Our parties must respond to the rise of Englishness

One of the lost stories of the census is the growth of an English identity. Mainstream politicians need to find ways of embracing this trend.

The main news stories that have been derived from the release of the census data have been about diversity, immigration and religion. But one other revealing and significant trend contained within it has not as yet been given its due.

For the first time in its history, the census allowed the inhabitants of England to indicate whether they considered themselves to be English as well as, or instead of, British.

And, the result? Some 70 per cent reported that they regard themselves as English, a finding that confirms IPPR polling earlier this year. Even more strikingly, only 29 per cent of English respondents indicated that they see themselves as British a figure that suggests a significant drop in affiliation for what was very recently the primary national preference of the English.

It would appear that the London-centric chatter sparked by the census about Britain’s cultural patchwork has missed a striking counter-trend -the increasingly widely shared desire to associate with Englishness, with the notable exception of London.

These census figures are in fact the latest of a growing number of indications that something very significant has been happening in terms of the national self-understanding of the English in the last two decades.

In recent years, this trend has been wished away by the mainstream political parties. But this can go on no longer. Instead, as I argue in the latest edition IPPR’s journal Juncture, they need to develop a more compelling, contemporary case for the Union which takes into account proper consideration of the nature and implications of developing forms of English identity.

While the main parties at Westminster still cling to the orthodoxies of British government forged in the eighteenth and nineteenth centuries, the new forms of English identity which are starting to loom into view bring with them major challenges to the core assumptions of this national story, not least the supposed disinclination of the English to develop their own sense of national identity.

This does not mean accepting the dramatic claim that we are living in a ‘moment’ of English nationalism.. A wide range of research finds very little evidence of a collective English desire to reclaim national sovereignty from the British state.  But there are signs that the idea of a new, more ‘delineated’ relationship between England and the UK is becoming increasingly attractive.

This suggests, in policy terms, the state providing greater recognition of the distinctive forms of nationhood that the English are developing. It also implies that a more concerted effort to reform the centralised and top-down model of state-led governance which is fraying the bonds between governors and governed in England, is overdue. The current system represents a major brake upon the prospect of renewing England’s cities as engines for economic growth and civic pride, as Lord Hesetline has most recently pointed out.

At the same time as Englishness has been kept at the margins of political debate and policy development, it is also the case that, thanks to devolution, British politics is becoming much more Anglicised in character. As soon as key areas of domestic legislation were devolved, the UK parliament began gradually to turn into a parliament for England, which reflects the priorities of English political culture above all.

But, important as it has been, devolution has not been the only, or even primary, factor altering existing patterns of national identification among the English. We need to appreciate the impact of a cocktail of deepening cultural anxiety, rising economic insecurity and growing disillusion with the political system that have made the organic and resonant language and symbols of Albion more appealing. Different strands of English identity re-emerged out of an extended bout of national soul-searching in the early and middle years of the 1990s, prior to devolution and prompted by the realisation that the pillars upon which familiar stories of the glory of Britain were fading fast.

This is not to suggest that the English have simply abandoned the institutions and emblems of the British state, giving up the Union Jack for the Cross of St George. As was clear during the summer, many of us are still responsive to the inclusive and progressive account of the Anglo-British story which Danny Boyle assembled during the opening ceremony of the Olympics.

Yet, we should not be fooled by this kind of one-off, orchestrated ‘ecstatic’ nationalism into ignoring the deeper-lying, slow-burning growth of a strengthening set of English identities. If these sentiments continue to remain unspoken within the mainstream party system, there is a greater chance that they will mutate into a harder-edged nationalism.. The dearth of meaningful forms of cultural and institutional recognition for English identity is bottling up emotions and ideas that need to be engaged and aired.

Letting England breathe a little, bringing decision-making and governance closer to its cities and towns, and re-engaging its people with the case for the Union, now offer the best available way of reinvigorating the United Kingdom as a whole.

A longer version of this piece appears in the latest edition of IPPR's journal Juncture.

Seventy per cent of residents in England regard themselves as English, not British. Photograph: Getty Images.

Michael Kenny is Professor of Politics at Queen Mary,  University of London, and an associate fellow at IPPR

Photo: Getty Images
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British mental health is in crisis

The headlines about "parity of esteem" between mental and physical health remain just that, warns Benedict Cooper. 

I don’t need to look very far to find the little black marks on this government’s mental health record. Just down the road, in fact. A short bus journey away from my flat in Nottingham is the Queens Medical Centre, once the largest hospital in Europe, now an embattled giant.

Not only has the QMC’s formerly world-renowned dermatology service been reduced to a nub since private provider Circle took over – but that’s for another day – it has lost two whole mental health wards in the past year. Add this to the closure of two more wards on the other side of town at the City Hospital, the closure of the Enright Close rehabilitation centre in Newark, plus two more centres proposed for closure in the imminent future, and you’re left with a city already with half as many inpatient mental health beds as it had a year ago and some very concerned citizens.

Not that Nottingham is alone - anything but. Over 2,100 mental health beds had been closed in England between April 2011 and last summer. Everywhere you go there are wards being shuttered; patients are being forced to travel hundreds of miles to get treatment in wards often well over-capacity, incidents of violence against mental health workers is increasing, police officers are becoming de facto frontline mental health crisis teams, and cuts to community services’ budgets are piling the pressure on sufferers and staff alike.

It’s particularly twisted when you think back to solemn promises from on high to work towards “parity of esteem” for mental health – i.e. that it should be held in equal regard as, say, cancer in terms of seriousness and resources. But that’s becoming one of those useful hollow axioms somehow totally disconnected from reality.

NHS England boss Simon Stevens hails the plan of “injecting purchasing power into mental health services to support the move to parity of esteem”; Jeremy Hunt believes “nothing less than true parity of esteem must be our goal”; and in the House of Commons nearly 18 months ago David Cameron went as far as to say “In terms of whether mental health should have parity of esteem with other forms of health care, yes it should, and we have legislated to make that the case”. 

Odd then, that the president of the British Association of Counselling & Psychotherapy (BACP), Dr Michael Shooter, unveiling a major report, “Psychological therapies and parity of esteem: from commitment to reality” nine months later, should say that the gulf between mental and physical health treatment “must be urgently addressed”.  Could there be some disparity at work, between medical reality and government healthtalk?

One of the rhetorical justifications for closures is the fact that surveys show patients preferring to be treated at home, and that with proper early intervention pressure can be reduced on hospital beds. But with overall bed occupancy rates at their highest ever level and the average occupancy in acute admissions wards at 104 per cent - the RCP’s recommended rate is 85 per cent - somehow these ideas don’t seem as important as straight funding and capacity arguments.

Not to say the home-treatment, early-intervention arguments aren’t valid. Integrated community and hospital care has long been the goal, not least in mental health with its multifarious fragments. Indeed, former senior policy advisor at the Department of Health and founder of the Centre for Applied Research and Evaluation International Foundation (Careif) Dr Albert Persaud tells me as early as 2000 there were policies in place for bringing together the various crisis, home, hospital and community services, but much of that work is now unravelling.

“We were on the right path,” he says. “These are people with complex problems who need complex treatment and there were policies for what this should look like. We were creating a movement in mental health which was going to become as powerful as in cancer. We should be building on that now, not looking at what’s been cut”.

But looking at cuts is an unavoidable fact of life in 2015. After a peak of funding for Child and Adolescent Mental Health Service (CAMHS) in 2010, spending fell in real terms by £50 million in the first three years of the Coalition. And in July this year ITV News and children’s mental health charity YoungMinds revealed a total funding cut of £85 million from trusts’ and local authorities’ mental health budgets for children and teenagers since 2010 - a drop of £35 million last year alone. Is it just me, or given all this, and with 75 per cent of the trusts surveyed revealing they had frozen or cut their mental health budgets between 2013-14 and 2014-15, does Stevens’ talk of purchasing “power” sound like a bit of a sick joke?

Not least when you look at figures uncovered by Labour over the weekend, which show the trend is continuing in all areas of mental health. Responses from 130 CCGs revealed a fall in the average proportion of total budgets allocated to mental health, from 11 per cent last year to 10 per cent in 2015/16. Which might not sound a lot in austerity era Britain, but Dr Persaud says this is a major blow after five years of squeezed budgets. “A change of 1 per cent in mental health is big money,” he says. “We’re into the realms of having less staff and having whole services removed. The more you cut and the longer you cut for, the impact is that it will cost more to reinstate these services”.

Mohsin Khan, trainee psychiatrist and founding member of pressure group NHS Survival, says the disparity in funding is now of critical importance. He says: “As a psychiatrist, I've seen the pressures we face, for instance bed pressures or longer waits for children to be seen in clinic. 92 per cent of people with physical health problems receive the care they need - compared to only 36 per cent of those with mental health problems. Yet there are more people with mental health problems than with heart problems”.

The funding picture in NHS trusts is alarming enough. But it sits in yet a wider context: the drastic belt-tightening local authorities and by extension, community mental health services have endured and will continue to endure. And this certainly cannot be ignored: in its interim report this July, the Commission on acute adult psychiatric care in England cited cuts to community services and discharge delays as the number one debilitating factor in finding beds for mental health patients.

And last but not least, there’s the role of the DWP. First there’s what the Wellcome Trust describes as “humiliating and pointless” - and I’ll add, draconian - psychological conditioning on jobseekers, championed by Iain Duncan Smith, which Wellcome Trusts says far from helping people back to work in fact perpetuate “notions of psychological failure”. Not only have vulnerable people been humiliated into proving their mental health conditions in order to draw benefits, figures released earlier in the year, featured in a Radio 4 File on Four special, show that in the first quarter of 2014 out of 15,955 people sanctioned by the DWP, 9,851 had mental health problems – more than 100 a day. And the mental distress attached to the latest proposals - for a woman who has been raped to then potentially have to prove it at a Jobcentre - is almost too sinister to contemplate.

Precarious times to be mentally ill. I found a post on care feedback site Patient Opinion when I was researching this article, by the daughter of a man being moved on from a Mental Health Services for Older People (MHSOP) centre set for closure, who had no idea what was happening next. Under the ‘Initial feelings’ section she had clicked ‘angry, anxious, disappointed, isolated, let down and worried’. The usual reasons were given for the confusion. “Patients and carers tell us that they would prefer to stay at home rather than come into hospital”, the responder said at one point. After four months of this it fizzled out and the daughter, presumably, gave up. But her final post said it all.

“There is no future for my dad just a slow decline before our eyes. We are without doubt powerless – there is no closure just grief”.

Benedict Cooper is a freelance journalist who covers medical politics and the NHS. He tweets @Ben_JS_Cooper.