{"id":50311,"date":"2021-05-21T19:20:03","date_gmt":"2021-05-21T18:20:03","guid":{"rendered":"https:\/\/blogs.bmj.com\/bmj\/?p=50311"},"modified":"2021-05-21T19:23:47","modified_gmt":"2021-05-21T18:23:47","slug":"it-is-more-urgent-than-ever-that-we-end-the-criminalisation-of-poverty","status":"publish","type":"post","link":"https:\/\/blogs.bmj.com\/bmj\/2021\/05\/21\/it-is-more-urgent-than-ever-that-we-end-the-criminalisation-of-poverty\/","title":{"rendered":"It is more urgent than ever that we end the criminalisation of poverty"},"content":{"rendered":"<p><span style=\"font-weight: 400\">The story of inequalities in health has been a long one, beginning, in the NHS era, with the <\/span><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/7118327\/\"><span style=\"font-weight: 400\">Black report and <\/span><\/a><span style=\"font-weight: 400\">progressing through the <\/span><a href=\"https:\/\/academic.oup.com\/her\/article-abstract\/3\/3\/346\/671573?redirectedFrom=PDF\"><span style=\"font-weight: 400\">Health Divide<\/span><\/a><span style=\"font-weight: 400\">, <\/span><a href=\"https:\/\/assets.publishing.service.gov.uk\/government\/uploads\/system\/uploads\/attachment_data\/file\/265503\/ih.pdf\"><span style=\"font-weight: 400\">the Acheson report,<\/span><\/a><span style=\"font-weight: 400\"> to the <\/span><a href=\"http:\/\/www.instituteofhealthequity.org\/resources-reports\/fair-society-healthy-lives-the-marmot-review\"><span style=\"font-weight: 400\">Marmot report in 2010<\/span><\/a><span style=\"font-weight: 400\">. Since the Acheson report, governments have embedded reducing inequality in health policy. The <\/span><a href=\"https:\/\/www.england.nhs.uk\/about\/equality\/equality-hub\/resources\/legislation\/\"><span style=\"font-weight: 400\">duty to reduce inequality<\/span><\/a><span style=\"font-weight: 400\"> was enshrined in the Health and Social Care Act of 2012. The aspiration has not been turned into concrete policy and service change. In many cases, government austerity policies have <\/span><a href=\"https:\/\/www.health.org.uk\/publications\/reports\/the-marmot-review-10-years-on\"><span style=\"font-weight: 400\">worked to increase inequalities<\/span><\/a><span style=\"font-weight: 400\">. According to the Joseph Rowntree Foundation, in their <\/span><a href=\"https:\/\/www.jrf.org.uk\/report\/destitution-uk\"><span style=\"font-weight: 400\">Destitution in the UK report<\/span><\/a><span style=\"font-weight: 400\">, local and national government are the biggest creditors on poor people.\u00a0\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Organisations like the <\/span><a href=\"http:\/\/www.revolving-doors.org.uk\/\"><span style=\"font-weight: 400\">Revolving Doors Agency<\/span><\/a><span style=\"font-weight: 400\"> have brought a growing awareness of inequalities in health in the criminal justice system and <\/span><a href=\"http:\/\/www.revolving-doors.org.uk\/file\/2049\/download?token=4WZPsE8I\"><span style=\"font-weight: 400\">how NHS and Directors of Public Health<\/span><\/a><span style=\"font-weight: 400\"> should respond. However, there has been little acknowledgment that it is how poorer people are being managed, judged, and sentenced that is <\/span><i><span style=\"font-weight: 400\">unequal.<\/span><\/i> <i><span style=\"font-weight: 400\">The system suggests, it is <\/span><\/i><a href=\"https:\/\/crimetobepoor.org\/\"><i><span style=\"font-weight: 400\">a crime<\/span><\/i><\/a><i><span style=\"font-weight: 400\"> to be poor<\/span><\/i><span style=\"font-weight: 400\">.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Poorer socio-economic groups are <\/span><a href=\"https:\/\/crimetobepoor.org\/\"><span style=\"font-weight: 400\">over-represented in the criminal justice system<\/span><\/a><span style=\"font-weight: 400\">. This situation becomes even more obvious when poverty is combined with other factors, such as coming from a minority ethnic background or suffering from mental ill health. There seem to be several reasons behind this disproportionality. There are clear examples of <\/span><span style=\"font-weight: 400\">the impact of laws falling disproportionally on the poor<\/span><span style=\"font-weight: 400\">.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">In England, but not in Wales, Scotland, or Northern Ireland, magistrates have the power to commit someone to prison for up to three months for <\/span><a href=\"http:\/\/appeal.org.uk\/news\/2017\/1\/19\/no-longer-in-prison-melanies-sentence-is-quashed\"><span style=\"font-weight: 400\">owing council tax.<\/span><\/a><span style=\"font-weight: 400\"> This is despite the fact that owing tax is a civil debt, it is not a crime.<\/span><\/p>\n<p><span style=\"font-weight: 400\">The Vagrancy Act 1824, passed to deal with soldiers returning destitute from the Napoleonic Wars, made it a criminal act to sleep outdoors. Charities have long campaigned to repeal the Act. Housing Secretary Robert Jenrick has hinted that the 19th-century law which criminalises <\/span><a href=\"https:\/\/www.bigissue.com\/latest\/social-activism\/how-many-people-are-homeless-in-the-uk-and-what-can-you-do-about-it\/\"><span style=\"font-weight: 400\">rough sleeping<\/span><\/a><span style=\"font-weight: 400\"> could finally be scrapped. Responding to a question by Nickie Aiken MP during a debate on the <\/span><a href=\"https:\/\/www.bigissue.com\/latest\/rough-sleeping-dropped-by-a-third-in-2020-but-charities-warn-rise-to-come\/\"><span style=\"font-weight: 400\">latest rough sleeping figures<\/span><\/a><span style=\"font-weight: 400\">, Jenrick said he believed the <\/span><a href=\"https:\/\/www.bigissue.com\/latest\/the-campaign-to-scrap-the-almost-200-year-old-vagrancy-act-has-launched\/\"><span style=\"font-weight: 400\">Vagrancy Act<\/span><\/a><span style=\"font-weight: 400\"> should be \u201cconsigned to history\u201d and the Government would provide an update soon. We are still waiting for this to happen.<\/span><\/p>\n<p><span style=\"font-weight: 400\">The Vagrancy Act 1824 (section 3) makes begging a criminal offence; it enables the arrest of anybody who is begging. It is a recordable offence and carries a level 3 fine (currently \u00a31,000). Furthermore, local councils can apply to have an <\/span><a href=\"https:\/\/www.crimeandjustice.org.uk\/resources\/now-more-ever-penalisation-poverty-must-stop\"><span style=\"font-weight: 400\">Anti-Social Behaviour Injunction<\/span><\/a><span style=\"font-weight: 400\"> imposed on someone whose behaviour is regarded as anti-social. Breaching such an injunction may lead to a hearing in a county court under civil, not criminal, law. The penalty can be imprisonment, suspended or immediate, of up to two years.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">School exclusion is a well-travelled road to exploitation by criminal gangs, leading to involvement in the <\/span><a href=\"https:\/\/www.crimeandjustice.org.uk\/resources\/race-class-and-scandal-school-exclusions\"><span style=\"font-weight: 400\">criminal justice system<\/span><\/a><span style=\"font-weight: 400\">. Recent reports reveal that exclusion rates for Black Caribbean students in English schools are up to six times higher than those of their white peers in some local authorities, highlighting what experts have called an \u201cincredible injustice\u201d for schoolchildren from <\/span><a href=\"https:\/\/www.theguardian.com\/education\/2021\/mar\/24\/exclusion-rates-black-caribbean-pupils-england\"><span style=\"font-weight: 400\">minority ethnic backgrounds.<\/span><\/a><span style=\"font-weight: 400\"> Traveller children were also excluded at much higher rates. And exclusion rates for mixed-race students were more than four times higher than their white peers in several local authorities.<\/span><\/p>\n<p><span style=\"font-weight: 400\">In England and Wales parents whose children miss school are deemed to have committed the offence of truancy, even if they didn&#8217;t know their child had skipped school. Lack of support for children with special educational needs in some schools may lead to children feeling <\/span><a href=\"https:\/\/www.crimeandjustice.org.uk\/resources\/prosecuting-parents-truancy-who-pays-price\"><span style=\"font-weight: 400\">unable to go to school<\/span><\/a><span style=\"font-weight: 400\">, and refusing to go. Parents with fewer financial resources to find and employ tutors and other support will be disproportionately affected by the law which makes missing school a criminal offence for the parent. In Scotland truancy is a child welfare not a criminal law issue.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Additionally, the poor also get criminalised from law enforcement targeting certain crimes, from having inadequate resources to defend themselves in court and from a lack of support through the different stages of the criminal justice process. Some of these predicaments have long-term effects, causing intergenerational cycles of poverty and criminality.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Much of the unfairness of judging the poor will be obvious to prison health services and mental health colleagues. <\/span><a href=\"https:\/\/www.ehcap.co.uk\/news\/health-inequalities-in-the-criminal-justice-system\"><span style=\"font-weight: 400\">Large proportions of the prison population<\/span><\/a><span style=\"font-weight: 400\"> are there because of their inability to cope, with low level mental ill health, addictions and poverty. They are in prison largely because of inadequate support and inappropriate care in the community, and through the criminal justice system. Only <\/span><a href=\"http:\/\/pcclivewww.blob.core.windows.net\/wordpress-uploads\/Police-and-Crime-Reduction-Plan-2016-21-English.pdf\"><span style=\"font-weight: 400\">one in 10 calls to South Wales police<\/span><\/a><span style=\"font-weight: 400\"> are crime related; the rest are complex welfare, vulnerability, and safeguarding matters. The police receive <\/span><a href=\"https:\/\/www.justiceinspectorates.gov.uk\/hmicfrs\/wp-content\/uploads\/policing-and-mental-health-picking-up-the-pieces.pdf\"><span style=\"font-weight: 400\">one call every four minutes relating to mental health problems<\/span><\/a><span style=\"font-weight: 400\">. Resources such as <\/span><a href=\"https:\/\/justice.org.uk\/wp-content\/uploads\/2021\/01\/Mental-Health-and-Fair-Trial-Implementation-Report.pdf\"><span style=\"font-weight: 400\">court diversion of vulnerable defendants<\/span><\/a><span style=\"font-weight: 400\"> are still unevenly available and applied.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">It is necessary for us to address these grotesque inequalities in health and justice, as we seek to <\/span><a href=\"https:\/\/www.health.org.uk\/publications\/build-back-fairer-the-covid-19-marmot-review\"><span style=\"font-weight: 400\">Build Back Fairer after the covid pandemic.\u00a0<\/span><\/a><\/p>\n<p><span style=\"font-weight: 400\">The covid-19 pandemic in the UK has had a dramatic impact on household debt and financial security. The Department for Work and Pensions has seen applications for Universal Credit soar since lockdown was imposed in March 2020. As of the start of May 2020, 1.8 million claims had been received since 16 March\u2014six times the <\/span><a href=\"https:\/\/www.bbc.co.uk\/news\/uk-politics-52536210\"><span style=\"font-weight: 400\">usual claimant rate<\/span><\/a><span style=\"font-weight: 400\">. Local news reports have also shown that more people than ever are applying for council tax reductions and are struggling to keep up with payments. There appear to have been t<\/span><a href=\"https:\/\/www.jrf.org.uk\/report\/destitution-uk-2020\"><span style=\"font-weight: 400\">emporary respites for some of the most vulnerable\u2014<\/span><\/a><span style=\"font-weight: 400\">through suspension of benefit sanctions, debt-deduction payments and evictions for non-payment of rent. However,\u00a0 many are extending their debt through credit card usage and built up rent debt; many expect to be homeless when evictions are again permitted. As the precariousness of household finances worsens through the economic hit of the coronavirus pandemic, it is essential that we protect those most financially vulnerable. In these circumstances it is more important and more urgent than ever that we end the criminalisation of poverty.<\/span><\/p>\n<p><em><span style=\"font-weight: 400\"><strong>Rona Epstein<\/strong>, Honorary Research Fellow, Coventry Law School, Coventry University\u00a0\u00a0\u00a0<\/span><\/em><\/p>\n<p><em><span style=\"font-weight: 400\"><strong>John Middleton<\/strong>, Honorary Professor of Public Health, Wolverhampton University; President, Association of Schools of Public Health in the European Region\u00a0\u00a0<\/span><\/em><\/p>\n<p><em><strong>Competing interests<\/strong>: none declared<\/em><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The story of inequalities in health has been a long one, beginning, in the NHS era, with the Black report and progressing through the Health Divide, the Acheson report, to [&#8230;]<\/p>\n<p><a class=\"btn btn-secondary understrap-read-more-link\" href=\"https:\/\/blogs.bmj.com\/bmj\/2021\/05\/21\/it-is-more-urgent-than-ever-that-we-end-the-criminalisation-of-poverty\/\">More&#8230;<\/a><\/p>\n","protected":false},"author":66,"featured_media":47357,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[223],"tags":[],"class_list":["post-50311","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 v27.5 - 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