- 4:26 pm
- Bill Grant (Ayr, Carrick and Cumnock) (Con)I beg to move,That this House has considered arthritis and employment.It is a pleasure to serve under your chairmanship, Sir Graham.I am delighted that my application for a Westminster Hall debate has been successful, as it provides an opportunity to highlight arthritis, a condition with which we are all familiar. It is estimated that, in its various forms, it will affect approximately one in five individuals in the UK by 2050. Arthritis disrupts the body’s locomotor system, which is the bones, joints and muscles that facilitate a person’s movements. There are many types, and most people will have heard of osteoarthritis and rheumatoid arthritis, but there are other forms of inflammatory arthritis, and other inflammatory conditions such as lupus and polymyalgia rheumatica.Arthritis is a frequently debilitating condition and does not, as some assume, affect only the older generations.
- I congratulate the hon. Gentleman on securing this debate on a very important subject. Like many Members, I have constituents and family members who are affected by arthritis. Does the hon. Gentleman agree that when we consider people with arthritis and employment, and the benefit system as well, it is important to take into account the fact that some days people are able to work and on other occasions that is not the case? That needs to be reflected in how we treat people with arthritis.
- Bill GrantThose three elements are indeed linked. Flexibility is the key. Employers and managers have to understand that those suffering from arthritis have good days and, as I will come on to later, bad days. We need to adapt the workplace and be flexible.The symptoms may be identified in very young children or occur at any time in a person’s life. More than half of the 17.8 million people in the UK with arthritis and related conditions experience daily pain. The condition severely impinges on their lifestyle, whether it be their ability to live independently, to care for family, to work, to travel or to take part in sports and hobbies, all of which, in some instances, may lead to social isolation. I recall at an event trying on a tight-fitting gauntlet with the purpose of experiencing the restrictions caused by arthritis of the wrist and hand. I was concerned to note how I lost my fine motor skills for even the simplest of tasks. It must be so frustrating to be faced with such difficulties on a daily basis.
- I congratulate my hon. Friend on securing this debate on such an important subject. He speaks about social isolation; many people who suffer from arthritis have not been able to work for years, such as my constituent Russell, who came to my surgery. One of the things he does is volunteer: he is an ambassador, who goes out and helps other people in his community in a really positive way. However, he and potentially others have found that when they get expenses for helping out, they are charged as if they were in employment. Does my hon. Friend feel it is important that we make sure that people who want to volunteer when they can are able to do so without that fear?
- Bill GrantI thank my hon. Friend for that intervention, and I wholeheartedly agree with her. The modest expenses of somebody who makes a special effort to go and volunteer should not affect any other income that individual may have.In my constituency of Ayr, Carrick and Cumnock, the second most common reason for awards of personal independence payments was musculoskeletal disease, including osteoarthritis, inflammatory arthritis and chronic pain syndrome, which accounted for some 20% of awards in the constituency. That is similar to the UK average of around 21%. Those of us who attended Versus Arthritis’s recent event in Parliament heard about new research, illustrating that some 43% of people with arthritis struggled with tasks at home, and some struggled for in excess of two years before sourcing equipment that could assist them.
- It is not just about struggling at home. About a quarter of people with disabilities who are employed said that they did not get the right sort of support: their employers had not got advice from Access to Work to try to make their lives easier. Does my hon. Friend think that is something we can tackle?
- Bill GrantI thank my hon. Friend for that intervention. Access to Work is important, but as I will come to later in my speech, it is not widely known about. The Government and Departments have more to do to promote that scheme and make people aware of it, so that workplaces can be made that bit more acceptable to individuals with particular disabilities.Versus Arthritis’s “Room to Manoeuvre” campaign has been set up to improve access to aids and adaptations in the home and—I would hope—in the workplace, as my hon. Friend the Member for Henley (John Howell) has suggested. Apparently, a remarkable 94% of people with arthritis said that those aids and adaptations had immensely improved their life. That independence is valuable to a person’s overall wellbeing, and reduces the strain on our NHS and local authorities.
- Hugh Gaffney (Coatbridge, Chryston and Bellshill) (Lab)I congratulate the hon. Gentleman on securing this debate. What Versus Arthritis is doing is fantastic, but does he agree that workers are now having to work longer, which they cannot do because of arthritis? This is not only about adaptations; there is a financial burden on them. What will this Government do for the people who have been forced to work longer for their pension?
- Bill GrantI thank the hon. Gentleman for that intervention, and to a degree, I accept his criticism. Consecutive Governments have made pension adjustments in 1995 and 2011 to reflect the equalisation of the pension age and people living longer, although I think we have plateaued in that regard. However, those who have disabilities and conditions such as arthritis will be impacted that bit more. For those who plan to continue a career but are impacted in extreme cases by disabilities such as arthritis, I agree with the hon. Gentleman. Maybe we need to think about how we can assist those people’s allowances more when they have to retire early, before their planned retirement.The MPs who attended the “Room to Manoeuvre” event heard from Maureen, who suffers from rheumatoid arthritis. She said:“I use aids at home, they help to keep me independent. However, I didn’t realise I could get them through the local authority and it’s not clear what to do when you need support. It’s important that MPs learn about the problems people with arthritis have accessing aids and adaptations, so they can make sure the right help is available.”Arthritic conditions can be a drain on medical resources, requiring regular medication, blood checks, bone scans, and occasional time off work to attend appointments. They are often lifelong conditions, and remissions or flare-ups may occur. As was said earlier, we need to be flexible in our places of work to host and accommodate the issues that affect these individuals.Being able to work is often seen as beating the challenge that such a condition presents: a person taking control of their condition, rather than the condition being in control of them. It allows that person to have dignity and pride in their personal achievements, which I think we would all agree they are entitled to. Versus Arthritis includes in one of its publications a quote from Dr Carol Black, the expert adviser to the Government on health and work:“The evidence is clear that most people with these disabling conditions want to work. Indeed, with the right support and working arrangements, usually with modest adjustments, they can do so and be valued employees”or continue to be valued employees in a company.Let us endeavour to ensure that we do not unnecessarily lose talented and hard-working people from the workforce. The Equality Act 2010 requires an employer to make reasonable adjustments to support job applicants and enable an employee with a disability, or physical or mental health condition, to in effect wholly fulfil the duties of their post. I am aware that the Department for Work and Pensions has published guidance on employing disabled people with health conditions, and the Equality and Human Rights Commission has provided, or cited, examples.
- Hugh GaffneyThe hon. Gentleman is doing a great job. We are talking about helping people, but can we not also help health and safety in the workplace by working with young workers to prevent arthritis later in life?
- Bill GrantI am not a medical expert—arthritis may or may not be related to the workplace—but where issues can be identified, such as repetitive work that might affect the musculoskeletal system of an individual, we can change it. We can automate it without losing the job, but we need to be conscious of what staff are subject to through 10, 20 or maybe 30 years of work. I agree with the hon. Gentleman: if those issues can be identified, they should be removed and we should mitigate the risks as best we can. Where possible, we should assist employers in doing so.Spending on the Access to Work scheme has increased by 8% in recent times, supporting more than 25,000 people. Around £54 billion per annum is spent on benefits to support people with disabilities, equating to some 6% of all Government spending. Nevertheless, I make a plea to the Treasury to consider further increasing the allocation of funding for the scheme and introducing incentives to encourage employers to consider health and wellbeing initiatives to assist those with arthritic conditions. The benefits of physiotherapy have been recognised. In Scotland, the public may self-refer, but that may not be the case throughout the whole United Kingdom.Finally, there is a problem that action does not always follow post-assessment recommendations. Will the Government consider what they can do to address any negative attitudes on the part of employers or managers, whether that be by further legislative provision or some other means? By sharing and encouraging best practice and putting the right support in place, we can make it easier for people with arthritis who want to work, helping to achieve the Government’s laudable ambition of getting 1 million disabled people into work.
- Several hon. Members rose—
- Order. I have six Members wanting to catch my eye, so I propose a four-minute time limit on Back-Bench speeches.
- 4:45 pm
- It is a pleasure to serve under your chairmanship, Sir Graham. I congratulate the hon. Member for Ayr, Carrick and Cumnock (Bill Grant) on securing this debate and on his excellent and informative speech. Several constituents requested that I attend this debate, but I was particularly encouraged to be here by Danielle Swinney. Danielle suffers badly with ankylosing spondylitis, an inflammatory form of arthritis that causes the vertebrae in the spine to fuse. Despite being in constant crippling pain, Danielle works full-time in a pressurised job as an accountant.Danielle told me how her condition affects her. It differs from day to day, but every day she sets her alarm for 4 am, two hours before she needs to get up, because her joints and back are so stiff that she has trouble moving first thing in the morning. It takes her an hour to get to work. Once she is there, she works from 8 am until 4.30 pm, and some days even longer. None of that helps with the symptomatic chronic fatigue she experiences, like so many others with arthritis. Danielle wants to work, however, and like everyone she needs to work, but she says that some days are so hard that even just to put on her own socks and shoes is a problem.Danielle is just 25 years old. I salute her for her determination, her professionalism in her work and her frankness in talking about her condition. On her behalf, I ask the Minister to ensure that the Government do more to make employers aware of the effects of arthritis and to ensure that courageous people such as Danielle, who puts many of us to shame, can get into and be supported to remain in work. People with arthritis do not want their condition to keep them out of employment, and we owe it to them to make sure it does not.
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- Douglas Ross (Moray) (Con)It is a pleasure to serve under your chairmanship, Sir Graham. I congratulate my hon. Friend the Member for Ayr, Carrick and Cumnock (Bill Grant) on securing this debate and on his outstanding speech, which showed his passion and enthusiasm for this topic. I listened carefully, and I do not think he declared an interest at the start, so the spring in his step that we see from him every day around Westminster is perfectly natural and his interest in this debate comes not from any self-interest, but is for his constituents, who have rightly raised the issue. It was good to hear what he has done in his office to accommodate a member of staff.I want to briefly give some figures from my constituency of Moray. Nationally, 63% of people of working age who have arthritis are in work. When we look at the figures more closely, in Moray, people over 45 with osteo- arthritis of the hip number 4,757. There are 7,848 people over 45 with osteoarthritis of the knee. There are 653 people with rheumatoid arthritis. There are 15,526 people in Moray with back pain. Had it not been for my hon. Friend’s debate today, I would not have known that such a large number of people within my community suffer day in, day out with this condition.We heard from the hon. Member for North Tyneside (Mary Glindon) about a young person who lives with arthritis. It is testament to them that much of the time when we see them in our communities, they put on a very brave face. They work hard to live with their condition while in excruciating pain. This debate has shown that there is support for them, and we have to do all we can to encourage them to take up that offer of support, but we should also realise how many of those we work with day in, day out in our communities suffer from arthritis.Arthritis and related conditions are the biggest cause of pain and disability in the United Kingdom, and account for 28.2 million working days lost each year. Nearly half of all work-related illnesses in Scotland are related to arthritis and joint pain, so it is a considerable issue, both in Scotland and across the United Kingdom, and something that we really need to tackle.I welcome the presence of the Minister, who I am sure will speak about the Access to Work scheme. It is an excellent scheme that we should promote, but as my hon. Friend the Member for Ayr, Carrick and Cumnock said, we need to promote it because there is not enough awareness of its benefits. As he said, between May and June 2018 Versus Arthritis surveyed 15,082 people with arthritis and related conditions. Those people live with it, day in, day out, and are acutely aware of the need for assistance and support. Yet almost 60%—59%—had never heard of the scheme, so the people we are trying to target are unaware of a scheme that is designed to help them.