International Men’s Day
Yasmin Qureshi Excerpts(1 year, 5 months ago)
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Yasmin Qureshi (Bolton South East) (Lab)
It is a pleasure to speak on behalf of the Opposition. I congratulate the hon. Member for Don Valley (Nick Fletcher) on securing the debate and bringing it to the House, as well as the Backbench Business Committee.
I am pleased to take my place here as the shadow Women and Equalities Minister and close the debate for the Labour party. I am incredibly proud to be in this role because it focuses on addressing inequalities in society, wherever we find them. However, the reality is that we will never, as a country or a society, be able to truly flourish if we do not ensure that everyone can fairly access opportunities and fulfil their potential, whatever their background may be.
I want to thank several hon. Members who have spoken in today’s debate, starting with the hon. Member for Rutherglen and Hamilton West (Margaret Ferrier). She talked about the overuse of steroids by men complying with societal ideas about what a physically appealing male should look like, and the whole issue of eating disorders.
The hon. Member for Watford (Dean Russell) talked about mental health issues and the use of social media and the internet, which can aggravate such issues. I liked his acronym HOPE, and he talked about the Samaritans. I am originally from Watford and many years ago I was a member of the Samaritans, although I am no longer. I remember times when the same person would ring three or four times with the same problem, and it was clear that they needed someone to listen to them and talk to them—not to give them advice or to guide them but just to listen. It is important to recognise how much loneliness there is in our society, especially for men.
The hon. Member for Penistone and Stocksbridge (Miriam Cates) talked about the men in her life. I had a great father and a brother, both of whom have passed away. It is not fashionable to say this, but I have a great husband as well. The issue of toxic masculinity is pertinent, and she said that it had attracted people to far right politics. She also talked about the issue of pornography, which gives a warped view about issues of sexuality.
Before I continue with the main points of my speech, I wish to thank the hon. Member for Ynys Môn (Virginia Crosbie) for sharing the sad news of her brother’s suicide. I am sure the whole House sends its condolences to her and her family and thanks her for speaking out so bravely today.
Today’s debate is about mental health in particular, and rightly so. Figures reveal that suicide is the biggest cause of death in men under the age of 50. Around three quarters of deaths from suicide each year are of men. Added to that, data from the Office for National Statistics show that the highest rates of suicide in men have been in mixed and white ethnic groups. Men aged 45 to 49 are at most risk of suicide, and the rate among this group has been persistently high for many years.
Historically, we know that there is often an alpha male archetype, which means many men feel forced to stoically toughen up and get through the bad times, while avoiding opening up, speaking to people or seeking help. We need to do more to address these very outdated stereotypes of masculinity. Equally, we need to do more to support men who are struggling or in crisis.
Dr Luke Evans
Does that mean that Labour supports the idea of having a male health strategy, or a male Minister?
Yasmin Qureshi
I can take that back to our team for discussion.
Currently, 1.6 million people are on an NHS waiting list for specialised mental health treatment. That is about one in 35 people, or roughly the populations of Leeds, Bradford and Wakefield combined. While an additional 8 million would benefit from support, they cannot even get onto a waiting list. The need for greater Government investment in mental health provision could not be more urgent.
My party would take strong action to ensure access to mental health treatment within a month for everyone who needs it. That is, of course, a distant dream for so many men and women across our country. We would hire 8,500 new staff, so that 1 million new people could access treatment by the end of our first term in office. This would be part of our plan for the biggest expansion of the NHS in history, funded by scrapping the non-dom tax status.
Men’s physical health is of concern, too, because of the disparities in men’s physical health issues. Men have a shorter life expectancy: one in five die before the age of 65. This becomes even more concerning when we compare the life expectancy of men in the most and least deprived areas of the country, because there is a stark gap of 9.5 years. Men are also disproportionately affected by heart disease, and more men than women are overweight or obese, yet despite all this, men are still less inclined to seek help or advice from medical professionals. This lack of engagement can mean that men are often under-supported. Without regular health check-ups, serious issues can go untreated for longer—sometimes when it is too late. This is really concerning; we know just how important early intervention can be in the treatment of male-specific cancers and in overall cancer incidence, which is 24% higher for men than it is for women.
This reminds us how important it is that we have a proper public health strategy for everyone—one that will turn the tide on the rising health inequalities and improve health for men. We need a strategy that is focused on early intervention and ensures that people receive the care and support they need. Instead, we have a Government who have chosen to cut public health budgets substantially across the country. A Labour Government would invest in the biggest-ever expansion of the NHS, as I mentioned earlier. Growing the NHS will also grow our economy and go a long way to rooting out inequalities once and for all.
Of course, one cannot discuss men’s health without looking at boys’ performance in education, which we have touched on in this debate. In basic terms, boys perform worse than girls by the end of primary school, with 70% of girls reaching the expected standards in maths, reading and writing compared with just over 60% of boys. Boys are three times more likely than girls to be excluded from school, something that I know causes tremendous concern to many working families up and down the country.
That gap persists at GCSEs and A-levels. Young women are more likely to apply to university than young men. Those young men who apply are more likely to drop out and those who complete their courses are less likely to get a good degree. The disparity becomes even more acute among those from disadvantaged backgrounds: young women who were on free school meals are 51% more likely to go into higher education than young men. Disadvantaged white boys are the least likely of all groups to go to university, with just 8.9% continuing their studies.
Children have only one chance at an education. Reducing those disparities requires early and sustained intervention, which must be designed to ensure that all children, whatever their background, circumstances or gender have the opportunity to achieve at school and to access university education. Instead, we have seen this Conservative Government systematically shutting Sure Start centres, which provided early intervention support for so many families. There is no sustained programme of education catch-up, something that is so necessary given how many boys and girls are missing out on the support that they need. We want a proper education plan for that. That is why we say that breakfast clubs must be provided for all children as an element of catch-up, but that has not happened.
Whether we are considering issues around physical or mental health or educational attainment, we know that not all men and boys are affected in the same way. Indeed, those issues are often closely connected with other deep-rooted inequalities. The Government’s own suicide prevention strategy from 2012, for example, highlighted that gay and bisexual men are at much higher risk of self-harm and substance misuse. Similarly, a study by the University of Exeter found that men from black and minority ethnic backgrounds experienced a far greater deterioration in their mental health during covid lockdowns than their white British counterparts.
I will wind up in the next minute or so, Madam Deputy Speaker, if you will indulge me. Studies show that black men are far more likely than others to be diagnosed with a severe mental health problem. However, up until the age of 11, black boys do not have poorer mental health than others of their age, so it is quite clear that there are systematic reasons why they experience mental health problems far more than others after the age of 11.
We know that there is a stark divide between children from poorer backgrounds and their wealthier peers, with secondary school children on free school meals being 18 months behind by the time they take their GCSEs. There is no avoiding the fact that white working-class underachievement is symptomatic of a much larger social, cultural and economic inequality, and therefore we must take a holistic view.
Before I conclude my remarks, I want to remind the House that International Men’s Day, which will be marked this Saturday, is just one week ahead of White Ribbon Day, a day on which men across the country are called on to make a promise that they will never commit, excuse, or remain silent about male violence against women. The murder of Sarah Everard by a serving police officer shocked the whole nation. We thought that would be a turning point, but little has changed, as shown by the recent murder of Sabina Nessa in a public park by somebody she did not know. While men are also victims of violent crime, women are overwhelmingly more likely to be victims of severe domestic abuse, which has doubled over the last five years.
Miriam Cates
The hon. Lady is making an important point about male violence against women. Does she not agree that it is imperative that we end the proliferation of online porn, which normalises violence against women? Of course there are no excuses for violence against women, and men who commit those crimes should be locked up, but we must recognise that online pornography is driving that behaviour.
Yasmin Qureshi
I thank the hon. Lady for her intervention and agree with her.
At every level, we should all be tackling violence against men and women. We must not consider gender equality to be a zero-sum game or a trade-off. Let me be clear: we can address women’s safety as well as serious issues and concerns for men. Indeed, we must do both.
Black Maternal Health Awareness Week 2022
Yasmin Qureshi Excerpts(1 year, 5 months ago)
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Yasmin Qureshi (Bolton South East) (Lab)
It is a pleasure to serve under your chairmanship, Mr Gray. I thank my hon. Friend the Member for Streatham (Bell Ribeiro-Addy) for obtaining this debate, and for all the work she has been doing on this issue for many years. I also thank the incredible campaigners who continue to work tirelessly to end black maternal health inequalities.
Maternal health inequalities exist throughout our country. It is very much a case of hit and miss: in some parts of the country the statistics are good, while in others they are not. However, black maternal health inequalities do seem to persist throughout our country. I also thank the right hon. Member for Romsey and Southampton North (Caroline Nokes), the Chair of the Women and Equalities Committee, who talked about the work that her Committee has done, but also noted that although this issue has been discussed for so many years, not much progress has been made on many of the concerns. My hon. Friend the Member for Putney (Fleur Anderson) spoke eloquently about the issues in Wandsworth and generally. In particular, she touched on bereavement services, the quality of which varies across the country as well. I thank the hon. Member for Leicester East (Claudia Webbe) for the very passionate speech she made. I agree with her: all mothers are superheroes. I do not think any debate would be complete without an intervention or speech from the hon. Member for Strangford (Jim Shannon), who is not in his place; I thank him for his intervention as well.
As we have heard repeatedly in this debate, it is shameful that black women continue to be over four times as likely, and Asian women over twice as likely, to die in childbirth or pregnancy than white women. I am very grateful for the work of campaigners, obstetricians, midwives, and black and Asian women with lived experience of maternal health complications for sharing their experiences and expertise on the issue. They are clear that socioeconomic determinants and comorbidity only partially explain those disparities in treatment. Black and Asian women and their partners are not being listened to, they are not being respected and they are certainly not being cared for. When they voice pain or concern during pregnancy or childbirth, they are often branded as aggressive or angry, while dangerous stereotypes about the strong black woman mean that they are often not offered the same treatment as white women. Meanwhile, the lack of cultural competency in medical training in our country means that many complications are not spotted early enough.
That structural inequality exists both inside and outside our health services. Many black, Asian and ethnic minority women experience it long before and long after pregnancy. However, the Government have done nothing to address this outrageous inequality. In fact, on their watch over the last 12 years, maternal mortality for black women has actually increased from 28 deaths per 100,000 in 2013 to 2015, to 34 per 100,000 in the years 2016 to 2018.
Gynaecology wait times are very high. A survey from the charity Five X More found that 27% of women surveyed felt that they received a poor or very poor standard of care during pregnancy, labour and postnatal care. Also, 42% of women repeatedly felt discriminated against during their maternity care, with the most common reasons given being race, at 51%, ethnicity, at 18%, age, at 17%, and class, at 7% of respondents. More than half the women reported facing challenges with healthcare professionals during their maternity care, while over half the black women reported not receiving their preferred method of pain relief.
Where is the Government’s action on this? In the last 18 months alone, we have seen their response to the Commission on Race and Ethnic Disparities fail to address black maternal inequality, as well as a women’s health strategy that completely fails to establish what concrete action the Government will take to protect the lives of black, Asian and ethnic minority mothers. It is hardly a surprise that the women’s health strategy has failed black, Asian and ethnic minority women, given that just 2% of the respondents who were surveyed were Asian and 3% were black. I am not trying to be party political here, but while the Government are busy crashing the economy and causing chaos at a time of national crisis, black, Asian and ethnic minority women continue to face the consequences of their inertia and ineptitude.
Last year, in passing the Health and Care Act 2022, the Government had an opportunity to prioritise the health of black, Asian and ethnic minority women by voting for Labour’s amendment to mandate the Secretary of State to prepare and publish a report on disparities in the quality and safety of England’s maternal services, including maternal mortality rates. However, the Government chose to vote against it. It was a very simple measure that could have helped, but no, they voted against it. The Labour party has committed to setting a target to end the horrendous inequality faced by black, Asian and ethnic minority women as soon as we are in government.
That will be part of our commitment to end structural inequality at the root, with a landmark race equality Act to be introduced by the next Labour Government. We are committed to pulling the NHS out of crisis so that it can deliver for everyone, including black, Asian and ethnic minority mothers. We will enact the biggest extension of medical school places in history. We will double the number of district nurses, train 5,000 new health visitors and, crucially for maternal health, introduce an extra 10,000 nursing and midwifery clinical placements each year. Our fully costed plan will be funded by ending the non-domicile tax status regime, which, it is estimated, would raise more than £3.2 billion every year. Growing the NHS will also grow the economy and eradicate these inequalities once and for all.
I welcome the Minister to her new position. Like me, she has just recently joined this brief. While we wait for these changes, what is being done to address structural inequalities and build trust in maternity services for BME mothers, their partners and midwives from ethnic minority backgrounds? Additionally, what plan does the Minister have to improve cultural competency and unconscious bias training in medical schools and the health service?
There is also the huge issue of the lack of available data, which has not been tackled in either the women’s health strategy or the Government’s response to the Commission on Race and Ethnic Disparities. As we have heard, accurate data disaggregated by ethnicity is central to closing the gap in maternal mortalities. Will the Minister commit to ensuring that all maternity services record the specific ethnicity of all mothers? Fatalities are just the tip of the iceberg, with many women speaking of near misses and poor treatment, so will the Minister commit to collecting and publishing that data?
Some midwives also consider that the continuity of carer model could help to end these inequalities. A 2016 study found that women who see the same midwife throughout their pregnancy are 16% less likely to lose their baby. Despite that, the NHS has recently been forced to drop targets included in the NHS long-term plan to ensure continuity of carer for 75% of BME women by 2024 as a result of staffing shortages. It is clear that the Government are failing these women. What steps is the Minister taking to end the staffing shortages in maternity care so that those targets can be reintroduced and met by 2024?
I have to say, it is scandalous that the Government have not yet even set a target to end this inequality. They have been in power for 12 years—that is a very long time in which to have comprehensively changed the system. Will they now commit to doing so immediately? We did it for stillbirths. Why has black maternity mortality not been a priority for the Government?
This is an avoidable inequality. There are many steps we could be taking to end these awful disparities. Instead, the Government have done nothing while the issue has got worse. The Government must take action to address maternal health inequalities. We need a national strategy to tackle health inequality as a matter of urgency, which must include a commitment to eradicating the mortality gap between black, Asian and ethnic minority women and white women. Only Labour can deliver that strategy as part of our plan to tackle structural inequality at the root and lift the NHS out of crisis.
I hope that the Minister will answer some of those questions today and commit to specific action that will be taken, because this cannot go on. These appalling statistics—the fact that black women have four times the mortality rates of others—are not acceptable in a decent, civilised society.
Oral Answers to Questions
Yasmin Qureshi Excerpts(3 years ago)
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Elizabeth Truss
Part of the Trade Bill was the establishment of the statutory Trade and Agriculture Commission. For every free trade agreement, it will produce a report on precisely the issues that the right hon. Lady outlines. I am very pleased that our partners in Australia and New Zealand are two countries with very high standards in animal welfare.
Yasmin Qureshi (Bolton South East) (Lab)
The Parliamentary Under-Secretary of State for International Trade (Mr Ranil Jayawardena)
The Secretary of State spoke with the US trade representative, Katherine Tai, on 22 March. They discussed a number of issues, including how the United Kingdom and the United States will collaborate to address shared concerns on serious matters such as forced labour. The Secretary of State also discussed the issue of forced labour with Ambassador Tai and her G7 counterparts during the G7 Trade Ministers meeting that she chaired on 31 March.
Yasmin Qureshi [V]
The Magnitsky-style sanctions against China are only the first step. While we welcome them, trade relations cannot be left out. What steps are the Government taking to ensure that UK consumers are not buying goods made with forced labour, and will the UK follow the US in banning imports of cotton from China’s Xinjiang region?
Mr Jayawardena
We are adopting a targeted approach to this issue, to make sure that we address the violations of rights and responsibilities. We have designated individuals and entities that have been involved in such violations. This is a smart tool, carefully targeted to achieve its goals, while minimising potentially negative wider impacts. It is not designed with a view to imposing sanctions on sectors within countries, for example.
Oral Answers to Questions
Yasmin Qureshi Excerpts(3 years, 2 months ago)
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Graham Stuart
SMEs are vital to increasing UK trade, which is why we are seeking SME chapters in all our free trade agreements, and we provide a vast range of support for them. I congratulate my hon. Friend on being a trailblazer for the parliamentary export programme, and I encourage businesspeople in the Vale of Clwyd to attend the virtual meetings that he is organising, chairing and using to ensure that his local companies get all the international sales support that Government can offer.
Yasmin Qureshi (Bolton South East) (Lab) [V]
Elizabeth Truss
I agree with the hon. Lady that the atrocities committed by China in Xinjiang are abhorrent. The Government have taken firm action on supply chains and businesses doing business in that part of China, but expanding the role of the UK courts raises serious constitutional issues, and instead the issue needs to be addressed politically.