Black History Month
Debate between Caroline Nokes and Ben Coleman(5 days, 17 hours ago)
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Ben Coleman
My hon. Friend makes a strong point, and I could not agree more. There is some data out there. Hospital trusts collect data each year on how their staff are feeling about a whole range of things. I looked at my local hospital trust’s data and one question it asks is: “Do you feel that you have suffered more discrimination this year from patients and from colleagues and managers?” I have not looked for a couple of years, but sadly the last time I looked it was getting slowly worse.
This is definitely an issue. If people are foolish enough to think that somebody’s skin colour is going to affect their ability to do their job properly, it makes it more difficult for staff to provide care to the whole population. Black NHS staff need to have safe working environments. They encounter racism, and they should not. It is interesting that you talk about doctors—
Ben Coleman
I am most grateful for the correction, Madam Deputy Speaker. It is interesting that my hon. Friend talks about doctors, because honestly there are not that many people in leadership positions in the NHS who are black, and that is another issue that needs to be addressed.
I have used the word “racism”—as we all have—in a way that is perhaps not easy to do everywhere. I have to say, when I first started becoming aware of the huge differences there are in how people are likely to experience health services depending on whether they are black or white, I did not feel at all comfortable using the word “racism”. Sometimes when people say “structural racism” when talking about racism, people will say, “I am not a racist!” but that is not what is being talked about, so it is very difficult to enter this conversation.
I remember when I was on the council I was once on a big Zoom call with 150 people to discuss the inequalities work we were doing. A black woman talked a lot about micro-aggressions, and I asked her, “When you are talking about micro-aggressions, aren’t you talking about racism?” She answered, “Yes, yes. But you can say that. I can’t.” So I think it is incumbent on people like me—a white middle-class gentleman of a certain age—to be allies, as many hon. Friends and hon. Members here are being, and to stand up and talk about these things and name them for what they are.
We can effect change. We can do the radical thing of implementing the change that is needed, but to do that we need to have leadership that wants to actually effect the change. We have found, sadly, that black women facing poor outcomes is shaped by systemic failings in leadership and accountability as well as in training and data collection. We need senior leaders to be held accountable for racial health inequalities. That means that they need to be aware of them, which means they need the data. We need Care Quality Commission inspections to specifically assess equity in care delivery. Trust boards should be specifically responsible for monitoring and addressing disparities, and performance metrics should include equity indicators. That all sounds terribly onerous, but it is not. It can become part of the normal way of doing things; it just has to be introduced at some point. As I said, these are not radical suggestions, but to do them would be radical.
Indeed, the really radical thing to do—this came out of the Committee—is just to listen properly to the women needing maternity services. I saw a terrible programme during covid where a woman was talking about her daughter, who was 20 and had gone to see her doctor. She was talking about being in immense pain. The doctor said, “Well, black women have differently shaped cervixes, so that is probably why.” She died in childbirth. That sort of thing happens all the time; we just do not talk about it all the time. It has to stop. We need to listen to black patients.
Black patients talking to us said, “I had pain. I reported pain and I reported symptoms—I just wasn’t believed.” Their concerns were dismissed. That pattern appears not just in maternal health services but right across healthcare.
Taxes
Debate between Caroline Nokes and Ben Coleman(3 months, 1 week ago)
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Ben Coleman (Chelsea and Fulham) (Lab)
Given all the extraordinary and wonderful things that the right hon. Gentleman is setting out, is it not equally extraordinary that the British people thought you were a shower and needed to get rid of you—and they did? That is why you are on the Opposition Benches and we are over here.
Madam Deputy Speaker (Caroline Nokes)
Order. I am not sure that the British people were seeking to get rid of me.
UK-EU Summit
Debate between Caroline Nokes and Ben Coleman(5 months, 2 weeks ago)
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Ben Coleman
Before we leave young people, Opposition Members have said that we are not doing enough for our young people and that a scheme would cause problems. Does my hon. Friend welcome the fact that yesterday the Prime Minister said that we must put British young people at the front of the queue for skills and training? The Government have already committed £625 million for training up 60,000 young engineers, chippies and brickies—
Crime and Policing Bill
Debate between Caroline Nokes and Ben ColemanMonday 10th March 2025
(7 months, 2 weeks ago)
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Ben Coleman
Does my hon. Friend agree that it is good news that at last we have a Government who are doing something about the scourge of off-road bikes and dangerous e-scooters on the pavements and in our parks by giving the police new powers to seize those vehicles immediately, instead of letting the problem continue? Although this should have happened much sooner, it will make the lives of my residents in Chelsea and Fulham, and people across the country, happier and safer.
Madam Deputy Speaker (Caroline Nokes)
Order. By way of being helpful, I remind right hon. and hon. Members that when they make interventions, they should address them to the Chair, and not to other Members, so there can be no confusion in the debate.
Access to Primary Healthcare
Debate between Caroline Nokes and Ben Coleman(1 year ago)
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Ben Coleman (Chelsea and Fulham) (Lab)
As a new Member, I am learning how this place works, so I am interested to see how much you expect the Labour Government to have achieved in 100 days. Why is it, after 14 years, that you left the country with the longest waiting lists ever and small children having to get their rotten teeth seen at A&E? What can you say that is helpful to us in understanding why the failure of 14 years of Conservatism took place, and do you feel any remorse about that?
Madam Deputy Speaker (Caroline Nokes)
Order. Before I call on the shadow Minister to return to the Dispatch Box—
Ben Coleman
I apologise, Madam Deputy Speaker. I used the word “you” instead of “the hon. Member”.
Madam Deputy Speaker
Yes, several times. It is not me; I have never been a Health Minister. I reiterate that interventions will have to be short. I will be imposing a time limit, as we have to hear from an enormous number of Members this afternoon.