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      Impact of Universal Credit in North East England: a qualitative study of claimants and support staff

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          Abstract

          Objectives

          To understand the impact of the roll-out of Universal Credit (UC) from the perspectives of claimants and staff supporting them in North East England.

          Design

          Qualitative study comprising interviews and focus groups.

          Setting

          Gateshead and Newcastle, two localities in North East England characterised by high levels of socioeconomic deprivation, where the roll-out of UC started in 2017 as a new way to deliver welfare benefits for the UK working age population.

          Participants

          33 UC claimants with complex needs, disabilities and health conditions and 37 staff from local government, housing, voluntary and community sector organisations.

          Results

          Participants’ accounts of the UC claims process and the consequences of managing on UC are reported; UC negatively impacts on material wellbeing, physical and mental health, social and family lives. UC claimants described the digital claims process as complicated, disorientating, impersonal, hostile and demeaning. Claimants reported being pushed into debt, rent arrears, housing insecurity, fuel and food poverty through UC. System failures, indifference and delays in receipt of UC entitlements exacerbated the difficulties of managing on a low income. The threat of punitive sanctions for failing to meet the enhanced conditionality requirements under UC added to claimant’s vulnerabilities and distress. Staff reported concerns for claimants and additional pressures on health services, local government and voluntary and community sector organisations as a result of UC.

          Conclusions

          The findings add considerable detail to emerging evidence of the deleterious effects of UC on vulnerable claimants’ health and wellbeing. Our evidence suggests that UC is undermining vulnerable claimants’ mental health, increasing the risk of poverty, hardship, destitution and suicidality. Major, evidence-informed revisions are required to improve the design and implementation of UC to prevent further adverse effects before large numbers of people move on to UC, as planned by the UK government.

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          Most cited references16

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          Universal Credit, ubiquitous conditionality and its implications for social citizenship

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            Understanding vulnerability to self-harm in times of economic hardship and austerity: a qualitative study

            Objective Self-harm and suicide increase in times of economic recession, but little is known about why people self-harm when in financial difficulty, and in what circumstances self-harm occurs. This study aimed to understand events and experiences leading to the episode of self-harm and to identify opportunities for prevention or mitigation of distress. Setting Participants’ homes or university rooms. Participants 19 people who had attended hospital following self-harm in two UK cities and who specifically cited job loss, economic hardship or the impact of austerity measures as a causal or contributory factor. Primary and secondary outcome measures Semistructured, in-depth interviews. Interviews were audio recorded, transcribed and analysed cross-sectionally and as case studies. Results Study participants described experiences of severe economic hardship; being unable to find employment or losing jobs, debt, housing problems and benefit sanctions. In many cases problems accumulated and felt unresolvable. For others an event, such as a call from a debt collector or benefit change triggered the self-harm. Participants also reported other current or past difficulties, including abuse, neglect, bullying, domestic violence, mental health problems, relationship difficulties, bereavements and low self-esteem. These contributed to their sense of despair and worthlessness and increased their vulnerability to self-harm. Participants struggled to gain the practical help they felt they needed for their economic difficulties or therapeutic support that might have helped with their other co-existing or historically damaging experiences. Conclusions Economic hardships resulting from the recession and austerity measures accumulated or acted as a ‘final straw’ to trigger self-harm, often in the context of co-existing or historically damaging life-experiences. Interventions to mitigate these effects should include providing practical advice about economic issues before difficulties become insurmountable and providing appropriate psychosocial support for vulnerable individuals.
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              Responsibilising recovery: Lone and low-paid parents, Universal Credit and the gendered contradictions of UK welfare reform

              Ruth Cain (2016)
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                Author and article information

                Journal
                BMJ Open
                BMJ Open
                bmjopen
                bmjopen
                BMJ Open
                BMJ Publishing Group (BMA House, Tavistock Square, London, WC1H 9JR )
                2044-6055
                2019
                4 July 2019
                : 9
                : 7
                : e029611
                Affiliations
                [1 ] departmentSchool of Health and Social Care, Centre for Public Health Research , Teesside University , Middlesbrough, UK
                [2 ] departmentFuse , The Centre for Translational Research in Public Health , Newcastle upon Tyne, UK
                [3 ] departmentInstitute of Health and Society , Newcastle University , Newcastle upon Tyne, UK
                [4 ] departmentDepartment of Social Sciences , Northumbria University , Newcastle upon Tyne, UK
                [5 ] departmentPublic Health Department , Gateshead Council , Gateshead, UK
                Author notes
                [Correspondence to ] Dr Mandy Cheetham; m.cheetham@ 123456tees.ac.uk
                Author information
                http://orcid.org/0000-0002-2616-9205
                Article
                bmjopen-2019-029611
                10.1136/bmjopen-2019-029611
                6615785
                31272984
                e7fb65a1-ca7d-4533-a84b-c034ce2c88d6
                © Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.

                This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/.

                History
                : 06 February 2019
                : 23 April 2019
                : 10 May 2019
                Funding
                Funded by: FundRef http://dx.doi.org/10.13039/501100000774, Newcastle University;
                Funded by: Gateshead Council;
                Funded by: Fuse, the Centre for Translational Research in Public Health;
                Categories
                Public Health
                Research
                1506
                1724
                Custom metadata
                unlocked

                Medicine
                mental health,public health,qualitative research
                Medicine
                mental health, public health, qualitative research

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