Shortfall in Pension Credit take-up costs health and social care systems £4bn a year

By agency reporter
September 15, 2020

The failure to deliver Pension Credit to 1.06 million older people who are entitled to it, is costing the health and social care systems in Great Britain an estimated £4 billion per year, says the older people’s charity, Independent Age.

Pension Credit, a benefit designed to keep the least well-off pensioners out of poverty, is currently being received by just six in 10 (61 per cent) of those who should be receiving it – leaving many on a threadbare income and having to choose between heating and eating.

New research from the Centre for Research in Social Policy at Loughborough University, commissioned and published by Independent Age, has found that the low take-up is creating significant knock-on effects for the NHS and social care, costing taxpayers an estimated £4 billion per year.

This bill to the taxpayer is significantly higher than the annual cost of giving pensioners the £2.2 billion to which they are entitled but are not receiving.

The report's authors, Professor Donald Hirsch and Dr Juliet Stone, found that the NHS bears the brunt of the additional demand, with pensioners on a low income likely to need more health care and services, such as prescriptions or the use of a hospital bed. The resulting costs to health care systems are estimated to be between £3.02 billion and £4.81 billion per year.

Those missing out on Pension Credit are also more likely to need social care – whether residential or home-based – which incurs additional costs to the state of between £66 million and £189 million per year.

The report concluded that if Pension Credit take-up was lifted from 61 per cent to 100 per cent, then almost 450,000 pensioners could be lifted out of poverty, reducing pensioner poverty to its lowest ever level, and resulting in substantial savings to the NHS and social care systems over the long term.

Independent Age is calling for the Government to put in place an ambitious, publicly available action plan detailing how it will work to increase the uptake of Pension Credit?over the next five years.

The Chief Executive of Independent Age, Deborah Alsina, said the report provided even more justification for the Government to take urgent action on improving the woefully low take-up of Pension Credit.

“What we can see from this report is that ensuring the poorest pensioners have a livable income is not only the right thing to do, it’s the economically responsible thing to do,” she said.

“Taxpayers are unnecessarily footing a health and social care bill of an estimated £4 billion, when if the Government ensured older people received the £2.2 billion to which they’re entitled, many of these additional costs to our health and care systems would be alleviated. Reducing pressure on our hospitals and care services is especially critical right now, as we continue to cope with the effects of COVID-19.

“A take-up rate of 61 per cent for a benefit designed to keep older people out of poverty is indefensible – and this rate has stayed stagnant for a decade. Without this money, many people are prevented from living with dignity and having a social, well-connected later life.

“The Government needs to urgently create an action plan that contains high quality, up-to-date research into who is not claiming Pension Credit and why they are not receiving it. There needs to be recognition of the active role the Government must to play to increase Pension Credit take-up.”

Pension Credit recipient Bert Pearson, aged 94, said without the benefit, he would struggle to pay for basic essentials like heating and food.

“They rarely tell you what you’re eligible for – it’s up to you to go and find out for yourself”, Mr Pearson said. “For me, it’s opened up the door to other things, like the winter fuel payment. If I had any less than I did now, I’d be struggling to get by. It would make an awful difference. Many people don’t realise that when you’re on an income like mine, you have set out pound for pound where it’s going to go. Quite frankly, when you’ve done that, there’s nothing left.”

Responding to the report, Cllr Ian Hudspeth, Chairman of the Local Government Association’s Community Wellbeing Board, said: “There are a range of ways in which older people can receive support and it is essential they are able to access all the benefits and other entitlements that they are eligible for. Improved take-up of pension credit should be an ambition with the primary motivation being to reduce health inequalities, ensure people are kept out of poverty and able to live the lives they want to lead. Any resultant savings in providing health and social care services would be good news and supports the case for increased investment in prevention.

“This helpful report should be considered by government as it develops its proposals for the future of adult social care in England, which needs to include not just older people but working-age adults and all those who use and work in social care. We look forward to the start of promised cross-party talks on the future of adult social care, as soon as possible.”

* Read The cost of pensioner poverty and non-take-up of Pension Credit here

* Local Government Association https://www.local.gov.uk/

* Independent Age https://www.independentage.org/

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