DWP’s Disability and Health Employment Strategy: Shaw Trust response (April 2014) 1 DWP’s Disability and Health Employment Strategy: Shaw Trust response (April 2014) About Shaw Trust Shaw Trust is a leading national charity with a thirty year history of supporting disabled, disadvantaged and long term unemployed people to achieve sustainable employment, independence and social inclusion. Last year Shaw Trust delivered specialist services to over 50,000 people from 200 locations across the UK, supporting its beneficiaries to enter work and lead independent lives. In 2012 Shaw Trust merged with fellow employment services charity Careers Development Group (CDG). Shaw Trust has extensive experience of supporting people with disabilities, health problems and impairments into sustainable and meaningful employment. As the largest contracted out prime provider of the Department for Work and Pensions’ (DWP) specialist disability employment programme, Work Choice, Shaw Trust has supported over 14,000 people with severe disabilities into employment since the contract’s inception in 2010. Shaw Trust delivers Work Choice nationwide via 16 prime contracts, six subcontracts and an additional prime contract through the jointly owned organisation CDG-WISE Ability. We also deliver specialist support and stepping stone employment opportunities for people with disabilities, heath problems and impairments through a number of charitable projects, retail shops and social enterprises, such as our supported business – Shaw Trust Industries – in Doncaster. Shaw Trust is additionally one of only two voluntary sector prime contractors of the Work Programme, operating in the London East contract package area (as Shaw Trust CDG), as well as a subcontractor in seven additional contract package areas. Shaw Trust also delivers direct contracts for the Skills Funding Agency. In 2013, Shaw Trust launched ‘Making Work a Real Choice’, a series of reports examining the future of specialist disability employment support in the UK.1 The reports were shaped by extensive consultation with 539 disabled people, Work Choice delivery staff, stakeholders and employers. The final report, published in October 2013, highlighted the crucial importance of retaining and enhancing a separate specialist disability employment programme to increase employment opportunities for disabled people. Shaw Trust’s comprehensive frontline experience of delivering national and local projects supporting people with disabilities, health problems and impairments into work, combined with our in-depth research into the future of specialist disability employment support means the charity is ideally placed to respond to DWP’s Disability and Health Employment Strategy (DHES). 1 Shaw Trust (2013), Making Work a Real Choice, where next for specialist disability employment support, final report. Available at: http://www.shaw-trust.org.uk/support-us/policy-and-research/making-work-a-real-choice-where-next-forspecialist-disability-employment-support/. The preceding interim report and consultation is available at: http://www.shawtrust.org.uk/support-us/policy-and-research/making-work-a-real-choice-report-and-consultation/ 2 DWP’s Disability and Health Employment Strategy: Shaw Trust response (April 2014) Summary Shaw Trust supports the DWP’s Disability and Health Employment Strategy (DHES) and welcomes its central proposal to retain and enhance a specialist disability employment programme. This was a key recommendation from our 2013 research and report, ‘Making Work a Real Choice’.2 However, the DHES represents only a starting point for the actions needed to support more disabled people who are able to work into employment. Drawing on the points raised throughout this response, Shaw Trust makes the following ten recommendations to inform DWP’s final DHES and delivery plan: 1. Elements contributing to the success of DWP’s existing specialist disability employment provision should be maintained and enhanced rather than lost in the design of the new system. 2. The expansion of choice and control should ensure that consistent national support remains in place for those less comfortable with assuming control of their own provision. 3. A national specialist programme of employment support should be maintained to avoid creating a ‘postcode lottery’ disadvantaging areas with limited provision. 4. The proposed ‘gateway’ assessment tool should be applied to all DWP customers and made sufficiently robust through clear eligibility criteria and data analytics, whilst funding models for future programmes should include sufficient service fees and the consideration of distance travelled payments. 5. DWP should clarify its intentions for the allocation of its £350 million disability employment support budget for 2015/16, and consider evidence that expanded provision will be required to improve outcomes. 6. Funding for Protected Places should be extended to provide valuable employment opportunities and promote new innovative approaches for those severe barriers. 7. DWP’s new ‘mainstream offer’ should be designed in close tandem with the specialist offer, to ensure maximum flexibility and avoid policy inconsistencies. 8. DWP should commit to concrete steps to improve systemic support for young disabled people through early intervention and joined up, multi-agency working – supporting young people from school into further education, training or employment rather than benefits. 2 Shaw Trust (2013), Making Work a Real Choice: final report, available at: http://www.shawtrust.org.uk/support-us/policy-and-research/making-work-a-real-choice-where-next-for-specialist-disabilityemployment-support/ 3 DWP’s Disability and Health Employment Strategy: Shaw Trust response (April 2014) 9. DWP’s employer engagement should focus more clearly on promoting accessible recruitment practices and providing a greater level of systemic support to employers. 10. DWP should take further steps to build its evidence base, including encouraging providers to collect more data and establishing a best practice sharing portal. The Disability and Health Employment Strategy: Our Response Introduction Shaw Trust supports the DWP Disability and Health Employment Strategy (DHES) and welcomes the advent of a specific strategy focusing on the future of employability support for people with Disabilities, health problems and impairments. In particular, Shaw Trust welcomes the strategy’s commitment to maintaining a separate specialist disability employment programme. This will ensure that disabled people in all corners of the UK continue to receive the personalised and tailored support they need to enter or re-enter sustained employment. The need to continue funding and enhance a separate specialist disability employment offer was a key recommendation from Shaw Trust’s 2013 ‘Making Work a Real Choice’ research into the future of employment support for disabled people, based on consultation with 539 disabled people, Work Choice delivery staff, other stakeholders and employers.3 However, there are a number of areas for which Shaw Trust would like to make additional recommendations for DWP to consider through its continued development of the DHES. These are outlined in the following sections responding to a number of the Strategy’s key themes, as follows: Section One: Gateway and assessment Section Two: Payment by results and funding structures Section Three: The Specialist Offer Section Four: The Mainstream Offer Section Five: Support for young people Section Six: Support for employers Section Seven: Best practice and continuous improvement Conclusion and key recommendations 3 Shaw Trust (2013), Making Work a Real Choice: final report, available at: http://www.shaw-trust.org.uk/support-us/policyand-research/making-work-a-real-choice-where-next-for-specialist-disability-employment-support/ 4 DWP’s Disability and Health Employment Strategy: Shaw Trust response (April 2014) Section One: Gateway and assessment 1.1. DWP’s commitment to introducing a new ‘gateway’ upfront assessment for people with Disabilities, health problems and impairments is a welcome step in the right direction. However, to ensure the right individuals receive the right support at the right time, a robust assessment tool should be implemented for all DWP customers. 1.2. Shaw Trust strongly believes that a robust upfront assessment of an individual’s employment history, job goals and barriers to employment is the crucial missing piece of the jigsaw of employment services provision in the UK. Without an upfront assessment of needs and barriers at the point of an individual’s benefit claim, it is difficult for Jobcentre Plus (JCP) to ensure that individuals get the right support at the right time on their journey back into employment. 1.3. Introducing such an assessment was a key recommendation from Shaw Trust’s ‘Making Work a Real Choice’ research considering the future of specialist disability employment support, and Shaw Trust’s joint report with ACEVO – ‘Refinement not Reinvention’ –on the next steps for the Work Programme.4 1.4. The need for an upfront assessment is especially crucial when considering who should be eligible to access specialist disability employment support. This is made clear by issues with referrals within the current system. Work Choice, the Government’s specialist disability employment programme, is aimed at individuals with a moderate to severe disability who are considered to be disabled under the Equality Act 2010.5 However, despite targeting individuals with health problems, just 15 per cent of Work Choice customers claim an out of work sickness benefit such as Employment Support Allowance.6 1.5. Similarly, Work Choice delivery staff and other stakeholders responding to the ‘Making Work a Real Choice’ consultation reported that the current referral eligibility criteria are unclear for Work Choice, Work Programme and Residential Training Colleges. Providers reported regularly receiving unsuitable referrals to each of these programmes. A common theme from respondents was that some individuals on Work Programme with severe disabilities, health problems and impairments could have been better supported on Work Choice, but were not referred to this more specialist programme of support. 1.6. Shaw Trust therefore welcomes the DHES’s commitment to introducing a new ‘gateway’ to employment services involving an upfront assessment for people with 4 ACEVO and Shaw Trust, Refinement or Reinvention? The future of the Work Programme and the role of the voluntary sector. Available at: http://www.shaw-trust.org.uk/support-us/policy-and-research/refinement-or-reinvention-the-future-ofthe-work-programme-and-the-role-of-the-voluntary-sector/ 5 DWP, Work Choice Provider Guidance, Chapter One 6 Taken from the February 2014 official Work Choice statistics published by DWP: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/277235/work-choice-statistics-feb-2014.pdf 5 DWP’s Disability and Health Employment Strategy: Shaw Trust response (April 2014) disabilities, health problems and impairments. This is a step in the right direction for ensuring the right people get the right support at the right time. 1.7. However, more than a “light touch” 7 approach to the assessment process is needed. A robust upfront assessment tool that uses evidence-based data on barriers to employment should be implemented for all DWP customers, not just those accessing specialist disability employment support. Given challenges inherent in the current system as outlined above, a robust tool applied to all customers is crucial if the gateway is to be effective at supporting the right people to access the right support at the right time. 1.8. To achieve this, DWP should utilise international best practice from countries using assessment tools to segment their benefit claimant caseloads based on their barriers to work. The widely cited Jobseekers Classification Instrument from Australia uses data collected on job entry rates from a range of demographic and socio-economic characteristics to assess the impact of each individual’s needs and barriers on their likelihood of entering employment. Individuals are then segmented into different payment groups according to the level of need, with individuals with disabilities, health problems and impairments directed to Australia’s specialist disability employment programme. 1.9. Without the use of robust data analytics, there is a risk that the gateway will not always accurately identify which customers need the support of a specialist disability employment programme, and which customers would benefit from the mainstream offer. Shaw Trust and our experienced team of advisers would welcome the opportunity to work with DWP to develop and pilot this more in-depth assessment tool further. 1.10. Finally, ensuring that assessment processes and referrals are conducted by appropriately trained staff with good understanding of clear eligibility criteria will also be vital. At present, anecdotal evidence suggests that reductions in the availability of Disability Employment Advisers (DEAs) at some Jobcentres is contributing towards inappropriate referrals to mainstream programmes and delaying the point at which many individuals with disabilities, health problems and impairments receive necessary specialist employment support. 1.11. In Shaw Trust’s experience, there is also a lack of awareness amongst jobseekers with disabilities, health problems and impairments about available programmes of support, particularly Work Choice. For example, there is no literature currently available for Disability Employment Advisers at Jobcentres to give to potential participants explaining Work Choice or other available employment support. As such Shaw Trust is currently in the process of producing a one-page leaflet that could be 7 DWP (2013), Disability and Health Employment Strategy: the discussion so far 6 DWP’s Disability and Health Employment Strategy: Shaw Trust response (April 2014) used in Jobcentres for this purpose, with necessary DWP support. We would be happy to work with DWP on producing similar literature on a larger scale in the future. Section Two: Payment by results and funding structures 2.1. Ensuring appropriate funding is targeted at individuals based on their needs should be a central feature of any system of support for individuals with Disabilities, health problems and impairments. A robust assessment process, higher service fees for those in need of intensive specialist support and a payment model incorporating distance travelled milestones will also ensure more people are supported into work. 2.2. If payment by results contracting is to be used in a future specialist disability employment programme – or any future back to work programme – then it is essential that differential funding is used more effectively targeted than at present, for which a new robust upfront assessment tool will form a crucial part. 2.3. Our experience from delivering the Work Programme suggests that aligning funding to benefit type is a poor proxy for the barriers that customers on the Work Programme face. Consequently, funding is not sufficient for some payment groups to invest in the support needed to support customers into sustained work. For example, 30 per cent of customers attached on the Work Programme in London East have declared that they have a disability, yet only 15 per cent of customers claim ESA.8 This suggests that a sizeable proportion of JSA customers in London East have a health condition or disability. Yet the total funding for Payment Groups 1 and 2 on the Work Programme is the lowest of all nine payment groups, as customers in these payment groups are perceived to have the least challenging barriers to work. 2.4. Instead, by using comprehensive data collected from a robust assessment tool, the right level of funding could be assigned to each individual based on their intensity of need. This would ensure that providers are able to sufficiently invest their resources into helping every customer to secure work, and ultimately ensure that more customers with disabilities, health problems and impairments are able to enter and sustain employment. 2.5. DWP should also consider retaining a higher level of service fee for a future specialist disability employment programme. Shaw Trust has direct experience of delivering both Work Choice and Work Programme, often alongside each other in many centres. Our experience highlights that the 70 per cent service fee paid upfront for Work Choice enables Shaw Trust to invest more significantly in staffing and bespoke interventions to support Work Choice customers into work, which has led to a demonstrable difference in performance between Work Programme and Work 8 Statistic gained from using attachments data up to December 2013 on the Work Programme accessed via DWP Tabtool: http://tabulation-tool.dwp.gov.uk/WorkProg/tabtool.html 7 DWP’s Disability and Health Employment Strategy: Shaw Trust response (April 2014) Choice. Although limits on the data produced means that direct comparisons are imperfect, 33% of all Work Choice participants who started provision between July 2011 and June 2012 subsequently entered employment, 9 compared to a job start rate of 15% amongst ESA customers starting on the Work Programme in the same period.10 In addition, Work Choice performance is equally strong amongst ESA and JSA customers. 2.6. A future specialist disability employment programme should also use a distance travelled payment model. This was a key recommendation voiced by respondents to Shaw Trust’s ‘Making Work a Real Choice’ consultation. Some customers with severe Disabilities, health problems and impairments have a long journey back into employment. The achievement of key milestones, such as undertaking a work trial, often represent a significant step forward for these individuals. Under the six month timescale of Work Choice (with a possible six month extension), securing employment is not feasible for some – yet significant progress in terms of employability is often made with these customers’ for no reward through the payment by results structure. Respondents to our consultation felt that achieving distance travelled milestones should be rewarded financially, and that such a system would ensure providers gave the most comprehensive level of support to every customer on the programme. Distance travelled milestones could also be used to incentivise in-work progression, or progression from supported to unsupported employment. 2.7. DWP should clarify how the £350 million allocated to specialist disability support in 2015/6 will be spent, and what the Government’s plans are for the continued investment in specialist disability employment support. Clarification should include whether the allocated budget cover existing services like Access to Work and Work Choice as well as new services and support from JCP, or whether it is specifically allocated to the specialist offer. 2.8. Secondly, the reference to managing “finite resources” in the DHES suggests that future funding for specialist support could be reduced. This is of particular concern given that countries such as Denmark and Sweden that spend more on Active Labour Market Policies for Disabled People have higher employment rates for chronically sick and disabled people than countries whose spending is lower, such as the UK and Canada. This point was highlighted in DWP’s recent ‘What works for whom in helping disabled people into work?’ research paper.11 9 Work Choice official statistics (February 2014). Available at: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/277235/work-choice-statistics-feb-2014.pdf 10 Latest job start data from ERSA, Work Programme Performance (March 2014), p.10, available at: http://ersa.org.uk/documents/work-programme-performance-report-march-2014. Referral figures for calculations derived from ERSA, Work Programme Performance (September 2013), p.10, available at: http://ersa.org.uk/documents/workprogramme-performance-report-2013-quarter-2 11 DWP (2013), What works for whom in helping disabled people into work? 8 DWP’s Disability and Health Employment Strategy: Shaw Trust response (April 2014) 2.9. The UK, for example, spends twenty times more on out of work benefits for disabled people than on employment support.12 If DWP is to help more of the 6.4 million people with disabilities, health problems and impairments who are out of work to realise their “employment aspirations”13 then more funding and wider access to employment support for disabled people is needed – not less. DWP’s current specialist disability employment programme, Work Choice, is showing strong performance, but to date has been funded to support only 64,22014 of the 6.4 million people with disabilities, health problems and impairments to prepare for, enter and sustain employment. 2.10. DWP’s suggestion to concentrate funding on helping those “closer to the labour market” is also of particular concern. Such an approach would not, in our view, represent how to “spend taxpayers’ money most effectively”, 15 as it would deny specialist support to individuals most likely to remain on benefits without greater assistance, bringing higher costs in the long term. This would also appear to contradict the principles behind other programmes such as the Work Programme, for which the funding model was specifically designed to prevent external providers delivering support only to those closest to the labour market. It further contrasts with the stated purpose of the Gateway proposed in the DHES, of identifying and tailoring support around the severity of customers’ barriers to work. 2.11. Shaw Trust strongly believes that every person with a disability, health problem or impairment that wants to work, and can work, should be given the opportunity to do so. We urge DWP to carefully consider its principles for managing finite resources to ensure that opportunities to work are provided to every single person that is able to. Section Three: The Specialist Offer 3.1. Shaw Trust welcomes DWP’s commitment through the DHES to not only retain specialist disability employment programme, but to enhance the offer of specialist support. The need to build on and enhance existing programmes – to ensure that best practice and the strengths of the existing Work Choice model are retained – was a key recommendation from Shaw Trust’s final ‘Making Work a Real Choice’ report. 3.2. However, in light of DWP’s outline proposals and although there are areas where existing provision could be improved, it is imperative that the elements of Work Choice that contribute to its strong performance – with 44 per cent of the latest cohort in 2013/14 entering employment – are not lost during any forthcoming 12 Sayce, L (2011), Getting in, staying in and getting on: disability employment support fit for the future DWP (2013) The disability and health employment strategy: the discussion so far? 14 Taken from the February 2014 official Work Choice statistics published by DWP: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/277235/work-choice-statistics-feb-2014.pdf 15 DWP (2013) The disability and health employment strategy: the discussion so far? Page 39 13 9 DWP’s Disability and Health Employment Strategy: Shaw Trust response (April 2014) tender process. These include joined-up pre-work, job brokerage and in-work support; a substantial service fee element to fund intensive interventions early on; and voluntary participation to achieve customer buy-in. 3.3. Elements for enhancement should include extending pre-work support to longer than six months to improve access for those with more severe barriers to work (especially considering Work Programme provides two years of support). These and other recommendations are detailed in Shaw Trust’s 2013 ‘Making Work a Real Choice’ final report. 3.4. Proven models such as Supported Employment, as cited in the DHES, also mirror much of the existing Work Choice delivery model. This similarity could facilitate the easy transfer of best practice approaches between the existing programme and future programmes of specialist support. 3.5. Shaw Trust also urges DWP to clarify what will happen to specialist disability employment support once Work Choice ends in October 2015. The DHES states that the new specialist offer is due to commence in 2016. Disabled people should not experience a gap in the employment services they receive in the transition from Work Choice to any future specialist model. Continuity of service and a smooth transition to new provision are crucial if we are to make progress towards raising the employment rate of people with disabilities, health problems and impairments. Personalising services 3.6. Shaw Trust supports DWP’s focus on the greater personalisation of back to work support for disabled people. People with disabilities, health problems and impairments should be active partners of providers, DWP and other stakeholders, helping to shape services that are responsive and tailored to the needs of the individual. Shaw Trust would welcome the opportunity to work closely with DWP to pilot new approaches to personalisation. 3.7. However, if we are to give people with disabilities, health problems and impairments true ‘choice’ over the back to work services they receive, we also have to ensure that people have the option not to choose their own support. Whilst more choice and control may bring benefits for some, there are also many for whom it may not be appropriate. 3.8. In Shaw Trust’s ‘Making Work a Real Choice’ interim report, we surveyed Work Choice customers to gain their views on a move towards accessing employment support via their own personal budget. Just 28 per cent of those surveyed stated that they wanted more choice and control over their back to work support. Many felt that having to choose services would create additional anxiety; that they did not have the knowledge to make an informed choice over their back to work support; and that they would be pressured by providers for financial reasons. Also, some customers reported 10 DWP’s Disability and Health Employment Strategy: Shaw Trust response (April 2014) being very satisfied with Work Choice, as it offered a central point of employment advice and support to them. 3.9. Although greater personalisation and choice could offer benefits to many individuals, any future specialist disability employment programme should also ensure those who are uncomfortable making a choice are provided with comprehensive advice, guidance and support. The national network of specialist advisers 3.10. Both the official Work Choice evaluation16 and Shaw Trust’s ‘Making Work a Real Choice’ research highlighted the crucial role that advisors have in supporting individuals with disabilities, health problems and impairments to achieve and sustain their employment goals. Shaw Trust therefore welcomes DWP’s proposals to put a national network of specialist advisors at the heart of any future specialist disability employment programme. It is the rapport and trust built between advisors and customers on Work Choice that drives the achievement of employment outcomes, and helps customers to remain in work once a job is secured. 3.11. However, DWP should clarify whether the network of specialist advisors will deliver all of the services identified, such as pre-employment support, job brokering and in-work support, or whether they will case manage the customer’s journey back to work and direct customers to different organisations delivering these services. 3.12. Before Work Choice, pre-employment support and job brokerage and in-work support were separated out into two different DWP programmes: Work Preparation and WORKSTEP. A 2006 DWP research report into Work Preparation and WORKSTEP recommended that these strands should be “rationalised”17 and merged into one joint modular programme. This programme rationalisation was suggested to not only avoid delivery duplication, thereby offering taxpayers’ better value for money, but to deliver more joined up support. Shaw Trust’s experience of delivering both Work Choice and its predecessor programmes suggests that joining up these elements of back to work support offers customers a higher quality and more streamlined package of support, and enables advisors to continue to support both the customer and employer once in work. The benefits of delivering a joined up and continuous package of tailored support should be therefore retained in any future specialist disability programme. 3.13. It is positive that DWP has identified the important need to increase the integration of specialist disability employment with support with a range of local support services such as Adult Social care, primary and secondary health services and support 16 Purvis et al (2013), Evaluation of the Work Choice specialist disability employment programme: Findings from the 2011 Early Implementation and 2012 Steady State Waves of the research, DWP Research Report No.846 17 Purvis, A, Lowrey, J, and Dobbs, L, (2006), WORKSTEP: evaluation and case studies. Exploring the design, delivery and performance of the WORKSTEP programme, DWP Research Report 348, 11 DWP’s Disability and Health Employment Strategy: Shaw Trust response (April 2014) provided by local services. Due to the cross cutting nature of the barriers to work which people with disabilities, health problems and impairments face, it is imperative that a multi-agency approach both across central government and at a local level is adopted. The joint commissioning of services by DWP and Local Authorities, for example, could help to drive this greater level of local integration. 3.14. Joined up local support is particularly crucial for individuals experiencing primary or secondary mental health conditions. Shaw Trust therefore welcomes the DHES’s proposals to adopt a holistic approach to supporting individuals with mental health problems, including a commitment for JCP to work jointly with local mental health and employment services. Shaw Trust has already adopted this approach for our Work Programme delivery in London East, where we work collaboratively with Newham IAPT to increase access to counselling and support for customers presenting prevalent mental health problems on the Work Programme. Shaw Trust would welcome additional opportunities to pilot with DWP and local stakeholders supportive and collaborative local approaches to delivering employment support for people with mental health problems – such as piloting approaches to delivering the Individual Placement and Support Programme – to test the efficacy of a holistic multi-agency approach to delivering employment support. 3.15. Alongside the need for greater local integration, it is also important to acknowledge the need to continue some form of national specialist employment programme. National programmes offer both breadth and depth of service coverage, ensuring that employment support is available consistently throughout the UK. There are many areas of the UK where specialist disability employment provision is not evident outside of Work Choice, and for which a “menu” of provision would not be possible to create, as suggested in the DHES. Without national provision, disabled people could experience a ‘postcode lottery’ for accessing specialist disability employment support, with a wealth of support available in some areas of the country but not others. 3.16. To test whether this postcode lottery exists, Shaw Trust has mapped the locations of providers of specialist disability employment services in two of our Work Choice Contract Package Areas (CPAs): Greater Manchester Central, East and West; and Staffordshire, Coventry, Warwickshire and the Marches. The danger of the postcode lottery was evident across both CPAs. For example, in the Greater Manchester CPA, there was a wealth of specialist disability employment provision available in the City of Manchester itself, with 27 different organisations offering back to work support. In contrast, in Wigan there are only two organisations offering support, one of which is Shaw Trust. Similarly, in Coventry there are seven organisations delivering specialist disability employment support, of which six of the seven are national charities. In the whole Staffordshire, Coventry, Warwickshire and the Marches CPA, Shaw Trust delivers 30 per cent of the provision. 12 DWP’s Disability and Health Employment Strategy: Shaw Trust response (April 2014) 3.17. Although DWP has stated in the DHES that they will build the capacity of smaller local organisations, without a national programme of support people with disabilities, health problems and impairments living in areas like Wigan could miss out on accessing vital support. Additionally, the local market needs to expand significantly from where it is today if disabled people are to have true choice over the back to work support they can access. Protected place funding and supported businesses 3.18. Supported businesses – workplaces where over 50 per cent of the workforce has a disability – play a crucial role in providing employment opportunities to people with the most severe disabilities, health problems and impairments. Shaw Trust currently works with 37 supported businesses through Work Choice, and operates its own supported business – Shaw Trust Industries in Doncaster – each of which offer tailored employment opportunities and support focused on disabled people’s abilities. 3.19. Supported businesses are experts in how to employ people with disabilities, health problems and impairments, so are unlikely to frequently utilise online advice offered by DWP’s proposed ‘Employer One Stop Shop’ to support employers. Nonetheless, supported businesses also need additional support to ensure they have the capacity and capability to offer employment opportunities to disabled people. 3.20. The supported businesses Shaw Trust works with through Work Choice benefit from the financial supported available to them through protected place funding. Protected place funding provides £4,800 to primarily supported businesses per year per protected place, or job vacancy, to provide the Work Choice customers with the most severe barriers to employment with an opportunity to undertake meaningful paid work. This £4,800 covers the cost of the intensive on-the-job training and support customers need to sustain employment. However, the supported businesses responding to Shaw Trust’s ‘Making Work a Real Choice’ consultation stated that they match funded this figure by over four times the amount through the training and support they delivered to customers in protected place funded jobs. To date, Shaw Trust has supported 1,194 people into protected place funded jobs through Work Choice. 3.21. As protected place funding in Work Choice is only guaranteed until 2015, it is important that DWP clarifies its future policy intentions for the funding in the follow up paper to the Disability and Health Employment Strategy published later in 2014. Shaw Trust recommends that protected place funding is extended, as it not only plays a vital role in providing people with the most severe disabilities and complex health problems with the opportunity to not only enter or re-enter paid employment, but also to become active members of society. Without this funding supported businesses may not be able to offer as many employment opportunities to disabled people. Ending this funding could counterproductively reduce employment opportunities for disabled people. 13 DWP’s Disability and Health Employment Strategy: Shaw Trust response (April 2014) 3.22. However, Shaw Trust also supports the recommendations of the official Work Choice evaluation which calls for protected place funding to be used more innovatively.18 In particular, the evaluation highlights how protected place funding can be used to fund an Intermediate Labour Market (ILM) approach to creating job opportunities for Work Choice customers. Rather than one customer receiving the funding and sustaining one job in the same supported business, the evaluation recommends that the funding is used to create stepping stone employment opportunities for Work Choice customers. After a period working in protected place job, customers who can progress into unsupported employment should be supported to do so, opening up the protected place funded job to another disabled person. 3.23. Shaw Trust has piloted this innovative approach through its Routes into Sustainable Employment (RiSE) pilot. Through RiSE we have used funding to not only fund protected places in a wider range of employers than supported businesses, but also to create stepping stone employment opportunities for Work Choice customers. Through protected place funding customers not only receive the support to sustain their job, but to progress from supported to unsupported employment. This not only helps to develop their career, but also frees up a supported employment opportunity for each individual. To date, 269 Work Choice customers have been supported through this approach. 3.24. Protected place funding therefore is an important catalyst in kick starting the careers of people with the most complex and severe disabilities. Although the funding can play an important role in providing customers with a stepping stone employment opportunity, and should be used to help facilitate a transition into unsupported employment for those who can, it should also be acknowledged that it also is critical to ensuring that individuals with the most complex disabilities have the opportunity to enter and sustain employment. Section Four: The Mainstream Offer 4.1. It is imperative that the mainstream offer of support – available for people with disabilities, health problems and impairments that are most able to manage their own job search process – is designed concurrently with the specialist offer of support. 4.2. The current mainstream contract – the Work Programme – was designed by the Coalition Government separately from DWP’s specialist disability employment programme – Work Choice – which was designed by the previous Government. Shaw Trust’s ‘Making Work a Real Choice’ reports highlighted some of the significant challenges that have arisen from this policy disconnect. 18 Purvis et al (2013), Evaluation of the Work Choice specialist disability employment programme: Findings from the 2011 Early Implementation and 2012 Steady State Waves of the research, DWP Research Report No.846 14 DWP’s Disability and Health Employment Strategy: Shaw Trust response (April 2014) 4.3. These include a lack of clear criteria as to why some customers with disabilities are referred to the Work Programme rather than Work Choice and vice versa, and significant challenges with transferring customers between programmes in the case of inappropriate referrals. Additionally, Work Programme offers customers preemployment support for a longer duration of two years, compared to just six months on Work Choice – a programme that is aimed at supporting those with severe disabilities and health problems into employment. 4.4. To avoid such inconsistencies occurring in future delivery, and to create a joined up service where customers can easily transfer between the mainstream and specialist support programmes, any new mainstream and specialist offer of support should be designed in tandem and promote greater flexibility between programmes. 4.5. In addition to the measures outlined in the strategy to improve the Work Programme, Shaw Trust urges DWP to consider reviewing the payment structure of the Work Programme for ESA customer groups. Year four of the contract delivery of the Work Programme has now commenced, meaning that there is no upfront funding to support any customer starting on the Work Programme. Although as a prime contractor Shaw Trust fully acknowledges its contractual commitments to the Work Programme, the increased complexity of needs of ESA customers compared to the projected caseload in the Work Programme tender (such as those with a twelve month return-to-work prognosis being admitted into Payment Group six), requires more investment from providers to deliver the tailored support needed for a customer to return to employment. 4.6. Further tailored support could be provided to ESA customers if the Work Programme payment structure for these groups was realigned. This could be achieved by redistributing a proportion of the funding for job outcomes or sustainments to the attachment phase, or by creating a series of transitional funding triggers for achieving distance travelled. This would enable providers to invest more heavily in timely, tailored interventions which support customers in managing their health conditions and pave a realistic and sustainable path back into employment. 4.7. Shaw Trust also recommends that careful consideration is given to how ESA customers in the Work Related Activity Group (WRAG) are supported by both a future mainstream and specialist disability employment programme. Although performance for ESA customer groups on the Work Programme is improving, with six per cent of ESA customers in payment group six now achieving a sustained job outcome,19 it is clear that this customer group has not achieved the performance expectations set out at the start of the contract. This is in contrast to JSA customers in Payment Groups 1 and 2, both of which are now performing above the contractual targets. 19 Statistic gained from using referrals and job outcomes data up to December 2013 on the Work Programme accessed via DWP Tabtool: http://tabulation-tool.dwp.gov.uk/WorkProg/tabtool.html 15 DWP’s Disability and Health Employment Strategy: Shaw Trust response (April 2014) 4.8. However, as many ESA WRAG customers are mandated to back to work provision, it is unclear whether referring customers into a voluntary specialist programme would be effective. In Shaw Trust’s experience, the voluntary nature of Work Choice is a key factor in its success. Consideration could therefore be given to a third, distinct and specialist programme for ESA customers, with a funding stream and delivery model that is supportive of the health barriers and challenges these individuals face in finding work. Section Five: Support for young people 5.1. There are 2.1 million young people under the age of 25 in the UK living with long term health condition or disability.20 Often, but not always, young people with disabilities, health problems, and impairments will need additional support from a range of sources to help them to complete the transition from full time education to further learning, Apprenticeships or employment. These can include their families, schools, health care providers, Local Authorities and government departments such as the Department for Education, Department of Health and DWP. 5.2. It is therefore imperative that a multi-agency approach is implemented when considering how young people can make the transition into work. Without joined up objectives, strategies, and delivery from across government, more disabled young people will not be able to complete the transition from education to employment. It is vital that steps are taken to remove the post-school ‘cliff edge’ whereby support suddenly drops off leading many to move straight to benefits rather than higher education, training or a job. 5.3. We welcome the new measures to raise young people’s aspirations included in the DHES, such as the Inspiring Role Models campaign and the proposed introduction of Knowledge Packs to challenge misconceptions of the abilities of disabled young people. However, we need to move beyond advisory measures and focus on understanding what direct activities will help young people positively make the transition from education into employment. 5.4. As such, in addition to the measures proposed in the DHES, Shaw Trust urges DWP to consider how it can practically implement a programme of support for young people with disabilities, health problems and impairments, to more consistently achieve positive education or employment outcomes. Supporting disabled young people once they claim unemployment benefits is too late: the scarring effects of unemployment on future earnings, mental health and confidence will have already had an impact. 20 DWP (2013) Disability and Health Employment Strategy: the discussion so far 16 DWP’s Disability and Health Employment Strategy: Shaw Trust response (April 2014) Early intervention 5.5. In Australia, providers of the Disability Employment Service Employment Support Service (DES-ESS), a programme similar to Work Choice, are required to proactively engage with schools as part of their DES-ESS delivery. Providers work with local schools to identify young people with disabilities and health problems approaching school leaving age that could benefit from DES-ESS support. DES-ESS providers work collaboratively with the young person, the school and their families to engage the young person in DES-ESS employability training and jobsearch activity once they leave school, to quickly support the young person to find suitable and sustainable employment. This approach of early intervention prevents the young person from becoming long term unemployed, and provides the young person and their families with a single point of contact if further support is needed in the future. 5.6. Shaw Trust would welcome the opportunity to work with DWP, DFE, and local schools to pilot a similar approach to early intervention. We would like to work with schools to deliver employability training to young disabled people, and work with young people and their families to identify suitable training and employment opportunities for young people who are able to work when they are approaching the end of their full time education. 5.7. This approach would not only help young people to secure employment, but also equip them with the resources to develop a successful career. Some young disabled people are able to make the transition between education and employment independently, but for those that are not able, this additional support will help to prevent young disabled people from becoming long term unemployed. Section 6: Support for employers Comprehensive support for employers 6.1. Shaw Trust welcomes DWP’s increased focus on supporting employers to recruit and retain people with disabilities, health problems and impairments in their workforces. This is an important step needed to create an inclusive society. Employers have a critical role to play in raising the employment rate of disabled people, as without their vacancies and on-going support in the workplace, increased numbers of people with disabilities, health problems and impairments will not have the support they need to enter and sustain employment. 6.2. Shaw Trust’s research with employers for our ‘Making Work a Real Choice’ reports emphasised that despite the negative attitudes of some employers towards employing disabled people, the vast majority of employers were willing to offer employment opportunities to people with disabilities, health problems and impairments. However, 17 DWP’s Disability and Health Employment Strategy: Shaw Trust response (April 2014) they were unsure of how to develop an accessible recruitment process, make workplace adjustments, or how to offer tailored support to their disabled employees. 6.3. Shaw Trust’s final ‘Making Work a Real Choice’ report recommended that the Government should launch a national culture change campaign aimed at building employers’ ability to employ disabled people, as well as transforming employers’ and society’s attitudes towards disabled people.21 The Government’s Disability Confident campaign and new proposals for an Employer One Stop Shop outlined in the DHES are therefore welcome developments. An online Information Portal with details of how to access Access to Work funding and providing advice on disability law will provide an easy and accessible point of reference for all employers. 6.4. Details of providers of employment services such as Work Choice should also be provided on this portal, to enable employers to contact providers directly for recruitment support. Additionally, the introduction of the new Health and Work Service will also provide employers with an important source of advice to support employees with health conditions to remain in employment. 6.5. However, further engagement with employers is needed if their critical role in raising the employment rate for people with disabilities, health problems and impairments is to be fully recognised. The employers participating in Shaw Trust’s research for ‘Making Work a Real Choice’ stated they wanted support above and beyond online information. Many employers highlighted the importance of the tailored support they had received in person or by phone from a Work Choice adviser. Some employers we interviewed had built up a close working relationship with an individual Work Choice adviser. Advisers not only delivered in-work support in the workplace, but were also available to provide ad-hoc bespoke support if one of the employer’s Work Choice employees was experiencing difficulties. This bespoke advice was felt by employers to be vital for ensuring they could help employees with disabilities, health problems and impairments to maintain and sustain employment. It suggests that a more intensive service – either provided by organisations delivering specialist disability employment support or by the Employer One Stop Shop – is crucial to truly enable employers to be ‘disability confident’. 6.6. Similarly, Shaw Trust’s ‘Making Work a Real Choice’ report highlighted the need to transform some employers’ recruitment processes, to ensure they are fully accessible for people with disabilities, health problems and impairments. One customer participating in Shaw Trust’s research focus group highlighted how his learning disability prevented him from successfully completing an online application form for a national employer as the screen timed out before he was able to complete all of the necessary details. This prevented the individual applying for another job with the employer for eight months. Online application forms were also reported as problematic 21 Shaw Trust (October 2013), Making Work a Real Choice (final report) 18 DWP’s Disability and Health Employment Strategy: Shaw Trust response (April 2014) by other customers with learning difficulties and disabilities and those with visual impairments. Other feedback Shaw Trust has received through our consultation for Making Work a Real Choice has highlighted how Access to Work funding cannot be used to pay for British Sign Language interpreters to accompany people with hearing disabilities to interviews, which could disadvantage deaf people during the interview process. 6.7. Although participation in specialist disability employment programmes such as Work Choice can address some of these barriers, for example by funding the provision of interpreters for those with hearing disabilities attending interview, or by arranging alternative forms of interviews such as work trials for customers not able to thrive in a more formal interview process, only 64,220 people with a disability have been supported by Work Choice to date.22 Yet, there are 6.4 million people with disabilities, health problems and impairments currently not in employment. 23 6.8. It is therefore crucial that a more systemic system of support is available to employers to help them ensure that their recruitment processes, including online, are fully accessible to individuals with a range of disabilities, and that disabled people have the support they need to ensure they have a level playing field when attending job interviews. As recommended in ‘Making Work a Real Choice’, Access to Work funding should be extended to support both employers and individuals through the recruitment process. DWP should further consider what extra support it can offer employers for their recruitment process, as part of its on-going development of the DHES. Section 7: Best practice and continuous improvement 7.1. Shaw Trust welcomes DWP’s commitment to building its evidence base through piloting new forms of support and other research. As part of the final ‘Making Work a Real Choice’ report. Shaw Trust commissioned the Centre for Economic and Social Inclusion (Inclusion) to conduct a literature review to identify ‘what works’ in helping people with disabilities, health problems and impairments into sustainable employment. Like DWP’s own commissioned literature review on the same subject,24 Inclusion concluded that there was a limited evidence base to conclusively identify ‘what works’ in helping disabled people to secure sustained work. The ambiguous use of terms such as ‘supported employment’ and the use of a myriad of different methodologies, outcome data and participant groups rendered it difficult to find comparative data for each employment programme. 22 Taken from the February 2014 official Work Choice statistics published by DWP: https://www.gov.uk/government/uploads/system/uploads/attachment_data/file/277235/work-choice-statistics-feb-2014.pdf 23 DWP (2013), Disability and Health Employment Strategy: the discussion so far, Annex B 24 DWP (2013), What works for whom in helping disabled people into work? 19 DWP’s Disability and Health Employment Strategy: Shaw Trust response (April 2014) 7.2. A number of measures could be implemented to help build the evidence base of ‘what works for whom’ in the future. Firstly, DWP could require providers to collect more robust data regarding the characteristics of customers on the future specialist disability employment programme, and to monitor common characteristics of those entering work, and those not succeeding in entering work, in addition to the outcomes of any interventions such as work trials. 7.3. Linked to this, DWP could require providers as part of the commissioning process to commission their own independent evaluations of their contract delivery, which could be used to feed into the central DWP programme evaluation process. Commissioners such as the Big Lottery Fund contractually require providers to conduct evaluations at the end of their contracts. Finally, DWP could work with ERSA, BASE and other trade bodies and representative organisations such as ACEVO, to build a best practice sharing database for all providers of employability services to disabled people. This could include best practice from non-DWP contracts, and should be used to build the evidence base of ‘what works’ in supporting people with disabilities, health problems and impairments into sustained work. Conclusion and recommendations In conclusion, Shaw Trust would like to highlight three key themes that lie at the heart of our response: A. The DHES is only a starting point to support more disabled people that can work, into work. Shaw Trust supports the Disability and Health Employment Strategy, and it is positive that we have a specific strategy which focuses on increasing access, entry into and the sustainment of employment for people with disabilities, health problems an impairments. However, the Government, charities, providers, disabled people’s user led organisations and employers all need to work together to fill in the detail and ensure investment, innovation and increased support for people with disabilities, health problems and impairments, if we are to facilitate a significant increase in their employment rate. B. The DHES is only one piece of a complex jigsaw in supporting disabled people into work. In addition to working with providers, stakeholders and disabled people themselves, DWP needs to work with other government departments, such as DFE, DoH and BIS to join up support for disabled people. This is particularly critical for young people with disabilities and health problems. Young people should be able to receive the support needed to access the labour market before they leave full time education, and not only at the point of their benefit claim, or referral onto a programme like Work Choice. Shaw Trust would welcome the opportunity to work with DWP, DFE and Local Authorities to develop a pilot that creates a seamless transition for young disabled people from education into employment. 20 DWP’s Disability and Health Employment Strategy: Shaw Trust response (April 2014) C. Both local and national provisions have an important role to play in supporting more disabled people to enter and sustain work. A national programme offers disabled people nationwide access to a consistent programme of back to work support. Local provision can enhance this offer and provide access to specialist and peer led support. The role of a national programme is of particular importance in areas where there is no local specialist provision available. Recommendations Drawing on the points raised throughout this response, Shaw Trust’s 10 key recommendations to inform DWP’s final DHES strategy and delivery plan are as follows: 1. DWP should ensure that elements contributing to the success of its existing specialist disability employment provision are maintained and enhanced rather than lost in the design of the new system. These include streamlined, joined-up support; sufficient service fees; and voluntary participation. 2. The expansion of choice and control for people with disabilities, health problems and impairments should ensure that consistent national support remains in place for those less comfortable with assuming control of their own provision. 3. A national specialist programme of employment support should be maintained to avoid creating a ‘postcode lottery’, disadvantaging people in areas with limited or no provision. 4. The proposed ‘gateway’ assessment tool should be applied to all DWP customers and made sufficiently robust through clearer eligibility and referral criteria and the greater use of data analytics. Funding models for future programmes should include sufficient service fees based on individual need, and the consideration of distance travelled payments to incentivise progression of those furthest from the job market. 5. DWP should clarify its intentions for the allocation of its £350 million disability employment support budget for 2015/16, and consider evidence that increased funding and expanded provision will provide the best chance of supporting more disabled people into work. 6. Funding for Protected Places should be extended to further promote new Intermediate Labour Market approaches and provide valuable employment opportunities for those with the most complex health conditions. 7. DWP’s new ‘mainstream offer’ should be designed in close tandem with the specialist offer, to ensure maximum flexibility and avoid policy inconsistencies experienced with Work Programme and Work Choice. 8. DWP should embrace greater actions to improve disability employment support for young people to avoid the ‘cliff edge’ faced by many leaving schools straight onto benefits. Shaw Trust would welcome the opportunity to pilot an approach focussed on early intervention and joined up, multi-agency support. 21 DWP’s Disability and Health Employment Strategy: Shaw Trust response (April 2014) 9. DWP’s employer engagement should focus more clearly on promoting accessible recruitment practices and providing a greater level of systemic support to employers, building on best practice from Work Choice and extending Access to Work funding. 10. DWP should take further steps to build its evidence base, including encouraging providers to collect more data on their customers and facilitating the creation of a best practice sharing portal. Shaw Trust would welcome the opportunity to discuss the issues raised in this report further. For further information please contact the Policy and Research team on business.development@shaw-trust.org.uk April 2014 Shaw Trust, Shaw House, Epsom Square, White Horse Business Park, Trowbridge, BA14 0XJ Registered Charity Number 287785 22