The government claims that the Get Britain Working White Paper sets  out a plan for “radical reform” of employment opportunities, especially for the 2.8 million people “locked out of work due to long-term sickness”.  But how much difference is the White Paper likely to make in reality to the lives of disabled claimants?

Whether you are fearful that you will be forced into attempting work that you cannot possibly manage or hopeful that changes will be made to the labour market and benefit rules that would allow you to do some work, the White Paper’s provisions are potentially important in how the future unfolds.

So, what exactly has the government got planned and how will it make  a difference?

Four priorities

The White Paper sets out four priority areas that it intends to deal with in order to get disabled claimants into work.

1  Improving the health of the population.

2  Mobilising local leadership to tackle economic inactivity.

3  Supporting employers to promote healthy workplaces.

4  Reforming the system of health and disability benefits.

Improving health

Under this heading, the White Paper says Labour will provide an additional 8,500 new mental health staff and 40,000 extra elective appointments each week.

They say this will eventually reduce waiting lists so that 92% of people should wait no longer than 18 weeks from referral to treatment.

However, this is not aimed solely at disabled claimants and the Office for Budget Responsibility (OBR) estimates that halving the waiting list over the next five years would only lead to 25,000 additional people being in work.

The reality seems to be that most people’s health issues are complex and it will take more than a knee replacement to get them straight back to work.

The government also plans to increase the number of people completing NHS Talking Therapies treatment for common mental health conditions by 384,000 and increase the number of sessions.  Much of the treatment will be Cognitive Behavioural Therapy (CBT).

In addition, they will also increase the number of people accessing Individual Placement Support (IPS), which helps claimants with severe mental illness find and keep employment, by an additional 140,000 by 2029.

But the OBR estimated that these measures would boost employment by just 20,000 in 2028/29.

Labour is also collaborating with Eli Lilly to study how weight loss drugs can improve health and obesity-related absences.

Aside from that, there are changes to the soft-drinks levy to help combat obesity and the introduction of the Tobacco and Vapes Bill to reduce smoking related illness.

But there is nothing in the improving health agenda that is likely to make a dramatic difference to employment rates amongst disabled claimants.

Mobilising local leadership

The basis of priority two is moving employment funds from central government to local government where, the theory is, people will have a better idea of how they need to be spent to deal with local unemployment issues.

Every local area will produce a “Get Britain Working Plan” and the government will devolve £115 million in 2025/26 to deliver a new supported employment programme called Connect To Work, which will “support up to 100,000 people a year”.

Other initiatives include “Workwell” which involves Integrated Care Boards, local authorities, Jobcentre Plus and other local organisations helping to keep people with health conditions in work or to get them back into the workforce quickly.

Plus Alan Milburn’s Pathways to Work Commission will begin a “proof of concept” scheme taking “a whole-system approach to supporting people who are economically inactive”.

The reality is, however, that there is relatively little new funding for these schemes and they are unlikely to result in any dramatic increases in employment rates for disabled claimants.

Supporting employers

Priority three consists of an independent review into the role of employers in creating and maintaining healthy and inclusive workplaces, which will report back in the summer of 2025. The review will be led by an as yet unchosen person “with strong business experience”.

The probability of such a review ending with anything more effective than voluntary codes of practice and Disability Confident type schemes seems very slim.

Benefit reform

Under priority four, Labour says it will reform the system of health and disability benefits so that it is simpler, trusted, moves away from binary categories of fit for work, or not fit for work and allows disabled claimants to try work without fear of losing benefit.

Unfortunately, no more details are available.  Instead, claimants will have to wait for a Green Paper in the Spring to find out what precise changes Labour is contemplating.

Little to fear

There seems to be little for disabled claimants to fear in the White Paper. Taking part in any health-related initiatives, for example, will be entirely voluntary.  But equally there seems little to celebrate for claimants hoping to move into employment – the numbers being supported appear small.

Certainly, the first three priorities will not greatly increase disabled claimants’ employment rates or cut the benefits bill.  Indeed, many claimants may not even be aware they have happened.

This leaves priority four, the changes to health and disability benefits, to bear an immensely heavy weight if there are to be increases in employment rates.

So it is the Spring Green Paper, rather than this White Paper, that disabled claimants will have to look to in order to find out what the future has in store.

Unfortunately, the Green Paper will also be the source of the £3 billion in benefits cuts that Labour has committed to over the next four years.  The chances of those cuts being driven by a surge of disabled claimants moving into full-time employment seem, judging by this White Paper, very slim indeed.

You can download the Get Britain Working White Paper here.

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  • Thank you for your comment. Comments are moderated before being published.
    · 2 days ago
    Talking Therapies ha ha !! .. I went to the NSH talking therapies service and was told they could not offer a service to people with Bipolar Disorder and to go back to the GP.


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      · 2 days ago
      @CB @CB That s what the job centre kept doing to me 10 years ago as I have asd and that’s a life long mental illness but they still didn’t get it and the healthy talking service did the same and kept sending me back to the doctor 
  • Thank you for your comment. Comments are moderated before being published.
    · 3 days ago
    Let us all hope that Ellen Clifford is successful in her continuing court challenge against the dwp this coming week.  What a xmas present that would be for us all. Here’s to her and her legal team, fingers crossed.
    • Thank you for your comment. Comments are moderated before being published.
      · 2 days ago
      @(No) hope (No) Hope , yes sir , I my hopes and wishes to ellen , in what must be stressful events , I hope God is watching too ! Best wishes Lady Ellen and to yourself Sir !! From S
  • Thank you for your comment. Comments are moderated before being published.
    · 6 days ago
    When I was struggling to stay in work due to my neurological disease I contacted Acess For Work for help. They came to my workplace and recommended over £3,000 of reasonable adjustments to enable me to stay in work. My employer's response was 'we cannot afford to implement any of these suggestions'. In the next 18 months I became more ill and had to take ill health retirement from my job.
    I suspect that is the case in a large number of workplaces. If this red Troy government won't commit serious resources to its strategy then it is doomed to failure like all the other ill thought out done on the cheap back to work schemes of previous governments.
  • Thank you for your comment. Comments are moderated before being published.
    · 6 days ago
    I’ve been on long term disability and found that declaring my disability has meant instant dismissal while in employment where I didn’t tell the employer at the outset because of the discrimination against disabled workers in my experience. 
    I’d have moved to be able to work but the employers and agencies said that their workplace insurance mandates that disabled employees will have no cover and therefore can’t be employed then on claiming benefits being told I’m not applying for enough jobs and getting sanctioned.
    The job centre told me to attend an interview at a garden centre where the boss told me to carry bags of compost up ladders and place on the loft floor, pretty hard in a wheelchair, they sent me home and told the agency working for the JCP that I refused to do the work and I lost my benefits for a month. They haven’t provided any help or assistance in training for a desk job
  • Thank you for your comment. Comments are moderated before being published.
    · 7 days ago
    I had to give up work due to absolutely no support from my employer (BT). For example I was told if the fire alarm went I couldn't use the lift and to sit beside it  and pretend I'd gone down. What if it was a REAL alert?
  • Thank you for your comment. Comments are moderated before being published.
    · 7 days ago
    Maybe this will help future claimants. It won’t help me. I’m nearly 61 and was advised 5 years ago to give up cleaning work, I have sciatica arthritis and degenerative disc disease in my neck. I’m still cleaning. Mostly part time but last week I did 3 full 8 hour days meaning I was on my feet 7 and a half hours each day. I don’t even bother to try claiming sickness, they’ll just tell me I’m fit. I am. Fit to drop. Even if I went sick, the proposals wouldn’t make me better. I’m resigned to working til I literally drop and then face harassment as a sick person 
    • Thank you for your comment. Comments are moderated before being published.
      · 7 days ago
      @Kat 🥺💔
    • Thank you for your comment. Comments are moderated before being published.
      · 7 days ago
      @Kat This is a very defeatist attitude. If you've never even tried to claim benefits and never gone through the process, then how can you possible think your advice is meaningful to others?
  • Thank you for your comment. Comments are moderated before being published.
    · 7 days ago
    Disabled covers too much. Disabled is legs or arms don't work. Mental issues isn't really a disability it's a health issue. Disabled needs to be whittled down into sections not all put under the same title. I am left side paralyzed so one leg and arm doesn't work. I am also diabetic and only have 1 kidney, I did work until a brain aneurysm in 2007 which resulted in me being disabled 
    • Thank you for your comment. Comments are moderated before being published.
      · 3 days ago
      @Liz Mental ill health is recognised as a disability by Scope now.  When you have lived with your mind trying to attack you and paralyse you so you cannot get out of the bed or have a shower, then you would know mental health illness is a disability. 

      Actually, the mind can produce more severe illness than physical disabilities for which there are aids and helps to counter the effect of it.  Everything is relative
    • Thank you for your comment. Comments are moderated before being published.
      · 6 days ago
      @Liz
      So you're OK with disabled as long as the disabled are like you?
      Mental health conditions and Invisible illnesses can be just as debilitating, sometimes more so, than physical disabilities.
      They rightly deserve to be called disabilities. It's not a game of one-upmanship.
      It may be helpful for you to look up internalised ableism to explore why you feel this way.
    • Thank you for your comment. Comments are moderated before being published.
      · 6 days ago
      @Liz I mean the former sorry. Whoops lol.
    • Thank you for your comment. Comments are moderated before being published.
      · 6 days ago
      @Liz I'm pretty sure me constantly having blood diarrhea and crapping myself is a disability. Maybe it's all in my head I dunno.

      I'd argue too that my autism and being a psychiatric outpatient has had a bigger impact on my ability to function than Crohn's disease as the latter affects every aspect of my life. 
  • Thank you for your comment. Comments are moderated before being published.
    · 8 days ago
    Vapes Bill to help the peoples' health. Well it won't help mine very much as vaping helped me give up smoking which improved my health and saved money, I buy a bottle of eliquid a week for one pound.

    Now they are going to tax it, not by 20% let's say which would be fair enough, but 200% in my case, a bottle will now cost me a minimum of £3. Already struggling to pay the bills and increasing rent which the frozen housing benefit (thanks for that!) only now covers two thirds of it, I've got this extra cost on top. Small in comparison of course but it all mounts up, straw that breaks the camel's back so to speak all these little rises here and there not being covered by your benefit income.
  • Thank you for your comment. Comments are moderated before being published.
    · 8 days ago
    First, the goverment should stay clear from any interference between a peson and their mental health teraphy.   The hughe problem there is, it is so personal issue.  Just choosing the right terapist could be paramount.  One can help somoeone, but the same terapist, might be a total dissaster for another person!  Esspecially this applies to young, inexpeirenced ones, who care more about themself in some cases, than the cilent!   Mindfield can be seen from the ends of universe!
    Second.
    So how the local goverment with well meaning "local organisations" will be able to resomably asses for example, a person with sever ME/CFS.   Just contacting such person, and expecting enyhing from them, can trigger serious deteriorration.

    The program sholud focus on CREATING JOBS.  Jobs, well paid, accesible, suport people starting up, ect..

    All back to front!
  • Thank you for your comment. Comments are moderated before being published.
    · 8 days ago
    I was diagnosed with depression at the age of 13 but obviously at that age everyone (including me) assumed it would go away as I got older. It didn't, it got worse. A few years later I was diagnosed with acute anxiety and since then I've been diagnosed with Borderline personality disorder and complex PTSD. Since being 14 I have been in one form of talking therapy or another through the NHS and absolutely NOTHING has worked for me. I've been on multiple medications and NOTHING has worked for me. I have literally done everything I can to try and claw some quality of life back for myself but NOTHING has changed. I’ve tried ending my life 3 times and I'm no better now at 41 than what I was when my grandmother took me to my GP's at 13 because she could see something was wrong.

    So all this talk of accessing talking therapies wont make a blind bit of difference to me, in fact my local mental health services have even told me they wont offer me anything else when I've tried to access help because nothing has been successful and they want to focus on those they think will improve not those who wont. That's what I've literally been told. If the bread and butter of CBT and medication and exercise don't help you, you're literally told to get lost and fend for yourself.

    So I want some guarantee that any changes that come into effect acknowledge my 28 years of struggle. And that they leave people like me alone for whom talking therapies haven’t made a single difference be it positive or negative.
    • Thank you for your comment. Comments are moderated before being published.
      · 1 days ago
      @Aldo You can actually get a letter from the mental health services you attend to state that although you're not taking part in rehibilation, it is due to previous attempts being unsuccessful and there is little point in continuing treatment. As such, it is their belief your illness' are life long and untreatable. You should be awarded a long term award on this basis.
    • Thank you for your comment. Comments are moderated before being published.
      · 5 days ago
      @Pete Thank you for the kind words Pete, I've recently completed a S.P.S. (Structured Psychological support) trial through the royal college of London that aims to help people with Borderline personality disorder but I can't say it helped at all either. As for the Psilocybin stuff that might have positive effects on depression but I've got other mental health issues constantly working with that. Plus I don't really wanna go down the drug route becasue it's not actually fixing anything it's just making me dumb to it.

      Thank you for the kind words again and input though.
    • Thank you for your comment. Comments are moderated before being published.
      · 5 days ago
      @Hanging on by my fingertips! Thank you for your kindness. Got told an hour ago I'm on a six month waiting list for more CBT even though they already know I've done that multiple times and it's not worked.
    • Thank you for your comment. Comments are moderated before being published.
      · 6 days ago
      @Aldo I'm sorry to hear about your problems. This may sound a bit left field but if everything else has failed, you may want to look into medical trials. Not long ago the drug psilocybin was being trialed to treat clinical depression. The results of those trials were quite positive, although it didn't work for everyone. 

      I should point out that psilocybin is the psychoactive compound found in magic mushrooms.
    • Thank you for your comment. Comments are moderated before being published.
      · 7 days ago
      @Aldo So sorry to hear of your struggles. You have summed up the MH Services in this country.

      Shame on this government!!
  • Thank you for your comment. Comments are moderated before being published.
    · 8 days ago
    Just seen Channel 4 Dispatches The Benefits Scandal. Looks like the government and channel 4 have done a deal to malign the sick and disabled. That’s why I don’t call these people journalists. I call them commentators and criminals. They always have an agenda. Always pushing their own opinions, vested interests, ideologies, financial interests. They just want to be celebrities. Piers Morgan is a typical example. Anybody else noticed how the BBC are behaving like a washing commercial with their verified nonsense. “Our news is better than your news because we verify our news”. It is laughable. I suspect what they all really want is viewing figures and readers. That’s why they pay them highly. If you like the person you are more likely to watch/read. More importantly from their point of view you are more likely to believe what you are watching/readng. You can tell a journalist (if there are any) by whether they give you contrary opinions to encourage you to think for yourself and make up your own mind. This would defeat the purpose of editing a video tape to make it look like a bunch of rioters in the Capital Hill building (where people died) were so peaceful and friendly. Why invite someone into the studio to show the video footage was fabricated due to the political bias of the network?

    This programme last night was a case in point. We want to suck up to the government and get some benefit in doing so such as early access to legislation or first question at a press conference. Lets make a program to hit the disabled but do it in a patronising enough way to conceal our true motive. No wonder Liz Kendall was happy to appear on the programme. Then they found a “nurse” claiming to work(ed) for one of the companies (lets hope she is no longer working) claiming that lots of people are pretending to be suicidal in order to get the benefit. Typical of channel 5’s nasty programmes about people on benefits when Dispatches found a guy who wanted to do some training but didn’t turn up. Bit like the one with channel 5 who was probably encouraged to put a cigarette into his young child’s mouth to vilify the unemployed. As a fitting ending: How about we find a guy who desperately wants to have his benefit taken away from him. He’s been waiting for 3 years for them to reassess him so he can lose the money. Kendall comes to the rescue “give me his phone number and I’ll sort it”.

    There are enough people already being attacked and abused for being disabled and these idiots want to make it worse. I’m starting to wonder if Starmer is trying to be as harsh as possible because he wants to stick to fingers up at Corbyn who at least had sone compassion for disabled people.

    Like I said, don’t call them journalists. 

    And maybe it’s time to stop calling Starmer and the rest of his sycophantic desperate to keep their jobs followers (who would have been outraged if the Tories behaved the way they are behaving), Socialists. I think Socialism has come to an end in this country. 
  • Thank you for your comment. Comments are moderated before being published.
    · 9 days ago
    One thing here that starting employment disabled and sick people have to find is prescription charges of £9.90 per item on average people have a minimum of ten items per person and other disability reductions. Against a fit person, they would be worse off overall losing entitlement to work. Anyone disabled would just be penalized for trying to improve themselves. With the hidden forgotten costs of which there are many.
    • Thank you for your comment. Comments are moderated before being published.
      · 7 days ago
      @Jas Not much comfort if you are English,  but important to clarify that since  2007 prescriptions have been free for everyone in Wales,  with Scotland and NI following suit later. England is the only UK nation still charging for prescriptions 
    • Thank you for your comment. Comments are moderated before being published.
      · 7 days ago
      @Jas I didn't disagree with the sentiment in general those hidden costs, the so-called "disability tax" - I'm a disabled person ( and adviser ). I'm on ESA and PIP, not all disabled people claim UC. The most anyone would pay is ~£11 a month not £9:90 an item. There's also medical exemptions. 

      I don't want anyone to think all disabled people  get free prescriptions or they need to pay this it to get their's. 
    • Thank you for your comment. Comments are moderated before being published.
      · 8 days ago
      @Anon Also, if you have certain medical conditions, your prescriptions are free, eg diabetes (especially if you require insulin).
    • Thank you for your comment. Comments are moderated before being published.
      · 8 days ago
      @Jas And don't forget the measly £6000 savings limit, that hasn't risen with inflation in years.  We can't even save for a crisis as we end up losing money. 
    • Thank you for your comment. Comments are moderated before being published.
      · 9 days ago
      @Jas Buy a pre-payment certificate if you need a large volume of meds that you need to pay for, it saves a lot of money over the year 
  • Thank you for your comment. Comments are moderated before being published.
    · 9 days ago
    Keir Starmer on entering number 10; " We will tread more lightly on peoples lives".
    So in that spirit how about a "Leave People the f^*^* alone Scheme ?"
    Cost ? A big fat zero !
  • Thank you for your comment. Comments are moderated before being published.
    · 9 days ago
    I do fear what they will do but as someone who would like to work at least a little I await the outcome of all this with some hope but lots of trepidation.

    I know a lot of people hate the right to buy on here but that's the one thing which has shielded me most from DWP actions as my mortgage is very low and I don't have to worry about relying on housing benefit, especially in the private rented sector. 

    I can't imagine how nasty it must be for those that are dependent upon it given how much rents keep rising. I guess my fear of homelessness has always been a bit irrational but it's good to be protected from it.
    • Thank you for your comment. Comments are moderated before being published.
      · 8 days ago
      @MrFibro I mean were I privately renting. I'll admit the rent was affordable in social housing but was still a lot more than my mortgage.

      I'll admit I've always had mixed feelings about the right to buy. I do think it's been way too easy for people to buy their places over the years, there isn't even a requirement to save up a deposit.

      It took me eight years on the waiting list to get my first council place partly due to shortages caused by the right to buy. And the place I had to accept was awful.

      You would be shocked how bad it was, crawling with carpet beetles and with excrement on the floor. But I had to accept it as the landlord I had was trying to evict me and getting quite aggressive. Any sentiment to want to help save council housing went out window after that experience. 
    • Thank you for your comment. Comments are moderated before being published.
      · 8 days ago
      @MrFibro It used to through SMI but as of about ten years ago, you can only get that as a loan. 

      As I said, I am lucky as my mortgage is not very big so is very affordable. In fact, the difference between my mortgage and how much it would cost to rent this place is about £650/month.

      I just need to make sure I have money in the bank to tide me over in case anything happens but it's worth noting that housing benefit wouldn't even cover the rent here anyway, so I'd effectively be paying almost the same were I renting
    • Thank you for your comment. Comments are moderated before being published.
      · 9 days ago
      @Steve I didn't know the DWP pays for people to have mortgages.
  • Thank you for your comment. Comments are moderated before being published.
    · 9 days ago
    I’ve been fired from many jobs because of my conditions. Employers don’t care for disabilities they care for performance and money. How can they expect us to perform when we have to deal with much worse issues? - just like myself having panic attacks and anxiety to the point I can’t talk nor walk. How arrogant are they to state they will tackle obesity and mental health? Do they even know what they’re talking about? CBT is not a good method to improve mental health, I tried it many times and it’s degrading in my opinion. It can help some, but not every case is the same. I’m in talking therapy since 4 years, my counsellor doesn’t use CBT as she knows how detrimental can be to patients and she’s doing God’s work. CBT practitioners do not listen to patients and do not bother finding the right medications, they go by the script 
    • Thank you for your comment. Comments are moderated before being published.
      · 6 days ago
      @Tom
      CBT therapists don't prescribe medications, that's for psychiatrists, CPNs and GPs to do.
      A CBT practitioner just carries out the therapeutic practice. Blaming them for medication issues isn't appropriate.
      CBT is not a form of psychotherapy where the therapist asks questions about your family and you pour out all your problems. It is a method where there is clear pattern the therapist and client follow to achieve goals.
      You identify the areas in your life you can change behaviour patterns, but you have to put work in. It's not traditional therapy, but works well for those looking to explore their own behaviour. Eg anxiety.
  • Thank you for your comment. Comments are moderated before being published.
    · 10 days ago
    So we all have another battle in 2025 so many battles over the years where does it end. The facts are the same has many years ago. So many of us have to many disabilities which make us unable to work due to severe physical and mental health issues I wish the governments could find a cure for us all rather than keep adding stress to our symptoms. Also take note from our specialist consultants and doctors take care all happy Christmas and new year let’s put this government on the right road with the help of charities and us in 2025 hope everyone stays safe and enjoy the rest of 2024 👍
  • Thank you for your comment. Comments are moderated before being published.
    · 10 days ago
    It will be interesting to see what PRACTICAL support there will be for disabled people who have complex medical issues but who want to work and cannot find a supportive employer. Most employers think they are Disability Confident just because they have a stair lift and disabled persons loo. But when it comes to being flexible with hours, flexible with work tasks etc… it’s a different matter. People with fluctuating conditions can be good one minute and not the next. Employers don’t get that. Nor do they want it. So many good intentions start out as good intentions but then real life for the person and the employer, gets in the way. Disabled people are seen as a nuisance. You only have to see that in everyday life as a consumer, traveller etc…

    • Thank you for your comment. Comments are moderated before being published.
      · 10 days ago
      @Sue Totally agree that’s why I was self employed for 25 years than had to stop working through incurable physical condition 

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