Midwives: Bullying

Lord Boateng Excerpts

Tuesday 16th April 2024 Lords Chamber

[Lord Markham (Con)]

I agree. As ever with these things, there are a number of issues, of which pay is one. The introduction of the £5,000 a year support that we now give to all students is an important help with regard to debt. Work conditions are important, but key to it all is the culture. I have seen many examples where that has not been great. I was quite impressed by the Chief Midwifery Officer saying that every trust now has a midwife retention person whose job is to get into all these issues and make sure that they are addressed.

[Lord Boateng (Lab)]

My Lords, how many of the midwives recruited to deal with the current midwifery crisis in the NHS were trained and qualified in the United Kingdom? On a recent visit to Ghana, I visited a child oncology unit, which, in the past year, had lost a fifth of its clinical nursing staff, who were trained, qualified and paid for by the Ghanian taxpayer—to the benefit of the NHS. How is that ethical or right?

[Lord Markham (Con)]

I will come back to the noble Lord with the exact number, but he is correct: the long-term workforce plan is all about making sure that we have the right resources and infrastructure to train the required number of people. Behind that, we have funded an extra 150 spaces this year and we have a target to increase them by 1,000 by 2026. It is absolutely as the noble Lord maintains: we are putting training in place domestically, as well.

Recovering Access to Primary Care

Lord Boateng Excerpts

Tuesday 9th May 2023 Lords Chamber

[Lord Boateng (Lab)]

My Lords, there is much in the Statement that is welcome, but I know from my own time, many years ago, as a very junior Minister in the Department of Health, but also more recently, as Chancellor of the University of Greenwich, with the role we play in the training of pharmacists, that small, independent community pharmacists have a real challenge in finding the space and capacity to provide advice and assistance to clients in conditions of sufficient privacy. What proposals will the Government come forward with, and with what funding, to assist the small independents—we are not talking about Boots and the big guys and gals but about the small independent pharmacists? What capital assistance is going to be provided to the small community pharmacists on our high streets who can potentially play such an important role, to enable them to structure their premises in a way that enables them to give the information that the Government are suggesting they should give in preference to GPs?

[Lord Markham (Con)]

The noble Lord makes a very good point. It is really making sure that the independents can play a very important role. It is, where necessary, making sure that whole-estate planning takes that into account. A lot of the work I have been doing with Minister O’Brien—he heads the GP space while I look after the capital space—is looking at how we can create the sorts of models where you can put pharmacies alongside GP surgeries, in many cases, and make sure that that capability is there. I freely admit that capital is at a premium within the system, so we have to be creative in the ways we use it, but the noble Lord is absolutely correct that this is a key way to make sure we have a network of independent pharmacies that can really serve their local community.

Covid-19: Antiviral Pills

Lord Boateng Excerpts

Monday 31st January 2022 Lords Chamber

[Lord Bethell (Con)]

My Lords—

[Lord Boateng (Lab)]

My Lords—

[Lord Geddes (Con)]

My Lords—

[Lord Ashton of Hyde (Con)]

My Lords, there is plenty of time. I think one side could give way to the other.

[Lord Boateng (Lab)]

My Lords, the Government have long said that the problem with vaccines globally has been not supply but distribution. What proposals will the Government bring forward to illustrate how the antivirals will be distributed and supplied globally?

[Lord Kamall (Con)]

That is a very good question. Clearly the focus up until now has been on making sure that vaccines are distributed worldwide working with G7 and G20 partners. When we talk about health partnerships, one of the issues that many other countries raise with us is the supply of vaccines and local manufacture. To date, I am not aware of conversations about antivirals, but I will certainly look into that.

Covid-19: Vaccinations for School Pupils

Lord Boateng Excerpts

Monday 17th January 2022 Lords Chamber

[Lord Kamall (Con)]

My noble friend raises a very important point, which I know a number of other noble Lords have also raised. In a free society, we have to get the balance right between freedom of speech and ensuring that people have a right to say even those things with which we may disagree fundamentally, while ensuring that misinformation is not spread. The department has now provided information and guidance to schools on how to handle any misinformation, and who to contact if there are protests which step beyond the line of acceptability and contravene the law. The police now have comprehensive power to deal with the activities, especially those which spread hate or deliberately raise tensions through violence or public disorder. I am sure many people will be aware of the attacks on vaccination centres in Truro in October and in north Wales and at the Bromley Civic Centre earlier this month. That was going way too far on freedom of speech, and we want to make sure that we deal with the people who take part in these acts.

[Lord Boateng (Lab)]

My Lords, does the Minister agree with the World Health Organization that the vaccination of children in the wealthy world should not be at the expense of the vaccination of health workers and vulnerable adults in the developing world? If so, what more can the UK do to ensure that the developing world has access to vaccines and the capacity to manufacture them?

[Lord Kamall (Con)]

I once again pay tribute to the noble Lord, Lord Boateng, for raising this issue and for the number of times he has raised similar issues about the developing world over the years. Since I became a junior Minister of Health, I have been involved in many meetings with the G7 and G20, and in bilateral meetings with other Health Ministers. This item always comes up on the agenda and is something that the British Government have pushed. We are leading donors to the international COVAX programme and are working across the world, with other countries and with manufacturers, to make sure that we get the vaccines to those who really need them. While we here in this country complain about third and fourth doses, for example, there are still many people in many countries who have not even had their first vaccine. In the longer term, that is not right for anyone.

Breast Screening

Lord Boateng Excerpts

Tuesday 14th December 2021 Lords Chamber

[Lord Kamall (Con)]

I think all noble Lords would agree with the noble Baroness that it is important we have speedy diagnosis. On the specific question, I will check and get back to her.

[Lord Boateng (Lab)]

My Lords, will the Minister accept that, at the same time as aid and assistance to the developing world is being cut in the health sector, we are increasing the recruitment of doctors and nurses, not least from Africa, while Africa is experiencing a real issue with the distribution of the Covid vaccine? Is there not something terribly wrong there?

Women’s Health Outcomes

Lord Boateng Excerpts

Thursday 8th July 2021 Lords Chamber

[Lord Boateng (Lab) [V]]

My Lords, thanks are due to the noble Baroness, Lady Jenkin, for all she has done for women’s health. She mentioned pregnancy. Black women in the UK have higher rates of morbidity and mortality related to pregnancy and childbirth than any other section of the community. They have worse outcomes too for breast and cervical cancer. Black women of Afro-Caribbean origin are less likely to consult health professionals regarding symptoms of perinatal depression. The British Journal of General Practice gives as the perceived reasons for this a lack of compassion in healthcare workers and a lack of culturally sensitive staff. I hope the Minister will address how training is going to address these issues.

Reference has been made to Covid. In a study of maternal death in the course of the Covid pandemic, it was revealed that 88% of the deaths investigated in the report Saving Lives, Improving Mothers’ Care were from black and ethnically diverse groups. I hope the Government will ensure that, in learning the lessons of Covid, the impact of ethnicity and racism is taken into account. The Royal College of Obstetricians and Gynaecologists has called on the Government to take action on racial disparities and on the Government’s own racial disparity audit and the extent of the real problem it reveals. What action is in fact being taken in that area?

Black and south Asian ethnic-minority women suffer a double whammy of gender and ethnicity. They suffer a real disadvantage in their access to healthcare and of positive outcomes. There is an issue—we cannot ignore it—of unconscious bias. This leads to adverse behaviours. It leads also, I am afraid, to adverse outcomes. We need to address this in training and continuous professional development.

The absence of black and ethnic-minority women in all too many clinical trials reveals an equally important issue, as well as a stereotyping of south Asian women as somehow more likely to suffer pain and of black women as non-compliant. If you are a black or Asian woman, you are more likely to find yourself locked up in a secure ward. You are less likely to have treatment by way of talking therapies. We know that we need partnerships with women’s organisations; we need to listen better to women, especially black women, and we need resources. All these things are necessary if we are to translate good intentions into action that makes a real difference for women in general and black and ethnic-minority women in particular.

Mental Health Act Reform

Lord Boateng Excerpts

Monday 18th January 2021 Lords Chamber

[The Deputy Speaker (Lord Bates) (Con)]

I call the noble Lord, Lord Singh of Wimbledon. No? Lord Boateng.

[Lord Boateng (Lab) [V]]

My Lords, the Minister is to be commended for calling out racism, because that is what many black and south Asian patients experience. Will he ensure that commissioners in the field, with this new money given to them, fund local, community-based advocacy groups? And will he ensure the health review tribunals reflect the communities on which they are adjudicating and recognise racism in the mental health service?

[Lord Bethell (Con)]

My Lords, the role of health review tribunals is critical, and more needs to be done to ensure that they reflect the communities they represent. I am not sure it is the role of mental health trusts to finance local advocacy groups, but he is right that they make a difference and hold the system to account. The broader issue of racism in the NHS is a cross-institutional challenge that must be addressed by all parts of the NHS, and we are committed to doing so.

Health Protection (Coronavirus) (Restrictions) (England) (No. 4) Regulations 2020

Lord Boateng Excerpts

Wednesday 4th November 2020 Lords Chamber

[Lord Boateng (Lab) [V]]

My Lords we have been told with some force in the course of this debate that, without these regulations, the NHS will fall over. I am not in a position to challenge that and will support these regulations, albeit with a heavy heart. However, I cannot help but ask myself, as so many others have, why it took so many black, Asian and minority-ethnic lives to prop the NHS up during the last lockdown? What lessons have been learned from the disproportionate number of black and minority-ethnic NHS and care workers who died as a result of this virus during the last lockdown? If you look at the NHS website, you are told that

“A bespoke health and wellbeing offer … for BAME colleagues is being created”.


The question I have for the Government—and I hope the Minister will answer it directly—is: is that offer now in place and going to be given to black and minority-ethnic staff?

You are four times more likely to die of Covid-19 if you are black than if you are white. This virus does discriminate: it discriminates against ethnic minorities, the poor, the homeless or those who are disadvantaged in any way. It takes advantage of the systemic inequalities within our society. We must have data to back up strategy and its implementation to address those inequalities. As such, I also have the following question for the Minister: will he confirm that the data collection that contributes to the NHS workforce race equality standard, which was suspended during the last lockdown, has now been resumed? Will he continue to make sure that we have the data available to make judgments on?

The virus takes advantage of homelessness, particularly street homelessness, infecting those who are homeless and posing a risk generally to us all in relation to the nation’s public health. Therefore, will the Minister please confirm that the Home Office will not require failed asylum seekers to be evicted from accommodation supported by the Home Office during this lockdown? If not, why not? Will he also, on the question of inequality generally, publish an equality impact assessment on government support schemes? We know that these are not able to be accessed as easily, well or effectively as they should be by those from black and minority-ethnic backgrounds. I do not doubt the Minister’s sincerity or his good intentions, or those of the Government, but we need some practical measures taken and genuine and effective responses to the threat and peril that Covid-19 presents to us all.

Medical Teaching and Learning: Ethnic Diversity

Lord Boateng Excerpts

Tuesday 14th July 2020 Lords Chamber

[Lord Bethell]

My Lords, I welcome the noble Baroness’s point. She is entirely right that we live in an extremely diverse community, and this has an impact not only on the way people present their disease but on how they could and should be treated. This is why we build diversity awareness into our training and why we will build extra programmes into the People Plan that will be published shortly, and that is why we remain committed to this agenda.

[Lord Boateng (Lab) [V]]

[Inaudible.] Disparity in any part of the healthcare system is a threat to public health. In health education, there is underrepresentation of the black British community in student entry, among academic staff and in attainment. What specific actions do the Government intend to take to address this fact in each of those areas?

Covid-19 Update

Lord Boateng Excerpts

Monday 16th March 2020 Lords Chamber

[Lord Bethell]

Occupancy rates are changing all the time as we cascade patients from one class of bed to another in order to make room and prioritise those who are hit by the virus. We are doing an enormous amount to expand the capacity of beds—for instance, converting operating theatres into respiratory support units and moving patients into beds where they may be more comfortable. Provisions for IR35 will be made in the coronavirus emergency Bill later this week.

[Lord Boateng (Lab)]

My Lords, I want to raise the issue of two groups who are particularly vulnerable in terms of social isolation: the deaf elderly and the black and minority ethnic elderly. What assurance can the Minister give the House and the wider community that, in their communication strategy, the Government will take the needs of those two groups into account by signing, in terms of verbal and oral communication, and translation in terms of written?

[Lord Bethell]

The noble Lord is entirely right to ask about this. I am pleased to say that, thanks in part to the advocacy by the deaf community, a signing translator was provided for the briefing from No. 10 Downing Street earlier today. That is a sign that we are listening to those who advocate on behalf of these groups. However, I have to be honest with the Chamber: there are a large number of groups who deserve special treatment, and although we are moving as fast as we can in order to provide the best possible care and service that we can, I cannot pretend that there are going to be tailored packages for each and every vulnerable group in the land. We are just going to have to pull together and do the best that we can under extremely difficult circumstances.