How the Lib Dems broke their promise to block new welfare cuts

The party vowed to block further welfare cuts but the seven-day wait for benefits amounts to a £245m cut.

Before the Spending Review, the Lib Dems repeatedly stated that they would accept no further cuts to welfare. Danny Alexander said in February 2013: 

We've got no plans at all to go back to the welfare budget as part of that process [the Spending Review]. What I'm focused on is finding that £10 billion or so from within the spending the government departments do.

I've got no plans to reopen the welfare issue. We agreed significant measures in the autumn and we're legislating for those at the moment. The balance has to be found from departmental budgets. Everyone's got to play their part.

More recently, Nick Clegg said that he was prepared to consider new cuts but only if George Osborne began by removing benefits, such as Winter Fuel Payments and free bus passes, from wealthy pensioners. "I believe that if you’re going to reopen welfare, it’s only fair to work at the top and work down, not start at the bottom and work up," he said

When Osborne and Cameron responded by reaffirming the Tories' 2010 pledge to protect all pensioner benefits, it appeared welfare spending was off the table. The Chancellor had already taken £21.6bn from the mostly poor and would take no more. 

But when he addressed the Commons yesterday, Osborne did announce further benefit cuts - and he started at the bottom. The new seven-day wait before the unemployed can claim benefits will reduce spending by £245m in 2015-16 (and £765m by 2018). Though some may seek to present it as a "reform", it is a cut. The money that claimants lose from having to wait a week for their benefits (which will force thousands more to turn to food banks) will not be backdated; it has gone for good. The introduction of tougher interview requirements is also expected to reduce spending (by £120m in 2015-16), presumably since those who fail to turn up (often with good reason) will be sanctioned.

It's true that Osborne also announced plans to remove Winter Fuel Payments from pensioners who live in hot countries (defined as those with "an average winter temperature higher than the warmest region of the UK") but this hardly qualifies as a significant reduction; it will save just £30m a year. 

Clegg insisted he would only accept new welfare cuts if the majority of savings came from the wealthy, but, once again, it's the poorest who've been hit. 

Danny Alexander and Nick Clegg at last year's Liberal Democrat conference in Brighton. Photograph: Getty Images.

George Eaton is political editor of the New Statesman.

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Relax – there’s new evidence that mindfulness actually works

The relaxation therapy could prevent relapses in sufferers of depression, according to a new study.

If there’s one thing that can be said of buzzwords, it’s that they almost always fall by the wayside in the end. Yet in the field of mental health, one buzzword has survived the best efforts of critics and naysayers – “mindfulness”.

First coined by Dr Jon Kabat-Zinn from the University of Massachusetts Medical School, the term mindfulness was initially characterised as a state of mind that would enable someone to pay “attention on purpose” to the present moment. Modern secular society seems to have embraced it as a form of meditation. Everything from exercise to breathing now has an associated mindfulness manual attached.

However, not everyone is convinced. For example, the recent phenomenon of adult colouring books – devised to promote mindfulness and serve as a form of therapeutic escapism – has been criticised by therapists as over-hyped and not necessarily helpful.

Meanwhile, sceptics have pointed out an alleged bias in the publishing of positive findings from trials using mindfulness as a form of mental health therapy. Researchers at McGill University in Canada “found that scientists reported positive findings 60 per cent more often than is statistically likely” after analysing 124 different published trials involving mindfulness as a form of mental health therapy. In some cases, the practice has even had a reverse effect, inducing anxiety, pain or panic.

However, a new study published in the journal JAMA Psychiatry seems to demonstrate that mindfulness-based cognitive therapy (MBCT) can be a potent treatment in preventing and managing relapse into major depression. Led by the University of Oxford, the study’s researchers conducted the largest meta-analysis (an analysis of various different studies) to date on the therapy’s impact on recurrent depression.

The particular form of mindfulness-based cognitive therapy that was used aimed to equip patients with the skills required to successfully recognise and repel the thoughts and feelings they most commonly associated with the state of depression, in order to prevent any future relapse.

According to the study, “the MBCT course consists of guided mindfulness practices, group discussion and other cognitive behavioural exercises. Participants receiving MBCT typically attended eight 2-2.5 hour group sessions alongside daily home practice.”

Using anonymous patient data from nine randomised trials involving 1,258 participants, researchers found that 38 per cent of those who received mindfulness-based therapy experienced a depressive relapse, in comparison to 49 per cent of patients who didn’t receive treatment. The patient data covered age, sex and level of education – key inclusions, as the meta-analysis was able to show no significant influence by these factors on the therapy’s performance.

The most prominent form of remedy currently available for mental health patients is anti-depressant medication. Four of the nine randomised trials comparatively assessed the impact of therapy alongside medication, to deduce if a combination of therapy with varying doses of medication was more beneficial than medication alone. The patients from the study who received mindfulness therapy along with continued, reduced or discontinued medication were less likely to fall back into depression than patients on maintenance anti-depressants alone. This helps legitimise mindfulness as an option in combating depression’s debilitating effects and reinforces its efficacy, whether it is taken up with or without anti-depressants.

Willem Kuyken, Professor of Clinical Psychology at the Oxford Mindfulness Centre and lead author of the study, called the results “very heartening”. “While MBCT is not a panacea, it does clearly offer those with a substantial history of depression a new approach to learning skills to stay well in the long-term.

“It offers people a safe and empowering treatment choice alongside other mainstay approaches such as cognitive-behavioural therapy and maintenance antidepressants. We need to do more research, however, to get recovery rates closer to 100 per cent and to help prevent the first onset of depression, earlier in life. These are programmes of work we are pursuing at the University of Oxford and with our collaborators around the world."

Though the findings will certainly reinvigorate confidence in mindfulness, Richard Byng from the University of Plymouth and one of the co-authors said, “clinicians need to be cautiously optimistic when tapering off antidepressant medication, and treat each patient as an individual who may or may not benefit from both MBCT and other effective treatments."