Source · Select Committees · Work and Pensions Committee

Recommendation 5

5 Not Addressed Paragraph: 29

In response to this Report, we ask the Government to outline the methodology used to...

Recommendation
In response to this Report, we ask the Government to outline the methodology used to determine when Internal Process Reviews are carried out, and how it has improved its collection of data on deaths and serious harms since the NAO report on Information held by the Department for Work & Pensions on deaths by suicide of benefit claimants in 2020. In addition, DWP should publish anonymised data annually on all instances Health assessments for benefits 89 of deaths or serious harms associated with health assessments, disaggregated to show incidence of suicide, the issues that led to these deaths, and the steps it has taken to remedy issues raised.
Government response summary AI-generated
The government responds by stating that the Department's assessments are not comparable to clinical assessments and that it routinely carries out evaluations of policy changes. It claims it would be extremely difficult to objectively separate the impact of the process on mental health from other confounding factors.
Summary of the government's response below — read the verbatim text to verify.
Paragraph Reference: 29
Government Response Not Addressed
HM Government · verbatim extract Not Addressed
Internal Process Reviews (IPRs) form a core part of the Department’s overall approach to learning and help inform improvement activities across all DWP product lines (which provide services to around 20 million customers) to ensure that it supports the continuous improvement of capability, culture, behaviour and processes. IPRs are not conducted to investigate a customer’s death, but provide an internal, high-quality investigation to ensure the Department continuously learns from where the customer experience has fallen short of expected standards. The Department is not always made aware of the reason for a customer’s death or serious harm, there is no public record of these, and the Department does not conduct IPRs in all cases where DWP customers have died. Where cases are referred for an IPR, these will be conducted where: There is a suggestion or allegation that the Department’s actions or omissions may have negatively contributed to the customer’s circumstances, and a customer has suffered serious harm, has died (including by suicide) or where the Department has reason to believe there has been an attempted suicide: or The Department is asked to participate in a Safeguarding Adults Review or is named as an Interested Person at an Inquest, regardless of whether there is an allegation against the Department. Since the National Audit Office’s report, the Department has collected data on all cases referred for an IPR, and has published details on the numbers of IPRs and provided a breakdown between death and serious harm in response to both Parliamentary Questions and Freedom of Information requests on several occasions. It is also intending to include data in relation to IPRs in this year’s Annual Report and Accounts. Additionally, the Department is also considering its options and the potential for publishing IPR data more frequently in the future. The Department is also working closely with assessment providers to look at interactions, feedback and learning from IPR cases. The Department has met and explored what information it can provide from the outset of IPRs being commissioned, as well as how feedback and learning can be supplied to providers following the outcomes of IPRs. Where this is in relation to an individual customer this is taken forward with the individual provider, and additionally, the Department has introduced quarterly meetings to bring together representatives from all providers. Within these meetings cases are discussed more widely to provide a broader understanding of IPR cases that have involved providers and to increase understanding of issues identified and work taken forward across the Department to support vulnerable customers. The Department is also very keen to engage with stakeholders, including from mental health charities and other organisations, to continue to make improvements to services for its customers. It recently met with Rethink, a mental health charity who were representing the families of some benefit claimants who have passed away, and the Department intends to organise further meetings.
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