Kate Osamor
MP for Edmonton and Winchmore Hill · Labour (Co-op) · United Kingdom
“I thank my hon. Friend for her answer. For the first time in centuries, Catholic leaders were prohibited from entering the Church of Holy Sepulchre in Jerusalem to celebrate a private mass on Palm Sunday.”
“If the Government are serious about putting cancer patients “front and centre”, as the Secretary of State for Health and Social Care has previously stated, they must do more to support stretched and under-resourced hospitals such as the North Middlesex, as well as its dedicated and hard-working staff—not only to protect the dignity and we…”
“The trust has been taking steps to improve the experience of oncology patients at North Middlesex hospital through efforts to reduce waiting times and speed up the pathway for them.”
“Mr Thorn was diagnosed with cancer in July 2022, and in January 2023 he began chemotherapy treatment. Following the conclusion of the first type of chemotherapy treatment, Mr Thorn was told multiple times that he needed to be admitted back into hospital.”
“Secondly, will the Minister consider carrying out a wider assessment of the safety and suitability of the settings in which immunocompromised oncology patients are placed when they are admitted to hospitals across the country, and how that may affect outcomes for cancer patients?”
“Despite an acute oncology service that works extremely hard to prioritise those patients, the North Middlesex hospital emergency department often struggles to provide appropriate private triage areas or guarantee a rapid review for vulnerable cancer patients, because of high patient volumes and infection-control pressures.”
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“I should not have had to have that conversation and I feel really sorry for those women who do not get past that barrier, accept the antidepressants and just carry on existing, taking the antidepressants but not dealing with the symptoms. Many black women experience menopause disproportion- ately. Many black women I speak to say that there is no point going to the GP. It is not something we discuss in our community; it is not something that is passed down to us. We are encouraged to be strong, as black women. We are encouraged to carry the family and to sort out our problems privately. That is not a slight on the community—it is about how we hold ourselves together—but as individuals in the community, at times we need the support when we do go to the doctor.”
“Her view and her vulnerability made me look at the symptoms she was presenting and made me think, “Okay, that could be me.” I was not alone. So many women I have spoken to watched the same show and said that Davina turned on the light for them. I thank her for that. I then had to go on to speak to my GP. Now I had the information I needed, which I had not been given before, and I had the agency to tell my GP, “This is what I want.” We had a long discussion and my GP offered me antidepressants. Many women may have taken that option, but I know, from watching Davina’s show, that it is an option that a lot of women were being offered. I could have taken the antidepressants, not knowing that it was almost like a barrier put up to stop women getting HRT. I listened, we had a little discussion and my GP agreed to give me HRT.”
“I was trying to find out why I was having all the other symptoms, but the bloods showed up different symptoms. I used lockdown and the time I had to reset the button and turn my food habits around and, fortunately, I was able to take my body back to where it should be. I am no longer pre-diabetic and I did not become diabetic— I was really happy about that—but my GP did not explain to me that the persistent symptoms were related. If I am honest, it was not until I watched Davina McCall’s recent TV show on menopause that I connected the dots. I grew up, as many of us in this room did, watching Davina on “Big Brother” and all her other shows. She is relatable, she is fun—she is like a friend I have never met. She is a trusted voice.”
“I thought, “If I do my bloods, maybe I can find out what is wrong with me.” My doctor did not advise me to do my bloods, but I thought I would use my own agency, so I turned up and said to my doctor, “This is what I want to do,” and my doctor said, “Okay, go and do your bloods. Let’s see what’s wrong with you.” Bear in mind that for the last 10 years, I have been experiencing different symptoms intermittently, but my doctor did not join the dots for me, and did not explain or say, “Possibly, Kate, this is what you’re going through.” What came back from the bloods was that I was pre-diabetic—another menopause symptom, but my doctor looked at my results and said, “You are pre-diabetic. You need to change the way you are eating and possibly you will be okay and will not become diabetic.” This was not what I was expecting to find out.”
“It is a pleasure to serve under your chairmanship, Mr Robertson, I believe for the first time. I congratulate my hon. Friend the Member for Swansea East (Carolyn Harris) on securing this important debate and on all the campaigning she has done to raise awareness about the barriers women face when accessing HRT prescriptions. There is certainly a lot more work to be done, including on the interaction between black and Asian women and healthcare professionals. For the last 10 years, I have experienced a multitude of symptoms, including hot flushes, memory loss, fatigue and poor sleep, but I just thought it was this job—boo hoo—so I used the lockdown to press the reset button.”
“T2. The Minister will be aware that the worst covid outcomes have disproportionately been felt among communities from ethnic minority backgrounds. What steps will his Department take to ensure that those health disparities are examined under the terms of reference set out?”
“We face a multitude of crises on many fronts. I totally agree with my hon. Friend the Member for Streatham (Bell Ribeiro-Addy), who is no longer in her seat. She put it powerfully: the cost of living crisis and the housing crisis what this Government should be dealing with. Perhaps most important of all is the climate justice crisis, but the Conservatives are not interested in taking measures to address those important issues. No, their Government are instead trying to clamp down on people’s right to urge that serious action be taken. Clearly, our age-old democratic right to protest is just too inconvenient. That is what we get when we have a Government informed by the niche interests of right-wing culture warriors who do not understand what being woke actually means.”
“Anyone who wishes to be on the right side of history should stand up for democratic rights and values, oppose this authoritarian Home Secretary and vote against this Bill tonight.”
“I remind the House that the ongoing “spy cops” inquiry is looking into the abuse of police powers by undercover police, who spied on particular anti-racist, socialist and anti-war groups. There is also the Stephen Lawrence justice campaign. This should raise alarms in this House. We know the suspicion in which the forces of the state have generally held groups that fight for radical change. It is clear that those groups will be targeted by this action, which will only erode dissenting voices. One day, everyone will look back on this Government’s clampdown on and prosecution of climate protesters with as much disgust as we look back on past Governments who imprisoned the suffragists fighting for women’s right to vote.”
“As well as being part of the ridiculous fixation on locking-on offences, I believe clause 7 is designed to instil fear among many who may be mistrustful of the police, having had bad interactions with them, or knowing people who have. The measures could have the effect of dampening turnout for all kinds of protests and campaigns, which I am sure the Government would be pleased about. It has long been known that stop-and-search powers have a disproportionate impact on racialised communities, as my right hon. Friend the Member for Hackney North and Stoke Newington (Ms Abbott) so eloquently said. It is on our communities that the burden of more searches will fall hardest, and it is our communities where people will be put off from making their voice heard.”
“I totally agree with my right hon. Friend. Her comments are very worrying when we think of the young black men who are disproportionately stopped and searched, and strip searched, for no apparent reason other than the colour of their skin. Clause 7, on powers to stop and search without suspicion, is a very worrying clause that will enable senior police officers to authorise the police to stop and search anyone within a designated zone for a period of time without any grounds for suspicion. It states that the power will enable the police to look for objects involved in so-called “protest-related offences.” According to the explanatory notes, this will include threatening objects “such as glue or a padlock”. Will this also include a pen, paper, a hat, water, a change of clothes, sanitiser and a face mask?”
“10. The cost of household food bills is set to rise by £271 this year as prices soar. The supermarkets are lowering their prices to help customers who are struggling to buy food. The Resolution Foundation has reported that 1.3 million low-income Britons will be pushed into absolute poverty by the cost of living crisis, but this Government are doing nothing to protect people who are struggling. If the supermarkets are stepping in to protect people’s pockets, what will the Prime Minister do?”
“The Bill would further expand the number of people without access to public funds such as welfare benefits and housing assistance, and thereby ensure that thousands more refugees a year fleeing war and persecution are at increased risk of falling into destitution and homelessness once they have reached the UK. If this Government were truly interested in the wellbeing of refugees, they would build a support network and safety net to enable those who have sought refuge in the UK to live comfortably and have fruitful lives, rather than chip away at existing support and create a tiered system. I urge all Members to support Lords amendment 6B to ensure that refugees living in the UK are not forced into poverty and destitution.”
“I would like to use my three minutes, which have not come up on the clock yet, to focus on Lords amendment 6B. It is truly damning of the Government’s conduct that they oppose an amendment that merely seeks to guarantee refugees their rights under the 1951 UN refugee convention. There is no such thing as an illegal asylum seeker under international law, yet under the Government’s plans, unlike refugees who have arrived on officially sanctioned routes, group 2 refugees—I will focus on them—who are deemed to have arrived in the UK in an illegitimate manner will only be offered temporary protection status and will have no recourse to public funds. As chair of the all-party group on no recourse to public funds, I am only too aware of its devastating human impacts.”
“Many bereaved families and campaigners are anxious to hear the truth about the Government’s handling of the pandemic in a public inquiry. Meanwhile, the Government have admitted that none of the Prime Minister’s mobile phone messages up until April 2021 will be accessible to the inquiry, because he got a new phone. In the light of that, will the Minister confirm a date when the public hearings will be formally established?”
“10. What steps she is taking to increase the effectiveness and efficiency of the (a) Serious Fraud Office and (b) Crown Prosecution Service in tackling fraud and economic crime.”
“Between 2013 and 2019, the Serious Fraud Office secured convictions against five corporations out of 43 investigations. We can literally count the number of successful prosecutions on one hand. Does the Attorney General regard that as an acceptable recent track record for the Serious Fraud Office? If not, how does she plan to change it?”
“One constituent, whom I will call Maria, is a constituent of mine only after she lost her home in Liverpool as a result of having her benefits suspended, and subsequently moved to Edmonton. From the cases my office has been handling, a number of constituents have since had their universal credit payments restored and backdated, as there was no evidence of any wrongdoing.”
“Time and again, my office was told that the cases were under the management of the risk review team, with little to no further explanation of the reason, apart from some claims of suspicion of fraud. Constituents told me that their claims were suspended for months on end—as long as 11 months, in the worst case. Although that particular constituent’s claim has now been restored, they have received no compensation for the hardship caused. The DWP provides no timeframe for the completion of the reviews, nor a right of appeal. A significant number of those constituents are single mothers who work part time. This situation has left them in a completely crippling financial position and pushed many into serious destitution—relying on food banks, facing eviction from their homes and racking up serious amounts of debt.”
“I beg to move, That this House has considered the Department for Work and Pensions’ Risk Review Team. It is a pleasure to serve under your chairmanship, Mr Twigg. Today, I will talk about the Department for Work and Pensions risk review team, which was set up in May 2020. The DWP states that the team’s role is to “review and take action on cases identified” by the integrated risk and intelligence service as being “a high fraud risk.” I was first alerted to the team’s existence in October 2021, when my constituency office began to receive contact from what would become a total of 29 constituents who had had their universal credit payments suspended indefinitely under almost identical circumstances. Those constituents are all Bulgarian nationals and tend to have either settled status or pre-settled status.”
“The hardship being caused to my constituents, which I have spoken about today, may not be an intentional effect of this policy but, for one reason or another, they are getting trapped in this net. It is imperative that we understand why. I urge the Minister to take on board the stories that I have relayed today and to urgently review the operations of the risk review team, with the seriousness that the situation deserves, before many more lives are torn apart.”
“Lastly, and crucially, the DWP must be more transparent. More than 140,000 claimants have been affected by the risk review team. There must be greater awareness of the way in which it operates. Currently, it appears to be operating with impunity. Guidance should be published on how the team works in identifying and investigating cases. The DWP should also make public how many cases remain suspended, and what percentage of those have been closed after the Department came to the decision that it believed the claim was indeed fraudulent. Transparency and scrutiny are essential for good governance. Any new policy that may cause negative consequences must be identified and then, ideally, addressed quickly.”
“I know of constituents who have had their lives turned completely upside down, in some cases losing homes and acquiring significant debt, not to mention the stress and anxiety caused by the months of waiting. Backdating payments does not make up for the impact of the process. Of all the cases my office has dealt with, only one constituent has received any compensation. They were granted a consolatory special payment of £200 because of delays in a mandatory reconsideration decision and the outcome of the risk review action. That sum is nowhere near enough to make amends for the seven months in which they waited for more than £10,000, which they were entitled to receive during that time. We need a proper compensation scheme for those who have been seriously affected by the way that the risk review team has conducted its business.”
“The DWP must also appreciate the barriers to providing documents—learning lessons, for example, from the Windrush scandal—as there may be deeper reasons why claimants are unable to provide certain pieces of evidence. The Independent reported on a Bulgarian national who was subject to the risk review process and was asked to provide every page of their old passport. However, that was impossible, as the Bulgarian embassy in London reportedly takes expired passports when citizens apply for a new one. That should be urgently be looked into, and an equalities impact assessment should be carried out. Thirdly, the DWP should provide adequate compensation to those who have had their claims wrongly suspended.”
“It seems likely that thousands of people are left languishing for many months, effectively under no recourse to public funds conditions, even if they are entitled to claim benefits and have committed no wrongdoing. Claims should be suspended only if evidence of fraud is found, with the review and an initial decision made prior to that course of action. Secondly, the team must provide proper assistance to those whose cases are being investigated. It must appreciate the barriers that may exist to providing evidence. The whole process has appeared opaque and complex to my caseworkers and me, let alone someone for whom English is not their first language.”
“While we remain in the dark about how this opaque team conducts its business, and with the cases that I know about being so overwhelmingly concentrated among Bulgarian nationals and other EU nationals, it is impossible not to suspect that potentially discriminatory practices are being carried out. Considering the issues that I have raised, I have a series of recommendations for the Minister. First, I urge the Department to change its “guilty until proven innocent” approach. The Department clearly does not have the resources to process the cases in a timely manner. I understand that there are roughly 165 full-time equivalent staff on the team.”
“Charities working in the local area, such as Citizens Advice Enfield and the Edmonton Community Partnership, concur with that assessment. From the many organisations I have spoken to that have similar cases, I have heard of Romanian and Polish nationals being affected, but no British citizens or those of other nationalities. Tellingly, those affected are all EU citizens. Thus far, the Department has said that it does not keep demographic data on nationality, making it impossible to produce conclusive proof, but I understand that the Department does hold data on claimants’ nationality at the point of national insurance number registration.”
“Some appear to have had their claims referred to the risk review team after being unable to answer security questions over the phone. I am unsure how much assistance they are given in the process if there are language barriers. In response to written questions, the Department has stated that there is a “high risk of fraud” in these cases, and that all claims are “suspended pending contact” with the claimant and them providing the requested information. It has also insinuated that the cases are related to organised crime, and yet in our experience the majority of those who are impacted appear to be vulnerable single mums who have done nothing wrong. I can speak only for my constituency, but the brunt of the policy appears to have fallen overwhelmingly on Bulgarian nationals.”
“However, using the argument that to do so would mean incurring disproportionate costs, the Department has so far declined to confirm what has happened to the other 97% of cases. Let me ask the Minister some more questions. How many claims have been deemed to be fraudulent and subsequently closed? How many claims remain suspended? How many people who we have not yet heard about are suffering in silence, not just in Edmonton but across the country? This issue is especially concerning because the cases I have seen predominantly concern claimants for whom English is a second language. Many face real difficulties accessing services, and that can create barriers to communicating with the Department directly and to accessing outside advice and assistance.”
“I ask those questions because, sadly, there did not appear to be much information publicly available about the risk review team, and the Department appears reluctant to enlighten me further. I wrote to the Minister about these issues on 26 November 2021, and I received a response only yesterday evening. I am very grateful for that response, despite having to chase the Department nearly four times. I have also asked a series of written questions. In response to one of them, the Minister for welfare delivery stated that as of 24 December last year, 149,000 cases—approximately 3.74% of universal credit claims—had been suspended under the risk review process. We have found out that 3% of claimants in those cases had their benefits reinstated.”
“The hon. Gentleman makes a valuable point, which I will come to later. I back everything that he has said, because the claimants need much more support. For many claimants, English is their second language, so the more support the Department can give them, the better. We have seen few claims disallowed for reasons of constituents failing a habitual residency test, and none that we have seen have had their claims closed for fraud. All that raises a series of questions for the Minister. How many fraudulent claims have been discovered by the risk review team? What justification is being used for the original investigation and suspension of claims? Has the Department undertaken an equality impact assessment to ensure that the process is not resulting in direct or indirect discrimination?”
“I associate myself with the Prime Minister’s remarks on Bloody Sunday. Did the Prime Minister agree to the Chancellor of the Exchequer writing off £4.3 billion of fraud? That is £154 from every household in the country that went directly into the pockets of fraudsters.”
“Finally, the NHS Race and Health Observatory should undertake a study of sickle cell care, examining how racism affects the experiences of patients, and the prioritisation that sickle cell patients are given compared with those experiencing other conditions. While sickle cell patient advisory groups are flourishing, they should be given the resources they need to have an oversight of sickle cell services across all hospitals. There is a lot of work to be done, but the way forward has been set. I want to add that North Middlesex hospital has a unit for people who have sickle cell, so what happened to Evan should not have happened. The A&E experience for all patients who have sickle cell needs to be looked at with urgency. Thank you for listening.”
“Knowledge of sickle cell among healthcare professionals must be improved by mandating that universities should provide training in sickle cell as part of the curriculum, and healthcare in England should develop a mandatory e-learning module for staff treating sickle cell patients in high-prevalence areas. The standard of care must be improved by developing individualised care plans for sickle cell patients, with copies passed to the patients and all their carers. NHS trusts should develop action plans to ensure compliance with the clinical guidelines to deliver pain relief to sickle cell patients within half an hour.”
“I wholeheartedly endorse the recommendations made in the all-party group’s report, and I want to highlight a number of those recommendations. First, the North London Partners integrated care system, within which my constituency and North Middlesex hospital fall, should develop a concrete plan to improve sickle cell care and share lessons learned from across the country. North Middlesex hospital should also engage with Betty and Charles, the parents of Evan Smith, regarding an appropriate memorial for their son. I urge the Government to tackle the report’s recommendations with the seriousness that they deserve.”
“It has clearly been found that although the details of Evan’s case are particularly distressing, this is not just an individual failing of one hospital but the reflection of widespread shortcomings in care and a lack of institutional knowledge, which have led those with sickle cell to be fearful of receiving secondary care and of attending hospitals. Indeed, North Middlesex hospital is situated in an area with a large black population and, compared with the average hospital, it should have been adept at caring for sickle cell patients. Evidence of the dismissal of the pain of sickle cell patients sadly tallied with what has been highlighted by other studies of the disparities regarding the treatment of black people by healthcare staff, such as by Five X More, which has done work on black maternal health.”
“Thank you for calling me to speak, Mrs Miller. It is a pleasure to serve under your chairmanship, although “chairship” is a better word. I thank my right hon. Friend the Member for Wolverhampton South East (Mr McFadden) for securing this important debate and for setting out a strong argument. First, our thoughts must be with Evan Smith, who tragically died at North Middlesex hospital in my constituency. Owing to a determination to prevent further tragically avoidable deaths, the sickle cell and thalassaemia all-party parliamentary group must be given huge credit for putting together the hugely important “No One’s Listening” report on the failures in sickle cell care, and for producing an extensive and thought-through list of recommendations.”
“I thank the Minister for the update that she has just given us, but she has not said anything about the bottleneck in A&E. Patients arrive and they are not listened to and not believed. What work will the Government do on that area of hospital treatment?”
“Although discussions about regional inequality between the north and south in the UK are important, this must not be reduced to a simple and misleading binary. My area of Edmonton, north London, has an unemployment rate of 9.7%, almost double the national average. Will the Chancellor assure the House that he will provide the investment that London needs, starting by providing the funding that Transport for London requires to maintain its services, particularly the bus services, on which lower-income Londoners are disproportionately reliant and which face 20% reductions without support?”
“The Nigerian high commissioner to London has called the inclusion on the red list of African countries, especially Nigeria, nothing short of “travel apartheid”. Omicron is classified as a mild variant, with no deaths and no hospitalisation, unlike the delta variant, so when will the European countries that have the delta variant be added to the red list? It is time for an international approach and not a discriminatory approach.”
“We cannot claim to have reached genuine net zero as a country, or even to have a plan to do so, until we take into account the impact of our imports on global carbon emissions. Will the Department for International Trade therefore agree to consider the evidence gathered by the Environmental Audit Committee in its inquiry into carbon border taxes? Better still, will the Department initiate an inquiry of its own?”
“The shockingly low vaccination rates in low-income countries should shame the global north, and made the omicron variant all but inevitable. The Government have been quick to impose travel restrictions on southern African countries, but where was the urgency when it came to ensuring that people on the African continent were vaccinated? My question to the Minister is this: is it not time for the Government to drop their opposition to the intellectual property waiver on covid-19 vaccines, of which South Africa was one of the key supporters, and to provide whatever vaccine capacity and technical support they can offer to speed up the roll-out?”
“4. What steps he is taking to consult with covid-19 bereaved families on the public inquiry into the Government’s handling of the covid-19 pandemic.”
“The University of Liverpool this week released a report on the lived experience of those who have lost a loved one to covid-19, in collaboration with Covid-19 Bereaved Families for Justice. The report recommends that the public inquiry be brought forward without delay, stresses the importance of transparency and asks for bereaved families to be an integral part of the inquiry. Is it not about time that the Government listen to the bereaved families of covid-19 victims and adopt the report’s recommendations?”
“Unlike the gender pay gap, there is no legal requirement for companies in the UK to publish their ethnicity pay gap. Research from the TUC has shown that black workers earn 12.8% less on average than their white counterparts, and the gap widens to almost one quarter less when comparing workers with degrees. The Labour party, the TUC, the Equality and Human Rights Commission and the CBI are all calling for mandatory ethnicity pay gap reporting. Can the Minister tell the House when the Government will follow suit and rectify this harmful practice?”
“T3. At the last Home Office questions, I raised the issue of the hardship that claimants under the Windrush compensation scheme are experiencing. Despite the supposed urgency of this for the Government, the average time that claimants are waiting for their final payment is 434 days. I raised the case of my constituent Anthony Bryan in particular; the Home Secretary told the House that she would meet me to discuss the case, only to revoke the offer later. Will she assure the House that she will fulfil her original promise to meet me? Will she also commit to publishing the guidance on how compensation claims are accelerated?”
“It will be essential to continue investing heavily in public transport while keeping prices down, and to support the flourishing of active travel schemes since the covid pandemic, supporting the making of journeys by walking and cycling wherever possible. Thirdly, the plans for a massive new incinerator in my constituency of Edmonton, which will emit 700,000 tonnes of carbon dioxide a year, are simply outrageous. I refuse to believe that the project would be allowed to go ahead if the incinerator were to be in a leafier, more affluent suburb. I ask the Minister to urgently meet me and campaigners to push for the Government to pause and review the project.”
“The Government have to be as ambitious as possible. Without aiming to reach the gold standard as soon as feasible, they are simply letting the health of the public down. Secondly, we need serious action to meet those standards, and that will require considerable Government finance. Traffic is the largest source of urban air pollution, and changes in the way we move around, particularly in cities, are vital. However, we cannot allow the cost of that to fall on ordinary people. The purchase of electric cars to replace polluting vehicles should be supported by the Government through grants and interest-free loans, and every citizen should be able to apply for those.”
“It is a pleasure to serve under your chairmanship, Sir Gary. I thank my hon. Friend the Member for Huddersfield (Mr Sheerman) for securing this important debate. There can be no more important time to be holding this debate. The battle to tackle the scourge of air pollution is inextricably tied up in all the other challenges that make up the climate and ecological crisis that should be front and centre in public discussion over the next couple of weeks. If the Government truly acknowledged the scale of the problem that is faced, particularly in urban areas such as my constituency, they would commit to far more radical action. I would like to ask the Minister in summing up to consider the following three points. First, introduce legally binding targets for the UK to abide by the World Health Organisation’s stricter clean air standards.”
“3. What recent discussions he has had with the Secretary of State for Health and Social Care on the impact of steps taken to improve winter air quality on the health of children and adults who are vulnerable to respiratory disease.”