Feryal Clark
MP for Enfield North · Labour · United Kingdom
“I thank the Minister for her response. Our world-class bus drivers are the backbone of London’s bus service but have borne the brunt of the extreme heat that the city has been experiencing.”
“I welcome the Secretary of State’s actions to protect children from online harm, especially the harms-based approach she is taking. I have heard evidence from educational digital content creators, whose resources are a lifeline for young people.”
“I welcome the Minister to her place. My constituency was one of the lucky ones that was awarded a banking hub two years ago, and I worked with Cash Access UK to secure a temporary place in the council library. Two years on, it has failed to secure an accessible permanent site and is refusing to engage with me.”
“One of the issues that set Labour apart from other parties is the sheer number of new jobs we are creating in priority areas such as tech, defence and our green industries in constituencies such as mine, Enfield North, as well as across Wales and the rest of the UK.”
“I thank my right hon. Friend for visiting Enfield Wash in my constituency last week. After 14 years of Conservative cuts, Enfield lost around 60% of its funding, hitting vital services such as adult social care, youth services and our high street.”
“Does my hon. Friend agree that the measures are so sweeping that it is not just asylum seekers who are caught by them, but, as my hon. Friend the Member for Poplar and Limehouse (Apsana Begum) mentioned, those who arrived under the ECAA route, also known as the Ankara agreement?”
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“It leaves staff with faulty, unreliable equipment that frequently breaks down, and patients with delays, postponements, cancellations and a much more challenging experience of treatment. I join with many other Members who spoke this morning in urging the Minister to carefully examine the situation, and look at what can be done to remove the bureaucracy that is stopping the advancement in equipment that is evidently needed. When we know that every four-week delay in treatment for a cancer patient increases the mortality rate by 10%, the lack of investment in such a core pillar of cancer treatment is putting lives at risk. The failure to address these issues will leave the 40% of cancer patients who need radiotherapy as a curative treatment, either on its own or in combination with other methods, in a grave situation.”
“Absolutely. I ask the Minister what other hon. Members have also asked today: how do the Government expect to tackle the cancer backlog when staff feel like no-one is listening to them? NHS staff have made immense sacrifices during this pandemic; they deserve to be heard and respected instead of having their concerns ignored. The staff who remain in radiotherapy are met with barrier after barrier when it comes to improving the experience of patients and the effectiveness of treatment. I run the risk of repeating points, but these are key issues and need repeating. In order to justify investment to fund a new and updated machine, NHS trusts are required to conduct 9,000 treatments per year. During the pandemic, when we have seen referrals plummet and services stretched to breaking point, that target is plainly unrealistic for many trusts.”
“I thank the Minister for all the information about the machines and investment into radiotherapy. Are the figures that she set out for replacing what is already out of date, or is there a plan to increase investment in radiotherapy treatment? As we have all said, radiotherapy accounts for 5% of the cancer budget. Is there a plan to increase that, or is it about replacement and keeping up what we already have?”
“I urge the Minister to consider those reports and reflect closely on the recommendations and issues raised by the hon. Member for Strangford.”
“Health inequality is one of the major drivers of poor health outcomes that we see today, and asthma is no exception. We know that asthma symptoms are exacerbated by breathing polluted air, as well as from smoking. Air pollution can worsen existing health inequalities and the people living in the poorest areas are often the most exposed to polluted air, reinforcing unequal health outcomes for deprived communities. We need to make sure that air pollution is reduced across the country and must adopt into law enforceable targets set out by the World Health Organisation to bring air pollution down to below harmful levels. In November 2020, the APPG on respiratory health produced its report on improving asthma outcomes in the UK, which we have heard about today, and I look forward to its forthcoming one-year-on report.”
“I urge the Government to therefore commit to restoring the normal delivery of care for people with respiratory diseases, so that everyone with asthma receives at the very least the most basic level of care and that 3.5 million people are not denied the basic care they deserve. Many Members have referred to the Asthma UK survey that found that 76% of people with asthma struggle to afford their prescriptions, 57% skip their medication because of the cost, and 82% say their symptoms worsen as a result. People on lower incomes are already nearly twice as likely to have had an asthma attack than those on higher incomes. The inability to afford prescription charges is highly likely to be a contributing factor. It is putting lives at risk. People should not be forced to choose between paying for a prescription or risking their lives.”
“We must understand the challenges of asthma treatment in our country and look at what we might do differently to save lives and improve patient outcomes. There are several areas for the Government to improve. Many excellent suggestions have been made today. I want to focus on the restoration of the normal delivery of care, prescription charges and air pollution. The Government’s work should not be limited to these areas and I urge the Minister to explore other avenues, such as early diagnosis and promoting the take-up of covid booster vaccinations for asthma patients. In England, the NHS long-term plan included respiratory diseases as a national clinical priority, with the objective of improving outcomes for people with respiratory diseases including asthma.”
“The disruption caused by the pandemic has had a huge impact on asthma care and outcomes. Basic asthma care is an annual review, an inhaler technique check and a written asthma action plan. Members have discussed how that care is not enough. Last year, the number of people receiving even that basic level of care dropped for the first time in eight years, with more than 3.5 million people missing out on potentially life-saving treatment—that is 3.5 million people with asthma who were put at risk. However, even before the pandemic, respiratory care was lagging behind care for other conditions. Basic care levels for asthma were stalling. Recent research by Asthma UK shows that 75% of people with chronic obstructive pulmonary disease were also missing out on fundamental care.”
“We must ensure that asthma treatments and outcomes are of the highest quality. The UK has one of the worst mortality rates for asthma in Europe, with a death rate almost 50% higher than the average death rate for the EU. That should embarrass us all. Despite initiatives such as the 2014 national review of asthma, asthma deaths rose by more than 33% in England and Wales between 2008 and 2018. Some 5.4 million people in the UK are receiving treatment for asthma, leading to 41,000 hospital admissions last year for asthma-related concerns, and 1,300 deaths. If those figures are not enough to show that we must improve asthma outcomes, we should note that two thirds of asthma deaths are preventable. Three people die from asthma attacks every day. That number must be lowered.”
“As has been said, it is estimated that about 200,000 people in the UK have severe asthma, and without specialist treatment and support people with severe asthma end up in a never-ending cycle of emergency trips to hospitals, relying on toxic oral steroids that have nasty side effects; we heard real-life stories about those from my hon. Friend the Member for Blaydon. She also said that four out of five people with suspected severe asthma who should be referred to a specialist do not receive the care they need, and that 46,000 people are missing out on life-changing biological treatment, an issue that was raised by almost all hon. Members who spoke today. Today’s debate is important because currently there is no cure for asthma; it is only possible to manage the condition so that symptoms are kept under control.”
“Member for Loughborough (Jane Hunt) set out very well the great work being done by businesses and the university in her constituency, and also raised the important issue of prescription charges and the need to have a medical exemption from them. Others raised that issue, too, and I absolutely agree. Finally, my hon. Friend the Member for Blaydon (Liz Twist) set out the facts and statistics—the really terrible statistics—that the UK has on asthma and the challenges around gaining access to biological medicines. She also told the stories of some asthma sufferers. We have heard today that severe asthma is the most debilitating, even life-threatening, condition that does not respond to conventional treatment.”
“They relate mainly to the overuse of blue inhalers, the conflicting guidelines and the need to improve them, and biologic therapy, which I will touch on. We also heard from the hon. Member for Rutherglen and Hamilton West (Margaret Ferrier), who raised the issue of air quality and air pollution. We know that air pollution exacerbates asthma. Most Members will know the case of Ella Kissi-Debrah, the nine-year-old asthma sufferer who died, and the coroner said air pollution was a factor in her death. We know that air pollution affects asthma sufferers really badly and more needs to be done about it. The hon.”
“It is a pleasure to serve under your chairmanship, Mr McCabe. I thank the hon. Member for Strangford (Jim Shannon) for securing this Backbench Business debate on improving asthma outcomes and for setting out so comprehensively the issues and challenges faced by the UK’s asthma sufferers. He said there are not many families in the UK who are not affected by asthma—his own son is an asthma sufferer—and I absolutely agree with him. I have a cousin currently in hospital who is a severe asthma sufferer; his covid was made worse by his severe asthma. It is a condition that affects many of us. The hon. Member also set out some sobering statistics about asthma, which should shame us all. He made three asks and set out the areas where he believes the Government need to do more, which was echoed by many other speakers.”
“It is incredibly shocking that the only source of funding for research into the disease is from FOP Friends, so I also recognise, and thank it, for the work it has done. As we have heard, FOP comes from mutation of the ACVR1 gene, causing muscles, tendons and ligaments to convert to unwanted bone growth, starting from a very young age. It debilitates and disables, before progressing to cause immobility and ultimately death. While progress happens at different rates, both naturally and because of the trauma it induces, most people with FOP are immobile by the age of 30.”
“I was pleased to see that there were signatures from across the country, but the support from Hemel Hempstead massively outweighed that from anywhere else, evidencing the incredible drive and leadership shown on Lexi’s behalf. Again, I pay tribute to the right hon. Member. He and colleagues who have spoken today have all highlighted the issues around the lack of funding and the need to raise awareness. We have heard lots of excellent contributions, so I also pay tribute to my hon. Friend the Member for Wythenshawe and Sale East (Mike Kane) and the hon. Members for North Antrim (Ian Paisley) and for South West Bedfordshire (Andrew Selous) for highlighting their constituents’ cases and the issues around funding and the lack of awareness.”
“It is a pleasure to serve under your chairmanship, Sir Roger. I thank the hon. Member for Carshalton and Wallington (Elliot Colburn) for introducing the debate on behalf of the Petitions Committee. As we have heard, despite fibrodysplasia ossificans progressiva—or FOP—being an ultra-rare disease affecting only one in a million, more than 111,000 people have signed the petition, including 162 people from the hon. Member’s constituency and 108 from my own, showing the high level of public support for the issue. I pay tribute to the contribution from the right hon. Member for Hemel Hempstead (Sir Mike Penning), whose constituent, Lexi, has recently been diagnosed with FOP, and to Lexi’s mother, Alex, and father, Dave, who have been instrumental in the petition’s success while also raising awareness and money for research themselves.”
“For example, as we have heard, increased research into FOP could help joint replacements, military injuries, burns, sporting injuries, osteoporosis, heart disease, chronic anaemia, and even brain cancers. That principle will apply across the rare diseases spectrum. It is disappointing that after the rare disease framework was published, the then public health Minister confirmed that no new funding had been allocated. My ask of the Minister, and my question to the Government, is simple: how will the Minister deliver on the priorities that the Government set out in that framework?”
“I am keen to hear from the Minister the Government’s plans to improve care for those with FOP universally through that mechanism and to ensure that all those living with FOP now and in the future get the care that they need. My final point is a broader one that applies to rare diseases in general. We have many of these debates, and quite rightly, because every person who lives with a rare disease has a different experience. Collectively, rare diseases affect as many as 3.5 million people across the UK. Although individual approaches are needed, a collective approach is also important. I welcomed the publication of the UK rare diseases framework, because not only can collective action help to improve standards of diagnosis, treatment and care, but individual approaches can help others.”
“The Government have already set out their vision for this in the UK rare diseases framework, so I do not think anything new is being asked for today—simply for them to follow through on their promises. Just as with diagnosis, it is often the case that the most difference can be made to rare diseases by improving standards of care. For those living with FOP, that can also be transformative. With so few specialists or experienced clinicians, it is no surprise that levels of care vary, but that does not mean that the status quo has to be maintained. The nature of FOP means that some activity needs urgent action, and of course, specialist assistance is needed throughout. The UK rare diseases framework offers an opportunity here, too.”
“Given how few people suffer from FOP, the likelihood of that request happening prior to diagnosis seems monumentally low, let alone its happening in an optimal time. The directory of approved tests for the NHS genomic medicine service will be updated next April, and we heard hon. Members call for the Government to ensure that the FOP test is included. I hope to hear the Minister commit to heed those calls. I also urge the Minister to explore other avenues, such as technology to improve doctors’ awareness of symptoms or new born genetic screening, which will have impacts far beyond FOP and could help many of the one in 17 people who live with a rare condition.”
“In the first instance, early diagnosis avoids the need for investigative diagnostic procedures that can themselves trigger irreversible FOP activity in an individual, and it does not stop there. Early diagnosis means other adaptations can be made at home and school, and my hon. Friend the Member for Wythenshawe and Sale East spoke of the adaptations made in school for Oliver. It means that alternatives can be used to potentially damaging immunisations, usually injected into muscle; knowledgeable clinical care can be established; and of course, simple behavioural changes can be made to avoid unnecessary trauma in these individuals. Those simple things can make a tremendous difference, yet the genetic test that can make that happen can be requested only by specialist clinicians, of which there are not many.”
“Usually, the benefits of early diagnosis are common sense—it is just a matter of time, and time spent untreated is time in which a disease or condition can worsen. However, FOP is different. As I and other Members mentioned, trauma generates FOP activity, worsening the condition and speeding up its progress. Any time spent undiagnosed is time when trauma can occur unknowingly, not least in young children, who are not particularly robust or careful; I have a seven-month-old myself, so I know it is really difficult to prevent little babies from moving around. We do not need to stretch our minds to imagine the accidental trauma that could take place in a child with FOP up to the age of eight.”
“I absolutely agree. There is a need for investment into research of all aspects of this illness. Life expectancy for people with FOP is, on average, 40 years, which is absolutely shocking. It is a horrible condition that nobody would wish on their worst enemy. It is clear that we all agree on the need to act to improve outcomes for the approximately 70 people in the UK who we know of who are suffering as well as for everyone living with it across the world. Thankfully, we know that action can be effective, both in diagnosis and care. The average age at diagnosis is eight years old, despite the existence of genetic tests to confirm diagnoses and other signs that occur far earlier than that.”
“The rights of Kurds and other minorities in Turkey have been at best ignored and at worst abused, for far too long. It is time for change. I urge the Minister to take note of the 32 recommendations set out in the APPG’s report and call on Turkey to stop the persecution of Kurds and come to the table to negotiate for a peaceful solution to the Kurdish question.”
“I welcome the work of the European Court of Human Rights and the Office of the High Commissioner for Human Rights in recent years to highlight the persistent erosion of Kurdish rights in Turkey, and call on the UK Government, alongside international partners, to continue to put pressure on their Turkish counterparts. I am sure the Minister will set out the UK Government’s fantastic relationship with Turkey and the significant role that Turkey plays within NATO—it has been repeated before. However, I have asked before and I ask again: as allies, surely we should be calling on Turkey to stop the abuse and persecution of Kurds and Kurdish politicians. If we cannot ask our friends to stop this, how do we deal with the less friendly nations? How much longer will the UK Government stand by and let this disregard for human rights continue?”
“In sharp contrast, the HDP’s pluralist and inclusive platform has resulted in its popularity among diverse groups in Turkey. The inclusion of minority groups, including Kurds, as well as Alevis, Armenians, the LGBT community, women’s rights organisations, secularists and other ethnic minorities such as Yazidis and Assyrians, has been key to expanding the HDP’s appeal. The success of the parties pursuing that agenda shows that there is real appetite on the ground in Turkey for a movement away from the regressive attitude pursued by Erdoğan’s regime. While movement towards those positions by parties such as the HDP is crucial, it is key that, in addition to efforts made from within Turkey, the international community also uses its influence to support people on the ground.”
“Prosecutors do not conduct meaningful investigations into such allegations and there is a pervasive culture of impunity among members of the security forces and the political officials implicated. Erdoğan’s regime refuses to distinguish between the PKK and the democratically elected HDP, which won 11.7% of the national vote in the 2018 parliamentary elections and 65 local municipalities in the 2019 local elections. Since August 2019 the Interior Ministry has removed 48 elected HDP mayors, on the basis that they face criminal investigation and prosecutions for links to the PKK. Repeating the approach taken in 2016-17, the Government have replaced mayors in the south-east with Ankara-appointed provincial governors and deputy governors as trustees.”
“Defence lawyers in such cases have faced arrest and prosecution on the same charges as their clients. Among those targeted, as has been said, are journalists, Opposition politicians and activists, in particular members of the pro-Kurdish People’s Democratic party, the HDP. Selahattin Demirtaş, the former co-chair of the HDP, has been held in prison in Turkey since 2016 and the European Court of Human Rights has called for his immediate release, but no action has been taken by the Turkish Government. Further, I remain deeply concerned about the rise in allegations of torture, as well as cruel and inhumane treatment, especially of female detainees in police and military custody and prison over the past four years.”
“It is a shameful mark of the lack of progress that Kurds have continued to feel the need to leave their homes, and that the attitude of President Erdoğan’s regime shows no sign of changing. The discriminatory attitude of the Turkish Government is entrenched by President Erdoğan’s persistent interference in the courts, creating a judicial system that has become institutionally prejudiced against Kurds and other minorities in Turkey. That executive interference in the judiciary has been reflected in the systemic practice of detaining, prosecuting and convicting on bogus charges individuals that the Erdoğan Government regard as critics or political opponents. Terrorism charges continue to be widely misused to restrict the rights to free expression and association.”
“I thank my hon. Friend the Member for Brighton, Kemptown (Lloyd Russell-Moyle) for securing this important debate. I will focus my comments on the role of the Turkish Government towards the Kurdish community. Sadly, the issue of representation and equality for Kurds in Turkey is not new. The systemic abuse of the Kurdish community has continued unchecked for far too long. My parents were forced to flee Turkey in the 1980s, due to the systemic abuse faced by the Kurdish community. When I was growing up it was illegal to learn or speak Kurdish. That was changed in early 2000, as Turkey was going through accession discussions with the European Union, but the Government still use various spurious means to prevent the Kurdish community from being able to speak or learn Kurdish.”
“The petitioners therefore request that the House of Commons urge the Government to review the Dogs Act 1871 and Dangerous Dogs Act 1991, to set out whether this problem could be addressed by making dog-on-dog attacks a criminal offence, and to ensure that irresponsible owners of dangerous dogs face more robust action. And the petitioners remain, etc. [P002661]”
“The petition states: The petition of Emma Gambrill, Declares that current legislation in the form of the Dogs Act 1871 and Dangerous Dogs Act 1991 does not account for dog-on-dog attacks where the dogs behave dangerously and are clearly out of control of irresponsible owners; further that this means that owners of dangerous dogs do not face robust action when their dogs attack other dogs; further that this problem was recently horribly highlighted in the case of Enfield North constituent Emma Gambrill’s dog, where her beautiful border collie, Blue, was attacked and mauled to death by two Cane Corso dogs that escaped from their garden, and where the owners who were present in their garden and were witness to the event were unable to control their dogs; and further that attacks such as this leave owners and families distraught and traumatised.”
“Many of my constituents have been in touch concerning dog-on-dog attacks, and more than 150,000 people have signed the petition launched by my constituent, Emma Gambrill. I therefore present this petition on behalf of my constituent Emma, and note that this petition goes alongside her online campaign.”
“Finally, halting arms to Saudi Arabia and its coalition allies is a step in the right direction. The UK has a responsibility to do everything it can to bring about a just and lasting peace in Yemen and the wider region.”
“Last July’s decision to blankly dismiss any risk of Saudi Arabia committing war crimes as “isolated incidents”, and using such a judgment as a basis to resume selling arms, flew in the face of the comprehensive findings of the UN group of eminent international and regional experts on Yemen, who found consistent breaches of international law through the very real harm being caused to civilians. With the US now having halted arms sales to Saudi Arabia for use in Yemen, the UK is at risk not just of isolating itself internationally, but finding itself on the wrong side of a moral line. This is not a moral line with any ambiguity—there is no grey area here. The suffering in Yemen at the hands of British-provided Saudi arms is plain and clear for all to see.”
“Yemen has been and remains the world’s greatest humanitarian crisis. Millions have been forced to flee their homes, face severe malnutrition and need urgent assistance. On top of that, Yemen must face the coronavirus pandemic with a broken healthcare system. Far from being a helping hand, or even idly standing by, the UK Government have actively facilitated the conflict time and again by continuing to supply arms, training and technical support to Saudi-led forces perpetrating the Yemeni people’s ongoing suffering. The Government have, on multiple occasions, faced honest and reasonable cause to end the arms trade to Saudi Arabia, they but have consistently failed to act.”
“The vaccination roll-out for the majority of the country has been nothing short of amazing, and I would like to thank the local NHS providers in Enfield and across the country for their herculean efforts. Sadly, for some parts of the country, including many parts of my constituency of Enfield North, a postcode lottery appears to be emerging, whereby vaccination rates are stubbornly low and falling behind the rest of the country. What is being done to combat this, and what additional support will the Department be providing to areas with consistently low vaccine rates?”
“The public deserve answers. This is not the Prime Minister’s money, the Chancellor’s money or the Conservative party’s money; it is public money. Can the Minister explain why Greensill Capital met Treasury officials 10 times last summer, as my hon. Friend the Member for Chesterfield (Mr Perkins) said, when the most meetings any other coronavirus business interruption loan scheme lender secured with the Treasury was two? The vast majority of lenders did not even have any meetings with his Department.”
“Turkey is also a trade partner to Britain, but none of that can prevent us from speaking out when it is right and timely to do so. Turkey’s status as a friend makes it even more important that we speak out, and the actions of the Turkish Government should worry us all. The Turkish Government’s attack on free speech and their complete and utter intolerance of pluralism, in politics and the media and in nearly every walk of life, should set off alarm bells for us all.”
“I beg to move, That this House has considered arrest of opposition politicians in Turkey. It is a pleasure to serve under your chairship, Ms McVey. I thank the Minister for her time today. It is said that to be a true friend and ally, one must point out when friends fall short and always be honest in one’s views. By that marker, it would be a dereliction of our friendship if we did not address our growing concerns about how some of our international partners are acting. We would be setting a dangerous precedent that says a formal allegiance trumps values among our neighbours and friends. Turkey is such a friend. Turkey is a NATO member and an ally of Britain, and has been a member of the Council of Europe since 1950.”
“What message do the UK Government believe taking no action sends to our other international partners, who look to us for leadership on human rights issues? Will the Minister raise with her Turkish counterparts the unacceptable and brutal attack on the Kurdish populations in Turkey? Turkey is fast becoming a one-party, one-religion, one-ideology state, with no distinction between Parliament and the judiciary. It has created a system that allows one man to have an almost absolute monopoly of power, where the constitution is changed to ensure that that man can never be removed from office. It is of no benefit to anyone to repeat worn-out platitudes about Turkey’s important geo-political and strategic role. We must stand up for the people of Turkey, our true allies, to help recover a democracy in decline.”
“Turkey is a member of the ECHR and therefore has an obligation to uphold the European convention on human rights—a convention that the UK was pivotal in drafting, under the leadership of Winston Churchill. We need to see the very same leadership extended from the UK once more. I will end my contribution with some serious questions for the Minister. What action are the Government taking to encourage Turkey to work towards the full protection of fundamental human rights in areas of minority rights, freedom of religion and freedom of expression? Will the Government call on Turkey for the immediate release of democratically elected politicians? How will the Government work with our NATO, European and global allies to impress on President Erdoğan that he must adhere to the international treaties that he has signed?”
“The constant harassment of HDP politicians and members is no longer done in disguise, but with boldness and impunity. This shocking number alone should spur action on the part of the UK Government. A fundamental tenet of a free and democratic system is accepting the right of people to elect their representatives in Government. Without this right, there is no democracy; there is just its appearance, in the hope that countries such as ours will continue to turn a blind eye. The UK Government already know all this. They also know that the European Court of Human Rights has ordered the immediate release of Selahattin Demirtaş from his extended pre-trial detention.”
“The AKP Government have imposed Ministry-appointed trustees in Kurdish majority eastern and south-eastern provinces, as well as in secularist and republican areas in the west, such as Izmir. These are actions that undermine democracy and representation, and will undermine the long-term stability of any democratic system. When we look at the devastation that those actions have done to the plurality of Turkish democracy, we can see that 48 of the 65 municipalities won by HDP in the 2019 local elections have been taken over by the Ministry of the Interior. A total of 122 democratically elected municipal councillors have been detained since August 2019 by an incumbent Government for little more than having the nerve to stand against them in an election and win.”
“The litany of abuses stretches far and wide. Selahattin Demirtaş, one of Turkey’s most prominent politicians and the co-leader of HDP, was arrested and has been in prison for over four and a half years. One of the first charges brought against Mr Demirtaş was that of attending an anti-ISIS protest—let us allow that to sink in. President Erdoğan’s purge of opposition politicians that began in August 2019 included MPs, mayors and councillors from both the HDP and the CHP parties. The CHP party is one of the oldest parties in Turkey, and those MPs, mayors and councillors were stripped of immunity and imprisoned. Where these democratically elected officials have been imprisoned, President Erdoğan’s AKP Government have implemented a queue-like replacement of them.”
“I agree with the hon. Gentleman. A real intolerance of religious minority groups is building in the country, which I will touch on in my speech. Many of us here know that the Kurdish question in Turkey is not new. The treatment of more than 20 million of its Kurdish citizens has been a major cause of concern in the west for many years. In 2015, the general election in Turkey saw HDP, a pro-Kurdish party led by a charismatic leader able to form a coalition of progressives, run in the elections. They were successful in breaking through the 10% threshold needed to win seats in the Turkish Parliament and, in doing so, deny the incumbent Government a majority. The response of the Government was to launch an all-out attack against HDP and the democratically elected opposition politicians who represent it.”
“I would be really grateful if the Minister set out the plan for people who are not registered with a GP. Will the Minister also clarify what is meant by the term “hesitancy”, as there is real confusion on that? Does it mean people who reject the vaccine outright, saying, “I do not want this,” or does it mean people with whom no contact has been made after three contact attempts? It is really important that we get some clarity on that.”
“There needs to be an easier booking mechanism for areas with a digital divide, as well as for the elderly, who are not very tech-savvy. The wards in my constituency with the highest covid rates and poor primary care provision do not have vaccine centres nearby. The nearest vaccine centre for constituents in those wards is two bus rides away, which is just not acceptable. Where the need is greatest, the provision is low. In the most affluent areas of my constituency, where there is good primary care provision and many vaccine centres, the uptake is more than 80%, and 40-year-olds are now being called for their vaccines. Finally, 16,000 people across Enfield—predominantly in the eastern part—are not registered with a GP. There is no clarity on how those constituents will access vaccines.”
“When the Government finally gave clinical commissioning groups permission to share that data, it became abundantly clear that those areas and communities that we had been raising—in Enfield, the communities that had suffered the worst of the pandemic—were also those with the lowest vaccine uptake. I have raised this matter at many meetings with NHS colleagues and with the Minister. There are many barriers. The issue is not just about vaccine hesitancy, as is constantly repeated; there is an expectation that an 80-year-old Kurdish woman will book an appointment over the internet, but that is just not going to happen. The digital divide in the eastern part of Enfield North constituency, where the uptake of the vaccine by over-65s is just above 50%, is a real issue.”
“It transpired initially that the vaccine supply to London was inadequate in comparison with other regions, and that the set-up of delivery centres across London was limited and done too slowly to come on board. We knew that the pandemic had highlighted the inequality in our communities and we knew about the pockets of deprivation—the areas with high covid rates and poor healthcare provision: we have been raising those issues over the past twelve months of the pandemic. It took a very long time for the NHS to be allowed to share the vaccine update data with us MPs.”