Tag: 2013

  • Chloe Smith – 2013 Speech at BIM4SME launch

    chloesmith

    Below is the text of the speech made by the Minister for Constitutional and Political Reform, Chloe Smith, in London at the BIM4SME Launch on 15th April 2013. (BIM is Building Information Modelling).

    I am delighted to be here today to support the formal launch of the BIM4SME working group.

    Let me start by painting a picture in words – not digitally or in 3D as many of you seated here could do – to show how digital technologies, or you may call them Building Information Modelling or BIM, are already helping SMEs to make an impact in the construction industry.

    Firstly, at a local level, the London-based practice of David Miller Architects has shown how BIM has unlocked better productivity and allowed them to grow from a practice of 4 to 14, moving them into new and bigger markets.

    Secondly, nationally, London-based Wagstaffs Design with 22 staff has created bespoke real-time 3D applications for Crossrail incorporating, for example, pedestrian flow simulation data so Crossrail has new ways of interrogating and presenting infrastructure and building information. These very visual and results-orientated communication tools are accessible through mobiles and online.

    And thirdly, internationally, Bryden Wood, a British-based multi-disciplinary design and technology company, who in February 2013 won a competitive tender for a landmark construction project in St Petersburg, Russia. They beat much larger, international practices and it was their experience of working on complex projects where BIM is essential to coordinate the vast range of design, construction and handover activities that secured the contract. And this is not a BIM one-off. In the last year, Bryden Wood has seen their workload in high-value BIM-driven projects increase dramatically and has been able to expand from 45 people to 70.

    I’m sure you will agree these are inspiring pen portraits and we want more for the BIM gallery!

    The case for BIM

    Let’s now move on to the even bigger picture.

    The Government Construction strategy challenges industry to modernise and innovate – with efficient low carbon solutions and digital technologies to strip out waste and deliver real savings to the tax-payer.

    So you can see this puts BIM squarely at the heart of the shift to reform the industry and deliver greater efficiencies.

    The Government’s plans to deliver better value for money in the construction industry and get the supply chain working more collaboratively is ambitious but achievable. Indeed, we are on track to achieve savings of £350m in 2012/3 to reinvest in new Government projects.

    By 2016 all Government construction projects will be using BIM level 2 – a goal we believe is very much achievable over the next three years.

    To safeguard against creating a two tier construction community, the BIM mandate will be irrespective of project size or the capital expenditure cost of a project.

    Our strategy is about driving collaboration and bringing together communities, sharing data in a common environment to make smarter decisions both in the capital and operational phases.

    Collaboration between Government and industry is fundamental to develop and roll-out BIM successfully.

    This means continued input and involvement from all players in the supply chain, especially the SME community who form the back-bone of the construction industry. The BIM4SME group is just one way SMEs can engage with Government on the roll-out of BIM.

    With this in mind, the Government’s BIM requirements have been built both as an open format and technology agnostic.

    This is crucial, as it allows SMEs to feed in to a single data set from the outset of the design process and to drive innovation through early engagement.

    The BIM way of collaborative working and the efficiencies it will drive, stripping out waste and duplication, is also scaleable whether it be:

    – a kitchen block replacement or a new-build school

    – prison refurbishment or road repairs.

    And there are early successes. The Ministry of Justice, an early adopter, has secured £800,000 of savings through the use of BIM at Cookham Wood prison in Kent where a 180-cell extension is now on site. Through BIM’s innovative 3D modeling data, MoJ was able to see exactly what is being built and identify any potential issues, leading to savings being made right at the outset.

    Crossrail is committed to BIM and has set up an Information Academy, with their technology partner Bentley Systems, to capture, develop and share BIM best practices with the Crossrail supply chain and provide training to their contractors. Since November 2012, over 225 individuals from 28 suppliers have been through the Academy awareness sessions and now have access to supporting online training.

    It’s great to see clients also stepping up to the challenge and realising the benefits.

    Importance of SMEs

    It is true that SMEs often take on and offer more innovative solutions.

    Construction is no different and with the majority of the construction supply chain referring to themselves as SMEs, ensuring SME whole-sector adoption of BIM is central to future success.

    As an SME, no matter what your role in the built environment is, it is highly likely your business will or should be involved in the BIM process whether through supplying or managing data. You may be involved directly working with a government department or indirectly with a supply chain partner who needs data as part of their contractual requirements.

    It is clear that BIM does offer the SME community many benefits, irrespective of their position in the construction landscape and construction supply chain – it helps to improve their working processes and remove waste at all stages of the lifecycle.

    BIM is becoming a catalyst for growth for the SME community.

    For example – Kykloud, a British company set up in 2010, provides BIM ready building surveying and asset management apps so data can be collected onsite in real time and then reports compiled automatically on future long term maintenance costs. Their software is being used by some of the UK’s leading surveying practices across 23 million square metres of infrastructure including HMRC estates, MoJ and 6,000 schools – one third of English schools. This is impressive and the company has gone from 2 to 15 staff in a year with a ten-fold growth in revenue.

    So it’s great when you hear SMEs say that BIM helps them compete with much bigger organisations. BIM is a great leveller.

    SMEs are agile and innovative and will be amongst the trailblazers in a BIM enabled industry stimulating growth, especially in the international market place where the UK is already seen as a pioneer of BIM enabled solutions.

    And it is not just the Government who believes this.

    This was validated last month at the Fiatech international awards ceremony in Texas where the James B. Porter Jr. Technology Leadership Award recognised the HM Government and UK industry for their leadership in advancing technology and productivity improvement in capital projects and, in particular, as a world-wide leader for digital technologies in construction.

    Giving SMEs a voice

    It is crucial to give SMEs a voice and sense of community.

    The BIM4SME group is keen to be inclusive and reach out to other SMEs. Their vision is to bring together a BIM SME community and, as a particularly IT-literate group, already have a virtual presence through social media.

    The BIM SME regional hubs, set up by the Construction Industry Council hosting the launch today, will develop a community of like-minded SMEs. The hubs will be two-way – sharing guidance and updates on the UK Government BIM programme and allowing feedback from SMEs on the reality of using digital technologies.

    These are great examples of Government and industry working together to ensure that the UK remains at the forefront of BIM adoption.

    BIM is here to stay

    BIM is not a fad.

    BIM is now becoming more mainstream and new guidance and standards, like the BSI BIM standard recognised here and internationally, will help to give companies working in the UK a competitive edge in the global race. This includes SMEs.

    It is so important to create communities that will push the industry along – groups like the BIM2050 group – a voice for young professionals – and now the BIM4SME group who can provide support and encouragement to other SMEs using or developing BIM solutions.

    BIM is fast becoming a master-piece for industry reform and better outcomes.

  • Iain Duncan Smith – 2013 Speech to Capita Welfare Reform Conference

    Ian  Duncan Smith
    Iain Duncan Smith

    Below is the text of the speech made by the Work and Pensions Secretary, Iain Duncan Smith, to the Capita Welfare Reform Conference in Edinburgh on 27th March 2013.

    Introduction

    It is a pleasure to be here today.

    All across the UK, few issues provoke as much debate as welfare reform.

    But then few issues matter as much to our society.

    Our welfare state is not simply a question of institutions and systems.

    It is, and always has been, about people…

    … providing effective support to the most vulnerable, and helping those who have fallen on hard times to get back on their feet.

    Social costs

    This Government is on the side of the welfare system – we believe in the values that created it and recognise that these are common values across the UK.

    We all benefit from having the welfare safety net to fall back on.

    But equally, when welfare doesn’t work, we all feel it.

    We feel the social costs:

    The four and a half million people of working age, trapped on out of work benefits – 450,000 of them in Scotland.

    The 1 million people on sickness benefits, unseen for a decade or more.

    The 3.7 million workless households, 367,000 in Scotland…

    … and the 1.8 million children living in households where no one works – 145,000 in Scotland alone.

    Across the UK, in communities blighted by disadvantage, as a whole section of people are cut adrift from the rest of society…

    … what we are left with is a tragic waste of human potential and lost opportunity.

    Welfare spending

    As well as the social cost, we must also acknowledge that this entrenched dependency weighs heavily on the public purse.

    Welfare is vitally important, but the reality is that it comes at a cost.

    Across the UK, we spend over £200 billion annually on benefits, tax credits and pensions…

    … an amount that increased by 60% under the last Government, from £122 billion to £197 billion, some £3,000 a year for every household in Britain by 2010.

    The rising cost of paying benefits was one significant reason for the increase in the UK’s deficit – a hole in the government finances worth 11.2% of GDP in 2009/10, unprecedented in peace-time.

    Hard decisions

    This Government has taken hard decisions on tax and spending in order to piece our economy back together.

    If there were ever to be an independent Scotland, that new Scottish state would not be immune from similarly hard and difficult choices.

    The Scottish Government’s own independent Fiscal Commission talks of the challenge of “ensuring long-term fiscal sustainability”…

    … indeed, the UK Government’s commitment to restoring a strong economy is not separate from our commitment to a resilient welfare state.

    We need only look to Ireland to see how far the two are linked.

    Back in 2008, Scotland’s First Minister spoke about Scotland drawing a lesson from Ireland, “the Celtic Tiger economy”.

    So too now… only the lesson we learn is of the vital measures Ireland has had to take as an independent nation, in order to stabilise their banks and maintain competitiveness.

    In the face of the global financial crisis and the country’s plummeting GDP, Ireland’s leaders have had to implement difficult public expenditure cuts.

    Doing so has hit benefit recipients hard…

    … with social welfare cuts of around £680 million for the year 2010, and £780 million for the year 2011.

    For a workless couple with two children, this equates to an actual cut in income of around £900 a year.

    For a childless couple, where one person is caring for a spouse in receipt of Disability Allowance, it is a cut of £840 a year.

    And it is not only Ireland having to make these cuts. Other countries – Spain, Portugal – have found themselves having to do the same.

    In contrast… with a broader and more diverse economy, the UK has been better able to cope with shocks such as the Eurozone crisis and volatile oil revenues… whilst keeping our welfare safety net in place.

    Across the UK – contrary to the headlines – all those on benefits will still see cash increases in every year of this Parliament.

    Life change

    A sound economy and a properly structured social settlement go side by side.

    And when it comes to welfare, the point is not just how much we spend…

    ….but how we spend it.

    Instead of big spending to grab media headlines and placate interest groups in the short term, I believe that for every pound we spend, we should be asking – how does it promote lasting and positive life change?

    We need to look at the results that welfare spending is having in terms of transforming people’s lives…

    … investing in a dynamic system that promotes work as the best route out of poverty, setting people on course to an independent life beyond the state.

    Benefit cap

    That is what our welfare changes are all about.

    First, the benefit cap – removing perhaps the greatest catch in the current system… the fact that for too many people, it pays more to languish on benefits than to enter work.

    We are exempting the most vulnerable, including war widows and those with severe disabilities.

    But by capping the total amount others can receive in benefits, we restore the incentive for them to move back to work…

    … restoring fairness to those who work hard and pay into the system in the process.

    As we are move towards implementing this change, we are already seeing signs of this positive behavioural change.

    Housing reform

    Much has also been said about the impact of our Housing reforms in Scotland, with claims that we are cutting the Housing Benefit bill.

    But here are the facts:

    Housing Benefit spending doubled in the last decade from £11 billion to £23 billion, our reforms are starting arrest that rate of growth.

    House building under the last Government had fallen to its lowest peacetime level since the 1920s, down by almost a third, with the fall in Scotland even worse than that in England.

    There are 188,000 households on waiting lists in Scotland, and overcrowding stands at 60,000…

    … meanwhile 80,000 homes in the social rented sector are under-occupied, with taxpayers having to subsidise those spare bedrooms.

    So the real story here is not the impact of our reforms, but the failure of past housing policy both North and South of the border.

    I am not saying that ending the spare room subsidy will not present some difficult cases, which is why we have allocated an additional £370 million in Discretionary Housing Payments to help manage the transition… £10 million to Scottish local authorities in the first year.

    But let me remind you that tenants on Housing Benefit in the private sector do not receive payments for spare bedrooms – it is only fair to taxpayers to bring the social sector back into line.

    Work

    As well as ending the snags that have too often trapped people in dependency, we are also investing in dynamic reforms to get people into work.

    From the Work Programme – paying providers by the results they achieve in supporting those further from the labour market into work and keeping them there…

    … to Universal Jobmatch – an online jobsearching and matching service which is already revolutionising how claimants find work, with over 2 million already registered…

    … and the introduction of the Personal Independence Payment, focusing support on those who need it most and helping those on DLA and PIP to gain the independence they need through entering work…

    … our purpose is to target support where it will make the greatest difference, giving people the tools they need to regain control of their own lives.

    Universal Credit

    Perhaps the most important single change will be the introduction of Universal Credit – starting with the Pathfinder in April, followed by a progressive national roll-out from October…

    … making work pay, at each and every hour.

    In Scotland, around 300,000 households will have higher entitlements, gaining £162 more per month on average…

    … with around 80% of gainers are in the bottom 40% of the income distribution, meaning support is better targeted at those most in need.

    Together with significant increases in the Personal Tax Allowance, now rising to £10,000 by 2014…

    … benefiting 2.2 million people in Scotland and lifting 224,000 out of tax altogether…

    … this is what dynamic investment is all about – making sure that those who take positive steps towards financial independence see the rewards.

    Single Tier

    But the changes we are putting in place are not just about improving the prospects of workers today.

    They are also about securing their position in future, as they enter retirement.

    We are already successfully rolling out auto enrolment – helping up to 9 million people into a workplace pension scheme to make saving the norm.

    But auto-enrolment won’t work unless it pays to save – which is what the Single Tier pension is all about.

    For too long, the UK has spent rather than saved, one of the main reasons we see our economy in so much debt.

    Whilst restoring our economy today, it is even more important that we put the UK on a sound financial footing going forward.

    As the Chancellor announced in last week’s Budget, the Single Tier will be introduced from April 2016 – meaning after 60 years of tinkering with a more and more complicated pensions system which penalised savers…

    … we can finally deliver the vital reforms that the UK needs.

    You see, Universal Credit and the single tier are two sides of the same coin – ensuring that it pays, first to work and then it pays to save…

    … delivering a fairer social settlement, underpinned by sound public finances.

    An independent Scotland

    It is my belief that we are better placed to achieve this, doing so together.

    All across the UK, our ability to support those in retirement is something we should be proud of.

    By shouldering the responsibility on broad shoulders, even in difficult times the Coalition has been able to pledge its support to UK pensioners now…

    … introducing the Triple Lock to protect their incomes against inflation, and guaranteeing universal pensioner benefits for all…

    … and to improve pension provision for the future – through reforms such as auto-enrolment and the Single Tier.

    Were Scotland to leave the UK for good, an independent’s Scotland’s pension provision would no longer be a shared obligation.

    Let me quote Finance Minister John Swinney, on the issue of future pensions:

    “at present HM Treasury and DWP absorb the risk…in future we will assume responsibility for managing such pressure. This will imply more volatility in overall spending than at present”.

    Not my words – the words of John Swinney, who has apparently already warned his Cabinet colleagues in a private note about the risks of underwriting Scottish state pensions.

    So John Swinney and the SNP already admit that it is the broad shoulders of the United Kingdom that underpin the fundamental solidarity of our pensions system.

    “Volatility” and “responsibility” – two simple words but what lies behind them is of enormous importance.

    Pensions challenge

    People in Scotland thinking of their grandparents and parents, or indeed looking ahead to their own retirement, have no doubt been wondering what such casual references mean.

    As a UK Secretary of State who knows only too well the cost of paying pensions… let me tell you what it means.

    Ultimately, all of the UK faces a challenge to pay for future pensions.

    But Scotland has an older demographic than the rest of the UK AND an old age support ratio predicted to deteriorate faster over the next 50 years.

    Currently, there are 32 working age people supporting every 10 pensioners both in Scotland and the UK overall.

    By 2060 this is expected to fall to 26 working age people in the UK.

    Scotland, however, sees a bigger fall, to just 23 working age people per 10 pensioners… which in turn comes at a much greater cost.

    Overall, the proportion of UK GDP spent on pensioner benefits is projected to rise by 1.8 percentage points over the next 50 years – from 6.9% to 8.7%.

    But in Scotland the increase is much worse – a 2.8 percentage point rise from 7.2% to 10.0% – costing an extra £3.6bn in today’s terms… and roughly an enormous 20% increase in Scotland’s overall welfare spending.

    For the benefit of the Scottish people worried about “more volatility”, let me put that another way:

    In today’s terms, in 50 years time, it will cost each working age person in the UK £700 more per year to pay for state pensions and other pensioner benefits than it does now.

    In Scotland, the position is much worse – it will cost another £1,100 per working age person to pay for pensioner benefits.

    So the SNP have some serious questions to answer.

    First and foremost, how would they pay for this?

    Extra money would be required to meet Scotland’s demographic pressures.

    Whilst both oil and gas revenues are projected to decrease significantly over the next decade, and remain minimal thereafter.

    So having laid out the facts, the question mark remains:

    Higher taxes? More borrowing?

    Or in the minds of Scottish people: “if Scotland goes it alone, will I pay more… or will the state pay more?”

    The question of future pensions provision is a legitimate one… and in the context of welfare, I believe the biggest single question that those seeking independence must answer.

    Conclusion

    United… we are in a stronger position to respond these challenges…

    … sharing both the resources and risks…

    … able to sustain welfare spending on the back of broader shoulders.

    The great strength of the UK’s welfare system is that help goes to the parts of the country where the need is greatest.

    Today, for some benefits, that may be in parts of Scotland.

    Tomorrow, as circumstances change, it may be somewhere else.

    Wherever, the commitment is the same – a strength of the UK that is widely recognised in Scotland.

    So when people here come to cast their vote in the referendum, I hope they will vote for a Scotland that continues to play a central role in our United Kingdom….

    … and one that would not allow a disproportionate burden to fall on people working in Scotland to pay for the increasing cost of pensions.

    Pulling together when times are tough.

    Working together, so that everyone has the chance to play a full part in our shared future.

    Together, united in a common purpose for the common good…

    … we can be sure that there is a secure welfare safety net in place now…

    … and one which will endure in future.

  • Iain Duncan Smith – 2013 Speech to Social Justice Conference

    Ian  Duncan Smith
    Iain Duncan Smith

    Below is the text of the speech made by Iain Duncan Smith, the Secretary of State for Work and Pensions, to the Social Justice Conference on 30th October 2013.

    Introduction

    Let start by saying thanks to our chair for today, Naomi Eisenstadt.

    And thanks also to the other speakers, whose contributions will no doubt be the starting point for much debate and discussion.

    It is a pleasure to be here, to mark the second annual social justice conference. Thank you all for coming.

    I was struck, in the run-up to today, by the significance of these 2 years.

    From nought to 2 – so often a formative period in an individual’s lifecycle, as the many advocates of early intervention in this room will tell you…

    …they have also, I believe, proved decisive for us.

    On entering government, we published the Social Justice Strategy.

    That was about posing a landmark challenge to the status quo…

    … even in the face of scepticism and uncertainty… establishing a radical new vision for how we support Britain’s most disadvantaged individuals and families.

    We recognised that a new approach was needed – one founded on early intervention to prevent problems from arising in the first place, alongside tackling the root causes of disadvantage to make a meaningful difference to people’s lives.

    Since then, making that vision a reality has required an enormous cultural shift.

    From top-down, to bottom-up. From national to local. Reactive to preventative. Dependence to independence.

    It has not always been easy, and there is still a great deal to do, but the last 2 years have shown that this far-reaching cultural change can be achieved.

    Progress

    As you all well know, when it comes to tackling social problems, the media focus is often overwhelmingly on welfare reform.

    Rightly so, for welfare reform is vitally important.

    But that focus too often obscures the inspiring and crucial work that people like you are leading, to improve the lives of the worst off.

    Since publishing the strategy, we have made substantial progress against over 100 social justice commitments.

    Even in tough times, we are seeing striking positive signs:

    – 429,000 fewer people out of work than a year ago, and the lowest proportion of children living in workless households since records began

    – in schools, the unacceptable attainment gap between disadvantaged youngsters and the rest is at last narrowing – for teenagers taking GCSEs last year, a far greater improvement in equality than any we’ve seen for a decade

    – on our streets, we are seeing continued overall falls in police-recorded violence in England and Wales

    – and there is an increasing proportion of people successfully completing treatment for addiction in England – the latest stats showing 13,000 more people leaving rehab entirely drug-free compared to 3 years earlier

    – crucially, in terms of new ways of delivering this social change, we now have 14 social impact bonds up and running, making the UK a world leader… and a social investment market which by some estimates, stands to be worth £1 billion by 2016

    Local solutions

    All of this marks a strong beginning, which gives us every chance of success in years to come.

    And today, it is right that we mark this progress by bringing together representatives from across the public, private, voluntary, and social enterprise sectors…

    … those of you who have set to work in delivering social justice, putting our strategy into action.

    In facing up to our most challenging social problems – be it worklessness, family breakdown, educational failure, addiction, or debt – I have long believed that the answers were not to be found in Whitehall.

    That mistake was made too often in the past. And as a result, the government approach to tackling social breakdown too often overlooked complexities at a local level…

    … allowing vested interests to obstruct change, and preventing dynamic new approaches from moving forward.

    Despite good intentions, it is my belief that we achieve far less from sitting in ivory towers drawing scientific conclusions on social policy…

    …and far more from listening to people on the ground, freeing up grassroots organisations to apply their insights, and working together with experts to deliver practical solutions.

    Social justice awards

    Local initiatives and local leadership hold the key to unlocking social justice.

    We know, from the many projects already underway, that new local approaches to funding and delivering services are producing better outcomes for those most in need.

    Nothing illustrates this better than the work of the individuals and organisations nominated for today’s inaugural social justice awards.

    The finalists that have been chosen are people committed to helping those on the margins to rejoin society…

    … people who are offering addicts and offenders a chance to change…

    … people who are committed to ensuring individuals get the help they need to get a job and realise their potential.

    This is inspirational work, and I would like to congratulate all of you on your success, especially the winners who will be announced later today.

    It is to your credit – you, and others championing social justice – that we have achieved such progress against a difficult economic backdrop.

    St George’s House

    Yet there is, I believe, still more we can do.

    Just today (30 October 2013), St George’s House published their independent report on delivering social justice, having brought together leaders from across the social justice world, away from the media spotlight, to have a frank and realistic discussion…

    … the aim being to break the trait all too often seen in government, of papering over recurring problems.

    Some of the more innovative challenges highlighted in their report we need to explore further – for example, looking at the role head teachers might play in delivering social justice even beyond the school gate.

    Others we already know about – such as the need for better links between local and central government.

    The report’s welcome recommendations remind us that we cannot lose momentum now.

    Local authorities have a crucial role – using their commissioning power to take advantage of the best local service providers.

    But central government too must play its part, when it comes to information sharing, for example, or opening up procurement to smaller organisations.

    Social justice toolkit

    Our purpose is to put in place the mechanisms that aid and enable your vital work.

    So when you tell us that data remains a problem – too often patchy, inaccessible or unavailable…

    … well, we must push harder than ever to put the right structures in place, and remove the obstacles that hinder your work.

    To this end, following joint development with the Centre for Social and Economic Inclusion, we are pleased to announce the launch of the social justice toolkit…

    … aimed precisely at helping anyone – whether a civil servant, a provider, or the man on the street – to understand and get involved in tackling the social problems in their area.

    For local areas in particular, the toolkit will enable a better identification of their immediate priorities…

    … sharing best practice and learning from communities with a similar demography.

    What’s more, by measuring local progress against our key social justice indicators, the toolkit will help to align local work with national objectives, allowing central and local government to work in tandem.

    Families

    Change measured against these indicators will not happen overnight.

    But already, we can be sure that we are delivering real, tangible improvements in the daily life and future prospects of the most vulnerable in our society.

    Take the young family, who might once have struggled to cope with a new baby, and risked falling apart…

    … but are now one of 48,000 parents having received couple counselling, able to get specialist help from one of 1,000 additional health visitors in post since 2011.

    With extended free early education from age 2 for the most disadvantaged children… and a Pupil Premium worth £900 per child this year…

    … the life chances for that newborn now look very different – set on an upward trajectory, rather than a downward spiral.

    So too when it comes to this country’s most troubled families, once at the hands of a whole host of piecemeal and inefficient services…

    … now being offered intensive tailored support through a designated support worker.

    Already, the lives of over 14,000 troubled families have been changed for the better – meaning children back in school where they were previously playing truant or committing crime; adults off benefits and into work.

    These are some of the hardest families to work with, the ones known to all local services – police, children’s services, housing associations and so on – but who have never before received this intensive, tailored support that can bring lasting change.

    So too for those sadly lacking a functional family structure – young people leaving care, who have, for too long, seen persistently poor social outcomes.

    This week, we have launched our ‘Care Leavers’ Strategy, brokered through the Social Justice Cabinet Committee…

    … which will ensure, for the first time, that government’s pooled resources – from education and employment, to health, housing and justice – are tailored to the challenges facing these young people.

    These may be simple strategic steps, but they stand to make a significant impact on a group too often left to struggle alone.

    Individuals

    Through interventions such as this, and many more, we are making a real difference…

    … giving to individuals who might once have been left on the sidelines, the tools to turn their own lives around.

    Just a few examples of what that means in practice.

    For the ex-offender – it is early processing of benefits claims so they have money in their pocket and support through the Work Programme from the moment they leave the prison gates.

    For the seriously indebted – it means being able to escape the spiral of problem debt through money advice, budgeting support and credit unions, whilst government finally clamps down on the predatory practices of payday lenders.

    For the drug or alcohol addict – it is help to get clean and back on track, through pioneering new approaches across the prison, employment and rehabilitation services, that focus on freedom from addiction and lasting life change.

    This is social justice in action – not just government putting an extra pound in someone’s pocket to try and lift them over an arbitrary poverty line…

    … but meaningful support to tackle the problem at its source…

    … and from there, enabling people to sustain that improvement in their lives, moving from dependence to independence.

    Social investment

    This is a historic break from a system that for too long, fostered dependency rather than transforming lives…

    … and one which will not happen using the same old methods.

    As I said at the beginning, the Social Justice Strategy was always about challenging the status quo.

    Encouragingly, I believe one final measure of our progress over the past 18 months has been emergence of radical and creative ways of achieving social change.

    We now have over 30 schemes and pilots up and running, where providers are paid at least in part for the outcomes they achieve in improving in people’s lives.

    Because the focus is on results, instead of inputs, providers are freed from rigid processes and given scope to innovate.

    Spurred on by a growing social investment market, new models are coming to the fore, such as social enterprises and social impact bonds…

    … in turn bringing in new investors – private sector companies, high-net individuals, and venture capitalists… groups who might never before have seen themselves as part of the solution for change.

    The introduction of a social investment tax relief will open up that market even further.

    Just as Gift Aid has encouraged charitable donations, so my hope is that the tax relief will incentivise anyone with savings to put their money into social investment.

    Alongside new infrastructure – a Social Stock Exchange and the Early Intervention Foundation, which is already starting to assess and advise on programmes’ social return on investment…

    … this is opening up exciting new prospects.

    Conclusion

    Now is the time to seize those emerging opportunities.

    Some are doing so already: scouting out local talents in the voluntary sector and encouraging social entrepreneurship…

    … opening up the commissioning of services to allow newcomers to the market…

    … or harnessing new funding models, where the discipline and rigour of the business world is built in.

    But in straightened times, and faced with tight budgets, all of us need to find new ways of tackling social problems…

    … building momentum in the years to come.

    Delivering social justice offers a way forward.

    By intervening early and efficiently, we prevent costs from building up further down the line.

    By tackling problems at their source, we save money otherwise spent on ineffective remedial policies.

    And by focussing on meaningful outcomes, we ensure that each pound we spend has a demonstrable purpose.

    Restoring our finances, as we are compelled to do…

    … but most of all, restoring hope and aspiration to those on the furthest reaches of society…

    … at the same time, restoring lives.

  • Iain Duncan Smith – 2013 Speech to the Recovery Festival

    Ian  Duncan Smith
    Iain Duncan Smith

    Below is the text of the speech made by the Work and Pensions Secretary, Iain Duncan Smith, to the Recovery Festival on 12th March 2013.

    Introduction

    It is a pleasure to be here today.

    I’d like to start by thanking the Recovery Partnership for organising today’s festival…

    … and also to express my gratitude to Noreen Oliver.

    Noreen is a remarkable woman who has single-handedly changed the debate – focusing it on setting people free from their drug and alcohol addiction and on the path to a better life…

    … rather than just maintaining individuals in dependency.

    It is a real inspiration to see today’s Recovery Festival championing the same approach…

    … uniting politicians of all hues, alongside charity workers, top employers, and even celebrities… in support for giving recovering addicts a second chance.

    A waste of potential

    For too long, I think, where people are suffering from addiction, we as a society have focused on containing the problem…  managing the symptoms rather than treating it at its source.

    In my area of interest – the welfare system – there is clear evidence of this.

    There are around 100,000 people claiming sickness benefits whose illness is primarily down to their drug or alcohol addiction.

    Of these, a staggering 23,000 have been claiming incapacity benefits for a decade or more…

    …. many unseen for that entire duration… no one checking whether their health has changed, or might improve if they were to engage with treatment.

    It cannot be right that people suffering from addiction are simply written off on benefits, all too often, without any belief that their life could change.

    Turning things around

    The work of Bac O’Connor, and other organisations like it, shows that nothing could be further from the reality.

    Visiting a rehab centre some years ago, I met an ex-prisoner who had been a serious drug user – whose story was a source of real inspiration.

    He told me:

    “I was, until I recovered, a one-man crime wave in my area. Every day was spent figuring out what house to burgle… how I could get money to feed my drug habit… essentially, how I could survive, just kicking along.”

    “I did it”, he told me,”for 20 years. God knows he said how many places I robbed, how many people I hurt, trying to steal their property or their money… how degraded I became. I was arrested endlessly, I was charged, I was let lose again, I was in prisons, I was out of prisons.”

    “Until finally I went through this programme to get off my drug addiction altogether – and that was what turned things around.”

    By addressing the root cause of the problem – tackling the addiction itself – he had finally broken free from a life of crime.

    When I met him he was seeing his children for the first time in years, putting what mattered to him into perspective.

    The help and support offered whilst in rehab was playing a vital part – but I was also struck by the man’s strength of character and conviction…

    … his determination to take control of his own life and do something positive with it.

    Ending stigma

    Strength, conviction, determination.

    Not necessarily three words you would use to describe someone with a history of substance abuse and crime.

    Yet for an individual in recovery, these characteristics are precisely what is required of them if they are to maintain their motivation… make positive choices… and overcome adversity.

    In taking steps to address their addiction, individuals gain valuable knowledge… both about themselves, and about how to deal with and understand their impact on others…

    … which can readily be applied in other aspects of their life.

    In fact, there is much to suggest that recovered addicts can make for extremely motivated, loyal and committed employees…

    … all the more grateful for the opportunity to work because it offers a highly valuable opportunity to stay on track…

    … whilst bringing tenacity, drive and dedication to the job – a set of skills that employers might otherwise struggle to find.

    Managing the risk

    Sadly, too often, this talent has been left untapped.

    Potential employers have been put off by the misconception that employing people who have been through rehab is overly risky.

    Ironically, research suggests that this stigma itself can negatively affect people’s chances of recovery.

    The reality is that, yes, there is a risk involved for employers.

    But that is true of taking on any new employee.

    What’s more, with the help of the treatment sector, the Government is taking important measures to minimise any uncertainty around employing a recovered addict.

    Just a few words to explain how.

    Focusing on recovery

    We have already started changing how the state supports people with an addiction…

    … with promising signs that the right interventions can have a positive effect.

    Since 2005, the proportion of drug and alcohol users successfully going through treatment AND not returning, has increased by around a quarter.

    This is real progress, but we must do more to improve these outcomes further still.

    The Government’s Drug and Alcohol Strategy sets out our commitment to prioritise full recovery, meaning freedom from dependence on drugs and alcohol.

    This is crucial.

    For if the outcomes are to be sustainable, recovery must be about getting clean – rather than just bringing someone’s addiction under control…

    … abstinence instead of maintenance.

    No one knows this better than Noreen, and others here today.

    Bac O’Connor have advocated this approach for years…

    … but we are now starting to see it put into practice across the treatment sector.

    Holistic approach

    We are also promoting a broader, more holistic approach to recovery…

    … recognising that the problems faced by drug and alcohol users are often interlinked and overlapping.

    Alongside someone’s addiction, we must address the other issues that hold individuals back, limiting their capacity to improve their own life.

    That is why we are taking steps to join up different support services and treat problems together.

    Take the 8 pilot programmes launched last year, where we are incentivising treatment providers to identify and address a whole range of social problems.

    Paying them not just for helping someone break free from drugs and alcohol…

    … but also for the outcomes they achieve in terms of preventing re-offending, getting people off the streets, and improving their overall quality of life.

    For someone going through rehab, the value of these positive changes cannot be underestimated.

    Having a stable family life… a safe place to live… good overall health… and feelings of self-worth…

    … all these are vital in supporting a full and lasting recovery.

    Importance of work

    Yet there is one final step in the recovery journey – perhaps the most important of all.

    If we are serious about making a sustainable difference to people’s lives… moving from dependency to independence… then work is the best stepping stone to doing so.

    Earning a wage can help in itself – helping get on top of problem debt, for example, or in terms of the opportunities it brings.

    Even something as simple as earning a holiday can make a big difference to normal family life, where insecurity had previously prevailed.

    The money earned through work is a big step towards individuals regaining control over their own lives, making a contribution and having a sense of achievement.

    But more than that, work itself is a vital component in our daily lives – it shapes us, develops us, and helps us create friends and sense of belonging.

    The money we earn gives us choices, and the work we do helps us to develop, so we can make the most of those choices.

    Put simply, having a job is one of the best ways for individuals to find a foothold in society again – and stay there.

    Given the transformative effect it can have, we must do all we can to help those who are able, to move into work.

    Work Programme

    For people who are a long way from the workplace, who lack skills or the work habit… who have been through rehab or recently released from prison…

    … that means addressing the barriers that hold them back, giving them the best prospects of securing a job.

    That is what the Work Programme is all about.

    I know you have already heard today from Stuart Vere, Chairman of Avanta – one of our Work Programme providers – but I just want to reiterate why this is so important.

    Through the Work Programme, we have tasked the best organisations in the voluntary and private sectors with delivering personalised employment support for the hardest to help individuals.

    As part of this, we have launched two pilots programmes specifically targeted at supporting drug and alcohol addicted claimants into work.

    The ‘Recovery Works’ pilot will test the impact of higher job outcome payments for individuals engaged in drugs treatment – offering a financial incentive to support addicts into rehab AND into work.

    The other – ‘Recovery and Employment’ – is about promoting cooperation between providers and the treatment experts, with better sharing of existing knowledge and resources.

    Work readiness

    But in both cases, because we are focused on long-term outcomes, paying for the results achieved in sustaining people in work for two years…

    … providers must make sure that individuals are ready to move into work and stay there.

    Whether through getting clean… engaging in training or education… gaining work experience… or building confidence…

    … in the process, individuals are given a real opportunity to rebuild their own lives.

    Just last month I visited the Brink restaurant in Liverpool, an excellent social enterprise putting all this into action – and which I believe is represented here today.

    As well as providing a space where people can meet and socialise, the Brink also acts as a recovery hub, bringing together a wide range of different services.

    It is a venue for fellowship groups to run sessions… it has onsite counselling and referrals… and importantly, it offers employment advice and support – delivered by both Action on Addiction and a local employment agency.

    The majority of the staff are recovered addicts themselves, with work experience opportunities for others like them…

    … giving individuals in recovery a sense of self-respect… helping them to understand and cope with the pressures of a job… ultimately, getting them ready for the world of work.

    What’s more, all the profits go directly back into the community, in turn funding rehab programmes for those still battling with addiction.

    Supply and demand

    Nothing illustrates better our vision for change – restoring hope and stability to those previously left on the margins, giving them a chance to turn their lives around.

    As I have said, within Government and the treatment sector, we are already making progress.

    Yet I believe there are two sides to the process.

    In a scenario very familiar to the businessmen and women here today, it is a question of supply and demand.

    By getting and keeping addicts clean, equipping them with the skills and experience they need, and helping them to establish a stable life…

    … we are ensuring that individuals are prepared, willing and able to move into work.

    So there is a highly motivated, highly determined supply of labour.

    What now remains is the demand side.

    We need employers – of all sizes and from across different industries – who are willing to take on recovered addicts…

    … able to look beyond someone’s past and see their skills and aptitude now…

    …. and their loyalty and potential for the future.

    That is what today’s Recovery Festival is all about.

    Challenging the preconceptions around employing people who have been through rehab…

    … opening employers’ eyes to the possibilities…

    … encouraging demand.

    Through offering work placements and opening up job vacancies to recovered addicts, you stand to gain from the knowledge and talent that they can bring to the workplace…

    … confronting widespread prejudice, and giving individuals a real chance to get on in life.

    Conclusion

    At a time when consumers have never been more demanding…

    … looking at the quality and value, not just of the goods and services they’re buying, but also the quality and value of the companies themselves….

    … I believe this offers a real opportunity to set yourselves apart.

    To prove that you’re different…

    … that you care about your community, just as your care about your business…

    … building your workforce, and rebuilding lives at the same time.

  • Iain Duncan Smith – 2013 Speech to the Kid’s Company

    Ian  Duncan Smith
    Iain Duncan Smith

    Below is the text of the speech made by the Work and Pensions Secretary, Iain Duncan Smith, to the Kid’s Company in London on 31st January 2013.

    I would like start by thanking Camila for generously hosting today.

    Camila is a remarkable woman, and it is a real pleasure to be back at Kids Company – an organisation that I know very well, and of which I am a great supporter.

    The work you do here is a real inspiration – offering a lifeline to children who need it most, and working tirelessly to help them reach their potential.

    It is far from an easy task.

    Listening to your stories, it is clear that the children who come here – like too many others across the country – face profound disadvantages.

    Growing up in very dysfunctional or violent families… often with emotional and mental health difficulties… or facing problems around substance misuse…

    … their need for Kids Company could not be more pressing.

    Relative income

    This Government will always stand by its commitment to tackle child poverty…

    … supporting those frontline organisations, such as Kids Company and others represented here today, who are best placed to turn children’s lives around.

    You understand the reality of these children’s lives, and what it means to grow up suffering severe disadvantage.

    Yet for too long, I believe, the common political discourse has been lagging behind – fixated on a notion of relative income and moving people over an arbitrary poverty line…

    … at the expense of a meaningful understanding of the problem we are trying to solve.

    Visiting today has only reaffirmed that belief.

    Life change

    If we are to make real headway in ending child poverty, we must learn the lessons of the last decade…

    …. where for too long, Government chased income based poverty targets without focusing on what happened to the families they moved above the income line.

    Despite an unprecedented amount of spending, some £170 billion paid out in tax credits between 2003/04 and 2010, 70% of it on child tax credits…

    … sadly the 2010 target to halve child poverty was missed.

    Good intentions failed to translate into effective policies…

    … for whilst moving a family from one pound below the poverty line to one pound above it might be enough on paper, it does not do enough to transform their lives.

    There must be a sustainable difference in the family’s life, or they simply risk slipping back into the poverty cycle… leaving the underlying causes unchecked.

    I believe that we need to focus on life change so that families are able to sustain the improvement in their lives beyond government money.

    Poll findings

    Income matters – and surely must remain a key indicator in defining what it means to be in poverty.

    But how we measure child poverty must do more to expose the real challenge we face…

    … drawing on how it is experienced by children themselves, and how poverty is perceived by the wider public.

    The Government is currently consulting on a new multidimensional measure of child poverty – with the aim of doing just that.

    A recent poll conducted as part of the consultation process shows that whilst not having enough income is thought to be one important factor…

    … other criteria are considered equally or even more crucial.

    Interestingly, having a parent addicted to drugs or alcohol was thought to be the most important factor of all…

    … above and beyond other dimensions such as going to a failing school, living in a cold damp home, or having to care for a parent.

    Three quarters of people said having an addicted parent was very important, almost 20% more than the next most significant factor….

    … and only 2% of people saying it was not important – lower than any other single factor.

    Of course, not every child in poverty will have drug or alcohol addicted parents.

    Nor have we made a decision on which on which factors should be included in the new measure.

    But it is striking that so many people pick out as central to a child’s experience of poverty, a factor that so rarely features in the poverty debate.

    It seems obvious that having a parent with addiction problems will have a huge negative impact on a child’s life and prospects…

    … but the debate has pushed us away from the kind of direct thinking that is intuitive for most people.

    Nothing illustrates more clearly how far off course the current measure has taken us AND why we need a new measure…

    … one which both identifies those most in need and entrenched in disadvantage and is widely accepted by as being meaningful and accurate.

    Breaking the cycle

    Let me explain why.

    For a poor family where the parents are suffering from addiction, giving them an extra pound in benefits might officially move them over the poverty line.

    But increased income from welfare transfers will not address the reason they find themselves in difficulty in the first place.

    Worse still, if it does little more than feed the parents’ addiction, it may leave the family more dependent not less…

    … resulting in poor social outcomes and still deeper entrenchment.

    What such a family needs is that we treat the cause of their hardship – the drug addiction itself.

    Rather than simply tracking income levels, this surely is what a measure of child poverty should capture…

    …  measuring whether the family has an opportunity to break the cycle of disadvantage…

    … so that parents can take responsibility for their own lives and improve the life chances of their children.

    Routes out

    This Government is committed to addressing the pathways that lead families into poverty in the first place, and offer meaningful routes out.

    For those who are able, we know that work is the best way for families to lift themselves out of poverty.

    It is not just about more money.

    Work and the income it brings can change lives – providing a structure to people’s lives, giving them a stake in their community…

    … in turn, having a transformative effect on children’s lives and aspirations, equipping them to fulfil their potential.

    This belief underpins the whole package of reforms that I am delivering in the Department for Work and Pensions.

    We are introducing the Universal Credit, a single payment withdrawn at a single rate, so it is always clear to people that work pays more than benefits.

    And we are delivering the Work Programme – offering personalised support to get people back into employment and keep them there.

    Universal Credit and the Work Programme are two sides of the same coin.

    Either without the other would not have the same impact.

    Together, they will become formidable tools for taking people on a journey from dependency to independence.

    Drug pilots

    Where someone is paralysed by an addiction, they cannot make progress on this journey.

    Their addiction keeps them from getting into work, but being unemployed in turn traps them in dependency, limiting the control they have over their own life.

    There are around 100,000 people claiming sickness benefits whose illness is primarily down to their drug or alcohol addiction.

    Of these, a staggering 23,000 have been claiming incapacity benefits for a decade or more.

    And whilst addicts may face real barriers to work, if we are to break the cycle, it is vital that we help individuals break their addiction and secure a job.

    Today, I am pleased to announce two Work Programme pilot programmes, which will be specifically targeted at supporting drug and alcohol addicted claimants into work.

    The first of these – the ‘Recovery Works’ pilot will test the impact of higher job outcome payments for individuals engaged in drugs treatment…

    … giving providers a financial incentive not only to support addicts into work rehab but also into work.

    Launching in the East of England and West Yorkshire, the focus will be on helping those battling drug and alcohol dependency to break free from their addiction…

    … using work as a stepping stone to recovery.

    The second ‘Recovery and Employment’ pilot works on a slightly different principle – harnessing the existing knowledge of treatment experts, in tandem with that of Work Programme providers.

    Here we will be testing how far better sharing of skills and resources can deliver better outcomes for addicts.

    Our aim is that two further pilot sites within the West Midlands will provide a flagship example of cooperation between providers…

    … working together to support people through recovery and into employment.

    Sustainable outcomes

    In both cases, the pilots are about sustainable outcomes…

    … which means full recovery, supporting people to live a life free from drugs and alcohol…

    … and into meaningful employment, getting them into work and keeping them there for up to 2 years.

    By focusing on long-term outcomes, we can support individuals to rebuild their future – make a real and lasting difference to their own lives.

    Importantly, because we are paying by results, we will only pay for what works…

    … at once reducing the risk on the taxpayer, and ensuring that every pound of Government money is targeted where it will have a lasting impact.

    Solve that problem – get someone clean…

    … get them into work…

    …and you help them find a foothold in society again – and stay there.

    A new measure

    Whether it be addiction, poor housing, educational failure, unemployment, or debt…

    … across Government we are tackling the barriers that hold people back, through dynamic interventions which will make real difference to individuals’ wellbeing and their children’s future life chances.

    Our commitment to developing a new multidimensional measure of child poverty means that, finally, we will be able to measure the effect of interventions like these.

    By segmenting the central drivers of poverty, identifying those children most entrenched in disadvantage and who are on poor trajectories…

    … we can both target policies that have the most impact, and hold ourselves accountable for the results.

    Consultation

    As I have said, we are consulting now on what this measure should look like.

    Addiction is one important form of poverty, but it is not the only form.

    The process provides an opportunity and a forum to consider our options.

    There are many we could pursue – as part of the consultation we need to consider how different dimensions interrelate, which overlap, and which can be easily quantified.

    In developing what a future measure might look like, we accept that expertise lies far beyond Whitehall.

    In fact, the success of our future measure relies on listening to what you have to say.

    The consultation closes in two weeks’ time, on Friday 15 February.

    Before then, I urge you to offer your views and bring your knowledge to bear on what the future measure could look like.

    This is a unique opportunity to shape how child poverty is understood…

    … now and for generations to come.

    Conclusion

    In truth, no statistic will ever perfectly reflect what it means for a child to live in poverty.

    But through a better representation of the reality of children’s lives I hope we can get much closer to doing so…

    … in turn, putting us all in a better position to measure, address and ultimately end child poverty…

    … a commitment which, as I said at the start, we will always stand by.

  • Iain Duncan Smith – 2013 Speech to the Wave Trust

    Ian  Duncan Smith
    Iain Duncan Smith

    Below is the text of the speech made Iain Duncan Smith, the Secretary of State for Work and Penions, to the Wave Trust in London on 25th April 2013.

    Introduction

    It is a pleasure to be here today, in support for the Wave Trust’s 70/30 campaign, and I’d like to thank George for inviting me.

    I have long been a supporter of Wave’s work and philosophy…

    … and this latest aim – to drive a 70% reduction in child abuse, neglect and domestic violence in the UK by 2030 – exemplifies your dedication, ambition, and drive to make a real difference.

    The difference that could be achieved in terms of improving children’s chances and transforming lives is enormous.

    For thanks to your research, and that of other pioneers in the field, we now understand how strongly a person’s earliest experiences shape their later life.

    Compelling evidence shows that what happens inside the family, when a child is very young indeed, strongly determines how they will interact with people… how ready they will be to learn… ultimately, where they will end up in life…

    … for better, or indeed, for worse.

    Early years

    In a country as wealthy as ours, it is an injustice that so many children are trapped in disadvantage from an early age.

    Whilst some children thrive despite growing up in difficult circumstances, all too often, the mark left by this experience lasts a lifetime… confining individuals to the margins of society because of where they have started out in life.

    By as young as 4 years old, there is already an attainment gap of a fifth between disadvantaged children and their more affluent peers.

    From the back of the classroom, it is a slippery slope to truancy, to school exclusion, from there to a life of benefits, and in extreme cases, gangs and crime.

    More than half of young offenders were permanently excluded from school…

    … and two in every five prisoners report having witnessed violence in the home as a child.

    Early intervention

    This is a bleak future, and we must end it.

    Yet for too long, our social policy has been based on maintaining social problems rather than preventing them… allowing disadvantage to become entrenched.

    As a result, we have paid out ever increasing amounts in welfare, social programmes and care… whilst feeling the social costs at the same time.

    Take the fact that 120,000 of Britain’s most troubled families cost the state £75,000 in special interventions each year… £9 billion annually overall, of which £8 billion is estimated to be spent reactively – on visits to A&E, police call outs, prison services, and more.

    £8 billion spent picking up the pieces of social breakdown, but doing little to transform the families’ dysfunctional lives.

    Social Justice

    That’s a policy of late intervention and it has to change – for it’s not only a drain on public funds, but also a tragic waste of human potential.

    Across the UK, despite the number of workless households having fallen by 240,000 since 2010, there are still 3.7 million households – around 1 in 6 – where no-one works…

    … meaning over 1.8 million children living in a workless household.

    Especially in tough economic times, every pound we spend must bring about the positive, sustainable outcomes that people so badly need.

    Instead of a maintenance approach, this government is determined that early intervention should be a defining principle in how we tackle social problems…

    … central to our strategy delivering social justice…

    …breaking the cycle of disadvantage…

    … and transforming the lives of those most in need.

    Just today, we published our Social Justice Progress Report, which shows how far we’ve come over the last year in putting this principle into practice.

    Early years

    As the Wave Trust has long advocated, we are starting with the family…

    … taking action in the earliest stages of a child’s development, and helping parents in order to give their infants a better start in life.

    Whether it be in terms of health, where we are training an additional 4,200 health visitors and doubling the number of Family Nurse Partnerships to 13,000 by 2015…

    … education, where we are extending free early education to the most disadvantaged two-year-olds…

    … or families, where we are investing £30 million in support to build strong, resilient relationships …

    …through all this, the government are steering the focus and the spending towards areas which we know can make a real difference to improving children’s life chances.

    Cross-party consensus

    What’s more, even across party lines, there is a growing consensus around the vital importance of children’s formative years.

    This was one of our priorities on coming into government, and led to the commissioning of a series of reports, including Frank Field’s report on poverty and life chances, and two reports from Graham Allen that focused on early intervention…

    … aimed at developing cross-party agreement on what needed to be done in this space.

    But there us someone else in the House of Commons who has done a huge amount over the years to advance this cause, and that is Andrea Leadsom.

    Andrea was chairman of OXPIP – the Oxford Parent Infant Project – and a founding trustee of NORPIP in Northampton…

    … and is now championing the roll-out of a national network of PIPs, offering therapeutic support across the country to help mothers and babies develop a strong and loving attachment.

    She has also played a vital role in establishing the first All Party Parliamentary Group on Early Intervention, which had its inaugural meeting just last week.

    With a cross-party manifesto to follow, focussing on the importance of conception to two…

    … all this will help to establish a resolute commitment to children’s early years, now and under governments to come.

    Government spending

    This is a historic shift in how we deliver services for the most vulnerable…

    … replacing reactive policies, and a short-term focus on politicians’ pet projects, with a meaningful, sustained approach that will pay dividends further down the line.

    Yet alongside this shift from a maintenance approach to a transformational one… we must also achieve a shift in how government funds its interventions.

    We have to reject the old tendency to lavish money on programmes in the hope that more money alone will solve the problem…

    … and instead, we must open up a whole new dimension – one focussed solely on the return that money is achieving.

    Every pound for life change.

    Social investment

    I believe that here too, we are starting to make real progress.

    In particular, we are opening up new funding streams based on payment by results…

    … where we pay for what works, reducing the risk on the taxpayer…

    … and the money follows the outcome, meaning providers are only rewarded for the positive life change we want to see.

    You may have heard of the Peterborough social investment bond, the first of its kind – where investors are funding charities to run rehabilitation programmes with prisoners.

    If reoffending falls by 7.5%, the investors receive a financial return, paid for out of the reduced costs of social breakdown… whilst making a real difference to society at the same time.

    Such is the success of Peterborough that we have now seen 13 social impact bonds spring up across the country, from Perth to the Midlands, Merseyside to London… making the UK a global leader in social investment.

    In all cases, it is about saying to investors: ‘You can use your money to have a positive impact on society, and you can make a return.’

    Huge potential

    Our aim is to strengthen the UK’s position further still, by making it as easy as possible for the social investment market to develop.

    One vital step has been the establishment of the Early Intervention Foundation, which launched on 15 April, with both huge cross-party support and the backing of leaders in the local and community sectors.

    Let me say here this evening that we owe a debt to Graham Allen – a colleague and a friend, whose drive and dedication made this happen.

    The Early Intervention Foundation will play a crucial role:

    advocating early intervention over late reaction in tackling social problems amongst children and young people…

    … rigorously assessing what works, to determine both the best early interventions available and their relative value for money…

    … and independently advising local commissioners, providers and potential investors on the best evidence-based programmes, enabling them to make the best choices in how they support children and families.

    The work of the Foundation will be aided by a government investment of £20 million in a new Social Outcomes Fund, with the aim of catalysing new social impact bonds and topping up their returns…

    … specifically in complex areas such as children’s early years, where the yield is spread across different services – health, welfare, education, and so on.

    A more cohesive society

    Yet there is still more to do, capitalising on a predicted rise in demand for social investment to as much as £1 billion by 2016.

    If we can get it right, I believe social investment has huge potential.

    Clearly, it has the potential to greatly increase the amount of funding available for social programmes by bringing in private investment money on top of that provided by government or pure philanthropy alone.

    But more than that – perhaps most importantly – I believe social investment could be a powerful tool for building a more cohesive society.

    The gap between the top and bottom of society is in many cases larger than it has ever been.

    We have a group of skilled professionals and wealth creators at the top of society who have little or no connection to those at the bottom.

    Yet as George and others at Wave will tell you – in so many cases, what divides the two is little more than a different start in life.

    I believe social investment gives us an opportunity to lock not just the wealth but also the skills of those at the top of society back into our most disadvantaged areas.

    Imagine you create a social bond in a particular deprived neighbourhood. Investors buy into it and as with any investment, will want to see it flourish – taking an interest in that community where they would otherwise be totally detached.

    At the same time, these wealth creators can have a dramatic effect on the communities themselves – taking the city to the inner city…

    … and showing those at the bottom that they have an opportunity to turn their own lives around and move up the social ladder.

    Conclusion

    For too long, our failure to make each pound count has cost us.

    Not only in terms of a financial cost – higher taxes, inflated welfare bills and lower productivity, as people are trapped in dependency long-term.

    But also the social cost of a fundamentally divided Britain – one in which children born just streets away from each other, are left miles apart in terms their life chances and outcomes.

    We can no longer afford to spend ever greater amounts on ineffective remedial policies.

    Instead, by investing in the early years – harnessing the expertise of our early intervention community and the power of social investment – we can make a transformative difference.

    Setting children on the path to a productive and independent life beyond the state…

    … restoring hope, aspiration and belief to communities who have been left behind…

    … laying the future foundations for a cohesive and successful society.

  • Iain Duncan Smith – 2013 Speech to Leonard Steinberg Memorial Lecture

    Ian  Duncan Smith
    Iain Duncan Smith

    Below is the text of the speech made by Iain Duncan Smith, the Secretary of State for Work and Pensions, to the Leonard Steinberg Memorial Lecture on 9th May 2012.

    Introduction

    It’s a pleasure to be here to give the second Leonard Steinberg Memorial Lecture.

    I knew Leonard personally. He was a remarkable man.

    In his inaugural speech in the House of Lords, he described his life as follows:

    “I was born in Belfast into a Jewish middle-class family. When I grew up … I joined the Ulster Unionist Party; when I emigrated to Manchester, I became a member of the Conservative Party…. Along the way, I became a bookmaker and an ardent Zionist. Therefore, [you] can well imagine the heavy burden that I have had to bear.”

    Though said in a deadpan manner, it was true – Leonard was different in almost every way.

    But instead of sitting back and saying that he couldn’t succeed in such an environment, with his background, it drove him on.

    Against the odds – and even in the face of death threats – he became a successful businessman, a public-spirited citizen, and a great philanthropist – and I am proud to say my good friend.

    Leonard embodied the principle that life is not what is given to you, but what you make of it and what you leave behind for others.

    How we apply that principle in reforming our welfare system and renewing our society is the topic of my lecture tonight.

    Cultural change

    I note that this week marks the two year anniversary of the formation of the Coalition government.

    I don’t intend to use this evening for an in depth analysis of that period.

    But I do want to spend some time reflecting on the particular challenges which we face in my area of interest – the welfare system…

    …as well as explaining how we are dealing with that challenge.

    My lecture – you might be relieved to hear – will not be primarily a technical one.

    The real purpose of this speech is to set out my mission in the job.

    Put simply, what we need to achieve in the coming years is not political and technocratic welfare reform, but internal and external cultural change.

    By this I mean cultural change both within society, and within government itself.

    Beveridge

    To explain what I mean let me start by taking you back to the early 1940s, when Beveridge was laying out his vision for the modern welfare state.

    Beveridge was driven by a desire to slay the ‘five giants’ that he identified in society at the time: Want, disease, ignorance, squalor and idleness.

    But he was also clear about the risks that were attached to this laudable cause.

    He warned that:

    “The danger of providing benefits, which are both adequate in amount and indefinite in duration, is that men as creatures who adapt themselves to circumstances, may settle down to them.”

    And he was clear that the system should not be allowed to “stifle incentive, opportunity, or responsibility”.

    In other words he was focussed on the kind of culture that the welfare system could underpin.

    Would it be one that fostered a society where people took responsibility for themselves and their families, and treated welfare as a temporary safety net in times of need…

    …or one that conditioned people to grow dependent on state support, and in turn treat it as a long-term crutch?

    His fear was that if the balance was wrong it would lead to the creation of a semi-permanent underclass.

    I wonder what he would think now…

    Welfare dependency

    Let me just give you a flavour of some of the figures we were confronted with when we came into office:

    5 million people on out of work benefits

    1 million there for a decade or more

    1 in every 5 households with no one working

    And almost 2 million children growing up in workless households

    So this was the first cultural challenge we faced – entrenched and intergenerational worklessness and welfare dependency.

    And before you protest that this was just a product of the recession, remember that there were over 4 million people on out of work benefits throughout the years of growth.

    Under the previous Government employment rose by some 2.5 million, yet more than half of that was accounted for by foreign nationals.

    And I’m not just talking about computer scientists or smart bankers – I’m referring to the low-skilled jobs.

    To be clear I am not trying to make a point about immigration – rather the facts serve to remind us that we had a huge challenge with our workforce at home.

    Put simply, it was a question of supply and demand.

    Large numbers were on out of work benefits, yet many were unwilling or unable to take advantage of the job opportunities being created.

    It became increasingly apparent that while we had a modern economy, transformed under Mrs Thatcher…

    …the nature of one section of society was left lagging behind.

    Broken welfare system

    The problem was that while our economy was subject to a fundamental overhaul, our systems of social support received little more than a patch-up job.

    It was an incredibly reactive process – a new challenge would emerge in the system and governments would respond by tweaking things…

    …adding new rules, new supplements, even new benefits.

    But it was all built on a creaking edifice, and the result was a system of monstrous complexity.

    More than 30 different benefits, complicated by additions within each benefit.

    This was then compounded by the fact that when an individual started work part time, they found it impossible to calculate if they would be better off or not.

    Some of their benefits were withdrawn at 40% as they moved into work, some at 65%, some at 100%…

    …some net, some gross…

    …some were only available at 16 hours, some at 24, some at 30.

    Feed all of that into a complicated computer system – because no normal person can calculate what it all means for their income – and you find that something extremely damaging happens…

    People on low wages lose up to 96 pence in every pound they earn as they increase their hours in work.

    In other words for every extra pound they earn, 4 pence goes in their pocket and the rest goes back to government in tax and benefit withdrawals.

    So suddenly you have a system that is incomprehensible to those that use it, except for one thing that seems clear – it’s not worth the risk of working.

    Debt and consumption

    And so what did we find as a result?

    Even in the decade before the recession, while growth was booming, jobs were being created, and welfare bills should have been falling, spending on working age welfare actually increased by some 35%.

    And this wasn’t just about welfare – in healthcare, in crime, in education, Government paid out to manage and maintain social problems rather than tackling them at their root.

    This then is the second cultural challenge I want to touch on tonight – understanding how we, as a society, got to a place where we were unable to pay our way, with an economy built on debt and consumption.

    I think the problem lies, to a large extent, with the culture of government spending which has developed.

    This is a culture marked by an obsession with inputs – with pouring money into social programmes – so that governments are seen to be doing something.

    Of course big spending is attractive because it brings big media headlines.

    But my concern is that no one asks what will come out at the other end – in other words what impact the spending will have on people’s lives.

    Child poverty

    Let me give you the example of the approach to child poverty which has predominated in recent years, which has frequently focussed on the task of moving people from just below the poverty line, to just above it.

    Some £150 billion was spent on tax credits for families and children between 2004 and 2010, much of it in pursuit of this ambition.

    Some people were indeed moved over the poverty line – and in government and amongst lobby groups that was seen as a cause for great celebration.

    Yet I am concerned that these celebrations may have been premature.

    Moving someone from one pound below the poverty line to one pound above it might be enough to hit a target.

    But what about the people stuck at the very bottom?

    There are people who weren’t even touched by this poverty drive – for example many of those trapped far below the line on less than 40% of the median income.

    But – equally importantly – when you do lift someone above the 60% relative income line, do you really have any idea what impact it actually has on their life?

    Do we have any idea what kind of sustainable change has been achieved?

    Because if it hasn’t made a sustainable change you won’t be celebrating for long – the family you have moved over the line are liable to fall back again if you haven’t tackled the real reason they find themselves on a low income in the first place.

    Let me give you the example of a family with seriously drug addicted parents – simply giving more money to the parents may do little more than feed their addiction, leaving them and their children locked into a cycle of poverty.

    But invest the same money in targeting the root causes of poverty, intervene early, and you can make a more sustainable change…

    …AND one that is likely to be more affordable in the long term, as you put people back on the path to independence and reduce the churn in the system.

    But too often reductions in poverty have been achieved simply through out of work welfare transfers.

    That is what I mean when I speak about inputs versus outcomes – we have become comfortable with the idea of measuring the money we put in, but without really caring to ask what that money achieves in terms of life change at the other end.

    Saving

    In many ways the problem I’ve touched on here is also relevant to our pension system.

    Runaway government spending is a symptom of a wider problem – it is symptomatic of a society built on debt and consumption, rather than saving and investment.

    We now know that some 7 million people in our country aren’t saving enough for their retirement.

    Why?

    Because saving simply isn’t seen to pay.

    This is the problem we currently face with the means-test.

    There are honest and hard-working people on low wages who work all their lives and pay in to the system, only to find that when they reach retirement their neighbour – who has never worked – can receive the same level of support through claiming for Pension Credit.

    What kind of message does that send out?

    It tells people on low incomes that it’s not worth saving – it’s not even worth working. Just sit back and wait for the government to pay out when you retire.

    Over the years we seem to have become addicted to debt instead – in the lead-up to the recession we accumulated one of the highest rates of personal debt in the whole of Western Europe, around £1.3 trillion even before the recession started.

    We embraced a culture of ‘live now, pay later’ and looked to future generations to pick up the bill.

    The fact is that debt fuelled booms feel good while they last, but like all addictions the detox is long and painful.

    The challenge

    So we are now faced with a fundamental challenge.

    Millions of people stuck out of work on benefits.

    Millions not saving nearly enough for their retirement.

    And politicians – of all hues – addicted to spending levels as a measurement of success, rather than life change as a measurement of success.

    Three areas ripe for reform – but how do you reform when there is no money?

    The answer – you change the way you reform.

    Not just cheese-slicing, but recalibrating whole systems so that you change behaviours, and change the culture that allowed spending to get out of control in the first place.

    This is absolutely critical, and I want to take a moment to explain why.

    When welfare spending balloons – as it has done – the temptation for successive governments has been to squeeze it back down again.

    But – rather like a balloon – when you squeeze it at one end it will tend to grow at the other.

    So whilst savings must be made, they must also be sustainable.

    Otherwise, once the public finances are back in order, and the economy grows again, so the bidding war starts once more.

    Lobby groups put pressure on government to spend more.

    Government in turn dip its hands into all of your pockets to buy media headlines, and the vicious cycle continues.

    Welfare Reform

    Structural change – leading to cultural change – is the key to this dilemma.

    In other words you have to tackle the demand itself, changing the effects of welfare by changing the incentives in the system.

    Let me explain what I mean by this.

    My belief is that everyone in the welfare system should be on a journey – it should be taking them somewhere, helping them move from dependence to independence.

    So if you are looking for work the system should make work worthwhile and it should both support and encourage you.

    If you are a lone parent the system should support you with your caring responsibilities while your child is young, but it should also keep you in touch with the world of work and ensure at the earliest that you move back to the world of work.

    If you are sick but able to work in time the system should support you, stay with you as your condition improves and make sure you can take the opportunities to work when you are able.

    What we will not do is put anyone on benefits and then forget about them, as was so frequently the case for those on Incapacity Benefits.

    But if a journey for people is our purpose, we have to recognise that our current welfare system is not fit to provide it.

    That’s why we are redesigning it almost from scratch – making the journey more attractive, smoother, quicker, more supportive.

    And we will do so in a way that brings welfare spending back under control….

    ….whilst changing lives at the same time.

    In other words we reduce the effective demand on the system by changing people’s incentives.

    In the words of Beveridge, now is “a time for revolutions, not for patching”.

    Universal Credit

    But if we are to build a new journey, we have to recognise a simple fact.

    Not everyone is starting from the same place.

    There is no point assuming – for example – that everyone understands the intrinsic benefits of work…

    …the feelings of self-worth, or the opportunity to build self-esteem.

    If you are dealing with someone from a family where no one has ever held work, or no one in their circle of peers has ever held work, there is no point in simply lecturing them about the moral purpose of work, or in just wielding a bigger and bigger stick.

    Politicians have tried this tactic over and over again – and to limited effect.

    What you must tackle is the biggest demotivating factor that many people face – the fact that the complexity of the system and the way it is set up creates the clear perception that work simply does not pay.

    Thus, after generations in key communities, worklessness has become ingrained into everyday life.

    The cultural pressure to conform with this lifestyle is enormous, underscored by the easy perception that taking a job is a mug’s game.

    It is this factor which can stop someone’s journey back to work in its tracks.

    Changing this is what the Universal Credit and the Work Programme are all about.

    Universal Credit is a new system we are introducing from next year, which will replace all work-related benefits and tax credits with a single, simple, payment.

    It will be withdrawn at a single, constant rate, so that people know exactly how much better off they will be for each extra hour they work.

    And this rate will be significantly lower than the current average, meaning that work will pay for everyone, and at each and every hour.

    This requires investment up front – we are spending some £2 billion to get it right.**

    But if we do so, and start reaping the effects of cultural change, it will save government huge amounts down the line, as workless households become working households.

    Work Programme

    But Universal Credit alone is not enough.

    When you are dealing with people who are a long way from the workplace, who do not have many skills, and do not have the work habit, you need to provide a system that supports them and helps them to get work-ready.

    That’s what we are doing with the Work Programme, and we have asked some of the best organisations in the private and voluntary sectors to deliver it for us.

    They are tasked with getting people back to work, and then helping to keep them there.

    They are given complete freedom to deliver support – I don’t tell them how to do it, and nor does the Minister for Employment.

    This is about trusting that these organisations are best placed to know what works.

    Universal Credit and the Work Programme are two sides of the same coin.

    Either without the other would not have the same impact.

    Together, they will become formidable tools for taking people on this journey.

    Of course we need that warning of benefits being removed if some of the unemployed don’t try, but imagine how much more effective that becomes when the majority are motivated to succeed.

    Housing Benefit

    And what about the other areas where we are making savings?

    Again – the journey is key.

    Let me give you a couple of examples.

    We are making savings in Housing Benefit, but this is in part about removing a major stumbling block as people try to move back to work.

    Under the system we inherited some people on Housing Benefit were living in areas with incredibly high rents – it was actually possible for families to claim over £100,000 a year for help with housing costs in certain cases.

    Think about what this means for someone who is considering taking a job.

    There’s a good chance they won’t, because they will fear losing their home as their Housing Benefit is tapered away – they cannot take that positive step.

    That is why we have capped the amount of Housing Benefit that a household can receive.

    Incapacity Benefit

    And take our reforms to Incapacity Benefit.

    Again, this is about moving people who can work back towards work…

    …but it is also about staying with those who cannot work at the moment – not parking them for years without being seen, as under the previous system.

    Pension reform

    And we are plotting out a journey in our pensions system as well – except here we are looking to set people on a journey to a decent and sustainable retirement, whilst also reducing the pressure on the public purse.

    The solution here is to get people saving – and to get them started early.

    The first battle is to make saving the norm – that’s why we are pushing ahead with plans to automatically enrol all of those without pension coverage into pension schemes.

    But that still leaves us with the problem of the means test that I mentioned earlier.

    So the second thing we are doing is pushing ahead with plans to radically simplify the State Pension system – creating a ‘single tier’ pension which is set above the level of the means-test, so that people know that it makes sense to save.

    Cultural change

    This is cultural change._ _

    The renewal of a welfare system that is seen as a means of temporary support – the beginning of a journey back to independence.

    As Leonard once said:

    ”Our culture should allow us to make choices, not to be told what to do.”

    Government spending

    Yet there is one final piece to the puzzle.

    I have covered what I call external cultural change, change in society at large.

    But we must also achieve an internal cultural shift – changing the culture of government spending.

    And it is here that I think we still have much work left to do.

    We have to reject the old focus on inputs…

    …the old mantra which says that ‘more spending equals good, less spending equals cuts…which equals bad’…

    …and open up a whole new dimension – one focussed solely on the impact that spending has on people’s lives.

    Every pound for life change.

    That means changing not just how much we spend, but how we spend it.

    Work Programme

    So let me return to the example of the Government’s Work Programme, where we have been pioneering the use of payment by results.

    While supporting someone into work obviously has a cost attached, you find that cost is quickly outweighed by the reductions you can make to the welfare bill when you get someone back into work and paying tax.

    The trick is to use these future savings to pay for the Work Programme now.

    We do that by putting the onus on the 18 Prime Providers who compete to deliver the Work Programme in different parts of the country.

    They raise the money to deliver the programme alongside their subcontractors – we then pay them when they deliver the results.

    That means first, getting people back into work.

    But from day one we’ve been clear that getting people into work – on its own – isn’t enough.

    If people do not have ‘the work habit’ – in other words they are not used to the workplace, or convinced that working is right for them – the risk is that they will soon fall out of employment again.

    So the providers get the biggest payouts when they keep someone in work for 6 months, one year, 18 months, or up to two years in some cases.

    In so doing we remove the risk from the taxpayer, and we make sure that every pound spent is only being paid out because it has a positive impact on people’s lives.

    Social investment

    A payment by results system works best when the timescales for success are short and the metrics relatively straightforward.

    But in addition to Payment by Results there are other areas as well.

    In particular, we are really trying to open up the social investment market.

    I see this as a huge opportunity to get much more private money working in pursuit of the social good.

    Historically it has been assumed that people could either be ‘good citizens’ and put their money into charitable works, but without expecting anything in return…

    …or they could be ‘profit maximisers’, who invest their money in commercial ventures and have to forget about the social consequences.

    Social investment is a way of uniting the two – it is about saying to investors:

    ‘You can use your money to have a positive impact on society, AND you can make a return.’

    But to get this investment you need to have programmes that are tested and accredited.

    That then allows you to create a social bond that people can invest money in.

    That is why we have we have agreed to establish an independent foundation that will accredit programmes of work and provide a rigorous assessment of their likely social returns.

    It’s why we’re testing a variety of cutting edge programmes through our Innovation Fund, which will help build the evidence base around social investment models.

    And it’s why the Government has launched Big Society Capital, capitalised with £600 million, and tasked it with the sole mission of growing the social investment market.

    Huge potential

    This market may still be in its infancy, but I believe it has huge potential.

    First, it has the potential to greatly increase the amount of funding available for social programmes by bringing in private investment money.

    Second, it brings a whole new level of discipline and rigour.

    Too often in the past good, proven programmes have been introduced by Government but haven’t worked.

    This isn’t necessarily due to a problem with the programme itself – rather it is because as the programme has trickled through the system bits have been added or subtracted, modified and changed, so that in many cases the programme has been neutered.

    Why?

    Because when Government care more about inputs than outcomes it doesn’t have much interest in whether the programme actually works – once it is underway the nature of the programme itself becomes largely irrelevant.

    But if the money follows the outcome – as it does with payment by results, or with social investment – we can bring a whole new level of fidelity to the way that civil servants, local authorities, and government at large do social programmes.

    It is my personal belief that if we can truly grow the social investment market it will mark the single biggest change to the culture of spending in Government.

    Conclusion

    So the prize could be enormous if we get all of this right.

    Cultural reform – of society, and of government – in a way that restores effectiveness in public spending, and restores the idea of mobility in our welfare system.

    In other words it restores the idea that no matter how hard things get for you we will be there with you to help you on an upward path.

    But we’ve got to lock this process in – as with the process of making savings that I spoke about earlier, it has to be done in a sustainable way or the problems will pop back up again just a few years down the line.

    That means we need to change the incentives in the system.

    In welfare that means understanding that work has to be seen to pay, and people have to know that there is support available for them.

    In pensions it means understanding that saving has to be seen to pay, and it has to be easy for people to save.

    And in government spending it means making the money follow the outcome, so that it is no longer possible to fiddle around with quality programmes or not see them through.

    Through this process, and through the tool of social investment, I think we can achieve something else as well.

    We can start to lock those at the top of society back into to our most disadvantaged families and communities at the bottom.

    We can get our biggest and best business-people bringing their time and their skills to some of society’s most intractable social problems.

    I hope and believe that as both a great entrepreneur and a great philanthropist this is an agenda that Leonard would have supported.

    He had an instinctive sense that with wealth comes responsibility – and he invested a remarkable amount of time, effort and money in giving back to the community.

    Ironically, perhaps, it has taken difficult times to create a driver for change.

    When the economy was growing it was just too easy to say ‘not now, but later’.

    For after all, this does involve very tough choices.

    As we try to reshape our economy, and revitalise and refloat the entrepreneurial spirit that has historically characterised the citizens of this global trading nation, we must accept that we will fail unless we can lock all in society to the benefits of this change.

    We must no longer allow ourselves to accept that some in society are beyond our reach.

    As our economy moves into the 21st Century, these welfare reforms are about ensuring that a previously disconnected section of society gets there at the same time.

  • Jeremy Hunt – 2013 Christmas Message to NHS Staff

    jeremyhunt

    Below is the Christmas Message made by Jeremy Hunt, the Secretary of State for Health, to NHS Staff on 23rd December 2013.

    As we go into the Christmas period, I want to start by thanking the many of you who will be working over the next two weeks. You are giving up precious time with your families so that everyone else can enjoy Christmas secure in the knowledge that a superb NHS is there for them if anything goes wrong. I know the public are incredibly grateful – and I also know how much you will be doing to cheer up people in your care who would rather be home with their families even if they can’t this year. A & E departments in particular can be busy in the festive period and I am urging people who use the NHS to take the trouble to thank staff for the sacrifices they are making.

    This month we held the world’s first ever G8 Summit on dementia. I remember meeting an NHS care home manager in north London, who told me the efforts she went to for her patients: “If I can put a smile on their face, they won’t remember it tomorrow but I will – and I go home with an even bigger smile on mine.” There is so much amazing care – but also a lot of misunderstanding of dementia.

    That’s why it is so significant that the leading countries of the world have agreed not just to work together to find a cure or a disease modifying therapy for dementia by 2025, but also to collaborate on ways of improving care. France in particular has a care model that I want to study carefully, to see what we can learn. In the meantime, I hope as many of you as possible will speak to your family and friends about dementia and spread the word about becoming a Dementia Friend. The training only takes a couple of hours, but will help raise everyone’s understanding of this very challenging condition.

    Finally, I would like to say a particular thank you to district nurses who will be spending the festive period visiting vulnerable and often lonely older people. You do an inspiring job not just over Christmas but throughout the year and we need more of you!

    We need to be better as a society at looking after lonely older people, particularly the 5 million people who say their main company is TV. I would encourage everyone to sign up to NHS England’s fantastic Winter Friend scheme, and take time this winter to look in on an elderly friend or neighbour to check they are warm, well and safe.

  • Jeremy Hunt – 2013 Speech on Dementia

    jeremyhunt

    Below is the text of the speech made by Jeremy Hunt, the Secretary of State for Health, on 11th December 2013.

    Ladies and gentlemen,

    It is fantastic to see you all here today for the world’s first G8 Dementia Summit.

    And it is right we should be here. As life expectancy goes up, our generation has a unique challenge: will those extra years at the end of our lives be ones we can look forward to with anticipation – or will they be ones we end up dreading?

    One in three of us will get dementia. And if we don’t do better, for one in three those later years could be years of agony, heartbreak and despair – not just for those of us with the condition, but for our families, friends and loved ones too.

    9 years ago Britain hosted the G8 in Gleneagles in Scotland. And we faced up to a different health challenge – HIV/AIDS. We did a brave and wonderful thing, declaring that anti-retroviral drugs should become available to all who needed them. Thanks to that, we have turned the global tide in the battle against AIDS.

    Now we need to do it again.

    We will bankrupt our healthcare systems if we don’t. Here in the UK the cost of dementia is £23 billion and globally it is approaching $600 billion. One in four people in UK hospitals have dementia, but the costs extend well beyond hospital care into social care, community care and the opportunity costs for carers.

    But the real reason to do something about dementia is not financial.

    The real reason is human. Everyone deserves to live their final years with dignity, respect and the support of loved-ones. That was the dream of universal healthcare coverage when we founded the NHS in the UK 65 years ago. Now with an ageing population we need to reinvent the model.

    So let us focus on three areas of action for this summit.

    Firstly to redouble our efforts to find a drug that can halt or reverse the brain decay caused by dementia. We thought we could never combat HIV. But just 9 years after the Gleneagles summit and with the involvement of some of Britain’s best universities, we are talking about a potential vaccine. We need that spirit of scientific endeavour for dementia and Alzheimer’s as well – and there is some fantastic work going on in our universities and research laboratories.

    Secondly we need to improve diagnosis rates. In this country, despite our brilliant NHS, less than half of dementia patients get a diagnosis. Too many people – even some doctors – think there is no point. But with a diagnosis we can give out medicines that help some people; we can put in place support for families; we can encourage lifestyle change – all of which can mean people live at home happily and healthily for many years longer.

    Thirdly let’s fight the stigma around dementia in society. When I was born in the 1960s, people didn’t like talking about cancer. The first step to improving treatment was to make it normal – we need to do that for dementia. So following the inspiring programme in Japan, we are trying to recruit one million dementia friends in England – people who know the basics and can be ambassadors for fighting stigma.

    Right here we have the A team. Health ministers, science ministers, pharmaceutical companies, researchers, voluntary organisations, the OECD and the WHO. And we have some even more special guests: people who themselves have dementia and have had the courage to come today. Let us recognise them.

    Let us today match their courage by daring to aim big. By showing future generations we were up to this challenge, ready to do what it takes to harness science, research and humanity to turn one of humanity’s greatest threats into one of its greatest achievements.

    Thank you.

  • Jeremy Hunt – 2013 Speech on Loneliness

    jeremyhunt

    Below is the text of the speech made by the Health Secretary, Jeremy Hunt, on the 18th October 2013.

    Introduction

    Last month I visited the superb Woodside Care Home in Bath.

    Woodside has a scheme where GPs make regular, proactive visits. This provides great reassurance and has reduced hospital admissions by 40 per cent.

    The Care Quality Commission has praised Woodside for its kindness and warmth, regular assessments of residents’ needs, joined-working, and encouragement of activity and independence.

    That’s exactly what I saw.

    Staff who treated residents as they would their own parent or grandparent.

    Managers who had braved difficult conversations about end of life care with residents and their families.

    GPs who visited residents regularly with a seamless interface of care between the home and the local NHS.

    Thoughtful, proactive, skilful, world-class care.

    I was put to work helping with sandwiches, cakes and drinks – fantastically straightforward compared to many tasks the professionals face. But the kind of job that makes a real difference to quality of life if it is done with humour and kindness, as it clearly was there.

    Dealing with complex medical conditions takes real skill. Developing a bond with someone who may not have long to live takes courage. Helping a person with intimate tasks demands both respect and compassion. And devoting yourself to the care of others – often with little public recognition – takes moral fibre. So let me start by thanking you and your teams for the remarkable, unsung contribution you make to our national life.

    The forgotten million

    Everyone’s care matters equally. I am deeply moved and hugely impressed by the best of children’s services, who help to ensure that everyone – whatever their background – has the right start in life. No work could be more important than that. But I want to focus on older people today.

    And inspiring though the care at places like Woodside is, we all know there are many places that do not meet those high standards.

    We also know there is a broader problem of loneliness that in our busy lives we have utterly failed to confront as a society.

    There are now around 400,000 people in care homes. But according to the Campaign to End Loneliness, there are double that number – 800,000 people in England – who are chronically lonely.

    46 per cent of people aged 80 or over report feeling lonely some of the time or often.

    Some five million people say television is their main form of company. That’s 10% of the population.

    And apart from the sheer cost of human unhappiness, there are massive health implications too.

    Loneliness is as bad for one’s health as smoking fifteen cigarettes a day.

    It is actually worse for you than obesity because it increases the risk of heart disease, blood clots and dementia.

    Lonely people have poorer function in daily activities. They drink more. They are more likely to undergo early admission into residential or nursing care.

    And perhaps we should talk not about the cost in terms of human unhappiness, but the cost in terms of avoidable human unhappiness. Because each and every lonely person has someone who could visit them and offer companionship. A forgotten million who live amongst us – ignored to our national shame.

    This challenge cannot be solved by ministerial or local government diktat. But there is a great deal we can do to make things better and today I want to talk about three areas in particular.

    Raising standards

    The first is the need to apply rigorous, unflinchingly high standards of care – not just in the NHS, but in the social care sector too.

    Last month a court found that an 86-year-old Bedfordshire care home resident with Alzheimer’s was picked up by the scruff of his neck and dumped in a wheelchair, having initially been ignored on the floor after a fall. He has since died.

    His name was Albert Riches.

    It is an outrage that anyone should be treated like this, let alone a vulnerable, older man. But it was not an isolated case.

    112,000 cases of alleged abuse were referred to English councils in 2012-13, the majority involving over-65’s. And of those that have been investigated, nearly half have been partly or fully substantiated.

    Something is badly wrong in a society where potentially one thousand such instances are happening every single week.

    I totally reject the notion that such talk undermines the workforce as a whole.

    In reality, the opposite is true.

    When failings are not tackled head-on, dedicated staff face the double whammy of both having to deal with the individual tragedies and taking the hit to their own profession’s standing.

    An Age UK survey this year found that just 26% of the general public are confident that older people who receive social care are treated with dignity.

    What is worse is when lecturers in ethics legitimise such behaviour by saying – as was reported last month – that “compassion is not a necessary component of healthcare.” If compassion does not run through every vein of the health and social care system then we are betraying not only an entire generation of vulnerable older people, but our own values too.

    Transparency

    The only way to deal with poor standards is total transparency.

    Which is why I am delighted that this year, for the first time, we have appointed a Chief Inspector of Social Care, Andrea Sutcliffe. She is putting together a comprehensive new rating system for social care providers, working closely with the sector. Like all our new chief inspectors, she will act as a champion of the people who use the services.

    The nation’s whistleblower-in-chief.

    From April 2014, there will be new style inspections against five key questions – is it safe; effective; caring; responsive and well-led – and Andrea will start giving ratings to care homes from October 2014. All locations – some 25,000 in total – will be inspected by March 2016 and then receive official ratings. These will be accessible to the public online and easy to understand.

    She is absolutely right to demand that they all pass a “good enough for my mum” test and to denounce a tick-box culture. The involvement of “experts by experience”, residents, carers, and specialist inspectors will make a huge difference.

    Andrea is also going to gather opinions on covert filming. It is of course vital that people’s privacy and dignity are fully respected. But covert filming has already helped to uncover abuse, inspectors need solid information, and I understand why more consideration is being given to this.

    Andrea’s determination to combine her role as whistleblower-in-chief with celebrating the best of care is something I fully endorse.

    Just as we know how good all our local schools are thanks to rigorous, independent inspections by Ofsted, I want us all to know how good our local care is. Simple, resident-focused inspections which look at the things that really matter, rather than simply the boxes that have been ticked.

    And end up with an Ofsted-style rating that tells us in plain language if a service is outstanding, good, requiring improvement or inadequate.

    And we will underpin this by legislating in the Care Bill to give the CQC statutory independence over the content of its inspections. Ministers must never again lean on the CQC over the issuing of news about quality inspections. Sunlight is the best disinfectant, and the biggest weapon we have to drive up standards, making sure failings are exposed as quickly as possible.

    Training and development

    1.6 million people work in the care industry, so the second area we need to focus on is improving their training and development.

    Lyn Romeo, the newly appointed and first Chief Social Worker, will support and challenge social workers to ensure that vulnerable adults get the best possible help, with improved safeguards for residential and domiciliary care.

    Camilla Cavendish’s review into healthcare assistants and support workers expressed deep concern at variations in training standards, and she wrote, damningly, that she had “been struck by how disconnected the systems are which care for the public,” adding “the NHS operates in silos, and social care is seen as a distant land occupied by a different tribe.”

    We will issue a formal response soon but hope to adopt many if not all of her recommendations.

    My department is also spending £12 million on the Workforce Development Fund for training and we will work closely with Skills for Care and the National Skills Academy Social Care to improve skill levels in adult social care. And we are doubling to 100,000 the number of apprentices that get high-quality training and support by 2017.

    All of which I hope will make a big difference.

    Social care funding

    The third area we need to address is funding.

    I recognise there have been cuts in funding to local authorities as we seek to deal with the deficit. Perhaps less recognised is that funding per head for adult social care fell under the last government too. But politicians of all parties need to be honest that the pattern of gradually reducing funding in the face of an ageing population is simply not sustainable – and we need to change the model.

    Let’s talk about the money we have allocated first.

    We have committed an additional £7.2 billion, including a contribution from the NHS budget, for adult social care over the course of this parliament.

    On top of the Dilnot reforms, we are committed to increasing government investment in social care through a £3.8 billion pooled budget for health and social care in 2015-16. It comes on top of an extra £200 million for social care in 2014-15.

    But those reforms do something else as well.

    By implementing a cap on care costs of £72,000, they make it possible for people to plan for their social care costs in the same way they plan for their pension. Which will lead to a dramatic increase in planned funding being put aside to fund end-of-life care costs.

    Our objective is to be one of the first countries in the world where, as part of their pension plans, most people save throughout their lives for their likely care costs.

    But even additional financial support will not be adequate unless we also change the model.

    It is high time we closed the gaps that see people being sent round the houses, breakdowns in communication, and wrangling over budgets.

    Which is why rather than simply adding £2 billon to existing support for social care in 2015-16, we are combining both into a £3.8 billion single health and social care transformation fund. To access this, each local plan will have to offer genuinely integrated care: joint commissioning, joint provision, seven-day services, full record-sharing and professionals accountable for seamless, joined-up care.

    I have asked for all integration plans to be approved and in place by next April because although the funding does not start until April 2015, many authorities will want to start earlier as the potential for both improving care and making savings is immense.

    A social solution

    But this is not just a government – or even a local government – solution.

    There has to be a social solution too.

    My wife is Chinese and I am struck by the reverence and respect for older people in Asian culture. In China and Japan, it is quite normal for elderly parents to live with their children and their families. The Indian government has even announced recently that it plans to name and shame people who abandon their parents.

    Let me be absolutely clear. There are occasions where it’s right and necessary for older people to go into care homes and no family should feel condemned for taking that difficult decision.

    In those countries, when living alone is no longer possible, residential care is a last rather than a first option. And the social contract is stronger because as children see how their own grandparents are looked after, they develop higher expectations of how they too will be treated when they get old.

    If we are to tackle the challenge of an ageing society, we must learn from this – and restore and reinvigorate the social contract between generations. And uncomfortable though it is to say it, it will only start with changes in the way we personally treat our own parents and grandparents.

    Conclusion

    Professor Tom Kirkwood of Newcastle University’s Institute for Ageing and Health talks of a 29-hour day. For every decade we live, life expectancy goes up two years – which works out as five hours for every 24 we live.

    So we are putting aside five additional hours at the end of our lives for every day we live.

    And the cruel irony of the pockets of failure that let the whole system down is that old age can be wonderful. Freed from the responsibility of work – and having cast off some of the stresses and preoccupations that can dominate earlier years – many older people thrive like never before, even as they battle infirmity.

    Not everyone can have healthy last years. But our ambition must be that everyone has happy ones.

    And all of us in this room share that ambition – indeed are dedicating their lives to meeting it.

    We may have different roles to play, but together we can challenge society, celebrate and promote best practice, and agree that “good enough” is never enough.

    And if we persist, we can do something even more amazing: really and truly make this country the best place in the world to grow old in.

    Thank you.