Testing of NHS and Social Care Staff

Olivia Blake Excerpts

Wednesday 24th June 2020 Commons Chamber

[Olivia Blake (Sheffield, Hallam) (Lab)]

I, too, would like to thank and praise the efforts of all frontline workers, in particular from the NHS and local government, on test and trace, and throughout the coronavirus epidemic.

It has now become clear that the Government were quite slow to implement testing for everyone, including NHS workers. Thankfully, the teaching hospitals in Sheffield were a lot quicker to provide tests for their staff—nearly 10 days before it was recommended. They used their in-house expertise to provide tests early to keep health workers on the frontline before the spike in the pandemic. It is not enough for the Government to leave that to individual hospitals. We need Ministers to properly resource a national routine testing regime for all NHS workers that can keep staff safe, keep patients safe, prevent the spread of infection, keep health workers and support staff at work, and get the NHS back on track.

There is a stark difference between how my teaching hospital in Sheffield approached its use of in-house expertise and the Government’s wider approach to testing and tracking. We have heard about the complicated system involving multiple private companies. It is still unclear to me why Serco was given the track and trace contract. It has no expertise in this area, has already had to apologise for breaching data protection rules and was previously fined £1 million for failures to deliver on other contracts.

Rather than private companies with little or no medical and testing experience, we should learn from the healthcare professionals and public health experts who are working hard to respond to local public health emergencies. That means ensuring realtime testing data is shared with public health directors—a frustration that I know is felt up and down the country—or whoever, whether GPs or local authorities, is responsible for dealing with local outbreak responses. It means supporting local campaigns, charities and mutual aid groups to provide soft intelligence to help to monitor outbreaks.

That also means thinking through the needs of individual communities, such as those that do not have English as their first language. The testing and tracking system is vital and a huge part of our national response to the covid-19 crisis, but we also need clearly communicated social distancing measures, workplace health and safety audits, and robust supply lines of PPE. The Government have been slow to act and we now need to ensure that the tracking system we put in place is informed by expert opinion, properly integrated with response teams on the ground and sensitive to the needs of communities.

On care homes, we have seen outbreaks in one in three, which is shocking. When we found out that earlier on in the crisis that there was a cap on tests in care homes, we could see that managers may have been placed in the difficult position of choosing between testing residents and staff. Testing of patients discharged to care homes must not be forgotten. We must make sure that that remains in place for the long term.

We need to make sure that we encourage those who are about to become parents to access maternity services if they have any concerns about a reduction in movement. We have seen a sad and desperately tragic increase in stillborn births and in complications in births, so that is really very important. Finally, we need to make sure there is not a bottleneck in diagnosis and that the longer-term implications of covid-19, such as fibrosis, are in the horizon planning too.

Covid-19 Response

Olivia Blake Excerpts

Monday 18th May 2020 Commons Chamber

[Matt Hancock]

That is one of the many balances we will have to strike in the months and years to come as we recover from covid-19. There are, immediately, three things we are doing on that. The first is that we have brought in more staff, especially retired staff, and we want to keep them. They have been absolutely brilliant and a huge help to the NHS during the crisis. The second is providing more support to staff. I mentioned the mental health support, but this involves all sorts of other, wider support to staff right across health and social care. The third thing is making sure that we rebuild the NHS, gaining from the improvements that have been made in the eye of this storm, because there have been improvements to ways of working. Huge strides forward have been taken on the use of technology, and we have found areas where that has made a very big positive impact. Although there are, of course, parts of this crisis response that we want to roll back, there are other parts we want to pick up and take forward.

[Olivia Blake (Sheffield, Hallam) (Lab) [V]]

My constituent Rebecca’s mother tragically died from coronavirus while working as a nurse in a Rotherham care home. The care home did not have access to the personal protective equipment she needed to keep safe. Rebecca wants to know: how will the PPE available to health and care professionals who have died in service be recorded and considered? Will accepting the £60,000 death-in-service payment prevent her family from making a negligence claim? And who signed off on the Government’s strategy of sending untested patients to care homes?

[Matt Hancock]

As I have said, in care homes we put in place infection control procedures as much as was possible at the start of this crisis, and there was not an increase in the number of people going back to care homes. But my heart goes out to the family of the hon. Lady’s constituent, who died working in social care, joining, I am afraid to say, many others who gave service during this crisis and died as a result of it. I am very happy to look specifically into her constituent’s case. We do look into the death of any health or social care worker and make sure we get to the bottom of all the lessons that can be learned, and I am very happy personally to do that in the case of the constituent that the hon. Lady has rightly raised.

Lesbian, Bisexual and Trans Women’s Health Inequalities

Olivia Blake Excerpts

Tuesday 10th March 2020 Commons Chamber

[Olivia Blake (Sheffield, Hallam) (Lab)]

I wish to refer Members to my declaration in the Register of Members’ Financial Interests regarding NHS services in this area. I am thankful we are having this debate today. I, too, thank the Backbench Business Committee for bringing it forward. It is particularly important for my city, which is home to the Porterbrook centre, which is a specialist gender identity clinic.

I want to highlight some of the health inequalities faced by trans people, but before I do I will flag up some of the more general issues in health and social care for the LGBT community. I could have spoken about mental health, access for women, particularly LGBT women, to drug and alcohol services or, as has been expressed by others, access to screening for the detection of cancer. Today, however, I shall focus primarily on social care because it is one area that will affect all LGBT families at some point.

I recommend that anyone with an interest in LGBT health inequalities take a look at a recent report by Stonewall called “Unhealthy Attitudes”. Rather than focus on health inequalities and disparities, it focuses on and investigates the culture in our health and social care system, and asks how inclusive it is for LGBT people.

Some of the report makes for shocking reading. The report details the discrimination and abuse that LGBT staff, patients and service users have encountered in the health and social care sector. The report is based on data collected from health and social care workers. One stark thing about it is that it does not shy away from quoting what the staff themselves say about LGBT patients and colleagues. Although there are a lot of positive comments, there are quite a lot that could be considered bigoted. It is a telling feature of the culture of an institution that this minority of staff feel comfortable expressing these bigoted views.

The report also features direct testimony from LGBT staff on their experience of bullying and discrimination, and from staff who would like to do more. In fact, 38% of social care workers agree that more needs to be done to tackle bullying and discrimination—interestingly, this is more than the figure for health workers, which is 31%. Importantly, it is also clear from the report that staff often feel disempowered to challenge homophobia, transphobia or biphobia when they see it. Sometimes, they also feel like managers will not support them if they are challenging the bigotry of a patient or service user—in fact, in one of the testimonies the person said that their manager was the main offender. For that reason, I wonder whether trade unions, and especially their LGBT sections, might be given more powers to intervene in workplaces to provide education and training.

Training is important. The recent House of Commons report on LGBT health inequalities talks about the systemic roots of injustice in the system, and that is manifested in a lack of training given to workers in the sector. One in four health and social care workers say that their employer has never provided them with any equality and diversity training, and the proportion increases to one third in privately funded services. It is often social care workers who feel least confident dealing with trans patients and service users: 34% of advice workers said that they are not confident, as did 31% of social workers and 24% of support workers. The report finds that one in 10 care and social workers feel unequipped to meet the needs of LGBT people.

[Kate Osborne (Jarrow) (Lab)]

Does my hon. Friend agree that we need to ensure that the health and social care needs of the most marginalised and vulnerable LBT women are urgently addressed?

[Olivia Blake]

Absolutely—I completely agree. This is an urgent matter and the Government should take note and take action.

We need to put person-centred care front and centre. Fifty-seven per cent. of health and social care practitioners say that they do not consider sexual orientation to be relevant to someone’s health needs. Among care workers, that proportion rises to a staggering 72%. This view probably comes from an admirable commitment to equality but, as the recent review of the Marmot report reminds us, equality is not the same as equity. A person-centred approach to healthcare should be holistic: it is about understanding how someone’s personal life and background affects how they receive care and experience care settings, and how their experience of the health and social care system affects their health outcomes. Again, there is massive scope for training, and for unpicking a one-size-fits-all approach.

I wish particularly to mention trans peoples’ experience of the health and social care system. As I said, Sheffield is home to the Porterbrook gender identity clinic, which is a regional provision. We need more resourcing for such clinics to bring down the long waiting times. We also have to look at the experience of trans women as they use the services. A recent Healthwatch Sheffield report explored the experience of trans people using healthcare services in my city. The participants in the report stressed that the care they had received at the Porterbrook centre was good, but they could not say the same about their interactions in other parts of the healthcare system. An issue that they flagged was understanding—understanding from staff about the rights and entitlements for trans service users, and sometimes more basic things, such as the use of correct pronouns. The participants also flagged up the reluctance of many providers and professionals to acknowledge non-binary gender identities.

There is a long way to go in addressing health injustices for LGBT people—and they should be called injustices. Equal treatment is not the same as equitable treatment. We need to acknowledge the specific life experiences that LGBT people have and how those experiences affect their interaction with the health and social care system. We also need to acknowledge the bullying and discrimination that LGBT staff and service users encounter and how that contributes to health inequalities through people’s reluctance to engage with and use services when they have had, or fear, a bad experience.

We need to make sure that our health and social care system is properly resourced. The austerity agenda has been a key driver of the crisis in health and social care, which has hit LGBT people especially hard and hit women hardest, so there is a double impact for LBT women. Injustices are not natural; they are a product of choices. This is about not only NHS-funded services but the massive cuts to local authorities, particularly the cuts to public health grants, which fund services that LGBT communities rely on more than other communities. I hope the Government choose to end the injustice of LGBT healthcare inequality by properly investing in the resourcing and training that is necessary to build health and social care services that work for all our people, so that no one is afraid to access healthcare and everyone has an inclusive health and social care experience.

Health Inequalities

Olivia Blake Excerpts

Wednesday 4th March 2020 Commons Chamber

[Jonathan Ashworth]

My hon. Friend makes that point very well. Not only are there inequalities in health outcomes, but inequalities are opening up in access to health services.

I said that I understood why the Secretary of State cannot be here, but he has now joined his colleagues on the Front Bench. I will state, just for the record so that he can be reassured, that I did not criticise him for not being here—I said that I entirely understood why he could not be here. But he is always welcome to listen to my pearls of wisdom, of course.

Michael Marmot’s analysis was shocking, and his conclusions devastating. Let me remind the House of what Professor Marmot found: for the first time in more than 100 years, life expectancy has essentially flattened overall since 2010, and has actually declined for women in the poorest areas of England. In last week’s Opposition day debate, the Health Secretary told Opposition Members that we must debate these issues based on the facts. In fairness, he said that there were life expectancy differences between, for example, Blackpool and Buckingham. [Interruption.] Indeed—gulfs. The Secretary of State made that point. If I may say so, however, I do not believe that he was as clear as he could have been in presenting the full picture for the benefit of Members. When we look at the figures, we see that for more than 100 years, life expectancy has been increasing by about one year every four years. More recently, from 2001 to 2010, the increase was 0.3 years for each calendar year for men and 0.23 years for women. Between 2011 and 2018, the average rate of increase was 0.07 years for males and 0.04 years for women. By any standards, that is a truly dramatic lowering in the rate of improvement in life expectancy between 2011 and 2018.

[Olivia Blake (Sheffield, Hallam) (Lab)]

The latest figures for my city of Sheffield show that life expectancy is nearly nine years more for women from the least deprived decile than the most deprived, and that gap has widened significantly since 2010. Does my hon. Friend agree that, as we approach International Women’s Day and the Budget, we must be mindful of the toll that austerity has taken on our cities and across the country, especially in relation to life expectancy and quality of life?

[Jonathan Ashworth]

I welcome my hon. Friend to her place. She is already an eloquent and passionate fighter for her constituents in Sheffield, and the point she makes is spot on: the reality is that 10 years of austerity has hit women hardest.

Coronavirus

Olivia Blake Excerpts

Wednesday 26th February 2020 Commons Chamber

[Matt Hancock]

I would be very happy to discuss the specific case with my hon. Friend—either I or the Minister for Public Health—and I am looking into that specific example. A small number of schools have taken that step. I understand why they have, and it is of course a decision for the head, taking into account local factors. We are putting in place, through the regional schools commissioners, the structures to make it possible to ensure that every school can get the advice it needs, but in the first instance every school should go to the website, because there is a huge amount of advice on that.

[Olivia Blake (Sheffield, Hallam) (Lab)]

What action is the Minister taking to ensure that the support and communication being given is adequate and clear to British nationals currently quarantined in the hotel in Tenerife, and to their families, who are rightly worried?

[Matt Hancock]

It is a very important question. We are getting as much information as we possibly can, through the Foreign Office, to those who are in Tenerife. As I announced in the statement, we will shortly be strengthening our domestic communications programme to ensure that people have all the information they need.