{"id":49434,"date":"2021-01-22T13:31:23","date_gmt":"2021-01-22T12:31:23","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=49434"},"modified":"2021-02-01T19:13:23","modified_gmt":"2021-02-01T18:13:23","slug":"those-with-the-least-have-suffered-the-most-during-the-covid-19-pandemic","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2021\/01\/22\/those-with-the-least-have-suffered-the-most-during-the-covid-19-pandemic\/","title":{"rendered":"Those with the least have suffered the most during the covid-19 pandemic"},"content":{"rendered":"<p class=\"standfirst\"><span style=\"font-weight: 400\">People on the lowest incomes have faced the worst of the pandemic&#8217;s economic bite, write Ian Hamilton and Aleks Collingwood<\/span><\/p>\n<p><!--more--><span style=\"font-weight: 400\">The covid-19 pandemic has shown that even though in some ways we have all been in the same storm, we haven\u2019t all been able to weather it. Exactly who has been affected by the pandemic\u2019s economic impact and how is the subject of a new <\/span><a href=\"https:\/\/www.jrf.org.uk\/report\/uk-poverty-2020-21\"><span style=\"font-weight: 400\">report<\/span><\/a><span style=\"font-weight: 400\"> by the Joseph Rowntree Foundation (JRF). Even before covid-19, a staggering 14.5 million people in the UK were living in poverty\u2014that\u2019s one in five of the population. This is made up of 8.4 million working age adults, 4.2 million children, and 1.9 million pensioners.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">The big increase in recent years has been poverty among people who are in work\u2014often on zero hour contracts or in low paid temporary employment. The government frequently <\/span><a href=\"https:\/\/www.independent.co.uk\/voices\/child-pension-poverty-rise-joseph-rowntree-foundation-conservative-government-austerity-work-a8093246.html\"><span style=\"font-weight: 400\">refers<\/span><\/a><span style=\"font-weight: 400\"> to work as the route out of poverty, which it can be, but only if the remuneration is sufficient to survive and secure permanent contracts are available for those that need them.<\/span><\/p>\n<p><span style=\"font-weight: 400\">The JRF report found that those on the lowest incomes had faced the largest cut in hours and pay during the pandemic. These individuals and families were economically exposed before covid-19 so any reduction in income has been felt acutely. The unequal experience of covid is exemplified by the fact that four in ten workers on the minimum wage face a high or very high risk of losing their job during the pandemic. Compare this to just 1% of those earning more than \u00a341 500 a year. We are clearly not all in this together as a recent Office for National Statistics <\/span><a href=\"https:\/\/www.ons.gov.uk\/peoplepopulationandcommunity\/birthsdeathsandmarriages\/deaths\/bulletins\/monthlymortalityanalysisenglandandwales\/december2020\"><span style=\"font-weight: 400\">report<\/span><\/a><span style=\"font-weight: 400\"> highlighted that those living in the most deprived communities were 2.5 times more likely to die due to covid-19 than those living in the least deprived.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Universal credit has had a vital role in keeping families afloat during this crisis, and the government was right to add an extra \u00a320 per week\u2014it has been a lifeline for many people as costs rise and opportunities for work diminish. That rise now needs to be made permanent. The British public are increasingly aware of how critical an issue poverty is and people recognise the need to support each other through difficult times\u2014making the extra \u00a320 permanent is an effective way for the government to respond to this.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">By August 2020, claims for universal credit had risen by 90% from the start of the year, and this demand would have introduced many people to the benefit system who before covid had no experience of this.\u00a0<\/span><span style=\"font-weight: 400\">Some people manage the mandatory five week wait for the initial payment by borrowing money that can take 15 months to repay, eroding the support they receive in later months. This is a system designed by those familiar with a monthly salary, which is at odds with many claimants who are paid weekly. Removing this five week wait could help individual claimants avoid the need to borrow.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">We already know that people from ethnic minority communities have been <\/span><a href=\"https:\/\/www.bmj.com\/content\/369\/bmj.m2282\"><span style=\"font-weight: 400\">disproportionately<\/span><\/a><span style=\"font-weight: 400\"> affected by covid-19 both in terms of infection and mortality. The JRF report also found racial disparities in the pandemic\u2019s economic toll, as ethnic minority individuals were 14% more likely to lose their employment. Compared to white people, they were also more likely to cut back on essential spending such as food, be behind with paying bills, and to have been forced to resort to borrowing money.<\/span><\/p>\n<p><span style=\"font-weight: 400\">The report doesn\u2019t just provide information about how poverty has affected people during the pandemic, it also offers four specific recommendations. Firstly, looking ahead, two important forms of state intervention are due to end in April: the furlough scheme and the additional \u00a320 for those in receipt of universal credit. Pressure has been building on the government to extend the \u00a320 addition to universal credit beyond March. Dame Louise Casey, former government adviser on homelessness, <\/span><a href=\"https:\/\/www.bbc.co.uk\/news\/uk-politics-55724784\"><span style=\"font-weight: 400\">described<\/span><\/a><span style=\"font-weight: 400\"> the extra \u00a320 as a &#8220;lifeline&#8221; to those living in poverty and said ending the payment would be &#8220;too punitive a policy right now.&#8221; This is also recommended in the JRF report, as is extending the furlough scheme, but these are merely temporary measures; it is the longer term structural aspects of poverty that the JRF are keen to resolve. These include encouraging the government to provide adults with training in skills that would lead to higher paid and more secure employment. Bringing forward the employment bill would also provide additional job security for the lowest paid employees who are on temporary or zero hour contracts.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">In addition to recommending improvements to the benefit system, the report calls for a change in how we conceive of our country\u2019s social safety nets. The system needs to be viewed as an essential public service and consequently have the necessary investment to match. Lastly, given the high proportion of income that the poorest people pay on private rent, an increase in social housing should be a priority if we want to reduce individual spend on rent and provide greater security of tenancy.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Without these changes, not only will the current unequal impact of covid-19 be felt by the poorest people in society, they will also be the last group to recover once the pandemic abates. Changing this requires all of us to demand an end to poverty. This is not a fantasy; it is achievable in a wealthy Western economy where there is sufficient resource to be shared. It\u2019s a question of will, not possibility.<\/span><\/p>\n<p><em><strong>Ian <span class=\"il\">Hamilton<\/span><\/strong> is an academic at the University of York with an interest in addiction and mental health. He previously worked as a mental health nurse with people who had combined mental health and substance use problems. <\/em>Twitter: <a href=\"https:\/\/twitter.com\/ian_hamilton_\"><span class=\"css-901oao css-16my406 r-1qd0xha r-ad9z0x r-bcqeeo r-qvutc0\">@ian_hamilton_<\/span><\/a><\/p>\n<p><strong>Competing interests:<\/strong> None declared.<\/p>\n<p><em><strong>Aleks Collingwood<\/strong> is an analysis manager in the evidence and impact team that leads the Joseph Rowntree Foundation&#8217;s data monitoring and analysis function. Her main role is managing the analysis and writing of JRFs annual flagship UK Poverty report. Twitter <a href=\"https:\/\/twitter.com\/jrfAleks\"><span class=\"css-901oao css-16my406 r-poiln3 r-bcqeeo r-qvutc0\">@jrfAleks<\/span><\/a><\/em><\/p>\n<p><strong>Competing interests:<\/strong> None declared.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>People on the lowest incomes have faced the worst of the pandemic&#8217;s economic bite, write Ian Hamilton and Aleks Collingwood [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2021\/01\/22\/those-with-the-least-have-suffered-the-most-during-the-covid-19-pandemic\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":419,"featured_media":49435,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[223],"tags":[],"class_list":["post-49434","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-guest-bloggers"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.6 - 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