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Powell, M. (2002) “New Labour and social justice” in M. Powell (ed.) 16 By March 2005, 14 out of 161 Workwise participants, 23 out of 117 PATHS participants, and 16 of 65 ProCare participants had moved off their benefits. In another region we visited, during the same period case managers had referred 114 beneficiaries to the regional health advisors and regional disability advisors because the beneficiaries had exceeded the expected recovery time. Work and Income gives you up to 6 weeks of your NZ Super or Veteran’s Pension in advance. We noted initiatives to broaden the criteria for referring benefit applications to advisors for review, such as by the nature of their incapacity. These approaches sought to narrow the gateway to benefits and to ensure those with work capacity did not avoid the obligations that were at this time being placed on other groups of beneficiaries, including those in receipt of UB and Domestic Purpose Benefit. Instead, referrals relied on the initiative of the individual case manager. Twenty per cent of IB recipients are Maori. You need to pay it back, usually in instalments. Enhanced case management seeks to ascertain potential for work and to individualise provision for rec ipients. But the government has provided rental housing for New Zealanders for more than a century. Any inconsistencies can be referred to the regional health advisor or regional disability advisor for their recommendation before a decision about eligibility is made. Gourley, M. (2005) Message from the Disabled Persons Assembly, Progress in Implementing the New Zealand Disability Strategy 2005, Fifth Annual Report from the Minister for Disability Issues to the House of Representatives, Wellington. A new language and set of policy prescriptions, resting on “work-first” citizenship, has developed for a range of beneficiaries. Overseas research suggests general practitioners were concerned about the conflict of certification activity with a therapeutic role (Hiscock et al. Even if you are not on a main benefit i.e. Instead, this was sometimes expressed in general terms, for example "fatigue, insomnia, low mood", "needs supervision", or "depression". Rather than applicants automatically going to incapacity benefits, they will be placed on a holding benefit and this will be built up as they meet their obligations, rewarding claimants when they take steps towards work (Department for Work and Pensions 2005:47). Evaluating New Labour’s Welfare Reform, Policy Press, Bristol. The interaction of SB and IB with other programmes, and shifts in organisational practice may also be significant. There have been a series of developments aimed at wrapping specialist support services around clients who are identified as being close to the labour market and potentially benefiting from enhanced and intensive support – whether health, motivational or vocational. Unemployment, Sickness, Domestic Purposes, Invalids or NZ-Super you may still have entitlement to "Extra Assistance". Check the income limits under ‘Who can get it’ on the Work and Income website. 3.1 The New Zealand Government has expressed an interest in the “quality of new and existing jobs” ( New Zealand Government 2000:12) and it would appear that wo rk/life balance is an emerging leitmotif of labour market and family policy. Under the Ministry of Labour, Invalids and Social Affairs. (p.5), Pathways to Opportunity also talks about the importance of investing in education and health, investment in people, and the importance of opportunities. Close The cost of investing in qualifications and basic skills may be high, yet the difference between minimal and investment social policy rests on recognising that the best investments do not always secure short-term dividends. there is not enough information in the certificate and existing reports, assessments, or Work and Income records to decide entitlement; the medical information is ambiguous or conflicting; a previous medical certificate contains a substantially different diagnosis or recommendation; the beneficiary is involved in activities that appear to be inconsistent with recorded incapacities; or. Recent research and emerging insights from experience in Britain are helpful in allowing many of these issues to be located in an informative comparative context. Research also suggests that 81% of the IB growth for those aged between 15 and 59 is associated with current or recent contact with the benefit system, indicating transfers from elsewhere in the benefits system (particularly SB, but also Unemployment Benefit (UB), Domestic Purposes Benefit and Widow’s Benefit) rather than new flows from the workplace (p.26). Currently, 70% of Work and Income staff time is spent administering 10 base benefits and 36 supplementary payments. New directions include increased r egional flexibility in delivering employment services and addressing skill shortages: while at the micro level there have been ongoing attempts to introduce tailored case management. 8 The research strategy i ncludes research around an international review of b enefit receipt; c ase managers on work readiness of SB and IB (October 2004); h ealth survey analysis (July 2005). Player, M. (1994) “Welfare to well-being” Social Policy Journal of New Zealand, 3:77–81. In this region, for the information provided to us for the period from October 2007 to November 2008, the regional health advisors and disability advisors were referring sickness beneficiaries to a designated doctor to confirm their ongoing eligibility for the sickness benefit where the duration exceeded the Medical Disability Advisor guidelines. We noted instances where, after the advisor reviewed additional information and talked to the health practitioner, some applications for the invalid's benefit were declined and the beneficiary remained on the sickness benefit. Depending on how much you earn, your benefit will be reduced (“abated”) by a certain amount. As invalids' beneficiaries become due for their periodic medical reassessments, there will be an opportunity to review a growing proportion of this group. To review this information, case managers have to look at the Ministry's online records or previous medical certificates. Most submissions to the New Zealand Disability Strategy consultation suggested that a coordinated and focused public education programme was required in respect of disability. 3.4 In some cases, health practitioners could be more inclined to, or under pressure to, issue medical certificates. The New Service Model for all clients is preventative and work-focused case management to keep individuals in work, and to ensure rapid return or preparation (including part-time and intermittent work) through employment-focused services for those that move out of work (Clark 2005).14 In line with this model, for Sickness and Invalid’s Benefit recipients, the emphasis is upon recognising the potential individuals may have for work, and providing more effective and personalised services for those that wish to make use of them.15 It may also include services aimed at retention for those at risk of losing jobs on grounds of ill health and disability (Maharey 2005b). Certainly, the United Kingdom has stressed the culture of mutual obligation and the need to be consistent across unemployment/disability benefits. We have made eight recommendations in this Part, about: The revised medical certificate introduced in September 2007 has provided relevant information for determining eligibility. There is also the expansion of the Job Club pilot through Workbridge. (NZDS Consultation, Employment/Business Development 2000:9, original italics). Since 1999, Labour administrations have prioritised welfare reform, and this has included attempts to tackle numbers on SB and IB. 20 Also, District Health Boards are not funded or responsible for helping individuals to access a range of health services to ensure an employment outcome (Ministry of Social Development 2005a:83). Singley, S. (2003) Barriers to Employment Among Long-term Beneficiaries: A Review of Recent International Evidence, Centre for Social Research and Evaluation, Ministry of Social Development, Wellington. The New Zealand social security system The New Zealand social welfare system provides for four major transfer payments for the working age population: the unemployment benefit, the sickness benefit, the invalids benefit and the domestic purposes benefit.1. The usefulness of medical certificates was sometimes limited because the information recorded was not complete or sufficiently specific. Based on their advice, some applications for sickness and invalids' benefits had been declined. 3.20 We recommend that the Ministry of Social Development provide Work and Income case managers with more guidance about using the Medical Disability Advisor, clarifying when they ought to use that database to check the expected effect of a person's medical condition on their ability to work and likely return to work. Christine has 1 job listed on their profile. Five of the remaining 17 had information on the file that suggested that the application warranted referral. The reference group has an advisory role in bringing issues to the attention of the Office and providing advice and feedback on the implementation of the New Zealand Disability Strategy. We recommend that the Ministry of Social Development consider using vocational assessments more often for beneficiaries with complex and long-term medical conditions and multiple barriers to work. In this section Allowances and benefits. Figures for SB and IB, to the year ending June 2005, stood at 73,186 people aged 18–64 in receipt of IB (an increase over the year of 3%), and 45,176 people (aged 18–64) in receipt of SB (up 3% over the year). and T. Luckmann (1966) The Social Construction of Reality, Doubleday, New York. In total, over all the main income-tested benefits: More than a third receive a benefit for less than one year 3.34 As well as a role for employers, active engagement is also being sought from a range of medical professionals, particularly in primary health care. 3.47 To tackle the differences in labour market outcomes and jobs, it is necessary to move further upstream and consider school, education, skills and broader social attitudes. 3.11 3.44 These “Innovative Employment Assistance” initiatives include the piloting of PATHS (physical health), ProCare (mental health services), Work First (mental health), Workwise (mental health), Te Rau Pani (mental health) and Kaleidoscope (spinal injury) (Ministry of Social Development 2005a). From the 1990s, increased numbers moving onto disability benefits and the relatively long stays on IB and growth in inflows of SB, have been perceived as a major thorn in the side of successive governments (McClure 1998). In our view, where applications for long-term sickness benefits and invalids' benefits are not referred to the regional health advisor or regional disability advisor, there is value in case managers reviewing past online records. Ongoing policy will continue to ensure work pays, but this must be balanced with an awareness that most beneficiaries will not become wage earners through incentives alone (Corden and Sainsbury 2001, Corden et al. For our sample of beneficiaries, we examined how health practitioners answered the questions in the medical certificate, how much detail was provided, and how useful that information was for determining eligibility. The Ministry carried out analysis in September 2006 that identified deficiencies and varying practices in how health practitioners issued medical certificates for sickness benefit applicants. for Women Alone and Unemployment Benefit are paid at lower rates than Invalids benefit. This either/or definition of incapacity is problematic for two reasons: it fails to recognise partial capacity, ignoring the spectrum of capacity; and it does not account for the fluctuating nature of impairment and changes over time. 3.48 See the complete profile on LinkedIn and discover Christine’s connections and jobs at similar companies. It is expected that most sickness beneficiaries' ability to work will improve, allowing them to progress towards employment. The paper reflects on five fundamental issues that will influence the longer-term success of SB and IB interventions: the social model, issues of partnership, “healthy welfare”, mutual obligation, and investment social policy. However, the tool did have some practical application. Flexible benefits were seen as a key dimension in making progress around employment opportunities – a point echoed by the Disability Strategy Sector Reference Group, who recommended the importance of providing more flexible income support benefits to facilitate work and training opportunities. Close Social welfare is mostly funded through general taxation. 2005). We reviewed applications in two service centres that adopted the practice of making referrals to the regional health advisor or regional disability advisor in the last quarter of 2008. invalids' beneficiaries who were due for their scheduled medical reassessment. Beyond delivery, this has also meant modernising the very rationale and principles of the welfare system itself: We need a social security system that is modern, flexible and more effective in supporting people to take up and stay in paid work. Growth in Numbers of Sickness and Invalids Benefit Recipients This research paper is intended to report on an analysis that uses the MSD benefit dynamics data set to advance our understanding of the growth in numbers in receipt of the Invalids Benefit and Sickness Benefit that occurred over the decade to … Together with fiscal welfare and occupational welfare, it makes up the social policy of New Zealand. Employers can be seen as users of incapacity services because the initiatives may reduce labour shortage, turnover, and absenteeism (Corden and Sainsbury 2001). transport and education), the weakness of the 1993 Human Rights Act does not encourage flexibility and discrimination is likely to remain (cf. the beneficiary chose to see a designated doctor. At the time of our audit, most of this group had not yet been reviewed. Maharey, S. (2005a) “Extending opportunities for social development and employment” Office for the Minister for Social Development and Employment, 2 February, Wellington. Discernible within the policy matrix of the three Labour Coalitions (1999–2002, 2002–2005, and from 2005) is a clear emphasis on modernising welfare, active labour market policy, and enhancing “employability” of all disadvantaged groups. In some cases, the medical certificates did not clearly describe the effect of the person's medical condition on their ability to work. Working Futures? In a bid to ensure equity, particular at-risk groups have been targeted for interventions: sickness and invalid beneficiaries, long-term unemployed, young job-seekers, sole parents, mature job-seekers, Maori; Pacific Peoples, and ne w migrants. included a discussion with the health practitioner to confirm eligibility by clarifying the nature of the medical condition, the prognosis, and the effect of the condition on the person's ability to work; identified work opportunities for which the person might be suited, given their circumstances and incapacity; assessed the person's health and other needs, and services that might meet their needs; and. Sickness Benefit requires a condition or disability that limits capacity to seek or undertake full-time employment (30 hours). Barnes, H., P. Thornton and S. Maynard Campbell (1998) Disabled People and Employment: A review of research and development work, Policy Press, Bristol. It seems likely that prevention and managing long-term sickness-related absence will be increasingly important areas, with medical practitioners encouraged to do more to help workers stay in and retain work. View Christine Kidd’s profile on LinkedIn, the world's largest professional community. 3.13 (OECD 2003:4). Knight, T., S. Dickens, M. Mitchell and K. Woodfield (2005) Incapacity Benefit Reforms – the Personal Adviser role and the practice: Stage Two, Research Report No 278, Department for Work and Pensions, London. (2004) note: “Conditionality” is the principle that entitlement to benefits should be conditional on satisfying certain conditions, most commonly undertaking work-related activity such as job search. Seeking work, seeking better work, gaining promotion, and development within work would become part of a totality of welfare reform. Previously, general practitioners have not seen such dimensions as part of their role and have lacked the tools, training and financial incentives to offer such supports. The advisors were able to speak with the person's health practitioner to get more detailed information about the person's medical condition, work capacity, and prognosis. and alcohol. Disability pension (invalids’ benefit): Up to NZ$205.18 (net) a week for a single person or NZ$341.98 (net) a week for a couple. Lunt, N. and R. Pernice (1999) “New Zealand disability employment policy in the 1990s” Social Policy Journal of New Zealand, 12:16–34. Services, including PATHS, ProCare and Workwise, continue to be available even when clients have entered employment.16. There were 26 applications where ongoing eligibility for the invalid's benefit was assessed. In the sample we selected, when the revised medical certificates were completed in full they provided relevant information for case managers to use when making decisions about eligibility. If necessary, case managers should refer to previous medical certificates. 4 Here I am using “ disabled people” to indicate my understanding and commitment to the “social model of disability” . To establish eligibility for the sickness benefit, Ministry policy requires case managers to consider the information in the medical certificate. While evidence-based policy has a certain rhetorical appeal, recognition that in practice this may translate to “what works for whom and under what circumstances” (de Boer 2003) may be a less sanguine conclusion (also, Johri et al. The future responses of the New Zealand disability community to attempts to tackle SB and IB issues are likely to be conditional on the wider transformations occurring in terms of implementation of the social model and progress of the Disability Strategy. As Adamson (2004) notes, the Training Incentive Allowance was not effective for those in receipt of IB in terms of moves to employment – but if self-confidence, wellbeing, and interaction measures were chose n then a more positive picture emerged. As well as direct and indirect discrimination, systemic discrimination occurs when practices and policies of an institution or society operate against the interests of a specific group. (OECD 2003:5). About 85,000 people were on the invalids benefit. In Britain , there is a familiar emphasis on uncoupling disability status and benefit receipt, developing linking rules, and ensuring individualised and early provision by skilled caseworkers. 2005:20, 66). Vocational services no longer fund services w ith purely therapeutic intent, such as day centres and related activities, and, in 2002, $44 million was allocated for employment support. From the 1990s, a dominant theme of welfare reform focused on shifting from passive welfare delivery to “active labour market policy”.

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