Dr Rachel Loopstra King s College

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Financial insecurity, food insecurity, and disability: the profile of people receiving emergency food assistance from The Trussell Trust Foodbank Network in Britain. Dr Rachel Loopstra King s College London rachel.loopstra@kcl.ac.uk @rloopstra

Acknowledgements Participating Trussell Trust foodbank managers and volunteers Study participants Doireann Lalor (Research Coordinator) Trussell Trust Public Affairs and Press Team Advisory group members Funding provided by:

Numbers receiving emergency food parcels from the Trussell Trust 1200000 1000000 800000 600000 400000 200000 0 2008/09 2009/10 2010/11 2011/12 2012/13 2013/14 2014/15 * Data from Trussell Trust Foodbank Network, est. 2004. First year systematic data collection in 2008/09.

Debt Mental illness Sanctions Reasons for foodbank use Food prices Benefit delays Low- paid work The reasons for foodbank use are complex, so it s misleading to link them to any one issue. Employment is the best route out of poverty, and there are now record numbers of people in work. (Government spokesperson, 2017)

Percent of foodbanks survey (n=186) For most foodbanks, referral forms the only quantitative source of information about their clients. 70 Other than information collected on referral vouchers, has your foodbank collected any additional information from clients who visit your foodbank? 60 50 40 30 20 10 0 No Have in the past, but not regularly Regularly collect additional data (Survey of Trussell Trust Foodbanks, 2016)

Key aims of the research Provide more detail behind headline, routine data collected across The Trussell Trust Network Questionnaire enabling comparison with household surveys conducted in UK Random sample of foodbanks Covering every region, rural and urban areas Pilot a method of volunteer-facilitated recruitment of participants Only possible with you!

Research objectives To describe the socio-demographic and economic profile of people receiving food parcels. To understand foodbank clients access to social security, where gaps in support may exist, or where support may not be sufficient. To explore the prevalence of recent short-term income and expenditure shocks, and describe the causes of these shocks. To understand the severity and chronicity of household food insecurity and how frequently people received food from Trussell Trust foodbanks. To explore the prevalence of health conditions and disabilities and the nature of these challenges.

Methods Wirral Foodbank covered a record number of distribution centres! Stratified cluster sample of 24 foodbanks in Trussell Trust Foodbank Network (9 regions in England, and Scotland and Wales) Collaborative research model: foodbank volunteers trained in ethics, recruitment, tracking participation Recruitment: after foodbank intake interview, and as tablet(s) became free. Ineligible: unable to complete questionnaire in English, visible distress or incapacity, pick-up for someone else Clients inputted their data directly into questionnaire using a tablet About 13% received had survey read by a volunteer

Data from first 18 foodbanks that completed data collection over October-December 2016 Descriptive statistics Compare sample estimates to population data: Low income households (HBAI 2014/15 and 2015/16) Benefit claimants (DWP) Report available from: https://www.trusselltrust.org/what-wedo/research-advocacy/oxford-university-report/

Highlight key differences for the three foodbanks that participated in the North-West (n=96 households) Sample was too small to look at Wirral Foodbank on its own

Findings

Household incomes are in the very bottom of the income distribution. 60% median income AHC BHC Households using foodbanks (n=413)

Proportion of households (%) Household-types using Trussell Trust foodbanks 60.0 50.0 40.0 30.0 20.0 10.0 0.0 Single adult (living alone or with nonhousehold members) Lone parent family with dependent or nondependent children Couple with dependent or nondependent children Couple family without dependent or non-dependent children Multi-family household Single adult or couple living with siblings or other adults Living with unspecified household members

In NW foodbanks, lone parent families were more common. 60 50 40 30 20 10 0 Single adult Lone parent family with dependent or nondependent children Couple with dependent or non-dependent children Multi-family household Living with unspecified household members NW Total Sample (Total sample= 598 households completing over Oct 2016-Apr 2017)

Source: Households Below Average Income (2015/16) Lone parents and their children, and single males, are overrepresented among people using foodbanks. 45 40 35 30 25 20 15 10 Low income, UK Low income, Foodbanks 5 0 Couple with children Single with children Single male without children Couple without children Pensioner couple Single female without children Single pensioner

15% of households with employment incomes or with adults employed, but almost all work part-time or selfemployment. 1.0 14.8 No employment indicated 84.2 One or more adults employed or reported employment income Missing information on both employment and earnings

Proportion of benefit claimants/households (%) Employment Support Allowance (work preparation/assessment) and Jobseeker s Allowance claimants are over-represented among households using foodbanks. 45 40 35 30 25 20 15 Proportion of claimants (DWP) Proportion of claimants in food banks 10 5 0 ESA (Support group)/ib ESA (WRAG) ESA (Assessment) Jobseeker's allowance Income support (IS) Universal credit (not in employment) Source: Nomis Labour Statistics.

75% of households reported health conditions, 35% specified one or more types of mental health conditions. 35.0% 30.0% 25.0% 20.0% 15.0% 10.0% 5.0% 0.0% Proportion of households with health condition (%)40.0% Conditions coded based on Labour Force Survey, with additional categories added.

Depression was more prevalent in the NW foodbanks. Total NW Sample % % Depression 24.9 30.2 Anxiety 11.7 8.3 Other common mental health disorders 2.8 3.1 (CMDs) Serious mental health conditions 3.3 4.2 Unspecified mental health condition 5.5 3.1 One or more of the above 35.6 36.5 Missing 17.1 21.9 (Total sample= 598 households completing over Oct 2016-Apr 2017)

Households with a disability almost three times more prevalent among households using foodbanks. 60% 50% 40% 30% Poverty 20% 10% 0% Household with employment income Household with a disability Household with pensioner Other Lone parent household Disability status unknown Disability Low-income households (HBAI 2014/15) Food bank households (Source: Analysis by New Policy Institute of HBAI data, Monitoring Poverty and Social Exclusion. 2016).

Income crisis in context of low income or chronic insufficient incomes

Households waiting on benefit application: n=151 Over 1/3 of foodbank clients waiting on a decision or payment from recent benefit application. Missing 1% Benefit applied for: No 61% Yes 38% % Employment and Support Allowance 32.1 Jobseeker's Allowance 24.8 Child tax credit 14.5 Housing benefit 13.0 Personal Independence Payment 12.1 Income support 9.12 Working tax credit 7.41 Universal credit 6.66 Child benefit 5.04 Missing 3.66

Households waiting on benefit application: n=151 How long have applicants been waiting? % < 1 week 13.1 1 week 6.80 2 weeks 29.2 3 weeks 9.81 4 weeks 14.7 5 weeks 1.77 6 weeks 1.94 7 weeks or more 21.1 Missing 1.75

1/3 of households reported their income was less in past month than three months ago. No longer receiving a benefit payment you had previously 20.8% Benefit sanction 16.8% Moved from one benefit type to another 16.3% Change in benefit allowance 14.8% Loss of a job 14.1% Separated or divorced from a partner 6.39% Fewer work hours 6.18% Wages not paid by employer 4.70% Sick leave <3% A pay cut <3% Maternity leave <3% Benefit payment capped <3% Other reason 6.69%

2/3 of households indicated unexpected expenses or rising expenses in past three months. % A rise in expenses related to your housing, such as heating, utilities or rent. 28.3 A rise in food expenses. 25.4 Unexpected expenses related to transportation, such as car repair or increased transit costs. 13.5 A rise in living expenses due to a new health condition. 10.3 Unexpected expenses related to an accident, injury, or medical emergency. 9.48 Unexpected expenses due to a necessary housing repair. 7.65 A rise in living expenses due to a new baby. 4.96 Other changes specified to have increased household expenses. 15.1

Extreme rates of household food insecurity Food secure 1% Marginal 3% Missing 8% Severe 78% Moderate 10% Severe food insecurity means Feeling hungry but being unable to eat because of a lack of money for food Losing weight because of a lack of money for food Going whole days without eating Experiencing these food insecurity chronically Assessed using USDA Adult Food Security Survey Module

In NW, foodbank users indicated more experiences of chronic severe food insecurity. Frequency of being unable to eat for a whole day in the past 12 months Missing information Never Almost every month Some months but not every month Only 1 or 2 months 0 5 10 15 20 25 30 35 40 45 Total Sample NW (Total sample= 598 households completing over Oct 2016-Apr 2017)

Number of foodbank visits in the past 12 months 35 30 25 20 15 10 5 0 None One Two Three Four or five Six or seven Eight or nine Ten or more Missing NW Total Sample (Total sample= 598 households completing over Oct 2016-Apr 2017)

Households experienced multiple forms of destitution in past 12 months: Couldn't afford lighting Slept rough Unable to dress appropriate for weather Couldn't afford toiletries Couldn't afford heating 0.0% 10.0% 20.0% 30.0% 40.0% 50.0% 60.0%

Multiple forms of financial hardship Up-to-date on household bills? n % Up-to-date with all payments 131 30.5 Less than 2 months behind with some or all payments 2-3 months behind with some or all payments 4-5 months behind with some or all payments 6 or more months behind with some or all payments 122 31.8 52 12.4 13 3.26 54 11.9 Missing 41 10.1 Owing money for a personal/household loan: n % No money owing for a personal loan 195 47.4 Loan and very/fairly easy to make minimum payments 31 9.06 Loan and fairly difficult to make minimum payments 61 13.1 Loan and very difficult to make minimum payments 94 23.0 Loan but not making loan payments 6 1.45 Missing 22 5.95

More private renters among NW foodbank users and harder time affording rent. 50 45 40 35 30 25 20 15 10 5 0 Socially rented Homeless accommodation provided by local authority Staying with friends Privately rented Sleeping rough Other Missing NW Total Sample (Total sample= 598 households completing over Oct 2016-Apr 2017)

What do these findings mean for public policy? Universal credit: 6 weeks until first benefit payment comes through, during which time many low-income households cannot afford to eat. Child tax credit: households with 3+ dependent children from now, these families will be more vulnerable in the UK. ESA for people in work-related activity group: reduced since April 2017, also losing access to Personal Independence Payments. Benefit freeze: life is becoming less affordable as prices rise. Benefits unable to meet costs of living. Sanctions continue to cause destitution. Benefit delays in context of low income: families have no buffer to cope.

What do these findings mean for frontline foodbank practice? Continued need for advocacy to address upstream, systematic drivers. Advocacy within local areas: Access to local welfare schemes? Council tax relief schemes? Local Jobcentres? Diversifying nature of support (continue to do as you re doing!): Signposting: housing, mental health, debt relief, short-term financial assistance. Provision of toiletries, clothing, fuelbank. Raise questions about access to, and appropriateness of, emergency food for people with disability, people in work, people experiencing chronic food insecurity and low income.

Any questions or comments? Many thanks again to: Participating foodbanks and study participants The Trussell Trust Foodbank Network Public Affairs and Media Team and Head Office Doireann Lalor Oxford University and The Trussell Trust for funding this work. Contact: Rachel Loopstra, King s College London rachel.loopstra@kcl.ac.uk @rloopstra