Child Wellbeing in England,
Scotland and Wales
Comparisons and variations
Lucas Pedace
RESEARCH & POLICY FOR THE REAL WORLD
RESEARCH
PAPER
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Family and Parenting Institute
Governance of Parenting Support
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Contents
	 Key findings 2
1 	Introduction 3
2 	Data 4
3	 Comparison of family income for children in
England, Scotland and Wales 5
4 	 Children’s wellbeing in England, Scotland
and Wales 6
5 	 Conclusions 10
	References 11
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Key findings
Children’s wellbeing in Britain has been the subject of
impassioned debate since a 2007 UNICEF report put the
UK at the bottom of a list of 21 rich countries for
wellbeing.
In this report we use data from the 2005 Families and
Children Study (FACS) to look at England, Scotland and
Wales and compare income and wellbeing indicators in all
three countries.
Adjusted incomes (for what families can buy with it) are
slightly smaller for poorer families and child poverty is
greater in England than in Scotland and Wales, but
England fares better than its smaller neighbours when it
comes to key wellbeing indicators such as health, housing
and child behaviour.
We argue that when comparing different countries on the
British mainland, income by itself is not the best measure
of children’s wellbeing.
•	 Welsh children fare worse, on average, than their
counterparts in England and Scotland under six
wellbeing outcomes (including health). Moreover,
childhood accidents for the poorest children – a
quarter of families report them – are particularly high
in Wales compared to Scotland and England.
•	 Of the 10 indicators of child wellbeing identified in
the study English children also come top, on average,
in more of them than Scottish or Welsh children.
•	 Children in England are, on average, more healthy
than children in Wales or Scotland; they are less likely
to have accidents and less likely to be bullied at
school.
•	 But police are much more likely to get in touch with
poor parents in England than poor parents in
Scotland or Wales about their children’s behaviour
(although overall English families report that police
are slightly less likely to be in touch with them about
their children than in Wales and Scotland).
•	 Poor families in England are twice as likely as Welsh
families to report that their children do not have a
quiet place to do their homework at home.
•	 In England, houses are reported to be in better repair
than in Scotland and Wales – this is particularly
marked for the poorest Scottish families whose
houses are in far worse repair than for the poorest
English families.
•	 About a fifth of poor Scottish families also report
their houses are not warm enough – more than in
England or Wales.
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“The United Kingdom’s National Family and
Parenting Institute, for example, has conducted
surveys to estimate the number of children who
could answer ‘yes’ to statements such as:
•	 my parent/s are always there for me when
I need them
•	 my parent/s make me feel loved and cared for
•	 I can talk to my parent/s about any problem
which I may have…”
“In the absence of such detailed data for other
OECD countries, this attempt to include
‘relationships’ in the overview of child well-being
should be regarded as an initial step towards
monitoring this dimension of child well-being.”
Recommendations such as this underscore the need for
UK policymakers to pay attention to the issue of child
wellbeing in the round, to take the necessary actions to
constantly monitor its progress and to measure more
revealing related dimensions.
This paper offers new evidence on child wellbeing in the
UK by analysing recent data from the seventh wave of
the Families and Children Study (FACS). This survey was
carried out in 2005 and data was released in 2007.
Moreover, to the best of our knowledge, this is the first
time that Amartya Sen’s capability approach has been
employed to investigate children’s wellbeing across
England, Scotland and Wales. The capability approach is
integral to Sen’s contributions to welfare economics, for
which he was awarded the Nobel Memorial Prize in
Economics in 1998 (Atkinson, 1999; Arrow, 1999).
The empirical application of the capability approach has
attracted much interest. The Human Development Index,
published by the United Nations Development
Programme, has been greatly influenced by Sen’s concept
(Anand and Ravallion, 1993). Sen’s approach is employed
in several empirical studies on the UK (some of which are
reviewed in Kuklys, 2005, p. 24). Additionally, an
independent enquiry, commissioned by the then prime
minister Tony Blair, adopted it as a basis for the
conceptualisation and measurement of inequality in
Britain (Cabinet Office, 2006).	
The capability approach
The capability approach comprises two main concepts:
functionings and capabilities.
“The true measure of a nation’s standing is how well
it attends to its children – their health and safety,
their material security, their education and
socialization, and their sense of being loved, valued,
and included in the families and societies into which
they are born.”
UNICEF (2007) Child Poverty in Perspective: An overview
of child well-being in rich countries
1. Introduction
This paper compares the wellbeing of children across
England, Scotland and Wales using the concept of
functionings developed in economist Amartya Sen’s
capability approach. Children’s wellbeing is assessed in
10 different dimensions. The results from this exercise
show that, although England has the highest child poverty
rate, outcomes for English children do not lag behind
those of their Welsh and Scottish peers.
This finding suggests that conclusions from those studies
using income as the only proxy for children’s wellbeing
should be interpreted cautiously.
The 2004 HM Government report Every Child Matters:
Change for Children suggested that over the past few
years the UK had made significant progress towards the
improvement of children’s wellbeing. However, in spite of
that progress, the UK is still lagging behind many
developed countries. The 2007 UNICEF study mentioned
above shows that the UK performs poorly in six
dimensions of children’s wellbeing when compared with
20 other developed nations.
Moreover, while other countries produce regular reports
on child wellbeing, for instance the Kids Count project in
the United States, the UK government does not produce
a regular report on child wellbeing. This gap was partly
addressed by an independent overview of child wellbeing
in the UK presented in a study edited by Bradshaw and
Mayhew in 2005a (Axford, 2006). In addition, the
UNICEF (2007) report highlights the need in countries
within the Organisation for Economic Co-operation and
Development (OECD) to monitor new dimensions of
child wellbeing, citing a survey of young people by the
National Family and Parenting Institute (2000) as a
positive example:
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Nevertheless, since in the UK all parents with a child
under 16 are entitled to Child Benefit and the
Government has estimated the take-up of this benefit to
be 98 per cent,1
the sample can be considered as
representative of all families with children in Britain.
The FACS is a survey carried out via a face-to-face
interview with the mother and the partner (if present).
The person who takes part in this interview is usually the
family’s ‘mother figure’ – an adult with the main
responsibility for looking after children in the family (the
mother in 98 per cent of cases). The survey also provides
a variable for equivalised income employing the OECD
equivalence scale2
(Hoxhallari et al, 2007).
The FACS has been widely used in empirical work. For
example, Disney and Bridges (2004) employ it to examine
the use of credit, default and arrears among low-income
families with children. Additionally, Morris (2007) uses the
FACS to analyse the means through which mothers
arrange for the payment of child support.
In this study, we have focused our attention on the
seventh wave of the FACS, and our final sample
comprises 12,838 children. Children are defined as those
aged 16 years or below, or 17 or 18 years if they are in
full-time education. In the final sample the large majority
of children (10,946) are from England. Children from
Scotland and Wales are 1,125 and 767, respectively.
The FACS contains 69 questions related to children’s
wellbeing. Responses to 10 questions are examined in
this study. More precisely, the answers are used to
construct children’s wellbeing measures indicating:
1	 the proportion of children who do not enjoy good
health
2 	 the proportion of children with a long-standing illness
or disability
3 	 the proportion of children with special educational
needs
4	 the proportion of children who have had an accident
requiring attendance at an accident and emergency
department
5 	 the proportion of children who had behavioural
problems at school
6	 the proportion of children who did something wrong
according to the police
7	 the proportion of children who have been bullied
1 House of Commons Hansard, Written Answers 7 March 2006, col 1296W.
2 The equivalisation of income is the process by which total income is adjusted
for family size (number of family members) and composition (number of parents
and number and age of children).
Functionings are the things a person achieves with the
resources and abilities she or he has. Examples of
functionings are: ‘being in good health’, ‘being well
educated’, ‘being adequately nourished’, ‘being happy’
(Sen, 1992, p. 39).
Capabilities are things that a person has the opportunity
to achieve (e.g. someone might have the opportunity to be
well nourished, but might choose not to do it because he
or she wants to fast). Thus, ‘capability’ involves the full set
of attainable alternative things a person can achieve; it is
the equivalent to the microeconomic concept of an
opportunity set defined in commodities space, but is
instead defined in the space of functionings (Gasper,
2007). In this study we focus only on functionings.
Since the capability approach does not indicate which
particular functionings should be included in the list of
important achievements (Sen, 1999, p. 75), we selected
them by employing the first selection method identified by
Alkire (2007). This method entails drawing on the
available data to select the dimensions. However, we also
chose the functionings taking into account those
employed by Phipps (2002), whose study aimed to
establish a benchmark for comparisons of young
children’s functionings across countries.
The remainder of this paper is as follows. Section 2
considers the data used in the study. Section 3 examines
child poverty rates in England, Scotland and Wales and
also looks at income differences across these countries
for children living in families at the bottom of the income
distribution. Section 4 analyses children’s wellbeing
across England, Scotland and Wales using Sen’s
capability approach. Conclusions are drawn in Section 5,
where findings from the income analysis are compared
with those from the capability approach.
2. Data
The FACS has taken place annually since 1999 and was
originally designed to examine the wellbeing of a
representative sample of low-income families with
children in Britain (Disney and Bridges, 2004). However,
since 2001 the sample has been extended to all families
with children, thereby including high-income families
previously screened out. The sample is taken from Child
Benefit records, so is strictly a sample of Child Benefit
recipients rather than of all families with children.
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8	 the proportion of children living in a house where
there is not a quiet place for them to do their
homework
9	 the proportion of children living in a house that is not
warm enough in winter
10	 the proportion of children living in a house in a poor
state of repair.
3. Comparison of
family income for
children in England,
Scotland and Wales
To put the analysis of the different functionings into
context, we first compare income and child poverty rates
across England, Scotland and Wales. The rationale for
employing income is that it is an important indicator of
children’s wellbeing, as low levels of income are likely to
negatively affect outcomes (Gregg et al, 1999; Feinstein,
2003). Economists often use income as a proxy for
wellbeing, theoretically linking higher income with higher,
but marginally diminishing, levels of wellbeing through the
concept of utility.
Several cross-country studies indicate that the rate of
child poverty in the UK is one of the highest among
developed countries (see, for example, Bradbury and
Jantii, 1999; Vleminckx and Smeeding 2001; Immervoll
et al, 2000; and Bradshaw, 2005). Looking at changes in
the rate over time, a major increase occurred between the
mid-1980s and the mid-1990s. In that period, the
increase in child poverty experienced by the UK was
faster than in almost any other developed country (Oxley
et al, 2001). Although child poverty declined between
1997 and 2005 (Harker, 2006), the trend reversed again
in 2006 (DWP, 2007a). Today child poverty is more than
double what it was 25 years ago.
Table 1 depicts child poverty rates in England, Scotland
and Wales. England has the highest child poverty rate.
Whilst 33 per cent of children in England are poor, the
corresponding figures in Wales and Scotland are 31 per
cent and 28 per cent, respectively. These results are
consistent with those obtained by a recent government
report (DWP, 2007b) that uses data from the FACS 2005.
Table 1  Relative income comparisons
England Scotland Wales
Percentage poor 33% 28% 31%
Percentage rich 15% 14% 13%
Source: FACS 2005
Note: ‘Poor’ means family equivalent income after housing costs is less than
60% of the mean country equivalent income. ‘Rich’ means family equivalent
income is greater or equal to 1.5 times the mean country equivalent income.
Equivalent income has been modified using the OECD equivalence scale.
However, it is possible that year-on-year estimates using FACS data are volatile.
T-tests employing weights from the FACS show that these figures are statisti-
cally different from zero across all countries at the 95% level.
Table 2 Absolute income comparisons for children
England Scotland Wales
All children
Mean £10,151 £10,757 £11,035
Median £8,820 £9,607 £8,370
Bottom quintile
Mean £3,294 £4,059 £4,225
Median £3,561 £4,246 £4,506
2nd quintile
Mean £6,382 £7,610 £7,157
Median £6,124 £7,547 £7,181
3rd quintile
Mean £8,801 £10,158 £9,642
Median £8,713 £10,047 £9,414
4th quintile
Mean £11,765 £12,778 £12,904
Median £11,758 £12,671 £12,696
5th quintile
Mean £22,947 £22,753 £27,612
Median £17,911 £18,633 £22,191
Ratio of mean
all children to
mean of
bottom
quintile
3.27 2.72 2.40
Source: FACS 2005
Note: This is yearly income after housing costs, adjusted using the OECD equiv-
alence scale. The proportion of missing cases in England is 2%, while these are
1% and 2% in Wales and Scotland respectively. Figures are derived employing
Wingfield et al 2005, Table I, regional weights. T-tests employing weights from
the FACS show that these differences are all statistically significant across coun-
tries at the 95% level, with the exception of the difference between England and
Wales in the top quintile of the income distribution.
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than adults (Lazear and Michael, 1986). Additionally, there
is the possibility that resources within a household are not
distributed according to needs (Thomas, 1990, 1992).
Third, there is compelling evidence that the most
important determinant of child outcome seems to be
parenting quality and income is only a crude measure of
this (Heckman 2008). Fourth, household ‘production
activities’ (e.g. playing games, reading stories or cooking a
healthy dinner) are crucial for children’s wellbeing and yet
they are not included in a simple income proxy (Phipps,
2002). Fifth, as Sen (1992) points out, the ability to
convert income into wellbeing varies according to
personal characteristics and circumstances. For example,
children enjoying a higher level of family income may be
worse off in terms of wellbeing because of things such as
having to endure a long-standing illness (e.g. asthma).
In light of the above considerations, we argue that, in
order to study children’s wellbeing, the income analysis
needs to be complemented by Sen’s (1992) functionings
approach. Our 10 functionings have been split into four
main groups: physical wellbeing, behavioural problems,
being bullied and housing problems.
Physical wellbeing
The first group of functionings concerns physical
wellbeing. It includes four functionings:
•	 health
•	 long-standing illness/disability
•	 special educational needs
•	 accidents.
The upper part of Table 3 depicts the health status of
children reported by the person who is responsible for
them. The proportion of children who do not enjoy good
health5
is higher in Wales (3.8 per cent) and Scotland (3
per cent) relative to England (2.8 per cent). Furthermore,
in line with our expectations, health problems increase
with lower income levels. Thus, children in families at the
bottom of the income distribution are more likely to have
a poor health status. However, there appear to be
important differences across countries. Scotland (5.8 per
cent) and Wales (5.6 per cent) display a higher proportion
5 For details on official UK government policies in this area see: Every Child
Matters (DfES, 2003); Choosing Health: Making healthy choices easier (DH,
2004a); National Service Framework for Children, Young People and Maternity
Services (DH, 2004b); Support for Parents: The best start for children (HM
Treasury, 2005); Aiming high for disabled children: better support for families
(DfES and HM Treasury, 2007). The Children’s Plan: Building brighter futures
(DCSF, 2007).
Next we look at differences in absolute incomes.
However, in order to make meaningful comparisons in
income across these countries, we need to account for
differences in price. To address this problem, income
figures are corrected for purchasing power parity (PPP).3
Table 2 shows that average income for all families with
children is highest in Scotland, followed by England and
Wales. Nevertheless, given the purpose of this study, we
are particularly interested in differences at the bottom of
the income distribution. Table 2 shows that England is
consistently found to have the lowest average income in
the first and second income quintiles. Moreover, when
looking at the middle of income distribution, England does
worse than Scotland and Wales. Even children in the third
and fourth income quintiles in England appear to have, on
average, a lower standard of living than their peers in
Scotland and Wales.
In summary, given the expected correlation between
income and children’s wellbeing, Tables 1 and 2 suggest
that there are likely to be more children at risk in England
than in Wales and Scotland.
4. Children’s wellbeing
in England, Scotland
and Wales
Although income, as discussed above, is an important
input into children’s wellbeing, five sets of arguments
suggest that it does not capture other dimensions that
are crucial for children’s development. First, family income
alone can be a misleading concept as it does not provide
any indication of the extent to which families rely on
public services (e.g. medical care, child care, schooling).
This consideration is especially relevant given the
difference in public expenditure per head across
countries.4
Second, while the usual family income
distributions fold all family members together in the family
unit, children may receive a different proportion of income
3 PPP weights come from the Office for National Statistics (ONS) and they
refer to 2004 (Wingfield et al, 2005). Although it would be better to use PPP
weights for 2005, these figures are currently unavailable. Additionally, these
PPP figures can be criticised on the grounds that they do not consider that
families with children consume a different bundle of goods and services than
the average UK household.
4 For differences in public expenditure per head across England, Wales and
Scotland, see McLean and McMillan (2003).
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of children who do not enjoy good health in the first
income quintile compared with England (3.7 per cent).
These findings are broadly in line with those from the
Health Behaviour in School-Aged Children (2001/02)
study that are reported in Bradshaw and Mayhew
(2005b). Children living in Wales were more likely to rate
their health as ‘fair’ or ‘poor’ than children living in England
and Wales. According to Bradshaw and Mayhew, this may
be partly due to Welsh children having the lowest physical
activity rates, eating fruit and vegetables rates and life
satisfaction rates.
Table 3 Health and long-standing illness or
disability
Percentage
(all children)
Percentage
(bottom
quintile)
Ratio of the
bottom
quintile to
the average
Survey question asked
[Since your baby was born/over the last 12 months] would
you say [name of child]’s health has been good, fairly good or
not good?
England
Good 86.1% 83.3% 1
Fairly good 11.1% 12.9% 1.2
Not good 2.8% 3.7% 1.3
Scotland
Good 86.7% 78.5% 0.9
Fairly good 10.3% 15.7% 1.5
Not good 3% 5.8% 1.9
Wales
Good 85.8% 77.2% 0.9
Fairly good 10.4% 17.3% 1.7
Not good 3.8% 5.6% 1.5
Does [name of child] have any long-standing illness or
disability? By long-standing I mean anything that has troubled
[name of child] over a period of time or that is likely to affect
[child’s name] over a period of time?
England 14.6% 15.1% 1.03
Scotland 13.6% 18.6% 1.36
Wales 14.2% 19.3% 1.37
Note: T-tests employing weights from the FACS show that these figures are
statistically different from zero across all countries at the 95% level, with the
exception of the difference between Scotland and Wales under the function-
ing of ‘long-standing illness/disability’ for children in the bottom quintile of the
income distribution.
The lower part of Table 3 looks at the incidence of long-
standing illness or disability. While 13.6 per cent of
children have a long-standing illness or disability in
Scotland, the corresponding figures in Wales and England
are 14.2 per cent and 14.6 per cent respectively. Again,
as expected, also with respect to this indicator, children in
the bottom of the income distribution are especially
negatively affected. For this group of children, the
incidence rate is 15.1 per cent in England, 18.6 per cent
in Scotland and 19.3 per cent in Wales.
The upper part of Table 4 depicts the proportion of
children with special educational needs. Wales has the
highest reported incidence (both on average and for
children living in families at the bottom quintile of the
income distribution), followed by Scotland and England.
Table 4  Special educational needs and accidents
Percentage
(all children)
Percentage
(bottom
quintile)
Ratio of the
bottom
quintile to
the average
Survey question asked
Has [name of child] been identified at school as having a
special educational need?
England 10.4% 11% 1.06
Scotland 7.5% 9.2% 1.21
Wales 10.9% 12% 1.10
[Since your baby was born/over the last 12 months/that is,
since date 12 months ago], has [name of child] had to attend
an accident and emergency department (casualty)?
England 19.7% 20.2% 1.03
Scotland 20.6% 21.1% 1.02
Wales 24.5% 26.9% 1.10
Note: T-tests employing weights from the FACS show that these figures are
statistically different from zero across all countries at the 95% level.
Our final measure of physical wellbeing is whether the
child had had an accident6
that required attending an
accident and emergency department; the lower part of
Table 4 reports some figures on its incidence. Although
these figures are very similar for children in England and
Scotland, Welsh children are much more likely to have
experienced accidents (24.5 per cent as compared to
20.6 per cent in Scotland and 19.7 per cent in England).
In line with our expectations, there is a higher incidence
6 For some details related to official UK government policies in this area see:
Choosing Health: Making healthier choices easier (DH, 2004a).
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The lower part of Table 5 reports the percentage of
children whose ‘mother figure’ has been contacted by the
police7
because they thought the child had done
something wrong. The results show that, on average,
this is less likely to occur in England than in Scotland or
Wales (2.3 per cent in England, 2.6 per cent in Scotland
and 3.5 per cent in Wales). Two further comments can be
made. First, the reported incidence for this measure
increases for children in the bottom quintile of the income
distribution only in England and Scotland, but not in
Wales. Second, although England has the highest
incidence rate for children at the bottom of the income
distribution, it has the lowest point estimate for all
children.
Being bullied
In the third set of functionings considered by this study
we examine the incidence of being bullied.8
Table 6
reports that in England 14.3 per cent of all children have
been bullied. The corresponding figures are 14.9 per cent
in Scotland and 17.8 per cent in Wales. The evidence
across all these countries is that children living in families
in the bottom quintile of the income distribution are more
likely to be bullied than average children. England,
however, shows the lowest incidence also among this
group of children.
Table 6  Been bullied
Percentage
(all children)
Percentage
(bottom
quintile)
Ratio of the
bottom
quintile to
the average
Survey question asked
As far as you are aware in the last 12 months has [name of
child] been bullied, either in or out of school?
England 14.3% 18.1% 1.3
Scotland 14.9% 24.0% 1.6
Wales 17.8% 20.5% 1.2
Note: T-tests employing weights from the FACS show that these figures are
statistically different from zero across all countries at the 95% level.
7 For information on official UK government policies in this area see: Every
Child Matters (DfES, 2003); Youth Matters (DfES, 2005); Youth Matters: Next
steps (DfES, 2006).
8 For details of official UK government policies in this area see: Higher Stand-
ards, Better Schools for All (DfES, 2005); Bullying, Education and Skills Select
Committee report (House of Commons, 2007); House of Commons Hansard,
Written Answers 14 Feb 2006, Column 1918W.
rate for children living in families at the bottom of the
income distribution (26.9 per cent in Wales, 21.1 per cent
in Scotland and 20.2 per cent in England).
Behavioural problems
Our second set of functionings is related to behavioural
problems. These are: concerns about behaviour at school
and having done something wrong or been contacted by
the police.
The upper part of Table 5 shows that, on average,
children in Scotland are more likely to have behavioural
problems at school than those in England and Wales.
Although in all these three countries children living in
families at the bottom of the income distribution are more
likely to experience behavioural problems at school than
average children, England is characterised by the lowest
incidence rate.
Table 5 Concerns about behaviour at school and
‘mother figure’ contacted by the police
Percentage
(all children)
Percentage
(bottom
quintile)
Ratio of the
bottom
quintile to
the average
Survey question asked
In the last 12 months, has the school had to contact [you/or
your partner] about [name of child] because of concerns about
[his/her] behaviour at school?
England 9.5% 13.2% 1.4
Scotland 9.8% 14.0% 1.4
Wales 9.5% 14.5% 1.5
Have the police [ever/in the last 12 months] had to contact
[you/or your partner] about [name of child] because they
thought [he/she] had done something wrong?
England 2.3% 4.3% 1.9
Scotland 2.6% 2.7% 1.1
Wales 3.5% 3.2% 0.9
Note: T-tests employing weights from the FACS show that these figures are
statistically different from zero across all countries at the 95% level with the
exception of: 1) the difference between England and Wales under the function-
ing ‘concerns about behaviour at school’ for all children; and 2) the difference
between Wales and England under this same functioning for children in the
bottom quintile of the income distribution.
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of repair, the figures in Scotland and Wales are 8.8 per
cent and 10.4 per cent respectively. When one looks at
the incidence of this measure among children living in
families in the first quintile of the income distribution, the
highest incidence rate is found in Scotland, followed by
Wales and England.
Table 8 Accommodation in a poor state of repair
Percentage
(all children)
Percentage
(bottom
quintile)
Ratio of the
bottom
quintile to
the average
Survey question asked
How would you rate this property’s state of repair?
England 7.0% 13.1% 1.9
Scotland 8.8% 20.2% 2.3
Wales 10.4% 15.2% 1.5
Note: Answers to this question are on a six-point scale, as follows: ‘excellent
– nothing needs doing’; ‘very good – only minor problems’; ‘fairly good – some
problems but not too many’; ‘fairly poor – quite a lot of problems’; ‘very poor – a
lot of major problems’; ‘none of these – spontaneous’. We have considered that
the property was in poor state of repair if the ‘mother figure’ responded that
the property’s state of repair is either ‘fairly poor’ or ‘very poor’. T-tests employ-
ing weights from the FACS show that these figures are statistically different
from zero across all countries at the 95% level with the exception of: 1) the
difference between England and Scotland for all children and 2) the difference
across England, Scotland and Wales for children at the bottom of the income
distribution.
All functionings
Table 9 provides a summary of the incidence rates for
the 10 functionings among all children across England,
Scotland and Wales. It is important to bear in mind that
one cannot conclude that children’s outcomes are worse
in one country relative to another on the basis that one
displays a higher incidence rate relative to another in a
larger number of functionings. This is because it is
impossible to rank these functionings in terms of their
impact on children’s wellbeing. One may, however, observe
that average Welsh outcomes are the worst under six
functionings. Although both England and Scotland fare
the worst in two functionings, a direct comparison reveals
that England does better than Scotland in seven out of
10 functionings.
Looking at the four groups of functionings separately,
three conclusions can be drawn. First, children in Wales
have, on average, a lower physical wellbeing than those
in England and Scotland. Wales presents the highest
incidence rate in three out of four functionings in this
Housing problems
Our last group of functionings focuses on housing
problems.9
The upper part of Table 7 shows that in
England children are, on average, more likely to live in a
house where there is not a quiet place for them to do
their homework relative to those in Scotland or Wales.
At the bottom of the income distribution, children in
England are more likely to suffer from this problem
(7 per cent) than those in Scotland (4.2 per cent) or
Wales (3.5 per cent).
The lower part of Table 7 depicts the incidence of children
living in a house that is not warm enough in winter. In
Scotland, 8.8 per cent of children live in a house that is
not warm enough in winter, while in England and Wales
the equivalent figures are 5.6 per cent and 6 per cent
respectively. This issue is particularly problematic for
children from low socio-economic background groups.
Table 7 No quiet place to do homework and
accommodation not warm enough
Percentage
(all children)
Percentage
(bottom
quintile)
Ratio of the
bottom
quintile to
the average
Survey question asked
In this house does [name of child] have a quiet place to do
[his/her] homework?
England 3.8% 7.0% 1.8
Scotland 3.5% 4.2% 1.2
Wales 2.5% 3.5% 1.4
In winter, are you able to keep this accommodation warm
enough?
England 5.6% 13.2% 2.4
Scotland 8.8% 19.8% 2.3
Wales 6.0% 12.7% 2.1
Note: Percentages for children living outside the household are: England 2.9,
Scotland 1.2 and Wales 4.1. T-tests employing weights from the FACS show
that these figures are statistically different from zero across all countries at the
95% level.
Table 8 records the percentage of children living in a
house in a poor state of repair. While in England 7 per
cent of all children live in accommodation in a poor state
9 For details of official UK government policies in this area see: Quality and
Choice: A decent home for all (DCLG, 2006); Policy review of children and
young people: a discussion paper (HM Treasury and DfES, 2007) Homes for the
future: more affordable, more sustainable (DCLG, 2007).
Family and Parenting Institute
Child Wellbeing in England,
Scotland and Wales
Research
paper
10
•	 children from low socio-economic groups in Scotland
seem to experience more housing problems than
those in England and Wales.
Table 10 Child outcomes in England, Scotland
and Wales – bottom quintile
England Scotland Wales
Good health 83.3% 78.5% 77.2%
Fairly good health 12.9% 15.7% 17.3%
Not good 3.7% 5.8% 5.6%
Long standing
illness/disability
15.1% 18.6% 19.3%
Special educational
needs
11% 9.2% 12%
Accidents 20.2% 21.1% 26.9%
Concerns about
behaviour at school
13.2% 14% 14.5%
Contacted by the
police
4.3% 2.7% 3.2%
Been bullied 18.1% 24% 20.5%
No quiet place to do
homework
7% 4.2% 3.5%
Accommodation not
warm enough
13.2% 19.8% 12.7%
Accommodation in
poor state of repair
13.1% 20.2% 15.2%
5. Conclusions
This paper compares children’s wellbeing across England,
Scotland and Wales. If income is used as a proxy for
economic welfare, our analysis shows that children are
worse off in England compared with Scotland and Wales.
England has the highest child poverty rate and English
children living in families at the bottom of the income
distribution suffer more economic hardship than their
Scottish and Welsh peers.
In line with other papers (Phipps 2002; Phipps and
Burton 1995), we argue that income is an important but
not a fundamental input into children’s wellbeing. Many
other dimensions that are relevant to children’s
development are not captured through an analysis based
only on income. In an attempt to address this issue, we
area. Second, children in Wales and Scotland have more
behavioural problems and are more likely to be bullied
than those in England. Third, regarding housing problems,
there are no great differences across these countries.
Each country fares the worst in one of the three
functionings.
Table 9 Child outcomes in England, Scotland
and Wales – all children
England Scotland Wales
Good health 86.1% 86.7% 85.8%
Fairly good health 11.1% 10.3% 10.4%
Not good 2.8% 3% 3.8%
Long standing
illness/disability
14.6% 13.6% 14.2%
Special educational
needs
10.4% 7.5% 10.9%
Accidents 19.7% 20.6% 24.5%
Concerns about
behaviour at school
9.5% 9.8% 9.5%
Contacted by the
police
2.3% 2.6% 3.5%
Been bullied 14.3% 14.9% 17.8%
No quiet place to do
homework
3.8% 3.5% 2.5%
Accommodation not
warm enough
5.6% 8.8% 6%
Accommodation in
poor state of repair
7% 8.8% 10.4%
We now turn our attention to the incidence rates for the
10 functionings among children living in families that are
in the bottom quintile of the income distribution. The
general picture emerging from Table 10 is not too
dissimilar from the one resulting from Table 9.
Both Scotland and Wales are characterised by the highest
incidence rate in four functionings. This means that
England fares the worst only in two functionings.
Examining separately the four sets of functionings for this
group of children, three comments are noteworthy:
•	 Wales fares the worst in three out of four
functionings in the area of physical wellbeing
•	 poor children are slightly more likely to have
behavioural problems at school and to be bullied in
Scotland and Wales relative to England
Family and Parenting Institute
Child Wellbeing in England,
Scotland and Wales
Research
paper
11
Cabinet Office (2006) Fairness and Freedom: The final
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Disney, R. and Bridges, S. (2004) Use of credit and arrears
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used Sen’s (1992) capability approach to analyse
children’s wellbeing.
The findings that emerge from using this approach are
not consistent with those emerging from the analysis
based only on income. Under six out of 10 functionings,
children in Wales fare worse than those in Scotland and
England. Even when we focus our attention on poor
children (i.e. children living in families in the bottom
quintile of the income distribution), we find that outcomes
for English children do not lag behind those of their Welsh
and Scottish peers; rather, the opposite is true.
The study also throws up a range of questions to be
explored around the causes and contributory influences
associated with the outcomes identified. Some exploration
of these matters will be undertaken in a follow-up study
of capability to be undertaken by the author. It is also
intended to repeat this study at regular intervals in order
to facilitate measure over time and to identify any
significant change.
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About this publication
This is a report into child wellbeing and functionings:
variations across England, Scotland and Wales.
It uses data from the 2005 Families and Children Study
(FACS) to look at England, Scotland and Wales and
compare income and wellbeing indicators in all three
countries.
About the author
Lucas Pedace is an economist who has undertaken
research related to child outcomes using Nobel Prize
Laureate Amartya Sen’s Capability Approach and
employing structural equations regression models.
 
He has worked for the Family and Parenting Institute,
and previously as an economist at the Department for
Work and Pensions within the Forecasting Division.
Lucas has also worked at the University of Westminster
where he lectured at undergraduate and postgraduate
levels. He is co-author of an article on returns to education
for the Journal of Applied Economics.
Series Editor
Clem Henricson, Director of Research and Policy,
Family and Parenting Institute
© NFPI 2008
Published by the Family and Parenting Institute
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November 2008
The Family and Parenting Institute researches what
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to influence policymakers and foster public debate.
We develop ideas to improve the services families use
and the environment in which children grow up.

Child Wellbeing in England, Scotland and Wales

  • 1.
    Child Wellbeing inEngland, Scotland and Wales Comparisons and variations Lucas Pedace RESEARCH & POLICY FOR THE REAL WORLD RESEARCH PAPER
  • 2.
    1 Family and ParentingInstitute Governance of Parenting Support Services: Coordination Contents Key findings 2 1 Introduction 3 2 Data 4 3 Comparison of family income for children in England, Scotland and Wales 5 4 Children’s wellbeing in England, Scotland and Wales 6 5 Conclusions 10 References 11 Family and Parenting Institute Child Wellbeing in England, Scotland and Wales RESEARCH paper
  • 3.
    Family and ParentingInstitute Child Wellbeing in England, Scotland and Wales Research paper 2 Key findings Children’s wellbeing in Britain has been the subject of impassioned debate since a 2007 UNICEF report put the UK at the bottom of a list of 21 rich countries for wellbeing. In this report we use data from the 2005 Families and Children Study (FACS) to look at England, Scotland and Wales and compare income and wellbeing indicators in all three countries. Adjusted incomes (for what families can buy with it) are slightly smaller for poorer families and child poverty is greater in England than in Scotland and Wales, but England fares better than its smaller neighbours when it comes to key wellbeing indicators such as health, housing and child behaviour. We argue that when comparing different countries on the British mainland, income by itself is not the best measure of children’s wellbeing. • Welsh children fare worse, on average, than their counterparts in England and Scotland under six wellbeing outcomes (including health). Moreover, childhood accidents for the poorest children – a quarter of families report them – are particularly high in Wales compared to Scotland and England. • Of the 10 indicators of child wellbeing identified in the study English children also come top, on average, in more of them than Scottish or Welsh children. • Children in England are, on average, more healthy than children in Wales or Scotland; they are less likely to have accidents and less likely to be bullied at school. • But police are much more likely to get in touch with poor parents in England than poor parents in Scotland or Wales about their children’s behaviour (although overall English families report that police are slightly less likely to be in touch with them about their children than in Wales and Scotland). • Poor families in England are twice as likely as Welsh families to report that their children do not have a quiet place to do their homework at home. • In England, houses are reported to be in better repair than in Scotland and Wales – this is particularly marked for the poorest Scottish families whose houses are in far worse repair than for the poorest English families. • About a fifth of poor Scottish families also report their houses are not warm enough – more than in England or Wales.
  • 4.
    Family and ParentingInstitute Child Wellbeing in England, Scotland and Wales Research paper 3 “The United Kingdom’s National Family and Parenting Institute, for example, has conducted surveys to estimate the number of children who could answer ‘yes’ to statements such as: • my parent/s are always there for me when I need them • my parent/s make me feel loved and cared for • I can talk to my parent/s about any problem which I may have…” “In the absence of such detailed data for other OECD countries, this attempt to include ‘relationships’ in the overview of child well-being should be regarded as an initial step towards monitoring this dimension of child well-being.” Recommendations such as this underscore the need for UK policymakers to pay attention to the issue of child wellbeing in the round, to take the necessary actions to constantly monitor its progress and to measure more revealing related dimensions. This paper offers new evidence on child wellbeing in the UK by analysing recent data from the seventh wave of the Families and Children Study (FACS). This survey was carried out in 2005 and data was released in 2007. Moreover, to the best of our knowledge, this is the first time that Amartya Sen’s capability approach has been employed to investigate children’s wellbeing across England, Scotland and Wales. The capability approach is integral to Sen’s contributions to welfare economics, for which he was awarded the Nobel Memorial Prize in Economics in 1998 (Atkinson, 1999; Arrow, 1999). The empirical application of the capability approach has attracted much interest. The Human Development Index, published by the United Nations Development Programme, has been greatly influenced by Sen’s concept (Anand and Ravallion, 1993). Sen’s approach is employed in several empirical studies on the UK (some of which are reviewed in Kuklys, 2005, p. 24). Additionally, an independent enquiry, commissioned by the then prime minister Tony Blair, adopted it as a basis for the conceptualisation and measurement of inequality in Britain (Cabinet Office, 2006). The capability approach The capability approach comprises two main concepts: functionings and capabilities. “The true measure of a nation’s standing is how well it attends to its children – their health and safety, their material security, their education and socialization, and their sense of being loved, valued, and included in the families and societies into which they are born.” UNICEF (2007) Child Poverty in Perspective: An overview of child well-being in rich countries 1. Introduction This paper compares the wellbeing of children across England, Scotland and Wales using the concept of functionings developed in economist Amartya Sen’s capability approach. Children’s wellbeing is assessed in 10 different dimensions. The results from this exercise show that, although England has the highest child poverty rate, outcomes for English children do not lag behind those of their Welsh and Scottish peers. This finding suggests that conclusions from those studies using income as the only proxy for children’s wellbeing should be interpreted cautiously. The 2004 HM Government report Every Child Matters: Change for Children suggested that over the past few years the UK had made significant progress towards the improvement of children’s wellbeing. However, in spite of that progress, the UK is still lagging behind many developed countries. The 2007 UNICEF study mentioned above shows that the UK performs poorly in six dimensions of children’s wellbeing when compared with 20 other developed nations. Moreover, while other countries produce regular reports on child wellbeing, for instance the Kids Count project in the United States, the UK government does not produce a regular report on child wellbeing. This gap was partly addressed by an independent overview of child wellbeing in the UK presented in a study edited by Bradshaw and Mayhew in 2005a (Axford, 2006). In addition, the UNICEF (2007) report highlights the need in countries within the Organisation for Economic Co-operation and Development (OECD) to monitor new dimensions of child wellbeing, citing a survey of young people by the National Family and Parenting Institute (2000) as a positive example:
  • 5.
    Family and ParentingInstitute Child Wellbeing in England, Scotland and Wales Research paper 4 Nevertheless, since in the UK all parents with a child under 16 are entitled to Child Benefit and the Government has estimated the take-up of this benefit to be 98 per cent,1 the sample can be considered as representative of all families with children in Britain. The FACS is a survey carried out via a face-to-face interview with the mother and the partner (if present). The person who takes part in this interview is usually the family’s ‘mother figure’ – an adult with the main responsibility for looking after children in the family (the mother in 98 per cent of cases). The survey also provides a variable for equivalised income employing the OECD equivalence scale2 (Hoxhallari et al, 2007). The FACS has been widely used in empirical work. For example, Disney and Bridges (2004) employ it to examine the use of credit, default and arrears among low-income families with children. Additionally, Morris (2007) uses the FACS to analyse the means through which mothers arrange for the payment of child support. In this study, we have focused our attention on the seventh wave of the FACS, and our final sample comprises 12,838 children. Children are defined as those aged 16 years or below, or 17 or 18 years if they are in full-time education. In the final sample the large majority of children (10,946) are from England. Children from Scotland and Wales are 1,125 and 767, respectively. The FACS contains 69 questions related to children’s wellbeing. Responses to 10 questions are examined in this study. More precisely, the answers are used to construct children’s wellbeing measures indicating: 1 the proportion of children who do not enjoy good health 2 the proportion of children with a long-standing illness or disability 3 the proportion of children with special educational needs 4 the proportion of children who have had an accident requiring attendance at an accident and emergency department 5 the proportion of children who had behavioural problems at school 6 the proportion of children who did something wrong according to the police 7 the proportion of children who have been bullied 1 House of Commons Hansard, Written Answers 7 March 2006, col 1296W. 2 The equivalisation of income is the process by which total income is adjusted for family size (number of family members) and composition (number of parents and number and age of children). Functionings are the things a person achieves with the resources and abilities she or he has. Examples of functionings are: ‘being in good health’, ‘being well educated’, ‘being adequately nourished’, ‘being happy’ (Sen, 1992, p. 39). Capabilities are things that a person has the opportunity to achieve (e.g. someone might have the opportunity to be well nourished, but might choose not to do it because he or she wants to fast). Thus, ‘capability’ involves the full set of attainable alternative things a person can achieve; it is the equivalent to the microeconomic concept of an opportunity set defined in commodities space, but is instead defined in the space of functionings (Gasper, 2007). In this study we focus only on functionings. Since the capability approach does not indicate which particular functionings should be included in the list of important achievements (Sen, 1999, p. 75), we selected them by employing the first selection method identified by Alkire (2007). This method entails drawing on the available data to select the dimensions. However, we also chose the functionings taking into account those employed by Phipps (2002), whose study aimed to establish a benchmark for comparisons of young children’s functionings across countries. The remainder of this paper is as follows. Section 2 considers the data used in the study. Section 3 examines child poverty rates in England, Scotland and Wales and also looks at income differences across these countries for children living in families at the bottom of the income distribution. Section 4 analyses children’s wellbeing across England, Scotland and Wales using Sen’s capability approach. Conclusions are drawn in Section 5, where findings from the income analysis are compared with those from the capability approach. 2. Data The FACS has taken place annually since 1999 and was originally designed to examine the wellbeing of a representative sample of low-income families with children in Britain (Disney and Bridges, 2004). However, since 2001 the sample has been extended to all families with children, thereby including high-income families previously screened out. The sample is taken from Child Benefit records, so is strictly a sample of Child Benefit recipients rather than of all families with children.
  • 6.
    Family and ParentingInstitute Child Wellbeing in England, Scotland and Wales Research paper 5 8 the proportion of children living in a house where there is not a quiet place for them to do their homework 9 the proportion of children living in a house that is not warm enough in winter 10 the proportion of children living in a house in a poor state of repair. 3. Comparison of family income for children in England, Scotland and Wales To put the analysis of the different functionings into context, we first compare income and child poverty rates across England, Scotland and Wales. The rationale for employing income is that it is an important indicator of children’s wellbeing, as low levels of income are likely to negatively affect outcomes (Gregg et al, 1999; Feinstein, 2003). Economists often use income as a proxy for wellbeing, theoretically linking higher income with higher, but marginally diminishing, levels of wellbeing through the concept of utility. Several cross-country studies indicate that the rate of child poverty in the UK is one of the highest among developed countries (see, for example, Bradbury and Jantii, 1999; Vleminckx and Smeeding 2001; Immervoll et al, 2000; and Bradshaw, 2005). Looking at changes in the rate over time, a major increase occurred between the mid-1980s and the mid-1990s. In that period, the increase in child poverty experienced by the UK was faster than in almost any other developed country (Oxley et al, 2001). Although child poverty declined between 1997 and 2005 (Harker, 2006), the trend reversed again in 2006 (DWP, 2007a). Today child poverty is more than double what it was 25 years ago. Table 1 depicts child poverty rates in England, Scotland and Wales. England has the highest child poverty rate. Whilst 33 per cent of children in England are poor, the corresponding figures in Wales and Scotland are 31 per cent and 28 per cent, respectively. These results are consistent with those obtained by a recent government report (DWP, 2007b) that uses data from the FACS 2005. Table 1  Relative income comparisons England Scotland Wales Percentage poor 33% 28% 31% Percentage rich 15% 14% 13% Source: FACS 2005 Note: ‘Poor’ means family equivalent income after housing costs is less than 60% of the mean country equivalent income. ‘Rich’ means family equivalent income is greater or equal to 1.5 times the mean country equivalent income. Equivalent income has been modified using the OECD equivalence scale. However, it is possible that year-on-year estimates using FACS data are volatile. T-tests employing weights from the FACS show that these figures are statisti- cally different from zero across all countries at the 95% level. Table 2 Absolute income comparisons for children England Scotland Wales All children Mean £10,151 £10,757 £11,035 Median £8,820 £9,607 £8,370 Bottom quintile Mean £3,294 £4,059 £4,225 Median £3,561 £4,246 £4,506 2nd quintile Mean £6,382 £7,610 £7,157 Median £6,124 £7,547 £7,181 3rd quintile Mean £8,801 £10,158 £9,642 Median £8,713 £10,047 £9,414 4th quintile Mean £11,765 £12,778 £12,904 Median £11,758 £12,671 £12,696 5th quintile Mean £22,947 £22,753 £27,612 Median £17,911 £18,633 £22,191 Ratio of mean all children to mean of bottom quintile 3.27 2.72 2.40 Source: FACS 2005 Note: This is yearly income after housing costs, adjusted using the OECD equiv- alence scale. The proportion of missing cases in England is 2%, while these are 1% and 2% in Wales and Scotland respectively. Figures are derived employing Wingfield et al 2005, Table I, regional weights. T-tests employing weights from the FACS show that these differences are all statistically significant across coun- tries at the 95% level, with the exception of the difference between England and Wales in the top quintile of the income distribution.
  • 7.
    Family and ParentingInstitute Child Wellbeing in England, Scotland and Wales Research paper 6 than adults (Lazear and Michael, 1986). Additionally, there is the possibility that resources within a household are not distributed according to needs (Thomas, 1990, 1992). Third, there is compelling evidence that the most important determinant of child outcome seems to be parenting quality and income is only a crude measure of this (Heckman 2008). Fourth, household ‘production activities’ (e.g. playing games, reading stories or cooking a healthy dinner) are crucial for children’s wellbeing and yet they are not included in a simple income proxy (Phipps, 2002). Fifth, as Sen (1992) points out, the ability to convert income into wellbeing varies according to personal characteristics and circumstances. For example, children enjoying a higher level of family income may be worse off in terms of wellbeing because of things such as having to endure a long-standing illness (e.g. asthma). In light of the above considerations, we argue that, in order to study children’s wellbeing, the income analysis needs to be complemented by Sen’s (1992) functionings approach. Our 10 functionings have been split into four main groups: physical wellbeing, behavioural problems, being bullied and housing problems. Physical wellbeing The first group of functionings concerns physical wellbeing. It includes four functionings: • health • long-standing illness/disability • special educational needs • accidents. The upper part of Table 3 depicts the health status of children reported by the person who is responsible for them. The proportion of children who do not enjoy good health5 is higher in Wales (3.8 per cent) and Scotland (3 per cent) relative to England (2.8 per cent). Furthermore, in line with our expectations, health problems increase with lower income levels. Thus, children in families at the bottom of the income distribution are more likely to have a poor health status. However, there appear to be important differences across countries. Scotland (5.8 per cent) and Wales (5.6 per cent) display a higher proportion 5 For details on official UK government policies in this area see: Every Child Matters (DfES, 2003); Choosing Health: Making healthy choices easier (DH, 2004a); National Service Framework for Children, Young People and Maternity Services (DH, 2004b); Support for Parents: The best start for children (HM Treasury, 2005); Aiming high for disabled children: better support for families (DfES and HM Treasury, 2007). The Children’s Plan: Building brighter futures (DCSF, 2007). Next we look at differences in absolute incomes. However, in order to make meaningful comparisons in income across these countries, we need to account for differences in price. To address this problem, income figures are corrected for purchasing power parity (PPP).3 Table 2 shows that average income for all families with children is highest in Scotland, followed by England and Wales. Nevertheless, given the purpose of this study, we are particularly interested in differences at the bottom of the income distribution. Table 2 shows that England is consistently found to have the lowest average income in the first and second income quintiles. Moreover, when looking at the middle of income distribution, England does worse than Scotland and Wales. Even children in the third and fourth income quintiles in England appear to have, on average, a lower standard of living than their peers in Scotland and Wales. In summary, given the expected correlation between income and children’s wellbeing, Tables 1 and 2 suggest that there are likely to be more children at risk in England than in Wales and Scotland. 4. Children’s wellbeing in England, Scotland and Wales Although income, as discussed above, is an important input into children’s wellbeing, five sets of arguments suggest that it does not capture other dimensions that are crucial for children’s development. First, family income alone can be a misleading concept as it does not provide any indication of the extent to which families rely on public services (e.g. medical care, child care, schooling). This consideration is especially relevant given the difference in public expenditure per head across countries.4 Second, while the usual family income distributions fold all family members together in the family unit, children may receive a different proportion of income 3 PPP weights come from the Office for National Statistics (ONS) and they refer to 2004 (Wingfield et al, 2005). Although it would be better to use PPP weights for 2005, these figures are currently unavailable. Additionally, these PPP figures can be criticised on the grounds that they do not consider that families with children consume a different bundle of goods and services than the average UK household. 4 For differences in public expenditure per head across England, Wales and Scotland, see McLean and McMillan (2003).
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    Family and ParentingInstitute Child Wellbeing in England, Scotland and Wales Research paper 7 of children who do not enjoy good health in the first income quintile compared with England (3.7 per cent). These findings are broadly in line with those from the Health Behaviour in School-Aged Children (2001/02) study that are reported in Bradshaw and Mayhew (2005b). Children living in Wales were more likely to rate their health as ‘fair’ or ‘poor’ than children living in England and Wales. According to Bradshaw and Mayhew, this may be partly due to Welsh children having the lowest physical activity rates, eating fruit and vegetables rates and life satisfaction rates. Table 3 Health and long-standing illness or disability Percentage (all children) Percentage (bottom quintile) Ratio of the bottom quintile to the average Survey question asked [Since your baby was born/over the last 12 months] would you say [name of child]’s health has been good, fairly good or not good? England Good 86.1% 83.3% 1 Fairly good 11.1% 12.9% 1.2 Not good 2.8% 3.7% 1.3 Scotland Good 86.7% 78.5% 0.9 Fairly good 10.3% 15.7% 1.5 Not good 3% 5.8% 1.9 Wales Good 85.8% 77.2% 0.9 Fairly good 10.4% 17.3% 1.7 Not good 3.8% 5.6% 1.5 Does [name of child] have any long-standing illness or disability? By long-standing I mean anything that has troubled [name of child] over a period of time or that is likely to affect [child’s name] over a period of time? England 14.6% 15.1% 1.03 Scotland 13.6% 18.6% 1.36 Wales 14.2% 19.3% 1.37 Note: T-tests employing weights from the FACS show that these figures are statistically different from zero across all countries at the 95% level, with the exception of the difference between Scotland and Wales under the function- ing of ‘long-standing illness/disability’ for children in the bottom quintile of the income distribution. The lower part of Table 3 looks at the incidence of long- standing illness or disability. While 13.6 per cent of children have a long-standing illness or disability in Scotland, the corresponding figures in Wales and England are 14.2 per cent and 14.6 per cent respectively. Again, as expected, also with respect to this indicator, children in the bottom of the income distribution are especially negatively affected. For this group of children, the incidence rate is 15.1 per cent in England, 18.6 per cent in Scotland and 19.3 per cent in Wales. The upper part of Table 4 depicts the proportion of children with special educational needs. Wales has the highest reported incidence (both on average and for children living in families at the bottom quintile of the income distribution), followed by Scotland and England. Table 4  Special educational needs and accidents Percentage (all children) Percentage (bottom quintile) Ratio of the bottom quintile to the average Survey question asked Has [name of child] been identified at school as having a special educational need? England 10.4% 11% 1.06 Scotland 7.5% 9.2% 1.21 Wales 10.9% 12% 1.10 [Since your baby was born/over the last 12 months/that is, since date 12 months ago], has [name of child] had to attend an accident and emergency department (casualty)? England 19.7% 20.2% 1.03 Scotland 20.6% 21.1% 1.02 Wales 24.5% 26.9% 1.10 Note: T-tests employing weights from the FACS show that these figures are statistically different from zero across all countries at the 95% level. Our final measure of physical wellbeing is whether the child had had an accident6 that required attending an accident and emergency department; the lower part of Table 4 reports some figures on its incidence. Although these figures are very similar for children in England and Scotland, Welsh children are much more likely to have experienced accidents (24.5 per cent as compared to 20.6 per cent in Scotland and 19.7 per cent in England). In line with our expectations, there is a higher incidence 6 For some details related to official UK government policies in this area see: Choosing Health: Making healthier choices easier (DH, 2004a).
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    Family and ParentingInstitute Child Wellbeing in England, Scotland and Wales Research paper 8 The lower part of Table 5 reports the percentage of children whose ‘mother figure’ has been contacted by the police7 because they thought the child had done something wrong. The results show that, on average, this is less likely to occur in England than in Scotland or Wales (2.3 per cent in England, 2.6 per cent in Scotland and 3.5 per cent in Wales). Two further comments can be made. First, the reported incidence for this measure increases for children in the bottom quintile of the income distribution only in England and Scotland, but not in Wales. Second, although England has the highest incidence rate for children at the bottom of the income distribution, it has the lowest point estimate for all children. Being bullied In the third set of functionings considered by this study we examine the incidence of being bullied.8 Table 6 reports that in England 14.3 per cent of all children have been bullied. The corresponding figures are 14.9 per cent in Scotland and 17.8 per cent in Wales. The evidence across all these countries is that children living in families in the bottom quintile of the income distribution are more likely to be bullied than average children. England, however, shows the lowest incidence also among this group of children. Table 6  Been bullied Percentage (all children) Percentage (bottom quintile) Ratio of the bottom quintile to the average Survey question asked As far as you are aware in the last 12 months has [name of child] been bullied, either in or out of school? England 14.3% 18.1% 1.3 Scotland 14.9% 24.0% 1.6 Wales 17.8% 20.5% 1.2 Note: T-tests employing weights from the FACS show that these figures are statistically different from zero across all countries at the 95% level. 7 For information on official UK government policies in this area see: Every Child Matters (DfES, 2003); Youth Matters (DfES, 2005); Youth Matters: Next steps (DfES, 2006). 8 For details of official UK government policies in this area see: Higher Stand- ards, Better Schools for All (DfES, 2005); Bullying, Education and Skills Select Committee report (House of Commons, 2007); House of Commons Hansard, Written Answers 14 Feb 2006, Column 1918W. rate for children living in families at the bottom of the income distribution (26.9 per cent in Wales, 21.1 per cent in Scotland and 20.2 per cent in England). Behavioural problems Our second set of functionings is related to behavioural problems. These are: concerns about behaviour at school and having done something wrong or been contacted by the police. The upper part of Table 5 shows that, on average, children in Scotland are more likely to have behavioural problems at school than those in England and Wales. Although in all these three countries children living in families at the bottom of the income distribution are more likely to experience behavioural problems at school than average children, England is characterised by the lowest incidence rate. Table 5 Concerns about behaviour at school and ‘mother figure’ contacted by the police Percentage (all children) Percentage (bottom quintile) Ratio of the bottom quintile to the average Survey question asked In the last 12 months, has the school had to contact [you/or your partner] about [name of child] because of concerns about [his/her] behaviour at school? England 9.5% 13.2% 1.4 Scotland 9.8% 14.0% 1.4 Wales 9.5% 14.5% 1.5 Have the police [ever/in the last 12 months] had to contact [you/or your partner] about [name of child] because they thought [he/she] had done something wrong? England 2.3% 4.3% 1.9 Scotland 2.6% 2.7% 1.1 Wales 3.5% 3.2% 0.9 Note: T-tests employing weights from the FACS show that these figures are statistically different from zero across all countries at the 95% level with the exception of: 1) the difference between England and Wales under the function- ing ‘concerns about behaviour at school’ for all children; and 2) the difference between Wales and England under this same functioning for children in the bottom quintile of the income distribution.
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    Family and ParentingInstitute Child Wellbeing in England, Scotland and Wales Research paper 9 of repair, the figures in Scotland and Wales are 8.8 per cent and 10.4 per cent respectively. When one looks at the incidence of this measure among children living in families in the first quintile of the income distribution, the highest incidence rate is found in Scotland, followed by Wales and England. Table 8 Accommodation in a poor state of repair Percentage (all children) Percentage (bottom quintile) Ratio of the bottom quintile to the average Survey question asked How would you rate this property’s state of repair? England 7.0% 13.1% 1.9 Scotland 8.8% 20.2% 2.3 Wales 10.4% 15.2% 1.5 Note: Answers to this question are on a six-point scale, as follows: ‘excellent – nothing needs doing’; ‘very good – only minor problems’; ‘fairly good – some problems but not too many’; ‘fairly poor – quite a lot of problems’; ‘very poor – a lot of major problems’; ‘none of these – spontaneous’. We have considered that the property was in poor state of repair if the ‘mother figure’ responded that the property’s state of repair is either ‘fairly poor’ or ‘very poor’. T-tests employ- ing weights from the FACS show that these figures are statistically different from zero across all countries at the 95% level with the exception of: 1) the difference between England and Scotland for all children and 2) the difference across England, Scotland and Wales for children at the bottom of the income distribution. All functionings Table 9 provides a summary of the incidence rates for the 10 functionings among all children across England, Scotland and Wales. It is important to bear in mind that one cannot conclude that children’s outcomes are worse in one country relative to another on the basis that one displays a higher incidence rate relative to another in a larger number of functionings. This is because it is impossible to rank these functionings in terms of their impact on children’s wellbeing. One may, however, observe that average Welsh outcomes are the worst under six functionings. Although both England and Scotland fare the worst in two functionings, a direct comparison reveals that England does better than Scotland in seven out of 10 functionings. Looking at the four groups of functionings separately, three conclusions can be drawn. First, children in Wales have, on average, a lower physical wellbeing than those in England and Scotland. Wales presents the highest incidence rate in three out of four functionings in this Housing problems Our last group of functionings focuses on housing problems.9 The upper part of Table 7 shows that in England children are, on average, more likely to live in a house where there is not a quiet place for them to do their homework relative to those in Scotland or Wales. At the bottom of the income distribution, children in England are more likely to suffer from this problem (7 per cent) than those in Scotland (4.2 per cent) or Wales (3.5 per cent). The lower part of Table 7 depicts the incidence of children living in a house that is not warm enough in winter. In Scotland, 8.8 per cent of children live in a house that is not warm enough in winter, while in England and Wales the equivalent figures are 5.6 per cent and 6 per cent respectively. This issue is particularly problematic for children from low socio-economic background groups. Table 7 No quiet place to do homework and accommodation not warm enough Percentage (all children) Percentage (bottom quintile) Ratio of the bottom quintile to the average Survey question asked In this house does [name of child] have a quiet place to do [his/her] homework? England 3.8% 7.0% 1.8 Scotland 3.5% 4.2% 1.2 Wales 2.5% 3.5% 1.4 In winter, are you able to keep this accommodation warm enough? England 5.6% 13.2% 2.4 Scotland 8.8% 19.8% 2.3 Wales 6.0% 12.7% 2.1 Note: Percentages for children living outside the household are: England 2.9, Scotland 1.2 and Wales 4.1. T-tests employing weights from the FACS show that these figures are statistically different from zero across all countries at the 95% level. Table 8 records the percentage of children living in a house in a poor state of repair. While in England 7 per cent of all children live in accommodation in a poor state 9 For details of official UK government policies in this area see: Quality and Choice: A decent home for all (DCLG, 2006); Policy review of children and young people: a discussion paper (HM Treasury and DfES, 2007) Homes for the future: more affordable, more sustainable (DCLG, 2007).
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    Family and ParentingInstitute Child Wellbeing in England, Scotland and Wales Research paper 10 • children from low socio-economic groups in Scotland seem to experience more housing problems than those in England and Wales. Table 10 Child outcomes in England, Scotland and Wales – bottom quintile England Scotland Wales Good health 83.3% 78.5% 77.2% Fairly good health 12.9% 15.7% 17.3% Not good 3.7% 5.8% 5.6% Long standing illness/disability 15.1% 18.6% 19.3% Special educational needs 11% 9.2% 12% Accidents 20.2% 21.1% 26.9% Concerns about behaviour at school 13.2% 14% 14.5% Contacted by the police 4.3% 2.7% 3.2% Been bullied 18.1% 24% 20.5% No quiet place to do homework 7% 4.2% 3.5% Accommodation not warm enough 13.2% 19.8% 12.7% Accommodation in poor state of repair 13.1% 20.2% 15.2% 5. Conclusions This paper compares children’s wellbeing across England, Scotland and Wales. If income is used as a proxy for economic welfare, our analysis shows that children are worse off in England compared with Scotland and Wales. England has the highest child poverty rate and English children living in families at the bottom of the income distribution suffer more economic hardship than their Scottish and Welsh peers. In line with other papers (Phipps 2002; Phipps and Burton 1995), we argue that income is an important but not a fundamental input into children’s wellbeing. Many other dimensions that are relevant to children’s development are not captured through an analysis based only on income. In an attempt to address this issue, we area. Second, children in Wales and Scotland have more behavioural problems and are more likely to be bullied than those in England. Third, regarding housing problems, there are no great differences across these countries. Each country fares the worst in one of the three functionings. Table 9 Child outcomes in England, Scotland and Wales – all children England Scotland Wales Good health 86.1% 86.7% 85.8% Fairly good health 11.1% 10.3% 10.4% Not good 2.8% 3% 3.8% Long standing illness/disability 14.6% 13.6% 14.2% Special educational needs 10.4% 7.5% 10.9% Accidents 19.7% 20.6% 24.5% Concerns about behaviour at school 9.5% 9.8% 9.5% Contacted by the police 2.3% 2.6% 3.5% Been bullied 14.3% 14.9% 17.8% No quiet place to do homework 3.8% 3.5% 2.5% Accommodation not warm enough 5.6% 8.8% 6% Accommodation in poor state of repair 7% 8.8% 10.4% We now turn our attention to the incidence rates for the 10 functionings among children living in families that are in the bottom quintile of the income distribution. The general picture emerging from Table 10 is not too dissimilar from the one resulting from Table 9. Both Scotland and Wales are characterised by the highest incidence rate in four functionings. This means that England fares the worst only in two functionings. Examining separately the four sets of functionings for this group of children, three comments are noteworthy: • Wales fares the worst in three out of four functionings in the area of physical wellbeing • poor children are slightly more likely to have behavioural problems at school and to be bullied in Scotland and Wales relative to England
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    Family and ParentingInstitute Child Wellbeing in England, Scotland and Wales Research paper 11 Cabinet Office (2006) Fairness and Freedom: The final report of the Equalities Review. London. http://archive. cabinetoffice.gov.uk/equalitiesreview/publications.html DCLG (Department for Communities and Local Government) (2006) Quality and Choice: A decent home for all, Green Paper originally published in 2000 by the Department of the Environment, Transport and the Regions. London. http://www.communities.gov.uk/documents/housing/ pdf/138019.pdf DCLG (2007) Homes for the future: more affordable, more sustainable, Green Paper. London. http://www.communities.gov.uk/documents/housing/ pdf/439986.pdf DCSF (Department for Children, Schools and Families) (2007) The Children’s Plan: Building brighter futures. London. http://www.dfes.gov.uk/publications/ childrensplan/ DfES (Department for Education and Skills) (2003) Every Child Matters, Green Paper. London: The Stationery Office. http://www.everychildmatters.gov.uk/ publications/ DfES (2005) Higher Standards, Better Schools for All, White Paper. London. http://www.dfes.gov.uk/ publications/schoolswhitepaper/pdfs/ DfES-Schools%20White%20Paper.pdf DfES (2005) Youth Matters, Green Paper. London. http:// www.dfes.gov.uk/publications/youth/ DfES (2006) Youth Matters: Next steps, Green Paper. London. http://www.dfes.gov.uk/publications/youth/ DfES and HM Treasury (2007) Aiming high for disabled children: better support for families. http://www.hm-treasury.gov.uk/media/C/2/ cyp_disabledchildren180507.pdf DH (Department of Health) (2004a) Choosing Health: Making healthy choices easier, White Paper. London. http://www.dh.gov.uk/en/Publicationsandstatistics/ Publications/PublicationsPolicyAndGuidance/ DH_4094550 DH (2004b) National Service Framework for Children, Young People and Maternity Services. http://www.dh.gov.uk/ en/Healthcare/NationalServiceFrameworks/Children/ DH_4089111 Disney, R. and Bridges, S. (2004) Use of credit and arrears or debt among low income families in the United Kingdom. Fiscal Studies, 25: (1), 1–25. DWP (Department for Work and Pensions) (2007a) Households Below Average Income, 1994/95– 2005/06. Leeds: Corporate Document Services. DWP (2007b) Report No 424 Families with children in Britain: findings from the 2005 Families and Children Study (FACS). Leeds: Corporate Document Services. used Sen’s (1992) capability approach to analyse children’s wellbeing. The findings that emerge from using this approach are not consistent with those emerging from the analysis based only on income. Under six out of 10 functionings, children in Wales fare worse than those in Scotland and England. Even when we focus our attention on poor children (i.e. children living in families in the bottom quintile of the income distribution), we find that outcomes for English children do not lag behind those of their Welsh and Scottish peers; rather, the opposite is true. The study also throws up a range of questions to be explored around the causes and contributory influences associated with the outcomes identified. Some exploration of these matters will be undertaken in a follow-up study of capability to be undertaken by the author. It is also intended to repeat this study at regular intervals in order to facilitate measure over time and to identify any significant change. References Alkire, S. (2007) Choosing dimensions: the capability approach and multidimensional poverty. Chronic Poverty Research Centre Working Paper, 88. Anand, P. and Ravallion, M. (1993) Human development in poor countries. Journal of Economic Perspectives, 7, 133–150. Arrow, K. J. (1999) Amartya K. Sen’s contributions to the study of social welfare, The Scandinavian Journal of Economics, Vol. 101, No. 2., 163–172. Atkinson, A. B. (1999) The contributions of Amartya Sen to welfare economics. The Scandinavian Journal of Economics, Vol. 101, No. 2., 173–190. Axford, N. (2006) The well-being of children in the UK, 2nd Edn., Children Society, Volume 20, Issue 1, 75–76. Bradbury, B. and Jantii, M. (1999) Child poverty across industrialized nations. Innocenti Occasional Papers, Economic Policy Series, 71, Florence: UNICEF. Bradshaw J. (2005) A review of the comparative evidence on child poverty. York: Joseph Rowntree Foundation. Bradshaw, J. and Mayhew, E. (Eds.) (2005a) The Well-being of Children in the UK, 2nd Edn. London: Save the Children. Bradshaw, J. and Mayhew, E. (2005b) Is child poverty higher in Wales? Wales Journal of Law and Policy, Vol. 4, Issue 1.
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    Family and ParentingInstitute Child Wellbeing in England, Scotland and Wales Research paper 12 Phipps, S. A. (2002) The well-being of young Canadian children in international perspective: a functionings approach. The Review of Income and Wealth, Volume 48, Number 4, 493–515(23). Phipps, S. A. and Burton, P. (1995) Sharing within families: implications for the measurement of poverty among individuals in Canada. Canadian Journal of Economics, 28 (1), 177–204. Sen, A. K. (1992) Inequality Re-examined. Oxford: Oxford University Press. Sen, A. K. (1999) Development as Freedom. New York: Clarendon Oxford Press. Thomas, D. (1990) Intrahousehold resource allocation: an inferential approach. Journal of Human Resources, 25, 635–64. Thomas, D. (1992) The distribution of income and expenditure within the household. Paper prepared for presentation at IFPRI-World Bank Conference on Intrahousehold Resource Allocation: Policies and Research Methods, 12–14 February 1992. Washington, DC: IFPRI. UNICEF (United Nations Children’s Fund) (2007) Child Poverty in Perspective: An overview of child well-being in rich countries, Innocenti Report Card 7. Florence: UNICEF Innocenti Research Centre. Vleminckx, K. and Smeeding, T. (Eds.) (2001) Child Well- being, Child Poverty and Child Policy in Modern Nations: What do we Know? Bristol: Policy Press. Wingfield, D. W., Fenwick, D. and Smith, K. (2005) Relative regional consumer price levels in 2004. Economic Trends, No. 625 (Feb), 36–46. Feinstein, L. (2003) Inequality in the early cognitive development of British children in the 1970 cohort. Economica, 70/277, 73–98. Gasper, D. (2007) What is the capability approach? Its core, rationale, partners and dangers. The Journal of Socio- Economics, Vol. 36, 335–359. Gregg, P., Harkness, S. and Machin, S. (1999) Child development and family income, Joseph Rowntree Foundation. Harker, L. (2006) Delivering on Child Poverty: What would it take?, Report for the Department for Work and Pensions. The Stationery Office. Heckman, J.J. (2008) Schools, skills and synapses, Economic Enquiry, Vol.46, 289–324. HM Treasury (2005) Support for Parents: The best start for children. London. http://www.hm-treasury.gov.uk/ pre_budget_report/prebud_pbr05/assoc_docs/ prebud_pbr05_adparents.cfm HM Treasury and DfES (2007) Policy review of children and young people: A discussion paper. London. http://www. hm-treasury.gov.uk/media/B/B/cyp_ policyreview090107.pdf House of Commons Education and Skills Committee (2007) Bullying: Third Report of Session 2006–07. London. http://www.parliament.the-stationery-office.co.uk/pa/ cm200607/cmselect/cmeduski/85/85.pdf Hoxhallari, L., Barnes, M. and Lyon, N. (2007) Families and Children Study (FACS) Waves 6 7 User Guide (2004– 2005). London: National Centre for Social Research. Immervoll, H., Sutherland, H. and De Vos, K. (2000) Child Poverty and Child Benefits in the European Union, Working Paper No. 1/00. Cambridge: EUROMOD. Kuklys, W. (2005) Amartya Sen’s Capability Approach: Theoretical insights and empirical applications, Series: Studies in Choice and Welfare. Berlin, Springer. Lazear, E. P. and Michael, R. T. (1986) Estimating the personal distribution of income with adjustment for within-family variation. The Journal of Labor Economics, Vol. 4, No. 3. McLean, I. and McMillan, A. (2003) The distribution of public expenditure across the UK regions. Fiscal Studies, Vol. 24, No. 1, 45–71. Morris, S. (2007) Mothers’ child support arrangements: a comparison of routes through which mothers obtain awards for maintenance in Britain. Benefits: The Journal of Poverty and Social Justice, 15 (1), 17–31. National Family and Parenting Institute (2000) Teenagers’ Attitudes to Parenting. London: National Family and Parenting Institute. Oxley, H., Dang, T., Foster, M. and Pellizzari, M. (2001) Income inequalities and poverty among children and households with children in selected OECD countries.
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    About this publication Thisis a report into child wellbeing and functionings: variations across England, Scotland and Wales. It uses data from the 2005 Families and Children Study (FACS) to look at England, Scotland and Wales and compare income and wellbeing indicators in all three countries. About the author Lucas Pedace is an economist who has undertaken research related to child outcomes using Nobel Prize Laureate Amartya Sen’s Capability Approach and employing structural equations regression models.   He has worked for the Family and Parenting Institute, and previously as an economist at the Department for Work and Pensions within the Forecasting Division. Lucas has also worked at the University of Westminster where he lectured at undergraduate and postgraduate levels. He is co-author of an article on returns to education for the Journal of Applied Economics. Series Editor Clem Henricson, Director of Research and Policy, Family and Parenting Institute © NFPI 2008 Published by the Family and Parenting Institute 430 Highgate Studios 53–79 Highgate Road London NW5 1TL Tel: 020 7424 3460 Fax: 020 7485 3590 Email: [email protected] Web: www.familyandparenting.org Registered charity number 1077444 Registered company number 3753345 VAT registration number 833024365 ISBN 978-1-903615-62-1 November 2008 The Family and Parenting Institute researches what matters to families and parents. We use our knowledge to influence policymakers and foster public debate. We develop ideas to improve the services families use and the environment in which children grow up.