{"id":49259,"date":"2020-12-21T15:50:39","date_gmt":"2020-12-21T14:50:39","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=49259"},"modified":"2021-01-08T19:25:03","modified_gmt":"2021-01-08T18:25:03","slug":"covid-19-and-everyday-experiences-of-hardship-why-charitable-provision-is-not-enough","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2020\/12\/21\/covid-19-and-everyday-experiences-of-hardship-why-charitable-provision-is-not-enough\/","title":{"rendered":"Covid-19 and everyday experiences of hardship: why charitable provision is not enough"},"content":{"rendered":"<p><a href=\"https:\/\/www.bmj.com\/content\/371\/bmj.m4134\"><span style=\"font-weight: 400\">Many commentators<\/span><\/a><span style=\"font-weight: 400\"> have rightly observed that the coronavirus pandemic has amplified long-standing socioeconomic and health inequalities, and exposed both the fragility of the UK\u2019s social security system and the <\/span><a href=\"https:\/\/emeraldopenresearch.com\/articles\/2-11\/v2\"><span style=\"font-weight: 400\">growing reliance by so many on charitable food provision<\/span><\/a><span style=\"font-weight: 400\">. At a time of global crisis, the UK\u2019s fraying safety net has been under scrutiny and subject to urgent\u2014though temporary\u2014changes to slightly strengthen it, as part of efforts to improve the experiences of those relying on out-of-work social security for the first time.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">It should not, however, have taken a global pandemic to get us talking about the endemic insecurity and everyday hardship that characterises social security receipt. The shortcomings with provision, which has been hollowed out and residualised by successive governments, have long been clear to all who took more than a passing interest. Just as social security provision deteriorated and weakened so too\u2014and in direct response\u2014<\/span><a href=\"https:\/\/www.bmj.com\/content\/350\/bmj.h1775\"><span style=\"font-weight: 400\">charitable food provision increased<\/span><\/a><span style=\"font-weight: 400\">. As the state withdraws, the charitable sector expands, providing much needed emergency provision in the form of food parcels, community food hubs, and the sharing of excess, &#8220;waste&#8221; food from retailers.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Through the <\/span><a href=\"https:\/\/covidrealities.org\/\"><span style=\"font-weight: 400\">Covid Realities<\/span><\/a><span style=\"font-weight: 400\"> research programme, we have been working directly with over a hundred parents and carers to document life on a low income during the pandemic. By keeping online diaries, responding to pre-recorded audio questions, and participating in virtual discussion groups, parents are sharing their experiences, and taking part in conversations about what needs to change, and why. <\/span><a href=\"https:\/\/covidrealities.org\/learnings\/\"><span style=\"font-weight: 400\">Their accounts<\/span><\/a><span style=\"font-weight: 400\"> reveal the shortcomings with the social security system before the pandemic, but also the profound limitations of the government\u2019s economic response to covid-19. Changes like the temporary \u00a320 uplift to Universal Credit, while welcomed by those who receive it (many don\u2019t because of being on legacy benefits or subject to the benefit cap) are often experienced as insufficient to help families with rapidly rising costs related to lockdown. What these diaries also reveal is how the strategies that families have in place to get by on a low-income\u2014shopping regularly to access low-cost items; securing deliveries from cheaper edge-of-town supermarkets; visiting friends and families for meals; and making use of community forms of support\u2014have been made impossible by covid-19. Roisin explains:\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">\u201cWe spend so much more on electricity, food, gas as we are at home most of the time. We used to have lunch or dinner at my mums after I got the children from school. Mum always picked up little things for us when she did her shopping like washing powder or sweets or toys. Now we no longer can visit.\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400\">This leaves families struggling to cope and places increased financial pressures on those who are already navigating the uncertainties created by covid-19. Unsurprisingly, this has negative health impacts for affected families\u2014the aggravation of existing physical and mental health problems, as well as the emergence of new ones.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Families we are working with report feeling let down and neglected by a government that seems disinterested and unaware of the needs of households living in poverty. Against this context, families are often reliant on and immensely grateful for food charity:<\/span><\/p>\n<p><span style=\"font-weight: 400\">\u201cThen came lockdown, trying to find fresh healthy food became not only difficult due to shortages in shops but with even a small reduction in money I was struggling to buy enough food for us to survive on. A local food bank which has been a huge help to us.\u201d (Erik)<\/span><\/p>\n<p><span style=\"font-weight: 400\">Families speak of the gratitude, but also of the pervasive stigma they associate with receiving a food parcel or visiting the local food bank. What the families also tell us, however, is that there are many (arguably inherent) problems with this form of charitable provision; not only is it stigmatising to have to ask for food aid, but the food received is often inadequate to meet people\u2019s needs and, in some cases, inedible. Charitable food aid deprives people of agency and choice; they must take what they are offered and make the best of it, rather than making their own decisions about what they and their family want to eat. Holly experienced guilt and shame when receiving inedible food aid:\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">\u201cIt&#8217;s emotionally difficult to think I&#8217;ve been reduced to asking for stale and mouldy bread. I feel guilty for needing to access such assistance, I feel guilty for binning some of the produce given (my logic being that food poisoning could weaken my kiddie\u2019s immune systems and make them more at risk of the virus, better to go without bread than to risk getting ill by it). And I feel shame. At that moment, I felt disgusted at myself. What kind of mother does it make me?\u201d<\/span><\/p>\n<p><span style=\"font-weight: 400\">The <\/span><a href=\"https:\/\/www.foodaidnetwork.org.uk\/\"><span style=\"font-weight: 400\">Independent Food Aid Network<\/span><\/a><span style=\"font-weight: 400\"> (IFAN) has been a leading advocate for dignified, nutritionally adequate and culturally appropriate charitable food provision. However, above all, IFAN argues that charitable food can never be a viable replacement for the money to purchase food in &#8220;normal&#8221; ways\u2014in supermarkets, local grocers, and cafes; a claim which is robustly supported by Covid Realities\u2019 emergent evidence base.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Through local-level partnerships, <\/span><a href=\"https:\/\/www.foodaidnetwork.org.uk\/blog\/food-banks-in-scotland-call-for-cash-first-approaches-in-the-face-of\"><span style=\"font-weight: 400\">IFAN is pioneering a &#8220;cash first&#8221; approach to food poverty<\/span><\/a><span style=\"font-weight: 400\">, aligned to its broader call for a systemic approach to tackling poverty. The work of IFAN, like the Covid Realities participants, illuminates the reality that emergency food aid cannot and never will be the answer to the underlying problem of rising poverty and everyday hardship for millions of households. Instead, what is needed is a stronger social security system, which invests in adults and their children as part of a preventative strategy to reduce poverty and inequality. Emergency food aid is a sticking plaster for the problem of poverty; we need to refocus the corrective lens away from increasing the number of food banks towards campaigning for a bolder and better social security system.<\/span><\/p>\n<p><strong>Please donate generously to The BMJ Appeal 2020-21. Donations can be made here: <a href=\"https:\/\/www.foodaidnetwork.org.uk\/bmj\">https:\/\/www.foodaidnetwork.org.uk\/bmj<\/a>.<\/strong><\/p>\n<p><em><strong>Ruth Patrick<\/strong>, University of York.<\/em><\/p>\n<p><em><strong>Maddy Power<\/strong>, University of York.<\/em><\/p>\n<p><em><strong>Kayleigh Garthwaite<\/strong>, University of Birmingham.<\/em><\/p>\n<p><em><strong>Sydnie Corley<\/strong>, Covid Realities &amp; York Food Justice Alliance.<\/em><\/p>\n<p><em><strong>Geoff Page<\/strong>, University of York.<\/em><\/p>\n<p><em><strong>Competing interests<\/strong>. Maddy Power and Kayleigh Garthwaite are trustees of IFAN. None further declared.\u00a0\u00a0<\/em><\/p>\n<p><i><span style=\"font-weight: 400\">This opinion piece informed by the COVID Realities research project (see www.covidrealities.org). The project has been funded by the Nuffield Foundation, but the views expressed are those of the authors and not necessarily the Foundation. Visit www.nuffieldfoundation.org.<\/span><\/i><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Many commentators have rightly observed that the coronavirus pandemic has amplified long-standing socioeconomic and health inequalities, and exposed both the fragility of the UK\u2019s social security system and the growing [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2020\/12\/21\/covid-19-and-everyday-experiences-of-hardship-why-charitable-provision-is-not-enough\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":66,"featured_media":49151,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1871],"tags":[],"class_list":["post-49259","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-christmas-appeal"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.5 - 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