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PHT June 2011_Jan 10 - UK Faculty of Public Health

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SPECIAL FEATURE: EARLY INTERVENTION<br />

DEBATE: Will the Government’s welfare reforms help early-years development?<br />

Iain Duncan Smith says they will, while Alison Garnham warns <strong>of</strong> pain ahead<br />

Work is key to<br />

lifting families<br />

out <strong>of</strong> poverty<br />

“OUR long-term strategy for the decade<br />

ahead is to protect the most vulnerable<br />

and reform welfare so work pays as a<br />

sustainable route out <strong>of</strong> poverty.<br />

“First, we must ensure that families can<br />

work themselves out <strong>of</strong> poverty – if they<br />

do the right thing we will make sure the<br />

system makes work pay. Around 55% <strong>of</strong><br />

children who are currently in poverty are<br />

living in working families. By moving all<br />

working-age benefit claimants onto the<br />

Universal Credit from 2013-2017 we<br />

expect to move around 600,000 adults and<br />

350,000 children out <strong>of</strong> poverty.<br />

“The Universal Credit will support those<br />

who do the right thing, who take a full<br />

time job, to have an income which lifts<br />

them out <strong>of</strong> poverty. Our proposed design<br />

should enable most families with children<br />

who have a parent in full-time employment<br />

to have an income that lifts them out <strong>of</strong><br />

poverty. The same should apply for lone<br />

parents who work at least 24 hours per<br />

week or more. What this means is that we<br />

are creating a system which helps people<br />

work themselves out <strong>of</strong> poverty, a fair<br />

system that rewards responsibility, not a<br />

hand-out culture.<br />

“Second, we are concerned for children<br />

growing up in households where their<br />

parents cannot work. We will ensure the<br />

YES<br />

most severely disabled people with<br />

children, those who we do not expect to<br />

take steps to return to work, are able to<br />

live with dignity. We will bring forward<br />

proposals to take the next steps towards<br />

this goal within the reforms to disability<br />

payments. This is the hallmark <strong>of</strong> a fair and<br />

compassionate society.<br />

“Third, we will ensure that those not in<br />

employment receive the support needed to<br />

access the working environment so they<br />

can work themselves out <strong>of</strong> poverty – first<br />

through Jobcentre Plus, and second,<br />

through the Work Programme.<br />

“If their barriers to work are short term<br />

they will find support at Jobcentre Plus. If<br />

their barriers are medium term and more<br />

complex they will find support through the<br />

Work Programme. By continuing to ensure<br />

Jobcentre Plus delivers effective support,<br />

matched by conditionality to help people<br />

back into work, we seek to mobilise as<br />

many <strong>of</strong> the five million people on out-<strong>of</strong>work<br />

benefits as possible – and for those<br />

who do not find their own way into work<br />

we will help them through our<br />

comprehensive Work Programme.<br />

“We recognise that some families face<br />

complex barriers to work, many <strong>of</strong> which<br />

cause intergenerational disadvantage. To<br />

address the root causes <strong>of</strong> poverty we will<br />

deliver early and effective interventions<br />

through the Work Programme targeted at<br />

vulnerable groups.”<br />

Rt Hon Iain Duncan Smith MP<br />

Secretary <strong>of</strong> State for Work and<br />

Pensions (in his foreword to A New<br />

Approach to Child Poverty, April <strong>2011</strong>)<br />

Cuts have<br />

already made<br />

families poorer<br />

DESPITE all the political rhetoric on the<br />

early years, families with children,<br />

particularly those with very young<br />

children, will be the hardest hit by the<br />

Government’s plans.<br />

Much <strong>of</strong> the £18 billion cuts that will<br />

precede the introduction <strong>of</strong> the<br />

Universal Credit (UC) is being felt by<br />

families now, such as the end <strong>of</strong> the<br />

<strong>Health</strong> in Pregnancy Grant, the end <strong>of</strong><br />

the Sure Start Maternity Grant for a<br />

second child and the loss from tax<br />

credits <strong>of</strong> the baby and (proposed)<br />

toddler premiums. But much more pain<br />

is on the way, particularly through the<br />

decision to peg benefits to the<br />

Consumer Prices Index, eroding their<br />

value over time.<br />

The UC proposals promise that noone<br />

will be a loser at the point <strong>of</strong><br />

change, but this is only after benefit<br />

cuts have already taken effect. There is<br />

no guarantee that help with childcare<br />

costs post-UC will even match the<br />

newly reduced level provided by tax<br />

credits. The Social Fund, which helps<br />

with one-<strong>of</strong>f items, is to be localised<br />

with no ring fence – so no guarantee <strong>of</strong><br />

help there either. And cuts in housing<br />

allowances will hit young families<br />

particularly hard.<br />

Material deprivation and debt are a<br />

likely consequence <strong>of</strong> major benefit<br />

cuts, coming at a time <strong>of</strong> aboveinflation<br />

price rises for basics such as<br />

NO<br />

clothing, food and fuel, so we should<br />

expect greater levels <strong>of</strong> depression and<br />

worse mental health in parents <strong>of</strong><br />

infants.<br />

Early years services are also under<br />

threat – according to the Daycare Trust,<br />

up to 7% <strong>of</strong> Sure Start centres are<br />

under threat <strong>of</strong> closure within a year,<br />

while over half may have to provide a<br />

reduced service. Frank Field, who<br />

advised the Government on child<br />

poverty, said: “It is inconceivable that<br />

we can make the foundation years<br />

effective if children’s centres all over the<br />

place are being slaughtered.” He<br />

recommended that Sure Start centres<br />

should provide advice to improve takeup<br />

<strong>of</strong> benefits.<br />

Cuts to benefits may push parents<br />

towards lower-quality or informal care<br />

to save money. Poor-quality childcare<br />

runs counter to the evidence that it is<br />

only high-quality pr<strong>of</strong>essional provision<br />

that has clear developmental benefits<br />

for children, and the effects are the<br />

longest lasting for the most<br />

disadvantaged children.<br />

Despite the many positive<br />

recommendations coming out <strong>of</strong> Frank<br />

Field’s Foundation Years report and<br />

Graham Allen’s Early Intervention<br />

report, the proposals currently on the<br />

table on welfare reform seem likely to<br />

do far more harm than good for earlyyears<br />

development.<br />

Alison Garnham<br />

Chief Executive<br />

Child Poverty Action Group<br />

8 PUBLIC HEALTH TODAY

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