New Dementia Treatments

Lord Spellar Excerpts

Thursday 11th January 2024 Westminster Hall

[John Spellar (Warley) (Lab)]

I congratulate the right hon. Member on securing this important debate. Is there not an enormously important fourth strand of this: effective management of the condition and the various aids, adaptations and regimes that enable people to continue to function longer, for the benefit of themselves, their families and wider society?

[Damian Green]

The right hon. Gentleman is completely right. There are new management techniques. I did not want to extend the debate too widely, but I am struck by the way that technology—not cutting-edge technology but technology available to all of us, such as smart speakers—can remind people that they need to take a red pill at 11 o’clock or remind relatives that the fridge has not been opened for five hours, meaning that someone has forgotten to take out their lunch. It can help with all those kinds of day-to-day issues and, if used properly, enable people to live in their own homes for longer, even if they are suffering this disease. I agree that that is a very important potential set of breakthroughs.

Covid-19 Update

Lord Spellar Excerpts

Monday 13th December 2021 Commons Chamber

[Sajid Javid]

My hon. Friend is right to talk about how hard GPs have worked throughout the pandemic, and about the need to provide greater support. We expect and need them to help with this big new vaccination effort. There are already signs of many people showing that they understand the need for GPs to reprioritise over the next couple of weeks, which is important too.

[John Spellar (Warley) (Lab)]

It is clear from the Secretary of State’s statement that he is a considerable improvement on his predecessor, so I am sure that he accepts that covid is now endemic and variants will probably emerge for years, if not decades. In that case, surely by now, instead of the erratic response that we have seen, we should have a well-prepared plan of action and chain of command ready to be activated as soon as a new variant is detected, as well as enough supplies and trained personnel to operate it. Why does his Department seem to be continually surprised by the arrival of variants so that, instead of a smooth-running plan, we have chaos and panic?

[Sajid Javid]

Well, there will be variants of covid-19 for many years, as the right hon. Gentleman says—indeed, there have been many hundreds of variants. No country in the world is better at the surveillance of those variants; I remind him that the UK alerted the world to the threat of omicron. No country is better prepared, if we look at how swiftly the UK reacted—for example, with international restrictions and the information that we shared with the world about vaccines. I think he understands those points, and I regret the way that he has framed the question.

Oral Answers to Questions

Lord Spellar Excerpts

Tuesday 23rd November 2021 Commons Chamber

[John Spellar (Warley) (Lab)]

7. What assessment he has made of the viability of the community pharmacy sector.

[The Parliamentary Under-Secretary of State for Health and Social Care (Maria Caulfield)]

The community pharmacy contractual framework outlines a transformational programme of work to integrate community pharmacies into the NHS, delivering more clinical services and making them the first port of call for many minor illnesses. The framework commits £2.5 billion annually to the sector to support that ambition.

[John Spellar]

That is a welcome response from the Minister, and shows that she and the Department now seem to recognise our pharmacies for their magnificent efforts during the pandemic, providing frontline primary care and delivering and encouraging vaccination. Will she further recognise their expertise and dedication, and push rapidly forward with integrating pharmacies into the delivery of primary care—thus also, of course, easing pressure on GPs and hospitals?

[Maria Caulfield]

The right hon. Gentleman will find no greater supporters of community pharmacists than this Government. That is why we launched the community pharmacist consultation service, where GPs and NHS 111 can refer patients directly to pharmacy services. We now see pharmacies dealing with minor ailments such as sore throats, coughs and colds, providing the new medicines service and providing public health services such as weight management and stop smoking services. We place on record our thanks to all in community pharmacies.

Covid Vaccine Passports

Lord Spellar Excerpts

Wednesday 8th September 2021 Commons Chamber

[Mr Speaker]

Can I just say that I will not be giving any incentives? When the hon. Lady said “you”, it meant me, and I definitely do not want to do that.

[John Spellar (Warley) (Lab)]

As the Minister has indicated, many countries are already introducing checks in hospitality and entertainment venues, and a large number of our own citizens are visiting them on holiday, showing vaccine passes issued free by Her Majesty’s Government and having already undergone checks at airports. I have been arguing since February for the introduction of vaccine passes in order to save venues and jobs. To ensure that they can stay open, will he now cut through the hysteria and get on with it?

[Nadhim Zahawi]

Yes.

Covid-19 Update

Lord Spellar Excerpts

Thursday 22nd July 2021 Commons Chamber

[Nadhim Zahawi]

I thank my hon. Friend for his work locally and for taking that local leadership, like many colleagues have, to get the message out that vaccines are safe and our way out of this pandemic. Of course I join him in congratulating the whole team—the professionals and the volunteers—on the tremendous effort they have made. The figure I have is 124,042 in the Northamptonshire sustainability and transformation partnership. Its numbers are tremendous; even among 18 to 24-year-olds, it is leading the way, at 67%. We want to get that number even higher as quickly as we can.

[John Spellar (Warley) (Lab)]

I welcome the Minister’s acknowledgement that the virus is now endemic; indeed, the Government of Singapore have acknowledged that too. Unfortunately, Government dither on that may have scuppered the vaccine pass. Has the Minister had any indication from its diverse opponents of how the country can otherwise take a risk management approach, rather than the risk avoidance approach that has led, for example, to the pingdemic, or the wild west approach advocated by some on his own side, leading to a possible further lockdown? Will he also indicate whether the Treasury is actually engaged in this debate on the side of the economy and public finances—or is it still in Yellow Submarine mode, disappearing under the waves?

Covid-19 Update

Lord Spellar Excerpts

Monday 19th July 2021 Commons Chamber

[Nadhim Zahawi]

I commend my hon. Friend for his exemplary work in taking the message out to his constituents that vaccines protect people, families and communities. He is right to continue to double down on his efforts. I assure him that we will do the same across the system, whether through pop-ups, mobile sites or opening for longer hours. The Eid festival begins tomorrow and we have a whole programme around that. I wish the Muslim community a happy Eid Mubarak, but I also encourage them to come forward and get vaccinated.

[John Spellar (Warley) (Lab)]

As the Minister will know, I have long campaigned for a vaccine passport to enable individuals, society and the economy to speed up the return to normality, so I very much welcome the long-overdue and realistic NHS covid pass, but how will the Minister ensure take-up? Will he tell us which venues will be included and—equally importantly—whether any sporting, hospitality or leisure venues will be excluded?

[Nadhim Zahawi]

I am grateful for the right hon. Gentleman’s support. We are looking at high-risk, large capacity indoor venues. My colleagues in the Department for Business, Energy and Industrial Strategy—the Under-Secretary of State for Business, Energy and Industrial Strategy, my hon. Friend the Member for Sutton and Cheam (Paul Scully) and others—are currently working with the industry to take advantage of step 4, to get those businesses back on their feet and then, of course, to take all that learning so that I can be back here at the Dispatch Box in September to share with the House how we can sustain the industry going forward while we live with covid, because we will have to transition this virus from pandemic to endemic status.

Covid-19 Update

Lord Spellar Excerpts

Monday 12th July 2021 Commons Chamber

[Sajid Javid]

I believe my hon. Friend is referring to the measures that the Government have already announced around vaccinations and people who work in care homes. Ideally, I would like to make sure that the impact assessment is available. I do not know the full detail as to why it has not been completed, but at the same time, I think it is important to get on with this part of building our vaccine wall. We will have more to say about it tomorrow.

[John Spellar (Warley) (Lab)]

The Secretary of State will be aware that Singapore has announced its plan to navigate from pandemic to endemic and to co-exist with the virus—they could almost have been reading my speeches and articles. Will the Secretary of State get the economy and society moving again and, in particular, take a fresh look at vaccine passports or certificates, including the vaccine card that we all carry? Let us allow our people to get back to normality.

[Sajid Javid]

I take it from that that the right hon. Gentleman supports the measures that I have set out today in this statement, and I thank him very much for his support.

Covid-19

Lord Spellar Excerpts

Tuesday 25th May 2021 Commons Chamber

[Nadhim Zahawi]

It is good news from Public Health England on the B.1.617 variant that two doses of either Pfizer or AstraZeneca-Oxford are as effective on infection and are very likely to be even more effective on serious illness and hospitalisation in real-world circumstances. Ultimately, we are effectively pursuing an evidence-led strategy. The four weeks plus one—the five-week interval—are for us to be able to assess the data and share it with Parliament and the nation. At the moment, I am cautiously optimistic that we are in a good place. We have to remain vigilant and we have to work together. As I said earlier, let us take the politics out of this and make sure that all our constituents are careful, and we will get there together.

[John Spellar (Warley) (Lab)]

I am sure that the Minister will agree that throughout the pandemic our community pharmacies have performed magnificently on the frontline of the health service, but unfortunately there still seems to be institutionalised bias against them in the Department of Health and Social Care, even now. Only a couple of pharmacies in Sandwell have been authorised for the covid vaccine. I urge the Minister to get a grip on his bureaucrats and get vaccines rolling in our Sandwell pharmacies before the bank holiday.

[Nadhim Zahawi]

I know that the right hon. Gentleman is a passionate advocate for community pharmacies; he and I have discussed them in the past. I do not recognise his characterisation of the NHS team, who I absolutely know work every day with community pharmacies. I think that just over 500 community pharmacies and independent pharmacies are now part of the vaccine deployment. In phase 1, they have proved themselves to be excellent at reaching out and giving confidence to their communities and at getting people vaccinated; where primary care has decided not to carry on with phase 2, they have also stepped up to fill the gaps so that we keep going. I will absolutely look at the right hon. Gentleman’s constituency to see whether we can do more.

Coronavirus

Lord Spellar Excerpts

Thursday 25th March 2021 Commons Chamber

[John Spellar (Warley) (Lab)]

If there is a vote tonight, I shall vote no because of concerns that the Government are still focusing on risk avoidance rather than risk management when the public want to get back to normality and thought they were going to be getting that with the vaccine roll-out. In fact, as I see it, this is a move away from earlier on in the pandemic when there seemed to be a balance of debate inside Government between the economic tendency—the Chancellor of the Exchequer and the Business Department—and the Health Department. That is a healthy tension because there are real decisions that have to be made. But it now seems almost as though the Chancellor of the Exchequer has become invisible and vanished from that debate, and there is only one group inside Government who are now driving it.

I would have preferred these measures to have monthly renewals by Parliament so that they could be considered much more regularly, because the cost to the economy and to the physical and mental health of our nation has been enormous and is frankly unsustainable. Many parts of the economy, especially in the leisure, hospitality and entertainment industries, are teetering on the brink. Every week more of them go under. Hundreds of thousands of our fellow citizens are being put on the dole and many more are fearful that they face the same fate. This is particularly impacting on young people who are not able to get into the labour market. Many small family businesses, with their hopes, fears and aspirations, are being ruined. Millions of self-employed, as we have heard regularly in this House, have been left high and dry.

As we have also heard today, long supply chains of industries are being hit. Many of these industries are part of our attraction to the wider world and they all need Britain to get back to work—the pubs and clubs, restaurants and cafés, theatres and cinemas, TV and film production companies, sporting venues, sports clubs, betting shops, bingo halls and casinos. They are part of what makes our society, what makes Britain an attractive place to live and work, and why people come here, and many of them are being hit incredibly badly.

The public want to be back to normal. As the right hon. Member for Staffordshire Moorlands (Karen Bradley) rightly said, they got the vaccines thinking that that would be a pathway back to normality. That is why, unlike some, I believe that vaccine passports or certificates may be inevitable, not only for foreign travel but here as well. I heard Jonathan Neame on the radio this morning. He is a man who knows the beer business extremely well, but he was not necessarily facing up to the real alternative, which is that if the Government drag their feet on reopening, vaccine passports that enable businesses to open earlier, stay open and keep the whole supply chain going may be something that we have to seriously consider.

There has been quite a bit of discussion about variants, as mentioned by both the Health Secretary and the shadow Health Secretary. I think it is now generally accepted that coronavirus will be a bit like flu with regular recurrences, probably towards autumn and winter. I worry that we are going down the path of the EU precautionary principle rather than managing that risk and accepting that unless we are going to keep shutting down society, we will have to work out how to deal with it. As I have said during the course of this pandemic, we need a policy that enables us to co-exist with the virus rather than vainly hoping we can eliminate it. That is the real challenge, and the question is: can the Government rise to it?

[Richard Graham (Gloucester) (Con)]

I think in our constituencies there is a real fear that the road map and the extension of the Coronavirus Act are one and the same, that extending the latter means effectively delaying the former, and that if we support the motion this evening, lockdown restrictions will be extended and freedoms not returned. I therefore echo the concerns of some of my right hon. and hon. Friends, such as my right hon. Friend the Member for North Somerset (Dr Fox) and my hon. Friend the Member for Winchester (Steve Brine), about today’s motions. They are not all ideal, because many of us would prefer the return of full freedoms to coincide with the end of the Coronavirus Act, and the Health Secretary made the case as to why that could not be so, while ending some 12 schedules of the restrictions within the Act. He made the case for the need for the Act continue.

If we could amend the Act, I would agree with several colleagues that, for example, schedule 14, for health assessments, and schedule 1, which gives powers to the police to detain those potentially infectious persons for up to 24 hours, would be prime candidates. In fact, as my neighbour, my hon. Friend the Member for Wycombe (Mr Baker), pointed out, schedule 22 has never been used at all, and that would be another candidate for amendment. But we have allowed legislation that is not amendable, and therefore the choice this evening is really whether to support the motions, because there are parts of the Act that have been widely useful, such as temporary courts, the different treatment of leases, and statutory sick pay, and those do, I believe, require support from us all.

[John Spellar]

The reality is that if the Government were defeated tonight, they would recall Parliament and put through the legislation to pass the necessary measures, and therefore they are erecting a false alternative, are they not?

[Richard Graham]

If the right hon. Gentleman will allow me, I want to focus this evening on the key messages that I think it is important for us to hear from the Government this evening; when the Minister sums up, perhaps he can allude to them. The first is that we are still trading on a slogan of “Protect the NHS”. Although none of us underestimates the importance of a fully functioning NHS or the incredible efforts made by all our local NHS trusts, the time has come to recognise that actually in many of our hospitals there are now fewer people with coronavirus than would normally be there with flu; that the huge efforts made by our NHS have broadly succeeded in taking out of hospital —certainly in my hospital, the Gloucestershire Royal Hospital—those patients who had been in intensive treatment; and that the time has come to look at the huge backlog of other physical operations that are needed, at the people who have been too shy to come forward because they were frightened of catching the virus just by going into hospital, and at the incredible backlog of mental health issues that is only just beginning to surface.

Last weekend, the father of a young woman currently working for me dived into the River Severn fully clad in order to save a young woman from drowning. She did not want to be saved; she wanted to commit suicide. We are, in each of our constituencies, seeing more cases of that type, and each one has a whole ricochet of tragedy attached to it, as the Minister knows well.

Therefore, whatever the new message is—I shall not try to draft it for the Government this evening—I think the message has to be that it is now time for us all, but inevitably particularly the NHS, to look after those who have not had coronavirus; to swivel our attention, not completely away from the pandemic, which has not gone away and will never completely go away; and to recognise how much more needs to be done to protect others in society and give them the chances and the attention to flourish—which, of course, is where the road map comes in. I still believe that it is an almost impossible task for our police forces to fully implement the requirements of the restrictions that we have laid on them, and I hope that the Government will be able to do more to allow things to open a little bit earlier and give back those freedoms that everybody values so dearly.

Covid-19

Lord Spellar Excerpts

Monday 22nd February 2021 Commons Chamber

[John Spellar (Warley) (Lab)]

With all the delays that are built into the various stages of the statement, I think it is very unfortunate that the Prime Minister has not learned from the magnificent work undertaken by Kate Bingham and the vaccine taskforce about how to move safely and at pace.

The right hon. Member for Maidenhead (Mrs May) rightly drew our attention to the plight of the aviation industry and, quite frankly, got a fairly limp response in reply. Our economy needs that traffic moving again, and a key enabler would be a vaccine certificate—a vaccine passport, if you like. The Government response in the paper shows no sense of urgency. We will not even get an answer until some time in June. It is not just for aviation; a vaccine passport could assist with the safe reopening of hospitality, sporting and leisure venues. Many of these are on the brink, and they need every help in getting back on their feet, while their workers want their jobs back. It also matters for their customers. The Government’s own survey in the document shows that half of adults are reporting boredom, loneliness, anxiety or stress. Unemployment kills; loneliness kills as well.

Why not have a vaccine passport? Huge advances in technology over the past decades mean that it should be a relatively straightforward process. The NHS keeps records of everyone who has had the jab—I have my own card here—and this information could be stored on a plastic card produced in a secure environment or possibly on a mobile phone app, and carried around in a pocket ready to be presented on entry at any commercial venue. Let us be clear that the NHS already issues yellow fever cards as the proof of vaccination that some countries require before people can visit.

[Anthony Mangnall]

Does the right hon. Member not realise the damage having a vaccination certificate would do for anyone under the age of 35, who will not be at the frontline of getting a vaccination and will have to remain behind locked doors, with their freedoms curbed, for not having the vaccine? It is a terrible idea.

[John Spellar]

I fail to follow the logic of the hon. Gentleman that says he would rather the places stayed closed. I think it would be a rather good idea if venues were actually open, and people could then visit. Perhaps we ought also to be speeding up the vaccine. We are already down to the over-50s, and moving it further down should be part of the Government’s ambition.

I have to say that the omens are not encouraging. Last year, we saw that while many venues had spent considerable sums on making their premises covid-safe, that was just ignored and disregarded, and they were closed down just the same in the face of precious little evidence that they had played any significant role in spreading the disease. Sometimes one does wonder whether this is driven by the Victorian hangover in the British Government psyche that distrusts the public actually enjoying themselves, but at stake are businesses and jobs, and our economy and society, because leave this too long and, as I was just saying, there will be no venues to go back to. That would be a human and economic disaster, and it would also change our country.

One of the attractions of visiting, living and working here is our rich cultural life. Music and theatre, pubs and clubs, sporting events, hotels and restaurants make life worth living here, but they also make us stand out in the world. The Government are putting this outstanding ecosystem at risk, so I urge the Prime Minister, and the Paymaster General here, to shift back from risk avoidance to risk management, to ramp up vaccination to the maximum, to bring forward the great reopening—and, incidentally, then to help the rest of the world with vaccines—and to get Britain back to work and play.