Covid-19 Update
Matt Hancock Excerpts(4 years, 2 months ago)
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The Secretary of State for Health and Social Care (Matt Hancock)
With permission, Mr Speaker, I would like to make a statement on coronavirus.
The threat remains grave and serious. In Europe, positive cases are up 40% from one week ago, and in Italy, Belgium and the Netherlands, they have doubled in the last fortnight. Here, we sadly saw the highest figure for daily deaths since early June. Let us be under no illusions about the danger posed by this virus. Coronavirus is deadly and it is now spreading exponentially in the UK. We must act to prevent more hospitalisations, more deaths and more economic damage. We know from recent history that when this virus keeps growing, unless we act together to get it under control, this is the result.
Our strategy is to suppress the virus, supporting the economy, education and the NHS. Local action is at the centre of our response. The virus is not spread evenly, and the situation is particularly severe in some parts of the country. Through the Joint Biosecurity Centre and NHS Test and Trace, we have built up a detailed picture of where and how the virus is spreading. This week’s NHS Test and Trace statistics show that testing capacity is up, testing turnaround times are down, and the distance travelled for tests is down too. Thanks to this capacity and analysis, we have been able to take a more targeted approach, keeping a close eye on the situation in local areas, bearing down hard through restrictions on a local level where they are necessary.
I know that these restrictions are difficult for people. I hate the fact that we have to bring them in, but it is essential that we do bring them in, both to keep people safe and to prevent greater economic damage in the future. When a virus is moving fast, we cannot stay still. We know that if we act collectively, we can control the virus, because we have done it before. I believe in the people of this country. I believe—in fact, I know—that the people of this country want to control the virus, to protect their loved ones, their lives and their livelihoods, and I believe from the bottom of my heart that, acting together, we can.
We must take firm and balanced decisions to keep this virus under control. This is the only way to protect lives and livelihoods, and we must act now. Delayed action means more deaths from covid, it means more non-covid deaths, and it means more economic pain later, because the virus comes down slower than it goes up. We should stop it going up in the first place. Unless we suppress the virus, we cannot return to the economy we had; unless we suppress the virus, we cannot keep non-covid NHS services going; and unless we suppress the virus, we cannot keep the elderly and the vulnerable safe and secure.
I did not come into politics to put restrictions on people’s lives. I want people to have as much freedom as possible, subject to not harming others. But the nature of this virus means that any one of us can inadvertently pass it on without even knowing. That is the liberal case for action. I believe that the British people get that, but I want that action to be as targeted as possible. Local action is one of the best weapons that we have, and we have seen how local action can flatten the curve, for example in Leicester and Bolton. That is the principle that sits behind our new, simpler system of local covid alert levels. I am pleased that the House approved those measures earlier this week.
Yesterday, I chaired a meeting of the Local Action Committee gold command, which brings together the best data and the best clinical and public health expertise to look at how the virus is spreading. Turning first to parts of the country where prevalence of the virus is highest, discussions are ongoing with local leaders on moving from high to very high. These are areas where transmission is rising at the sharpest rate and where we see a very real risk to the local NHS.
The Liverpool city region moved into the very high level yesterday, and I thank the local leadership for their public service and cross-party teamwork in the face of this virus. We have developed a substantial package of support for areas that enter that third tier, including more support for local test and trace, and more funding for local enforcement and the job support scheme of course, alongside the offer of help from the armed services. In other areas currently in the second tier where discussions are ongoing, no further decisions have yet been made, but we need to make rapid progress.
Turning to other areas of the country currently in the medium level where rates are rising fast, in London infection rates are on a steep upward path, with the number of cases doubling every 10 days. The seven-day average case rate stands today at 97, rising sharply. We know from the first peak that the infection can spread fast and put huge pressures on the NHS, so we must act now to prevent the need for tougher measures later on. Working closely with the Mayor, cross-party council leadership, local public health officials and the national team, we have together agreed that London needs to move to local covid alert level high. I want to take a moment to thank all those involved for their exemplary hard work, the collegiate nature of decision making, the collaborative approach and the constructive work, all focused on the public health and economic wellbeing of our citizens.
To Londoners, and all who work in our great capital, I want to say: “Thank you for what you have done to suppress the virus once. We now all need to play our part in getting the virus under control once again.” I know the sacrifices that that means, but if we work together we can defeat this. Working with local leaders in Essex and Elmbridge, we are also moving them into local alert level high. I pay tribute to the leadership of Essex County Council and in Elmbridge, where they have been working so hard to suppress the virus. Infection rates are also rising sharply in Barrow-in-Furness, York, North-East Derbyshire, Erewash and Chesterfield. In all of those places, cases are doubling in less than a fortnight. For all the areas entering the high alert level, the change will come into effect one minute past midnight on Saturday morning. That includes Barrow-in-Furness, York, North-East Derbyshire, Erewash and Chesterfield. The central change is that people cannot now meet other households socially indoors. That applies in any setting, at home or in a restaurant or any other venue. The rule of six still applies in any outdoor setting. Although people may continue to travel to open venues, they should reduce the number of journeys where possible.
I know that those measures are not easy, but I also know that they are vital. Responding to this unprecedented pandemic requires difficult choices—some of the most difficult choices that any Government have had to make in peacetime. We make these decisions with a heavy heart, and with the sole aim of steering our nation through troubled waters. Things will get worse before they get better, but I know that there are brighter skies and calmer seas ahead—that the ingenuity of science will find a way through. Until then, we must come together, because we all have a part to play in defeating this dreadful disease. I commend this statement to the House.
Jonathan Ashworth (Leicester South) (Lab/Co-op)
I thank the Secretary of State for advance sight of his statement. Given what we know about the rising prevalence of the virus and rising admissions to critical care, I totally understand why he has had to make difficult decisions today on tier 2 restrictions for London and other areas, including Erewash, Essex, Barrow and Chesterfield. I hope he will agree that decisions like these are most effective when made in tandem with local leaders. On that point, can he update us on the current position with respect to Greater Manchester and Lancashire? Should we anticipate further announcements later today?
While I do not quibble with or object to the public health interventions that the Secretary of State is making, I am afraid that they are still not backed up by the financial package needed to mitigate their impact on jobs and livelihoods. More people will fall into poverty and destitution. Families across Bury and Bolton and small businesses across Burnley, Hyndburn and London have been failed by the Chancellor, so I urge the Government to introduce a stronger package of financial support for areas in tier 2 and tier 3.
The British people have a made tremendous sacrifice already, and we are heading into the bleakest of winters. Much of this could have been avoided if the misfiring £12 billion test and trace system had been fixed over the summer. Today, new figures show just 62% of contacts being reached. That is the equivalent of 81,000 people not reached circulating in society, even though they have been exposed to the virus. That is another record low. Yesterday, we learnt that consultants working on test and trace are being paid more than £6,000 a day to run this failing service. In a single week, the Government are paying those senior consultants more than they pay an experienced nurse in a year. Can the Secretary of State explain why such huge sums of money are being paid to consultants to run a service that is only getting worse?
The Prime Minister said yesterday that these new restrictions will bring the R rate below 1, but while the virus growth has accelerated in northern regions, the embers are burning bright nationwide. Let me repeat to the House—Tory party staff are welcome to clip me again for Twitter; it will save my staff the trouble—that a full national lockdown stretching for weeks and weeks, like we had throughout April, May and June, would be disastrous for society. We are urging the Secretary of State to adopt a short, time-limited two to three-week circuit break, to take back control of the virus, to reboot and fix test and trace, to protect the NHS and to save lives.
SAGE has recommended a circuit break. NHS Providers is
“urging politicians to listen to the scientific advice and move as fast and as decisively as possible”.
The SPI-M sub-group of SAGE says that a circuit break of two weeks will save almost 8,000 lives. For all the ponderous blustering and carping from the Prime Minister yesterday, he told the House—with some haste, as if he did not want his Back Benchers to hear it—“I rule out nothing” with respect to a circuit break. The Prime Minister has not ruled it out, which we welcome, so what are the Government’s criteria for a national circuit break? How many hospital admissions? How much non-covid care delayed? Dare I say, how many more deaths?
Action is needed now. Plans need to be put in place today. Everyone accepts that the Government were too slow in the spring. How certain is the Secretary of State that his Government are not making the same mistakes again with more catastrophic consequences? This is a moment in history—look around, Health Secretary, and explain why not a circuit break now, because if we do this in a few weeks’ or a few months’ time, more lives and livelihoods will be lost. In the national interest, I offer to work constructively with him today to deliver the circuit break that is now needed.
Matt Hancock
As I said in my statement, discussions with local leaders in Greater Manchester, Lancashire and elsewhere continue, and I do not want to pre-empt them. Those discussions do, of course, include what financial support is needed, but I remind the House that we have put in place unprecedented financial support for those who are affected.
The hon. Gentleman mentioned the test and trace system. The figures this morning in fact show that there has been a record high number of people who have been contacted by NHS Test and Trace, reaching more people and testing more people faster than at any other point. He might have seen yesterday that, internationally, this was commented on as an area where we have done well here in the UK. Of course, we want to make sure that we get things even faster and that we have an even greater testing capacity, but I think he would do better to reflect on the progress that has been made.
Finally, the hon. Gentleman talks about the national circuit break idea that the Labour party put forward, at least on Wednesday this week. I gently say to him that here in this House, Labour calls for a national circuit break, but we take the view that we should do everything we can to control this virus where it is rising fastest and take a more targeted approach. The Labour party cannot even get its Mayors in other parts of the country, where the cases are going up, to come out and support the proposals that are made from the Opposition Dispatch Box. What I would say is that we need to work together. We need to pull together. Everybody should come together, and that is the best way to defeat this virus.
Jeremy Hunt (South West Surrey) (Con)
I support today’s measures, but is not the biggest issue that we face as a country now uncertainty—uncertainty about our health and uncertainty about the future of the economy? Given my right hon. Friend’s tremendous success in expanding our testing capacity, is not now the time to announce a date—whether it is February, March, April of next year—by when every single person in the population will be tested every week, so that by then, irrespective of progress on a vaccine, irrespective of the success of local lockdowns and irrespective of other uncertainties, we have a date by when we know we will get the virus under control and we know we have some prospect of returning to normality?
Matt Hancock
My right hon. Friend and I share a passion for an expansion of testing capacity in this country. He has long tried to persuade me to set yet more goals for the expansion of testing capacity. I am very glad to say that we have hit every single one that we have put in place, such as the 100,000 in the spring, and we are on track to meet the 500,000 by the end of this month. After that, I very much hope that we can continue to expand testing capacity, and I will look at the idea that he proposes very carefully.
Dr Philippa Whitford (Central Ayrshire) (SNP) [V]
I recognise the need for this action, but it is critical that those called on to isolate, whether as individuals or through a lockdown, receive the financial support to do so. Avoiding the social and economic impact of repeated local lockdowns depends on driving down community transmission through testing and tracing every single case and finding and isolating their contacts in the short window before they, too, become infectious.
Tracing systems based on local public health teams, such as in Scotland, Wales and now in some parts of England, have all outperformed the centralised Serco system, which has barely reached three quarters of cases and well under two thirds of contacts. I welcome that local public health teams will now be directly involved in contact tracing in areas of high covid spread, but will the Secretary of State now have them lead contact tracing in all areas across England to help to get the test, trace and isolate system working effectively? Will he ensure that appropriate financial resources are moved to local authorities to fund this?
Unfortunately, the hospitality industry is being hit particularly hard, both by the virus itself and the restrictions to control it. As we now know, covid is spread by airborne particles as well as droplets, and it has become clear that ventilation is key to reducing viral spread indoors. Will the Secretary of State ask the Chancellor to promote the installation of filtered ventilation units by removing VAT and making them tax deductible? In that way, the Government could help the hospitality industry to make its premises more covid secure, rather than having repeatedly to shut it down every time cases surge.
Matt Hancock
The hon. Lady talks about the testing system, and the UK-wide testing system is an example of the whole country working together to keep people safe. The UK system provides the majority of tests into Scotland, and it works very closely with the NHS in Scotland, which also provides important testing capacity. That is an example of the local system in Scotland and the UK system nationwide working together for the people of Scotland.
The hon. Lady mentions isolation payments, and I strongly agree with her about their importance. Again, this is a proposal that we have worked on together, with the UK Government providing the funding that is being delivered across England, Scotland, Wales and Northern Ireland. I think the best approach to tackling this pandemic is for people across the whole country to come together, and for the UK Government and Scottish Government to work together, as we do, where an issue is devolved to deliver for the people of Scotland.
Richard Drax (South Dorset) (Con)
First, may I tell the Secretary of State that no one wants to let the virus rip, and that such language is unhelpful? Secondly, as I understand it, the Government’s intention is to continue shutting down our country’s economy to a greater or lesser extent, destroying the lives and livelihoods of millions of people in the process, until a vaccine is found. That might never happen, and even if it does, there is no guarantee that it will work. We need a plan B, and I would be grateful if my right hon. Friend could tell the House what that is.
Matt Hancock
The plan is that, as my hon. Friend and I agree, we cannot let the virus rip, and therefore we must act to suppress it. Suppressing it through local action, in the first instance, is our best tool while we work with the scientists on technology that can help us to do that better. I put it to him that not only is that best for health outcomes, although that is undoubtedly true for both covid and non-covid health outcomes, but it is best for economic outcomes. Even though the restrictions have their impacts—I understand that, and I feel that—they are better than the consequences of the action that would have to be taken to keep the virus under control were it to get out of hand once again.
Lucy Powell (Manchester Central) (Lab/Co-op)
I have just come off a call with Greater Manchester colleagues and the Minister for Care, the hon. Member for Faversham and Mid Kent (Helen Whately), about the moving of Greater Manchester into tier 3, which has been widely speculated about. There was unanimous fury on that call about the process, the evidence base and the economic support packages that are on the table.
We want action, but it has to be the right action. We have lived in tier 2 for nearly three months, and it has not worked. The chief medical officer says that the measures in tier 3 will not make a material difference to the infection rate, yet they will cause widespread economic damage to our region, costing tens of thousands of jobs and thousands of businesses. It is not good enough that meaningful conversations began only this morning, so will the Secretary of State ensure that they reach a conclusion so we can get infection rates down while protecting livelihoods and businesses?
Matt Hancock
I urge the hon. Lady to work together for the best outcome for the people of Greater Manchester, and of course those conversations with the local leadership in Manchester have been going on for some time. I also urge her to look carefully at what the chief medical officer said, because it was not as she quoted. I point out that across Greater Manchester, cases are rising and they are already high. To ensure that we support the NHS across Greater Manchester and get the situation under control, action is needed fast.
Dr Ben Spencer (Runnymede and Weybridge) (Con)
I thank my right hon. Friend for his statement today. It is absolutely right that we take measures to support the NHS and ensure that it is not overwhelmed with a high rate of covid and non-covid-related deaths. With increasing rates in Elmbridge, part of which is in my constituency, it is right to bring in these measures, and I pay tribute to the resolve of my constituents in Elmbridge—of all my constituents in fact—in dealing with this and getting us through this crisis. Local measures, though, are only part of the solution. Ensuring that we have sufficient NHS surge capacity to deal with high rates of cases for non-covid and covid care is also important. With regard to the Nightingale hospitals and NHS care, what does he anticipate the bottlenecks will be for surge capacity? Is it beds, is it staff, or is it ventilators and other kit, and what is he doing to tackle those bottlenecks?
Matt Hancock
I welcome my hon. Friend’s thoughtful approach to the action that is needed in Elmbridge. Of course Elmbridge’s connection to Greater London is very intense, and the travel to work patterns mean that, like him, a huge number of people who live in his constituency work in the centre of London. His council has worked closely with the national team to make this decision.
The expansion of NHS capacity is, of course, critical, as is controlling the virus—both of them. In London, we have not yet had to stand up the NHS Nightingale again, which is at the ExCeL centre. We stand ready to do so if necessary. We now have a huge quantity of ventilators; we have the Nightingale hospitals for bed capacity; we have brought more people back into the NHS over the past six months; and we have retired NHS staff on standby. It is the combination of the three—the kit, the physical space and the staff—that we need in order to expand capacity. Unlike in Manchester, where we are having to stand up the Nightingale hospital again already, we are not yet at the point where we need to that in London. I really hope that, in pulling together and following the level 2 rules, the people of London and Elmbridge can avoid that in the future.
Dr Lisa Cameron (East Kilbride, Strathaven and Lesmahagow) (SNP)
Many staff have put themselves on the frontline to protect the most vulnerable, but have tragically lost their lives, leaving their families absolutely devastated. Alongside support, appropriate tribute must be paid to their sacrifice. As chair of the all-party health group, I wrote to the Prime Minister a number of months ago, asking for a memorial to be commissioned in their honour, but as yet I have heard nothing back. Will the Secretary of State support bereaved families who have given their all and, at this time, take this issue forward across Government?
Matt Hancock
Yes, of course, we have done a huge amount to support bereaved families. It is an issue that is very close to my heart, as the hon. Lady can imagine, so I would be very happy to talk to her about how we can take this forward.
Julie Marson (Hertford and Stortford) (Con)
My right hon. Friend will, I am sure, be aware that the World Health Organisation has recently praised Hertfordshire health authorities for measuring the pulse and the feelings of our community through an online platform, and for adjusting service provision accordingly. Does he agree that good local data could enable a district-wide approach rather than a county-wide approach in Hertfordshire in the event that the tier levels have to be reassessed?
Matt Hancock
Yes, of course we look at a district-by-district approach, as the decision in Elmbridge attests. I mentioned Leicester and Bolton as areas where local action has brought the virus under control. Of course, that is also absolutely true in Hertfordshire. There was quite a serious outbreak a month or so ago that was brought under control by a combination of the district councils, the county council and the central team all working well together crucially supported and effectively delivered by the people of Hertfordshire.
Zarah Sultana (Coventry South) (Lab)
In March, the Government were advised by SAGE to lock down. The Government delayed this by a week and senior scientists estimate that the delay cost tens of thousands of lives. I fear that the same mistakes are being made again. Three weeks ago, SAGE advised a circuit-breaker lockdown. In Coventry, we have seen cases rise rapidly, with more than 100 new cases in 24 hours. Before it is too late and there are tens of thousands of more avoidable deaths, I urge the Secretary of State to impose a circuit-breaker lockdown and bring in the economic support that will get us through this crisis.
Matt Hancock
That is not an accurate description of history, but if that is how the hon. Lady feels about Coventry, she may like to know that we are working with the leadership of Coventry City Council, and if she were to talk to them as well I would be very happy to ensure that she was part of that conversation.
Miss Sarah Dines (Derbyshire Dales) (Con)
I have been contacted by a Derbyshire Dales constituent, Sarah Peet, whose grandfather was sadly taken into a care home in May. He has been married nearly 70 years. Sadly, because of covid, he cannot see his wife, with whom he has lived for 70 years, or his family. Will my right hon. Friend please update the House on what is being done on rapid testing to stop the scourge of loneliness in our care homes?
Matt Hancock
Yes, I was working on the issue of how we can safely allow visiting—especially by people who have been married for 70 years, which is an extraordinary achievement in and of itself—in a way that is safe, according to the risk level and the background rate of infection. Of course, testing can be part of the solution, as can the proper use of personal protective equipment. We have more nuanced rules in place now than during the first peak, and I would be happy to work with my hon. Friend to try to ensure that we get this right.
Rachael Maskell (York Central) (Lab/Co-op)
I welcome the Secretary of State’s greater attention on York, as announced today, but although we are in tier 1, I am concerned that there are areas of the country in tier 3 with a lower infection rate. Certainly, I do not believe that the measures in tier 2 will be sufficient to stop the spread of infections in our city, which, as he will know, are rising incredibly sharply, including in the older population. York experiences real challenges every winter because of the capacity issues in our hospital, and I am concerned that, without taking more acute action now, we will be in serious difficulty in just a few weeks’ time.
Matt Hancock
We are expanding capacity at the hospital in York. Of course, in York there are two overlapping epidemics, one among students and one among the general population. As the hon. Lady says, though, the spread is increasing among the older population, who are of course the most at risk from covid. The number of cases increased by 60% in York over the last week, so I welcome her support for the measures that we are taking, and I am happy to continue to talk to her about what more might be needed, because this is best done on a cross-party, cross-community basis. My message to everybody in York, a city I know and love, is that it is very important that all of us abide by these rules and reduce social contact. That way we can start to get the increase in the number of cases in York coming down.
Dr Dan Poulter (Central Suffolk and North Ipswich) (Con) [V]
I draw the House’s attention to my declaration in the Register of Members’ Interests as a practising NHS doctor, who has been practising on the frontline during the pandemic.
The Secretary of State is right to introduce these measures today, and he is right to see a full national lockdown as a very last resort. May I bring him back to the issue of testing? Tremendous strides have been made in expanding national testing capacity to many hundreds of thousands a day from a standing start, but a number of hospitals still face challenges in getting NHS staff tested. I am aware of some hospitals that are being offered only 15 tests a day for their staff. Will he please look into this matter urgently? It is vital that the NHS has the staff available to treat patients, particularly given the second wave that we are now facing.
Matt Hancock
Absolutely. We are making significant progress in this area. My hon. Friend will have seen the announcement by the NHS on Monday that we are expanding the asymptomatic testing of members of NHS staff in tier 3 areas, and we are also expanding the capacity for covid tests within the NHS itself. He is absolutely right to raise this issue, and we are making a lot of progress.
Barbara Keeley (Worsley and Eccles South) (Lab) [V]
We know that case rates are rising in Greater Manchester, but as the chief medical officer has made clear imposing new restrictions on its own will not be enough to turn this situation around. Instead, we need people to be supported to do the right thing and we need to use appropriate enforcement powers when they do not.
What we need from the Government is additional financial support for businesses and local authorities in tier 2 and tier 3 areas so that they can support employees to follow the rules. We also need to expand the staffing and resources of our excellent local contact tracing services rather than continuing to pump billions into a national system that is less and less effective at contact tracing.
Matt Hancock
We are putting in more support and if any area goes into the third level, into tier 3, it gets further support. We are putting more into local test and trace, although on its own that will not work as effectively as the partnership, which is, as I said from the figures, improving and expanding all the time. I welcome the fact that the hon. Lady recognises the sharp rise in cases in Greater Manchester and the need to act. I very much hope that we can act on a cross party basis, but act we must.
Greg Clark (Tunbridge Wells) (Con)
A lot of weight is being shouldered by the Joint Biosecurity Centre, which is engaged in decisions that are having big consequences for millions of people across the country. It is concerning that there was nothing in the Secretary of State’s statement about the criteria for exiting these measures.
When the Joint Biosecurity Centre was created on 20 May, SAGE was told that it would
“pursue a reputation as an organisation that the public can trust. This will require them to be an exemplar in terms of honesty, openness, competence and independence.”
Yet nearly five months on, it has not disclosed the minutes of any of its meetings, the papers that it has drawn on or even who sits on its boards, despite a commitment on its own website to do so. If it is to be the exemplar that it has been billed to be and if the public are to have trust in it given the importance of these decisions, will the Secretary of State order that openness without delay?
Matt Hancock
In fact, very shortly the Joint Biosecurity Centre will be making further of its analysis public. It works within the Department and its officials are civil servants, so it is different from SAGE, which is made up of independently employed scientists. Nevertheless, my right hon. Friend makes an important point, on which we are acting.
Munira Wilson (Twickenham) (LD)
As a London MP, may I start by saying thank you for the briefing call that London MPs had with the care Minister and officials this morning about today’s announcement? A number of questions, however, remain unaddressed from both that call and today’s statement. Will the Secretary of State advise the House about what the evidence is behind the measures he is implementing in London? What modelling has been done on their impact, and how long does he expect these restrictions to last?
Matt Hancock
We are seeking to publish further evidence on the impact of measures. For instance, I have often mentioned Leicester and Bolton—in Bolton, the curve was flattened and in Leicester we brought it down with a much stricter intervention than the one we are proposing in London. We are proposing to publish further information on the analysis of the impact of such measures.
The fundamental science is really simple: the more people congregate, the more the virus is passed from one to another. That is why the restriction of social activity between households indoors is an important part of restricting the spread of the virus. All those areas in level 2 are reviewed fortnightly. Of course, if we can bring any area, including London, out of level 2 faster, that will be even better. I am working with the cross party London councils and the Mayor on setting out more details about how London can exit these measures and get down to level 1. Ultimately, of course, and as soon as possible, we all want to get to level zero, which is normal life.
Anne Marie Morris (Newton Abbot) (Con) [V]
Will the Secretary of State please explain what formal and detailed assessment his Department has made of the long-term health cost that a second blanket lockdown would have on the physical and mental—not just covid-related—health of the population, and whether he believes that that is an acceptable trade-off?
Matt Hancock
I have looked into this in great detail, as my hon. Friend will imagine, as she is experienced in these areas. The result of what I have looked at is that there is no trade-off. If covid gets out of hand, that increases non-covid ill health and non-covid deaths too. When it comes to mental health, I was talking only yesterday to the Royal College of Psychiatrists, who are clear that a second peak getting out of hand is bad for mental health, not least because of the mental health impacts of long covid for people who survive covid but for whom the condition lasts for months and months, which is an issue very close to my heart. A proposition has been put forward that there is some trade-off between covid health and non-covid health, but I have looked into it in great detail and it is false. The best way to improve the non-covid health of the nation is to ensure that covid says under control.
Taiwo Owatemi (Coventry North West) (Lab)
During our coronavirus briefing for Members on Monday, the deputy chief medical officer, Jonathan Van-Tam, said of the pandemic that it was very easy to lose control and harder still to gain it. Only yesterday, the Department of Health and Social Care released figures stating that 19,724 people had tested positive for the virus. With positive cases of hospital admissions increasing across the country, death rates are sadly rising, and on the admission of the Secretary of State’s own scientific advisers, there are many more to come, so does he believe that more can be done to regain control and stop the spread of this deadly disease? Does he also believe that proper financial support is in place for people in need in these high-risk and very high-risk areas?
Matt Hancock
Yes, I do think more action is needed, and that is why we are taking it today.
Dr Caroline Johnson (Sleaford and North Hykeham) (Con)
The Prime Minister has been very clear on the risk of obesity for those who get coronavirus, in that people who are obese have a more severe disease course than those who are slimmer. In tier 3 areas, however, many gyms are being closed and many sporting activities are being restricted. What are the Secretary of State and the Department doing to ensure that we can encourage activity among people in those areas? Perhaps we could have a work out to help out scheme, with free online activities targeted to each age group and each physical ability.
Matt Hancock
I love the idea of work out to help out. It is undoubtedly true, from the science that I have seen, that obesity contributes to a worse impact for those who catch coronavirus. This is something the Prime Minister has spoken about with great passion, and it is something we want to tackle, so I will absolutely look into that idea. I would also say that we have changed the proposals for people who are shielding, even in the highest risk, tier 3 areas, who should always be clear that outdoor exercise is a good thing.
Mohammad Yasin (Bedford) (Lab)
My constituents are being denied routine blood tests because the Swiss company, Roche, that supplies the labs in Bedford is having supply chain issues. If one company with one supply chain problem can cause a national shortage of medical components that are vital to patient care for at least three weeks, is the Secretary of State as concerned as I am about the disruption to medical supply chains during a pandemic when we leave the EU in just over two months?
Matt Hancock
We have prepared for years to ensure that we have the supplies that are needed, and I have of course been in contact with Roche over this distribution issue. It is actually an issue about distribution from a warehouse in England, and these distribution issues do happen from time to time in very large organisations such as the NHS. We are working closely with Roche, and I thank it for all its efforts to solve this technical problem.
Tim Loughton (East Worthing and Shoreham) (Con)
I agree with the local approach that my right hon. Friend is taking. He has to make a judgment based on balancing what the science is telling us, what the economy is telling us and the sustainability of public consent. I am concerned about care homes. My care home managers tell me that their staff are knackered. They are exhausted from covering extra shifts when other staff are isolating or have childcare challenges. They are also exhausted from dealing with online GP appointments because GPs will not visit those homes, and from dealing with angry relatives, particularly those of elderly mentally infirm residents, because they cannot visit them face to face. What can we do to help sustain those care home staff and, in particular, to approve volunteers from the massive register that we have, in order to help to share the load?
Matt Hancock
I would be very happy to take up my hon. Friend’s suggestion about the volunteers. I commend to him the social care winter plan, which sets out how we will balance the very difficult issues that he mentions.
Kate Osborne (Jarrow) (Lab)
In my constituency, schools are already closing due to confirmed cases of coronavirus. What conversations has the Secretary of State had on routine testing in schools? Will he publish the science behind the decision not to introduce routine testing for teachers and tell us why schools have been issued with only 10 testing kits each?
Matt Hancock
We have a testing prioritisation board which takes into account the order of priorities within testing. Of course, as testing expands it means we will be able to use it for more things, including in schools. I look forward to being able to make that progress just as soon as we make the expansion even bigger.
Bob Blackman (Harrow East) (Con) [V]
London as a whole is going into tier 2 as a result of the infection rate being at an average level of 97, but, as my right hon. Friend will be well aware, the actual levels of transmission in different London boroughs are widely different. Will he set out what criteria will now be used for London to go from tier 2 to tier 1? Will it be the case that every London borough has to come down below a given rate before that can happen? Otherwise, we will have the position whereby this short-term period could extend for many months. Will he therefore set out what criteria will be used to get us down to tier 1?
Matt Hancock
I want the time that London is in tier 2 to be as short as possible. The best way we can achieve that is by us all pulling together and following the level 2 rules. In terms of exiting from level 2, the cross-party London group set out a very clear set of criteria on the need to go up a level, including reaching 100 per 100,000 cases on average across London, which we are just about to breach. It is now working with us on what the exit might look like. I totally agree with my hon. Friend on the importance of setting that out to give people the motivation that, if we all pull together and sort this out, we will get out of these measures and people can live their normal lives a bit more.
Marion Fellows (Motherwell and Wishaw) (SNP) [V]
Scotland made use of a summer of lower cases to get its public health-based contact tracing system up and running. It is reaching over 90% of cases and contacts. Can the Secretary of State tell us by when the UK Government hope their Serco track and trace will reach even 70% of community contacts?
Matt Hancock
The way we do it in England is that the national system and the local systems work together. The first proportion, the majority of cases, are dealt with by the national system and then the local systems come into action. Between them, they reach a very high proportion of cases. It is that teamwork that is the best way forward.
Andrew Griffith (Arundel and South Downs) (Con)
Today, there are thousands of people working in hundreds of private businesses contributing to the testing endeavour. Will the Secretary of State pay tribute to them and does he agree with me that they are key workers in every respect?
Matt Hancock
Yes, I would. In contrast to some of the comments from the Opposition, although sotto voce now, it is about teamwork between people in private businesses and people in the public sector working together in the national endeavour to defeat this disease. It is a big team effort and let us not divide people where they should be brought together.
Richard Burgon (Leeds East) (Lab) [V]
Serco is at the heart of an outsourced tracing system that is failing to contact one third of all the close contacts of those with coronavirus. That is clearly helping the virus to spread out of control. There is widespread public concern that the Government are in hock to giant outsourcing companies, and concern that Serco and the like are not just ripping off the public but putting lives in danger. Does the Secretary of State think that the public should be reassured or worried by the fact that Serco’s former chief spin doctor is now his Minister for Health?
Matt Hancock
I do not think the hon. Gentleman was listening. I pointed out just previously not only that the national system in the last week has more than doubled the number of contacts that it has reached—I pay tribute to it for that—but that it is teamwork between the national and local systems that works best. It is the combination of the large-scale private organisations and the public sector—people working together—that is able to deliver, and to deliver a better service. I will tell him this: there was a time in the last few days when we had requests from local systems to bring some of the contact tracing back into the national Serco system so that it could help to reach more people. That sort of teamwork is what I look for, instead of the negative, derisory, divisive approach of the hon. Gentleman up there.
Sir Robert Neill (Bromley and Chislehurst) (Con)
Would my right hon. Friend care to reflect that a number of us in London regard it as neither targeted, nor proportionate, nor appropriate to use a London-wide average in so large a metropolitan area where so little commuting is now taking place? Will he reflect on that in the future, and will he speak today to the Chancellor of the Exchequer to see what support can be given to hospitality businesses in the London suburbs that are suffering as of now as a direct consequence of his decision?
Matt Hancock
Of course, across London there is a huge amount of travelling to work. Although of course in different boroughs the rates are different—my hon. Friend is absolutely right about that—and in his patch they are lower than the London average, nevertheless, unfortunately, they are rising sharply. We considered a borough by borough approach, but because of the integrated nature of London and because, unfortunately, cases are rising fast across London, we decided that the best approach is for the whole of London to go into level 2 together.
Tony Lloyd (Rochdale) (Lab) [V]
I have to ask the Secretary of State, as another Member of Parliament who, in his words, is “up there”: does he understand that people in Greater Manchester fear that an indefinite period in tier 3 would mean the pauperisation of our people and the destruction, at least in the short and medium term, of our economic capacity, with no certainty—unless he really does get test, track and trace not just improving but working well—that we would come out of it any better than we went in?
Matt Hancock
By “up there” I meant on the screens at the top of the Chamber rather than anywhere geographically. What I would say to the hon. Gentleman is that the best way to avoid the outcome that he seeks to avoid is for everybody to pull together across party lines, across communities, to get the public health message out that we need to work together to deliver for the people of Greater Manchester and all other areas of the country.
Andy Carter (Warrington South) (Con)
I thank the Secretary of State for his statement. As a Member representing a constituency in the north-west of England, may I also say thank you to him for his continued engagement and for that of the Department? He does speak on a regular basis to Members in the north-west. I can say that hand on heart because I regularly speak to him about the issues in my constituency. He will know that hospital admissions in my constituency continue to rise and that there is pressure on the health service there. We have moved from 40 in-patients a week ago to 80 today. What support is he giving to Warrington Hospital so that normal NHS treatment can continue uninterrupted?
Matt Hancock
As a Cheshire boy myself, of course I talk to my hon. Friend, as I do to colleagues right across the country. Warrington is close to my heart; my grandfather used to live next to the golf course in Warrington. The hospital there is a very good hospital, but it is under strain. We are making sure that the whole region supports the hospitals that are under strain with covid admissions, which I am sure my hon. Friend would welcome and which is, of course, one of the advantages of having our great NHS.
Dan Carden (Liverpool, Walton) (Lab)
The whole country knows the perilous situation facing the city of Liverpool and the north-west region. People out there are very worried—not least the people who were officially shielding previously. Will the Secretary of State say what the latest scientific advice is, and may I call on him to reintroduce that advice and, with it, financial support?
Matt Hancock
Yes. On Tuesday this week, we set out the details of the approach we take to clinically extremely vulnerable people in this second phase. I will write to the hon. Gentleman with the details of that, and he might want to take up the offer that I can make to him of a meeting with the deputy chief medical officer, Jenny Harries, who leads on that programme.
Alicia Kearns (Rutland and Melton) (Con) [V]
I thank my right hon. Friend for his support for my campaign to ensure that all women have partners for scans and labour, and I am grateful that NHS trusts have seen a significant reduction in unnecessary measures, but today I ask for clarity: should pregnant women in their third trimester be shielding given their much higher vulnerability to covid-19? Does he agree that employers must take account of the higher risks and support women to work from home or in jobs that are not on the frontline?
Matt Hancock
Of course employers should take a duty of care towards their employees who are pregnant. When it comes to the formal shielding advice, maybe my hon. Friend can join the hon. Member for Liverpool, Walton (Dan Carden), who spoke just a moment ago, in a briefing with Jenny Harries. I will also send my hon. Friend the updated guidance to make sure that we get this exactly right for people in the third trimester of pregnancy.
Sarah Owen (Luton North) (Lab)
At the first joint Select Committee meeting of the covid inquiry this week, we heard evidence from a care home manager that a member of her staff had to wait nine days for her results. If I were in charge of that shambles, I would struggle to look at myself in the mirror, let alone get up at the Dispatch Box and have the gall to tell the public that testing is anything but a failure. When will the Government get a grip of testing?
Matt Hancock
The turnaround times for tests have come down very significantly, including for care homes, over the past few weeks, and we work incredibly hard to get them down. Even while there was the most acute pressure on testing capacity, we kept the weekly testing for care staff, and I think the whole House can unite behind that.
Mike Wood (Dudley South) (Con)
While it is clear that the measures taken in the spring helped to slow the spread of the first outbreak, at the end of what was supposed then to be a three-week lockdown, daily cases had trebled and daily deaths were up 750%. If there were to be a so-called circuit-breaker national lockdown, how would it be possible to judge after two or three weeks whether it was safe to lift those restrictions?
Matt Hancock
We are trying to have as local an approach as possible, partly because we have to ensure that we take measures that are proportionate. There are some areas of the country, including Dudley, where case numbers are lower than even their close neighbours—in my hon. Friend’s case, across the west midlands. That is the reason, as the Prime Minister set out on Monday, that we are taking the tiers approach, which I think helps public understanding, because it is really simple but allows us to take action where that is necessary.
Mr Speaker
We have lost Rosie Cooper as the connection has gone down, so we will go to Selaine Saxby in the south-west.
Selaine Saxby (North Devon) (Con) [V]
Thank you, Mr Speaker.
Does my right hon. Friend agree that the Opposition should not play politics with people’s lives and livelihoods? A national circuit-break lockdown is not the answer, particularly for areas such as my North Devon constituency, where covid cases per 100,000 are still fewer than 40.
Matt Hancock
My hon. Friend sets out why, with case rates like that, we are focusing our attention on the parts of the country with the most serious problem. Throughout this, we try to ensure that we take action that is necessary but proportionate, in order to slow and suppress this disease.
Vicky Foxcroft (Lewisham, Deptford) (Lab) [V]
Communication for shielding people has been poor in the past. Now as we sadly return to further restrictions, communication remains poor, with news being fed to the press before updating the country in a clear way. That really is not good enough. The Government have had seven months to get it right. When letters are sent to shielding people, will the Secretary of State ensure that they are in accessible formats, especially since many potentially are disabled people? Will he let them know what extra support they will be entitled to?
Matt Hancock
This is a very sensitive issue and it is very important for those who are shielded. I invite the hon. Lady to the briefing with the deputy chief medical officer so that she can ask any questions that she has.
Robert Largan (High Peak) (Con)
Since March, the Government’s top policy priority has been to save lives by preventing the NHS from becoming overwhelmed. Given that, the Government have rightly been preparing for this winter by significantly expanding free flu vaccinations. Given that parts of High Peak, including Glossopdale where I live, have just gone into tier 2 restrictions, may I urge the Secretary of State to do everything that he can to make certain that sufficient flu vaccination doses are available in High Peak and other areas with extra restrictions?
Matt Hancock
Absolutely—not least because there is evidence that if someone has flu and catches covid it is even worse. The flu programme this winter is incredibly important—even more important than it always is. I will look into the roll-out in High Peak and ensure that it goes well. I am very glad to say that the uptake of the flu vaccine is much higher this year than it has been in previous years, and we have a record amount of the flu vaccine—more than 30 million doses available. Everybody on the priority list in High Peak who wants a flu vaccine can get one. They will be available over the forthcoming 10 weeks between now and Christmas, and I am very happy to work with my hon. Friend to ensure that that happens for his constituents.
Rosie Cooper (West Lancashire) (Lab) [V]
Thank you, Mr Speaker. Four British teenagers in Sicily continue to test positive after two weeks of isolation. In Britain, they would be back in the community spreading the virus, so does the Secretary of State recognise that a test, trace and retest system is needed to protect us? When could it be implemented? Also, what action can be taken to protect my West Lancashire constituents who have been alerted via social media to the fact that supporters who want to watch the Liverpool versus Everton match this Saturday intend to travel from nearby tier 3 areas into pubs in West Lancashire? This could be a super-spreading event leading to a public health disaster.
Matt Hancock
I will write to the hon. Lady on the first point. It is a very important point, but the proportion of people who are still infectious after two weeks if they do not have symptoms is thought to be very low. I cannot remember the figure off the top of my head, but it is very low. I will write to her and perhaps publish the letter to explain that scientific fact in full detail.
On the second point, I strongly agree with the hon. Lady. The principle behind the levels is that, if someone is resident in an area on a very high local covid alert level, that level applies to them wherever they are. If someone lives in a lower alert level area and they travel to a higher alert level area, the rules of the higher level apply if that is where they are. People who live in the Liverpool city region should not travel to West Lancs because the pubs are open there. That contravenes the regulations, and I look forward to working with her to try to ensure that that does not happen.
Dave Doogan (Angus) (SNP)
Operation Moonshot was the UK Government’s latest world-beating covid intervention, but it seems that it has perhaps missed its target and is heading off into deep space. The public did not ask for world-beating; they asked for competent, and they deserve availability. Can the Secretary of State advise us on whether there are any positive signals from Operation Moonshot? When will it be rolled out nationally, or is it another testing failure?
Matt Hancock
It is going pretty well, actually, and it is going to benefit the people of Scotland as well as people right across this united land.
Sir Desmond Swayne (New Forest West) (Con)
What advantage is there to be had from accommodating non-intubated covid cases in Nightingale hospitals, and if there is an advantage what additional facilities would need to be provided?
Matt Hancock
Some of the Nightingale hospitals can take non-intubated patients—not ones who need full intensive care, if they have multiple organ failure—but not all of them can because of the way that they are set up. We need the ventilators, the space and the staff to ensure that the Nightingale hospitals can be expanded as much as possible.
Florence Eshalomi (Vauxhall) (Lab/Co-op)
Yesterday I received an email from my constituent, Anna Shipman, who is really concerned about test, track and trace. She has a friend who is on a vaccine trial and has a routine test every Wednesday. At the beginning of the trial, he would normally get his test results the next day. Anna is pregnant. She told me that her friend met her on Friday and then, on Saturday, he met his elderly mum, who is 75. On Saturday and Sunday, he went back to work as a full-time carer, exposing extremely vulnerable adults. He did not receive his test results until Sunday. This system is a shambles. Will the Secretary of State highlight when we will protect vulnerable people from being infected by people who do not know because they are not getting results on time?
Matt Hancock
No, the turnaround times are reducing. While I absolutely pay tribute to the hon. Lady for raising this individual case, it is very important to look at the system as a whole, where the number of tests is at a record level and the turnaround times are, I am glad to say, reducing.
Jason McCartney (Colne Valley) (Con)
Is the Secretary of State currently having discussions with West Yorkshire leaders about our covid alert status? Does he anticipate any change to our current status of “high” in West Yorkshire this weekend? Will he continue to be guided by the localised data?
Matt Hancock
The localised data is very important so that we take the action that is needed as locally as possible, as we have in Kirklees over the past few months of the crisis. We are in constant dialogue with the leaders in West Yorkshire, but no decisions have been taken.
Rushanara Ali (Bethnal Green and Bow) (Lab)
Tower Hamlets faced one of the highest death rates in the country in the first wave of the pandemic, including for those among black, Asian and minority ethnic communities. For weeks, the borough has been given the lowest testing capacity in the capital despite high incidences of positivity. Will the Secretary of State focus on the specifics and explain when he will get a grip on testing and tracing and localised resources for it; when he will get local authorities, businesses and communities the resources they need; and what action he will take to produce the action plan that was promised months ago after the disparities report was published by his Government?
Matt Hancock
Yes, absolutely. The hon. Lady rightly raises the issues in Tower Hamlets. The good news is that the testing being delivered in Tower Hamlets is going up. The bad news is that both the number of people testing positive and the positivity are also going up. Because of today’s decision on putting London into level 2, further resources will be available for local test and trace.
Sir Iain Duncan Smith (Chingford and Woodford Green) (Con)
Thank you, Mr Speaker, for allowing me to get in at the last minute, because this is a London statement. When a Minister gets a collection of London MPs together, it would be great if they could actually be allowed in to ask a question for a long enough time to save them having to scrabble into the House of Commons.
I want to follow on from the comments of my hon. Friend the Member for Bromley and Chislehurst (Sir Robert Neill). London is huge. Whether people like it or not, it is very diverse, and many of the boroughs are bigger than most of the towns in the rest of the UK. Surely we need to look again at the London-wide nature of this tier 2 position. Even regional areas could be taken out. There are big disparities. I ask that we please think again. Otherwise people will say, like one constituent who rang me today, “Is this in fact a London-wide tier 2 to stop the north-south divide argument running?”
Matt Hancock
On the last point, absolutely not. This decision has been taken on the basis of the data across London. We did consider the borough by borough approach that my right hon. Friend understandably advocates, but the decision that we came to was that because cases are rising throughout the capital, it was therefore right for the capital to move as a whole. That was supported by the cross-party team who are working on this at a London level.
Dr Rupa Huq (Ealing Central and Acton) (Lab)
Cases in Ealing have shot up, doubling in the past week and making it now the capital’s coronavirus capital. May I therefore commend the Secretary of State’s approach to the London-wide situation, given its fluidity and that of our city? Will he resist the siren voices on the Conservative Benches saying otherwise? Will he look at additional funding for areas like mine, and other interventions that could help? He knows my position on vitamin D. Has he considered that that could be a high-impact, low-risk, virtually cost-free thing that would make him a hero? What is he waiting for?
Matt Hancock
On the first point, I will say that I will listen to all voices. The voice of my right hon. Friend the Member for Chingford and Woodford Green (Sir Iain Duncan Smith) is far from siren. It is thoughtful, considered and represents his constituents. I will listen to and consider him, my hon. Friend the Member for Bromley and Chislehurst (Sir Robert Neill) and the hon. Lady in trying to get the best public policy outcome, taking into account the health, economic and social consequences of these decisions and choices that we are unfortunately faced with. We should try to carry on that approach of listening to all considered voices.
On the point about vitamin D, I have asked the scientists to look once again at the impact of vitamin D on resistance and immunity. There has been some updated evidence that has come to light in the past few weeks, and I want to ensure that is fully taken into account. I can also tell the hon. Lady that we will be increasing the public messaging around vitamin D to make sure that people get the message that vitamin D can help with broad health and that there is no downside to taking it, and therefore people should consider that.
Nickie Aiken (Cities of London and Westminster) (Con)
Thank you for squeezing me in, Mr Speaker. I thank my right hon. Friend for his statement, and I also thank him for his response to my hon. Friend the Member for Harrow East (Bob Blackman) earlier. It is so vital that we have a pathway and an exit plan to take London back to tier 1 as soon as possible. I am concerned about the impact on local people and businesses in my constituency in central London, particularly in terms of the mental health issues we are facing. I met a businesswoman on Friday in the City of London—a beautician who is now on antidepressants because her business is failing. Will my right hon. Friend please assure me that funding for mental health services will be available as we go further into this crisis?
Matt Hancock
My hon. Friend is right to raise these issues, and these are difficult choices that we face. She has raised with me previously the need for a plan for exit so that we can motivate people to do what is needed to get the disease under control in London. In her constituency, almost more than any other, decisions to restrict social life have a significant direct impact. On economic and health grounds, getting this virus under control helps on both counts, particularly if we take into account, for instance, the mental health impacts. Having spoken to the Royal College of Psychiatrists, it is clear that the mental health impacts if the virus gets out of control are worse than the mental health impacts of the measures necessary to keep it in control, but nevertheless we have to ensure that the services are there to support people.
Bambos Charalambous (Enfield, Southgate) (Lab)
I wrote to the Secretary of State on 16 September about the inadequacies of track and trace, and I acknowledge what he has said today about the need for local and national teamwork, but I need to be further reassured that he will get track and trace right, because that is central to dealing with the covid-19 pandemic. London is now in tier 2, and we have seen Manchester go from tier 2 to tier 3. We need to have a national circuit break for that to work, because otherwise we will have tier 2 going piecemeal to tier 3, and that is not a plan.
Matt Hancock
First, yes, we want to work more closely with Ealing to make sure we get that national and local link-up in the test and trace system—I can give the hon. Gentleman that assurance. [Interruption.] And in Enfield as well. Just to be clear, no decisions have yet been taken on Greater Manchester, and I want to reassure colleagues from Greater Manchester who are in the Chamber of that. Finally, having this targeted approach is clear for people to understand. There are three levels. Everyone knows what is in each of the three levels, and it is very easy for someone to know which level their area is in.
Mr William Wragg (Hazel Grove) (Con)
I bring news from Greater Manchester, where the impossible has been achieved: all the Members of Parliament, the leaders of the councils and indeed the Mayor are surprisingly in agreement with one another; but the meeting that we had earlier today was entirely pointless. I might as well have been talking to the wall. When are we going to be properly consulted, and learn about measures through the right channels rather than via the media?
May I put to the Secretary of State a question that I posed to the Prime Minister? The closure of hospitality will drive people into private dwellings, where they will mix. We do not, thank goodness, live in a police state, which would be the only way to police it. Will they please listen to common sense and think again?
Matt Hancock
Some of the evidence for the approach that we are taking is not only because we see that approach in other countries in the world, but because even within Greater Manchester, in Bolton, where cases were rising sharply, they were flattened when hospitality was closed except for takeaways; albeit that they have started to go up again since that measure was released. So, although I understand my hon. Friend’s urge for a consultation—I am happy to talk to him about these issues at any moment of the day or night—we are seeking to work with the local area and with all the elected representatives to get a solution that we can commend to the people of Greater Manchester. But a solution we must have. We cannot see cases inexorably rising, because we know the consequences that that brings.
Mike Kane (Wythenshawe and Sale East) (Lab)
I am slightly confused. On Monday the Secretary of State gave up his valuable time to Greater Manchester MPs and confirmed tier 2 with a four-week review. He had unanimous support, cross-party, from Greater Manchester. As the hon. Member for Hazel Grove (Mr Wragg) said, every day it has been briefed in the press that we were moving to tier 3. So I am grateful to the Secretary of State that the Minister for Care, the hon. Member for Faversham and Mid Kent (Helen Whately), has today announced that the Department will undertake a leak inquiry. Today, again, there was full unanimity about tier 2 in Greater Manchester. Come on, Minister: just confirm it and you will have our wholehearted support across the conurbation.
Matt Hancock
Not quite, because even in this statement there have been Members speaking from Greater Manchester who have urged more action. [Interruption.] What I would say to the hon. Gentleman is that I have started a leak inquiry into the leaks of some of the information around Greater Manchester. That will, of course, have to cover both national and local government. There is a more important thing, though, which is the need for people to come together to take the action that is necessary to get this virus under control, because unfortunately, in Greater Manchester there continues to be a rise in the number of cases—[Interruption.]
Mr Speaker
Order. Just a second. Mr Kane, I gave you the privilege of having the final question when you were not on the list; please do not abuse it. I also need to hear what is said because it affects my constituency.
Matt Hancock
Very sadly, across Lancashire and across Greater Manchester, the number of cases of coronavirus continues to rise. The number of cases among the over-60s continues to rise. The number of hospitalisations continues to rise. Further action is therefore necessary. I very much hope that we can reach the sort of cross-party agreement that we have had in London, and that the local leadership in Manchester can work with us to find a solution, because it is critical that we get this virus under control.
Mr Speaker
In order to allow the safe exit of hon. Members participating in this item of business and the safe arrival of those participating in the next, I suspend the House for a few minutes.
Public Health: Coronavirus Regulations
Matt Hancock Excerpts(4 years, 2 months ago)
Commons ChamberRead Full debate Read Hansard Text Read Debate Ministerial Extracts
The Secretary of State for Health and Social Care (Matt Hancock)
I beg to move,
That the Health Protection (Coronavirus, Local Covid-19 Alert Level) (Medium) (England) Regulations 2020, (S.I., 2020, No. 1103), dated 12 October 2020, a copy of which was laid before this House on 12 October, be approved.
Madam Deputy Speaker (Dame Eleanor Laing)
With this we shall take the following motions, on public health:
That the Health Protection (Coronavirus, Local Covid-19 Alert Level) (High) (England) Regulations 2020, (S.I., 2020, No. 1104), dated 12 October 2020, a copy of which was laid before this House on 12 October, be approved.
That the Health Protection (Coronavirus, Local Covid-19 Alert Level) (Very High) (England) Regulations 2020, (S.I., 2020, No. 1105), dated 12 October 2020, a copy of which was laid before this House on 12 October, be approved.
That the Health Protection (Coronavirus, Collection of Contact Details etc and Related Requirements) Regulations 2020 (S.I., 2020, No. 1005), dated 17 September 2020, a copy of which was laid before this House on 17 September, be approved.
That the Health Protection (Coronavirus, Restrictions) (Obligations of Hospitality Undertakings) (England) Regulations 2020 (S.I., 2020, No. 1008), dated 17 September 2020, a copy of which was laid before this House on 17 September, be approved.
That the Health Protection (Coronavirus, Restrictions) (Obligations of Undertakings) (England) (Amendment) Regulations 2020 (S.I., 2020, No. 1046), dated 26 September 2020, a copy of which was laid before this House on 28 September, be approved.
That the Health Protection (Coronavirus, Restrictions) (No. 2) (England) (Amendment) (No. 5) Regulations 2020 (S.I., 2020, No. 1029), dated 24 September 2020, a copy of which was laid before this House on 24 September, be approved.
Matt Hancock
Two weeks ago, I pledged to the House that for significant national measures we will consult Parliament in advance of their coming into force wherever possible, and today we deliver on that commitment with votes tonight on national measures to slow the spread of coronavirus. This pandemic remains a formidable threat. Our strategy is to suppress the virus, supporting the economy, education and the NHS, until a vaccine makes us safe, and I must report to the House that the number of cases of coronavirus has quadrupled in the last three weeks.
There are now more people in hospital with coronavirus than there were on 23 March, and in the last four weeks hospitals in the north-west and north-east of England have seen a sevenfold increase in the number of covid patients in intensive care. In those worst-affected areas, the virus is spreading just as quickly in older age groups, not just among younger adults.
Ms Angela Eagle (Wallasey) (Lab)
Given that Liverpool city region, which includes my constituency of Wallasey, was placed in tier 3 yesterday, could the Secretary of State outline whether there are plans to reopen or revive the Nightingale hospitals to serve that region? I do not mean the hospital in Manchester.
Matt Hancock
Yes, as the hon. Lady will know, three Nightingale hospitals were put on alert yesterday to be reopened. The closest Nightingale is in Manchester, but we keep that under review because expanding the capacity of the NHS is one of the things that we can do. Nevertheless, no matter how big the NHS is, if the virus is not under control it will make more people need hospital treatment than there could possibly be hospital treatment available for. While we are, of course, restarting the Nightingales, which have been mothballed for months, that is only a precaution; it cannot be the full answer to the question. We had a very good discussion yesterday about the measures in Liverpool city region, which I will come on to in some detail.
Steve Brine (Winchester) (Con)
To follow on from what my right hon. Friend said about our strategy being to suppress the virus until a vaccine makes us safe—until science saves us—the Prime Minister yesterday was, very wisely, cautious in his answer to our hon. Friend the Member for Wycombe (Mr Baker) on the vaccine. What if it does not come, and what if it comes and the efficacy of it is not good enough, and there are challenges with roll-out and all sorts of other challenges that he and I know about—the anti-vaxxers notwithstanding? Can he give those of us who are nervous about—
Madam Deputy Speaker (Dame Eleanor Laing)
Order. This is not a question but a very quick intervention. I have 89 people who want to speak. If there are to be interventions, they must be short.
Matt Hancock
Of course, the work on a vaccine continues. No vaccine technology is certain, but we have already bought six different vaccines and there are more than 100 in development around the world. That is what underpins the strategy, and the work on the leading vaccines, including the AstraZeneca Oxford vaccine, continues effectively. We have seen, both here and overseas, just how quickly the virus can take hold, and we have to act now to get it under control.
Craig Whittaker (Calder Valley) (Con)
At the beginning of August, Calderdale had just four people in hospital with covid, zero in intensive care units, and spikes in just two wards. This morning, we have 43 people in hospital with covid, six in ICUs, 12 deaths this month, and almost 800 positive cases coming through. Can my right hon. Friend say what steps he is taking to ensure that the NHS is not overwhelmed by the virus in the coming months?
Madam Deputy Speaker (Dame Eleanor Laing)
Order. I have just said that we must not have long interventions. These points are for the speeches that people are waiting to make later. If a Member wants to intervene on the Secretary of State about something that he has just said, that is all very well, but if they make points about their constituencies at this stage rather than waiting until later, it is simply dishonourable; it is just not right.
Matt Hancock
My hon. Friend—and he is an honourable man—makes an important point that has wider context than just his constituency, which is that we must make sure that we control the virus. My heart goes out to the families of those in his constituency who have died. The only alternative to suppressing the virus is that it then expands exponentially. That is what happens with a virus when the R is above 1. I know that some people feel that we should adopt a more relaxed approach, but that will lead to more of the sort of thing that my hon. Friend has related from his constituency.
Some people have set out this more relaxed approach, including those in the so-called Great Barrington declaration. I want to take this argument head on, because on the substance, the Great Barrington declaration is underpinned by two central claims and both are emphatically false. First, it says that if enough people get covid, we will reach herd immunity. That is not true. Many infectious diseases never reach herd immunity, such as measles, malaria, AIDS and flu, and with increasing evidence of reinfection, we should have no confidence that we would ever reach herd immunity to covid, even if everyone caught it. Herd immunity is a flawed goal without a vaccine, even if we could get to it, which we cannot.
The second central claim is that we can segregate the old and vulnerable on our way to herd immunity. That is simply not possible. As the medical director of the NHS said yesterday, we cannot somehow fence off the elderly and the vulnerable from risk while everyone else returns to normal. It is neither conscionable nor practicable—not when so many people live in inter- generational homes, not when older people need carers who of course themselves live in the community, and not when young people can suffer the debilitating impact of long covid. Whenever we have seen cases among young people rise sharply, we then see cases among the over-60s rise inevitably thereafter, and we are not the kind of country that abandons our vulnerable or just locks them up.
If we let this virus continue unchecked, the loss of life would be simply too great to contemplate. We know that it would put our NHS at risk, as my hon. Friends have just said. We know that both because of what happened in March and because of what is happening right now. We have already heard from the heads of the Academy of Medical Royal Colleges and the Royal College of Emergency Medicine that, if we do not act fast and come together to quash the virus, we risk putting the NHS under extraordinary strain both for covid treatments and for non-covid treatments.
John Redwood (Wokingham) (Con)
How long do the scientists think we will need these lockdowns for, and what is their exit plan?
Matt Hancock
We have seen the exit plan from local lockdowns. For instance, in Leicester, where we had a firm local lockdown, the case rate came right down. We lifted that and we have sadly seen it start to rise again. The case rate is determined by the amount of social mixing, and it reduces during a lockdown. In some parts of the country where the case rate has continued to rise, there is an argument for further ensuring that we do not reach the level of contact that is at the root of the virus spreading. The challenge is how to calibrate the lockdown to get the virus under control while doing the minimum damage to the economy and to education.
Munira Wilson (Twickenham) (LD)
Will the Secretary of State acknowledge—a simple yes or no—that we should not be in this position in the first place and that the best exit strategy is having an effective system of testing, tracing and isolating that is locally led? If that were working properly—even SAGE has admitted that it is not—we would not be here.
Matt Hancock
We have one of the biggest systems of tracking and tracing in the world. The idea that I sometimes get from people in this House is that, somehow, it is not one of the biggest systems in the world or one of the most effective in the world. I get that in this House, but I do not get it when I talk to my international colleagues. They ask me, “How did you manage to build this capacity so fast?” That is the truth of it.
Of course we need to continue to build it and to make sure it is continuously more integrated into the local communities, who can often go to reach the contacts that the national system finds it hard to reach. However, to argue that the enormous system that is working so effectively, with so many brilliant people working on it, is at the root of this challenge is, unfortunately, to miss the big picture, which is that, sadly, this virus passes on—until we have a vaccine or a massive testing capacity that nobody yet has, this virus passes on through social contact and that is, unfortunately, what we need to tackle in order to get this under control.
Let me make a point about the numbers. In the first peak, about 8% of people caught covid and 42,000 people died. If we do not have the virus under control, even with the better survival rates we now have, thanks to both drug discoveries by British science and improvements in clinical practice, those figures will multiply. In addition, harder economic measures would then inevitably be needed to get it under control and they would be needed for longer. If you, Madam Deputy Speaker, like me, want our economy back on full throttle, we need to keep this virus in check.
Dan Carden (Liverpool, Walton) (Lab)
Yesterday, in his call with Merseyside MPs, the Health Secretary was asked about a circuit breaker lockdown and he did not say that SAGE had recommended that three weeks ago. Is that the case? Will he now publish the full scientific evidence for a circuit breaker lockdown?
Matt Hancock
The SAGE advice that Ministers receive is, of course, published; we have had great debates in this House about that and it is published. We make decisions that are guided by the science, taking into account all the different considerations we need to look to.
Mr Mark Harper (Forest of Dean) (Con)
It is worth giving credit to the NHS Test and Trace team for the growth in testing, but the evidence published yesterday said that the impact of the testing and tracing system was having only a marginal effect on reducing the virus. So can the Secretary of State look not just in high-risk areas, but in all areas to get more of the contact tracing done by our fantastic directors of public health and their teams?
Matt Hancock
Yes, absolutely. We are doing precisely that. The way it works where it works best is that the big national system makes the immediate and rapid contact with people who test positive—for more than half of people that is immediately successful—and then when contacts are harder to make the data is passed to the local teams, which do not have the scale to do the immediate, rapid contacting but do have the boots on the ground and the local knowledge. That combination of the two is what works best where it works well.
Mr Andrew Mitchell (Sutton Coldfield) (Con)
My right hon. Friend is making a compelling case, but will he bear in mind that in the west midlands we are concerned that yesterday’s change was made on the basis of neatness, not of medical need? Will he reassure me that he will always listen carefully to the West Midlands Mayor, Andy Street, as these matters all develop?
Matt Hancock
Yes. The introduction of the three-level system means that, in some areas where the local area has been working so effectively to get the curve flattened, as in the west midlands, under the leadership of Andy Street—there has been a rise in the past few days of data, but essentially a huge amount of progress has been made—changes have had to be made. However, I will absolutely recommit to working with Andy Street, who is an incredibly effective voice for the west midlands, to make sure that what we can do together can best deliver to control the virus in the west midlands. I pay tribute to my right hon. Friend, who makes the case on this so effectively, because protecting our economy and protecting our health are not alternatives. We must act and keep the virus under control to protect lives and livelihoods. I strongly believe that every one of us, young or old, has the ability to suppress the virus through the actions we take and the best way to protect the vulnerable, support the NHS and protect the economy is to get the rate of transmission down.
I turn to the steps we are taking to do that and, therefore, the instruments before the House today. Yesterday, the Prime Minister provided an update on the measures we are taking, which centre on three local covid alert levels in England.
Kevin Hollinrake (Thirsk and Malton) (Con)
The rate of transmission varies significantly within the eight different districts of North Yorkshire. When we are looking at putting different areas into different tiers, can we look at that by district rather than at county level?
Matt Hancock
Yes, absolutely, and I will go further than that: we look at this at sub-district level, if that is appropriate. In High Peak we put four wards into level 2 and the rest of the wards stayed in level 1. So we are prepared to look at the sub-district level if that is appropriate. Some districts within North Yorkshire have individual outbreaks in individual institutions that we are managing, and we should not mistake that for general community transmission and therefore put those areas into a higher level than is necessary. I am happy to go through the local epidemiology from near Thirsk that affects my hon. Friend’s constituency.
In a sense, that brings us to the point of these local covid alert levels. These are the first statutory instruments to be debated under our commitment to consult Parliament on significant national measures that have effect in the whole of England or are UK-wide and, wherever possible, to hold votes before the regulations come into force. That is what we are doing today.
Local action has proved to be one of our most important lines of defence. Where firm action has been taken—for instance in Leicester, or in Bolton, where we flattened the curve—our local approach has inevitably produced different sets of rules in different parts of the country, as my right hon. Friend the Member for Sutton Coldfield (Mr Mitchell) set out. We have already moved towards simpler national rules that are centred on the rule of six, and we are now acting to simplify and standardise the rules at a local level.
The regulations set out three levels of alert: medium, high and very high. The medium alert level, which will cover most of the country, will consist of the current national measures. This includes the rule of six and the closure of hospitality at 10 pm. The high alert level reflects the interventions in many local areas at the moment and that aims to reduce household-to-household transmission by preventing social mixing between different households indoors, with the rule of six outdoors. That is super-simple: no household mixing socially indoors and the rule of six outdoors.
The very high alert level will apply where transmission rates are rising most rapidly and where the NHS will soon be under unbearable pressure without further restrictions. In those areas the Government will set a baseline of prohibiting social mixing, while allowing households to mix in public outdoor spaces, because that is where the risk of transmission is lowest, as long as the rule of six is followed. That baseline is set out in the very high alert level regulations being considered today. Pubs and bars will be closed, and we will advise against travel into and out of very high-risk areas.
We also offer a package of support for individuals, businesses and councils. That includes more support for local test and trace, which many have asked for, more funding for local enforcement and the offer of help from the armed services, as well as the job support scheme announced by the Chancellor. That is best done as a team effort and, wherever possible, we want to build local support on the ground before we introduce these measures. So in each area we will work with local government leaders on the extra measures that need to be taken. We do not rule out further restrictions in the hospitality, leisure, entertainment, or personal care sectors, but retail, schools and universities will remain open.
Dr Luke Evans (Bosworth) (Con)
On buying-in the local community, would the Secretary of State consider having a Government postcode checker so that people know exactly where they should be, in having the three tiers?
Matt Hancock
My friend, the hon. Member for Ellesmere Port and Neston (Justin Madders), says from a sedentary position that that was his idea, but success has many fathers and I can tell my hon. Friend the Member for Bosworth (Dr Evans) that such a postcode checker was launched this morning. I will send him the link. It is still in beta, so it will be constantly improved, not least to ensure that, if a postcode covers an area that is in two different levels, that is clear. That is being sorted at the moment. A postcode checker is a great idea. It tells you the level of local risk. Furthermore, the NHS covid app, which has now been downloaded by over 17 million people, has a link to the local alert level as well.
To turn back to the measures before us, we will keep the measures under constant review. The overarching regulations sunset after six months, but regulation 8(1) of statutory instrument 1105 makes clear that the allocation of a particular area to local alert level 3 will automatically expire after 28 days. We will work with local areas on the level they need to be at and that work continues at pace. Decisions to move local areas between the levels will be considered by the JBC, working across Government and with local government on the normal weekly cycle. While, of course, there will be times when we need to act quickly to contain the virus, we want to give the House the opportunity to consider the measures on the medium and high local alert levels, and the baseline measures for the very high alert level. I urge the House to support the measures set out today.
Aaron Bell (Newcastle-under-Lyme) (Con)
The Secretary of State mentions that they will work with local authorities when moving authorities between areas. Will he also give time to measures that local authorities may already be taking, such as in Newcastle-under-Lyme, to see their effect before moving areas from one tier to another?
Matt Hancock
Yes, that is a very important point. Taking into account all local considerations, and working with the local director of public health and political leadership, is important to get exactly that sort of consideration into the decisions.
I would like to set out, as the Prime Minister did yesterday, the details of where we have reached with the Liverpool city region. Liverpool will move on to level 3 tomorrow. As well as the baseline measures—that is, as well as closing pubs and bars—gyms, leisure centres, betting shops, adult gaming centres and casinos will also close. I thank all the local authorities that have been working with us to keep the virus under control, but there is more work to do.
The regulations under consideration today include measures on the obligations for businesses. Statutory instrument 1005 makes it a legal requirement for a range of premises to collect, retain and, where relevant, disclose contact details as part of NHS Test and Trace. Statutory instrument 1008 allows for fixed penalty notices to be given for breaches of covid-secure business guidance in various settings, primarily hospitality. These are amended by SI 1046, which adds the need for a range of premises to display information about the need to wear face coverings.
SI 1029 increases the fines for those flouting targeted action to close specific public places that are a threat to public health. Although SI 1029 was intended to deliver the 10 pm closing time when laid, the elements relating to the 10 pm closing time are superseded by the local alert level system. The powers in SI 1029 are therefore revoked. In practice, the effect of SI 1029 is to deliver enforcement against individual places that have been flouting the rules, which is the one of the top demands of councils in their fight against coronavirus. I know that most people and most businesses have been doing their bit. These changes are there to ensure that the vast majority of responsible businesses are not undermined by others that are not following the rules.
Huw Merriman (Bexhill and Battle) (Con)
The Secretary of State talks about a regulation on pubs closing at 10 o’clock, which has been in force for four weeks. There may be some undoubted positives for health, but we see some negatives with people amassing together on public transport and in the streets. Do the positives outweigh the negatives, as far as the science is concerned?
Matt Hancock
Yes, I believe that they do, and I will give three reasons why I think these measures are the right ones. The first is that we already now have evidence from accident and emergency departments that we have seen a reduction in alcohol-related admissions late at night, after the 10 pm curfew. That is important in its own right, but it is also a proxy, a measure of how much people are drinking late at night. Therefore, it is evidence that there is less mixing and less drinking late at night.
The second is that, while people may be coming out and mixing after 10 pm, they are doing so largely outside, when they would otherwise be mixing inside the premises; it is just easier to photograph outside.
The final point, though, and the appeal I make to the House on this, is as follows: since, sadly, in order to control this virus, we need to reduce the amount of social contact, and since we are trying to protect, as much as is possible, education and work, that essentially leaves socialising as the other part of life—of activity—where people transmit the virus. It is therefore understandable that Governments around the world and around this United Kingdom, Governments of all different stripes and political persuasions, have all come to broadly the same conclusion that it is necessary to restrict socialising, because that way we reduce the transmission with the least damage to education and the economy. While there is both direct and proximate evidence for the positive impact of this measure, there is also the strategic point that, if we wanted to control the virus and we were not to do this, we would have to do something else, and as a matter of policy choice we want to protect education and protect work.
I will now come to my concluding remarks. We know only too well the damage this lethal virus can inflict, the strain it can put on our NHS and the way it can upend our closest relationships and our freedom to do the things we love. I know that we are asking a lot of the British people, but we also know that together we can shift this curve, and we are now called upon to do it once more. The measures before the House today will help in that fight, and I commend the regulations to the House.
Madam Deputy Speaker (Dame Eleanor Laing)
Just before I call the shadow Secretary of State, it will be obvious to the House, both those in the Chamber and those watching around the building, that I have more than 80 people who are trying to catch my eye and that we have until 6 pm to conclude the debate. I am afraid that, in order to be fair to everybody, because I appreciate that this is not an occasion for long-thought-out speeches on matters of principle, but on matters to do with individual constituencies, and to try to give as many people from as many parts of the country as possible the chance to contribute, we will start with a time limit of three minutes.
Oral Answers to Questions
Matt Hancock Excerpts(4 years, 2 months ago)
Commons ChamberRead Full debate Read Hansard Text Read Debate Ministerial Extracts
Julian Sturdy (York Outer) (Con)
The Secretary of State for Health and Social Care (Matt Hancock)
The NHS’s recovery approach is restoring urgent cancer referrals and treatment to at least pre-pandemic levels and building capacity for the future. Latest data from July suggests that urgent two-week-wait GP referrals are back to over 80% of pre-pandemic levels.
James Cartlidge
I thank my right hon. Friend for that answer, but does he agree that if we are to deliver better outcomes in cancer and all areas of care, our clinicians need the best possible infrastructure? Is not that why it is so important that the Prime Minister confirmed last week that we will deliver our manifesto pledge of 40 new hospitals? Does my right hon. Friend share my delight at seeing on that list a new rebuild for West Suffolk Hospital, to deliver even better outcomes for our constituents?
Matt Hancock
Yes, I do. I share my hon. Friend and neighbour’s enthusiasm for the rebuild of the West Suffolk Hospital. For treating both patients with cancer and patients with all other conditions, the West Suffolk is a brilliant local hospital that is much loved in the community; however, its infrastructure is getting very old and it needs to be replaced. I am delighted, along with the Minister for primary care, my hon. Friend the Member for Bury St Edmunds (Jo Churchill), in whose constituency the hospital is and will be rebuilt, that we are able to make the funding commitment and get this project going.
Felicity Buchan
I understand that we continue to requisition private hospitals. Given that there are patients who are nervous about attending hospitals, could those be used as covid-secure environments for cancer analysis and treatment?
Matt Hancock
Yes, absolutely. The private hospitals of this country have played a very important role in responding to covid, and we have a contract with them to be able to continue to deliver much needed services, including cancer services. Because by their nature they rarely have the pressures of emergency attendance, we can ensure that they are part of the green part of the health service—that they are as free as is feasibly possible from coronavirus—and therefore safe to carry out all sorts of cancer treatments. They are an important part of the recovery plan.
Jo Gideon
In my constituency of Stoke-on-Trent Central, patients being treated for cancer at the Royal Stoke University Hospital were relocated to Nuffield Health in Newcastle-under-Lyme. That is an example of practical measures that hospital trusts across the UK have taken to limit the spread of coronavirus since the outbreak in March. As we approach the winter pressures on the NHS, will my right hon. Friend outline the precautions the Government are taking to ensure that cancer patients’ treatments and appointments are not put to the back of the queue and do not suffer from undue delays?
Matt Hancock
My hon. Friend makes an important point. The Royal Stoke Hospital has performed brilliantly during coronavirus, and I thank everybody who works there for the efforts that they have gone to. It is critical for everybody to understand that the best way to keep cancer services running is to suppress the disease; the more the disease is under control, the more we can both recover and continue with cancer treatments. I believe that it behoves us all to make the case that controlling this virus not only reduces the number of deaths directly from coronavirus, but enables us as much as possible to recover the treatment that we need to for cancer and other killer diseases.
Angela Richardson
Following an online meeting with the manufacturer, I am excited to visit the Royal Surrey County Hospital on Friday to see up close the robotics that are used in many soft tissue cancer operations. Does my right hon. Friend agree that these clever robots, operated by talented surgeons, help to reduce the size of the incision site and therefore trauma, meaning a swift discharge and recovery for cancer patients, and that they are crucial to ongoing success in hospitals such as the Royal Surrey, which is a world leader in cancer treatments?
Matt Hancock
I know the Royal Surrey and I enjoyed visiting it, albeit in the rain, in December last year with my hon. Friend. The Royal Surrey is carrying out some of the most cutting-edge treatments for cancer. We have put extra funding in—a more than £200 million fund—for the use of advanced technology for treating diseases such as cancer, and she will have seen that I announced to the House yesterday that we are engaging with the best regulators around the world as we leave the European Union to ensure that we get cancer treatments to the frontline as fast as is safely possible.
Julian Sturdy
York Hospital, like a lot of others, experienced a fall in cancer referrals at the height of the pandemic as a result of residents having stopped going to consult their GP. There is real concern among health professionals in York about the knock-on consequences of that and the rise in the backlog of cancer referrals locally. What steps can the Secretary of State bring forward to assist NHS trusts such as York’s to ensure that the backlog does not lead to late diagnosis of cases, worsening cancer outcomes?
Matt Hancock
My hon. Friend raises a very important point. As I mentioned in response to the first question, we now have referrals back up to over 80% of pre-pandemic levels, but we need to get that up further, because we all know that early diagnosis saves lives. I am also very glad to be able to report that in July, on the latest data, over 90% of patients saw a cancer specialist within two weeks of a referral from a GP, and 95% of patients receive treatment within 31 days of a decision to treat, so those referrals are leading to the action that is necessary. It is very important that the message goes out that the NHS is open, and anybody with a concern over cancer should come forward and they can get the treatment in a safe way that can help to save their lives.
Alex Norris (Nottingham North) (Lab/Co-op)
In June’s departmental questions, I pressed Ministers on the cancer backlog that has grown so greatly under covid, so it was alarming that despite those ministerial assurances, between August and September, with infection rates being much lower than they are today, the waiting list to see a specialist grew by 16%. Things will only get harder now that infection rates are rising and with the NHS facing winter pressures, so will the Secretary of State give us a categorical assurance that he has a cancer recovery plan, and that it will drive down the waiting lists each month for the rest of the year?
Matt Hancock
Yes, absolutely. I think we agree right across the House on the importance of this agenda. The first and most important part of it is to bear down on the long waits, because the longer that people wait, the more dangerous cancer can become. That is happening, and we also have to make sure we bring the referrals forward, because we do not want to have fewer people referred for the diagnostics. At the same time, we are expanding the diagnostics that are available, both in hospitals and increasingly in community hubs, which are safer from a covid point of view and, for the long term, will mean that diagnostic centres for things such as cancer can perhaps be on a high street or in the places where people live, so that they do not necessarily have to go to a big, acute hospital to get the diagnostics part of the pathway done.
Dr Caroline Johnson (Sleaford and North Hykeham) (Con)
Judith Cummins (Bradford South) (Lab)
The Secretary of State for Health and Social Care (Matt Hancock)
I chair the Government’s local action gold committee, which considers the latest data and advice from experts, including epidemiologists and the chief medical officer, and the Joint Biosecurity Centre. Through this process, we consult local leaders and directors of public health. We have seen local actions in some parts of the country bring the case rate right down and we need to make sure that we are constantly vigilant to what needs to happen to suppress this virus.
Bill Esterson [V]
Yesterday, the Health Secretary told me:
“we have been putting the extra money into…councils”—[Official Report, 5 October 2020; Vol. 681, c. 637.]
What money is that? He announced £7 million, split between nine councils, as compared with £12 billion for Serco. That is not putting the extra money into councils, is it? So may I ask him to show respect for Members of this House and, more importantly, for our constituents, and answer the question: when is he going to stop relying on the outsourcing giants and to support local public health teams with the funds they need, because that is how he and this country are going to fix test, trace and isolate?
Matt Hancock
We are, as the hon. Gentleman said in his question, putting money into local councils in areas where local action needs to be taken. We have an open dialogue with councils and local mayors about what needs to be done. But I urge him, on behalf of all of his constituents in Sefton, that it is better to support the whole effort to control this virus, not just part of it.
Owen Thompson
The Mayor of London has warned that the virus is now spreading widely again across London, although vital knowledge is being hampered by the problems with test and trace. Are the Government now looking at introducing wider restrictions across London? As a matter of interest for this House, will the Cabinet Secretary, as a part of that, commit to reintroducing a hybrid Parliament in such a situation?
Matt Hancock
I discuss these matters with the Cabinet Secretary and other colleagues across government all the time, and I also speak regularly to the Mayor of London. We maintain vigilance over the transmission of the virus right across the country.
Judith Cummins
Can the Secretary of State answer a very simple question: what rate of infection means that a local authority needs to go into local restrictions and what rate means that it can leave them? Of course I accept that there will sometimes be very specific circumstances, such as workplace outbreaks, that would need to be considered, but surely it is not beyond his level of competence to do both, because my constituents deserve to know when they can see their families.
Matt Hancock
Of course the hon. Member’s constituents and all those who are under local action restrictions yearn to see their families. We all yearn to be able to get back to the normal socialising that makes life worth living, but I am afraid that the answer to her question is in the question: because of specific local circumstances, such as outbreaks in a workplace or a halls of residence, it is not possible to put a specific number on the point at which a judgment is made to put in place local restrictions, which we do in consultation with the council, or to take an area out of them.
Lilian Greenwood (Nottingham South) (Lab)
Gordon Henderson (Sittingbourne and Sheppey) (Con)
The Secretary of State for Health and Social Care (Matt Hancock)
As part of the drive towards the capacity target of 500,000 tests a day by the end of October, we have announced additional Lighthouse labs as part of the national lab network, and work is ongoing to expand the UK’s lab capacity inside the NHS.
Gordon Henderson
The Lighthouse labs do not appear to be delivering sufficient test results. Schools and care homes in my constituency are still having to wait an unacceptably long time for covid-19 test results, and the delays are making it difficult for them to operate properly. What is my right hon. Friend doing to make better use of the many life science companies in Kent, including those at Discovery Park in Sandwich and at the Kent Science Park in my constituency of Sittingbourne and Sheppey? Those companies have laboratories in which some of the tests taken in Kent could be analysed.
Matt Hancock
We are increasingly contracting with labs like the ones my hon. Friend mentions—as well as the Lighthouse labs, which have huge capacity—to make sure that we can both increase capacity and reduce the turnaround time. I am glad to say that the latest figures for the past week showed that the turnaround time is coming down, which is important in Kent and right throughout the country.
Ian Lavery (Wansbeck) (Lab)
Tonia Antoniazzi (Gower) (Lab)
The Secretary of State for Health and Social Care (Matt Hancock)
On Friday we confirmed the 40 hospitals we will build by 2030 as part of a package worth £3.7 billion, with a further eight new schemes also invited to bid, all to ensure that we protect the NHS long into the future.
Tonia Antoniazzi [V]
All I want from the Secretary of State today is a simple yes or no answer. It has come to light that the Northern Ireland authorities have taken unprecedented action and committed to pay for private prescriptions for medical cannabis for severely ill children. Will he do the right thing and follow the example set in Northern Ireland in supporting other children with intractable epilepsy by paying for their private prescriptions—yes or no?
Matt Hancock
The hon. Lady has long been a campaigner on this subject. We have made significant progress in terms of expanding access where it is clinically safe to do so. On this, as on so many things, I will make sure that I constantly follow the clinical evidence.
Jeremy Hunt (South West Surrey) (Con)
My right hon. Friend knows that for every person who tragically dies from coronavirus, at least one other person has long-term symptoms lasting more than three months, meaning that they have breathlessness and chronic fatigue and often cannot go back to work normally. In his letter to me of 14 September, he said that clinics were going to be set up so that they could get mental health support, face-to-face counselling and rehabilitation. Have those clinics been commissioned, and when will those long covid sufferers be able to access them throughout the country?
Matt Hancock
My right hon. Friend makes an incredibly important point. I know very well the impact of long covid; it is something that I understand deeply. We are in the process of setting up those clinics and there will be further information on this very shortly.
Jonathan Ashworth (Leicester South) (Lab/Co-op)
Given that the Office for National Statistics has said today that deaths have increased three weeks in a row, and given the rising prevalence of the virus, can the Secretary of State understand the upset and the anger over the Excel spreadsheet blunder? Can he tell us today what he could not tell us yesterday: how many of the 48,000 contacts—not the index cases, the contacts—have been traced and how many are now isolating?
Matt Hancock
We have obviously been continuing to contact both the index cases and the contacts. The total number of contacts depends on how many contacts each index case has. That information will of course be made available in the normal way when it has been completed. However, we cannot know in advance how many contacts there are because the interviews with the index cases have to be done first.
Jonathan Ashworth
So essentially thousands of people who have been exposed to the virus could be wandering around not knowing they have been exposed and infecting people, and the Secretary of State cannot even tell us if they have been traced.
Let me move on to something else. I listened carefully to what the Secretary of State said about a vaccine yesterday in light of the news that the Government are aiming to vaccinate about 30 million people—just under 50% of the population. There has been an expectation that the whole of the population would be vaccinated, not least because he said at the Downing Street press conference that he “would hope, given the scale of the crisis, we would have the vaccine and everyone would be given the vaccine.” Those are his words. We accept the clinical guidance. However, can he tell us how long it will take, for the 50% of people who will not be vaccinated, for life to return to normal for them?
Matt Hancock
As the hon. Gentleman well knows, decisions on the distribution of any vaccine have not been taken. The Joint Committee on Vaccination and Immunisation is the body that advises the Government on the appropriate clinical prioritisation of vaccines. It has published an interim guide, which he well knows about and we have discussed. That sets out the order of priority as an interim measure, but we await the data from the clinical trials of the vaccine before we will come to a clinically validated full roll-out plan. We are putting in place the logistical plans now, but on the decisions as to the clinical order of priority, we will take the evidence from the Joint Committee.
Mr Speaker
Can I just say to those on both Front Benches that these are meant to be short and punchy topical questions, not full debates?
Jo Gideon (Stoke-on-Trent Central) (Con)
Matt Hancock
Yes, I wholeheartedly agree with my hon. Friend, who speaks well for her constituent. I am very sorry that her constituent had that experience, and of course GPs should be sensitive, as the large majority are.
Colleen Fletcher (Coventry North East) (Lab)
Matt Hancock
I pay tribute to the group that the hon. Lady mentions. I have put a huge amount of effort into supporting social prescribing, including with funding, and I encourage her CCG to engage with such bodies to make sure that we can get funding to support them on the frontline.
Dr Caroline Johnson (Sleaford and North Hykeham) (Con)
Matt Hancock
The Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Bury St Edmunds (Jo Churchill) has committed to consult on the subject to make sure we get to the right outcome.
Kate Osamor (Edmonton) (Lab/Co-op) [V]
Matt Hancock
Of course I have met and continue to meet the families of those bereaved through coronavirus. With this particular group, I am afraid that when I last looked into it, they were in legal action—in pre-action protocol—with the Government, so I am advised that I should not therefore meet them.
Mr Simon Clarke (Middlesbrough South and East Cleveland) (Con)
Matt Hancock
The level of cases matters, but so too does the direction of travel, and when the number of cases is falling—especially if it is falling rapidly—that is the sort of indicator that we will look at. One example is the action we took in Leicester a few months ago now, where we removed some of the most restrictive measures when the numbers were coming down sharply.
Ian Lavery (Wansbeck) (Lab) [V]
Matt Hancock
I am very worried about the rates of transmission in the north-east, as I am about parts of the north-west of England. I look forward to working with the hon. Gentleman and colleagues from across the regions affected to take the action necessary to suppress this virus and to support the economy, education and the NHS right across this land.
Suzanne Webb (Stourbridge) (Con)
Matt Hancock
The covid-19 app has now been successfully downloaded by around 15 million people, including my hon. Friend’s father. Every extra person who downloads it helps to keep themselves safe and keep others safe. I urge everybody in this House to download it—I hope you have, Mr Speaker. It is one of the tools in the armoury, and everybody can play their part in keeping this virus under control by downloading the app.
Jamie Stone (Caithness, Sutherland and Easter Ross) (LD)
Matt Hancock
Yes, absolutely. The testing facilities are one example of that. Testing facilities across the UK work very closely with the Scottish NHS, to ensure that people can get a test as close to them as possible. I think we have reduced the problem of people being sent to Inverness, but we continue to work to increase the capacity in Inverness and right across the country.
Andrew Percy (Brigg and Goole) (Con)
Matt Hancock
We are making good progress in validating the tests and in doing what needs to be done to be able to use them effectively. I have seen some of these reports from around the world, and I talk regularly to my opposite numbers about how we can get this sort of next-generation testing going.
Jessica Morden (Newport East) (Lab)
Matt Hancock
I am a strong supporter of the work we have done to look at that approach. The hon. Lady is right to raise it, and I will write to her with a timetable for that response.
Mary Robinson (Cheadle) (Con) [V]
Matt Hancock
Yes, of course I would. I would underline some news announced by the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Bury St Edmunds (Jo Churchill), which is that the breast screening backlog from the first peak, which was 450,000, is now down to just over 50,000. I pay tribute to the NHS and all those involved in screening who have done so much work to bring that backlog down, and I am very happy to meet my hon. Friend to discuss this subject.
Patrick Grady (Glasgow North) (SNP)
Matt Hancock
A huge amount of work is under way to ensure that we are fully prepared for all eventualities this winter. It is an important piece of work across the Department.
Anne-Marie Trevelyan (Berwick-upon-Tweed) (Con)
Matt Hancock
We have ended where we started this questions session: with my delight at a new hospital that has been funded and announced by the Prime Minister on Friday—Newgate in Northumberland. That is a very important development. My right hon. Friend makes a wider point about the importance of community hospitals, which are local to where people live. With modern advances in technology, we can deliver more services closer to people’s homes and in people’s homes, and then in community hospitals, while of course needing to build those superb hubs of science and care that our great hospitals are.
Mr Speaker
In order to allow the safe exit of Members participating in this item of business and the safe arrival of those participating in the next, I am suspending the House for a few minutes.
Covid-19 Update
Matt Hancock Excerpts(4 years, 2 months ago)
Commons ChamberRead Full debate Read Hansard Text Read Debate Ministerial Extracts
The Secretary of State for Health and Social Care (Matt Hancock)
With permission, I would like to make a statement on coronavirus. The virus is spreading, both here and overseas. In the past week, over 450,000 people tested positive for coronavirus in Europe, almost double the number of cases a month ago. Here in the UK, the number of hospital admissions is now at its highest since mid-June. Last week, the Office for National Statistics said that while the rate of increase may be falling, the number of cases is still rising. Yesterday, there were 12,594 new positive cases. The rise is more localised than first time around, with cases rising particularly sharply in the north-east and the north-west of England, and in parts of Scotland, Wales and Northern Ireland. Now more than ever, with winter ahead, we must all remain vigilant and get the virus under control.
Let me turn to the operational issues on data publication, the future plans for medicine licensing and, of course, the announcement of 40 hospitals made by the Prime Minister on Friday night. I wish to take the first available opportunity to set out to the House the technical issue relating to case uploads that was discovered by Public Health England on Friday evening. It is an ongoing incident and I come to the House straight from an operational update from my officials.
On Friday night, Public Health England identified that over the previous eight days, 15,841 positive test results were not included in the reported daily cases. This was due to a failure in the automated transfer of files from the labs to PHE’s data systems. I reassure everyone that every single person who tested positive was told that result in the normal way and in the normal timeframe. They were told that they needed to self-isolate, which is now required by law. However, the positive test results were not reported in the public data and were not transferred to the contact tracing system.
I thank colleagues who have been working since late on Friday night and throughout the weekend to resolve this problem. I wish to set out the steps we have taken. First, contact tracing of the relevant cases began first thing on Saturday. We brought in 6,500 hours of extra contact tracing over the weekend. I can report to the House that, as of 9 am today, 51% of the cases have now been contacted a second time for contact tracing purposes. I reassure the House that outbreak control in care homes, schools and hospitals has not been directly affected because dealing with outbreaks in those settings does not primarily rely on this particular PHE system.
Secondly, the number of cases did not flow through to the dashboards that we use for both internal and external monitoring of the epidemic. Over the weekend, we updated the public dashboard, and this morning the Joint Biosecurity Centre presented to me its updated analysis of the epidemic based on the new figures. The chief medical officer’s analysis is that our assessment of the disease and its impact has not substantially changed as a result of the new data, and the JBC has confirmed that it has not impacted the basis on which decisions about local action were taken last week. Nevertheless, this is a serious issue that is been investigated fully. I thank Public Health England and NHS Test and Trace, which have been working together at speed to resolve this issue. I thank everyone for their hard work over the weekend. This incident should never have happened, but the team have acted swiftly to minimise its impact. It is now critical that we work together to put the situation right and make sure that it never happens again.
Another important area of our coronavirus battle plan is treatments. As the House knows, the only treatment known to work against coronavirus was discovered here in the UK. As we leave the EU, I want to use the opportunity to improve how quickly we get new drugs to patients, so the UK is joining Canada, the United States, Australia, Switzerland and Singapore in Project Orbis, which will allow international regulators to work together to review and approve the next generation of cancer treatments faster. It will mean that pharmaceutical companies can submit treatments to be reviewed by several countries at the same time, meaning that we can co-operate with the best medical regulators in the world and make approvals quicker so that we can get patients the fastest possible access to new drugs. It is an exciting development. We will join the scheme fully on 1 January, after the end of the transition period, because we will stop at nothing to bring faster access to life-saving treatments on the NHS.
We are investing in hospitals, too. Two weeks ago, I announced to the House that we are investing an extra £150 million in expanding capacity in urgent and emergency care so that hospitals have the space to continue to treat patients safely in the pandemic. I am delighted that on Friday my right hon. Friend the Prime Minister set out the 40 hospitals we will build by 2030, as part of a package worth £3.7 billion, with eight further new schemes, including mental health facilities, invited to bid for future funding and also to be built by 2030. This is the biggest hospital building programme in a generation, and the investment comes on top of an extra £33.9 billion a year that the Government will be providing to the NHS by 2023-24. We passed that into law right at the start of this Parliament, and the 40 new hospitals across England will support our mission to level up our NHS so that even more people have top-class healthcare services in their local area, and so that we can protect the NHS long into the future.
Finally, it is critical that our rules are clear at local level so that the public can be certain of what they need to do to suppress this virus, and I will update the House in due course on what action the Government are taking, so that we can have more consistent approaches to levels of local action, working with our colleagues in local government. For now, it is essential that people follow the guidance in their local area, and if they need to check the rules, they can check on their local authority website. History shows us that the battle against any pandemic is never quick and never easy. It requires making major sacrifices and difficult choices. I know that this has been a tough year for so many, but we are asking people to persevere as winter draws in, because the only safe path is to suppress the virus, protecting the economy, education and the NHS, until a vaccine can make us safe. I commend this statement to the House.
Jonathan Ashworth (Leicester South) (Lab/Co-op)
I thank the Secretary of State for giving me advance sight of his statement. In recent weeks, we have had people being told to travel hundreds of miles for a test; we have had hundreds of children out of school unable to get a test; we have had tracers sitting idle, watching Netflix; and we have had care home tests taking days to be processed. Yesterday, we had a Health Minister saying that this could be a moment of national pride like the Olympics, and we have had a Prime Minister in a complete muddle over the rules. Now, at one of the most crucial points in this pandemic, we learn that almost 16,000 positive cases went unreported for a week. That means that as many as 48,000 contacts have not been traced and are not isolating. Those thousands of people, blissfully unaware that they have been exposed to covid, are potentially spreading this deadly virus at a time when hospital admissions are increasing and we are in the second wave.
This is not just a shambles; it so much worse than that. It gives me no comfort to say it, but it is putting lives at risk, and the Secretary of State should apologise when he responds. No doubt he will complain about my tone, or say that he will not have any divisive talk, but people want answers. He has just said that over half the 16,000 people have been spoken to by tracers, and they have presumably handed over their contacts, but when will the other 49% be spoken to by contact tracers? How many of the contacts have now been traced and spoken to, and how many are isolating? Why did nobody notice this issue until Friday night? Why did it take until 9.30 on Sunday evening for this to become public? The Prime Minister was clearly aware of the problem, because he said on “The Andrew Marr Show” yesterday morning that there had been a
“failure in the counting system, which has now been rectified”.
Speed is of the essence when dealing with a pandemic, so when were local directors of public health informed? The Secretary of State says that this is an ongoing issue, so it has not been rectified, as the Prime Minister said on “Marr”. When will it be fully resolved?
Public Health England sources say that they report the data when they get the data from test and trace. Can the Secretary of State confirm that the data could not be handed over to PHE because of the size of the Excel spreadsheet files? Was this an issue at one particular Lighthouse lab, or across all the Lighthouse labs? Why are critical databases in a national pandemic being hosted on Excel spreadsheets? Why are they not using specialist database software? The right hon. Gentleman likes to boast of his background in software development, so did he sign off this system? Was he aware of it? The Department of Health and Social Care is responsible for the integrity of pillar 2 testing data. His Department is the data controller, so he is ultimately responsible for this mess. It is a mess made up of fragmented systems passing data back and forth between his Department, PHE and outsourcing companies such as Serco and Deloitte, and it is costing us £12 billion. Surely now is the time not to renew Serco’s contract and instead give responsibility and resources to NHS labs and local public health teams to deliver testing and tracing.
The Secretary of State says that the data does not impact decisions that have been made about local restrictions, but areas already under restrictions such as Bury, Hyndburn, Burnley, Manchester, Liverpool and Newcastle have seen increases as a result of this data. Will those areas and others under restrictions now be given extra help and resources to battle the virus? Infection rates in other parts of the country that are not under restrictions, such as Newark and Sherwood, are climbing higher with this new data, so should we expect more local restrictions this week?
The Secretary of State says that he is set to bring in a new three-tiered system to replace the confusing network that is in place. Will he update the House on what the new criteria will be for an area going into restriction and leaving restriction? So far, it has been a bit like “Hotel California”—you can check out, but you can never leave. Families deserve answers.
The Prime Minister told the House on 20 May that we would have a “world-beating” system in place by June. It is now October. The system is neither competent nor improving. Problems are getting worse. The Government are failing on the basics. When will they finally fix this mess?
Matt Hancock
I will start by answering a couple of factual questions. As I said in my statement, as of 9 am this morning, 51% of these cases have been contacted by the contact tracing system, and their contacts are contacted immediately after the initial contact—concurrently.
The hon. Gentleman asked about the tiering system. Absolutely, extra support will go to areas where there is an increased number of cases. He asked about the criteria in the proposed approach. Of course, we cannot have fixed and specific criteria, because it depends on the nature of the outbreak. For instance, if there was an outbreak in one individual employer, we would not necessarily put the whole local area into local action. We try to make the intervention as targeted and as localised as possible, but sometimes it needs to be broad, as it is in the north-west and across large parts of the north-east. For example, the intervention in the west midlands covers four of the seven council areas of the west midlands, but not the other three, because that follows the data.
The hon. Gentleman asked about the particular IT system in question. The problem emerged in a PHE legacy system. We had already decided in July to replace this system, and I commissioned a new data system to replace the legacy one. Contracts were awarded in August, and the work on the upgrade is already under way. While, of course, we have to solve the problem immediately, we also need to ensure that we upgrade this system, and we have already put in place the contracts to ensure that that happens. In the meantime, it is critical that we work together to fix these issues, which were identified by PHE staff working hard late on Friday night. I want to thank the PHE staff who did so much work to resolve this issue over the weekend.
In answer to the hon. Gentleman’s final question, we need to ensure that we contact trace all those cases as soon as possible. In two days, we managed to get to 51% of them, and that work is ongoing.
Jeremy Hunt (South West Surrey) (Con)
The Health Secretary deserves enormous credit for the expansion of testing capacity that he has personally championed, but is not the underlying problem that the Lighthouse laboratories have been, and will continue to be, overwhelmed by demand? Do we not need to think about the structures and, in particular, whether the responsibility for NHS staff testing and care home staff testing should be moved to hospital laboratories and universities, in the way that was advocated this morning by Sir David Nicholson, the former chief executive of the NHS? Sometimes it is tempting to think that, by dealing with the latest problem, we will solve the whole problem, but ahead of winter and the second wave, we need to think about whether these structures are right for what we have to deal with.
Matt Hancock
The expansion of the NHS testing is, of course, critical as well. The system in question, where the problem was over this weekend, brings together the data both from the NHS systems and from the so-called pillar 2 systems. The challenge was in a system that integrates the two, rather than just on one side or the other, but my right hon. Friend makes a broader point, which is that as we expand the NHS’s capacity as part of the overall expansion of testing, we have to ensure that we use that capacity to best effect. In many parts of the NHS, increasingly, it is NHS testing capacity that is used for NHS staff testing. That system works well, because the test is local and convenient, and we are looking to expand in exactly the sort of direction that he outlines. I urge colleagues away from trying to bifurcate between the two systems. Essentially, we have a whole series of different ways to access a test, and we need to make sure that people get the tests that are easiest to access for them as much as possible.
Dr Philippa Whitford (Central Ayrshire) (SNP) [V]
The delay in entering almost 16,000 covid cases into Government databases has resulted in last week’s case numbers being totally inaccurate. The Secretary of State says that the updated statistics would not have led to additional measures, but are there any new areas of heightened concern? PHE has blamed the problem on test result files being too big to load on to its central system. Was that, as has been suggested, due to the transfer of data between formats? If the underlying issue was due to the rapidly rising number of positive cases, why was that not anticipated or identified sooner? Can he be sure that something like this cannot happen again?
Just as importantly, this means that none of those cases was registered with the tracing system. While, as the Secretary of State says, people with a positive test got their result and, we hope, self-isolated, they did not get direct advice and they did not give the details of their contacts. From the Government’s data, people with covid report an average of three to four contacts each, so that would represent 50,000 to 60,000 contacts who were not identified and asked to isolate and therefore will have continued to spread the virus. While up to 10 days have lapsed and the opportunity to prevent onward spread may have been missed, the Secretary of State mentions that 51% of cases have been contacted, but on what timescale does he hope to reach all the contacts of those cases? Given that only about 60% of community contacts in England are currently reached, will he involve local authority public health teams in what is now a massive contact-tracing operation?
Matt Hancock
On the core of the hon. Lady’s point, the assessment of the epidemic on the basis of the updated data is core to our approach to tackling the epidemic. The chief medical officer has analysed the new data, which we have now published—on coronavirus.data.gov.uk we can see the data, and that is on the corrected basis. Based on Joint Biosecurity Centre analysis, the CMO’s advice is that the assessment of the disease and its impact have not substantially changed. That is because the just under 16,000 cases were essentially evenly spread, so it has not changed the shape of the epidemic. It has changed the level, in terms of where we are finding the epidemic and in what sorts of groups.
The hon. Lady asks how many contacts have been contacted, as opposed to how many of the primary index cases. As I said, that is happening concurrently, so as soon as the index case has been contacted by Test and Trace and interviewed, the contacts are immediately contacted. As I said, we have got through 51% of the backlog over the weekend, and we have brought in more resources to complete that task.
Greg Clark (Tunbridge Wells) (Con)
My right hon. Friend and everyone in the House hopes that there will be a safe and effective vaccine available during the months ahead, but the head of the vaccines taskforce has said that she expects it to be available to only half of the population, concentrating on the over-50s and the most vulnerable. Is that the Secretary of State’s understanding? What are the implications for the other half of the population?
Matt Hancock
This is a very important question. The vaccines taskforce has done incredibly important work in supporting the scientific development and manufacture of vaccines and in procuring vaccines—six different types of vaccine—from around the world. The work of deploying a vaccine is for my Department, working with the NHS and the armed forces, who are helping enormously with the logistical challenge, and we will take clinical advice on the deployment of the vaccine from the Joint Committee on Vaccination and Immunisation. My right hon. Friend the Chair of the Science and Technology Committee will know that 10 days ago the JCVI published a draft prioritisation, and it will update that as more data becomes clear from the vaccine. That is the Government’s approach: to take clinical advice from the JCVI.
Jeff Smith (Manchester, Withington) (Lab)
The Secretary of State will know that south Manchester now has some of the highest infection rates in the country, but the figures are skewed by the very high rate among 17 to 21-year-olds. Many of those appear to be students who are confined to halls of residence, so the spread of the virus ought to be contained. May I therefore ask for an assurance from the Secretary of State that we will not have any extra local lockdown restrictions in Manchester as a result of figures that give a misleading picture of the extent of the virus in the wider community?
Matt Hancock
Yes. The hon. Member makes a really important point. This is why I resist the temptation to set a simplistic threshold above which a certain level of action is taken. That is because there might be an incident—I mentioned that there might be such an incident in a workplace, for instance; there might also be one in a halls of residence—where we get a very high number of cases, but if it is confined and not in the wider community we would not want to take action to restrict the social activity of the wider community. That has to be taken into account, along with the data on the number of cases and the positivity, because the number of tests that you put in affects that as well. We take all these things into account in asking both when an area needs to have more restrictions applied and when we can take an area out of restrictions, which of course is so important for everybody living there.
Sir Bernard Jenkin (Harwich and North Essex) (Con)
Nobody can possibly doubt my right hon. Friend’s utter commitment to doing his very best in these circumstances, or indeed the good will and hard work of his officials, but this is another incident that further undermines public confidence in the delivery of the Government’s covid response, and it is another example of where logistics and planning have let us down. Why cannot the Government learn from previous successes with the Nightingale hospitals and personal protective equipment? The military were brought in much more overtly to deal with the logistics, planning and delivery of those programmes, and they should be on test and trace as well.
Matt Hancock
Of course they are involved, but this specific issue was in a PHE legacy computer system that we had already identified needed replacing; I had already commissioned the replacement of it and that replacement is currently being built. We knew that this was a system that needed replacing. That work is under way, at the same time as the remedial action to sort the problem more immediately.
Stella Creasy (Walthamstow) (Lab/Co-op) [V]
We have lost a vital week in the fight against the spread of this virus in our country because of a problem with spreadsheets that the Health Secretary tells us was known about in July. We are paying £12 billion to these private companies to run this service, yet the Health Secretary has told us there are no penalties to them for poor performance. Who is going to get our money back, and who is going to take responsibility? Can the Health Secretary tell us: where on earth does the buck stop?
Matt Hancock
Of course, I have come to this House to be clear and transparent to it and to the nation as to the nature of this particular problem. It is wrong constantly to be picking on a small number of the many, many cogs in the wheel of this system, which was a Public Health England legacy system—although that does not quite fit the hon. Lady’s narrative, it is the fact of the matter. I like her, and she and I have worked together in the past, including on issues such as this. She is normally incredibly reasonable and sensible, and I would be happy to ensure that she gets a full briefing on this one and to answer any further questions she has.
Miriam Cates (Penistone and Stocksbridge) (Con)
I thank my right hon. Friend, his Department and the many thousands of people who have worked so hard throughout the pandemic to make sure that our NHS has not been overwhelmed, but an inevitable consequence of this is that a large number of elective operations have been delayed, including joint replacement surgery, which means that many people, including some of my constituents, are living in severe pain while waiting for procedures. Will he set out the NHS’s plan to make sure that people get this life-changing surgery as quickly as possible? Could some of the welcome additional resource that has been announced be used for post-op rehabilitation?
Matt Hancock
The short answer is yes. My hon. Friend makes an important case. The restart of elective operations in the NHS is now proceeding apace. Of course, the more we can keep the virus under control, the easier that restart is. In any case, the NHS has done a huge amount of work over the summer to try to separate, as much as is possible, the NHS into “covid green” areas, where we have a high degree of confidence that there is no coronavirus, and “covid blue” areas, where there may be, so that people can get the long-term elective work done that is needed. That will include an expansion of rehabilitation. She might have seen that one of the 40 hospitals on the list that the Prime Minister announced was the DNRC—the Defence and National Rehabilitation Centre— which is to be built just outside Loughborough.
Andrew Gwynne (Denton and Reddish) (Lab) [V]
The majority of Greater Manchester has been under local restrictions for more than two months, yet we now have some of the highest rates in England. The test and trace debacle once again shows that the national system is broken and that the Secretary of State’s measures are not working. He knows that the Greater Manchester authorities are keen to adopt a more localised approach, so if the newspaper reports are right that we are going to get a new tiered system, is this not the right time for the Government to give local areas control over test and trace systems, supported by extra financial resources?
Matt Hancock
I half agree with the hon. Gentleman; it is important that we put more testing resources into the areas where case levels are high, and it is very important that we continue to strengthen the local engagement with the national system—I was talking to the Mayor of Greater Manchester about this only this morning. The challenge is that we also need the scale of the national system, so that where there is an outbreak we can bring huge amounts of resources to bear and make sure that we can really target the support, for instance, for contact tracing. So it is the combination of the local and the national that will get us through this.
Dr James Davies (Vale of Clwyd) (Con)
Since last Thursday and the Welsh Government’s local lockdown measures, half a million people in north Wales have not been allowed to cross often meaningless county council boundaries without a good reason to do so. That is causing huge disruption to livelihoods and wellbeing, so will my right hon. Friend outline his understanding of the scientific evidence for restrictions on travel such as this?
Matt Hancock
My hon. Friend raises a very important question, which I know is exercising people who live in north Wales and on the border. I am not going to criticise the Welsh Government, with whom we work closely, but what I will say is that, in England, when we choose to bring in measures restricting travel, we do it with strong guidance at the moment rather than within the law. That is partly because there are all sorts of reasons why people might need to undertake a journey, so even where we advise people to minimise unnecessary travel, we do so with guidance and, in large part, people follow it.
Patrick Grady (Glasgow North) (SNP)
The First Minister said on Friday that work was under way to improve the interoperability of the two test and trace apps. As they do not both work at the same time, as I experienced for myself, I wonder whether the Secretary of State can say a little bit more about how discussions between the Scottish and UK Governments are progressing and whether there is some sort of timescale for allowing the two apps to work together.
Matt Hancock
I am delighted to have the chance to agree wholeheartedly with the First Minister of Scotland. We have been working closely together to ensure that the apps work together and interoperate in different parts of the United Kingdom. That upgrade is expected in the coming weeks. The two Governments are working very hard and very constructively on it.
Mr Andrew Mitchell (Sutton Coldfield) (Con)
May I thank my right hon. Friend for the way that he has worked so closely with us in the west midlands? He knows that, first and foremost, I am in favour of community solidarity and good sense, rather than legal diktat and Government fiat. Will he commend those universities that have already introduced student responsibility agreements as a way of furthering all of that? Will he bear in mind later on this week that our highly effective Mayor in the west midlands Andy Street, the Labour leader of Birmingham City Council and I are all of one mind, together with Justin Varney, the excellent head of public health in Birmingham, that the current level of infection rates mean that there should be no further changes there this week?
Matt Hancock
I concur with my right hon. Friend on the importance of personal responsibility. We all have a responsibility in this. I have not heard of responsibility agreements with students, but that is a very sensible approach. I spoke to Andy Street this morning, and he made clear to me the need for national and local government to work together. That is working very effectively across the west midlands and across party lines, exactly as my right hon. Friend says. We must continue to do that as we monitor the developments and the data and do all we can to keep this virus under control.
Munira Wilson (Twickenham) (LD)
Some local authorities are reporting that up to 500 unexpected positive cases have been downloaded to their system. Some are two weeks old and have had no contact at all from the national system. Directors of public health are angry and frustrated about the lack of joined-up working and the fact that the national system continues to break, despite the promises of both the Secretary of State and Baroness Harding to go for a more locally led approach. When will he start to work better with local authorities and have a more joined-up approach, harnessing their expertise?
Matt Hancock
That is exactly what we are doing—absolutely. For instance, this morning I also spoke to Sadiq Khan, the Mayor of London, about how we continue to strengthen the join-up between the national and local approaches. I entirely agree with the hon. Lady that that is incredibly important.
Dr Luke Evans (Bosworth) (Con)
Until we get a vaccine, the House knows that it is about following the rules of hands, face, space and get a test, but my right hon. Friend will also know that there are different types of test out there. Can he comment on the plans for future testing and on what updates there might be? We have heard talk of saliva testing, finger-prick testing or, possibly, that we may be able to allow individuals to deal with covid themselves.
Matt Hancock
We are doing a huge amount of work to trial these next-generation tests at the same time as expanding the current testing capability. For instance, if we have to have a test, would it not be easier if we just needed some of our saliva rather than to having to put the swab all the way up our nose and down the back of our throat? These sorts of improvements in technology are in the pipeline and we are working incredibly hard to bring them to bear as soon as possible.
Liz Twist (Blaydon) (Lab)
The local authorities in the north-east have put forward a proposal to be able to provide a test and trace service regionally. After this latest fiasco, will the Secretary of State now agree to pick up that offer of local testing and tracing and fund the local authorities in the north-east to provide this?
Matt Hancock
Yes. We put an extra £10 million into the local authorities in the north-east to support contact tracing and we are also stitching together the data feeds between the national system and each of the individual local authorities in the north-east. We will keep working hard on that project. I will keep listening to the needs of the local authorities in the north-east and across the rest of the country.
Neil O’Brien (Harborough) (Con)
It is good that we are now testing more than other countries and good that we have a quarter more testing capacity than we had in August, and we are very grateful to the staff of the mobile testing centres that we now have in Oadby and Wigston, but what is my right hon. Friend doing to further drive up testing capacity so that we can stay ahead of this?
Matt Hancock
That is the subject of a huge amount of Government effort, working with the NHS and with the private sector on both the current technology and the new technology. I will just make a point about Oadby and Wigston in my hon. Friend’s constituency. People say, “Where is a local lockdown having an effect?” Well, the answer is in Oadby and Wigston, where the case rate has come down because the good people of Oadby and Wigston have followed the locally applied rules and that has brought the virus back under control. I am very grateful to my hon. Friend for the leadership that he has shown there, along with the leaders of the county council and of the district council, who have worked really hard together to make this happen.
Ms Karen Buck (Westminster North) (Lab)
Despite all the billions that have been spent on testing, we learned at the end of last week that the testing hours in London fell by 43% on the week before. There is also a staggering variation in capacity. My own borough, Westminster, has one of the lowest testing rates in London. Given that the limited capacity means that testing is being directed to those with the highest rates of infection, is there not a very real risk that this will mean that we do not know what is going on accurately across the country because areas that are not getting enough testing are not showing transmission, and therefore we cannot make good decisions? When will we have the testing capacity to allow us to make the right decisions for our people and our economy?
Matt Hancock
The hon. Lady makes a really important case. First, as she implies, we obviously have to put the testing capacity into the areas with the biggest outbreaks to tackle those outbreaks. I think everybody understands that. At the same time, we have to increase testing capacity, and we are doing that. But thirdly, if an area has lower testing than another area, we have to make sure that we take that into account when we look at how serious the problem is. We do that in two ways. The first is the positivity rate—what proportion of tests come through positive—and the second is the survey data, particularly the Office for National Statistics survey, which shows that rates in London are higher than in some parts of the rest of the country, such as the south-west, the south-east and East Anglia, but not as high as in the midlands and the north of England, or indeed in Scotland, Wales and Northern Ireland. We have to look at the surveys and the positivity, as well as the basic case rate.
Alun Cairns (Vale of Glamorgan) (Con)
I recognise my right hon. Friend’s focus, attention and efforts in responding to the ever-changing covid situation. Does he recognise that there are currently myriad different forms of restrictions across different parts of the country and that can become confusing? What consideration has he given to simplifying the approach to the restrictions? In doing so, would he ensure that any simplification applies to every part of the UK?
Matt Hancock
The short answer is yes. The proposals that we are working through and that I will bring to this House are to have a more simplified approach to the local action that we took. We have shared that approach with the devolved Administrations. Indeed, I have discussed it with Vaughan Gething, my opposite number in Wales. It is the sort of approach that would simplify matters further were it undertaken across the UK, but that is a decision for the Welsh Government in Wales, and for the other devolved Administrations, because public health decisions are devolved. I urge the Welsh Government to continue working with us. I urge my right hon. Friend, who is a very strong voice in Wales, to try to persuade the Welsh Government to take that sort of approach across the whole of the Principality.
Jonathan Edwards (Carmarthen East and Dinefwr) (Ind)
Diolch, Mr Deputy Speaker. Increasing evidence indicates that so-called long covid is impacting around 10% of those contracting the virus. What assessments have been undertaken of the potential long-term social and economic impacts of long covid, as well as of the lasting pressures on health and care systems?
Matt Hancock
Mr Deputy Speaker, we have had three voices of Wales in a row, including yours, Sir. I could not agree more with the hon. Gentleman from Plaid Cymru. The impact of long covid can be very debilitating for many months, and some people who caught covid in the initial peak still suffer from long-covid symptoms. We have instituted more research, and we have started—in England at least—a long covid service in the NHS. Just today, the National Institute for Health and Care Excellence has published an approach to assessing long covid, which I would recommend to the hon. Gentleman. That approach will clearly need continued effort so that we can make sure that people who suffer from long covid get the support they need.
Cat Smith (Lancaster and Fleetwood) (Lab)
On Friday, I and my constituents learned via local media and press reports that there are Government plans to close the hospitals in Lancaster and Preston, with plans to replace them with a super-hospital, which would have obvious implications for other Lancashire hospitals, such as Chorley and Blackpool Victoria. Closing two hospitals in Lancashire to build one super-hospital does not make it easier for my constituents or the people of Lancashire to access vital medical care. Does the Secretary of State believe, as I do, that the next time we hear a Minister talk about building 40 new hospitals, it should come with a health warning that that also means closing 80 hospitals?
Mr Deputy Speaker
Order. Before I invite the Secretary of State to answer that—I will give some flexibility—please make sure that your questions relate to the statement that has just been given.
Matt Hancock
As well as responding to coronavirus, we need to ensure that we invest in the physical infrastructure of the NHS. I would just correct the hon. Lady, because the proposal in her part of the world is to consult on whether one or two hospitals is the right approach and the right thing for her part of the world. I encourage her to welcome the massive investment in the NHS in Lancashire, and across the country, which will improve care right across this land.
Felicity Buchan (Kensington) (Con)
I thank my right hon. Friend for the huge investment in west London hospitals announced on Friday. With regards to coronavirus, should we not focus as much, if not more, on the hospitalisation rate, as opposed to the incidence rate? Often, people do not have symptoms, or have very mild symptoms, and, certainly in London, the hospitalisation rate is a fraction of what it was in April.
Matt Hancock
Of course, the hospitalisation rate is an important factor that we look at, and it is a concern. Unfortunately, the latest hospitalisation rate has risen to 422, which is the highest since the middle of June. Hospitalisations tend to lag behind the number of cases, because people catch the disease and some, sadly, are later hospitalised. We therefore keep a close eye on the hospitalisation rate, and the bad news is that it is, sadly, going up.
Bill Esterson (Sefton Central) (Lab) [V]
The six councils in the Liverpool city region face a budget shortfall of £150 million. On Thursday, the Health Secretary announced £7 million to be split between the Liverpool city region and three further councils—a drop in the ocean compared with £150 million. He knows that local professionals have solutions to the problems of test, trace and isolate. He has shown that there are not just millions but billions of pounds available for Serco, Deloitte, Compass and friends. So when will he invest in local public health teams and sort out the mess of test, trace and isolate once and for all?
Matt Hancock
As I have said, we have been putting the extra money into local councils, as well as using, frankly, all the tools at our disposal, public or private sector—whether people are in the NHS, PHE, a local council or a firm that can bring a capability to bear on this problem. It is one big team effort.
Mr Tobias Ellwood (Bournemouth East) (Con)
Talking of tools at my hon. Friend’s disposal, Bournemouth University stands ready to help with lab testing. However, it is covid testing in schools that I would like to address. Today the rules state that the entire year group must stay out of school for 14 days if one of the pupils in it tests positive. That causes huge disruption not only to learning, but to working parents, who have to provide childcare. With better testing systems now in place, please can we review this 14-day rule that sends entire year groups home, so that we can keep children both safe and in school?
Matt Hancock
I would love to be able to review that, but only when it is clinically safe to do so. However, I would just point out to both my right hon. Friend and also to all those in education who are following this, including in schools across Bournemouth, that schools do not necessarily have to send the whole year group home; they have to send the bubble home. By ensuring that the way in which they operate keeps people safe, schools can ensure that bubbles are smaller than the whole year group. Many schools do that. The first immediate port of call would be to try to get the bubble smaller within a school, and then we should of course work together on other ways to solve the problem.
Robbie Moore (Keighley) (Con)
I do not underestimate the scale of the challenge in ensuring that we have enough tests for everyone who needs them, and it is incredibly encouraging that testing capacity has increased by 25% since the middle of August. Can my right hon. Friend assure me that he continues to work to get testing capacity up even further, so that venues such as Victoria Hall in Keighley can meet demand?
Matt Hancock
Yes, that is absolutely right. Testing capacity now stands at over 300,000. We are on track to reach 500,000 by the end of this month. I know what a goal to expand testing capacity feels like. This is a tough and difficult challenge, but the team are rising to it. My hon. Friend has made the case for Keighley so strongly during this pandemic, and he continues to do so in terms of the extra testing capacity needed there now.
Alison McGovern (Wirral South) (Lab)
However basic this data error might have been, the consequences are very serious. However, I say to those civil servants working night and day to get this right: the responsibility for this is not on you; it is on those who guarantee the checks to the system. As the Secretary of State has indicated, that is him. With that in mind, can he avail himself of any data process flow charts or other diagrams relating to the processing of this data, and all data quality assurance policies and processes, and put those in the public domain? Yes or no?
Matt Hancock
I am very happy to work with the team to see what we can put in the public domain. However, the challenge of a maximum file size error is that it would not necessarily have appeared on that sort of flow chart and, given the massive expansion of the availability of data storage over recent years, would not, I expect, be a feature of the system that is already in train to replace the one that caused the problem this weekend. However, I wholeheartedly agree with what the hon. Lady has said about the civil servants in the Department and the staff at PHE, who are working so hard during this pandemic.
Bill Wiggin (North Herefordshire) (Con)
My right hon. Friend gave an excellent answer to our right hon. Friend the Member for Tunbridge Wells (Greg Clark). The JCVI report is indeed most helpful and reassuring because it prioritises the vulnerable, the elderly and, of course, our health workers. However, it last met on 1 September, and the report is dated 23 September. Can my right hon. Friend confirm that if there is more information on the progress of the vaccine, that committee will meet again and we will get another excellent report?
Matt Hancock
Yes, absolutely. People are asking questions about how the vaccine will be rolled out and of course I understand why people are so interested in that. We will of course protect the most vulnerable first and we will do that on the basis of clinical advice. The JCVI brings together the best clinicians in this area and it meets very regularly. Decisions of the JCVI will not be on the critical path to the roll-out of the vaccine—I have been assured of that.
Debbie Abrahams (Oldham East and Saddleworth) (Lab) [V]
One of my 15-year-old constituents had a covid test over a week ago, and in spite of chasing, is still none the wiser as to whether she has covid or not. Not only is she having to self-isolate, but her mum, a nurse, is having to take the precaution of self-isolating, something she says her ward can ill afford. On top of that, last month, the time taken to get test results back from the national Test and Trace programme to Oldham’s public health team, to enable them to trace the cases that the national programme is failing to get in touch with, was 12 days—12 days, not 24 hours. Will the Health Secretary please tell my constituent how many of the 16,000 or so lost test results were from Oldham, and how many contacts—not cases— have not yet been traced?
Matt Hancock
The good news is that the turnaround time of test results has been coming down. I would love to take up the case of the individual who has not had a result back, as the hon. Lady has described, because that is rare: the majority of cases now come back the next day. I will specifically look into turnaround times in Oldham, because an average of 12 days seems a lot longer than I expected, and I will make sure to get back to the hon. Lady at the appropriate opportunity.
Holly Mumby-Croft (Scunthorpe) (Con)
From speaking to local people, it has become clear that there are still concerns about routine appointments—GP appointments and, increasingly, routine dental care—which are obviously important for preventing problems down the line. Can my right hon. Friend tell me what plans he has to ensure that over these potentially bumpy next few months, people are still able to get those appointments?
Matt Hancock
For all my huge enthusiasm for technology, it is obviously critical for people to have a face-to-face appointment in primary care at their GP’s surgery, if one is needed. We have made it clear that every GP practice should offer those face-to-face appointments in a covid-secure way where they are needed. The vast majority of GPs are doing incredible work, and offering the public the service and the vocation that they went into medicine for. If my hon. Friend has specific examples, I will be happy to look into them, but overall, it is so important that we keep primary care running.
Mr Barry Sheerman (Huddersfield) (Lab/Co-op) [V]
Mr Deputy Speaker, my former student—thank you. I say to the Secretary of State that we are talking about human beings working systems, and I warn him that there will be more glitches. Technology means glitches, so I am worried about him, because we have a long, hard winter ahead. Does he agree with me that what we are doing in Huddersfield, in Kirklees—working together as a council, a local university and a local health trust, putting party political issues to one side—is what we must do this winter? We have to beat this virus, and we have to work together in order to do that.
Aaron Bell (Newcastle-under-Lyme) (Con)
First, I welcome the new centre at Keele University campus in my constituency, which opened last Friday, and I thank my right hon. Friend’s Department for that. Secondly, he may be aware of the article in The Times on Saturday that suggested people were having difficulty accessing tests at the centre in Newcastle-under-Lyme itself, which had been walk-up in August but now requires booking. The article suggests that there is plenty of capacity at the centre, but not yet enough at the labs, so could he confirm that this Government are still committed to half a million tests a day by the end of this month?
Matt Hancock
We are committed and on track to the delivery of half a million tests by the end of this month. We have capacity at over 300,000 now. I saw the article in The Times. Of course, one of the good things is that in Newcastle-under-Lyme, the case rate had come right down. We had a walk-in centre because it was an outbreak area, and it stopped being an outbreak area because everybody in Newcastle-under-Lyme did their bit and brought the case rate down. That is a good thing, of course, but it does mean that we have to make sure that the testing is targeted at where it is most needed across the country. What I really want to do is have that extra capacity that we are building so everybody everywhere can get it.
Barbara Keeley (Worsley and Eccles South) (Lab) [V]
In Salford, the case numbers have now risen above 250 per 100,000. As well as this case uploads programme issue today, our local contact tracing programme is having to wait on average four days for data from the national system, and in the worst cases seven to nine days. That is creating unacceptable delay to contact tracing. In August, Baroness Harding said that we would have a contact tracing system that was “local by default”, so what is the Secretary of State doing to make sure that data gets to local authorities in a timely way so that it can be followed up by genuinely local contact tracing systems under the control of our local directors of public health?
Matt Hancock
This is the goal, as the hon. Member sets out, and reducing the times for those transfers is very important, and making sure that the transfers happen effectively and in an automated and cohesive way is very important. But the approach that she sets out of using the national system to do the first attempts at contacting people—to contact those whom it is easy to contact—and then use the local system to contact those where it is more difficult, and where boots on the ground can help, is the approach that we are taking to make sure that we can get that join-up as effectively as possible.
Jane Stevenson (Wolverhampton North East) (Con)
I would like to thank the Secretary of State for working so constructively with Wolverhampton City Council when it requested some limited local restrictions around households visiting other households in their own homes. As we move forward to get the virus down, can we give further advice on how we all can limit transmissions within home settings, especially where we have a vulnerable family member?
Matt Hancock
It is so important that people follow this guidance, and of course the first principle for everybody needs to be “Hands, face, space” and keeping a distance, if possible, within households if somebody tests positive. The other thing not to underestimate is the importance of cleaning, because this virus passes on through the air, but it also passes on on surfaces, and we should all—all—be aware of that.
Dan Jarvis (Barnsley Central) (Lab) [V]
It was good to see the Secretary of State earlier today, and I very much hope that he will keep talking to local and regional leaders. As the Secretary of State well knows, the winter months are always the toughest for patients and for staff. This one could prove to be the most challenging that our NHS has ever faced. So can I ask the Secretary of State to guarantee that the NHS will have the funding resources needed to get it through this winter?
Matt Hancock
I welcome the very constructive approach that the hon. Gentleman takes in his local role as well as in this House. Of course, we have put in the extra funding that the NHS needs this winter. We are expanding over 140 emergency departments, because emergency departments need more space so there can be social distancing. We have also put in funding so that we can continue the work on electives, even though it is more difficult, and on infection control—and, of course, as much discussed, on testing. I look forward very much to working with him further as we try to control this virus.
Andrew Selous (South West Bedfordshire) (Con)
Can the Secretary of State confirm that the rule of six and curfew are based on the evidence of what worked in Belgium, and will he continue to provide the whole country with the evidence of what has worked internationally so we can take the whole country with us to defeat the pandemic?
Matt Hancock
Yes, my hon. Friend makes a very important point, which is that we have got to learn from things that have worked in other countries. We are constantly looking around the world as well as at the domestic science. I am very happy to work with him to see what further we can publish in terms of the assessments that are made and then presented to us as Ministers to make decisions on that constitute that scientific advice.
Mrs Emma Lewell-Buck (South Shields) (Lab)
It is clear that local lockdown areas should have control of test and trace; yet at the weekend the Prime Minister was adamant that it was not failures with his “world-beating” system that have had an impact on our local increases, but that my constituents are just undisciplined in following his confusing and incoherent messaging. Does the Secretary of State share the Prime Minister’s insulting view?
Matt Hancock
It is incredibly important that all of us, as leaders in our local area, reiterate the public health advice that people should follow the rules, which are put in place for a reason. Nobody wants to have these rules in place, but they are important to keep us all safe.
Selaine Saxby (North Devon) (Con)
I recognise the scale of the challenge in increasing testing capacity. In Devon, it has increased by over 40% since the start of September. Can my right hon. Friend assure me that work continues to rapidly get that capacity up even further, so that constituents in my North Devon constituency are able to get tested?
Richard Thomson (Gordon) (SNP)
In the Secretary of State’s statement, he said that 51% of the cases have now been contacted a second time for contact tracing purposes. Can he clarify how many people are still waiting to be contacted for the first time, and how can he say with any confidence that the notification process for those individuals has not been delayed?
Tim Farron (Westmorland and Lonsdale) (LD)
In the Secretary of State’s statement, he spoke with pride about the Prime Minister’s announcement on Friday of the additional capital programme for hospitals. In Cumbria, we met that announcement with some dismay. As the hon. Member for Lancaster and Fleetwood (Cat Smith) said, there is a proposal to close the Preston and Lancaster hospitals and merge them into a single hospital somewhere in between. Does the Secretary of State realise that that will mean even longer journeys for acute care for people from the South Lakes? Will he have a word with the Prime Minister, and drop that dangerous proposal from the consultation, so that people in south Cumbria do not have to make dangerous journeys for emergency care?
Mr Deputy Speaker (Mr Nigel Evans)
Order. That was only touched on briefly in the statement, which was a covid update. It would have been really nice if the hon. Member could have asked his question in relation to the covid update, which is what the statement was mainly about.
Matt Hancock
Thank you, Mr Deputy Speaker. As part of the coronavirus response across Lancashire and Cumbria, we want to ensure that the NHS is prepared for the long term, so we are putting a huge investment into Lancashire and the new hospitals in Lancashire. The hon. Gentleman almost mentioned that there is a consultation on whether to have two replacements or one. I entirely understand that he takes a position within that consultation, but it is worth explaining that there is a consultation on whether to replace them with two hospitals or one. There will rightly be full public engagement, with his constituents, those of the hon. Member for Lancaster and Fleetwood (Cat Smith), and potentially yours, Mr Deputy Speaker, on which is the right approach. However, this is a massive investment in the local NHS that everybody should welcome.
Mr Peter Bone (Wellingborough) (Con) [V]
I thank the Secretary of State for coming to the House yet again to update the House on covid matters and health matters. He is right, of course, to concentrate on covid, but we also have to worry about people who do not have covid diseases and need treatment. In north Northamptonshire, it is welcome that a Boris hospital will be built just off the A14, which will be state of the art and will replace the town centre one of Kettering. Will the Secretary of State tell me when it will be built, and when it will be finished?
Matt Hancock
As part of the coronavirus response, we must ensure that we keep our physical NHS up to date, and we will build the new hospital in Kettering. We will complete it before 2030 at the latest, and I very much hope a long time before then. I want to say how much my hon. Friend has done to work towards delivering it, along with my hon. Friends the Members for Kettering (Mr Hollobone) and for Corby (Tom Pursglove) nearby. It has been a team effort, and I was thrilled to be able to let them know that this is happening, and it will happen before the decade is out.
Mr Deputy Speaker (Mr Nigel Evans)
There will be lots of opportunities to question the Secretary of State about the new hospitals at a more appropriate time.
Richard Burgon (Leeds East) (Lab) [V]
In the past 14 days, New Zealand has had 35 coronavirus cases, China, Hong Kong and Macau 260, Vietnam 28, Thailand 84 and Australia 238. The UK has had 108,000 cases. Our coronavirus strategy is failing. Others show we can fix this and get the test and trace system our people need. So will the Secretary of State do what is needed: kick out Serco, sack Dido Harding, and put the billions of pounds wasted on private companies that are failing into our NHS, which will do the job properly?
Kate Griffiths (Burton) (Con) [V]
Does my right hon. Friend agree that hospitals such as Queen’s Hospital in Burton should be doing everything they can to reintroduce access for birth partners of pregnant women during all stages of labour, and that this should be treated as a priority?
Matt Hancock
Yes, I do. Coronavirus brings many challenges, and making sure that we have good infection control not just during childbirth, but during the meetings that are often so critical during pregnancy, is very important. We changed the guidelines a couple of weeks ago, and I know that everybody across the NHS is working their hardest to get the best outcome, and I hope we get there soon.
Neil Coyle (Bermondsey and Old Southwark) (Lab)
It is nine months since the World Health Organisation first warned of the risks covid posed. My constituents in Southwark deserve to know that the Government are trying to keep them safe and that they can get tested or traced if needed; why no other Government in the world have experienced such problems with Excel spreadsheets, and why the Secretary of State will not take responsibility for this latest world-beating incompetence.
Matt Hancock
Funnily enough, when I speak to my colleagues from across the world we find we often have many of the same challenges, including the need to get the testing capacity up, and the hon. Gentleman may not believe me, but occasionally they ask me what we have done to extend testing capacity quite as much as we have. I am very happy to explain that to both him and his constituents and to the rest of the House.
Jacob Young (Redcar) (Con)
Can my right hon. Friend confirm that his statement today does not impact on the decision to keep Redcar and Cleveland, Stockton, and Darlington out of local lockdown restrictions, and does he also see that more testing surely means more positive tests, so should we now be looking at the numbers of people admitted to hospital instead of covid case numbers before considering further lockdown restrictions in local authority areas?
Matt Hancock
My hon. Friend makes an important point. First, as the chief medical officer has confirmed, this issue does not affect the decisions taken last week, but of course we look at all those decisions each week, and, as my hon. Friend knows, we take as localised an approach as possible, so that rather than bringing in measures for the whole of Teesside, we brought in measures for Middlesbrough and Hartlepool, where the local councils had called for them—whether or not they mentioned that afterwards. We should keep working together and making sure we look at the data—the hospitalisation figures of course, as well as the test positivity, and of course the number of cases. Hospitalisation data is important, but it follows with a lag, so we have to look at the early indicators as well.
Rosie Cooper (West Lancashire) (Lab) [V]
Constituents in West Lancashire are worried: constituents of mine were told they tested positive on Friday and they still have not been contacted by Track and Trace or the restaurant they work in. They worry that this is increasing the danger of the spread of covid. They are also worried that the stockpile of drugs held in the event of a no-deal Brexit may be being reduced because of this pandemic. Can the Secretary of State update us on both those points?
Matt Hancock
On the first point, for all those who test positive, receiving that result brings a duty under law to self-isolate. That is the primary way we keep people safe and that has worked. As I said in my statement, as of 9 o’clock this morning 51% of those had been contacted for contact tracing purposes. I very much hope the constituent the hon. Lady mentions will be contacted very soon, if not already. On the final question she asks, of course we have been replenishing the stockpiles of drugs that we used up during the peak. That has been a very important part of the work over the summer, as we prepare to leave the end of the transition period at the end of this year.
Mr Richard Holden (North West Durham) (Con)
I thank the Secretary of State for his continued engagement with me and other colleagues from all sides of the House throughout this crisis, and also for our new Boris hospital coming to Shotley Bridge. My constituents have three concerns still, one of which is the speed of getting tests back. I know there has been some improvement recently, but will he update us on that? They are also still concerned about the 10 pm restrictions and about clarity on how we get out of local lockdown measures. Will he inform us a bit more about that?
Matt Hancock
The coronavirus crisis is not easy for any Health Secretary, but it was a joy to be able to call my hon. Friend and tell him that we are rebuilding Shotley Bridge Hospital on the site of the old steelworks. It will be absolutely fantastic, like a phoenix in the heart of County Durham. It is a joy to work with my hon. Friend, who asks important questions about coronavirus. As he says, we are reducing the turnaround times for test results. We will continue to work to try to make them as fast as possible.
Emma Hardy (Kingston upon Hull West and Hessle) (Lab) [V]
Will the Secretary of State please outline what measures will be put in place to ensure that all family members of residents in care homes can continue to see their families and loved ones over the coming months, including whether guarantee PPE and testing for families will be guaranteed?
Matt Hancock
The hon. Lady has taken a close and repeated interest in this very important subject. We have put in place updated guidance on visiting care homes, which is a very important and sensitive balance we need to strike, working with local directors of public health. I cannot give the guarantee she seeks in all areas because it is a matter for the judgment of the director of public health locally, because in some parts of the country the virus is more prevalent than elsewhere. I wish I could, but I cannot. I look forward to continuing to work with her to try to get that balance right.
Tom Randall (Gedling) (Con)
I welcome the news that the Queen’s Medical Centre and City Hospital will be rebuilt in Nottingham. On PPE, the Minister for Health, my hon. Friend the Member for Charnwood (Edward Argar), told the Public Administration and Constitutional Affairs Committee in July that in the early days of the pandemic the Government
“went from supplying PPE to about 250 or 260 hospitals…to 58,000 organisations”
such was the pace of change. With the measures the Government have recently taken, and with 32 billion pieces of PPE, can my right hon. Friend assure me that the Government are now in a much better position to deal with PPE should there be any increase in cases as we go into the winter?
Matt Hancock
Absolutely. The PPE distribution system was described by the head of the armed forces as the biggest logistical exercise he had seen in his professional lifetime. It has been a mammoth effort to get it into decent shape, but it is now in decent shape, I am very glad to say. We have been preparing to solve not only the current problems, but preparing in case of a second peak. We have said that PPE will be free to NHS institutions and care homes for the remainder of this financial year to remove that worry. I strongly support what my hon. Friend said about the warm welcome to the rebuilding of the QMC and City Hospital in Nottingham. It is a place I know well from my family, many of whom are from Nottingham. It is really great that we are able to put in that huge investment.
Lucy Powell (Manchester Central) (Lab/Co-op) [V]
I am reassured by the Secretary of State’s answer to my hon. Friend the Member for Manchester, Withington (Jeff Smith) that Manchester will not be subject to further restrictions as a result of the contained outbreaks in halls of residence. However, Manchester residents have now been unable to see their loved ones for more than two months—since our rates were less than 50 per 100,000, and they are now 10 times higher than that—and I strongly reject the suggestion that this is somehow because of our own personal actions. Is it not time for a rethink? Blanket, wide local restrictions just are not working according to their own objectives. If we are looking at another six months, this is no life for people to be living and is not sustainable or desirable.
Matt Hancock
There is a challenge where case rates are going up sharply. Of course, the virus does pass on through social contact. We need to work with the local councils to bring the virus under control in Manchester, as in other parts of the country where it is rising sharply.
Alec Shelbrooke (Elmet and Rothwell) (Con)
On Saturday, my wife and I got our annual flu jabs. I hope you will indulge me for just a second, Mr Deputy Speaker, while I say that the GPs and nurses at our local surgery are doing an outstanding job. It was pre-booked and within two minutes we were in and out.
I do not want to make you cry, Mr Deputy Speaker, but unfortunately I suffer quite badly with vaccines—when I had my yellow fever vaccine I thought my end had come. Does my right hon. Friend agree that people need to be aware of some of the side-effects of vaccines and be crystal clear on the symptoms of coronavirus, so that once they have had their vaccines, they may not necessarily seek covid tests? People should be absolutely clear on the three symptoms of covid.
Matt Hancock
It is too early yet to set out the clinical details of vaccines, other than to say that we have a draft of the priority order for the distribution of a covid vaccine and that we will not bring in a covid vaccine—and the Medicines and Healthcare Products Regulatory Agency would not license it—unless we are confident that it is safe. It is at that point, when we know more about the clinical details, that will be able to say more about its effective roll out.
Feryal Clark (Enfield North) (Lab) [V]
After our broken test and trace system and the failure to put a protective ring around care homes, and after the recent and preventable outbreaks in universities and the ultimately unnecessary restructuring of Public Health England, the chaos this weekend is symbolic of the way the Government have handled the pandemic. Does the Secretary of State agree that these are his failures and only his alone?
Matt Hancock
Responding to a pandemic is an enormously challenging task. Thankfully, it is a massive team effort, and it is one in which the whole country can be engaged because we all have a part to play.
Bob Blackman (Harrow East) (Con) [V]
London consists of 32 boroughs plus the City of London and covers a population of around 8 million people. We are told that infection rates are going up in each of the London boroughs, but some are much higher than others. I urge my right hon. Friend to consider, when he needs to introduce lockdown procedures, doing so on a borough-by-borough basis and not inflicting unnecessary restrictions on the whole of London, which would be counterproductive in terms of delivering downward pressure on the increased case load. It would potentially bring the economy to a halt and affect the way Parliament works.
Matt Hancock
My hon. Friend makes an important point. Getting the right geography for any particular action is an important and difficult consideration. Last week’s example, when we took two of the Teesside boroughs into local action but not the other three, demonstrates that we are absolutely prepared to do as my hon. Friend wishes for London. On the other hand, on the same day we took the whole of the Liverpool city region into the same measures, because that was what was appropriate there. We have to take into account travel patterns and socialising patterns, as well as the pure data from the epidemiology and the number of cases, but it is absolutely something that we look at because we want to minimise the number of restrictions that are in place, subject to the need to keep the virus under control.
Grahame Morris (Easington) (Lab)
The Secretary of State is full of bravado and bluster, despite a catalogue of mistakes and regular statements. When the truth is spread thinly, people start to see through it. We hear the expression “world-beating test and trace system”—how would Ricky Tomlinson describe it?
Elliot Colburn (Carshalton and Wallington) (Con)
May I begin by thanking my right hon. Friend for the £500 million for Epsom and St Helier hospitals and for taking very quick action after I asked in this House for additional testing capacity in Carshalton and Wallington? Not long after I asked him, we heard that three more sites may open in my borough, which is very welcome. Obviously, those new sites will need the testing capacity to be able to cope, so can he assure me that we will continue the work to get that capacity up as quickly as possible and into boroughs such as Sutton?
Matt Hancock
Yes. We are bringing more testing capacity into Sutton. We have opened more testing sites in Sutton. I can tell the House that the average distance travelled to a test has now fallen to 4.3 miles from over 6 miles three weeks ago. We are also bringing a new hospital to my hon. Friend’s area—a massive half-a-billion-pound investment in the NHS, showing that we are always prepared to protect the NHS for the long term.
Dawn Butler (Brent Central) (Lab)
Various companies have multimillion-pound contracts, and it is important that we understand their motivation to succeed. Does Serco get paid for voided test results—yes or no?
Matt Hancock
The motivation of my whole team, no matter how they are employed or contracted, is to beat this virus, and we are working together to do that.
Mrs Heather Wheeler (South Derbyshire) (Con)
I thank my right hon. Friend for his important statement. In South Derbyshire we have world-renowned laboratories locally, and my constituents have asked me to ask: what steps is he taking to increase the number of labs available to process tests, so that we can continue to increase testing capacity as quickly as possible?
Matt Hancock
My hon. Friend is right to ask that question, because we are expanding the number of labs as we expand the number of tests. I know that there is great capability in Derbyshire that can be brought to bear as part of this big team effort.
Geraint Davies (Swansea West) (Lab/Co-op) [V]
As you know, Mr Deputy Speaker, people in lockdown in Wales are not allowed to leave their county for fear of spreading the disease. For instance, people in Newport, where there are 50 cases per 100,000 people, cannot go to Aberystwyth. But people in Manchester, where there are 500 cases per 100,000 people—10 times the number—can go to Aberystwyth and elsewhere in Wales and spread the disease. To stop this spreading of disease, will the Secretary of State restrict travel out of locked-down areas in England? If not, will he accept that it would be a good idea for people arriving in low-risk areas in Wales to quarantine, or is he happy for the disease to spread without restriction?
Matt Hancock
The challenge is that the primary transmission of the disease is between households and households mixing with one another. The approach that we have taken in England since we came out of the initial full-blown lockdown has been to put travel restrictions in guidance rather than law, because we feel that that is the most appropriate thing to do. That is not the approach being taken in Wales, but that is how we are currently handling it in England.
Kenny MacAskill (East Lothian) (SNP) [V]
It was a political, not a health, decision to pursue a private sector route for testing. Scotland has chosen differently, but there are concerns that ongoing capacity issues in England and Wales will have an impact on Scotland. Will the Secretary of State confirm that Scots will not be prejudiced by the Tory Government’s preference for private profit over public health?
Matt Hancock
Quite the contrary; the UK-wide testing system delivers enormous numbers of tests to people in Scotland, and I know from having studied it that people in Scotland are really grateful for the fact that we work together, with the UK Government delivering testing in Scotland alongside the Scottish NHS delivering testing in Scotland. It is that sort of coming together that people look for during a time like this.
Jonathan Gullis (Stoke-on-Trent North) (Con)
In Stoke-on-Trent, we were delighted to come off the national watchlist as an area of concern after hard work from Stoke-on-Trent City Council and Staffordshire County Council and, most importantly, the people of Stoke-on-Trent, Kidsgrove and Talke adhering to the public health messaging. Additionally, we have the regional test centre that Councillor Abi Brown and I successfully lobbied my right hon. Friend for and two incoming walk-in test centres in Stoke-on-Trent. Will my right hon. Friend commit further by giving additional funding to help Stoke-on-Trent City Council and the Royal Stoke University Hospital to deliver increased testing capacity for the thousands of local health and social care workers across Stoke-on-Trent and Staffordshire?
Matt Hancock
As well as the expansion of testing that my hon. Friend mentions, I can tell him that we are expanding NHS testing capacity within Stoke, and we are putting in the extra funding to deliver that. This man stands up for Stoke so strongly, and he has been making the case clearly and powerfully, so I am glad to be able to tell him that we can do that.
Stephen Doughty (Cardiff South and Penarth) (Lab/Co-op)
Vaccines have come up a number of times during the statement today. Will the Secretary of State be absolutely clear: are there shortages and recalls of flu vaccine going on at the moment? I have certainly been told by a major pharmacy company that there are, and the Royal College of General Practitioners wrote to me yesterday mentioning delays of one month. He did not answer the question from the Chair of the Health Committee. Kate Bingham was very clear that vaccinating the whole population was just not going to happen. Was she correct to say that?
Matt Hancock
On the latter point, we take our advice from the Joint Committee on Vaccination and Immunisation, and it will provide the clinical advice. That clinical advice has not been provided yet, because the data has not yet been provided to it in full from the trials that are ongoing. I could not be clearer about that. The Government’s advice on the distribution of the vaccine for clinical purposes comes from the JCVI, and I urge the hon. Gentleman and all others to read its report from 10 days ago. It was an excellent report.
When it comes to the flu vaccine, we have enough to vaccinate every single person who is in a priority group over the age of 65, those who are clinically vulnerable and the children who are eligible for it. We are rolling that out over the forthcoming months. On Sunday, I spoke to the president of the Royal College of GPs, and we discussed the need to make it clear to GPs and pharmacists—they are at the core of the roll-out—and also to the general public that we have enough vaccine. We are rolling it out over the months to come. It is very important that people come forward, and I am really glad they are doing so in record numbers this year, but it does take several weeks to get that done.
Theresa Villiers (Chipping Barnet) (Con)
The House should recognise that going from 2,000 tests a day in March to around 250,000 now—hopefully we will see that double over the next few weeks—is a significant achievement, but can the Health Secretary provide any reassurance to sectors such as travel, theatre and events, which are in so much difficulty? Can we use mass testing to help them open up again?
Matt Hancock
My right hon. Friend makes a really important and heartfelt plea. I have been working with the travel sector and discussing the matter with them. While the testing capacity is, as it is now, on the current technology, we have to use it for the clinically prioritised groups, but of course we would all love to see when further expansion can mean that we can use testing more broadly in the sorts of ways that she describes.
Mr Kevan Jones (North Durham) (Lab)
Since the beginning of this crisis, the Government’s approach has been one of central control. We are fixated on the number of tests, but is the real issue not the number of tests, but what we do with the information we get from them? Before the new restrictions were applied to County Durham, NHS Test and Trace took testing capacity out of County Durham. Is it not now time to just admit that the national system has failed? What is needed is to give responsibility directly to directors of public health, with the resources to do not only the testing, but the more important thing, which is tracing, which they are more able to do than people in national call centres?
Matt Hancock
We put in money, including into the right hon. Gentleman’s constituency, to do exactly that—to make sure that there is local support. He says we should follow a localised approach. That is exactly what we did in the north-east: when the seven north-east councils came to national Government, they asked for a set of interventions to be put in place, and we did that. That is exactly the sort of approach that we ought to be taking, and we will continue to do so.
Mike Wood (Dudley South) (Con)
The number of people in Dudley who have been triaged for coronavirus testing has halved in the past couple of weeks. It is hard to believe that this is down to reduced demand. What progress is my right hon. Friend making in expanding capacity, so that my constituents can get testing readily when they need it?
Matt Hancock
We are expanding testing. However, I would add that in this House two or three weeks ago, the big item of discussion was excess demand for testing. We put out public health messaging to explain that people should come forward for a test if they have symptoms of coronavirus, but not if they do not, and the number of people without symptoms coming forward has fallen since then. As a result, we can get the testing capacity we have to the people who need it. That has been a success, and I thank everyone in the country who listened to those messages. We have worked hard to increase communications about it, and the demand has been moving in the right direction.
Jason McCartney (Colne Valley) (Con)
Covid case data is used to decide which areas are in local lockdown, with the impact on hospitality businesses and families visiting loved ones in care homes, and the detrimental effect on the mental health of those missing out on social interactions. Can the Secretary of State assure me and my constituents that the data used to put us in local restrictions is up to date and accurate, and that when we start to get cases down, and as soon as it is safe, we can come out of local restrictions?
Matt Hancock
My hon. Friend makes an incredibly important point. We are of course vigilant and we have to bring in local action in some cases, as we have in his area, but we will also bring areas out of restrictions when it is safe to do so, as we did in his area, although unfortunately it then had to go back in again. I would prefer it if places did not come in, out and back in again in that way, but my view is that that is better than leaving the measures in place when they are not needed.
We publish the data, which has now been updated to take into account the issues we had over the weekend, and we will have in place the minimum interventions that are necessary to keep the virus suppressed and to protect the economy, education and the NHS as much as possible until the vaccine arrives. That is the strategy, which is true in Colne Valley and true right across the country, and I look forward to working with you, Mr Deputy Speaker, and colleagues across the House to help the country to get through this.
Mr Deputy Speaker (Mr Nigel Evans)
I thank the Secretary of State for Health and Social Care for updating the House on covid-19 measures and for answering questions for the last hour and a half. Thank you very much.
Virtual participation in proceedings concluded (Order, 4 June.)
Covid-19 Update and Hospitality Curfew
Matt Hancock Excerpts(4 years, 2 months ago)
Commons ChamberRead Full debate Read Hansard Text Read Debate Ministerial Extracts
The Secretary of State for Health and Social Care (Matt Hancock)
With permission, Mr Speaker, I would like to make a statement about the work to tackle coronavirus.
The virus continues to spread. Yesterday, there were 7,108 new cases. However, there are also early signs that the actions that we have collectively taken over the past month are starting to have a positive impact. Today’s Real-time Assessment of Community Transmission study from Imperial College suggests that although the R number remains above 1, there are early signs that it may be falling. We must not let up, but people everywhere can take some small hope that our efforts together may be beginning to work; I put it no stronger than that. Cases are still rising. However, as the chief medical officer set out yesterday, the second peak is highly localised, and in some parts of the country the virus is spreading fast. Our strategy is to suppress the virus, protecting the economy, education and the NHS, until a vaccine can make us safe.
Earlier this week, we brought in further measures in the north-east. However, cases continue to rise fast in parts of Teesside and the north-west of England. In Liverpool, the number of cases are 268 per 100,000 population, so together we need to act. Working with council leaders and mayors, I am today extending the measures that have been in place in the north-east since the start of this week to the Liverpool city region, Warrington, Hartlepool and Middlesbrough. We will provide £7 million of funding to local authorities in these areas to support them with their vital work.
The rules across the Liverpool city region, Warrington, Hartlepool and Middlesbrough will be as follows. We recommend against all social mixing between people in different households. We will bring in regulations, as we have in the north-east, to prevent in law social mixing between people in different households in all settings except outdoor public spaces such as parks and outdoor hospitality. We also recommend that people should not attend professional or amateur sporting events as spectators in the areas that are affected. We recommend that people visit care homes only in exceptional circumstances, and there will be guidance against all but essential travel. Essential travel of course includes going to work or school. I understand how much of an imposition this is, and I want rules like these to stay in place for as short a time as possible. I am sure we all do. The study published today shows us hope that together we can crack this, and the more people follow the rules and reduce their social contact, the quicker we can get Liverpool and the north-east back on their feet.
We are aligning the measures in Bolton with the rest of Greater Manchester, and I would like to pay tribute to David Greenhalgh, the leader of Bolton council, for his constructive support, and to the Bolton MPs for all they have done in support of Bolton. There are no changes to measures in West Yorkshire, West Midlands, Leicester, Lancashire or the rest of Greater Manchester. It is critical that the whole country acts together now to control the spread of this virus, so please, for your loved ones, for your community and for your country, follow the rules and do your bit to keep this virus under control.
By its nature, this virus spreads through social contact, so it has had a terrible impact on the hospitality sector, which in good times exists to encourage the very social contact that we all enjoy. We have had to take difficult but necessary decisions to suppress the virus. The only alternative to suppressing the virus is to let it rip, and I will not do that. I know that many of the individual rules are challenging, but they are necessary and there are those early signs that they are working. In the measures we have introduced, including the 10 pm restriction, we are seeking to strike a balance, allowing people to continue to socialise safely where that is possible while reducing the social contact that the virus thrives on. Elsewhere in the world, they have introduced an evening restriction and then seen their case numbers fall. We know that later at night, people are less likely to follow social distancing.
Of course we keep all our measures under review, and we will closely monitor the impact of this policy, as with all the others, while continuing our unprecedented support for hospitality businesses by cutting VAT, supporting the pay of staff, offering rates relief for businesses and giving billions of pounds of tax deferrals and loans. Our hospitality industry provides so much colour and life in this country, and we will do whatever we can to support it while acting fast to keep the virus under control. I know that these measures are hard, and that they are yet another sacrifice after a year of so many sacrifices already, but there are some signs that what we are doing together to respond to these awful circumstances is starting to work, so do not let up. Let’s all of us keep doing our bit, and one day over this virus we will prevail.
Jonathan Ashworth (Leicester South) (Lab/Co-op)
I thank the Secretary State for giving me advance sight of his statement. The Imperial study today is indeed encouraging, but, as the chief medical officer said yesterday, we have a long winter ahead. We know that sustained contact, especially in crowded, poorly ventilated spaces, is a driver of infection, and pubs and bars are an obvious risk. I heard what he said about the 10 pm rule, but my concerns relate to everybody leaving the pub at the same time. What action will he take so that we do not see a repeat this weekend of people piling out into city centres, packing out public transport and sometimes piling into supermarkets to buy more drink?
We completely understand the need for local restrictions, including in Merseyside, as the Secretary of State has just announced. It was probably too late for colleagues from Merseyside to get on the call list this morning, but they would be keen to press him further on the financial support for Merseyside. The region is hugely reliant on hospitality and leisure, and we know that these restrictions exact a heavy social and economic toll. Areas need financial support, otherwise existing inequalities, which themselves have a health impact and allow the virus to thrive, will be exacerbated.
People need clarity as well. Areas such as Leicester, Greater Manchester, West Yorkshire and Bradford have had restrictions imposed on them for months now. Millions of people in local lockdown areas across the north and midlands just need some reassurance that an end is in sight. Many want to know when they will be able to visit their loved ones and whether they will be able to visit their families over the coming school half-term, for example. Can the Secretary of State confirm whether he has now ruled out the so-called circuit break taking place across the October half-term, as was mooted in the newspapers last week?
Some of the heaviest increases in infection appear to be taking place in areas where restrictions are in place, so why are the interventions not working? Why are the moles not getting whacked? Yesterday, the Prime Minister suggested that the success of Luton in leaving restrictions was because of people pulling together. I have no doubt that people are pulling together across Bolton, Bury, Rossendale, and so on, but what additional help will they receive to drive the virus down?
I believe that Ministers lost precious ground in fighting the virus by not having an effective test, trace and isolate regime in place by the end of the summer. Testing and tracing is key to controlling the virus. Increasing evidence now shows the importance of backward contact tracing in controlling outbreaks. Is backward contact tracing routinely happening in areas of restriction, and will the Secretary of State publish data on backward contacts reached? We also support the Health Committee’s calls today for routine testing of all NHS staff. Will he finally set a date for introducing it?
Problems remain with testing generally. I have just heard of a case in the Rhondda where people have booked appointments and turned up at a testing centre, but Serco has pulled the testing centre out and is saying that it needs the Secretary of State to intervene in that area if it is to be reopened. Will he do that?
On 8 September, the Secretary of State told the Health Committee that the problems with testing would be resolved “in the coming weeks.” That was more than three weeks ago, yet it still takes 30 to 31 hours to turn around in-person tests, 75 hours for home test kits, and 88 hours—more than three and a half days—for test results in the satellite test centres, which are predominantly used by care homes, so he has not resolved the problems. When will he?
Today we have learned that Deloitte, which is contracted by the Government to help to run test and trace, is now trying to sell contact tracing services to local councils. The Government’s own contractor, one of the very firms responsible for the failing system in the first place, now sees a business opportunity in selling information and services to local authorities. Authorities should be getting that anyway, and this is in the middle of the biggest public health crisis for 100 years. Is this not an utter scandal? How can it be allowed? Does it not once again show that directors of public health should be in charge of contact tracing?
Finally, this week GPs warned of significant problems with flu vaccine supplies. Boots and LloydsPharmacy have stopped offering flu jab appointments due to issues with supplies. Can the Secretary of State confirm that we have enough flu vaccines available for all who will need one this winter?
Matt Hancock
I welcome the hon. Gentleman’s support for the measures that we have had to take and for the £7 million of extra financial support for the councils affected—not just Merseyside, and Halton and Warrington, but Hartlepool and Middlesbrough—which is on the same basis as the support for the seven north-east councils announced at the end of last week.
It is true that some parts of the country have come through a local lockdown. In fact, we have lifted many of the measures that were in place in Leicester, for instance. We were not able to lift all the measures, and the case rate there then went back up again, although it has now appeared to have stabilised. Luton is another example where there was a significant local outbreak that was brought under control.
The hon. Gentleman asked about increased testing. Increased testing is, of course, going into Merseyside, and we can do that because we have record capacity, which has increased yet again this week. He also asked about backward contact tracing; absolutely we have backward contact tracing in these areas. And that is one of the reasons we know that, sadly, the highest likelihood of picking up coronavirus outside our own households comes from social settings. Public Health England will be publishing further information today on backward contact tracing to understand how this virus spreads.
The hon. Gentleman asks about the speed of test results. I am glad to say that the turnaround time for test results in care homes is speeding up. He asked about Deloitte and its contact tracing capabilities. Deloitte has done an incredible job in helping us put together the contact tracing and backward contact tracing that we have, and of course it should offer its services to local councils too. He says that local councils should have more impetus and more involvement in contact tracing, but when a company with great experience in contact tracing comes forward to offer its services, he criticises it. He cannot have it both ways. Of course, these services cost money and they have to be delivered, and I pay tribute to Deloitte, which is doing a brilliant job.
Finally, the hon. Gentleman asked about flu jabs. It is absolutely true, as he says, that there is a record roll-out of flu jabs. There are enough for everybody in a priority group who needs them. I stress that this is a roll-out: nobody needs to have a flu jab before the start of December, but people can have it in September or October and it will then cover them for the winter, so we are rolling this out and more appointments will become available in good time. We have 30 million jabs in total, more than we have ever had before and almost double what we typically have had in the past, and those are available. I am really glad to say that record numbers of people are coming forward to get flu jabs, and I welcome that, but, as the Royal College of General Practitioners has said, people will need to have patience. For those in the target group—the over-65s and those with clinical conditions—flu jabs are available, and it will take us the coming weeks in order to ensure that people who need those flu jabs can get them.
Philip Davies (Shipley) (Con)
Bradford has been in a local lockdown for weeks and weeks, and the number of cases is going up, not down. Is the Secretary of State aware of the damage the arbitrary 10 pm curfew is doing to pubs, restaurants, bowling alleys and casinos? Is he aware of the jobs that are being lost, all just to see people congregating on the streets instead and shop staff getting more abuse? When will the Secretary of State start acting like a Conservative with a belief in individual responsibility and abandon this arbitrary nanny-state socialist approach, which is serving no purpose at all, apart from to further collapse the economy and erode our freedoms?
Matt Hancock
I am going to pay tribute to my hon. Friend, and for the following reason. There are some people who rail against some of the measures that we have to put in place, and of course I understand the impact they have, but there are reasons for each one of them—and collectively they are vital for the strategy that we are pursuing of suppressing the virus and protecting the economy, education and the NHS until a vaccine arrives. My hon. Friend does not agree with that strategy, and that is a perfectly honourable position; it is just something I profoundly disagree with him on. Indeed, last night he was one of the handful of colleagues who voted against the renewal of the Coronavirus Act 2020. It is perfectly reasonable to make the argument that we should just let the virus rip; I just think that the hundreds of thousands of deaths that would follow is not a price that anyone should pay.
I believe in individual responsibility and the promotion of freedom, subject to not harming others. One of the pernicious things about this virus is that people can harm others, sometimes inadvertently, by giving them a disease that leads to their death, because this virus passes from one to another asymptomatically. So while I understand the impact of these things, especially coming from a small business background—I get it—unfortunately we do have to take action to suppress the virus, because the alternative of letting it rip is not a policy that I would ever want to pursue.
Martyn Day (Linlithgow and East Falkirk) (SNP) [V]
It is vital that we find a balance between taking action to suppress the virus and protecting people’s jobs and their livelihoods. How confident is the Secretary of State that the existing rules for pubs and restaurants on hygiene, face coverings, table service, maximum numbers in groups and the distances between them are being complied with? What happens next if they are not? Does he agree that avoiding mixed messaging is particularly important, and if so, what message does it send that Parliament’s bars are exempt from the curfew? Will he commit to continued co-operation with the devolved Governments under the four-nation plan?
Matt Hancock
I have not been to the bar recently, but I do not think that Parliament’s bars are exempt from these measures. I think it is wrong to say so, and I would be grateful if you could confirm that, Mr Speaker, because it is a matter for the House, not the Government.
Other than that, the hon. Gentleman makes a perfectly valid point. Of course we keep these measures under review. We want to have the least damaging economic impact, consistent with keeping the virus under control and suppressing it. That is the same strategy of all four Governments—the three devolved Governments and the UK Government. We keep these things under review, but we think that they are necessary to keep people safe.
Mr Speaker
I will confirm the situation. If the hon. Member for Linlithgow and East Falkirk (Martyn Day) had been in the House or spoken to his colleagues, he would have realised that the decision was taken last week. Unfortunately, the newspapers were mischief-making. Those bars were not open after 10 o’clock. Let us get that clear, and I think we ought not to believe sometimes what newspapers say.
Brendan Clarke-Smith (Bassetlaw) (Con)
The Government have already made more than £190 billion of support available to protect lives and livelihoods. Last week I spoke to Tom and Lindsey, the landlords of the Clumber Inn in Ordsall, to discuss the impact that these lockdown measures are having on the hospitality industry, which I know my right hon. Friend understands. Can he confirm that Ministers will continue to work closely with the sector, to look at what further support can be provided?
Matt Hancock
Absolutely. I think, if I have spotted it correctly, that my hon. Friend is wearing the parliamentary beer association tie, so he obviously knows that of which he speaks. He is right, and he makes a very important and serious point. Of course we will keep working with the hospitality industry and do everything we can to support it through these times. It is so difficult, but because of the way that the virus spreads, these measures are necessary. We have not gone for a full-blown lockdown as we did in March because we know far more about the virus owing to the test and trace system, the massive amount of testing we are doing and the contact tracing. That means we can be more targeted, and my heart goes out to everybody in the hospitality industry, who are doing so much.
Mr Speaker
I call Daisy Cooper, who has two minutes because her urgent question was converted into a statement.
Daisy Cooper (St Albans) (LD)
The original urgent question was about the 10 pm pubs curfew, and after this statement it is clear that the Government are simply not listening. They seem to be covering their eyes and ears and singing “La, la, la, la.” The Secretary of State says that this is under review, but the evidence is clear: the 10 pm pubs curfew has been a hammer blow to hospitality, and turfing crowds of people out of covid-secure venues on to the streets is putting lives and livelihoods at risk.
Since reopening in July, businesses on every single one of our high streets have put blood, sweat and tears into making their venues covid-secure, but they are trading at a reduced capacity. Since the pubs curfew was introduced, some of them have seen a further 50% reduction. The Prime Minister announced the blanket 10 pm closing time last Tuesday. Within hours, the industry warned that it would lead to chaos on the streets, and it did. The shocking truth is that this Government have, by their own admission, made no assessment of the cost of this measure to the industry, and SAGE has confirmed that it was never even consulted on whether a 10 pm curfew would be effective. Now, experts are telling us that it is making the risk of covid transmission worse.
Public Health England’s weekly surveillance reports are clear: outbreaks of the virus in hospitality venues are responsible for less than 3% of all cases, and they have not contributed to any of the increase, yet the Government are making thousands upon thousands of hospitality jobs unviable, undermining public health and killing our high streets. The Government like to talk about balance and the tough choices that they have to make between public health and the economy, but the shocking truth is that the pubs curfew is bad for both, and the longer the Government defend it, the more damage it will do.
People are scared. Care homes are becoming prison-like, students are being locked up and businesses are saying that without a further package of support they will be closed by Christmas. I asked for some evidence behind this measure; the Secretary of State has provided none. That is why the curfew must be scrapped today.
Matt Hancock
I just want to correct the hon. Lady on the point that she made about outbreaks. The updated statistics will be published today by Public Health England. The measures that have led us to understanding that the virus spreads most outside of households, when other households meet together, including in hospitality venues, comes from the very backward contact tracing that the hon. Member for Leicester South (Jonathan Ashworth) asked about. The outbreaks data is about where there is an outbreak with significant numbers within one institution—for instance, within a care home or a school, and that is then raised as an issue with Public Health England—not where individuals go. I am afraid the hon. Lady is using a different set of statistics, which do not make the case that she puts forward. We all understand the concern about the impact of this virus on so many parts of our economy. Our task is to try to limit the impact on lives as well as on livelihoods, and that is at the root of our strategy.
Paul Bristow (Peterborough) (Con)
My city has been following the rules. Thanks to the people of Peterborough and excellent council leadership, we came off the watchlist last week. I know that the data can change, and I also know that my right hon. Friend appreciates the issues around the 10 pm curfew, but will he keep the policy under review so that those who are doing the right thing, like the people of Peterborough, can get back to something like normality?
Matt Hancock
Absolutely. My hon. Friend is an incredible voice for Peterborough. We discussed the local lockdown having its effect in Leicester, and the Prime Minister mentioned Luton yesterday; the work of the people of Peterborough is another example that we could cite—[Interruption.] My hon. Friend the Member for Shipley (Philip Davies) shouts from a sedentary position, “What about Bradford?” The truth is that we took Shipley out of the measures because the numbers came right down, but unfortunately they then rose again, so in a way he makes my point for me.
Mr Barry Sheerman (Huddersfield) (Lab/Co-op) [V]
The Secretary of State knows that I can get passionate and even angry with some of my questions to him, but not today. He will know that as a West Yorkshire MP I will support anything—any measure—that stops this virus spreading at this perilous time when tens of thousands of students are moving around our county and our country. I will support any measure that is effective. The old social scientist in me suggests that the Secretary of State was right when he said that all these measures should be closely monitored. There is no doubt that experts, whether it is Professor John Edmunds or others, worry that the 10 o’clock curfew has quite serious unintended consequences. Will the Secretary of State give me his word that he will keep it under review, because there seem to be some problems with it?
Matt Hancock
It is constantly under review. We have shown that we are willing to change the measures to follow what works. This is an unprecedented crisis. I welcome the hon. Gentleman’s support for the measures across West Yorkshire. It has been a pleasure to work with him and to hear his voice in this Chamber on what is needed. My message to his constituents in Huddersfield and those across West Yorkshire is that these measures are necessary—we would not have them in place unless they were—and the more that people can abide by them, the quicker we will be able to lift them. I look forward to working with the hon. Gentleman on supporting people in Huddersfield and those throughout the country to keep this situation under control.
Jeremy Wright (Kenilworth and Southam) (Con)
I recognise, of course, the value of simplicity on issues such as the curfew for the hospitality industry, but will my right hon. Friend accept that we should allow economic activity where it does not cut across public health objectives? Will he therefore apply an imaginative approach to doing that—for example, looking at how we might be able to allow hotel guests to stay in hotel bars where they are resident in the hotel later than 10 o’clock, recognising that some hotels depend substantially on that income?
Matt Hancock
I am always happy to look at, as my right hon. and learned Friend calls them, imaginative ideas like that. He will know that there is a tension between the clarity of the rules and bringing additional nuances into the rules. He will have seen how, as a society, we have struggled with that balance all the way through this, because we are in novel circumstances. I am happy to talk to him about his proposal.
Mr Tanmanjeet Singh Dhesi (Slough) (Lab)
The imposition of a 10 pm curfew on the hospitality industry was entirely avoidable, but became an inevitability because of the Government’s shambolic handling of their privatised test and trace system. Last month, I highlighted to the Health Secretary that locals in Slough were being forced to drive hundreds of miles, including catching a ferry to the Isle of Wight, just to access a test, but he retorted:
“On the contrary, the fact is that we are working hard with the local authority in Slough”.—[Official Report, 17 September 2020; Vol. 680, c. 520.]
Well, Mr Speaker, the council has informed me that it has not heard a dickie bird from either the Health Secretary or his team, so perhaps he can advise us this time when the test centre in Slough will go back to being a drive-through and walk-in test centre, so that locals can actually access a test when they desperately need one.
Matt Hancock
We have got this record testing capacity and I am incredibly grateful for all the people who work to deliver it. I will not have this divisive language; I just won’t have it.
Dame Cheryl Gillan (Chesham and Amersham) (Con) [V]
Restricting hospitality hours and venue capacity, although not ideal, can present us with a good opportunity to explore and support our local businesses such as Griffiths Brothers, the excellent gin distillery in the village of Penn in my constituency, which operates a shop where people can sample its high-quality gin made from the best of the best, and in fact take it home to enjoy at leisure, without a curfew. What can the Government do to encourage people to visit these local distilleries and breweries, which are a vital part of the hospitality industry and many of which have had a lean time during the pandemic?
Matt Hancock
I will do everything I can, both policy-wise and personally, to support our great distilleries, including in my right hon. Friend’s part of the world. One of the wonderful things of the last few years has been the massive expansion in the number of local distilleries and breweries, and I am glad she supports her local gin distillery, no doubt both in her official capacity and perhaps with a tipple at home.
Graham Stringer (Blackley and Broughton) (Lab)
Through you, Mr Speaker, may I say to the Secretary of State that I voted against him last night not because I want the virus to rip through the country? Quite the reverse, I want him to get decisions right, and I do not think he is getting them right at present. The 10 o’clock curfew is bad for jobs and bad for the economy, and it is not controlling the spread of the virus. There is no scientific justification that he has been able to give for it. I believe he would make better and more correct decisions if he consulted Parliament, and the House of Commons in particular, particularly on local lockdowns. Today, Merseyside is being locked down and the Merseyside MPs cannot talk about that. Will he agree, before taking further measures, to bring every new restriction back to this House?
Matt Hancock
Of course the restrictions will come back to this House in the normal way. As the hon. Gentleman well knows, yesterday we made the further commitment that, wherever possible, all nationally significant measures will be brought forward for a vote before being implemented. I was very pleased that, as a result of that, there was an overwhelming majority of support for renewal of the Coronavirus Act yesterday.
David Johnston (Wantage) (Con)
I support the 10 pm restriction as an alternative to hospitality businesses having to close entirely, but it may well hurt certain parts of the sector more than others—for example, wet-led pubs that do not serve food, such as the Wheatsheaf in Faringdon. Will the Secretary of State and his colleagues confirm that they will look closely at whether certain parts of the sector are being hit hard, to see whether they need more support?
Matt Hancock
Yes, of course we will, and I take my hon. Friend’s point about wet-led pubs. He is right that the 10 pm curfew is far better than the closure of hospitality—not that we want to do that, but we do need to take measures to suppress the virus. He is wise in his description of why we have had to take these decisions, because we cannot will the ends of suppressing the virus without also willing the means, and some of those means are difficult.
Karl Turner (Kingston upon Hull East) (Lab) [V]
Over six months into the pandemic, people in my constituency still see no sign of the world-beating test and trace system that they were promised. Does the Secretary of State feel any personal responsibility for the utter chaos that is putting lives and livelihoods at risk in my constituency and across the country?
Matt Hancock
I feel personal responsibility for the record number of tests that are being done in this country. I feel personal responsibility for the fact that the vast majority of people in Hull and across the country can get a test within six miles of where they live, and the majority of them get the results the next day. I feel personal responsibility for the biggest contact tracing programme that this country has ever seen, with the support of the armed forces, the NHS, brilliant civil servants and the private sector working together. It is that sort of coming together that we need to get through this virus.
Harriett Baldwin (West Worcestershire) (Con)
I thank the Secretary of State for another update on covid-19. I am wearing pink today, because October is Breast Cancer Awareness Month, so will he take this opportunity to remind everybody how important it is to check for symptoms and to see their GP if they have any, and to tell the NHS how important it is that the screening programme gets back underway, because 1,000 women will die of this disease this month alone?
Matt Hancock
I strongly agree with my hon. Friend. People must continue to check, and if they think they are at risk of cancer or if they find a lump, they should please come forward, because the NHS is open—help us to help you. The more we can suppress coronavirus and keep it out of our hospitals, the easier it will be to treat more people for cancer and ensure that screening stays open. Efforts to stop the virus spreading directly save lives from cancer, and we need to get that message out as well.
Sir Desmond Swayne (New Forest West) (Con)
A national curfew in the New Forest is rather unfair, given our very low infection rate. Restaurateurs and landlords have invested a great deal in covid-secure measures and reduced capacity, and the loss of the extra hour reduces throughput, particularly for those that want a second sitting for dinner to come through, because it makes it very uneconomic. Will the Secretary of State consider the possibility of devolving the power to impose curfew locally, even to particular establishments, which would provide landlords with a powerful incentive to ensure that their patrons behave sensibly and properly?
Matt Hancock
I welcome my right hon. Friend’s constructive suggestion. As we constantly have these policies under review, it is that sort of working together that will help us to improve the response. Of course I understand the impact on the New Forest—some of the finest pubs in the country, outside of West Suffolk, are in the New Forest. We should keep this under review, because the whole point is to suppress the virus while having the minimum negative impact on the economy, and it is that second part that we are mostly discussing today.
Afzal Khan (Manchester, Gorton) (Lab)
Many of the hospitality businesses in my constituency have been deeply upset by the imposition of the 10 pm curfew. OverDraught, a bar in my constituency, told Levenshulme News that it feels that this is a kneejerk reaction by the Government to counteract their own poor handling of the virus and that they are punishing a sector that has reacted seriously, flexibly, and efficiently over the past six months. What does the Minister say to businesses such as OverDraught that feel let down by this Government’s decision making?
Matt Hancock
What I say is that we do what is necessary because it saves lives and we understand the impact that it has. The message that I would send to everybody in Bradford is that, the more that they follow the rules that are in place, the faster we will be able to get through this.
Greg Clark (Tunbridge Wells) (Con)
It does seem strange to think that concentrating trade in a smaller number of hours and making everyone leave a pub or restaurant at the same time, rather than spacing them out over the course of the evening, should suppress rather than spread the virus. Will the Secretary summarise the scientific advice that he has had on this point?
Matt Hancock
The scientific advice is that the people who are closer together are more likely to spread the virus and that, later at night, social distancing becomes harder. We have all seen the pictures of people leaving pubs at 10 o’clock, but otherwise they would be inside the establishments, and we all know that outside is safer, or they would be leaving later. Of course we keep this under review and of course we are constantly looking at how we can improve these policies, but I think that we have to look at both sides of the evidence to try to get this right.
Mike Wood (Dudley South) (Con)
People will only believe that the 10 pm curfew is the least bad option if they understand the basis on which the decision was taken. The figures for the number of infections linked to hospitality range from the 3% that Public Health England has put for outbreaks, up to nearly a quarter that the deputy chief medical officer has suggested. Will my right hon. Friend make sure that the evidence as to how many transmissions are linked to pubs and hospitality based on test and trace data is available, so that people can reach their own conclusions?
Matt Hancock
Yes, and the updated evidence that we are publishing today shows that the just under a quarter figure is correct. It is the highest single identified area. The figures on outbreaks, which were also mentioned by the hon. Member for St Albans (Daisy Cooper), are measuring something completely different and are not a measure of how many cases are caught there. The 25% figure is, of course, for those who catch it outside the household. The single biggest place we can catch coronavirus is from somebody else inside your own household, but that is, in a sense, inevitable and very, very difficult to prevent.
Ian Mearns (Gateshead) (Lab) [V]
The tighter restrictions here in the north-east are already having a severe impact on many businesses that have been left without appropriate financial support. Although it is imperative that we prevent the further spread of coronavirus, it is also important that we protect businesses, workers, livelihoods and jobs. The arbitrary 10 pm curfew has increased the financial pressure on many local hospitality businesses and appears to have had the effect of inadvertently encouraging unregulated gatherings after the blanket 10 pm closing.Would it not be safer for those who are allowed to to sit in safe, regulated premises and adhere to social distancing after 10 pm, rather than to be on the streets or on public transport with significant numbers of other revellers, who may have reduced inhibitions or levels of self-control? Would it also not be better if businesses that are responsibly operating at much-reduced capacity and adhering to the regulations were provided with urgent financial support, as requested by local authority leaders in my area, to ensure that it is at least as viable for them to remain open for business as to close completely—possibly for good?
Matt Hancock
We have put extra financial support into the north-east, and I thank people across the north-east for what they are doing to stick by the renewed and increased restrictions that we had to put in place earlier this week. The point the hon. Gentleman makes about people’s reduced inhibitions later at night is the critical one, and as I just mentioned to my right hon. Friend the Member for Tunbridge Wells (Greg Clark), the Chair of the Science and Technology Committee, it is almost certainly true—I think this is one of the few things we know about this virus with great certainty—that transmission is much lower outside than inside, and that also helps with protecting people against this virus.
Caroline Ansell (Eastbourne) (Con)
My constituency thrives on hospitality, and many jobs are dependent on it. It is also low-incidence when it comes to the virus and high-compliance when it comes to the safety measures around being covid secure. My right hon. Friend said in his opening remarks that the second peak is highly localised. In that light, how quickly can we look to move to a more localised, regional approach to the 10 pm curfew?
Matt Hancock
We are taking a more localised approach to tackling this second peak than we did to the first, for two reasons. The first is that the evidence is that it is much more localised in terms of where the virus is concentrated. The second is that we know far more about where the virus is concentrated, but that extra information also tells us that the number of transmissions is much higher in hospitality than in many other settings—for instance, workplaces. That is why we have made the decision that we have, but the core of my hon. Friend’s point, which is that it is safer in places such as Eastbourne because there are fewer transmissions, is reasonable, and we keep all of this under review.
Emma Hardy (Kingston upon Hull West and Hessle) (Lab) [V]
Last week, I spoke to a lady whose husband has dementia. He was in a care home, and she was unable to visit him. He deteriorated rapidly, until he was deemed a risk to himself and others, and he was eventually sectioned, at which point she was allowed to visit him. Of course I completely understand the difficult balance the Minister must make between protecting our health and the health of others, but could he please look specifically at what guidance can be given on rights to visit loved ones who have dementia?
Matt Hancock
The hon. Lady makes an incredibly heart-rending and important point. The balance in terms of the rules around visiting those in care homes is one of the most difficult to strike. On this, I rely heavily on the clinical evidence of Jenny Harries, the deputy chief medical officer, who works with the four nations to try to make sure we get this balance right. It is very difficult, and the guidance we have put out includes the permissive ability to allow directors of public health to take decisions that are appropriate in local circumstances. However, this issue is a very difficult consequence of the virus.
Greg Smith (Buckingham) (Con)
I have spoken to landlords and landladies around my constituency, and they have all been incredibly grateful for the unprecedented support that the Government have provided to them, but they have been equally clear that that has just about kept their heads above water, especially at a time when there was warmer weather. I very much welcome my right hon. Friend’s commitment to keep this issue under review, but what reassurances can he give landlords and landladies that, as we head towards Christmas and the nights get colder, there is a timescale on this and they can have hope that they will still be trading at Christmas and not, sadly, closing down for Christmas?
Matt Hancock
The truth is that the more we all avoid close social contact, the harder the virus will find it to spread and the easier it will be to lift measures. It is as straightforward as that. From that logic, obviously, come many difficult consequences, including the ones my hon. Friend spoke to. However, I am happy to keep talking to him to make sure that we get this balance right in his area and across the country.
Miss Sarah Dines (Derbyshire Dales) (Con)
I thank my right hon. Friend for his updates, which are always very useful. May I ask him to think for a minute about places with low infection rates, including the Derbyshire Dales? We have some fantastic wedding venues such as Shottle Hall and Eyam Hall, and some great historic pubs that have been around for hundreds of years, such as the Rutland Arms, the Peacock at Rowsley, the Devonshire Arms at Baslow and the Old Dog at Thorpe. Will my right hon. Friend consider opening locally early where people can prove good compliance and where there are very low infection rates, because we have to allow the economy to get up and running again?
Matt Hancock
My hon. Friend is absolutely right to support her local pubs and in what she said about keeping the economy going while we deal with this problem. She is also right that there are large swathes of the country with very low infection rates, including Derbyshire. Our approach is to take the minimum national action necessary to ensure that the rates stay low in Derbyshire and other areas with low rates, while also taking more action in places where the virus is rife. That is an approach that we will be strengthening over the weeks to come.
Karl MᶜCartney (Lincoln) (Con) [V]
Although I am sure there is some logic behind the recent 10 pm curfew, other changes put in place, including table service, have led to small hospitality businesses such as the Treaty of Commerce pub on Lincoln High Street in my constituency having to increase staffing overheads, which they can currently ill afford. Will my right hon. Friend acknowledge that the latest changes to the guidance are not entirely suitable for all businesses? I have heard what he has said this morning, but will he commit to reviewing the regulations regularly and at the earliest opportunity to ensure that we protect jobs, the wider economy and the important freedoms of businesses and individuals while also remaining covid-secure?
Alan Brown (Kilmarnock and Loudoun) (SNP)
I have been known to enjoy pubs and hospitality myself, but the reality is that if this sector—in particular, nightclubs and the entertainment industry—is to survive, it is going to need much greater Government support. Does the Health Secretary accept that, and is he having those discussions with the Chancellor? Does he also accept that if Scotland wants to go its own way with a different level of curfew, the Scottish Parliament needs to have, at the very minimum, borrowing powers so that it can make changes for public health benefits and provide the necessary support for these businesses?
Matt Hancock
As the hon. Member knows, although public health measures are devolved, it is only because we are one United Kingdom that we are able to have the strength of support that is in place right across Scotland. He and his party would do well to recognise that and to welcome the support that the UK has been able to provide in Scotland during these very difficult times.
Dehenna Davison (Bishop Auckland) (Con)
When my right hon. Friend visited Bishop Auckland during the election campaign, we spent our lunch break in a pub called the Merry Monk. Since then I have been in regular contact with the landlord, Christian Burns, who, alongside a lot of other pub landlords, has written to the Prime Minister expressing concerns about some of the lockdown measures that have been introduced. I recognise and welcome the unprecedented support that the Government have put in place—more than £190 billion is not small fry—but will my right hon. Friend please confirm to Christian and other landlords that Ministers will continue to work with the hospitality industry, particularly pubs? We need to save our pubs, because they are a lifeline for our local communities.
Matt Hancock
Absolutely. I really enjoyed my trip to the Merry Monk with my hon. Friend. We left before 10 pm, even though at that time we could have stayed longer. Of course we will keep working with the hospitality industry. I wish all the pubs in Bishop Auckland all the very best. We will support them as much as we can.
Mrs Emma Lewell-Buck (South Shields) (Lab)
We are in a never-ending cycle of repeated lockdowns that are deferring the problem because they are not matched by robust testing and clear messaging. It is clear from the Health Secretary’s responses this morning that the 10 pm curfew is yet another example of the Prime Minister plucking ideas out of the air to be seen to be doing something. It has already caused significant damage to the hospitality industry, and, as predicted, is doing nothing to stop the spread of the virus. When will this Government start to understand that a balance needs to be struck to protect those most at risk without complete societal shutdown?
Matt Hancock
I would urge the hon. Lady to support her constituents and the public health measures that are necessary to get this virus under control in order to protect this country, to protect her constituents and to save lives.
Lee Anderson (Ashfield) (Con)
Pubs, such as the New Cross in Ashfield, run by Jay and Mathew, are losing revenue due to the 10 pm curfew. They fully understand the rules that need to be in place to keep us safe, so can my right hon. Friend please explain to the staff and regulars at the New Cross how science has guided the decision to close pubs at 10 pm?
Matt Hancock
I want to say to all the staff and all the regulars at the New Cross that we would not have this in place unless we thought it was needed. The science is about how, late at night, people end up closer together and therefore spread the virus more, and this will not stay in place one minute longer than it needs to.
Geraint Davies (Swansea West) (Lab/Co-op) [V]
If the Government decide to restrict trade or close down trade for pubs or particular businesses for good public health reasons, surely it is for all of us, through the Government, to pay that cost—through borrowing, at historically low interest rates, paid back over time through our progressive tax system—not for individual pubs and businesses to pay it, possibly with bankruptcy, as at places such as Brains brewery in south Wales. Will the Secretary of State therefore have a word with the Chancellor to ask that he provides adequate financial support for both sustainable businesses and good public health?
Matt Hancock
Of course, this measure is for England, and it is up to the devolved Welsh Administration to decide public health measures in Wales, but the principle that we as taxpayers, as a whole country, should shoulder as much of the economic burden as possible is what underpins the absolutely unprecedented £190 billion of extra support that this Government have put into the economy to get us through these very difficult times.
Antony Higginbotham (Burnley) (Con)
This week, Burnley recorded the highest covid-19 rate in England, and that has understandably caused concern to residents who are worried not just about the virus, but about the impact on the local economy. Could the Secretary of State reassure them and me that, when we look at further interventions that might be needed, we will keep them as targeted as possible so we can fight the virus where it is really spreading?
Matt Hancock
Absolutely. There is a lot of virus spreading in Burnley, and we need to all come together to tackle that spread. I know that my hon. Friend has been fighting as hard as possible for the people of Burnley. He has been making this argument to me in private, as well as in public, that we need to make sure that the measures are as targeted as possible and have as low a negative impact as possible, but we do need to get the virus under control in Burnley and across the country. I pay tribute to him for the work that he is doing in supporting and representing his constituents.
Dave Doogan (Angus) (SNP)
The Minister will know that the hospitality sector emerged on its knees from the general lockdown, and I am sure he understands that those in the sector were barely getting to their feet when the 10 o’clock curfew came in. He has given hon. and right hon. Members a lot of assurance today that he will keep this under review. As part of that review, can he assure the licensed trade, particularly those relying on wet sales, that he will take a view on staggered exit times and a more intelligence-led curfew, appreciating that the curfew has value to add? Can he also take a look at the role of off-sales in promoting community transmission not in the hospitality sector?
Matt Hancock
Of course, we look at all these things. This is of course a measure in England, and it is because the UK Government have put in £190 billion across the whole UK that we have been able to give the support that we have, but we keep that under review, too.
Tom Hunt (Ipswich) (Con)
No constituency in the country has such a high concentration of first-rate pubs as Ipswich, and currently in Ipswich we have very low levels of covid 19. Last weekend, I spoke to the landlord of the Belstead Arms in Chantry, who had to watch as many of his loyal customers, who would have been spending hundreds of pounds in his pub supporting the pub to recover from the previous lockdown, went to the off-licence across the street to buy beer from there. Will my right hon. Friend assure me that at the closest possible time he will review measures and ensure that pubs in Ipswich can stay open later?
Matt Hancock
Yes, I know the Belstead Arms in Chantry well from campaigning pitstops, and it is true that Suffolk has the finest pubs in the country. My hon. Friend is making his case for Ipswich very strongly. Of course we keep these things under review, and will lift these measures as soon as we can.
Ruth Jones (Newport West) (Lab) [V]
I have spoken to many business owners and residents across Newport West in the past few days, and there is increasing concern that the UK Government’s left hand does not know what the right hand is doing. The border between Wales and England is extremely porous and any differences in local lockdown rules and restrictions are confusing for those living along it. So can the Secretary of State outline exactly how, and how often, he is meeting Members of the devolved Administrations to ensure that all parts of the UK are involved and engaged as we chart our way through this crisis?
Matt Hancock
Constantly, is the answer. I was brought up on the Welsh border, in Cheshire. I know exactly how porous the border is. Of course, public health is devolved and I would be surprised if the hon. Lady was arguing against the devolution of health powers. In fact, I have received a text from my Welsh opposite number during this session, so we have a constant conversation and dialogue to try to minimise exactly the sorts of issues that she talks about.
Zarah Sultana (Coventry South) (Lab)
Public health must be our first priority, but restrictions on pubs, bars and restaurants need to be accompanied by new economic support for workers and businesses; otherwise, people will be pushed into unemployment and destitution, and businesses will be forced into bankruptcy. So, on behalf of hospitality workers and businesses in Coventry South, I urge the Secretary of State to speak with his Cabinet colleagues and bring forward new measures that will support livelihoods and businesses and actually save jobs.
Matt Hancock
Yes, the £190 billion of extra funding has been there to support jobs, and of course we keep that, as with all these things, under review.
Jane Hunt (Loughborough) (Con)
I refer colleagues to my entry in the Register of Members’ Financial Interests.
I understand and support the measures taken to reduce deaths from this terrible disease, and thank Ministers for all they have done to stem the tide of the virus. Please could my right hon. Friend consider allowing pubs, cafés, restaurants and casinos to extend their closing time when customers are still in the process of eating a hot meal? That would allow time for a second sitting of those venues without disturbing the safety elements of table service and social distancing. It would also mean a staggered time of exit from those venues, allowing better social distancing in the local community.
Matt Hancock
Of course, as we keep this under review, we will consider all the options. The clarity of the rule that was brought in was one of the reasons that it commends itself, but I would be happy to talk to my hon. Friend about the future.
Grahame Morris (Easington) (Lab)
We all agree that suppressing the virus is essential in saving lives, and as a scientific socialist, I think we should apply basic public health principles. It seems absolutely clear to me that it is problematic that we have a 10 o’clock curfew, when large numbers of people are all coming out into the street at the same time. Night-time entertainment businesses such as comedy and live music venues, which are based in covid-secure premises such as pubs and clubs, are seriously impacted, and like—
Matt Hancock
I love comedy, I love live music and I wish that we did not have to do this, but I have answered the point about outside being safer than inside. It is one of the many regrets of the very serious problem that we have.
Felicity Buchan (Kensington) (Con)
I represent a central London constituency where many businesses are hurting hard, especially with the 10 pm lockdown. I also have many residents who are only going out for the first time at 8.30 or 9, so do not fit into the idea of going to the pub at 6 o’clock. Can my right hon. Friend assure me that he will review these measures at the earliest opportunity?
Mr Toby Perkins (Chesterfield) (Lab) [V]
I accept what the Secretary of State has said about the science, but he must realise that there were many publicans who were really struggling to get by before this, and the new things that have been put in have just made their businesses untenable. Does he accept that getting support for the measures that he has put in place has to come with a financial package that supports our publicans to remain open after covid?
Matt Hancock
Yes, I have addressed that point. We have put £190 billion in, and we keep all that under review.
Nickie Aiken (Cities of London and Westminster) (Con)
Love it or hate it, the gambling industry delivers thousands of jobs, and taxes, to this country. Casinos in particular create 60% of their business after 10 o’clock, and it is illegal for someone to gamble if they are drunk. May I therefore ask my right hon. Friend the Secretary of State to consider whether casinos can continue to do business after 10 o’clock in England, as they can in Scotland?
Chi Onwurah (Newcastle upon Tyne Central) (Lab)
Newcastle’s night-time economy is globally renowned but, yesterday, in a typically cowardly attack, the Prime Minister basically said that we should not complain about the impact of these measures on that sector because local leaders had asked for them. Will the Secretary of State confirm that in their letter of 29 September local leaders specifically said that the measures must be accompanied by targeted support, and will he say what targeted support pubs and restaurants, and the 10,000 jobs in my constituency that depend on them, can expect?
Matt Hancock
Yes, the leaders of the seven Newcastle councils—Newcastle, Gateshead and the wider north-east councils—did ask for the measures that were put in place. We put in £10 million of funding. The most important message that we can get across to people across the north-east, where the case rate continues to rise, is that the more people follow the restrictions, the quicker we can ease them.
Peter Gibson (Darlington) (Con)
Recognising the need to control the virus with the 10 pm curfew, can my right hon. Friend outline what additional guidance and support has been offered to our hard-working police officers, such as those in Durham constabulary who serve my constituency, to help them to protect the public after 10 pm?
Matt Hancock
This is, of course, a matter for the Home Secretary, but there has been additional guidance to the police. I pay tribute to the police, who have done so much work to enforce those rules and who continue to step that up.
Steven Bonnar (Coatbridge, Chryston and Bellshill) (SNP)
May I ask the Secretary of State to what extent he thinks Dominic Cummings’s clear disregard of the rules during lockdown has undermined people’s compliance with the current guidance, placing excess pressure on police as well as on staff in the hospitality sector? Does he agree that many of those on the frontline in the fight against covid are now paying a heavy price for Cummings’s actions?
Andrew Jones (Harrogate and Knaresborough) (Con)
Restrictions curbing when we can go to the pub are against the DNA of our country, but we are in exceptional times, and I recognise that that includes taking measures that people do not like and that Ministers do not like having to introduce. Will my right hon. Friend commit to keeping the restrictions under the closest possible review and in place for the shortest time necessary to protect lives?
Mr Peter Bone (Wellingborough) (Con)
My right hon. Friend the Secretary of State has heard from across the House great concerns about the 10 pm curfew. Given the statements yesterday from yourself, Mr Speaker, and from my right hon. Friend about more parliamentary scrutiny, does he agree that, if the 10 pm curfew had not yet been brought in, it is exactly the sort of measure that should be brought to Parliament first, scrutinised, debated, amended if necessary, and voted upon? Does he agree that that is the sort of thing we can expect in future?
Matt Hancock
I do agree, and I am glad to agree with my hon. Friend. As I announced yesterday, we have brought in a new process, an innovation on parliamentary procedure, to ensure that there are votes on nationally significant measures in the future.
Mr Speaker
In order to allow the safe exit of hon. Members participating in this item of business and the safe arrival of those participating in the next, I suspend the House for three minutes.
Covid-19 Update
Matt Hancock Excerpts(4 years, 2 months ago)
Written StatementsRead Full debate Read Hansard Text Read Debate Ministerial Extracts
The Secretary of State for Health and Social Care (Matt Hancock)
As the covid-19 incidence rate continues to rise across the country, a suite of local and national action is required to break the trains of transmission and enable people to maintain a more normal way of life.
The Government will act swiftly and decisively to limit further spread, reduce disruption and contain local outbreaks. The local action committee command structure reviewed the latest evidence during two urgently convened meetings yesterday, in which we worked with local leaders and the scientific community to assess the data and consider whether further evidence was required.
Despite local interventions being put into place in the north-west of England since 5 August, the latest data in the seven day period 19-25 September, shows a continuing increase in incidence rates per 100,000 population and also the percentage of positive test results, especially within the Merseyside region. The impact of this has resulted in increased hospital admissions and ICU occupancy in the Merseyside area.
As a result, from 00:01 on Saturday 3 October we are implementing stricter restrictions in regulations to apply across the Merseyside region, which consists of Knowsley, Liverpool, Sefton, St Helens and Wirral and for these purposes also Hatton and Warrington. The new restriction will prohibit inter-household mixing in any indoors venue, unless there is an exemption in place. This restriction includes hospitality, leisure, retail and entertainment venues (including bars, pubs and restaurants).
We reviewed the position in the north-east. In addition to the north-east measures we announced last week, from 00:01 on Saturday 3 October we are also implementing further regulations in the form of a regional approach to Hartlepool and Middlesbrough to replicate the restrictions in place since 30 September in Durham County, Gateshead, Newcastle, Northumberland, North Tyneside, South Tyneside and Sunderland. These regulations will prohibit inter-household mixing in any indoors venue, unless there is an exemption in place. This includes hospitality, leisure, retail and entertainment venues (including bars, pubs and restaurants).
We reviewed the level of current interventions in Bolton, and from 00:01 on Saturday 3 October, we will be aligning these with measures in place across the rest of Greater Manchester.
We are also recommending that Sheffield is escalated as an area of enhanced support and that Rotherham, Luton, Wakefield, Barrow-in-Furness, Cheshire East and Cheshire West and Chester are added to the watchlist as areas of concern.
The recommendation is also that Spelthorne and Hertsmere are removed from the watchlist.
We appreciate that this will be difficult news for the people living in these areas, profoundly affecting their daily lives. These decisions are not taken lightly, and such measures will be kept under review and in place no longer than they are necessary.
There are exemptions to these measures so people can still meet with those in their support bubble. There are other limited exemptions such as for work purposes or to provide care or assistance to a vulnerable person. Through the Health Protection (Coronavirus, Restrictions) (Protected Areas and Linked Childcare Households) (Amendment) Regulations 2020, people may create an exclusive childcare bubble for the purposes of informal childcare for children under 14, helping to ease pressure on those living under local restrictions so they can get to work.
The guidance on gov.uk covering these areas will also be amended to fully reflect these changes.
[HCWS482]
Coronavirus Act 2020 (Review of Temporary Provisions)
Matt Hancock Excerpts(4 years, 2 months ago)
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The Secretary of State for Health and Social Care (Matt Hancock)
I beg to move,
That the temporary provisions of the Coronavirus Act 2020 should not yet expire.
When we first introduced the Act in March, I said that coronavirus is the most serious public health emergency that the world has faced in a century. Now, six months later, it is still the most serious public health emergency that the world has faced in a century. We have worked hard, overwhelmingly across party lines and sometimes at great pace, and come together to slow the spread of this virus. With the help of this Act, we protected the NHS, we built the Nightingale hospitals, and we welcomed thousands of clinicians back to the frontline. The Act helped people to get more appropriate care, faster; it helped the NHS and social care to harness technology like never before; and it has allowed the Government to deliver unprecedented economic support in troubled times. Although we have made huge strides in expanding testing and huge progress toward a vaccine, with the virus still at large, the Coronavirus Act 2020 and the measures within it remain as important as then.
Our strategy is to suppress the virus while protecting the economy, education and the NHS until a vaccine makes us safe. The Act is still needed to keep people safe. I understand that these are extraordinary measures, but they remain temporary, time-limited and proportionate to the threat that we face. Some of the measures we seek not to renew; some have, thankfully, not been used, but it is imperative that we maintain the ability to use them if needed; and some of the measures have proved critical to our response and are now used to keep people safe every day. To stand down the Act now would leave Britain exposed at a time when we need to be at our strongest.
This virus moves quickly, so we need to have the powers at our disposal to respond quickly. It is deeply important to me that we strike the right balance between acting at pace and proper scrutiny. I believe in the sovereignty of Parliament, I believe that scrutinised decisions are better decisions, and I believe in the wisdom of this House as the cockpit of the nation.
This has been an unprecedented time. This House has had to do many unprecedented things, many of which have been uncomfortable. I have listened to the concerns raised about scrutiny. As you pointed out earlier, Mr Speaker, there have been times when this pandemic has challenged us all and we have not been able to do this as well as we would have liked. I therefore propose that we change the approach to bringing in urgent measures. I am very grateful to all colleagues we have worked with to come forward with a proposal that will allow us to make decisions and implement them fast, yet also ensure that they are scrutinised properly.
Today, I can confirm to the House that for significant national measures with effect in the whole of England or UK-wide, we will consult Parliament; wherever possible, we will hold votes before such regulations come into force. But of course, responding to the virus means that the Government must act with speed when required, and we cannot hold up urgent regulations that are needed to control the virus and save lives. I am sure that no Member of this House would want to limit the Government’s ability to take emergency action in the national interest, as we did in March.
We will continue to involve the House in scrutinising our decisions in the way my right hon. Friend the Prime Minister set out last week, with regular statements and debates, and the ability for Members to question the Government’s scientific advisers more regularly, gain access to data about their constituencies and join daily calls with my right hon. Friend the Paymaster General. I hope these new arrangements will be welcomed on both sides of the House, and I will continue to listen to colleagues’ concerns, as I have tried my best to do throughout.
Sir Graham Brady (Altrincham and Sale West) (Con)
I thank my right hon. Friend for being prepared to listen and for the constructive conversations that we have had over the last couple of weeks. As he said, Members on both sides of the House understand the importance of Ministers having the freedom to act quickly when it is necessary, but we are grateful that he and other members of the Government have understood the importance of proper scrutiny in this place and the benefits that that can bring for better government.
Matt Hancock
I am grateful to my hon. Friend. I agree with him on the point about scrutiny. I am very glad that we have been able to find a way to ensure that we can have that scrutiny and that colleagues on both sides of the House can have the opportunity to vote, but in a way that still does not fetter the Government’s need to act fast to keep people safe from this virus.
Mr Steve Baker (Wycombe) (Con)
I am extremely grateful to my right hon. Friend for what he has set out and the manner in which he has done it, and I thank him very much indeed. He said earlier that he would not be renewing some of these provisions. May I just invite him to say something about mental health, and also something about schedule 21 relating to potentially infectious persons?
Matt Hancock
I am grateful to my hon. Friend. We have been working together to try to find a way through this that works both for the House and for the circumstances. There has been a change in the way that schedule 21 is used, and I believe that has reduced some of the concerns in this area, but we will continue to keep it under review.
I will say something about mental health later in my speech. There are measures on mental health in the Act that have not been used and that we are not seeking to renew. I hope that reassures colleagues that we take a proportionate approach to these measures and that although we want to make sure we have the measures we need, when we do not need them we will set them aside.
Jim Shannon (Strangford) (DUP)
I thank the Secretary of State for all he has done. I have spoken to him many times about these issues. I am sure that he, like me, has received lots of emails outlining concerns about the stripping back of health and social care. The Government must ensure that such powers can be used only when absolutely necessary and not to save funding while leaving people without appropriate care. Will the Secretary of State please reassure the House as to how the power will be regulated and reassure us that people’s health and social care rights will be protected?
Matt Hancock
Yes. The powers in the Act have allowed us not only to ensure that people get the care that they need and that that care is targeted where necessary, but to allow people to get better and faster access to care when they are in hospital and have to leave, by ensuring that a care package is there. In their totality, the measures on care in the Act have without doubt helped us both to protect the NHS and to support social care, and crucially to support the patients who need that care. We will therefore of course take them forward, because of that positive overall effect.
Ed Davey (Kingston and Surbiton) (LD)
Has the Secretary of State seen the evidence that many disabled people and people who need care have not received the care that they need? If he listens to the organisations that represent disabled people, he will hear that they are extremely worried about schedule 12 in particular and the easements on the duties of local authorities to assess and meet care needs. Is he telling the House that the Government are not renewing that schedule—yes or no?
Matt Hancock
Yes, we are renewing that schedule, because it is very important for ensuring that we prioritise care for those who need it most. The concerns that the right hon. Gentleman raises now were raised during the passage of the Act, when we had a good discussion on the subject. I believe that the way the Act has worked has, overall, improved access to care for people both in hospital and in our social care system, which has, of course, been an area of great scrutiny throughout the pandemic.
Steve Brine (Winchester) (Con)
I thank the Secretary of State very much for the sensible measures the Government have taken today on the involvement and ongoing consent of this House. There is widespread public concern out there about consent and the measures we are imposing on their lives. Just to be clear for the public, and some sectors of the media, watching this debate: many of the restrictions that we are reluctantly having to place on our constituents’ lives do not come through the Coronavirus Act 2020; they come through many other pieces of legislation, but primarily the Public Health (Control of Disease) Act 1984.
Matt Hancock
Yes. What I have said relates to measures to do with the pandemic response. As my hon. Friend says, the vast majority of the measures in respect of social distancing restrictions were introduced under 1984 Act; only a minority were introduced under the Coronavirus Act. Nevertheless, the point about scrutiny is an important one no matter what the origin of the statutory instrument. In essence, we have managed to innovate with parliamentary procedure to find a way that we can move both quickly and with the proper scrutiny of Parliament. That is what we have been seeking to do. In these unprecedented circumstances, many innovations have had to be made, not least in Parliament, and this is another one. There were two contrasting needs—the need for proper scrutiny and the need for very speedy action—and I am really pleased that we have been able to find a way through that, I hope, commands the support of the whole House.
Mr Mark Harper (Forest of Dean) (Con)
I thank my right hon. Friend and the business managers for the work they have done in reaching this solution, and I hope, Mr Speaker, that you will think that, following your stern words earlier, the Government have listened and come forward with some measures that have responded appropriately.
May I just press the Secretary of State? He said in his remarks that the Government will bring forward votes in advance of the measures coming into force on national measures covering the whole of England or the whole of the UK. Obviously, some of the measures that have come into force so far have been quite significant, covering large parts of the country and millions of people. I accept there is a judgment to be made here; can he say a little more about where the line will be drawn about what is brought to this House in advance?
Matt Hancock
In a way my right hon. Friend, who has huge experience in these matters, answers his own question, because of course there is a judgment to be made. We have made a very clear commitment to the process that we will follow, and I hope that over the weeks to come we will demonstrate through our actions and through what we bring forward that we are true to that commitment, which essentially will become a new convention.
Hilary Benn (Leeds Central) (Lab)
Given the number of cases in which schedule 21 has been inappropriately used, can the right hon. Gentleman explain to the House what the definition is of a “potentially infectious” person? How is a police officer meant to know who is potentially infectious, and in the middle of a pandemic does that not include every single one of us, and are not the powers that the police have been given to detain us really quite worrying? Will he undertake to look at this again?
Matt Hancock
The right hon. Gentleman will know that the guidance has been looked at again, and the Crown Prosecution Service has issued new guidance that has rectified the concerns raised at the start. I am satisfied that that new guidance is appropriate and proportionate, and therefore I am satisfied that we should renew schedule 21, because, to answer his point, it is crucial that in circumstances where it is necessary to act to keep people safe we have the powers to do so, but they must be proportionate, and I think that the guidance has answered that.
Several hon. Members rose—
Matt Hancock
If I may, I will make a bit of progress, because otherwise I will take the whole 90 minutes myself.
The central point is that we need to ensure that we strike a balance so that we get the scrutiny right and also meet the need to act fast. The vote tonight is about whether to renew the Coronavirus Act, and I emphatically urge Members on both sides to vote in favour of that Act because of the broad range of powers without which it would simply be impossible to have an effective response to this virus.
First, the Act has helped us boost the health and social care workforce. One of the achievements in this crisis is that we are able to protect the NHS, and one of the reasons we were able to do that was that we were able to support people on the frontline. This Act allowed the emergency registration of health and social care professionals—nurses, midwives, paramedics, social workers —who wanted to return to the national effort. Skilled and experienced staff were able to return to work and add capacity at a time of emergency.
Secondly, this Act does not just support the NHS frontline: the second part of the Act protects all public servants who keep the UK running safely and securely. Over the past few months we have seen huge changes in the way our public services have operated. This Act allows for remote working and for moving meetings online, and it is about acting quickly to prioritise essential activities. The Act supports vital temporary measures that have allowed public services to keep their work going. This includes courts keeping running in a covid-secure way through the use of virtual hearings; up to 65% of hearings each day now involve somebody joining remotely, so it is integral to maintaining the rule of law that we keep these measures in place. The measures have also kept local democracy going by allowing councils to hold their meetings virtually. These are sensible and pragmatic steps that have helped us keep vital institutions operating in the midst of the pandemic.
The Act gives the Home Secretary powers to close and suspend operations at UK ports and airports if there are insufficient staff to maintain border security. This is one of the powers that has not yet been used, and I hope we will never have to use it, but it remains an important tool at our disposal.
Ms Nusrat Ghani (Wealden) (Con)
I welcome my right hon. Friend’s earlier statement. My constituents are incredibly concerned about the powers given in this Act, but I would argue that this debate is not only about scrutiny and allowing the House to debate and vote; it is also about giving the Secretary of State the credibility to continue the work he is doing. It also exposes the difficult decisions and trade-offs he has to make, balancing the spread of the virus against all the restrictions we have to face, so I welcome the opportunity for further debates—much longer, I hope—and votes, too.
Matt Hancock
We are absolutely open to further and longer debates—for instance, the debate we had on Monday. Under the Standing Orders of the House, this debate is 90 minutes, and neither the Speaker nor we had the choice over that, but we introduced a full day’s debate on Monday, and there will be many more debates to come.
I turn to a measure that we will not be renewing. I have said that we will keep measures in place only for as long as is necessary, and I can tell the House that in one area we will revoke a power that was part of the original Act. When creating the Act, we included provisions to modify mental health legislation to reduce from two to one the number of doctors’ opinions needed to detain someone under the Mental Health Act 1983 and to extend legal time limits on the detention of mental health patients. These were always powers of last resort, and I was not persuaded, even in the peak, that they were necessary, because our mental health services have shown incredible resilience and ingenuity. I have therefore decided that these powers are no longer required in England and will not remain part of the Act. We will shortly bring forward the necessary secondary legislation to sunset these provisions.
The third part of the Act contains measures to suppress the virus. As a nation, we have succeeded in suppressing the virus once, thanks to so many sacrifices by so many people, but with cases on the rise, we know that more needs to be done, and we need to do it together. Our central strategy of suppressing the virus while protecting the economy, education and the NHS until a vaccine arrives is underpinned by this part of the Act. It gives us stronger powers to restrict or prohibit events and public gatherings, and where necessary to shut down premises. It gives police and immigration officers the power to isolate a person who is or may be infectious, and it allows us to close educational settings or childcare providers. Again, these are not measures that anyone wants to use, but we must keep them in place for the moment, because we need every weapon in our arsenal to fight this virus, and these are a proportionate response.
Marco Longhi (Dudley North) (Con)
As the virus clearly behaves according to how each and every one of us behaves, will the Secretary of State join me in condemning what we saw on the news this morning at Coventry University, where some students were behaving in a shameful way, up close and personal, partying?
Mr Speaker
Order. Let me just say that the Secretary of State said that the time could not have been extended. Yes, it could, and I would have agreed to it.
Matt Hancock
Thank you, Mr Speaker.
My hon. Friend’s comments are absolutely right. The need for all of us to exercise responsibility in a world where the virus can pass asymptomatically, without anybody knowing that they have it, is sadly a feature of life during the pandemic, which I hope will be over sooner rather than later.
Chris Bryant (Rhondda) (Lab)
I am very grateful for the correspondence that the Secretary of State and I have had on a specific issue relating to local restrictions in Wales, which have quite rightly been imposed by the Welsh Government, that do not allow people to travel outside their county borough area except for a reasonable excuse, which does not include going on holiday. That means that lots of people have lost every single penny on their holiday, because lots of companies have refused to pay out on insurance or change the date of their holidays. They say that Welsh Government rules are just guidance and do not have the full force of law. I hope the Secretary of State can stand at the Dispatch Box now and say very clearly to those companies that they should be reimbursing people because those restrictions have the full force of law. The Welsh Government are of course the legitimate body that makes the rules in terms of the local measures in place in Wales. That is the devolution settlement, as we have discussed many times in the last six months, and people should respect that.
Matt Hancock
Of course the companies involved should be making recompense where that is appropriate, and I hope that we can come forward with a resolution to this issue sooner rather than later.
Tim Farron (Westmorland and Lonsdale) (LD)
Will the Secretary of State give way?
Matt Hancock
If I could just make some progress.
The fourth part of the Act contains measures for managing the deceased. This is a devastating virus that has caused pain and suffering for many and, tragically, has taken away many loved ones before their time. We have worked hard to treat them with the utmost dignity, along with protecting public health and respecting the wishes of the families of the bereaved.
The Act expands the list of people who can register a death to include funeral directors, and sets out that coroners only have to be notified when a medical professional is not available to sign a death certificate. It allows death certificates to be emailed, instead of physically presented, removes the need for confirmatory medical certificates in order for a cremation to take place and relieves coroners from the need to hold inquests with a jury in suspected covid-19 deaths. Over the past few months, those powers have eased pressure on coroners, reduced distress to the bereaved and allowed funerals to take place without delay. We therefore propose to keep them.
Finally, the fifth part of the Act includes measures to protect and support people through this crisis. The financial support provided by the Government has proved to be a lifeline for so many. These measures in the Coronavirus Act made that support possible. The Act provides for the furlough scheme, the temporary increase in working tax credits and making statutory sick pay payable from day one. Without the Act, we would not have furlough or the job support scheme. The Act also includes measures to protect both business and residential tenants by delaying when landlords can progress evictions.
I know the burdens that the virus has placed on the livelihoods of so many, and we have worked to give as much protection as possible. I think that the whole House will want to keep these powers in place so that we can continue to help people in future. Without the passage of this motion, the financial support for people that is provided for and legally underpinned in this Act would not be legally possible. I understand that many colleagues may have concerns about individual parts of the Act, but a vote for this Act allows many of the necessary legal powers that have been required, including underpinning the financial support that has kept so many people afloat during the crisis.
Tim Farron
I am grateful to the Secretary of State for giving way. Will he agree, though, that the inconsistent and sometimes nonsensical application of some of the rules is doing damage to some of the businesses that he talks about? In particular, I am thinking of the wedding industry and the many families who have been affected by that. The rule of six surely can apply so that a place that can take many multiples of six could host weddings and give people their special day, and so that it does not kill a vital industry not just in the lakes and the dales, but across the country.
Matt Hancock
I think we have shown throughout that we are always willing to try to improve the way the rules operate in a way that is safe. At weddings, of course people tend to come together physically. It is a time of celebration of love, and that is in its nature, so we make restrictions with huge regret, but we always keep an open mind on the public health evidence.
Dawn Butler (Brent Central) (Lab)
If the Coronavirus Act were voted down today, would the Minister not have 21 days to bring forward to the House another Act, which the House can then agree?
Matt Hancock
The principle of the Coronavirus Act is that it underpins so many of the actions that are necessary. To vote down the Act and not to renew it would lead to an undermining of the actions that we need to take to keep this country safe.
Mr Andrew Mitchell (Sutton Coldfield) (Con)
I have a lot of sympathy with what the Secretary of State is saying, but may I also support what was said by the hon. Member for Westmorland and Lonsdale (Tim Farron), not only about the wedding industry but about the exhibitions and events industry? Will my right hon. Friend at least bear in mind that good sense from careful people who seek to be covid-sensible and compliant would enable him to exercise some flexibility in the very inflexible rules that currently govern those two important industries, which are flat on their backs?
Matt Hancock
We are always happy to look at the evidence on how these things can be done—absolutely. I would be very happy to talk to my right hon. Friend about how we can take this forward.
Edward Timpson (Eddisbury) (Con)
On the 15-person limit at wedding venues, it would help a lot of those in the industry, which is struggling desperately, if they could see the public health evidence and anything else taken into consideration in coming to that judgment. The difference between them and the rest of the hospitality industry does stand out, and they are going to be in a further desperate state for the next six months.
Matt Hancock
I will ask my right hon. Friend the Business Secretary to take up that point. The Business Department is responsible for making sure that the business rules are right, and I know that it looks at them very carefully.
The Coronavirus Act remains as fundamental as it was when introduced to this House six months ago. We will beat the pandemic, but we are not there yet. I urge the House to approve this motion, so that we can keep responding with speed and with strength. As we have heard during the opening of this debate, we are always looking to listen, learn and improve the response as much as possible, but without this Act our response will be harmed very significantly. At a time when this nation is being tested like never before in peacetime, I commend the motion to the House.
Mr Speaker
I remind Back Benchers that, unlike Front Benchers, they will have three minutes each.
Mr Kevan Jones (North Durham) (Lab)
Does my hon. Friend agree that the Government are attempting to shift blame on to local councils? The councils quite rightly want restrictions, but what is happening is that they are asking for things but not being given them. There is also no consultation at all on how the restrictions should be implemented locally, which is leaving the councils with the confusion that we have had over the last few—
Nick Thomas-Symonds
My hon. Friend is absolutely right. The lesson with promises from this Government is that we always need them in writing, and even then they are not necessarily delivered.
Nick Thomas-Symonds
Moving swiftly on.
In England, the number of tests, the availability of tests and the turnaround time simply are not good enough. So dire is the situation that the Prime Minister is arguing with the Health Secretary over whether testing even matters. The Health Secretary has said that
“finding where the people are who test positive is the single most important thing that we must do to stop the spread of the virus”,
and I agree with him. I agree with the Health Secretary. The shame is that the Prime Minister does not appear to, because he has said the complete opposite. The Prime Minister has said:
“Testing and tracing has very little or nothing to do with the spread or the transmission of the disease.”—[Official Report, 22 September 2020; Vol. 680, c. 822.]
Yet again, the Prime Minister refuses to take responsibility for his own actions and his own failings.
The testing of care home residents and staff is critical to saving lives, yet in England there have been repeated delays to the roll-out of testing, and people have waited days for their results. We are also witnessing chaotic scenes at our universities as students are locked down for the want of testing. The Prime Minister has been talking about a “moonshot”, but it is time he stopped looking up at the sky in vain hope and focused instead on what is happening in the everyday lives of families and businesses up and down the country. The failure to show that grip and strategic leadership has severely hampered the way in which the UK Government work with other Governments, as my right hon. Friend the Member for North Durham (Mr Jones) said. Some have not even been properly informed of lockdown plans for their own areas. Let us take yesterday as an example, when we had the chaos of the Prime Minister himself unable to outline what additional restrictions his own Government were implementing for the north-east of England. It is, frankly, an embarrassment, and people deserve better. If the Prime Minister actually bothered to communicate with some of the devolved Governments, he might learn something. In Wales, the tracing system is significantly better. The percentage of contacts that has been reached has been consistently higher than in England, and the Prime Minister ought to follow that best practice.
Let me turn to some of those most at risk in our society. The Health Secretary claimed to have thrown a “protective ring” around care homes in England. If that is what the Government call the shambles they presided over, I would hate to see what they consider a mess to be. Again, the Prime Minister tried to shift the blame, insultingly suggesting that
“too many care homes didn’t really follow the procedures”,
and that was when the Government’s own advice at the start of the pandemic said that people in care homes were “very unlikely” to be infected. The truth is that too many care homes were left high and dry. There was not enough support, insufficient personal protective equipment and a lack of testing. I am sorry to say that some of the most vulnerable paid the price and, sadly, paid the ultimate price. Yet again, care workers, who should be lauded by the Government, were denigrated.
That failure on care homes is particularly relevant as we discuss and debate this legislation and its renewal, because the Act contains provisions that allow for the so-called “easement” of legal safeguards. The Health Secretary said that he thinks those are still necessary, but why are they still necessary? I read carefully the analysis that he published, which did not answer the question. He tried in his speech to make a positive case for it on the basis of prioritisation, but he must realise that that does not deal with the deep concern there is about the situation in our care homes, and he must surely understand that every vulnerable person, throughout this pandemic, must have the standard of care that they need.
We also have significant concerns about the curtailment of the use of GPs to sign death certificates. Again, the Health Secretary said that he wanted to continue with that provision. What assessment has been made about the use of this power? Why does it need to continue? Will he also tell us what its impact has been? Ministers have no excuse for being caught unawares, as they have had months to get to grips with this. We cannot afford for action to protect our care homes and other services to be as slow and chaotic as it was at the start of this pandemic.
On a more positive note, I welcome what the Health Secretary said about the easements under the Mental Health Act; they have not been used and I welcome his assurance that they will not now be used. But what about the easements under the Children and Families Act 2014? He did not mention that Act, and I assume from the silence that they will be continuing. He must bear in mind those with special educational needs and vulnerable children, whose rights should not be rolled back as a consequence of this pandemic. Some of the most vulnerable people have borne the brunt of this virus and this Government’s failings.
We have also seen, across our communities, that the impact has not been evenly felt. Black, Asian and minority ethnic communities have been some of the worst-hit by the virus itself and by the economic fallout, Disabled people and those with underlying health conditions have made up 59% of the covid deaths to date. Despite that, the Government have not done enough work on equality impact assessments on measures or made the necessary evidence available so that we can openly debate and vote to address these deep inequalities. Today, we are faced with an all-or-nothing motion, but let me put the Government on notice that we will not tolerate any discrimination in our society as a consequence of the implementation of these measures. That is why I say to the Government today that they should not be waiting another six months; they should be publishing a monthly review of the impact of this virus on individuals and groups, together with those detailed impact assessments. If the Government continue with the easements under the Care Act 2014, as they say they will, or under the Children and Families Act 2014, they must report regularly to this House about the impact of what they are doing,
Ian Blackford (Ross, Skye and Lochaber) (SNP)
I regret the fact that this is only a 90-minute debate. The Government should have ensured that a more appropriate amount of time was given. In that context, I will not do what I normally do; I apologise to Members, but because of time, I will not be taking interventions. [Hon. Members: “Hooray!] That is utterly pathetic.
In preparing my contribution for the debate, I revisited the remarks that I made when this legislation was introduced in March. It seems a long while ago, but it is worth remembering the shock of the initial wave and the speed with which all our lives were changed. As we all know, that sudden shift in our collective lives was accompanied by the tragedy of losing too many of our citizens far too soon. Talk of a new normal has set in fast since the virus first took its grip, but at times, it is important to reflect on the scale of the sacrifice and the adjustment that all of us have been asked to make necessarily because of the pandemic. Even back in March, on the eve of lockdown, it was clear that the fight against this virus would not be temporary and would not be short. We knew then that we were only in the foothills of what is a mountainous challenge. Back then, just as now, there remained a long way to go.
Setting out that context is crucial as we reconsider the powers in the Act. Many things have changed since March. A new normal has evolved. Society and people have adapted and shown remarkable resilience. We should be grateful that, in the main, the public have followed Government guidance throughout these islands. For all the sacrifices that folk have made, they should have our thanks and appreciation. Sadly, one thing remains very much the same since March: the virus remains in our midst, and it remains as deadly as ever. It is worth noting that we are considering these measures in the week that humanity has reached a terrible milestone: 1 million covid-related deaths worldwide, and that is only those officially defined as covid-related deaths.
The emergency and the extensive powers in this legislation have naturally and rightly raised questions and concerns. The nature and the imposition of measures that significantly alter individual liberties deserve full and frank scrutiny no matter the context. In that regard, it is really unhelpful that we have been given only a 90-minute debate today. My party has always made clear our serious concerns about the lack of scrutiny of the powers in the UK Government’s Coronavirus Act. That is why, on the Bill’s Second Reading, we raised our concerns alongside others in this place. The UK Government need to listen to those concerns, voiced long before Tory Back Benchers started having trouble with the Government’s moves.
These six-monthly reviews cannot be a rubber-stamping exercise. They must have the teeth to provide meaningful scrutiny, to protect human rights and to promote public health. It is vital that this elected House has its say on these measures, which impact all our constituents. That is the proper way to maintain trust, in order that we can have stronger regulations in place to tackle the biggest health emergency that any of us have seen in our lifetimes.
We fully acknowledge and appreciate that all elements of this Government and every Government are under huge pressures as a result of the pandemic. This deadly virus presents unparalleled challenges to all of us entrusted with governmental powers, but that is all the more reason why these decisions need the insight of scrutiny and the legitimacy of parliamentary oversight. No one, at least no one on the Opposition side of the House, is calling for the scrutiny to hamstring the UK Government on essential public health measures, but it is right that the House is afforded the democratic means to have its say.
The recognition of such a need and the steps to address it were taken early on in the Scottish Parliament. The Coronavirus (Scotland) Act 2020 contains a range of measures to ensure scrutiny of decisions made by the Scottish Government. Scottish Ministers have responsibility under section 15 of that Act to publish two-monthly reports for the Scottish Parliament on the use of emergency powers. There is a recent requirement of the Scottish Parliament to consider regulations to extend the expiry date of part 1 of both that Act and the Coronavirus (Scotland) (No.2) Act 2020 from 30 September to 31 March 2021. Scottish Ministers also have a duty to report on all Scottish statutory instruments made for a reason relating to coronavirus. As part of debating this motion today, we are calling on the UK Government to consider how similar scrutiny and accountability processes can be introduced in this House.
It is right to reflect on the principles of democratic accountability and transparency, but today it is equally important that we collectively remind ourselves of the principles of protecting our people for however long this pandemic inflicts itself upon us. We must stick rigidly to the principles that we all set out to uphold when this virus became a reality in our everyday lives—protecting our NHS, protecting livelihoods and, most importantly, saving lives. The health regulations under this Act and their impact on the economy cannot be separated, and we have all seen that each has a fundamental effect on the other.
It is crucial that we press the Government on these issues today. Back in March, the UK Government promised the public that, no matter how severe the economic effect, no one would be left behind. Only six months later, this UK Government are now completely failing to uphold the principle of supporting livelihoods and jobs. It is now the shameful policy of this Tory Government that, just as health restrictions are strengthened, they are weakening economic support. They cannot claim to save lives and protect people by imposing additional public health measures on people, while at the same time allowing unemployment and deprivation to soar.
This week, expert after expert has been queuing up to warn that the Chancellor’s significantly less generous replacement for the furlough scheme will not prevent mass redundancies. The Resolution Foundation warned that it will
“not significantly reduce the rise of unemployment”.
The Institute for Fiscal Studies warned:
“It is clear that many jobs will be lost over the coming months”.
The Association of Independent Professionals and the Self-Employed described it as “woefully inadequate”, and the Scottish Tourism Alliance warned:
“The reality we must all face now is that within the coming days and weeks, businesses owners will lose their livelihoods, thousands will lose their income and the effects on the economy and people’s lives will be nothing short of devastating.”
That is the reality.
It is a disgrace that millions of families now face a bitter winter of rising unemployment and squeezed living standards. This is all the direct result of the Tory Government’s reckless decision to scrap the furlough scheme and impose an extreme Brexit during a second wave of coronavirus.
Ian Blackford
I can see the Secretary of State frowning, but, Secretary of State, that is the reality. People are going to lose their jobs and their livelihoods, and this Government are not prepared to do what they promised— to get their arms around those who were going to be affected.
The Tories have made a deliberate choice—a political choice—to let unemployment soar, just like Thatcher did in the early 1980s. Just like back then, the scars of that economic inequality will ruin and last a generation. Either the Tories have not learned from the devastation of the Thatcher years, or they simply do not care. It appears they are willing to inflict the Thatcher years all over again.
Matt Hancock
I thank colleagues on both sides of the House for their contributions to this debate, and I would like to reinforce once again that we will keep listening to and working with the House and put in place, in good faith, the procedures that I outlined earlier and that were welcomed by my hon. Friend the Member for Altrincham and Sale West (Sir Graham Brady) and others.
To respond to some of the points of substance, I strongly agree with my right hon. Friend the Member for South West Surrey (Jeremy Hunt), the Chair of the Health and Social Care Committee, that control of the virus will lead to better and more life-saving cancer care. Sometimes it has been reported and discussed as if controlling the virus hinders cancer care. On the contrary, controlling the virus helps us to deliver better cancer care. He was quite right about that. We will continue to expand testing capacity, which came up from a number of quarters.
I agree with what my hon. Friend the Member for Harwich and North Essex (Sir Bernard Jenkin) said in support of the Government’s strategy. I welcome his comments on the changes we are proposing today to how Parliament operates.
I listened with care to the right hon. Member for East Antrim (Sammy Wilson). I urge him to support the Coronavirus Act this evening, not least because he knows, from the commitments I have given, that there will be further chances for both scrutiny and votes on measures in future thanks to the discussions we have had today.
I am grateful for the comments from my right hon. Friend the Member for South Northamptonshire (Andrea Leadsom). I commit to her to listen as much as possible to the views she expresses and to work with her.
Finally, I want to reassure those who might have been concerned by the comments made by the leader of the Liberal Democrats, the right hon. Member for Kingston and Surbiton (Ed Davey). Under the Coronavirus Act, local authorities are required to follow the European convention on human rights, so the point he made about international law is wrong. The Coronavirus Act delivers a stronger package, in a pandemic, for the support of those who need care.
I put forward to the House the need to vote to approve this motion to put ourselves in the strongest possible position to defeat the virus, and to keep protecting lives and livelihoods and the things that we love. I commend the motion to the House.
Question put.
Point of Order
Matt Hancock Excerpts(4 years, 2 months ago)
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Mr Speaker
I thank the hon. Member for giving me notice of her point of order. The Secretary of State is here if he wishes to make any comment.
The Secretary of State for Health and Social Care (Matt Hancock)
Further to that point of order, Mr Speaker. The evidence is as described. I would be very happy to take the hon. Lady and any other Member through the existing evidence and to listen to any further evidence she has. What matters is getting the best and the right clinical advice. I am enthusiastic to hear about all possible scientific advances that might be helpful.
Mr Speaker
It is not a point of order for the Chair, but I think the hon. Lady can be satisfied that a meeting has been offered. That is important. The only other thing she put on the record—and I know the Secretary of State is well aware of this—is that we do need speedy replies to MPs.
Covid-19
Matt Hancock Excerpts(4 years, 2 months ago)
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The Secretary of State for Health and Social Care (Matt Hancock)
I beg to move,
That this House has considered covid-19.
Today’s debate comes at a critical moment, as coronavirus continues its deadly march across the globe. Too many lives have been cut short and there has been too much hardship and suffering. Here at home we have seen a sharp rise in the number of cases, and this must concern us all. We know from bitter experience in so many countries that the nature of exponential growth is that, once the virus is spreading, it accelerates, with all the consequences that brings.
It is the first duty of Government—of any Government —to keep people safe. Our duty—that of each of us here in this House—is to seek to represent our constituents to the best of our ability in their interests and in the interests of the nation. In tackling this unprecedented pandemic, we must each of us seek to balance the cherished freedoms on which people thrive with that duty to keep people safe, balancing in each judgment the economic, social, educational and, of course, health needs on which our nation’s future depends.
Sir Edward Leigh (Gainsborough) (Con)
If the first duty of Government is to keep people safe, will the Secretary of State remember that the first duty of Parliament is to hold Government to account? I know that he wants to take public opinion with him, but will he therefore reassure us that he is also determined to take Parliament with him? In that respect, may I urge him to meet with my hon. Friend the Member for Altrincham and Sale West (Sir Graham Brady) and come to a compromise to ensure that, if there are further national lockdowns, Parliament will be fully involved in the process?
Matt Hancock
I thought this might come up. I was going to develop the argument further before coming to the nub of that particular point, but, since my right hon. Friend gives me the opportunity, I strongly agree with the need for us in this House to have the appropriate level of scrutiny. As the Prime Minister set out last week, we have already put in place further measures. The aim is to provide the House with the opportunity to scrutinise in advance through regular statements and debates, questioning the Government’s scientific advisers more regularly—that has already started—gaining access to local data and having the daily calls with Ministers, including my right hon. Friend the Paymaster General.
We are looking at further ways to ensure that the House can be properly involved in the process—in advance, where possible. I hope to provide the House with further details soon. I will take up the invitation to a further meeting with my hon. Friend the Member for Altrincham and Sale West (Sir Graham Brady), whom I have already met to discuss this matter, to see what further progress can be made. I hope that that, for the time being, satisfies my right hon. Friend.
Ms Angela Eagle (Wallasey) (Lab)
If the right hon. Member considers the efficacy of parliamentary scrutiny, has he looked at what the New Zealand Parliament has done? It has set up a special Select Committee, led by the Leader of the Opposition and with an Opposition majority on it, to subject the Government’s performance to more direct and transparent scrutiny. It appears to have worked very well indeed. Perhaps he would consider that this Parliament could behave in that way.
Matt Hancock
The structure of Select Committees is a matter for the House, of course, and far be it from me to impinge on the business of the House and the proper responsibilities of the Leader of the House. I welcome the scrutiny that this House gives. I have answered seven urgent questions, given 12 statements and taken 800 interventions since the start of the pandemic. I am committed to continuing the engagement.
Matt Hancock
That includes some brilliant interventions from my right hon. Friend, who calls for more from a sedentary position. So there is further work to do, and I look forward to engaging with colleagues to ensure that we have the proper parliamentary scrutiny.
Mr Mark Harper (Forest of Dean) (Con)
To develop the point made by my right hon. Friend the Member for Gainsborough (Sir Edward Leigh), I accept the points about scrutiny that the Secretary of State makes, but it is about not just scrutiny but the laws we are making. The laws that came in at midnight, for example, were 12 pages of laws, with lots of detail, criminal offences and duties not mentioned when they were set out in a statement last week. That includes duties on employers, directors and officers, with serious criminal penalties. We need to scrutinise the detail of the legislation before it comes into force and give our assent, and not, I am afraid, just allow the Secretary of State to put it into force by decree.
Matt Hancock
Of course, sometimes in this pandemic we have to move fast. Sometimes we have had to move fast, and we may need to do so again. The challenge we have in this House is how to ensure proper scrutiny while also being able, when necessary, to move fast in response to the virus. That is the challenge that collectively we all face.
Mr Steve Baker (Wycombe) (Con)
I reassure my right hon. Friend that I am going to praise him later, but the Constitution Unit at University College London tweeted earlier about the regulations mentioned by my right hon. Friend the Member for Forest of Dean (Mr Harper) that
“this policy was briefed to the media 8 days ago. Was it really not possible to schedule proper, detailed parliamentary debate during that time, given the far-reaching consequences?”
It added:
“Given the current mood, it seems very likely MPs will ask this.”
Well, I am asking. Surely it was possible, in eight days, to have the debate that my right hon. Friend has called for.
Matt Hancock
I am grateful for the tone in which my hon. Friend has engaged in this issue. He is a great supporter of parliamentary rights, and I am a fellow traveller in heart. The challenge is how to do that and also be able to move at pace. I would be very happy to talk with him, along with others, about how to make this happen. I would say, however, in respect of the laws that came into place overnight, that I set them out in a statement—in fact, the Prime Minister set out many of them in a statement last week—so we have been clear about the policy intent. The question is how we can make sure that we deal with this appropriately in the future.
Chris Grayling (Epsom and Ewell) (Con)
I praise my right hon. Friend for what he has done through this pandemic. He has an impossibly difficult job. He has had to take decisions quickly, and he is right to take decisions quickly. But when it comes to new national measures, many of us represent areas where the incidence of the virus remains very low. In the southern part of my constituency—in that district—there were no cases last week. Before we embark on measures that affect everyone, as opposed to firefighting in individual areas, it is really important that this House has the chance to scrutinise, hold to account and challenge. We know my right hon. Friend wants to do the right thing, and we want to help him do the right thing.
Matt Hancock
Help like that is always very welcome. What I can say is that we want to ensure that the House can be properly involved in this process while also allowing the whole nation to move fast where that is necessary. What I would say to my right hon. Friend and others on this point is that I welcome the rightful recognition that sometimes we do have to decide at pace. This is an unprecedented situation and the truth is that the secondary legislation procedures were not designed for a situation like this. The question is how we can have the appropriate level of scrutiny while also making sure that we can move fast where that is necessary.
Steve Brine (Winchester) (Con)
On another point—with the leave of the Chair, we may debate these matters around process in a couple of days’ time—may I focus the Secretary of State on the positives? Although there are many challenges, which I will come to if I catch the Speaker’s eye later, we have many things to celebrate in this country about how we have approached the response to this pandemic—not least the brilliant scientific community in this country, which has produced the only known effective treatment for covid-19 and is doing great work on getting us closer to a vaccine. We like to beat ourselves up—or, rather, the media like to beat us up—but is not the truth that we have many things that the rest of the world follows us in?
Matt Hancock
That is right, and in fact my hon. Friend leads me to where I was going to come next. He is right: whether it is producing the only known treatment, dexamethasone, or having a leading vaccine candidate around the world, or the work that our staff in the NHS did to protect the NHS in the peak of the crisis, or building the Nightingale hospitals in nine days—they told us we would never get that done, but we did—or sorting out the huge problems we had in the provision of personal protective equipment. With the PPE strategy that we set out and published today, we have made it clear that, on all but one line of PPE, by the end of this year we are on track for 70% of our PPE to be produced here in this country. When I got this job, it was 1%. These changes are all huge areas of progress that we have made in tackling this virus, and I am very proud of the whole team who have come together to make them happen.
Several hon. Members rose—
Matt Hancock
I will take one more intervention on this point, and then I am going to make some more progress.
John Spellar (Warley) (Lab)
It is nice to be informed, nice to be consulted and nice to be able to scrutinise, but in the end it is about who decides. Can the Secretary of State explain why he is so against Parliament’s making the decision, even if he argues for urgency and immediacy —within two days, for example—to either confirm or revoke those regulations? Why is he against Parliament’s being the one that finally decides on this? It is quite clear that this is not even being decided in Cabinet, but just by one or two Cabinet members. Let Parliament decide.
Matt Hancock
I have said what I have to say on this. This is clearly an area on which I am very happy to engage with the right hon. Gentleman and everybody else, along with the Leader of the House and the parliamentary authorities, to try to find a way forward.
John Redwood (Wokingham) (Con)
May I have a progress report on something we have talked about before: infection control? This time round, will there be isolation hospitals so that we can control the infection in the hospital sector better, and will there be good controls to prevent the seepage of people with infection back to care homes?
Matt Hancock
The answer to both those questions is yes. We have learnt a huge amount about those and put in place improved procedures, but I am going to come on to the question of the impact of that on our strategy.
The virus has shown beyond all possible doubt that the health of one of us begets the health of us all. Without a doubt in my mind, the central question about the control of the virus, and one that I ask myself every day, is, “How do we best keep people safe from this virus while protecting liberty and livelihoods and the things that make life worth living?” I believe that in reality there is not a simple trade-off between those things, because the exponential growth of the virus means that there are in reality only two paths: either to control the virus or to let it rip.
There is no middle option, because once the virus is growing, it accelerates. To the point made by my right hon. Friend the Member for Wokingham (John Redwood), I am convinced that no matter how effectively we protect the vulnerable, and protect them we must, letting the virus rip would leave a death toll too big to bear. In reality, the only question is how to control the virus and when to put measures in place.
That comes directly to the question that we have been debating about both how to control the virus, and how we must act fast. The best thing we can do for schools, for our economy and for both lives and livelihoods is to act fast, together, to control the virus and to keep the rate of infections down. From that goal flows our strategy, which is to suppress the virus while protecting our economy and education until a vaccine arrives.
Rachael Maskell (York Central) (Lab/Co-op)
Is this not why we need evidence-based interventions? The Secretary of State will have seen clips of what happened in my constituency on Saturday night at 10 o’clock, as the streets filled out with young people enjoying themselves and partying with no social distancing, clearly creating the worst of environments. Will he now review the policy of the 10 o’clock curfew to ensure that our streets and neighbourhoods are safe?
Matt Hancock
We always look at the effects of these policies. We have to take everything in the round, including the level of social distancing that might have been going on, were that to continue all through the night. One reason we brought in the policy is that we have seen it work in other countries, as the hon. Lady knows. None of these interventions on social distancing are ones that we take lightly or want to put in place. The central question is how we keep control of the virus in the best possible way, while reducing the impact on the economy and on education as much as possible.
Mr Harper
I am grateful to the Secretary of State for his indulgence in taking a second intervention. I agree with him: unlike some people, I think we need to take tough measures to deal with the virus, and that we sometimes need to act quickly. The really important question is: will the measures be effective, and do we have the evidence to support that? Therefore, I gently say to the Secretary of State that that is why I think that Ministers coming to Parliament, marshalling the arguments and laying out the evidence, means that we get better decisions that are likely to be more effective in dealing with the virus and protecting our economy. I think that is the general view of many colleagues, on both sides of the House, and I hope he will reflect on that when he meets my hon. Friend the Member for Altrincham and Sale West (Sir Graham Brady).
Matt Hancock
It is a view that I very largely share. In fact, I would go so far as to say that the number of times that I have stood at this Dispatch Box and taken into account points made by Members, from either side of the House, is beyond what I can count. Listening to points that have been made has been part of the rhythm of the response. I therefore caution against the idea that there has not been parliamentary scrutiny, and I know that because I have been at this Dispatch Box usually several times a week when Parliament has been sitting. But I understand the concerns—of course I do—and I hope we can find an appropriate way forward.
Jonathan Edwards (Carmarthen East and Dinefwr) (Ind)
The Secretary of State has said that there are essentially two strategies, but there is, of course, a third strategy, based on elimination, which is what New Zealand has pursued. It had succeeded, although there has been a slight resurgence over recent weeks. Is elimination a viable strategy for the UK?
Matt Hancock
I would love it if elimination were a realistic strategy, but everywhere in the world that has tried an elimination strategy has, sadly, seen a resurgence. New Zealand attempted an elimination strategy and saw a resurgence. Scotland attempted an elimination strategy and saw a resurgence. The virulence of this disease and its prevalence globally—we are almost at the point of 1 million deaths around the world—mean that our two realistic options are suppression until a vaccine comes and letting it rip, and I know which of those two I support. The Government’s position is based entirely on the goal of suppressing the virus while working as fast as we can towards a vaccine.
The truth is that many things have gone well. I thank everybody who has been doing the right thing, following the rules, clicking on the QR codes, washing their hands, wearing a face mask and keeping their space. I thank the people who have been involved in the successes, including the Nightingale hospitals, which I have mentioned, and the NHS and care teams. I thank those who built, almost from scratch, the biggest testing capability of all our peers. Today we are on track to process our 20 millionth test, which is more than the number of tests conducted in France and Spain together. I thank everyone who has played their part, just this weekend, in the fastest download of an app in British history, with 22.4 million downloads as of noon today.
We have done those things together. Never has it been more true to say that no man is an island. None of it would have been possible without a huge team effort. The challenges, as we have discussed, have been legion—I have no doubt that this is the biggest crisis in my lifetime—and we know that we can rise to them only if we do so together.
Chris Elmore (Ogmore) (Lab)
On testing, is the Secretary of State as appalled as I am that scammers are calling vulnerable people and suggesting that the NHS wishes to charge £50 per test? When the constituent queries them, the scammers insist that they are calling from the track and trace service and that they should give them their bank details. Will the Secretary of State condemn that and raise the issue with the Home Secretary so that these scammers are prosecuted with the full force of the law?
Matt Hancock
Yes, absolutely. I am aware of these sorts of scams, and we have a programme of action to take against them. It is an outrage that people should try to take advantage of a global pandemic in this illegal way.
I want to update the House on the changes that we have brought into force on requiring and mandating self -isolation. From today, we have introduced a £500 support payment for those self-isolating on low incomes. On top of that, I can tell the House that we are providing £15 million so that local authorities can make discretionary payments to people who do not meet the criteria of the scheme but may also face financial hardship if they have to self-isolate and cannot work. We know that self-isolation works, and we know that the vast majority of people want to do the right thing, so we will enhance support for those who do and come down hard on those who flout the rules.
Our second line of defence is testing and contact tracing. The 20 millionth test today means that we will have processed more tests than Italy and Spain combined. We are expanding our testing capacity all the time, on track to 500,000 a day by the end of the month. Of course, testing only provides the information. What matters is that people act on it, so we have built a veritable army of contact tracers at enormous scale, and they are complemented by the app. It is a cross-party app. I am grateful for the huge support that it has received, and I urge everybody, including every single Member of this House, to join the 12.4 million.
We have so much more information about the virus than we had in the first peak, which means that we can take a more targeted and localised approach. Over the past few months, local restrictions have allowed us to home in on areas where cases are high and rising and put targeted measures in place.
Munira Wilson (Twickenham) (LD)
The Secretary of State talks about testing being so important in providing data. Does he therefore regret that in recent weeks, we have seen 40% of testing capacity taken out of London? We are now seeing hospitalisations rising, with talk about further restrictions in London, but we cannot base it on reliable testing data because there has not been enough testing done—people in my constituency and across London are still struggling to access tests. Does he agree that that was the wrong move to make?
Matt Hancock
We ensure that testing is prioritised in the areas with the greatest prevalence, and we look at not only the number of positive cases but the surveys and the positivity rate. Those all inform the needs. I understand why the hon. Lady rightly fights for more testing in her constituency, but we have to ensure that testing is used in the places where it is most needed. We know more about this because we now have mass testing, with capacity for over a quarter of a million tests a day, which means that we can take a more targeted and local approach.
Unfortunately, as case rates have gone up, we have needed to introduce more local measures. On Friday, we introduced new restrictions on household mixing for Wigan, Stockport, Blackpool and Leeds, and today, I must announce further measures for the parts of the north-east where we introduced local action a fortnight ago. Unfortunately, the number of cases continues to rise sharply. The incidence rate across the area is now over 100 cases per 100,000. We know that a large number of these infections are taking place in indoor settings outside the home, so, at the request of the local councils, with which we have been working closely, we will introduce legal restrictions on indoor mixing between households in any setting. We do not take these steps lightly, but we must take them now, because we know that swift action is more likely to bring the virus under control. The quicker we can get this virus under control, the quicker we can restore the freedoms that we all enjoy in the north-east and across the country.
All the time that we have been fighting to suppress the virus, so too we have fought to protect people—through the furlough scheme, the bounce back loans and funding for social care, the charities, the arts, as well as unprecedented support for the NHS, so that we could protect it through the peak and now work through the backlog that the peak inevitably caused. Through the huge challenges, we secured the supply lines for vital PPE, and hence we can now launch our PPE winter plan. I would like to pay tribute to Lord Deighton, his team and all the businesses that are stepping up, because their work has put us in such strong stead to protect those who are performing heroics on the frontline.
Finally, the best way to protect us in the long term, for our lives and our livelihoods, is a vaccine. Work progresses as fast as is safely possible. On Friday, the Joint Committee on Vaccination and Immunisation published its interim guidance on how we propose to prioritise access to a vaccine as soon as one becomes available. A huge planning effort is under way, led by the NHS and with the support of the armed forces, to ensure that we are ready for a roll-out as soon as is feasibly possible. Building on years of experience of the annual flu vaccine roll-out, the national effort to come brings hope to us all.
All the way through this pandemic, I have welcomed debate and scrutiny in this House. On Wednesday, we will debate and vote on extending the vital measures in the Coronavirus Act 2020, which provides powers that are critical to the control of the virus. I urge all colleagues to work together to ensure that we come through this in the best possible way, because ultimately, wherever in this Chamber we may sit, we are all on the same side, steadfast in our determination to defeat this deadly virus.
Covid-19 Update
Matt Hancock Excerpts(4 years, 2 months ago)
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The Secretary of State for Health and Social Care (Matt Hancock)
As the covid-19 incidence rate continues to rise across the country, a suite of local and national actions is required to break the trains of transmission and enable people to maintain a more normal way of life.
The Government will act swiftly and decisively to limit further spread, reduce disruption and contain local outbreaks. The local action committee command structure has been reviewing the latest evidence, working with local leaders and the scientific community to assess the data and whether further evidence is required.
The latest data shows a sharp increase in incidence rates per 100,000 population in Leeds, Blackpool, Wigan and Stockport, which are significantly above the national average.
As a result, we are making regulations which take effect from Saturday 26 September and will impose restrictions on inter-household mixing in private dwellings and gardens in Leeds, Stockport, Wigan and Blackpool. This is in line with measures seen elsewhere in the country, such as Leicester and the West Midlands. People who live in these areas will not be allowed to gather in a private dwelling or garden with any other household unless in a support bubble. People from anywhere else will also not be allowed to gather with another household in a private dwelling or garden in these areas.
We have also reviewed the position in Leicester, the Borough of Oadby and Wigston, Birmingham, Solihull, Sandwell, Wolverhampton, Bolton, Bradford, Kirklees, Calderdale and the remaining local authorities in Greater Manchester and have decided to maintain their position on the watchlist as areas of intervention, as well as the current restrictions in these areas.
This will be difficult news for the people living in these areas, profoundly affecting their daily lives. These decisions are not taken lightly, and such measures will be kept under review and in place no longer than they are necessary. There are exemptions to these measures so people can still meet with those in their support bubble. There are other limited exemptions such as for work purposes or to provide care or assistance to a vulnerable person. Through the Health Protection (Coronavirus, Restrictions) (Protected Areas and Linked Childcare Households) (Amendment) Regulations 2020, people may create an exclusive childcare bubble for the purposes of informal childcare for children under 14, helping ease pressure on those living under local restrictions so they can get to work.
The guidance on gov.uk covering these areas will also be amended to fully reflect these changes.
[HCWS470]