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Why healthy, wealthy southerners get the most welfare benefits

My Blackburn with Darwen colleague Ben Barr has done an excellent job of deconstructing the ‘welfare dependent north /poor/underclass hypothesis’ currently in (dogmatic) political vogue. His evidence is now published in the BMJ.

The coalition government wants to cut £4bn in welfare benefits to the poorest and most vulnerable citizens concentrated in northern boroughs because the ‘welfare bill has risen 45% in the last ten years’. The system, it argues, rewards the social failure of the five million people on ‘out of work state benefits’.

But this is a disingenuous representation of the real ‘welfare benefits situation’ in the UK.

Although they probably don’t know it, and the Daily Mail certainly won’t say it, the wealthiest 20% of the population – mostly in the leafy southern boroughs – get the most welfare benefits from the state.

The reason is:

  • DWP welfare expenditure is comprised of both out of work benefits and state pension related spend
  • The whole budget has risen in the last ten years – but mainly because improved life expectancy is increasing the number in the population above the state pension age
  • Over the last ten years, spending on ‘out of work benefits’ has actually decreased slightly – particularly in more deprived (northern) areas
  • Over the past ten years, spending on state pensions and related benefits has significantly increased – particularly in wealthy (southern) areas.

The figure below shows the relative costs in £billions of out of work and state pension related spending – and which is predicted to grow up to 2035 on present assumptions.

Source: Ben R Barr, Assault on Universalism: BMJ 2012; 344:e537

What I take from this is that:

  • ‘What men say is true is true in its consequences’ – so even though the largest welfare recipient population are elsewhere, the ‘poor out of work northerners’ are seen as a ‘problem we can’t afford’
  • There currently seems to be a significant evidence/narrative gap that is ideologically driven about welfare spend
  • If the middle class support the current continued assault on universal welfare benefits they may eventually find themselves the victim rather than the ‘undeserving poor’ – as it is they, not the workless, who are ultimately set to get most from the welfare system through longer life expectancy
  • That we should support social solidarity for both those out of work and those on pensions – with benefits freely and universally available to all – wherever they are.

 

Dominic Harrison
Dominic Harrison is the joint director of public health for Blackburn with Darwen Borough Council, the NHS Care Trust Plus (PCT) and the local clinical commissioning group. He is currently working with the European Office of the World Health Organization on the European Social Determinants and Health Divide Review chaired by Sir Michael Marmot. Follow him on Twitter, @BWDDP
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