Lords Hansard text for 20 Jul 1999 The Deafblind Link Scheme.
Lord Higgins: I am grateful to the noble Baroness. Again, we shall study what she said with care because her suggestions make a great deal of sense in the context of the basic concept; that is, unless we start afresh and enumerate everything in sight as to the reasons for a particular benefit to be received. In that context, I beg leave to withdraw the amendment. Amendment, by leave, withdrawn.
Lord Ashley of Stoke moved Amendment No. 127D:
After Clause 62, insert the following new clause--
DEAFBLIND LINK SCHEME
(". After section 76 of the Contributions and Benefits Act there is
"Deafblind link scheme"
Deafblind link scheme.
76A.--(1) A person who has a combined sight and hearing impediment which is such as to make him unable to communicate or receive information, or virtually unable to do so, without assistance is entitled to receive deafblind link vouchers.
(2) A person is within subsection (1) if he is--
(a) both blind and deaf,
(b) partially blind and deaf,
(c) partially deaf and blind, or
(d) partially deaf and partially blind,
and he satisfies such other conditions as may be prescribed.
(3) A weekly rate of deafblind link vouchers shall be prescribed which is redeemable at a value at least equivalent to the highest rate of the care component of a disability living allowance.
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(4) Regulations shall provide for deafblind link vouchers--
(a) to be issued to a person entitled to receive them at such periods as may be prescribed, and
(b) to be redeemable by a registered provider, in respect of the supply of prescribed services.
(5) In this section--
"registered provider" means a person who provides services to persons within subsection
(1) to enable them to communicate or receive information and who is for the time being listed on a register maintained by or under the direction of the Secretary of State, and "prescribed services" is to be construed accordingly."").
The noble Lord said: I beg to move this amendment in the hope that the Government will make essential provision for some of the most disabled people in our society. It is virtually impossible to visualise the effects of the combined disability of deafness and blindness. I hope my noble friend and noble Lords will make an effort so that we can address and discuss this fundamental issue.
When I lost my hearing completely, some 30 years ago, I found that my sight naturally compensated for it. I have no doubt that similarly David Blunkett, who entered the place when he was totally blind, finds that his hearing compensates to some extent for that. But deafblind people have no compensation whatever. They are without sight and hearing, they live in a world of silence and darkness. They undoubtedly need skilled specialist assistance.
In a survey by the organisations for deafblind people, Sense, and Deafblind United Kingdom, it was found that 77 per cent of deafblind people did not have specialist one-to-one support services. That is what they need. Forty-two per cent were virtual prisoners in their own homes.
At present the provision is wholly inadequate. It is certainly not given
as it should be, as a right to that kind of support. The aim of the amendment
is to ensure that right and the beginning of proper provision for deafblind
people. It is not a lot to ask and I hope my noble friend will be able
to help. What we really need is a right enshrined in law to specialist
support, and properly funded.
The essential objective of the amendment is to provide a link scheme which is modelled on a highly successful scheme in Norway. Deafblind people would apply for vouchers worth the equivalent of the highest rate of the care component of the disability living allowance. At present that rate is £52.95, which would buy six hours of support from a specialist deafblind link worker. It is not a lot to ask, but it is the beginning of something which I hope will grow and develop in Parliament.
There are various specialists to be employed in the link scheme who
are skilled in hands-on signing, finger spelling, the deafblind manual
alphabet, Braille, as well as lip-reading and clear speech. Communicator-guides
visit deafblind people in their homes, helping them with telephone calls
or reading them the mail or newspapers. They help with interpreting television
programmes, doing the shopping and helping them to take exercise, sort out bills and do voluntary work.
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The second group are interpreters who transmit spoken and visual information to deafblind people in formal meetings or situations such as medical or legal consultations. They also guide deafblind people to and from those meetings and during them.
The third group are called intervenors. What they do is to encourage children and adults who were born deafblind to access and learn about their environment and make decisions and choices.
This is the way it would work; it is quite simple. The deafblind person
could use vouchers to book support from registered service providers who
would then recoup the cost from the Benefits Agency. That agency would
be responsible for the financing of the scheme. The provision of such specialists
would obviously relieve the isolation and depression and enable deafblind
people to socialise to some extent, to learn new skills and to enjoy contact
with other people. I must tell my noble friend that I make no bones
about the fact that this is the mere beginning of a campaign to make proper
provision for deafblind
people. We are not asking for the millennium or the moon this afternoon, but we will be shortly.
Those worst affected will need more than six hours a week. I hope that
local authorities would supplement that minimum for those in greatest need
and would seek out and identify deafblind people, register them and ensure
that community care assessments included checking that they had guides,
interpreters and interveners. Those requirements could be defined in
regulations made under the Bill.
The deafblind link scheme is not intended to replace other benefits or services. It is necessary to supplement disability living allowance because a deafblind person would use a link scheme to book one-to-one support for activities of their choice. That would include many things that are not normally included for the purposes of the assessment of the care component of DLA, such as help with domestic tasks, social and other activities.
I am sure that my noble friend the Minister will consider my points carefully and will help if she possibly can. I do not pretend that the wording of the amendment is air tight and I have no doubt that some difficulties will emerge. Nevertheless, the aim of the amendment is clear. I hope that the Government will find some way of helping. I beg to move. 6 p.m.
Lord Addington: I have a small apology to make to the noble Lord, Lord Ashley of Stoke. When we were talking about the single gateway, I suggested that advocates and people to support would be required, particularly for the deafblind. I had not seen the noble Lord's amendment at the time and I said that I did not know whether there was an amendment down.
We use hearing and sight to help us to communicate. A very learned man once told me that that is one reason why mankind dominates the planet. We co-operate with each other; we are a social animal and we communicate. The deafblind have those two normal means of communication removed from them. That implies terrifying isolation. Anyone who has not tried to take
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that on board will go a little cold the first time they think about it. There is no more profoundly cut-off person than someone who cannot see and cannot hear. It is probably the most frightening disability that we have to deal with. Even if the amendment is not accepted, I hope that the Minister will give a strong guarantee that the deafblind will be provided with a minimum level of assistance in basic communication to allow them to become part of the rest of the species.
Baroness Darcy de Knayth: I strongly support the amendment. There is no need to add to the graphic picture given by the noble Lords, Lord Ashley of Stoke and Lord Addington, of the problems facing deafblind people. Deafblind people have missed out and I hope that the Minister will respond positively, or at least promise to go away and look at the issue.
Baroness Hollis of Heigham: The amendment, so movingly introduced by my noble friend Lord Ashley of Stoke and spoken to by others, would introduce special help for one specific group of disabled people in the form of vouchers redeemable for services. The rate of provision would be equivalent to at least the higher rate care component of disability living allowance.
I understand my noble friend's concern. I agree that deafblind people need specialist help to access information, interact with others and improve their quality of life. Being both deaf and blind denies all other sources of communication. There are problems of definition, because we are talking about the disability caused by blindness or deafness. People who are visually impaired or have partial loss of hearing can be registered blind or deaf but manage adequately with communication. However, that is not the issue.
There are several reasons why it would not be right for the Government to accept the amendment. It would not be consistent with the aim of disability living allowance, which is a cash benefit designed to provide a contribution towards the extra costs of disability and managing that disability. It for the individual to decide how the money is used. That gives dignity and choice to disabled people. We are not keen on the shopping list that the noble Lord, Lord Higgins, mentioned on the previous amendment or on a voucher scheme.
There is also an important issue of fairness. If the vouchers were payable
to people already in receipt of DLA, it would effectively double or more
than double the provision available to one small group of disabled people.
I recognise they have very severe disabilities, but others, such as those
who are bedridden, who have no communication skills and who require round
clock care and attention, also have lives that are unimaginable for most of us. We should bear in mind the issue of equity across groups.
A voucher scheme is not necessary because we already make deeming provisions for deafblind people to receive the higher rate mobility component of DLA. The higher rate care component is also available to help towards the extra costs of their disability. I have already referred to the Mallinson and Halliday cases, which
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extended DLA to people with communication difficulties. We shall be helping deafblind children by lowering the age limit for the higher rate mobility component.
I am aware that some disability organisations are concerned about the effectiveness of the higher rate mobility component in targeting the most severely disabled deafblind people. My noble friend Lord Ashley of Stoke was right to make that point. The statistics are shocking. Very few deafblind people are getting the help they are entitled to. We have heard from Sense that about 3,000 deafblind people need communicator guides, yet only 362--barely more than 10 per cent--receive the higher rate mobility component of DLA through the deafblind criteria.
That problem clearly needs to be addressed. We have commissioned the disability living allowance advisory board to look at what can be done. It has identified a number of issues, including objective evidence gathering and, importantly, a review of training for adjudication officers and medical advisers. The board is aware of the interlocking nature of the two disabilities. The findings have been fed into the Benefits Agency modernisation programme. We will be monitoring the programme closely to ensure that claims for DLA by deafblind people are dealt with as fairly and efficiently as possible.
As my noble friend said, the benefits system is not the only source of help for deafblind people. Support is also arranged by local authority social services. Local authorities have a duty to assess people whom they think may require community care services and decide what services should be provided. In addition, hearing and low vision aids are available on prescription or free loan from the NHS.
The Government are determined to ensure that social services provide better support for all those with long-term care needs, including deafblind people. My right honourable friend the Secretary of State for Health published his plans to improve social services in last year's White Paper, Modernising
Social Services. The White Paper sets out our view that the promotion of independence should lie at the heart of all services. It describes the major reforms in hand to ensure that there is more consistency and fairness in social care and that services are more convenient and user-centred.
I agree entirely with my noble friend that local authorities should identify all the people who need their services. In particular, they should actively seek out and contact those such as deafblind people who may find it particularly difficult to access services that they greatly need. If we can ensure that local authorities have sought out the deafblind people in their area and are providing appropriate and sufficiently generous care packages and if the Department of Social Security ensures that its adjudication officers are well trained so that they can ensure that deafblind people who apply go on to the higher rate of DLA if so entitled and it is appropriate, I hope that it may be possible to bring many more of them within the framework of the independent living fund.
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Bringing someone within the framework of the independent living fund would mean that, if they were getting a care package from their local authority valued at £200, the ILF, if they were on the higher rate DLA, would then be able to add, if appropriate, a further £300 which would be very much more generous than the voucher system that my noble friend has suggested. That is one possibility that I am anxious to explore in conjunction with my noble friend to provide appropriate packages for people who are severely deafblind.
As I say, the Government are consulting on proposals for a charter for long-term care, "You and Your Services". This charter is intended to ensure that services meet the standards that users want and expect. Later this year, we will consult on draft guidance on fair access to care services and we will certainly consider my noble friend's comments in that context. I would also urge him to encourage the voluntary organisations with which he works-- the two leading ones are, I understand, Sense and Deafblind UK--to play a full part in those consultation exercises and particularly to work with local authorities to ensure that deafblind people are brought within the ambit of their services.
I hope that what I have said has convinced my noble friend that there is no need for this amendment. We do recognise that many deafblind people are not getting the help they are entitled to, either from local authorities or through DLA. We are taking steps to address that problem.
We are also taking action to improve the support that is available from
social services for people who need long-term care, but I do not myself
believe that a voucher scheme is the right way forward. I hope that, in
the light of my reply, my noble friend will withdraw this amendment.