The coalition's cap on benefit increases will mean a surge in child poverty

Raising benefits by less than the rate of inflation is a poverty-producing policy.

Internal Treasury documents do not make for a thrilling bedtime read but a flick last night through the government’s Impact Assessment (IA) toolkit proved quite instructive. It tells us, for example, that an IA should be prepared when a proposal "involves some kind of redistribution affecting the public, private or third sector", and that an IA "must be published when a Government Bill… is introduced into either House of Parliament".

Yet on the day the Welfare Benefits Uprating Bill 2012 receives its second reading in Parliament, we still have not seen a formal assessment of the government’s decision to cut an estimated 4 per cent from the real value of key benefits over the next three years.  So, in the absence of any official statement as to how this policy will affect child poverty, we decided to work it out for ourselves.

Our starting point is the study produced by the Institute for Fiscal Studies (IFS) in October 2011 projecting child poverty rates for the UK over the next five to ten years. The picture, according to this report, looked bleak: an estimated 400,000 more children would be living in relative poverty by the end of the current parliament, while the number living in absolute poverty looked set to increase by 500,000 over the same period.  

Critically, the IFS singled out the decision to index most working-age benefits to the consumer price index (CPI) as opposed to the more generous retail price index (RPI) from 2011 onwards as the most significant policy driving child poverty upwards in the next five to ten years. But these projections do not now tell the full story. Since they were produced, the government has made other adjustments to the way it indexes benefits and tax credits, and now plans to add into this already potent brew the decision to uprate most in- and out-of work benefits, and going forward key elements of Universal Credit (UC), at a sub-inflation 1 per cent for three years.

As our new report published yesterday shows, the simple truth is that a sub-inflation uprating will be a poverty-producing policy. Delinking benefits from prices will result in a fall in the real standard of living for anyone who is reliant on the state for all or part of their income over the next three years. As a consequence, in the absence of any compensatory changes, the number of children living in absolute poverty will rise, while those children in families reliant on out-of-work benefits who already live below this threshold will see their poverty deepen further.

And alongside worsening absolute poverty rates, the relative fortunes of low income families can only deteriorate too. The government is presenting the 1 per cent uprating as ‘fair’ in light of the average earnings levels observed during the recession, as well as future public sector pay agreements. But what is conveniently obscured in this debate is that for many years prior to 2008, benefits rose at a significantly lower level than wages. In fact, the above-average earnings upratings of the last five years have had limited effect on the relative value of benefits eroded over a long period of time, showing how difficult it is to correct the damage done by year after year of under-indexation.

Nor is it clear where the equity is in pegging benefits to public sector pay rises going forward. With the Office for Budget Responsibility anticipating average earnings growth for the whole economy of between 2.2 per cent and 3.9 per cent over the next three years, the Uprating Bill will open up a gap between the poorest and the rest of the population. As a result, the minority will become further disconnected from the majority, and under these conditions, relative child poverty can but rise.

Looking at the historical picture should make us all pause for thought. Decoupling benefit levels from wages is widely recognised as the most significant policy that drove the dramatic increases in child poverty through the 1980s and 1990s, and the decision now to delink benefits from prices looks set to propel child poverty back up to levels we haven’t observed since the Thatcher years.

Given this, the Uprating Bill risks history repeating itself, with one significant difference: this time round we are likely to witness significant rises in child poverty against the backdrop of the Child Poverty Act (CPA) 2010, a law which requires the government take action to improve both the absolute and the comparative fortunes of children growing up in the UK today.

Yet three years of benefit uprating that is linked to neither prices nor average earnings will deliberately lock in both real and relative losses for low-income families, at the same time as locking them out of the mainstream.

Small wonder, then, that the required impact assessment has yet to materialise, but when it does, it will be interesting to see how the government squares the child poverty circle.

A young girl spends the half term school holiday playing in an an alleyway in the Gorton area of Manchester. Photograph: Getty Images.

Alison Garnham is chief executive of the Child Poverty Action Group

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A swimming pool and a bleeding toe put my medical competency in doubt

Doctors are used to contending with Google. Sometimes the search engine wins. 

The brutal heatwave affecting southern Europe this summer has become known among locals as “Lucifer”. Having just returned from Italy, I fully understand the nickname. An early excursion caused the beginnings of sunstroke, so we abandoned plans to explore the cultural heritage of the Amalfi region and strayed no further than five metres from the hotel pool for the rest of the week.

The children were delighted, particularly my 12-year-old stepdaughter, Gracie, who proceeded to spend hours at a time playing in the water. Towelling herself after one long session, she noticed something odd.

“What’s happened there?” she asked, holding her foot aloft in front of my face.

I inspected the proffered appendage: on the underside of her big toe was an oblong area of glistening red flesh that looked like a chunk of raw steak.

“Did you injure it?”

She shook her head. “It doesn’t hurt at all.”

I shrugged and said she must have grazed it. She wasn’t convinced, pointing out that she would remember if she had done that. She has great faith in plasters, though, and once it was dressed she forgot all about it. I dismissed it, too, assuming it was one of those things.

By the end of the next day, the pulp on the underside of all of her toes looked the same. As the doctor in the family, I felt under some pressure to come up with an explanation. I made up something about burns from the hot paving slabs around the pool. Gracie didn’t say as much, but her look suggested a dawning scepticism over my claims to hold a medical degree.

The next day, Gracie and her new-found holiday playmate, Eve, abruptly terminated a marathon piggy-in-the-middle session in the pool with Eve’s dad. “Our feet are bleeding,” they announced, somewhat incredulously. Sure enough, bright-red blood was flowing, apparently painlessly, from the bottoms of their big toes.

Doctors are used to contending with Google. Often, what patients discover on the internet causes them undue alarm, and our role is to provide context and reassurance. But not infrequently, people come across information that outstrips our knowledge. On my return from our room with fresh supplies of plasters, my wife looked up from her sun lounger with an air of quiet amusement.

“It’s called ‘pool toe’,” she said, handing me her iPhone. The page she had tracked down described the girls’ situation exactly: friction burns, most commonly seen in children, caused by repetitive hopping about on the abrasive floors of swimming pools. Doctors practising in hot countries must see it all the time. I doubt it presents often to British GPs.

I remained puzzled about the lack of pain. The injuries looked bad, but neither Gracie nor Eve was particularly bothered. Here the internet drew a blank, but I suspect it has to do with the “pruning” of our skin that we’re all familiar with after a soak in the bath. This only occurs over the pulps of our fingers and toes. It was once thought to be caused by water diffusing into skin cells, making them swell, but the truth is far more fascinating.

The wrinkling is an active process, triggered by immersion, in which the blood supply to the pulp regions is switched off, causing the skin there to shrink and pucker. This creates the biological equivalent of tyre treads on our fingers and toes and markedly improves our grip – of great evolutionary advantage when grasping slippery fish in a river, or if trying to maintain balance on slick wet rocks.

The flip side of this is much greater friction, leading to abrasion of the skin through repeated micro-trauma. And the lack of blood flow causes nerves to shut down, depriving us of the pain that would otherwise alert us to the ongoing tissue damage. An adaptation that helped our ancestors hunt in rivers proves considerably less use on a modern summer holiday.

I may not have seen much of the local heritage, but the trip to Italy taught me something new all the same. 

This article first appeared in the 17 August 2017 issue of the New Statesman, Trump goes nuclear