View all newsletters
Sign up to our newsletters

Support 110 years of independent journalism.

The problem with Jeremy Hunt’s pledge to get people “fit for work”

The Chancellor wants to push more sick people into being economically productive but offers little to make them well in the first place.

By Sarah Dawood

The UK is on course for a huge rise in ill health, with one in five adults projected to be living with major illnesses like cancer, heart disease and diabetes by 2040. Despite this, the Autumn Statement was devoid of any substantial interventions that would help to curb disease rates in the coming decades. Instead, the Chancellor focused on forcing people who are sick back into work in a bid to improve the country’s productivity.

Jeremy Hunt’s most punitive measure includes reforming the work capability assessment, so that more people who are sick or disabled are deemed “fit for work”, making it harder for them to claim the sickness-specific portion of Universal Credit. The government’s reasoning is that there are now more home-based roles, meaning that more disabled people can work – but charities say the new rules could force many people to look for jobs that don’t actually exist. This announcement has been buried by the overall uplift in Universal Credit, which will rise by 6.7 per cent next year.

Hunt has also pledged to reform the “fit note” – which is what doctors issue to employers about an individual’s fitness to work – to speed up people’s return to employment after a period of illness.

There’s no doubt that the UK has a productivity problem – data from the Office of National Statistics shows that the number of economically inactive people aged 16 to 64 increased by almost half a million between 2019 and 2022, with long-term sickness and disability driving this rise (there are also other factors, such as older people leaving the workforce due to early retirement). But forcing people back into work is a counterintuitive way to increase productivity levels when the government is doing little to make people well in the first place.

The Autumn Statement did include some positive measures around occupational and mental health, such as expanding the NHS England Talking Therapies programme so that more people can access help for free, and increasing employment support for those with mental health issues. But the government announced no systemic changes that would make work more accessible for those with disabilities. The government has used the rhetoric that “working from home” means that work is more manageable, but has not considered stronger protections around reasonable adjustments, such as changing working arrangements or methods, and providing additional equipment, services or support.

Select and enter your email address Your weekly guide to the best writing on ideas, politics, books and culture every Saturday. The best way to sign up for The Saturday Read is via saturdayread.substack.com The New Statesman's quick and essential guide to the news and politics of the day. The best way to sign up for Morning Call is via morningcall.substack.com Our Thursday ideas newsletter, delving into philosophy, criticism, and intellectual history. The best way to sign up for The Salvo is via thesalvo.substack.com Stay up to date with NS events, subscription offers & updates. Weekly analysis of the shift to a new economy from the New Statesman's Spotlight on Policy team. The best way to sign up for The Green Transition is via spotlightonpolicy.substack.com
  • Administration / Office
  • Arts and Culture
  • Board Member
  • Business / Corporate Services
  • Client / Customer Services
  • Communications
  • Construction, Works, Engineering
  • Education, Curriculum and Teaching
  • Environment, Conservation and NRM
  • Facility / Grounds Management and Maintenance
  • Finance Management
  • Health - Medical and Nursing Management
  • HR, Training and Organisational Development
  • Information and Communications Technology
  • Information Services, Statistics, Records, Archives
  • Infrastructure Management - Transport, Utilities
  • Legal Officers and Practitioners
  • Librarians and Library Management
  • Management
  • Marketing
  • OH&S, Risk Management
  • Operations Management
  • Planning, Policy, Strategy
  • Printing, Design, Publishing, Web
  • Projects, Programs and Advisors
  • Property, Assets and Fleet Management
  • Public Relations and Media
  • Purchasing and Procurement
  • Quality Management
  • Science and Technical Research and Development
  • Security and Law Enforcement
  • Service Delivery
  • Sport and Recreation
  • Travel, Accommodation, Tourism
  • Wellbeing, Community / Social Services
Visit our privacy Policy for more information about our services, how New Statesman Media Group may use, process and share your personal data, including information on your rights in respect of your personal data and how you can unsubscribe from future marketing communications.
THANK YOU

There are also no significant preventative health measures. Still riding off the back of Rishi Sunak’s Conservative Party conference announcement that in effect banned those currently aged 14 and under from smoking for life, the government has not addressed the huge shortfall in public health grant funding, which is the money local authorities are given to deliver vital prevention health measures to their residents, such as smoking cessation, alcohol and obesity services.

Equally, there was little in the way of transforming the NHS from a “sickness” service to a prevention service. Hospitals are currently overflowing with patients due to a lack of beds, waiting lists for routine operations are years long, and a huge postcode lottery exists in the diagnosis and treatment of serious diseases like dementia and cancer. The Autumn Statement simply reiterated and repackaged previous commitments to NHS funding, with no new money to ease the crisis.

Given the potential economic value the life sciences have for the UK, clinical research has been given more attention. Hunt announced £20m to launch a new clinical trial delivery accelerator to help NHS patients access new dementia treatments faster. A further £51m has also been devoted to the UK’s biggest clinical research programme, Our Future Health, which aims to do genomic testing on one million NHS participants to find better ways to prevent, detect and treat disease. But new treatments and technologies alone are not enough to curb the rise in preventable disease, given the systemic problems in the NHS that lead to postcode lotteries.

It is counterproductive and cruel to force people back into work without addressing the structural issues that make them sick or lock them out of employment. It will likely only result in more long-term sickness. Rather than focusing relentlessly on economic productivity, the government should look harder at why people cannot work in the first place.

[See also: Jeremy Hunt’s pre-election giveaways won’t compensate for a lost decade]

Content from our partners
Future proofing the NHS
Where do we get the money to fix the world's biggest problems? – with ONE
Labour's health reforms can put patients first

Select and enter your email address Your weekly guide to the best writing on ideas, politics, books and culture every Saturday. The best way to sign up for The Saturday Read is via saturdayread.substack.com The New Statesman's quick and essential guide to the news and politics of the day. The best way to sign up for Morning Call is via morningcall.substack.com Our Thursday ideas newsletter, delving into philosophy, criticism, and intellectual history. The best way to sign up for The Salvo is via thesalvo.substack.com Stay up to date with NS events, subscription offers & updates. Weekly analysis of the shift to a new economy from the New Statesman's Spotlight on Policy team. The best way to sign up for The Green Transition is via spotlightonpolicy.substack.com
  • Administration / Office
  • Arts and Culture
  • Board Member
  • Business / Corporate Services
  • Client / Customer Services
  • Communications
  • Construction, Works, Engineering
  • Education, Curriculum and Teaching
  • Environment, Conservation and NRM
  • Facility / Grounds Management and Maintenance
  • Finance Management
  • Health - Medical and Nursing Management
  • HR, Training and Organisational Development
  • Information and Communications Technology
  • Information Services, Statistics, Records, Archives
  • Infrastructure Management - Transport, Utilities
  • Legal Officers and Practitioners
  • Librarians and Library Management
  • Management
  • Marketing
  • OH&S, Risk Management
  • Operations Management
  • Planning, Policy, Strategy
  • Printing, Design, Publishing, Web
  • Projects, Programs and Advisors
  • Property, Assets and Fleet Management
  • Public Relations and Media
  • Purchasing and Procurement
  • Quality Management
  • Science and Technical Research and Development
  • Security and Law Enforcement
  • Service Delivery
  • Sport and Recreation
  • Travel, Accommodation, Tourism
  • Wellbeing, Community / Social Services
Visit our privacy Policy for more information about our services, how New Statesman Media Group may use, process and share your personal data, including information on your rights in respect of your personal data and how you can unsubscribe from future marketing communications.
THANK YOU