Black History Month

Debate between Kirsty Blackman and Ben Coleman

Thursday 23rd October 2025 Commons Chamber

[Ben Coleman]

The hon. Member makes a very good point. I will run through a few more proposals from the maternity report, but they will not surprise Members; they are not radical or new. What would really be radical and new would be if one of these reports— I think I have read at least six reports about black people getting less good treatment from the NHS—had their recommendations implemented. That would be radical. We on the Health and Social Care Committee are looking forward to the Government’s response to the report and are hoping to see the recommendations implemented. If they are implemented for maternity care, we hope that they can be applied more broadly.

The maternity services development fund has sadly been slashed from £95 million to £2 million. The money has been given to integrated care boards to parcel out, but they are all facing 50% admin cuts, so maternity services will have to compete with every other local priority. We need dedicated ringfenced budgets, and we need budgets for areas where there are specific racial health inequalities, such as conditions that affect some people more than others because they are black. I am thinking of fibroids, for instance, and sickle cell awareness, which I will come to in a minute.

I turn to another thing that is essential in the NHS. The Health and Social Care Committee was glad to have the new chair of the NHS, Dr Penny Dash, in front of us being interviewed before her appointment. She said that one thing that is really important to her is data, data, data—and I agree. However, the extraordinary thing is that ethnicity data collection in the NHS is not very good. But it is not impossible to do. There was some work done on assessing disparities in maternal morbidity outcomes. It was almost complete in March 2023 under the previous Government, but when the Committee asked Ministers in June 2025 how it was going, we were told that it was good news and that it was still being developed and was expected within less than three years. That means it will have taken potentially six years to complete something that was meant to be almost finished. This is very slow and unacceptable progress.

[Kirsty Blackman]

I was pleased to hear the hon. Member highlight some good practice. As a parent, you get slightly obsessive about your children’s health and tend to google what is going on with them. The NHS website—nhs.uk—has improved monumentally over the years. For instance, when it comes to rashes it says, “Rashes will present differently on black and brown skin,” and it shows pictures of how that might look. I am glad that the hon. Member highlighted good practice. Does he think it is possible to lift and shift the good practice we see, such as on the NHS UK website and with the Greater Manchester example he mentioned, and do that across the board?

[Ben Coleman]

Absolutely. I think the hon. Member and I are advocating the same thing. I have to say—quick plug here—that the NHS app is quite good. If anyone does not have it, I would sign up and get it. If people do not get it and give feedback, we cannot make it any better. I am quite impressed by the app. I was shocked to see how many times I have been to the doctors in recent years, but all the information is there.

One way to achieve what the hon. Member for Aberdeen North and I want to achieve is by collecting better data on what is going on. We need mandatory data collection. We need to look at deaths, near misses and complications. We need to report disparities and take action when they are revealed. We also need people to be accountable for taking action. We could look at a whole range of areas to see the disparities and differences that exist in treatment and outcomes between black and white people. We could look at cancer diagnosis timing and survival and mental health, sectioning and treatment, which is a huge issue. We could look at pain management, analgesic prescribing, referral rates to specialists, treatment escalation decisions, patient satisfaction and how we measure that, and complaint patterns. We need data on all these areas so that we can address the issues and take action.

Then we need to look at the workforce. The Government are coming out with a workforce plan later this year, which is hugely needed. There is a shortage in the work- force in some parts of the NHS, in particular maternity services, but the workforce issue is not just about numbers. It is about having staff who understand and respect patients, and this comes back to the cultural issues. It is difficult enough for women being patronised as a patient, but it is even more difficult for black women.