A scandalous picture of suffering, trauma and destitution is painted by a former Work Programme adviser who was tasked with getting claimants off the employment and support allowance (ESA) sickness benefit.
Speaking to the press for the first time since she quit the job last year, Anna Shaw (not her real name) says: “Some of my clients were homeless, and very many of them had had their money stopped and were literally starving and extremely stressed. Many had extreme mental health conditions, including paranoid schizophrenia, psychosis, bipolar disorder and autism. One guy [diagnosed paranoid schizophrenic and homeless] came to see me for the first appointment and mentioned that he had not eaten for five days. I offered him my lunch, thinking he would refuse it out of pride, and he fell upon it like a wild animal. I’ve not seen a human being eat like that before.”
Shaw can only speak out anonymously, because when she resigned, after just a few months in the job, her employer made her sign a confidentiality clause. She believed that the majority of her ESA caseload of about 100 clients were not well enough to have been on the government’s welfare-to-work Work Programme, but should instead have been signposted to charities that could support them with their multiple problems. “Almost every day one of my clients mentioned feelings of suicide to me,” she says. Shaw says she received no training in working with people with mental health issues or physical disabilities.