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Welfare Reform
a different perspective




Dr Simon Duffy ■ The Centre for Welfare Reform ■
Welsh Focus Conference ■ 4th April 2012
Dr Simon Duffy
• Director of The Centre for Welfare Reform -
  independent R&D network of over 70 fellows
  - based in Sheffield, in the North of England.

• Policy advisor to the Campaign for a Fair
  Society.

• Honorary Senior Research Fellow at University
  of Birmingham’s Health Service Management
  Centre.

• Developed concepts like individual budgets,
  self-directed support etc.
A different perspective on welfare

1. Welfare Reform is not welfare reform.
2. There are good reasons to reform welfare.
3. Left and Right mostly agree, and are mostly
   wrong.
4. Real focus should be on citizenship, family,
   community and social justice.
5. Disabled people will be great guides out of our
   current confusion.
Welfare Reform is not welfare reform

Wikipedia defines welfare reform as
reducing welfare state, increasing
personal responsibility

but Wikipedia is wrong
The welfare state is a good thing

• We need a collective system of income
  security and rights.
• The post-war welfare state was a great
  achievement.
• The conditions that made the welfare state
  necessary have increased not diminished.
• The vital securities that human beings need
  depend totally upon our shared political and
  economic choices.
The welfare state is designed wrong

• Designed in a paternalistic and industrial
  age
• It’s current design stigmatises and
  damages the poorest
• It’s complexity and obscurity undermines
  citizenship for everyone - much of it does
  not feel universal
• Let’s not just hark back - let’s build
  something better
There are good reasons to reform
welfare

1. It does not do enough to reduce poverty
2. It often undermines our active citizenship
3. It often fails to support families
4. It often fails to encourage community innovation
5. It is far too centralised and wasteful
Problem 1

We think the welfare state
serves the poor

but it makes hardly any
impact on levels of
inequality
Problem 2

Citizens have rights,
control their own lives and
support each other

The current welfare system
often takes control away
From push to pull
Problem 3

Families who need the
most help often get the
least
Urgent
Service label    N                     N     Real need        N
                        problem
Victim of                                 Better self-
domestic         55 Debt               50                     64
                                          esteem
violence
                                          To overcome
Mentally Ill     39 Housing            48                     54
                                          past trauma
                                          To manage
Criminal         35 Benefits            46                     51
                                          current trauma
                                          To stop being
Poor Mother      33 Health             37                     50
                                          bullied
Misuses          24 Rent               32 Guidance            50
Alcohol
                    Criminal Justice      Relationship
Uses Drugs       22                    24                     45
                    Advocate              skills

Violent          19 Dentistry          8   Mothering skills   26
Chronic Health
                 16 Others             3   Others             1
Condition
137 different
ways...
to give people not
very much...
•linked or not
•means-tested or
 not
•tax credits or
 benefits
•disability related
 or not
•employment-
 seeking or not
Problem 4

The current design does not
encourage community
innovation
Constant re-
definition in terms of
centrally defined
“project’s” - what’s
£0.25 million -
  for free...
Problem 5

The UK now has the most
centralised welfare state
in the world

and its getting worse
Where does all the money go?

                •   As a proportion of state
                    spending there is £900
                    million missing from
                    Barnsley’s economy.

                •   Benefits biggest expenditure
                    - no local control

                •   NHS largest service - no
                    local control

                •   Education - now centrally
                    controlled

                •   Employment support -
                    centrally commissioned
Total Place??
It is striking how little
difference there is between Left
and Right

Instead, we need to tap into
democratic and community-
focused traditions
the loud argument
• State = good        • Markets = good
• Markets fail        • States can’t plan
• Give help           • Give choice
• Increase services   • Cut taxes

     that disguises
the quiet assumption of
• Meritocracy - society should be led by the ‘best’
  people - politicians, civil servants or business men

• People can’t be trusted - people must be
  governed by fear or greed

• Economic growth is the goal - growth creates
  money for taxes and for profit
Political pandering
an alternative
• Democracy is vital - we cannot entrust our lives
  into the hands of an elite

• Citizenship is the means - we must be trusted
  to improve our own lives as part of our
  communities

• Social Justice is the goal - we need the rights
  and duties that enable and support citizenship
Wales does not need to repeat this
pattern of elitist thinking

The current commitment to citizen-
directed support is encouraging.
In future our focus should be on:

     citizenship
         family
           community
              social justice
Achieving citizenship


1. Purpose - set my own direction
2. Control - get charge of my life
3. Money - use my own means
4. Home - as part of my community
5. Needs - with help from others
6. Gifts - to make my own contribution
Maslow: hierarchy of need




     is upside down
Self-realisation comes first




   Maslow was wrong
If you wait for self-realisation until
after you’ve met all your other needs
you will have no self left to realise

...citizenship begins within us - in the
search for our purpose.
and builds on real wealth
...personalisation...
Disabled people will be the best
guides on how to escape from our
current confusion

• Current government cuts target disabled
  people
• Disabled people are perceived to be a
  weak group
• But disabled people know better than
  others how welfare should be reformed
• 58% of all cuts target disabled people
  and people in poverty

• 36% of all cuts target disabled people
• 24% of all cuts target the 1.9% of the
  population who need social care -
  those with the most severe
  impairments
• Unfair - target those who are most
  disadvantaged

• Unfair - make an unequal society
  even more unequal

• Unfair - target the groups that didn’t
  benefit from the economic bubble
• Prejudice against and fear of disabled
  people

• Political weakness of disabled
  people

• Particularity of social care and
  benefit systems

• Confusion about the welfare system
Everyone is equal, no matter their age,
differences or disabilities.

A fair society sees each of its members as a full
citizen - a unique person with a life of their own.

A fair society is organised to support everyone
to live a full life, with meaning and respect.
lure the tiger from
 the mountains
1.Human rights - not services
2.Clear entitlements - not confusion
3.Early support - not crisis
4.Equal access - not institutional care
5.Choice and control - not dependence
6.Fair incomes - not insecurity
7.Fair taxes - not targeted
8.Financial reform - sustainable
Actions...


• Join the Campaign
• Connect to the Centre
• Organise a Welsh alternative to
 welfare reform
For more information go to
www.centreforwelfarereform.org




      These slides are © Simon Duffy 2012 ■ Publisher is The
      Centre for Welfare Reform ■ Slides can be distributed subject
      to conditions set out at www.centreforwelfarereform.org ■

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What is real welfare reform?

  • 1. Welfare Reform a different perspective Dr Simon Duffy ■ The Centre for Welfare Reform ■ Welsh Focus Conference ■ 4th April 2012
  • 2. Dr Simon Duffy • Director of The Centre for Welfare Reform - independent R&D network of over 70 fellows - based in Sheffield, in the North of England. • Policy advisor to the Campaign for a Fair Society. • Honorary Senior Research Fellow at University of Birmingham’s Health Service Management Centre. • Developed concepts like individual budgets, self-directed support etc.
  • 3. A different perspective on welfare 1. Welfare Reform is not welfare reform. 2. There are good reasons to reform welfare. 3. Left and Right mostly agree, and are mostly wrong. 4. Real focus should be on citizenship, family, community and social justice. 5. Disabled people will be great guides out of our current confusion.
  • 4. Welfare Reform is not welfare reform Wikipedia defines welfare reform as reducing welfare state, increasing personal responsibility but Wikipedia is wrong
  • 5. The welfare state is a good thing • We need a collective system of income security and rights. • The post-war welfare state was a great achievement. • The conditions that made the welfare state necessary have increased not diminished. • The vital securities that human beings need depend totally upon our shared political and economic choices.
  • 6. The welfare state is designed wrong • Designed in a paternalistic and industrial age • It’s current design stigmatises and damages the poorest • It’s complexity and obscurity undermines citizenship for everyone - much of it does not feel universal • Let’s not just hark back - let’s build something better
  • 7. There are good reasons to reform welfare 1. It does not do enough to reduce poverty 2. It often undermines our active citizenship 3. It often fails to support families 4. It often fails to encourage community innovation 5. It is far too centralised and wasteful
  • 8. Problem 1 We think the welfare state serves the poor but it makes hardly any impact on levels of inequality
  • 9.
  • 10.
  • 11.
  • 12.
  • 13. Problem 2 Citizens have rights, control their own lives and support each other The current welfare system often takes control away
  • 14.
  • 15.
  • 16.
  • 17. From push to pull
  • 18. Problem 3 Families who need the most help often get the least
  • 19.
  • 20. Urgent Service label N N Real need N problem Victim of Better self- domestic 55 Debt 50 64 esteem violence To overcome Mentally Ill 39 Housing 48 54 past trauma To manage Criminal 35 Benefits 46 51 current trauma To stop being Poor Mother 33 Health 37 50 bullied Misuses 24 Rent 32 Guidance 50 Alcohol Criminal Justice Relationship Uses Drugs 22 24 45 Advocate skills Violent 19 Dentistry 8 Mothering skills 26 Chronic Health 16 Others 3 Others 1 Condition
  • 21.
  • 22. 137 different ways... to give people not very much... •linked or not •means-tested or not •tax credits or benefits •disability related or not •employment- seeking or not
  • 23.
  • 24.
  • 25.
  • 26. Problem 4 The current design does not encourage community innovation
  • 27. Constant re- definition in terms of centrally defined “project’s” - what’s
  • 28. £0.25 million - for free...
  • 29.
  • 30. Problem 5 The UK now has the most centralised welfare state in the world and its getting worse
  • 31.
  • 32. Where does all the money go? • As a proportion of state spending there is £900 million missing from Barnsley’s economy. • Benefits biggest expenditure - no local control • NHS largest service - no local control • Education - now centrally controlled • Employment support - centrally commissioned
  • 34.
  • 35.
  • 36. It is striking how little difference there is between Left and Right Instead, we need to tap into democratic and community- focused traditions
  • 37. the loud argument • State = good • Markets = good • Markets fail • States can’t plan • Give help • Give choice • Increase services • Cut taxes that disguises
  • 38. the quiet assumption of • Meritocracy - society should be led by the ‘best’ people - politicians, civil servants or business men • People can’t be trusted - people must be governed by fear or greed • Economic growth is the goal - growth creates money for taxes and for profit
  • 40.
  • 41.
  • 42. an alternative • Democracy is vital - we cannot entrust our lives into the hands of an elite • Citizenship is the means - we must be trusted to improve our own lives as part of our communities • Social Justice is the goal - we need the rights and duties that enable and support citizenship
  • 43. Wales does not need to repeat this pattern of elitist thinking The current commitment to citizen- directed support is encouraging.
  • 44. In future our focus should be on: citizenship family community social justice
  • 45.
  • 46. Achieving citizenship 1. Purpose - set my own direction 2. Control - get charge of my life 3. Money - use my own means 4. Home - as part of my community 5. Needs - with help from others 6. Gifts - to make my own contribution
  • 47. Maslow: hierarchy of need is upside down
  • 48. Self-realisation comes first Maslow was wrong
  • 49. If you wait for self-realisation until after you’ve met all your other needs you will have no self left to realise ...citizenship begins within us - in the search for our purpose.
  • 50. and builds on real wealth
  • 52. Disabled people will be the best guides on how to escape from our current confusion • Current government cuts target disabled people • Disabled people are perceived to be a weak group • But disabled people know better than others how welfare should be reformed
  • 53. • 58% of all cuts target disabled people and people in poverty • 36% of all cuts target disabled people • 24% of all cuts target the 1.9% of the population who need social care - those with the most severe impairments
  • 54.
  • 55. • Unfair - target those who are most disadvantaged • Unfair - make an unequal society even more unequal • Unfair - target the groups that didn’t benefit from the economic bubble
  • 56. • Prejudice against and fear of disabled people • Political weakness of disabled people • Particularity of social care and benefit systems • Confusion about the welfare system
  • 57.
  • 58. Everyone is equal, no matter their age, differences or disabilities. A fair society sees each of its members as a full citizen - a unique person with a life of their own. A fair society is organised to support everyone to live a full life, with meaning and respect.
  • 59. lure the tiger from the mountains
  • 60.
  • 61.
  • 62. 1.Human rights - not services 2.Clear entitlements - not confusion 3.Early support - not crisis 4.Equal access - not institutional care 5.Choice and control - not dependence 6.Fair incomes - not insecurity 7.Fair taxes - not targeted 8.Financial reform - sustainable
  • 63. Actions... • Join the Campaign • Connect to the Centre • Organise a Welsh alternative to welfare reform
  • 64. For more information go to www.centreforwelfarereform.org These slides are © Simon Duffy 2012 ■ Publisher is The Centre for Welfare Reform ■ Slides can be distributed subject to conditions set out at www.centreforwelfarereform.org ■

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