Black Maternal Health Awareness Week 2022

Debate between Bell Ribeiro-Addy and James Gray

Wednesday 2nd November 2022 Westminster Hall

[James Gray (in the Chair)]

That she might wish to introduce. The hon. Lady keeps saying “you”, but when you say “you”, you mean me. I am not involved in any of these things. She might do those things.

[Bell Ribeiro-Addy]

My apologies. I would like to leave the Minister with a few more suggestions about measures that her Department might wish to introduce. The first is for the Government to introduce this target. I understand your reasoning—

[James Gray (in the Chair)]

Her.

[Bell Ribeiro-Addy]

I understand the Minister’s reasoning for not having a target. It may appear logical, but given that the data shows that those women’s children have a 43% increased chance of being miscarried, and a 121% increased chance of being stillborn, I do not understand how the Government can say that they will look at all these measures surrounding the issue but will not specifically set a target to bring it to an end. That is not acceptable, and I do not believe that the women who continuously campaign for a target will accept that, so I ask the Minister to look at it again.

I understand that there are great challenges in looking at disparities across the board. All those things need to be addressed and different Departments need to be brought in, but as I said in relation to socioeconomic status and other factors, there is a culture of institutional racism in our NHS, which needs to be resolved. Obviously, that will start with data. The NHS must improve the quality of ethnic coding and ensure that the data is accurately recorded. I am really concerned about how skewed the recording is.

At our APPG meeting yesterday, we heard that even when it comes to simple things such as trying to find out how many women have claimed compensation for things that have happened, the women’s age and the area they have come from is recorded, but their race is not. That seems like a major oversight, especially when other pieces of data are being gathered.

I support Five X More’s call for the Government to introduce an annual maternity survey targeted specifically at black women, similar to the Care Quality Commission’s maternity survey, because I believe that its results could be used to inform public and parliamentary accountability and improve maternity health services. Although few women contributed to the Government’s survey, there is a willingness among black, Asian and minority ethnic women to record their issues and experiences, as the other campaigns have proved.

I reiterate the call for an inquiry into institutional racism in the NHS. That is the only way that we will change some of the outcomes, especially given the information that has been gathered on what the issues are. Yes, we have to look at air quality and other co-morbidities, but until we address racial bias, assumptions among medical staff, and teaching and training, certain things will just not change.

Finally, please engage with the campaigners. I understand that there is a lot of listening going on. In the past few years, there have been more conversations, and they are more likely to be included in working groups, but it is one thing to say, “Yes, we have to look at this. This is really awful,” and another thing entirely to engage with them, work with them across different issues and show that the things they are asking for are being met within the NHS’s plan. Please do engage with the campaigners. They know what they are talking about and have the data that the Government have not been able to collect from women. They understand the issues and are making the right calls about what we need to do to bring this horrible disparity to an end, to close this racial divide and ensure that black women, Asian women and women of mixed heritage have safe births.

Question put and agreed to.

Resolved,

That this House has considered Black Maternal Health Awareness Week.