Coronavirus
Baroness Laing of Elderslie Excerpts(3 years, 5 months ago)
Commons ChamberRead Full debate Read Hansard Text Watch Debate Read Debate Ministerial Extracts
Madam Deputy Speaker (Dame Eleanor Laing)
The business of the House motion just agreed to by the House provides for motions No. 2 and No.3 on today’s Order Paper to be debated together. The question on each motion will be put separately at the end of the debate.
The Secretary of State for Health and Social Care (Matt Hancock)
I beg to move,
That the Health Protection (Coronavirus, Restrictions) (Steps and Other Provisions) (England) (Amendment) (No. 2) Regulations 2021 (S.I., 2021, No. 705) dated 15 June 2021, a copy of which was laid before this House on 15 June, be approved.
Madam Deputy Speaker
With this we shall debate the following motion:
That
(1) the Order of 2 June 2020 (Proceedings during the pandemic (No. 2)), as amended on 1 July, 2 September and 22 October 2020 and 25 March, the Order of 4 June 2020 (Virtual participation in proceedings during the pandemic), as amended on 1 July, 2 September, 22 October and 30 December 2020 and 25 March, and the Orders of 23 September 2020 (Proxy voting during the pandemic), 3 November 2020 (Proxy voting during the pandemic (No. 2)), and 25 February (Sittings in Westminster Hall during the pandemic), as amended on 25 March, shall have effect until 22 July;
and
(2) the Order of 24 March 2020 (Select Committees (Participation and Reporting) (Temporary Order)) be amended as follows:
leave out paragraph (4) and insert “(4) this Order shall have effect until 22 July 2021.”
Matt Hancock
I bring to the House these regulations to change the date of implementation of step 4 of the Government’s road map. On 8 December last year, we fired the starting gun on the race between the vaccine and the virus and started delivering a programme that has allowed us to restore so many of the precious freedoms that we cherish. In the space of just six months, we have now given first doses of coronavirus vaccines to almost four in five adults in the UK, and we have given second doses to over 30 million people. We have made such rapid progress through the cohorts that, today, we are able to extend the offer of a vaccine to anyone aged 21 and over.
Thanks to the protection of the vaccination programme, huge advances in treatments like dexamethasone, which was discovered a year ago today, and the resolve of the British people in following the rules that this House has laid down, we have been able to take the first three steps on our road map, removing restrictions and restoring colour to the nation, but we have always said that we would take each step at a time and look at the data and our four tests before deciding whether to proceed. The regulations before the House today put into effect our decision to pause step 4 on our roadmap until 19 July. Before outlining the regulations that will put this into effect, I would like to set out why we made this difficult but essential decision.
Unfortunately, there has been a significant change since we started on our journey down the road map in February. A new variant has given the virus extra legs, both because it spreads more easily and because there is some evidence that the risk of hospitalisation is higher than for the alpha variant, which was, of course, previously dominant in this country. The delta variant now accounts for 96% of new cases. The number of cases is rising and hospitalisations are starting to rise, too—they are up 48% over the past week. The number of deaths in England is thankfully not rising and remains very low, but, as I told the House on Monday, we do not yet know the extent to which the link between hospitalisations and deaths has been broken, so we propose to give the NHS a few more crucial weeks to get those remaining jabs into the arms of those who need them.
Although we are taking the steps outlined in the regulations today, and I know this is disappointing for many people, we know that science has given us a solution. We must use this time to protect as many people as we can as quickly as we can, because even though the vaccination programme has been going at a blistering pace, there are still people who we must protect.
Point of Order
Baroness Laing of Elderslie Excerpts(3 years, 5 months ago)
Commons ChamberRead Full debate Read Hansard Text Watch Debate Read Debate Ministerial Extracts
Mr Kevan Jones (North Durham) (Lab)
On a point of order, Madam Deputy Speaker. Last month, I received from a constituent some serious allegations about the conduct of individuals in the cosmetic surgery industry. The allegations involved a surgeon who had been struck off the General Medical Council register in this country, but who was conducting consultations with UK patients via Zoom, from a private clinic overseas. A separate allegation was that a doctor in the UK continued to refer patients to the struck-off surgeon, and that his services were being advertised on UK-based websites.
On 20 May, I wrote to the Minister for Patient Safety, Suicide Prevention and Mental Health, the hon. Member for Mid Bedfordshire (Ms Dorries). On 3 June, I received a direct response to my letter. Lo and behold, it was not from the Minister, but from the CEO of Transform Hospital Group, a private company. I know that it was a direct response because the CEO actually states that he had received my letter directly from the Care Quality Commission.
I take an extremely dim view of my correspondence with the Minister being passed on to a private company without my knowledge or consent. I consider that a major breach not only of confidentiality, but of my trust and that of my constituent who made the complaint in the first place. I do not think a Minister’s correspondence should ever be shared with a private company, breaking the bond of trust that we have with our constituents. I seek your advice, Madam Deputy Speaker, on how I can rectify this and ensure that it does not happen again.
Madam Deputy Speaker (Dame Eleanor Laing)
I am grateful to the right hon. Gentleman for having given me notice of his intention to raise this point of order. Mr Speaker shares his concern that sensitive correspondence appears to have been passed from the Department to a private company for a response, and Mr Speaker will be drawing this matter to the attention of the Leader of the House to ensure that these important issues are understood across Government and not only by the people who are paying attention to this particular point of order this afternoon.
The 2016 guidance produced by the Cabinet Office on the handling of parliamentarians’ correspondence goes into some detail, which I will not quote in full now, but the right hon. Gentleman is right in pointing out that that guidance says that
“departments should treat correspondence with great care to ensure that confidentiality is not broken.”
It also states that
“official replies to letters from MPs should only be authorised in exceptional circumstances”.
It would appear that guidance has possibly not been followed in this case.
I would have said to the right hon. Gentleman that I would make sure that the Minister gives an answer, but I am delighted to say that the Minister in question is here in the Chamber, so I shall call her to respond to the point made by the right hon. Gentleman.
The Minister for Patient Safety, Suicide Prevention and Mental Health (Ms Nadine Dorries)
Further to that point of order, Madam Deputy Speaker. I thank the right hon. Member for North Durham (Mr Jones) for the advance notice of his point of order, because the very short time that I have had has enabled me to do some investigation, and enabled officials to investigate, to find out what has happened.
The chronology is that the Department was passed a letter sent to me by the right hon. Gentleman on 26 May. The letter raised some very serious concerns about the conduct of a doctor working for a cosmetic-surgery provider referring UK patients for consultations with a former doctor who was struck off by the General Medical Council in August 2020 and is now based in Italy.
The right hon. Gentleman and I have had a number of conversations about the cosmetics industry and issues of this nature, so he will understand why I have taken this matter so seriously. Due to the nature of the allegations and the potential implications for patient safety—which I take very seriously, particularly when they pertain to women—my Department raised the issues set out in the letter with the GMC and it was also passed to the Care Quality Commission, which is responsible for regulating providers of cosmetic surgery in England, to enable it to consider the issues that were raised. The CQC needed to go back to the provider to find out whether the allegations were true and what had happened.
I take the complaints very seriously. I assure the right hon. Gentleman that, as he is aware—we have spoken about this—I had not even seen the letter yet myself. I can only believe that the letter was shared with the GMC and the CQC to ascertain what happened in order to inform a letter that I would then send to the right hon. Gentleman. I have yet to see the letter. I take these complaints incredibly seriously and my Department is reviewing how this information and the letter were handled and how the information was leaked. I will write to the right hon. Gentleman once our inquiries have been satisfied and, as he and I have previously discussed, I shall also write to his constituent.
Madam Deputy Speaker
I hope that the right hon. Gentleman is satisfied that the point that he has raised has been taken very seriously by the Minister. The House will be pleased to know that the Minister and her Department are taking this matter very seriously indeed, and I will happily tell Mr Speaker that that is the case.
I shall now briefly suspend the House for three minutes in order that arrangements can be made for the next item of business.
Points of Order
Baroness Laing of Elderslie Excerpts(3 years, 6 months ago)
Commons ChamberRead Full debate Read Hansard Text Watch Debate Read Debate Ministerial Extracts
Chris Bryant (Rhondda) (Lab)
On a point of order, Madam Deputy Speaker. You will recall that in 2013, the former Prime Minister set up an independent panel to investigate the failed investigations by the Metropolitan police of the horrific murder of Daniel Morgan. That independent panel was meant to be completely independent of Government. It produced its report last week. The terms of reference make it very clear that the only role that the Home Secretary has is in arranging publication of the report to Parliament. The panel thought that that would happen the next sitting day, which should have been this past Monday. For some unknown reason, the Home Office has decided to delay it. There is no guarantee when the report will be published at all.
Is there any means of our making sure that the Government publish the report and that, when it is published—I have not seen it, but it might raise very serious issues for policing and of corruption in this country—the Home Secretary comes to the House in person and makes an oral statement on the back of it?
Madam Deputy Speaker (Dame Eleanor Laing)
I thank the hon. Gentleman for having given me notice of his point of order. I can answer his main question simply by saying that I have not received any notice from the Home Office that it intends to make a statement about this matter. That does not mean that Ministers will not possibly decide to come to the Chamber next week to address the matter.
The hon. Gentleman knows that Ministers’ appearances in the Chamber are not a matter for the Chair, but he also knows that there are many ways in which he can seek to require that a Minister comes to the Chamber, and I am sure that he will pursue those lines of inquiry. I also note that those on the Treasury Bench will have taken note of what he has said and what I have said, and that those matters will be conveyed to the appropriate Ministers.
Mrs Emma Lewell-Buck (South Shields) (Lab)
On a point of order, Madam Deputy Speaker. On Monday at the Dispatch Box, the Secretary of State for Health stated:
The truth is that when we put Pakistan and Bangladesh on the red list, positivity among those arriving from those countries was three times higher than it was among those arriving from India.—[Official Report, 17 May 2021; Vol. 695, c. 430.]
However, the data he referred to, which he directed me to in the same debate, states that India’s positivity rate was 5%, Bangladesh’s was 4% and Pakistan’s was 6%, from 25 March to 7 April. It is during that two-week period that Bangladesh and Pakistan were put on the red list, so it is clear from that data that the positivity rates were not three times higher, and that in fact India’s positivity rate was higher that Bangladesh’s when Bangladesh was put on the red list. As the Secretary of State is here, Madam Deputy Speaker, can you urge him to clarify his comments?
Madam Deputy Speaker (Dame Eleanor Laing)
The hon. Lady knows that that is not a matter for the Chair. She is seeking to continue a debate or an exchange of questions and answers that occurred earlier in the Chamber—[Interruption.] The hon. Lady must not interrupt when I am answering her question. She cannot answer back.
Madam Deputy Speaker
I accept her apology. I was about to say that we are about to have a debate, and that the right time for the hon. Lady to raise these matters will be during the debate. However, I notice that the Secretary of State is at the Dispatch Box, and if he would like to deal with the matter now, I will exceptionally allow that to take place. However, I do not encourage Members to raise points of order in this sequence of events.
Matt Hancock
Further to that point of order, Madam Deputy Speaker. I thought that point might come up in the forthcoming debate, but since it has come up now, I can address the question. Of course it is important that parliamentary debates use accurate statistics, so I want to correct the hon. Lady. I can give her the statistics on which the decision was taken. The positivity rates on which we took the decision to put Pakistan, but not India, on the red list were 1.6% in India and 4.6% in Pakistan, which is three times higher, as I said.
There is a further point that is important in this debate, which is that the dates covered by the data that the hon. Lady just gave, and that were widely circulated in the media this morning, included dates after the decision was taken. It is perfectly reasonable to hold politicians to account for the data on which their decisions are taken, but unfortunately we cannot take decisions based on data that has yet to occur. I have just given the facts, and we will now be able to have a debate not only on those facts but on others. It is important that we stick to the facts.
Madam Deputy Speaker
I thank the right hon. Gentleman for his clarification of that point of order. I reiterate that points of order should not be used in this way. That was a matter for debate, and it is exceptional that I have allowed this exchange, because I recognised the matter to be exceptional and important. I do not encourage hon. Members to bring forward points of order in this way in future.
I will now briefly suspend the House in order that arrangements can be made for the next debate.
A Plan for the NHS and Social Care
Baroness Laing of Elderslie Excerpts(3 years, 6 months ago)
Commons ChamberRead Full debate Read Hansard Text Read Debate Ministerial Extracts
Madam Deputy Speaker (Dame Eleanor Laing)
I inform the House that Mr Speaker has selected the amendment in the name of the Leader of the Opposition, which will be moved at the start of the debate, and amendments (j) and (g), which will be moved at the end.
Madam Deputy Speaker
No. I can assure the hon. Gentleman that his amendment was not selected.
Jonathan Ashworth
I want to make a bit of progress. If the hon. Gentleman wanted more beds in the NHS and greater diagnostic capacity, he would have been arguing for capital investment in the NHS, which we did not get in the Budget and we did not get in the Queen’s Speech.
That brings me to diagnostic capacity—I have just given the hon. Gentleman his local diagnostic figures. [Interruption.] This is not about new hospitals; this is about diagnostic capacity. The Secretary of State knows that we still have some of the lowest numbers of computerised tomography scanners and magnetic resonance imaging scanners per capita in the OECD. We still have only average amounts of RTE radiotherapy machines. We need investment in this technology, which we are not getting in sufficient amounts. That is why, in the past year or so, we have seen 4.6 million fewer diagnostic tests for cancer. Some 46,000 fewer people are starting cancer treatment. We should not have to choose between covid care and cancer care, but, for too many, that has been the reality of the past year, and it means that 4,500 additional avoidable cancer deaths are expected in the next 12 months. It means that progress in survival rates for colorectal cancer, breast cancer and lung cancer is expected to be undone. The proportion of cancers diagnosed while still highly curable has dropped from 44% to 41%.
The long-term plan, on which the Secretary of State fought the election, promised rapid action on cardiovascular disease. Experts now predict the highest cardiovascular mortality in a decade, and they predict 12,000 additional heart attacks and strokes over the next five years. The Queen’s Speech needed to include proposals to expand access to the appropriate cardiovascular healthcare facilities, but it also needed to include real interventions to tackle smoking and alcohol rates, and to reduce salt intake. Yes, there is a commitment to a tobacco control plan, but will there be a reversal of the 17% cuts to smoking cessation services? Given that 7,400 people died last year from alcohol abuse—a record number—will the Secretary of State reverse the cuts to drug and alcohol addiction services, with budgets being cut by 15% over the past three years?
We have been promised action, again, on banning junk food advertising, but when? I have heard the Secretary of State—and, to be fair, his predecessor—make that promise at the Dispatch Box many, many times, but when will we have the ban? When will he reverse the cuts to public health weight-management services?
Narrowing health inequalities should be at the heart of every Government policy, but there can be no levelling up while life expectancy advances stall for the poorest in society. Levelling up and tackling inequalities apply to mental health outcomes as well. More people suffer from depression in the poorest areas of the country than the richest. We know that the mental health problems are prevalent among certain minority ethnic communities —black men, in particular, are more likely to be detained under the Mental Health Act 1983, more likely to be subjected to seclusion or restraint, and less likely to access psychological therapies. We therefore welcome the commitment to reform the Mental Health Act, as we welcomed it last year, and I look forward to working constructively with the Secretary of State on reforming the Act. I would like to put on record my thanks to Sir Simon Wessely for his pioneering work on this front. Simon is a committed Chelsea fan, so I dare say that he will be more responsive to my felicitations this morning than he might have been on Saturday evening.
We face a crisis in mental health now, and we need action now. Two hundred and thirty five thousand fewer people have been referred for psychological therapies; eating disorder referrals for children have doubled; and the pandemic—again, because of infection control measures —has meant a reduction of almost 11% in beds occupied, which is equivalent to 1,700 fewer patients over the past three months compared with a year earlier. When will the Government implement their promise of significant increases in staff and resources for mental health, to ensure that mental healthcare is genuinely given parity of esteem with acute services?
That brings me to staffing more generally. Given that we are short of 200,000 staff across the health and social care sector, why was there nothing new in the Queen’s Speech to recruit more doctors, nurses and social care staff? Why was there no plan to give our NHS staff the pay rise that they deserve? NHS staff, including nurses who have cared for those with covid on wards, and district nurses who, in the first wave, cared for those who were discharged from hospital earlier than planned so that they could stay at home safely, have gone above and beyond, yet they feel that the 1% pay rise, which could well turn out to be a real-terms cut because of inflation, is a kick in the teeth. Is it any wonder that nurses are leaving the profession, including the nurse who cared for the Prime Minister, blasting Ministers for treating NHS workers with a total lack of respect? It is simply not fair. Our NHS staff deserve better.
The gaping hole in the Queen’s Speech is the plan for social care. Two years ago, the Prime Minister stood on the steps of Downing Street and said he had a plan to fix social care. He said:
“we will fix the crisis in social care once and for all with a clear plan we have prepared to give every older person the dignity and security they deserve.”
It was not a plan to be developed, or work in progress; no, this was a plan that was already done—oven-ready, you might say, Madam Deputy Speaker. But two years on, where is it? Has the Health Secretary seen it? What do we need to do to see it—perhaps we could pay for some cushions in the Downing Street flat? The Government promised us cross-party talks. They now brief that cross-party talks have taken place, but when—did they forget to send the Zoom link?
However, there is a consensus on social care, isn’t there? Care workers should be paid the living wage and proper sick pay. There should be a cap on costs, as this House legislated for. When the Institute for Public Policy Research, social care and older people’s charities and a House of Lords Committee, which, at the time, consisted of true-blue Thatcherites such as the noble Lords Lamont and Forsyth, have all called for reform of free personal care, why is the Secretary of State not engaging in that debate with us? To be frank, though, lack of cross-party talks is not an excuse for not getting on with reform. A Prime Minister with an 80-seat majority should be able to show some leadership and get on and fix social care.
If the Health Secretary wants to talk social care reform, I am free this afternoon. He knows where I am. I am happy to sit down with him at any time and discuss it. I think we would have very constructive conversations on this one, because it is true to say, as Members have detected, that we have developed something of a bond these past 12 months. The Health Secretary has been so friendly to me across the Dispatch Box that I am half expecting to win a lucrative PPE contract by the end of the day.
Because we have this new friendship, I have, as we say on the Labour Benches, some comradely advice for the Health Secretary. I know he is bringing forward a Bill to neuter the independence of the NHS chief executive and bring powers back to the Secretary of State. I have been around a long time and I remember when Tory MPs used to complain that the NHS needed independence, but we will leave that to one side. I just suggest that he ought to be careful what he wishes for, because I have been reading the Evening Standard, where Mr Tom Newton Dunn reveals not only that Simon Stevens, whom the Secretary of State is trying to neuter, was best man at the Prime Minister’s wedding, but that the Prime Minister is said to be about to appoint Simon Stevens—I beg your pardon, Lord Simon Stevens—to, yes, you guessed it, the newly empowered post of Secretary of State for Health and Social Care. It brings a whole new meaning to the phrase, “the best man for the job”, doesn’t it? But this is a Secretary of State who set up Test and Trace, who was responsible for PPE procurement and who failed to protect care homes. Dominic Cummings said the Department under his leadership was a “smoking ruin”—and now he wants more control.
The Queen’s Speech was remarkably unspecific in its description of the contents of the coming health and social care Bill, so perhaps the Secretary of State can reassure us today. Can he commit to ensuring that neither the NHS nor the partnership force to be set up in each integrated care system will permit the inclusion of private sector participants? Will he rule that out? Can he guarantee that as statutory bodies ICSs will meet in public, publish board papers and be subject to the Freedom of Information Act 2000? What guarantees can he give this House that the establishment of integrated care systems will not lead to more private corporations taking over GP practices, as has happened recently with Centene, or services currently delivered by NHS providers? I hope he can give us those very simple reassurances today.
With nearly 5 million people on the waiting lists and rising, ever-lengthening queues in our constituencies waiting for hip replacements and cataract removals, cancer survival rates worsening, mental healthcare in crisis, social care reform kicked into the long grass, and a costly, morale-sapping reorganisation on the way, we needed a fully resourced 10-year rescue plan for our NHS. I commend our amendment to the House.
Madam Deputy Speaker (Dame Eleanor Laing)
Order. At the beginning of this debate, I fear it was not quite clear which other amendments had been selected by Mr Speaker. I have now had an opportunity to look at my notes on my Order Paper. For the sake of clarity, let me tell the House that Mr Speaker has not selected amendment (e) in the name of Mr Bryant, as I predicted earlier. He has selected amendment (g) in the name of the hon. Member for Walthamstow (Stella Creasy), the right hon. Member for Haltemprice and Howden (Mr Davis) and others. He has also selected amendment (i) in the name of the leader of the Scottish National party.
I remind hon. Members that, although their contributions should address the terms of these amendments, it is in order for them also to refer to other matters relevant to the Gracious Speech.
Matt Hancock
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.
Madam Deputy Speaker (Dame Eleanor Laing)
It might be helpful for the House to know that the initial time limit on Back-Bench speeches will be five minutes, and in that cohort of five-minute speeches we have two maiden speeches this afternoon. I can see the hon. Member for Twickenham (Munira Wilson) looking at her notes, and I am sorry to have to say that when we come to her and those after her on the list, the time limit will reduce to three minutes. [Interruption.] She is taking it very well. [Laughter.] Now we go by video link to Dr Philippa Whitford.
Alcohol Products: Labelling
Baroness Laing of Elderslie Excerpts(3 years, 7 months ago)
Commons ChamberRead Full debate Read Hansard Text Read Debate Ministerial Extracts
Jim Shannon
I thank the Minister for outlining very clearly a strategy to address the issues that the hon. Gentleman is referring to. Minister, I know that it is not technically your responsibility, but I think perhaps—
Madam Deputy Speaker (Dame Eleanor Laing)
No, please, the hon. Gentleman cannot disappoint me like this. He cannot say “you” to the Minister.
Jim Shannon
Apologies, Madam Deputy Speaker. One massive issue has been the promotion of drink at cheap prices so that people can get drunk cheaper. Would the Minister be sympathetic to discussing this issue with the industry—the Portman Group has been referred to—to try to address it?
Coronavirus
Baroness Laing of Elderslie Excerpts(3 years, 8 months ago)
Commons ChamberRead Full debate Read Hansard Text Read Debate Ministerial Extracts
Madam Deputy Speaker (Dame Eleanor Laing)
We now come to motion 2, on public health, which, with the permission of the House, we will debate with motions 3 to 5.
Before I call the Secretary of State to move motion 2 and speak to the other motions, I can confirm that Mr Speaker has not selected any of the amendments. I should also mention that there will be a limit on Back-Bench speeches not of three minutes initially, but of four minutes.
The Secretary of State for Health and Social Care (Matt Hancock)
I beg to move,
That the Health Protection (Coronavirus, Restrictions) (Steps) (England) Regulations 2021 (S.I., 2021, No. 364), dated 22 March 2021, a copy of which was laid before this House on 22 March, be approved.
Madam Deputy Speaker
With this we shall discuss the following:
Motion 3—Coronavirus Act 2020 (Review of Temporary Provisions) (No. 2)—
That the temporary provisions of the Coronavirus Act 2020 should not yet expire.
Motion 4—Coronavirus Act 2020 (One-year Status Report)—
That this House has considered the one-year report on the status on the non-devolved provisions of the Coronavirus Act 2020.
Motion 5—Proceedings during the Pandemic (No. 6)—
That the Order of 2 June 2020 (Proceedings during the pandemic (No. 2)), as amended on 1 July and 22 October 2020, the Order of 4 June 2020 (Virtual participation in proceedings during the pandemic), as amended on 1 July, 2 September, 22 October and 30 December 2020, the Order of 3 November 2020 (Proxy voting during the pandemic (No. 2)) and the Order of 25 February (Sittings in Westminster Hall during the pandemic) shall have effect until 21 June.
Matt Hancock
Over the past year, we have all been engaged in a monumental national effort to fight coronavirus, which has required the House to take extraordinary measures in response to this extraordinary threat. Today, we debate our road map to recovery and what is legally needed to take the cautious but irreversible path out of this pandemic. We propose to remove some of the emergency powers that the House put in place a year ago and set the steps of the road map that my right hon. Friend the Prime Minister has set out into law, replacing the existing national lockdown. We are able to take this action and propose these measures thanks to the perseverance of the British people in following the rules and the success story that is our UK vaccination programme, which has now vaccinated more than 28.6 million people—55% of all adults in the United Kingdom.
Hospitalisations are now at their lowest point since September and are down 90% since the peak. To put this into context, there are today just over 5,000 people in hospital with covid. At the peak, just two months ago, there were just under 5,000 new admissions with covid each day. Deaths are now at their lowest point since October and they are down 94% since the peak. The research published today shows that our vaccination programme has already saved the lives of more than 6,000 people across the UK, up to the end of February.
The success of the vaccination programme means that we are now able to carefully replace the short-term protection of the restrictions that we have all endured, with the long-term protection provided by the vaccine. Our goal is to be cautious yet irreversible. I must tell the House, Madam Deputy Speaker, that while I am still, by nature, an optimist, there remain causes for caution. Cases are rising in some areas and they are rising among those under 18. There are early signs of cases flattening among the working-age population, too.
I am delighted that uptake of the vaccine is now 95% among over-60s and that protection against dying from the vaccine is around 85%. Both of those figures, 95% uptake and 85% protection, are higher than we could have hoped for, but while we are confident that we have broken the link between the number of cases and the hospitalisations and deaths that previously inevitably followed, no vaccine is perfect and take-up is not 100%, so that link, while broken, is not yet severed.
New variants also remain a risk because we do not yet know with confidence the impact of the vaccine against the new variants. We all want these next few months to be a one-way route to freedom, so as we restore the freedoms that we all cherish, we must do so in a way that does not put our NHS at risk.
Botulinum Toxin and Cosmetic Fillers (Children) Bill
Baroness Laing of Elderslie ExcerptsFriday 12th March 2021
(3 years, 8 months ago)
Commons ChamberRead Full debate Botulinum Toxin and Cosmetic Fillers (Children) Act 2021 View all Botulinum Toxin and Cosmetic Fillers (Children) Act 2021 Debates Read Hansard Text Read Debate Ministerial Extracts Amendment Paper: Consideration of Bill Amendments as at 12 March 2021 - (12 Mar 2021)
Sir Christopher Chope (Christchurch) (Con)
I beg to move amendment 1, page 3, line 29, leave out clause 5.
Madam Deputy Speaker (Dame Eleanor Laing)
With this it will be convenient to discuss amendment 2, in clause 6, page 3, line 38, leave out from “force” to end of subsection and insert “on 1 October 2021”.
This amendment will incorporate into the Bill the guidance for policy makers issued in August 2010 that there should be two common commencement dates each year, one of which is 1st October, for the introduction of changes to regulations affecting businesses.
Sir Christopher Chope
Amendment 1 stands in my name and the names of my hon. Friends the Members for Wellingborough (Mr Bone) and for Shipley (Philip Davies).
The purpose of amendments 1 and 2 is to try to address the quality of the legislation that we produce in this House. Using clauses as a means of giving the power to change a whole mass of other legislation has long been a bugbear of mine and is exactly what clause 5 does, which is why the Bill would be better without it. I know that, inevitably, the response from the Government on these issues is always, “Oh, well, this is belt and braces and it will save time in the future because we won’t have to bring forward fresh legislation or statutory instruments in order to cover scenarios that we have not yet thought about.” It seems to me that the case has not been made, which is why I have moved amendment 1.
Amendment 2 is a similar provision to the one on which I was briefly trying to engage the Under-Secretary of State for Education, my hon. Friend the Member for Chichester (Gillian Keegan), when we were discussing the Education and Training (Welfare of Children) Bill. The Minister would not engage with me because she felt that that Bill was a deregulatory Bill—she was probably right—and that, therefore, this provision did not really apply. None the less, the purpose of this is to try to ensure that there should be two common commencement dates each year for regulations that impact on businesses, and that one of those should be 1 October, because that seems to be closest to the time when this Bill will be implemented, so that is the date that I have chosen. Perhaps the Minister will be able to give me an assurance that it is indeed the Government’s policy to deregulate and reduce the regulatory burden on businesses and individuals, and to reassert that the Government accept the virtue of having two days each year that might be described as regulatory days, because that will not only facilitate the effectiveness of our legislative process, but make it much easier for those who are impacted on by our legislation to respond and prepare for it. That is why I moved amendment 1 and have spoken to amendment 2.
Covid Contracts: Judicial Review
Baroness Laing of Elderslie Excerpts(3 years, 9 months ago)
Commons ChamberRead Full debate Read Hansard Text Read Debate Ministerial Extracts
Urgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
Matt Western (Warwick and Leamington) (Lab)
As they say, if it smells of fish, it is fish, but in this case it is like Billingsgate market. When it comes to Government contracts, someone is 10 times more likely to get one if they have a Government contact. The protocols are clear, as the Supreme Court confirmed, and the Health Secretary acted unlawfully in not revealing the details of contracts with his pub landlord, a hedge fund in Mauritius or the jeweller in Florida, yet there was insufficient PPE available in our social care system. As the NAO said, it was 10% of what was required. For our frontline health workers, there was just not enough FFP3. The Minister says that trust is vital, but is it not the truth that Ministers’ mates and their suppliers in China have been favoured in supplying PPE over UK companies such as Tecman and Contechs in my constituency?
Madam Deputy Speaker (Dame Eleanor Laing)
Order. That was a very long speech. I do not want the hon. Gentleman to create a precedent.
Edward Argar
I am grateful to the hon. Gentleman for his initial analogy. He made a couple of points there. I believe—this is from memory, so forgive me if I am slightly out, and I will correct the record if I am—that around 90% of those bids that came through the high-priority lane were rejected. They were carefully assessed by civil servants against the eight stages of the procurement process set up to ensure that due diligence was followed.
The hon. Gentleman raised a very specific point, which I want to address, because he talked in his question not just about NHS trusts, but quite rightly about those working on the frontline in social care settings and the PPE they needed. He quotes accurately, if my recollection is correct, from the NAO report. One of the factors here was that traditionally, social care settings are private businesses in most cases and procured their PPE directly in private contracts with their suppliers. That is one of the reasons why, as I mentioned in my opening remarks, during the early phase of the pandemic we moved from supplying 226 trusts with PPE to making that service available to 58,000 or so settings to get PPE to social care. That was a reflection of the Government’s commitment and work to make sure that we could use centralised procurement and centralised supply to help support the social care sector get what it needed.
Edward Argar
I thank my hon. Friend. He is absolutely right. Getting PPE to the frontline, procuring what we needed and getting it delivered was the absolute priority. As I have expressed throughout my remarks, I recognise that transparency is hugely important, and we will supply the court with the further information it needs. As the judge said, we are now virtually in complete compliance, and we will continue to work hard to ensure we comply with the requirements under regulation 50 and the other requirements of the Public Contracts Regulations 2015.
Madam Deputy Speaker (Dame Eleanor Laing)
I will now briefly suspend for a few minutes in order that arrangements can be made for the next item of business.
Covid-19
Baroness Laing of Elderslie Excerpts(3 years, 9 months ago)
Commons ChamberRead Full debate Read Hansard Text Read Debate Ministerial Extracts
Tulip Siddiq (Hampstead and Kilburn) (Lab) [V]
Madam Deputy Speaker, I am sure you will agree that the success of the vaccine roll-out has been a beacon of hope at the darkest of times. However, as of 11 February of this year, when 88% of white people aged over 70 had received the first dose, just 57% of black people had been jabbed, despite being twice as likely to get covid-19. People from south Asian communities are also more at risk, yet vaccine coverage for them was 15% lower than for white people. Shockingly, ethnicity has so far been the biggest factor in determining the likelihood of someone receiving a vaccine if they have been offered one.
As shocking as that has been, it should not come as a surprise to anyone in the House. In a speech to the Chamber last November, I pointed out that of those taking part in vaccine trials just 0.5% were from BAME backgrounds, especially black African and Caribbean backgrounds, with 4% from Asian communities. I warned of the danger that that trend could be replicated in a vaccine roll-out and urged rapid action to improve confidence in the vaccine. Unfortunately, my worst fears have been realised. I have been volunteering at a vaccination centre in Camden in my constituency. Of the hundreds of people coming in for a jab, I could count the number of people from BAME communities on one hand, despite the fact that 35% of Camden’s population is BAME.
Last year, I urged the Government to lead a co-ordinated, comprehensive effort to tackle anti-vaccine misinformation and build confidence, involving BAME health workers, leaders, community organisations and charities, and using communication channels that BAME people are more likely to use and trust. Sadly, that has not happened on the scale that is necessary. It has been largely left to local communities to do that engagement.
As the Prime Minister set out today, one of the conditions for easing lockdown is the successful roll-out of the vaccination programme. I am personally very worried about the potential consequences of relaxing lockdown on the basis of positive top-line figures on vaccination that mask very low take-up in some groups of the community. If restrictions are relaxed before there is widespread vaccine coverage, there is a serious danger that the virus could rip through BAME communities where the likelihood of infection and death from covid is already much higher.
I have a few questions for the Minister. Are the Government taking into account the ethnic breakdown of vaccination data in determining whether lockdown will be lifted? Why, when we have been warning about it for months, was the UK’s vaccine take-up plan published only this month? Why are MPs being contacted only now about how they can help to tackle misinformation? What specific additional support will be available for councils to run programmes to tackle misinformation among BAME communities? Which BAME community leaders—
Madam Deputy Speaker (Dame Eleanor Laing)
Order. I have allowed the hon. Lady rather longer than her three minutes, but I am afraid I have to stop her now.
Joy Morrissey (Beaconsfield) (Con) [V]
I welcome the Government’s decision to prioritise the reopening of schools on 8 March, and that should mean that every child is back in school. According to a study by Co-SPACE and the University of Oxford, there has been overwhelming harm to children from lockdown restrictions and school closures, particularly to their mental health. Child abuse reports to the NSPCC have risen by 79%, and anxiety and depression have increased substantially, as have self-harm, eating disorders and thoughts of suicide, according to the Royal College of Paediatrics, Ofsted and Reachwell. Even when the country was being bombed during world war two, schools remained open. We have no historical precedent for the damaging effect that school closures have had on our children’s education and future.
Since parents have had to shoulder much of the responsibility for teaching during the pandemic, please will the Government commit to consulting representatives of parents’ and children’s groups, as well as teachers and unions, to develop detailed plans for our children to catch up on a lost year of education? Only parents know the full extent of the damage that this lockdown has inflicted on our children, and parents’ voices and parental choice need to be prioritised. We need to be prepared to consider radical options, including summer learning camps and even giving parents the choice to allow their child to repeat the whole academic year.
I urge all MPs to meet parents’ groups—including, for example, UsforThem—to hear about the damaging effects of lockdown and why it is essential for children to return to school. In that parent group, one parent in particular has shared her story with MPs, telling of the emotional and psychological effects the lockdown has had on all her children. She begged MPs to consider the long-term mental health consequences of the lockdown. One of her children developed Tourette’s syndrome in the first lockdown, and this weekend that same child tried to take their own life. They did not want to live in a world under lockdown any more, and at the A&E, the attending physician said that they were seeing an increase in children presenting with mental health disorders during this lockdown. She asked me to share her story today because it is important that parents speak out on behalf of their children and the effects that this lockdown has had.
Depending on the level of trauma, particularly for primary schoolchildren during the pandemic, some children will lose their speech and language ability altogether. We saw this during the first lockdown. Children from every background will be manifesting signs of extreme stress and anxiety upon their return to school, such as obsessive compulsive disorder, eating disorders, anger, aggression and self-harm. I urge that schools in England be given additional funds, ring-fenced, for mental health support for children and for increased levels of teaching staff to help to provide mental and emotional support for children.
Finally, every school I have spoken to during the pandemic has begged the Government and media to stop their negative reporting of the pandemic—
Madam Deputy Speaker (Dame Eleanor Laing)
Order. I have allowed the hon. Lady to exceed her time in the hope that she was going to conclude, but I am afraid that I have to stop her there.
Covid-19 Update
Baroness Laing of Elderslie Excerpts(3 years, 9 months ago)
Commons ChamberRead Full debate Read Hansard Text Read Debate Ministerial Extracts
Matt Hancock
A new arrival to the UK who has been in a red-list country in the past 10 days and who is not a resident of the United Kingdom or Ireland or a UK citizen will be denied entry and held in hotel quarantine until they can return to the country from which they arrived.
Madam Deputy Speaker (Dame Eleanor Laing)
I am endeavouring to ensure that everyone on the list gets a chance to ask a question, but they will not do so if we do not speed up a bit, because we have a lot more business to come—[Interruption.] No, I do not criticise the Secretary of State. If he is asked complicated questions, he has to give complicated answers, so let us have quick and simple questions, then we can have quick and simple answers.
Jack Brereton (Stoke-on-Trent South) (Con) [V]
May I join my neighbouring north Staffordshire colleagues in thanking our health workers for the amazing job they have been doing in rolling out the vaccine? Will my right hon. Friend join me in encouraging everyone in Stoke-on-Trent who is in priority groups 1 to 4 to get an appointment and get their jab before 15 February?
Apsana Begum (Poplar and Limehouse) (Lab) [V]
Last week, the London director of Public Health England, Professor Kevin Fenton, said that London’s Asian communities have been the hardest hit by the covid-19 second wave. It is being felt deeply in my constituency, and I pay tribute to those on the frontline in my constituency who have been helping to drive up the vaccine uptake, and those serving in our mortuary and funeral services. I am sure the Secretary of State agrees that the Government need to learn quickly from the impact of the first and second waves on minority communities, but that must be informed by evidence, especially to ensure the effectiveness of any strategy to deal with vaccine hesitancy. Will he and his colleagues ensure that data about the vaccine roll-out and mortalities in the second wave is published regularly in a meaningful format and disaggregated by ethnicity?
Madam Deputy Speaker (Dame Eleanor Laing)
Order. Before I call the Secretary of State to answer the question, I give notice that we ought to be stopping this statement now, but I have seven more people who wish to get in. Can you please just cut your bits of paper in half and ask a question? It is not fair to everybody else, and the people who are sitting at home are not getting the atmosphere. We have got to do this quickly. We do not need speeches, just questions. If people take more than 20 seconds, I will cut them off.
Paul Bristow (Peterborough) (Con) [V]
The ministerial team and our NHS have done a phenomenal job of vaccinating our most vulnerable and our frontline health and social care workers, but my right hon. Friend—
Madam Deputy Speaker (Dame Eleanor Laing)
Order. We have had that bit. We just need the question.
Paul Bristow
My right hon. Friend will be aware that autistic people and those with learning disabilities are vulnerable to covid-19, with a death rate 4.1 times higher than the general population. Will the Secretary of State use his influence to make sure that the Joint Committee on Vaccination and Immunisation properly considers the right time for autistic people to be prioritised for vaccination?
Madam Deputy Speaker (Dame Eleanor Laing)
There —we did it, and only seven minutes over time. I thank everybody for going relatively fast, and especially the Secretary of State, who has answered 60 questions, which is pretty good going.