Public Health

Derek Twigg Excerpts

Tuesday 1st December 2020 Commons Chamber

[Derek Twigg (Halton) (Lab)]

The right hon. Member for Forest of Dean (Mr Harper) is absolutely right to say that this Government have not provided the information the House requires to make a balanced judgment about the right thing to do on these regulations. I cannot vote for these regulations. My constituents are sick and tired of how they are being treated by the Prime Minister and the Government. The Government’s strategy seems to be all over the place; by all accounts, it depends on who the Prime Minister last spoke to.

Friends of the Government have made millions, while some of my constituents have had no help whatsoever and have lost their jobs, or their jobs are hanging on by a thread. Just last night, two constituents told me that they had been made redundant and another told me about their son who had lost his apprenticeship.

Of course, forgotten and excluded by this Government are the sole traders who are limited companies, self-employed people, who are getting little or no help, and hospitality, which has been sacrificed by this Government. I do not know whether it is the same in the Prime Minister’s and Ministers’ constituencies, but many pubs in my constituency are very much part of the community and the culture. They and restaurants have done everything possible to make themselves covid-safe, spending many thousands of pounds. There is still no evidence to suggest that any sizeable outbreaks occur in hospitality.

Many of my constituents have gone into debt with their rent, mortgages and bills, and they have no idea how they will pay for this. Of course, that also has unintended health consequences. Children are petrified about the exams next year, because they have been in and out of school for months now.

A question that has never been properly addressed, which I have spoken about on a number of occasions in this House, is that of the unintended health consequences. I put in a freedom of information request to my local clinical commissioning group about referrals from GPs, and the information I got back was staggering: GP referrals for first out-patient appointments for cardio dropped by 66% between September 2019 and September 2020, with gastro referrals dropping by 64%, renal medicine referrals dropping by 57% and ophthalmology referrals dropping by 68%. Those drops are just in referrals, never mind what has happened to the waiting times, where targets are being missed time and again. I have also asked the CCG for figures to let me know whether there have been excess non-covid deaths at home.

I wish briefly to mention councils, which are not getting enough support. Halton Borough Council is doing a really good job, but it will have a deficit of about £8.6 million. It needs more support, and it is important that we give more support and financial aid to councils to do more locally. Local is better and it proves to be more effective.

I wish briefly to mention the vaccines. If, as we are hearing, these vaccines are going to be very effective, it is even more crucial that the Government get their strategy right for delivery and that we do not see a repeat of the incompetence we saw over personal protective equipment and test and trace. We need to make sure we all work together for effective take-up. Retaining people’s confidence will be crucial to that, and we do not need Government incoherence. On 16 October, the Secretary of State said that a new, simpler system of alert levels would be in place, but three weeks later we went into a national lockdown. Today, we see that the Government want to put in place new regulations and restrictions, which will be reviewed again later this month.

My constituents deserve to be treated with respect and not patronised; being granted a few days of normality over Christmas by the Government as some sort of reward for their sacrifice is not on. In the real world, many people will not have an enjoyable Christmas, as they have lost their jobs and are desperately worried about their finances. I am not against restrictions in total. There have to be some restrictions, but there has to be a balance involving the economic and health consequences as well. I will be voting against these restrictions tonight.

--- Later in debate ---

[Matt Hancock]

Yes; I was going to say that my hon. Friend need just ask, but I think he did. I will ensure that the national team and his local team at Warrington Council are put in touch right away, if they are not in touch already, because we are extending the availability of mass testing throughout tier 3 and throughout the wider area close to Liverpool, which Warrington was in tier 3 restrictions with until we went into national lockdown.

I am sure that my hon. Friend will agree that, as the experience of Warrington and Liverpool shows, we can afford to let up a little, but we just can’t afford to let up a lot. Let that be the message that goes out from this House. We know through repeated experience what happens if the virus gets out of control. If it gets out of control, it grows exponentially, hospitals come under pressure and people die. This is not just speculation. It is a fact that has affected thousands of families, including my own. We talk a lot of the outbreak in Liverpool, and how that great city has had a terrible outbreak and got it under control. This means more to me than I can say, because last month my step-grandfather Derek caught covid there and on 18 November he died. In my family, as in so many others, we have lost a loving husband, father and grandfather to this awful disease, so from the bottom of my heart I want to say thank you to everyone in Liverpool for getting this awful virus under control. It is down by four fifths in Liverpool. That is what we can do if we work together in a spirit of common humanity. We have got to beat this and we have got to beat it together.

I know that there are costs to the actions we take—of course I know that—but let us not forget the impact of covid itself. First, there are the health impacts. People do not live with covid—we cannot learn to live with covid; people die with covid. There is also the economic impact directly from covid. Where someone has to self-isolate and their contacts have to self-isolate, that itself has an adverse impact on services in the economy. I understand why people are frustrated that it is impossible to put figures on the economic impacts, but they are uncertain and we are dealing with a pandemic that leads to so much uncertainty. The tiered system is designed specifically to be the best proportionate response we can bring together, with the minimum measures necessary to get the virus under control when it is too high, yet the fewer measures where prevalence is low. The only alternative is a national set of measures, which would have to be calibrated to bring the virus under control where it is high and rising, as it is in Kent right now. That is the principle behind the tiered system and why it is the best way forward this winter.

[Derek Twigg]

May I offer my condolences and say how sorry I am to hear of the loss in the Secretary of State’s family? May I also ask him: what about the people who die because of the unintended consequences of covid, perhaps through cancer or heart disease, where they have not been seen quickly enough or have not come forward?

Covid-19: Winter Plan

Derek Twigg Excerpts

Monday 23rd November 2020 Commons Chamber

[Matt Hancock]

Yes, of course. Everybody knows that Burton is inescapably linked to high-quality beer; anyone who has been to Burton knows that fact. My heart goes out to the hospitality industry, which has been hit so hard. Of course schemes are available nationally, including the furlough and the support for businesses. There has been more support for the hospitality, leisure and accommodation businesses, and there will be cash grants for businesses that are closed under the new tiering system, to try to support people through what are, inevitably, very difficult times.

[Derek Twigg (Halton) (Lab)]

Although I am pleased that the Prime Minister and Secretary of State have listened to representations from me and other colleagues about the importance of reopening gyms, golf and collective worship, I am disappointed that we heard nothing from the Prime Minister about helping small business people and small businesses in my constituency who have received little or no help whatsoever; they have been financially excluded, and the Government should look again at that. Following a freedom of information request, through my local clinical commissioning group, I compared the GP referrals from September this year with those from September 2019 and found that there has been a huge drop in the number of people referred, for example, for cardio, gastric, trauma and orthopaedics. Although we have heard from the Government that they will put extra financial resources into the NHS, how will the Secretary of State provide the extra doctors, nurses and specialists to get the waiting lists down and to meet the surge in referrals?

[Matt Hancock]

I am glad to say that we are hiring large numbers of people into the NHS—over 13,000 more nurses over the last year, for instance. I am grateful to the Chancellor for putting an extra £3 billion into the NHS next year to deal with some of the backlogs that were inevitably caused by the virus. In answer to the first part of the hon. Gentleman’s question, let me say that there will be grants of up to £3,000 per month for businesses forced to close by restrictions in England and also backdated grants of up to £2,100 per month for businesses in tier 2 and tier 3 areas that have suffered from reduced demand—this is on top of the national schemes. I reassure him that we are doing everything we can to support businesses in these difficult times.

Public Health

Derek Twigg Excerpts

Wednesday 4th November 2020 Commons Chamber

[Derek Twigg (Halton) (Lab)]

I wish to set out my concerns about the regulations, primarily because I believe that economic pain will be inflicted on my constituency, and hardship on my constituents. We have unintended health consequences from the first lockdown, the Government lack a plan to deal with the backlog, and they are failing with the testing system, not least because they decided to hand it to the private sector. Let me remind the House of the Prime Minister’s response to my right hon. and learned Friend the Member for Holborn and St Pancras (Keir Starmer). On 20 May he said that

“we will have a test, track and trace operation that will be world-beating, and yes, it will be in place by 1 June.”—[Official Report, 20 May 2020; Vol. 676, c. 568.]

The Government introduced changes to local restrictions for September, before the tier restrictions were passed in this House on 13 September. Those measures were supposed to be reviewed on 11 November, and not enough time was allowed to assess whether they were working. It appears that they might have been working, because we have seen a notable improvement in the infection rate in Merseyside and Halton. I speak to hospitals in my constituency on a regular basis. I know that they are under a great deal of pressure, and what a fantastic job everybody who works there is doing. I will continue to keep an eye on that.

In the proposed regulations, the Government state that a “vulnerable person” could be

“any person aged 70 or older,”

or

“any person aged under 70 who has an underlying health condition.”

The Government believe—rightly—that it is important to give the meaning of a “vulnerable person”, but they do not set out how we can specifically protect that group. That is shocking, given that that group of people make up a significant proportion of patients who are admitted to hospital with covid. That vulnerable group must be better protected to save lives and ease the pressure on our hospitals. People tell me that they simply cannot afford to live on £95.85 a week, and that they have to choose between putting their health at risk from covid and not being able to afford the things they need. They are frightened and going to work. The Government should be focusing everything possible on that clinically vulnerable group.

Instead of sensibly shielding our most vulnerable people, why are the Government closing businesses when there is no evidence to suggest that they are responsible for the spread of covid? There is no reliable evidence for closing gyms or stopping golf and tennis, and no evidence to suggest that such activities are responsible for spreading covid. In coming to their decision, the Government do not appear to have taken into account how many organisations and businesses have invested large amounts of money to become covid-safer, which was not the case prior to the first lockdown. Where is the evidence that churches pose a significant risk? Constituents tell me that going to mass helps them, and there is no evidence for this measure.

Today, figures from the Office for National Statistics show that many more people are being paid below the minimum wage. Many of those are younger, low-paid people in the hospitality and service industry.

I have written to the Secretary of State for Health and Social Care three times since April to ask him to put Halton forward as an ideal place for mass testing. My requests have been ignored. Liverpool has now been chosen to be a mass testing area. Although Halton is included in the city region for tier 3 restrictions, we have not been included in the testing. Why has Halton not been included in that mass testing?

The 18-week NHS target has been missed by a quite considerable amount for people on waiting lists with a range of conditions, from cancer to coronary disease and gynaecological conditions. A significant number of my constituents have not been seen or treated in time, which may mean that some people with treatable conditions are not treatable in the future. There is real suffering going on in my constituency, and there is, of course, an effect on mental health. I cannot support these regulations as they stand.

Covid-19 Update

Derek Twigg Excerpts

Monday 12th October 2020 Commons Chamber

[The Prime Minister]

Alas, the virus’s continued rise across the country is not uniform, but the judgments that we have made are ones that we are sticking to.

[Derek Twigg (Halton) (Lab)]

For the record, Mr Speaker, as you are aware, Halton, although a member of the Liverpool City Region Combined Authority, is actually in Cheshire. The Prime Minister or his Ministers announced new restrictions on 14, 22 and 24 September and as recently as 3 October national or local restrictions, which impacted on my constituency. Is this not an example of how the Government are shifting from one restriction to the next without any real proper plan? My constituency of Halton has a lower rate of infection than a number of other areas that are not in the highest restriction rate. May I ask the Prime Minister why Halton is in that highest restriction rate when others are not?

[The Prime Minister]

This Government are of course obliged to adapt their plans to combat the virus, as the epidemic changes shape and changes course. Our objective remains unchanged, which is to get the R rate down in the hon. Gentleman’s constituency and elsewhere, while keeping education open and keeping our economy going. That is something on which both sides of this House are united.