73 Chi Onwurah debates involving the Department of Health and Social Care

Covid-19

Chi Onwurah Excerpts
Thursday 22nd October 2020

(5 years, 5 months ago)

Commons Chamber
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Chi Onwurah Portrait Chi Onwurah (Newcastle upon Tyne Central) (Lab)
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Sometimes it feels like we are living in a parallel dimension. When we think of our lives a year ago, it feels like another galaxy far, far away. For many of my constituents —particularly those isolating on their own—it is the impression of being stuck in a parallel life, subject to confusing and inconsistent communications, battling alone through a long tunnel with no light at the end that is so dispiriting, undermining mental wellbeing and the success of public health measures. That is why we need a circuit breaker now and a road map to control the virus.

I imagine another parallel universe—one where the Government got a grip on the virus back in March and did not let go, and where the Secretary of State did not decide to stop tracking community infections in March but instead took up the offer of local environmental health officers and gave local authority public health teams, such as the one in Newcastle led by the excellent Eugene Milne, the responsibility and resources to set up local community tracking and tracing. As Allyson Pollock, professor of public health at Newcastle University, said in April,

“You need people on old-fashioned things like telephones or going door to door and they need to be local teams because they need to understand the local communities.”

The fact is that without the Government’s Health and Social Care Act 2012, which led to the decimation of public health disease control and both its centralisation and fragmentation; without 10 years of austerity, which slashed the capacity of the state and our public services and drove up inequality, on which the virus feeds; without a Secretary of State who put his faith in technology, when, as an engineer, I know that it is only ever people who are the solution; without a Prime Minister who is scared of difficult decisions and unable to grasp detail; and without a Government steeped in the ideology of the free market knows best, we could be in that world.

Instead, we find today that only 60% of Test and Trace contacts are reached by the £10 billion Serco test and trace. We should be in a position where we know where the disease is, so that while coronavirus remains a deadly threat, we feel confident that we know where it is and how to avoid it. In Newcastle, we are battling to stay in tier 2, and I urge everyone to follow the coronavirus measures—the security measures—but I also say that without a proper track and trace, we are working blind, and the failure to control the disease is a failure of the Government and not my constituents.

Finally, I want to talk about jobs and the re-emergence of mass unemployment on Tyneside, which would be another failure of this Government. Two weeks ago, I held a business roundtable in Newcastle and I was struck by how hard so many businesses are working to do the right thing, investing thousands and in covid security, keeping their customers safe, keeping their employees safe and protecting jobs. I really want to urge the Government to work with local authorities, to work with Newcastle City Council, to communicate effectively to businesses who feel betrayed and to ensure that the support is there for businesses as well as a plan that they can follow, but also to make sure that no one is excluded. We have seen mass unemployment in Newcastle under a previous Conservative Government. If our viable sectors—and our sectors are viable—and our viable jobs are destroyed during this pandemic, it will be another failure of a Conservative Government.

Matt Hancock Portrait Matt Hancock
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Across Greater Manchester and across Trafford, we had extended further support for Test and Trace before the tier system came in. We have engaged to make sure that we get the benefits of local teams accessing and, because they have boots on the ground, finding people whom the national team simply cannot find, and that will continue. Of course, the negotiations and the discussions about the future of what extra we need to do in Greater Manchester continue. I know that my hon. Friend requires further persuasion that some of the actions that appear to be starting to work elsewhere should be put in place. I would gently point him to the fact that we did manage to level off the increase in infections in Bolton when we brought in firmer measures, but they have since then started to go up again after we removed those measures. Nevertheless he is absolutely right—absolutely right—that the best way we can tackle this is by people taking personal responsibility for reducing their social interaction to reduce the risk of spread, and I hope that we can all metaphorically link arms and get that message across.

Chi Onwurah Portrait Chi Onwurah (Newcastle upon Tyne Central) (Lab)
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Small businesses in a tier 2 area such as Newcastle may not be asked to close, but they will face severe reductions in revenue due to local restrictions affecting football, for example, in the centre of our great city. The Secretary of State talks about unprecedented support, but these are unprecedented challenges for viable jobs in our city centre. In addition to what he has already mentioned, what local economic support will he offer to businesses in Newcastle?

Matt Hancock Portrait Matt Hancock
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If we do need to bring in further measures in Newcastle, then there is absolutely further support that is available, and there is already the unprecedented economic support that my right hon. Friend the Chancellor has set out.

Covid-19 Update and Hospitality Curfew

Chi Onwurah Excerpts
Thursday 1st October 2020

(5 years, 5 months ago)

Commons Chamber
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Matt Hancock Portrait Matt Hancock
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I would be happy to talk to my hon. Friend about that.

Chi Onwurah Portrait Chi Onwurah (Newcastle upon Tyne Central) (Lab)
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Newcastle’s night-time economy is globally renowned but, yesterday, in a typically cowardly attack, the Prime Minister basically said that we should not complain about the impact of these measures on that sector because local leaders had asked for them. Will the Secretary of State confirm that in their letter of 29 September local leaders specifically said that the measures must be accompanied by targeted support, and will he say what targeted support pubs and restaurants, and the 10,000 jobs in my constituency that depend on them, can expect?

Matt Hancock Portrait Matt Hancock
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Yes, the leaders of the seven Newcastle councils—Newcastle, Gateshead and the wider north-east councils—did ask for the measures that were put in place. We put in £10 million of funding. The most important message that we can get across to people across the north-east, where the case rate continues to rise, is that the more people follow the restrictions, the quicker we can ease them.

Coronavirus Response

Chi Onwurah Excerpts
Monday 20th July 2020

(5 years, 8 months ago)

Commons Chamber
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Matt Hancock Portrait Matt Hancock
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We have worked very hard to support the social care sector, and, exactly as the hon. Member for Twickenham (Munira Wilson) asked, making sure that we get that financial support in is important. Of course, in the first instance, the local authority is responsible for ensuring that there are available care homes to put people in. I am very happy to look into the specific details of Ashfield and to write to my hon. Friend to make sure he gets a proper answer to his question.

Chi Onwurah Portrait Chi Onwurah (Newcastle upon Tyne Central) (Lab)
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Before asking the people of Newcastle or any city to undertake a local lockdown, the Government must provide clear national guidance, good local data and better local resources. Eighty per cent. of those traced are reached by local authority and public health teams; surely they deserve a greater proportion of the 18,000 tracers recruited nationally. Covid-19 was made a notifiable disease on 5 March, with a legal requirement to notify local authorities, yet the Secretary of State tells us he is only just sorting out the data protection issues of that now.

Matt Hancock Portrait Matt Hancock
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On the hon. Lady’s first point, of course it is a big team effort. She is quite right to raise the three areas that she raises, and that is exactly what we are delivering on: making sure that people have high-quality data; making sure that if we need to put in more resources, such as more testing, we do that; making sure that money goes to local directors of public health, which we have done; and making sure that we get high-quality links between the two. We are making progress exactly against how she sets it out.

If, in addition, the hon. Lady seeks a threshold—a figure—at which point a local lockdown is triggered, we are not going to do that. The reason we are not going to do that is that we have to take everything into account, including local circumstances. For instance, last week the number of cases in Herefordshire shot up—on some counts, it became one of the places with the most cases in the country—but we know that that was confined on one farm, so it was far better to tackle that one farm than to shut down the whole of Herefordshire. That is a clear example of why this simplistic call for a single threshold is not the right approach. The right approach is a scientific approach, using all the available data and people’s judgment.

Covid-19: BAME Communities

Chi Onwurah Excerpts
Thursday 18th June 2020

(5 years, 9 months ago)

Commons Chamber
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Chi Onwurah Portrait Chi Onwurah (Newcastle upon Tyne Central) (Lab)
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I congratulate my hon. Friend the Member for Brent Central (Dawn Butler) on securing this important—indeed, essential—debate. Her opening speech was incredibly powerful. She set out eloquently the relationship between the Black Lives Matter movement and black key workers dying. She showed the connection between George Floyd’s long, slow death and his dying words, and Belly Mujinga dying of covid-19 here.

My hon. Friend said that being black is a pre-existing condition. It is a condition that I celebrate—I am proud to be a black, Geordie, Nigerian, Irish Brit—but it should not be a co-morbidity. My right hon. and hon. Friends have said so much that is so true, so eloquently—one of the joys of being a Labour MP is the support of my brothers and sisters—that I shall focus my remarks on three things: what covid-19 tells us about the reality of racism today; what it tells us about the failure of this Government on racism today; and what it tells us what about what the Government should do.

First, let me address the realities of structural racism today. Like the Home Secretary, I experienced significant racism as a child, including name calling and worse, although I was supported by a strong community, family and school. Over the last few years, name calling, physical abuse and hate crimes have unfortunately risen, but when the name calling stops, that does not mean that racism has gone away. It is instead in the structures and systems that define how we live. That is what we mean by structural racism: crowding BAME people into worse housing; putting up barriers to BAME people going into higher-paid professions; making it more likely for BAME people to live in deprived areas and have to take up precarious jobs; and putting BAME workers in the lower-paid roles in the NHS, while the higher-paid upper echelons remain snowy white. Some 14% of the UK population are black, but 34% of those who work in intensive care are BAME.

The statistics that demonstrate the levels of inequality that still exist in our society are one of the reasons why the Black Lives Matter movement has such resonance here. Some 25% of BAME nursing staff have no confidence that their employer is doing enough to protect them from covid-19. BAME staff networks in the north-east have called for the risk assessments to which they are entitled to ensure they are protected.

That is the reality of racism today, and covid illustrates the Government’s response to it. Whether it is a Foreign Secretary who thinks that taking the knee is from fantasy fiction or a Prime Minister who speaks of “smiling piccaninnies”, the Government have demonstrated a lack of interest in the racism that we face. We do not need another report; we do not need another investigation. We have enough recommendations. This Government need to take action. Covid-19 has shone a light on the discrimination that so many black and minority ethnic people suffer in this country. The Government need to act to change that and ensure that it does not continue, as it has for so many years. We do not need another review.

I am proud that, in Newcastle, our community stands strong together in its different identities and works together. I was deeply saddened by the violence in our city this weekend. Valuing black lives is not about devaluing white lives; it is about asking why black lives are more likely to be lost. The Government have waited far too long to look for an answer to that question. They must now take action to ensure that we are not in the same situation in a year, five years or 10 years.

Coronavirus

Chi Onwurah Excerpts
Wednesday 17th June 2020

(5 years, 9 months ago)

Commons Chamber
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Lindsay Hoyle Portrait Mr Speaker
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Including A&E. I call Chi Onwurah.

Chi Onwurah Portrait Chi Onwurah (Newcastle upon Tyne Central) (Lab)
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Absent a vaccine, the key to unlocking our economic and social lives is an effective test, trace and isolate system. The app, which can really help save lives, is behind schedule, so can the Secretary of State update us on the Isle of Wight trial, and specifically whether it has raised issues with the technology on Apple and/or Android phones; the levels of take-up; and an idea as to when it will be more widely available?

Matt Hancock Portrait Matt Hancock
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As well as being a huge enthusiast for the A&E in Chorley and working on that, Mr Speaker, I am also a huge enthusiast for the use of technology. The No. 1 lesson we learned from the Isle of Wight was that it is important to get the human contact first and use the technology to underpin the human contact tracing. What is interesting is that we are learning that to persuade people to isolate—it is obvious really—a human contact, a phone call with a real person on the other end, is the best way to do it. We have a much higher number of contact tracers per head of population in this country now than almost any of our comparators.

Coronavirus

Chi Onwurah Excerpts
Wednesday 11th March 2020

(6 years ago)

Commons Chamber
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Matt Hancock Portrait Matt Hancock
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I understand where the hon. Gentleman is coming from. The issues he raises are matters for the House authorities, and I am sure they will have noted his comments.

Chi Onwurah Portrait Chi Onwurah (Newcastle upon Tyne Central) (Lab)
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Newcastle upon Tyne Hospitals NHS Foundation Trust welcomed the UK’s first coronavirus victims, six weeks ago. In the intervening time, the role of Newcastle City Council’s public health team has become increasingly important, as local cases are identified and local concerns raised, yet it does not know what its budget will from April. How can it plan an effective public health campaign? Will the Secretary of State at least confirm when it will be told what its budget is and that the increase—there will be one—will increase with the duration of the crisis?

Matt Hancock Portrait Matt Hancock
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Yes, of course, because I expect this crisis to last for less than a year. I have been absolutely clear that the allocations will increase in real terms, so everyone can plan on that basis, and we will get the details out as soon as we can.

Oral Answers to Questions

Chi Onwurah Excerpts
Tuesday 29th October 2019

(6 years, 5 months ago)

Commons Chamber
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Jo Churchill Portrait Jo Churchill
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I thank my hon. Friend for all the work he does to make sure people are aware of cancer screening and taking it up. Diagnosing bowel cancer early is vital if we are to beat this disease. We have committed to lowering the age of bowel cancer screening from 60 to 50 and we rolled out the fit bowel screening test in June. It is easier to use and is expected to improve uptake by 70% in towns like Dudley. Sir Mike Richards’ screening review sets out important recommendations, using prioritisation of evidence-based incentives. We will set out our plan for implementing it next year, so that people can access screening more accessibly—in car parks or wherever else it suits their lifestyle—and we can save more lives.

Chi Onwurah Portrait Chi Onwurah (Newcastle upon Tyne Central) (Lab)
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Access to screening is a function of people’s poverty. For example, in Newcastle, cervical screening rates vary from 85% to 23%. A Macmillan Cancer Support report said clearly that we need to have access to screening in the places where people are, particularly for those who are running two jobs and so on. What is the Minister specifically doing to make screening available where people are?

Jo Churchill Portrait Jo Churchill
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I agree with the hon. Lady on this. The Richards review and working through the recommendations will enable us to put more screening in places where people can access it. The Eve Appeal, specifically directed at cervical cancer, is looking to put screening in workplaces and so on, but anybody who is worried must get tested.

The National Health Service

Chi Onwurah Excerpts
Wednesday 23rd October 2019

(6 years, 5 months ago)

Commons Chamber
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Chi Onwurah Portrait Chi Onwurah (Newcastle upon Tyne Central) (Lab)
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I start by thanking all the NHS workers, wherever in the world they come from, who do such fantastic work for the health and wellbeing of my constituents in Newcastle. I reiterate all that has been said about the devastating impact that any Brexit, but particularly a no-deal or a hard-right Brexit, will have on the NHS and on our European Union brothers and sisters who work in the NHS in Newcastle and across the country.

The labour movement fought for the NHS because working people understand the terrible consequences of ill health for those without means. Just as, under this Government, the gig economy is bringing back types of job insecurity that we thought the labour movement had banished from modern society, so this Government’s back-door privatisation is undermining our NHS. My hon. Friend the Member for Leicester South (Jonathan Ashworth) emphasised how that is driven by a right-wing ideology, and I want to highlight a particular area in which it is particularly obvious: the requirement for competition in primary care, and particularly for GP surgeries in poorer areas.

There has been a rise in poverty under this Government, and with poverty comes increased health problems. GPs working in areas with higher levels of deprivation have higher workloads and patients with more complex needs. GPs are choosing to work elsewhere because of the lack of support offered by the Government, which exacerbates vicious cycles of health inequality.

There are requirements for competition on GP contracts, even when no one is willing to compete. This means contracts are returned early, after two or three years, and my constituents do not have the continuity of high-quality care they deserve. The Government are requiring competition, even where the private sector cannot make enough profit to be interested in competing.

I also highlight the growing health inequalities that mean there is less access to healthcare in more socioeconomically deprived areas. In Newcastle, for example, we have cervical screening rates of 85% in Gosforth, a wealthier area, and of only 23% in Westgate, one of the poorer areas.

The north-east has the highest level of epilepsy in the country, with poorer people more likely to die from epilepsy. As today is Sudden Unexpected Death in Epilepsy Action Day, I want to highlight the work of SUDEP Action in combating rates of epilepsy. Higher health inequalities under this Government mean that more people are dying and suffering unnecessarily.

Briefly, on the privatisation of NHS data, I understand that the Office for Life Sciences is currently assessing the value of NHS data as part of the life sciences industrial strategy. The absence of a regulatory framework to give patients control over their own data leaves it open to being sold off as part of a future trade deal, which the public are completely against. The fact that the Department of Health and Social Care did not take up the great north care record, which was an opt-in rather than an opt-out record, means these dangers are all too obvious.

I finish with two areas that, in themselves, deserve hours of debate: mental health and social care. Mental health, particularly for young people, is a rising issue in Newcastle. It is raised with me by police, schools and housing, and we have yet to see real parity of esteem.

David Simpson Portrait David Simpson (Upper Bann) (DUP)
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It is devolved in Northern Ireland but, across the United Kingdom we need more trained mental health nurses, especially for young people. The figures are startling: just over 10,000 young people in the United Kingdom under the age of 10 are manic depressive.

Chi Onwurah Portrait Chi Onwurah
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That is why mental health is consistently raised with me by youth groups and youth organisations, and why the cuts to mental health provision, particularly mental health nurses, are especially regrettable. We need much greater choice and autonomy in mental health services, so that they are designed with users in mind and by users.

Until the Government realise that high-quality social care given by properly paid professionals is not a cost bucket but an enabler of a more equal economy and a fairer society, I fear I will continue to see constituents’ friends and families having to face devastating choices because their loved ones are deprived of the dignity they deserve in old age by the lack of a fair and consistent social care policy in this country.

None Portrait Several hon. Members rose—
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Oral Answers to Questions

Chi Onwurah Excerpts
Tuesday 23rd July 2019

(6 years, 8 months ago)

Commons Chamber
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Matt Hancock Portrait Matt Hancock
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Clearly, the need for join-up across Departments of Government is a vital part of this agenda, as my hon. Friend knows from her work across different Departments; the specific point she raises is one example of that, and we must drive it forward.

Chi Onwurah Portrait Chi Onwurah (Newcastle upon Tyne Central) (Lab)
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T6. In the north-east, we die on average two years younger than those in the south. The Northern Health Science Alliance estimates that that costs our economy £13 billion a year, on top of the emotional and personal costs. The Secretary of State talks a lot about technology in health, but what is he doing about equality in health—or should I ask Alexa?

Matt Hancock Portrait Matt Hancock
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Technology and the data that show these inequalities are an important part of the answer, but of course it is much broader than that, and tackling health inequalities is an underpinning part of the long-term plan for the NHS; it is absolutely critical in order to address the sorts of inequalities that the hon. Lady rightly raises.