The Parliamentary Under-Secretary of State for Health and Social Care (Jo Churchill)
I beg to move,
That this House has considered covid-19.
I am pleased to say that all across the country the roll-out of the covid-19 vaccine is continuing at pace. Tens of thousands of patients, such as the very memorable Margaret Keenan and Martin Kenyon, have already received their jab, at more than 70 sites across the UK. That number will continue to increase, which is positive news, as I am sure we will all agree. This week also marks the start of the wave 1 roll-out of vaccination in GP-led sites, and I want to take this opportunity to thank general practitioners and their teams for their work in getting this programme up and running. I visited a practice this morning in Newham, where I talked to the team—to doctors, practice managers and the fantastic practice nurse, Raj, who had been busy caring for patients, delivering flu jabs and giving diabetes advice and is soon to be administering the covid vaccine. All those things, along with the promise of vaccines in care homes by Christmas, are encouraging developments, which colleagues from across the House will join me in welcoming. Right hon. and hon. Members will also be pleased with the announcement of 1,800 projects to upgrade and refurbish hospitals across 178 NHS trusts this winter; from fixing new roofs to new MRI machines, the £600 million package will make a real difference for patients and staff.
However, we all understand that this progress should be taken while bearing the current situation in mind. Coronavirus is very much with us. This past week, the average number of new cases each day was 15,960. Average daily hospital admissions currently stand at more than 1,500. As Professor Chris Whitty, the chief medical officer for England reminded us only last week, even with our mass vaccination programme we will “not have sufficient protection” for the next three months. The number of cases is flattening and even rising in some parts of the country.
So it is important to remember that this is one of the most difficult times of year normally for respiratory infections. The winter period is always the most challenging time for the NHS, let alone in these unusual covid-tinged times. Therefore, we must do everything we can collectively to avoid putting any further burden on the NHS. We should continue with our current efforts, so that we can give all health and care workers the best possible environment, despite the current circumstances of rolling out that vaccine and saving lives. I am sure I speak for everyone when I say that I would like to take this opportunity to express my continued gratitude to those frontline members of staff in our health and care service up and down the country for all they do, in hospitals and in the community.
To reiterate, this Government will continue to focus their response and build around three vital pillars: tiers, testing and vaccine. The House has just heard my right hon. Friend the Health and Social Care Secretary outline the latest changes in our system of tiering. The first formal review of tiering decisions is to take place this Wednesday, two weeks after the new rules came into force. However, when the virus is growing exponentially there is not a moment to spare, so we are acting ahead of the formal review date and putting in place stronger measures in several areas. I know these restrictions can be hard, but this action is absolutely essential not just to keep people safe, but because we have seen that early action can prevent more damaging and longer-lasting problems later on. We will continue to stand with those who are impacted through our furlough scheme and support for businesses and the self-employed.
Even with the review point ahead of us, and following my right hon. Friend the Secretary of State’s statement earlier today, the Government have wasted no time in taking bold action where it is needed. As soon as we became aware of these worrying trends in parts of London, Kent and Essex, a plan was put in place, and from last Friday surged mobile testing units have been deployed to where they are needed most. They are now in several boroughs of London, in parts of Essex that border London and parts of Kent where statistics show a high prevalence of covid-19, particularly among secondary school pupils. That is why our community testing is targeted towards the 11 to 18-year-olds and their families and teachers.
In addition to this testing support, we will continue to work with the local authorities and schools affected. Here I want to encourage anyone who has been asked to come forward for a test to do so, even if they are not displaying symptoms, for we know that community testing works. That is why this kind of deployment is available all across the UK. We are working with devolved Administrations in Scotland, Wales and Northern Ireland, and now over 100 local authorities across England, so that people in Kent and Medway, Derbyshire, Stoke-on-Trent and Darlington can access tests. I thank local authorities for their efforts in mobilising the power of community testing for their areas.
Community testing works because it is the best way that we can identify and then isolate people with the virus. We know that people with coronavirus will often feel unwell and may well seek medical attention or indeed, unfortunately, be hospitalised. However, one in three people have no symptoms at all, but they can still pass it on to others through asymptomatic transmission. So that we can reduce transmission and help people protect their friends and families, I would like to urge everyone to keep following the restrictions in place, taking the sensible steps that have, I hope, become part of everyone’s daily routine: washing our hands, covering our face and making space, as well as opening the window to ventilate places where we can. This will help protect those around us, our families and friends.
We cannot stop all our efforts just because a vaccine is here—that would be premature and risk everything that people have worked so hard for—but we do know that, in time, the vaccine represents our surest way out of the challenges we face. Many of the population will get their jabs in the first part of next year, as more vaccines come on stream, and I am encouraged by the peer review in The Lancet confirming that our home-grown vaccine candidate, the Oxford AstraZeneca vaccine, is clinically safe. We will be ready to roll out that vaccine along with any other vaccines in our portfolio if they are approved by the independent regulator, the Medicines and Healthcare Products Regulatory Agency. Vaccines are safe—so I urge people please to step forward.
Into the new year, our dedication to and efforts on the roll-out will continue. We will expand vaccination centres further. We will look to larger venues such as sports stadiums and conference centres. I remind everyone that they do not need to contact their doctor or the NHS; they will contact people when it is their turn for a jab. I know that many up and down the UK are eagerly awaiting that call.
The Minister for Care (Helen Whately)
The speeches we have heard this evening remind us just what hard times we live in, when we have had to do things that would have been unimaginable just a year ago. There are the things we have done to save lives, but sadly, even so, many lives have been lost. As my right hon. Friend the Secretary of State set out in his statement to this House earlier today and the Minister for prevention, public health and primary care, the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Bury St Edmunds (Jo Churchill), reminded us in her opening remarks, this is not over yet.
I know that people in the places moving into tier 3 on Wednesday morning will feel a real sense of disappointment, especially as we get closer to Christmas. We have heard today some powerful contributions from across this House about how our constituents have been affected. For instance, my hon. Friend the Member for Bolsover (Mark Fletcher) spoke about the impact of the restrictions on mental health, with the loss of routine, loss of social contact and loss of opportunities to pursue passions and activities that make life worth living—ice skating, as we have heard, but also dance classes. I should add to that the loss of livelihoods. Many colleagues have spoken about the impact on hospitality, and particularly pubs. Believe me, I really appreciate that, with a brewery as the largest employer in my constituency.
I also welcome the recognition and the tributes paid by hon. Members not only to the NHS and its workforce, but to care homes and care workers, who have indeed been there for the people they care for day in, day out throughout this pandemic. They are rightly prioritised for testing. I will pick up on a comment made by my hon. Friend the Member for Redcar (Jacob Young) and say that care agency staff absolutely should be tested regularly, using tests distributed to the care homes that they work at.
Jacob Young
The care agency that I referred to said that it has about 160 members of staff on its books, of whom 80 are in work regularly. Of those 80, 60 are included in testing in some care homes; it is that final 20 who are not getting regular tests. I was told that the same was true for other agency workers, too.
Helen Whately
It will probably be helpful if we pursue the specific case outside the Chamber. I just wanted to reiterate the importance of care agency staff being tested in care homes. Tests are being distributed to care homes for that purpose.
Whenever the Government have to take difficult decisions, such as the ones we have taken today, the impact of those decisions on people across the country is always at the front of our mind. With a 14% rise in average daily cases last week and a 13% rise in daily hospital admissions, we had no option but to act today, even ahead of the formal review point on Wednesday. As the Secretary of State reminded us earlier, Germany had to introduce tougher restrictions over the weekend, and Sweden is seeing real pressures on intensive care beds. As we set out in our winter plan, our strategy has always been to suppress the virus and prevent our NHS from becoming overwhelmed until the vaccine can make us safe.
I know that hon. Members will share my sense of optimism that, just as many other parts of the country have done so magnificently, the areas now facing rising rates can turn this around. They are getting the support they need to do that, right where it is needed most, including through the provision of community testing, with millions of newly invented tests targeted at the areas that need that support. I know that the Members representing those areas will want to play their part in this effort, so I can say that today we published a guide for Members so that colleagues can promote, support and champion local community testing and contact tracing in their areas.
I am grateful to my hon. Friend the Member for South Thanet (Craig Mackinlay), who spoke about how he had seen people become more careful in his area as they saw rates rise locally. He saw their behaviour change through the increased wearing of face masks, for instance, as people took the extra steps to keep themselves and others safe. That is a reminder that ultimately, all our efforts must be underpinned by a sense of personal responsibility. Our national effort begins with every one of us.
We all know what a difficult year it has been, yet that does not make those important public health messages any less true. As several hon. Members have reminded us this evening, we must continue to wash our hands, cover our face and make space. We must continue to self-isolate when we are asked to, for the 10 days now required. Perhaps even more challenging than that, though, we must be unafraid to ask ourselves difficult questions about who we are meeting, their vulnerability and whether that is a risk worth taking. Time and again, the common sense of the British people has prevailed, and it must continue to do so.
Finally, our vaccine deployment continues apace, because we know that vaccines represent our best route out of these difficult times. It is such a relief to be able to say about vaccination not if, but when. Tens of thousands of people have already been vaccinated, and GP roll-out started today in hundreds of parts of the country, so many more will be vaccinated this week, like the relatives my hon. Friends the Members for Stoke-on-Trent South (Jack Brereton) and for South Thanet mentioned.
Emma Hardy
The Minister will be aware that one of the issues raised during her call with the areas going into tier 3 was the need for boots on the ground—for people to help to administer the vaccine. The health force in Hull and areas like it is diminished because many are self-isolating, others are suffering from covid and it is an exhausted workforce. Will additional personnel resources be made available to help deliver the vaccine?
Helen Whately
I know that a huge amount of work is going on to ensure that we have the boots on the ground needed to vaccinate people. Indeed, that is one of the things that those who have volunteered—particularly those with healthcare experience who are returning to the NHS—are stepping forward to help with.
We will vaccinate in care homes by Christmas, and that process has already begun in Scotland. Most of us who are eligible can expect to receive our vaccine in the next few months, which is truly heartening, but we must all stay on our guard through Christmas and into the new year. This is not the time to ease up—quite the opposite, in fact, because this is the busiest time of year for our NHS and for the doctors, nurses and other health and social care workers who have already done so much for us in this pandemic. Along with many colleagues today, I thank our health and social care workers.
This is a moment to stand firm against this deadly virus and to redouble our efforts to keep one another safe. This is one of the toughest things we have ever had to do as a country and one of the toughest things that anyone has had to endure personally, but the end is in sight. We must steel ourselves and do the right thing, if not for our own sake then for others’, and we will get through this together.
Question put and agreed to.
Resolved,
That this House has considered covid-19.