19:00 - The House divided: - Ayes: 291 / Noes: 78 - Question accordingly agreed to.
The Prime Minister (Boris Johnson)
I beg to move,
That the Health Protection (Coronavirus, Restrictions) (All Tiers) (England) Regulations 2020 (S.I., 2020, No. 1374), dated 30 November 2020, a copy of which was laid before this House on 30 November, be approved.
Mr Speaker
With this we shall take the following motion:
That the Health Protection (Coronavirus, Restrictions) (Local Authority Enforcement Powers) (England) Regulations 2020 (S.I., 2020, No. 1375), dated 30 November 2020, a copy of which was laid before this House on 30 November, be approved.
The Prime Minister
I want to begin by telling the House that I was hugely encouraged by a visit I paid only yesterday to a vaccine plant in north Wales, where I saw for myself the vials of one of seven vaccines backed by the UK Government that could turn the tide of our struggle against covid, not just in this country but around the world. It is the protection provided by those vaccines that could get our economies moving again and allow us to reclaim our lives. That one plant in Wrexham could produce 300 million doses a year. Yesterday was the momentous day when it began to manufacture the Oxford-AstraZeneca vaccine, and it was a very moving moment. I talked to one of the brilliant young scientists there, and she described the extraordinary moment in her life of being part of an enterprise that she thought was truly going to offer humanity a route out of this suffering.
But we have to be realistic, and we have to accept that this vaccine is not here yet—no vaccine is here yet. While all the signs are promising, and almost every scientist I have talked to agrees that the breakthrough will surely come, we do not yet have one that has gained regulatory approval, and we cannot be completely sure when the moment will arrive. Until then, we cannot afford to relax, especially during the cold months of winter. The national measures that are shortly ending in England have eased the burden on the NHS and begun to reverse the advance of the virus. Today the R is back below one, and the Office for National Statistics survey shows signs that the infection rate is levelling off. Imperial College London has found that the number of people with covid has fallen by a third in England since 2 November.
But while the virus has been contained, it has not been eradicated. The latest ONS figures suggest that, out of every 85 people in England, one has coronavirus—far more than in the summer. Between 24 November and yesterday, 3,222 people across the UK lost their lives. Despite the immense progress of the last four weeks, our NHS remains under pressure, with hospitals in three regions—the south-west, the north-east and Yorkshire—all treating more covid patients now than at the peak of the first wave.
John Spellar (Warley) (Lab)
The Prime Minister talked about the virus being eradicated. Only one virus in history has been eradicated. Containment may well be the only option open to us.
The Prime Minister
The right hon. Gentleman is, of course, completely right. Containment is the objective of the tiering scheme that the Government are announcing, and I hope the Opposition will support that tonight, in spite of what I gather is their decision to abstain, which seems extraordinary to me. We cannot simply allow the current restrictions to expire, for the reason he gives, with no replacement whatever. With the spread of the epidemic varying across the country, there remains a compelling case for regional tiers in England and, indeed, a compelling necessity for regional tiers.
Steve Brine (Winchester) (Con)
The latest rate in my area is 79 per 100,000 people. A week ago, it was 178. We went into lockdown in tier 1 and will come out in tier 2. Pubs and restaurants in my constituency are in the worst of all worlds. In asking me to support these regulations tonight, what hope can the Prime Minister give them?
The Prime Minister
Indeed, and I will come in just a moment to what more we hope to do for pubs, restaurants and everybody in the hospitality sector, whose anguish and difficulties everybody in this Chamber understands and appreciates.
I hope the House is clear what I am not asking for today. This is not another lockdown, nor is this the renewal of existing measures in England. The tiers that I am proposing would mean that from tomorrow, everyone in England, including those in tier 3, will be free to leave their homes for any reason. When they do, they will find the shops open for Christmas, the hairdressers open, the nail bars open, and gyms, leisure centres and swimming pools open.
Mark Jenkinson (Workington) (Con)
My constituency sits entirely within the Borough of Allerdale, where our rates have declined to just over 70 per 100,000, and we are due to enter tier 2 restrictions. Will the Prime Minister commit to a more local tiering system, so that the hard work of my constituents is rewarded?
The Prime Minister
Yes, indeed. This is a point that many of my hon. and right hon. Friends have made to me and to the Government with great force and eloquence over the past few days. We want to be as granular as possible as we go forward to reflect the reality and the human geography of the epidemic, and we shall be so. What I can say is that, from tomorrow, across the whole country, not just gyms, leisure centres and swimming pools will be open, but churches, synagogues, mosques and temples will reopen for communal worship, organised outdoor sport will resume and, in every tier, people will be able to meet others in parks and in public gardens, subject to the rule of six. Every one of those things has been, by necessity, restricted until today. Every one of them will be allowed again tomorrow. Of course, I accept that this is not a return to normality—I wish it were so—but it is a bit closer to normality than the present restrictions. What we cannot do is to lift all the restrictions at once or to move too quickly in such a way that the virus would begin to spread rapidly again. That would be the surest way of endangering our NHS and forcing us into a new year lockdown with all the costs that that would impose.
Mr Tanmanjeet Singh Dhesi (Slough) (Lab)
I thank the Prime Minister for giving way. After the inconsistencies and controversies of the previous tiering system, what was required this time round was more fairness, clarity and transparency. We were promised a regional approach. However, what the powers that be have done is to place little old Slough in tier 3, despite the fact that we have been segregated from the wider region and that there are areas in neighbouring London and Essex with higher covid transmission rates. Why does the Prime Minister hate Slough? What have we done to annoy him so much?
The Prime Minister
I love Slough, but I understand what the hon. Gentleman is saying. I appreciate people’s feelings of injustice, and people do feel it. There is no question but that people feel that they have been unfairly attracted by proximity into a higher tier than they deserve. People also feel that the tiering is not working for them. I want to repeat the answer that I gave to my hon. Friend the Member for Workington (Mark Jenkinson), which is that, as we go forward—I mean this very sincerely —the Government will look at how we can reflect as closely as possible the reality of what is happening on the ground for local people, looking at the incidence of the disease, looking at the human geography and spread of the pandemic, and, indeed, looking at the progress that areas are making in getting the virus down. We will try to be as sensitive as possible to local effort and to local achievement in bringing the pandemic under control.
Several hon. Members rose—
The Prime Minister
I want to make a little bit of progress, because I want to say something now about our hospitality sector, which I know the House will want to hear. We all accept that the burden on the hospitality sector has been very great, and we feel this deeply, because our pubs, our hotels and our restaurants are, in many ways, the heart of our communities and part of the fabric of our identity as a country. Everybody can see that the hospitality industry has borne a disproportionate share of the burden in this crisis. There is no question about it. That is obviously because we want to keep schools open and we have to take such measures as we can. I just remind the House, however, that we are not alone in that: in France, bars, restaurants and gyms will not reopen until 20 January at the earliest; and in Germany, the hospitality sector will remain closed in its entirety over Christmas.
We will do everything in our power to support our hospitality sector throughout this crisis. We have already extended the furlough scheme for all businesses until the end of March. We have provided monthly grants of up to £3,000 for premises forced to close and £2,100 for those that remain open but have suffered because of reduced demand. We have allocated £1.1 billion for local authorities to support businesses at particular risk. Today, we are going further, with a one-off payment of £1,000 in December to wet pubs—that is, pubs that do not serve food, as the House knows—recognising how hard they have been hit by this virus in what is typically their busiest month. We will also work with the hospitality sector in supporting their bounce back next year.
I want to stress that the situation is profoundly different now, because there is an end in sight. I am not seeking open-ended measures this afternoon; on the contrary, the regulations come with a sunset clause at the end of 2 February, at which point we will have sufficient data to assess our position after Christmas. Though I believe that these types of restrictions will be needed until the spring, they can be extended beyond 2 February only if this House votes for them.
Sir Edward Leigh (Gainsborough) (Con)
In the week up to 25 November, Market Rasen ward had six cases and is to go to tier 3; East Ham ward in London had 40 cases in that week and is to go into tier 2. What I want from my right hon. Friend is an absolute personal commitment that he and his right hon. Friend the Secretary of State for Health and Social Care will look personally at the case of Lincolnshire and do their level best to get us out of tier 3 by Christmas.
The Prime Minister
Indeed, I can certainly give my right hon. Friend that assurance: we will look in as much granular detail as we can at the incidence throughout the country. These points have been made with great power by Members from all parties. We will review the allocation of tiers every 14 days, starting on 16 December.
Several hon. Members rose—
The Prime Minister
I just want to make an important point to my right hon. Friend the Member for Gainsborough (Sir Edward Leigh) and to all Members who are rightly concerned about the position of their constituencies—our constituencies—in these tiers. Members have it in their power—in our power—to help to move our areas down the tiers by throwing their full weight—throwing our full weight as leaders in our communities—behind community testing and seizing the opportunity to encourage as many people as possible to take part.
Greg Clark (Tunbridge Wells) (Con)
Kent is the biggest county by population in Britain and there are vast differences in the rate of covid within it. In Tunbridge Wells, we have one of the lowest incidences in the country. Will the Prime Minister commit that at the first possible review on 16 December, if a particular borough meets the five criteria that he has set, he will move it down to a lower tier?
The Prime Minister
My right hon. Friend is quite right to raise the position of Tunbridge Wells, and I know that the feelings of the people of Tunbridge Wells are shared by many people across the country who feel this sense of being unjustly attracted into the wrong level of tiering. I repeat the assurance that I have given to my hon. Friend the Member for Workington and my right hon. Friend the Member for Gainsborough: we will look in granular detail at local incidence—at the human geography of the pandemic—and take account of exactly what is happening every two weeks. To repeat my point, it is in the power of Members to help their local area to move down the tiers.
Several hon. Members rose—
The Prime Minister
I am going to give way for one last time, to the right hon. Member for Kingston and Surbiton (Ed Davey).
Ed Davey (Kingston and Surbiton) (LD)
Will the Prime Minister ensure that anyone who wants to take a test to confirm that they do not have the virus before they visit family members over Christmas can have a test on the NHS?
The Prime Minister
We are rolling out lateral flow testing across the country and it is open to people to get a lateral flow test, but in general the testing system is available at the moment for people who have symptoms. I urge people who are worried that they may need to be in the company of those who are elderly or vulnerable to seek to get a rapid-turnaround test. [Interruption.] The one thing the right hon. Gentleman could do for his constituents if he wants to help them to move out of the tier they are in is to encourage them all to take part in mass community testing of the kind that the Government are rolling out.
This depends very much on the co-operation of local leaders and local authorities of the kind that we have seen in Liverpool, where, since 6 November, over 284,000 tests have been conducted, and, together with the effect of national restrictions, the number of cases fell by more than two thirds. This is the model that I would recommend. We are now proposing that from tomorrow Liverpool city region and Warrington should be in tier 2 whereas previously, obviously, they were in tier 3. We want other regions and other towns, cities and communities to follow this path. That is why, with the help of our fantastic armed forces, we will be offering community testing to tier 3 areas as quickly as possible.
Andrea Leadsom (South Northamptonshire) (Con)
What assessment has the Prime Minister done of compliance with previous lockdowns? Does he share my concern that people have just had enough and that the risk of non-compliance is very great, and that those who are compliant will then have the added frustration of watching those who will not comply doing whatever they want while they have to sit at home?
The Prime Minister
I normally find myself in agreement with my right hon. Friend, but I must say that I do not think she is right in this instance. If we look at what the British people have achieved in the past few weeks by following the guidance, and by deciding to work together to get the R down, they have done just that. Collectively, the people of this country have got the R back down below 1. That was not by non-compliance—it was by the people of this country deciding to follow the rules, do it together, and get the virus down.
I find it extraordinary that the official Opposition, represented by the right hon. and learned Member for Holborn and St Pancras (Keir Starmer), currently have no view on the way ahead and are not proposing to vote tonight.
Mr Perkins
I am very pleased to hear it. Many Labour Members believe that there should be restrictions but believe that the Prime Minister’s tiers are wrong. He is explaining very well why he is going to come back on 16 December and come up with a system that we might be able to vote for, but the system he is coming up with today is totally inadequate. How is it possible that in Chesterfield, with 118 cases per 100,000, we are in tier 3, but London constituencies like the one he represents, with a much higher level, are in tier 2? It is because our pub owners and our restaurateurs are worthless to him.
The Prime Minister
I hope that the hon. Gentleman will really think carefully about what he just said. We are trying to look after pubs, restaurants and businesses across this entire country, and no one feels the anguish of those businesses more than this Government.
I do think it is extraordinary that in spite of the barrage of criticism that we have, we have no credible plan from the Labour party. Indeed, we have no view on the way ahead. It is a quite extraordinary thing that, to the best of my knowledge, the right hon. and learned Member for Holborn and St Pancras, who said that he would always act in the national interest, has told his party to sit on its hands and to abstain in the vote tonight. The Government have made their decision, we have taken some tough decisions, and the Labour Opposition have decided tonight, heroically, to abstain. I think that when the history of this pandemic comes to be written, the people of this country will observe that instead of having politicians of all parties coming together in the national interest, they had one party taking the decisions and another party heroically deciding to abstain.
In the story of 2020, there are two great feats from which we can take a great deal of comfort. First, our country has come together in an extraordinary effort that has so far succeeded in protecting our NHS and in saving many lives, while our scientists have been zeroing in on the weaknesses of covid, telescoping 10 years of work into 10 months, and now their endeavours are about to deliver the means, as I say, to rout the virus. That is clear.
The Government are backing not one potential vaccine but seven. We have ordered 100 million doses of the Oxford AstraZeneca vaccine, which is now seeking regulatory approval; we have ordered 7 million doses of the Moderna vaccine, which has almost 95% effectiveness in trials; and we have ordered 40 million doses of the Pfizer BioNTech vaccine, which, if approved by the regulator, could start being administered before Christmas.
Several hon. Members rose—
The Prime Minister
No, I am coming to the end.
In total, our vaccines taskforce has secured more than 350 million doses—more than enough for everyone in the UK, the Crown dependencies and our overseas territories. All we need to do now is to hold our nerve until these vaccines are indeed in our grasp and indeed being injected into our arms. So I say to the House again, let us follow the guidance, let us roll out mass testing, let us work to deliver mass testing to the people of our country, let us work together to control the virus, and it is in that spirit that I commend these regulations to the House.
Keir Starmer
We accept the case for restrictions. We want a plan that is going to work, we are on plan 5 and this one is full of holes; we have been there so many times. So many times the Prime Minister has stood there and said, “This is the plan, this will solve the problem.” This is the fifth time around and we still have a plan with holes that have been there for months. Why is track and trace still not working? Why are the gaps in the support still there? Why are those we are excluding not included? Why are those who have to self-isolate not given the support to do so? Those are huge gaps in the system and to simply vote through a plan without recognising those problems is not going to help.
I accept the case for restrictions—we will not stand in the way of these regulations; we do not want the restrictions to come off—but I am not going to stand here and pretend, as the Prime Minister does: “This is the plan that will solve it all. Vote for this and it will all be fine through to Easter.” That is not going to happen and nobody should vote on that basis today.
The Secretary of State for Health and Social Care (Matt Hancock)
This debate this afternoon, and into this evening, has been on one of the great challenges of our time: how to respond as a country to this unprecedented pandemic. Our response to coronavirus has forced each and every one of us in this House to wrestle with fundamental questions of life and liberty, and to take and support measures that nobody would ever want in a liberal democracy. Like every other like-minded nation across the world, we are striving to take targeted action such as the measures before the House today. It is striking that the measures that we take in this country, and the measures in these regulations before the House, are similar in kind and seek to strike the same balance as measures in similar countries the world over. Like every like-minded nation, we face the same challenges, because this is a global challenge and a global pandemic. We seek a balance between our historic rights and our moral duty to keep one another safe, and it is not just about keeping ourselves safe. Because of the nature of this virus, it is about the importance of keeping others safe by our own actions, too.
Nobody wants to go into another national lockdown. These restrictions bring me, as a lover of freedom, no joy, but nor can we throw away all the work that we have done together to get this virus under control. With the winter ahead, and the problems that that always brings, and with the virus still at large, we must maintain our vigilance. Thanks to the incredible hard work and the sacrifices that people have made over the past four weeks, the virus is coming under control. The rates of infection are coming down, and in some parts of the country they are coming down sharply.
Andy Carter (Warrington South) (Con)
The Secretary of State will know that Warrington moves from tier 3 to tier 2 tomorrow. At the start of the lockdown, we had case rates of more than 450 per 100,000. We are now at 147 per 100,00. I am sure he will join me in thanking everybody in Warrington who has worked so hard to bring those rates down, but can he assure me that mass testing will be made available to Warrington, as it was in Liverpool just down the road, so that we can keep Warrington in tier 2 and not bounce back up to tier 3?
Matt Hancock
Yes; I was going to say that my hon. Friend need just ask, but I think he did. I will ensure that the national team and his local team at Warrington Council are put in touch right away, if they are not in touch already, because we are extending the availability of mass testing throughout tier 3 and throughout the wider area close to Liverpool, which Warrington was in tier 3 restrictions with until we went into national lockdown.
I am sure that my hon. Friend will agree that, as the experience of Warrington and Liverpool shows, we can afford to let up a little, but we just can’t afford to let up a lot. Let that be the message that goes out from this House. We know through repeated experience what happens if the virus gets out of control. If it gets out of control, it grows exponentially, hospitals come under pressure and people die. This is not just speculation. It is a fact that has affected thousands of families, including my own. We talk a lot of the outbreak in Liverpool, and how that great city has had a terrible outbreak and got it under control. This means more to me than I can say, because last month my step-grandfather Derek caught covid there and on 18 November he died. In my family, as in so many others, we have lost a loving husband, father and grandfather to this awful disease, so from the bottom of my heart I want to say thank you to everyone in Liverpool for getting this awful virus under control. It is down by four fifths in Liverpool. That is what we can do if we work together in a spirit of common humanity. We have got to beat this and we have got to beat it together.
I know that there are costs to the actions we take—of course I know that—but let us not forget the impact of covid itself. First, there are the health impacts. People do not live with covid—we cannot learn to live with covid; people die with covid. There is also the economic impact directly from covid. Where someone has to self-isolate and their contacts have to self-isolate, that itself has an adverse impact on services in the economy. I understand why people are frustrated that it is impossible to put figures on the economic impacts, but they are uncertain and we are dealing with a pandemic that leads to so much uncertainty. The tiered system is designed specifically to be the best proportionate response we can bring together, with the minimum measures necessary to get the virus under control when it is too high, yet the fewer measures where prevalence is low. The only alternative is a national set of measures, which would have to be calibrated to bring the virus under control where it is high and rising, as it is in Kent right now. That is the principle behind the tiered system and why it is the best way forward this winter.
Derek Twigg
May I offer my condolences and say how sorry I am to hear of the loss in the Secretary of State’s family? May I also ask him: what about the people who die because of the unintended consequences of covid, perhaps through cancer or heart disease, where they have not been seen quickly enough or have not come forward?
Matt Hancock
The hon. Gentleman, who is also from Merseyside, makes an important point. It is undoubtedly clear that the best way to preserve life among those who suffer from diseases that are not covid is to keep covid under control. Everybody who works in an NHS hospital will confirm that, because the pressures on the NHS from covid make it harder to treat cancer. In this second outbreak we have successfully managed to keep cancer services going—going at over 100% of their normal last year in many areas—thanks to the hard work of the NHS.
Sir John Hayes (South Holland and The Deepings) (Con)
My right hon. Friend is, of course, right to say that measured controls and restrictions are necessary to defeat this disease, but will he confirm that these tiers are not set in stone? Will he confirm that the review in December will, in the words of a letter he sent to me today, mean that areas will be considered within counties, on their “merits”, and that action will be taken accordingly to ease those restrictions, where possible?
Matt Hancock
Yes, of course. My right hon. Friend the Prime Minister set out earlier what happens if an area meets the five criteria. We have set out those five criteria: the pressures on the NHS, which we were just discussing; the case rates; the case rates in the over-60s—this is because of the direct impact that has on hospital admissions; the direction of travel of those case rates—this is because if it is rising fast, that is more dangerous; and the positivity. If an area meets the five criteria, of course we will seek to reduce the tier on that basis, and we will do that on the basis of the most localised geography that it is epidemiologically relevant to act in. This is about the human geographies that the Prime Minister spoke about with such eloquence earlier.
Let me turn to some of the many speeches that have been made, as I want to highlight a few. First, my hon. Friend the Member for Harwich and North Essex (Sir Bernard Jenkin) gave a wise speech, talking about how there is no alternative. This phrase—“There is no alternative”—came up again, for example, from my hon. Friend the Member for Hastings and Rye (Sally-Ann Hart). The right hon. Member for Leeds Central (Hilary Benn) talked of the uncertainty in decision making, which was meant not as a criticism but as a description. That is something that I and those of us with the burden of decision making in this pandemic know only too well. But, as he said, there are facts, including about the power of vaccination, and on that he is absolutely right.
There were a number of excellent speeches from Members across the House both in favour of and against this action. I understand that reasonable people have different views on what are very difficult decisions. My right hon. Friend the Member for South Northamptonshire (Andrea Leadsom) talked about the lesser of evils, and many talked about the decisions ahead of us not being easy because none is straightforward. As my hon. Friend the Member for Bexhill and Battle (Huw Merriman) said, it is about choosing the least damaging course to take.
I pay particular tribute to some of the newer Members of the House, including my hon. Friends the Members for Don Valley (Nick Fletcher) and for Hyndburn (Sara Britcliffe), who made impassioned pleas in support of the Government. They said that it is not about doing what will win short-term popularity, but doing what is right, and that is the approach that we seek to take. Others asked about the publication of more data in real time. The challenge is that we publish data on the day that it comes to us, but it takes a few days to get all the results in and therefore to know the true trajectory of the disease, so there is a natural and unavoidable gap between getting the full data and the time that we are in now. That is why we look at the data from up to four days ago, because after that date, it can increase.
Many Members made points about the hospitality sector. My heart goes out to those in the hospitality sector. The Prime Minister has set out more support for wet pubs, and rightly so. The hospitality sector has benefited from more support from this Government in the pandemic than any other sector. Overall, the economic support provided by this Government has been set out by the International Monetary Fund as being one of the most generous packages in the world. We cannot support and protect all jobs, but we seek to protect as many jobs as we can, because we can protect jobs as well as protecting lives—that is the goal. We cannot protect all lives, and we cannot protect all jobs, but we seek to protect them both.
My hon. Friend the Member for Bishop Auckland (Dehenna Davison) said that we have the right to do not what we please but what is right. In a pandemic, that is true of us all—it is true of every individual who has to choose how they act. The restrictions in these measures are not what everybody should push the boundaries of, but the limits up to which we should go, because we all have within ourselves the ability to stop the passing on of this virus to others. She made that point clearly struggling with the restrictions on liberty on which we vote tonight, but coming to the view that they are a lesser restriction than those we live under today, and they are a necessary restriction in order to protect life.
The consequences of inaction would be far worse than the consequences of these actions. Voting against these restrictions tonight is, in fact, a vote to allow the entire system to lapse tomorrow. I know that every Member of this House wants to control the virus, and no one wants to see the NHS overwhelmed, so support the motion to protect the NHS. Support the motion to back the nurses who we all clapped in the spring. Support the motion to back the doctors working on our wards every night. Support the motion to back the teachers who are working so hard to keep our schools open and to back the care workers looking after the most vulnerable. Support this motion to back the businesses that do not want another national lockdown, because that would be the only alternative. By voting for this motion, Members are supporting all those people and the public, who want to see us act together.
I can honestly say that from all my experience this terrible year, this proposal draws on all the lessons and all the learnings from our experience.
We have come so far in our fight against the virus. We are on the cusp of the scientific breakthroughs, the vaccines and the community testing that will let us cast aside the curbs that it demands. The end is in sight. The measures are temporary and time-limited, but no less necessary for that. The return of our freedoms is on the horizon. The virus is back under control. The NHS has been protected. Let us not throw it all away now. We must have the resolve, not to do what is easy, but what is right. I commend the motion to the House.
Question put.