Covid-19 Update

Debate between Clive Efford and Matt Hancock

Monday 17th May 2021 Commons Chamber

[Matt Hancock]

My right hon. Friend is quite right to ask all those questions. In fact, I met Simon Stevens and the Minister for Covid Vaccine Deployment about the matter this morning, because we want to ensure that the flu vaccine programme this winter is a success. We had the biggest flu vaccination programme in history last winter. We are currently trialling the co-administration of flu and covid vaccines—I am waving my hands because one goes in each arm. We are looking at that for the autumn as part of a booster programme for covid. A lot of work is under way in this space; I suggest that my right hon. Friend discusses it with the Minister for Covid Vaccine Deployment, who is now responsible both for the covid programme and for the flu programme, in order to better tie them together.

[Clive Efford (Eltham) (Lab)]

I heard what the Secretary of State had to say about testing rates in Pakistan and Bangladesh, but according to Johns Hopkins University, the daily infection rate in Pakistan back in April was 4,500; in Bangladesh it was 7,000 and in India it was 100,000. Surely, if he were taking a precautionary approach, he should have placed India on the red list much sooner.

[Matt Hancock]

No. The statistic that is missing from that analysis, which was also missing from that of the hon. Member for Sheffield Central (Paul Blomfield), is the amount of testing that is done in each country. We have to look at the positivity when an appropriate selected sample is tested. It is not possible to do that in many low and middle-income countries, so the best way is to look at the positivity rate of people who are travelling to the UK, because we test everybody. That is the most statistically appropriate way to assess the question that the hon. Member for Eltham (Clive Efford) rightly tries to assess, and it showed that positivity rates were three times higher in India.

Covid-19 Update

Debate between Clive Efford and Matt Hancock

Tuesday 2nd March 2021 Commons Chamber

[Clive Efford (Eltham) (Lab) [V]]

The roll-out of the vaccines by the NHS and the efficacy of the vaccines are to be celebrated, and I congratulate everybody involved. However, the UK has the highest mortality rate per capita of any major country. Given that the Government maintain that they have consistently followed expert scientific advice, how soon does the Secretary of State think we should review that scientific advice and the decisions of the Government that were based on it so that we can learn the lessons of the past year as soon as possible?

[Matt Hancock]

We are constantly learning—about the asymptomatic transmission of the virus, the way in which it mutates and what works effectively against it; and we update policy according to what we learn. That is the nature of science; it is about constantly learning as new facts come to bear. We do not wait until after a pandemic to learn; we learn all the way through it.

Covid-19 Update

Debate between Clive Efford and Matt Hancock

Tuesday 9th February 2021 Commons Chamber

[Matt Hancock]

No. The Prime Minister has set out the four conditions that need to be met and will be saying more about that on 22 February.

[Clive Efford (Eltham) (Lab) [V]]

I add my congratulations to all those involved in the roll-out of the vaccine, particularly those in my local area who have been working non-stop. Will the Secretary of State say something about international co-operation, particularly in respect of identifying new variants and assisting other countries to stop their transmission? What discussions are taking place with the World Health Organisation and others to ensure that we are keeping track of new variants as much as is practicably possible?

Covid-19 Update

Debate between Clive Efford and Matt Hancock

Tuesday 2nd February 2021 Commons Chamber

[Matt Hancock]

Yes, I can give my hon. Friend that absolute assurance. Of course, the supply of vaccines is the rate-limiting step. We have seen the strain on vaccine supply from some of the things that have happened over the past week, and some weeks the supply is greater than in others. The website shows the daily move in the overall supply across the country as a whole. Lancashire will get its fair share and get enough to be able to deliver on the target of the offer to everybody in cohorts 1 to 4 by 15 February. I have looked closely specifically into the figures for the north-west, and it is getting its fair share. I can give my hon. Friend the assurance that the reports circulating on the internet do not come from credible sources.

[Clive Efford (Eltham) (Lab) [V]]

I add my congratulations to the workers in the NHS who are delivering the roll-out of the vaccine. Reopening schools will be a major step towards returning to some form of normality for young people in particular, but the presence of the new variant is likely to create some anxiety among staff. To minimise the disruption to education when we return and to create some confidence among staff when they are asked to go back into schools in large numbers, does the Secretary of State agree that we should plan to vaccinate school staff if at all possible before half-term, if not during it?

[Matt Hancock]

The challenge with the proposal the hon. Gentleman puts forward is that vaccinating those who are not as vulnerable to the disease before those who are more vulnerable would essentially increase the overall clinical vulnerability to the disease. I am glad that the hon. Member for Leicester South (Jonathan Ashworth) did not raise this issue as health spokesman on the Labour Front Bench, although I know others on the Labour Front Bench do so. We have to follow the clinical order of priority, because my priority is saving lives.

Covid-19 Update

Debate between Clive Efford and Matt Hancock

Wednesday 30th December 2020 Commons Chamber

[Matt Hancock]

We have to remember that the vaccine is a great symbol of hope, but it is a means to an end, and the end is the lifting of restrictions and the restoration of our liberties and the freedom for us to act as we please. That is the goal of this programme: to make people safe so that we can get life back to normal and, of course, protect the NHS. On the timing, it is absolutely right, as I said in my response to my right hon. Friend the Member for Forest of Dean (Mr Harper), that the speed of roll-out can be accelerated because of the decisions announced this morning. The precise timing of that has to be determined by the manufacture, because although we can forecast that, we cannot know exactly how much will be delivered. On the question of how far down the priority list we need to go before people are safe, we will observe that as we observe the reduction—I hope—in transmission that we get, as well as the protection of individuals. So we will keep this under review, but the good news is that I am highly confident that by the spring we will be through this. It was not possible before the approval of this vaccine to say that.

[Clive Efford (Eltham) (Lab) [V]]

What information has the Secretary of State received from the experts in the Scientific Advisory Group for Emergencies about the roles that schools played in the spread of infection in places such as south-east London? Does this suggest that we should have a roll-out of a mass vaccination programme for schools?

[Matt Hancock]

We will vaccinate according to clinical need, because that is the best way both to protect lives and to be able to lift the restrictions.

Covid-19 Update

Debate between Clive Efford and Matt Hancock

Tuesday 10th November 2020 Commons Chamber

[Matt Hancock]

Yes, the roll-out and the 10% of population per week availability of lateral flow tests is available to directors of public health right across the country. If that has not already been organised with York, I urge the director of public health in York to come forward and work with the team to make that happen.

[Clive Efford (Eltham) (Lab)]

The Secretary of State recognised in his statement that the task of delivering 40 million doses will be vast, and he has also said that he has orders for 300 million further doses. How far away are we from those further doses coming on board, and does not that make that a huge task to undertake at a local level? How is local government involved in co-ordinating this roll-out?

[Matt Hancock]

Yes, it will be a huge task. The NHS is leading on it, and of course the NHS reaches all parts of this country. As for the flow of the future doses that we have secured, the only one that is in immediate prospect is AstraZeneca. It would be wonderful to hear the same sort of results soon for AstraZeneca that we heard from Pfizer yesterday. After that, it is next summer before the next vaccine candidate comes on stream, so the focus of the roll-out plan at the moment is on delivering the Pfizer and AstraZeneca projects if they pass the safety test.

Covid-19 Update

Debate between Clive Efford and Matt Hancock

Thursday 10th September 2020 Commons Chamber

[Matt Hancock]

My hon. Friend is a former military logistics expert, and in my experience—especially my recent experience during this crisis—there are no greater logistics experts in the world than those in the British military. He knows of what he speaks. We are surging, but doing so particularly in the areas where the case rate is higher, and thankfully in his part of the world the number of cases remains relatively low.

[Clive Efford (Eltham) (Lab)]

I am sympathetic to the idea of mass testing and have been for some time, but what does the Secretary of State say to someone like Professor David Spiegelhalter, who said that mass testing could lead to hundreds of thousands of false positives, with the knock-on effect of over a million people who have been in contact with those individuals being told to self-isolate? What assessment has the Government made of that issue?

Covid-19

Debate between Clive Efford and Matt Hancock

Tuesday 1st September 2020 Commons Chamber

[Matt Hancock]

If I understand the question correctly, the ability to provide tests to parts of the private sector that need to know people do not have the virus in order to be able to reopen parts of the economy or just enable things to happen is a very important part of where we would like to get to when we have the next generation of testing. At the moment, we of course have to follow a clinical protocol for the roll-out and the use of the capacity we have. We have very significant capacity, having built it up over the pandemic, but the work with the private sector is very important, and we will be publishing more details on this shortly.

[Clive Efford (Eltham) (Lab) [V]]

I have had personal experience of track and trace over the last couple of weeks. Having filled in my initial form, I was contacted at least three times to be asked for the same information again, so it is a question not just of the contacts, but of what is being done with the data. My assessment is that there is poor management of the data and a waste of time and effort in duplication, including in contacting members of my household and telling them to isolate from the wrong date. Improvements are needed to what is done once track and trace gets in touch with people. Does the Secretary of State agree?

[Matt Hancock]

I am very happy to look into these individual circumstances. Of course, we are constantly seeking to improve the system. I am very glad that the hon. Gentleman was contacted so assiduously by the system, and I take the point about the need for the data to be collected as effectively and efficiently as possible. I hope that he and members of his household are following the rules and doing the isolation that is necessary.

Covid-19: R Rate and Lockdown Measures

Debate between Clive Efford and Matt Hancock

Monday 8th June 2020 Commons Chamber

[Matt Hancock]

My hon. Friend is absolutely right to raise this question. Of course, we proceed cautiously. That is why we take steps in turn to see the effect. The good news is that the evidence thus far is that the steps we have taken have coincided with a continued reduction in the incidence of the virus. That is why it is safe to proceed on the plan that we have set out.

[Clive Efford (Eltham) (Lab)]

How can it be that, when we are coming out of lockdown and starting to relax some of the restrictions, local authorities do not know what they are expected to do in the event of a local outbreak and they do not know what powers they are to be given? How can it be that the Government can say only that they will tell them when it is practicably possible?

[Matt Hancock]

I am afraid that I do not recognise that picture at all. The local directors of public health have been heavily engaged in addressing local outbreaks throughout this pandemic. In the past few weeks, for instance, there have been outbreaks locally that have then been addressed, with a leadership role played locally by the local director of public health. Perhaps the hon. Gentleman was not listening to the answer given to one of his hon. Friends that we have also put £300 million into local authorities to assist them to make sure that they have that capability on the ground.

Covid-19 Response

Debate between Clive Efford and Matt Hancock

Monday 18th May 2020 Commons Chamber

[Matt Hancock]

Yes. Kevin Fenton, who is the London lead for public health in Public Health England, is undertaking exactly the review for which my hon. Friend asks. We propose to publish it in the coming weeks.

[Clive Efford (Eltham) (Lab) [V]]

The Government have promised to carry out routine testing in care homes, yet my local authority tells me that there is a shortage of the home-test kits needed to do that and fears that such kits will be diverted to fulfil another of the Government’s pledges on tracking and tracing as more become available. Yet again, the Government have made a claim that is not borne out by the situation in our care homes. By what date will we have enough home-test kits to carry out routine testing in care homes?

[Matt Hancock]

I am happy to ensure that my team contacts the hon. Gentleman’s local authority, not least to explain that home testing is only one of the avenues available. In fact, much more testing in care homes is done through the mobile testing units, with the mobile unit going to the care home, or by the satellite units, from which a whole batch is taken to the care home, than through the home-testing channel, which is designed for sending an individual test or a small number of tests to an individual house.

Covid-19

Debate between Clive Efford and Matt Hancock

Monday 16th March 2020 Commons Chamber

[Matt Hancock]

My hon. Friend makes an incredibly important point. One reason why we have held off from taking measures like this for as long as we have is because they have significant downsides, many of which have been discussed in the Chamber today. I of course urge people to follow the advice that my hon. Friend gave, and I urge communities to come together as much as possible to help each other through.

[Clive Efford (Eltham) (Lab)]

We need a plan for scaling back schools. Teachers are saying to me that they are part of a mass collection of people every day and are concerned not only about being infected but about relatives who may have secondary illnesses and about colleagues who are pregnant. Schools are losing pupils and losing staff. They will close of their own volition unless we have a plan to scale them back and provide essential childcare for those workers who will still need to work and the children who will still need to go to school.

[Matt Hancock]

I understand why some parents are concerned, but the evidence is that children are not badly affected by this virus and it is important to take that into account. The hon. Gentleman makes the point about people who need to go to work not being able to because of childcare responsibilities, and that is very serious in terms of the impact that it could have and is therefore very important to take into account.

--- Later in debate ---

[Matt Hancock]

My right hon. Friend the Chancellor of the Exchequer is in constant dialogue with the Governor of the Bank of England and the banks themselves. There were active discussions over the weekend about what further measures can be brought forward. The hon. Gentleman is right to ask that question of a different Government Department of me. We are working incredibly hard right across Government to address that concern and, indeed, every concern that Members across the House have rightly raised this evening.

Mr Speaker, I am grateful to you for allowing me to make this statement at an unusual time, and I will commit to come before the House whenever necessary to answer each and every concern.

[Clive Efford (Eltham) (Lab)]

On a point of order, Mr Speaker. We all appreciate the work and the efforts of the Secretary of State for Health and his attempts to answer our questions this evening, but there were questions that he was not able to answer for several other Departments, such as the Treasury, the Department for Business, Energy and Industrial Strategy, the Department for Work and Pensions, the Department for Education, the Ministry of Housing, Communities and Local Government, the Department for Digital, Culture, Media and Sport and the Department for Transport. When will we get statements from other Secretaries of State, so that we can quiz them properly on the arrangements the Government are making on the very important issues we are raising on behalf of our constituents?

Coronavirus

Debate between Clive Efford and Matt Hancock

Wednesday 11th March 2020 Commons Chamber

[Matt Hancock]

Absolutely. This is right at the top of the agenda; tackling fake news is incredibly important. The major social media platforms and search engines have already risen to this task and I pay tribute to them—in the past, I have been known not to pay tribute to them, and sometimes quite the reverse. They have absolutely risen to this task and we will keep on it, but, of course, the information that we provide to the public will have to evolve both as we learn more about the disease and as we move through the plan. For the moment, the absolute core message is that people should wash their hands.

[Clive Efford (Eltham) (Lab)]

Are we reaching the stage where people, if they have any form of cold, should be self-isolating? We all know people who have had colds, some of them more severe than others, but they have been able to be confident that it has not been coronavirus. Now it is becoming prevalent, how can they be sure? It is going to create a lot of confusion. Are we reaching the stage where, as the Prime Minister alluded to the other day, people may have to self-isolate if they have any symptoms?

[Matt Hancock]

We are not there yet, but we are moving towards it. That is what the chief medical officer set out in the press conference on Monday, in part for exactly the reasons the hon. Member sets out.

Oral Answers to Questions

Debate between Clive Efford and Matt Hancock

Tuesday 10th March 2020 Commons Chamber

[Matt Hancock]

Yes, the 26,000 extra staff, as well as the extra GPs in primary care, are going to improve the position, but we also taking steps to improve access by making sure that people can access primary care in the best possible way. I can be clear to the House today that we will take a digital first approach to accessing primary care and out-patient appointments, so that, wherever clinically and practically possible, people can access—and should access—primary care through phones and digital means. This is especially important in the current coronavirus outbreak. Already, a roll-out has started, but we will make this across the country with immediate effect.

[Clive Efford (Eltham) (Lab)]

We have been waiting for a year for the Greenwich clinical commissioning group to reopen a nurse-led practitioner drop-in centre on the Horn Park estate. This was a place where people from that local community could pop in and get minor treatments, but also vaccinations, and it could prescribe low-risk drugs. May I commend this service to the Secretary of State? Could he assist me in urging Greenwich CCG to reopen it as quickly as possible, but also look at it as a possible model for other areas?

[Matt Hancock]

Yes.

Coronavirus

Debate between Clive Efford and Matt Hancock

Monday 9th March 2020 Commons Chamber

[Matt Hancock]

We are increasing the amount of information that is available at airports, but the evidence from other countries that have tried temperature testing at airports shows that it is not effective and can actually be counterproductive to the effort because it leads to lots of false positives.

[Clive Efford (Eltham) (Lab)]

Industries such as the hospitality industry employ people on zero-hours contracts, and I know of one major hotel that has laid off a number of people. What can the Secretary of State do to ensure that people are not left in financial difficulties due to their employers taking these decisions?

[Matt Hancock]

This is a matter that the Chancellor is considering ahead of the Budget.

Coronavirus

Debate between Clive Efford and Matt Hancock

Wednesday 26th February 2020 Commons Chamber

[Matt Hancock]

I will ask the chief medical officer to speak to the Republic of Ireland chief medical officer and to ensure that the best and appropriate clinical advice is given. Rather than me giving advice from the Dispatch Box, I will ensure we get the best clinical advice and join up with the Republic.

[Clive Efford (Eltham) (Lab)]

I hear what the Secretary of State says about how people should go about their ordinary lives if they have not tested positive, but where parents self-isolate while awaiting testing, should their children go to school before they know the outcome of the test? Schools being what they are, it is bound to cause alarm. Should children not be kept away until such time as the all-clear is given?

[Matt Hancock]

It is best here that we follow the clinical advice, which is as I set out. One of the good things about the covid-19 coronavirus, compared with similar illnesses, is that it seems to be much less impactful in terms of symptoms on children, which is good news, because with the flu it is normally the other way around. That observation underpins the clinical advice. We need to listen to the scientists.

Wuhan Coronavirus

Debate between Clive Efford and Matt Hancock

Tuesday 11th February 2020 Commons Chamber

[Matt Hancock]

We have put £40 million into the global and domestic efforts to find a vaccine, and the work got under way fast. That work is progressing, but it takes time not just to develop a vaccine, but to ensure that it is assured and safe to use. It is in the nature of these things—because of incubation periods and the nature of the science—that it does take time.

[Clive Efford (Eltham) (Lab)]

Should the outbreak become more widespread, will the Secretary of State say what advice he is preparing for employers, because many people, such as those on zero-hours contracts, will be severely financially penalised, which will create a big incentive for them to turn up for work when they are feeling ill? Will he say what preparations he is making for employers to avoid those circumstances?

[Matt Hancock]

That could become an important consideration in due course, but I am glad to say that, at the moment, the impact on employment is very small, because we have only eight cases. However, I will certainly take that into consideration.

Oral Answers to Questions

Debate between Clive Efford and Matt Hancock

Tuesday 28th January 2020 Commons Chamber

[Matt Hancock]

This is precisely why we need to recruit more GPs, in the hon. Gentleman’s constituency and across the country, and also recruit more other clinicians to general practice. [Hon. Members: “How?”] I will tell you how, Mr Speaker. In the first instance, the record numbers of GPs in training will help, but that is not the entirety of the plan. I urge the hon. Gentleman to get on board and support general practice.

[Clive Efford (Eltham) (Lab)]

In 2015 the Secretary of State’s predecessor promised 5,000 more GPs by 2020. The Secretary of State repeated that promise when he took over the job, but my constituents are finding it increasingly difficult to get a GP appointment within three weeks. Will the Secretary of State now apologise to everyone who is waiting for failing to keep his promises?

[Matt Hancock]

The commitment that we have made is that we will have 6,000 more GPs and 26,000 other clinical staff in general practice. That is the commitment that we have made, and that is the commitment on which we will deliver.