(3 years, 8 months ago)
Commons ChamberMy right hon. Friend has asked about this many times, and he is quite right to, because it is not just about cleaning. We have learned a lot during the pandemic about the importance of good ventilation, and that is now embedded in infection prevention and control. As cases in hospitals come down, hospitals across the country are separating, as much as is possible, those who might or do have covid from people who are coming to hospital having been tested and knowing that they do not have covid. That is incredibly important to reassure people that if they are asked to come to hospital by a clinician, it is the best place for them.
In response to my right hon. Friend the Member for Leicester South (Jonathan Ashworth), the Secretary of State said that it was up to local NHS trusts to decide whether to take up the Greensill payday loan app, but The Sunday Times yesterday published an email between David Cameron and Matthew Gould, the head of NHSX, on 23 April. It reads:
“As you can imagine, Matt Hancock, David Prior [NHS England chairman], Simon Stevens [NHS chief executive], as well as the many trust CEOs, are extremely positive about this innovative offer.”
Is that email correct? Was the Secretary of State “extremely positive” about the Greensill app? Does he not think there is something morally wrong with using poorly paid and struggling NHS staff to allow a private company to construct a financial bond to be traded on the international money markets?
As I said to the right hon. Member for Leicester South (Jonathan Ashworth), my approach was and is that local NHS employers are best placed to decide.
(3 years, 11 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
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The reassurance I can give to my hon. Friend and, more importantly, everybody living in North Devon, is that we will get there. We set the goal of 15 February for everybody in the four most vulnerable groups—the over-70s and others—to be vaccinated. They will have an offer of the vaccination arrive so that they can be vaccinated before 15 February. The reason we set that date is to make sure that everybody across the country gets it in a fair time. That is why we are putting more vaccine into the areas that have not made as much progress yet. However, across Devon, just under 100,000 people had been vaccinated by the 17th—a few days ago. By now, I am sure that more than 100,000 people have been vaccinated in Devon. That shows that the roll-out is happening, and we are absolutely determined to reach all parts.
May I join my parliamentary neighbour, the hon. Member for North West Durham (Mr Holden), in thanking those working in primary care to roll out the vaccine in County Durham? They tell me that if they get the vaccine, they can get it out to those who need it. Last week, though, the primary care trust vaccine hub in Chester-le-Street had to be put on standby because there was no vaccine arrival. Today the Secretary of State has again announced new vaccine sites, and suggested that over-70s are going to get the vaccine. In my constituency, people over 80 are still waiting. Can I plead with the Secretary of State to stop the hype and spin, to just be honest with people and with primary care if there is a problem with supply, and to ensure that primary care has enough notice to be able to organise this process, because it is causing a huge deal of pressure on an already overworked system?
I am delighted to say that primary care—the GP surgeries across the country—are rising to the challenge brilliantly, especially in County Durham, which is doing an absolutely magnificent job. It is far ahead of the national averages in terms of the roll-out and is doing brilliantly. Of course there are challenges; as the supply comes in, we are getting it to the frontline as fast as we can, and that does mean some rapid turnaround times. I urge the right hon. Gentleman to cheer up and back his local team. Yes, it is difficult, but I know that we will get there.
(3 years, 11 months ago)
Commons ChamberEnsuring that that sort of link-up is standard practice across the criminal justice system is critical, and that is one area that the Lord Chancellor and I are working on. Ultimately, so too is the provision of enough places, because we can only send somebody to a place if the place exists. That consists of two pieces of work. The first is building more mental health hospitals, and the second is ensuring that people leave mental health hospitals when they can be better cared for in the community. Often it is cheaper and better for a patient to be treated in the community, but provision of community services must be in place so that that discharge can take place. A significant amount of work is going on to try to improve that process.
May I thank the Secretary of State for his statement, and welcome the publication of the White Paper? It is important in these reforms that the patient is at the centre of their treatment. The provision in the review to have mental health advocates for mental health patients is welcome, but may I suggest that the Secretary of State works closely with the community and voluntary sectors, and considers funding for those sectors so that they can provide the advocates that will be needed if the reforms go forward?
I am very happy to do that. One of the most striking and out-of-date things about the current legislation is that if somebody who is unmarried is incapacitated through illness, decisions on their behalf are automatically, in the first instance, taken by their father, rather than by their choice of who might take those decisions. That is one of the things we want to change, along with the wider point about support for the community and voluntary services that the right hon. Gentleman rightly suggests.
(3 years, 11 months ago)
Commons ChamberI am absolutely delighted to be able to agree with every single word that my right hon. Friend says. He and I have not always agreed on every dot and cross of the policy on how to handle this pandemic but, regarding how we get out of it from here, it sounds like we are aligned on needing to roll out this vaccine as fast as possible.
The NHS can deliver at the pace my right hon. Friend mentions if we can get the manufacturing up to that speed. Of course, we are working with AstraZeneca to make that happen. I was on the radio at the same time as the chief executive this morning, and I was delighted to hear his commitments. AstraZeneca has worked so hard to make this happen and, crucially, we have to protect the most vulnerable. The fact that only one dose is needed to give protection is incredibly helpful, and that way we can get rid of these blasted restrictions as soon as possible.
It is very welcome news that the Oxford-AstraZeneca vaccine has been approved, but many of my elderly North Durham constituents, such as 94-year-old Joyce Ridley from Tanfield who contacted me yesterday, are still waiting for the vaccine. The Government promised before Christmas that they would prioritise those aged 80-plus to get the vaccine. Can I ask the Secretary of State, as I did when he made his statement before Christmas, when my elderly residents in North Durham will receive the vaccine? I do not want spin or flannel; a straight answer will do. If he does not know the answer, could he at least write to me so that I can reassure those who are worried that they have been forgotten?
I will absolutely arrange a meeting between the vaccine roll-out Minister, the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Stratford-on-Avon (Nadhim Zahawi), and the right hon. Gentleman to look into that case in particular. Around seven in 10 of the vaccines deployed so far have gone to those over 80. The rest have gone to NHS and care home staff, and to some residents in older persons’ care homes who are under the age of 80. We are deploying the Pfizer jab to older people right now, and we have to do that as fast as possible to make sure that, when there are cases such as the one he raises, we get it sorted.
(4 years ago)
Commons ChamberYes, of course I will talk to the Chancellor about the point that my right hon. Friend raises. Of course, we do already have a significant amount of support for hospitality businesses, but I understand how difficult this is.
On the point about looking at local areas, we will absolutely do so, as we have demonstrated in the decisions taken today. For instance, just over the border in East Sussex, we have unfortunately had to put Hastings and Rother into tier 3. Tunbridge Wells today has a case rate of 288 per 100,000, and I would say to everybody right across Kent that we really need to act with serious responsibility. No matter which part of Kent a person is in, we have a very serious problem in Kent, and the only way in which we can get it under control is for people in Kent to essentially behave as if they have the virus and are trying not to pass it on to somebody else. Be really cautious in Kent: it is the area of the country that has the biggest problem in terms case rates, and therefore there are huge pressures on the NHS in Kent. I thank everyone who works in the NHS in Kent for what they are doing.
We are putting in as much support as we can, and I look forward to working with my right hon. Friend, all colleagues from across Kent and of course the county council and district councils to try to get this under control. Other parts of the country have done it and brought the case rate down, and we have been able to take some into tier 2. I am sure that we can get there in Kent, but we have to work hard to make that happen.
On Monday, I asked the Secretary of State when care home residents in County Durham would get the vaccine and he did not answer the question. I have now been contacted by GPs in Chester-le-Street in my constituency who were first promised the vaccine on 16 December. That was put back to 21 December. Having done all the work to set up the hub, they have now been told that the vaccine will not be available till the new year. So when will residents in Chester-le-Street get the vaccine? I do not want hype or generalisations; I just want a straightforward answer for those constituents.
We are opening more and more GP vaccination hubs each day. The answer specifically on Chester-le-Street is as soon as we practically can, but it has to be done in a safe way. That is out my hands and out of the right hon. Gentleman’s hands. An important operational set of procedures needs to be gone through to open the hubs. It is complicated. I will look into the right hon. Gentleman’s example and write to him with details, but he will understand, as I am sure the people of Chester-le-Street will, that we are trying to get the vaccine rolled out as quickly and as safely as possible, but “safely” is an important part of that.
(4 years ago)
Commons ChamberMy right hon. Friend makes the case strongly not only for him but for the Treasurer of Her Majesty’s Household, my hon. Friend the Member for Pudsey (Stuart Andrew), who as a Whip cannot speak. However, believe me, behind the scenes he makes the case for Pudsey more strongly than anyone in this House makes the case for anywhere—almost. [Laughter.] It is a team effort. The specific answer to his question is that the decision made on Wednesday will be published on Thursday and come into effect in the early hours of Saturday morning.
The announcement of the vaccine was very welcome, but like a lot of things with the Government, there is a big difference between what has been promised and spun and what is actually happening on the ground. I was contacted this morning by Mrs Lesley Rhodes from Chester-le-Street in my constituency concerning her mother, Mrs Gowland, who is a resident of the Picktree care home in Chester-le-Street. She has been told that the vaccine will not be available to them and other care homes in County Durham until into the new year. Can the Secretary of State tell her and other residents of care homes in County Durham when they will start receiving the vaccine?
The right hon. Gentleman is quite wrong. We have been very clear with the roll-out of the vaccine on the pace at which we can start it—in fact, we started it ahead of when we committed to—and the uncertainties over the timing of the roll-out, as he will have seen from my answer to the previous but one question. When it comes to the care home roll-out, I have been absolutely clear that we aim to have it started in England before Christmas, and I am delighted it has been able to be started in Scotland today.
(4 years ago)
Commons ChamberThe Secretary of State talks a lot about partnership at local level. Two weeks ago, his Department contacted the local public health directors and asked them to draw up plans for care home testing. Last week, his Department sent out a letter directly to care homes, bypassing those local directors of public health, to introduce testing in those care homes. Why was the approach changed? How will the data from that testing in local care homes be fed through to local directors of public health to do local tracing?
It is very important that tracing happens, and the data, as the right hon. Gentleman knows, is fed through to councils where that data agreement has been put in place. The best approach is for councils and the national system to work well together.
(4 years ago)
Commons ChamberI am delighted that outdoor sports are able to reopen. Like the Secretary of State for Digital, Culture, Media and Sport, I have had significant representations from people who want to exercise, which of course is good for their health, so I am glad that we have been able to do that.
When it comes to the geography of the application of the tiers, of course we have to look at the areas in which people live and travel. Where it is clear that there is a genuine difference that is not represented by administrative boundaries, we will look at it and make a decision on that basis, as we did previously. For instance, with the previous tiers, we even split a borough in two in one example. Nevertheless, we do have to look at where people live and travel to get these decisions right.
Thousands of jobs have been lost and will be lost in the pub and hospitality sector. At the beginning of the crisis, the Prime Minister said that Government action would follow the science. At a recent meeting, the national health director was clear that there was no science behind the 10 o’clock—soon to be 11 o’clock—curfew and said that it was a policy decision. If there is no science behind this decision, what are the reasons for it?
We have put in place an enormous amount of support for the hospitality sector and we understand the challenges posed by the measures that were brought in. The reason behind the restrictions on hospitality is that in order to protect people’s ability to go to work and, in particular, to protect education, it is important, sadly, to reduce the social contact on which the virus thrives. It is upsetting and frustrating, but it is true. It is clear from the evidence that later in the evening and late at night, social distancing declines, and we know that when social distancing declines, transmission increases.
(4 years, 2 months ago)
Commons ChamberMy hon. Friend puts the case very clearly, and she is right. We do not want businesses in Stockport to be disadvantaged, so an offer, proportionate to the support that we have put into Liverpool and Lancashire, is on the table. I will take away her proposal and talk to my right hon. Friend the Secretary of State for Housing, Communities and Local Government, who is engaged in those talks right now, about her suggestion of a borough-by-borough approach. We remain open to a GM-wide approach, but so far we have not been able to get the agreement of the Mayor for the support that is on the table for the businesses of Greater Manchester.
I welcome the Secretary of State’s announcement that he has no plans to move the north-east into tier 3. He is right that in County Durham covid numbers are plateauing, especially if students are taken out. Will he, though, address the point raised by my hon. Friend the Member for Blaydon (Liz Twist)? When will he give the extra resources to local directors of public health to do local test and tracing? When will local directors of public health get timely information from national Test and Trace, so that they can chase up those cases? At the moment they are getting the information up to 48 hours after the case—
(4 years, 2 months ago)
Commons ChamberAt the weekend, Mrs Helen Perry, one of my constituents, contacted me to say her son and three of his flatmates at Northumbria university had tested positive for covid. They are all self-isolating, but despite that are being bombarded up to 10 times a day by NHS Test and Trace. It is the same story for Mr Brian Sayer and his family, who are self-isolating because a family member has tested positive. In Brian’s words, “We’re not stupid people; we don’t need pointless telephone calls every other day”, and Mrs Perry says, “What a waste of time and money.” When will the Secretary of State admit that the national system has failed, and when will he hand over testing and, more importantly, tracing to local directors of public health, who know their areas and their communities and know how to do test and trace properly?
The hon. Gentleman is completely wrong on two fronts. This has been a very consensual statement so far, and the hon. Gentleman—
The right hon. Gentleman has played a constructive part in getting the public health messages across in Northumberland, but he is wrong on two fronts. First, when NHS Test and Trace contacts people to remind them to self-isolate, that is based on the analysis we have done of what helps to ensure that people stay self-isolating.
Yes, because the isolation of people and their staying isolated is important. The right hon. Gentleman can complain that we are doing too much, but that is not normally the complaint I get from the Opposition.
The second point is that that must be, in the right hon. Gentleman’s words, handed over to local authorities. No, no, no; there has got to be teamwork with local authorities. It is teamwork that will help us get through this, not this attempt to separate people and say, “One side’s good, one side’s bad.” We are all on the same side in this fight against the virus.
(4 years, 2 months ago)
Commons ChamberMy right hon. Friend makes a really important and heartfelt plea. I have been working with the travel sector and discussing the matter with them. While the testing capacity is, as it is now, on the current technology, we have to use it for the clinically prioritised groups, but of course we would all love to see when further expansion can mean that we can use testing more broadly in the sorts of ways that she describes.
Since the beginning of this crisis, the Government’s approach has been one of central control. We are fixated on the number of tests, but is the real issue not the number of tests, but what we do with the information we get from them? Before the new restrictions were applied to County Durham, NHS Test and Trace took testing capacity out of County Durham. Is it not now time to just admit that the national system has failed? What is needed is to give responsibility directly to directors of public health, with the resources to do not only the testing, but the more important thing, which is tracing, which they are more able to do than people in national call centres?
We put in money, including into the right hon. Gentleman’s constituency, to do exactly that—to make sure that there is local support. He says we should follow a localised approach. That is exactly what we did in the north-east: when the seven north-east councils came to national Government, they asked for a set of interventions to be put in place, and we did that. That is exactly the sort of approach that we ought to be taking, and we will continue to do so.
(4 years, 2 months ago)
Commons ChamberDoes my hon. Friend agree that the Government are attempting to shift blame on to local councils? The councils quite rightly want restrictions, but what is happening is that they are asking for things but not being given them. There is also no consultation at all on how the restrictions should be implemented locally, which is leaving the councils with the confusion that we have had over the last few—
(4 years, 3 months ago)
Commons ChamberYes, of course. We take action at as local a level as possible, but unfortunately we do have to take action in this case. I was in the north-east on Monday. I would echo her comments that people will do what is necessary to control this virus and to look out for their communities. I pay tribute to the work that she has done in representing people from Bishop Auckland and her whole constituency in what are difficult times.
Many of my constituents cannot get tests, including people who work for the NHS. Others have been sent as far afield as Aberdeen for tests. At the same time, there has been spare testing capacity in the region. Last week, NHS Test and Trace moved all its mobile testing units out of County Durham. The measures that the Secretary of State has outlined today will be enacted by the people of the north-east—I agree with my hon. Friend the Member for Newcastle upon Tyne North (Catherine McKinnell)—but unless we have an effective local test and trace system, this will not work. Is it not time to just admit that the national system has failed and that the effort now has to go into directors of public health being given the finance locally to put in place effective test and trace systems that local people can have confidence in?
The test and trace system works in a combination of the national and the local. If we took away the national, we would not have the record testing capacity, but if we took away the local, we would not have the local knowledge and the boots on the ground to solve problems and to find people who need to self-isolate. It is the combination of the two that works. I urge the right hon. Gentleman to work with his local council and with the national teams to do everything we can to get the virus under control in his area.
(4 years, 8 months ago)
Commons ChamberI will get back to my hon. Friend on that very, very important point. I am grateful that he raised it with me privately earlier, and I am sorry that I have not been able to get a reply in time.
I thank the Secretary of State for his statement. Will he join me in commending Pact House, a charity in my constituency in Stanley, which is delivering meals and food to the elderly with some 90 volunteers? It contacted me this morning because it is concerned that the building it operates from may need some type of certificate to keep operating, following the announcement yesterday.
Can he clarify the position? Will it just be allowed to open, or will it have to apply for some sort of letter to say that it can operate?
As long as it is operating within the guidelines that the Prime Minister outlined in his address to the nation last night, which are set out in detail on the gov.uk website, it is doing the right thing and does not need any further certification.
(4 years, 8 months ago)
Commons ChamberMy hon. Friend makes an important point. We are absolutely clear that we are prepared to take the action that is necessary.
The fourth part of the Bill contains measures for managing the deceased in circumstances where many of those involved in the registration and management of death will themselves be self-isolating. We want to ensure that those taken from us by the virus are treated with the utmost dignity, while protecting public health and respecting the wishes of bereaved families. Among other measures, the Bill will expand the list of people who can register a death to include funeral directors. It will mean that coroners only have to be notified where there is not a medical professional available to sign a death certificate. It will allow death certificates to be emailed instead of physically presented. It will remove the need for a second confirmatory medical certificate in order for a cremation to take place, and it gives local authorities the power to take control of elements of the process if needed. Those powers would only be used if absolutely necessary and on clinical advice, but we plan for the worst, even while we work for the best.
The Secretary of State will know that a new medical examiner system has been introduced in many areas, including Durham. Their role is to look into deaths in hospitals, so they will be inundated if there is a large number of deaths. Is there any provision in the Bill that loosens up their role? Otherwise, they will be overwhelmed by the number of examinations that they will have to do.
I very much hope that they will not be. The medical examiners regime is very successful, and as the right hon. Gentleman says, we are expanding it across the country. We do not deem that necessary, not least because we think that we can expand it if necessary. We do not think that there is a need for statutory change in an area that is improving.