Coalition should "come clean" on child poverty

Even the government doesn't think it can meet its own targets. A new plan is needed.

In his first speech as the government's child poverty adviser, Alan Milburn today told the coalition to "come clean" on the impossibility of meeting the poverty reduction targets enshrined in the 2010 Child Poverty Act. The challenge of reducing child poverty to less than 10 per cent by 2020 has been laid bare by analysis revealing the heavy work done by tax credits in raising family incomes above the poverty line over the last 15 years. Work did not do enough: parental employment rates rose considerably over this period but low wages limited the contribution of paid work to reducing family poverty.

This is now the central challenge for the child poverty agenda: how to reduce poverty when the only tool that been shown to be effective -- more generous cash transfers -- is no longer available on any meaningful scale. The task is made harder by analysis highlighting the contribution that women's paid work has made to rising family incomes over the last few decades. This source of income is likely to diminish as public sector jobs are lost and support for childcare is reduced for some families. As a result, the Institute for Fiscal Studies has stated that it's "almost incredible" that the child poverty targets can be met as they stand.

So Alan Milburn is right to challenge both the coalition and Labour to get real about child poverty. The Chancellor's Autumn Statement, featuring cuts to tax credits that will push 100,000 more children into poverty, implicitly confirmed that the government doesn't think it can meet its own targets either. But officially the coalition remains committed to the 2010 Act, so it needs to say where it will focus its efforts. Milburn makes a strong case for prioritising the under fives, ensuring that no child is born into poverty. If we cannot afford to lift all children out of poverty, concentrating on the youngest gives them the best chance to flourish later in life.

The importance of raising incomes in poor families is obvious, but families also need good quality services to give children the best start. There is no "either/or" deal here. Milburn's call for the coalition to set out a long-term plan to deliver free childcare for all families is right. IPPR research shows that universal childcare could pay for itself over the medium-term once the extra taxes paid by working parents are taken into account, while the extra earnings would help lift many families out of poverty. A mechanism for enabling childcare spend to contribute towards the child poverty targets would drive a duel strategy of investment in incomes and services. In the longer term, labour market reforms that support higher wages for parents would take some of the burden off the benefits system.

The public's ambiguous support for ending child poverty demonstrates the failure of this agenda to resonate with families. Milburn's broader plea to locate the child poverty debate in a wider discussion of economic security is spot on. Few families are continually stuck in deep poverty, but many move in and out of poverty as short-term jobs come to an end or families grow. Free childcare, flexible working opportunities, decent wages and job security matter for most low-to-mid income families, not just the poorest.

Kayte Lawton is a senior research fellow at the IPPR

Kayte Lawton is senior research fellow at IPPR.

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The big problem for the NHS? Local government cuts

Even a U-Turn on planned cuts to the service itself will still leave the NHS under heavy pressure. 

38Degrees has uncovered a series of grisly plans for the NHS over the coming years. Among the highlights: severe cuts to frontline services at the Midland Metropolitan Hospital, including but limited to the closure of its Accident and Emergency department. Elsewhere, one of three hospitals in Leicester, Leicestershire and Rutland are to be shuttered, while there will be cuts to acute services in Suffolk and North East Essex.

These cuts come despite an additional £8bn annual cash injection into the NHS, characterised as the bare minimum needed by Simon Stevens, the head of NHS England.

The cuts are outlined in draft sustainability and transformation plans (STP) that will be approved in October before kicking off a period of wider consultation.

The problem for the NHS is twofold: although its funding remains ringfenced, healthcare inflation means that in reality, the health service requires above-inflation increases to stand still. But the second, bigger problem aren’t cuts to the NHS but to the rest of government spending, particularly local government cuts.

That has seen more pressure on hospital beds as outpatients who require further non-emergency care have nowhere to go, increasing lifestyle problems as cash-strapped councils either close or increase prices at subsidised local authority gyms, build on green space to make the best out of Britain’s booming property market, and cut other corners to manage the growing backlog of devolved cuts.

All of which means even a bigger supply of cash for the NHS than the £8bn promised at the last election – even the bonanza pledged by Vote Leave in the referendum, in fact – will still find itself disappearing down the cracks left by cuts elsewhere. 

Stephen Bush is special correspondent at the New Statesman. He usually writes about politics.