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Neoliberalism and austerity have led to a growing inequality gap and increasing levels of poverty and social harm. Here, Chris Jones and Tony Novak look at consequences of poverty and inequality and the challenge they pose to the engaged social work academic and practitioner. There are many studies of poverty that look at competing definitions (and some of the consequences) of poverty in modern society. Here the authors argue that, especially for a profession with a claimed committment to values based on equality, social justice and meeting human need, poverty and immiserisation impose a requirement on social workers to speak out and not to collude with social policies that make the plight of the impoverished even harder and their lives even worse.