

81. BBC News - Welfare reforms 'hit Wales hardest' - Auditor General for Wales - http://www.bbc.co.uk/news/uk-wales-30715234- Rent arrears are rising and debts mounting

82. BBC News - Church of England bishops demand action over hunger - http://www.bbc.co.uk/news/uk-politics-26261700 - "cutbacks and failures" in the benefits system

83. BBC News - Low earners are being left behind, say archbishops - http://www.bbc.co.uk/news/uk-30831095 - Poor left behind, archbishops warn

84. Grace Dent: Thanks for Easter message Dave.But if you’re good Christian, why so many people in Britain using food banks? http://www.independent.co.uk/voices/comment/grace-dent-thanks-for-the-easter-message-dave-but-if-youre-such-a-good-christian-why-are-so-many-people-in-britain-using-food-banks-9273187.html

85. Food banks:Not so Christian | The Economist - http://www.economist.com/blogs/blighty/2014/04/food-banks - briefing given to Daily Mail by someone in Department of Work and Pensions

86. Food Banks Aren't Needed Because Restaurants Are Busy, Says Tory Councillor - http://www.huffingtonpost.co.uk/2014/03/26/food-banks-crawley-liam-marshall-ascough_n_5034541.html via @HuffPostUKPol

87. Iain Duncan Smith refuses to meet food bank charity and accuses them of 'scaremongering' - hhttp://www.mirror.co.uk/news/uk-news/food-banks-iain-duncan-smith-2951444

88. Rising cost of living ‘forcing students to use food banks’ - Education News - Education - The Independent - http://www.independent.co.uk/news/education/education-news/rising-cost-of-living-forcing-studentsto-use-food-banks-9242399.html

89. Food bank debate: 20 things you need to know about food banks and hunger in Britain - http://www.mirror.co.uk/news/uk-news/food-bank-debate-jack-monroes-2937649

90. To tackle our mental health crisis we need to reduce inequality - http://www.newstatesman.com/politics/2014/02/tackle-our-mental-health-crisis-we-need-reduce-inequality - addressing causes.

91. Poverty 'consumes' your mental capacity - NHS Choices - http://www.newstatesman.com/politics/2014/02/tackle-our-mental-health-crisis-we-need-reduce-inequality - "Poverty saps mental capacity to deal with complex tasks"

92. Soaring UK personal debt wreaking havoc with mental health, report warns | Money - http://www.theguardian.com/money/2013/nov/20/personal-debt-mental-health-report

93. Down and out in London: The Government should do more to provide support services to those afflicted by mental illnesses - http://www.independent.co.uk/life-style/health-and-families/features/down-and-out-in-london-the-government-should-do-more-to-provide-support-services-to-those-afflicted-by-mental-illnesses-9086216.html

Fitness to Work

94. One-legged man accused of benefit fraud after officials examined wrong leg - http://www.westernmorningnews.co.uk/legged-man-accused-benefit-fraud-officials/story-19682497-detail/story.html

95. BBC News - Hospital inspections- This is needed for ATOS/DWP - http://www.bbc.co.uk/news/health-23348824 - "small army" of doctors, nurses, patients and carers to carry out inspections and ratings.

96. Atos and Capita accused of poaching paramedics to cut benefits instead of saving lives - http://wp.me/p2fJvB-1NW via @sdbast

97. Fitness-for-work tests unfair on people with mental health problems, court says - http://www.theguardian.com/society/2013/may/22/fitness-work-tests-mental-health-unfair via @guardian - May 2013

98. Mentally ill people need to be helped, not hounded | Polly Toynbee - http://www.theguardian.com/commentisfree/2014/jul/08/mentally-ill-need-help-not-bullying-by-the-state via @guardian .. the reality is scandalous cruelty

99. Secret Cuts 6: How are those with mental health problems treated by Atos? http://www.newstatesman.com/alan-white/2013/08/secret-cuts-6-how-are-those-mental-health-problems-treated-atos - Complaints about work capability assessment

100. BBC News - Work fitness tests are 'confrontational' - review - http://www.bbc.co.uk/news/uk-politics-25354881 - "considerable dissatisfaction" among disabled people

101. Benefits changes causing anxiety in MS sufferers, says charity - http://www.theguardian.com/society/2014/jan/02/benefits-changes-anxiety-ms-society via @guardian - MS Society – Poll

102. Why people like me agree the WCA is unfair - http://www.rethink.org/news-views/2013/05/why-people-like-me-agree-the-wca-is-unfair - people like me and my son have known how unfair the WCA is for months.

103. Whistleblower says Atos Work Capability Assessments are unfair - https://www.youtube.com/watch?v=_SEpwFBhqA4 - Video - BBC Six O'Clock News 16/05/2013.

104. Disabled mum on benefits left humiliated after Atos makes her take 3 degrading assessments - https://www.facebook.com/blacktriangle11/posts/814345205254121 - Mirror article (not still online).

105. Atos assessor 'forced to judge disabled fit for work'- http://www.independent.co.uk/news/uk/home-news/atos-assessor-forced-to-judge-disabled-fit-for-work-8168260.html - Nurse was employed by controversial capability assessor Atos

106. How Atos comes under pressure to declare disabled people as fit for work | David Gillon - http://www.theguardian.com/commentisfree/2013/dec/09/atos-disabled-people-assessment-fit-work-report via @guardian - leaked report

107. BBC News - Disability benefits system flaws 'grave', MPs warn - http://www.bbc.co.uk/news/uk-28437630 - replacing Atos would not address problems "on its own"

108. Atos fit-to-work assessments branded 'farcical' people with progressive diseases like Parkinson's told they'll RECOVER - http://www.mirror.co.uk/news/uk-news/atos-fit-to-work-assessments-branded-farcical-2225751

109. Opinion: What's Going On Behind The Scenes? http://linkis.com/blogspot.com/JBhcC - DWP v Atos - Work Test Whistleblower - Dr Greg Wood - Friday, 28 March 2014

110. FOI Disability Assessments cost DWP £199.1m 2012-13 - http://userdrivenmodelling.blogspot.co.uk/2013/07/foi-disability-aseessments-cost-dwp.html - Value for Money? Accurate? Fair?

111. FOI Request - Indirect cost for all appeals re: eligibility for Employment Support Allowance in the UK was: Approximately £19.6m in 2012/13.

112. FOI Request - Indirect cost for all assessments for eligibility for Employment Support Allowance in UK was: Approximately £102.4m in 2012/13.

113. My FOI Request - Direct cost for all assessments for eligibility for Employment Support Allowance in UK was: Approximately £77.1m in 2012/13.

114.Value for money? Watchdog turns focus on Atos - the firm that tests people claiming sickness and disability benefits - http://www.independent.co.uk/news/uk/politics/value-for-money-watchdog-turns-focus-on-atos--the-firm-that-tests-people-claiming-sickness-and-disability-benefits-8744254.html

115. MPs’ report vindicates DNS (Disability News Service) investigation into Atos PIP contract - http://disabilitynewsservice.com/2014/06/mps-report-vindicates-dns-investigation-into-atos-pip-contract/ - according to a committee of MPs.

116. At last,a report that skewers Iain Duncan Smith welfare policies | Alex Andreou - http://www.theguardian.com/commentisfree/2013/dec/09/iain-duncan-smith-welfare-policies- We Are Spartacus- almanac of condemnation

117. The People's Review of the Work Capability Assessment - http://www.centreforwelfarereform.org/library/type/pdfs/the-peoples-review-of-the-wca.html

118. Anyone taking the Work Capacity Assessment is 8 times more likely to end up in a tribunal than a job - http://epetitions.direct.gov.uk/petitions/43154 - #WOWpetition

119. Call to halt fitness-for-work test for disabled people as court upholds ruling - http://www.theguardian.com/society/2013/dec/05/call-halt-fitness-for-work-test-disabled - via @guardian Work capability assessment

120. Why I'm lobbying parliament for disabled rights | Penny Pepper - http://www.theguardian.com/commentisfree/2013/sep/04/lobbying-parliament-disabled-rights via @guardian Penny Pepper Wednesday 4 September 2013

121. 05/02/2013 Welfare Reform - Panel talk of their harrowing experiences - https://www.youtube.com/watch?v=rv2wuiC_750 - Video - 1 hour 38

122. Government Reviewer Opposed Rollout of ESA -: http://diaryofabenefitscrounger.blogspot.co.uk/2013/12/breaking-news-government-reviewer.html - Friday, 13 December 2013 - Sue Marsh

123. Disabled People Against Cuts protest in Westminster, central London - http://www.demotix.com/news/5727798/disabled-people-against-cuts-protest-westminster-central-london - Disabled People Against Cuts (DPAC)

124. DPAC & UK Uncut protest ATOS + DWP 31/8/2012 - https://www.youtube.com/watch?v=bqoMr3FrnQU - Published on 1 Sep 2012 Disabled People Against Cuts & UK Uncut.

125. Video: Disability campaigners protest against fit-to-work tests outside Exeter Atos building - http://www.exeterexpressandecho.co.uk/Video-Disability-campaigners-protest-fit-work/story-20660297-detail/story.html

126. Bradford Council to probe work ‘disability tests’ - https://diaryofansahstrokesurvivor.wordpress.com/2013/09/09/bradford-council-to-probe-work-disability-tests/ @leonc1963 full-scale investigation into controversial assessments

127. “Atos not fit for purpose” - Dennis Skinner on benefits testing (Exclusive) [E26] — RT Going Underground: http://rt.com/shows/going-underground/strike-orgreave-violent-crackdown-905/ - Video

128. BBC News- PMQs: Skinner on Atos work tests for disabled people - http://www.bbc.co.uk/news/uk-politics-24552300 - Abolish Atos tests, says Skinner - Video - parliament

129. Michael Meacher MP» Blog Archive» Atos Minister Hoban forced to rethink by vigorous systematic critique from Spartacus - http://www.michaelmeacher.info/weblog/2013/09/atos-minister-hoban-forced-to-rethink-by-vigorous-systematic-critique-from-spartacus/

130. BBC News - Labour: Fitness-for-work tester - Atos 'should be sacked' - http://www.bbc.co.uk/news/uk-politics-24195683 - a "disgrace" and should be sacked, Labour has said

131. Comment: Iain Duncan Smith is no longer fit-for-work - http://www.politics.co.uk/comment-analysis/2013/11/07/comment-iain-duncan-smith-is-unfit-to-be-a-secretary-of-stat - via @politics_co_uk

132. Atos life in parallel Universe - savaged by a cross-party committee - http://paulflynnmp.typepad.com/my_weblog/2014/01/atos-life-in-parallel-universe.html - Paul Flynn MP from Daily Mirror 29 January 2014

133. Paul McCauley, left in vegetative state by gang attack, sent letter asking whether he is fit for work | http://metro.co.uk/2013/08/27/man-in-vegetative-state-sent-letter-asking-if-he-is-fit-for-work-3939173/ via @MetroUK

134. You and Yours - BBC Radio 4 - http://www.bbc.co.uk/programmes/b049z4x0 - ATOS - Should the benefit paid to people who can't work be completely overhauled?

135. Atos is out: government seeks new company to carry out fit for work tests - UK Politics -  The Independent - http://www.independent.co.uk/news/uk/politics/atos-is-out-government-seeks-new-company-to-carry-out-fit-for-work-tests-9218505.html


137. BBC News - Fit-to-work tests: Atos quits contract - http://www.bbc.co.uk/news/uk-26766345 - to finish its contract early, ministers have confirmed.

138. BBC News - Atos was 'lightning rod' for anger over benefit changes - http://www.bbc.co.uk/news/uk-politics-27767779


140. Black hole fears as Atos ends ‘fit-to-work’ contract early - UK Politics - UK - The Independent - http://www.independent.co.uk/news/uk/politics/black-hole-fears-as-atos-ends-fittowork-contract-early-9219832.html

141. The facts behind Atos death threat claims - http://www.benefitsandwork.co.uk/news/2739-the-facts-behind-atos-death-threat-claims - Benefits and Work has obtained documents via the Freedom of Information Act

142. After hated Atos quits, will Maximus make work assessments less arduous? http://www.theguardian.com/society/2015/jan/18/after-hated-atos-quits-will-maximus-make-work-assessments-less-arduousvia @guardian

143. Benefit cuts can be fatal for the vulnerable - http://www.theguardian.com/society/2015/jan/13/benefit-cuts-can-be-fatal-for-the-vulnerable via @guardian - We are all one car accident or stroke away from disability

144. The Decision Maker - https://www.youtube.com/watch?v=NS-KWnO7ECk&feature=youtube_gdata_player- Film about the ATOS system. It is for all those without a voice and for all those going through it

145. Black Triangle Campaign - Regulation 29 and 35 - http://blacktrianglecampaign.org/2012/11/16/important-how-to-gain-exemption-from-dwpatos-fit-for-work-wrag-decisions-by-applying-esa-regulations-29-and-35 - 2 regulations ‘could hold the key to winning ESA appeals’ John Pring

146. Employment and 'Support' Allowance - ESA 50 form Interactive Guide to filling this in - http://ilegal.org.uk/thread/7049/page/1/mlinteractive-guide-completion-esa-50 - nickd (Mylegal) - ilegal team

147. Watch and share this powerful film from @TynesideMind about #mentalhealth service users' experiences of the #WCA: - http://www.mind.org.uk/news-campaigns/campaigns/benefits/but-im-here-for-mental-health/

Bedroom Tax

148] Disabled people are worst affected by bedroom tax and welfare reforms - http://www.theguardian.com/housing-network/2013/dec/11/disabled-people-bedroom-tax-welfare-reforms-affected via @guardian - threats to their independence

149. UK 'sleepwalking into violating disabled people's human rights' -  http://www.theguardian.com/uk-news/2014/jul/07/uk-sleepwalking-violating-disabled-peoples-human-rights-charities - via @guardian - Welfare reforms break UN convention

150. 300,000 disabled people waiting for housing living in unsuitable homes - http://www.theguardian.com/society/2014/dec/01/300000-disabled-people-waiting-on-housing-living-unsuitable-homes - via @guardian - adaptable ‘lifetime’ houses

151. Disabled man told ‘pay £78 or we’ll evict’ says he is a victim of the “bedroom tax” - http://www.exeterexpressandecho.co.uk/Disabled-man-told-8216-pay-78-8217-ll-evict-8217/story-20033798-detail/story.html - Devon

152. Disabled Coleford man wins bedroom tax battle - http://www.somersetguardian.co.uk/Disabled-Coleford-man-wins-bedroom-tax-battle/story-20387001-detail/story.html - small spare room used to store medical equipment and a manual hoist

153. Bedroom tax hits 60,000 families with carers - http://www.independent.co.uk/news/uk/politics/bedroom-tax-hits-60000-families-with-carers-9032033.html - caring for elderly or disabled relative caught out by “bedroom tax”

154. Bedroom tax: Raquel Rolnik's uncomfortable truths - http://www.theguardian.com/society/patrick-butler-cuts-blog/2014/feb/03/bedroom-tax-raquel-rolnik-uncomfortable-housing-truths - authentic and authoritative account of Britain's housing crisis

155. Full statement from special rapporteur on housing Raquel Rolnik - http://www.theguardian.com/world/interactive/2013/sep/11/full-statement-special-rapporteur-raquel-rolnik  via @guardian - 'Bedroom Tax'

156. Bedroom tax investigated by UN housing official - http://www.theguardian.com/society/2013/sep/04/bedroom-tax-investigate-un-housing via @guardian senior UN official to scrutinise impact of bedroom tax

157. It's official: the bedroom tax causes misery | Hugh Muir - http://www.theguardian.com/commentisfree/2014/mar/28/bedroom-tax-misery-iain-duncan-smith via @guardian - that's exactly what his bedroom tax does

158. Bedroom tax plans are levy on the grief of the poor | Michael Rosen - http://www.theguardian.com/commentisfree/2014/jan/14/bedroom-tax-death-leveller - When I my lost son, preserving his room for while was a help

159. The bedroom tax is ‘immoral’, says MP - http://www.westernmorningnews.co.uk/Cornwall-Lib-Dem-MP-says-bedroom-tax-immoral/story-20072265-detail/story.html - Cornwall Lib Dem MP labels Government’s so-called bedroom tax “immoral” and “Dickensian”

160. Peers round on Lord Freud over bedroom tax - http://www.24dash.com/news/housing/2014-06-25-Peers-round-on-Lord-Freud-over-bedroom-tax - Lord Freud withstood a barrage of questions about the bedroom tax

161. Bedroom tax bites as low-income tenants choose between 'heat or eat' - http://www.theguardian.com/society/2014/jul/15/bedroom-tax-hardship-dwp-study via @guardian - downsizing is not an option

162. BBC News - Scottish Lib Dem conference: Willie Rennie says 'bedroom tax should go' - http://www.bbc.co.uk/news/uk-scotland-scotland-politics-26785013 - Scottish Liberal Democrat leader

163. Evaluation of Removal of the Spare Room Subsidy Interim report - July 2014 - https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/329948/rr882-evaluation-of-removal-of-the-spare-room-subsidy.pdf - DWP

164. Forced to pay the cruel Bedroom Tax because of the death of her hero soldier son in Afghanistan - http://www.mirror.co.uk/news/uk-news/forced-pay-cruel-bedroom-tax-4824246 - Daily Mirror

165. Sudden rise in homelessness blamed on housing shortage and the 'bedroom tax' -

166. Bedroom tax savings will fall short - Third Force News - http://thirdforcenews.org.uk/tfn-news/regeneration-and-housing/bedroom-tax-savings-will-fall-short via @ThirdForceNews latest 2 Joseph Rowntree Foundation reports

167. About 6% of people hit by bedroom tax have moved home, figures show - http://www.theguardian.com/society/2014/mar/28/bedroom-tax-moved-home-figures via @guardian

168. Exclusive: New chapter in 'bedroom tax' saga - now councils run out of emergency funds to help worst cases - http://www.independent.co.uk/news/uk/politics/exclusive-new-chapter-in-bedroom-tax-saga--now-councils-run-out-of-emergency-funds-to-help-worst-cases-9239766.html

169. Duncan Smith can't hide the death of "compassionate conservatism" - http://www.newstatesman.com/politics/2014/01/duncan-smith-cant-hide-death-compassionate-conservatism - welfare reform defined by the bedroom tax.

170. Bedroom Tax: Exclusive Sunday People poll reveals Prime Minister is in danger over charge - http://www.mirror.co.uk/news/uk-news/bedroom-tax-exclusive-sunday-people-2317267 - the hated Bedroom Tax.

171. 'I will repeal the bedroom tax' - http://www.bbc.co.uk/news/uk-politics-24218048 - Tuesday at the Labour conference - Video 1min - Ed Miliband - #lab13

Universal Credit

172. Alistair Darling:I was warned that Universal Credit would be unworkable - http://www.newstatesman.com/politics/2013/09/alistair-darling-i-was-warned-universal-credit-would-be-unworkable - very difficult to implement and cost more than saved

173. Duncan Smith 'must answer MPs on muddled Universal Credit' | Public Finance— official CIPFA magazine - http://www.publicfinance.co.uk/news/2014/02/duncan-smith-must-answer-mps-on-muddled-universal-credit/ @Public_Finance_

174. Exclusive: Top mandarin hits back at Iain Duncan Smith over universal credit smears - The Independent - http://www.independent.co.uk/news/uk/politics/exclusive-top-mandarin-hits-back-at-iain-duncan-smith-over-universal-credit-smears-8960874.html

175. Universal Credit has "not achieved value for money", warns NAO - http://www.newstatesman.com/politics/2013/12/universal-credit-has-not-achieved-value-money-warns-nao - More bad news for Duncan Smith-National Audit Office

176. Iain Duncan Smith's catalogue of waste and poverty | Nick Cohen - via @guardian - delays - http://www.theguardian.com/commentisfree/2013/dec/07/iain-duncan-smith-waste-poverty - to grandiose universal credit

177. Auditors challenge government over cost of universal credit IT problems - http://www.theguardian.com/politics/2013/dec/10/auditors-challenge-cost-universal-credit-it-problems via @guardian - National Audit Office 

178. BBC News - MP sorry for money 'wasted' on Universal Credit system - http://www.bbc.co.uk/news/uk-25301548 - Conservative MP Nigel Mills - Work and Pensions Select Committee

179. BBC News - Universal credit - an IT fiasco? http://www.bbc.co.uk/news/technology-25234083 - A plan to transform the benefits system risks becoming a disaster

180. BBC News - Universal Credit may not hit 2017 deadline, says Duncan Smith - http://www.bbc.co.uk/news/uk-politics-25230158 - may not be complete by 2017.

181. Universal Credit crunch: Iain Duncan Smith’s welfare reform wastes £34m - so far http://www.independent.co.uk/news/uk/politics/universal-credit-crunch-iain-duncan-smiths-welfare-reform-wastes-34m--so-far-8798957.html - ‘weak management & poor governance’

182. Universal credit: Iain Duncan Smith blames civil servants for IT failings - http://www.theguardian.com/politics/2013/sep/05/universal-credit-iain-duncan-smith - rare step of publicly blaming civil servants

183. BBC News - Universal credit: What went wrong? http://www.bbc.co.uk/news/uk-politics-23971068 - At-a-glance: What went wrong.

184. How to fix Universal Credit - cut out the IT crowd via @Telegraph - http://blogs.telegraph.co.uk/news/philipjohnston/100234425/how-to-fix-universal-credit-cut-out-the-it-crowd/ - blamed department’s officials for teething problems.  

185. Now Showing: The Independent | 04.09.2013 - http://www.politicshome.com/uk/article/84261/the_independent_wednesday_4th_september_2013.html - Universal Credit £34 million wasted so far! Duncan Smith - Audit.

186. "Of £303m spent so far on IT, only £162m deemed to be fit to be capitalised as an asset - doubt the £162m too. http://www.computerweekly.com/news/2240204715/DWP-writes-off-millions-of-pounds-on-Universal-Credit-IT-damning-NAO-report-reveals #UC

187. DWP writes off millions of pounds on Universal Credit IT, damning NAO report reveals - http://www.computerweekly.com/news/2240204715/DWP-writes-off-millions-of-pounds-on-Universal-Credit-IT-damning-NAO-report-reveals @ComputerWeekly

188. “@SysThinkReview: NAO: 'Universal Credit: early progress.' http://www.nao.org.uk/wp-content/uploads/2014/09/Executive-Summary.pdf ” - points 23 and 24, carry on regardless...

189. NAO: 'Universal Credit: early progress' - http://www.nao.org.uk/wp-content/uploads/2014/09/Executive-Summary.pdf - Bob Marshall ‏@flowchainsensei1

190. David Cameron's £2.4bn universal credit project riddled with problems - http://www.theguardian.com/politics/2013/sep/05/david-cameron-24bn-universal-credit-problems-  @guardian £34m wasted on failed IT programmes

191. Why does truth on Universal Credit emerge only now? http://ukcampaign4change.com/2013/09/04/why-does-truth-on-universal-credit-emerge-only-now/ via @tonyrcollins - By Tony Collins - In advance of Audit report

192. DWP drops agile from flagship government software project- Public Sector IT:- http://www.computerweekly.com/blogs/public-sector/2013/05/dwp-drops-agile-from-flagship.html - drops scheme to avert software disasters

193. Make no mistake: Iain Duncan Smith wants the end of social security | Zoe Williams - http://www.theguardian.com/commentisfree/2013/dec/10/make-no-mistake-iain-duncan-smith-end-social-security via @guardian

Solutions 

194. DWP draws up plans to ditch ridiculed jobs website - http://www.theguardian.com/money/2014/mar/16/dwp-jobs-website-universal-jobsmatch - "series of fake, repeat or fraudulent jobs ads" - March 2014

195. WOWCampaign’s response to this ConDem Government’s repeated statement that it is impossible to do a Cumulative Impact Assessment of the way the Welfare Reform Act affected Sick and Disabled people, despite evidence to the contrary - http://wowpetition.com/

196. War On Welfare petition: 100,000 sign petition asking for assessment of cuts to the sick and disabled - Mirror Online - http://www.mirror.co.uk/news/uk-news/war-welfare-petition-100000-sign-2870513

Sunday, 14 December 2014

Stakeholder event 1st December 2014 Bradley Stoke Leisure Centre – South Gloucestershire- Mental Health

Health Needs Assessment

Notes

Prevalence of Mental Health Issues in South Gloucestershire
Input of Service Users and Providers
A first for South Gloucestershire
Develop a Stakeholder Group
Reports to South Gloucestershire Mental Health Partnership and Health and Wellbeing Board
Needs assessment executive summary – Your views and ideas
Volunteers for Strategy development
South Gloucestershire Adult Mental Health and Wellbeing Needs Assessment
Dr Kyla Thomas NIHR – Lecturer and Researcher - http://www.nihr.ac.uk/research/ - National Institute for Health Research –
Key findings and areas of improvement – Foresight report 2008 – Definitions of mental health

National

No Health Without Mental Health 2011
Preventing suicide – Closing the Gap – Public Mental Health Priorities

Local

Priority Neighbourhoods, Unemployed, Prisoners, LGBT, Gypsy/Travellers, Substance Misuse, Smokers, People with Long Term Conditions, Students – College and University.
Prevalence will increase until 2020
Increase in Depression
Increase in Hospital admissions
Increase in Male suicides
Female suicides constant
IAPT - Improving Access to Psychological Therapies – lower than average referrals for depression.
NHS AWP Avon and Wiltshire Mental Health Partnership NHS Trust increase in caseload
Survey with Care Forum – Raised problems with consistency and continuity of care, issues with talking therapies, difficult to access services.

Things that came up –
Service user lived experience
Mentored Peer Support
Assistance with navigating of website
Consistency of care
Improvement of community support
Knowledge of mental health and dementia from all services, not just health services
Joined up services
Being creative about service design
Long term, short term interventions
User volunteers but don’t be over-reliant
Tackling stigma – training for employers, understanding mental health
Learning from what’s been successful in dementia promotion – apply to mental health – In my opinion learning from Time to Change also
Working together service providers and service users, BME (Black and Ethnic Minority, learning difficulties
As Healthwatch rep I mentioned CAMHS (Child and Adolescent Mental Health Services) transition, negative feedback about transition, DWP problems, housing.

Aspiration to get strategy ready for 2015

Saturday, 1 November 2014

BBC News - People asked to blog about their mental health illness


BBC News - People asked to blog about their mental health illness - http://www.bbc.co.uk/news/health-29861510 - 'I blogged my way to mental health' - Video

'People with mental health conditions such as depression, anxiety or schizophrenia are being asked to write about their lives online.
The idea is that the blogs will make it easier for others to spot the signs of mental illness.
One in four people in England will suffer from a mental health issue in any given year.
Leah Boleto reports.'

Related Stories

BBC News - Movember founder: Movember turns its attention to men's mental health - http://www.bbc.co.uk/news/health-29841063 - Mental health Movember

The 1% Spent On Mental Health That Should Be A 'Warning' To Us All - http://www.huffingtonpost.co.uk/2014/10/28/mental-health_n_6060350.html?utm_hp_ref=twvia @HuffPostUK

Councils spend less than 1.5% on mental health, charity finds - http://www.theguardian.com/society/2014/oct/28/mind-charity-mental-health-council-spending-less-than-1-point-5-per-cent?CMP=twt_gu via @guardian - Mind charity

BBC News - Public mental health spending in England too low, says Mind - http://www.bbc.co.uk/news/health-29792386 - Local authorities spend "unacceptably low"

BBC News - Tackling soldiers' mental trauma after Afghanistan duty - http://www.bbc.co.uk/news/uk-england-29740410 - BBC Inside Out - impact of Afghanistan conflict

BBC - Sport scheme to help people with mental health problems unveiled - http://www.bbc.co.uk/news/uk-29679101 - run by charity Mind-funding from Sport England

Government will continue to fund the Time to Change campaign for a further year - http://www.mind.org.uk/news-campaigns/news/government-will-continue-to-fund-the-time-to-change-campaign-for-a-further-year/#.VDkGgGddV1V - MIND - Posted on 10/10/2014

Monday, 27 October 2014

Avon, Gloucestershire and Wiltshire Wellbeing and Mental Health Engagement Event - Notes

Avon, Gloucestershire and Wiltshire Wellbeing and Mental Health Engagement Event


Peter Hale

Tuesday 21 October – Bristol

Health Protection and Health Improvement – Public Health hasn’t embraced Mental Health Agenda – Needs improvement for Parity of Esteem – Premature Mortality. Unless more input won’t get the benefit of improved public health. What would help to improve mental health? Learning and listening, what can Public Health England do to support communities, how can they help local communities and organisations. Some of measurements and terminology can get in the way. Significant challenges. Don’t want to see silo approaches between Mental Health and Physical Health.
In my opinion why no-one here from DWP, ATOS etc, Work Programme etc?
So much work on mental illness but need for more on mental health and mental illness, stigma, and physical health and joining up physical and mental health. Some progress in last two decades but not enough, for parents, schools, workplaces, needs more work, policy advocacy. Encouraging evidence on what to do. Growing examples of good practice in local communities. Desire for more integrated approaches. Still pejorative discussion of mental illness and cost. Not acceptable to talk of financial ‘burden’ of mental illness to country. Can people with mental health issues get work, be free of discrimination, companionship, freedom from debt. Compelling story for how and why to improve mental health – evidence base. Separates mind from body, lack of co-ordination, lack of implementation of policies to improve mental health. Next 18 months will be a lot of discussion, local needs assessments, strategic plans, co-ordination, must include agenda for mental health. Must engage with community. Public Health England PHE has priorities – mental health and illness to be included as part of all strategies.

Public Health England (PHE) Action in Public Health

Things like Mental Health First Aid Programme, annual summits, progress and approach for 2020.
Immediate plans for more emphasis on prevention of mental health issues to be embedded in services. Key programme areas for service user involvement.
October 29th wellbeing – Gus O’Donnell to Launch in morning Employment and Learning, Exercise, Art. Independent report – CMO report: Public Health England (PHE) reflections – Use of World Health Organisation (WHO) Framework.
Later – Happy City Bristol Launch.

Keynote Session 2

What is wellbeing – mental health – Why is it important?

Issues

This statement is untrue – ‘Mental illness population affects a well defined group discrete from the rest of us.’ of the – This does not accord with the facts.
Dual Continuum Model – To address wellbeing as well as illness.
Mind and body are one system - Descartes was wrong!
Autonomic Nervous System
Fight or Flight (or Freeze)
Systems approach needed and plan.
Need to invest in many places.
I raised issue of Public Health Ringfence. Answer from Public Health England that councils must embed mental health investment within their spending. What are the needs of the community?

Keynote Session 3

Mental Health First Aid (MHFA) – I’ve done this training and many other people I know
Prevention not cure – Diminishing resources
Paramount to –
a)      Educate ourselves
b)      Empower individuals to spread message
c)       Collate robust evidence
Hard to get funding for things that aren’t evidence based. Mental Health First Aid (MHFA) has evidence. Includes supporting employers to promote workplace wellbeing, and help staff to cope. Help to lessen stress at work. What would you do if someone is in a mental health crisis?
Imagine a workplace without physical fist aid?!
Health professionals still need MHFA.
Still lots of stigma and discrimination.
1/3 of GPs have never had mental health training but 1/3 of patients visit because of their mental health issues.
5 ways to wellbeing
Question from service user whether DWP will offer MHFA to people who are claimants.
Question about keeping stress management within workplace ongoing – champion in Workplace to ensure MHFA is ongoing.

Assist ASIST - Applied Suicide Intervention Skills Training - See more at: http://www.elament.org.uk/training/asist-applied-suicide-intervention-skills-training.aspx#sthash.mN5zlIkR.dpuf

Workshop Discussion

Separated into tables for different areas (2 for Bristol)
Bristol tables - requested more accountability on spending (Councils’ Public Health, and Public Health England). More voluntary sector and service user involvement, and joining up of services. Also role of sports, exercise, faith and community groups in promoting good mental health. Asset rather than deficit approach looking at what we have. Need resources for mental wellness, not just illness. The point was made that points such of this were made some time ago, progress? Importance of getting in early for children’s mental health. MHFA is a good example – LIFT Psychology works well but not for all people. Happy City works well with some people, but some people miss out. Reframing narrative – including people with lived experience. Talking to people with mental health issues – what goes well? Evidence base – need for models that aren’t just numbers based, as mental health is complex. Issue of tendering being competitive, does that encourage collaboration?
South Gloucestershire table – raised issue of joined up services, and services for young people.

Other tables – discussions – shifting conversation from – things can’t be done for lack of money to identifying what community assets are already available. Issue of 7 minute GP appointments. Employers need to be at forums like this.

Relevant News Stories

BBC News - Public mental health spending in England too low, says Mind - http://www.bbc.co.uk/news/health-29792386 - Local authorities spend "unacceptably low"

Councils spend less than 1.5% on mental health, charity finds - http://www.theguardian.com/society/2014/oct/28/mind-charity-mental-health-council-spending-less-than-1-point-5-per-cent?CMP=twt_gu via @guardian - Mind charity


Saturday, 25 October 2014

Munch and the Balloon - Children's story with a message of tolerance

Once upon a Munch Time, there was a cow called Munch. Today was Munch’s birthday, soon after Christmas. Munch the cow had a party with Robbie the Robin and Sally the Squirrel, and all the other cows and pigs and sheep. One of these was a shiny blue balloon with ‘Happy Birthday Munch the cow’ written on it in nice shiny orange writing. The balloon was on a string.
Munch was grateful for the balloon and all the other presents.  Munch the cow stood on the string and enjoyed tapping the balloon with her nose. But Munch enjoyed this game so much that she let go of the balloon. Her hooves did not hold the string well. Munch could only hold wider things like books. That caused Munch to lose the balloon.
The balloon floated up and the string got stuck around a high up door handle. The balloon was stuck in the window of the barn. Munch the cow cried. She could still see the balloon but could not get it. This gave her hope of getting the balloon, but no way of reaching it.
Sally the squirrel said to the cow, “why don’t you climb and get the balloon”, but Munch could not climb.
Robbie the Robin said “why don’t you fly up and get the balloon”, but Munch could not fly.
Munch the cow cried and cried. She knew the animals were trying to help but she could not do these things. She felt sad.
Then Robbie the Robin said “I will fly up and get the balloon”. Robbie was good at flying. Robbie was good at flapping against the balloon to knock the balloon free from the window. Robbie was good at picking things up with his beak. But when Robbie picked up the string and tried to fly down he could not, as the string was still stuck around the handle.
Robbie felt bad because he couldn’t get the balloon, Robbie cried.
But then Sally the squirrel said “I can’t fly but I can climb and chew”. So Sally climbed to get her teeth into the string. Robbie kept hold of the string at the top. When Sally chewed through, the balloon came free. Robbie flew down with the balloon.
The animals felt good. They all cheered and barked and mooed and chirped and squeaked.
Munch the cow felt better but was still worried because she had hooves. Though she felt better that she could not fly, she still felt bad that she could not hold the string.
The farmer looked out the window to see what had happened. The farmer was pleased the animals were having fun.
Colin the Collie had an idea, he ran under a gap in the hedge to get the farmer to ask him to help.
The farmer wanted to help Munch the cow. The farmer has hands so can hold things. So the farmer tied the balloon string around a little post.
Then Munch felt better and the farmer felt better, and all the animals felt better because the farmer had helped.
Munch the cow felt better but was still a bit unhappy. As the other animals could all do useful things and the Munch could not do any of these things so well. Munch wanted to do something but could not fly or climb or hold things, or run through the little gap in the hedge.
Munch did not feel like doing her game again. But then Munch thought of something she could do and the farmer realised how he could help.
The farmer liked Robbie the Robin but did not like that Robbie often flew in the window of the barn and pecked at the milk bottles. The farmer did not like telling Robbie off though.  The farmer wanted to help Munch and Munch wanted to help Robbie the robin and the other animals. With the farmers help, Munch was milked and this meant everyone could have milk.
The farmer had lots of nuts left over from Christmas and gave this to Sally the squirrel. This helped Sally to eat her favourite food and snuggle indoors for the cold winter.
The farmer and Munch put some of her milk every day in a bowl near the post. This meant that all the animals that liked milk had milk every day. Robbie the Robin did not need to peck the bottles in the window . Robbie drank from the bowl instead.

And Munch the cow had lots of company who all joined her game, and they all had fun every day. They all felt good that they all knew how to do things and how to help each other.

Tuesday, 30 September 2014

Time to Change at St Pauls Carnival - Bristol

My Blog Post on the Time to Change Blog - https://www.time-to-change.org.uk/blog/time-change-st-pauls-carnival-bristol - https://www.time-to-change.org.uk/blog/time-change-st-pauls-carnival-bristol

I’m a Time to Change Champion who has mental health issues; all our champions either have or have had mental health issues. This makes us ideally placed to talk about them. This is why we volunteer.St Paul’s Carnival Promotes participation in the Education and Appreciation of African and Caribbean Arts and Culture. Time...

https://www.time-to-change.org.uk/blog/time-change-st-pauls-carnival-bristol - September 30th 2014 - from this Summer

World Mental Health Day will take place on 10 October 2014 - http://www.mentalhealth.org.uk/our-work/world-mental-health-day/ - raising awareness about mental health

What's going on near you? Time to Change Events - Time to Change events in 2014 - http://www.time-to-change.org.uk/take-action/events-search