Social Security (Up-rating of Benefits) Bill — House of Commons, 2021-09-20
Topic: Health
Deborah Angela Elspeth Marie Abrahams (Labour, Centre-left): I rise to speak to new clause 1 in my name and on behalf of my colleagues New clause 1 compels the Secretary of State to assess the impact of the Bill on poverty, inequality and, subsequently, our health. In particular, I request that a report be laid before the House within six months of the passing of the Act, and that the effects of the provisions in the Act on socioeconomic inequalities and population groups with protected characteristics as defined by the Equality Act 2010 are considered We have heard a lot in recent months—it seems like many years—about levelling up and building back better. We even heard from the Prime Minister himself that he supports Professor Sir Michael Marmot’s call to build back fairer. To do that, however, we need the Government to be able to assess whether their policies will actually do that. We heard, in the Work and Pensions Committee, that that is difficult to do. I argue very strongly that that is not the case and I know there are many others who would argue similarly The House will recall that, in February 2020, Sir Michael published his review of health equity in England 10 years after his initial study. In it, he revealed that instead of narrowing, health inequalities, including how long we are going to live and how long we will live in good health, have actually got worse. Most significantly, his analysis showed that, unlike the majority of other high income countries, our life expectancy was flatlining. For the poorest 10% of the country it was declining and women were particularly badly affected. We heard earlier that 2 million pensioners live in relative poverty today; among women of state pension age it is one in five. For women of colour, the figure is even higher. Black and Asian pensioners are also twice as likely to be living in poverty as white pensioners Sir Michael also emphasised that it is predominantly the socioeconomic conditions that people are exposed to, not the NHS, that will determine their health status and how long they live. Analysing the abundant evidence available, he attributed the shorter lives of people in poorer areas, including in parts of my constituency in Oldham and in the north-west as a whole, to the disproportional Government cuts to local public services, including cuts in social security support that they have experienced since 2010 And then the pandemic hit. As a former public health consultant, I can say this with absolute certainty: it was always a question of when, not if there was going to be a pandemic. The lack of pandemic preparedness, going back to the Cygnus report and before, as well as the woeful pandemic management, laid bare the pre-pandemic structural inequalities that are rife across the country Many believe that the structural inequalities driven by the Government cuts that I have referred to, including social security cuts, will be found responsible for the UK’s high and unequal covid death toll, with the fifth worst covid mortality rate in the world and the worst in the EU. In an early analysis of the reasons for that, Sir Michael’s Covid review last December summarised four key pre-pandemic factors The first was pre-existing and widening inequalities in social and economic conditions, particularly in power, money and resources; Sir Michael stated that those inequalities in life had led to inequalities in health. The second was our governance and political culture, not just before the pandemic but during it, which he described as divisive, damaging social cohesion and de-emphasising the importance of the common good. The third was Government austerity over the last 10-plus years; he referred particularly to cuts to social security and local authority budgets, including in adult and children’s social care, public health and education. The final factor was our pre-existing poor and declining health Sir Michael makes a number of recommendations to build back fairer, including increasing the adequacy of social security spending. Our focus in this debate has been on state pensions, but the cuts of £36 billion to working-age social security support over the past 11 years and the impact that they will have on increasing poverty rates—including as a result of the universal credit cut that we are expecting—must not be underestimated Improving our health and wellbeing must be a priority for this Government and an outcome of all our policies, including our economic and public spending and social security. My new clause is about ensuring that the Secretary of State recognises that and publishes a review of the impact of social security spending on poverty, inequality and, ultimately, our health. Given that the Prime Minister and Health Secretary have already stated that they support Sir Michael’s recommendations and that this is a means to implement levelling up, I hope that the Secretary of State will adopt my new clause in the Bill.