Covid-19: Disparate Impact

Lord Bilimoria Excerpts

Tuesday 27th October 2020 Lords Chamber

[Baroness Berridge (Con)]

My Lords, noble Lords will have heard me earlier make reference to the fact that the children of many people who have “no recourse to public funds” have been able to access free school meals. The furlough scheme and the job retention scheme are not counted as public funds, so those in the category that the noble Baroness outlines were able to access them. No one in this country is charged for testing or treatment for Covid-19, and certain services, including primary care and A&E, are free to all. It is very clear that, if there are charges to be applied, treatment that is considered by a clinician to be urgent or immediately necessary must not be delayed or withheld. We have made essential healthcare available to all people who are within the boundaries of our country.

[Lord Bilimoria (CB) [V]]

My Lords, men have a higher risk of death and account for just over 70% of Covid ICU admissions. People with obesity account for more than 30% of those in intensive care. When it comes to ethnic minorities, Dr Chaand Nagpaul, the BMA council chair said:

“As we sit amid a second wave of infections, we know that about a third of those admitted to intensive care are not white—showing no change since the first peak.”


Some 15% of the population are from an ethnic minority, so this is double the proportion. Can the Minister explain the situation? Furthermore, the IPPR’s Dr Parth Patel, a research fellow, commenting on the government report said:

“The government should be acting to address the underlying structures behind ethnic disparities … Failure to act quickly will lead to thousands of unnecessary deaths during this second wave—this is about public health as much as it’s about racial justice.”


Does the Minister agree?

[Baroness Berridge (Con)]

My Lords, yes. As I have mentioned, one of the other factors in the disparity is that working-age men are more likely to die of Covid than working-age women. In relation to obesity, the Government published in July, I believe, the obesity strategy, and we are aware that dealing with that issue is important in terms of co-morbidities. We are working closely with PHE, the Office for National Statistics and the BMA, which gave the advice in relation to taxis and private hire vehicles which led to masks being made mandatory in those vehicles. Yes, we now know more about exposure: black and minority-ethnic people are in certain densely populated areas and multigenerational households, so we have been taking action to try to reduce the risk. We will continue to act going forward.