Fearing the brown envelope: sickness benefits and welfare reform

"I try not to read about it cos it’s so frightening."

For the past three years, and at a time of increased anxiety for sick and disabled people given ongoing welfare reform, I have been studying the lives of long-term sickness benefits recipients in North East England as part of my PhD research.

Narratives revealed a huge amount of fear and trepidation over ongoing welfare reform. Participants spoke about worrying about the Work Capability Assessment (WCA) carried out by Atos on a daily basis, accompanied by a deep mistrust of the entire system. Below, Fred (all names are pseudonyms), 53, who has been receiving Incapacity Benefit (IB) for 9 years and suffers polyarthritis, gives his thoughts on the process:

I think it’s gonna cause breakdowns, possibly even the worst case scenario y’know topping yourself. If the Government could cut a penny in half, they would. I think if they could bring euthanasia in, they would. If they could find a way of getting round all the moral outrage they’d probably do it. Take all the lame ones out, just like a sick animal.

This is particularly noteworthy given that statistics suggest sick and disabled people have considered suicide as a result of fear over the assessment process. In a survey of over 300 people receiving IB, MIND found that 51 per cent of people reported the fear of assessment had made them feel suicidal.

Some respondents specifically mentioned their fear over receiving an official-looking brown envelope through their letterbox – a possible indicator of communication from the DWP. Sarah, 54, has battled with mental health problems all her life and is now dealing with a range of physical health problems such as arthritis and Reynaud’s syndrome, said of her daily dread of being selected for the reassessment:

When the postman comes with any sort of brown envelope it is really worrying… I try not to read about it cos it’s so frightening, it’s like 'oh my God they’ll send you to the dole straightaway' is what’s in your mind. Who will employ you, and what jobs are there? Where are the jobs? If they send me for a job 20 miles away, how do I afford the bus fare on minimum wage?

Aside from the obvious fear presented in the narratives, a feeling of stigma and shame was described as being created by political and mass media representations of the reform process. An increasingly unavoidable occurrence within government rhetoric and the media is the labelling of sick and disabled people who are receiving welfare benefits. There is no mention of the causes, symptoms, lack of diagnosis, treatment or support.

Upcoming Disability Living Allowance (DLA) reforms are poised to create further anxiety and distress for sick and disabled people. The Government has pledged to cut DLA by 20 per cent and are replacing DLA with Personal Independence Payments (PIP) which sees the end of the automatic entitlement of people with certain impairments and focuses instead on support for those deemed 'most in need' (pdf).

Iain Duncan Smith suggested that the 30 per cent rise for claims for DLA was a result of fraud in the system, despite the fact that official DWP figures estimate fraud is a mere 0.5 per cent. What is often unsaid is that DLA is not simply an out-of-work sickness benefit – it is intended to help people meet the extra costs of disability-related care and mobility whether in paid employment or not. In August the government announced that Atos will be responsible for carrying out the PIP assessment, a contract worth a huge £400m. Given that the handling of the WCA by Atos was "impersonal and mechanistic" and essentially deemed unfit for purpose, it can only be hoped that history will not repeat itself with the forthcoming DLA assessments.

Photograph: Getty Images

Kayleigh Garthwaite is a Postdoctoral Research Associate in the Department of Geography at Durham University

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Air pollution: 5 steps to vanquishing an invisible killer

A new report looks at the economics of air pollution. 

110, 150, 520... These chilling statistics are the number of deaths attributable to particulate air pollution for the cities of Southampton, Nottingham and Birmingham in 2010 respectively. Or how about 40,000 - that is the total number of UK deaths per year that are attributable the combined effects of particulate matter (PM2.5) and Nitrogen Oxides (NOx).

This situation sucks, to say the very least. But while there are no dramatic images to stir up action, these deaths are preventable and we know their cause. Road traffic is the worst culprit. Traffic is responsible for 80 per cent of NOx on high pollution roads, with diesel engines contributing the bulk of the problem.

Now a new report by ResPublica has compiled a list of ways that city councils around the UK can help. The report argues that: “The onus is on cities to create plans that can meet the health and economic challenge within a short time-frame, and identify what they need from national government to do so.”

This is a diplomatic way of saying that current government action on the subject does not go far enough – and that cities must help prod them into gear. That includes poking holes in the government’s proposed plans for new “Clean Air Zones”.

Here are just five of the ways the report suggests letting the light in and the pollution out:

1. Clean up the draft Clean Air Zones framework

Last October, the government set out its draft plans for new Clean Air Zones in the UK’s five most polluted cities, Birmingham, Derby, Leeds, Nottingham and Southampton (excluding London - where other plans are afoot). These zones will charge “polluting” vehicles to enter and can be implemented with varying levels of intensity, with three options that include cars and one that does not.

But the report argues that there is still too much potential for polluters to play dirty with the rules. Car-charging zones must be mandatory for all cities that breach the current EU standards, the report argues (not just the suggested five). Otherwise national operators who own fleets of vehicles could simply relocate outdated buses or taxis to places where they don’t have to pay.  

Different vehicles should fall under the same rules, the report added. Otherwise, taking your car rather than the bus could suddenly seem like the cost-saving option.

2. Vouchers to vouch-safe the project’s success

The government is exploring a scrappage scheme for diesel cars, to help get the worst and oldest polluting vehicles off the road. But as the report points out, blanket scrappage could simply put a whole load of new fossil-fuel cars on the road.

Instead, ResPublica suggests using the revenue from the Clean Air Zone charges, plus hiked vehicle registration fees, to create “Pollution Reduction Vouchers”.

Low-income households with older cars, that would be liable to charging, could then use the vouchers to help secure alternative transport, buy a new and compliant car, or retrofit their existing vehicle with new technology.

3. Extend Vehicle Excise Duty

Vehicle Excise Duty is currently only tiered by how much CO2 pollution a car creates for the first year. After that it becomes a flat rate for all cars under £40,000. The report suggests changing this so that the most polluting vehicles for CO2, NOx and PM2.5 continue to pay higher rates throughout their life span.

For ClientEarth CEO James Thornton, changes to vehicle excise duty are key to moving people onto cleaner modes of transport: “We need a network of clean air zones to keep the most polluting diesel vehicles from the most polluted parts of our towns and cities and incentives such as a targeted scrappage scheme and changes to vehicle excise duty to move people onto cleaner modes of transport.”

4. Repurposed car parks

You would think city bosses would want less cars in the centre of town. But while less cars is good news for oxygen-breathers, it is bad news for city budgets reliant on parking charges. But using car parks to tap into new revenue from property development and joint ventures could help cities reverse this thinking.

5. Prioritise public awareness

Charge zones can be understandably unpopular. In 2008, a referendum in Manchester defeated the idea of congestion charging. So a big effort is needed to raise public awareness of the health crisis our roads have caused. Metro mayors should outline pollution plans in their manifestos, the report suggests. And cities can take advantage of their existing assets. For example in London there are plans to use electronics in the Underground to update travellers on the air pollution levels.

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Change is already in the air. Southampton has used money from the Local Sustainable Travel Fund to run a successful messaging campaign. And in 2011 Nottingham City Council became the first city to implement a Workplace Parking levy – a scheme which has raised £35.3m to help extend its tram system, upgrade the station and purchase electric buses.

But many more “air necessities” are needed before we can forget about pollution’s worry and its strife.  

 

India Bourke is an environment writer and editorial assistant at the New Statesman.