Public Health England Review: Covid-19 Disparities

Gill Furniss Excerpts

Thursday 4th June 2020 Commons Chamber

[Gill Furniss (Sheffield, Brightside and Hillsborough) (Lab)]

(Urgent Question): To ask the Minister for Women and Equalities if she will make a statement on the Public Health England review of disparities in risks and outcomes related to the covid-19 outbreak.

[The Minister for Equalities (Kemi Badenoch)]

With your permission, Mr Speaker, I will make a statement.

As a black woman and the Equalities Minister, it would be odd if I did not comment on the recent events in the US and protests in London yesterday. Like all right-minded people, regardless of their race, I was profoundly disturbed by the brutal murder of George Floyd at the hands of the police. During these moments of heightened racial tension, we must not pander to anyone who seeks to inflame those tensions. Instead, we must work together to improve the lives of people from black and minority ethnic communities. It is in that spirit that we approach the assessment of the impact of covid-19 on ethnic minorities. If we want to resolve the disparities identified in the PHE report, it is critical that we accurately understand the causes, based on empirical analysis of the facts and not preconceived positions.

On Tuesday, my right hon. Friend the Secretary of State for Health and Social Care confirmed to the House that Public Health England has now completed its review of disparities in the risks and outcomes of covid-19. The review confirms that covid-19 has replicated, and in some cases increased, existing health inequalities related to risk factors including age, gender, ethnicity and geography, with higher diagnosis rates in deprived, densely populated urban areas. The review also confirmed that being black or from a minority ethnic background is a risk factor. That racial disparity has been shown to hold even after accounting for the effect of age, deprivation, region and sex.

I thank Public Health England for undertaking this important work so quickly. I know that its findings will be a cause for concern across the House, as they are for individuals and families across the country. The Government share that concern, which is why they are now reviewing the impact and effectiveness of their actions to lessen disparities in infection and death rates of covid-19, and to determine what further measures are necessary.

It is also clear that more needs to be done to understand the key drivers of those disparities and the relationships between different risk factors. The Government will commission further data research and analytical work by the Equalities Hub to clarify the reasons for the gaps in evidence highlighted by the report. Taking action without taking the necessary time and effort to understand the root causes of those disparities only risks worsening the situation. That is why I am taking this work forward with the Race Disparity Unit in the Cabinet Office, and the Department of Health and Social Care, and I will keep the House updated.

[Gill Furniss]

Thank you, Mr Speaker, for granting this urgent question. On 2 June, Public Health England published its long-awaited review of disparities in the risks and outcomes of covid-19 for BAME communities. The review confirms what we already know: racial and health inequalities amplify the risk of covid-19. It found that those from BAME backgrounds were more than twice as likely to die from covid-19 than white people, and that BAME healthcare workers are at particular risk of infection. These lives matter, and it is time for the Government to take action on the devastating impact that this virus has had on BAME communities.

Public Health England’s review fails to make a single recommendation on how to reduce those inequalities, protect workers on the front line, or save lives. That is despite the fact that its terms of reference include to “suggest recommendations” for further action. Will the Minister urgently explain why the review failed to do that? The Government have said that the Race Disparity Unit will publish recommendations on the findings from the review. When will those recommendations be published, alongside a plan for their implementation?

More than 1,000 individuals and organisations supplied evidence to the review. Many suggested that discrimination and racism increase the risk of covid-19 for BAME communities. Will the Minister explain why those views were not included in the review? Does she accept that structural racism has impacted the outcomes of covid-19? Does she agree that it is now time to address underlying socioeconomic inequalities facing BAME communities, and will she confirm that the Government will take action to do so? BAME workers on the frontline of this crisis are anxious for their lives. Will the Minister listen to Labour’s demands to call on all employers to risk assess their BAME workforce? Coronavirus thrives on inequality, and there is no more important time to tackle racial injustices in our society and save lives during this crisis. It is now up to the Government to take action and show their commitment that black lives matter.

[Kemi Badenoch]

It is imperative that we understand the key drivers of those disparities, the relationships between different risk factors, and what we can do to close the gap. That way, we will ensure that we do not take action that is not warranted by the evidence. The hon. Lady is right: Public Health England did not make recommendations, because it was not able to do so. Some of the data needed is not routinely collected, but acquiring it would be extremely beneficial. As I said earlier, I will be taking forward work to fill the gaps in our understanding, and review existing policies or develop new ones where needed. It is important to remind ourselves that this review was conducted in a short period, and it sets out firm conclusions. As the author of the report said on Tuesday night, there is a great deal of background and detailed information that we think will be helpful. It is not easy to go directly from analysis to making recommendations, and we must widely disseminate and discuss the report before deciding what needs to be done.