Covid-19: BAME Communities

Dawn Butler Excerpts

Thursday 18th June 2020 Commons Chamber

[Madam Deputy Speaker (Dame Rosie Winterton)]

As I am sure colleagues will have seen, this is a very well-subscribed debate, so I intend to impose a six-minute time limit straight away so that we can get everybody in. I know that the hon. Lady is aware that she has around 15 minutes for her opening speech.

[Dawn Butler (Brent Central) (Lab)]

I beg to move,

That this House is concerned about the level of deaths from covid-19 among Black, Asian and minority ethnic communities; notes that structural inequalities and worse health outcomes for Black, Asian and minority ethnic people go hand in hand; calls on the Government to review the data published by the Office for National Statistics on 11 May 2020 on Coronavirus (COVID-19) related deaths by occupation, England and Wales: deaths registered up to and including 20 April 2020, the Report published by the Institute for Fiscal Studies in May 2020 entitled, Are some ethnic groups more vulnerable to COVID-19 than others? and the full report by Public Health England on Disparities in the risk and outcomes of covid-19; and further calls on the Government to set out in detail the scope and timeframe of the Government’s review and urgently to put a plan in place to prevent avoidable deaths.

I thank the Backbench Business Committee and its Chair, my hon. Friend the Member for Gateshead (Ian Mearns), for securing this important debate. Many Members who wanted to speak cannot do so, and it is a shame that they cannot participate remotely. The Government are more focused on subverting democracy than protecting lives, but we will not go into that. Their decisions are increasingly illogical and irrational. They finally did a U-turn the other day and now children will be fed this summer; I am glad the Government are doing U-turns. I thank everyone involved, including the all-party group on school food and Marcus Rashford, who joins celebs such as Raheem Sterling, John Boyega and others who are finding their voice and using their position for change.

This is a sobering debate. We all watched the brutal, very public lynching of George Floyd—our lives were interrupted by the killing—but racism does not just manifest itself in brutal ways that can be caught on camera and shared on social media. “I can’t breathe”, the last words of George Floyd, could apply to the disproportionate numbers of black, African-Caribbean and Asian people dying from coronavirus in this country.

Every time the Government get dragged kicking and screaming to do the right thing, I can’t breathe. I can’t breathe every time the Government hide a report or kick an issue into the long grass by announcing another commission or report. I can’t breathe. My breath is taken away by the lack of care, empathy and emotional intelligence shown by the Government time and again. For months, we stood at our doorways and clapped for our key workers, the ones on the frontline—the doctors, the nurses, the carers, the cleaners, the ones driving the buses, the cabs and the forklift trucks or serving people in supermarkets. The people we clapped for are the ones who are being underpaid and who are, disproportionately, dying.

The death rate for covid-19 has exposed and amplified what has been going on in society for decades. The concentration of deaths in areas where people are just about managing should worry us all. As a country, we are better than this. According to the Office for National Statistics, the burden of covid-19 has been felt more strongly in regions with greater deprivation. In those areas, people are dying from the virus at double the rate of those in more affluent areas. According to the ONS, adjusting for age, black people are more than four times as likely to die from covid as white people. Pakistanis and Bangladeshis are more than three times as likely and Indians more than twice as likely.

BAME people account for 13.4% of the population, but they make up 34% of patients admitted to an intensive care unit. My constituency of Brent sadly has the highest number of registered deaths in London. In line with findings from the Office for National Statistics, those areas of greatest deprivation, such as Harlesden, have the highest number of deaths.

[Stephen Doughty (Cardiff South and Penarth) (Lab/Co-op)]

I thank my hon. Friend for the powerful way in which she makes these crucial points. Does she agree that the approach taken by my constituency colleague and the Welsh Minister for Health and Social Services, Vaughan Gething, on the disproportionate impact of these issues on BAME communities—we have seen tragic deaths in my constituency too—has been in stark contrast to the approach taken by the UK Government? Vaughan Gething has understood this issue, and led on it from the start.

[Dawn Butler]

I thank my hon. Friend for that intervention. We can learn a lot from the approach in Wales, including how people are approaching the disproportionate number of deaths from covid-19 in the BAME community. I thank him for everything he does in his constituency on that issue.

We did not get to this point by accident, and we must make a concerted effort to dismantle the structural and systemic racism that exists in society, and that affects life chances from the moment someone is born.

[Abena Oppong-Asare (Erith and Thamesmead) (Lab)]

I spoke to NHS doctors from EveryDoctor, and they told me that 63% of BAME doctors felt pressured to work in wards treating covid patients, compared with 33% of their white counterparts. Does my hon. Friend agree that the Government must do more to address workplace discrimination that affects ethnic minorities?

[Dawn Butler]

I thank my hon. Friend for that important intervention, and I will come to that point later in my remarks. As constituency MPs, it is important for us to talk to doctors, and to understand and learn what is going on. I wish the Government would also take that on board.

Structural and systemic racism is also a health issue, and the Institute for Fiscal Studies revealed that the jobs that are most at risk are over-populated by African, Caribbean, Asian, and minority ethnic people. We must be honest with ourselves and ask why that is. The higher BAME death rate is apparent across all grades of the NHS, even in the highest socioeconomic groups. We must be honest with ourselves and ask why that is. If we shy away from the truth, nothing will change. The publication of the first report on this issue stated that 17 doctors died, 16 of whom were BAME. Eastern Eye then reported that, since 2 June, when that report was published, another 18 doctors died after saving lives, 17 of whom were BAME. We must be honest with ourselves and ask why that is.

The Public Health England report that the Government tried to hide states that, as my hon. Friend the Member for Erith and Thamesmead (Abena Oppong-Asare) said, there were numerous examples of doctors who were not able to access appropriate PPE to protect themselves adequately. It also stated that requests for risk assessments or additional PPE from BAME workers were more likely to be refused, and that requests were less likely to be made because of the fear of adverse treatment.

Mary Agyeiwaa Agyapong, a nurse, was still working at a hospital while heavily pregnant. She sadly died of covid-19. They managed to save her baby girl by emergency caesarean. That is so tragic, and we must ask ourselves why she was forced to work. Let me give a couple more examples. Two black employees in London, a taxi driver and one transport worker, Belly Mujinga, died after allegedly being spat at by somebody who claimed they had covid-19. Belly had an underlying health condition and should not have been put in danger. She requested to work in the ticket office, but that was refused. We must ask ourselves why such things are happening. The Government must urgently implore and ensure that all employers carry out risk assessments in all workplaces. As lockdown is eased, those most at risk are in greater danger unless the Government introduce structural requirements for employers.

[Chris Stephens (Glasgow South West) (SNP)]

I thank the hon. Lady for what she has said so far. She talks about employers carrying out risk assessments. It is important that that includes Government Departments and the Government’s outside contractors, because, as she will be aware, many of the workers in these outside contractors—cleaners, for example—are from the BAME community.

[Dawn Butler]

I thank the hon. Gentleman for that intervention. It is not one rule for Government Departments or Parliament and one rule for the rest of the country: we have seen that play out way too often. He is absolutely right that that has to be taken into consideration.

More than two in 10 black African women are employed in health and social care roles, Indian men are 150% more likely to work in health or social care roles, and 14% of doctors in England and Wales are Indians. Covid-19 does not prefer one person’s lungs to those of other ethnicities. It is not the pandemic that discriminates—it is society. It is almost as though being black is a pre-existing condition that results in worse outcomes for health, employment and education. That does not for one moment mean that it cannot be overcome. It is not a victim mentality that has put us in this situation, any more than it was indolence that put British citizens on planes and deported them during the Windrush scandal or bad sportsmanship that subjects our players to abuse on the field. We must call it what it is, because if we do not call it what it is, how can we identify it, how can we cure it, how can we stop it? It is racism, and it has become more structural and systemic. It is not just about individuals. Structural and systemic racism can exist without individual acts of racism, but it is an unfair, unequal discriminatory system—and it is literally killing us.

[Rushanara Ali (Bethnal Green and Bow) (Lab)]

Does my hon. Friend agree that at the heart of Government there is huge ignorance about this agenda, and we need the Government to learn from what has happened? As we ease lockdown, the Government urgently need to do the risk assessments so that families who are at risk through inter-generational living and all those issues are taken into account and action is taken to protect people from further risks of dying.

[Dawn Butler]

I thank my hon. Friend for that intervention. It is absolutely vital that the Government ensure that risk assessments are carried out in workplaces so as to have fewer deaths.

As I say, this is literally killing us, and just like the killing of George Floyd, we can all see it. If anyone does not believe me—if anyone does not believe that structural racism exists—believe the body count.

Incremental changes are no good if structural barriers still exist. Breaking down systemic and structural barriers will build a society that is better for everyone. Every life matters—of course it does, but not all lives are treated equally. Interestingly, some of the things that would most benefit and save black and Asian lives are the same things that will save everybody: risk assessments, test and trace, and easy access to in-date PPE. What the country needs now is a Government who are going to deliver fast and decisive action. Everyone in this House should stand up and say, “No longer should discrimination, cultural exclusion, poverty and class be allowed to determine whether you live or whether you die.”

That is why this debate is so important. It is said that if a house is on fire in a street, of course all the houses in the street are important, but the focus needs to be on the house that is burning—and right now this situation needs fixing for the BAME community. Right now we have a group of people who are dying at four times the rate of anybody else. It is the same demographic as the people who died in Grenfell Tower just three years ago. It is the same group of people who were subjected to the hostile environment just eight years ago. It is the same people who have been told to stop being victims. There is a pattern here, and we need the Government to show some urgency to address the racial inequalities that exist in the UK.

At first the Government said, “We will not publish the PHE report because it is too sensitive in relation to Black Lives Matter.” On 4 June, the Minister stood up and said, “We’ve asked Professor Kevin Fenton, a black surgeon, to lead on this review”, but apparently he did not lead on it. The Minister then said that the review was not part of the report. Confused? I know I am.

The Minister also stated that PHE did not make recommendations because it was not able to do so, but we know she was aware of the second set of recommendations made by PHE. When she gets to her feet, will she apologise on behalf of the Government for misleading the House? Why did the Government try to bury the PHE report? I was not the only one who was trying to get to the bottom of it. Eastern Eye, Channel 4 and Sky have doggedly pursued the issue because something just did not feel right. That is why people have taken to the streets—they are tired of the dishonesty.

The Government have form on whitewashing reports. Baroness McGregor-Smith’s review has seen very little progress. The Lammy review has not had any recommendations implemented. The 2018 race disparity audit has not been acted upon. The Windrush lessons learned review was edited and delayed for a year. It was published, had sections deleted and it was still not acted upon. The Government need to stop trying to erase from their reports the injustices towards black and brown people and working-class people. It is a disgrace.

The Government announce reviews and consultations to get themselves out of trouble, and then think that everybody will just forget as we stumble into the next crisis. We see what they are doing and we are calling them out on it, because they produced a document a few years ago that talked about “explain or change”. The Government said:

“When significant disparities between ethnic groups cannot be explained by wider factors, we will commit ourselves to working with partners to change them.”

I ask the Minister: what is stopping the Government from acting? The murder of George Floyd and the death toll of covid have forced us to have these overdue, open and, hopefully, honest conversations about race, so that we can ensure a fairer and more equal society.

As a member of the Science and Technology Committee, I have listened to many scientists talk about covid-19, and it is not genetics that have resulted in a higher death rate. It is not internal, and that means it is external. To back up the findings of the PHE report—the one that the Government tried to hide—it is noted that covid-19 potentially has had a less severe impact in the Caribbean, Africa and the Indian subcontinent. That raises questions as to why BAME communities in England are so severely affected. It is suggested that issues such as structural racism and discrimination and a failure to adequately protect key workers may have contributed disproportionately.

I am pleased that I have a covid testing centre in my constituency in Harlesden, which has been so hard-hit. If anyone is interested, they should register with Brent Council. As we build a better life after covid, we must do better. The UN found that the

“structural socio-economic exclusion of racial and ethnic minority communities in the United Kingdom is striking.”

The Minister and the Government should be embarrassed.

Some people have always had worse health outcomes—that is not new. Poor people have always had worse health outcomes, but the virus has magnified the scale of the inequality. Colour of skin, economic background and social and structural racial barriers and infrastructure are all factors as to whether someone has a good chance of surviving this pandemic.

The killing of George Floyd in the middle of a pandemic is a pivotal moment for the world. “I can’t breathe” is as true for covid-19 as it is for racism. History will judge each and every one of us in time on that moment when the world stood still for 8 minutes and 46 seconds. History will judge us on our actions and history will judge the Minister on her response. Minister, before you get to your feet to respond, ask yourself what will be written by your name.

[Madam Deputy Speaker (Dame Rosie Winterton)]

Order. The hon. Lady knows that she must not address the Minister directly. She speaks through the Chair. She does know that.

--- Later in debate ---

[Dawn Butler]

Apologies, Madam Deputy Speaker.

History will judge each and every one of us. Before the Minister gets to her feet to respond, she must ask herself what will be written by her name.

Government Ministers are revealing trauma on one hand and then saying that racism does not exist on the other; it is cruel. I do not think the Minister should not give a speech. I think the Minister should list actions. What will the Government do and when will they do it? She should tell the House and the country when the Government will start to implement the 150-plus outstanding recommendations from previous reports and reviews, not focus on the new commission that the Prime Minister mentioned. We know that that is designed to agitate and gaslight us, just like the Foreign Secretary’s comments on taking the knee.

Black Lives has more in common with white working-class people, the LGBT+ community and people who are under-represented than this cruel Government do. In the words of the late, amazing Jo Cox, we have

“more in common than that which divides us.”—[Official Report, 3 June 2015; Vol. 596, c. 674-75.]

I stand to tell the Government that we are done with the games, we are done with the platitudes and we are done with kicking this issue into the long grass. Enough is enough. Now is the time to act. Now is the time for action. Now is the time to get the Government’s knee off the neck of the black, African, Caribbean, Asian, minority ethnic communities.

--- Later in debate ---

[Dawn Butler]

In the words of my hon. Friend the Member for Vauxhall (Florence Eshalomi), I am disappointed but not surprised. The Minister may not have all the answers, but she has some of the answers, which span back to 2010. All the Government need to do is start implementing those answers. If they want to run a review in parallel—fine, do that. But they should implement the nearly 200 recommendations that already exist. There is no excuse for the Government not to act.

We have been in agreement across the House in this debate. I am sure that if this motion were put to a vote, we would win against the Government. The motion states that this House

“calls on the Government to set out in detail the scope and timeframe of the Government’s review”,

which the Minister has not done, and

“urgently to put a plan in place to prevent avoidable deaths.”

The Minister has not done that. The Government will be responsible, because they know what is happening and they have failed to act. The Minister should be ashamed of her Government.

Question put and agreed to.

Resolved,

That this House is concerned about the level of deaths from covid-19 among Black, Asian and minority ethnic communities; notes that structural inequalities and worse health outcomes for Black, Asian and minority ethnic people go hand in hand; calls on the Government to review the data published by the Office for National Statistics on 11 May 2020 on Coronavirus (COVID-19) related deaths by occupation, England and Wales: deaths registered up to and including 20 April 2020, the Report published by the Institute for Fiscal Studies in May 2020 entitled, Are some ethnic groups more vulnerable to COVID-19 than others? and the full report by Public Health England on Disparities in the risk and outcomes of covid-19; and further calls on the Government to set out in detail the scope and timeframe of the Government’s review and urgently to put a plan in place to prevent avoidable deaths.