(3 years, 5 months ago)
Commons ChamberNo—on the contrary, that is our view of how far through the vaccination programme we need to get. We are not aiming to eradicate the virus in this country because that is not possible. Indeed, in the parts of the country where it has been tried, it has been found to be not possible. We are aiming to live with this virus like we do with flu. I can give my right hon. Friend an update: as of midnight last night, 1.2 million over-50s and 4.4 million over-40s have had their first jab, but not their second. We seek to get a second jab into a majority—not all, but a majority—of them by 19 July. The estimate is that by taking that pause in this step, we can save thousands of lives. I can tell my right hon. Friend that taking further time and pausing for longer is not estimated to save many more lives, because of the level of protection especially among the over-50s, who are, as we all know, the most likely to die from this disease.
The Secretary of State knows that I broadly agree with what he is doing today. He referred just now to us having to live with the virus as we do with flu. With flu, we do not require people to self-isolate, and we do not ask them to test and trace. My understanding is that the Government intend to keep test and trace on a mandatory, statutory basis all the way through the rest of this year and possibly until the end of March—or am I wrong?
With flu, of course, if people have symptomatic flu and are ill, they do tend to stay at home. Of course we have not done that on a mandatory basis before, but it is advisable that if people have symptoms of flu, they stay at home. For contacts, as the hon. Gentleman probably knows, we are already piloting an approach whereby instead of having to isolate as contacts, vaccinated people go into a testing regime. That is an approach that I am very attracted to for the future, especially as more and more people get vaccinated, because we know that the risk once vaccinated is so much lower.
We are accelerating the second doses, and we are reducing from 12 weeks to eight weeks the time from first to second jab for all those aged 40 and above. In fact, since I came to this House on Monday, I have rearranged my second jab to be eight weeks rather than 12 weeks after my first.
Yes we will, for exactly the reason that the hon. Gentleman sets out.
On someone proving that they are double vaccinated, there is still an issue between England and Wales and other parts of the UK. I wonder when that will be solved, because obviously everybody does not live in a hermetically sealed unit.
As somebody who grew up right on the Welsh border, I entirely understand that. I am working with Baroness Morgan, the new Health Minister in the Welsh Government, to ensure that we have the interoperability that the hon. Gentleman calls for. That is a significant piece of work that is under way. We need to sort this for vaccine data flows, and frankly all health data flows, across the border, and use this particularly acute need to change the policy and practices, to sort this out once and for all.
The regulations before the House today are there in order to pursue our goal, as throughout, to work to protect lives and get us out of the pandemic as soon as is safely possible. I commend the motion to the House.
(3 years, 5 months ago)
Commons ChamberI want to get rid of all the restrictions that have been put in place to manage this pandemic, and we will get there. My hon. Friend will have noticed that the link we have explicitly made is to the rate of vaccination and getting the vaccines done over these four weeks to come. Of course it is my duty to recommend to the Prime Minister the actions I think are necessary to keep people safe—as a Health Secretary, that is my duty—but I am also a parliamentarian who represents constituents who want these restrictions removed as soon as safely possible. That is our goal, and this is a difficult balance. I think we have got the balance right, unfortunately, today—I say “unfortunately” because I wish it was easier. It is not, but we are able to make some progress and I very much hope we can make the full degree of progress that my hon. Friend wants to see in the not-too-distant future.
I want to ask about the Test and Trace app, because this relates to freedom as well. As I understand it, the Government intend to keep the legislation in place on Test and Trace all the way through until next March. At the moment, tens of thousands of people every day are pinged by the app. The app does not tell them when the infection might possibly have taken place. I know of schools where four whole classes were sent home because a single teacher had been pinged over the weekend. I have known of construction businesses where every single person has had to be sent home. If we keep on doing this, particularly in some parts of the country where there are high levels of infection, we are going to have large parts of the economy constantly being closed down. I know that there are some measures in place, but the financial problems are still very difficult, especially for middle-class families. They may have the financial freedom but they still find it very difficult to stay in work and be able to do their work when the rules are all changing. If we really want freedom, we are going to have to turn this blunderbuss into something more precise, are we not?
Of course the purpose of the app is to identify people who have been in close contact with somebody who has tested positive and let them know that, and therefore ask them to self-isolate—that is what it is there for. The hon. Gentleman asks me to get more data so that it can be more targeted. He will know from last summer’s debate that the restrictions on the amount of data we can gather through that app are put in place by the companies rather than by us, so we cannot be more targeted. I am very happy to arrange a briefing for him on the details of that. But the goal is to ensure, in time, especially for those who have been vaccinated, that we follow through on the pilots we have done under which people who are contacts—not the “cases” themselves—are able to go into a testing regime, rather than having to isolate. There are pilots under way to check clinically that that works, and I look forward to seeing their results.
The best thing that I can point my hon. Friend to is the slides that were presented by the chief medical officer today. I will see whether there is anything further that we can publish, but as a general rule, we publish all the data on which these judgments are made. Central to the judgment today is the fact that we are seeing a rise in hospitalisations, especially over the past week, and especially among those who are unvaccinated or have just had a single jab. Those people are not largely those who are unvaccinated out of choice; it is those who are unvaccinated because they have not yet had the opportunity because they are younger.
Until about a week ago, hospitalisations were basically flat. We thought that the link might have been completely broken between cases and hospitalisations or that it might be a lag. Sadly, hospitalisations then started to rise. For deaths, we have not yet seen that rise, which I am very pleased about; hopefully they will never rise, in which case the future will be much easier. It may still be that there is an element of it that is a lag, and we will be looking out for that very carefully over the couple of weeks ahead, but nevertheless our goal is to get those vaccines done in the five weeks between now and 19 July in order to make sure that this country is safe. I will commit to publishing anything further that we can that underpinned the decision, but I can honestly say to my hon. Friend that most of it is already in the public domain.
On a point of order, Mr Speaker. I completely agree with every single word of your statement earlier, as I guess you knew I would. I want to ask, however, about the provisions for our business from next week. As you know, these things were all timed to change at the same time as the national situation, which has now been changed.
I presume that there will be a knock-on effect on parliamentary business: whether Select Committees will meet in hybrid form or virtually, how we will conduct our parliamentary business in the Chamber and the Division Lobbies, and so on. I know that some of that is your responsibility solely, Mr Speaker, but some of it is the responsibility of the Government and might need changes to the Standing Orders. I wonder whether you have had any notification from the Government that they intend to bring such changes forward or of when we will debate them, when we will ensure we get them right, whether there will be proper debate and whether there will be a business statement to tell us when all that will happen.
(3 years, 6 months ago)
Commons ChamberI start by thanking the right hon. Member for Leicester South (Jonathan Ashworth) for his comradely advice, and I just correct the record because, thanks to his steadfast support for the Government’s action through the pandemic and the very grown-up approach he takes to these exchanges, Her Majesty the Queen was pleased to invite him to join the Privy Council, which we on the Government Benches welcome.
I am grateful to the right hon. Gentleman for describing the bond that has grown between us. It is true that, even while challenging each other from time to time in times of pandemic, sometimes relationships are strengthened in the heat of responding to something so serious. That is absolutely true. I think he is a wonderful man. I know that occasionally he has to criticise, because he has to please his Back Benchers, but I know he does not really mean it.
Throughout these great challenges and these difficult months, we have protected the NHS and protected and supported the amazing people who work in it, and we are determined to give the NHS all it needs as we emerge from this pandemic. The Queen’s Speech underlines that commitment, first, with a total focus on beating covid through our unprecedented vaccination programme, and then through an ambitious programme of support for our whole health and care system to tackle the backlogs caused by the pandemic, which the right hon. Gentleman rightly described, and a health and care Bill to set the NHS fair for the future—a Bill whose ideas and central propositions come from the NHS itself—alongside social care reforms to tackle injustices that have remained for far too long, public health reforms to learn the lessons of the pandemic and to promote the health of the nation, mental health reforms to bring that legislation into the 21st century and digital health reforms to harness all the opportunities that modern technology provides. That is our mission, a mission to ensure that, in support of all this, we also turn our nation into a life sciences superpower.
The last year has proved beyond measure the value of the NHS across Britain, the importance of social care and the strength of feeling that people rightly have for these cherished institutions. Our task in this Parliament is to help them further strengthen and build back better, and that is what this Queen’s Speech will allow us to do.
I turn first to the immediate task of tackling covid. With more than 70% of adults now having had a first dose and almost two fifths already double vaccinated, we have much to celebrate. Vaccination underpins our road map, which means we can now have pints in pubs and hugs in homes. Yet, as I updated the House on Monday, the race between the virus and the vaccine has got a whole lot closer. I can tell the House that 2,967 cases of covid-19 with the B1617.2 variant have now been identified. We are protecting the progress we have made and the progress that everybody has worked so hard to achieve, with the biggest surge in local resources of this pandemic so far. That means surging vaccines and testing. In the last week across Bolton and Blackburn with Darwen, we have given 26,094 jabs, as well as delivering 75,000 extra tests.
But this challenge is not restricted to Bolton and Blackburn. We have used the extensive biosecurity surveillance system that we have built and new techniques to identify the areas we are most concerned about, where we will now surge testing and vaccinations further. We, of course, look at the data on cases, variants and hospitalisations, all of which we publish, but we are now able to use further tools. Mobility data shows how often people travel from one area to another, and we look at that in deciding where the virus is likely to spread. We now analyse waste water in 70% of the country, and we can spot the virus and the variants in the water to identify communities where there is spread.
As a result of all that analysis, I can tell the House that we will now surge testing and vaccinations in Bedford, Burnley, Hounslow, Kirklees, Leicester and North Tyneside, and we are supporting the Scottish Government, who are taking similar action in Glasgow and Moray. In practice, this means that we are putting in place more testing and more testing sites, and we are making more vaccinations available to everyone who is eligible. We are not yet opening up vaccinations to those who are 35 and younger, because across the whole country, the message is crystal clear. This episode shows just how important it is that every single person who is vulnerable to covid-19 gets not just one but two doses, because the vaccine offers the best possible protection against this disease.
Turning to our programme for the future, we must learn from the success of this vaccine roll-out, which shows how we can deliver huge projects with huge flexibility at huge pace. We must apply these lessons to how we tackle the backlog, and I want to set out clearly to the House the sheer scale of the challenge left by the pandemic. I agree very much with the analysis that the right hon. Member for Leicester South set out in respect of the scale of the challenge.
We now have 4.7 million people in England waiting for care and more in Scotland, Wales and Northern Ireland. Before the pandemic, we had succeeded in getting the 12-month waiting list down from 18,700 in 2010 to just 1,600 in the months leading up to the pandemic. Now, 380,000 have waited more than a year for care, but these figures do not yet include the returning demand of those people who have a problem but have not yet come forward during the pandemic, often because they have been trying to reduce the burden on the NHS, but are now rightly regaining the confidence to approach the NHS. So the real waiting list is far larger than those figures, and as people re-present with problems that they might not have wanted to bother the NHS with in the past year, we will see the waiting lists go up.
We know that, during the pandemic, 6.9 million fewer patients were added to the waiting list for diagnosis and treatment. The scale of the pent-up demand that will come forward is unknowable, but to give the House a sense of the scale of the challenge, since the start of the pandemic, the NHS performed 70% fewer electives than in a normal year. Some of those will have been resolved without the need for hospital treatment, and that is fine, but some will return. We do not yet know how many will present themselves and add to the waiting lists, but we do know that the NHS needs to operate at a scale never seen before across the whole United Kingdom to clear the backlog, so we are working hard to support the NHS to accelerate the recovery of services.
The Secretary of State will know that people with traumatic brain injury might well have been treated because they have been in a car crash or something like that over the last year, but then the ongoing neurorehabilitation simply will not have been made available to them. On top of that, we have a new set of people who have neurocognitive problems because of covid. May I urge him to think of putting a single person in charge of the whole sphere of neurorehabilitation and brain injury, to try to get this back on course?
My hon. Friend has enormous expertise and wisdom in this area. He is right to make the argument that we need to support everybody’s mental wellbeing, but that we also need a specific focus on very serious mental ill health, much of which has been, in many cases, exacerbated by the privations that have been necessary during the pandemic. He says that this is a process that happens once every 20 years, but it is almost 40 years since we had a new mental health Act. We want to do this with stakeholders on a consensual basis—I am very glad to hear the reiteration of cross-party support just now from the right hon. Member for Leicester South. Our goal is to bring forward a draft Bill in this Session and a Bill potentially in the next Session, so that we ensure it is legislated for during this Parliament. That is a timetable on which we have worked with the many experts who have informed the process, led by Sir Simon Wessley, of course, whose report sparked off this work. I look forward to working on that with him and the Minister with responsibility for mental health, my hon. Friend the Member for Mid Bedfordshire (Ms Dorries).
I think the Secretary of State just said that we have not had a mental health Act for 40 years, but I remember sitting on the Public Bill Committee for the Mental Health Act 2007. I know that everybody is against lobbying, but my experience as a member of that Committee was that the lobbyists from the mental health charities, the British Medical Association and the pharmaceutical companies were absolutely invaluable in ensuring that we got the legislation right. Will he make sure that is available again this time?
Yes, I am absolutely happy to stress that point. This is a consensual process taking into account all the expertise from those who rightly want to influence. The hon. Gentleman almost made a joke about lobbying. The truth is that listening to people who have an expertise and an interest is absolutely critical to getting such a sensitive piece of legislation right. The legislation that this will replace was introduced in the early ’80s, so it is essentially 40 years old. There have been some updates, but there are still some extraordinarily antiquated things in our current mental health legislation. For instance, if someone does not declare then it is automatically assumed, if they are unmarried, that their father should take decisions on their behalf, rather than them choosing who might take those decisions—not their mother and not just one of their parents, but their father. That is just one example of the antiquated practices in this area that we need to address.
Finally, turning to our digital reforms, the pandemic has shown that one of the greatest allies we have in our battle for the nation’s health is data and technology. Digital health has truly come of age over the past year. There is no doubt about it: data saves lives. As we reshape health and social care, we will do it underpinned by a modern data platform, so we can get the most out of this powerful new technology. I am glad, again, that this is an area of cross-party consensus. Telemedicine has taken off. The NHS covid-19 app has been downloaded almost 24 million times and the wider NHS app, on which we can now demonstrate our vaccine status, was downloaded more times on Monday this week than on any previous day. If Members have not downloaded it yet, I recommend that they do. They can see their medical records and show somebody when you had the jab. NHSX committed to delivering the app by the ambitious schedule of 17 May, and it delivered. I am grateful to everybody who worked on this incredibly important project. The lesson of our data-driven vaccine roll-out must be applied everywhere. As citizens, we value the ability to see our data—after all, it is about us and it effectively belongs to us—and we want to see it used to drive better decisions, better research, better treatment and better support for colleagues on the frontline.
My view is that for years the health system has shied away from the modern use of data, and struggled on with paper forms, fax machines and clunky systems that do not talk to each other—but no longer. The pandemic has proved without doubt the incredible value to patients and clinicians alike of the modern use of data. Because of the gift of a universal NHS, we have the opportunity to have the best data-driven healthcare in the world, and I am determined that we seize it. Our health and care Bill and our new data strategy will drive a whole new approach to unleash that potential.
In addition to all those changes, we must, throughout, support all those who improve our health, including those in our life sciences and those who work in the NHS. Last week, I attended with colleagues a service to commemorate the life of Florence Nightingale. In his bidding, the Dean of Westminster reminded us that in Florence Nightingale, compassion and care had the power to deliver not just healing, but change. That must be our mission too: not just to heal, but to change. I am proud to be a member of a Government who deliver on our commitments. We delivered on our commitment to Brexit. We delivered on our commitment to protect the NHS. We are delivering on our commitment to vaccinate all. This Queen’s Speech is a commitment for healing and for change, for a United Kingdom that is stronger, healthier and more prosperous together, and I commend it to the House.
(3 years, 9 months ago)
Commons ChamberI think my hon. Friend has just made his heartfelt plea and it has certainly landed with me, but I am not surprised because he has made this case to me on behalf of his constituents over and over again and he is quite right to. We are in the process of considering which hospitals will be in the eight additional, on top of the 40 that we committed to in our manifesto. I am grateful for his representations and we will certainly consider Airedale and its full needs for the local community.
We will need to draw many lessons from the pandemic. For instance, my brilliant team who have done all this procurement of PPE have also built an onshore PPE manufacturing capability. With regard to almost all items of PPE, 70% of it is now made onshore in the UK, up from about 2% before the pandemic—likewise for vaccines, where we did not have large-scale vaccine manufacture and we now do, and for a host of other areas, including some of those that the hon. Gentleman mentioned.
(3 years, 9 months ago)
Commons ChamberYes. Stoke-on-Trent has been ably and effectively represented in this discussion, and everybody across Stoke deserves praise for the work that they are doing to drive up the vaccination rate. The higher the vaccination rate, the more quickly and safely we can all come out of this together.
The roll-out of the vaccine programme has been absolutely commendable. Brilliant! Well done! Locally, it has been really encouraging to see the mass vaccination centres working alongside the GP surgeries, but I am really worried that from this Friday onwards all the local mass vaccination centres will have to close because there will not be any more Pfizer vaccine except for the delivery of second doses, which will not start for another fortnight. On top of that, the number of AstraZeneca doses available locally will fall from 24,000 a week to 8,000 a week, so I am really worried that the next cohort of people are not going to get their vaccinations soon. Is there anything the Secretary of State can do to ensure that we get more vaccines locally by this weekend?
I am not aware of the closure of any vaccination centres. Of course, it is a matter for the Welsh Government if they are going to close vaccination centres, but I speak to the Welsh Health Minister regularly and this has not been raised as an issue of concern. Supply is of course the rate-limiting factor, as it has been throughout the roll-out. Supply continues, but we have to start ensuring that we have those second jabs ready for people. I am not aware of the issue that the hon. Gentleman has raised. It is certainly not a problem across England, where I am directly responsible for the roll-out. So far, this programme has been going so well across the whole United Kingdom, and we have all been working so hard together to make it happen.
(3 years, 11 months ago)
Commons ChamberYes, and I strongly commend my hon. Friend’s leadership locally. These are tough decisions, but let us get this testing going, get everybody coming forward to get a test if they can, to find those cases and ask and require people to isolate to break the chains of transmission and get Essex and Thurrock back out of tier 3 as soon as we possibly can.
One of my closest friends, Dan Lass, who I had known for more than 30 years, died of leukaemia last Thursday morning. He was in the United States of America, but I want to ask the Secretary of State about the cancer recovery plan in this country because cancer carries on killing people and many people have ended up not presenting this year. I know we have got things going again—even during the second wave—which is an amazing job by all the oncologists and doctors, but we must ensure we get clinical trials up and running again. We must be able to save lives and we must ensure that people go into hospitals to get the treatment they need. Otherwise, there will be more people who have lost someone like Dan.
The hon. Gentleman is quite right to raise this issue. My condolences to him and to all the family and friends of his friend, who is sadly no longer with us. I pay tribute to the way in which the NHS has kept cancer services going during the second peak. It has not been easy, but it has saved lives. The NHS has worked hard at it, and we must keep that going for the remainder of this time until we can get through and beyond.
(3 years, 11 months ago)
Commons ChamberAbsolutely, and my hon. Friend gives the lie to this idea that we should somehow split public and private. I want to pay tribute, on behalf of all those in the House who believe in private enterprise, to everybody: the major global pharmaceutical companies such as Pfizer and AstraZeneca, the small entrepreneurial start-ups such as BioNTech and all those who have come to the aid of the nation. If they do it and make a profit, if they do that to save lives, that is fine by me.
Advent always starts with the prospect of good news, so this is a really good Advent. [Interruption.] Says the former vicar. Yes, quite.
Can I add one element to this issue of the prioritisation of vaccination? Covid has savagely exposed the health inequalities across the whole country. The poorest communities have suffered most, and the poorest communities often have the fewest health services and the least additional capacity to be able to deliver vaccination. As part of the mix, can we make sure that equality, real equity, across the whole country means that the poorest communities may need additional support?
Yes. The hon. Gentleman raises a point that is important for the vaccination programme but also important thereafter, because if levelling up means anything, it means trying to level up health and make sure that the health inequalities of which he speaks are addressed.
(4 years, 1 month ago)
Commons ChamberI beg to move,
That this house has considered covid-19.
The House meets today to debate the coronavirus pandemic once more. The peril of the pandemic has no short-term quick fix, but calls for ingenuity, commitment and resolve from us all. We have responded with one of the greatest collective efforts that this nation has seen in peacetime, but the fight is not over: the virus continues to spread, and cases, hospitalisations and, tragically, deaths are all rising. Yesterday we learned that Liverpool University Hospitals NHS Foundation Trust is now treating more patients than it was at the peak in April, and across the UK the number of deaths has doubled in under a fortnight. And yet, just as the situation we face is grave, so the hope of a solution is growing. With every day, my confidence in the ingenuity of science to bring resolution grows. But until that moment, we must have resolve. We are focused on finding a long-term solution, and we reject political point scoring. I call on the House to work together in the interests of our whole nation—and, indeed, the whole world.
I just wonder whether one problem we have at the moment is that we do not have enough capacity in the whole of the NHS to take on covid in a long-term way, as the Secretary of State suggests, and still be able to do all the things that we really need to do. How can we ramp up that capacity so that we are still treating people for cancer, for brain injury and for all the other things that we all care about?
The hon. Gentleman is absolutely right. He represents a seat in Wales, and this is a challenge for the NHS in all four nations of the United Kingdom. I was going to come on to this, but one thing that we have learned in the first phase is how we can do better in keeping the other services running that the NHS must and should provide, for instance for brain injuries, for cancer treatment and for heart patients. There are also those things that are not life-threatening, but that harm people’s lives—a painful hip or a cataract that needs treatment. In the first wave, as we knew so much less about this virus, many of those treatments were stopped altogether.
In the second wave, we have two things at our advantage. The first is that this is a much more regional second wave, which puts more pressure on areas such as Liverpool and Lancashire than elsewhere in the country, but that does mean that elsewhere the elective and the urgent operations can continue. The second difference is that we know much more about the virus and how it spreads, so we have separated the NHS into green sites and blues sites. Green sites are for where we have a high degree of confidence that there is no covid, using testing and asking people to isolate before going in for an operation, so that people can have more confidence. The central message across all parts of the UK is that the NHS remains open. Finally on this point, the best way we can keep the sorts of treatments that we all want to see going is to keep the virus under control.
(4 years, 1 month ago)
Commons ChamberThank you, Mr Speaker.
My hon. Friend’s comments are absolutely right. The need for all of us to exercise responsibility in a world where the virus can pass asymptomatically, without anybody knowing that they have it, is sadly a feature of life during the pandemic, which I hope will be over sooner rather than later.
I am very grateful for the correspondence that the Secretary of State and I have had on a specific issue relating to local restrictions in Wales, which have quite rightly been imposed by the Welsh Government, that do not allow people to travel outside their county borough area except for a reasonable excuse, which does not include going on holiday. That means that lots of people have lost every single penny on their holiday, because lots of companies have refused to pay out on insurance or change the date of their holidays. They say that Welsh Government rules are just guidance and do not have the full force of law. I hope the Secretary of State can stand at the Dispatch Box now and say very clearly to those companies that they should be reimbursing people because those restrictions have the full force of law. The Welsh Government are of course the legitimate body that makes the rules in terms of the local measures in place in Wales. That is the devolution settlement, as we have discussed many times in the last six months, and people should respect that.
Of course the companies involved should be making recompense where that is appropriate, and I hope that we can come forward with a resolution to this issue sooner rather than later.
(4 years, 2 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.
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Yes, absolutely; of course I will do that. We have put significantly more testing into Stockport and my hon. Friend’s constituency: 720 tests just yesterday. One reason for that is the higher rate in Greater Manchester. She makes an important point about ensuring the capacity so that tests can be there when someone has the symptoms of coronavirus, but it is also incumbent on schools to send pupils for testing only when they have the symptoms of coronavirus, to make sure we can prioritise the testing for the symptomatic people who really need it.
I am enormously grateful to the Secretary of State and the Minister for the help he provided over the weekend with Vaughan Gething, trying to get the mobile testing centre in Porth, which has now moved to Clydach, fully functioning in the Rhondda, not least because we have a very high number of infections at the moment and are trying to work out what the specifics look like in terms of a potential lockdown.
Today, however, the best part of 60 people turned up for a test, having made an appointment in Abercynon, only to be told there were no test kits but that there might be some available that afternoon so to try again later that day. Still people are being told to go to Aberdeen. I do not know if it is just the alphabet—people think that Aberdeen is near Abercynon—but it is a very long way away. I also gently say to the Secretary of State: I know he knows there is a problem here, but trying to rebut every argument with, “Honestly, we’ve got more people doing more stuff and people need to get with the programme”, and all of that, just does not wash with the public. There is a danger, if he does too much of that, that people will simply say, “We can’t trust you any more”.
The hon. Gentleman is right: we spoke over the weekend and worked hard to get those mobile testing units into the Rhondda, where there is a significant outbreak. It showed the effectiveness of people working together to deliver solutions. I do absolutely acknowledge the challenge, but I also urge everybody to ensure the message gets through to people in the Rhondda and across the country that tests are available. I use these figures to demonstrate that hundreds of people in every constituency are getting tests. I want people across the country to know that we understand there are challenges and are working incredibly hard to fix them but that tests are available.
(4 years, 2 months ago)
Commons ChamberI am afraid to say that, although I would love my right hon. Friend to be right, I firmly believe, based not only on the clinical advice but on my own analysis and judgment of the facts and the international comparisons, that it is necessary for the public health of the nation to take actions to control the spread of the disease and to take the firm and now legislative actions that we are taking. The reason is that if the virus spreads, we know that it then spreads into the older age group, who too often die from this disease. We also know that it does not just go up in a straight line, and that if we let this disease rip, it goes up exponentially. That is why, with a heavy heart, I strongly support the extra measures that the Prime Minister outlined yesterday and the strategy of this Government and most Governments around the world to handle this pandemic.
Nobody pretends that this is easy, but there are real problems in the system. The latest figures for test and trace in England are now out, and they are the worst figures since it started. The numbers have actually gone down since last week. That is the fact, I am afraid. The Secretary of State might not have seen the latest figures. In relation to testing, my constituents have, ironically enough, been told to go to Derbyshire, Aberdeen, Weston-super-Mare and all sorts of places. Considering that we have one of the lowest car ownership rates in the whole of the UK, it is difficult for many people to go at all, if they are not allowed to use public transport and do not have much money and cannot afford a taxi to go to Aberdeen or Derbyshire. Given the number of times that my constituents have been told, including today, either when they ring or when they use the website that there are simply no tests available at all anywhere in the whole of the United Kingdom, this is a shocking problem that we all need to address. I just hope that the Secretary of State will please, please, please stop with all the huffing and puffing and simply get on with trying to solve these problems. Our constituents are really worried that they are not able to do the right thing, and if people stop doing the right thing we will lose control of this completely.
That is exactly what I am trying to do, and I appreciate the tone in which the hon. Gentleman asked the question. To be clear about the data on contact tracing that have just been released, on the number of people who have provided details of one or more close contacts, we reached 82.0% of those in the last week up to 2 September, which was up from 79.9% in the previous week.
(4 years, 2 months ago)
Commons ChamberI will certainly look into whether the roll-out can start in Buckinghamshire. Thankfully, it has a relatively low rate of the virus, which is good news, and we are working to ensure that the testing system there is as effective as it can be. That will include using this new generation of testing when we can begin to roll it out more broadly than the current pilots.
Cancer is rapidly becoming an even bigger catastrophe than anything else. The number of new cancer patients presenting is down by more than a quarter this year. The number of appointments for cancer specialist treatment is down by more than a quarter. The amount of money available for clinical trials has completely fallen through the floor. There is a real danger that lots and lots of people are going to die of cancer this year unnecessarily, when there is treatment that could be available, and that new treatments will not come online. Will the Secretary of State please put together a single taskforce to deal with cancer during this process, increase the amount of money for new kit, in particular in radiotherapy, make sure that we have enough pathologists, histopathologists and haematologists for the future, and make up the additional money for the clinical trials?
The hon. Gentleman’s point about research is important. In the places where research has paused because of the virus, the programme of restart is well under way. I am glad to say that although the backlog of cancer cases had increased—because it is not safe to treat cancer during a pandemic and because of some of the surgery that had to be paused—we are now halfway through recovering from that backlog on the latest figures. Obviously that recovery is incredibly important, and it is important to look at the catch-up as well as the absolute drop in overall delivery of cancer services. It is also critically important that people who fear that they may have cancer come forward to the NHS.
(4 years, 4 months ago)
Commons ChamberWe are learning all the way through about how best to respond to this virus. In fact, changing measures, such as the changes we have made in Leicester today, is a good example of learning from the progress of the virus and learning about how best to tackle it. That is just one of myriad ways in which we are learning and improving all the time.
I want to ask the Secretary of State about the revelations that the Americans and the Canadians have come up with about Russia trying to break into the vaccine testing regimes in their countries and possibly in the UK as well. How secure are the vaccine processes in the UK from cyber-attack from elsewhere, and is there anything further we need to do to make sure that other countries are not looking on this as some kind of stupid competition? We are all in this together, are we not?
Absolutely. Our approach is that the vaccines developed in the UK—supported by UK Government and, ultimately, UK taxpayers’ money—are of course there, should they come off, to provide protection to the UK population, but so too to the population around the world. We are using our official development assistance money to help ensure that there is broad global access, should they work. On the question about cyber-security and potential hacking, the hon. Member will understand why I cannot go into the full details, but I can reassure him that the National Cyber Security Centre is taking this very seriously.
(4 years, 4 months ago)
Commons ChamberWe do not anticipate that at this point. We, of course, keep all things under review but, in the first instance, the proposal—in the same way that we brought this in on public transport and in the NHS last month—is to bring this in in chunks.
I am going to be cheeky, Mr Deputy Speaker. I think I can help the right hon. Member for New Forest West (Sir Desmond Swayne) with his problem about wearing a mask. He is a knight of the realm, so he should just consider it a visor.
But to the serious question that I want to ask. It is very clear from the way that covid has rolled out that lots of people are going to have brain injury-like conditions and there is going to be a substantial need for long-term rehabilitation. This mirrors the work that needs to be done for those who have had traumatic brain injuries and stroke, many of whom have not had the support this year, for obvious reasons, but are desperate for it. I understand the Chancellor of the Duchy of Lancaster is setting up a cross-departmental ministerial group, which will meet before the end of this month. Will the Secretary of State make sure that the rehab for people with brain injury, whether from covid or from anything else, is in place?
We are working on exactly that. This is part of a number of questions that rightly have been asked about the long-term impact of covid and making sure we have the NHS treatment available for it.
(4 years, 5 months ago)
Commons ChamberYes. The NHS is open and we need people to help us to help them by coming forward, especially if they have a fear of cancer, heart disease, stroke or any of the predictive signs of a much more serious illness. On A&Es, we have seen a very sharp decline in the number. We want people who need emergency treatment to come forward. The sharpest decline has been in the number of people attending with the lowest acuity problems. They may be able to find healthcare more appropriately elsewhere. People should consider carefully whether they really need to go to A&E. Instead, it may be beneficial to call 111.
Further to that question, there are two other aspects of the coronavirus lockdown. First, a lot more people are using bicycles, which has led to a very significant increase in the number of head injuries, in particular to children who are not wearing helmets. Some areas are reporting that the total this year has already exceeded the total they had for the whole of last year. Secondly, a lot more people are in the open air and in the sun. Many of them are not covering up and getting sunburnt, which is a real danger in terms of future skin cancers. Can the Secretary of State please start two specific pieces of work: on skin cancer and ensuring we get the right message out about covering up in the sun; and on wearing a helmet and looking after people who have had brain injuries?
Yes. I am very happy to write to the hon. Gentleman about what we can do in those two areas, on which I know he has campaigned very hard. The one thing I would say on the positive side is that over the past few months the early signs are that the likelihood of dying as a 5 to 14-year-old has probably been at its lowest ever. It has been much safer in lockdown because, for instance, there are far fewer road traffic accidents and because the likelihood of dying from coronavirus as a child is very, very low. Overall, it has been a safe time if measured by that ultimate measure of how many children have died. It is much lower than usual, which is a good thing, but he is right to raise the points he does.
(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
Yes, that is absolutely right. It is just so important that we take into account all of the evidence and all of the studies that are published, and not just strongly focus on one.
Some of the people who have had the toughest time during these months are the people who work in care homes. They have had to deal with things they never thought they would have to deal with, including keeping family members apart from the people they have been looking after, even when they are dying. In Wales, the Welsh Government have decided to give everybody working in a care home, including chefs and ancillary workers, £500 as a bonus. May I please ask the Secretary of State to try to make sure that the Chancellor of the Exchequer does not tax it?
I will talk to the Chancellor about that. It is obviously a question for a Department other than mine.
(4 years, 5 months ago)
Commons ChamberThe success of test, track and trace is a critical part of making sure that we have a more targeted approach to lockdown, so that we can reduce the broader lockdown safely. That is what building the system is about—having more targeted interventions so we can reduce, when it is safe to do so, the broader interventions that everybody has been having to live under.
I have been sitting here desperately trying to give the benefit of the doubt to the Government, because we are in a national crisis, but I have to reflect the fury that my constituents have reflected to me on Facebook and in emails about the Dominic Cummings situation. I know the Secretary of State will want to shrug it off and will want to move on, but I have to say to him that it has been absolute fury. People think that there is one rule for the Government and their friends and another rule for everybody else. They have made massive sacrifices, and they feel that the Government are not standing by them. Please, please will he reflect that back to the Government?
I think the most important thing as we go forward in trying to tackle this together is that the social distancing guidelines we have set out are critical for the safety of the nation. We are able, safely, to make small changes, which will improve health because of the negative impact on people’s physical and mental health of being solely shut indoors. Therefore, it is crucial that people follow the social distancing guidelines, and that will in turn help us to lift these measures more broadly.
(4 years, 6 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
Yes. This comes off the back of the previous question. Not more than a few weeks ago, many people were saying that we would not be able to get through this crisis without the NHS being overtopped and not having enough capacity to deal with the number of cases. Through a combination of the expansion of the NHS that we have overseen and the public doing their bit by following the social distancing rules, we have managed to avoid that outcome. Instead, at every point in the crisis, the NHS has been there to provide the care that is needed as much as it possibly can, as well as it possibly can, and it has not been overwhelmed. That is something that this country can always look back on.
My inbox has been packed for days with questions from over-70-year-olds saying that they simply do not understand what the Government advice is. Is it that none of them should ever, whatever their medical circumstances and however healthy they are, leave the house for 12 weeks? When did the 12 weeks begin and when will the 12 weeks end, or is there going to be another 12 weeks? Further to that, I asked the Secretary of State on 3 February whether face masks worked, and at that time he was very sceptical about them. In the future, will he be advising people that we should all be wearing face masks on public transport, and if so, where are we going to get them?
I reiterate the point I made in response to earlier questions. I hope that in his response to all his constituents, the hon. Gentleman will send a link to the NHS website, where the answer to his question was set out extremely clearly right from the start. It is very clear that there are three groups of people. Those who have received a letter from the NHS saying that they must shield for 12 weeks are in that category; those who have not are not. I know that some media reports have stated otherwise, but I implore people to follow the guidance clearly set out on the NHS website, which the hon. Gentleman and any other Member who has questions about that should send to their constituents to inform them. It is a matter of our public duty. It is not a matter of political debate.
(4 years, 8 months ago)
Commons ChamberYes. If the right hon. Gentleman emails me with the details, we will get right on to it. He refers to bureaucratic barriers; we of course have to make sure that people are able to do the work that is necessary, but we have already shown in the Bill that we are willing not only to bring people back into service but to put into service those who are towards the end of their training, to make sure that we get as many people as possible in full service. I absolutely want to pick up on the right hon. Gentleman’s proposal and take it up with the General Medical Council or the relevant regulator to see whether we can find a way through for the period of this crisis.
I wonder whether the Secretary of State may not need an additional power in relation to the Home Office being able to waive fees for tier 2 and tier 5 visas for foreign nationals who are already working in the NHS and are about to have to renew their status in this country, or for those who have been studying as students.
It is already within NHS trusts’ power to pay those visa fees if it is necessary.
I very much hope that they will not be. The medical examiners regime is very successful, and as the right hon. Gentleman says, we are expanding it across the country. We do not deem that necessary, not least because we think that we can expand it if necessary. We do not think that there is a need for statutory change in an area that is improving.
There may be instances where it is impossible to allow for a normal funeral in the way that one is used to. There might have to be mass funerals or, for that matter, instances where just one person is allowed to attend, apart from the celebrant. I wonder whether it might be possible to ensure that in all local authorities, and in particular crematoria, it is possible to film such moments, so that loved ones at least have an opportunity to feel that they are engaged online, if not in person.
I know that the hon. Gentleman speaks from experience of having presided over these events. That is available—increasingly so—and I entirely understand why many people would want that.
The fifth and final part of the Bill includes measures to protect and support people through this crisis. This is not an exhaustive list of everything we plan to do, but the principle is that no one should be punished for doing the right thing and self-isolating if they or someone in their household has symptoms. To make that happen, the Bill will ensure that statutory sick pay is paid from day one, and this will be applied retrospectively from 13 March. Small businesses with fewer than 250 employees will get a full refund for sick pay relating to coronavirus during the course of the emergency. Finally, the Bill will require industry to provide information about food supplies. That all comes alongside our plan for people’s jobs and incomes announced by the Chancellor on Friday.
The Bill allows the four UK Governments to activate these powers when they are needed and to deactivate them when they are no longer needed. We ask for these powers as a whole to protect life. We will relinquish them as soon as the threat to life from coronavirus has passed. This Bill means that we can do the right thing at the right time, guided by the best possible science. That science gets better every day. This disease can isolate us, but it cannot separate us from the ties that bind us together. With patience and resolve, with the painstaking use of data and evidence, and with the whole nation working together as one United Kingdom, we will get through this. I commend the Bill to the House.
(4 years, 8 months ago)
Commons ChamberAs my right hon. Friend knows, we are inviting and encouraging recent retirees and health care leavers back in, and we will provide for some of that in the Bill. We are also ensuring that as we make what is effectively a big change to the NHS case mix, and do fewer elective operations and focus more on respiratory diseases and coronavirus, there will be a retraining exercise for people to go on.
I completely agree with the Secretary of State about keeping Parliament open, and I am grateful for the work that he, you, Mr Speaker, and the Leader of the House, have done to ensure that is the case. May I ask about something that I did not fully understand from what the Chancellor said this afternoon? As I understand it, if Wales wants and need extra money for the health service to deal with coronavirus, it will get it, whatever amount is needed. I presume that also applies to social care budgets in Wales, which my local authority is already worried about. Why does it not apply to all the other measures that are meant to support the economy through this difficult period? Why does it not apply to council tax and business rates?
The hon. Gentleman presses me on a question that is not in my departmental area. I apologise, but I would rather get him the right answer than give him the wrong answer now. I will make sure that we get back to him.
(4 years, 8 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
It is not just coronavirus and dealing with it that needs parliamentary scrutiny. The Government cannot continue levying income tax unless we have another Finance Act, and they will not be able to use emergency powers under the Civil Contingencies Act 2004 for longer than 28 days, so Parliament will have to keep on sitting, won’t it? The Secretary of State is wrong, as it is not for the House authorities to decide whether this House sits. The only person who can table a suspension of Parliament is a Government Minister, so will he just rule it out now?
As I said, we see no purpose for suspending Parliament, and parliamentary accountability is very important, as is the legislative power of Parliament.
(4 years, 8 months ago)
Commons ChamberThat is right; in fact, the document is badged with the emblems of the four nations. There are of course elements of it that are technically different in terms of delivery, but they are set out in the plan.
If I may take a step back, the deputy chief medical officer has already got a note to me to answer the question from the hon. Member for City of Chester (Christian Matheson). The expert committee NERVTAG —the new and emerging respiratory virus threats advisory group—has looked at the issue of nebulisers and does not consider their use an infection-prone procedure.
Unless something has changed overnight, the 111 service is not available in most of Wales. Most people in Wales would be far better advised to ring 0845 46 47, which is the NHS Direct Wales telephone number. My bigger anxiety is that so far, despite all the good things he has done, the Secretary of State has still not been able to answer the central question of people on zero-hours contracts. They include a large number of my constituents, who would want to do the right thing but, according to what he has said so far, would be financially out of pocket because there is no means of recompensing them. Surely we must put that right; otherwise, we have a massive hole in the plan.
As I have said many times, we have a robust SSP system and we keep it under review. On the hon. Gentleman’s point about 111, we have changed the system so that if someone dials 111 from Wales, they are automatically redirected to the NHS Direct number in Wales.
(4 years, 9 months ago)
Commons ChamberMy hon. Friend is right about Milton Keynes. The people of Milton Keynes have done exactly the right thing, and I would add to his list Milton Keynes University Hospital, which has done a brilliant job. More broadly, I would also add the media, who have in very large part responded in an incredibly responsible way to a very big story. We have detailed operational plans for dealing with this situation, including if it gets much worse, and those plans are worked on and updated in response to all the information we get, but part of the plan is about the behaviour of people and how people respond in this House and in the country. Thus far we have seen an exemplary response. I hope that continues.
Many wedding dresses in this country are designed here but made in China, and wedding dress companies in the UK, including in my constituency, have found it difficult because the factories in China have closed; they are suffering as a result. I am aware, having married many women in my time—when I was a vicar—that this is time sensitive. There is a real danger that many of these businesses will suffer enormous financial loss, not to mention the impact on the families. Will the Secretary of State chase up replies from Ministers in other Departments to ensure financial support for those companies?
The hon. Member raises an important point and through the medium of the wedding dress makes a much broader point, which is that many things are made in China, especially drugs and pharmaceuticals and clothing, which means that the impact in China will have an impact here through the supply chain problems. I am working with the Treasury on the appropriate response. Containing the virus will obviously have health benefits, but it will have economic benefits, too.
(4 years, 9 months ago)
Commons ChamberWe have put £500,000 towards an immediate communications campaign—not just on social media, although there is a lot there, but in newspapers and on radio—to make sure people get the message that there is something everybody can do: vigilantly wash your hands and if you have a cough or a sneeze, use a tissue and throw it away. These sound like simple things, but they matter, and they also protect you from the flu.
There are circumstances in which they work, but we are not recommending that people wear them generally—but of course it’s a free country.
(4 years, 10 months ago)
Commons ChamberI can guarantee that the mental health funding will be ring-fenced; and I want us, from the House, to pay tribute to the hon. Lady’s mum.
We are going to have more nurses, and I am delighted that we already have a record number of registered nurses, a record number of midwives, a record number of nursing associates and a record number of nurses in training. If the current trends continue, 36,000 nurses will join the NHS each year from the domestic and overseas workforce, which means that we will have more than 140,000 new nurses by 2024. However, we need more nurses now, and we will have 50,000 more by the end of this Parliament. That is a critical manifesto commitment on which we intend to deliver.
We need the right number of nurses and we need them to have the right skills, with nursing increasingly becoming a highly skilled as well as a caring role. From September this year, we will give every student nurse a training grant worth at least £5,000 to support them in their studies and ensure recruitment and retention. We are also expanding the routes into nursing with more nursing associates and nursing apprenticeships, making it easier to climb the ladder to become a fully registered nurse, and prioritising the care of our nursing staff to encourage more of them to stay in the NHS.
Of course, that training grant will also apply to midwives, paramedics, dieticians and all allied health professionals. Too often, the media use “doctors and nurses” as shorthand, and sometimes, if I am honest, we do that in this House, too. We should instead recognise the essential contribution of our allied health professionals, without whom our NHS family is incomplete and on whom our increasing move to multidisciplinary teams depends. This £2 billion training package is in addition to the funding contained in this Bill.
Finally, as well as revenue and training, the NHS also needs more money for infrastructure. On that point, I will give way to the hon. Member for Rhondda (Chris Bryant).
My question is not about infrastructure. It is about the Secretary of State’s last paragraph, on the training element. He referred to the fact that we often refer just to “doctors and nurses”. Actually, radiologists are absolutely vital to ensuring, first, that you get a swift diagnosis of cancer and, secondly, that you get swift and proper treatment for it. The Royal College of Radiologists reckons that we will be 2,000 radiologists short by 2023. How are we going to fill that gap?
As in so many other areas, we are hiring. My response to hearing about problems of shortages is, of course, to use all the tools available to ensure that we help those who are currently working in the NHS—for instance, with new technology—but also to hire and train more.