(3 years, 11 months ago)
Commons ChamberWe ensure that testing is prioritised in the areas with the greatest prevalence, and we look at not only the number of positive cases but the surveys and the positivity rate. Those all inform the needs. I understand why the hon. Lady rightly fights for more testing in her constituency, but we have to ensure that testing is used in the places where it is most needed. We know more about this because we now have mass testing, with capacity for over a quarter of a million tests a day, which means that we can take a more targeted and local approach.
Unfortunately, as case rates have gone up, we have needed to introduce more local measures. On Friday, we introduced new restrictions on household mixing for Wigan, Stockport, Blackpool and Leeds, and today, I must announce further measures for the parts of the north-east where we introduced local action a fortnight ago. Unfortunately, the number of cases continues to rise sharply. The incidence rate across the area is now over 100 cases per 100,000. We know that a large number of these infections are taking place in indoor settings outside the home, so, at the request of the local councils, with which we have been working closely, we will introduce legal restrictions on indoor mixing between households in any setting. We do not take these steps lightly, but we must take them now, because we know that swift action is more likely to bring the virus under control. The quicker we can get this virus under control, the quicker we can restore the freedoms that we all enjoy in the north-east and across the country.
All the time that we have been fighting to suppress the virus, so too we have fought to protect people—through the furlough scheme, the bounce back loans and funding for social care, the charities, the arts, as well as unprecedented support for the NHS, so that we could protect it through the peak and now work through the backlog that the peak inevitably caused. Through the huge challenges, we secured the supply lines for vital PPE, and hence we can now launch our PPE winter plan. I would like to pay tribute to Lord Deighton, his team and all the businesses that are stepping up, because their work has put us in such strong stead to protect those who are performing heroics on the frontline.
Finally, the best way to protect us in the long term, for our lives and our livelihoods, is a vaccine. Work progresses as fast as is safely possible. On Friday, the Joint Committee on Vaccination and Immunisation published its interim guidance on how we propose to prioritise access to a vaccine as soon as one becomes available. A huge planning effort is under way, led by the NHS and with the support of the armed forces, to ensure that we are ready for a roll-out as soon as is feasibly possible. Building on years of experience of the annual flu vaccine roll-out, the national effort to come brings hope to us all.
All the way through this pandemic, I have welcomed debate and scrutiny in this House. On Wednesday, we will debate and vote on extending the vital measures in the Coronavirus Act 2020, which provides powers that are critical to the control of the virus. I urge all colleagues to work together to ensure that we come through this in the best possible way, because ultimately, wherever in this Chamber we may sit, we are all on the same side, steadfast in our determination to defeat this deadly virus.
I will give way, but I will not take more interventions because I am well aware that there are plenty on the list to speak.
Order. Those who keep intervening are also on the list, which I think is unfair when others lower down the list will not or may not get in.
Briefly, does the hon. Member recognise that, although he is quite right that nobody came here to restrict liberties—in fact, most of us came to this place to promote liberties—the whole point of promoting liberty in this place is that we must balance liberties? There is obviously the liberty of individuals who are seeking to work, and he spoke about the poorest members of our community, but many of the poorest members of the communities I represent are the ones who are suffering from lockdowns in different ways. Would it not therefore be right for this House to debate—quite rightly not to reject all lockdowns, but at least to debate—the different political choices that are being made as these questions are being asked?
(3 years, 11 months ago)
Commons ChamberYes, I will happily sign up to the proposals that my right hon. Friend has set out. As the House well knows, his long-standing and international work on patient safety is very impressive. We must ensure that in these difficult times we protect our care workers and frontline staff—including, if I may say so, the staff at the testing centres—and that we reiterate once again our commitment to patient safety.
Thank you, Mr Speaker. As the chief medical officer and chief scientific advisers said this morning, the UK is in danger of losing control, as we have seen happen in many countries in Europe. As the Secretary of State has said, we could be facing 50,000 new cases a day by mid-October, leading to about 200 deaths a day by mid-November. No one should be in any doubt that it is a mistake to think that the virus has changed and that it will not kill people if we get back to where we were in April.
I agree utterly with the Secretary of State that we need to take action now, and that action is personal; every single person has the responsibility to stick to the rules—to wear a face covering, wash their hands and keep their distance. I remind Members in this House, because I have been watching it from outside, that that is not always what is on show in this Chamber, and we all have a responsibility to set an example. That responsibility extends to self-isolating, whether we have symptoms, we are proven, we are a contact or we have returned from a high-risk country. If we are meant to be isolating, we need to do it. I really welcome the fact that the Government are finally putting in place financial support for people on low incomes, who might be tempted not to isolate because they simply do not have any other opportunities to feed their family.
However, it is crucial that we have a fast and responsive test and trace system, so I have a couple of questions for the Secretary of State. In recent weeks, he has talked about aiming to have 500,000 tests a day by the end of October. Given the surge we are facing, does he envisage being able to accelerate that and bring it forward? Secondly, on 8 and 15 September he committed to me that he would be increasing funding to expand NHS testing, but, as we heard from the shadow Secretary of State, NHS trusts in England have been told that funding is capped and they are not to expand covid testing. Surely this is resource that we want to use and make available.
Yes, I do. I come to this Dispatch Box as often as possible. I am very sorry that I was unable to come on Friday to discuss Friday’s decision, but the House was not sitting. I agree with my hon. Friend that, essentially, the more scrutiny, the better; that is my attitude. I am very happy to continue to work with him and with you, Mr Speaker, to ensure that that scrutiny can be done at the speed that is sometimes required for these decisions to be made.
Finally, on my hon. Friend’s substantive point, of course minimising the impact on the economy and on education is critical, but there are impacts on the NHS of covid cases going up—not just the need to try to minimise the negative impact that comes from restricting other treatments, such as cancer, that happened in the first peak, but the problem of the NHS operating with high levels of covid cases. Within the NHS, a higher number of cases itself has an impact on the care available for all the other conditions that we need to treat, but I look forward to working with you, Mr Speaker, to make sure that we have continued scrutiny.
I am delighted to have just heard the Secretary of State’s previous answer, because, in a former life, he and I both served on the Public Accounts Committee, so I know that he will understand that every taxpayer living in a community facing a lockdown or unable to get a test deserves a straight answer on whether his Department has imposed a financial penalty or withheld payments for the many voided tests undertaken by Randox. Will he give an answer to that question today?
(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.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
Well, the good news, in responding to that, is that capacity for testing is at a record high. The hon. Gentleman raised the issue of testing in the top 10 local authorities—well, I have got the figures here. Yesterday, we processed 9,278 tests just in pillar 2—so outside of the NHS testing capacity—in just those top 10 local authority areas. Just yesterday, we processed 1,428 tests in his own local authority area.
The good news is that capacity is at record levels and that a record number of people are able to get tests. I do not deny that it is an enormous challenge. When a service is free, it is inevitable that demand will rise. The challenge is to make sure that we prioritise the tests that we have as a nation for those who most need them, as I set out in my answer.
The hon. Gentleman asks about the backlog, which is actually falling and is less than one day’s processing capacity. He also asked about our being able to have testing capacity so that we can re-enable the economy and get things going. As he well knows, there is a huge effort to expand—using the next generation of technologies —the tests that we need to deliver to reopen parts of the economy, and we will deliver on that.
We will deliver on the challenges of today. I do not deny those challenges, but I face the facts in order to deliver on those challenges, rather than simply complaining. The hon. Gentleman should welcome the record capacity and the contact tracing, which are playing their part in responding to the virus.
A week ago today, the Secretary of State told the Health and Social Care Committee that he expected to have this problem solved in two weeks. Since then, in my constituency, two Farnham residents have been sent to Bristol for their tests, a councillor has been sent to the Isle of Wight for her test and a teacher who tested positive had to wait a week for her results. Is the Secretary of State, given the efforts that his Department is making, still confident that in a week’s time we will have this problem solved?
We are increasing that capacity, and we are bringing in new technologies to those labs to expand on that. My hon. Friend is a great expert in this issue and makes a really important point. The current technology works best in labs—people send a swab to the lab and get the result back, but there is a huge amount of logistics around that. We want technologies that can be in a pharmacy or a GP service, so that people get the test result back straight away. When such technologies come on stream—I am optimistic about this, as I am about a lot of things; I do not think I could do this job at the moment without being optimistic—that will give us a chance to get testing out into the community at every level.
We need to tackle problems such as the challenges you have in Chorley, Mr Speaker—you rightly brought them to my attention in your role as a local MP, as we all are—not by having a big national system, but through solutions that are deeply embedded in the community. When we have the technology to do that, we will be in a stronger place, and we are putting every possible effort and support behind people to try to make that happen.
I am pleased you are bringing me back into it. We still have a lab at Chorley Hospital that you can use if you get on to it.
We have had a spike in cases in Redbridge, yet in recent days the Mildmay Road walk-in centre closed for walk-in appointments, without notifying the council or either of Ilford’s MPs. People have been struggling to get access to tests. A local secondary school says that it will close within two weeks unless staff get access to tests, and the local walk-in centre will not even share testing data, which the Secretary of State says is so important, with public health officials at the local council. It is an utter shambles. Can the Secretary of State reassure us that he will help us get a grip in Redbridge? Does he recognise from the voices we have heard across the Chamber that these problems are not only in Ilford? There are problems right across the country, and the only way that this system is world-beating is through world-beating incompetence. When will he get a grip?
(3 years, 11 months ago)
Commons ChamberBefore I call the Secretary of State, I would like to say that he and I had a conversation in a meeting last night, and I think we have some new arrangements coming forward to help the House.
(4 years ago)
Commons ChamberThe Minister is aware that the Cumberlege review has clearly set out Government failure, with Primodos not being withdrawn and thousands of babies being born with severe deformities. Does she think it is acceptable to cite legal action, which has no bearing on the report’s findings, to continue to delay justice for the families? Will she meet me and the all-party parliamentary group to discuss a road map to implement the recommendations for all the three causes without further delay?
As well as our work to fight coronavirus, we are continuing our historic levels of investment in the NHS. Good progress is being made in the projects for 40 new hospitals. The number of NHS nurses in England has increased by more than 13,000 compared with this time last year, and the number of doctors is up by over 9,000. This landmark investment is bearing fruit.
Thank you very much for that welcome, Mr Speaker. I am one of those who most certainly owes an awful lot to the care and dedication of NHS staff. May I ask the Secretary of State a very simple question? One waiting list that is going up is the amount of time that overseas doctors offered jobs in the UK have to wait for a visa. Will he have a quiet word with Home Office Ministers to ensure that we have a joined-up Government and that these doctors, who are part of the solution, can get their visas?
May I join you, Mr Speaker, in welcoming the hon. Member back to the screens—and hopefully, one day soon, back to the House in person? The question that he raises is an important one. I am working with the Home Office to introduce the NHS visa, which will mean not only that the numbers are uncapped, but that the administration around visas is much reduced. It is not just about Home Office administration; it is also about reducing the burden of bureaucracy from the General Medical Council and others. The GMC is working incredibly hard to reduce the bureaucratic requirement while still ensuring that any doctors who come to practise in this country are fully qualified and can speak English to a high enough standard, as the people of Rochdale and the whole country would expect.
The ongoing problems in maternity units in Shrewsbury, Telford and east Kent hospitals have shown that independent, blame-free investigations into baby deaths have never been more important. Will the Secretary of State confirm that it is still the Government’s intention to put the healthcare safety investigations branch on to a statutory footing, and that those plans will remain in the Queen’s Speech later this year?
In response to the last point, the turnaround time for test results is now the next day for almost every one. However, there has been a challenge, referred to just now and in a previous question, with the Randox kits. The test results from the Randox kits that were withdrawn were accurate. The challenge was that the Randox kits did not pass our very high and stringent standards; essentially they were not as clean as we would have wanted. I am informed by the clinicians that there is no evidence of any health threat from that, but of course we have to make sure that we protect people as much as possible. Hence, we had to withdraw the kits. As I said, we have a catch-up programme that is under way.
In order to allow the safe exit of hon. Members who have participated in this item of business and the safe arrival of those participating in the next, I am now suspending the House for three minutes.
(4 years ago)
Commons ChamberYes; the hon. Gentleman is right to raise exactly this point. Now is the time to get through as much of the backlog as possible. At the same time, we have introduced changes to the way that the NHS operates so that it is more risk-based, so that infection control procedures, which are important, can also be more risk-based, to try to increase the amount of surgery that can happen, essentially splitting the NHS into areas that are deemed “covid green”, which are secure from covid, and “covid blue”, which means the areas where there may be covid, to allow the throughput of surgery to increase. Of course, cancer services have continued all the way through, but obviously they were diminished during the peak. With winter coming, we want to put the extra funds into the NHS to try to ensure that those services can continue all the way through, as much as is possible. The flu vaccination programme is also an important part of protecting the NHS from higher demand this winter.
May I help the House by saying we are going to finish at 4.40 pm? I am sure the Secretary of State will want to help as many Back Benchers as possible to ask their questions by giving shorter replies. That would be helpful.
I thank my right hon. Friend for the announcement last month of £900,000 extra for Buckinghamshire Healthcare NHS Trust to upgrade A&E facilities in the county ahead of winter. That will make a huge difference as we continue to battle coronavirus as well as prepare for other winter illnesses. What assurances can my right hon. Friend give me that those very welcome upgrades will be completed in time for this winter to treat Buckinghamshire patients?
I pay tribute to my hon. Friend, who has behaved with great dignity in arguing that people need to follow these restrictions but that the restrictions should be targeted and based on the data. Our approach is to have objective local action where it is necessary—only where it is necessary—based on the data. We have reached a good solution to this question in Kirklees, which will be put into force tomorrow, but I look forward to continuing to work with Kirklees to make sure we get the virus under control right across the district so that every part of Kirklees can be released from these measures, which nobody wants to put in place but which are there for a reason.
In order to allow the safe exit of hon. Members who have participated in this item of business and the safe arrival of those participating in the next, I am now suspending the House for three minutes.
(4 years, 1 month ago)
Commons ChamberLet me just say that I was asked for time for a statement this morning. The copy of the speech arrived at 16:59. I do not think that is acceptable, and I am not sure when the Opposition got theirs. As I was asked this morning, I would have thought there would have been better preparation to ensure that the Opposition and my good self, received a copy. If you can bear that in mind, because it was given the urgency that was needed, so a little bit more attention to detail to making sure the speech is shared would be helpful. Let us come to the Secretary of State for Health—[Interruption.] It is no use shaking your head: it is one of those things. It is a fact.
(4 years, 1 month 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.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
Yes. We have doubled the intensive care capacity, which, alongside the Nightingale, has been a remarkable achievement of the NHS. There are now green and blue areas in hospitals, or whole hospitals, depending on the geography—in a rural area, we could not make a whole hospital covid-secure or covid-free, because it would have to serve both covid and non-covid patients. That separation of the NHS into blue and green areas is an important part of their being able to reduce the impact of infection control procedures, which are obviously having a big impact on the provision of services.
What is the current level of funding for research projects into the long-term effects of covid-19 funded from the National Institute for Health Research, in which I think the Government claim to put £1 billion?
I am absolutely thrilled to get a question on the problem of having too much testing capacity, as opposed to too little. We have one of the biggest testing capacities in the world. We have built that almost from scratch as a country, and we must use it effectively. We have, for instance, rolled out the extra testing in the NHS that the Chair of the Select Committee was asking about earlier. We have rolled out the weekly testing of staff and the monthly testing of patients in care homes. We will follow a clinical path.
My hon. Friend asked about teachers. We are currently survey testing teachers to find out if they are more at risk than the general population, in the same way that care workers, care home workers and NHS staff are. If they are, we will put asymptomatic testing in place. We are doing exactly the same survey testing for taxi drivers, because taxi drivers are at higher risk than the rest of the country. If he will forgive me, we are taking a scientific approach to how we allocate that capacity, but it is true that one of the policy challenges we face as a Department is making sure we use all the testing capacity, and long may that be so.
In order to allow the safe exit of hon. Members participating in this item of business, and the safe arrival of those participating in the next, I am now suspending the House for four minutes.
(4 years, 2 months ago)
Commons ChamberYes, that data was made available last week to all councils, subject to a data protection agreement, which the vast majority have returned.
Yes, absolutely; we will be publishing imminently the exact details of which wards are included in these measures. That decision is being taken by Leicestershire County Council along with PHE. I understand the call for financial support for district and borough councils as well as for the county council. In the first instance, that funding will flow through the county council, but I will absolutely look at the point my hon. Friend has raised.
On a point of order, Mr Speaker. Earlier, during his response to my urgent question, the Under-Secretary of State for the Home Department, the hon. Member for Croydon South (Chris Philp), stated that there were no confirmed cases of covid-19 among people living in Glasgow hotels. I have a constituent who has been in a hotel in Glasgow city centre and who has had covid-19 diagnosed. Is there a way of putting it on record that the Minister had perhaps had the wrong information provided to him when he said that no people had had covid-19 in hotel accommodation? Mr Speaker, will you be able to ask the Minister to come and correct the record, because my constituent has certainly had covid-19 and has isolated in a Glasgow city centre hotel?
Obviously we cannot continue the debate from this afternoon, and this is not a point of order for me, but I think it is a point of clarification for the House, and it is certainly now on the record.
(4 years, 2 months ago)
Commons ChamberI inform the House that I have selected the amendment in the name of the Prime Minister.