Future of Health and Care

Jonathan Ashworth Excerpts

Thursday 11th February 2021 Commons Chamber

[Jonathan Ashworth (Leicester South) (Lab/Co-op)]

I thank the Secretary of State for advance sight of his statement. I suppose we should also thank Andy Cowper for advance sight of the White Paper.

We are in the middle of the biggest public health crisis that our NHS has ever faced: staff on the frontline are exhausted and underpaid; the Royal College of Nursing says that the NHS is on its knees; primary care and CCG staff are vaccinating and will be doing so for months ahead, including, possibly, delivering booster jabs in the autumn; and today, we learn that 224,000 people are waiting more than 12 months for treatment. This Secretary of State thinks that now is the right moment for a structural reorganisation of the NHS.

We will study the legislation carefully when it is published, but the test of the reorganisation will be whether it brings down waiting lists and times, widens access, especially for mental health care, drives up cancer survival rates, and improves population health. We are not surprised that the Secretary of State has ended up here. We warned Ministers not to go ahead with the Cameron-Lansley changes 10 years ago. It was a reorganisation so big that we could see it from space. It cost millions. It demoralised staff. It ushered in a decade of wasted opportunity and, of course, he voted for those changes and defended them in this Chamber, so, when he stands up, I hope that he will tell us that he was wrong to support them.

We have long argued for more integrated care, but how will these new structures be governed, how will they be accountable to local people, and how will financial priorities be set, because when something goes wrong, as tragically sometimes it does in the delivery of care, or when there are financial problems, such as the ones that we have seen at Leicester’s trust, where does the buck stop?

The Secretary of State is proposing an integrated care board tasked with commissioning, but without powers to direct foundation trusts, which spend around £80 billion and employ around 800,000 staff. He is suggesting a joint committee of the ICS and providers as well, but who controls the money, because it is from there that power flows? Both of those committees will overlap with a new third additional committee, the integrated care system health and care partnership, which includes local authorities, Healthwatch and even permits the private sector to sit on it. All these committees must have regard for the local health and wellbeing board plans as well. How will he avoid clashing agendas and lack of trust between partners, as we have seen at the ICS in Bedfordshire and Luton, for example? Nobody wants to see integrated care structures that cannot even integrate themselves. Legislation alone is not the answer to integration. We need a long-term funded workforce plan; we do not have one. We need a long-term, cross-governmental health inequalities plan; we do not have one. We need a sustainable social care plan; we were promised one on the steps of Downing Street and we still do not have one.

When the Secretary of State voted for the Cameron reorganisation 10 years ago, it was presumably because he wanted, in the words of the White Paper at the time, “to liberate the NHS”. Now he is proposing a power grab that was never consulted on by the NHS. It seems that he wants every dropped bedpan to reverberate around Whitehall again. He is announcing this just at the very moment when the NHS is successfully delivering vaccination, which is in striking contrast to the delivery of test and trace and of PPE early on where he was responsible. Again, we will look carefully at the legislation, but why is he so keen for these new powers? Why is he repealing his responsibility to set an annual mandate and bring it to Parliament?

The Secretary of State wants to intervene now in hospital reconfiguration plans, but why is he stripping local authorities of their power to refer controversial plans to him? With his new powers, will he reverse outsourcing? Will he end the transfer of staff to subcos? Will he bring contracts back in-house and block more outsourcing in the future? He is ditching the competition framework for the tendering of local services, while potentially replacing it with institutionalised cronyism at the top instead.

Fundamentally, how will this reorganisation and power grab improve patient care? The Secretary of State did not mention waiting times in his statement. It is mentioned once in the leaked White Paper. How will he bring waiting lists down? How will he improve cancer survival rates and widen access to mental healthcare, and by when? How will this reorganisation narrow widening health inequalities, and by when? Given that the Prime Minister insists that lessons cannot be learned from this pandemic until the crisis is over, why does the Secretary of State disagree with that and consider this reorganisation so urgent now?

[Matt Hancock]

I will take that as cautious support. I know that the hon. Gentleman sometimes has to say these things, but I am very glad that he leaves the door open for yet more enthusiastic support in the future, not least because of all the questions that he just asked. The proposals on the table—the proposals in the White Paper—are addressed directly to make the improvements that he calls for.

The hon. Gentleman raised an important point about the vaccination programme. The vaccination programme is one of the largest and also one of the most successful civilian operations that has happened in this country, and that is because of the teamwork among the NHS, local authorities, the Department and the brilliant civil servants who work in the vaccine taskforce. It is that combination, that teamwork and that integration which is making the programme the great success that it is.

The hon. Gentleman asked about timing, and I say to him: why argue for delay? Why stop work to integrate? Why stop work to ensure the NHS is more accountable? When people are working so hard in the NHS for us, why should we not work hard in this Parliament to give them the legislative support that they need and have asked for? That is the question he needs to answer if he wants to continue an argument for delay. If not now, when? There is no better time than immediately, so I hope that he will, on reflection and on reading the White Paper, come forward with enthusiastic support.

I absolutely look forward to debates about the details and the implementation. I look forward to the parliamentary passage of a significant piece of legislation in the future, and I look forward to the hon. Gentleman’s engagement on that, but the removal of bureaucratic barriers cannot wait. The increase in the integration of the system should not have to wait, and accountability for this enormous amount of taxpayers’ money to this House, and through this House to the citizens whom we serve, is something that should be welcomed right across this Parliament, and I hope that it will be.

Covid-19 Update

Jonathan Ashworth Excerpts

Tuesday 9th February 2021 Commons Chamber

[Jonathan Ashworth (Leicester South) (Lab/Co-op)]

I thank the Secretary State for advance sight of his statement. I again start by congratulating all involved in the vaccination roll-out. Vaccination needs to reach everyone, and we need to drive up vaccination rates among the over-70s. There have been reports today that over-70s have been ringing up to get an appointment but NHS computer systems are not yet ready to accept appointments over the phone. Will he look into that for us?

What is the plan to drive up vaccination levels in minority ethnic communities? I am sure the Secretary of State is as worried as I am about vaccination rates among diverse communities. I know the Government announced some funding for local authorities to tackle vaccine hesitancy in minority ethnic communities, but a city such as Leicester—my city, and one of the most diverse in the country—was not on the list. Will he rectify that?

At last night’s press conference, the Secretary of State said that the way we deal with new variants is to respond to them as they arise, and that the first line of defence is to identify them and stop spread. However, our first line of defence is surely to do everything we can to stop new variants arising in the first place. That means securing our borders, to isolate new variants as they come in. He announced a detailed package today, but he has not announced comprehensive quarantine controls at the borders. Why are more than half of the countries where the South African variant has been identified not on the so-called red list? According to newspaper reports, he wanted to go further, with more extensive quarantine arrangements. I want that as well, and the British public want that as well, so I will work with him to make that happen, so that we can strengthen our borders and fix any holes in this nation’s defences.

The Secretary of State knows that mutations occur so long as the virus can replicate and transmit, and the greater the spread, the greater the opportunity. We have the South African variant and the so-called Eek—the E484K mutation—and the B.1.1.7 strain has been identified as well. Is it not the cold reality that the virus is now here for some time, and therefore that, for vaccines to succeed in protecting us, we need to do more to protect those vaccines by cutting transmission chains and spread, especially when lockdown eases? Last year the Secretary of State said, in launching Test and Trace, that it would

“help us keep this virus under control while carefully and safely lifting the lockdown nationally.”

But it did not keep the virus under control, did it? How will it be different this time? Will retrospective testing and tracing—the enhanced tracing he outlined for areas where there are variants—be routine everywhere?

Extra testing where there are new variants is of course welcome, but for many who cannot work from home on Zoom calls and laptops, who are poor or low paid, who live in overcrowded housing or who are perhaps care workers currently using up their holiday entitlement when sick so as not to lose wages, a positive test is not only a medical blow but a financial one. Last Tuesday, the Secretary of State boasted of the £500 payment, yet more than 70% of applications for financial support are rejected. By Wednesday, his own head of Test and Trace was pointing out that 20,000 sick people a day do not isolate. Indeed, two months earlier, Dido Harding had already said that people are not self-isolating because they find it very difficult, and that the need to keep earning and feed a family is fundamental, so is it any wonder that infections are falling at a slower rate in the most deprived communities? We need that financial support that his own scientific advisers have called for and that has been shown to work internationally. If he thinks I am wrong, will he tell us why he thinks Dido Harding is wrong?

We know that this virus can be transmitted through aerosols. Has the Secretary of State looked at installing air filtration systems in public buildings such as schools? Given concerns that the new Kent variant may shed more viral load through coughing and sneezing, will he update the guidance on face masks, as Germany has done, with FFP2 masks required on public transport and in shops? Will he ensure that higher-grade PPE for frontline NHS staff becomes the requirement, as the British Medical Association, the Royal College of Nursing and unions have called for?

Finally, next week is Children of Alcoholics Week, a cause very close to my heart. Indeed, I will be running the London marathon again to raise money for an alcoholics charity—[Interruption.] If it is on. I am looking forward to the Secretary of State assuring me that it is going to be on, and perhaps he can run it with me. The number of excess deaths from liver disease is up 11% in the pandemic—a huge increase—and many children are in lockdown in homes under the shadow of alcohol abuse. Will he look at providing more support for those organisations that are helping children through this difficult time of lockdown when dealing with parents with substance misuse problems?

[Matt Hancock]

I was listening very carefully to the hon. Gentleman, and I think I take that as support for the measures we are bringing in.

On the specific points the hon. Gentleman raises, he is absolutely right that further driving up vaccination rates is critical. I am delighted by the vaccination rates and the uptake of over 90% in all of the groups over the age of 75, and rapidly rising now—above 75% and rising fast—in the 70 to 74s. I agree with him very strongly on the need to keep driving up the uptake of the vaccine. The Minister for Covid Vaccine Deployment, my hon. Friend the Member for Stratford-on-Avon (Nadhim Zahawi), is leading the efforts across the NHS and local authorities to try to make sure that we can increase vaccination rates further. Nevertheless, the take-up has been absolutely superb so far, and there is still more to do.

I will absolutely look into the points the hon. Gentleman made about Leicester. I know that it is close to his heart and a very important matter.

I will commit to the hon. Gentleman to keep the red list up to date. It is important that we take the measures that are necessary to protect this country. There are countries around the world on a so-called green list that have very low rates of infection and no known variants of concern. I am absolutely in favour of keeping the red list up to date, but I also think it is important that we are proportionate when there are countries that do not have a record of variants of concern. However, we will use the fact that we will sequence every positive test from somebody who comes through the border as a global system of vigilance to make sure that we are always looking for those variants of concern.

The hon. Gentleman raised the issue of financial support. I reiterate that the £500 support is available for anybody on low incomes, so people should come forward for testing in all circumstances. I am absolutely delighted at the level of testing as well. There is now an average of over 650,000 tests a day done in this country, which is obviously a very substantial number.

The hon. Gentleman raised the point about air filtration systems, which are important. I will point him to guidance from the Business Department on air filtration systems and on PPE—we have taken clinical advice and follow the clinical advice on the correct levels of PPE.

Finally, I know that the issue of children of alcoholics is very close to the hon. Gentleman’s heart and to those of many colleagues across the House, so I will absolutely look at how we can ensure that the extra funding we have provided in this space continues to support the vital work not just of those in the NHS, but especially of charities that do so much in this space. The invitation to run the marathon with him is a very interesting one. I am not sure I have enough time for training this year, but it is certainly something I would like to do at some point in the future.

Covid-19 Update

Jonathan Ashworth Excerpts

Tuesday 2nd February 2021 Commons Chamber

[Jonathan Ashworth (Leicester South) (Lab/Co-op)]

I am grateful, as always, to the Secretary of State for advance sight of his statement. I thank you, Mr Speaker, for putting in place the arrangements for testing on the estate. I am sure that Members and, crucially, staff on the estate are extremely grateful for that initiative. I also extend my best wishes to the Lord Speaker on his birthday today.

The news that the South African variant has been identified in eight different local authority areas is alarming and suggests significant community transmission. Can I just ask the Secretary of State to run through the timelines? When did these 11 cases test positive, and how long does the genetic sequencing take? When was he told of the cases? Can these processes be made speedier? I am told, for example, that the Ealing case tested positive in late December.

The variants bring into focus the importance of border controls. Times Radio reports that hotel quarantine arrangements will not be in place until 15 February. Why the delay? According to The Times, the Scientific Advisory Group for Emergencies warned two weeks ago that tougher quarantine restrictions for everyone entering the UK were needed. The Government dispute that interpretation, so will the Secretary of State publish the SAGE minutes from 21 January?

I welcome the extra testing, but may I suggest the Secretary of State goes further, because people move beyond their postcode boundaries? They go shopping and many still have to go to work. Will he therefore roll out testing in neighbouring postcodes? He wants to come down hard on this variant, but is not the lesson of mass testing, such as in Liverpool, that people are hesitant to take a test if they are not compensated for any loss of income associated with self-isolation? We are fighting this virus with one hand tied behind our back, asking the low paid to go hungry in order not to spread the virus. Transmission chains will not be broken without decent sick pay and isolation support.

We have seen the Kent B117 variant spread with speed. Public Health England’s latest technical briefing reports that B117 sequences with the E484K mutation seen in the South African variant have now been identified. That is very worrying, because this is the mutation thought to be behind the partial vaccine evasion. Surely that suggests that further action will be needed. For example, Germany, Austria and France are recommending FFP2 face masks on public transport and in shops. The Chair of the Select Committee, the right hon. Member for South West Surrey (Jeremy Hunt) has also suggested that. Will the Secretary of State now review the evidence and look at that measure?

On vaccination, I again congratulate the NHS. Not all care homes have been vaccinated—those with a covid outbreak have not, for understandable reasons—but will the Secretary of State tell us how many such care homes are outstanding? There have been reports of some care staff turning down vaccination, so can he tell us how many care staff have been vaccinated? Will he ensure that the NHS collects data on the numbers turning down vaccination, so that we can target and overcome the vaccine hesitancy more effectively?

Public health services have an important role in tackling vaccine hesitancy. When will public health directors know their allocations for the next financial year? UNICEF has warned:

“Children are not the face of this pandemic. But they risk being among its biggest victims”.

I accept it was inevitable that schools would close given community transmission levels, but that does not make it any less devastating. We are depriving young people of social interaction and of play with their friends. Learning is not the same and mental health problems are increasing. There will be children in homes where there is violence or where drink abuse or substance misuse is prevalent.

Children’s health must always be a priority. On current plans, how many teachers will be vaccinated as part of bands 5 to 9, and how many teachers and support staff will have to wait until the period between Easter and summer to be vaccinated? Last September, it was reported that 25,000 teachers had been off sick related to covid, further disrupting children’s learning, so how can the Secretary of State ensure that we do not see the same disruption again from March when it is hoped that schools will return?

Finally, this is indeed National HIV Testing Week. Over the weekend, I binge-watched “It’s a Sin”, and I was in tears. Thankfully, HIV is not a death sentence today. People living with HIV are in phase 6 for vaccination, but only if they have disclosed their HIV status to their GP. Many have not and still do not want to because of the stigma that we saw portrayed in “It’s a Sin”, so will the Secretary of State ensure that people living with HIV are able to access vaccination at their HIV clinic?

[Matt Hancock]

To answer the hon. Gentleman’s many questions, he is absolutely right to raise the importance of coming down hard on the cases of new variants that we have discovered here in the UK. These are cases that have been seen over the past two months. The action that we are putting into place is to make sure that we stop further spread, and further spread in the community, alongside the action taken to ensure that there is no spread from those who have a history of international travel. As he knows, we have brought in tougher action at the border and we stand ready to do more.

The hon. Gentleman asks for the SAGE minutes to be published. They are published regularly. He also asks about the neighbouring postcodes to those where a new variant case has been found, where it is a new variant of concern. We absolutely do that where it is epidemiologically sensible. For instance, if the case is found on the border of a postcode, obviously we go across that border. We also investigate linked premises—for instance, if somebody had a child at a school or is going to work in a particular workplace—and, working with the director of public health, we will ensure that testing is directed there as well.

The hon. Gentleman raises the issue of isolation payments. We have the £500 isolation payment in place, so nobody should, as he put it, go hungry because they have to isolate. What is critical in these areas is that people stay at home unless they absolutely have to go out. It is imperative that people follow the rules to get these new variants completely under control.

He asks about the care home success. I am delighted that we have been able to reach so many care homes. I said in my statement that we have reached 10,307 care homes in England. There are 110 care homes where the vaccination programme is still outstanding because they have had outbreaks and, for clinical reasons, the vaccination programme cannot start there, but it will as soon as it is clinically possible.

The hon. Gentleman also asks about the data being shared from the vaccination programme. That data is now routinely shared with local directors of public health, precisely for the reasons that he set out—so we can reach more parts.

Finally, he ends on the question of education. Of course we understand how challenging the impact of this lockdown is on those with children who have to be schooled at home. That is why the Prime Minister said that schools should be the first thing to open when it is safe and possible to do so. Sadly, that time is not yet, but the more that we all follow the rules that we have set out so clearly, the quicker that time will come.

Vaccine Roll-out

Jonathan Ashworth Excerpts

Thursday 21st January 2021 Commons Chamber

[Matt Hancock]

Typically, I have come forward at least once a week, and I am very happy to do that and to respond to questions at any time. I am very glad that the technology is working and I can do that while self-isolating at home, as I am now.

On the substance of the questions asked by my hon. Friend the Member for Bexhill and Battle (Huw Merriman), the first thing I would say is that I am absolutely delighted that there are new centres opening in Sussex—in Ticehurst village hall this week—so that the roll-out can reach all parts. I will consider the point that he makes about cohorts 5 to 9, which will need the first dose of the vaccine at the same point as we start the second dose for those who have been vaccinated from the start of January. When we restart with the second doses, it will be important to make sure that they are available as close as possible to the largely elderly population who will need them, and I will take away the point that he raises.

The challenge on the contract is tied in with the first and third of my hon. Friend’s questions. The challenge is essentially that we have a lumpy supply. The manufacturers are working incredibly hard to deliver the supply as fast as possible, and I pay tribute to them and their work. It is challenging, however, and therefore it is not possible to give certainty as far out as many GPs and those who are delivering on the ground would like. The worst thing would be to give false certainty. We do try to give information about what is coming next week, but until the supply smooths out, as I am sure it will over time, going further out than that would give false certainty. The worst thing would be to have GPs across the country booking in large numbers of people and having to reschedule those appointments unnecessarily.

I will take into account the point that the Oxford-AstraZeneca vaccine is easier to deliver in rural areas, and the request for some people to be able to do that. At the moment, however, we must use the contract that we have.

[Jonathan Ashworth (Leicester South) (Lab/Co-op)]

Yesterday I visited the vaccination centre at Leicester racecourse, and it was inspirational to see the joy on the faces of those who were vaccinated and the pride of the staff and volunteers doing the vaccination. The figure of 4.6 million is indeed welcome, and it is a reminder that when the NHS is put in charge and tasked with implementing a large-scale project across our communities, it gets on with it and delivers. The Secretary of State has a target to vaccinate care home residents by the end of the week. Will he update us on progress towards that target?

Today we have had the latest Imperial survey, and the findings are alarming. It is especially concerning that infection rates are so high in London, and yet London and the east of England appear to be behind the rest of the country on vaccine roll-out. Will he tell us what action is being taken to speed up vaccination across London and the east of England? The Imperial survey also highlights the disproportionate infection rates among key workers and those from black, Asian and minority ethnic backgrounds. Once the nine priority groups are vaccinated, is it the Secretary of State’s expectation that we will then move to prioritise key workers—teachers, police officers, firefighters, transport workers, supermarket staff—who are more exposed to the virus at the moment?

The Secretary of State will know that there are 11,000 community pharmacists. That could mean up to 30,000 pharmacists at the heart of delivering this vaccine. We should be using them not just because of the volumes of doses they can administer, but because they have years of experience of building trust and vaccine acceptability within hard-to-reach groups and minority ethnic communities. I was speaking to pharmacists this week in Dudley who were telling me this. They also, by the way, raised concerns about the wider supply of the consumables needed to administer the vaccine. Can he guarantee that there will be no delay or shortages in the delivery of this wider kit?

The new variants remind us that we have to go further and faster on vaccination and work harder to break transmission chains. Early analysis suggests the South African B1351 variant brings a reinfection risk that means vaccines may need to be redesigned. Has the Secretary of State got a contingency plan in place?

Finally, yesterday’s death numbers were truly horrific. Vaccination has to go hand in hand with measures to suppress this virus. That means further containment measures. Not everybody can work at home comfortably or isolate themselves. The system is still expecting families to go hungry to stop spreading infection. Can I urge the Secretary of State again to fix sick pay and give people proper financial support so that they can isolate and we can drive infection rates down?

[Matt Hancock]

I agree with the hon. Gentleman that the NHS is doing a great job, supported by so many people. In particular, I want to thank the volunteers who have stepped forward—tens of thousands of them—and are now working to deliver the vaccination programme alongside NHS staff and, of course, members of our armed forces. In fact, there are several Members of this House who are, as we speak, supporting vaccination in vaccination centres, and some of them are doing vaccinations themselves. I am very grateful to all the volunteers.

The hon. Gentleman raises the question of pharmacies and, absolutely, pharmacies are going to be incredibly important, especially for reaching into those communities that may be otherwise harder to reach. The NHS as a whole is highly respected and trusted in all communities of this country so is well placed to do that, and pharmacy colleagues within the NHS particularly so, because they are often the closest to their communities. As I have set out, we have opened 65 vaccination centres that are pharmacy-led this week, with more to come.

The hon. Gentleman asks about the residents of elderly care homes. I am delighted to say that 63% of residents in elderly care homes have now received the vaccination. That is a really significant increase over the last week. We are on track to deliver on our goal of vaccinating elderly care home residents by the end of this month, and I hope sooner than that.

Finally, the hon. Gentleman asks about the question of the need—potential need—for vaccine redesign if there is a new variant that is not effectively dealt with by these vaccines. Obviously, we are vigilant on that and keep it under close review. I am glad to say that the early indications are that the new variant is dealt with by the vaccine just as much as the old variant, but of course we are vigilant on the new variants we are seeing overseas. He mentioned the South Africa variant, and there is also a variant of concern that was first identified in Brazil, and of course we are vigilant on those matters, too.

What I would say in summary is that all of these things just support the need for everybody to follow the rules and stay at home. It is critical that everybody does their bit to try to stop the spread of this virus while we get the numbers under control and bring them down, thus protecting the NHS and getting this death toll down, because it is far too high.

Oral Answers to Questions

Jonathan Ashworth Excerpts

Tuesday 12th January 2021 Commons Chamber

[Matt Hancock]

Clearly, the IT underpinnings of this project are critical. The Pinnacle system is working well, but we are constantly monitoring it to make sure that it supports the roll-out of the vaccine.

[Jonathan Ashworth (Leicester South) (Lab/Co-op)]

Our sense of encouragement at the roll-out of the vaccine is tempered by our deep alarm at the situation we are in. Over 80,000 people have died. On current trends, we are likely to see more deaths in this wave than we saw in the first. Millions still have to go to work and the virus is now more infectious. Those still going to work of course include NHS staff, and the British Medical Association says that 46,000 of them are off sick with covid. Can the Secretary of State go further and faster, and ensure that frontline NHS staff receive the vaccination in the next two weeks? Will he provide daily updates on the numbers of NHS staff who have been vaccinated?

[Matt Hancock]

We do now provide daily statistics on the roll-out of the vaccine, and we will provide more data as the system matures and the roll-out advances. The hon. Gentleman is absolutely right to raise the challenges that the NHS is facing today. Although the roll-out of the vaccine is proceeding well and we are on track to hit the targets that we have set, we must also stress to everybody the importance of following the rules that are in place to control this virus and reduce the pressures on the NHS, which are very considerable at this moment.

[Jonathan Ashworth]

We all understand that, until vaccination is rolled out more generally, we will continue to see hospitalisations. The NHS is currently in a crisis: beds are filling up; intensive care unit surge capacity is being maxed out; ambulances are backed up outside hospitals; and there are warnings about oxygen supplies. Hospitals were not built for these demands on oxygen, so can the Secretary of State assure us that there are contingencies in place, and can he guarantee that no hospital will run out of oxygen in the coming weeks?

[Matt Hancock]

There are very significant pressures on the NHS. On the specific question about oxygen supplies, the limitation is not the supply of oxygen itself; it is the ability to get the oxygen through the physical oxygen supply systems in hospitals. That essentially becomes a constraint on an individual hospital’s ability to take more covid patients, because the supply of oxygen is obviously central to the treatment of people with covid in hospital. As we have a national health service, if a hospital cannot put more pressure on its oxygen system, we take people to a different hospital. I assure the hon. Gentleman that there is no constraint that we are anywhere near on the national availability of oxygen—oxygenated beds. As he knows and as we have seen reported, sometimes patients have to be moved to a different location—as local as possible, but occasionally across the country—to ensure that they get the treatment that they need.

Public Health

Jonathan Ashworth Excerpts

Wednesday 6th January 2021 Commons Chamber

[Jonathan Ashworth (Leicester South) (Lab/Co-op)]

We will support the regulations, but like the Secretary of State, I did not come into politics to restrict people’s freedoms in this way. As one who represents Leicester, a city that has effectively been in a form of restrictions since last March, I well understand the devastating impact restrictions can have on our economy, on our way of life and on the mental health and wellbeing of our constituents. Indeed, many of our constituents will feel devastated by the prospect of weeks and weeks, perhaps longer—possibly until the end of March—in isolation, feeling anxious and lonely.

Last year, in the months following the long lockdown, 19.6 million prescriptions for antidepressants were issued—a 4% increase on the same period the year before—to more than 6 million people in England, which is the highest number on record. If we are to support lockdown we need assurances from Ministers that mental health services will be fully resourced, will stay open and can respond to people’s needs throughout lockdown.

I know that many people find solace in prayer, so I am grateful that communal prayer can continue during lockdown. With the indulgence of the House, may I take the opportunity to thank Leicester City Council, Peter Soulsby and our councillors, especially those for the wards of Stoneygate, Wycliffe and Spinney Hills, who have worked hard with our many mosques, temples, gurdwaras, synagogues and churches across Leicester to ensure covid-secure worship?

[Jim Shannon]

I think it is important to have prayer. Does the shadow spokesman agree with the call I have made in the past for a national day of prayer in this country?

[Jonathan Ashworth]

I think that that is a very good recommendation. May I extend an invitation to the hon. Gentleman to return to Leicester to watch our great football team, when we are allowed and are out of lockdown? Perhaps I will take him around and show him some of the great inter-faith work that we do in Leicester as well.

The lockdown will have a huge impact on the wellbeing of our children, so a plan to get our children back safely to school is a priority. There are thousands of children out of school in overcrowded, cramped accommodation, unable to access learning properly from home. There are other children at risk of abuse and violence. Members may know that I have spoken of my own experiences growing up in a home with a parent who had a problem with alcohol. Many children face the prospect of being locked in their home with a parent who abuses drink or drugs, so I urge Ministers to work with and fund children’s advocacy and support groups such as the National Association for Children of Alcoholics, with which I have worked closely, that will do so much throughout this lockdown.

Today, I agree with the Secretary of State. We do, unfortunately, have to restrict freedoms further to safeguard freedoms for the future and save lives. As he said, the tragic reality is that the virus is out of control. To be blunt, there is no freedom for our constituents if they are in the graveyard. There is little freedom either for those who suffer the enduring, debilitating effects of long covid. Yesterday, almost 55,000 cases were reported in England—one in 50, as the Secretary of State said, have the virus. The numbers in hospital are higher than in April, with over 1,800 in intensive care. Yesterday, there were over 3,300 hospitalisations—a record—and admissions are going up in every region.

This is a national emergency, and a national lockdown is necessary. Indeed, we should have locked down sooner. We are voting this lockdown through on Twelfth night, yet in the run-up to Christmas the alarm bells should have been ringing. The Secretary of State came to the House on 14 December to report a new strain, now known as the B117 strain. He told the House:

“Initial analysis suggests that this variant is growing faster than the existing variants.”—[Official Report, 14 December 2020; Vol. 686, c. 23.]

The Prime Minister learned of the rapid spread of the new variant on 18 December. The New and Emerging Respiratory Virus Threats Advisory Group met that day and concluded that the new strain added at least 0.4 to the R. On 21 December, the chief scientific adviser, Patrick Vallance, said that the new strain was “everywhere” and cases would rise after the “inevitable mixing” at Christmas. He said:

“The lesson…you have to learn about this virus…is that it’s important to get ahead of it in terms of actions”.

The Scientific Advisory Group for Emergencies met on 22 December, the following day, and concluded:

“It is highly unlikely that measures with stringency and adherence in line with the measures in England in November…would be sufficient to maintain R below 1 in the presence of the new variant.”

Here we are, two weeks later, with half a million infections and 33,000 hospitalisations since 22 December. This is a national tragedy. Why does the Prime Minister, with all the scientific expertise at his disposal, all the power to make a difference, always seem to be the last to grasp what needs to happen? He has not been short of data—he has been short of judgment, and yet again we are all paying the price.

As the Secretary of State has said, there is light at the end of the tunnel. Vaccination is how ultimately we are released from these restrictions. I pay tribute to everyone involved in helping to distribute and administer 1.3 million vaccine doses so far. This a great achievement, but we need to go further and faster.  The Prime Minister has promised that almost 14 million people will be offered the vaccine by mid-Feb. That depends on about 2 million doses a week, on average. Both the Secretary of State and the Prime Minister have assured us in recent days that that is doable, based on orders, but, in the past, Ministers told us that they had agreements for 30 million AstraZeneca doses by September 2020 and 10 million Pfizer doses by the end of 2020, so I think that people just want to understand the figures and want clarity. How many of the ordered doses have been manufactured, how many of the ordered doses have been delivered to the NHS, and how many batches are awaiting clearance through the Medicines and Healthcare Products Regulatory Agency clearing processes? Two million a week would be fantastic, but it should not be the limit of our ambitions. We should be aiming to scale up to 3 million, to 5 million, to 6 million jabs a week over the coming months. If we can vaccinate 29.6 million people, deaths and hospitalisations will be reduced by 99%. That is what we should be aiming at now.

[Steve Brine]

Obviously the Opposition will support this tonight, but, further to the exchanges that a number of Government Members had with the Secretary of State, will the hon. Gentleman tell the House at what point he and the Leader of the Opposition will be calling for our constituents to be released from the restrictions? Please do not say, “When it becomes obvious it is going to happen.”

[Jonathan Ashworth]

The hon. Gentleman asks a perfectly reasonable question. Of course, as we vaccinate more, mortality rates will improve more and we will be able to save people’s lives, but there will be others who remain unvaccinated and exposed to the virus, and will possibly develop debilitating symptoms of long covid as a result of that exposure. I do believe that we can begin to ease restrictions once we increase the proportions of those who are vaccinated, but we will not be able to go back to normal yet, because the virus will still be circulating. Even though they may not end up in hospital and on ventilation, many who have contracted this virus have remained incredibly ill as a result.

[Dr Murrison]

I am really pleased by the generally positive way in which the hon. Gentleman is approaching this; it does him great credit. Can I perhaps help him out by making a suggestion? Every year, we accept a certain amount of deaths—tragic, sad deaths—from seasonal flu, up to 28,000 in recent years. Would it be reasonable to anticipate the number of deaths that are going to be caused by this virus and try to make a political judgment—for a political judgment is what it is—on what we feel is acceptable, and that will give us our criteria for deciding on when to lift this lockdown?

[Jonathan Ashworth]

The right hon. Gentleman makes a reasonable point, like the former Public Health Minister, the hon. Member for Winchester (Steve Brine), but this is not just a simple calculation about the number of deaths that are prevented. The right hon. Gentleman has more clinical experience than I have, obviously, but we know that there are people who suffer long-term, debilitating conditions as a result of this virus, with reports of people developing psychosis, long-term breathing problems, and problems with the rhythm of their heart. It remains an extremely dangerous virus, regardless of whether people end up in hospital and on ventilation. But he is quite right: in the end, this will be a judgment for politicians and a judgment for this House. It is not a judgment for the chief medical officer and the chief scientific adviser, although I would hope that our judgments, in the end, are guided by the chief medical officer and the chief scientific adviser.

[Sir Bernard Jenkin]

I, too, commend the hon. Gentleman for the constructive approach he is adopting. He clearly has a very good relationship with my right hon. Friend the Secretary of State. Will he assent to the proposition that public confidence in this vaccination programme is critical if we want people to comply with these lockdown measures, and we must do nothing that creates false expectations or unrealistic expectations about how the vaccination programme will go? We must be modest in what we promise and hopefully we will overachieve. Can he assist my right hon. Friend in that objective?

[Jonathan Ashworth]

I think that as a rule in politics it is always better to under-promise and over-deliver. Maybe the Whip on the Treasury Bench could send that advice to the Prime Minister, because the Prime Minister tends to have the opposite approach to some of these matters, I would say.

Our big target should be to vaccinate more, particularly among NHS staff. Many NHS staff on the frontline, in the face of danger, are scared. They are exhausted. Many have said to me that they feel they were sent out in the initial weeks of the first wave without the protection of personal protective equipment, and now they are exposed again without the protection of inoculation. Will Ministers move heaven and earth to get all frontline NHS staff vaccinated urgently, and can we have a clear date by which NHS staff on the frontline will receive the vaccine? If manufacturers can increase supply, what more can be done to improve distribution? In addition to GPs, our community pharmacists have tremendous links with hard-to-reach communities. We need to make full use of them.

Vaccination not only saves lives, and is not only the route out of restrictions; it is also urgent, because we are now in a race against time. The B117 strain is fast becoming dominant, and it has done so in just a matter of weeks. The more virus there is circulating, the more opportunities there are for further mutations that could give the virus greater advantage—possibly a variant on which vaccines no longer work, risking another devastating covid wave in winter 2021. Vaccination, both at home and across the globe, is now fiercely urgent, and the race to vaccinate is therefore literally a race against evolution.

We will also support this lockdown tonight because we know we have to reduce transmission. That is why we are asking people to stay at home. But not everyone can work from home on their laptops. There are 10 million key workers in the United Kingdom, of whom only 14% can work from home—key workers, many of whom are low paid and often use public transport to travel to work in jobs that, by necessity, involve greater social mixing, who are more exposed to risk. Often, because of their home circumstances, they end up exposing others to risk as well. We witnessed that in Leicester, where it is suspected that a spike back in the summer was the result of a spillover of infections into the community from those sweatshops that did not adhere to proper health and safety rules.

We need to make sure that our workplaces are covid-secure; otherwise, we will not get on top of transmission. What support are the Government offering to install ventilation systems in workplaces? Will the Government introduce a safety threshold for ventilation of indoor workplaces without outside air? Given that the B117 strain is so much more transmissible, are the Government considering reintroducing the 2-metre rule? Given that fewer than 20% of those who should isolate do so fully, will the Government finally accept that sick workers need proper sick pay and support? Otherwise, those workers will be forced to work, spreading this illness.

The British public have done so much over the last year and have made great sacrifices. We are a great country, and our people can and will rise to the occasion. All anyone asks is that the Government do the right thing at the right time: make all workplaces covid-secure; vaccinate health workers as soon as possible; introduce decent sick pay and support to isolate, and roll out a mass vaccination plan like we have never seen before. This is a race against time—a race against evolution—and we will support this lockdown tonight.

[Madam Deputy Speaker (Dame Rosie Winterton)]

I will now introduce the three-minute limit. I remind hon. and right hon. Members that when a speaking limit is in effect for Back Benchers, a countdown clock will be visible on the screens of hon. and right hon. Members participating virtually and on the screens in the Chamber. For hon. and right hon. Members participating physically in the Chamber, the usual clock in the Chamber will operate.

Covid-19 Update

Jonathan Ashworth Excerpts

Wednesday 30th December 2020 Commons Chamber

[Jonathan Ashworth (Leicester South) (Lab/Co-op)]

As always, I thank the Secretary of State for advance sight of his statement. I totally understand why he has had to come to the House this afternoon to move further areas into tiers 3 and 4. As he says, almost the whole of England is now in a form of lockdown. My constituents in Leicester and, I am sure, constituents in Greater Manchester will be deeply worried that our areas have now been in a form of restrictions for months and months. It is having a huge impact on families and small businesses in cities such as Leicester and, I am sure, areas in Greater Manchester. He has also moved Liverpool into tier 3. Liverpool was the great success story, so is it his view now that mass lateral flow testing is not enough to contain the spread of this virus? Our constituents will be asking how long he expects these lockdowns to be in place.

We will vote for the regulations tonight, because the situation we are in is truly horrific. As he has outlined, the virus is out of control. Yesterday, over 47,000 cases were reported in England. In the last two weeks, nearly half a million cases were reported in England. There are now more patients in hospital—over 20,000—than at any time in this pandemic, with admissions rising day by day, including almost 2,000 on Christmas day. Hospitals are close to or at surge capacity. We see ambulances queuing up outside hospitals because there are not enough beds for patients. We have London hospitals requesting to transfer patients in need of intensive care to Yorkshire. Frontline healthcare workers warn of oxygen supplies running low. Can the Secretary of State assure us that there will be no disruption in oxygen supplies through this second wave?

Our NHS staff are exhausted. Morale is low. Staff absence is said to be double its normal level. Leave for many is cancelled. And this time, there is no evening applause on our streets; just long, dark, hard nights for our NHS staff. The Nightingales were opened at great expense and fanfare, but now we hear that some of them, such as London’s, have been emptied. Will they be used? If so, given the staff shortages across the NHS, how will they be staffed? There are reports today that only one in eight retired NHS staff—just 5,000 out of an eligible 30,000 who applied—have been brought back to help. Should we not be making full use of this resource, especially to help with vaccination?

Today’s AstraZeneca news is indeed a tremendous boost, and I congratulate all involved, but can the Secretary of State confirm how many doses we currently have ready to go? We are in a crisis now. Mass vaccination needs to start straightaway. We need to go hell for leather to get these jabs rolled out with no delay. We have already lost more than 600 healthcare workers to this horrific virus, including a disproportionate number of black, Asian and minority ethnic staff. Frontline NHS staff need the protection of the vaccine ASAP. Will the Secretary of State set a clear target for when all NHS frontline staff will receive the life-saving jab, and can he tell us when all care home residents and staff will be vaccinated? He will recall that I raised with him the situation facing those with terminal illnesses. Will he clarify the JCVI’s guidance for that group today?

This is a race against time, because the more the virus circulates, the more opportunities there are for further variants to emerge. The new B.1.1.7 variant is 56% more transmissible and is the dominant strain in London and the south-east and east of England. The New and Emerging Respiratory Virus Threats Advisory Group minutes from 18 December suggest it could add at least 0.4 to the R. Given that the first lockdown brought R down to about 0.6, and the second down to about 0.8, it will surely be harder to bring infections under control, so harder measures will be needed. Will the Secretary of State publish in realtime the advice he receives from the Scientific Advisory Group for Emergencies on the restrictions needed?

This is a global crisis, but let us be clear: this is a national emergency. Our national health service is becoming overwhelmed. I hope that tier 4 restrictions are enough, but many believe that even tougher restrictions are now inevitable. Does the Secretary of State agree? We need not put more lives in jeopardy when vaccines are so near. Let us give the achievements of our scientists the best chance to save lives. The country sacrificed so much in 2020. Let us not repeat the same mistakes. We must start 2021 by right now doing everything it takes to save lives and support our NHS. Only then can we look forward with confidence and hope.

[Matt Hancock]

The hon. Gentleman is quite right that this virus has thrown up problems and challenges right around the world; we have seen the impact in other countries in some of the news from other parts of Europe today. He is also right that, thanks to the approval of this vaccine, alongside the Pfizer-BioNTech vaccine, the end is in sight. That should give us hope that, while we have difficult weeks ahead of us, we can see the route out of this pandemic and normal life returning, with all that that means and entails.

The hon. Gentleman talked about the pressures on the NHS, which are significant. One advantage of having a national health system is that when one area of the country faces particular challenges, others can come to its mutual aid. That is in process—it is happening—and means that people are sometimes taken across the country to receive care where there is spare capacity. That is necessary; it is how the system works when it is under significant pressure.

The hon. Gentleman asked about the vaccination of NHS staff. I can confirm that, thanks to the decision announced by the regulator today, we will be able to accelerate the vaccination of NHS staff already in priority group 2, as well as of the over-80s and of care home residents and staff. He asked about the number of vaccines we have available. I mentioned in the statement that we have 530,000 across the UK available for deployment in the first week of January. The NHS is doing a fantastic job of constantly increasing and expanding the scale of its operation.

Finally, the hon. Gentleman asked what more can be done in areas where rates are very high and continuing to rise. The true answer is that it is on all of us—it is about how everybody behaves. If we collectively decide to stop this by taking personal responsibility and not coming into contact with others unless absolutely necessary, we can slow the spread of this virus. The tiers restrictions are of course necessary, but ultimately it is about how we all behave. That is how we will get through the next few weeks together, and then the vaccine can come and save us.

Covid-19 Update

Jonathan Ashworth Excerpts

Thursday 17th December 2020 Commons Chamber

[Jonathan Ashworth (Leicester South) (Lab/Co-op)]

I thank the Secretary of State for advance sight of his statement. These past 12 months have seen covid spread with speed and severity. More than 65,000 people have died in the United Kingdom, at least 620 of them health and care workers making the ultimate sacrifice in the line of duty. More than 240,000 people have been treated in hospital with the disease and, as he reminded us, what gives this virus such lethal advantage is that people who appear healthy can go about their lives unaware that they are transmitting the virus to others. So, of course, we accept and understand why he has had to move areas into higher tiers today, even though this means tens of millions of people across England are now living under the toughest restrictions, and we are grateful that he is placing in the Library details on each of our local authority areas.

However, two weeks ago the Secretary of State did say that we have the virus “under control” and that:

“We can't risk letting cases rise again, especially into Christmas”.

I am afraid that that is exactly what is now happening, is it not? Yesterday, England reported more than 23,000 cases, which is the highest number in a month. Hospital admissions on 14 December were the highest since 16 April, and the number of people in hospital with covid is now at its highest since 22 April. The number has risen by 20% since the end of lockdown. If it goes up by another 20%, we are back at the same peak we saw in April. These numbers should be sounding all the alarm bells there are, which is why clinicians are pleading with the Secretary of State to put robust arrangements in place to keep people safe through Christmas. We saw in Canada and in the United States huge spikes in infections following Thanksgiving. This is not about cancelling Christmas; Santa will still deliver his presents. But is the Secretary of State really telling us that allowing indoor mixing of three households across regions and generations for five days is sensible, given that the virus is raging with such ferocity at the moment? The devastating tragedy is that those who will be most impacted by the virus spreading through the easing are those who will be at the front of the queue for the vaccine in the next month or two. So will he look again at the Christmas arrangements?

On vaccination, more than 130,000 have been vaccinated in the first week—that is a good thing, and we celebrate it and congratulate all involved—but to vaccinate every older person, vulnerable person and key worker by Easter, we will need to do something like double that every day. The National Audit Office this week said that £11.7 billion for the programme will be needed alongside 46,000 extra staff, so how much is allocated to the vaccine programme at the moment? How many staff are being taken on and trained to support the vaccination programme? When will we see the mass vaccination centres opened in our constituencies?

There have also been warnings today about the vaccine roll-out in primary care taking longer than planned, because existing software systems keep crashing, the system does not alert GPs if a patient on their lists has already had it in hospital, and GPs are forced to turn to pen and paper for data capture. When will there be a national call and recall system for GPs, and why was it not ready for the roll-out this week?

The right hon. Gentleman mentioned that the Secretary of State for Education is to make a statement on schools. I do not know whether that means he is coming to the House or not, but with schools going back in January, can he provide some clarity around testing in schools? There is some speculation that the opening of schools will be delayed by a week in January. Can he give us an update on what is happening on that front?

Finally, this has been a dismal year for all of us, but our national health service workers and our care workers have, as always, done us proud, so I put on record my thanks to all of them, many of whom will be working through the Christmas and new year period. I also thank all those working on the response to covid, including the right hon. Gentleman’s departmental officials, our medical science community and our public health teams. With that, I wish you, Madam Deputy Speaker, all working in the House and, indeed, the Secretary of State a safe Christmas and a happy new year.

Covid-19 Update

Jonathan Ashworth Excerpts

Monday 14th December 2020 Commons Chamber

[Jonathan Ashworth (Leicester South) (Lab/Co-op)]

As always, I am grateful to the Secretary of State for advance sight of his statement.

This is a virus that, without adequate restrictions in place, spreads with ferocity. Case rates are increasing again, hospital admissions are climbing and the R is edging up. Last week, the England-wide rate was 159 per 100,000; now it is 188 per 100,000. That is a 20% increase. Across London cases have increased by 30% and across the east of England by 36%, so none of us is surprised at the action the Secretary of State is taking today. Indeed, he was warned that tier 2 would not be enough to contain the spread of the virus in many places. Indeed, it looks like in some areas, such as Kent, tier 3 is not enough to contain the spread either.

Elsewhere in the country, tier 3 does appear to be forcing the virus to flatline. Indeed, in the north-west it is trending down. However, overall the increasing areas are rising faster than the decreasing areas are falling. As things stand, we are heading into the Christmas easing with diminishing headroom. The buffer zone that the tiers were supposed to provide is getting much thinner.

What is the Secretary of State’s plan to keep people safe through Christmas and avoid huge pressures on the NHS in January? What is his plan to support an exhausted, underfunded, understaffed NHS through January to deliver the care patients will need? Is he confident that our NHS will not be so overwhelmed in January that it impacts on the vaccination programme?

Our response to covid throughout could have been stronger had contact tracing been more effective. In boroughs such as Islington, only 65% of people have been traced by the national system. In Tower Hamlets the figure is only 60% and in Barking it is only 61%, yet Test and Trace is costing £22 billion—more than the policing and fire service budgets combined. According to the National Audit Office, up to September only £785 million was allocated to local council public health teams. Meanwhile, Serco has subcontracted to 21 other firms, offering little training to staff, with some people in call centres sitting alongside others making sales calls for gambling websites. Surely it is time to scrap Serco and put all public health teams in the lead in the retrospective cluster-busting contract tracing we need.

The Secretary of State has promised more testing for tier 3 areas. What about the tier 2 areas? On the lateral flow tests he is rolling out, he will know that some care home providers are refusing to use them because of concerns about their accuracy. Is he satisfied that these tests are accurate enough for this purpose and safe? If they cannot be used for care homes, how quickly can care home residents’ relatives make use of polymerase chain reaction tests?

The Secretary of State often praises Liverpool, but is not the biggest lesson to draw from Liverpool that people still struggle to isolate if they do not have the financial means to do so? The eligibility criteria for the £500 payment is still too tightly drawn. People need decent sick pay. People in some circumstances need alternative accommodation. People need help with their shopping and medicines. Surely some of the £22 billion spent on Test and Trace could be reallocated to offer people adequate isolation support.

On the variant that has been identified, our constituents will naturally be concerned.

Will the Secretary of State undertake to keep the House updated throughout? I am grateful for the briefings he has arranged for myself and others with the chief medical officer, but if this variation means the virus is more easily transmissible, fixing contact tracing and isolation becomes even more fiercely urgent.

Finally, today I spoke to Fred Banning. Fred is just 38, has two children under 10 and has terminal cancer. He asks that those with terminal illness are given quicker access to the vaccine, so he can in the words that he said to me this morning “make the most of the time he has left with his family.” I understand that these are clinical decisions, but can the Secretary of State through his offices look into access to the vaccine for those with terminal illness and see what can be done for people such as Fred and many others in this situation?

[Matt Hancock]

I am glad to say that across large parts of the country there is very good evidence that tier 3 restrictions are working and the rates are coming down, but we need to be vigilant and, as the hon. Gentleman knows, overall rates are no longer coming down, hence we are having to take further action.

The hon. Gentleman talked in particular about the lessons from Liverpool; the primary lesson from Liverpool is that when everybody pulls together and everybody makes the sacrifices that are necessary for their whole community, we can really get this thing under control. I am grateful to colleagues across London and Essex and Hertfordshire, to whom I have been talking today, who are committed to working to ensure that we get the public health messages out first and foremost, and to the Mayor and the Conservative candidate for Mayor, who are both committed to working on behalf of the capital and, of course, those parts of Essex and Kent and Hertfordshire that are affected, because the single best thing that we can all do is speak with one voice about what is needed to get this virus under control.

The hon. Gentleman asked about Christmas, and my recommendation to people is to be cautious and careful. He asked about NHS funding and staffing; of course we have the strongest funding in history for the NHS, and I am delighted to say that we have more nurses in the NHS than ever before—14,000 more nurses than this time last year. I pay tribute to each and every one of them.

The hon. Gentleman asked about contact tracing and no doubt he will have seen the figures published on Thursday, which show that contact tracing now reaches over 80% of contacts. I pay tribute to the team, both local and national, who are ensuring that we can get to more than four fifths of people whom we need to reach, and that has been rapidly improving.

Finally, the hon. Gentleman asked about Fred, the gentleman with terminal cancer whom he spoke to this morning. Those with terminal cancer are, of course, clinically vulnerable by the nature of that awful disease, and we will ensure that those who are clinically vulnerable get access to the vaccine when clinically appropriate. I am very happy to take up the individual case he raises and ensure that Fred gets a fair deal.

All in all, I am grateful for the hon. Gentleman’s support for the measures we have outlined today and of course for the vaccine programme, which is rolling out across the country right now.

Covid-19 Vaccine Roll-out

Jonathan Ashworth Excerpts

Tuesday 8th December 2020 Commons Chamber

[Jonathan Ashworth (Leicester South) (Lab/Co-op)]

(Urgent Question): To ask the Secretary of State for Health and Social Care, if he will make a statement on the covid-19 vaccine roll-out.

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

At 6.31 this morning, 90 year-old Margaret Keenan from Enniskillen, who lives in Coventry, became the first person in the world to receive a clinically authorised vaccine for covid-19. This marks the start of the NHS’s Herculean task to deploy vaccine right across the UK, in line with its founding mission to support people according to clinical need, not ability to pay. This simple act of vaccination is a tribute to scientific endeavour, human ingenuity and the hard work of so many people. Today marks the start of the fight back against our common enemy, coronavirus.

While today is a day to celebrate, there is much work to be done. We must all play our part in suppressing the virus until the vaccine can make us safe and we can all play our part supporting the NHS to deliver the vaccine across the country. This is a task with huge logistical challenges, including the need to store the vaccine at ultra-low temperatures and the clinical need for each person to receive two doses 21 days apart. I know that the NHS will be equal to the task. I am sure we will do everything we can—everything that is humanly possible—to make sure that the NHS has whatever help it needs.

The first 800,000 doses of the Pfizer/BioNTech vaccine are already here in locations around the UK and the next consignment is scheduled to arrive next week. This week, we will vaccinate from hospitals across the UK. From next week, we will expand deployment to start vaccinations by GPs and we will vaccinate in care homes by Christmas. As more vaccines come on stream in the new year, we will open vaccination centres in larger venues, such as sports stadiums and conference halls.

People do not need to apply. The NHS will get in touch at the appropriate time and, when that time comes, we have one clear request: please step forward for your country.

I want to thank all those involved—the international team of scientists; the globally respected regulator, the Medicines and Healthcare Products Regulatory Agency; Public Health England; the vaccines taskforce; all the volunteers who took part in the trial; all those who have come forward for vaccination so far; and all those who will do so in future. Months of trials involving thousands of people have shown that this vaccine works and is safe. By coming forward, you are taking the best possible step to protect yourself and your loved ones, and to protect the NHS.

Help is on its way and the end is in sight—not just of this terrible pandemic but of the onerous restrictions that have made this year so hard for so many—but even while we can now see the route out, there is still a long march ahead. Let us not blow it now. There are worrying signs of the virus growing in some parts of the country, including parts of Essex, London and Kent. Over the coming weeks and months, we must all keep following the rules to keep people safe and make sure we can get through this safely together.

[Jonathan Ashworth]

The pictures today of 90-year-old Margaret Keenan receiving her vaccine, given by May Parsons, a nurse originally from the Philippines, is a wonderful moment bringing home to all of us that there is now light at the end of this very long tunnel. We are all beaming with pride for our NHS today. Let me put on record my thanks to all our NHS staff working so hard today, tomorrow and in the coming weeks months in administering these jabs. I again pay tribute to all our medical scientists, clinical researchers, regulators and trial participants who have made today happen. We should applaud them on our doorsteps.

I want to put a number of specific questions to the Secretary of State. May I ask him about those areas that do not yet have a designated hospital hub? My city, Leicester, has effectively never really left lockdown, impacting hugely on the wellbeing of our people and the economic prospects of our city. We are a diverse city with a high proportion of black, Asian and minority ethnic communities, who we know are more at risk from the virus. My constituents, Leicester University and the Leicester leadership are all deeply disappointed not to see Leicester on the hospital hub list. I have been lobbying the NHS about this in the past 48 hours, and people in Leicester will get vaccinated, but can he say when areas like Leicester and other areas currently without a hospital hub will get one? When will local primary care network hubs be announced, and when will the mass vaccination centres’ locations be announced? Can he assure us that all vaccination centres and communications will be accessible for those with disabilities and that staff will be appropriately trained?

On care homes, I am grateful for the update the Secretary of State gave us when he mentioned Christmas. Does he anticipate that all care homes will have access to the vaccine by Christmas?

Of course we have to vaccinate NHS staff—that is really important. Can he confirm that that includes student nurses, medical students, physiotherapy students and so on? What plans are in place to ensure that harder to reach groups—such as the homeless, for example—have access to the vaccine?

The Secretary of State has presumably seen the reports today in the Health Service Journal that £567 million of requested funding for covid projects was turned down. Can he guarantee that the NHS will get all the resources it requests to ensure the smooth and rapid roll-out of the vaccine?

The Secretary of State indicated in the newspapers at the weekend that the tiers could be loosened by March if uptake is successful. In the same way that we receive daily published figures on case numbers and tests processed, could we receive daily updates on vaccination doses administered, and could it be by priority cohort?

Finally, what are the plans to tackle anti-vax harm online? I have literally just been sent a WhatsApp video claiming that this is all a global plot to change our DNA. We know that harmful content circulates on Facebook and other platforms. This is garbage: how can we deal with it?

This is indeed a momentous day, and we can all look forward to a much better 2021.

[Matt Hancock]

That is right—we can all look forward to a much brighter 2021. We must stick with it for now, but we can see the way through this.

The hon. Gentleman asked several very reasonable questions. We start today vaccinating in 70 locations across the UK, and we will expand these locations over the coming days. Today we will set out the next tranche of hospital hubs, including Leicester, and vaccinations in Leicester will start in the coming days.

On access to the vaccine, of course we need to make sure that it is available to all, and that includes all with disabilities and all our most vulnerable people, like those who are sleeping rough. This will be best accomplished when we get the primary care community vaccination model rolled out, which will be in the coming weeks. We need to make sure that how we get the vaccine physically out into the primary care networks can be assured as safe, because obviously that is one step more difficult than vaccinating from a hospital, hence we have started in hospitals and then we will get out into primary care and community delivery, and then into the vaccination centres after the new year.

The hon. Gentleman asked about NHS students. The definition of NHS and social care staff set out by the Joint Committee on Vaccination and Immunisation is those who are patient-facing, for obvious reasons. We will set out more details in due course.

Finally, the hon. Gentleman asked about the publication of data on the number of vaccines that have been administered, and according to which priority groups. We will set out those details when the vaccinations have taken place, so that people can see how the programme has been assessed. Overall, may I join him in saying how wonderful it was to see the pictures on the TV this morning—emotional for many of us—and that I am delighted that we have been able to make this progress?