
Why welfare reforms don't need to happen
More than two-thirds (67%) of people seeking advice from a CAB have a disability or long-term health condition. This comes at significant cost, especially for those in remote and rural communities. People don't have enough to live on, many are grappling with debt and destitution, and physical and mental health is getting worse. Poverty is a consequence and cause of disability and ill health, meaning the need for social security has grown alongside poverty rates.
One of the proposals seeks to radically narrow eligibility criteria for the Personal Independence Payment (PIP) so that fewer people can receive this. PIP and its equivalent in Scotland, Adult Disability Payment (ADP), are enabling payments. They exist to cover the additional costs of disability or ill health. They're not means-tested or linked to the ability to work.
Narrowing the criteria to access the daily living component of PIP – which includes support for preparing food or managing incontinence – will remove payments that enable many people to work. More than a quarter (27%) of those seeking ADP advice from our network are in employment. Removing people from the work force, which will happen if these proposals go head, is completely senseless.
It's unclear what impact the reforms will have on devolved social security in Scotland. Alongside a dramatically reduced budget, complexity could be added to the system, making it more difficult for people to claim payments they're entitled to. It is imperative the UK Government works closely with the Scottish Government to avoid this. People urgently need reassurance, as is clear from the CEO of Glasgow Northwest CAB: "We've already seen a spike in demand from people asking what this is going to mean. People are so worried – I don't know how much more they can take. Or our advisers. How do we tell even more people who are cold and hungry, facing mounting debts and deteriorating health there's nothing else we can do to increase their incomes? This will be devastating for all of us."
There's a choice to be made; improving the circumstances of sick and disabled people should not be a difficult one. It's clear for us when we hear the worry in the voices of our advisers and the thousands who visit our CABs, our leaders need to listen too – these reforms do not need to go ahead.
Emma Jackson is head of Social Justice at Citizens Advice Scotland
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Metro
11 hours ago
- Metro
This alarming health problem makes children miss school - and how we fix it
Scientists are warning about a simple health issue causing hundreds of thousands of children to miss extra days of school. Tooth decay and other dental issues mean pupils lose hours of valuable lesson time – with the poorest kids worst affected. The problem has been revealed by researchers in Scotland, but they warn that the tooth fairy could be even busier in England. Their study of over 260,000 Scottish children found that children with tooth decay missed on average five more half-days of school per year than those with healthy teeth. A staggering third, more than 85,000 children, were suffering from poor oral health. School absences got longer with worsening dental problems. Children who needed emergency treatment for their teeth or had to have them removed under general anaesthetic lost more than three days of lessons. Mariel Goulart, a dentist who led the research for Glasgow University, told Metro: 'Missing school, even just half-days, can hurt a child's learning 'This study shows that fixing tooth decay isn't just about health – it's about giving kids a fair chance in school, especially in deprived communities.' The study, which looked at kids aged 4 to 7 years old, was published on July 7 this year. Of the children being studied who had tooth decay, they missed on average22 half days, or 11 full days at school. Those without tooth decay missed only 15 half-days or 7 full days. When researchers adjusted these results to account for other factors, they found children with caries experience (tooth decay) missed on average five more half-days of school per year. The most concerning finding, however, was how children from poorer backgrounds could miss even more school due to dental hygiene. Researchers found that school kids in the poorest areas missed nearly twice as many days due to teeth problems compared to those in wealthier areas. Goulart said of this result: 'I honestly didn't think it would be this much. 'Child poverty is something that is really important for oral health and education outcomes are related to income levels.' Government research shows that pupils who performed better both at the end of primary and secondary school missed fewer days than those who didn't perform as well. Goulart says, however, that poor oral hygiene could be impacting learning even if kids turn up to lessons. She explained: 'What about the days when children were at school but in pain? Were they paying attention to the classroom? I don't think so.' As a result, the researcher is calling for free school meals to be rolled out more widely across the UK. 'Free school meals should be available for every child despite personal income,' she said. 'If you have a healthy meal, it is one time less a day that you eat sugar, biscuits or anything that's harmful for your teeth.' Over 380,000 pupils in Scotland will be eligible for free school meals in the coming school year. Scotland also introduced a supervised toothbrushing programme, called Childsmile in nurseries and schools from 2008. Goulart acknowledged Childsmile had successfully brought down rates of tooth decay. Indeed, the latest National Dental Inspection Programme results show 73 per cent of Primary 1 children (reception in English education) have no obvious tooth decay compared with 58% in 2008, when Childsmile was introduced. A similar toothbrushing programme was only rolled out in England in March 2025. Goulart told Metro the delay in introducing a toothbrushing scheme meant the number of children missing school due to dental issues could be higher in England than across the border. The government's new scheme aims to give 600,000 children in the most deprived areas access to supervised toothbrushing. Health minister Stephen Kinnock said in March: 'It is shocking that a third of 5-year-olds in the most deprived areas have experience of tooth decay – something we know can have a lifelong impact on their health. 'On top of this, we will reform the dental contract to get dentists providing more NHS work as we fundamentally reform the sector through our Plan for Change so it is there for patients once again. 'It's why we're delivering supervised toothbrushing to young children and families who are most in need of support as part of our wider plans to revive the oral health of the nation. 'This includes providing 23 million free toothbrushes and toothpastes through our partnership with Colgate-Palmolive to reach up to 600,000 children each year. 'We're already rolling out 700,000 extra urgent dental appointments for those who need treatment, but by focusing on prevention we can help children have the best start in life.' More Trending According to Department for Education data, the absence rate in state-funded primary schools was 5.2 percent in the 2024/25 academic year to date. Of these, 3.8 per cent of these absences were authorised while 1.4 per cent were unauthorised. A Scottish Government spokesperson praised the 15% improvement in dental hygiene since the introduction of Childsmile. They told Metro: 'Every child should be able to attend school feeling comfortable, confident, and ready to learn, and this research highlights the importance of oral improvement programmes in education settings.' Get in touch with our news team by emailing us at webnews@ For more stories like this, check our news page. 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STV News
a day ago
- STV News
'I was maimed by the NHS and left to wait - this is the reality for mesh victims'
A woman harmed by a vaginal mesh implant has described her wait for follow-up surgery as 'disgusting' – claiming she has been 'maimed' by the NHS. Nancy Honeyball, from Dunoon, had the implant fitted in 2010 due to bladder problems and says she has been 'plagued' with complications ever since. She is among many mesh-injured women who say they are still being failed by the Scottish Government. Nancy travelled to Missouri in the US for removal surgery with renowned mesh specialist Dr Dionysios Veronikis in March 2024 under a scheme funded by the Scottish Government. She had hoped the operation would finally be the end of her ordeal. She said Dr Veronikis was 'shocked' to learn of her experiences. 'His words were 'if that had happened in America, there would be a lawsuit,'' Nancy told STV News. 'He's had a look as a professional and been quite upset at how they've been left. He looked at me and he said an animal would be treated better,' she said. 'I'm grateful I managed to get on the list to go to America, but I wouldn't go as far as to say 'thank you very much.' The NHS maimed me – and thousands of others – all to save money. It's always been profit over health, and it's wrong. 'I don't trust the surgeons in Scotland – that's why I fought to go to the USA.' STV News In the year since her operation, Nancy said she had no check-ups or calls from the NHS. She added: 'Even Dr Veronikis has been in touch numerous times to check how I am, but nobody from the NHS in Scotland has. I feel, after the way I was treated in Glasgow, that I'm blacklisted, and that's why I'm having to fight so hard to get things done. It's wrong.' Nancy underwent her first surgery to remove a transvaginal mesh implant in London in 2017, but it was unsuccessful and failed to resolve her chronic pain. In 2019, she had a second surgery in England to remove the mesh arms. Despite making it clear that she did not want any more plastic implanted, Nancy was horrified to discover that plastic sutures had been used. Her complaint about this was upheld by the General Medical Council in October 2024. The surgeon involved was suspended for nine months. Dr Veronikis successfully removed Nancy's remaining mesh in March 2024, but was unable to take out the sutures due to limits in the Scottish Government's contract, which covered only mesh removal, not full pelvic repair. Back in Scotland, Nancy was referred to Crosshouse Hospital in Kilmarnock. However, she received a letter from NHS Ayrshire & Arran informing her she would face a 92-week wait for further treatment. 'I had a total meltdown. I had a panic attack.. Because it's just too much. Why should a patient have to chase and chase follow‑ups? It's ridiculous. 'People might think, 'who do you think you are? Everyone else has to wait.' When you've waited and fought for nearly 15 years – that's how long I've been plagued by this – I wish I could turn the clock back. 'If I'd seen the device they use, I'd never have gone with anything. I'd say 'no thank you – I'll stay how I am.' 'But you trust the doctors. We were told it's a gold standard operation, and you'd be in and out the same day. It would change your life forever. It certainly did; it changed my life for the worse, not the better.' Over two decades, more than 20,000 women in Scotland had transvaginal mesh implants to treat post-childbirth conditions, like incontinence and prolapse. Its use was stopped in 2014 after hundreds of women were left with painful, life-altering complications. In 2021, then health secretary Humza Yousaf, announced contracts for mesh patients to undergo removal surgery from Dr Veronikis in Missouri or Spire Health Care in Bristol through the National Mesh Removal Referral Pathway. Figures show that 64 patients have now travelled to independent providers in England or the United States for mesh removal surgery, at a cost of around £2m to the Scottish Government. Since April 2020, 339 patients have been referred to the Complex Mesh Surgical Service in Glasgow and 161 have undergone surgery. A spokesperson for NHS Greater Glasgow and Clyde said that while some of the remaining patients may still be undergoing assessment, the majority are either receiving conservative (non-surgical) treatment, have opted not to proceed with surgery, or were found not to require it. A separate £1m fund was set up to offer women a one-off payment of £1,000 to help towards the costs associated with emotional or practical support. Nancy branded the fund 'a slap in the face' and said a full redress scheme is needed. 'There are so many things mesh has affected – loss of jobs, houses, marriages, relationships. People are left to fend for themselves,' she said. 'To me, everything should be covered. The NHS maimed us – it's the biggest scandal since Thalidomide and the blood scandal. Nobody has been brought to justice. I don't understand.' Nancy now has an appointment scheduled for next month, but she remains in pain and emotionally exhausted. 'It's been a constant rollercoaster, emotions up and down. Some days I totally break down. I'm a strong, independent person – I'll be laughing and joking, but it's just a mask. 'People will say, 'I don't know how you're still standing' – but I've got to keep fighting. Even though I just want to give up. I keep going.' STV News Women's health minister Jenni Minto said she has been working closely with Scottish Government teams to improve support and aftercare for those affected. She said: 'It's important to recognise the Scottish Government has supported women to allow them to get their mesh removed. I do appreciate that some women have not had the right support once that has happened. 'We expect the local health boards to take that responsibility and look after women. Because after having had that treatment, the best place to continue the support and the ways that they can improve the way they're living their lives is as locally as possible. I expect local health boards will be doing that. 'I'm working very closely with NHS Education for Scotland (NES) to ensure that is spread out across health boards so they do recognise the importance of that. 'But I also think we have to recognise this is quite a complicated situation and, therefore, we need multi-disciplinary teams and the right ones in the right place to be able to support women to heal – and hopefully return to a better life.' NHS Ayrshire & Arran has been contacted for comment. Get all the latest news from around the country Follow STV News Scan the QR code on your mobile device for all the latest news from around the country


Daily Record
a day ago
- Daily Record
Five most-claimed PIP conditions providing people with up to £749 every month
PIP and Adult Disability Payment are providing financial support for over 3.7 million people across Great Britain. The latest figures from the Department for Work and Pensions (DWP) show there are now more than 3.7 million people across Great Britain receiving additional financial support through Personal Independence Payment (PIP) - a 2 per cent increase since January (80,127). Similarly, data published by Social Security Scotland indicates over 476,200 people are now receiving Adult Disability Payment (ADP), the devolved benefit which has replaced PIP north of the border. DWP said demand for PIP has now seen 'unprecedented levels of new claims in recent quarters' as 210,000 applications were received between January 31 and April 30. A successful award for PIP is worth between £116.80 and £749.80 every four-week payment period. The DWP data also shows that 37 per cent of all claims with entitlement to PIP receive the highest level of award, with both daily living and mobility components received at the enhanced rate, the same proportion as January 2025. Number of PIP claimants - April 2025 The remaining PIP claimants living in Scotland will transfer to ADP this summer. Number of PIP claimants: England and Wales - 3,735,942 Living Abroad - 2, 235 Scotland - 2,969 (476,295 claiming ADP) Unknown - 3,521 Total - 3,744,671 At the end of April, PIP and ADP were providing financial support to 4,220,966 people. Some 7 per cent of the 200,000 new claims processed over the three-month period were given an award of up to two years, 12 per cent were longer term (over 2 years) and 7 per cent were ongoing. Five most-claimed PIP health conditions The five most commonly recorded disabling conditions for claims under normal rules are: Psychiatric disorders - 1,444,016 claimants Musculoskeletal disease (general) - 707,084 claimants Neurological disease - 476,659 Musculoskeletal disease (regional) - 447,794 claimants Respiratory disease - 138,428 claimants PIP and ADP provide weekly support of between £29.20 and £187.45, some £116.80 or £749.80 every four-week pay period. Both disability benefits are designed to help people with the additional costs of living with a disability, long-term illness, or physical or mental health condition. Many people may be unaware that PIP and ADP can provide support for hundreds of health conditions. Both benefits could help people with daily living tasks or moving around, or both. However, it would not be beneficial to list all 536 conditions recorded by DWP during the PIP application process as an award for the disability benefit is determined by how a person's health condition affects their ability to perform daily living tasks such as cooking, washing, eating, dressing and engaging with other people in a safe and timely way. There are also awards to help if you have difficulty moving around. This means that every claim for PIP or ADP is unique for each applicant, which could also help people thinking about making a new claim to start the process. Below is a full overview of PIP and ADP, including the five most-claimed conditions and the main disabling conditions, as classified by the DWP. PIP cannot be backdated, but payments start from the date the claim was submitted, to cover the handling time at the DWP. Disabling conditions recorded by DWP These are the main disability categories, the umbrella term by which more than 530 other conditions fall under. This list is only an overview of conditions, disorders and diseases and how the DWP lists the main disabilities being claimed for. Haematological Disease Infectious disease Malignant disease Metabolic disease Psychiatric disorders Neurological disease Visual disease Hearing disorders Cardiovascular disease Gastrointestinal disease Diseases of the liver, gallbladder, biliary tract Skin disease Musculoskeletal disease (general) Musculoskeletal disease (regional) Autoimmune disease (connective tissue disorders) Genitourinary disease Endocrine disease Respiratory disease Multisystem and extremes of age Diseases of the immune system Unknown or missing Below is an overview of PIP and ADP. Even though new claims for PIP have been replaced in Scotland by ADP, it shares most of the same eligibility criteria. Full guidance on ADP can be found on the website here. Who might be eligible for PIP or ADP? To be eligible for PIP or ADP, you must have a health condition or disability where you: have had difficulties with daily living or getting around (or both) for 3 months expect these difficulties to continue for at least 9 months You usually need to have lived in the UK for at least two of the last three years and be in the country when you apply. In addition to what we have outlined above, if you get or need help with any of the following because of your condition, you should consider applying for PIP or ADP. preparing, cooking or eating food managing your medication washing, bathing or using the toilet dressing and undressing engaging and communicating with other people reading and understanding written information making decisions about money planning a journey or following a route moving around There are different rules if you are terminally ill, you will find these on the website here. whether you can do it safely how long it takes you how often your condition affects this activity whether you need help to do it, from a person or using extra equipment How are PIP and ADP paid? PIP and ADP are usually paid every four weeks unless you are terminally ill, in which case it is paid weekly. It will be paid directly into your bank, building society or credit union account. ADP is paid at the same rates as PIP. PIP and ADP payment rates 2025/26 You will need an assessment to work out the level of financial help you will receive and your rate will be regularly reviewed to make sure you are getting the right support. Payments are made every four weeks. PIP is made up of two components: Daily living Mobility Whether you get one or both of these and how much depends on how severely your condition affects you. You will be paid the following amounts per week depending on your circumstances: Daily living Standard rate: £73.90 Enhanced rate: £110.40 Mobility Standard rate: £29.20 Enhanced rate: £77.05 How you are assessed You will be assessed by an independent healthcare professional to help the DWP determine the level of financial support, if any, you need, for PIP. Face-to-face consultations for health-related benefits are offered alongside video calls, telephone and paper-based assessments - it's important to be aware that the health professional and DWP determine which type of assessment is best suited for each claimant. You can find out more about DWP PIP assessments here. Adult Disability Payment assessments will not involve face-to-face assessments, unless this is preferred by the claimant - find out more about the changes here. How do you make a claim for PIP? You can make a new claim by contacting the DWP, you will find all the information you need to apply on the website here. Before you call, you will need: your contact details your date of birth your National Insurance number - this is on letters about tax, pensions and benefits your bank or building society account number and sort code your doctor or health worker's name, address and telephone number dates and addresses for any time you've spent abroad, in a care home or hospital How to apply for ADP People can apply for ADP, over the phone, by post or in-person. To find out more or apply, visit the dedicated pages on here or call Social Security Scotland on 0800 182 2222.