The case for universal basic services

by Hannah Brunton and Scott Faulds

There are longstanding debates around what should be included in the provision of public services, and this issue was central to the discussion at a recent Glasgow Centre for Population Health (GCPH) Seminar (series 16: lecture 2), at which Dr. Anna Coote presented her proposal for ‘Universal Basic Services’ (UBS). The need for public services like healthcare and education is widely recognised, but services such as adult social care, housing and transport remain largely privatised. As poverty, inequality and environmental issues become increasingly prevalent, could UBS be what is needed to transform public service provision to tackle such problems?

What are universal basic services?

The basic premise of UBS is the idea that public services should be improved and expanded to sufficiently cover all of life’s everyday essentials, for everyone who needs them, irrespective of their ability to pay. One of the main principles identified by Dr. Coote was the idea that public service provision should be guided by the shared basic needs which are common to all in society, such as food, shelter, housing, transport, information, education and healthcare. By combining existing resources and taking collective responsibility for meeting these needs, Dr. Coote proposes that UBS would be a sustainable system that would also allow future generations to manage their own continually changing needs.

A core aspect of the proposal is the idea of the “social wage” whereby all members of society receive a ‘virtual income’ via collective public services, topped up by income support for those who need it, to ensure that everyone’s income is sufficient and that everyone is able to afford the essentials that they are expected to pay for themselves.

How would UBS work in practice?

The proposal involves expanding the variety of public services offered, as well as improving those which exist already, such as education and healthcare. Dr. Coote argues that public services should be broadened to include childcare, adult social care, transport, housing, and information services, universally available to all, and free at the point of use.

However, as Dr. Coote acknowledges, this is easier said than done. The implementation of UBS would mean a major transformation of public services and would require a great deal of investment in social infrastructure, as well as the establishment of clear entitlements to ensure everyone has an equal right to access the services they need.

In practice, Dr. Coote proposes a bespoke approach for each area of need, based on case studies from a range of European countries. For example, the proposal recommends a universal childcare scheme based on Norway’s childcare system, and a free bus system based on transport schemes in France and Estonia.

Benefits of UBS

While Dr. Coote acknowledges the potential difficulties in implementing a system like UBS, her talk outlined the broad range of potential benefits which such a system could bring about, in terms of equality, efficiency, solidarity and sustainability. In terms of social and economic inequality, Dr. Coote argues that UBS could tackle this by reducing income equalities by 20%. The proposal also argues that efficiency would be improved, as investment in public services would deliver more social and economic value than the current market system does. Furthermore, Dr. Coote argues, taking collective responsibility, combining resources, and sharing risks would help to build solidarity and empathy. Finally, with regard to sustainability, UBS could help to tackle the climate crisis by reducing carbon emissions and protecting natural resources, while also improving public health and wellbeing and boosting employment.

Universal basic income

Recently, there has been a spate of trials of what is known as universal basic income (UBI), a form of cash payment paid to every citizen regardless of income or employment status. The concepts of UBS and UBI are in some sense relatively similar: both involve providing some form of statutory support to all citizens. However, Dr Coote, argues that the provision of UBS with a sufficient UBI would be fiscally incompatible. Instead, she suggests implementation of UBS in tandem with a generous, guaranteed income protection scheme. This would include:

  • restoring child benefit to 2010 levels in real terms;
  • swapping the tax-free personal allowance for a cash payment for all but the richest;
  • improving social security payments by 5% for all;
  • removing caps and reduceing rates at which benefits are withdrawn.

The combination of this scheme and UBS have been estimated to cost 5.8% of GDP. By comparison, the provision of a sufficient UBI alone would cost between 20% to 30% of GDP. Dr Coote, invokes the work of Luke Martinelli, who concludes: “an affordable UBI would be inadequate, and an adequate UBI would be unaffordable”. In short, Dr Coote, believes that the provision of a sufficient UBI is unaffordable and that the delivery of UBS, whilst not perfect, avoids the ineffective use of huge amounts of public money which could instead be used to improve and expand upon collective public services.

Additionally, Dr Coote, states that even from an ideological standpoint UBS and UBI are incompatible, arguing that UBI is: “an individualistic, monetary intervention that undermines social solidarity and fails to tackle the underlying causes of poverty, unemployment and inequality”.

For example, proponents of UBS argue that providing people in poverty with a UBI to fend for themselves within an inflated housing market is an inefficient use of public money and contend that it would be more effective to provide quality housing. Research conducted by Oxfam has found that the “virtual income” provided by the provision of universal public services helps to reduce income inequality in OECD countries by roughly 20%. Therefore, it could be argued that by deploying UBS, and substantially enlarging the social wage, people will need less disposable income to meet their needs and flourish.

Final thoughts

At its very core, the concept of UBS can be seen as a desire to create more and better collective services, available as a right, rather than by an individual’s ability to pay. Throughout the seminar, Dr Coote was clear in her belief that UBS is not a silver bullet.  Instead it should be viewed as a principled framework that challenges conventional economic thinking and provides a vision of a better future. In short, UBS can be seen as an attempt to reclaim the collective ideal and as a desire to extend the ‘social wage’ to best meet the collective needs of everyone in society.


Follow us on Twitter to see which topics are interesting our Research Officers this week.

If you enjoyed this article you may also like to read:

Public health in Scotland … problems and solutions

scotpho logoBy Stacey Dingwall

On Friday 11 September 2015 I attended the annual seminar of the Public Health Information Network for Scotland (PHINS) at Glasgow Royal Concert Hall. Now in its 16th year, the event provides an opportunity to keep up to date with the latest developments in public health related issues and research at both the local and national level.

This year’s sessions were focused around two themes: health inequalities in Scotland, and active travel.

Health inequalities in Scotland: causes and interventions

The first speaker of the day was David Walsh of the Glasgow Centre for Population Health (GCPH). David outlined the findings of research he’s been involved in, looking at explanations for excess mortality in Scotland compared to the rest of the UK and Europe, and in Glasgow particularly. Currently, there are still 5,000 ‘extra’ deaths in Scotland than in England each year, i.e. excess mortality.

The session particularly focused on the findings of the 2013 study, Exploring potential reasons for Glasgow’s ‘excess’ mortality: results of a three-city survey of Glasgow, Liverpool and Manchester. These three cities are home to the highest levels of deprivation in the UK and consequently, the lowest life expectancies, with Glasgow being the worst of the three. David explained that over 40 potential causes for this were synthesised as part of the research, with the following identified as among the most plausible explanations:

  • The scale of urban change post World War 2 had a larger impact on Glasgow, in the form of slum clearances, the construction of poorer housing and large amounts of high rise flats, and limited investment in maintenance of this housing.
  • The ‘socially selective’ new towns programme created social divisions, with only the wealthier and higher-skilled able to move there.
  • Different responses at the local political level – Manchester and especially Liverpool vehemently resisted the Conservative policies of the time, however this was not the case in Glasgow.

The morning also saw a presentation from Jim McCormick from the Joseph Rowntree Foundation (JRF) on rising poverty levels in Scotland and the UK since the recession. Jim suggested that the increasing casual nature of work now seen in the UK is what is driving the rise of poverty. He highlighted the hourglass shaped economy we now have, due to the disappearance of mid-level semi-skilled jobs alongside a rise in higher- and lower-skilled jobs.

An analysis of whether a National Living Wage would bring different groups up to the JRF’s annual Minimum Income Standard by 2020 was also presented; according to their findings, the only group that will be close to it is single people without children.

Physical activity and active travel in Scotland and the UK

The first session after the break saw another presentation from GCPH – this time from Bruce Whyte on trends and challenges in active travel in Scotland (i.e. walking and cycling).

It was highlighted that travelling by car remains the most popular mode for people to travel to work, despite the fact that most of the journeys undertaken are short (i.e. less than two miles long). Bruce highlighted successful initiatives in this area in Glasgow, however, including the cycle hire scheme and the development of the Kelvingrove-Anderston cycling and walking route, on which GCPH published a report earlier this year. His presentation included comment from those who use the route on its health and safety benefits, and it was suggested that its success has led to impetus for similar projects in the city.

The following presentation came from Niamh Shortt of the Centre for Research on Environment, Society and Health (CRESH) at the University of Edinburgh. She looked at the findings from research into whether the physical environment has an impact on inequalities in physical activity and active travel. Tying in with the first theme of the day, this session noted the impact of health and income inequalities on physical activity rates and travel mode choices.

The morning was rounded off by Stuart Hay of Living Streets Scotland, a charity working to promote the benefits of walking and ensure that the country’s streets are fit to do so. Stuart praised the work of the Scottish Government in this area, highlighting the development of a separate walking strategy for the country. He concluded that we have the policy infrastructure in place, and it’s now time to ensure it is implemented.


Follow us on Twitter to see what developments in public and social policy are interesting our research team.

Read our other recent articles on public health issues:

The Idox Information Service can give you access to a wealth of further information on health inequalities and active travel, to find out more on how to become a member, contact us.

Public Health Information Network for Scotland (PHINS) – 14th Seminar

Image of outside of the Glasgow Royal Concert Hall.

Image by Neil Turner under Creative Commons License, via Flickr

By Steven McGinty

On the 10th October I attended an annual event organised by the Scottish Public Health Observatory (ScotPHO) in the Royal Concert Hall in Glasgow. The event focused on health inequalities and the factors driving them. It brought together individuals from a variety of areas, including academia, public health organisations, local and central government, and the voluntary sector to review current evidence, highlight upcoming research and debate key issues with fellow professionals. Continue reading