Question to the Department of Health and Social Care:

To ask the Secretary of State for Health and Social Care, what steps he is taking to promote (a) culturally competent and (b) community-led prevention measures for older black men.

This Government recognises the evidence that men of Black ethnicity are at a higher risk of some diseases. Tackling these inequalities is a top priority for the Government.

For example, black men are at higher risk of cardiovascular disease yet evidence shows that men in Black and Mixed ethnic groups are the least likely to receive lipid-lowering therapy or reach blood pressure targets. The National Health Service is tackling these inequalities through the Core20PLUS5 programme, a national approach to inform action to reduce healthcare inequalities in the most deprived areas. Hypertension and lipid management are one of the top clinical priorities for the framework, and the NHS is supporting systems where the burden of undiagnosed hypertension and untreated cholesterol is highest. Community based delivery models, such as pharmacy blood pressure checks and BP@Home, are also increasing access for underserved groups, including those in deprived and ethnically diverse communities.

Prostate cancer is another example where incidence rates are higher among Black men. We are jointly delivering the £42 million TRANSFORM trial with Prostate Cancer UK, with £16 million from the Department, which aims to find better ways of detecting prostate cancer and address inequalities, ensuring at least 10% of those invited to participate are Black men. In November, the first men began receiving letters from their general practitioners, inviting them to join the landmark trial designed to make diagnosis earlier, safer, and more effective.

There are around 17,000 people living with sickle cell disease in England. It is the fastest growing genetic condition in the country and is more common in people of Black African and Black Caribbean heritage (77% of patients) and in more deprived communities (47% of patients). NHS England, through the Sickle Cell and Thalassemia Quality Improvement programme, has stepped up a programme of work aligned to the Government’s 10-Year Health Plan particularly focusing on the shift to prevention, through a new education programme, that aims to develop a series of e-learning modules, training and communication material, which will focus on improving the knowledge and awareness about the condition, including for black men.