Queen’s Speech — House of Lords, 2021-05-12
Topic: Health
Bhikhu Parekh (Labour, Centre-left): My Lords, every event that has occurred in Britain during the past two years must be seen through the prism of the coronavirus, and the Queen’s Speech is no exception. The virus has highlighted certain deeper facts about our society, some of which were known but ignored while others were unknown or half-known One of those important facts pertains to ethnic disparities in health and other areas. The first 10 NHS doctors to die belonged to the ethnic minorities. Sixty-eight per cent of the NHS staff who have died came from within the ethnic minorities. I could go on producing statistics, but they are too well known to be rehearsed. Why is this so? The reasons, again, are fairly straight- forward and have been commented on. They include the fact that many from within the ethnic minorities are front-line workers; they work in high-risk places; they had no or inadequate PPE; they live in cramped houses; and they do not enjoy positions of power and influence, so their complaints go unheard or are unattended to. These are many of the factors which have led to the kind of disparity that I talked about. The Government took some time to recognise their importance, but when they did, they did not do enough, and the ethnic minorities continue to pay a disproportionately heavy price for the disaster that struck us. It is therefore important that drastic steps be taken not only to level up people but to create a society in which there is a sense of solidarity and common belonging. It is important that the ethnic minorities should not feel that they are under the sufferance of the wider population, or that their problems are only their own and nobody is going to help them In that context, we are going to need a massive investment of resources, not only to deal with the ravages of the virus but for those things which have been left undone because of our obsession with it. The backlog of surgeries in our hospitals is enormous and will call for unimaginable sums of money. Therefore, taxes will have to rise. The rich will have to pay far more than they have done so far. But are tax rises enough? Are there other ways in which we can raise resources I want in passing to emphasise two points. First, the NHS, which obviously has to have money, should find ways of reducing its expenses. Secondly, it should find ways of increasing its income. Reducing its expenses is important. There are lots of ways in which it can be done, some of which have been talked about earlier, but one way would be to look at schemes such as the merit award, which consultants get. I have raised this issue in the House from time to time and do not quite understand why the award is given. If I as an academic am awarded the Nobel prize, I do not get a penny more from my vice-chancellor. Let us not give merit awards, with all the attendant disadvantages and resentment caused among those who consider themselves equally good but do not get them Likewise, on raising revenues, I do not understand why we have not developed a culture of philanthropy—I may be wrong, but I think I am not—in relation to hospitals and the NHS. When people die, they bequeath large sums of money to their schools and their universities, but I am told that the amounts given to hospitals or medical-related institutes are comparatively small. This is not the case in Germany, and I wonder why. Why do we not leave much money to hospitals? Why do we not even think it proper to express our gratitude in these and other ways? I am not saying that the NHS should start charging people. Of course, it depends on two principles: that the Government are responsible for the health of their citizens and that medical services should be provided free at the point of delivery. Those are unchallengeable principles, but consistent with that, a culture of monetary contributions to hospitals should be encouraged The last point I want to raise in this connection is the adult dependent relative visa rule, which states that doctors and others in this country are not allowed to bring their parents from overseas unless they meet certain very strict conditions. In the light of this, some of our doctors are leaving the country, or they tend to come here and then migrate elsewhere. The result is that we tend to suffer from the absence of their contribution. I therefore suggest that we take a second look at the proposals from BAPIO, especially the ones that Professor Keshav Singhal and Dr Ramesh Mehta have made, not accepting them in their current form, but with some modifications—