Covid-19 Update
Caroline Johnson Excerpts(3 years, 2 months ago)
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Nadhim Zahawi
I do not disagree with the hon. Lady; I know what she is talking about. She will have seen the interim advice from the JCVI on phase 1, which is for categories 1 to 4, and phase 2, which is for categories 5 to 9—including category 6, the largest category of those people she describes. The JCVI has yet to deliver its final advice post the cov-boost study data. As we have done throughout the deployment, we will follow the JCVI advice.
Dr Caroline Johnson (Sleaford and North Hykeham) (Con)
The JCVI has assessed the known risks and benefits of the covid vaccine for 12 to 15-year-olds and has not recommended it. As the Minister said, the Health Secretary has now referred the matter to the chief medical officers so that they can look at it from a so-called “broader perspective”. Now that children are attending school, half of them have had covid already, they do not need to isolate unless they test positive and they do not need to isolate if they are merely a contact, does the Minister agree that disruption to education will now be much less severe? Furthermore, does he agree that it is not reasonable to use political decisions about schools as leverage to force vaccines on a population of children?
Nadhim Zahawi
I am grateful for my hon. Friend’s very thoughtful question. I can reassure her that there is no political decision making; the process that the chief medical officers are undertaking is unencumbered by any political motivation whatsoever. We will absolutely follow their advice, and the JCVI is in the room as they are deliberating. It is important to recall that the JCVI advice was that vaccination is marginally more beneficial to healthy 12 to 15-year olds than non-vaccination, but not enough to recommend a universal vaccination programme. It is also worth reminding the House that we have been vaccinating 12 to 15-year-olds who are more vulnerable to serious infection and hospitalisation, as the JCVI recommended.
Covid-19 Update
Caroline Johnson Excerpts(3 years, 3 months ago)
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Nadhim Zahawi
I am very grateful to the hon. Gentleman for his excellent question and I wish him a continued recovery. I know from the work that I have seen that it is not easy. I believe there are just over 900,000 people suffering from different forms of long covid. We have made an additional £150 million available for the NHS, both in terms of looking at long covid, and having an infrastructure to be able to deal with it and help support GPs to diagnose it.
Dr Caroline Johnson (Sleaford and North Hykeham) (Con)
The Minister is aware of my reservations about asking children to be vaccinated where it may provide only very marginal benefit to them, but this relies on the importance of informed consent and people being given all the right information. Can he confirm, first, that where children with medical conditions are being offered the vaccine, the risk posed to that child from a serious effect from covid is greater than the risk to that child posed by any vaccine? Can he also confirm that, where children are being asked to be vaccinated to protect an adult who may be vulnerable for whatever reason, those parents, carers and the child will be provided with the absolute—not relative—risk reduction for those individuals they are being asked to be vaccinated for?
Nadhim Zahawi
My hon. Friend’s question is an excellent one. She has participated in the vaccination programme—she is one of the heroes I stand on the shoulders of—and she has done work in Sleaford and North Hykeham. I absolutely confirm to her that the JCVI advice is very specific on the conditions of young people who will be eligible to receive the vaccine to protect them from covid and, of course, those adults who are also vulnerable to it. That is why I talked in my statement about the NHS being in contact with those families to be able to advise them and then facilitate vaccination in a place and at a time convenient for them.
Oral Answers to Questions
Caroline Johnson Excerpts(3 years, 4 months ago)
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Sajid Javid
As I said in response to an earlier question, this is a huge priority for the Government and, again, I am pleased that the hon. Lady has raised the issue. It is an issue for her constituents and for constituents throughout the country. She referred to the research by Cancer Research UK. I am afraid that it is right: there are thousands of people who did not come forward. We can understand why, so let me say this again as it is so important: for anyone concerned, please do come forward. We have provided additional funding—more than £1 billion—for more diagnostics and we will continue to provide additional support.
Dr Caroline Johnson (Sleaford and North Hykeham) (Con) [V]
The Minister for Care (Helen Whately)
I thank my hon. Friend for raising this question and the situation of her constituent. What I can say is that we expect clinical commissioning groups to commission fertility services in line with National Institute for Health and Care Excellence guidelines, so that there is equitable access across England. We are aware of some variations in access, and we are looking at how we can address that. Very specifically, CCGs should not be using criteria outside that NICE fertility guidance.
Obesity Strategy 2020
Caroline Johnson Excerpts(3 years, 5 months ago)
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Dr Caroline Johnson (Sleaford and North Hykeham) (Con)
Helping people to achieve and maintain a healthy weight is one of the most important things we can do to improve our nation’s health. As a consultant paediatrician, I have seen at first hand a worrying rise in obesity among our children and the health complications that come with it. I remember in my practice seeing a nine-year-old heavier than I was at seven months pregnant. I saw a young teenager weighing more than 120 kg—that is more than 19 stone. I saw many children with significant obesity-related health problems.
As other Members have said, the trend is increasing. One in three children leaving primary school are already overweight and one in five are leaving with obesity. This trend is further exacerbated in the most deprived areas of this country, where children are twice as likely to be obese as their peers in the richest areas. This is tragically setting up far too many young people for a lifetime of health complications, from diabetes to mental health, as well as reinforcing health inequalities.
In my experience as a doctor, the patients I see want to maintain a healthy weight but find it challenging to do so—and it is challenging, perhaps not surprisingly given the food environment in which we live. In particular, eating out has gone from an occasional treat to a regular feature of our social lives, but we have very little information on how many calories are in the food offered. This is important because on average meals out contain more than twice as many calories as those prepared at home. Accordingly, I welcome the Government’s proposal to introduce calorie labelling on menus, because it will empower people and give them the chance to make the healthy choices that they want to make. Nutritional information is already available on the food and drinks that we buy in supermarkets; expanding the practice to larger restaurants and cafés will help customers to make more informed decisions when they eat out. The evidence shows that calorie labelling on menus can reduce the number of calories consumed by about 8% and, indeed, that it leads to the development of healthier menus.
Although I welcome the push for reformulation to reduce the sugar and calorie content of food, I am worried that in their efforts to reduce the calories on menus, food producers and establishments may make greater use of artificial sweeteners. Research has shown that the mismatch between the sweet taste and few calories provided by artificial sweeteners can confuse the body’s systems and lead to hunger cravings that result in the consumption of an even greater number of calories overall. We need to be careful to ensure that our efforts to reduce calories do not unintentionally create the opposite effect with artificial sweeteners.
Finally, I wish to discuss an area that needs greater emphasis in the Government’s strategy to tackle obesity: education. As other Members have mentioned, education is really important in tackling obesity. Today’s greater prevalence of eating out is partly because of an increase in disposable income and convenience. We also know that cooking skills at home are just not what they once were. Education has a significant part to play by instilling healthy habits in young people and showing them not just what is healthy but how to make it, so that by the time they leave school they have good kitchen-safety skills and can cook simple, healthy and nutritious meals. I hope that when she responds to the debate the Minister will have time to elaborate further on the Government’s intentions in regard to education in this policy area.
Covid-19 Update
Caroline Johnson Excerpts(4 years ago)
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Matt Hancock
Yes, I do think more action is needed, and that is why we are taking it today.
Dr Caroline Johnson (Sleaford and North Hykeham) (Con)
The Prime Minister has been very clear on the risk of obesity for those who get coronavirus, in that people who are obese have a more severe disease course than those who are slimmer. In tier 3 areas, however, many gyms are being closed and many sporting activities are being restricted. What are the Secretary of State and the Department doing to ensure that we can encourage activity among people in those areas? Perhaps we could have a work out to help out scheme, with free online activities targeted to each age group and each physical ability.
Matt Hancock
I love the idea of work out to help out. It is undoubtedly true, from the science that I have seen, that obesity contributes to a worse impact for those who catch coronavirus. This is something the Prime Minister has spoken about with great passion, and it is something we want to tackle, so I will absolutely look into that idea. I would also say that we have changed the proposals for people who are shielding, even in the highest risk, tier 3 areas, who should always be clear that outdoor exercise is a good thing.
Oral Answers to Questions
Caroline Johnson Excerpts(4 years, 1 month ago)
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Matt Hancock
Yes, absolutely. I think we agree right across the House on the importance of this agenda. The first and most important part of it is to bear down on the long waits, because the longer that people wait, the more dangerous cancer can become. That is happening, and we also have to make sure we bring the referrals forward, because we do not want to have fewer people referred for the diagnostics. At the same time, we are expanding the diagnostics that are available, both in hospitals and increasingly in community hubs, which are safer from a covid point of view and, for the long term, will mean that diagnostic centres for things such as cancer can perhaps be on a high street or in the places where people live, so that they do not necessarily have to go to a big, acute hospital to get the diagnostics part of the pathway done.
Dr Caroline Johnson (Sleaford and North Hykeham) (Con)
The Minister for Health (Edward Argar)
It is vital that non-covid treatments are restored as quickly and safely as possible. That is what the NHS is doing. It is working to have them restored, by October, to around 90% of last year’s levels.
Dr Johnson
Thankfully, children are relatively robust in the face of coronavirus. However, children’s services, like other hospital services, were understandably reduced during the pandemic. What is my hon. Friend doing to ensure that paediatric services are now 100% up and running and will not be affected by a future wave of the pandemic? What is he doing to support NHS trusts in dealing with the backlog of appointments delayed by the coronavirus?
Edward Argar
I pay tribute to my hon. Friend for her service to her constituents both as their MP and as a paediatric clinician. She is right to raise this important issue. Restoration guidance has already been published by NHS England and NHS Improvement, setting out a framework to fully restore services in this area, which I agree is vital. I would be very happy to meet her to discuss this further.
Matt Hancock
I pay tribute to the group that the hon. Lady mentions. I have put a huge amount of effort into supporting social prescribing, including with funding, and I encourage her CCG to engage with such bodies to make sure that we can get funding to support them on the frontline.
Dr Caroline Johnson (Sleaford and North Hykeham) (Con)
Matt Hancock
The Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Bury St Edmunds (Jo Churchill) has committed to consult on the subject to make sure we get to the right outcome.
Coronavirus
Caroline Johnson Excerpts(4 years, 8 months ago)
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Urgent 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.
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Matt Hancock
We have ongoing discussions with the Welsh Government. For instance, the Welsh Government joined the Cobra meeting this morning—in fact, they have been present at all the Cobra meetings—and we have had very good engagement on the Bill. I will look into the two specific points that the right hon. Lady has raised and will talk to my Welsh colleagues about them.
Dr Caroline Johnson (Sleaford and North Hykeham) (Con)
May I thank the Health Secretary for the way he is managing this crisis, and for how frequently he has come to the House to answer questions? Pregnancy is a time of great joy, but in the context of coronavirus it can also be a time of great worry. Is there any specific advice from the chief medical officer for ladies who are expecting or who are considering starting a family?
Matt Hancock
I am glad to say that the evidence so far indicates that there is not a particularly raised concern. Nevertheless, I entirely understand the level of worry that getting coronavirus might cause somebody who is pregnant, so we are researching this very carefully.
Coronavirus
Caroline Johnson Excerpts(4 years, 8 months ago)
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Matt Hancock
We have increased the number by 500 already, and there are plans for more to come, as and when that becomes necessary.
Dr Caroline Johnson (Sleaford and North Hykeham) (Con)
An increasing number of people are self-isolating, but they still require routine care. Are GPs providing that routine care, and what advice is being given to GPs on whether they should wear masks, and whether they should visit a patient at home or get them to come to the surgery and so on?
Matt Hancock
We do not want people who suspect they have coronavirus to go to their GP; we want them to do this via NHS 111. Further to my earlier point about being able to self-validate for sick pay for seven days, they can of course then do that by phone and get an email confirmation, should they need to, to extend that to the full 14 days. Of course, as well as tackling coronavirus, the NHS must do business as usual. We are increasing the amount that people can do over the phone, Skype and other forms of telemedicine. That could be increasingly important if there is widespread concern about communicable diseases.
Coronavirus
Caroline Johnson Excerpts(4 years, 8 months ago)
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Matt Hancock
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.
Dr Caroline Johnson (Sleaford and North Hykeham) (Con)
Constituents have been writing to me with regard to travel advice. They are planning holidays to countries that are currently affected and for which the travel advice is to isolate on return if symptomatic. Some do not want to go on those holidays because, understandably, they are genuinely frightened, but they cannot reclaim the money because the travel advice is not saying that they cannot go. If they do go, they then have to isolate when they come back, which effectively lengthens their holidays and creates significant difficulties in relation to their responsibilities. Will the Secretary of State advise my constituents on what they should do in that circumstance and what discussions have taken place with the Foreign Office on this matter?
Matt Hancock
Decisions on precise travel advice for each country is of course a matter for the Foreign Office, but I can tell my hon. Friend that all those considerations are taken into account. We have to base decisions on the best possible science and clinical advice.
Social Care
Caroline Johnson Excerpts(4 years, 8 months ago)
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Matt Hancock
No, I do not recognise those figures because they are not the accurate representation of what is actually happening. There are many within that figure who are judged under legislation to need to pay for their own care, and they do. We have to start from a basis of fact and, frankly, until Labour Members start working on this from a basis of fact, it is very difficult to take their contributions seriously.
The critical thing is that, as life expectancy is increasing, more people are looking forward to ageing in comfort and dignity, and that is good news. Opposition Members may not like it. It is odd; they do not seem to want to think that life expectancy is going up. We have a duty to ensure that our social care system is equal to the task. There are many things we should be proud of in our social care system, although we would not have gathered that from the speech by the hon. Member for Worsley and Eccles South. Some 84% of providers of social care are rated as good or outstanding, and 90% of people who receive care are satisfied with its standard. The proportion of adults with learning disabilities living in their own home or with their family has increased every year since 2014-15. That is good news, which we should welcome.
Dr Caroline Johnson (Sleaford and North Hykeham) (Con)
Is my right hon. Friend not right to say that life expectancy is continuing to go up? We would expect it to slow down, because we are not all going to live forever. The key thing is not just how long we live for; it is how long we live a high-quality, healthy life for.
Matt Hancock
My hon. Friend is absolutely right, and that is the sort of analysis on which we can make decent policy progress, because it based on the facts, rather than on making things up.
Jackie Doyle-Price
The issue is that local authorities are commissioning care from local care providers and paying the rate that the individual resident is incurring. It is about what they are prepared to pay for that bill and not the local authorities paying living wages directly to employees. However, that is pushing the risk on to care providers, and we need to acknowledge that there will be workforce challenges for those providers. They will be competing more and more for people. While there is that downward pressure from local authorities on what they are prepared to pay and the upward pressure on wages, the risk is being borne by providers.
Part of the solution is also not just about who pays. We need to be a lot more imaginative about this. We all know that we will live longer—beyond 70—and that we will have more years in life in retirement. Just as we make plans for our pensions, we need to make provision for our homes and how we are going to live in old age. The simple fact is that our housing requirements when we are in our 40s and are raising a family are rather different from what we might require in our 90s. We know that falls are one of the biggest burdens on the NHS, so the fact that we are not encouraging people to make sensible lifestyle decisions about their homes is causing additional cost to the NHS, as well as, potentially, the need for more long-term residential care. One reason why we have that issue is that we have allowed, collectively over decades, so much wealth to be stored in our housing stock that we have encouraged people to behave in a way that makes them want to cling to it. I would like us to look more imaginatively at incentives through the tax system to encourage people to downsize and look at different ways of living. We want to use the planning system to encourage the development of retirement villages where people can purchase extra care.
Dr Caroline Johnson
Some people like to care for relatives at home, and it is not uncommon to create a small annexe within or adjacent to the property for an older relative to be cared for, but currently, the council tax system means that if that relative passes on, after that—within two years—people will be charged double the council tax for that part of their dwelling. Does my hon. Friend think that that is something that we can improve on and change to encourage people who wish to look after their relatives in their properties to do so?
Jackie Doyle-Price
I completely agree. That is exactly the kind of incentive that we should encourage. The longer that we can encourage people to live independently, the better their quality of life and the better it is for the taxpayer, because there will not be those ongoing bills. The point is exactly that as we live longer, we will spend many years in a condition of frailty, and that needs to be properly managed through the system.
Every parent, with the best will in the world, will wish to hand on as much of their assets to their offspring as possible, but that could also encourage behaviours that are bad for their health. I want my parents to realise the value of their assets rather than protect their inheritance for me. I am sure that most people would think that about their parents, but there is a lot we can do on the tax system and incentives to encourage families to manage those issues collectively and in a way that is good for people’s welfare as they become elderly and enables them to do more for their children.
It is high time that we tackled this issue. We should also not look at this entirely in isolation from the issues regarding working-age adults, which are also a major challenge for local authorities as they manage their finances in this area. We must look at the issue of people with learning disabilities and autism being increasingly placed in areas of long-term care. The issue is that, although we have been broadly successful in moving out people with learning disabilities through the transforming care programme, sadly the pipeline afforded by those people moving out has been filled by people with autism. The Government have to give a much clearer challenge to commissioners. When faced with people with complex needs, the first instinct should not be to put them in residential care. Too often we have seen how those kinds of placements do harm. We need to challenge local CCGs and NHS England to put much better care upstream by providing early diagnoses for people with autism and giving them the tools to protect themselves.