(3 years, 10 months ago)
Commons ChamberI pay tribute to all those working in Harlow, including at the Harlow mass vaccination site, and also to the GPs and the pharmacists who are working so hard to vaccinate people right across Harlow.
On the question of the JCVI ordering and the prioritisation for vaccination, as my right hon. Friend knows, I think the best approach is to take the clinical advice and to follow that clinical advice. The sorts of considerations that he raises are an important part of the JCVI deliberations. I know it has looked very closely at the subject he raises. What matters now that it has made and published its decision is that we drive through the vaccination programme to get through as many of those groups as possible, and I am very pleased to see the hundreds of thousands of new vaccinations that are taking place every day.
SAGE warned about the dangers of the South Africa strain weeks ago, but the Prime Minister dragged his feet, and he has now decided on a partial quarantine arrangement that SAGE has already warned will be ineffective in preventing further introduction of this variant. Is it not the case that, once again, the Government have acted too little and too late to stop the spread of this new and dangerous variant in the UK?
No, on the contrary, we removed the travel corridors to ensure there is a self-isolation requirement that is mandatory for all those who are coming to this country. Protecting this country from new variants coming from abroad is important, hence we have taken the action swiftly, and we did that on the basis of the scientific evidence.
(3 years, 11 months ago)
Commons ChamberThe Secretary of State has today announced 23 more areas that will move into tier 4. Three quarters of the country is now in tier 4. How long before he looks at this again and can make other announcements? What further escalation will he be considering if even tier 4 does not bring down these soaring infection rates?
For areas in tier 4 where we still need to get the infection rate down, the most important thing we can all do is take responsibility to restrict the spread of infection, because this new variant spreads so easily from person to person. Everybody has to behave. If everybody behaves like they might have the virus and therefore restricts their social contact, that is the best way we can get these rates down. It does take all of us do this; it is not just about the rules that are set out from this Dispatch Box and voted on by this House.
I know that people in Wallasey and across Liverpool have done so much and got the rates right down under control, but unfortunately they have started to rise again, and with the new variant, it has been necessary to put Liverpool into tier 3. I just hope, like the rest of the country, that we can get out of this after the next few difficult weeks.
(4 years ago)
Commons ChamberYes, I absolutely will. I pay tribute to their work on preparing for the vaccine roll-out, and also their work in keeping the virus under control, which is such an important task, is so difficult, and has consumed so much effort this year, yet there is still more work to be done over this winter to get the vaccine rolled out.
Two injections per person for everyone in the country is going to take an awful long time. The Prime Minister was hoping that it would be done by Easter. Does the Health Secretary share that timetable or will he publish another one? Is he planning on making this vaccine available again next year, since we do not know how long immunity lasts, and covid is likely to be endemic and with us for some time to come?
The hon. Lady asks two incredibly important questions, the first of which the hon. Member for Leicester South (Jonathan Ashworth) asked and I did not answer, for which I apologise. The speed at which we can continue this roll-out will be determined by the speed at which Pfizer can manufacture and whether the AstraZeneca Oxford vaccine, of which we have 100 million doses on order, is approved by the MHRA. I am afraid that I cannot answer the hon. Lady’s question on the timetable, or indeed the hon. Gentleman’s, because it is dependent on the approval of AstraZeneca and the manufacturing process of the Pfizer vaccine.
On the hon. Lady’s second question, I have completely forgotten what it was. [Hon. Members: “Next year.”] Next year, yes, and whether this vaccine is only short-term. One of the reasons we have 357 million doses from seven different vaccines is to be able to vaccinate with further doses if that is needed in due course, whether that is through re-procurement of one of the existing vaccines or by switching to a different vaccine if that is clinically appropriate. That is absolutely part of the potential future plans that we have under consideration, but it is too early to know the answer to that question as well.
(4 years, 1 month ago)
Commons ChamberWe are now issuing test kits to 84 directors of public health across the country. I am very happy to work with Derbyshire and Derby to make sure that my hon. Friend’s request is taken up and we can make this happen.
(4 years, 2 months ago)
Commons ChamberWe are increasing the communications to people about the benefits of vitamin D, and as I said to the House on Thursday last week, we are also instituting further research into the points that he, as an experienced and qualified medical professional, sets out so clearly.
I am sure the Secretary of State will agree with me that to be effective, rules must be understandable and simple. Why in Merseyside, which is currently in tier 3, were all the gyms forced to close, but soft play was left open, and in Lancashire all the gyms were left open and soft play was closed? Surely that does not make any sense at all. Will he publish the evidence that he has and be consistent across tiers? Either all the gyms are open or they should all close. Which is it to be?
The baseline for tier 3 is set across the board, and then further measures are set out in consultation and agreement with the local area.
(4 years, 2 months ago)
Commons ChamberTwo weeks ago, I pledged to the House that for significant national measures we will consult Parliament in advance of their coming into force wherever possible, and today we deliver on that commitment with votes tonight on national measures to slow the spread of coronavirus. This pandemic remains a formidable threat. Our strategy is to suppress the virus, supporting the economy, education and the NHS, until a vaccine makes us safe, and I must report to the House that the number of cases of coronavirus has quadrupled in the last three weeks.
There are now more people in hospital with coronavirus than there were on 23 March, and in the last four weeks hospitals in the north-west and north-east of England have seen a sevenfold increase in the number of covid patients in intensive care. In those worst-affected areas, the virus is spreading just as quickly in older age groups, not just among younger adults.
Given that Liverpool city region, which includes my constituency of Wallasey, was placed in tier 3 yesterday, could the Secretary of State outline whether there are plans to reopen or revive the Nightingale hospitals to serve that region? I do not mean the hospital in Manchester.
Yes, as the hon. Lady will know, three Nightingale hospitals were put on alert yesterday to be reopened. The closest Nightingale is in Manchester, but we keep that under review because expanding the capacity of the NHS is one of the things that we can do. Nevertheless, no matter how big the NHS is, if the virus is not under control it will make more people need hospital treatment than there could possibly be hospital treatment available for. While we are, of course, restarting the Nightingales, which have been mothballed for months, that is only a precaution; it cannot be the full answer to the question. We had a very good discussion yesterday about the measures in Liverpool city region, which I will come on to in some detail.
(4 years, 2 months ago)
Commons ChamberI thought this might come up. I was going to develop the argument further before coming to the nub of that particular point, but, since my right hon. Friend gives me the opportunity, I strongly agree with the need for us in this House to have the appropriate level of scrutiny. As the Prime Minister set out last week, we have already put in place further measures. The aim is to provide the House with the opportunity to scrutinise in advance through regular statements and debates, questioning the Government’s scientific advisers more regularly—that has already started—gaining access to local data and having the daily calls with Ministers, including my right hon. Friend the Paymaster General.
We are looking at further ways to ensure that the House can be properly involved in the process—in advance, where possible. I hope to provide the House with further details soon. I will take up the invitation to a further meeting with my hon. Friend the Member for Altrincham and Sale West (Sir Graham Brady), whom I have already met to discuss this matter, to see what further progress can be made. I hope that that, for the time being, satisfies my right hon. Friend.
If the right hon. Member considers the efficacy of parliamentary scrutiny, has he looked at what the New Zealand Parliament has done? It has set up a special Select Committee, led by the Leader of the Opposition and with an Opposition majority on it, to subject the Government’s performance to more direct and transparent scrutiny. It appears to have worked very well indeed. Perhaps he would consider that this Parliament could behave in that way.
The structure of Select Committees is a matter for the House, of course, and far be it from me to impinge on the business of the House and the proper responsibilities of the Leader of the House. I welcome the scrutiny that this House gives. I have answered seven urgent questions, given 12 statements and taken 800 interventions since the start of the pandemic. I am committed to continuing the engagement.
(4 years, 3 months ago)
Commons ChamberI entirely understand the point, and I can see the argument that is being made. The challenge is, since lab capacity is what we need more of, that if we take more swabs locally and send them in to the lab, we need to have the lab capacity to be able to turn them round. Otherwise, we get a much slower response, which means that we are not getting back to people fast enough for them to be able to act. That is the nature of the challenge, and the answer is more lab capacity, which is what we are driving through.
In Wirral, there has been a sudden, sharp rise in covid-19 infections, with yesterday’s figures standing at 33 infections per 100,000. What extra assistance can the Secretary of State promise to my local authority, which is fighting hard to suppress this outbreak? On Test and Trace, if he does not want a reorganisation of Test and Trace because he thinks it will slow down progress, can he tell us why he is reorganising Public Health England in the middle of this dangerous pandemic?
Well, of course I am improving the public health responses by bringing together different organisations. I am not sure that the hon. Lady is doing anything other than—[Interruption.] Well, I am not going to query her motives, because we have worked together, at the start of this crisis especially. On her question about the Wirral, absolutely, we are vigilant in looking at the Wirral. That will be reconsidered in the Joint Biosecurity Centre silver meeting tomorrow and in the JBC gold on Thursday. Part of the improved data that we have now, compared with a few months ago, means that we will be able to pinpoint where the problem is and, working with the council, make recommendations on what action needs to be taken.
(4 years, 5 months ago)
Commons ChamberYes—and I imagine that you might have an interest in this too, Mr Deputy Speaker. The extra funding announced on Friday by the Prime Minister of course also means that we will be increasing the funding that goes to Wales, Scotland and Northern Ireland. We can provide a high-quality response to this disease only if we have the financial firepower to support the NHS and the action necessary. That is only possible because we have one United Kingdom. Scotland will receive an extra £250 million with which to tackle the disease; Wales will receive an extra £150 million and Northern Ireland an extra £90 million. That means that across the UK we can fight the disease better because we are all part of the same UK.
Earlier this month, Baroness Harding told a House of Lords Select Committee that people were unwilling to self-isolate because of financial pressures. We also now learn that test and trace does not make the same inroads in poorer areas, where the pressure not to self-isolate because of financial pressures is higher, as it does in more well off areas. Can I again ask the Secretary of State to make an announcement about sick pay and access to extra help for those who need to self-isolate but who perhaps cannot really afford to do so?
The hon. Lady makes an important point, but the No. 1 cause of people not self-isolating is if they have coronavirus without symptoms and do not get a test. That is where we need the most effort. However, I hear the point that she is making, and I will take it away.
(4 years, 5 months ago)
Commons ChamberThis attempt to divide us is very unfortunate. The UK Government have put testing capacity into Wales that is bigger than NHS Wales’s own capacity, and we do that in Scotland as well with the same effect. We are working together in partnership across the United Kingdom, and, absolutely, we are making the preparations for winter, as the right hon. Lady and every other Member of this House would expect.
If test and trace is to work effectively and people take the advice they are given via that service, some of them will find it difficult, because they will be earning no money; there is a choice to be made between self-isolating and being able to pay their bills. So will the Secretary of State look once more at the issue of sick pay for those, especially in local lockdowns, who are asked to self-isolate on behalf of all of us?
Yes, of course we keep this under review. The evidence shows that the most important difference that we can make to get yet more people into the test and trace system is for everybody who has any symptoms at all to get a test if in doubt. That is where the biggest gap is, and that is partly due to the number of cases where people have no symptoms, when of course they would not know that they need to get a test; finding them is incredibly important and is done through contact tracing. We must make sure that if anybody has coronavirus symptoms, and therefore needs a test, they come forward and get a test: if in doubt, get a test. It is of course an important consideration to make sure that people are supported if they need to isolate, and we are working closely with business to ensure that happens.
(4 years, 5 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
My hon. Friend raises a really important point. PPE is a significant extra cost right across the health and care system. Dentists who are on NHS contracts have of course had those contracts paid throughout, even when routine dentistry was not open. I am really glad that we have now managed to get routine dentistry open. We are working with dentists and their representatives to ensure that we tackle the real-world challenge of having high-quality and safe dentistry while ensuring that dental practices can also be financially sustainable. It is a challenging problem and I pay tribute to the dentists who are working with us on it.
Does the Health Secretary agree with the Prime Minister’s despicable comments, blaming care workers for the huge death toll in care homes, or will he admit that his Government’s own failings left these low-paid and undervalued carers with little or no protective clothing, and many without access to sick pay, fighting a losing battle against this awful disease at the height of the pandemic?
I have been clear that we have been learning about this virus and how best to deal with it throughout. My admiration for those who work in social care is second to none. One of the good things about this crisis is that it has shown the whole country how much we value not just those who work in the NHS, but those who work right across social care, caring for the most vulnerable.
(4 years, 9 months ago)
Commons ChamberWe are increasing the number of beds, and, by moving away from some of the elective activity, making more beds available. However, I want to pick my hon. Friend up on one thing: as and when this virus becomes widespread, isolation becomes less important than ventilation. The normal flu procedures are that keeping several people who all have the same flu in one room—in one ward—is absolutely fine, because they cannot infect one another because they all have the same disease. Isolation is vital in the contain phase. It is still important in delay, but as we get through to mitigating the impact, the need for isolation facilities is less important.
The Chancellor’s announcements earlier today were very welcome, but will the Secretary of State help to cast a bit more light on the announcement about employment and support allowance? There are millions of people, as he knows, who do not qualify for statutory sick pay. The effectiveness of self-isolation and doing the right thing relies absolutely on many people who do not have standard employment contracts being able to be confident that if they self-isolate, they will not lose out, yet the ESA system works in retrospect, with delays, and is quite bureaucratic. Will he say a bit to us tonight about how that is going to be mitigated so that those who are not on standard employment contracts will know that they can do the right thing and not suffer?
Yes, we will publish more on this in very short order. Some of the changes in this area will be in the Bill, but some will be in secondary legislation, so that they can go at a faster pace, potentially, than the Bill. The ESA (C), as it is known, comes in only after seven days and bringing that down is an important part of the reassurance that the hon. Member seeks.
(4 years, 9 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
Those sorts of discussions are going on, led by the Treasury and the Department for Business, Energy and Industrial Strategy.
Millions of people in this country live alone, and many elderly people rely on their relatives visiting them to keep them able to live in their own homes. This activity may well be disrupted if people get ill or have to be isolated. How then will those vulnerable people, who rely on outsiders to be able to live, get their food delivered and be looked after, possibly cope?
This is an extremely important consideration, because in keeping people safe from coronavirus we also need to support people to live their normal lives. Many people rely on support from others who come to them, whether through social care in the formal system or, as in many cases, through informal care and support. We may need to see more of that, but it will have to be done properly in order also to protect the people involved from the coronavirus.
(4 years, 9 months ago)
Commons ChamberThe question of how we deliver and who delivers NHS services is a matter for the NHS, and making sure that we use all the health facilities available is of course something that the NHS is considering.
Does the Secretary of State agree that, in order for self-isolation to work, no individual, whatever their circumstances, should be out of pocket for doing the right thing? As my hon. Friend the Member for Leicester South (Jonathan Ashworth) said, currently, millions of people who work in the gig economy and do not qualify for sick pay would be out of pocket for doing the right thing. Does the Secretary of State agree that solving this problem and giving people the confidence that they need to do the right thing by self-isolating is one of the most important things that he can do in the next few days, to ensure that we can continue with containment?
There is a huge number of things that we need to do in the next few days and, as I have said, this area is under review.
(4 years, 9 months ago)
Commons ChamberMy right hon. Friend is absolutely right. The vaccination rate was, I think, at a record level this year, and it is very important. The simple measures that everybody can take, such as washing hands and using tissues, protect us against flu as well as coronavirus.
The four people who were welcomed to Arrowe Park Hospital developed symptoms subsequent to coming to this country, despite being tested extensively before they were allowed to fly. Does that cause the Secretary of State any worry? Will he say what that might mean for whether people are infectious before they are symptomatic?
It is my job to worry about all those things. The answer is that that sequence of events confirms to me the importance of quarantining people. I know that there were some concerns about quarantine, but I think it showed that we were dead right to quarantine people because it turned out that they tested positive during the quarantine. Mr Speaker, I just want to put on the record my thanks to the hon. Lady, and everyone in her constituency and the Wirral more broadly, who have risen to this challenge.
(4 years, 10 months ago)
Commons ChamberYes, of course I can give that assurance. We have been clear all along that we have expected cases and that we are doing everything we can, but we also need to prepare for what might happen in future.
Given that we are now experiencing spread between people who have not been to China, as the Brighton cases show, will the Health Secretary say something about how people can distinguish between the ordinary symptoms of flu and the novel coronavirus symptoms, because China is now not the only lexicon?
That is a very good point. People should follow the clinical advice for the symptoms they have, with there being, of course, a much higher risk if they have travelled to one of the affected areas. In that case, they should call 111 and present, and have the test. The testing is available precisely to distinguish the difference, because it is not reasonable to ask ordinary members of the public to know the difference between an old coronavirus and the novel coronavirus, or indeed, between flu and coronavirus.
(4 years, 10 months ago)
Commons ChamberThe engagement with the devolved Administrations has been incredibly important in this so far, and will continue to be. Each of the devolved nations has a chief medical officer, and the team of the four CMOs is an incredibly important forum for making sure that the advice going to all four nations is clinically justified and correct. That has been working very well. Personally, I have spoken to the Ministers involved as well. We have a principle that we share information and publications before they go public, and thus far that has worked well. The hon. Member is right about the requests for equipment. We have sent out equipment to China, and we of course stand ready to respond to any further requests it has.
Will the Secretary of State acknowledge that learning about the decision on quarantine from BBC News, rather than being told about it by his Department, which is what happened to me and most of my colleagues on the Wirral, was an error? That meant we were inundated with emails and phone calls from very worried constituents, and we had been given no briefings from which we could get any reassurance. Will he undertake to this House that such a thing will not happen again? When health emergencies like this happen, we are all in the same boat. We have to be able to reassure our constituents, and we cannot do that if we have not been briefed ourselves. Will he thank his junior Minister, the Under-Secretary of State for Health and Social Care, the hon. Member for Bury St Edmunds (Jo Churchill), and the chief medical officer for the briefings that we have received subsequently, but will he please learn that lesson?
I called the hon. Member whose constituency includes Arrowe Park. This was a very fast-moving situation, so being in contact with the local MP was incredibly important. Subsequently, as we were able to, we were also in contact with all Wirral MPs. However, I absolutely take the point: the hon. Member for Wallasey (Ms Eagle) would have preferred a briefing in advance; her colleague in whose constituency the hospital is got such a briefing. I apologise that that did not manage to get done in what was, as she will understand, a fast-moving circumstance, when our first priority was the protection of the public and of course those being evacuated.