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Tom Pollard @pollardtom.bsky.social · 25/08/2026

We propose following Wales's lead & moving towards 'same-day open access' support, ensuring people are properly heard & understood much earlier so they can be directed to the right support You can read the full report & join our campaign here: www.mind.org.uk/news-campaig... 6/6

Image of report cover: 'Opening doors: Ending the wait for better mental health support'

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Tom Pollard @pollardtom.bsky.social · 25/08/2026

We also spoke to adults & young people with lived experience of mental health problems about whether their interactions with services reflected what we heard from professionals It was clear that too many people had struggled to get timely access to the support they needed 3/6

Quotes from people with lived experience of mental health services:

“I left the hospital feeling worse than when I came in.”

“I was just in a circle of having no one that actually took responsibility for helping me. It ended in me being sectioned, which I think was entirely avoidable.”

“Out of all my experiences with different healthcare professionals, the ones that really stick out are not necessarily the people that are the most educated about what I suffer with or anything like that. They’re just the people that just sit and properly listen.”

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Tom Pollard @pollardtom.bsky.social · 25/08/2026

The report is based in part on a survey of mental health professionals we conducted, with around 800 NHS respondents Alongside the deeply concerning quantitative findings that emerged, it's the quotes from professionals that really bring home the scale of the challenge 2/6

Quotes from mental health professionals:
“…constant pressure to move people through services at the expense of building trusting therapeutic relationships – [the] idea that we just ‘do an intervention’ and then send the person on their way.”– Psychiatrist.

“It often feels like firefighting, I get so upset that I do not have the resources available to provide the care, support and treatment that is needed.”– Mental Health Nurse.

“I sometimes feel like I’m working with one hand tied behind my back, with the constant pressure to prioritise waiting lists rather than the individuals on them.”– Psychologist.

“They say it’s a job that you have to love to do, but how can you love
it when you can’t even deliver what needs to be delivered. It has turned staff into machines that just apologise for the lack of funds and move on.”– Mental Health Nurse

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Tom Pollard @pollardtom.bsky.social · 25/08/2026

There's a huge gap between the quality of care mental health professionals want to deliver & the reality of the services many work in Today's new @mind.org.uk report argues that, in the face of rising levels of need, we need to rethink how people access mental health support 1/6

Chart showing the gap between the percentage of NHS respondents to a Mind survey who said certain principles were essential or very important to high-quality mental health services and the percentage who felt their service is delivering on this principle most of the time or always. For 'Providing access to support as soon as possible when someone needs it' this was 98% vs 46%. For 'Being able to respond to people’s level of need and provide an appropriate level of contact' it was 98% vs 55%. For 'Supporting people with their wider physical and social needs (such as housing, benefits, employment, relationships)' it was 88% vs 46%. For 'Understanding and responding to the impact of past trauma that service users may have experienced' it was 96% vs 58%. For 'Working with people’s families and other important people in their lives to create a supportive social network' it was 89% vs 53%.

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Tom Pollard @pollardtom.bsky.social · 24/01/2026

Some really unhelpful comments in this interview with Alan Milburn, particularly: "Anxiety is normal. Depression is normal." And the claim that 83% of the population could be diagnosed with a mental health problem at any given time It's simply not good enough when stigma is rising again...

Cover of the Times from today, with the top headline saying "Anxiety 'to cause a lost generation on benefits '", based on an interview with Alan Milburn

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Tom Pollard @pollardtom.bsky.social · 29/10/2025

.@mind.org.uk's response to Reform's proposals to "cut PIP payments to people with anxiety" in this BBC News piece: bbc.co.uk/news/article... So much of the political debate around PIP betrays a complete lack of understanding of what the benefit is for, who gets it & how it's assessed

Quote from BBC News article: Mental health charity Mind's head of policy Tom Pollard said Reform's plan seemed muddled and did not appear to "bear any relation to how this benefit actually works", not least because PIP is not an out of work benefit.

"People have to prove they face significant health and disability-related barriers in their day-to-day lives to qualify for Pip, and it is not based on diagnosis," he said.

"Anxiety can have a debilitating impact, and many people will also have multiple and complex health issues when anxiety is recorded as their 'primary condition'."

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Tom Pollard @pollardtom.bsky.social · 29/10/2025

PIP is assessed based on the impact of health problems & disabilities (often multiple & complex) on someone's ability to live independently Saying "we'll stop PIP for people with anxiety" just bears no relation to the reality of how the benefit operates www.telegraph.co.uk/news/2025/10...

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Tom Pollard @pollardtom.bsky.social · 10/09/2025

New @trusselluk.bsky.social data shows millions more people experiencing food insecurity than two years earlier If we want to understand the rising prevalence of mental health problems, we should start with the rocketing numbers of households facing inadequate social & economic circumstances

Chart showing the prevalence of conditions and impairments for people referred to Trussel food banks compared to the general population. 18% referred to food banks had a physical disability compared to 7% in the general population. 25% had a long-term physical disability compared to 20% in the general population. 58% had a mental health condition compared to 15% in the general population. And 9% had a learning disability or difficulty compared to 2% in the general population

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Tom Pollard @pollardtom.bsky.social · 29/08/2025

With just one pass at reaching out to a cohort of 800 residents over a four week period, we were able to engage 10% with a support conversation, of which over 40% agreed to an onward referral to employment support. We identified many opportunities to improve on these numbers 2/3

Chart showing that, from 757 residents successfully contacted, 110 (15%) volunteered to take part in a support chat, 79 support chats were successfully completed, each leading to 2.6 referrals into other services on average, with 42% of people agreeing to a referral to employment support

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Tom Pollard @pollardtom.bsky.social · 29/08/2025

My final piece of work for @neweconomics.bsky.social was a collaboration with Camden Council & a brilliant team of staff there We ran a test & learn pilot to explore how to increase voluntary engagement with employment support among ill & disabled residents 1/3

Image of report cover with the title 'Increasing voluntary engagement with employment support: Findings from a test and learn pilot led by Camden Council' with logos for the New Economics Foundation and Camden Council

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Tom Pollard @pollardtom.bsky.social · 10/07/2025

Why shouldn't someone assessed by DWP as too unwell to work & facing significant extra costs due to disabilities & poor health receive state support at least around the rate of a minimum wage salary? I spoke to Ian Collins on TalkTV earlier about (misleading) reports today on this subject

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Tom Pollard @pollardtom.bsky.social · 10/07/2025

It seems completely reasonable to me that someone who has been assessed by DWP as being unable to work due to disabilities/poor health & as facing significant health/disability related extra costs should be supported by the government to have an income around the level of a minimum wage salary 1/2

Headline from the Telegraph: "Benefits pay more than being in work", with a graph showing that someone on incapacity benefits with PIP would receive £2,500 over a full time living wage job and someone also receiving child DLA and carer benefits would receive £14,000 more that a full time living wage job

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Tom Pollard @pollardtom.bsky.social · 30/06/2025

The updated poverty impact assessment for the disability benefits cuts once again offsets the impact of not proceeding with the previous government's proposed changes to the WCA The impact of actual changes happening in the real world is likely to be closer to 250k people pushed into poverty

Table from government impact assessment suggesting 150,000 people will be pushed into poverty by the amended proposed cuts & changes to disability and health benefits

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Tom Pollard @pollardtom.bsky.social · 27/06/2025

Now that the focus is on future PIP claims rather than those currently on the benefit, it's worth highlighting that the proposed assessment change is due to have a much greater impact on the proportion of people from this group who will miss out on support by 2029-30 as a result

Chart showing that 10% of current claims were due to lose out on PIP Daily Living due to the assessment change but that this rises to 31% of expected new claims. Based on NEF analysis of DWP figures

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Tom Pollard @pollardtom.bsky.social · 26/06/2025

I'm not sure "if you think about it, cuts to disabled people's benefits are basically the same kind of thing as minimum wage rises & free school meals" is a line that's really going to fly (from today's London Playbook)

The No. 10 source added … that the “broken welfare system is failing the most vulnerable,” there is “broad consensus” across Labour, and the reforms are “underpinned by the same Labour values” as minimum wage rises, free school meals for low-income families and renationalizing the railways. Now for the simple task of convincing rebels of that.

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Tom Pollard @pollardtom.bsky.social · 18/06/2025

Similarly, the widely reported figure that 250k people will be pushed into poverty also understates the real impact @neweconomics.bsky.social analysis suggests this is likely to be closer to 340k people. @cjayanetti.bsky.social has reported that another 700k people already in poverty will be hit

Chart showing that the impact of the cuts in combination is likely to be around 340,000 people pushed into poverty

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Tom Pollard @pollardtom.bsky.social · 18/06/2025

The government's '£5bn of savings' figure has been widely reported as the scale of benefit cuts for ill & disabled people But this figure offsets the impact of not proceeding with proposals from the previous government. In reality, ill & disabled people will see £6.7bn of cuts

Chart showing that UC health and PIP cuts, even after offsetting a slight increase to the basic rate of UC, will mean £6.7bn of cuts to benefits for ill and disabled people

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Tom Pollard @pollardtom.bsky.social · 01/06/2025

This is completely incoherent from David Blunkett's piece in the Sun arguing to retain the two-child limit on benefits He acknowledges there's no evidence it's affected birth rates, but then says it "must be certain" that not having it would increase birth rates 🤔 www.thesun.co.uk/news/3520173...

Quote from David Blunkett piece in the Sun: "Women did not stop having more than two children even when they were strapped for cash. It is still unclear why.

After all, many people have to make a calculation as to how many children they can afford.

But one thing must be certain: namely, that if you give parents a relatively substantial additional amount of money for every child they have whilst entitled to benefits, they are likely to have more children."

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Tom Pollard @pollardtom.bsky.social · 19/05/2025

Important work by @resfoundation.bsky.social's @alexclegg.bsky.social & @adamcorlett.bsky.social Compromise options short of scrapping the two-child limit will be less impactful & less cost effective. I suspect it would also be some of the poorest families who are left adrift by these half-measures

Chart from the Resolution Foundation showing that different compromise options on the two-child limit would mean 190,000 to 350,000 more children in poverty compared to fully scrapping the policy

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Tom Pollard @pollardtom.bsky.social · 15/05/2025

This is the critical section. It's true that it's currently seen as more credible to expect returns from physical & intellectual assets, & that 'propping up' living standards is seen as a fiscal black hole. But it's the job of progressive government to challenge that narrative /2

Quote from Times article: "Designing rules that markets view as credible is more art than science, but there are general rules of thumb. The larger the stock of existing debt, the higher the price that new debtors demand. And it is more credible to borrow to invest in assets that yield ongoing returns — railways, reactors or research — than propping up day-to-day standards of living."

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Tom Pollard @pollardtom.bsky.social · 13/05/2025

Great to see @andyburnham.bsky.social addressing a packed Friends' Meeting House of Greater Manchester residents, giving his backing to the campaign for a Living Income pilot in the city region

Andy Burnham addressing a full Friends' Meeting House in Manchester city centre

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Tom Pollard @pollardtom.bsky.social · 12/05/2025

New DWP research gives a clearer picture of why PIP claims have been rising than government & media rhetoric about the need for cuts People with complex poor health, driven in part by financial hardship to seek additional support to meet their basic costs www.gov.uk/government/p...

Findings:
-Most people cited multiple health conditions, often a combination of mental and physical conditions.
-People were recently made aware of PIP through contact with formal services (including Jobcentre Plus) friends and family. Few participants mentioned media or social media.
-Health deterioration, financial hardship and employment concerns were the main triggers for PIP application. Few participants mentioned the loss of the £20 UC uplift or the ending of the furlough scheme.
-People cited travel, daily living, utilities and household costs as their intended uses for PIP.

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Tom Pollard @pollardtom.bsky.social · 28/04/2025

Finally, higher claims are likely the result of both rising rates of disability & greater financial insecurity among this group. Many more people report a disability than claim PIP but the cost of living crisis & inadequacy of other benefits will have driven more to claim /6

Chart showing increasing rates of disability and also rising rates of food insecurity, particularly for households with a disabled member

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Tom Pollard @pollardtom.bsky.social · 28/04/2025

I spoke to Chris Smyth for this Times piece on the rising numbers of people claiming Personal Independence Payment (PIP) for anxiety & depression (link to the article at the end of this thread) Here are the five key things we need to consider to understand this trend... 🧵

Screenshot of Times article with the headline "disability benefits for anxiety and depression double since the pandemic"

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Tom Pollard @pollardtom.bsky.social · 23/04/2025

As well as cutting health & disability benefits, the government plans to introduce conditionality for many people currently exempt from it I explained to the Work & Pensions Select Committee yesterday that NEF's work shows this won't be an effective way to engage this group with employment support

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Tom Pollard @pollardtom.bsky.social · 31/03/2025

The poverty impact is harder to estimate because the figures are rounded to the nearest 50,000 & the two key measures will impact some of the same people, but we believe the cumulative impact is likely to be around 340,000 additional people pushed into poverty by 2029-30 6/8

Chart showing the poverty impact of the UC health cuts (around 50,000 people pushed into poverty), PIP cuts (around 300,000 people) and the cumulative impact (around 340,000 people)

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Tom Pollard @pollardtom.bsky.social · 31/03/2025

Rejecting this accounting trick allows us to gain a clearer picture of the scale of cuts to benefits for ill & disabled people Taking the impact of the two key cuts & offsetting the increase to the basic rate of UC, we believe the true scale will be £6.7bn a year by 2029-30 5/8

Chart showing the small benefit of an increase to the basic rate of UC being dwarfed by the impact of the cuts to UC health and PIP, leading to a total loss for ill and disabled people of £6.7bn

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Tom Pollard @pollardtom.bsky.social · 31/03/2025

However, this allowed the government to claim they were effectively spending £1.6bn & lifting 150,000 people out of poverty by not implementing these proposed changes, which hadn’t even got past an initial consultation We agree with the @resfoundation.bsky.social response to this 4/8

Screenshot of a quote from the Resolution Foundation: “In strict scorecard terms, this is the correct approach, but as it represents the cancellation of a never-implemented cut, it will never be felt as a positive impact by households and we do not consider it further [in our analysis].”

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Tom Pollard @pollardtom.bsky.social · 31/03/2025

There was rightly concern last week when OBR & DWP documents revealed that £4.8bn of cuts to benefits for ill & disabled people would push 250k people into poverty, including 50k children But @neweconomics.bsky.social analysis suggests the true scale & impact of these cuts will be even greater... 🧵

Image of newspaper frontpages from last week reporting on the scale and impact of benefit cuts for ill and disabled people

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Tom Pollard @pollardtom.bsky.social · 27/03/2025

A phantom policy from the previous government is distorting the spreadsheets on the scale & impact of benefit cuts for ill & disabled people In the real world, we're looking at £6.8bn of cuts to benefits for this group & around 350k people pushed into poverty - here's why... 🧵

Picture of a table from the OBR costings for the Spring Statement with a line about "Reversal of 2023 WCA reforms" that is reported as entailing a 'spend' of £1.6bn highlighted

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Tom Pollard @pollardtom.bsky.social · 26/03/2025

The OBR has not yet been able to forecast any employment gain from the cuts/changes to incapacity & disability benefits MPs are being asked to support around £6.5bn of cuts & increased conditionality for ill & disabled people without any clear assessment of what it will achieve

Text from OBR document: Labour supply impact of Spring Statement welfare and employment support measures: We have not made a comprehensive assessment of the labour supply impacts of those elements of the Green Paper that we have incorporated into the fiscal forecast. The individual measures’ labour market impacts are complex to assess and would have interacting effects. The Government did not provide us with a comprehensive and robust analysis of these potential effects, and we were not, in the very limited time available, able to develop our own analysis of their net impact on labour supply. In addition, some of the wider Green Paper reforms set out above, which are not included in the fiscal forecast, could also have labour market implications. We will make a full assessment of the Green Paper policies’ effects ahead of our next forecast

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Tom Pollard @pollardtom.bsky.social · 25/03/2025

This clip encapsulates the dishonesty at the heart of the government's benefits announcements last week Ill & disabled people should be offered more support to return to work, but doing so is in no way contingent on cutting their benefits or imposing conditionality... 🧵

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Tom Pollard @pollardtom.bsky.social · 22/03/2025

A reminder to journalists, commentators & politicians discussing benefit cuts this weekend: The government's '£5bn savings' figure is net of additional spending on employment support & non-health UC The full scale of the benefit cuts for ill & disabled people is likely to be at least £6.5bn

Chart showing the impact of a freeze on the UC health top up for existing recipients from 2026 (over £600m) and a cut for new recipients from 2026 (over £800m) and the total cut this equates to (£1.48bn)

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Tom Pollard @pollardtom.bsky.social · 20/03/2025

From April 2026, existing recipients of the UC health top up will have this payment frozen, while the rate will be cut by £47-a-week for new claims Based on figures from the IFS and DWP, we estimate this could equate to a total cut for this group of £1.48bn by 2029-30 (2/5)

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Tom Pollard @pollardtom.bsky.social · 20/03/2025

The government's '£5bn of savings' figure is being widely taken as the scale of benefit cuts for ill & disabled people But as Anushka Asthana revealed on Peston last night, @neweconomics.bsky.social analysis shows the loss of income for this group is likely to be much greater than this... 🧵

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Tom Pollard @pollardtom.bsky.social · 19/03/2025

Yesterday's benefits announcements mean that, on average, households with a disabled member will lose £400 a year by 2029-30, but some households could lose out by £9,600 a year or more Vital, damning analysis from @resfoundation.bsky.social: www.resolutionfoundation.org/publications...

Graph showing scenarios leading to different levels of losses, up to £9,600 for someone missing out on PIP Daily Living standard rate and the UC health top up

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Tom Pollard @pollardtom.bsky.social · 18/03/2025

A quick update on this thread - David has replied to acknowledge the errors, say that the piece in question has been taken down & that Mail Online will issue a correction. As I say in my reply, the damage has been done, but still a welcome response

Message from David Wilcock, Deputy Political Editor at the Mail Online: "Morning Tom, thanks for this thread and apologies in not coming back to you sooner - I was away on a long weekend. You are correct, there are some significant errors in my story, so it has been taken down. We will also be running a correction."

My reply: "Thanks for coming back to me David and for taking these steps. It's a shame that the damage has already been done in terms of bolstering a wider misleading narrative about how 'easy' it is to get disability/incapacity benefits. But I do appreciate you acknowledging the error."

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Tom Pollard @pollardtom.bsky.social · 15/03/2025

I hadn't seen that term used in DWP statistics before, but when I looked on their system I realised that what you actually seemed to be referring to were the people who are presenting a GP's Fit Note while they wait to have their Work Capability Assessment 3/6

Screenshot of DWP statistics showing the number of people on Universal Credit who have been declared as having 'limited capability for work' (365,623), 'limited capability for work-related activity' (1,752,123), and 'Live fit note (Pre-WCA) (336,382)

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Tom Pollard @pollardtom.bsky.social · 15/03/2025

Here's the chart you use to justify the claim you're making. Putting aside the fact that you're giving a distorted picture of the rise in incapacity benefits by not including legacy benefits, the part of the chart labelled 'acceptable medical evidence' had me baffled at first 2/6

Chart showing the combination of people judged to have 'limited capability for work', 'limited capability for work/work-related activity' and those having 'Acceptable medical evidence'

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Tom Pollard @pollardtom.bsky.social · 15/03/2025

Hi @davidtwilcock.bsky.social. I just wanted to flag that your Mail Online piece from Thursday is hugely misleading & seems to be based off a fundamental misunderstanding of the statistics I'll explain why, then maybe you can retract the piece & issue an apology... 🧵1/6

Daily Mail online headline: The great benefit con? Just 14% of people claiming disability cash can actually PROVE they are too ill to work - as total getting handouts nears 2.5m

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Tom Pollard @pollardtom.bsky.social · 14/03/2025

This, from a DWP press release yesterday (gov.uk/government/n...), is outrageous In two short paragraphs it peddles multiple falsehoods about the current system that will be used to justify upcoming cuts & changes Here's what MPs & journalists should be challenging... 🧵

Text from a DWP press release: In the current dysfunctional system, a person is placed in binary categories of either “fit for work” or “not fit for work” through the Work Capability Assessment (WCA) – an assessment the government has said it will either reform or replace, so it no longer drives people who want to work to a life on benefits.

Through this process, those not fit for work are told they have Limited Capability for Work Related Activity (LCWRA) – meaning they won’t receive employment support or further engagement from the system at any point following their assessment – effectively abandoning and locking them out of work indefinitely.

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Tom Pollard @pollardtom.bsky.social · 06/02/2025

Great to be in Manchester today to discuss @neweconomics.bsky.social work on the need to rethink how conditionality is used in the benefits system, & the implications for devolved employment support, with @andyburnham.bsky.social & lots of local organisations involved in helping GM residents

Photo of Andy Burnham speaking at an event in the Friends Meeting House in Manchester

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Tom Pollard @pollardtom.bsky.social · 22/01/2025

Striking how increasing rates of poor mental health, particularly among younger people, are broadly consistent across different data sources with different methodologies (including clinical scales & use of health services), in this useful comparison from @healthfoundation.bsky.social

Charts based on the Labour Force Survey, NHS health records, the Health Survey for England, and Understanding society, all showing growing rates of poor mental health between 2008-2023, with a particularly steep rise among younger people

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Tom Pollard @pollardtom.bsky.social · 16/01/2025

Pretty wild that the previous government claimed the 'substantial risk' [of harm to physical or mental health] criteria in the Work Capability Assessment needed reform because it was being overused, while withholding the fact that its use had peaked nine years earlier & was now at an all time low

Quote from Big Issue piece: "But an internal graph released by the DWP as part of the judicial review proceedings showed that the proportion of decisions that were due to substantial risk had peaked in 2015 and was now as low as it had ever been back to when the WCA was introduced. This data was available to the DWP but not to the public, and the downward trend of cases was not mentioned in the consultation document."

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Tom Pollard @pollardtom.bsky.social · 20/12/2024

I've been working on the politics of mental health since 2008 This is the first year I've felt there's been serious political pushback against a consensus that growing recognition of mental health problems is a good thing Here's why I think that's so significant... 🧵

Screenshot of a Telegraph headline reading "Mental health culture has gone too far, says Mel Stride"

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Tom Pollard @pollardtom.bsky.social · 10/12/2024

In 'The Radical How', this model is contrasted with a more agile & iterative approach to design & delivery of services, in line with what McFadden was describing yesterday These diagrams are obviously simplified representations, but do a good job of highlighting the differing dynamics & ethos /5

Diagram of a cycle labelled 'Test the thing that matters most - learn from the results' and 'Do whatever it takes - to speed up this loop'

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Tom Pollard @pollardtom.bsky.social · 10/12/2024

These approaches reflect the traditional model of design & delivery set out by @tomski.com & @andrewgreenway.bsky.social in their excellent 'The Radical How' report: options2040.co.uk/the-radical-... It doesn't offer enough scope to flexibly explore knotty problems & record granular learning /4

A chart showing a series of circles that represent stages of a planning process in a linear line labelled: "predict everything; plan everything; implement everything; in a series of linear stages of work; test everything; inflict on public"

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Tom Pollard @pollardtom.bsky.social · 28/11/2024

On my way to Edinburgh to join & speak at @povertyalliance.org annual conference tomorrow. Looking forward to hearing about the particular challenges & opportunities for addressing poverty in Scotland & the lessons to be drawn for the UK as a whole. Let me know if you'll be there too & fancy a chat

Image advertising the Poverty Alliance annual conference on 29th November at the EICC in Edinburgh

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Tom Pollard @pollardtom.bsky.social · 27/11/2024

The new employment support White Paper talks about a very welcome shift in emphasis from a system focused on compliance to one focused on engagement But as I told @chris-smyth.bsky.social at the Times, this should entail a more flexible approach to conditionality www.thetimes.com/uk/politics/...

Quote from the Times: Tom Pollard, of the New Economics Foundation think tank, urged ministers to focus on offering help on a voluntary basis rather than imposing conditions. “It would be perfectly possible to have a more flexible approach where the initial focus is on fostering genuine engagement with support and more prescriptive requirements are only invoked later if it’s demonstrated that they are required,” he said.

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Tom Pollard @pollardtom.bsky.social · 26/11/2024

The Telegraph is furious that it hasn't got the ceremonial benefits bloodletting it was promised & has branded it "the latest blow to businesses" 🤣 Business owners around the country waking up this morning & thinking "What?! No crackdown on ill & disabled people? May as well just shut up shop then"

Quote from the Telegraph: "Labour will on Tuesday unveil a flagship back-to-work plan that does not include a crackdown on sickness benefits in the latest blow to business."

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