Covid-19

Baroness Laing of Elderslie Excerpts

Thursday 22nd October 2020 Commons Chamber

[Kate Osborne (Jarrow) (Lab)]

I pay tribute to the health and social care workers, education and childcare workers, those working in the food supply chain, local government, civil servants, utility workers, food bank workers and everyone in my constituency who is fighting in my constituency of Jarrow and across the country day in, day out in the fight against this virus.

I am sorry to say, however, that it seems to me that, on just about every measure, the Government are losing control and, sadly, we are going backwards in this fight. This lack of control has seen the Government resort to treating the north of England as some sort of sick experiment this week. It is beyond belief that now, because London has moved into tier 2, the Chancellor has rejigged his support package and now gone some way in addressing what we in the north have been asking for for weeks. Previously, it fell on deaf ears. Why did it take London going into tier 2 for this to happen when areas like my constituency of Jarrow in the north-east have been in similar restrictions for many weeks? This has come far too late for some and is no consolation for those who have already been made redundant or for businesses that have already closed. Significant economic damage has already been done. The new support will help going forward, but we still need a bold strategy to level up our region to stop covid from further increasing existing inequalities.

Now let us have a look at the money wasted by this Government. We have seen £108 million for a PPE contract going to a firm that is best known for making sweets—it has certainly left a bitter taste in my mouth—and £12 billion for a private track-and-trace system that is now reaching fewer than 60% of close contexts. The only people benefiting are Dido Harding and her Tory mates. With the constant changes in guidelines and restrictions, we are going round in circles. The Government must listen to Labour’s call for a national two to three-week circuit breaker that will give us a chance to fix testing, protect our NHS, and save livelihoods.

Moreover, the Government’s new plans for the job support scheme are still not enough. People on low wages are already struggling, and today’s announcement still leaves many to fall through the cracks. It is still not as generous or as well targeted as others, like the German scheme, and other European countries extended their furlough schemes through to next year months ago, giving certainty and clarity—and those schemes are not dependent on tiers. We must remember that the cost of living in England is much higher than in our European counterparts. We have the highest rents in Europe and pay some of the highest bills for our gas and electricity, so receiving a fraction of what is an already low wage is pushing many further into poverty. Renters who are struggling financially can now, of course, be evicted.

The Government need to stop jumping from one announcement to another. Businesses need to be able to plan in order to survive, and the Government need to stop their haphazard approach. If the Government had had a clear plan from the start, then we would not be where we are now. The Government must change tack, as well as moving to a circuit breaker. They must ditch the proposed job support scheme and extend the 80% minimum furlough scheme across the country. The confusion in the Minister’s eyes says it all. The Government have lost control of the virus and lost control of the message, and they are now completely ignoring the scientific advice from SAGE. My constituents and those across the country deserve better.

[Madam Deputy Speaker (Dame Eleanor Laing)]

The last speaker from the Back Benches will be Greg Smith. I know that many Members who have waited to speak this afternoon will be disappointed, as quite a large number have not been called. I must point out that all the people who have not been called are those who have spoken many times in recent weeks. I am sure that a little arithmetic will show that with the number of Members there are, 650, and with the amount of time that we have to debate every day, which is eight hours, it is actually not possible for most Members of Parliament to make more than one speech in a week or several speeches in a month. It is not possible and it is not normal.

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[The Minister for Patient Safety, Mental Health and Suicide Prevention (Ms Nadine Dorries)]

As my right hon. Friend the Secretary of State and others have made clear during this debate, although so much has been done to get this virus under control, the fight is not over. I thank all the Members who have spoken in this debate. It is clear that this pandemic has had a huge effect on everyone’s constituents, across the country. I wish to start by paying tribute to all the hard work of NHS workers, social care staff and volunteers throughout the pandemic. I also pay tribute to the British public for the sacrifices they have made to help us combat coronavirus and for observing the essential social distancing measures that have kept us all safe. Thanks to that hard work, we are able to protect the NHS, just as it is always there to protect us. As my right hon. Friend said, this has been an incredible national effort, and we are seeing the increasing effects of it today in the compliance with social distancing, particularly among young people, which is helping us very much to slow down the progression of the virus.

I wish briefly to outline to the House a few further areas to those set out by the Secretary of State where we have strengthened our response. I will go through these quickly because I want to answer some of the points raised today. We know that we have delivered more than 4.2 billion items of PPE since last February, and our adult social care winter plan, published in September, sets out the actions for the Government and every local care provider.

I want to get straight on to some of the points that have been raised, because some really important issues have been discussed today. I cannot mention everybody and every point, but some people will definitely be receiving a letter from me, particularly the hon. Member for Twickenham (Munira Wilson). I will write to you and answer your points, because you are always very constructive in the way you ask for information and I will make sure you get that information. The hon. Member for Rhondda (Chris Bryant) made the best speech I have ever heard you make in this House—

[Madam Deputy Speaker (Dame Eleanor Laing)]

Order. I am going to stop the Minister. I let her do it once; she called the hon. Member for Twickenham “you” and now she is calling the hon. Member for Rhondda “you”. Please call him “the hon. Gentleman”.

[Ms Dorries]

I do apologise, Madam Deputy Speaker, it is because I have not been here very often lately.

The hon. Gentleman made one of the best speeches I have heard him make in this House, probably because he agreed with every word I have been saying—indeed, I almost ripped up this speech. I applaud him for some of the comments he made.

Botulinum Toxin and Cosmetic Fillers (Children) Bill

Baroness Laing of Elderslie Excerpts

2nd reading & 2nd reading: House of Commons
Friday 16th October 2020 Commons Chamber

[David Johnston (Wantage) (Con)]

Is my hon. Friend aware that during lockdown, although clinics were supposed to be closed, Save Face received 179 complaints—

[Madam Deputy Speaker (Dame Eleanor Laing)]

Order. As a matter of course, the hon. Gentleman must not face the hon. Member for East Surrey (Claire Coutinho) when he is speaking. He has to face the Chair. [Interruption.] Ah, now I can see who he is.

[David Johnston]

Is my hon. Friend aware that during lockdown, although clinics were supposed to be closed, Save Face received 179 complaints from people who had undergone procedures, 80 of which were about illicit, botched procedures that resulted in swelling, bruising and uneven lips. Does she agree that that underlines the problems in the industry and why it needs more regulation?

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[Dr Evans]

rose—

[Madam Deputy Speaker (Dame Eleanor Laing)]

Order. Just before the hon. Gentleman answers that point, let me explain something. I am using this morning as a sort of tutorial on how the Chamber ought to be run. As the hon. Gentleman said, this is the first time he has been able to speak without a time limit, and I try not to interrupt when we are under pressure with time limits. The hon. Member for Hastings and Rye (Sally-Ann Hart) cannot say “yourself” to the hon. Gentleman, because in that she is addressing not the hon. Gentleman but the Chair—not even the person in the Chair but the Chair. That is a really important principle, and we do not want it to be lost in these unusual times.

[Dr Evans]

Thank you, Madam Deputy Speaker.

I absolutely agree with my hon. Friend. The differentiation between medical and aesthetic is really important. This is all about accountability, which is the key part of the Bill. There are the good uses that we have talked about, but there are complications as well. Unfortunately, in my practice I have seen those complications. I have had patients come to me who have had botox, and it has created an asymmetry in the face. Fortunately, it lasts only for six months, but that is a long time to sit with a face that a person is not happy with. More concerningly, I have seen patients who have come in with lip fillers that have gone wrong. The lesser side is the bruising and swelling, which will usually go after the first two weeks, but fillers can also become clumpy, with uneven lumps and bumps within the lips. Worse still, I have seen necrosis, which is dying of the tissue, where the lip filler starts to come out. That is absolutely devastating for the person suffering, and there is no accountability or anything to allow them to find out how to get that corrected.

Local Contact Tracing

Baroness Laing of Elderslie Excerpts

Wednesday 14th October 2020 Commons Chamber

[Madam Deputy Speaker (Dame Eleanor Laing)]

I inform the House that Mr Speaker has selected the amendment in the name of the Prime Minister.

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[Rachel Reeves]

I will make some progress and conclude to give others time to speak.

Ten years of austerity, fragmentation and privatisation have left our country less resilient to face a pandemic like this. Public health budgets have been slashed by cuts from central Government. Sustained new investment is needed to rebuild our public services during this crisis and beyond. The Government have squandered enormous sums of money on a centrally dictated outsourcing model, and Ministers should hang their heads in shame because it has failed.

The consequence of this failure means we are not getting the virus under control after months of sacrifice by the British people, so my message today is simple: sack Serco and give those resources to local councils, save lives, protect livelihoods and learn these lessons before it is too late.

[Madam Deputy Speaker (Dame Eleanor Laing)]

Before I call the Minister to respond, I give notice that we will start with a time limit of five minutes for Back-Bench speeches, and it is likely to be reduced quite soon.

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[Several hon. Members rose—]

[Madam Deputy Speaker (Dame Eleanor Laing)]

Order. I am afraid I have to reduce the time limit to three minutes—[Hon. Members: “Three minutes?”] Yes, because the debate ends at 7 o’clock. Members should not be surprised because they can see the call list. I call Dawn Butler.

Public Health: Coronavirus Regulations

Baroness Laing of Elderslie Excerpts

Tuesday 13th October 2020 Commons Chamber

[Madam Deputy Speaker (Dame Eleanor Laing)]

The business of the House motion that the House has just agreed to provides for motions 3 to 9 on today’s Order Paper to be debated together, but I assure the House that the Question will be put separately on each motion 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, Local Covid-19 Alert Level) (Medium) (England) Regulations 2020, (S.I., 2020, No. 1103), dated 12 October 2020, a copy of which was laid before this House on 12 October, be approved.

[Madam Deputy Speaker (Dame Eleanor Laing)]

With this we shall take the following motions, on public health:

That the Health Protection (Coronavirus, Local Covid-19 Alert Level) (High) (England) Regulations 2020, (S.I., 2020, No. 1104), dated 12 October 2020, a copy of which was laid before this House on 12 October, be approved.

That the Health Protection (Coronavirus, Local Covid-19 Alert Level) (Very High) (England) Regulations 2020, (S.I., 2020, No. 1105), dated 12 October 2020, a copy of which was laid before this House on 12 October, be approved.

That the Health Protection (Coronavirus, Collection of Contact Details etc and Related Requirements) Regulations 2020 (S.I., 2020, No. 1005), dated 17 September 2020, a copy of which was laid before this House on 17 September, be approved.

That the Health Protection (Coronavirus, Restrictions) (Obligations of Hospitality Undertakings) (England) Regulations 2020 (S.I., 2020, No. 1008), dated 17 September 2020, a copy of which was laid before this House on 17 September, be approved.

That the Health Protection (Coronavirus, Restrictions) (Obligations of Undertakings) (England) (Amendment) Regulations 2020 (S.I., 2020, No. 1046), dated 26 September 2020, a copy of which was laid before this House on 28 September, be approved.

That the Health Protection (Coronavirus, Restrictions) (No. 2) (England) (Amendment) (No. 5) Regulations 2020 (S.I., 2020, No. 1029), dated 24 September 2020, a copy of which was laid before this House on 24 September, be approved.

[Matt Hancock]

Two weeks ago, I pledged to the House that for significant national measures we will consult Parliament in advance of their coming into force wherever possible, and today we deliver on that commitment with votes tonight on national measures to slow the spread of coronavirus. This pandemic remains a formidable threat. Our strategy is to suppress the virus, supporting the economy, education and the NHS, until a vaccine makes us safe, and I must report to the House that the number of cases of coronavirus has quadrupled in the last three weeks.

There are now more people in hospital with coronavirus than there were on 23 March, and in the last four weeks hospitals in the north-west and north-east of England have seen a sevenfold increase in the number of covid patients in intensive care. In those worst-affected areas, the virus is spreading just as quickly in older age groups, not just among younger adults.

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[Steve Brine (Winchester) (Con)]

To follow on from what my right hon. Friend said about our strategy being to suppress the virus until a vaccine makes us safe—until science saves us—the Prime Minister yesterday was, very wisely, cautious in his answer to our hon. Friend the Member for Wycombe (Mr Baker) on the vaccine. What if it does not come, and what if it comes and the efficacy of it is not good enough, and there are challenges with roll-out and all sorts of other challenges that he and I know about—the anti-vaxxers notwithstanding? Can he give those of us who are nervous about—

[Madam Deputy Speaker (Dame Eleanor Laing)]

Order. This is not a question but a very quick intervention. I have 89 people who want to speak. If there are to be interventions, they must be short.

[Matt Hancock]

Of course, the work on a vaccine continues. No vaccine technology is certain, but we have already bought six different vaccines and there are more than 100 in development around the world. That is what underpins the strategy, and the work on the leading vaccines, including the AstraZeneca Oxford vaccine, continues effectively. We have seen, both here and overseas, just how quickly the virus can take hold, and we have to act now to get it under control.

[Craig Whittaker (Calder Valley) (Con)]

At the beginning of August, Calderdale had just four people in hospital with covid, zero in intensive care units, and spikes in just two wards. This morning, we have 43 people in hospital with covid, six in ICUs, 12 deaths this month, and almost 800 positive cases coming through. Can my right hon. Friend say what steps he is taking to ensure that the NHS is not overwhelmed by the virus in the coming months?

[Madam Deputy Speaker (Dame Eleanor Laing)]

Order. I have just said that we must not have long interventions. These points are for the speeches that people are waiting to make later. If a Member wants to intervene on the Secretary of State about something that he has just said, that is all very well, but if they make points about their constituencies at this stage rather than waiting until later, it is simply dishonourable; it is just not right.

[Matt Hancock]

My hon. Friend—and he is an honourable man—makes an important point that has wider context than just his constituency, which is that we must make sure that we control the virus. My heart goes out to the families of those in his constituency who have died. The only alternative to suppressing the virus is that it then expands exponentially. That is what happens with a virus when the R is above 1. I know that some people feel that we should adopt a more relaxed approach, but that will lead to more of the sort of thing that my hon. Friend has related from his constituency.

Some people have set out this more relaxed approach, including those in the so-called Great Barrington declaration. I want to take this argument head on, because on the substance, the Great Barrington declaration is underpinned by two central claims and both are emphatically false. First, it says that if enough people get covid, we will reach herd immunity. That is not true. Many infectious diseases never reach herd immunity, such as measles, malaria, AIDS and flu, and with increasing evidence of reinfection, we should have no confidence that we would ever reach herd immunity to covid, even if everyone caught it. Herd immunity is a flawed goal without a vaccine, even if we could get to it, which we cannot.

The second central claim is that we can segregate the old and vulnerable on our way to herd immunity. That is simply not possible. As the medical director of the NHS said yesterday, we cannot somehow fence off the elderly and the vulnerable from risk while everyone else returns to normal. It is neither conscionable nor practicable—not when so many people live in inter- generational homes, not when older people need carers who of course themselves live in the community, and not when young people can suffer the debilitating impact of long covid. Whenever we have seen cases among young people rise sharply, we then see cases among the over-60s rise inevitably thereafter, and we are not the kind of country that abandons our vulnerable or just locks them up.

If we let this virus continue unchecked, the loss of life would be simply too great to contemplate. We know that it would put our NHS at risk, as my hon. Friends have just said. We know that both because of what happened in March and because of what is happening right now. We have already heard from the heads of the Academy of Medical Royal Colleges and the Royal College of Emergency Medicine that, if we do not act fast and come together to quash the virus, we risk putting the NHS under extraordinary strain both for covid treatments and for non-covid treatments.

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[Matt Hancock]

Yes, I believe that they do, and I will give three reasons why I think these measures are the right ones. The first is that we already now have evidence from accident and emergency departments that we have seen a reduction in alcohol-related admissions late at night, after the 10 pm curfew. That is important in its own right, but it is also a proxy, a measure of how much people are drinking late at night. Therefore, it is evidence that there is less mixing and less drinking late at night.

The second is that, while people may be coming out and mixing after 10 pm, they are doing so largely outside, when they would otherwise be mixing inside the premises; it is just easier to photograph outside.

The final point, though, and the appeal I make to the House on this, is as follows: since, sadly, in order to control this virus, we need to reduce the amount of social contact, and since we are trying to protect, as much as is possible, education and work, that essentially leaves socialising as the other part of life—of activity—where people transmit the virus. It is therefore understandable that Governments around the world and around this United Kingdom, Governments of all different stripes and political persuasions, have all come to broadly the same conclusion that it is necessary to restrict socialising, because that way we reduce the transmission with the least damage to education and the economy. While there is both direct and proximate evidence for the positive impact of this measure, there is also the strategic point that, if we wanted to control the virus and we were not to do this, we would have to do something else, and as a matter of policy choice we want to protect education and protect work.

I will now come to my concluding remarks. We know only too well the damage this lethal virus can inflict, the strain it can put on our NHS and the way it can upend our closest relationships and our freedom to do the things we love. I know that we are asking a lot of the British people, but we also know that together we can shift this curve, and we are now called upon to do it once more. The measures before the House today will help in that fight, and I commend the regulations to the House.

[Madam Deputy Speaker (Dame Eleanor Laing)]

Just before I call the shadow Secretary of State, it will be obvious to the House, both those in the Chamber and those watching around the building, that I have more than 80 people who are trying to catch my eye and that we have until 6 pm to conclude the debate. I am afraid that, in order to be fair to everybody, because I appreciate that this is not an occasion for long-thought-out speeches on matters of principle, but on matters to do with individual constituencies, and to try to give as many people from as many parts of the country as possible the chance to contribute, we will start with a time limit of three minutes.

Covid-19

Baroness Laing of Elderslie Excerpts

Monday 28th September 2020 Commons Chamber

[Patrick Grady (Glasgow North) (SNP)]

I think the fact that the Government have made this time available for scrutiny is welcome. I want to start, as others have done, by thanking all the care workers, NHS staff, support staff and council staff who have responded so courageously to the pandemic in Glasgow North.

I particularly want to express my solidarity with and send my best wishes to many of the new constituents in Glasgow North who have been affected by the outbreak at the University of Glasgow and have found themselves confined to their halls of residence. I am grateful to the principal of the university, Professor Sir Anton Muscatelli, for taking the time this morning to speak to me and my MSP colleagues Bob Doris and Sandra White about the situation and the steps the university is taking to support students who have found themselves in difficulty. I know, Madam Deputy Speaker, that you take a particular interest in the University of Glasgow and the wellbeing of its students.

The pandemic is going to bring flare-ups and flashpoints, and some of them will be easier to see than others, but, as others have said, nobody is to blame for this. Catching the virus is not something wrong or in itself a breach of the regulations. It is not a question of blame, but there is a question of responsibility and where the duty of care lies, and that is what I want to look at in my short contribution.

That is particularly important, in Glasgow North, for people who are in the creative sector and who are self-employed. They are literally the heart and soul of our city. Creativity means so many different things: it is the musicians, the artists, the sound and light engineers who support them, the pop-up shops, the artisan producers, the wedding dress makers, and the event organisers and co-ordinators. These are individual self-employed self-starters, and they have been left behind by this Government. I thought the Tories were supposed to celebrate and support entrepreneurs, and instead they find themselves excluded, but it does not have to be that way.

This comes back to the question of responsibility, and that was the point I was making to the Prime Minister last Wednesday. The costs and the consequences of covid are unavoidable. Somebody has to meet them, and that somebody has to be and can only be the state—the Government. The Government have already had to borrow an unimaginable amount of money. Governments around the world have had to do that, and an independent Scotland would be able to do that.

The question is how the money is used to the best effect. The Government can either pay through job retention schemes, through income guarantees and through investment in preventive healthcare and support for people’s mental wellbeing, or they can pay through long-term mass unemployment and through the social security system, with the costs that come with that—from the health service to social work, the police and all the rest. That is why we have to see this moment as a chance to do things differently and to set a different path, whether that is a universal basic income in whatever shape or form it might take, or prioritising green, sustainable alternatives to working practices, transport and service delivery.

However, the Government’s vision seems to be a return to the rat race and a return to trickle-down economics—that we will know we have beaten the virus when things go back to the way they were before. They already want to take us back to some notion of empire with their Brexit obsession, and now they are harking back to the days of Thatcher, where mass unemployment is fine so long as some people get to be filthy rich. They should not think that we are not wise to the idea that the disaster of a no-deal Brexit can be hidden behind the economic difficulties caused by the pandemic. That might suit some of the Tories, but it is not what people in Glasgow North want to see. They and we in the SNP want “Build back better” to be not just a slogan, but a genuine direction of travel.

In reality, we cannot go back and we will not go back. There is not going to be a light-bulb moment, even in this Chamber, when suddenly we stop washing our hands, keeping our distance and wearing masks, and we all just pile back into offices instead of working from home. We are moving to a new kind of normal and to a different way of how society and the economy will work in future. If that direction does not come from Westminster, then people in Scotland will seek it and find it elsewhere. The virus will not be defeated by grandiose rhetoric about moonshots and world-leading apps; it will be defeated by everyone working together, by making careful judgments based on the best scientific advice and by admitting—as the Scottish Government and the First Minister have done from the start—that mistakes will be made and learning from them for the future. Ultimately, of course, the future for Scotland will be in Scotland’s hands. It always is.

[Madam Deputy Speaker (Dame Eleanor Laing)]

I call Chris Bryant.

[Chris Bryant (Rhondda) (Lab)]

Goodness—thank you very much, Madam Deputy Speaker. What a delight it is to be called to speak so suddenly.

[Madam Deputy Speaker]

Order. I should explain, lest there be confusion, that it is of course unusual for the Chair to call two people from the same side of the House consecutively—I hope the hon. Gentleman is getting his breath back—but the hon. Member for Derbyshire Dales (Miss Dines), who would have spoken from the Government Benches, has withdrawn from the debate, so I am obliged, under the current strange rules, to go directly to the hon. Gentleman—whether I want to or not.

[Chris Bryant]

Well, there was a bit of a sting in the tail there, Madam Deputy Speaker; I will take that up with you later. Incidentally, I can perfectly well disagree with the hon. Member for Glasgow North (Patrick Grady): even though he is theoretically on the same side of the House, he is on a different side from me in respect of many other arguments.

Government in this country can only ever be by consent, and when the Government start to lose consent in a pandemic or at a moment of national crisis, there is a real problem for the nation. As much as the Under-Secretary of State for Health and Social Care, the hon. Member for Bury St Edmunds (Jo Churchill), knows that I am I am very fond her and deeply respectful of what she brings to bear in this House, I none the less worry that the Government are presently losing the consent of the British people.

My inbox is full of people who now subscribe to all sorts of mad conspiracy theories. They elevate wild scientists they have discovered somewhere on the web to be the great international experts in the field. They point to things that the Government have done in respect of which there are anomalies; sometimes they are inevitable anomalies, but none the less they pick holes in all that. It feels to me that, slowly but surely, people are beginning to lose confidence in the Government’s handling of this situation. I want to make sure that as a nation we work together—there is no party political advantage to be gained on either side—but we need the Government to do better.

There have been too many mixed messages. It is terribly difficult for an individual member of the public, whose job is not to follow every latest announcement from government—whether it is from their local authority, the Westminster Government, or the Government in Cardiff Bay or in Edinburgh—to understand which specific rules apply to them. Every Member present will have had hundreds of emails and requests, asking “What am I meant to do in this set of circumstances?” I do not know about others, but I often scratch my head as to what the precise answer is. It is therefore difficult for ordinary members of the public. The broadcasters have often not helped: they announce things as if they are for the whole UK and they turn out actually to be for part of England. We need to do much better at this.

The Government’s exaggerated boasting has not helped. I would ban the words “world-beating”. It is not a competition with other countries; it is a competition with the virus. Honestly, I would just bin all that. This is not about trying to win some popularity contest, either; it is just about trying to do the right thing.

I know this is a painful thing to say, but the Dominic Cummings moment did immeasurable damage to the Government’s ability to deliver their own strategy. I know that most hon. Members on the Government Benches think that as well, because they say so in private, and in many cases they have had more emails about that than Opposition Members have. If it feels as if there is one rule for one set of people and another for everybody else, it undermines confidence in the Government.

The test and trace system barely works at the moment. The Government said four weeks ago that it would be sorted in two weeks but it still is not sorted, and I do not think it will be sorted until the end of October.

On the financial problems for pubs, it is not that we are killing pubs, it is just that we have kneecapped them. I can see no logical reason why we would want to chuck everybody out of a pub at 10 o’clock, at the same time, in all the pubs in the whole of the town. It is illogical. We have not done that in Wales; we have done it differently, allowing for drinking-up time and things like that, which is a perfectly sensible, long-standing tradition in Britain. That is what we should have done more widely.

There is no money for the 3 million freelancers, musicians and so many others. We have not sorted out the problem of people going on holidays who were being told by holiday companies, “No, this isn’t really the law; it’s just guidance,” so they will not offer compensation.

The Government must do far more in Parliament. As I said way back, earlier this year, legislation that sits on the statute books for two years that we have to take up and down, yes or no, with no amendment allowed, is no way to govern by consent.

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[Naz Shah (Bradford West) (Lab)]

It is an honour to follow the hon. Member for Winchester (Steve Brine), but I must disagree with what he said on having to respond to a pandemic. While I absolutely agree that the pandemic brings up new situations, the truth is that we were slow into lockdown. The Government were slow in testing and they were slow with PPE. Those facts are well documented.

It is absolutely right that the British people want the Government to succeed in fighting this virus. This is a time for leadership, but leadership also requires integrity. My hon. Friend the Member for Rhondda (Chris Bryant) mentioned the issue of Dominic Cummings. That was a time when the Prime Minister fractured the relationship with the British public, in terms of them looking up to him for the leadership that was required. At times like this, the leadership needs to step up, but sadly, the Government and the Prime Minister have lost that control.

The rate of infection is rising. Our testing system is not fit for purpose. Our university students should be having one of the best experiences of their lives, but hundreds are describing their current experience as like being locked in a prison. Schools in my constituency are being forced to partially close, and I agree with the hon. Member for Winchester about the ill-thought-out 10 pm curfew, which has been described as shambolic by Tory MPs and the Mayor of Manchester.

Test and Trace is massively important, and on just about every measure, the Test and Trace system is going backwards. It is clear that the Government have wasted the last few months and have failed to get Test and Trace ready for the increase in cases that they should have anticipated. I have had numerous emails from parents, key workers, the elderly and the most vulnerable, all desperate to get an appointment for a test. If they do get an appointment for a test, it might be hundreds of miles away. The truth is that there is no availability, and that is simply not acceptable. The Government need to get a grip on fixing the system before things get even worse.

On care homes, back in March, we saw the Government’s strategy to enable hospitals to cope with the anticipated number of coronavirus cases lead to the elderly and most vulnerable being discharged from hospitals back into care homes without testing for infection. On 15 April, I wrote to all the care homes in my constituency, offering them support and asking about their experiences. In every reply, I saw the same themes emerging over and over again: a lack of PPE, concerns about no testing provision being available, people deeply concerned about the risks to their most vulnerable patients, a lack of financial support from the Government—the list goes on. The Government cannot fail care homes once again. Weekly testing of care home residents and staff is critical to saving lives, yet there have been repeated delays to the roll-out of testing, and care homes have waited days for their results. That cannot carry on.

Labour has repeatedly called for additional resources for social care, so we welcome the news that the adult social care infection control fund will continue, but the real test of the plan is whether the Government deliver on weekly testing for all care staff, first promised in July but still not delivered. We have serious concerns about delays in getting results back.

Reports that infection rates are beginning to rise in care homes once more are extremely concerning. Getting on top of the challenges that social care faces before winter is vital. We cannot afford action to protect care homes and other services to be as slow and chaotic as it was at the start of the pandemic. There are also serious concerns about vacancies in the care sector in the months ahead, particularly if there is a second wave of the virus as care providers prepare for winter. The Government must provide an immediate plan to better support care workers in all settings, including the 70,000 who are employed by direct payments and the 9 million unpaid carers.

I know that local businesses and workers in Bradford West are extremely worried about what the future holds. With the furlough scheme due to end on 31 October, the Chancellor announced the job retention scheme. The new scheme seeks to support only jobs with a viable future under covid-19 restrictions. That means an increase in job losses. Given that Bradford West has the seventh highest unemployment rate in the country, I am extremely concerned—

[Madam Deputy Speaker (Dame Eleanor Laing)]

I was going to allow the hon. Lady her last line.

[Naz Shah]

I thought my time limit had expired. The Government must do more. The new measures will not help more than 4,500 newly unemployed workers in my constituency, 2,140 of whom are between 18 and 24. We need more support for Bradford West.

--- Later in debate ---

[Mr Tobias Ellwood (Bournemouth East) (Con)]

My hon. Friend can intervene on me if he likes; I will give way to him.

I join others in calling, six months on, for this place to have greater oversight as we deal with this pandemic. We face six more months of hardship, and it is absolutely right that this Parliament should play its role in scrutinising the Executive.

I would like to focus on the roll-out of a vaccine. That may seem a little premature, given that we are contemplating a second wave of the pandemic and further economic intervention, but a vaccine is potentially six months away. China is already mass producing a product, and it has another 10 others online. Oxford is heading into its phase 3 tests, with tens of thousands of people being tested, and other institutions around the globe are doing the same.

The scale and complexity of the challenge is up there with the D-day landings and Dunkirk. To put it politely, we must learn the lessons of the PPE roll-out, testing and track and trace. Mass vaccine roll-out is an enormous responsibility, and we need to get it right. Planning must start immediately, and I have written to the Prime Minister recommending that he consider calling on the Ministry of Defence to establish a small taskforce, led by a senior empowered voice of authority, to begin the planning and design of a draft blueprint. The armed forces have the capacity, the logistical experience and the national reach to take on this mammoth, incredible task, and they are not overburdened by any current duties involving tackling covid-19.

Let us pause to consider what is involved: the logistics of shifting millions of refrigerated vaccines across the country; creating regional distribution hubs, which then feed into mobile testing centres; developing a national database to track progress and issue vaccination certificates, which will probably have to be internationally recognised in order to allow international travel; establishing an order of priority for who receives the vaccine first—key workers, the vulnerable and teachers, for example—and answering more detailed questions about potentially using schools to vaccinate children. All those things must be planned for. With the co-ordination of Whitehall Departments, local authorities, the private sector, policing and security to consider, as well as military support, I hope I make the case for why we need to start thinking about this now.

I believe that the biggest challenge will be in managing the transition period—potentially up to a year—when parts of our society have been liberated from the threat of covid-19 and seek to return to normality, but those who have yet to be vaccinated are still subject to social distancing rules. We need to get the planning right today so we can avoid the logistical challenges that we suffered with PPE and testing. In the spirit of global Britain, we can then share our blueprint and plans with other nations, especially those without such advanced logistical capabilities as ours.

I stress that there is huge scope for this to go wrong if we do not start to plan now. The west was slow to understand the impact of the pandemic, the pace at which it moved through society and its lethality, but Britain has an opportunity to be an exemplar in the management of covid-19’s departure. Let us task the Ministry of Defence now, appoint a leader to plan and prepare for this complex and critical national project, and ensure that we efficiently defeat this pandemic when we are finally armed with a workable vaccine.

[Madam Deputy Speaker (Dame Eleanor Laing)]

Before I call the next hon. Member, I should warn the hon. Member for Heywood and Middleton (Chris Clarkson) and all those who will follow that I have to reduce the time limit to four minutes, which is still a long time.

[Rachel Hopkins (Luton South) (Lab)]

I want to make a short speech about two key issues that I am deeply concerned about. Like many others, I held a Macmillan coffee morning last Friday, and I heard about the terrible impact of coronavirus on cancer treatment. Macmillan research notes that cancer care provision was in crisis before the pandemic because of understaffing among cancer nurses, which has placed incredible pressure on an overstretched workforce and support services. NHS figures show that only 319 people began receiving cancer treatment in July after attending a screening programme for breast, cervical and bowel cancers. That is 65% lower than this time last year. As well as drastically low numbers coming through the system, only a quarter started treatment on time. That is far lower than the 90% standard. I do not believe that reciting figures reflects the urgency of the situation, as this problem is having a devastating impact on people and on the lives of their loved ones. Life-saving treatments are being cancelled or postponed. I heard on Friday from a Macmillan nurse that, due to accessing screening services late, some patients’ cancer has progressed too far for treatment to be affected and they are now just following a care pathway.

The British Medical Association has already warned that thousands of people would suffer if vital routine care was shut down during a second wave. This should not have happened in the first place, but will the Minister outline what additional measures are being implemented to avoid potentially preventable deaths from cancer, particularly with regard to reducing waiting times and tackling the backlog of patients?

My second area of concern is related to humanist marriages. Today, Humanists UK flagged up the fact that the latest coronavirus regulations to come into force in England today allow religious and civil marriages to have up to 15 guests, but, initially, this did not include humanist weddings. Instead, the regulations said that humanist weddings must be limited to six attendees. However, within the last hour, it seems that the Government have recognised that this would be discriminatory and have now said that humanist weddings can have 15 people. This is vital to many of our constituents. Just last year, a British social attitudes survey recorded that 52% of British people state that they have no religion. Will the Minister to confirm that this is the case and that there will be parity between humanist weddings and others as it stands?

[Madam Deputy Speaker (Dame Eleanor Laing)]

With a time limit of four minutes, I call Mr Chris Clarkson.

NHS Hysteroscopy Treatment

Baroness Laing of Elderslie Excerpts

Thursday 24th September 2020 Commons Chamber

[Ms Dorries]

That is distressing to hear.

Women should also be advised that the procedure can be stopped at any time— but, although they are aware of that, that is an incredibly difficult decision to make. When we are in pain, we do not think rationally. It is important to put this on the record as women must be informed of their rights and have their voices heard. Finally, after the procedure, if the woman believes that there have been issues with the treatment that should be raised with the trust.

I want to talk about progress. NHS England advises that progress is being made through the implementation of clinical guidance. Within that, commissioners, and providers should advise service user feedback to be monitored to identify where the guidance is not being followed. As the hon. Member may be aware, women’s health is a personal priority of mine, and I have been looking at improving the experiences of women in the healthcare system since I arrived in the Department. As I recently set out in my statement to the House on the Independent Medicines and Medical Devices Safety Review, we cannot accept the status quo whereby it takes women so long to have their voices heard and for their concerns to be taken seriously. Whether we are talking about the Shipman or Paterson inquiries or the Cumberlege review or another maternity incident, it is sobering to reflect on the amount of inquiries that we have taking place that are about women-only issues. As I work with the team to evaluate every recommendation and every aspect of the Cumberlege review, I want to assure the hon. Member and the House that it remains an absolute priority of mine to tackle these issues.

I understand that the hon. Member has ongoing concerns with the best practice tariff. The aim of the best practice tariff is to encourage procedures in an out-patient setting where clinically appropriate. Out-patient procedures provide the patient with a quicker recovery, as well as allowing them to recuperate at home. I understand that NHS England and NHS Improvement will shortly be engaging with the sector on policy proposals for the 2021-22 national tariff. The tariff engagement document due for October publication will lay out NHS England and NHS Improvement’s initial proposals for the 2021-22 national tariff and will be followed by a statutory consultation. I understand, drawing on the momentum created by changes in the payments system this year due to covid-19, NHS England and NHS Improvement expect to propose an accelerated shift towards the use of a blended payment approach. This proposal would include the majority of services providing hysteroscopy. Blended payment would not differentiate between in-patient and out-patient procedures and, as such, the out-patient procedure’s best practice tariff would no longer be necessary. NHS England and NHS Improvement are currently planning to propose the removal of the best practice tariff from April 2021.

I hope the hon. Member will be pleased to hear this update, and I encourage her and patient groups to comment and contribute to NHS England and NHS Improvement’s proposals both in the tariff engagement document and the subsequent statutory consultation. I myself will be contributing to that consultation.

Once again, I thank the hon. Member for raising this important matter for discussion. She raised the issue of what was the women’s taskforce. I am not aware of any work that has taken place so far on hysteroscopies, but I will look into that. What I will say is that we have established something called the women’s health agenda, which has met this year. Sadly, it had to be stopped because of covid. We are already looking at restarting that agenda now and hysteroscopies will very definitely be on the table, as with all women’s procedures, when we are discussing the women’s health agenda. I really feel strongly that there is more we can do to ensure that we empower women to talk about their health, and I hope that we enjoy better outcomes as a result. Women are not listened to. They are not listened to in so many areas within health as a whole, and we have to change that. We have to ensure that a woman’s voice is heard throughout all the settings in the NHS.

[Madam Deputy Speaker (Dame Eleanor Laing)]

I have heard this debate before, and I am very, very glad to hear that progress is being made. Fifteen minutes is the time that the Minister took to speak, not two minutes. [Interruption.] No, I am not criticising the Minister. I am pointing out that being in pain for the whole of the Minister’s speech would not have been amusing.

[Ms Dorries]

Some people may.

[Madam Deputy Speaker]

We were not in pain for that time.

Question put and agreed to.

Axial Spondyloarthritis

Baroness Laing of Elderslie Excerpts

Thursday 17th September 2020 Commons Chamber

[Helen Whately]

The hon. Member makes a really important point, again drawing from her own personal and family experience, about the importance of awareness of what is the best treatment for this condition. If she would like me to do so, I am happy to take away her specific point and look into how we can address the need for improvement in the treatment, as well as her general point about needing a better pathway. I am also happy to meet my hon. Friend the Member for Gedling, as he requested, to talk further about how we can make more progress on the right treatment for this condition, and awareness of it.

Coming back to the overall points about what we can do to improve the treatment, the NHS long-term plan set out our plans to improve healthcare for people with long-term conditions, including axial SpA. That includes making sure that everybody should have direct access to a musculoskeletal first-contact practitioner, expanding the number of physiotherapists working in primary care networks, and improving diagnosis by enabling people to access these services without first needing a GP referral—in fact, going directly to speak to somebody with particular expertise in the area of musculoskeletal conditions. The hon. Member for York Central (Rachael Maskell) intervened to make a point about the demands on physiotherapists. I have asked to be kept updated on progress on delivering the expansion of the number of physiotherapists in primary care networks and, more broadly, on the implementation of the NHS long-term plan. We do indeed need to make sure that we have sufficient physiotherapists to be able to deliver on that. I anticipate that that should have a positive impact on the problem of delayed diagnosis for a range of conditions, and particularly for this specific condition.

While better education and awareness of AS should improve the situation, there is clearly more that we can and must do to understand the condition. The National Institute for Health Research is funding a wide range of studies on musculoskeletal conditions, including AS specifically. That research covers both earlier diagnosis and treatment options for the condition, so that we continue to build our understanding of good practice and improve both the treatment and the outcomes for those who have the condition.

In conclusion, I want to pick up on my hon. Friend’s point about the importance of awareness and the call for an awareness campaign by the APPG, and I should of course commend the National Axial Spondyloarthritis Society for its work in this area. My hon. Friend mentioned that there is clearly a huge amount of public health messaging going out at the moment, but I hope the time will come when we can gain more airtime for this particular condition. However, the fact that we are having this conversation in the Chamber is in itself a step towards raising awareness of the condition, and so, too, is all the work that is going on; that is important as well, because along with having the policy and the pathway, we must make sure it is put into practice.

I congratulate my hon. Friend again on bringing this subject to the attention of the House and on the work he is doing and the effect that this will have. I truly want to support him and to do our best for all who suffer from this condition and may suffer from it in future, to ensure that we achieve much earlier diagnosis and treatment and better outcomes for those with the condition.

[Madam Deputy Speaker (Dame Eleanor Laing)]

I commend the hon. Member for Gedling (Tom Randall) on his courage in bringing such a personal and difficult matter before the House. Many people will not appreciate that that is a difficult thing to do, and I am sure that he will have made a difference to many by what he has done today. [Hon. Members: “Hear, hear.”] I am pleased that those in the Chamber are in agreement.

Question put and agreed to.

Points of Order

Baroness Laing of Elderslie Excerpts

Thursday 10th September 2020 Commons Chamber

[The Secretary of State for Health and Social Care (Matt Hancock)]

I am happy for that to stand on the record.

[Madam Deputy Speaker (Dame Eleanor Laing)]

Thank you.

[Chris Bryant (Rhondda) (Lab)]

On a point of order, Madam Deputy Speaker. The Government announced the business for the next fortnight earlier today. As you know, the Committee on Standards, which I chair, has seven lay members and seven Members of this House sitting on it. We have been missing two members, because appointments were meant to have been made by now. I do not know why the House Commission delayed that for a considerable period of time, but they have now gone through the Commission. It would seem that we still have no sign of the motion before the House for another two weeks, which makes it really difficult for the Committee on Standards to do its job properly. We have important issues to debate and to deal with. I just wonder whether you, Madam Deputy Speaker, could kick some shins somewhere in Government to make sure we get that motion, so that these people can be appointed. They are desperate to start the work and it all seems a bit unfair on them.

[Madam Deputy Speaker]

I thank the hon. Gentleman for his point of order. I cannot promise to kick shins; I always find that the use of the stiletto heel works better, but I do not intend to do that either. I do appreciate the point that the hon. Gentleman has made and he is right to make it in the Chamber. I will make sure that Mr Speaker is aware of his very reasonable concerns, and I am quite sure that those on the Treasury Bench will let the Leader of the House know of them. [Interruption.] I got a nod from the Whip, the hon. Member for Corby (Tom Pursglove). It is vital that a Committee such as the Standards Committee is able to carry out its work properly, and the House ought to facilitate that.

I will now suspend the House for three minutes to allow people to leave safely and carefully.

Covid-19 Update

Baroness Laing of Elderslie Excerpts

Thursday 16th July 2020 Commons Chamber

[Matt Hancock]

My right hon. Friend is an incredibly strong voice for those who suffer with epilepsy, and I will ensure that the clinical decision makers who make recommendations on the order of priority for any vaccine, both flu and coronavirus, take a specific look at the latest evidence on epilepsy. I cannot give her the guaranteed assurance that she seeks, because those decisions are rightly taken on the basis of recommendation from clinicians. I would not want to break that important principle, but I can ensure that the latest information, including on the impact of coronavirus on those with epilepsy, is taken into account in the decisions.

[Madam Deputy Speaker (Dame Eleanor Laing)]

Before I call Neale Hanvey let me appeal for quick questions, not statements. If the questions are quick, the Secretary of State, who is being most assiduous in answering thoroughly, will be able to give quicker answers.

[Neale Hanvey (Kirkcaldy and Cowdenbeath) (SNP) [V]]

A learning culture is the hallmark of any robust patient safety strategy, and being able to own, reflect on and learn from past errors is a defining characteristic of that. Across health and social care, that tone is set by the Secretary of State, so when concerns such as those of Professor John Edmunds about the loss of life relating to the timing of lockdown are raised, it behoves him not to be dismissive but to take them seriously. How can clinical staff and the wider public have confidence in the Secretary of State’s leadership, when they can readily fact check that his assertions were wrong?

--- Later in debate ---

[Liz Kendall (Leicester West) (Lab)]

Orwellian!

[Madam Deputy Speaker (Dame Eleanor Laing)]

Order. Do not shout at the Secretary of State. He is answering the question.

[Matt Hancock]

Thank you. What I said on 16 March was:

“Today, we are advising people against all unnecessary social contact with others and all unnecessary travel.”—[Official Report, 16 March 2020; Vol. 673, c. 697.]

That is when the lockdown truly started.

--- Later in debate ---

[Christine Jardine (Edinburgh West) (LD)]

Secretary of State, two of the recurring themes of your statement today have been people asking—

[Madam Deputy Speaker (Dame Eleanor Laing)]

Order. Even at this late moment, will the hon. Lady please address the Chair, not the Secretary of State?

[Christine Jardine]

I do apologise, Madam Deputy Speaker.

As we look at the lessons that we learn from the first wave of this virus, at the threat of a second wave and at the fact that the British public have been so keen to thank those working on the frontline—we talked earlier about clapping for the NHS—would the Secretary of State consider using his influence with the Home Secretary to offer migrants working in health and social care in this country the right to remain indefinitely?

Covid-19: BAME Communities

Baroness Laing of Elderslie Excerpts

Thursday 18th June 2020 Commons Chamber

[Anne McLaughlin (Glasgow North East) (SNP)]

I encourage anybody here or watching at home who missed the opening speech by the hon. Member for Brent Central (Dawn Butler) to catch up on it, because that would be very worthwhile. It was a really interesting and informative speech.

I have been self-certifying. The fact that I am here is an indication of how strongly I feel about this subject matter. I speak as the SNP’s women and equalities spokes- person in Westminster, as the MP for Glasgow North East—one of the most ethnically diverse constituencies in Scotland—and as an ally. I have no illusion: I will not and should not be leading a campaign against racism; I should be supporting those who experience racism. That is not me, and it is never going to be me.

This report has brought into sharp focus the institutional racism that exists on these islands, so race and racism are what I want to look at. I will focus on three main things. First, I will say something about Scotland, the SNP and race. Secondly, I want to look back in time and cover a bit of history. The third and final thing I will talk about is what I am going to do about it, how I am going to be an ally and how I am going to support BAME leaders in the fight against racism.

Starting with Scotland and the SNP, here are the good bits. The SNP Government and Parliament clearly stood last week in solidarity with the Black Lives Matter movement. The SNP Government have put equality and human rights at the heart of their response to coronavirus, and Nicola Sturgeon today announced further analysis of the impact on people from BAME communities in Scotland. The hon. Member for Edinburgh West (Christine Jardine) is not in her place, but she mentioned the National Records of Scotland figures. So far, the Scottish Government have looked at figures for those who are very sick with covid-19 and in hospital, and an expansion of that was announced today.

The SNP provided the first Muslim Member of the Scottish Parliament, the late, great Bashir Ahmad; I cannot look at my colleagues here, because we will all get emotional. Political leaders in Scotland have long spoken positively and often about migrant communities in Scotland, and that has an impact on the population. They did it when it was not popular to do it, but it does rub off on the population, and this Government might want to take note of that.

I turn now to the not-so-good bits. As a party, we have not built on Bashir Ahmad’s legacy. We have one BAME Member of the Scottish Parliament: Humza Yousaf. He is the Justice Secretary, and he is doing a brilliant job. But even he, speaking in the Black Lives Matter debate in the Scottish Parliament last week, checked his own privilege and noted that there are no BAME women in the Scottish Parliament. That is odd, because I know so many who would do a fantastic job in that Parliament. He did that in a very honest speech, in which he also listed all the areas of public life where white people are at the top—I am struggling to think of one where they were not—and I was absolutely horrified.

Humza Yousaf also recently ordered a public inquiry into the death of Sheku Bayoh, whose family have waited five years to know how he died in police custody, and he instructed the inquiry to look at whether race played a part. Sheku’s family should not have had to wait five years for that inquiry to be announced, so we do have things that we have to face up to in Scotland.

Looking to the future, I feel a little more positive than I once did. A week ago last Monday, the SNP’s black, Asian and minority ethnic convenor organised a Zoom meeting. At two days’ notice, 127 BAME people signed up for it, 22 SNP MPs—we only invited SNP MPs, so do not worry; we are not competing—12 SNP MSPs and 12 councillors. That was at two days’ notice, and our job was to listen. We were not allowed to speak other than to say our names. Our job was to listen to everybody and hear what they had to say, and we will be building on that—or they will be building on that, and we will be supporting.

I wish to look a little at the history, which I talked about. There are a number of petitions and campaigns about teaching black history in schools. I have long supported that—in fact, I have spoken about it in this place—and I will explain why. I am confident that this is one very significant way to eradicate racism. Children are not born racist, and when they first become aware of it they find it very difficult to understand. It is not their instinct to be racist, and then they are taught it. If they go through nursery and school with positive role models from all ethnicities, and if their school books reflect those positive role models, they are far less likely to be able to be taught to be racist.

I have spoken to teachers who care deeply about this matter who told me that schools already teach about racism, as they should, but it others people and it portrays those classmates as victims. That is not to say that people are not victims of racism, but there is so much more that we could be doing to stop it in the first place. One of those things is looking at a positive role models in history and demonstrating that the ethnicity of the people who built these islands and this world is many and varied. One of them, whom I talk about a lot and who now has a statue across the road, is Mary Seacole.

The third and final thing that I want to cover— Oh, I have more time than I thought, so actually I will talk about positive images.

[Madam Deputy Speaker (Dame Eleanor Laing)]

Order. The hon. Lady has about a minute left.

[Anne McLaughlin]

A minute? I was told I had seven minutes. Right, I had better come on to: what am I going to do about it?

First, I have applied to have my constituency office registered and trained as a third-party hate crime reporting centre. I will very briefly say that the first of my colleagues to come back to me and say, “I want to do that too,” was the hon. Member for East Dunbartonshire (Amy Callaghan). I think all Members will join me in wishing her well as she recovers from what happened last week.

Secondly, I have set up the all-party parliamentary group on unconscious bias. Our inaugural meeting will be on 29 June. Members will decide what happens, but my intention is to have a number of distinct investigations. They could be into a number of things, but the first must be into race. I want the group to take evidence from people not necessarily about overt racism but about undercover racism, where even the person doing it does not know that they are doing it.

It is not just about hearing evidence. I want to make recommendations on what we can do to enable people to recognise their own thinking and to undo it—who should be doing that, and how they should be doing it. I want a UK-wide campaign of awareness, but I should not get carried away and pre-empt the findings. I thank the hon. Member for Brent Central for agreeing to be part of that APPG.

The third thing that I will do is keep listening, and listening more to people who experience racism, which, as I said, is not me. I will end on three very brief messages for the Minister and the Government. The first is that Black Lives Matter is not just about saving those lives, but the lives that people are leading when they are here. Secondly, please stop using the Lammy review as a cover. I am sick of hearing the Government answer every question about what they are doing with: “We’ve got the Lammy review.” They should act upon it, and speak about it only when they have actually done something about it. Finally, we can breathe and until we cannot we should fight racism and call it out wherever we see it, and whoever it is from—and that includes Prime Ministers.