Keir Starmer said he’d be as bold as Clem Attlee. In an interview with Big Issue in the days before July’s general election he made that pledge. He also said there’d be no return to austerity; there’d be “a decade of national renewal instead, with ambitious investment and reform”.
One of Attlee’s first moves as PM was to roll out the National Insurance Act, a means of collecting contributions from those of working age to fund “unemployment benefit, sickness benefit, maternity benefit, retirement pension, widows’ benefit, guardian’s allowance and death grant”.
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It was an incredible step, coming, in 1946, as the country teetered on the edge of postwar bankruptcy. It was part of a wider implementation of the Beveridge Report. We all know how radical that was, establishing the NHS and changing the shape of the future. It signalled an intention to help rather than judge or press down on those left behind. It was about changing hearts and minds and making the nation see that it is the right thing to do to support those who, for a time, need that support.
Last week, Starmer’s government announced that in a bid to lower the disability benefits bill next year, they’d look to send job coaches into psychiatric wards to ready patients for work. While there is clear benefit in helping the economically inactive enjoy the social and financial boosts of work, I’m not sure this is what Beveridge had in mind when he struck out for full employment. It doesn’t make sense.
I spent a lot of time recently around psychiatric wards as a family member was in one for an extended period. These are places for people with complex needs. Indeed, many of those in the hospitals have jobs and careers, they just need help finding their way back to them. And that help must come from the remarkable nurses and doctors who put so much of themselves into some of the most challenging environments.