Abstract
The United Kingdom (UK) has been in the international spotlight from the beginning of the COVID-19 pandemic, experiencing an ostensibly high prevalence of the disease, failing to respond as quickly as other countries with respect to border controls and social distancing measures, but also rolling out one of the most successful vaccine programmes in the world. This chapter considers the British response to COVID-19 from a welfare regime perspective. Does the UK Government’s initial resistance to deploying emergency powers, its preference for outsourcing contracts for key COVID services to private providers rather than relying on local and national statutory providers, and the fact that the National Health Service (NHS) and social care providers were at considerably reduced capacity following years of economic austerity reflect the fact that the UK is essentially a ‘liberal’ welfare regime? Or does the remarkable increase in public expenditure (estimated to range from £315 to £410 billion), years of investment in vaccine research and development and the prosocial and solidarity-related behaviours exhibited by the British population speak to a more collective, social-democratic welfare regime? The chapter suggests that, in regime terms, the British welfare state is mixed, though the fact that COVID-19 has been experienced unequally in the UK—by socio-economic status, ethnicity, age and disability—is more suggestive of a liberal regime that is willing to tolerate high levels of inequality.
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References
Abrahamson, P. (2003). The end of the Scandinavian model? Journal of Societal and Social Policy, 2(2), 19–36.
AgeUK. (2021). Impact of covid-19 on older people’s mental and physical health: One year on. AgeUK. https://www.ageuk.org.uk/globalassets/age-uk/documents/reports-and-publications/reports-and-briefings/health--wellbeing/coronavirus/impact-of-covid-19-on-older-peoples-health_one-year-on.pdf
Arts, W., & Gelissen, J. (2002). Three worlds of welfare capitalism or more? Journal of European Social Policy, 12(2), 137–158.
Aspalter, C. (2011). The development of ideal-typical welfare regime theory. International Social Work., 54(6), 735–750.
Badker, R., Miller, K., Pardee, C., et al. (2021). Challenges in reported covid-19 data: best practices and recommendations for future epidemics. BMJ Global Health, 6, e005542.
Bambra, C. (2005). Worlds of welfare and the health care discrepancy. Social Policy and Society, 4, 31–41.
Barrientos, A. (2004). Latin America. In I. Gough & G. Wood (Eds.), Insecurity and welfare regimes in Asia, Africa and Latin America (pp. 121–168). Cambridge University Press.
Blake-Holmes, K., & McGowan, A. (2022). ‘It’s making his bad days into my bad days’: The impact of coronavirus social distancing measures on young carers and young adult carers in the United Kingdom. Child & Family Social Work, 27(1), 22–29. https://doi.org/10.1111/cfs.12877
Brewer, M., & Patrick, R. (2021). Pandemic pressures. Why families on a low income are spending more during covid-19. Resolution Foundation. https://www.resolutionfoundation.org/app/uploads/2021/01/Pandemic-pressures.pdf
Brien, P., & Keep, M. (2021). Public spending during the covid-19 pandemic. House of Commons Library. https://researchbriefings.files.parliament.uk/documents/CBP-9309/CBP-9309.pdf
Bu, F., Steptoe, A., Mak, H. W., & Fancourt, D. (2021). Time use and mental health in UK adults during an 11-week covid-19 lockdown: A panel analysis. British Journal of Psychiatry, 219(4), 551–556. https://doi.org/10.1192/bjp.2021.44
Cheng, Z., Mendolia, S., Paloyo, A. R., Savage, D. A., & Tani, M. (2021). Working parents, financial insecurity, and childcare: Mental health in the time of covid-19 in the UK. Review of Economics of the Household, 12, 1–22. https://doi.org/10.1007/s11150-020-09538-3
Crawley, E., Loades, M., Feder, G., Logan, S., Redwood, S., & Macleod, J. (2020). Wider collateral damage to children in the UK because of the social distancing measures designed to reduce the impact of covid-19 in adults. BMJ Paediatr Open, 4(1), e000701. Published 2020 May 4. https://doi.org/10.1136/bmjpo-2020-000701
Daly, M. (2020). Covid‐19 and care homes in England: What happened and why? Social Policy & Administration, 54(7), 985–998.
DfE. (2021). Covid-19 parent and pupil panel november to february findings. Department for Education. https://assets.publishing.service.gov.uk/government/uploads/system/uploads/attachment_data/file/1028041/covid-19_Parent_and_Pupil_Panel._November_to_February_findings.pdf
Es**-Andersen, G. (1990). The three worlds of welfare capitalism. Cambridge, Policy Press.
Francis-Devine, B., Powell, A., & Clark, H. (2021). Coronavirus job retention scheme: Statistics. House of Commons Library. https://researchbriefings.files.parliament.uk/documents/CBP-9152/CBP-9152.pdf
Grugel, J., & Riggirozzi, P. (2018). New directions in welfare: Rights-based social policies in post-neoliberal Latin America. Third World Quarterly, 39(3), 527–543.
Harris, M., Allardyce, S., & Findlater, D. (2021). Child sexual abuse and covid-19: Side effects of changed societies and positive lessons for prevention. Criminal Behaviour & Mental Health, 31(5), 289–292.
Havard, T. (2021). Domestic abuse and covid-19: A year into the pandemic. House of Commons Library. https://commonslibrary.parliament.uk/domestic-abuse-and-covid-19-a-year-into-the-pandemic/
Health and Social Care Committee, Science and Technology Committee. (2021). Coronavirus: Lessons learned to date (HC 92). 12 October 2021. https://committees.parliament.uk/publications/7496/documents/78687/default/
Hick, R., & Murphy, M. (2021). Common shock, different paths? Comparing social policy responses to covid-19 in the UK and Ireland. Social Policy & Administration, 55(2), 312–325.
Holmes, J. (2021). Tackling obesity: The role of the NHS in a whole-system approach. The King’s Fund. https://www.kingsfund.org.uk/publications/tackling-obesity-nhs
House of Commons Women and Equalities Committee. (2021). Unequal impact? Coronavirus and the gendered economic impact. House of Commons. https://committees.parliament.uk/publications/4597/documents/46478/default/
Jones, M. (2022). Covid-19 and the labour market outcomes of disabled people in the UK. Social Science & Medicine, 292. https://doi.org/10.1016/j.socscimed.2021.114637
Karlinsky, A., & Kobak, D. (2021). Tracking excess mortality across countries during the covid-19 pandemic with the world mortality dataset. eLife, 10, e69336. https://elifesciences.org/articles/69336
Kelly, B., Walsh, C., Pinkerton, J., & Toal, A. (2021). I got into a very dark place: Addressing the needs of young people leaving care during the covid-19 pandemic. Journal of Children’s Services, 16(4), 332–345. https://doi.org/10.1108/JCS-05-2021-0022
Krishnadas, J., & Taha, S. H. (2020). Domestic violence through the window of the covid-19 lockdown: A public crisis embodied/exposed in the private/domestic sphere. Journal of Global Faultlines, 7(1), 46–58.
Lloyd-Sherlock, P., Sempe, L., McKee, M., & Guntupalli, A. (2021). Problems of data availability and quality for covid-19 and older people in low- and middle-income countries. The Gerontologist, 61(2), 141–144. https://doi.org/10.1093/geront/gnaa153
Machin, R. (2021). Covid-19 and the temporary transformation of the UK social security system. Critical Social Policy, 41(4), 651–662.
Mao, G., Fernandes-Jesus, M., Ntontis, E., et al. (2021). What have we learned about covid-19 volunteering in the UK? A rapid review of the literature. BMC Public Health, 21, 1470. https://doi.org/10.1186/s12889-021-11390-8
NAO. (2020). Investigation into government procurement during the covid-19 pandemic. National Audit Office. https://www.nao.org.uk/wp-content/uploads/2020/11/Investigation-into-government-procurement-during-the-covid-19-pandemic.pdf
NHS Digital. (2021). Mental health of children and young people in England 2021—wave 2 follow up to the 2017 survey. NHS Digital. https://digital.nhs.uk/data-and-information/publications/statistical/mental-health-of-children-and-young-people-in-england/2021-follow-up-to-the-2017-survey
OCC. (2021). Education select committee inquiry: The impact of covid-19 on education and children’s services. Office of the Children’s Commissioner for England. https://committees.parliament.uk/writtenevidence/23457/default/
ONS. (2020). One in eight British households has no garden. Office for National Statistics. https://www.ons.gov.uk/economy/environmentalaccounts/articles/oneineightbritishhouseholdshasnogarden/2020-05-14
ONS. (2021). Coronavirus and the social impacts on disabled people in Great Britain: February 2021. Office for National Statistics. https://www.ons.gov.uk/peoplepopulationandcommunity/healthandsocialcare/disability/articles/coronavirusandthesocialimpactsondisabledpeopleingreatbritain/february2021
Oreffice, S., & Quintana-Domeque, C. (2021). Gender inequality in covid-19 times: Evidence from UK prolific participants. Journal of Demographic Economics, 87(2), 261–287. https://doi.org/10.1017/dem.2021
Parker, J. (2021). Structural discrimination and abuse: covid-19 and people in care homes in England and Wales. Journal of Adult Protection, 23(3), 169–180.
Raisi-Estabragh, Z., McCracken, C., Bethell, M. S., Cooper, J., Cooper, C., Caulfield, M. J., Munroe, P. B., Harvey, N. C., & Petersen, S. E. (2020). Greater risk of severe covid-19 in Black, Asian and minority ethnic populations is not explained by cardiometabolic, socioeconomic or behavioural factors, or by 25(OH)-vitamin D status: Study of 1326 cases from the UK Biobank. Journal of Public Health (Oxford, England), 42(3), 451–460. https://doi.org/10.1093/pubmed/fdaa095
Roberts, L., Mannay, D., & Rees, A., et al. (2021). It’s been a massive struggle: Exploring the experiences of young people leaving care during covid-19. YOUNG, 29(4_suppl), S81–S99.
Scambler, G. (2020). Covid-19 as a ‘breaching experiment’: Exposing the fractured society. Health Sociology Review, 29(2), 140–148.
Schultze, A., Nightingale, E., & Evans, D., et al. (2022). Mortality among care home residents in England during the first and second waves of the covid-19 pandemic: An observational study of 4.3 million adults over the age of 65. Lancet Regional Health Europe, 14, 100295. https://doi.org/10.1016/j.lanepe.2021.100295
Suleman, M., Sonthalia, S., Webb, C., Tinson, A., Kane, M., Bunbury, S., Finch, D., & Bibby, J. (2021). Unequal pandemic, fairer recovery. The covid-19 impact inquiry report. The Health Foundation. https://www.health.org.uk/publications/reports/unequal-pandemic-fairer-recovery
Tekin, S., et al. (2021). A qualitative exploration of altruistic and prosocial behaviors during the covid-19 pandemic: How do people support each other in emergencies? Analyses of Social Issues and Public Policy, 21, 1113–1140. https://doi.org/10.1111/asap.12277
Thompson, H. (2021). Latest updates on UK government covid-19 contracts and spending. Tussell. https://www.tussell.com/insights/covid
Tinson, A. (2021). What geographic inequalities in covid-19 mortality rates and health can tell us about levelling up. Health Foundation, London. https://www.health.org.uk/news-and-comment/charts-and-infographics/what-geographic-inequalities-in-covid-19-mortality-rates-can-tell-us-about-levelling-up
Whitehead, M., Taylor-Robinson, D., & Barr, B. (2021). Poverty, health, and covid-19. BMJ 372, n376. https://doi.org/10.1136/bmj.n376
Williams, J. (2021). Taking it on the chin: Older people, human rights and covid-19. Journal of Adult Protection, 23(2), 86–97.
Witteveen, D., & Velthorst, E. (2020). Economic hardship and mental health complaints during covid-19. Proceedings of the National Academy of Sciences USA, 117(44), 27277–27284. https://doi.org/10.1073/pnas.2009609117
Woodward, M., Peters, S. A. E., & Harris, K. (2021). Social deprivation as a risk factor for covid-19 mortality among women and men in the UK Biobank: Nature of risk and context suggests that social interventions are essential to mitigate the effects of future pandemics. Journal of Epidemiology and Community Health, 75, 1050–1055.
Zamberlan, A., Gioachin, F., & Gritti, D. (2021). Work less, help out more? The persistence of gender inequality in housework and childcare during UK covid-19. Research in Social Stratification & Mobility, 73.
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Asthana, S. (2022). COVID-19 in the United Kingdom: How a Mixed Welfare Regime Has Responded to the Pandemic. In: Akhtar, R. (eds) Coronavirus (COVID-19) Outbreaks, Vaccination, Politics and Society. Springer, Cham. https://doi.org/10.1007/978-3-031-09432-3_19
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