---

Welfare Reform Bill

I thank my hon. Friend for that intervention, but pathways has shown that folk with mental health illnesses, fluctuating mental health conditions and learning disabilities can be supported with the right level of tailored support, focused on their needs and on what they can still contribute to society and employment. That is an important distinction from what went before. On the specifics, pathways is the most successful initiative of its type from any Government in this country. Some 25,000 job entries are a consequence of pathways, and it is testing a new and innovative approach, involving the private and voluntary sector, to support the specific needs, conditions, aspirations and abilities of the individual. I disagree with the hon. Member for Runnymede and Weybridge (Mr. Hammond) that pathways will stifle innovation, and I do so for a number of important reasons. In respect of the way in which we are constructing contracts, our current plans will allow for 70 per cent. to be paid on the basis of outcomes, with 30 per cent. set aside to enable others to enter the market and to provide cover for overheads for smaller organisations in particular. On the way in which we shape the outcomes, it is important that we construct the contracts in such a way that the private and voluntary sector does not simply help those whom it is easiest to support into work. That is an important distinction as we extend pathways through the private and voluntary sector. In respect of support for those who have fluctuating mental health conditions and other fluctuating conditions, as my hon. Friends the Members for City of York and for Burton and the hon. Member for Tiverton and Honiton said, it is important to reflect on the fact that the single biggest contribution to people coming on to incapacity benefit is fluctuating mental health conditions. That is a remarkable change in recent years. I can confirm that the reformed PCA process will take into account the fluctuating nature of many conditions of those on incapacity benefit. It will not be a snapshot of one experience at a point in one day. We will continue to assess individuals over a period of time. Key to that, however, is that we ensure that the staff in Jobcentre Plus and in private and voluntary sector providers have the level of skills, knowledge, empathy and understanding to ascertain the needs and experiences of the customers they support.