(1 year, 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.
This information is provided by Parallel Parliament and does not comprise part of the offical record
May I say that that was dextrously done by the shadow Leader of the House? She makes valid points in her typically reasonable and measured tone. She is right to highlight that this was an extremely complex and emotive case. Again, I hope she will forgive me for not straying into commenting on the judgment or the decision taken in this case. There is a legal framework for safe abortions, which is set out in the Abortion Act 1967. It set out the conditions under which abortion is legal and is available.
On the hon. Lady’s comments about the CPS, I gently say that in considering any decision it has to look at both the evidential test and the public interest test. However, the CPS is independent and it makes those decisions; again, it would not be appropriate for a Minister to comment on CPS charging decisions. Similarly, the Sentencing Council is independent, and it determines what to review and how to review it. I suspect that it will have heard her comments, but, again, it would be inappropriate for me to seek to direct the Sentencing Council, given its independent function.
Like the right hon. Member for Kingston upon Hull North, the hon. Lady mentioned that there is a difference in the frameworks in Northern Ireland and in England and Wales. The House was cognisant of that difference when it chose to make that decision, and that decision must be respected. As for any future decisions made by this House, I simply reiterate that were the House to seek to change the law and come up with a different framework, the Government would of course work to implement the will of the House.
When the House debated whether it should be possible to receive an abortion pill through the post, we warned that there might be a tragic case such as this. Some people in the abortion industry are now using this tragic case to argue for some sort of legal right to abortion up to birth. Given that many babies are surviving at 24 weeks, that is an obscene and cruel proposal. Surely the solution, given that it is difficult to determine gestation without an in-person appointment, is to return to the system of in-person appointments, so that women can receive safe, legal abortions if they wish.
(2 years, 10 months ago)
Commons ChamberWe have committed an additional £1 billion this year to increase elective activity and tackle the backlog, doubling the £1 billion already provided through the elective recovery fund. Over the next three years, we plan to spend more than £8 billion to fund the biggest catch-up programme in NHS history, which comes atop, of course, the record £33.9 billion increase in funding and the health and social care levy.
Before asking my question, may I make a declaration of personal interest, namely, my age? People of my generation and older are finding more and more delays in elective procedures, but the response of the Government, as we just heard, appears to be to just pump more taxpayers’ money into the bottomless pit of the NHS, resulting in ever more waste and lower productivity. Why do the Government—this Conservative Government—not use innovative private sector solutions to relieve some of the pressure on the NHS? Why do they not do what the Major Government did—hardly right-wing extremists—and give tax relief for private health insurance?
(3 years, 5 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
My understanding is that the procurement process for PPE, as the hon. Gentleman rightly highlights, was a UK procurement process. As he will have seen, we invoked regulation 32, recognising the speed needed to meet the demand for PPE in the frontline, and throughout this process we worked at pace to ensure that the focus was on the procurement of the PPE required. Throughout this process—throughout this pandemic—we have worked closely with the Welsh Government.
In the middle of an emergency, value for money goes out of the window, and I am sure that terrible mistakes were made in the tendering process, but on the central charge that contracts were awarded to cronies, I am mystified why that should have taken place if civil servants and not Ministers took the decision. Does my hon. Friend accept that the best way to resolve these issues is to take them out of party politics and let the National Audit Office get on with its job? No doubt in time, the Public Accounts Committee will issue coruscating reports that are very wise with the benefit of hindsight.
My right hon. Friend is absolutely right to highlight that the decisions, as I touched on and as the PAC was told, were made following an eight-stage process run by civil servants and not Ministers. He is also right that there has been no evidence found, either by Committees of this House or the NAO, or indeed in any court cases, of any inappropriate involvement in terms of conflict of interest by Ministers. On his final point, he is absolutely right, and I know that going forward, as we always do, the Government will look to co-operate fully with the NAO in seeking to supply all and any information that it seeks, so that it can form its judgments and inform the PAC and the House of them.
(3 years, 7 months ago)
Commons ChamberI am incredibly grateful to my—if I recollect correctly—hon. and gallant Friend, who has served in the past with distinction. He is absolutely right to highlight the amazing work of our armed forces, which was highlighted in the Chamber earlier this afternoon. He is also right to highlight the spirit of getting things done. He will have seen that my right hon. Friend the Secretary of State for Health and Social Care has been very clear that, while making no compromises on safety for patients and for those receiving the vaccine, he is working very hard to make sure that any bureaucratic barriers that do not support patient safety are removed to ensure the speedy and effective roll-out of the vaccine. So I am grateful to my hon. Friend for his point.
We have vaccinated more people than the rest of Europe put together—well over 2 million individuals, including more than a quarter of the over-80s in this country. I think that is a record to be proud of, but there is no room for complacency. We continue to work hard to get more injections in more people’s arms.
In that context, I pay tribute not just to the Secretary of State and to the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Stratford-on-Avon, but to Kate Bingham and the Vaccine Taskforce, who have done so much to make sure that this country was at the forefront of being able to purchase and deploy vaccines to help save lives. Yet, just as we accelerate the deployment of the vaccine further and faster, we must also recognise that the new variant of the coronavirus does present us with a renewed challenge.
Our strategy has always been, and continues to be, to suppress the virus to protect the NHS and save lives until a vaccine can make us safe, but with a new variant that is more than twice as transmissible, we must be clear that that task becomes considerably harder. The figures from the Office for National Statistics are stark: more than one in 50 of the UK population has the virus and an even higher proportion than that in places such as London. So, just as the virus has evolved, so must our response. We find ourselves once again in a difficult and challenging national lockdown, taking steps that I do not think anyone could have imagined in January last year—steps that, understandably, are truly testing the patience and forbearance of every person in this country but that are essential to relieve the pressure on our NHS, allow for the vaccine to be effectively deployed and, ultimately, set us free from the need for these restrictions.
Before I turn to those steps in a little more detail and the deployment of our vaccines, I am sure the whole House will, as always, join me in paying tribute to the heroic responses we continue to see from people in every walk of life. The return of the clap for carers initiative last Thursday, under the new guise of clap for heroes, is a reflection of the shift in our collective understanding of just what heroism and service look like and a tribute to everyone who is helping us push through this difficult time.
I know that my constituency neighbour, the hon. Member for Leicester West (Liz Kendall), will join me in paying tribute to and thanking everyone who works in our NHS in this country and all those who support not just the NHS but social care, in care homes, social care settings and domiciliary care—people in a range of roles up and down our country who, day in, day out, selflessly care for those who need it. In a past life, I was a local councillor, and I had the privilege of being the cabinet member for adult social care, health and public health for the council on which I served. I saw at first hand the amazing work that our social care workforce do, and it is right that we recognise that at every opportunity in this Chamber.
It is also important to highlight the great British scientists who are at the forefront of humanity’s fight against this virus, developing not only the Oxford-AstraZeneca vaccine but life-saving treatments for those who become infected with covid, first in the form of dexamethasone and now tocilizumab and sarilumab—I have considerable sympathy with the Prime Minister in his attempts to pronounce those—both of which have been found to reduce the risk of death for critically ill patients by almost a quarter and cut time spent in intensive care by as much as 10 days. Those life-saving drugs are now available through the NHS, and it is an example of the huge debt of gratitude we owe people from all walks of life—not just those on the health and social care frontline, but people who are working under very different but no less considerable pressures for our country. The Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Bury St Edmunds (Jo Churchill), who is the Minister for prevention, public health and primary care, will no doubt reflect on that when she winds up the debate.
In terms of the context, I must first turn to the pressures in our acute hospital settings. Across the UK, there are more than 32,000 patients in our hospitals with covid. That is over a third of the NHS’s available beds of all types. On 31 December last year, the total reported admission to hospital and diagnosis of covid in English hospitals was 2,536—on one day. That increased by 46% in the week that followed, so on 9 January, we were seeing 3,718 people admitted. The pressures on our acute hospitals and those who work in them are intense. Patients are therefore currently being treated in Nightingale hospitals in Manchester, Exeter, Bristol and Harrogate to cope with these numbers, and NHS England has confirmed that the Nightingale in London is also open for patients.
Last Monday, all four UK chief medical officers recommended that we move the country to covid-19 alert level 5, meaning that in their expert view, there is a material risk of healthcare services being overwhelmed. In this place, we have often talked about the most frightening of possibilities, but frankly, we have never been this close to seeing it happen, although we are all doing everything we can to ensure that the NHS continues to be able to cope during this time. Quite rightly, we have thanked our NHS staff, and people in this country have expressed gratitude and clapped them, but I think it is fair to say—echoing some of the intensive care doctors and nurses I have seen in the media recently—that the best way we can all say thank you to our NHS is to follow the rules and stay home in line with those rules, to ease the pressure on them.
That is why the choice that this House took last Wednesday to vote overwhelmingly for new regulations, placing England into a national lockdown alongside the action taken in each of the devolved nations, was the right choice. The key message is and must be as it was in the spring, as I have just enunciated: you must stay home. We have always said, and I have always been clear, that it is right that schools should be the last thing to close, and we deeply regret that we have had to close them, but as we begin to move out of lockdown, when we can safely do so—and, as the Prime Minister has promised, through the gradual loosening of restrictions when we can—schools will be the first thing to reopen.
Our regulations provide for these new restrictions until 31 March 2021. I hope that they may not be needed for as long as that, but that time allows us to take steady, controlled and evidence-led decisions, including moving places down through tiers on a local basis—again, when it is safe to do so. As you would expect, Mr Deputy Speaker, we will of course keep these restrictions under continuous review, with a statutory requirement to look at them every two weeks and a legal obligation to remove them if they are deemed no longer necessary to limit transmission of the virus.
On that point, to me, the right strategy to stop the NHS being overwhelmed seems to be to have a flexible tier system, whereby we work out whether local hospitals in each region are about to be overwhelmed; and, if they are, we go into lockdown. Does my hon. Friend understand what I am saying? Is there going to be this flexible approach, rather than this mass lockdown nationally?
I am grateful to my right hon. Friend for his intervention. With the new variant identified before Christmas, we are seeing hospital admission rates and demand for hospital services rising across our country. That is why it was absolutely right that we instituted the measures that we did, which have seen what it is effectively called a national lockdown at this time. The Prime Minister and the Secretary of State for Health have been clear that they hope, and would expect, that as we get the infection under control and ease the pressure on the NHS, when it is safe to do so we will be able to look to returning to that tiering system. Exactly as my right hon. Friend says, one of the five key factors in whether an area went up or down among the tiers was local hospital capacity—and I emphasise the “local” in that context—but, sadly, we are not in that place as we stand here and debate this matter today.
(3 years, 10 months ago)
Commons ChamberI am grateful to the hon. Lady, who is her party’s spokesperson on this issue. I entirely understand where she is coming from and the importance of trust and transparency. I set out in the statement why the move has been made to increase the tier level—the infection rates and the hospitalisation rates—and why that development needed to be arrested by these measures. I set out in response to the shadow Secretary of State the considerations that would play a part in determining the review periods when an area could start to move back down those tiers. Those things include infection rates, the impact on the NHS and hospital capacity in the area and other local factors. It is reasonable that we set out that broad approach, but also that we recognise that in some areas very specific local considerations will be driving growth of the disease and infection rates, and they may need to be taken into consideration as well.
If someone lives in Gainsborough and they want to take a test, they can go to the Lincolnshire showground, but equally they might go to Doncaster airport, if their work takes them up there and it is not much further. There is a mystery about infection rates in West Lindsey, because they are higher than all the surrounding areas, despite the fact that we have no university, we are a rural area and we have no large hospital. I suspect the figures are being corrupted because the large local testing site is at the Lincolnshire showground. Cases are probably coming in from outside and featuring in West Lindsey figures. That is important, not just for South Yorkshire but for everywhere else, because if those figures are wrong, how can we rely on them? How can we lock down areas and put businesses out of business if the figures simply do not add up?
I am not aware of any systemic issue that is seeing false data entered, but if my right hon. Friend is happy to give me more information, I am happy to look into it for him. There can, though, be other factors beyond universities or a young population. There can be a range of things in a particular area that drive a particular spike, but I am happy to look at the information he has got.