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Making life more manageable Making life more manageable for poor people for poor people Chris Roberts Chris Roberts Health, Social Services and Health, Social Services and Children analytical team, Children analytical team, Welsh Government Welsh Government
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Making life more manageable for poor people Chris Roberts Health, Social Services and Children analytical team, Welsh Government.

Jan 17, 2016

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Page 1: Making life more manageable for poor people Chris Roberts Health, Social Services and Children analytical team, Welsh Government.

Making life more manageable Making life more manageable for poor peoplefor poor people

Chris RobertsChris RobertsHealth, Social Services and Health, Social Services and Children analytical team, Welsh Children analytical team, Welsh GovernmentGovernment

Page 2: Making life more manageable for poor people Chris Roberts Health, Social Services and Children analytical team, Welsh Government.

What will be covered

1. What ‘mitigation’ means and why it matters

2. Examples of why mitigation is needed

3. How making life more manageable brings quick and long-term benefits

4. What we can all do

Page 3: Making life more manageable for poor people Chris Roberts Health, Social Services and Children analytical team, Welsh Government.

The Welsh Government Action Plan 3 strands – distinct but 3 strands – distinct but

connectedconnected

Page 4: Making life more manageable for poor people Chris Roberts Health, Social Services and Children analytical team, Welsh Government.

‘Mitigation’ / ‘Alleviation’ / ‘making poor lives more

manageable’ Improves the ‘lived experience’ of poverty

and the subjective and objective well-being of poor people

Makes it more likely that young adults will find a way out of poverty and less likely that poor children will grow into poor adults

We should not underestimate the value of doing We should not underestimate the value of doing these!these!

Page 5: Making life more manageable for poor people Chris Roberts Health, Social Services and Children analytical team, Welsh Government.

But - why does poverty matter and what aspects of ‘lived experience’

can we affect?Poverty and social disadvantage can lead to ‘social exclusion’ – preventing full participation in economic, social and political life

‘Mitigation’ or ‘Alleviation’ = “..making more bearable”, “..moderating a condition”

It is about reducing the socially unjust and avoidable disadvantages poor people suffer because they are poor

Page 6: Making life more manageable for poor people Chris Roberts Health, Social Services and Children analytical team, Welsh Government.

Poor people often have poorer quality in public services

poorer quality in environment (safety, maintenance)

higher accident risks

poorer quality in food

poorer access to cultural and leisure facilities

poorer quality in clothing

poorer quality in housing

poorer access to goods & other services (or at higher cost)

Page 7: Making life more manageable for poor people Chris Roberts Health, Social Services and Children analytical team, Welsh Government.

These are not new problems e.g. ‘Inverse Care Law’

Page 8: Making life more manageable for poor people Chris Roberts Health, Social Services and Children analytical team, Welsh Government.

Unsurprisingly, poor people suffer more physical and mental illness, have poorer subjective well-being and die younger.

To illustrate – some examples:

Page 9: Making life more manageable for poor people Chris Roberts Health, Social Services and Children analytical team, Welsh Government.

Female life expectancy at birth

Source: Welsh Government, Statistical Directorate

Page 10: Making life more manageable for poor people Chris Roberts Health, Social Services and Children analytical team, Welsh Government.

Adults’ general health

Page 11: Making life more manageable for poor people Chris Roberts Health, Social Services and Children analytical team, Welsh Government.

Premature mortality

Page 12: Making life more manageable for poor people Chris Roberts Health, Social Services and Children analytical team, Welsh Government.

Infant mortality and low birthweight

Page 13: Making life more manageable for poor people Chris Roberts Health, Social Services and Children analytical team, Welsh Government.

Adolescent self-rated health

Page 14: Making life more manageable for poor people Chris Roberts Health, Social Services and Children analytical team, Welsh Government.

Adolescent life satisfaction

Page 15: Making life more manageable for poor people Chris Roberts Health, Social Services and Children analytical team, Welsh Government.

Adolescent breakfast consumption

Page 16: Making life more manageable for poor people Chris Roberts Health, Social Services and Children analytical team, Welsh Government.

Adolescent fruit consumption

Page 17: Making life more manageable for poor people Chris Roberts Health, Social Services and Children analytical team, Welsh Government.

Child pedestrian injuries

0

20

40

60

80

100

120

140

160

180

200

2002 2003 2004 2005 2006 2007 2008 2009 2010

Child

ped

estr

ian

inju

ries

from

mot

or v

ehic

le a

ccid

ents

by

depr

ivati

on q

uinti

le

Quintile 1 (Trend)

Quintile 2 (Trend)

Quintile 3 (Trend)

Quintile 4 (Trend)

Quintile 5 (Trend)

Source: Welsh Government, Statistical Directorate

Page 18: Making life more manageable for poor people Chris Roberts Health, Social Services and Children analytical team, Welsh Government.

Oral health

Page 19: Making life more manageable for poor people Chris Roberts Health, Social Services and Children analytical team, Welsh Government.

Very little of this is an inevitable consequence of

being poor

Most of it is socially unjust and most can be remedied

Page 20: Making life more manageable for poor people Chris Roberts Health, Social Services and Children analytical team, Welsh Government.

Welsh Government policy goal is to make sure that children are

“…not disadvantaged by poverty”

Can be read two ways:

Improving the ‘lived-experience’ of poverty Helps counter these disadvantages Improves long-term prospects, particularly for

children

Both are worth doing and OUR actions can help to achieve it

No child should suffer povertyIf they do, their lives should not be blighted by it

Page 21: Making life more manageable for poor people Chris Roberts Health, Social Services and Children analytical team, Welsh Government.

What we should aim forGeneral Rules

1. Equal access to, and quality of, universal public services; but preferably equitable provision - proportionate to need for individuals and areas

2. Equal access to goods and services supplied by funded 3rd sector organisations, but preferably equitable provision - proportionate to need for individuals and areas

3. Encouragement/support to private sector to provide equal access to needed goods and services

with no ‘poverty penalty’

Page 22: Making life more manageable for poor people Chris Roberts Health, Social Services and Children analytical team, Welsh Government.

What could make life fairer, less damaging and more bearable for

poor people?

More income

Fewer outgoings/goods in kind

Private sector services

Third Sector

Public Services

Page 23: Making life more manageable for poor people Chris Roberts Health, Social Services and Children analytical team, Welsh Government.

‘Poverty in all policies’

Page 24: Making life more manageable for poor people Chris Roberts Health, Social Services and Children analytical team, Welsh Government.

Thank you for your attention.Thank you for your attention.Acknowledgement: many thanks to Mike Harmer and Semele Mylona for their help

in preparing this presentation

We welcome your questions, suggestions, comments!

([email protected])