Building Stronger Communities

The COVID-19 Pandemic has highlighted the importance of strong communities, supporting and looking out for each other. However, strong communities do not happen by accident; they need to be nurtured and supported. In a paper published today by the Reid Foundation, I set out nine ways we can build stronger communities through a comprehensive programme of action.

Austerity has undermined many of the local institutions that bind our communities together. Cuts to our libraries, community learning, youth work, day centres and grants to voluntary organisations have all contributed to a weakening of local communities. These cuts impact adversely and more acutely on the most disadvantaged individuals, communities and groups.

That is why social infrastructure is vitally important to strong communities. Social infrastructure relates to the physical conditions that determine whether personal relationships can flourish. When social infrastructure is robust, it fosters contact, mutual support, and collaboration among friends and neighbours. When degraded, it inhibits social activity, leaving families and individuals to fend for themselves. The paper looks at a wide range of initiatives that can strengthen social infrastructure including, good housing, libraries, leisure facilities, voluntary organisations, community ownership and the role of planning. Social media can be part of social infrastructure but it depends on connectivity which can be limited and unequal in many communities.

A strong local economy is an important element of strong communities. Scotland’s high streets and town centres were struggling even before the pandemic with five stores a week closing. We need to rethink our town centres as places where people live and work, not just shop, although that will remain important. Community Wealth Building should be at the core of the measures needed to rebuild local economies, based on wellbeing and inclusion.

Stronger communities also have to be sustainable communities, based on more local (particularly food) production, community energy, developing a sharing economy, better public transport and support for active travel. Place also impacts on health and wellbeing and contributes to creating or reducing inequalities. Sufficient social infrastructure helps tackle isolation and improves physical and mental health. This includes how we design communities and create integrated local health and care services.

Providing better services is not enough to create stronger communities - citizens also have to be actively engaged. So, local democracy should sit alongside measures to decentralise powers and democratise the economy. A fairer Scotland where we care about each other, where people can pool their resources, demand accountability, build institutions and influence the decisions that affect them. This must include the decentralisation of power with national government to focus on setting frameworks, leaving the delivery of services to local democratic control. Local integrated services should be based around community hubs in recognisable communities of place. The pandemic has highlighted the importance of local services and the workers who deliver them - we should ‘Build Back Better’ based on the principle of subsidiarity.

It isn’t that nothing has been done about these issues in Scotland. There are many good initiatives highlighted in the paper that individually address many of the key issues. The problem is that many are small scale and process-oriented. What we need is a real focus on communities as the building block of society and a comprehensive programme of integrated support.

Big business and public health

Two recent health stories highlight the challenge for public health when sensible measures to tackle tobacco and alcohol abuse run up against the commercial interests of big business

A recent study by Cancer Research shows that almost 20,000 children in Scotland start smoking every year. They have called on the Scottish Government to act quickly on its pledge to introduce legislation on plain packaging for cigarettes. A similar move by the UK Government was put on hold earlier this year with a strong suspicion (subsequently denied) that Tory strategist Lynton Crosby influenced the decision on behalf of his commercial clients.

The Scottish Government's recently published programme for government confirms that they are still committed to introducing this measure. However, for now, they are promising a consultation and legislation is not likely before 2014/15.

The public health benefits of this measure are clear. The research shows that packaging without branding is less appealing to children and would support other action to discourage young people from starting to smoke. Vicky Crichton said: “Smoking is a serious problem in Scotland with almost 20,000 children, tempted by glitzy, slickly designed packs, being lured into starting smoking every year. It is an addiction that is often life-long and kills more than 4,000 Scots annually. If the Scottish Government is serious about curbing the death toll caused by this lethal habit and meeting its goal for Scotland to become a nation free from tobacco by 2034, then swift action needs to be taken.”

The importance of tackling smoking amongst the young is highlighted by the statistic that  eight out of ten adult smokers start the habit by the age of 19. If the tobacco industry can catch them young, they are likely to have a customer for life. While the rest of us pick up the public health tab.

The second story covered the latest alcohol consumption statistics. Adults in Scotland are continuing to drink more heavily than those south of the Border. Beer, wine and cider sales are similar to England and Wales. However, Scots drink far more spirits, almost three litres per adult per year, compared to less than two litres in England and Wales. Vodka, not whisky is the tipple of preference. It should be said that the good news is that alcohol consumption overall is reducing. However, it remains to be seen if this is more about the economy than a long term shift in consumption. 

NHS Health Scotland also found two-thirds of alcohol sold in 2012 was below the proposed minimum price of 50p per unit. The Scottish Government has taken steps to reduce harmful drinking, with measures such as banning multi-buy discounts, and it wants to create a minimum price to eliminate cheap alcohol from the market. They believe the fact that a quarter of alcohol bought from off-sales in 2012 was below 40p per unit, and two-thirds below 50p, adds weight to its legislation to introduce a minimum price.

Public health minister Michael Matheson said: “We still drink around a fifth more than England and Wales. That is fuelling much higher levels of harm, which results in 100 alcohol-related hospital admissions a day and costs Scotland £3.6 billion each year – £900 for every adult in Scotland.”

And that brings us back to big business because the Scottish Government’s plans have been delayed by a legal challenge from the drinks industry. Even at EU level objections have come in from cheap wine producers. Campbell Evans of the Scotch Whisky Association said: “Minimum unit pricing is not the way to tackle misuse – it does not target the heaviest drinkers, it would be illegal and it would damage the Scotch whisky industry.”

You see it's not about profit, the measure just wouldn't be effective. A familiar refrain from big business to justify their actions over the years. In the case of tobacco and alcohol, a combination of lobbying and legal action is certainly delaying important public health measures.