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A Fair Society
and the rights of disabled people




     Dr Simon Duffy ■ The Centre for Welfare Reform ■
     for Sheffield Green Party & the Campaign for a Fair
     Society ■ 14th December 2011
Dr Simon Duffy


• Director of The Centre for Welfare Reform
  - independent R&D network based in Sheffield

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

• Policy advisor to The Campaign for a Fair
  Society
The Campaign for a Fair Society

•   Beginnings - began on 8th February 2011 by
    people horrified at the likely impact of the
    Spending Review
•   Members - Over 1,000 individuals and 100
    organisations are members.
•   UK-wide - There are Scottish, Welsh & English
    Steering Groups - connected federally in a UK
    group.
•   Communications - information on web, twitter,
    facebook etc - www.campaignforafairsociety.org
Core
Values

Everyone is equal, no matter their
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.
The challenge


• The cuts have targeted disabled people
• The impact will be dramatic
• Reflecting long-standing problems
• It’s time to shift the debate...
The real targets of the cuts...
Protected                         Cut
         Pensions                   Social Care

        Healthcare               Disability Benefits

        Education                  Social Housing

 £350 billion out of £500            £50 billion

Universal, mainstream, for     Special, marginal, ‘the
 ‘ordinary people like us’      poor & unfortunate’


 Delivered by centralised      Delivered by complex
systems with high visibility systems with low visibility
Cuts are organised as a pincer attack:


                • Cuts to social care
                • that can be blamed on local
                  or national governments
                • Cuts in direct income
                • that can be hidden within
                  efforts to ‘reform’ the
                  current system
Attack 01: social care cuts
Approximately 1.5 million children and adults, including older
people, receive social care each year in the UK because of
significant disabilities. This group face social care cuts from:
 • Cuts to local government funding and funding for Scotland,
    Wales and Northern Ireland.
 • Cuts to Supporting People funding
 • Termination of Independent Living Fund
Note that:
 • Local government, by 2014, will have been cut by >20%
 • Social care is biggest role for local government (>40%)
 • 37% of all cuts fell on local government (excluding education)
    despite accounting for only 6.6% of central spending
 • over the long-run local government funding has been behind
    other public services
Central control - local weakness...




UK is the most centralised welfare state in the world
social care cuts will mean:

•   Higher eligibility - many people lose support
•   Less prevention - crises, institutions and abuse
•   Increased charges - increased poverty
•   Cuts to local services - fewer options
•   Reduced individual budgets - below sufficiency
•   Reduced flexibility in budgets - limit creativity
•   Increased contracting out - weaken local market
•   Reduced wages for staff
Attack 02: cuts to income
Benefits, tax credits and pensions take up c.£185 billion per year, c.
18% of GDP. The major changes planned include:
 • Rolling income support benefits into Universal Credit
 • Rolling disability benefits into Personal Independent Payments
 • Cuts to Housing Benefit and Mortgage Interest Relief
Already:
 • £6 billion a year to be saved by weaker indexation
 • Stricter medical tests by ‘incentivised’ provider (ATOS)
 • Planned reductions in hyper-taxation on poor will be paid for by
     reducing benefit incomes rather than increasing DWP spending
NB: The poor can be very poor indeed - the poorest must live on
£2,780 per year - compared to mean household income of £50,000
per year (<6%).
Does the government hate disabled people?
NO, but...

1.These cuts are easier to hide than others
  and systems are poorly understood
2.Disabled people are a small group who
  are not well organised
3.There is media and public fear and
  prejudice to build on
4.Direct cutting can be forced onto political
  enemies
5.Politicians must pander to electorate
Was the old system fair and sensible?
No, on-going problems...

1.Weak framework of rights
2.Weak system of entitlements
3.Crisis-led service system
4.Disempowering systems
5.Segregation from ordinary life
6.Poverty and poor incentives to work
7.Charging that taxes disabled people
The Campaign is now drafting...




                 UK manifesto for
                    a Fair Society



      ...the Campaign for a Fair Society
1. Human rights
• UN Convention on Rights of Disabled
  People as law in all parts of the UK
• Rights that can be backed by the courts,
  includes
• ...equal right with other citizens to
  choose their place of residence and
  where and with whom they live.
• ...services including personal assistance
  necessary to support living as part of the
  wider community.
2. Objective entitlement
• Cost of health and social care is >£130
  billion
• Private social care is £3.5 billion (2.7%)
• LA charging and top-ups is £2.3 billion
  (1.8%)
• Health & social care divide makes no
  sense in an era of personalisation
• Courts use ‘natural justice’
3. Early support

• Family support is counted against you
• Families are encouraged to break down
• Families are disrespected
• Crisis support is expensive and
  institutional
4. Right to control
• People make the best decisions
• Current restrictions are burdensome
  and confusing
• Individual or personal budgets are being
  corrupted
• Why is an entitlement ‘public money’?
5. Against segregation
• People need access to all the ordinary
  opportunities available to citizens...
• Housing
• Education
• Work
• Leisure
• Need to end subsidies for segregation
6. Income security
• The poorest 10% of households have an
  income of £6,500
• Of which 47% is paid in taxes - highest
  rate of any decile
• The poor often face marginal tax rates
  of 100%
• Only sensible solution is universal
  minimum income and fair taxes
7. Against charging
• Charging is special tax that is levied
  only on disabled people
• It punishes people on very low incomes
  and benefits
• It encourages people to be poor
• It is expensive to organise
• It raises very little money
sign up at:
www.campaignforafairsociety.org
For more information go to
www.centreforwelfarereform.org




      These slides are © Simon Duffy 2011 ■ Publisher is The
      Centre for Welfare Reform ■ Slides can be distributed subject
      to conditions set out at www.centreforwelfarereform.org ■

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A Fair Society - Talk to Sheffield Green Party

  • 1. A Fair Society and the rights of disabled people Dr Simon Duffy ■ The Centre for Welfare Reform ■ for Sheffield Green Party & the Campaign for a Fair Society ■ 14th December 2011
  • 2. Dr Simon Duffy • Director of The Centre for Welfare Reform - independent R&D network based in Sheffield • Honorary Senior Research Fellow at University of Birmingham’s Health Service Management Centre • Policy advisor to The Campaign for a Fair Society
  • 3. The Campaign for a Fair Society • Beginnings - began on 8th February 2011 by people horrified at the likely impact of the Spending Review • Members - Over 1,000 individuals and 100 organisations are members. • UK-wide - There are Scottish, Welsh & English Steering Groups - connected federally in a UK group. • Communications - information on web, twitter, facebook etc - www.campaignforafairsociety.org
  • 4. Core Values Everyone is equal, no matter their 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.
  • 5. The challenge • The cuts have targeted disabled people • The impact will be dramatic • Reflecting long-standing problems • It’s time to shift the debate...
  • 6. The real targets of the cuts...
  • 7.
  • 8.
  • 9. Protected Cut Pensions Social Care Healthcare Disability Benefits Education Social Housing £350 billion out of £500 £50 billion Universal, mainstream, for Special, marginal, ‘the ‘ordinary people like us’ poor & unfortunate’ Delivered by centralised Delivered by complex systems with high visibility systems with low visibility
  • 10. Cuts are organised as a pincer attack: • Cuts to social care • that can be blamed on local or national governments • Cuts in direct income • that can be hidden within efforts to ‘reform’ the current system
  • 11. Attack 01: social care cuts Approximately 1.5 million children and adults, including older people, receive social care each year in the UK because of significant disabilities. This group face social care cuts from: • Cuts to local government funding and funding for Scotland, Wales and Northern Ireland. • Cuts to Supporting People funding • Termination of Independent Living Fund Note that: • Local government, by 2014, will have been cut by >20% • Social care is biggest role for local government (>40%) • 37% of all cuts fell on local government (excluding education) despite accounting for only 6.6% of central spending • over the long-run local government funding has been behind other public services
  • 12. Central control - local weakness... UK is the most centralised welfare state in the world
  • 13. social care cuts will mean: • Higher eligibility - many people lose support • Less prevention - crises, institutions and abuse • Increased charges - increased poverty • Cuts to local services - fewer options • Reduced individual budgets - below sufficiency • Reduced flexibility in budgets - limit creativity • Increased contracting out - weaken local market • Reduced wages for staff
  • 14. Attack 02: cuts to income Benefits, tax credits and pensions take up c.£185 billion per year, c. 18% of GDP. The major changes planned include: • Rolling income support benefits into Universal Credit • Rolling disability benefits into Personal Independent Payments • Cuts to Housing Benefit and Mortgage Interest Relief Already: • £6 billion a year to be saved by weaker indexation • Stricter medical tests by ‘incentivised’ provider (ATOS) • Planned reductions in hyper-taxation on poor will be paid for by reducing benefit incomes rather than increasing DWP spending NB: The poor can be very poor indeed - the poorest must live on £2,780 per year - compared to mean household income of £50,000 per year (<6%).
  • 15. Does the government hate disabled people?
  • 16. NO, but... 1.These cuts are easier to hide than others and systems are poorly understood 2.Disabled people are a small group who are not well organised 3.There is media and public fear and prejudice to build on 4.Direct cutting can be forced onto political enemies 5.Politicians must pander to electorate
  • 17. Was the old system fair and sensible?
  • 18. No, on-going problems... 1.Weak framework of rights 2.Weak system of entitlements 3.Crisis-led service system 4.Disempowering systems 5.Segregation from ordinary life 6.Poverty and poor incentives to work 7.Charging that taxes disabled people
  • 19. The Campaign is now drafting... UK manifesto for a Fair Society ...the Campaign for a Fair Society
  • 20. 1. Human rights • UN Convention on Rights of Disabled People as law in all parts of the UK • Rights that can be backed by the courts, includes • ...equal right with other citizens to choose their place of residence and where and with whom they live. • ...services including personal assistance necessary to support living as part of the wider community.
  • 21. 2. Objective entitlement • Cost of health and social care is >£130 billion • Private social care is £3.5 billion (2.7%) • LA charging and top-ups is £2.3 billion (1.8%) • Health & social care divide makes no sense in an era of personalisation • Courts use ‘natural justice’
  • 22. 3. Early support • Family support is counted against you • Families are encouraged to break down • Families are disrespected • Crisis support is expensive and institutional
  • 23. 4. Right to control • People make the best decisions • Current restrictions are burdensome and confusing • Individual or personal budgets are being corrupted • Why is an entitlement ‘public money’?
  • 24. 5. Against segregation • People need access to all the ordinary opportunities available to citizens... • Housing • Education • Work • Leisure • Need to end subsidies for segregation
  • 25. 6. Income security • The poorest 10% of households have an income of £6,500 • Of which 47% is paid in taxes - highest rate of any decile • The poor often face marginal tax rates of 100% • Only sensible solution is universal minimum income and fair taxes
  • 26. 7. Against charging • Charging is special tax that is levied only on disabled people • It punishes people on very low incomes and benefits • It encourages people to be poor • It is expensive to organise • It raises very little money
  • 28. For more information go to www.centreforwelfarereform.org These slides are © Simon Duffy 2011 ■ Publisher is The Centre for Welfare Reform ■ Slides can be distributed subject to conditions set out at www.centreforwelfarereform.org ■

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