Contingencies Fund Advance

Matt Hancock Excerpts

Thursday 18th June 2020 Written Statements

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

The Department of Health and Social Care’s vote on account cash limit has been used in full between April 2020 and June 2020 to support the running costs of the department, NHS and arm’s length bodies, including expenditure on the covid-19 pandemic. This application from the contingencies fund is to access the budgetary cover already included in the 2020-21 Main Supply Estimate, as set out below.

Parliamentary approval for additional resources of £24,250,000,000 and additional capital of £750,000,000 will be sought in a main estimate for Department of Health and Social Care. Pending that approval, urgent expenditure estimated at £25,000,000,000 will be met by repayable cash advances from the contingencies fund.

[HCWS300]

Coronavirus

Matt Hancock Excerpts

Wednesday 17th June 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 coronavirus.

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

I am grateful for the chance to update the House on the urgent matter of coronavirus.

Yesterday’s treatment breakthrough shows that British science is among the best in the world. As a nation, we can be incredibly proud of our scientists. The UK is home to the best clinical trials, the most advanced immunology research, and the most promising vaccine development work of any country. We have backed the science from the start, and I am sure the whole House welcomes the life-saving breakthrough that was announced yesterday. Today, I will briefly update the House on all three aspects of that national scientific effort.

First, on clinical trials, our recovery programme, which looks at the effects of existing treatments in real-world hospital settings, is the largest of its kind. As of yesterday, 11,547 NHS patients had been recruited to the programme, which is operating across 176 sites in all four nations. In Oxford University’s dexamethasone trial, over 2,000 NHS covid patients were given a course of the drug—a commonly used steroid—over 10 days. For patients who were ill enough to require oxygen, the risk of dying fell by a fifth, and for the most seriously ill patients on mechanical ventilators, the risk of dying fell by over a third.

This is an important moment in the fight against this virus, and the first time that anyone in the world has clinically proven that a drug can improve the survival chances for the most seriously ill coronavirus patients. In February we began the trial, supported by £25 million of Government funding, and in March we began recruiting patients, and started the process of building a stockpile in case the trial was successful. As of today, we have 240,000 doses in stock, and on order. That means that treatment is immediately available, and already in use on the NHS. I am incredibly proud that this discovery has happened right here in Britain, through a collaboration between the Government, the NHS, and some of our top scientists. It is not by any means a cure, but it is the best news we have had.

Throughout this crisis, our actions have been guided by the science, and that is what good science looks like: randomised control trials; rigorous and painstaking research; moving at pace, yet getting it right. The result is that we now have objective proof—not anecdotes, but proof—that this drug saves lives, and that knowledge will benefit many thousands of people all around the world.

Seven other drugs are currently being trialled as part of the recovery process, and a further nine drugs are in live clinical trials as part of the ACCORD programme, which is looking at early-stage treatments. We look forward to seeing the results of those trials. I thank everyone involved in that process, and put on the record my thanks to our deputy chief medical officer, Professor Jonathan Van-Tam, who led the work in Government, as well as to NHS clinicians, the scientific teams, and the participants in the trial who took the drug before they knew that it worked.

Our immunology research, again, is world leading. Last month I announced a new antibody testing programme to help us understand the immunological response to the disease, and whether someone acquires resistance to coronavirus once they have had it and recovered. I am part of that programme, and as of yesterday, 592,204 people have had an NHS antibody test. The nature of immunity research means that it takes time, and we must wait to see whether someone with antibodies gets reinfected. However, with every test, we improve our picture of where the virus has been, and we grow the evidence to discover whether people who have had the disease and have antibodies are at lower risk of getting or transmitting the virus again.

Crucially, that work will help to inform how we deploy a vaccine, and it is moving at pace. Earlier this week Imperial College began its first phase of human clinical trials, and 300 participants will receive doses of the vaccine. Should they develop a promising response, Imperial will move to a large phase-3 trial later this year. Yesterday, AstraZeneca signed a deal for the manufacture of the Oxford vaccine, AZD-1222, which is the world’s most advanced vaccine under development. Its progress, while never certain, is promising.

None of that happened by accident. It happened because the British Government, scientists, and the NHS put in place a large-scale, programmatic, comprehensive, well-funded, systematic, rigorous, science-led system of research and innovation. We have been working on it since the moment we first heard of coronavirus. There is more to do in this national effort, but that is how we will win the battle. We will leave no stone unturned as we search for the tools to hunt down, control, and ultimately defeat this dreadful disease.

[Mr Speaker]

May I just say to the Secretary of State that he has gone way over the allocated time? It would have been easier for him to make a statement rather than having to have an urgent question. In future, perhaps he could come forward with a statement if he needs the extra time, and I will certainly grant that and support him in doing so. Some extra time for Jonathan Ashworth as well, and for Philippa Whitford.

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

I am grateful, Mr Speaker. I welcome the news from the Secretary of State about Dexamethasone. As he said, this is an important moment and good news, and I congratulate all those involved. It is a reminder that we can be immensely proud of our science base in this country. I note what the Secretary of State said about vaccinations. A vaccine is crucial, and I hope he will join me—I am sure he will—in saying that when a vaccine is available, we must have no truck with those who spread poisonous anti-vax propaganda on social media. Vaccinations save lives, and ultimately that will be the exit strategy from this dreadful, horrific disease.



The good news is tempered by the high death rate. The Prime Minister likes to boast of flattening the sombrero, and it is certainly true that deaths from hospitalisations are coming down, but we still have 58,000 excess deaths across England and 13,000 in care homes; and 300 health and care staff have sadly lost their lives. All our NHS staff deserve great praise, so may I ask the Health Secretary about a specific matter that has emerged in the past couple of days? Why are student nurses who joined the frontline six months ago as part of the coronavirus effort now seeing their paid placement schemes terminated early, leaving them with no income? That is no way to treat student nursing staff.

This week, the World Health Organisation has warned that the UK remains in a “very active phase of the pandemic”.

The right hon. Gentleman will accept that if a second wave comes, especially if it coincides with flu season, that would be completely disastrous. Can he reassure the House that the decisions that he and the Prime Minister are making on easing lockdown measures, such as the mooted relaxation of the 2-metre rule and the opening of non-essential retail this week, will not precipitate a deadly second wave of the virus? Would he update us on the latest thinking on that by the Home Department? In the past, the right hon. Gentleman has said that he is prepared to institute local lockdowns, but local authorities continue to say that they do not have the resources or powers to enforce that. Can he update us on when he will give local authorities powers to enforce those lockdowns?

Yesterday, the Health Service Journal said that for people in the shielding group, shielding will come to an end at the end of July. We were promised a full update on shielding on 15 June, two days ago. Can the right hon. Gentleman update the House now on what is happening and what the future is for the shielding group with regards to getting their medicines and supplies and whether they will be able to leave their homes by the end of July?

We have always said that testing, tracing and isolating is crucial to the safe easing of the lockdown. On testing, local authorities say that they are still not getting the specific test data that they need. Indeed, the Deloitte contract, as confirmed in a written answer from the Minister for Patient Safety, Mental Health and Suicide Prevention, did not specify that it needed to report test results to GPs and local directors of public health. We need to fix that.

Why is the right hon. Gentleman still not publishing the number of people who have been tested, and can he explain something that is puzzling many of us? The tracing figures that he revealed—we are grateful for them—suggested that 8,000 people went into the contact tracing system in England, but in that week, the Government testing figures said that there were around 12,500 positive cases in the UK. Even if we can make an assumption about how many of those cases are in England, that still suggests that there are around 2,000, perhaps 3,000, cases not being traced and contacted. Can he explain why that is and what he is going to do to fix it?

Finally, we have now seen Public Health England recommendations on the impact of covid on those from black, Asian and minority ethnic communities. Those recommendations are welcome. Many of them, such as mandated ethnicity data collection and recordings on death certificates, should have been done years ago, but when will those recommendations be implemented? Black people are nearly four times as likely to die from covid as white people, and over 90% of doctors who have died during the pandemic were from black, Asian and minority ethnic communities, so surely this is a matter of urgency. We cannot wait, and we need those recommendations to be implemented straight away.

[Matt Hancock]

I will try to answer as many of the questions as I can. First, I concur entirely that we should have no truck with anti-vaccination campaigners. The reason we are working so hard with full-blown clinical trials on these vaccines is to ensure that they are safe, and if they are declared scientifically safe, anyone who is recommended to have one should have one.

The hon. Gentleman made a case on student nurses. It is wrong to suggest that student nurses and midwives are being made redundant. All student nurses and midwives are required to complete placements during their training. As part of the response to covid-19, those hours have been paid and will be until the end of the summer. NHS England has been provided with the funding for student salaries as part of our response to covid-19. The chief nurse has taken that forward.

The hon. Gentleman made a point about local authorities getting data. We have provided more data to them, and we will continue to do more. He asked about the steps that will be taken in future on lifting the lockdown. As ever, we will move carefully and cautiously. Thankfully, all the main indexes—the main ways that we measure this disease—are moving in the right direction. We are winning the battle against this disease, but we will be careful and cautious in the next steps that we take.

We are working very closely with local authorities on local lockdowns. The hon. Gentleman specifically raised the point about powers, as he has before. I have powers under the Coronavirus Act 2020, passed by this Parliament. If powers are needed by local authorities, then there is a process to raise that requirement up through a command chain that leads to a gold command, which I chair, and then those powers can be executed on behalf of local authorities if they are needed.

The hon. Gentleman asked about shielding. We will bring forward the proposals for the next steps on shielding very shortly.

Finally, the hon. Gentleman asked about the positive cases that do not go into the NHS test and trace scheme. That is largely because they are in-patients in hospital, and therefore testing and tracing in the normal sense does not apply because we know exactly where the person is and who has been in contact with them as they have been in hospital, in a controlled environment. That is the case for the large majority of the gap.

[Jeremy Hunt (South West Surrey) (Con)]

On that last point, 20% of the people with coronavirus in hospital are estimated to have caught the virus while in hospital. So when does the Health Secretary plan to introduce weekly testing of all frontline NHS and care home staff as a way of bridging the still very significant gap between the number of people we test and trace and the number of people getting the infection every week?

[Matt Hancock]

The Chair of the Health and Social Care Committee makes an incredibly important point. The approach we are taking is a targeted one of repeat testing, which has started already but needs to spread much further. The reason is that some people in hospital settings are at higher risk, and it is better to focus the resources for repeat testing on those at higher risk. For instance, somebody working in finance might be at lower risk than somebody in a frontline setting. The NHS has a strategy on this, and I will write to him with further details of how that is going to work.

[Mr Speaker]

We are now heading to the SNP spokesperson, Dr Phillipa Whitford, with some extra time.

[Dr Philippa Whitford (Central Ayrshire) (SNP) [V]]

I, too, welcome the positive outcome of the recovery trial showing the contribution of dexamethasone—a drug that is cheap and accessible across the world.

Despite claiming to be well prepared for this epidemic, the Secretary of State has struggled to provide sufficient personal protective equipment to NHS staff in England. He has now awarded £350 million of PPE contracts, but can he explain why £108 million of that was awarded, without being advertised, to Crisp Websites Ltd, which trades as PestFix, a small pest extermination company? Why was such a large contract awarded to a company with no expertise in trading or supplying any PPE, let alone highly specialised equipment for NHS staff? How do the Government think that such a small company, with only £18,000 of registered assets, can manage the cash flow required to procure £108 million-worth of PPE? Is this not just a reprise of the Seaborne Freight scandal—the ferry company with no ships?

[Matt Hancock]

No. We have enhanced, under the leadership of Lord Deighton, the supplies of PPE across the whole United Kingdom. I work very closely with the SNP Government on this matter. We have made sure that PPE is now available, in large part, across the whole NHS and social care workforce, and for all those others who need it. Demand for PPE rose exponentially across the world in this crisis. It was difficult for a time—there is no point denying that—but we have made huge strides in ensuring that we now have long-term contracts in place. I am really glad that the supply and distribution of PPE is much wider.

[Andrew Griffith (Arundel and South Downs) (Con)]

I congratulate the Secretary of State on his science-led strategy, from which we are now reaping the dividends and which is genuinely saving lives. But the science also tells that as we reduce the propensity of the virus in the population, we can also reduce the social distancing that we applied. Businesses, residents and teachers across Arundel and South Downs are united in their appetite to move to 1 metre as quickly and as carefully as possible. Will he update us on that?

[Matt Hancock]

The answer is that we keep all of our non-pharmaceutical interventions—the social distancing measures—under review. The 2-metre rule is another social distancing measure in the same way that other parts of the lockdown have been. It is the sort of thing that, of course, we want to lift, but we need to do that in a way that is careful and safe. The scientists, along with the economists, are reviewing it, and we will take forward further measures on this when it is possible and safe to do so.

[Jim Shannon (Strangford) (DUP)]

I declare an interest as vice-chair of the all-party group on pancreatic cancer. My colleague the other vice-chair is the hon. Member for East Dunbartonshire (Amy Callaghan), whom you referred to earlier on, Mr Speaker. After discussions with other Members, I am glad to hear that she is showing some improvement. Very clearly, Mr Speaker, that is an answer to our prayers.

The Secretary of State has been made aware of the concerns of the leading cancer charities, which say that it is estimated that 2.4 million people are waiting for cancer screening due to the delays caused, in part, by lockdown. Can he outline his intention to implement the 12-point recovery plan, which is backed by 24 cancer charities, including the one for pancreatic cancer?

[Matt Hancock]

I am incredibly grateful to the cancer charities for the work that they are doing, highlighting the importance of people coming forward for screening, which has been part of the problem, and making sure that we get the screening programmes back up and running in the full sense as quickly as possible.

[Jack Brereton (Stoke-on-Trent South) (Con)]

Can my right hon. Friend confirm that, although we have reached the peak of the transmission later than other areas, the virus is in decline in the midlands, and my constituents in Stoke-on-Trent are safe to go out and shop and can do so as long as they follow social distancing guidelines?

[Matt Hancock]

Yes, that is right. In the midlands, as in other parts of the country, this virus is abating. The number of cases is coming down, which is good news. That means that we were able to relax some of the social distancing measures, for instance, on Monday, saying that it is perfectly safe for people to go and shop and that the shops can open so long as they do so in a covid-secure way. I am glad to say that the vast, vast majority of shops have been very careful about how they have reopened, making sure that that social distancing is in place, and therefore it is safe to shop in the west midlands and in the rest of the country.

[Lilian Greenwood (Nottingham South) (Lab)]

One in six people in the UK have hearing loss and rely on lip reading and facial expressions to communicate. The use of face coverings, while important for controlling the virus, is a real barrier for them and risks increasing misunderstanding, anxiety and isolation. That is particularly the case when they are used in hospitals. What is the Secretary of State doing to accelerate the development, testing, production and use of clear-panel face masks, including for clinical settings, and, more immediately, will he support a public awareness campaign on good communication tactics?

[Matt Hancock]

Yes, the hon. Lady is absolutely right to raise that matter. It is a really important consideration. I have been talking to audiologists in the NHS about what we can do to try to make sure that we have the least negative impact as possible. Obviously, a face covering has an impact on people who are lip reading. It is an unfortunate but entirely natural consequence of wearing a face covering, and anything that we can do to mitigate that, I am up for doing.

[Robert Halfon (Harlow) (Con) [V]]

Remarkable consultants, doctors, nurses, support staff and domestic workers at Princess Alexandra Hospital in my constituency of Harlow have saved and nursed back to health more than 270 patients from this awful coronavirus. Will my right hon. Friend pay special tribute to the workers at Princess Alexandra Hospital and the management team and also confirm—because of the pressures on that hospital—that we will get our new hospital and a new site as soon as possible?

[Matt Hancock]

Absolutely. My right hon. Friend is the greatest friend that there is to the Princess Alex Hospital in Harlow. He has campaigned on it absolutely rigorously—ruthlessly, too—since he was first elected. First, I pay tribute to all the frontline staff and support staff, who have worked so hard at the Princess Alex through this crisis, for their service. Secondly, I reconfirm that we will rebuild the Alex and make sure that it is a world-class hospital.

[Ruth Jones (Newport West) (Lab)]

One of the recommendations of the now fully published Public Health England report into the impact of covid-19 on the BAME community is that the Government should look to reduce health inequalities, and fast. This is something the Welsh Labour Government are taking seriously, with a comprehensive risk assessment of BAME workers devised by Professor Keshav Singhal being rolled out across the NHS in Wales. The risk assessment is simple to use, produces clear outcomes and will save lives. Can the Secretary of State outline exactly how and when a comprehensive risk assessment will be implemented in England to protect our BAME communities and prove that black lives really do matter?

[Matt Hancock]

The hon. Lady is right to raise this important issue. We are rolling out a risk assessment across England for all those with a higher risk of suffering from coronavirus, including BAME staff in the NHS in England, who do so much to keep the service on its feet.

[Jo Gideon (Stoke-on-Trent Central) (Con) [V]]

The impact of coronavirus has been significantly greater in less affluent areas, such as Stoke-on-Trent Central, where one in four children have free school meals. Does my right hon. Friend agree that tackling the health inequalities in constituencies such as mine is essential if we are to make progress on the issue of inequality of opportunity?

[Matt Hancock]

I agree 100%. The need to level up is no greater than in health inequalities. The differences in life expectancy between different parts of our country is stark and has been laid bare further by this crisis. The crisis has been like sheet lightning that has laid a light on some of the health inequalities that were there before but which must with increased urgency be addressed. That is one of the big learnings from this crisis. It is something we all knew before but which we must redouble our efforts to resolve after this crisis is over.

[Ben Lake (Ceredigion) (PC)]

Last Friday, it was confirmed that the UK was eligible to participate in a European scheme to place advanced orders for vaccines currently in development and to ensure priority access to any successful vaccine. What is the Secretary of State’s assessment of the potential merits of UK participation in such a scheme?

[Matt Hancock]

We are having such discussions—I have had conversations with my German, French and Italian counterparts on exactly this subject—but the most important thing is that we will not let those discussions get in the way of the much more advanced discussions we are having directly with the vaccine producers to make sure that even if the two great British vaccine hopes do not come off, or if one from somewhere else in the world comes off first, we have access to a vaccine for citizens across the UK.

[Scott Mann (North Cornwall) (Con)]

It is fantastic news for the whole country that Oxford University has successfully trialled a drug to reduce mortality rates by up to one third for covid patients on ventilation. Can my right hon. Friend confirm that that will be made available soon so that the people of North Cornwall can benefit from it as part of the wider NHS?

[Matt Hancock]

I am delighted to say that, because we made the stockpile in advance, the treatment is already in place, as of yesterday afternoon, in Cornwall—in Treliske Hospital—and right across the country.

[Peter Grant (Glenrothes) (SNP) [V]]

Any reduction at all in social distancing inevitably carries a risk of increasing the spread of the disease, so can the Secretary of State give an assurance that before the Government announce any reduction, he will publish his assessment of the public health, transmission and infection implications of any such change?

[Matt Hancock]

I am legally obliged by the Act that governs this area of policy to undertake such a review before those changes are made.

[Robert Largan (High Peak) (Con)]

The drug trial breakthrough is fantastic news and will save a huge number of lives, and it is great news that, as the Secretary of State said just now, the drug treatment is already available on the NHS. On the vaccination trials, it is great that Britain is leading the world, but this is a global problem. What steps are we taking to work with vaccination trials across the world so that we can get a vaccine as soon as possible?

[Matt Hancock]

That is a really important point. Not only do we contribute more to the global vaccination funding programme than any other country—and we hosted the GAVI summit, which raised over £8 billion for global vaccine research—but we are engaged with other countries on the two British vaccine candidates, particularly the Oxford one, because it is so much further advanced. It is the most advanced in the world and the soonest hope for a vaccine, should it come off—touch wood; none of these things is certain. We secured early doses here in the UK, and it was confirmed yesterday that these are being manufactured, with the contract agreed between AstraZeneca and the manufacturer. AstraZeneca is now engaging with countries across the world—in Europe, in the United States where a deal has already been signed, and elsewhere—to ensure that, if the vaccine works, it will be available globally.

[Mike Kane (Wythenshawe and Sale East) (Lab)]

All of us who grew up in Wythenshawe are very proud of Marcus Rashford today. Does the Secretary of State agree with the Health Foundation that people facing the greatest deprivation have a higher rate of exposure to covid and more severe outcomes when they contract the virus? Wythenshawe residents are twice as likely to die as those in neighbouring areas.

[Matt Hancock]

Yes, I do agree. I pay tribute to Marcus Rashford. The way he has conducted himself in making his argument has been absolutely brilliant. I was reading Harry Potter to my son last night, and it was clearly still stuck in my mind at 7 o’clock this morning, when I started on the TV. We all make errors sometimes, and I apologise to Marcus for getting his name wrong on one occasion. I had no reason to make that mistake, but what really matters is his brilliant campaign and the volunteering that he has done throughout this crisis.

[John Redwood (Wokingham) (Con)]

It is great news that steroids can save some lives, and I pay tribute to those involved, but as the Secretary of State has said, many people will not get a treatment that works. He says that there are seven other treatments in tests, which presumably started at a similar time, using different groups and families of drugs with different impacts. When will we know the results of those?

[Matt Hancock]

As soon as possible. The trials will also look at whether, in combination with dexamethasone, which we now know is effective, these drugs save lives. The way the trials work is that we will keep the treatments in trial until we know, to a point of rigorous scientific proof, that they work. As soon as that point is reached, we will roll them out. That point was met on Monday; I was told on Monday night about this success. We had stockpiled in advance, so we could immediately make the announcement and make the change through the NHS. I do not have a date, because it is all driven by the science.

[Zarah Sultana (Coventry South) (Lab)]

The Government’s handling of coronavirus has been marked by complacency. Complacency led to NHS cuts and PPE stockpile shortages; complacency led to a delayed lockdown, the disaster in care homes and the neglect of test, track and trace. We have one of the highest death tolls in the worlds, and scientists say that tens of thousands of deaths could have been avoided. Will the Secretary of State end the complacency, put public health before private profit, and ease lockdown only when it is safe to do so?

[Matt Hancock]

We will of course ease lockdown only when it is safe to do so, but had the hon. Lady listened to my statement, she would know that the case I was making was that right at the start we put the science in place and started to stockpile. We gave scientists support and funding so they could deliver on the sort of research on which we have led the world and delivered ahead of anybody else.

[Mrs Emma Lewell-Buck (South Shields) (Lab)]

Despite the virus being with us since January, it took until mid-April for the Government to issue guidance for routine testing to take place before discharge into care homes, and now, regardless of whether or not people have the virus, homes are still expected to take residents. Every week, I speak to distressed staff and heartbroken families. Over 16,000 people have died in our care homes. Does the Secretary of State accept any responsibility for that?

[Matt Hancock]

I accept responsibility for everything that happens across the health and social care piece. It is incredibly important to work with care homes, as we have, and to fund care homes, as we have, to put in place infection control. Of course, being in hospital is also not a safe place for people who do not need to be in hospital. The infection control procedures are now there in care homes, with the funding, and that has been the case since the start—since well before the date the hon. Lady mentioned. Although the challenge in care homes has been very significant, we have thankfully seen in this country a lower proportion of overall fatalities from this disease in our care homes than in those across the rest of Europe. That is a good thing, but that is not to say that there have not been significant challenges.

[John Howell (Henley) (Con)]

What further examination of the potential use of co-trimoxazole has taken place, and when will we know the results?

[Matt Hancock]

Co-trimoxazole is another the prospect that we are looking at, but I am afraid that, as with my answer to my right hon. Friend the Member for Wokingham (John Redwood), the timing has to be driven by the science. If we get success, when a result in which the clinicians have scientific confidence can be met, we will stick with the clinical trial methodology that leads to concrete results. Too many other places around the world have pulled clinical trials early because of promising results that have turned out not to be well founded.

[Dr Lisa Cameron (East Kilbride, Strathaven and Lesmahagow) (SNP) [V]]

The Fawcett Society has completed an important report that addresses the mental health issues of women with disabilities during this pandemic. As chair of the all-party group on disability, I am particularly concerned that the report found anxiety and isolation in more than 50% of respondents. Will the Secretary of State increase funding to mental health providers, with a view to helping disabled people to access the specialist support that they so crucially need?

[Matt Hancock]

The hon. Lady asks an important question. We have been increasing funding to mental health services, which are an incredibly important part of the response. Our mental health services, certainly across England, the area for which I am responsible, have risen admirably to the extraordinary challenge presented by coronavirus and I pay tribute to their work.

[Mr Laurence Robertson (Tewkesbury) (Con)]

I represent a number of aerospace manufacturing companies; the whole sector is currently very hard hit and is particularly worried about the impact of the 14-day quarantine. The Secretary of State will know far better than I, but is it not possible to do very simple temperature checks on people as they come into this country?

--- Later in debate ---

[Matt Hancock]

I have looked into that idea in great detail, and I am afraid that I am advised, and have been persuaded by that advice, that it will not work. It has been tried in other parts of the world and they have found that the number of false positives is very high, meaning that they end up quarantining more people. The number of false negatives is also very high, so such checks actually find very few of the people they are looking for. I am afraid it is not a recommendation that I feel I could make on the current evidence that I have seen.

[Mr Ben Bradshaw (Exeter) (Lab)]

Which are the countries in Europe that have a higher infection rate than us and from which we are protecting ourselves with the Secretary of State’s blanket quarantine policy?

[Matt Hancock]

First, I would rather not see any new infection coming to the UK. Secondly, on a point of policy, the approach that we are taking is to ensure that we protect this country from the incidence of disease coming in from abroad, and also to look at travel corridors when we can be confident that we can have that travel without reimporting the virus.

[Marion Fellows (Motherwell and Wishaw) (SNP) [V]]

The chief executive of the Nuffield Trust has written:

“Even if a second wave is prevented, resuming routine hospital, primary care and dental services…is going to be all but impossible without a vaccine.”

The Secretary of State will be aware that losing such vital services will simply lead to lives being lost through a variety of other causes, so what discussions has he held with healthcare professionals about a medium to long-term strategy to allow vital services to resume under the changed conditions of the new normal?

[Matt Hancock]

This is an extremely important point. Infection prevention and control within the NHS is vital, but it also leads to constraints on how the NHS can operate, and it is one of the main things that we are worried about as we get the NHS restarted.

[Danny Kruger (Devizes) (Con)]

Will my right hon. Friend join me in congratulating the British Army units based in my constituency, in Wiltshire, on the support that they have given to the NHS in coping with the crisis on logistics, building the Nightingale hospitals and so on? Does he welcome the new spirit of collaboration and openness by the NHS, which has shown a great willingness to collaborate with other parts of the public sector? Can we hope that that might be sustained?

[Matt Hancock]

Yes, it must. I agree with my hon. Friend strongly on both counts. The Army and all the armed services have played a huge role in responding to this crisis, on the logistics, the delivery of testing, the building of Nightingale hospitals right across the UK and much more. The NHS has worked like never before with organisations public and private outwith it, and that culture of openness, porous borders and working collaboratively with councils, the armed services, private companies and the rest of Government has been a huge step forward for the NHS and one that we should never take back.

[Geraint Davies (Swansea West) (Lab/Co-op) [V]]

Research from Harvard and Queen Mary University clearly shows a dramatic increase in the level of deaths and infections from covid-19 in higher pollution areas. Given that BAME communities tend to live in higher pollution areas, will the Secretary of State accept that this is a major factor in their disproportionate death rate? What is he doing with colleagues to ensure that we have low pollution levels as we come out of covid? Will he meet me to consider proposals from scientists, businesses, academics and local authorities, published by the all-party parliamentary group on air pollution, on a strategy for coming out of lockdown with low air pollution to reduce death and infection rates?

[Matt Hancock]

The hon. Gentleman—he is my hon. Friend when it comes to air pollution—and I share a passion for clean air. He is right about deaths being correlated with areas of high air pollution. We are looking at the reasons behind the disproportionate number of BAME deaths, and we will take air pollution into account in that work. On the final point, it is a bit like an earlier question asked by one of my hon. Friends from a completely different angle—some things have got better in this crisis. Overall, of course, the crisis has been terrible, but some things have got better. One is air pollution. Let us cling on to that and redouble our efforts to keep clean air for the future

[Mary Robinson (Cheadle) (Con)]

During the covid crisis, the relaxation of constraints on data sharing has enabled my local hospital, Stepping Hill, Stockport Council and other bodies such as the CCG and partners to work together. The information sharing that they have been able to do has given a better service to patients. Is that something we could take forward? Perhaps a report could be commissioned by the Department or the National Audit Office on the benefits of enhanced data sharing.

[Matt Hancock]

Yes. This is the third question in a row on some of the benefits we have learnt about during the coronavirus crisis. We made clear at the start of the crisis that data-sharing rules should not get in the way of treatments that can improve and save lives. That has had a hugely positive impact on people’s capability to treat individuals and do research, and we will not be going back on that. The one pager that we put out to the whole NHS on how to manage information governance in a way that keeps information secure but does not get caught up by some of the out-of-date data protection rules that had been followed will stay. Indeed, I hope to strengthen it in order that data can be better used right across the NHS.

[Carla Lockhart (Upper Bann) (DUP)]

I thank the Secretary of State for giving us this update. Groups such as Links Counselling in my constituency report that referrals to children and adolescent mental health services are down as much as 50% in some areas during lockdown, which he will agree is very concerning. Can he outline what recent assessments have been made of the impact of covid-19 on children and young people’s mental health—specifically the impact of school closures—and what steps he will take alongside the devolved regions to address this vital issue?

--- Later in debate ---

[Matt Hancock]

This is a vital issue and the hon. Lady is right to raise it. We have to ensure that we have the mental health services and that, crucially, people come forward for support for their mental health if they need it. We have found in paediatric mental health that telemedicine—treatment and psychiatry over a screen—can in fact be more effective than face-to-face treatment, because it is easier to do it in one’s own home rather than having to go through the worry and concern of travelling. That is an interesting and important finding. We have to make sure that we seize those benefits, as well as, of course, ensuring that people come forward and that the availability of mental health treatment is there.

[Greg Smith (Buckingham) (Con)]

In Buckinghamshire and the south-east, accident and emergency activity is still down by about 22%, and cancer referrals are running at about 60% of the baseline average. Will my right hon. Friend join me in sending out a clear message once more that if people think something is wrong and they need medical treatment, our incredible NHS is open and they should seek the help they need?

[Matt Hancock]

Yes. The NHS is open and we need people to help us to help them by coming forward, especially if they have a fear of cancer, heart disease, stroke or any of the predictive signs of a much more serious illness. On A&Es, we have seen a very sharp decline in the number. We want people who need emergency treatment to come forward. The sharpest decline has been in the number of people attending with the lowest acuity problems. They may be able to find healthcare more appropriately elsewhere. People should consider carefully whether they really need to go to A&E. Instead, it may be beneficial to call 111.

[Chris Bryant (Rhondda) (Lab)]

Further to that question, there are two other aspects of the coronavirus lockdown. First, a lot more people are using bicycles, which has led to a very significant increase in the number of head injuries, in particular to children who are not wearing helmets. Some areas are reporting that the total this year has already exceeded the total they had for the whole of last year. Secondly, a lot more people are in the open air and in the sun. Many of them are not covering up and getting sunburnt, which is a real danger in terms of future skin cancers. Can the Secretary of State please start two specific pieces of work: on skin cancer and ensuring we get the right message out about covering up in the sun; and on wearing a helmet and looking after people who have had brain injuries?

[Matt Hancock]

Yes. I am very happy to write to the hon. Gentleman about what we can do in those two areas, on which I know he has campaigned very hard. The one thing I would say on the positive side is that over the past few months the early signs are that the likelihood of dying as a 5 to 14-year-old has probably been at its lowest ever. It has been much safer in lockdown because, for instance, there are far fewer road traffic accidents and because the likelihood of dying from coronavirus as a child is very, very low. Overall, it has been a safe time if measured by that ultimate measure of how many children have died. It is much lower than usual, which is a good thing, but he is right to raise the points he does.

[Lee Anderson (Ashfield) (Con)]

Over 10,000 people in the UK, including my wife, suffer from cystic fibrosis. Coronavirus adds a significant risk to CF patients, who already have a limited life expectancy. CF sufferers and their families were offered a significant lifeline when the Secretary of State agreed to fund the lifesaving drug Orkambi last year, but there is a new drug called Trikafta that has been granted a licence in the US. This is a wonder drug that will extend the lives of CF patients. The father of Sarah Jayne Lilliman, from Eastwood in my constituency, who sadly passed away a few years ago, has asked if the Secretary of State can assure the CF community in the UK that he will do all he can to make sure this drug is available and extend the lives of thousands of people.

[Matt Hancock]

Yes, I will do absolutely everything I can. I did not know that my hon. Friend’s wife suffered from cystic fibrosis. I am absolutely determined to make this happen. I worked really hard with the CF community to land Orkambi and I was very proud when we managed to do that. Thank goodness we did that before coronavirus struck, because for many who caught coronavirus it was literally a lifeline. Trikafta has great promise: it promises to be able to treat almost all CF sufferers, as opposed to the approximately half that Orkambi successfully treats. I have been working on that even during the crisis and I really, really hope we can make some progress.

[Margaret Ferrier (Rutherglen and Hamilton West) (SNP) [V]]

On 5 May, the first trial of the NHS covid-19 app started on the Isle of Wight. Since then information on the app’s development has been scarce. It has been beset by delays, with media reports suggesting that the app has some technical problems with accurately estimating distance between phones. That is worrying because the app is intended to expand contact tracing in England. When will the Health Secretary publish the results of the pilot and outline his plans for a wider roll-out of the app?

[Matt Hancock]

Those reports were wide of the remark and the app does not have a problem with the measurement of distance. But I will come forward with an update very soon.

[Chris Grayling (Epsom and Ewell) (Con)]

The staff at Epsom General Hospital and the Epsom and St Helier University Hospitals NHS Trust have done a fantastic job in recent weeks dealing with the virus. The Secretary of State will know that this is one of the trusts that has a provisional allocation of funds to build a new hospital in the area. I am particularly concerned to ensure that before final decisions are taken on exactly how that money should be spent, the lessons from the pandemic are learned and any changes that need to be made as a result of what we now know and that may be needed for future hospital services are taken into account. Can he give me an assurance that he will make sure that happens?

[Matt Hancock]

My right hon. Friend is an incredible campaigner for Epsom General Hospital. The injection of approximately half a billion pounds into the local health economy will be a very welcome step. We absolutely have to ensure that the lessons of covid are learnt before the new development goes ahead, but I commend all those staff at the Epsom and St Helier hospitals for the work they have done, some of which has been done under great pressure. I also commend the leadership of the trust, who have done a fantastic job.

[Wes Streeting (Ilford North) (Lab)]

The Secretary of State did not answer the question from the hon. Member for Central Ayrshire (Dr Whitford), so I thought I would give him another chance. Can he explain why £108 million of the £350 million of personal protective equipment contracts was awarded, without being advertised, to Crisp Websites Ltd, which trades as PestFix, a small pest extermination company? Why was such a large contract awarded to a company with no expertise in trading or supplying any PPE, let alone highly specialised equipment for NHS staff? How do the Government think that such a small company, with only £18,000 of registered assets, can manage the cash flow required to procure £108 million of PPE?

[Matt Hancock]

When the demand for PPE shot up, as it did not only here, but around the world, we worked with so many companies to deliver extra PPE, and we have managed to deliver on what was needed. That is why we have now the medium-term supply chains in prospect. I pay tribute to all my commercial team, who did extraordinary and sometimes innovative things in order to make that happen, and that is what they did.

[Sir Desmond Swayne (New Forest West) (Con)]

From the very beginning, clinicians in every developed country in the world have thrown the entire contents of the medical cabinet at this disease in the hope of finding something that works. To what does the Health Secretary attribute the success that he has reported today?

[Matt Hancock]

I attribute the success to great British science, Government-supported funding, the NHS, and the three working together. I put it down to British ingenuity in our brilliant university base, combined with the funding that we put in right at the start and with the fact that with the NHS we can get easy access to a very large patient base, which means we have the biggest clinical trials in the world. In addition, crucially, when we were under pressure and others around were saying, “Hydroxychloroquine is going to solve all your problems”, we stuck with the clinical trials and with the science, and we have successfully delivered this one treatment. It is not a cure, it is a treatment, but it is a good stride down the road.

[Munira Wilson (Twickenham) (LD)]

The Secretary of State mentioned student nurses who were taken on for six-month extended clinical placements back in March and said that he would continue to pay them until the end of the summer. Can he just clarify for the House that that means the full six-month contracts will be honoured? Many of these nurses gave up other paid jobs and will be left in hardship if they do not have their contracts honoured.

[Matt Hancock]

The statement that I read out in response to the urgent question was drawn from work that Ruth May, the chief nursing officer, has been doing to ensure that that is what happens.

[Mrs Natalie Elphicke (Dover) (Con)]

Loneliness and isolation have been the constant companions of many over these past few weeks, so I warmly welcome the social bubbles that will help ease them. Will my right hon. Friend join me in thanking my constituents Tracy Carr of Talk It Out, Beverley-Jayne Last of Super Neighbours, and the occupational therapist Justine Norris, who have been working tirelessly over the past few weeks to support the mental health and wellbeing of so many people at home during this pandemic?

[Matt Hancock]

My hon. Friend speaks movingly of the support that so many have given, and her three constituents deserve our praise for their work—along with hundreds of thousands, if not millions, of others—to support those who have been living alone. Whether the 2.2 million people who are shielding because they are clinically extremely vulnerable, or the over 8 million people who live on their own and therefore have had to stay on their own during lockdown, this has been a difficult time for many. I pay tribute to the community spirit and support for others that so many have demonstrated.

[Patricia Gibson (North Ayrshire and Arran) (SNP)]

The link between poverty and poor mental health is well understood. As the covid easing continues, we face the prospect of an economic depression the likes of which we have not seen since perhaps the 1930s, and ahead looms the potential for a post-covid mental health pandemic. What specific and additional resources is he prepared to commit to alleviate that risk?

[Matt Hancock]

Nobody wants to see the sort of economic consequences that we have already seen—even if there are more to come—but we have to take these measures in order to tackle this pandemic. We have put extra support into mental health, and more is to come. It is a really important part of the solution.

[Richard Fuller (North East Bedfordshire) (Con)]

This is the first opportunity that I have had on the behalf of my constituents to thank publicly the Secretary of State, his ministerial team, the entire civil service team and all their families for what they have contributed in this national effort. I thank all those people through him.

Local authorities in Bedfordshire have the highest incidence rate of coronavirus across the east of England. The Secretary of State said in his statement that the processes are in place to escalate concerns if there needs to be a local lockdown, but there are local concerns about the availability of local data. What is the current state of localised data? What efforts is he making to improve its availability?

[Matt Hancock]

Localised data is available through the work of Public Health England and local directors of public health, including the director for Bedfordshire, and then through our survey data, although that is stronger at the national level than at the regional or local levels. Pulling all this data together, and then ensuring that it gets to the decision makers so that they can base their decisions on it, is the task of the joint biosecurity centre. I will ask its head to write to my hon. Friend with details of the data it has on Bedfordshire and what further data it is working on in order to answer the questions that my hon. Friend rightly asks.

[James Murray (Ealing North) (Lab/Co-op) [V]]

Will the Health Secretary confirm that, in May, his Department wanted local councils to have local outbreak plans ready for 1 June, but that councils had to ask him to move the deadline to later this month because his Department had been so late in asking them?

[Matt Hancock]

I do not recognise that, no.

[Edward Timpson (Eddisbury) (Con)]

The nation’s health recovery and the important strides made in recent weeks give us an opportunity, as well as a responsibility, to leave no stone unturned in our drive for economic recovery. To that end, does my right hon. Friend agree that the regeneration of Winsford town centre, the building of the women’s football national centre of excellence, and the reopening of Beeston Castle and Tarporley station are all projects in Eddisbury that a go-getting Government can now get on and deliver?

[Matt Hancock]

Yes, absolutely. Given the economic consequences of the pandemic, it is vital that we get on with these go-getting economic projects. I wish my hon. Friend well in his support of them, and I wish everybody involved in them well in delivering them.

[Stephen Flynn (Aberdeen South) (SNP)]

Test, trace and isolate is obviously key to stopping a second wave, particularly in England, where lockdown has been relaxed at quite the rate. Is it not therefore a little bit shambolic that the Government’s flagship app is still only available on the Isle of Wight?

[Matt Hancock]

No.

[Laura Farris (Newbury) (Con)]

I would like to begin by congratulating my right hon. Friend on the successful roll-out of dexamethasone, but my question is about international comparison. We were one of the later countries to be hit by the virus. There are others who have begun the process of moving out of lockdown ahead of us. What countries does my right hon. Friend see as the paradigm for the United Kingdom, and what steps, if any, are we taking to share information with healthcare professionals to emulate best practice?

[Matt Hancock]

This is a great question, and we look all the time for countries around the world that we can learn from. It is true that, in terms of where we were on the epidemiological curve, we went into lockdown before many European countries—before Germany, Spain and Italy—with lower cases per million. But we still learned from them. For instance, one of the lessons from Germany is that a massive testing regime is incredibly important, and we now have a much bigger testing regime than Germany, which is terrific, and we have built that up. We also look to the far east, with its lessons from severe acute respiratory syndrome and middle east respiratory syndrome, which it learned more directly. It has the contact tracing which we are putting in place. We are constantly learning. Probably the single most important thing that we can do in this crisis is constantly look around the world for places where we can learn best practice, and then implement it here.

[Mr Clive Betts (Sheffield South East) (Lab) [V]]

The Secretary of State will be reassured that on Monday the Select Committee on Housing, Communities and Local Government heard from representatives of the Local Government Association and directors of public health that relationships and co-ordination between the local level and the centre on testing, tracing and contacting people had substantially improved. But two concerns were raised. First was the number of people who were testing positive and refusing to give details of their contacts. Should we not bring in penalties to try to ensure that that happens? Secondly, there was concern about people who were contacted after having been traced, but did not want to isolate. Recognising that people can lose substantial amounts of income in this situation, should we not bring in something like the furlough scheme to recompense people who can lose out financially by isolating themselves?

[Matt Hancock]

The hon. Gentleman raises three points. First, we have put a huge amount of effort into ensuring that the local-to-national links are strong in test and trace. I pay tribute to Tom Riordan, the chief executive of Leeds City Council, who has come into the programme on secondment from Leeds in order to deliver those links. He has done an absolutely brilliant job, and I pay tribute to him. On the hon. Gentleman’s second point, we do not rule out mandatory contact tracing, but we want to get the system up and running, and it would be far better if it worked on a voluntary basis in the first instance. On his third point, we have put in place more support to ensure that people get the financial support they need to be able to do the right thing. The evidence is that the vast majority of people do, but of course we keep this under review.

[Aaron Bell (Newcastle-under-Lyme) (Con)]

I join my right hon. Friend in welcoming the tremendous news on treatment with dexamethasone. Following on from that, can he update the House first on what progress we are making towards a vaccine, and secondly on what progress we are making with our manufacturing capacity for a vaccine, so that when we get it we are able to roll it out at speed, including with Cobra Biologics in my constituency?

[Matt Hancock]

I am absolutely determined that should a vaccine come through, we are able to roll it out—in the first instance to those who are most vulnerable—across the UK, including to my hon. Friend’s constituents in Newcastle-under-Lyme. That is incredibly important. As I said in my statement, AstraZeneca has now signed the contract to manufacture the vaccine, even ahead of the successful conclusion of clinical trials, which shows confidence. The Imperial vaccine, which is not as far ahead as the Oxford vaccine, but is promising and based on a different vaccine technology, which is important—it is slightly different—has gone into human trials as well.

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

The findings of the PHE report into the disproportionate impact of the coronavirus on black and minority ethnic people are or should be embarrassing—they should be collectively embarrassing. If we agree not to point the finger and if we all take our share of the blame for the structural racism that so very clearly exists, can we stop denying it, stop making excuses for it and start working together to dismantle it? And can we do it quickly, because people have rightly had enough?

[Matt Hancock]

I agree with every word that the hon. Lady says.

[Alexander Stafford (Rother Valley) (Con)]

I join my right hon. Friend in celebrating this best of British treatment that we are getting, but does he also share my concern that not everyone is going to the NHS who needs to for cancer and A&E? Will he join me in telling the people of Rother Valley, “If you need treatment, please go to Rotherham Hospital, please go to the NHS, please get treated.”?

[Matt Hancock]

My hon. Friend is quite right. The NHS is open, and if people need NHS treatment, please come forward. If people are advised by a clinician to go to hospital, please do that.

[Mr Speaker]

Including A&E. I call Chi Onwurah.

[Chi Onwurah (Newcastle upon Tyne Central) (Lab)]

Absent a vaccine, the key to unlocking our economic and social lives is an effective test, trace and isolate system. The app, which can really help save lives, is behind schedule, so can the Secretary of State update us on the Isle of Wight trial, and specifically whether it has raised issues with the technology on Apple and/or Android phones; the levels of take-up; and an idea as to when it will be more widely available?

[Matt Hancock]

As well as being a huge enthusiast for the A&E in Chorley and working on that, Mr Speaker, I am also a huge enthusiast for the use of technology. The No. 1 lesson we learned from the Isle of Wight was that it is important to get the human contact first and use the technology to underpin the human contact tracing. What is interesting is that we are learning that to persuade people to isolate—it is obvious really—a human contact, a phone call with a real person on the other end, is the best way to do it. We have a much higher number of contact tracers per head of population in this country now than almost any of our comparators.

[Mr Speaker]

I am pleased the Secretary of State is a fan of Chorley A&E: we look forward to it opening very shortly. I call Flick Drummond.

[Mrs Flick Drummond (Meon Valley) (Con)]

I welcome the psychological first aid training that my right hon. Friend launched this week so that frontline workers can support people with mental health problems. However, I am also concerned about the mental health of key workers themselves, particularly those in the NHS who have been working non-stop since January, many with last-minute rota changes and no prospect of a break soon. Will my right hon. Friend outline what we are doing to support key workers at this difficult time?

[Matt Hancock]

Yes. My hon. Friend makes an incredibly important point, which is that the mental health of our key workers, including those working in the NHS and social care, is incredibly important. One of the things we put in place in the crisis is a hotline. That support should have been there long before, frankly, and we will maintain it for as long as possible, because is so important to support the physical and mental health of the carers who care for us.

[Mr Speaker]

In order to allow the safe exit of hon. Members who have been participating in this item of business and the safe arrival of those participating in the next, I am now suspending the House for three minutes.

Sitting suspended.

Coronavirus: Easing of Restrictions

Matt Hancock Excerpts

Tuesday 16th June 2020 Written Statements

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

On 26 March 2020, the Health Protection (Coronavirus, Restrictions) (England) Regulations 2020 came into force, imposing restrictions on people’s movements and gatherings, and requiring the closure of certain retail and public premises, in the interest of public health in light of the coronavirus pandemic. On 13 May and 1 June, we introduced some cautious easements of some of the measures in the regulations, in order to begin reopening the economy and returning to normal life, while continuing to protect the NHS and save lives.

Taking into account scientific advice and the Government’s assessment against the five conditions required for change, I have now made some further amendments to the regulations to ease the restrictions as has been announced by the Government in recent weeks.

The changes which have come into effect include allowing for adults who live without another adult in their household, including single parents with dependent children under the age of 18, to form a “support bubble” with another household, and allowing individual prayer in places of worship.

The changes also updated the arrangements for businesses. Non-essential retail can open, as can some additional outdoor attractions, including drive-in cinemas and zoos. Libraries will be able to operate an order and collect service. The amendments also expressly provide for people to make visits such as end of life visits where appropriate.

Publicly available Government guidance on gov.uk is being updated to ensure it fully corresponds with the amended regulations. These remain strict measures, but they are measures that we must take in order to protect our NHS and to save lives.

[HCWS295]

Coronavirus: Local Authority Funding

Matt Hancock Excerpts

Wednesday 10th June 2020 Written Statements

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

On 22 May the Government announced £300 million additional funding for local authorities to support them to develop and action their plans to reduce the spread of the virus in their area as part of the launch of the wider NHS test and trace service. This funding will enable local authorities to develop and implement tailored local covid-19 outbreak plans through for example funding the recruitment of additional staff where required.

Today we are updating the House on the detailed allocation of these monies which has been made on the basis of the 2020-21 public health grant allocations. This allocation formula has been chosen as that which best reflects the public health needs in local authorities.

This funding is for local authorities in England only. This means an additional £57 million will be provided by HMT via the Barnett formula for the devolved Administrations, £29 million for the Scottish Government, £18 million for the Welsh Government, and £10 million for the Northern Ireland Executive.

Covid-19: R Rate and Lockdown Measures

Matt Hancock Excerpts

Monday 8th June 2020 Commons Chamber

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

(Urgent Question): To ask the Secretary of State for Health and Social Care to make a statement on the R value and lockdown.

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

Thank you, Mr Speaker, for this opportunity to update the House on progress on our plans for controlling coronavirus.

Thanks to the immense national effort on social distancing, as a country we have made real progress in reducing the number of new infections. As we move out of lockdown, we look at all indicators to assess progress in tackling the virus. Last week’s Office for National Statistics infection survey estimated that the number of people who have had coronavirus in England fell from 139,000 between 3 and 16 May to 53,000 between 17 and 30 May—a drop of over half. In terms of new cases, an ONS estimate released on Friday shows that there are now around 5,600 new cases each day within the community in England: a huge drop since the peak.

The number of new fatalities each day is, thankfully, falling too. Today’s figures record 55 fatalities, the lowest number since 21 March, before lockdown began. They also show that there were no deaths recorded in London hospitals. That is a real milestone for the capital, which, of course, in the early stages of the pandemic, faced the biggest peak. Yesterday, we saw no recorded deaths in Scotland, which is very positive news for us all. Sadly, we expect more fatalities in the future, not least because the figures recorded at the weekend are typically lower. What is more, Mr Speaker, 55 deaths is still 55 too many and hundreds of people are still fighting for their lives. Each death brings just as much sadness as when the figure was much higher in the peak. I know that the thoughts of the whole House are with those families and communities who are grieving for their loved ones.

We, of course, also look at the R rate. The Scientific Advisory Group for Emergencies confirmed on Friday that its estimates, taking into account 10 different models, are that R remains between 0.7 to 0.9, and that it is below 1 in every region of the country. That means the number of new infections is expected to continue to fall. So there are encouraging trends on all critical measures. Coronavirus is in retreat across the land. Our plan is working and those downward trends mean that we can proceed with our plans, but we do so putting caution and safety first.

Even at the peak of the pandemic, we protected the NHS and ensured that it was not overwhelmed. We will not allow a second peak that overwhelms the NHS. We are bearing down on the virus in our communities, aided by our new NHS test and trace system, which is growing every day. We are bearing down on the virus in our communities, aided by our new NHS test and trace system, which is growing every day. We are bearing down on infections in our hospitals, including through the new measures to tackle nosocomial infection, such as face masks for visitors, patients and staff. Finally, we are strengthening protections for our care homes, including by getting tests to all elderly care home residents and staff.

I am glad to be able to tell the House that David Pearson, the eminent social care expert who has previously led the social care body ADASS—the Association of Directors of Adult Social Services—and has decades of experience of leadership in both social care and public health, will be chairing our new social care taskforce to drive our covid action plan yet further. David has an impressive track record and I am delighted that he will be supporting us in leading this important work. Together, we are getting this virus under control and now more than ever we must not lose our resolve.

[Jonathan Ashworth]

I note what has just been said about the social care taskforce, but may I say that it probably should have been set up some months ago? The Government are easing restrictions, but even when looking at their own tests we know that PPE supplies are still not secured—dentists are warning about PPE today; that tracing is still not fully operational—the chief operating officer of test and trace has warned that it will not be fully operational until September; that testing is still not sufficient—we are still not routinely testing all NHS staff, whether asymptomatic or not, even though we know that such testing will arrest the spread of the virus in hospitals; and that the R value, according to the PHE Cambridge model, is close to 1 in many regions and is at or above 1 in the north-west and the south-west. The modellers of that model warn that that may result in the

“the decline in the national death rate being arrested by mid-June.”

The British people have shown great resilience and fortitude in observing this lockdown and helping to slow the spread of this deadly, horrific virus, but we have still had more than 40,000 deaths. As the Secretary of State said, infections are still running at more than 5,000 a day. We should proceed with caution, but many now fear that the Prime Minister is starting to throw caution to the wind. I therefore wish to put some specific requests to the Secretary of State: will he agree to start publishing, on a weekly basis, the regional R value estimate, alongside the national estimates? Does he agree that the voices of regions must be heard in future decisions about lockdown? Will he start including the various metro Mayors, such as Andy Burnham, in the covid Cobra meetings? Will the Secretary of State ensure, this week, that local authorities and general practitioners start receiving specific data about who has tested positive so that they can start putting in place area-based responses? Will he issue, this week, written guidance on defining what a “local lockdown” is, how it will be enforced and what resources and powers local authorities and agencies will be able to draw upon?

Finally, we know that the more deprived an area is, the higher the covid mortality level. There are pockets of deep deprivation in the north-west and in the south-west, such as in parts of Cornwall. What financial support will be given to those who are asked to isolate? Given that we also know that black, Asian and minority ethnic people are more at risk from covid, will he now publish the PHE report on disparities in full—all the chapters, all the analysis, all the recommendations—because action to protect BAME people, especially BAME health and care staff, must be an urgent priority?

--- Later in debate ---

[Matt Hancock]

Let me make a couple of points in response. First, we have turned around an incredibly difficult situation when the demand for PPE shot up. Thanks to the incredible work of Lord Deighton, we now have good PPE supplies to all sectors. We are working with the dentists to ensure that they, too, will be able to get the PPE they need. The hon. Gentleman talks about testing, but he omitted to mention that we have hit every goal on our testing expansion, and we now have capacity for more than 200,000 tests a day and last week we were achieving that level of testing, which is a testament to the work of so many people, in companies and in the public sector, who have done an incredible piece of work on testing.

He picked on the results of one particular model that we look at, but he surely understands that actually the way to get the best advice is to look at all the different models, rather than just one. I mentioned one other survey, which is based on data rather than modelling—the ONS survey—and I also told him already the SAGE view, taking into account all the evidence, which is that R is below one in each region.

As the hon. Gentleman said, we do publish R. He is quite right about the importance of working with local authorities and local leaders. I spoke to the Mayor of Greater Manchester on Friday about the higher rate of R in the north-west, albeit that it is assessed to be below one. Local leaders are incredibly important in the local action that we will be taking.

The hon. Gentleman asked about local authorities and GPs getting access to data. We are working with them on the appropriate data that should flow to local authorities and GPs. He asked, rightly, for guidance on how local action will work, and that is an important early piece of work for the JBC—the joint biosecurity centre. I am glad he has recognised the importance of the work that Public Health England has done and published on the disparities between people of different ethnic backgrounds and also other differences, for instance the fact that older people are much more likely to die from covid-19. It is very important that we base our response on all this evidence.

[Mr Speaker]

I call the Chair of the Select Committee, Jeremy Hunt.

[Jeremy Hunt (South West Surrey) (Con)]

The Prime Minister’s testing turnaround target does not apply to postal tests. Given that the majority of infections can happen less than a week after the person who gives someone the virus develops symptoms, will the Secretary of State consider replacing postal testing with same-day delivery and collection of testing? If it is good enough for Amazon Prime, it should be good enough for NHS test and trace.

[Matt Hancock]

My right hon. Friend is right to raise this matter, because testing turnaround speeds are very important, and they are improving. The answer is that we are intending increasingly to use the routes that have a 24-hour turnaround for the symptomatic testing, which needs that rapid response, and to use the routes that have a slower turnaround for asymptomatic testing, where the timing of the test is less important. That is the direction of travel, and we intend to solve the problem that he rightly highlights in that way.

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[Dr Philippa Whitford (Central Ayrshire) (SNP) [V]]

The R number is close to one across England and may even be above that in some areas. As the R number reflects lockdown changes made a couple of weeks ago, does the Secretary of State not accept the need to assess the impact of sending people back to work and school before making further changes to lockdown?

With Serco admitting that its tracing system will not be fully operational until September, would the Secretary of State not have been better investing in public health systems instead of a private company with no expertise? Why are the test results from the commercial labs still not being sent to local GPs and public health teams to allow contact tracing? Finally, we all recognise the economic impact of lockdown, but does he not accept that the worst thing for the economy would be a second wave needing a second lockdown?

[Matt Hancock]

As a clinician, the hon. Lady will recognise that taking into account all the evidence of the rate of transmission is incredibly important, and I think that it is an error and it is wrong and it is beneath the normal standards of her questioning to focus on just one report, rather than on all the reports. I hope that when she speaks to people in Scotland and across the whole country, she will take into account all the evidence, rather than just focus on one report. I urge her to do that, because it is important for the public communications.

The other point I would make is that the NHS test and trace programme is being built at incredible pace. The Prime Minister committed that we would get it up and running for 1 June, and we have delivered that, and that it will be world class, and we will deliver that, but we could not deliver it without the public and private sectors working together. I think the divisiveness that comes through from the other side is a real mistake in these difficult times. Instead, everybody should be working together.

[Andy Carter (Warrington South) (Con)]

Parents in my constituency have been in touch overnight to say how disappointed they were by a decision taken by local councillors yesterday afternoon not to open primary schools today. Does the Secretary of State agree that local authorities need to look at a number of local factors, not just regional R data for a wider area, when taking important decisions on getting our children back to school?

[Matt Hancock]

I do, absolutely. It is particularly a mistake to look at just one model rather than the overall assessment of R in each part of the country, which is assessed to be below 1 in each area. With the number of new infections coming down, we can take the plan forward, as we ought to, because the education of children matters, as well, of course, as controlling the virus.

[Maria Eagle (Garston and Halewood) (Lab)]

The Government have repeatedly said that lockdown will be eased only when the R rate is below 1 and the threat level is coming down. The threat level is still at 4, and as the right hon. Gentleman has said, in the north-west there are some calculations of R that have it above 1. Many of my constituents are really worried about this, yet the Government are accelerating plans to end the lockdown more quickly than they announced they would. Why?

[Matt Hancock]

We are continuing with the plan that we have, which is cautious, takes a safety-first approach and is based on all the information, not just, as the hon. Lady rightly pointed out, just one part of it. We said we would take the next steps when the five tests have been met, and they have been met. R is below 1, and the other four tests have also been met, which is why we are able to proceed. The evidence that we are increasingly seeing of the number of new cases and, thankfully, fatalities coming down is good news that demonstrates that the plan is working.

[Harriett Baldwin (West Worcestershire) (Con)]

We are all so grateful to our NHS and careworkers. So many people have made so many difficult sacrifices during this period of lockdown. They are furious to see the lack of social distancing in some of the protests that took place over the weekend and want to know what impact that might have had on the reproduction rate of the virus.

[Matt Hancock]

I thank my hon. Friend for that question. It is incredibly important that people follow the social distancing rules. Where the demonstrations that we saw over the weekend did not follow the social distancing rules, they risk increasing the spread of the virus. That is the clear scientific evidence. It is a mistake for people to participate in demonstrations that help to spread this vile disease. Instead, we should all be doing our bit to reduce the spread.

[Barbara Keeley (Worsley and Eccles South) (Lab) [V]]

With the R number above 1 in the north-west in one model, we need action to prevent a second wave of infections and deaths. The Secretary of State has talked about local lockdowns, but will he commit to ensuring that Public Health England supplies more local information on the spread of the virus to assist in that? Will he also tell us whether there will be additional powers and financial support for areas covered by a local lockdown, as called for yesterday by our Greater Manchester Mayor, Andy Burnham?

[Matt Hancock]

Yes, we hope very much to be able to publish more and more granular, localised information and to work with local leaders to deliver on what is needed to act upon it.

[John Redwood (Wokingham) (Con)]

Given the Secretary of State’s great success in expanding the number of tests, will we soon have more precise and accurate R figures, along with the other information now accumulated, and is there not a danger, in interpreting back trends, that they are unreliable because of differential test rates?

[Matt Hancock]

The answer is yes and yes. Survey testing is the most reliable way of assessing the prevalence of the disease and its downward trajectory, because it takes into account a randomised approach to working out where the disease is—much like the opinion polls that we are familiar with in this House—because as testing has gone up, inevitably more cases have been found. It is a good thing that more cases have been found, but we need to know the prevalence, which is best done by surveys.

[Kirsten Oswald (East Renfrewshire) (SNP) [V]]

The Secretary of State has just spoken about the importance of people following the rules, but it is clear that Dominic Cummings’s rule-breaking trip across England has undermined the little confidence that there was in the UK Government’s public health messaging. Does the Secretary of State appreciate the harm that has been done by the outrageous spin and shape-shifting on this issue, and what will he do to repair the damage?

[Matt Hancock]

No, I do not think that has anything to do with it. The most important thing is that people follow the social distancing rules, and that should apply even if they have a strong and heartfelt case to make in a public discussion, such as at the weekend.

[Stephen Crabb (Preseli Pembrokeshire) (Con)]

The success of the Government’s strategy rests, to an enormous extent, on public support and consent for the lockdown measures. What advice is the Secretary of State receiving from his behavioural experts on the viability and sustainability of localised lockdowns? It is a challenging thing to set the country on a path to easing restrictions, but then to dial it back again.

[Matt Hancock]

Of course it is important to ensure that people are fully informed about the reasons why we may need to take action in a particular local area, and that is an important part of the consideration. Ensuring that local bodies—for instance local directors of public health—are fully engaged, is an important way of doing that. In Wales, where my right hon. Friend has his constituency, that is done through the devolved nations, with their responsibilities locally for public health.

[Mary Kelly Foy (City of Durham) (Lab)]

The R number is one indicator of infection, but it is only reliable at regional level. Currently, directors of public health tell me that they receive only high-level reports, and that they need more localised information, with data that relate to the number and location of cases, and state when infection occurred. That information is vital to stopping transmission, especially as restrictions are lifted. By what date will that information be made available to local authorities, so as to inform their local outbreak plans?

[Matt Hancock]

As soon as is practical.

[Jack Brereton (Stoke-on-Trent South) (Con)]

Many of my constituents are now sending their children back to school and will soon be returning to work in sectors such as retail. They want confidence that in doing so, they are doing the right thing for their families. Will my right hon. Friend assure my constituents that each step the Government take is based on the advice and on science?

--- Later in debate ---

[Matt Hancock]

Absolutely. Throughout this period we have based our decisions on the science and scientific advice, taking into account all considerations. Scientific advice, for instance from SAGE, is so important, and it is critical that we take into account all the science. That is why it is a mistake for people to pick on one report and focus on that, as opposed to considering all the science in the round.

[Ruth Cadbury (Brentford and Isleworth) (Lab)]

People living in residential care homes who receive support for learning and other disabilities are at high risk of catching covid. It is good to know that in Hounslow, those living in residential care have not yet contracted covid, but unlike those in settings for older people, they cannot access testing kits. When will the Government ensure that all residential care settings, including those for under-65-year-olds, are able to access testing?

[Matt Hancock]

The hon. Lady is right to ask that question. On the clinical advice, and indeed the scientific advice that we were just discussing, we introduced whole-home testing for residents and staff to care homes for older people, because older people are 70 times more likely to die from covid-19 than those who are younger, which is a significant age gradient. Now that we have got tests to all eligible care homes for the elderly, we are moving to delivering the same thing for people of working age.

[Greg Clark (Tunbridge Wells) (Con)]

The Secretary of State is quite right that it is important to protect our older citizens. It is true that older people and workers in care homes are able to get tests, but that is not the case for people who live or work in retirement villages and supported accommodation. Will he intervene to correct that anomaly immediately, so that we can protect all our older and vulnerable people?

[Matt Hancock]

Yes, of course, that is taken into account in the clinical decision on the order of priority for testing. My right hon Friend makes a very important point that I will ensure is taken away and looked at, to check this for people in those settings outside formal social care, which are often not Care Quality Commission registered but still have a much higher proportion of elderly people who are vulnerable to this disease in them. I will ensure that that is properly looked into and, if I may, I will write to the Chair of the Science and Technology Committee on that point.

[Kevin Brennan (Cardiff West) (Lab)]

The Secretary of State says that the Government are taking a safety-first approach, and yet Professor John Edmunds has expressed concern that if we relax, the infection will come back very fast. In Wales, there has been a more cautious approach to people being able to travel such long distances, as we saw the weekend before last in Dorset. What will the Secretary of State do if the R number drifts back above 1?

[Matt Hancock]

I do not want to see the R number go above 1. I spoke to Professor Edmunds at the weekend, as it happens. He said, quite rightly, that a cautious approach is needed, but there is scope to allow some opening up, according to our plan.

[Mark Pritchard (The Wrekin) (Con)]

Of course, the international R rate matters too. I welcome the Prime Minister hosting the global vaccine summit in the UK last week, which raised an astonishing $88 billion. Given that the UK is the largest contributor to Gavi, the Vaccine Alliance, what support are this Government giving to low-income and developing countries, particularly in the Commonwealth and overseas territories?

[Matt Hancock]

That is an incredibly important point, because being able to get a vaccine everywhere around the world is incredibly important to us here at home. Of course, our top priority is access to the vaccine for the citizens of this country, but we are also using our aid budget to ensure that, should a vaccine work and become available, we can not only deliver it here but be good global citizens. As my hon. Friend says, we have put more into this than any other country on the planet.

[Munira Wilson (Twickenham) (LD)]

Professor Edmunds also said yesterday that the R value was largely being driven by outbreaks in care homes and hospitals. Despite the Secretary of State’s statement, we know that there are still some care homes, including in my constituency, where residents and staff have yet to be tested. How can we effectively bring down the R rate without regular testing? Will he commit to regular testing in all care settings, including for the under-65s and those with learning disabilities?

[Matt Hancock]

The hon. Lady is absolutely right that testing in care homes is important. I am very pleased that my team hit their target of ensuring that all elderly care homes had access to tests by Saturday. Almost 9,000 care homes got kits for all their staff and residents to be tested, and the important thing is that that did not show a huge amount of infections that we did not previously know about. I am delighted that David Pearson—who, it is worth the shadow Secretary of State acknowledging, has been working with us throughout this period—will now be taking a leadership role in driving forward this work to protect our care homes further.

[Robbie Moore (Keighley) (Con)]

Quite rightly, many of my constituents have contacted me with concerns about mass gatherings and a lack of social distancing, which we unfortunately witnessed in Ilkley last weekend, when many visitors came to enjoy the sunshine. Can my right hon. Friend confirm that the R rate is below 1 in West Yorkshire? Will he consider local lockdown if appropriate, so that we can take action where necessary if we see a flare-up in infections in one part of the country?

[Matt Hancock]

Yes. I want to protect all the residents of Ilkley from the disease. As we have got the number of new infections right down to between 5,000 and 6,000 each day, according to the ONS—a long way below where it was at the peak—and as the number of deaths has fallen, I want to keep that down. Where there is evidence of a specific cluster or flare-up, we will take local action that will help to protect the residents of Ilkley, elsewhere in Yorkshire and throughout the country, so that we can then safely release other lockdown measures while keeping the community safe.

[Liz Twist (Blaydon) (Lab)]

Following on nicely from that, what local resources and funding will be put in place for local authorities to deal with local lockdowns where they are needed?

[Matt Hancock]

We have already allocated £300 million for precisely that task. Making sure that local authorities are properly funded for their important role in local action is of course an important part of the task.

[Antony Higginbotham (Burnley) (Con)]

The Secretary of State will be aware of the media reports saying that the R rate in the north-west is above 1, which have understandably caused concern to my constituents in Burnley. Can he reassure them and people throughout the north-west not only that the R rate is below 1 in the north-west, but that we have to look at all the evidence, and on that evidence we are still defeating this virus?

[Matt Hancock]

That is right. I set out some of the evidence in my statement. It is important that we look at the overall base of evidence and take scientific advice on that. There are 10 models that go into SAGE, and it is important that the media reports the facts, which are that if we take into account all the models, R is below 1 in each region of the country, according to SAGE. Of course, different scientific models will come out with different results, and it is right that the scientists should publish and discuss those—that is how science advances—but it is also important that the media play their part responsibly. I reassure the residents of Burnley and elsewhere in the north-west that our overall assessment is that R is below 1 in the north-west and everywhere else in the country. Of course, we keep it closely monitored at all times.

[Neil Gray (Airdrie and Shotts) (SNP) [V]]

Can the Secretary of State advise whether the R number has been rising or has fallen since the Prime Minister announced, without consultation and with a day’s notice, that people should get back to work in England? Given that some reports suggest that some areas of England have an R number at or close to 1, what consultation has the Secretary of State had with the devolved nations? When will he publish details on what local lockdowns will look like to ensure that the virus is contained?

[Matt Hancock]

I have already answered all those questions. The estimate from the scientists, taking into account all the evidence, is that R is below 1.

[Neil Gray]

indicated dissent.

[Matt Hancock]

The hon. Gentleman may shake his head, but if he asks the same question, he is going to get the same answer.

[Andrew Jones (Harrogate and Knaresborough) (Con)]

I strongly welcome the progress made with testing in Harrogate and Knaresborough—we have had mobile testing at the council-owned Hydro unit—but we are seeing black, Asian and minority ethnic members of the community being disproportionately impacted in this pandemic. What steps is the Secretary of State undertaking to provide further testing for those who are most vulnerable?

--- Later in debate ---

[Matt Hancock]

The use of the testing capability that we now have, which is one of the biggest in the world and the biggest capability in Europe, means that we can focus the testing where it is most clinically needed. Reports such as the one by PHE on the impact of the disease on different parts of the population, whether that is in respect of age, sex or ethnic background, are incredibly important in making that assessment. Where the clinical judgment is that tests should be used specifically for one group because they have a higher risk, we will follow that clinical judgment.

[Geraint Davies (Swansea West) (Lab/Co-op) [V]]

Given the varying rates of infection across both England and Wales and the need to isolate covid, will the Secretary of State now adopt the Welsh guidance that people should not normally travel more than five miles from their home, in order to stop people travelling from high-infection areas to low-infection areas and thereby spreading the virus unnecessarily?

[Matt Hancock]

We talk to the Welsh Government all the time about making sure that the public health matters that are devolved are exercised in as co-ordinated a way as reasonably possible, and I fully respect the Welsh Government’s capability in making these sorts of assessments for Wales.

[Darren Henry (Broxtowe) (Con)]

Can my right hon. Friend assure me that steps to ease lockdown will be taken cautiously and carefully so that we can examine the effect on our R rate in different parts of the country before proceeding?

[Matt Hancock]

My hon. Friend is absolutely right to raise this question. Of course, we proceed cautiously. That is why we take steps in turn to see the effect. The good news is that the evidence thus far is that the steps we have taken have coincided with a continued reduction in the incidence of the virus. That is why it is safe to proceed on the plan that we have set out.

[Clive Efford (Eltham) (Lab)]

How can it be that, when we are coming out of lockdown and starting to relax some of the restrictions, local authorities do not know what they are expected to do in the event of a local outbreak and they do not know what powers they are to be given? How can it be that the Government can say only that they will tell them when it is practicably possible?

[Matt Hancock]

I am afraid that I do not recognise that picture at all. The local directors of public health have been heavily engaged in addressing local outbreaks throughout this pandemic. In the past few weeks, for instance, there have been outbreaks locally that have then been addressed, with a leadership role played locally by the local director of public health. Perhaps the hon. Gentleman was not listening to the answer given to one of his hon. Friends that we have also put £300 million into local authorities to assist them to make sure that they have that capability on the ground.

[Steve Brine (Winchester) (Con)]

The work that PHE has done with Cambridge to understand the R rate at a regional level is very welcome. It might yet, of course, prove invaluable if needed. Can my right hon. Friend say how local is realistically possible? I think that I am right in saying that we could not hone in on Winchester, as an example, if we needed to stamp on an outbreak. Would other factors come into play, such as how effective an area was on the test and trace programme, for instance?

[Matt Hancock]

Yes, absolutely. As I tried to say in my opening statement, R is one of many measures that we need to look at. The number of new infections—the level of new infections as opposed to the rate of change—is also important and more directly measurable both through test results and through the surveys that we discussed earlier. Of course, the surveys, the number of test results in particular and the number of people presenting for testing, which we get from the test and trace programme, are much more granular local data that can give us a view of local outbreaks. If there is evidence of a local outbreak, then symptomatic testing can be done in that community in order to find out how serious the problem is locally, so a whole suite of tools are at our disposal.

[Jim Shannon (Strangford) (DUP)]

Does the Secretary of State not agree that, while the Kingdom of Great Britain and Northern Ireland must move forward together, regional variation of the R number will mean differentiation? What discussions or input will the Secretary of State and Government have with regional authorities to ensure that there is UK-wide understanding, and will all R numbers be calculated using the same scientific criteria?

[Matt Hancock]

The answer to the hon. Gentleman’s last question is, emphatically, yes. I have regular discussions and exchanges both with the First Minister in Northern Ireland and also with my opposite number Robin Swann. We work to ensure that the response to this virus across the whole United Kingdom is as closely aligned as it reasonably can be respecting the different impacts of the disease in different parts. Thankfully, the impact of the disease in Northern Ireland has been less than in the rest of the country, and long may it remain so.

[Sir Graham Brady (Altrincham and Sale West) (Con)]

What assessment has my right hon. Friend made of the progress in countries that are operating social distancing at 1.5 metres or 1 metre, and when does he think that we may have a review of those measures in this country?

[Matt Hancock]

That is constantly kept under review. In fact, I was reading some of the most recent science on this over the weekend. The interaction of the distance put in place and the other measures, for instance, on mask wearing and ventilation in particular, are what matters for the progress of the disease. The problem is not whether the rule is 2 metres or any different distance but that the virus transmits especially face to face—less so if people are side to side or back to back—in close quarters. Of course, being outside helps as well.

[Wendy Chamberlain (North East Fife) (LD)]

I welcome today’s news from the Scottish Government that we have just had a second day in Scotland of no additional deaths from coronavirus, but I am concerned about the level of testing, particularly in a community setting, where it is nowhere near capacity. If we cannot have comprehensive testing, how can we have confidence in the R number? So how is the Secretary of State working with the Scottish Government to ensure that all the testing capacity, including in drive-through centres, is in use?

[Matt Hancock]

Absolutely; I work closely with the Scottish Government to do everything we can so that they can increase their testing capacity. Part of the testing programme, as the hon. Lady mentioned, is the drive-through centres. That is essentially UK-wide, likewise the postal testing services, and then the hospital-based testing is run, of course, by the Scottish NHS and is therefore devolved. This requires a higher level of co-ordination. Across the UK, in England we have the highest level of testing and we do everything possible to help the Scottish Government to get their testing capacity up.

[Andrew Bowie (West Aberdeenshire and Kincardine) (Con)]

No new deaths in Scotland, no new deaths in Northern Ireland, and no new deaths in London hospitals: while I agree with my right hon. Friend that even one death from coronavirus is one too many, does he not agree that this is evidence that the whole-UK approach and the measures adopted across the entire United Kingdom at the beginning of this virus are working, and that this is reason to be hugely positive?

[Matt Hancock]

My hon. Friend is absolutely right that there has been very encouraging progress, and all the significant data point in the same direction, which is downwards. That is incredibly important. It is a testament to the efforts of everybody across the whole United Kingdom, because everybody has played their part in the social distancing. The more that we do this as one United Kingdom, the better. Of course there are sometimes substantive reasons for local variation—sometimes, for instance, north of the border—but ultimately this country is coming through this and we are winning the battle against this disease.

[Rachael Maskell (York Central) (Lab/Co-op)]

Local directors of public health need comprehensive, granulated data in order to do their job. Currently there are holes in the data that they are receiving, particularly on testing, in order to then follow through on tracing. So when—not “soon”, but when—will they actually receive that comprehensive data, together with the local R value, in order to then keep our communities safe?

[Matt Hancock]

They get data now, we want them to get better data, and we will keep improving the data flows. It is as simple as that.

[Stephen Metcalfe (South Basildon and East Thurrock) (Con) [V]]

As we control the R rate and move forward, may I welcome the steps that are being taken to reduce restrictions for the most vulnerable in society? Will my right hon. Friend confirm that these steps are being taken in line with scientific advice and in the safest way possible?

[Matt Hancock]

Yes, that is absolutely right. I pay tribute to my hon. Friend, who makes the case for the evidence being the basis of policy and following and being guided by the science, as we have done throughout this crisis. He makes the case very eloquently. It is very important, because that is the best way that we can get the best possible response in what are inevitably very difficult circumstances.

[Richard Thomson (Gordon) (SNP) [V]]

We know that the Secretary of State does not want to see the R rate rise above 1—none of us does—but the high-profile recent mixed messages that have come from his Government might well lead to that happening anyway. In those circumstances, is he prepared, if necessary, to reintroduce restrictions on movement and activity, and will he do whatever it takes to persuade the Chancellor to continue with financial support to the employed and self-employed for so long as it is necessary?

[Matt Hancock]

I am very grateful to the hon. Gentleman for that question and for the manner in which he asks it. We have always said that we are prepared to reintroduce measures if that is necessary. He has already seen from the Chancellor one of the most generous packages of support in the world for people dealing with and coping with the consequences—in some cases incredibly difficult and painful consequences—of this disease.

[Greg Smith (Buckingham) (Con)]

As my right hon. Friend works with medical and scientific advisers to lift lockdown measures cautiously, what hope can he give the millions of grandparents in this country that they too may soon be able to play a full role in their grandchildren’s lives, in particular those who engage in childcare to enable parents to go to work?

[Matt Hancock]

Like anybody who has a heart, I yearn for grandparents to be able to see their grandchildren. My own children saw their grandmother at a social distance, appropriately, rigorously according to the rules, for the first time this weekend, and it was a real joy—the first time in months and months—but they have not seen their other grandparents, and of course they are not allowed to hug them yet. I am with my hon. Friend and no doubt you, Mr Speaker, and everybody else in this House in wanting to see a restoration of that basic human contact for which we all yearn.

[Andrew Gwynne (Denton and Reddish) (Lab) [V]]

The concern over the R rate in Greater Manchester on one measure has focused attention on possible local lockdowns, which would have a financial impact on people who are unable to work from home. In those circumstances, will the Government consider a form of local furlough for people whose workplaces are closed down or who are unable to get to work?

[Matt Hancock]

I am sure that Treasury Ministers will have heard the hon. Gentleman’s suggestion, but we do not need such a scheme now, of course, because the full furlough scheme is in operation nationally.

[Jason McCartney (Colne Valley) (Con)]

We know the significance of the R rate being 1, but what level does the R rate have to get to, and for how long, for the Government to initiate a response and bring restrictions back; then, what does it need to be reduced to, and for how long, before the new restrictions are removed?

[Matt Hancock]

The reason having the R below 1 is important is that that is the rate at which the number of new infections continues to fall. When R is below 1, the question is how fast it is falling. The number of new transmissions for each person who has the virus is currently, on average, less than one, so R is below 1 and therefore the number of infections is falling. We do not have a specific figure or target for R; we just want to keep it below 1 and we want to keep the number of new infections falling. Our response in the first instance to new outbreaks will be the local action we have been talking about for much of this session, and that is greatly to be preferred to a reinvigoration of the need for national lockdown.

[Mr Ben Bradshaw (Exeter) (Lab)]

If it is not because we locked down too late or because of any of the Government’s other blunders, why does the Secretary of State think we have the highest excess death rate in the world?

[Matt Hancock]

I am not sure which evidence the right hon. Gentleman is pointing to, but I would be happy to talk to him afterwards.

[Scott Benton (Blackpool South) (Con)]

The circulation of an unofficial R rate of 1.6 for Blackpool, and the publication of this by the local press, created a great deal of alarm in my constituency. The fact that the figure was adjusted to 0.5 only days later just demonstrates the difficulties with believing unofficial statistics and taking them out of context. Will my right hon. Friend confirm that R rate figures are accurate only at regional level, and does he agree that the media have an obligation to report data accurately and within context, to make sure that members of the public are properly informed?

[Matt Hancock]

Yes, I do. My hon. Friend makes the point extremely strongly, and the people of Blackpool should be proud that they elected him December. He makes the case very clearly, and what he says is true in the example he cites, of Blackpool, and in the wider north-west. I am sure you feel, Mr Speaker, that a single report should not be taken out of context and that all the science should be looked at. Members in all parts of the House should respect that if they really want to respect the science.

[Dave Doogan (Angus) (SNP) [V]]

The Secretary of State has made very clear the importance of co-operation between the various health directorates in all four nations of the United Kingdom. I think we all welcome that, but we also need to see co-operation in other Government Departments. What discussions has he had with his Treasury colleagues about the need to vary furlough to different degrees across the United Kingdom when we come out of lockdown at different rates?

[Matt Hancock]

One of the reasons why it is valuable to move together as one single country is that we have one overall economy and economic policy is for the whole country. That is one of the very many reasons why we are stronger together. It is important that the Scottish Government take that into account when they make their judgments on what is best for Scotland.

[Caroline Ansell (Eastbourne) (Con)]

I am very pleased to say that my home constituency of Eastbourne has a low incidence of infection, but it has a high number of care homes and a high number of residents who have been shielding. Equally, it is a tourist destination. With lockdown easing, what reassurances can my right hon. Friend give us that we are moving forward safely?

[Matt Hancock]

It is important that those engaged in the tourism industry follow the guidance on social distancing as carefully as possible. They should always follow those rules and ensure that social distancing is in place. As we manage to open things at the right pace—cautiously and safely—in due course, it is incumbent on industries such as the tourism industry to ensure that they follow the guidelines. The proposed next step, subject to formal confirmation, is the opening of non-essential retail. Non-essential retailers will have to follow clear guidelines about ensuring that their shops are safe and that they do not add to the spread of the disease. If we are able to take further steps after that, it is so important that a whole industry, such as the tourism industry, helps everybody to help it by following those sorts of rules.

[Daisy Cooper (St Albans) (LD)]

I have received a letter from a little boy called Charlie, who is clinically extremely vulnerable and has been shielding with his family for about 11 weeks. He wants to know why non-vulnerable people can be allowed to have unlimited exercise wherever and whenever they want, while people who are still shielding feel trapped in their own homes without even 30 minutes to go outside. Now that we have stopped clapping for carers, would the Secretary of State agree that, for just once a day, we could stay home for shielders?

[Matt Hancock]

The hon. Lady asks an important question. We did make a change to the guidance, in order to recommend going outside. I know that some people were very worried about doing that, but it is safe to do so safely—by staying 2 metres away from others. Let me say this to all those who are shielding: the shielding guidelines are there for your own protection; you are particularly at risk if you catch the disease and these are the guidelines for how you can stay safe. We appreciate that the guidelines have a significant impact on those who are shielding, and are always looking at what we can do to make the lives of those who are shielding better and to improve the guidance.

[Theresa Villiers (Chipping Barnet) (Con)]

May I urge the Government to follow the lead of other European countries and move to a 1 metre social distancing rule? That is the only way that we are going to save millions of jobs in hospitality over the next few months.

[Matt Hancock]

We always keep these things under review. The challenge is that being 1 metre apart, face to face, means that there is a much greater chance of transmission of the disease than at a further distance.

[Afzal Khan (Manchester, Gorton) (Lab) [V]]

Many of my constituents were deeply concerned to read about the high R rate in the north-west. In the same week, they were told to send their children back to school. Has the Secretary of State made any assessment of the impact of reopening schools on the R rate in the north-west?

--- Later in debate ---

[Matt Hancock]

Yes, and I have reconfirmed this with the chief medical officer. It is safe to take the steps that we have recommended to open schools for reception year, year 1 and year 6 right across the country. I am glad to be able to reassure the hon. Gentleman—I hope that he can then reassure his constituents and others across the north-west—that the assessment of SAGE, taking into account all the evidence, is that R is below 1 in all regions.

[Mr Gagan Mohindra (South West Hertfordshire) (Con)]

May I remind the House that this week is Carers Week? Will my right hon. Friend assure me that SAGE, when providing advice to Ministers, looked at a rage of information to ensure that it is presenting an overall view, and that its belief is that the R rate is below 1 in all regions?

[Matt Hancock]

Yes, that is absolutely right. It is just so important that we take into account all of the evidence and all of the studies that are published, and not just strongly focus on one.

[Chris Bryant (Rhondda) (Lab)]

Some of the people who have had the toughest time during these months are the people who work in care homes. They have had to deal with things they never thought they would have to deal with, including keeping family members apart from the people they have been looking after, even when they are dying. In Wales, the Welsh Government have decided to give everybody working in a care home, including chefs and ancillary workers, £500 as a bonus. May I please ask the Secretary of State to try to make sure that the Chancellor of the Exchequer does not tax it?

[Matt Hancock]

I will talk to the Chancellor about that. It is obviously a question for a Department other than mine.

[Mr William Wragg (Hazel Grove) (Con)]

It is essential that the spread of covid-19 is understood in different settings, such as hospitals and care homes, so will my right hon. Friend confirm that the R rate can be unduly distorted at a regional level by these figures and that local lockdown measures should be used very carefully?

[Matt Hancock]

In the first instance, where we have taken local action, it can often be in a care home or in a hospital. That would be the action that is needed, and it has been successful, in many cases, in ensuring that an outbreak where we see a rise in the number of new cases does not then transmit into the community. So in the first instance, local action is very local: it is in a single hospital or in a care home. I think understanding that as the starting point for local action is important in thinking about how we take this forward.

[Stephen Flynn (Aberdeen South) (SNP)]

We have already heard about the good news from Scotland, where we have gone two days without a death, but we do need to be careful and also mindful of the fact that the R rate may increase in the future; indeed, others in the Chamber have concerns for their areas. Can the Secretary of State give a commitment that if the R rate does rise and the lockdown needs to be reimplemented, he will make every effort to ensure that the Chancellor makes sure that businesses, employees and the self-employed receive the financial support they deserve?

[Matt Hancock]

The hon. Gentleman asks an extremely reasonable question, and I hope that he sees that the Government have been incredibly front-foot about ensuring that that sort of provision is available and has been available right from the start of this crisis. We have one of the most generous schemes in the world.

[Robert Courts (Witney) (Con)]

I, too, would like to pay tribute to all the many carers throughout the country—people who are just relatives, but who are looking after someone through love and are unpaid for that. Because they do not see themselves as carers, they often do not have the information that they might otherwise need. Will my right hon. Friend see if there is anything more he can do to work with colleagues in councils and of course the relevant Departments to ensure that those carers have access to everything they need, because carers are a massively important part of making sure that the R rate is controlled?

[Matt Hancock]

Yes. I think the whole House will join me and my hon. Friend in thanking all carers, paid and unpaid, in this Carers Week. This Carers Week is so different from normal because of what has happened during coronavirus. One of the things we have seen during coronavirus is that people have got together to celebrate and thank our carers right across the board. He is absolutely right to raise the point that he does, and I will certainly look into it.

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

No one wants to see the R number go above 1; hence the robust questioning the Secretary of State is facing. This weekend, the Government’s incongruous messaging continued. SAGE member John Edmunds told Andrew Marr that the decision not to lock down earlier had cost a lot of lives. Later in the show, the Secretary of State dismissed this view in the face of Channel 4’s “Dispatches” programme and the growing number of scientific experts who are warning that the Government’s premature relaxation of lockdown could see a significant second wave of infection. If the Government are no longer following the science provided by their own advisers, whose advice are they following?

[Matt Hancock]

I am afraid that the hon. Gentleman has misquoted Professor Edmunds, and I think he should go and look at what was actually said.

[Joy Morrissey (Beaconsfield) (Con)]

Will my right hon. Friend join me in praising the carers in Beaconsfield for their tireless work? Can he confirm that the only reason we are now able to consider local lockdowns is because of our testing capabilities, along with NHS test and trace, which are helping to build a more accurate picture of what is going on in different parts of the country?

[Matt Hancock]

Yes, I would like to thank the carers of Beaconsfield for the work they have done through this crisis and before. I tell them that the value and esteem with which we hold them is so high and we are so grateful for what they do. My hon. Friend is right that you simply could not have a localised approach, and therefore the safety of reducing safely and cautiously the overall lockdown measures, without a significant testing capacity. Thanks to the teamwork of the NHS, Public Health England and many, many private companies, we have built the largest coronavirus testing capacity in Europe from almost nothing. It is a testament to so many people, to the team effort and to the way the country has rallied behind that need.

[Mr Speaker]

In order to allow safe exit of hon. Members participating in this item of business and the safe arrival of those participating in the next, I am suspending the House for five minutes.

Covid-19 Response

Matt Hancock Excerpts

Tuesday 2nd June 2020 Commons Chamber

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

With permission, I would like to make a statement on coronavirus.

Thanks to the collective determination and resolve of the nation, we are winning this battle. We have flattened the curve, we have protected the NHS, and together we have come through the peak. Yesterday, I was able to announce that the level of daily deaths is lower than at any time since lockdown began on 23 March. Today’s Office for National Statistics data show that the level of excess mortality is also lower than at any time since the start of lockdown, falling on a downward trend. The ONS reports 12,288 all-cause deaths in England and Wales in the week ending 22 May. That is down from 14,573 in the previous week. That latest figure is still above the average for this time of year and we must not relent in our work to drive it down, but it is now broadly in line with what we might typically see during the winter. We never forget that each of those deaths represents a family that will never be the same again. This House mourns each one.

We are moving in the right direction, but this crisis is very far from being over and we are now at a particularly sensitive moment in the course of the pandemic. We must proceed carefully and cautiously as we work to restore freedom in this country, taking small steps forward and monitoring the result, being prepared to pause in our progress if that is what public safety requires. So today I would like to update the House on two important aspects of the action we are taking.

First, NHS Test and Trace is now operational. That means we have updated our public health advice. Since the start of the crisis, we have said to people that you must wash your hands, self-isolate if you have symptoms, and follow the social distancing rules. All those remain incredibly important, but there is a new duty—and it is a duty—that we now ask and expect of people. If you have one of these symptoms—that is: a fever; a new, continuous cough; a change in your sense of taste or smell—you must get a test. We have more than enough capacity to provide a test for anyone who needs one and we have more than enough capacity to trace all your contacts. So, to repeat: if you have symptoms get a test. That is how we locate, isolate and control the virus. By the way, I make no apology for this overcapacity. The fact that we have thousands of NHS contact tracers on standby reflects the fact that transmission of the virus is currently low. If we were in a position where we needed to use all that capacity, it would mean that the virus was running at a higher rate—something that no one wants to see.

Secondly, I want to update the House on the work we are doing to understand the unequal and disproportionate way that this disease targets people, including those who are from black or minority ethnic backgrounds. This is very timely work. People are understandably angry about injustices, and as Health Secretary, I feel a deep responsibility, because this pandemic has exposed huge disparities in the health of our nation. It is very clear that some people are significantly more vulnerable to covid-19, and that is something I am determined to understand in full and take action to address.

Today, I can announce that Public Health England has completed work into disparities in the risks and outcomes of covid-19, and we have published its findings. PHE has found the following. First, as we are all aware, age is the biggest risk factor. Among those diagnosed with covid-19, people who are 80 or older are 70 times more likely to die than those under 40. Being male is also a significant risk factor. Working-age men are twice as likely to die as working-age women. Occupation is a risk factor, with professions that involve dealing with the public in an enclosed space, such as taxi driving, at higher risk. Importantly, the data show that people working in hospitals are not more likely to catch or die from covid-19.

Diagnosis rates are higher in deprived or densely populated urban areas, and we know that our great cities have been hardest hit by this virus. This work underlines that being black or from a minority ethnic background is a major risk factor. That racial disparity holds even after accounting for the effects of age, deprivation, region and sex. The PHE ethnicity analysis did not adjust for factors such as comorbidities and obesity, so there is much more work to do to understand the key drivers of these disparities, the relationships between the different risk factors and what we can do to close the gap.

I want to thank Public Health England for this work. I am determined that we continue to develop our understanding and shape our response. I am pleased to announce that my right hon. Friend the Equalities Minister will be leading on this work and taking it forward, working with PHE and others to further understand the impacts. We need everyone to play their part by staying alert, following the social distancing rules, isolating and getting a test if you have symptoms. We must not relax our guard but continue to fight this virus together. That is how we will get through this and keep driving the infection down. I commend this statement to the House.

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

There have now been 56,308 excess deaths since the beginning of March, 12,500 of which are not related to covid, but we do have one of the worst excess death rates in the world—why does the Secretary of State think that is? What does he believe is the cause of the non-covid excess death rate?

With respect to the PHE’s findings, which I am pleased to see published today, we have always known that there is a social gradient in health. The poorest and most deprived have inequality in access to healthcare and inequality in health outcomes. What the Secretary of State has confirmed today is that covid thrives on inequalities. Yes, indeed, black lives matter, but it is surely a call to action that black, Asian and minority ethnic people are more likely to die from covid and more likely to be admitted to intensive care with covid. He has seen the findings. I note that the Equalities Minister is taking work forward, but what action will be taken to minimise risk for black, Asian and minority ethnic people?

There are other vulnerable groups who are highly at risk. I am sure the Secretary of State will have seen today the Care Quality Commission report which shows a 134% increase in deaths of people with learning disabilities. Surely it is now time to expand testing to those under 65 in receipt of adult social care.



On the easing of restrictions, the Secretary of State said that this was a sensitive moment—well, quite, Mr Speaker. Our constituents have concerns and are looking for reassurance, particularly those in the shielding group. They really should not have had to wake up on Sunday morning to find out that they could now leave the house once a day. They need clarity and details. And why were GPs not informed in advance?

We are still at around 50,000 infections a week, so may I press the Secretary of State a bit further on the easing of restrictions? The biosecurity level remains at 4, but his own Command Paper from 11 May said that changes to lockdown

“must be warranted by the current alert level”.

At the Sunday news conference, the Secretary of State for Housing, Communities and Local Government said that all the proposed easing of restrictions had been modelled and showed that the R value remained below 1. That is, of course, reassuring, but will he now publish that modelling so that it can be peer-reviewed?

The easing of restrictions was based on tests, so may I ask the Secretary of State a couple of questions? First, on NHS capacity, we know that the NHS has not been overwhelmed, but that has been on the back of cancelled planned surgery, delays to vital treatment, and the postponing of cancer screening. Arguably, it has been the biggest rationing exercise in the history of the NHS. Will he now publish the total number of planned operations that have been cancelled and detail them by procedure? As the lockdown is eased, is it his intention to step down some of that surge capacity so that this backlog of clinical need can start to be tackled?

On managing the virus, one of the tests is on whether we can manage the virus, but, as the Secretary of State has said, that depends on testing and tracing. There is now capacity for more than 200,000 tests, but there is still a lack of clarity about how that figure is arrived at. The UK Statistics Authority has written to him today, saying that his figures are still

“far from complete and comprehensible”,

that the testing statistics still fall well short of standards in the code, and that it is not surprising that testing data is mistrusted. That is quite damning, I have to say to him. Will he start publishing again the actual numbers of people tested? Will he stop counting tests mailed to homes as completed? Will he detail what proportion of the 200,000 tests are diagnostic PCR, what proportion are antibody, and what proportion are surveillance? Can he tell us how many care home staff and residents have been tested? When will he start weekly testing of all NHS staff, as that is crucial for getting on top of infections in hospitals? Will he tell us what percentage of the Deloitte-run testing facilities have been sent to GPs?

On test and trace, which is absolutely vital to safe easing out of the lockdown, the Prime Minister told the House before the recess that it would be “world-beating” and operational by yesterday, but it is not actually fully operational at a local level, is it? Can the Secretary of State confirm that local directors of public health have been told to prepare strategies for tracing with a deadline of the end of June, that they will not actually start receiving local individual data until next week, and that many have still not been told their allocations of the extra £300 million nor what they can spend it on? When will they get those allocations? Despite this, he said yesterday that test and trace is up and running. I am not sure how he can say that it is up and running when local directors of public health are still asking for that information. Will he publish the data and what percentage of infections have been contacted and how many contacts have been followed up? Will that data be published on a daily basis?

This is a crucial week, given the easing of restrictions, and our constituents want reassurance and clarity, but I am afraid that trust has been undermined by the Dominic Cummings scandal. Our constituents want to do the right thing for their loved ones and their neighbours. Can he give them those reassurances today?

[Matt Hancock]

I entirely agree that it is critical that people play their part in making sure that we continue the work of controlling this virus and driving down the number of new transmissions. I am glad that he recognises the work that has been done, not just by Government, but by all of us, to get this virus under control.

Let me answer the hon. Gentleman’s questions specifically. He asks about the inequalities in health outcomes. He is quite right to address that subject. It was important before we went into the coronavirus crisis, and it is even more important now. Black lives matter, as do those of the poorest areas of our country, which have the worst health outcomes. We need to ensure that all these considerations are taken into account and that action is taken to level up the health outcomes of people across this country, because there is no more important levelling up than the levelling up of a person’s life expectancy and the quality of health with which they live that life.

The hon. Gentleman asked specifically about those with learning disabilities and autism. That testing in care homes for those of working age has continued all the way through this crisis, and we are rolling it out further. He mentions the changes to those who are in the shielding category. I was very pleased that we were able to make these changes. We announced them at the weekend and they have been very well received, especially by those who are shielding, because they are now able, safely, to go outside. It is hard to overstate the impact of saying to people that the recommended medical advice was that they should not go outside for 10 weeks. I am glad we have been able to lift, just slightly, the restrictions on those in the shielding category.

The hon. Gentleman also asked about the restart of the NHS. It is vital that we get the rest of the NHS going again, and that work is under way. The expansion of cancer facilities is under way. The demand for accident and emergency and urgent care is not as high as it was, but I look forward to the full restoration of our A&E facilities across the country, including in central Lancashire.

The hon. Gentleman asks, rightly, about the NHS test and trace capability. That is up and running, and working well. He asks how I can say it is working well. It is working well because thousands of people have been contacted and their contacts are being traced. So the system is working. We absolutely will publish data on that, but, as the letter from the UK Statistics Authority this morning shows, it is very important that we get that data publication right. We will work with the UKSA to make sure it is happy with how we are publishing that data, to make sure we get the data published in a reasonable and sensible way, one that also supports the operation of NHS test and trace, which we agree is a critical part of the next stage. I commit to publishing that data and to working with the UKSA on how it is put together.

The final point to make in response is that the goal here is to have a more targeted approach to the lockdown, so that we can carefully and cautiously lift the broader lockdown. That is what we are working to achieve, and I am very grateful for the support from right across the House for our efforts to accomplish that.

[John Lamont (Berwickshire, Roxburgh and Selkirk) (Con)]

Let me start by thanking the NHS and care workers in my constituency in the Scottish borders, who are working so hard to keep us healthy. The Health Secretary will be aware of the very low levels of testing taking place in Scotland, which is clearly a concern as we move into the test and isolate phase. Given the UK Government’s role in providing test facilities in Scotland, what further assistance can they provide to the Scottish Government to help push up the testing numbers?

[Matt Hancock]

We have supported and helped the Scottish Government throughout this, because although they have missed their targets in the roll-out on tests delivered in Scotland, the UK programme of the drive-through centres and the home-test kits has also been operational in Scotland. I work closely with my Scottish counterparts to try to make sure that testing is as available in Scotland as it is in England, and that work is ongoing.

[Mr Speaker]

I call Ian Blackford to speak on behalf of the Scottish National party—you have four minutes.

[Ian Blackford (Ross, Skye and Lochaber) (SNP)]

I am standing in today for my hon. Friend the Member for Central Ayrshire (Dr Whitford), who is excluded from taking part, given the removal of the hybrid Parliament—for now. There are growing concerns that this Tory Government is taking a cavalier approach on coronavirus, by rushing to ease lockdown measures despite warnings from public health experts. There are serious questions to answer on the political decisions the Prime Minister and the Health Secretary have taken, which could increase the rate of infection and put lives at risk—or even cause a second wave of covid-19. The Government claim to follow the science, so why have they ignored the experts who have advised against opening schools or easing lockdown further, without pausing to evaluate each step? On what basis were the decisions made to allow groups of people from six different houses to meet in England, to tell 2.2 million people in the shielded group that they can go outside and to send people back to work in England on 11 May without a functioning test, trace and isolate system in place? The results from the Deloitte regional test centres are still not being reported to local public health teams. How does the Secretary of State plan to fix this, and by when? What financial support will be put in place for those called on to isolate as asymptomatic contacts, especially as this could happen more than once?

With test and trace depending on people being willing to isolate if told to do so by a contact tracer, does the Secretary of State not regret that he and his Cabinet colleagues have completely shredded their own lockdown rules to protect a man who thought he was above the rules? In refusing to sack Dominic Cummings for travelling 260 miles with his wife, who was symptomatic, the Prime Minister has destroyed his own “Stay home and save lives” message. We know that the Dominic Cummings scandal has undermined efforts to tackle the virus by eroding trust in the UK Government and its public health guidelines, and we have seen that people are breaking the rules as a result. Does the Secretary of State not recognise that the scandal has already undermined lockdown and could lead to more infections and even more deaths in the future? This is about leadership and responsibility. Dominic Cummings should go, and he should go now.

[Matt Hancock]

I look forward to my SNP opposite number returning and to being able to have a constructive discussion about how we might together tackle the virus; how we might together protect those who are shielding and for whom, thankfully, it is safe to go outside, based on the clinical advice; how we can ensure that the test and trace system is rolled out across the whole of the UK; how the systems can interact and work together to protect people, especially in border areas, where people may need to make cross-border journeys; how we can work together, as a whole country, to keep the number of new infections going down; and how we can work together to protect people and protect our NHS. Those are the conversations that I have with the Scottish Government and with my SNP opposite number here in Westminster, and those are the things that really matter.

[Several hon. Members rose—]

[Harriett Baldwin (West Worcestershire) (Con)]

Will the Secretary of State join me in thanking the teachers in Worcestershire, who managed to get 77% of reception classes open yesterday? I am told by these teachers that their schools are not large enough for them to welcome all pupils back and observe the 2 metre rule, so could he update the House on why the UK is continuing to maintain a distance that is double that recommended by the World Health Organisation?

[Matt Hancock]

We have reviewed the science on the 2 metre rule. The challenge is that the further apart people are, the less likely is transmission of the virus, so the rules we have in place are to slow the transmission of this virus. It is not really the rule that presents the challenge in schools; it is about trying to make sure that all places are as safe as possible. We keep this under review, as the Prime Minister has said. I congratulate schools across Worcestershire on reopening 77% of reception classes. It is a very important step forward. Making sure that we have the guidelines in place so that we can live with the virus while bringing the rate of transmission right down is very important.

[Munira Wilson (Twickenham) (LD)]

In view of the Secretary of State’s statement confirming PHE’s findings that being black or minority ethnic is a high-risk factor, what guidance is he providing to the NHS and social care sectors on the rostering of BAME staff in high-risk covid areas? Will his Department be investigating whistleblower claims that BAME locums were disproportionately placed on the rota at Weston General Hospital, which has recently experienced a major outbreak?

[Matt Hancock]

The hon. Lady is right to raise the case of Weston hospital. We have been working hard to ensure that the local outbreak is brought under control, and we are making progress. She is also right, of course, to raise the PHE report that we published today.

The critical next step is to ensure that we understand the drivers of the disparities that are seen in the data and, in particular, that we address the question of the impact, taking into account co-morbidities has such as obesity and the impact of occupation, which are not taken into account in the PHE work thus far. That is the work that the Minister for Women and Equalities, my right hon. Friend the Member for South West Norfolk (Elizabeth Truss), will be taking forward.

[Claire Coutinho (East Surrey) (Con)]

I know the worry that has been felt by the BME community during this period. I have personally felt it, as have many of my family members working on the frontline in the NHS, so I sincerely thank the Secretary of State for commissioning the review and continuing its work. Can he confirm that its publication was not delayed due to the sensitivity of its findings?

[Matt Hancock]

I can absolutely confirm that. I know my hon. Friend understands this, not least because I think that both her parents are doctors who are absolutely in the heat of this. In terms of the data publication, when I asked PHE to undertake this piece of work, I asked it to produce it by the end of May, which it did. It delivered it to me on Sunday, and we have published it and brought it to the House at the earliest opportunity.

[John Cryer (Leyton and Wanstead) (Lab)]

Further to the previous question, is the Secretary of State saying that the publication of the report by Public Health England into the wildly disproportionate level of deaths among ethnic minority communities was delayed purely because further work was needed on elements of it? In that case, at what point will it be published?

[Matt Hancock]

No, I am not saying that. I asked Public Health England to produce this work because I was very worried by the evidence of the increased morbidity and mortality among black and minority ethnic communities. I gave a deadline of the end of May. The work was delivered to me on Sunday, at the end of May. I considered it yesterday and brought it to the House at the first chance.

[Jo Gideon (Stoke-on-Trent Central) (Con)]

Will my right hon. Friend join me in thanking the British Ceramic Confederation for its work advising the Government on safety in the hospitality industry? A chipped plate is not covid-safe, so will he encourage the hospitality industry to buy high-quality chip-resistant tableware from our world-class manufacturers in Stoke-on-Trent?

--- Later in debate ---

[Matt Hancock]

Yes, I will. The manufacturing of pottery and chinaware in Stoke-on-Trent has long been one of the finest things in this country. My hon. Friend is an inesteemable representative, along with her two colleagues, for Stoke-on-Trent—[Interruption.] Inestimable. Exactly. I think that is what I said. She rightly makes that case, but there is a broader point, which is that coming out of this, we are going to need many industries that work differently. The economy will not be the same on the way out as it was on the way in, and in many cases we can make changes for the better. She is absolutely sticking up for the pottery industry.

[Kerry McCarthy (Bristol East) (Lab)]

I very much welcome what the Secretary of State has said about the PHE report and the need to get to the bottom of why these racial disparities seem to be a thing, but it is not enough to work out after the event why there have been so many more deaths among the BAME community. What is he doing to support the public health function in local authorities so that they can work with local community groups to try to identify people who are more likely to be at risk, to prevent the illnesses and deaths from occurring in the first place?

[Matt Hancock]

We have put extra funding into those functions, obviously, because this is a significant crisis that demands massively more of our local public health capabilities in councils and in the devolved Administrations as they deliver local public health services on the ground. It is absolutely critical to look at these risks, but we have to look at them in the round. We have to look at all the different risks. For instance, there is growing evidence of the impact of obesity on the morbidity—that is, the impact of covid—and on people’s chances of dying, and that has to be taken into account as well.

[Marco Longhi (Dudley North) (Con)]

I know my right hon. Friend feels a deep sense of responsibility for health outcomes across the United Kingdom, and not just health outcomes but how healthcare services are delivered. Will he provide an update on what the Government are doing to support social care in Dudley, the Black Country and the rest of the country?

[Matt Hancock]

I am delighted to say that the statistics published by the Office for National Statistics this morning show that the proportion of covid deaths in social care is falling, and that is very good news. I am very grateful to all those working in social care, and those working in local authorities to support those in social care, in Dudley and throughout the country. We have put in billions of pounds of extra funding, including £600 million just 10 days ago. We have to make sure that we support those working in social care, who look after some of the most vulnerable.

[Alison Thewliss (Glasgow Central) (SNP)]

A growing number of constituents are getting in touch with me to express their concerns about the Public Health England report and the impact of coronavirus on ethnic minorities. The death rates of black and minority ethnic people are in many ways connected to people who have no recourse to public funds; people who are forced out to work when it is less safe for them to do so, because they are not entitled to statutory sick pay; and people who are in lower-paid jobs and, as in the case of Belly Mujinga, are less able to complain to their employers about their circumstances. Does the Secretary of State agree that it is one thing to say that black lives matter but quite another when he forces them out to work with no alternative?

[Matt Hancock]

It is very important that we look all the risk factors, including ethnicity, that have an impact. Indeed, that is what our broad approach has been, led by our shielding programme, whereby we have said that those who are most vulnerable should not leave the house at all until we were able to say this weekend—I am pleased to say—that it is safe for them to go, as long as they stay two metres apart from others.

[Suzanne Webb (Stourbridge) (Con)]

Russells Hall Hospital in Dudley serves my constituency of Stourbridge well but, as we start to admit and treat those who require surgery and cancer therapy, the hospital urgently requires capital investment to create additional wards in a free-standing facility to maintain social distancing. Will my right hon. Friend join me in visiting Russells Hall Hospital to discuss this much-needed investment and, of course, to thank the staff there personally for their continued, compassionate and heroic efforts to protect patients and staff from covid-19?

[Matt Hancock]

The Dudley-Stourbridge massive are out in force today. I am delighted to thank everybody at Russells Hall for the work that they are doing. I am pleased to be able to confirm to my hon. Friend that we are working hard to restore cancer services. Many cancer treatment services have continued, but many were not able to continue because taking somebody’s defences down to close to zero, which is needed in much modern cancer therapy, is not the right thing to do when a killer virus is about. We are able to restore those services and I would love to visit my hon. Friend’s local hospital, whether virtually or physically.

[Liz Saville Roberts (Dwyfor Meirionnydd) (PC)]

Wales has 130,000 people who are considered most at risk from covid-19, and they deserve to be treated better than being caught up in a game of cross-border political brinkmanship. The Secretary of State’s Government’s changes to the status of shielded people in England were announced in the English media on Sunday. What procedure is in place to co-agree such announcements in good time with the Government responsible for health in Wales?

[Matt Hancock]

I work with my Welsh opposite number, Vaughan Gething, very closely. He and I have worked very closely indeed and the approach that the Welsh Government have taken has been to work through the four chief medical officers to try to do this in the best possible way.

[Douglas Ross (Moray) (Con)]

Scotland has a daily testing capacity of 15,500 tests, but the Scottish Government’s own figures suggest that the most recent daily testing total was just 2,729. Does the Secretary of State agree that that is a woeful and alarming figure for many people in Scotland? What further support can the UK Government give to the SNP Administration at Holyrood to ensure that we are not left behind as the rest of the country moves to the recovery phase?

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[Matt Hancock]

My hon. Friend is right to raise that issue. All I can say is that we give all the support that we possibly can to the Scottish Government to help them to get their testing numbers up.

[Tulip Siddiq (Hampstead and Kilburn) (Lab)]

In the London Borough of Brent, which covers part of my constituency, two thirds of communities are from a BAME background, so it comes as no surprise that some areas in Brent have the third highest rate of covid-related deaths in the whole of London. The Secretary of State has said that he recognises the disproportionate impact that covid-19 has on BAME communities, and he has said that black lives matter, but BAME communities are not interested in slogans or empty rhetoric from us politicians; BAME communities want to know what concrete and practical steps the Secretary of State is taking right now to ensure that BAME communities are protected when the lockdown is eased, so that the lives of no more people from my communities are lost.

[Matt Hancock]

The hon. Lady is quite right to raise this issue and to discuss it in the way she does. Working with the council in Brent, where this disease had one of the highest impacts at the start, we have managed to bring the incidence of disease right down. For instance, ensuring the protection of those living in care homes in Brent has led to the outbreak there coming right under control. Brent is a very good example of where, when we saw a focused outbreak at the start, we put extra resources in; we have put support into Brent Council, and together we have managed to get this disease under control.

[Damian Green (Ashford) (Con)]

Along with many of my constituents, I am very concerned that the number of covid cases identified in Ashford has been one of the highest in the country. I recognise that there are complex reasons for this, but in these circumstances may I ask my right hon. Friend to fill the gap that exists in the regional testing centre network—in east Kent—by placing one in Ashford?

[Matt Hancock]

I’m on it.

[Ruth Jones (Newport West) (Lab)]

I am glad that the Secretary of State has announced the publication today of the report into how covid-19 has disproportionately affected black and minority ethnic communities, but it has taken far too long. It is because black lives matter that the Government must do all they can to address this disproportionality right across the UK, so will the Secretary of State update the House on what specific discussions he has had with the devolved Administrations about the impact on those from black and minority ethnic backgrounds across the UK?

[Matt Hancock]

The report was delivered to me on Sunday—on deadline—and I have published it two days later, so we have been moving at pace in this space. It is a Public Health England report and therefore focuses on public health in England. I am sure that Public Health Wales will want to look at the same questions.

[Mr Richard Holden (North West Durham) (Con)]

I congratulate the Secretary of State on hitting both the 100,000 and the 200,000 target for testing. It is indeed correct that the capacity needs to be there; we do not use the Army every day but it is important that we have it there as a resource. We have had some issues in County Durham regarding some of the drive-through testing sites. Will the Secretary of State look at that to ensure that we do not have those problems in the future?

[Matt Hancock]

My hon. Friend is absolutely right to raise the importance of having the testing capacity, but I would tell all his constituents in Durham and people right across the country to get a test if they have symptoms. The tests are available, and it is so important for tracing the disease.

[Mrs Natalie Elphicke (Dover) (Con)]

Does my right hon. Friend agree that as the virus increasingly comes under control, it is vital that we begin to plan for the swift resumption in full of local and urgent healthcare such as the minor injuries unit at Deal’s Victoria Hospital, and other important services provided there and at Dover’s Buckland Hospital?

[Matt Hancock]

Yes. The restoration of services across the NHS is critical, and it is important that it is done in a covid-secure way. It is critical that people know that the NHS is there for them; if they need the NHS or if they are told by a clinician to go to hospital, I ask them please to go.

[David Linden (Glasgow East) (SNP)]

Since being caught double counting tests for 11 days straight now, the British Government have refused to disclose how many people have been tested for coronavirus. Can the Secretary of State therefore explain how his test, trace and isolate system is world beating if he does not know how many people are being tested?

[Matt Hancock]

Ensuring that we get these statistics accurate is incredibly important. We are working on that with the UK Statistics Authority. It is a big piece of the work to ensure that we get the publications right.

[Dr Ben Spencer (Runnymede and Weybridge) (Con)]

I welcome my right hon. Friend’s announcement about his focus on the vital research into the risk factors of serious illness from covid, especially the impacts of age, sex and ethnicity. I look forward to future research that takes into account comorbidities, which are a crucial part of the puzzle. Does my right hon. Friend agree that we are now reaping the benefits of long-term investment in research in the NHS so that we can do these studies, but in going forward and understanding better the impact of comorbidities, can he give me an idea of when that may report back so that we can make policy decisions based on it?

[Matt Hancock]

This is clearly urgent work to disentangle the different factors that cause the disparities evident in the data in the report published today. The Equalities Minister will be leading that work, working with Public Health England and others, to get to the bottom of that as quickly as possible.

[Rachel Hopkins (Luton South) (Lab)]

My constituency of Luton South is super-diverse, with a large BAME population, and it has significant pockets of deprivation. Given those risks, what do I say to my constituents who tell me they simply do not believe that it is safe to relax shielding, given the Government’s confused messages and apparent endorsement of breaches of public health guidance, with the lack of action taken over Dominic Cummings?

[Matt Hancock]

That is not an appropriate way to characterise the approach we are taking, because when it comes to people who are shielding, we have recommended that people shield for their own protection, but the clinical advice says that it is safe for people to go outside, because the incidence of disease is now lower than when we brought in the shielding policy, and I think—well, I know—that many of the shielded are so pleased to be able just to go outside. It has had a huge impact on them, when they have given up a great sacrifice.

[Jacob Young (Redcar) (Con)]

I thank my right hon. Friend for ensuring that Redcar and Cleveland is at the forefront of the Government’s new test, track and trace programme. What assessment has he made of how test, track and trace will allow us to reduce social distancing in the weeks ahead from 2 metres to 1 metre, as per the guidance.

[Matt Hancock]

The success of test, track and trace is a critical part of making sure that we have a more targeted approach to lockdown, so that we can reduce the broader lockdown safely. That is what building the system is about—having more targeted interventions so we can reduce, when it is safe to do so, the broader interventions that everybody has been having to live under.

[Chris Bryant (Rhondda) (Lab)]

I have been sitting here desperately trying to give the benefit of the doubt to the Government, because we are in a national crisis, but I have to reflect the fury that my constituents have reflected to me on Facebook and in emails about the Dominic Cummings situation. I know the Secretary of State will want to shrug it off and will want to move on, but I have to say to him that it has been absolute fury. People think that there is one rule for the Government and their friends and another rule for everybody else. They have made massive sacrifices, and they feel that the Government are not standing by them. Please, please will he reflect that back to the Government?

[Matt Hancock]

I think the most important thing as we go forward in trying to tackle this together is that the social distancing guidelines we have set out are critical for the safety of the nation. We are able, safely, to make small changes, which will improve health because of the negative impact on people’s physical and mental health of being solely shut indoors. Therefore, it is crucial that people follow the social distancing guidelines, and that will in turn help us to lift these measures more broadly.

[Felicity Buchan (Kensington) (Con)]

As my right hon. Friend is aware, my constituency of Kensington has some of the most extreme health inequalities in the country. The difference in average life expectancy for men is more than 16 years between the richest ward and the poorest ward. Will my right hon. Friend assure me that practical, concrete steps will be taken to alleviate these inequalities?

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[Matt Hancock]

Yes, absolutely. As my hon. Friend eloquently puts it, there is levelling up to do not just between different parts of the country and different regions of the country, but even within individual constituencies. Hers is of course one of the greatest examples of this, as are some of the other inner-city constituencies in boroughs. I think the levelling up of health inequalities across the country is going to be an even more important part of the agenda after coronavirus than it was before.

[Christine Jardine (Edinburgh West) (LD)]

The number of cases and deaths is falling, but several health officials, including the Association of Directors of Public Health, say they are not convinced that all five of the Government’s tests have been met sufficiently to ease lockdown restrictions. As of this morning, we hear that test and trace is up and running, but no figures are available. Given that easing the restrictions is risky—one could argue that having us all here discussing it is risky—and there has been, according to my mailbox, an undermining of public confidence in the Government’s approach by the Dominic Cummings scandal, what additional metrics will the Government use to monitor and contain transmission, and how do they suggest we reassure the public that they are effective and being followed by everyone?

[Matt Hancock]

The hon. Lady is quite right about the devices that we need for monitoring. Through the public health authorities, extensive operations are already in place to monitor outbreaks, and we have spotted some outbreaks, as per the hon. Member for Twickenham (Munira Wilson), who discussed the outbreak in Weston-super-Mare. She is also right to say that more is needed. The new joint biosecurity centre will be an important part of that operation.

[Theresa Villiers (Chipping Barnet) (Con)]

It is deeply distressing to see the toll that the disease has taken on people from black and minority ethnic backgrounds. It is also worrying that so many transport workers have fallen foul of the disease. In London, many of them come from black and minority ethnic backgrounds. Will my right hon. Friend urgently engage with transport companies and authorities across the country to keep our transport workers safe, especially those from BAME communities?

[Matt Hancock]

That is an incredibly important point, because there has been a disproportionate impact on transport workers, particularly those who, by the nature of their work, have to be in close contact with others, for example taxi drivers. That factor was not taken into account in the Public Health England analysis. It is exactly what we mean when we say that we must understand the different causes of the disparities in the data on the impacts according to people’s ethnic background. Disentangling how much is due to occupation and how much is due to other factors is an important part of the analysis that we need to undertake to be able to take action such as protecting those who work in the transport sector.

[Mary Kelly Foy (City of Durham) (Lab)]

Public health professionals I have spoken to tell me that the success of the Government’s track and trace system is limited by the turnaround of up to five days for coronavirus test results. That delay severely impacts the ability of public health teams to prevent onward transmission and protect the population from the virus. Does the Secretary of State recognise that problem? If so, how does he plan to achieve a 24-hour turnaround for every test? When will that be achieved?

[Matt Hancock]

The hon. Lady is quite right to report the views of local public health staff, who are right to raise the question. I am pleased to say that the turnaround speed has significantly improved in the past couple of weeks, and now 83% of tests are returned from the drive-through centres within 24 hours. There is continued work to speed that up and get the proportion even higher, and the Prime Minister has very kindly set me a goal of ensuring that all tests from the drive-through centres are returned within 24 hours.

[James Cartlidge (South Suffolk) (Con)]

My right hon. Friend will be aware of the excellent work taking place at Colchester and Ipswich hospitals in partnership with local independent providers to increase capacity for dealing with non-covid cases such as cancer. What more can we do to increase capacity in the independent sector so that we bear down on the backlog in elective surgery?

[Matt Hancock]

That is an incredibly important point, because the backlog has of course built up as we had to protect the NHS in the heat of the crisis. The independent sector has played a critical role in helping us get through the crisis and will play a critical role in future. That has put to bed any lingering, outdated arguments about a split between public and private in healthcare. What matters is the healthcare that people get. We could not have got through the crisis without the combined teamwork of the public and private sectors.

[Barry Gardiner (Brent North) (Lab)]

Professor Newton spoke today of the vital importance of increasing serology to tackle the virus. Capillary blood from fingerprick tests has long been used to test and control viruses, from measles to dengue fever. Will the Secretary of State therefore explain why the Medicines and Healthcare Products Regulatory Agency guidance asks providers of fingerprick tests to stop offering the service? Can he point to any published scientific data that suggests a clinical difference between capillary and venous blood? If not, why is he blocking the serology roll-out that Professor Newton considers so important?

[Matt Hancock]

First, serology tests are very important, and I am glad we are now doing over 40,000 a day. Given that they first got approval only two weeks ago, that has been a fantastic effort by the NHS and social care to get the roll-out going out so quickly. Secondly, fingerprick tests would be a big step forward. We are currently assessing the clinical validity of a number of fingerprick tests, because a bad test is worse than no test at all. I am sure the hon. Gentleman will agree with that.

[Alexander Stafford (Rother Valley) (Con)]

Does the Secretary of State agree that the outbreak has taught us the importance of investing in domestic PPE manufacturing to increase our supply chain, and that south Yorkshire towns and villages with a textile heritage, such as Thurcroft in Rother Valley, are prime locations for new PPE facilities?

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[Matt Hancock]

Yes, absolutely. I congratulate my hon. Friend not only on his new beard but on his support for Rother Valley. He is absolutely right that the domestic manufacture of PPE is one of the most important things we could be doing right now. We are pushing that incredibly hard, with the support of Lord Paul Deighton.

[Catherine McKinnell (Newcastle upon Tyne North) (Lab)]

I agree with the Secretary of State that retaining the public’s trust is absolutely crucial if we are to tackle the virus, but that trust needs to be earned and honoured. I want to put on record my constituents’ deep frustration at the Government’s response to Dominic Cummings breaking the rules. There are deeply felt fears among doctors, nurses and other frontline health professionals about coming out of lockdown too quickly and all the sacrifice that so many people have made going to waste. We know that some people are asymptomatic and could be spreading the virus unchecked, so how will test, track and trace work for those people if they are not being tested?

[Matt Hancock]

The hon. Lady is absolutely right to say that we must move cautiously and carefully. Those were not her exact words—I am putting them in her mouth—but she is nodding in agreement. We must not lose all the advantages and progress we have made. The number of people sadly dying from the disease is down to almost a tenth of what it was at the peak, but that is still far too high. Test and trace will be critical. The precise answer to the question she asks about testing is that if you are contacted by an NHS contact tracer and asked to self-isolate, you should do so. That period of two weeks of self-isolation is the time in which if you were going to get symptoms and pass on the disease, you would. Therefore, that is what breaks the chain. It is the isolation on instruction from the NHS that breaks the chain. That is the power of the NHS test and trace programme.

[Jonathan Gullis (Stoke-on-Trent North) (Con)]

I start by thanking my right hon. Friend for moving so swiftly to make the bet365 stadium in Stoke-on-Trent a regional testing centre, after hearing the case for it from Councillor Abi Brown, the leader of Stoke-on-Trent City Council, and myself. It will allow many of my constituents in Stoke-on-Trent North, Kidsgrove and Talke rapid and easy access to vital tests to help to drive down R further still. Will he confirm to the House that regional test sites will remain in place for as long as they are needed to ensure we remain able to continue an effective test and trace strategy?

[Matt Hancock]

Yes, I can. The voice of Stoke-on-Trent is strong today.

[Patrick Grady (Glasgow North) (SNP)]

I join all the tributes to the public health workers in my constituency who are helping to fight the virus. We hear the Secretary of State sing the praises of public and private partnership. I hope he will not be using the crisis as an opportunity to increase privatisation and profiteering in the NHS through the back door. If it is proving such a success, will he explain why the Deloitte regional test centre results are still not being provided to the local public health authorities?

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[Matt Hancock]

The drive-through centres are a classic example of the public and private sectors working in a team spirit. I just wish that people would not try to drive teams apart, because this is a combination of the private diagnostics companies that provide the tests; Boots and Deloitte, which have provided the logistics; the armed forces, without whom we could not have made this happen right across Great Britain; and, of course, the NHS, Public Health England and the relevant Scottish authorities—they have made it happen. I will look into the specific data point that the hon. Gentleman raises, but I want to congratulate all those involved, no matter their employment status, and I urge him and others to back the team.

[Craig Whittaker (Calder Valley) (Con)]

With couples sat together one minute and one of them taken away in an ambulance the next, with people not being able to see their partner in hospital or in the chapel of rest—those living in Calderdale could not even pay their last respects at the crematorium either—and with grandparents not seeing new-borns or their grandchildren for 10 weeks, on the whole, people have made huge sacrifices to maintain the lockdown and the Government’s public health message. Can my right hon. Friend advise whether an assessment has been made of what, if any, damage has been done to the Government’s public health message by the actions of the Prime Minister’s special adviser?

[Matt Hancock]

The critical thing is that, given the sacrifices that my hon. Friend lists and that are heartfelt, as a nation, we have the resolve to see this through. We can see that the number of cases is coming right down and the number of people dying is coming right down, and we have got to see the back of this disease. We are not there yet.

[Afzal Khan (Manchester, Gorton) (Lab)]

Given the disproportionately negative impact that covid-19 is having on BME men and women, has the Secretary of State given any consideration to the additional risk that the reopening of schools will have on this community? What discussions has he had with the Department for Education about the concerns around BME children returning to school, particularly among parents, and what steps are being taken to mitigate those concerns directly?

[Matt Hancock]

The hon. Gentleman is right to ask that question in the sensitive manner in which he does. Of course, I have had discussions with my colleague the Secretary of State for Education, and both of us have taken clinical advice on the decisions around schools. I would not support the changes and the reopening of schools if I did not think they were safe. One of the reasons to bring in three years in the first instance in primary school is to ensure that there is the physical space that my hon. Friend the Member for West Worcestershire (Harriett Baldwin) spoke about earlier. We have got to be careful, cautious and sensitive, especially to the needs of those who might be disproportionately affected, and we have got to do the research to get to the bottom of why.

[Sarah Olney (Richmond Park) (LD)]

A great deal of work has been done by local policing teams in Richmond and Kingston to inform my elderly constituents about the risk of scams both online and over the telephone. What shall I tell my constituents to look for, if they are contacted by a contact tracer, before disclosing personal data?

[Matt Hancock]

The hon. Lady is absolutely right to raise that. It appals me that people would try to raise a scam in response to this mission-critical national project of NHS Test and Trace. NHS contact tracers will never ask for your personal financial information. They will never ask you to pay for anything, and they will never disclose your personal medical information. If any of those things start to happen on a call, it is not a call from NHS Test and Trace. We have worked closely with the National Cyber Security Centre to ensure that we get the scripts right and that we protect against these risks, and she is right to raise it.

[Caroline Nokes (Romsey and Southampton North) (Con)]

My constituent Dr David Flavell, the scientific director of Leukaemia Busters, has sent a face mask to every Cabinet member, every shadow Cabinet member and, indeed, the entire Health and Social Care Committee. I hope my right hon. Friend has received his. Will the Government consider upgrading their advice on the use of face masks from recommended to mandatory?

[Matt Hancock]

I have not received mine, but I would like to. Let us try to find it, wherever it has got to in the system—it might be in the bowels of the Department of Health and Social Care somewhere. I will go and dig it out; that is an unfortunate image. The serious point is that face coverings are important, especially in areas where you might come into contact with people you would not otherwise frequently see, such as on public transport or in some shops. I will look into the issue that she raises.

[Lucy Powell (Manchester Central) (Lab/Co-op)]

No disrespect, Mr Speaker, but I would rather be in sunny Manchester today, being cautious and careful, than here. None the less, does the Secretary of State agree that public confidence is critical in this next phase of dealing with the virus? There is no doubt that confidence has plummeted over the last few weeks. Does he agree that to restore that confidence we need a great deal more transparency about the test, track and trace system—numbers, who has been contacted, and so on—so people feel that if they are contacted action will follow?

[Matt Hancock]

If it’s sunny in Manchester, it really must be hot. [Interruption.] Coming from the north-west myself, I know how much it rains in that part of the world. The, the—I have completely lost my train of thought. The hon. Lady raises a very important point about test and trace. Subject to patient confidentiality, which I take very seriously, of course we will publish data on the test and trace system and will work with the UK Statistics Authority on the best way to do that. I spoke to David Norgrove earlier today about that and how our teams should work together to make sure we can publish it in the right and appropriate way.

[Laura Trott (Sevenoaks) (Con)]

I welcome the progress that has been made on testing, but I have a specific case of a care home in my constituency that caters for people with disabilities. Because the residents are typically under 65 and do not have dementia, they do not have access to testing in the same way those in other care homes do. Could the Secretary of State look into this case?

[Matt Hancock]

Yes, of course, and I will get back to my hon. Friend.

[Kate Green (Stretford and Urmston) (Lab)]

The Secretary of State will know of the exceptionally high rate of infection in the north-west and he will also be aware that local authorities such as mine say that the peak of demand for social care has not yet been reached and will actually hit later in the summer. In order to facilitate transparent information to the public and good capacity for local planning, will he commit to regular publication of the R value on a regional basis?

[Matt Hancock]

We regularly publish the R value on a national basis and are increasing the scope of our surveillance testing regime to be able to increase the detail around that—that is one of the key tasks for the weeks ahead.

[Jason McCartney (Colne Valley) (Con)]

With track and tracing now being rolled out, if there happens to be localised increases again in the rates of infection—localised second waves—at what level would the Secretary of State recommend bringing back localised restrictions? Would it be at a county level, a town level, a council level, a village level, or even a street level?

[Matt Hancock]

The answer is “needs must”: whatever is necessary to bring any local outbreak under control. We will take local action with local directors of public health using all the information we have, whether at a highly localised level, more broadly or on an institution basis—for instance, around a school, care home or hospital—if that is what it takes.

[Ms Karen Buck (Westminster North) (Lab)]

The pandemic has exacerbated mental health conditions and made it harder for people to access appropriate mental health services in many cases. This morning, I received an email from a constituent whose child has a severe psychiatric condition exacerbated by covid. The child has been in our local hospital for six weeks waiting for a specialist bed and is now hoping that there might be a bed in Birmingham—they are in north Paddington. What can the Secretary of State do to make sure that such urgent mental health conditions are responded to?

[Matt Hancock]

The hon. Lady is right to raise this issue. Mental health services, especially for less severe mental ill health, have in some ways been strengthened by the crisis, because of the extent of psychiatric support online, which in some cases, we have discovered, has been more effective than face-to-face support, especially in paediatrics. That said, of course that is not the case in all areas, especially with some of the more severe conditions, such as the one she outlines, and I am happy to look into that individual case. We are doing everything we can to restore services, in a way that is safe and covid secure, so that people can get access to the services they need.

[Selaine Saxby (North Devon) (Con)]

I thank my right hon. Friend for the guidance as we move through the phases of lockdown, but can he reassure my constituents in North Devon that it is not too soon for our beaches to be used safely, provided that people are maintaining social distancing?

[Matt Hancock]

We have learned a lot about this virus over the past three or four months. We have learnt, for instance, that asymptomatic transmission is a very significant problem and a challenge, but one of the things that we have learned on the other side of the ledger is that transmission outside is much lower than indoors. It is not risk free, but it is much lower, and that means that we are able to do things like recommend that being on the beach is one of the lower-risk activities—but that people should still keep 2 metres apart, because that is what the guidelines say is safe.

I am delighted that the beautiful beaches of North Devon are once again providing pleasure to local families so that they can really enjoy the weather.

[Tonia Antoniazzi (Gower) (Lab)]

Secretary of State, Teagan Appleby has been in intensive care twice in the past 10 weeks because her family were unable to pay for the medical cannabis that they need to keep her alive.

The families of these epileptic children have been put on the back burner by Brexit, a general election and now covid. The sums of money we are talking about are tantamount to what the right hon. Gentleman’s Department spends on paper clips. Will the Secretary of State make a call to NHS England immediately and right this wrong?

[Matt Hancock]

As the hon. Lady knows, I have put significant effort into trying to resolve this matter. We have made some progress. I am sorry to hear about the conditions that she describes, and I will ask my hon. Friend the Minister for Health to take this forward immediately after this statement.

[Simon Fell (Barrow and Furness) (Con)]

I congratulate my right hon. Friend on getting the track and trace system up and running. In Barrow and Furness our shipyard employs about 10,000 people, but we will struggle to gain the confidence of the community and the workers as they begin to bring their workforce back unless we can demonstrate that we are tracking and isolating infections. Can my right hon. Friend confirm that his Department will be working with large employers such as mine to ensure that confidence can be built back in the community and the workforce?

[Matt Hancock]

Absolutely. The work in Barrow and Furness is incredibly important, not least because at an earlier stage in the crisis a higher number of people tested positive. That is partly because there were so many tests in Barrow and Furness, and that itself is testament to the local health authorities that worked hard to make that happen. My hon. Friend has been an assiduous representative throughout this crisis, making sure that I am kept constantly informed of developments and the needs of Barrow and Furness.

NHS Test and Trace

Matt Hancock Excerpts

Tuesday 2nd June 2020 Written Statements

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

On 28 May the NHS Test And Trace service was introduced across England. This forms a central part of the Government’s covid-19 recovery strategy to help as many people as possible return to life as close to normal as possible, in a way that is safe and protects our NHS and social care.



The objective of the NHS Test And Trace service is to push down and keep low the rate of reproduction (R) of covid-19 and reduce the total number of infected people by catching cases before they spread the virus. It brings together testing, contact tracing and outbreak management into an end-to-end service.



The roll-out of the NHS Test And Trace service has been made possible by the rapid expansion of testing. The largest network of diagnostic testing facilities in British history has been created and now has the capacity to carry out 200,000 tests a day. This includes 50 drive-through sites, more than 100 mobile testing units and three mega laboratories. Everyone in England is now eligible for a test if they have covid-19 symptoms. These symptoms are: a new, continuous cough; or a high temperature; or a loss of, or change in, normal sense of smell or taste.



The NHS Test And Trace service uses a combination of 25,000 dedicated contact tracing staff, local public health experts and an online service to trace the contacts of anyone who tests positive for covid-19. The NHS covid-19 app, which will further extend the speed and reach of contact tracing, will be rolled out nationally in the coming weeks as part of the NHS Test And Trace service.



On 22 May we announced £300 million of new funding for local authorities in England to work with NHS Test And Trace to develop local outbreak control plans. These plans will focus on identifying and containing potential outbreaks in places such as workplaces, housing complexes, care homes and schools, ensuring testing capacity is deployed effectively and helping vulnerable people who are self-isolating access essential services in their area.



Anyone who tests positive for coronavirus is contacted by NHS Test and Trace and asked to share information about their recent interactions. This could include household members and people with whom they have been in direct contact or within 2 metres for more than 15 minutes. People identified as having been in close contact with someone who has had a positive test must stay at home for 14 days, even if they do not have symptoms, to stop unknowingly spreading the virus.



Those who need to self-isolate will be informed about local support networks if they need practical, social or emotional support. They will also have access to the same financial support available to those who have to self-isolate because they or another member of their household have symptoms or have tested positive for covid-19. This includes access to statutory sick pay, subject to normal eligibility conditions.



The public will have a key role to play in making this service a success. They will need to report covid-19 symptoms, book tests, help to identify recent close contacts, and self-isolate for at least seven days if they have covid-19, and for 14 days after they were in contact with the person who tested positive for covid-19 if they are identified as a close contact by NHS Test and Trace.

We have put in place a comprehensive media campaign to increase public awareness of the NHS Test and Trace service, what it is, why it is important and what the public need to do. This includes TV, radio, video on demand, posters, digital display and social media.



We are working closely with the devolved Administrations and public health agencies in Scotland, Wales and Northern Ireland to ensure an aligned approach to testing and tracing across the United Kingdom where possible.

[HCWS255]

Health Protection (Coronavirus, Restrictions) (England) (Amendments) (No.3) Regulations

Matt Hancock Excerpts

Tuesday 2nd June 2020 Written Statements

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

On 26 March 2020, the Health Protection (Coronavirus, Restrictions) (England) Regulations 2020 came into force, imposing restrictions on people’s movements and gatherings, and requiring the closure of certain retail and public premises, in the interest of public health in light of the coronavirus pandemic. A review of these regulations must take place at least every 21 days to ensure the restrictions remain necessary. I completed the third review as required on 28 May 2020.



Taking into account scientific advice and taking into consideration the Government’s assessment against the five conditions required for change, we can proceed with some limited and cautious amendments to the regulations to ease the restrictions as announced by the Prime Minister on 28 May 2020.



The changes coming into effect include allowing for increased social contact outdoors (both public and private places) in groups of up to six people from different households and opening some outdoor retail (e.g. vehicle showrooms and outdoor markets). Those from different households should continue strictly to observe social distancing guidance.



In order to provide greater clarity and certainty to the public, businesses and police, we are confirming in law what people cannot do rather than the reasons for which someone can leave the home.



The changes generally follow the principle that outdoor environments, while not zero-risk, have a lower risk of transmission than indoor.



Additionally, to ensure that we are making future decisions about the lockdown at the right time, the maximum review period will change from 21 days to 28 days. This will allow decisions to align more closely with the period of time necessary to assess the impact of previous changes on key data feeds, including the R rate. The Government will also keep all the measures under continual review and will account to Parliament on an ongoing basis.



Publicly available Government guidance on www.gov.uk is being updated to ensure it fully corresponds with the amended regulations. These remain strict measures, but they are measures that we must take in order to protect our NHS and to save lives.

[HCWS253]

Health and Social Care

Matt Hancock Excerpts

Wednesday 20th May 2020 Ministerial Corrections

The following is an extract from my response to an urgent question on Coronavirus and Care Homes on Tuesday 19 May 2020.

[Matt Hancock]

Fifthly, we have increased the social care workforce during this crisis and provided more support. Altogether, this is an unprecedented level of support for the social care system. I thank colleagues across social care for their hard work.

[Official Report, 19 May 2020, Vol. 676, c. 492.]

Letter of correction from the Secretary of State for Health and Social Care, the right hon. Member for West Suffolk (Matt Hancock):

An error has been identified in my response. The correct wording should have been:

[Matt Hancock]

Fifthly, we are increasing the social care workforce during this crisis and have provided more support. Altogether, this is an unprecedented level of support for the social care system. I thank colleagues across social care for their hard work.

Coronavirus and Care Homes

Matt Hancock Excerpts

Tuesday 19th May 2020 Commons Chamber

[Mr Speaker]

I call Matt Hancock to answer the urgent question. The Secretary of State should not speak for more than three minutes.

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

One of the first things we knew about coronavirus as it began its dismal spread across the world was that it reserves its greatest impact for those who are physically weakest, especially the old. In the UK, 89% of all deaths have been of those aged above 65. From the start, we have worked hard to protect those in social care. In early March, we put £3.2 billion into social care—half through the NHS and half through local authorities—and we have repeatedly set out and strengthened guidance for infection control and support.

For anyone who has a loved one living in a care home and for all the residents and staff, I understand what a worrying time this has been. I am glad that we have been able to protect the majority of homes, and we will keep working to strengthen the protective ring that we have cast around all our care homes. As I said in the House yesterday, last week we set out a further £600 million to strengthen infection control, and this comes on top of a substantial programme of support.

First, on testing, from the start we have tested symptomatic residents of care homes, even when testing capacity was much lower, and this has always been a top priority. We are now testing all care home residents and staff in England—those with symptoms and those without—and this is being done according to clinical advice, starting with the most vulnerable, and extending to working-age residents, too.

Secondly, we have strengthened the NHS support available to social care. We are putting in place a named clinical lead for every care home in England and have brought NHS infection-control expertise to the sector.

Thirdly, we are making sure that local authorities play their part. Councils are conducting daily reviews of the situation on the ground in local care homes, so that every care home gets the support that it needs need every day.

Fourthly, we are supporting care homes to get the PPE that they need.

Fifthly, we have increased the social care workforce during this crisis and provided more support. Altogether, this is an unprecedented level of support for the social care system. I thank colleagues across social care for their hard work.[Official Report, 20 May 2020, Vol. 676, c. 2MC.]

We have also broken down some of the long-standing barriers, including between health and social care, and we have learned the importance of making sure that money for social care is ring-fenced specifically for social care, as the £600 million agreed last Friday has been. On top of that, we are requiring much better data from social care, because partial data has bedevilled the management of social care for many years and made policy making more difficult. Regular information returns are required in return for the latest funding, and we are looking to change the regulations to require data returns from every care provider, so that we can better prepare and support social care.

Our elderly care homes provide for people towards the end of their life. They do an amazing job and deserve the praise that they have received from the public during this crisis. Residents are looked after when they need care the most: their hands are held, their brows are mopped and they are made comfortable. As a collective result of our efforts—especially the efforts of care colleagues throughout the country—62% of care homes have had no reported cases of coronavirus.

The figures released today by the Office for National Statistics show that the number of deaths in care homes has fallen significantly and is down by a third in just the past week, from 2,423 to 1,666. This morning’s statistics confirmed that 27% of coronavirus deaths in England have taken place in care homes, compared with a European average of around half, but whatever the figures say, we will not rest in doing whatever is humanly possible to protect our care homes from this appalling virus, to make sure that residents and care colleagues have the safety and security they deserve.

[Mr Speaker]

In welcoming the hon. Member for Leicester West (Liz Kendall) to the Front Bench, I asked her to speak for no more than two minutes.

[Liz Kendall]

Over 23,000 more people have died in care homes in the first four months of this year compared with last year. This virus is the biggest health challenge of our lives, but Ministers have been too slow to tackle the problem in care homes, social care has not had the same priority as the NHS, and these services have not been treated as inextricably linked.

Will the Secretary of State explain why guidance saying that care homes were “very unlikely” to be infected was not withdrawn until 12 March, given that the chief medical officer warned about community transmission and the risks to the elderly on 4 March? NHS England rightly asked hospitals to free up at least 30,000 beds to cope with the virus, but will the Secretary of State explain why there was no requirement to test those being discharged to care homes—the very group most at risk—until 15 April? Care providers had serious problems getting personal protective equipment, as their normal supply was requisitioned by the NHS, when both are equally important. Why did that happen?

It took until mid-April for the Government to produce a social care plan, until the end of April for them to say that all residents and staff should be tested, and until 11 May for them to set a deadline for achieving this—and that deadline still is not until 6 June. Will the Secretary of State explain how he squares all that with his claim that Government have thrown a “protective cloak” around care homes right from the start? Despite all the warnings, care homes in my constituency told me over the weekend that they cannot access the Government’s new online testing portal, that tests are not being picked up and that it is often weeks until they get results back. When will this be sorted out?

Finally, the Government have said that the NHS will get whatever resources it takes to deal with this virus. Will the Minister now make the same commitment to social care and guarantee that no provider will collapse because of this virus? No one denies how difficult this is, but instead of denying problems and delays, Ministers should learn from their mistakes so that they can put the right measures in place in future and keep all elderly and disabled people safe.

[Matt Hancock]

I welcome the hon. Lady to her post and to her first question in this new role. I know that she enjoys a good working relationship with the Minister for Care, my hon. Friend the Member for Faversham and Mid Kent (Helen Whately), and that cross-party working during this crisis has gone on throughout. I thank her for that and for the approach that she is taking. She is right and perfectly reasonable to ask questions about how we can further improve the support that we are giving to the care sector, and, as I have said from this Dispatch Box before, and before her appointment, we have made social care a priority from the start. The first guidance went out to social care in February. She referred to the 13 March guidance. That was only a matter of days immediately after the risk to the public was raised on medical advice. The guidance that was in place until then, as she probably knows, explicitly stated that that guidance was in place while community transmission was low and that it would be updated as soon as community transmission went broader. That is exactly what we did.

More importantly, the hon. Lady raised the question of discharges, and I understand the questions that have been asked about discharges into care. It is important to remember that hospital can be a dangerous place for people. As well as saving lives, it can also carry risks, and does so, so it is an appropriate clinical decision in many cases for people to be discharged from hospital, and safer for them to go to a care home. What is important is that infection control procedures are in place in that care home, and those infection control procedures were put in place at the start of this crisis and have been strengthened, exactly as she says, as we have learned more and more about the virus all the way along. As the clinical understanding of coronavirus has strengthened, so too have we updated and strengthened our guidance.

The hon. Lady asked about PPE. As she and every Member of the House knows, there has been an enormous global challenge with the global shortage of PPE and the need to get PPE distribution out to tens of thousands of settings. The guidance that we have put out again, which is guided by clinical expertise, states the level of PPE that is required, and we are now delivering against those standards. We have processes in place so that all care homes that have shortages—the numbers are coming down, I am glad to say—can get in contact with their local resilience forum and make sure that they can get that PPE. Those processes are in place. It has been a huge challenge. It was called the biggest logistical exercise of the last 40 years by the head of the Army, and I think he was right.

The hon. Lady also asked about resources. Of course, if more resources are needed, we are open to those discussions. The fact that we put through £600 million more that will go directly to social care—it will not be able to be held by councils; rather, it will go directly into social care—is right, but we have also learned some really big things about social care, confirming some of the things many of us thought before. For instance, it is true that we need to have a more co-ordinated policy between health and social care. These social care reforms, which are long overdue and have not been put in place by Governments of all colours, absolutely must happen.

[Sir Oliver Heald (North East Hertfordshire) (Con) [V]]

Clearly, tackling this virus in care homes is a very difficult thing, but the chief executive of Hertfordshire Care Providers Association is on record as saying that care providers in the county feel well supported during the pandemic. Does the Secretary of State agree that what is required to achieve this, as in Hertfordshire, is a very close working relationship—a partnership—between care homes, the councils, the Care Quality Commission and, of course, the clinical commissioning groups?

[Matt Hancock]

I entirely agree. We have seen much better partnership working in most parts of the country during this crisis. The partnerships between local authorities, with their statutory responsibilities, and, as my right hon. and learned Friend mentioned, all parts of the NHS, with its statutory responsibilities—clinical commissioning groups, trusts and the integrated care systems—is very important. They have worked much better over the last few months than they had hitherto. We need to make sure that that coming together—in a very difficult circumstance, which has broken down boundaries—continues. I look forward to working with him and others in making sure that the boundaries that exist in social care can be brought to the ground.

[Dr Philippa Whitford (Central Ayrshire) (SNP) [V]]

The London School of Economics reported that there were over 23,000 excess deaths in care homes in England and Wales, but only 12,000 were put down as due to covid. How does the Secretary of State explain the other 10,000? Testing of care home staff is critical to reduce the spread, but how will he improve the return of results to local GPs and public health teams? Concerns have been raised that a quarter of tests are false negatives, which could send staff with the virus back into care homes and hospitals. It is a difficult sample to take, so is any comparison being made between self-administered tests and those carried out by healthcare staff? Finally, where is the Green Paper that was promised in 2017?

[Matt Hancock]

On the point about tests, absolutely, work was done to assess the difference in efficacy between professionally administered and self-administered tests, and it found that their efficacy was very similar and not significantly different. That is why across England and Scotland, and indeed the whole UK, we use home tests, which are an important part of our testing regime.

The hon. Lady asks about the increased number of deaths, sadly, that there have been in care homes. She is absolutely right that there has been an increase. We analyse the causes of all the different factors that may have had an impact, which is something our clinical advisers are looking at. The same is true in Scotland, and I am sure that the Scottish medical advisers are looking into the same. When it comes to a Green Paper, at the moment we are working on crisis response, and I think that is the appropriate thing to do.

[Andrew Jones (Harrogate and Knaresborough) (Con)]

In Harrogate and Knaresborough, and across North Yorkshire, the county council has established a step-down facility for patients being discharged from hospital, using care homes with segregated spaces, and in Boroughbridge an entire care home, effectively as a form of quarantine facility. That is in addition to the testing and protective arrangements, not as a replacement. I view this as a welcome and valuable addition to the tools available for keeping some of the most vulnerable people in our community safe. Does my right hon. Friend agree, and can the idea of this facility be replicated further across the country?

[Matt Hancock]

Yes. I pay tribute to those working across Harrogate to improve services in exactly the way in which my hon. Friend describes. He is quite right to, and I would love to look into more details.

[Sarah Owen (Luton North) (Lab) [V]]

The Select Committee on Health and Social Care has just heard evidence that there has been not one single care home death in Hong Kong or South Korea, despite their proximity to China and shorter time to prepare for this crisis. In comparison, the UK has now tragically seen over 10,000 deaths of loved ones in care homes. How can Government describe this as a success? Is it not time now to learn from other countries that have genuinely put a protective ring round their care homes?

[Matt Hancock]

Yes, absolutely it is important to learn from everywhere around the world. This epidemic has had a different shape in different parts of the world and, as the hon. Lady knows, a significant impact throughout Europe.

[Mr Andrew Mitchell (Sutton Coldfield) (Con) [V]]

It is good to see my right hon. Friend bearing up so well under the considerable burdens of his office. Can he reassure me that the PPE supply into the UK and within the UK is now flowing into all care homes in a timely and comprehensive manner? I am concerned that those who are running our care homes so well in Sutton Coldfield should have the security of knowing that they can rely on continuous supply.

[Matt Hancock]

Yes, I can reassure my right hon. Friend—I thank him for what he said about the work we are doing in the Department—first, that supplies of PPE into the country and buying around the world have improved significantly, and we have put huge amounts of effort into improving that. Secondly, the supply, once the equipment is in the country, out into the care homes and where it needs to be is improving all the time. The number of care homes reporting that they are within 48 hours of a stock out, which is the measure we use, has been falling and is less than half what it was a month ago, but we of course keep working to get that number down. When a care home is within two days of a stock out, we immediately work to get it the PPE that it needs.

[Munira Wilson (Twickenham) (LD) [V]]

At this morning’s Health and Social Care Committee, Care England said that care staff were suffering a constant cycle of bereavement. With so many deaths in care homes, staff are not only caring for, but comforting those they know well who are dying alone. So will the Secretary of State take steps this week to provide a 24-hour mental health phone line for all care staff, as well as fast-track access to professional mental health services, as is the case for the military?

[Matt Hancock]

I will absolutely look into the proposal that the hon. Member puts forward.

[Mrs Pauline Latham (Mid Derbyshire) (Con) [V]]

The Secretary of State is doing a phenomenal job. It is a huge crisis and a huge thing to mobilise everything that has needed mobilising.

I have spoken to most of my care homes and most of them are doing very well, but one, Milford Care, is having a problem with getting test kits. Six people in the home have died recently. The home requested test kits on 12 May through the Government portal, but they were told there was a very limited supply. They may get them on Wednesday this week, if they are lucky, but if not they will have to re-register for them. Staff and residents may be infected, but they are not aware. They have had somebody who was tested and seven days later was told they were positive, even though they had no symptoms, so clearly, the virus is spreading. What can my right hon. Friend suggest that they do?

[Matt Hancock]

I think the best thing they can do is raise it with their very effective local MP, who can bring it to my attention, and that is exactly what they have done. I will get right on to it, straight after this session in the House of Commons. We have the testing capability. Of course, making sure you get exactly the right test to exactly the right place and the right care home at the right time is itself a huge logistical challenge, but I will look into this immediately.

[Vicky Foxcroft (Lewisham, Deptford) (Lab) [V]]

CQC data revealed a 175% increase in deaths of people with autism and learning difficulties last month, yet the new care home testing portal is only available to homes whose residents are aged 65 and over. What is the Minister doing to ensure that all care homes are able to access tests? Will the Government conduct a review of why there has been such a sharp increase in deaths among these groups?

[Matt Hancock]

I addressed this point in my opening response to the urgent question. We will roll out testing to care homes of all ages. This is an area that I take very seriously indeed. We are looking into the statistics that have been mentioned in the public domain. Some of the statistics are not quite as they first seem. We will make sure that we publish accurate and full statistics, because transparency is absolutely vital in this area.

[Mr Speaker]

Sara Britcliffe has withdrawn, so we go to Stephen Flynn.

--- Later in debate ---

[Matt Hancock]

I am a massive supporter of the living wage and, of course, the increase in the living wage that we have seen since its introduction in 2015 has had a very positive impact on the pay of the lowest paid people in our country right across the board, including many in care homes. I think it is an excellent policy and I am delighted that we have brought it in.

[Dr Luke Evans (Bosworth) (Con) [V]]

The £600 million presented by the Secretary of State for infection control is very welcome, and having a named clinician to help support care home staff is particularly important. That came out in the Health and Social Care Committee when Professor Lum talked about what happens in Hong Kong. One of the lessons they learned several years ago was to have a named person in a care home, but also to do yearly, effectively, virus drills, like a fire drill. Would the Secretary of State consider putting that in place to help to deal with the impact of possible second waves?

[Matt Hancock]

Yes, we are doing a huge amount of work now to ensure that there is protection in the future should there be a further increase, and in particular in advance of winter in case there is strong seasonality to this disease. As a clinician himself, my hon. Friend understands the importance of these areas and we will absolutely take the idea he put forward and run with it.

[Barry Gardiner (Brent North) (Lab) [V]]

Brent Council was at the epicentre of the initial covid outbreak, with one of the highest hospital death rates in the country, but back in February it spent £1.5 million to purchase PPE, which it made available to its care homes. In March, it established a separate care facility to provide 14 days’ isolation for any patients discharged from hospital back into the care system, whether or not they had tested positive for coronavirus. Now Brent has one of the lowest number of care home deaths in London. I know the right hon. Gentleman will want to congratulate Brent, which actually did put in place a protective ring around its care homes, but what he must answer is: if Brent Council had the good sense and foresight to get this right, why didn’t he?

[Matt Hancock]

The hon. Gentleman makes a really important point and it comes to the nub of the challenge around care home policy. I do want to congratulate Brent. I think that the work it did was important, but, of course, formally and in the law responsibility for care homes is for local councils and some local councils, like Brent and others, have done a magnificent job. However, I also understand that it is a reality of political life and our constitution that I as Secretary of State for Health and Social Care am also responsible, and I take that responsibility very seriously. However, when it comes to longer-term reform, this does bring a conundrum because the policy levers that I have as Secretary of State are only through councils, which themselves have to then act.

On the funding side we have seen this challenge. We put in £1.6 billion at the start of this crisis through councils without a ring fence, and there are questions being raised about how much of that has got to the frontline, so for the £600 million we put through on Friday we have put in a very firm ring fence, so it must be paid in a timely manner through to care providers. I think this actually raises a question not just for the crisis but for the longer term. When I am held accountable at this Dispatch Box for the actions of local authorities, I can give support, but we do not have the direct levers. We have not even had the direct data flows through to the centre, and we are putting that right too.

[Harriett Baldwin (West Worcestershire) (Con)]

On behalf of the care homes in Worcestershire, I thank the Secretary of State for the extra £7 million that will be reaching them to help them to tackle infection control. Can he confirm that that money will also be available to support the domiciliary careworkers, who regularly visit homes of individuals who need that care?

[Matt Hancock]

Yes.

[Feryal Clark (Enfield North) (Lab) [V]]

My constituent Sonya Kaygan lost her life to coronavirus. She was a highly skilled and committed careworker, but worked in a low-pay sector, caused by the near £8 billion cut to its funding in the past decade. Will the Secretary of State commit to ending the scandal of low pay in the care sector and reverse a decade of cuts to social care budgets, in honour of my constituent and others who have died doing their job, so that all careworkers are paid a fair wage and have the equipment to do their job safely?

[Matt Hancock]

We have put an unprecedented amount of funding into social care during the crisis. There is the important challenge of ensuring that that reaches the frontline through local councils. We have also increased, through the increase in the living wage, the pay of the lowest paid across society and in social care. I am proud to have supported that.

[Huw Merriman (Bexhill and Battle) (Con) [V]]

The Secretary of State is doing an extraordinary job in the most challenging of times. He will be aware that we have a testing centre down in Bexhill that is available to care home workers for testing, but if they follow the Government advice and go on the website, they will be directed further afield to Brighton or Gatwick. Will he help me to ensure that that testing centre is made available to care workers so that they have more protection locally?

[Matt Hancock]

Yes, absolutely. My hon. Friend texted me about that last week. I should have fixed it by now, then I would not have had the question. It absolutely needs to be sorted. We are working on it. We rolled out the testing centres at an unbelievable pace during April, so I hope he will forgive me and allow me to take a couple more days to fix the problem.

[Bell Ribeiro-Addy (Streatham) (Lab) [V]]

The Secretary of State may be aware of the comments of Martin Green, the chief executive of Care England, to the Health and Social Care Committee. He said:

“We should have been focusing on care homes from the start of this...What we saw at the start was a focus on the NHS”.

He also criticised the discharge of patients from hospitals into care homes and said that there were,

“people who either didn’t have a covid-19 status or were symptomatic who were discharged into care homes”,

which were

“full of people with underlying health conditions”.

Ministers, however, have said that fewer care home residents were discharged into care homes in March than in previous months this year. Will the Secretary of State commit to publishing those figures and the figures of how many people were discharged from hospital with covid-19 into care homes?

[Matt Hancock]

I am happy to look into that. Martin Green also said:

“It has become clear that in such a crisis we need further direction from Central Government.”

That is what we have tried to put in place by working with colleagues in local authorities to try to make sure that we get the best infection control procedures across the board.

[Mrs Flick Drummond (Meon Valley) (Con) [V]]

Will the Secretary of State join me in praising the work of the Hampshire and Isle of Wight local resilience forum, which has meant that no care home has been without personal protective equipment during the pandemic? Will he also join me in thanking the resilience and hard work of all the careworkers in Meon Valley?

As the Secretary of State has already mentioned, the coronavirus crisis has highlighted the importance of the joined-up approach between the NHS and the social care sector. He has assured me that we will continue to build a more cohesive structure. Will he also consider appointing a social care commissioner to lead that work and be the voice of the social care sector?

[Matt Hancock]

Yes. I join my hon. Friend in paying tribute to Hampshire and I am interested in talking to her more about her idea.

[Emma Hardy (Kingston upon Hull West and Hessle) (Lab) [V]]

A resident contacted me whose mum is classified as clinically extremely vulnerable and is in a care home. The care home has interpreted the Government’s guidance to mean that her mum must be kept in solitary confinement for three months for her own protection.

In 2011, the United Nations concluded that solitary confinement beyond 15 days constituted a cruel and inhumane punishment. The resident is heartbroken. Her mum is deteriorating and has no quality of life. We believe that the care home has the best of intentions, but can the Secretary of State urgently give clear and unequivocal advice on exactly how care homes should treat residents listed as needing shielding?

[Matt Hancock]

The hon. Lady is right to raise that heart-rending case. I would be happy to look into the specifics if she writes to me with the details. Of course, the shielding programme is there for the protection of the shielded. If somebody who is being shielded would prefer to do things differently, that is not clinically recommended, but so long as it is within the broader social distancing guidelines, of course we understand why that might be the case. In particular, people coming to the end of their life may want to consider ensuring that they enjoy their last few weeks and months as much as they can. A proportionate approach is required here, and one that is guided by the individual clinical circumstances of that person. I very much hope that the care home will take a proportionate approach. I am sure, as the hon. Lady says, that it has the best intentions at heart, and I would be happy to take up that individual case.

[Mr Richard Holden (North West Durham) (Con)]

Testing for my constituents in care homes has begun, but can the Secretary of State tell me when all care home staff and residents will be tested? Secondly, it has become apparent that some residents of care homes are refusing tests due to a fear of what the results could mean. Can he reassure them that getting tested will not affect their treatment and is the right thing to do, in the best health interests of everyone?

[Matt Hancock]

Yes, absolutely—being tested is the right thing to do if that is what you are asked to do. It is really important. We are rolling out testing both for people with symptoms and asymptomatic people, to try to find all the coronavirus in our care homes, to be able to trace it and then end this epidemic.

[Mr Alistair Carmichael (Orkney and Shetland) (LD) [V]]

This being Mental Health Awareness Week, can we spend some time considering and reflecting on the mental health impact that the coronavirus pandemic will have on the frontline health and social care workers charged with tackling it? In particular, would it not be a great example of the good working of our four Governments if an action plan on mental health was constructed with the support of all four Governments?

[Matt Hancock]

The right hon. Gentleman is right to raise that. This is Mental Health Awareness Week, and I have front of mind the mental health impacts of coronavirus, particularly on staff but across the board. We work closely through the chief medical officers of the four nations of the UK and between Ministers to try to ensure that clinical advice is co-ordinated. After all, it is based on the science. I am happy to look at the proposals and discuss them with the CMO.

[Jane Stevenson (Wolverhampton North East) (Con) [V]]

[Inaudible.]

[Alyn Smith (Stirling) (SNP) [V]]

We welcome the announcement by the UK Government of a £60,000 payment for care home workers who sadly lose their lives due to covid-19. Can the Secretary of State confirm that acceptance of that payment precludes subsequent legal action if that death is thought to be due to negligence, and will he outline the thinking behind that?

[Matt Hancock]

I will write to the hon. Member with the full details.

[Mr Speaker]

We now go to birthday boy Sir Christopher Chope.

[Sir Christopher Chope (Christchurch) (Con) [V]]

Will my right hon. Friend pay tribute to the owners and managers of care homes who put the safety of their residents first and refused to admit any of the 15,000 hospital patients who had been exposed to covid-19, whom the Government were forcing to be discharged from hospitals at the end of March?

[Matt Hancock]

I say happy birthday to my hon. Friend and pass on the best wishes, no doubt, of the whole House. The question he raises is a difficult one, because in many cases, the best place for somebody is not in a hospital. Indeed, people can catch diseases in hospital, so it needs to be done on a clinical basis. That is why we have put in place the testing, isolation procedures and infection control of people who are leaving hospital to go into care homes.

[James Murray (Ealing North) (Lab/Co-op) [V]]

At the Health and Social Care Committee on 5 May, the Government chief scientific adviser told me:

“We need to get on top of it in care homes. We have been clear about that.”

He added:

“What SAGE does is try to distil the scientific advice into a form that then others need to operationalise and take accountability for”.

Will the Secretary of State commit to publishing all the SAGE advice that his Department has received throughout this outbreak about infection control in care homes?

[Matt Hancock]

We do regularly publish SAGE advice.

[Mr Speaker]

We now go back to Jane Stevenson.