The cumulative damage to the NHS and wider social care systems wrought by a decade of austerity has already been extensively documented – and now we can see all too clearly how this has affected their ability to cope with a crisis of this magnitude. The efforts of the workforce within the NHS and beyond have saved countless lives and yet this overwhelmingly female and ethnic minority cohort has suffered tens of thousands of avoidable deaths.
In the wake of this crisis, we need a new social guarantee whereby everyone can access the things they need to build a meaningful life. A system of universal basic services – based on need, not ability to pay and backed by a supportive state – could provide this.
This is a new agenda that seeks to establish ‘in kind’ support, provided collectively through democratic institutions. It means boosting and extending existing universal services (such as health and education), as well as expanding comprehensive provision into other areas – such as sustainable and low-cost transport and utilities, affordable housing, internet access and accessible social care and early years support.
A supportive state and local control
It’s not a return to the 1960s and top-down delivery – it’s a system fit for the 21st century. A system in which the state acts as a facilitator. To help thriving ecosystems of private firms, social enterprises, local authorities and community-led initiatives working collaboratively to deliver services that suit their communities. A supportive state that enables communication and collaboration between different service providers will allow for responsive, localised delivery, while at the same time ensuring there are no holes in provision.
Local control and delivery of services opens up space for more democratic engagement. This enables people to shape the economies in which they live, and creates opportunities for meaningful co-creation with service users. It also results in shorter supply chains, more local jobs and more opportunities to invest in low-carbon, socially useful industries such as social care and green energy generation.
A social guarantee to life’s essentials is a pragmatic way to support people throughout society to lead fulfilling lives, but especially those groups hardest hit by any shock to our economic and social system.
If we want a future of gender, racial and intergenerational equality after the destruction caused by COVID-19, as well as a sustainable world in which everyone can thrive, it is essential to ensure the provision of universal basic services for all.
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