Britain does have a benefits crisis, but it’s not what you think

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Good afternoon and welcome to this week’s The State We’re In. Welfare reform of Britain’s benefits system is not a classic August subject, and yet, here we are.

The Prime Minister Andy Burnham, the leader of Her Majesty’s Opposition, Kemi Badenoch and the man who recently beat Count Binface in a rather pyrrhic victory in Clacton, Reform leader Nigel Farage, are all talking about it.

Burnham signalled that benefits changes were a priority for him by opting to keep Welfare Secretary Pat McFadden in post to continue the difficult task of overseeing sensitive welfare changes to disability benefits and youth unemployment support.

How some prostate cancers ‘can be diagnosed without biopsy’

Researchers at University College London Hospitals (UCLH) have found MRI scans can be used to detect cancer in some men with a high degree of certainty.

Stereotactic Neurosurgery operation, Pasteur 2 Hospital, Nice, France, Treating Parkinsons disease through deep brain stimulation, by implanting electrodes in brain, modulating abnormal cerebral electrical activity, Carrying out the pre-op MRI scan. The scan will enable electrode targets and trajectories to be established. (Photo by: BSIP/Universal Images Group via Getty Images)

What the research found

  • Men may not need to have a biopsy to diagnose prostate cancer.
  • Radiologists looked at scan results combined with the patient’s age and their prostate-specific antigen (PSA) score.
  • Of the 69 patients deemed to be “99 per cent certain” they had a tumour via their MRI scan, all of them had cancer confirmed through biopsy.
  • Researchers said this indicates certain men may not need to have invasive biopsies.

What does this mean?

UCLH consultant radiologist Alex Kirkham said the research indicates prostate cancer could join the list of cancers which can be diagnosed with a scan alone.

Consultant urologist and professor of interventional oncology Mark Emberton said it is particularly important as prostate cancer incidence is only set to rise.

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Th expert reaction

Avoiding unnecessary biopsies is an important goal in  cancer care, because they can be painful, invasive and can cause infections… Using MRI alone to diagnose these cancers could make the process much safer and easier for men, and less costly for the NHS.

Dr Matthew Hobbs, director of research at  Cancer UK
WALSALL, ENGLAND - DECEMBER 12: Prostate Cancer UK branding on a hoodie worn by a fan during the Emirates FA Cup Second Round Replay match between Walsall and Alfreton Town at Poundland Bescot Stadium on December 12, 2023 in Walsall, England. (Photo by Marc Atkins/Getty Images)
An elderly volunteer answers phones at an office for the Contra Costa County Food Bank. (Photo by Bob Rowan/Corbis via Getty Images)

Why better sleep could keep people working for longer


Researchers in Finland examined data from people aged between 50 and 68 to look at the correlation between sleeping habits and the ability to continue working.

The story in numbers

13 years, five months

Regularly disturbed sleep was linked to leaving the workforce months early.

People who reported no disturbances had a working life expectancy of 13 years and five months.

Six years, five months

The shortest working life expectancy was found among men in routine jobs with low levels of education who slept for more than nine hours a night.

They had an average of six years and five months left in work after the age of 50.

What does this tell us?

Researchers said the findings, published in the journal , suggest healthy sleep (under seven hours but undisturbed) may help people keep working as they age.

“To promote older adults’ participation in working life, supporting sleep of recommended length and good quality may be required,” they added.

Woman sleeping in her bed. (Photo by: BSIP/Universal Images Group via Getty Images)

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How the UK’s child ADHD diagnosis rates compare to the rest of the world

The former president of the Royal College of General Practitioners has said she would “ban the label ADHD” and that it should be treated as a “social construct” instead of a neurodevelopmental condition.

What is the situation?

Speaking to  ahead of the Channel 4 documentary The Great ADHD Myth?, Dr Iona Heath criticised overdiagnosis and argued there is no scientific evidence that those diagnosed have neurological differences.

Earlier this year, then-health secretary Wes Streeting said there was an “overdiagnosis” problem and launched a review.

GPs said the national staffing shortage was to blame for the increase in short-staffed out of hours services.

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What does the UK data reveal?

  •  and National Institute for Health and Care Excellence (Nice) put the UK rate of childhood ADHD at 5 per cent, and 3 to 4 per cent for adults.
  • One study found ADHD diagnoses increased in the UK from 2000 to 2018.
  • By 2018, the highest rates were in boys aged 10 to 16 – 3.5 per cent had been diagnosed. Back in 2000, this number was 1.4 per cent.

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How we compare with other countries

In the US, 11.4 per cent of children aged three to 17 years old were diagnosed with ADHD in 2024. In Europe, a 2023 French study indicated 3.68 per cent of children (800,000) have ADHD compared with 5.5 per cent of adults (1.4 million).

School child with educational special needs working in class with help from teaching assistant

Meanwhile, in Spain, estimates of ADHD prevalence in children range from 5.5 per cent to 6.8 per cent.

A closer look at the review

The ongoing Government review is led by Professor Peter Fonagy, national clinical adviser on children’s mental health. 

An interim report, published in March this year, identified rising diagnosis rates as an issue alongside people with ADHD and autism failing to get the support they need.

The final report is set to focus on how to make more support available that is “less dependent on diagnostic thresholds” and “more responsive to functional need”.

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TOPSHOT - A 1996 photo of rapper Tupac Shakur (L) and Marion "Suge" Knight is displayed during the Duane Davis murder trial, related to the 1996 killing of the rapper, at Clark County District Court at the Regional Justice Center in Las Vegas, Nevada, on August 17, 2026. The trial of the former gang leader accused of orchestrating the murder of rapper Tupac Shakur began on August 10, 30 years after one of America's most high-profile unresolved killings. The proceedings, expected to last a month, will likely not make clear who fired the shots that killed the California hip-hop legend on the night of September 7, 1996, while he was in Las Vegas to see a Mike Tyson boxing match. (Photo by STEVE MARCUS / POOL / AFP via Getty Images)

us news

What you need to know as Tupac Shakur murder trial begins


Duane “Keffe D” Davis, 63, allegedly orchestrated the killing of the rapper back in 1996.

It is the first time anyone has gone on trial in connection with the infamous drive-by shooting.

Everything we know so far

  • Prosecutors allege that Davis did not fire the gun himself, but did mastermind the killing.
  • He is a former gang leader and uncle of the man long suspected of shooting Tupac.
  • Davis has pleaded not guilty and denies the allegations.
  • The trial is expected to last up to six weeks and may feature testimony from one of the other passengers of the car.

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What happened on the night

There were witnesses to the murder who could put together a timeline of events, though police have never arrested a suspected killer.

  • On 7 September, 1996, Tupac went to watch a Mike Tyson boxing match on the Las Vegas strip.
  • He and Marion “Suge” Knight, the head of his record label, got into a fight with Orlando Anderson, Duane Davis’s nephew and a suspected member of the South Side Compton Crips gang.
  • Leaving the match with Suge, Tupac was shot four times in a drive-by shooting from the back of a white Cadillac.
  • Six days later, on 13 September, he died in hospital. He was 25 years old.

What have the lawyers said?

Prosecutor Binu Palal told the jury: “Let’s be clear, Duane Davis did not pull the trigger. But he did plan the shooting in retaliation of the beating of his nephew.”

Meanwhile, Davis’s attorneys questioned “what facts do they have after 30 years?” and labelled the allegations “fiction”.

Duane "Keffe D" Davis appears at Clark County District Court on the third day of jury selection for his trial for his alleged role in leading a group of men to kill Tupac Shakur in a 1996 drive-by shooting near the Las Vegas Strip, in Las Vegas, Nevada, U.S., August 12, 2026. Steve Marcus/via REUTERS

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Wetherspoons bans playing music or taking calls on speaker

People check news on their mobile phone while watching the Brexit deal vote on a television at the James Joyce pub in Brussels, Belgium, on Tuesday, Jan. 15, 2019. U.K. Prime Minister??Theresa May's??Brexit deal was rejected by Parliament in a humiliating defeat, her plan for leaving the European Union all but dead. She now faces a confidence vote in her government. Photographer: Dario Pignatelli/Bloomberg via Getty Images

JD Wetherspoon founder and CEO Sir Tim Martin said “we are kindly asking phone users to pipe down” while in his pubs.

It joins widespread calls for measures to tackle antisocial phone use in public.

What you need to know

The pub chain said it had taken the decision across all of its 792 sites “following complaints from customers, who are being driven nuts by other people’s videos and amplified phone conversations”.

It requested that customers “switch their phones to silent” or “use earphones” rather than disturb others.

A mug of beer is seen on a table in Krakow, Poland on October 25, 2024. (Photo by Jakub Porzycki/NurPhoto via Getty Images)

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The fight-back against noise

  • The Liberal Democrats have previously called for fines of up to £1,000 for “headphone dodgers” who play music out loud on buses and trains.
  • A YouGov poll published in 2025 suggested 62 per cent of people would back the move.
  • In London, Mayor Sir Sadiq Khan rolled out a campaign last year encouraging people to use headphones when playing music on the city’s transport network.

Bungling this by a) failing to do it and b) losing the support of the Parliamentary Labour Party (PLP) along the way was, arguably, a major reason for Burnham’s predecessor Sir Keir Starmer’s downfall.

Coming up in this week’s newsletter:

  • Why Britain’s welfare crisis is not quite what politicians say it is…
  • The harsh truth about why so many Brits need benefits…
  • New polling suggests young people have clocked that hard work is no longer enough
  • And, finally, Labour’s major planning changes: homes around stations and preserving pubs

The Prime Minister has signalled that significant change is coming, saying that the country needs to “get really serious” in reducing the welfare bill and that he wants to “ required to receive benefits”.

Badenoch then tried to pre-empt any Labour policies in a Telegraph op-ed by arguing that the Tories would take away foreign nationals’ right to social housing (more on why that’s not quite the announcement the Tories think it is in a moment).

Reform have now also thrown their weight at this issue. In a press conference on Monday, Nigel Farage’s party announced plans to cut around £50bn from the benefits bill, exclude foreign nationals from most benefits and replace the disability payments system.

So, which party has the right approach?

The truth about Britain’s benefits bill

It is true that Britain’s benefits bill is rising.

This year the Government to spend a total of £322bn on welfare in Great Britain, or 10.6 per cent of our GDP.

But what neither Reform nor the Tories have admitted is that just under half of that goes on the state pension. As I wrote here, our economic reality was very different when David Cameron and George Osborne brought in the triple lock, which guarantees pensioners a pay rise every year no matter what.

It is also true that the number of people, and therefore the cost of disability and health-related benefits are rising.

As I reported a few weeks ago from the interim launch of the Timms Review, which will decide how Personal Independence Payments (PIP) should be reformed, spending on this benefit is expected to jump from £26bn to over £41bn by 2030.

PIP began to replace Disability Living Allowance (DLA) in 2013. Unlike DLA, which often gave people lifetime benefits, PIP requires regular review, and if someone’s conditions worsen, they must apply for the enhanced rate of the benefit as opposed to the lesser standard rate.

The surge in PIP’s cost has been driven by two factors: firstly more older people claim it and, secondly, more than 100,000 people with ADHD as their main condition now receive PIP. The latest government figures show an increase of 40 per cent in these cases since Labour came to power two years ago.

And, finally, as I have reported extensively, the number of young people aged 16-24 who need benefits because they are not in education, employment or training (NEET) has risen.

The number of young people in the UK classified as has surpassed 1.01 million, reaching its highest level in over a decade, according to data from the Office for National Statistics (ONS).

However, it is just not true that Britain’s benefits problems have been driven by a surge in foreign nationals making claims.

Figures published in 2025 showed that more than a million Universal Credit claimants were born overseas, including around 700,000 EU citizens who arrived in the UK before Brexit and have the right to live and work in the UK.

In terms of social housing allocation, according to official statistics, most lead tenants of households with a new social letting in 2024/25 were UK nationals (89 per cent, or 233,000 lead tenants). European nationals comprised 4 per cent of lead tenants (10,000) with the remaining 8 per cent from nations outside the European Economic Area (EEA) (20,000). This distribution is similar to the previous year.

The difficult truth

Labour knows that Britain has a welfare problem. That is why work evaluating the system is already happening, whether that’s Sir Stephen Timms’ major PIP review or Alan Milburn’s nationwide assessment of youth inactivity. Both will report their findings later this year.

Behind closed doors at the Treasury, the growing benefits bill – which includes the state pension – is a cause of major concern for civil servants who work on Britain’s financial security regardless of which party is in power.

The bitter truth is that no sitting prime minister wants to touch the state pension because it would be an electoral disaster.

But, blaming the problem on foreign nationals as both the Tories and Reform have tried to do is somewhat lazy.

Solutions, not cuts

It is easy to talk about cuts, but far harder to ask a more nuanced set of questions: why are so many young adults now struggling? Why do so many people now report having ADHD? What has changed in our society? Is our economy still serving all who participate in it?

To the credit of McFadden, Timms and Milburn, they are asking these questions even if the answers will necessitate more complicated policy answers than merely cutting people’s support.

As McFadden put it to me at a Department for Work and Pensions (DWP) jobs fair earlier this year, he thinks the Government needs to “start with the right exam question”.

That is not “what benefits are you entitled to” but, instead, “how can the government help change your life?”

McFadden, like Timms, Milburn and Burnham have all said something along the lines of: “Britain must no longer be a place where people are signed off and written off.”

Labour’s plans for welfare reform are taking shape.

So far, as I learned from Timms when I interviewed him, it is likely that PIP assessments will be completely overhauled. It is also possible that some people will be offered services such as therapy or home help instead of cash benefits.

On a trip to the Netherlands with McFadden in July, I observed a government “fact-finding” mission to the country with Europe’s lowest NEET rate. While there, the work and pensions secretary signalled that he favours giving young people more support to stay in education and training, not less. He also made it clear that he doesn’t think Universal Credit is fit for purpose.

One of the headline-grabbing rabbits in the hat of Reform’s big benefits announcement on Monday was a plan to abolish PIP and the health element of Universal Credit entirely and replace them with a new, regularly reviewed “health security allowance” for the “gravely ill and severely challenged”. Businesses would be required to pay for sick employees for two years, getting a cut in employers’ National Insurance contributions (NICs) in return.

A policy which so bluntly suggests passing the upfront cost burden of support to employers would very unlikely survive any contact whatsoever with British businesses, not only because of an increased cost burden but also the additional admin this would entail, politically convenient as offering to cut the NICs that Rachel Reeves hiked might be.

However, if you listen to what Milburn, McFadden and Timms all say, it is clear that Labour are also looking at what more employers can do to support people with disabilities or health issues to access work as much as they are able.

The real causes of the problem

Labour may be asking the right questions. But there is still an elephant in the room. One that looms almost as large as the state pension.

On Sunday, I had my hair cut. My hairdresser is a single mum. She is in her mid-thirties, similar in age to me. She is in work. She has always worked.

And yet, she relies on £1,400 a month in Universal Credit, both in terms of child benefit and housing benefit. Without it, she cannot afford her rent.

She would like to work more, but she is afraid of losing her Universal Credit and aware that her work is unstable because when her clients are struggling with the cost of living, they see her less.

According to official figures from the Department for Work and Pensions, 37.8 per cent of people on Universal Credit were in some form of employment (PAYE or self-employment) as of January 2026. This accounts for approximately 3.1 million working claimants out of a total caseload of 8.3 million people.

In recent years, I have reported that some Universal Credit recipients rely on PIP to pay their rent because housing benefit has been frozen on and off for years while rents have soared.

And, yet, the cost of housing is nowhere in this conversation.

Nor is the fact that millions of young adults, like my hairdresser, are working, grinding and doing everything they can but, somehow, still finding that they cannot earn enough to survive without help.

New polling published on Tuesday by the Alan Milburn Review and intended to gauge the general population’s attitudes on the recent rise in the number of NEETs suggests that Brits have cottoned on to this.

A survey of 2,180 UK adults (aged 16 to 75) conducted between 31st July and 5th August 2026 by Ipsos revealed that just 27 per cent of respondents said that success depends mainly on hard work, while 22 per cent said it depends on who someone knows or their family background. Only 5 per cent believed success to be based on talent.

When it comes to welfare reform, the fact that hard work is no longer viewed as enough to thrive, let alone survive, is Britain’s final benefits frontier.

The Government must address welfare reform. But they must also seriously engage with housing costs and ask an even more complex “essay question” to borrow McFadden’s term: how can we make sure hard work pays off?

Housing crisis watch

Housing Secretary Angela Rayner and Housing and Planning Minister Matthew Pennycook’s long-awaited changes to the National Planning Policy Framework (NPPF) are now in force.

We already knew that it would include a “default yes” to make it easier to approve planning for new housing near stations and other transport hubs.

Another interesting element is a provision to protect pubs at risk from closure, making it harder to convert them into housing or retail space.

Vicky’s pick

Like everyone else, I tried to watch the eclipse through a colander. I think I saw something? Last week, I also went to the Proms and saw some Beethoven performed by the LA Symphony Orchestra.

Original source Britain does have a benefits crisis, but it’s not what you think

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