1. Welfare and mental health Dave Simmonds OBE Centre for Economic & Social Inclusion

2. Out of work benefits in 2014

3. Over 1 million or nearly half on ESA/IB have a mental health condition

4. Health related benefits over time (000’s)

5. Mental health as a proportion of IB/ESA has doubled since ’95 Proportion of all IB/ESA claimants

6. Breakdown of mental health conditions for ESA/IB (Scotland, 2013)

7. JSA, Income Support and mental health JSA claimants can self-declare a “a physical or mental impairment “ Latest data (Nov 2012) gave 24% or 340,000 self- declaring Therefore around 10% of JSA claimants might self- declare for mental health reasons The same might apply to lone parents on Income Support.... but is 10% an under-estimate? An estimate of approx 1.4 million on benefits with mental health problems

8. Families respond in three main ways: Cutting back Borrowing Not paying bills Many want to work but some a long way from work Most don’t want to move But will people find work or move...? Average loss = £1,615 per claimant household per year; London = £1,965 average Welfare reform impact in 2015/16:

9. Cumulative impacts on claimants Struggling Most of those impacted Often working households With smaller losses At risk Disabled people Large families (particularly lone parents) Range of contributing factors In crisis Where multiple reforms or factors combine Local variation, but common themes

10. JSA and ESA sanctions

11. Work Programme Overall performance = 22% get a job outcome ESA = 11% All disabled people (including JSA) = 13%

12. Conclusions There should be a separate programme for ESA claimants But preferably support should follow need rather than benefit entitlement Programme should be contracted locally to align with specialist provision Suspend ESA sanctions & reform WCA Design support to fit with: fluctuating conditions; health and employability progress; job outcomes Preparation: capacity and capability of services to respond; contracting; partnerships.