Coronavirus Update

Matt Hancock Excerpts

Thursday 24th September 2020 Written Statements

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

As set out by the Prime Minister in Parliament on 22 September, the covid-19 infection rate is rising across the country. It is now vitally important that Government take decisive action to limit any further spread, and reduce the chance of more restrictive measures.

I therefore wish to update you on the Health Protection (Coronavirus, Restrictions) (No. 2) (England) (Amendment) (No. 5) Regulations 2020 (“the No. 2 Amendment Regulations”), and the Health Protection (Coronavirus, Wearing of Face Coverings in a Relevant Place and on Public Transport) (England) (Amendment) (No. 3) Regulations 2020 which both came into force on 24 September 2020.

It is now a legal requirement for hospitality venues (including cafes, bars, pubs and restaurants) to close between the hours of 10 pm and 5 am. This rule also applies to social clubs, cinemas, theatres, concert halls, casinos, bowling alleys, amusement arcades (and other indoor leisure centres or facilities), funfairs, theme parks, and adventure parks and activities, and bingo halls. However, cinemas, theatres and concert halls will be able to remain open beyond 10 pm if the performance started before 10 pm. There are certain exemptions to these restrictions, including delivery services, drive-through, and service stations. In addition, a “table service only” policy means that customers must be seated to consume food and drink served on hospitality premises.

If businesses do not adhere to these new requirements, they could face a fine of £1,000 increasing in intervals to £2,000 then £4,000 to a maximum of £10,000 for subsequent offences.

The “rule of six” introduced on 14 September prohibits social gatherings of more than six people in England, apart from specific exemptions. These exemptions have been further limited to reduce the risk of covid-19 transmission. The amendments include: limiting attendance at support groups, weddings and wedding receptions to 15 people and removing the existing exemption for indoor team sports (except for indoor disabled sports and supervised under-18s sports), and significant life events (other than weddings, civil partnerships, and funerals).

Fines for initial breaches of the rule of six gathering limit have been doubled to reflect the severity of non-compliance. This means fines will be doubled from £100 to £200, doubling again upon reoffence.

Amendments to the face covering regulations introduce a requirement for the public to wear a face covering in retail, leisure and hospitality venues including restaurants, public houses and bars, except for when seated to eat or drink. We have also extended the requirement to wear a face covering to staff working in these settings unless they have a reasonable excuse, in areas which are open to the public and where they are likely to come into close contact with members of the public.

The penalty for failing to wear a face covering where one is required or gathering in groups of more than six, will now increase from £100 to £200 on the first offence (reduced to £100 if paid within 14 days), rising to a maximum of £6,400 for repeat offenders with no reduction for early payment from the second fine.

Publicly available Government guidance on gov.uk is being updated to ensure that it is consistent with the new regulations. Sector bodies will also produce updated guidance where relevant.

[HCWS468]

Covid-19 Update

Matt Hancock Excerpts

Monday 21st September 2020 Commons Chamber

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

With permission, Mr Speaker, I would like to make a statement on coronavirus. This deadly virus continues to advance across the world. The World Health Organisation has confirmed that the number of new cases in Europe is now higher than during the peak in March. Here, the latest Office for National Statistics figures indicate 6,000 new infections a day—almost double the previous week.

As the chief medical officer and the chief scientific adviser said earlier today, we are seeing a rise in cases across all age groups. That pattern is emerging across the entirety of our United Kingdom. Earlier this afternoon, the Prime Minister held discussions with the First Ministers of the devolved Administrations and the Deputy First Minister of Northern Ireland to make sure that, wherever possible, we are united in our efforts to drive this virus down.

We know that the epidemic is currently doubling around every seven days and that, if we continue on that trajectory, we could see 50,000 cases a day by mid-October, so there can be no doubt that this virus is accelerating. We must all play our part in stopping the spread.

I would like to update the House on decisions the Government have taken so far. The first line of defence is, of course, the social distancing that every single one of us has a responsibility to follow. That includes the basics—hands, face and space, and the rule of six—and a crucial part of that is people self-isolating if they are at risk of passing on the virus. People who have tested positive and their close contacts must self-isolate. That is the primary way that we, together, break the chains of transmission.

I know that self-isolation can be tough for many people, especially if they are not in a position to work from home. I do not want anyone having to worry about their finances while they are doing the right thing, so we will introduce a new £500 isolation support payment for people on low incomes who cannot work because they have tested positive or who are asked to self-isolate by NHS Test and Trace. It will start next Monday. It will apply directly in England. The UK Government will be providing funding through the Barnett formula to the devolved Administrations so that similar support can be offered to people in Scotland, Wales and Northern Ireland.

As we are strengthening our support for those who self-isolate, we propose to strengthen the sanctions for those who do not. The vast majority of people who are asked to self-isolate do, but the rules are so important that we must ensure that nobody breaks them. We are therefore proposing a new legal duty to self-isolate, again for people who test positive or who are asked to do so by NHS Test and Trace. That is backed by fines of up to £10,000 for repeat offences and serious breaches.

We will step up enforcement too. NHS Test and Trace will make regular checks on those who are self-isolating, and we will crack down on employers who try to prevent staff from following the rules. Over the past few months, self-isolation has been instrumental in breaking the chain and blunting the force of this virus. We know that it works. With winter ahead, we will support everyone to do what is right to help stop the spread of the virus.

The next line of defence is testing and contact tracing. We are doing more testing per head than almost any other major nation. Our daily testing capacity is now at a record high of 253,521, and it continues to grow. On Thursday, we announced that two new Lighthouse labs will be set up in Newcastle and Bracknell, increasing capacity further. As the House knows, alongside that record expansion, demand has gone up, too, so we need to prioritise the tests for those who need them most to save lives, to protect the most vulnerable and to make sure that our health and care services and our schools can operate safely.

Today, we have published our list of where tests are being prioritised, setting out how we will make sure tests are allocated where they are needed most: first, to support acute clinical care; second, to support and protect people in care homes; third, NHS staff, including GPs and pharmacists; fourth, targeted testing for outbreak management and surveillance studies; fifth, testing for teaching staff with symptoms, so we can keep schools and classes open; and then the general public when they have symptoms, prioritising those in areas of high incidence. I want to reinforce this important point: the system relies on people coming forward for tests if—and only if—they have symptoms of coronavirus or have been specifically advised to by a health professional. The testing capacity we have is valuable and we must together prioritise it for the people who need it the most.

The next part of our defence is local action. We have been vigilant in monitoring the data and putting in place targeted local measures so that we can come down hard on the virus wherever we see it emerging. In the summer, when the virus was in retreat, we were able to relax some of the measures that we had put in place, but now as the virus is spreading once more we have had to act.

On Thursday, I updated the House on the changes we are making in parts of the north-east, and on Friday we introduced new rules for parts of the north-west, West Yorkshire and the midlands. We have seen some concerning rates of infection in those areas. Liverpool, for instance, now has more than 120 cases per 100,000 population, and in Warrington it is about 100. As a result, working with local councils, we are putting in place stronger restrictions to protect local people. In parts of Lancashire, Merseyside, Warrington and Halton, we are putting in place new measures from tomorrow. As with our strategy overall, our goal is to protect education and employment as much as possible, while bearing down on the virus. Residents should not socialise with people outside their own households or support bubble. Hospitality will be restricted to table service only and operating hours will be restricted, so venues must close between 10 pm and 5 am. From tomorrow in Wolverhampton, Oadby and Wigston and the whole of Bradford, Kirklees and Calderdale, people should not socialise outside their household or support bubble.

We know from experience that local action can work when local communities come together to follow the rules, to tackle the virus and to keep themselves safe. I know how hard that is. We are constantly looking to how we can ensure measures bear down on the virus as much as possible, while protecting lives and livelihoods.

I have heard the concerns about the impact of local action on childcare arrangements. For many, informal childcare arrangements are a lifeline, without which they could not do their jobs. Today, I am able to announce a new exemption for looking after children under the age of 14 or vulnerable adults where that is necessary for caring purposes. That covers both formal and informal arrangements. It does not allow for playdates or parties, but it does mean that a consistent childcare relationship that is vital for somebody to get to work is allowed.

I would like to thank colleagues from across the House, including my right hon. Friend the Member for Berwick-upon-Tweed (Anne-Marie Trevelyan) and the hon. Member for Sunderland Central (Julie Elliott) and my hon. Friend the Member for North West Durham (Mr Holden) for working with us on this important issue. I hope the change will provide clarity and comfort to many people who are living with these local restrictions. It shows the benefit of cross-party working across the House and listening to concerns as we all do our best to tackle this dreadful disease together.

The virus is spreading. We are at a tipping point. I set out today the measures the Government are taking so far. We are working right now on what further measures may be necessary, and the Prime Minister will update the House tomorrow with any more action that we need to take. This is a moment where we, once again, must come together to tackle this deadly disease. I commend this statement to the House.

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

I welcome advance sight of the Secretary of State’s statement, and we particularly welcome the action that he has taken on childcare. There can be no doubt that the presentations that we saw today from the chief medical officer and the chief scientific adviser were stark and deeply concerning. The Secretary of State yesterday described this, and he repeated it today, as a tipping point. I agree that we are at a perilous moment.

The exponential growth in the virus cannot be ignored. This virus takes lives, and it leaves many with long-term debilitating conditions. Every reasonable action must be taken to save lives, minimise harm and keep our children in school. That means a suppression strategy to drive infections down, so will the Secretary of State reject those siren voices telling him that the virus has lost potency or that we should let it rip through the herd while the vulnerable shield?

We support the local restrictions that the Secretary of State has had to impose, including in Chorley, Mr Speaker, and we understand why he has made that decision. Neither he nor I came into politics to place upon individuals a heavy burden of curtailments on our freedoms, and while we, as the official Opposition, would always welcome greater parliamentary scrutiny of the restrictions, we will continue to work constructively on a cross-party basis where restrictions are necessary to arrest the spread of this virus.

May I also say to the Secretary of State, ever so politely of course, that the tone of his remarks yesterday rather gave the impression that he was blaming people for breaking the rules and allowing the virus to grow? The reality is that people have done everything that they were asked to do. They have missed birthday celebrations, weddings and funerals. They have sent their children back to school, quite rightly. They have gone back to work. They have done what they were asked to do; in return, Ministers were supposed to fix test, trace and isolate, so that we could, in the words of his own Government adverts,

“get back to the things we love.”

Before the summer, the Government commissioned the Academy of Medical Sciences to scenario plan. It modelled that the R value could rise to 1.7 in September—that is what Imperial College currently estimates it to be—and it recommended significantly expanding the capacity of the test, trace and isolate programme to cope with increasing demands over the winter. Ministers were warned, but pillar 1 and pillar 2 testing capacity did not increase significantly over the summer.

In recent weeks, only half of all tests have been received in less than 24 hours. The Secretary of State has repeated his point about asymptomatic people asking for tests. Will he publish the pillar 2 data, which breaks down how many of the people asking for those tests were symptomatic and how many were asymptomatic? Many parents report going to walk-in centres with their sick children when they themselves had no symptoms and being given a test. Was that a national policy and has that national policy been abandoned?

We welcome the recognition that people need financial support to isolate. We have been saying that for months, but, as I understand it, it is available only to those low-paid workers who are also on benefits and not to all low-paid workers, so will the Secretary of State consider expanding the eligibility criteria?

We have always said that when testing breaks down, tracing breaks down and the virus gets out of control. We are now facing a second wave of infection. We do not want a second wave of ministerial mistakes. All of us want to avoid a further national lockdown. Lockdowns or circuit breaks exact a heavy social and economic price, especially on the poorest and more vulnerable, but controlling the virus and protecting the economy are linked objectives, not in conflict with one another.

I understand that the Secretary of State will tell us that we have to anticipate the Prime Minister’s statement, but can he confirm that during a lockdown, if we have one, he will use the time wisely, expand NHS lab capacity, put public health teams in the lead on contact tracing, quickly assess the university pilots on saliva testing, and validate polymerase chain reaction pool testing, so that when those lockdown restrictions are lifted we can contain the virus in the future?

I welcome what the Secretary of State said about prioritising NHS staff, care workers and teachers, but can he clarify why he has issued guidance to hospital trusts placing restrictions on the numbers of tests that they can carry out, and how he will protect care homes? According to reports today, many care homes have had to wait over two weeks for their test results, and data from Public Health England shows that more than 200 care homes have had an outbreak of covid in the last two weeks. Will he ensure that no one is discharged into a care home without having a covid test? Given where the virus is, what is his advice to the shielding community? What protections is he putting in place for those from black, Asian and minority ethnic communities, given that there are disproportionate numbers from those communities in intensive care units today?

None of us wants to see another lockdown or circuit break, and we will of course understand if one becomes necessary, but test, trace and isolate should have been fixed. That failure has left us vulnerable and exposed. Now we must act with speed to save lives and minimise harm.

[Matt Hancock]

I am grateful to the hon. Gentleman for his constructive approach in these difficult times. He and I agree that the strategy of suppressing the virus while protecting the economy and education is the right one. In so doing, it is important to act fast so as not to have to act bigger later. I also agree that no one in this House came into office to put in place restrictions like these. He asked about the importance of people following the rules that we have put in place. It is vital that all people follow the rules. The vast majority have done so throughout but, critically, enough have not, meaning that in many cases we have had to make the rules mandatory, rather than relying on people’s sense of civic duty. That is the fundamental judgment behind making self-isolation mandatory, as I announced in the statement.

The hon. Gentleman asked about testing. Of course, we have record testing capacity right now—a record 233,000 tests were done on Friday—and lab capacity will continue to grow. He also asked about the NHS testing capacity, which will also continue to grow. In fact, I had a meeting about that earlier today with Simon Stevens, the head of NHS England. The hon. Gentleman asked about pool testing and saliva testing, which are just two of the many new testing capabilities that we are bringing to bear. He also asked me to ensure that there will be no admissions to care homes without a test. That is our policy: not just no discharges from hospital into care homes without a test, but no admission from anywhere into care homes without a test. That was reiterated in the social care winter plan that we set out on Friday.

I suppose that at the heart of the official Opposition’s response, and at the heart of my response to the hon. Gentleman, is the fact that we are united in wanting to tackle this virus, and in sending the message to everyone across the country that it is critical that we all follow the rules and play our part so that we can suppress the virus while protecting, as much as possible, the things that we love.

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

I support the measures outlined by the Health Secretary, which regrettably are both necessary and proportionate. Last week, on World Patient Safety Day, the WHO announced a charter for health worker protection, which asks all WHO member states to commit not only to having adequate supplies of personal protective equipment and mental health support, but to ensuring that there is zero tolerance of violence against health workers. Will he commit the Government to signing up to the charter so that, as we go into a second wave, all our brave frontline workers know that this Government and this House stand four-square behind them?

[Matt Hancock]

Yes, I will happily sign up to the proposals that my right hon. Friend has set out. As the House well knows, his long-standing and international work on patient safety is very impressive. We must ensure that in these difficult times we protect our care workers and frontline staff—including, if I may say so, the staff at the testing centres—and that we reiterate once again our commitment to patient safety.

[Mr Speaker]

I welcome back Philippa Whitford.

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

Thank you, Mr Speaker. As the chief medical officer and chief scientific advisers said this morning, the UK is in danger of losing control, as we have seen happen in many countries in Europe. As the Secretary of State has said, we could be facing 50,000 new cases a day by mid-October, leading to about 200 deaths a day by mid-November. No one should be in any doubt that it is a mistake to think that the virus has changed and that it will not kill people if we get back to where we were in April.

I agree utterly with the Secretary of State that we need to take action now, and that action is personal; every single person has the responsibility to stick to the rules—to wear a face covering, wash their hands and keep their distance. I remind Members in this House, because I have been watching it from outside, that that is not always what is on show in this Chamber, and we all have a responsibility to set an example. That responsibility extends to self-isolating, whether we have symptoms, we are proven, we are a contact or we have returned from a high-risk country. If we are meant to be isolating, we need to do it. I really welcome the fact that the Government are finally putting in place financial support for people on low incomes, who might be tempted not to isolate because they simply do not have any other opportunities to feed their family.

However, it is crucial that we have a fast and responsive test and trace system, so I have a couple of questions for the Secretary of State. In recent weeks, he has talked about aiming to have 500,000 tests a day by the end of October. Given the surge we are facing, does he envisage being able to accelerate that and bring it forward? Secondly, on 8 and 15 September he committed to me that he would be increasing funding to expand NHS testing, but, as we heard from the shadow Secretary of State, NHS trusts in England have been told that funding is capped and they are not to expand covid testing. Surely this is resource that we want to use and make available.

[Matt Hancock]

I wholeheartedly agree with the hon. Lady’s comments about the need for action across the UK. We have seen in Scotland, as in England, Wales and Northern Ireland, that the number of cases has, sadly, risen sharply. I welcome her physically back to the Chamber, in demonstrating this unity of purpose across the four nations of the UK. If we can bring forward the goal of 500,000 tests per day from the end of October, of course we will do so; we are pushing that as hard as we can and are on track to meet that commitment. As she says, that is for across the UK, so it includes the tests done by the Scottish NHS. I know that conversations have taken place between the NHS in Scotland and the NHS in England to work on making that happen. We are expanding NHS testing, including the funding. In the funding letter that went out to the NHS for the second half of the financial year—for the cover in winter—we set out that that includes the commitment to support financially the testing done in the NHS in England.

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

I welcome the measures my right hon. Friend has announced today, as he seems to be getting the balance absolutely right, and I praise him for the job he is doing. However, we have to remember that there are huge regional variations in the impact of the virus at the moment and many parts of the country have much lower infection rates. There are huge consequences of this virus for people in our communities, including on their mental health, and, in particular, for the younger generation, who are paying a very heavy price. Given those regional variations, may I say, in the full knowledge of the pressures he is facing, that I do not believe the case for further national measures has yet been made?

[Matt Hancock]

There is an important balance between the measures we need to take across the country as a whole, and the further and stronger measures in local areas. My right hon. Friend will have seen, particularly in the past week, that we have expanded some of those local interventions to cover bigger geographies, but he is right to say that there are some parts of the country where, thankfully, the number of cases is still very low. So the balance between what we do nationally and what we do locally is as important as the balance in terms of what we do overall.

[Munira Wilson (Twickenham) (LD)]

I am sure the Secretary of State will agree that one of the greatest tragedies of the first wave of this dreadful virus was the loss of life in and the impact on our social care sector, and we must learn the lessons from that as we head into a second wave. While he has emphasised in the media and in his statement the prioritisation of testing in care homes, could he explain why a number of care homes are still reporting a two-week delay in receiving test results? Will he clarify whether the prioritisation also includes staff providing care in people’s homes?

[Matt Hancock]

Care home testing is incredibly important. We have brought down some of the response times, and I am glad to report to the House that, since last week, when we debated the very sharp rise in demand, including among asymptomatic people, that demand has come down somewhat, and the pressures are a little lower on the testing system as a whole. That does not mean that we do not want to increase capacity further—of course we do. It is very important that we have tests available for all vulnerable people, whether they live at home or in a care home.

[Greg Clark (Tunbridge Wells) (Con)]

The scientific evidence is that covid is detectable by test within seven days of someone being infected, so why should people who have been made to self-isolate not be tested seven days after a possible infection and released if they test negative?

[Matt Hancock]

The incubation period before which the virus can present itself is still estimated to require 14 days of self-isolation. If we could bring that figure down, I would be the first to be pleased to do so. As with our decision to take to 10 days the period for which somebody who has tested positive must self-isolate, this is a critical point, and we must rely on the scientific evidence. If my right hon. Friend has further scientific evidence, I would be happy to look at it.

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

Does the Secretary of State think that a £10,000 fine will act as a disincentive to poorer people getting a test?

[Matt Hancock]

We have put in place the extra £500, in addition to other income that people are getting, to support people on low incomes to self-isolate. If someone who is on a low income has symptoms and wants to know whether they have the virus, the result of having a positive test is that they will get the extra £500, and then of course they have to self-isolate. I am confident that people will come forward and do not only the right thing for society but the right thing for them, to find out the cause of their illness if they have symptoms.

[Harriett Baldwin (West Worcestershire) (Con)]

I thank the Secretary of State for the extra £2.5 million for Worcestershire Acute Hospitals NHS Trust and the extra money for the social care system in Worcestershire. Can I clarify what the advice is these days for people who would normally have fetched up at A&E? Is it to call 111 in every instance?

[Matt Hancock]

Yes. We are moving to a system where the advice is to call 111 First and then go to A&E, or call 999 if it is an emergency and you need an ambulance. That system will not only help people to be triaged for the right treatment, which may be to see a GP, go to an urgent treatment centre or go to A&E. It will also help the emergency department to know that people are coming. The combination of the two is critical. We are rolling this out over the next couple of months, and we aim to have it in place across the country by 1 December.

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

Despite what the Secretary of State has said today, we are still hearing myriad stories of people—our constituents—being unable to get tested. The worst story I have heard is a constituent who was told to travel 600 miles to Aberdeen to get a test. Why is that the case, when we are constantly told by Ministers that there is no problem?

[Matt Hancock]

Nobody has addressed the problems and challenges in the testing system more than me. We need to resolve those problems, as we have in very large part resolved the problem of people being sent long distances. I would love to know the example that the hon. Gentleman cites, because I am told that that problem in the system was fixed last week, and if there is a more recent example, I want to know about it.

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

I welcome my right hon. Friend’s commitment to the expanding of testing, which is clearly key to identifying the virus and stopping its spread. I direct him to an article in The Times today about private businesses expanding testing capacity. BAE in my constituency is testing almost 6,000 employees on a weekly basis and is keen to expand that into the community. I know that my right hon. Friend has already started to engage on this issue, but I urge him to do everything he can to cut through any red tape, expand such testing as quickly as possible and use every tool at our disposal.

[Matt Hancock]

Of course we support businesses and others who want to get tests outside the NHS Test and Trace system; last week we published a paper on how they can go about doing that, and we encourage businesses to do that for their employees. The critical thing is that if people test positive, that data must, by law, flow to Public Health England so that we can do the necessary contact tracing and enforce the isolation that is going to be mandatory from next Monday. We strongly support that sort of action, whether it is taken by employers or, indeed, the University of Cambridge, which proposes to do the same for its students.

[Kim Johnson (Liverpool, Riverside) (Lab)]

Liverpool incidence rates have increased quickly and we are now on the precipice of local lockdown. There has been an increase of 247 cases on the previous week’s figures and the latest weekly rate in Liverpool is now 120 per 100,000, as the Secretary of State mentioned. What additional resources does the Secretary of State plan to provide to Liverpool and other local authorities to assist them in dealing with further localised outbreaks?

[Matt Hancock]

The hon. Lady asks an important question. We are putting more testing into Liverpool, notwithstanding the challenges in testing capacity, because it is exactly the sort of place where we need to put that testing. We are also bringing in £500 of support for everybody on a low income who has to self-isolate, whether they have tested positive themselves or are a contact of somebody who has tested positive and have been contacted through NHS Test and Trace. I support the hon. Lady in her work as the local representative to explain to her constituents in Liverpool, Riverside how important it is to follow the rules.

[Mr Simon Clarke (Middlesbrough South and East Cleveland) (Con)]

The whole country will recognise the unenviable choices that the Government face at this time. Whatever further measures are in contemplation for the days ahead, may I issue a plea for proportionality? Does the Secretary of State agree that human beings in a free society must have a right to some social contact as they go about their daily lives, even at this difficult time?

[Matt Hancock]

I agree with that 100%. We put in place support bubbles for single households—those who live alone—during the lockdown precisely for that reason. I remember having a Zoom with a whole load of people and somebody said, “I haven’t seen anybody in person for four months,” and I thought that could not be good or right. We have put in place support bubbles for single households for that purpose and of course bear such impacts in mind when we take the decisions we take.

[Mr Barry Sheerman (Huddersfield) (Lab/Co-op) [V]]

I am sure the Secretary of State will agree that we in Kirklees and West Yorkshire are working hard as a team to meet the crisis in these uncertain times, with tens of thousands of students now moving across the country. Will he bear in mind the fact that our system relies on fit and healthy NHS staff? The crisis we are in is getting worse, and if we get a virulent flu virus this winter, which is coming soon, and that knocks out a large percentage of NHS staff, we are going to be in serious trouble. A significant percentage of NHS workers are refusing to get a flu jab; what can we do about that?

[Matt Hancock]

The hon. Gentleman and I have occasionally tangled across these Dispatch Boxes, but I wholeheartedly support what he said and agree with him entirely. It is policy that everybody in the NHS should get a flu jab. The NHS flu programme has already started to roll out and will shortly roll out more broadly. Although it is not mandated this year, I can see no good reason why somebody in the NHS should not get a flu jab, unless they have a very specific clinical condition. We look to all NHS staff to provide leadership in their communities by getting the flu jab. It is free for everybody who works in health and social care and they should get it.

[Alec Shelbrooke (Elmet and Rothwell) (Con)]

It was brought to my attention by parents this weekend that some Leeds City Council schools in my constituency are telling parents that if their child has an upset stomach or general malaise they need to go home, isolate and not come back to school until they have had a negative test. Does my right hon. Friend agree that that is not NHS England advice, and puts unwarranted pressure on the test and trace system? Does he agree that Leeds City Council should get a grip on this immediately?

[Matt Hancock]

I am afraid I do agree. All councils, including Leeds City Council, should make it clear that if students have coronavirus symptoms—and we all know what they are: a new continuous cough, a temperature or a loss of taste and smell—they should come forward for a test. If they have symptoms of another illness—not coronavirus symptoms—they should not come forward for a test. We have set this out very clearly once again in the prioritisation document that we have published today, and I hope that everyone will follow it.

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

Schools that become aware of a covid-19 case have been encouraged to take swift action and contact the dedicated advice service introduced by Public Health England. However, several primary school heads in my constituency have reported that the service appears to be overwhelmed, with significant delays in Public Health England getting back to schools with advice. Can the Secretary of State tell me what the average waiting time is between a school contacting Public Health England and its receiving the advice that it needs?

[Matt Hancock]

I do not have those figures, but I would be very happy to look into specific cases, because the speed of turnaround in the instance that the hon. Gentleman describes is very important.

[Anthony Browne (South Cambridgeshire) (Con)]

My right hon. Friend and his scientific advisers are absolutely right—the virus is not getting any weaker—but doctors, including many in my constituency of South Cambridgeshire, have made great progress in the treatment of coronavirus, and social distancing means that viral loads are less, making cases less severe for many people. Can he tell me what estimate he has made of the impact of these developments on the fatality rates for those who are affected?

[Matt Hancock]

Yes, of course. My hon. Friend represents one of the finest hospitals not just in the country but in the world. The clinicians who work at Addenbrooke’s and across the country have improved the treatment of coronavirus. We know that treatment with dexamethasone has reduced the death rate. We know that, because of earlier oxygenation and later intubation, that has reduced the death rate. There is also progress with remdesivir. Nevertheless, while that has reduced mortality for those going into hospital, the virus remains deadly, so unfortunately we have to take measures to stop its spread, not least because we can either take measures now or we will end up with a much bigger problem, still having to take measures later.

[Dr Rupa Huq (Ealing Central and Acton) (Lab)]

Top-rated medical research has continuously linked vitamin D levels with covid incidence. In Norway, where people have high amounts, cases are rare, whereas here, most Brits are deficient. It is rarely found in food, and the main source—sunlight—is about to disappear, with a possible winter NHS crisis on the way. Will the Secretary of State follow the science, as there is no vaccine in sight, and seek to prescribe supplements on the NHS, or at least run a public information campaign? People need something positive now that the nights are drawing in.

[Matt Hancock]

Vitamin D is one of the many things that we have looked into, to see whether it reduces the incidence or impact of coronavirus. I have seen reports that it does, so we put it into a trial. Unfortunately, the results were that it does not appear to have any impact. That is the latest clinical advice, which is always kept under review.

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

Does my right hon. Friend agree that balancing the measures to tackle covid with the other health consequences, such as cancer patients going undiagnosed or not being treated in time, and the economic and social consequences is a political judgment, and does he further agree that political judgments are improved by debate and scrutiny?

[Matt Hancock]

Yes, I do. I come to this Dispatch Box as often as possible. I am very sorry that I was unable to come on Friday to discuss Friday’s decision, but the House was not sitting. I agree with my hon. Friend that, essentially, the more scrutiny, the better; that is my attitude. I am very happy to continue to work with him and with you, Mr Speaker, to ensure that that scrutiny can be done at the speed that is sometimes required for these decisions to be made.

Finally, on my hon. Friend’s substantive point, of course minimising the impact on the economy and on education is critical, but there are impacts on the NHS of covid cases going up—not just the need to try to minimise the negative impact that comes from restricting other treatments, such as cancer, that happened in the first peak, but the problem of the NHS operating with high levels of covid cases. Within the NHS, a higher number of cases itself has an impact on the care available for all the other conditions that we need to treat, but I look forward to working with you, Mr Speaker, to make sure that we have continued scrutiny.

[Mr Speaker]

So do I if that happens.

[Stella Creasy (Walthamstow) (Lab/Co-op) [V]]

I am delighted to have just heard the Secretary of State’s previous answer, because, in a former life, he and I both served on the Public Accounts Committee, so I know that he will understand that every taxpayer living in a community facing a lockdown or unable to get a test deserves a straight answer on whether his Department has imposed a financial penalty or withheld payments for the many voided tests undertaken by Randox. Will he give an answer to that question today?

[Matt Hancock]

Randox delivers a very significant number of tests every single day—it is a growing number. In fact, it is currently outperforming the allocation that we have asked it to deliver, and I pay tribute to every single person who works at Randox for the work that they have done and the part that they have played in keeping people safe. Everybody who gets a Randox test result, just like every other test result, has more information that they can use to keep themselves safe, and we have more information that we can use to try to keep the whole of society safe.

[Andrew Percy (Brigg and Goole) (Con)]

I thank the Secretary of State for his Department’s allocation to Scunthorpe General Hospital last week. I also wish him well with the ongoing work for some extra funding for Goole and District Hospital. On tests for schools, the feedback I have had from schools in my constituency has been very positive about the 10 tests with which they have been issued. Will he continue to seek to grow that number and look in particular at a lot of the rural schools where getting access to a test is particularly difficult due to transport issues?

[Matt Hancock]

Yes, giving 10 tests to all schools across the country has proved very popular, according to the feedback that I have had. I am very glad to hear that that is true in my hon. Friend’s part of the world as well. Of course we will continue that, with the right level of tests being sent out to the right types of schools in the right places, and I will make sure that we take into account rurality as one of those factors.

[Tonia Antoniazzi (Gower) (Lab) [V]]

On Friday afternoon, the Department for Work and Pensions informed Jobcentre staff that, from today, they have to reintroduce face-to-face 10 minute work search interviews with customers. So, Secretary of State, in the light of the rising number of cases and with everyone meant to be playing their part, is this really a sensible approach to be taking?

[Matt Hancock]

One of the good things about where we are now compared with where we were in March is that, in many areas, we are better prepared. We are better prepared in the NHS. We are better prepared in social care with the winter plan that we put out last week, and many employers and services, such as jobcentres, have been able to develop covid-secure approaches, which means that they can get on with the things that they need to do. The specifics of the question, of course, are for my right hon. Friend the Work and Pensions Secretary, but the principle of how we, as a society, manage to do more things while keeping ourselves covid secure is one that, thankfully, we have been able to develop over the past six months.

[Jason McCartney (Colne Valley) (Con)]

I very much welcome the Health Secretary’s approach not only to save lives, but to protect livelihoods. I acknowledge and welcome his announcement on the new exemption for childcare. Can he confirm what those new arrangements are, and confirm that grandparents and others in my Colne Valley constituency—part of Kirklees, which goes back into local restrictions tomorrow—will be part of that exemption?

[Matt Hancock]

Yes, I can confirm that. The exemption means that, for instance, if grandparents look after children to provide childcare, where that is a continuous childcare relationship—that is the legal definition—that will be exempt, in the same way that paid-for childcare will be exempt. This therefore does not allow for people to have children staying with others and, as I said in my statement, parties and play dates. It allows, where a family member or other undertakes unpaid childcare that is akin to paid childcare, that they can be exempted. I know how much many people rely on this to be able to get to work, and I am really glad we have been able to make this progress.

[Bill Esterson (Sefton Central) (Lab)]

Those of us who represent areas that face additional restrictions as of tomorrow are happy to reinforce the messages, but we need the Secretary of State’s help, don’t we, Mr Speaker? The difference between the instruction of households that they “must not go and visit each other” as opposed to saying they “should not go to the pub together” is one of the ambiguities that my hon. Friend the Member for Leicester South (Jonathan Ashworth) has highlighted right from the start of this crisis. It is an ambiguity that is exploited by the virus, but it is also exploited, sadly, by a small but important minority of people in this country. Will he clear up these ambiguities and improve the chances that everybody will comply with these necessary new restrictions?

[Matt Hancock]

The message that the hon. Member should be putting out and that I will set out is that, where we say that people should not socialise outside their household, that is the approach that people should take. He makes a detailed point underneath that, but the top-line message to all of his constituents is, no, they should not be socialising with people outside their household.

[Shaun Bailey (West Bromwich West) (Con)]

I have been contacted by a large number of constituents over the weekend concerned about the fact that a large minority of people in retail settings are still not wearing face coverings. Most retailers are making sure that they follow the rules and they enforce them, but what support can the Department give, across government and at local level, to ensure that when it comes to the small minority, we can enforce these rules and ensure, as the Secretary of State quite rightly said, that we are all in this together and we will stop the spread together.

[Matt Hancock]

I agree with my hon. Friend that more enforcement is, sadly, necessary to ensure that these rules are followed across the board, because if people follow the rules across the board, it will be easier to get a grip on the virus and the overall impact on the economy and on education, for instance, will be lower. So that is the approach that we are taking both in the example he cites and more broadly.

[Alan Brown (Kilmarnock and Loudoun) (SNP)]

The Secretary of State spoke about a four-nation approach, but in reality there has not been a Cobra meeting since 10 May. It has taken the First Minister of Scotland to push for this to get a UK-wide Cobra meeting set up, and that undermines the four-nation approach. Does the Secretary of State agree that if we have a four-nation partnership, Scotland needs the powers and the financial levers to be able to implement its own local decisions, such as targeted furlough support for the hospitality and aviation industries and perhaps help for the areas under local lockdown?

[Matt Hancock]

I would urge the hon. Gentleman to take a lead from the SNP Front-Bench spokesman, the hon. Member for Central Ayrshire (Dr Whitford). These are very serious times, and since the Prime Minister had a conversation with the First Ministers of all the devolved Administrations this morning, as I set out, and I have regular and frequent engagement with all the other Health Ministers—in fact, I was having a text exchange with my Scottish opposite number just before coming into the Chamber—I think the most important thing is that we take as united an approach as possible. That is the approach that the Scottish Government are taking, and we are working closely with them.

[Marco Longhi (Dudley North) (Con)]

I also welcome the statement that the Secretary of State has brought to the House today, particularly the emphasis he places on fighting this common enemy as one united front. What assurances can he give the House that our care homes will protected, with lessons learned from the first wave of covid-19?

[Matt Hancock]

I entirely agree with my hon. Friend. Right across the board, it is critical that we are constantly learning about both what went well and what did not go well. The social care winter plan that was published last week has been developed with the sector. I visited a care home on Friday and heard from the people there about what they have learned about how policy is developed to make sure that we protect people in care homes as much as possible.

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

Last year, I was faced with every parent’s nightmare as I rushed my small baby to the children’s A&E at the Royal Free Hospital in my constituency because he was not breathing. The doctors and nurses saved his life. The same children’s A&E will now be closed temporarily from next month because of the pressure that covid-19 will put on the NHS over winter. Will the Secretary of State give me a cast-iron guarantee that our local NHS will be given all the resources it needs so that this closure is strictly temporary and the children’s A&E service can be restored as soon as possible?

[Matt Hancock]

Of course I would be very happy to work with the hon. Lady on this question. We do have to make sure that our hospitals are covid-secure. I would be happy to meet her to discuss the specifics at the Royal Free.

[Sir Edward Leigh (Gainsborough) (Con)]

The trouble with authoritarianism is that it is profoundly inimical to civil liberties. It is also increasingly incompetent. It relies on acquiescence, and acquiescence for lockdowns, particularly national ones, is draining away. For instance, if students are told not to go to pubs, they will simply congregate in rooms, which is even worse. If the Secretary of State does not listen to me, will he at least listen to Professor Mark Woolhouse, a professor of infectious diseases? He wrote in The Sunday Telegraph:

“It is profoundly disappointing that six months into this pandemic, having rejected every alternative proposed, we keep coming back to lockdown”.

He suggests—[Interruption.] I am trying to be constructive. He suggests that we rely on encouraging people to look after themselves, to protect the vulnerable and to take responsibility for their own lives. That is the Conservative way.

[Matt Hancock]

As a Conservative, I believe in as much freedom as possible consistent with not harming others. One of the sad things about this virus is that because of asymptomatic transmission, if people put themselves at risk of catching coronavirus and get ill, they are not only putting themselves at risk but putting others at risk as well. That is the Conservative principle behind protecting the health of the nation in the face of this pandemic.

[Tony Lloyd (Rochdale) (Lab) [V]]

The Secretary of State will accept that a near-one-week turnaround for tests for people working in our care homes is not looking after our elderly. Can he be precise: when will we get the 24-hour turnaround that we must have if we are to keep the elderly safe in those homes?

[Matt Hancock]

We have protected the number of tests in care homes. The challenge is that when the system is running hot and the number of tests going through is very close to capacity, that can have an impact on turnaround times. We saw that in the past couple of weeks. Thankfully, those turnaround times are coming down again, as well as our managing to protect the over 100,000 tests a day that go to social care. While some people may call for other areas to be prioritised—for instance, the testing of children—the most important thing is that we protect those who are most vulnerable to this virus, and the most vulnerable live in our care homes.

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

I know the Secretary of State is very keen to get more tests. SureScreen in my constituency has developed an antigen test that is ready in 15 minutes. It will be able to ramp up its production to 1 million by November, rising to 2 million a week. Will he please look at its test and make use of this expertise? I think that he will be going to a Cobra meeting tomorrow, so will he explain to the Prime Minister that we live in a democracy, not a dictatorship, and we would like a debate on this in this House?

[Matt Hancock]

There absolutely will be a debate in this House on the measures that we have to use. We have to move very fast, and I am very happy to talk to my hon. Friend about SureScreen in her constituency.

[Wayne David (Caerphilly) (Lab)]

In south Wales, Caerphilly and Rhondda Cynon Taf are in local lockdown, and people in those boroughs cannot leave to go on holiday. Those areas will be joined by four others tomorrow evening. The Welsh Government have said that those would-be holidaymakers should have a full refund if they are prevented from going on holiday. Will the Secretary of State say emphatically that those people must have a full refund of the cost of their holidays, as a policy of central Government?

[Matt Hancock]

I am very happy to work with the hon. Gentleman and others to make sure people get the fair treatment they deserve.

[Sir Bernard Jenkin (Harwich and North Essex) (Con)]

At a time when we do not yet have the world-beating track and trace system or enough tests because of logistical problems, why are the Government excluding senior military commanders from key decision making and preventing them from bringing to bear their logistical capabilities?

[Matt Hancock]

On the contrary, the military’s support has been absolutely brilliant in expanding the testing system—test and trace—and it is engaged in the development of our vaccine roll-out plans. The work that senior military personnel have done is absolutely first rate.

[Duncan Baker (North Norfolk) (Con)]

My constituency of North Norfolk, and Norfolk more widely, has seen some of the lowest infection rates in the entire country thanks to the dedication and sacrifice that many people have made in my area. Can the Secretary of State assure me that any further major national restrictions will reflect the low levels of infection in constituencies such as mine?

[Matt Hancock]

My hon. Friend makes an important point. He represents the oldest constituency in the country, so this is an important matter for him and his constituents. This comes back to the central point that it is critical to get the right balance between the measures we take nationally and those we take locally, according to local rates of infection.

[Liz Twist (Blaydon) (Lab)]

There will be a number of relieved parents in my constituency because of the change in informal childcare. I have spoken to primary and secondary headteachers across Gateshead, and it is clear that their difficulty in obtaining tests and getting results quickly is causing real disruption for schools and not allowing them to take swift action to stop onward transmission. I note that the Secretary of State listed teachers in his statement, but will he do more to ensure that tests are available for teaching staff and that results are available more quickly?

[Matt Hancock]

Of course I am working to exactly that end. If somebody has the symptoms of coronavirus, they should self-isolate even if they cannot get a test. I understand how frustrating that is, and I am working as hard as I can to try to get those turnaround times as fast as possible.

[Dr James Davies (Vale of Clwyd) (Con)]

The self-isolation support payment of £500 comes into force next Monday for those on lower incomes who cannot work from home and stand to lose income. Of course, it is being distributed through local councils in England. Given that local government is a devolved matter, has my right hon. Friend had conversations with the Welsh Government about replicating the policy in Wales?

--- Later in debate ---

[Matt Hancock]

Yes, the UK Government will be providing the funding so that the devolved Administrations are able to put similar support in place. My right hon. Friend the Chancellor of the Duchy of Lancaster spoke to the First Minister of Wales over the weekend to ensure that in Wales people can get the level of support that we are introducing in England.

[Neale Hanvey (Kirkcaldy and Cowdenbeath) (SNP)]

The Secretary of State is quite right: these are serious times, and we require serious answers, so can he answer the following? It has prioritised VIPs over the public; it has a failure rate of over 90% on testing targets; it has the highest voided tests of any lab, including 12,401 in a single day; it has Conservative MPs on the payroll, and it was found by the National Police Chiefs’ Council to have committed the most serious breach of standards by manipulating forensic tests. Why, then, was Randox Laboratories judged an appropriate company to be handed a £133 million contract to the exclusion of all others—or will the Secretary of State again resort to a churlish response, proving that the rules do not apply to this increasingly lawless Government?

[Matt Hancock]

I implore the hon. Gentleman to support all those who are working so hard to deliver the tests that people need. Every other question on testing is, “Can we have more tests, please?” and we hear stories about just how much these tests are needed. I think we should be there supporting the people who are doing the testing.

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

My right hon. Friend has many invidious choices to continue to make, but, further to the question from my hon. Friend the Member for Altrincham and Sale West (Sir Graham Brady), the wider health implications of covid-19 cannot be overstated. They include delayed cancer diagnosis, missed stroke and heart attack treatments, and the cancellation of elective surgery. Will my right hon. Friend therefore confirm that the Nightingale hospitals will be brought back online to minimise impacts on wider healthcare?

[Matt Hancock]

The Nightingale hospitals are there, ready to go if they are needed. They are currently mothballed and can be reopened very rapidly. We are working incredibly hard with the NHS to ensure that this time around there is the absolute minimum disruption to other treatments, but of course the first, best minimisation of impacts on other treatments is not to have a sharp rise in the number of people going to hospital with covid. Our plan learns from what happened before. Of course there is the much more widespread capability for testing, both in the NHS and outside, thanks to the hard work of companies such as Randox and others. That means that we will be better placed than last time around to keep the rest of the NHS running, but it does not mean that we can rest easy in terms of rising cases, because of course the easiest way for the NHS to operate is to keep covid cases low.

[Tim Farron (Westmorland and Lonsdale) (LD)]

Over the weekend I have been listening to headteachers from around the south Lakes, who tell me that they are under increasing pressure, with teaching staff, teaching assistants and others off work, struggling to book a test slot. Some have been advised to travel as far as Brighton, a 10-hour round trip, and some pupils are off school for 10 days waiting for a test of their own. Our teachers are doing their job brilliantly. Is it not time that the Government did theirs and provided a testing scheme that works?

[Matt Hancock]

I would be very interested in the examples, especially of people being sent long distances, because, as I said earlier, the information I have been given is that that problem has been resolved. I am working incredibly hard to resolve all the other problems and to bring to bear the record testing capacity that we have.

[Steve Brine (Winchester) (Con)]

Again, I support my right hon. Friend and his statement today, but I echo calls for what comes next to reflect the reality on the ground in areas such as mine, where rates are way down on the England average. Linked to that, as we move into what is clearly the next phase of this battle, will he look at a much more devolved and decentralised test, track and trace system? I think “keep Winchester safe” will have much more cut-through with my constituents, and that is surely better managed in Hampshire.

[Matt Hancock]

Yes. We need the scale of the national system and the resonance of the local system and the local knowledge. We are increasingly driving things in that direction, and I would love to talk to my hon. Friend, who is incredibly knowledgeable in these matters, to see what more we can do.

[Anne-Marie Trevelyan (Berwick-upon-Tweed) (Con)]

I thank the Secretary of State for his and his officials’ incredible efforts over the last few days that have meant he was able to make the statement today that informal childcare will sit alongside formal childcare to allow those selfless grandparents across the north-east and elsewhere where local restrictions have to be brought in to make sure, out of the goodness of their hearts and the love of their families, that their sons and daughters can go to work—often low-paid, seasonal work with difficult hours. I thank him for that. Does he also agree that it is for all of us to be selfless, not selfish, as we try to get to grips with the second wave?

[Matt Hancock]

That is a good point on which to end, because my right hon. Friend has worked incredibly hard over the last four or five days to try to ensure that we find a way to protect people who use informal childcare without unnecessarily harming others by widening the exemption beyond what is needed. It is important to control the virus and keep listening to people as to how best to do that, and she has helped enormously. Her final point is critical, which is that we all have a role to play in taking seriously the rise in cases and hospitalisations that we have seen and making sure that we are all doing our bit to control coronavirus.

Covid-19 Update

Matt Hancock Excerpts

Thursday 17th September 2020 Commons Chamber

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

With permission, Mr Speaker, I would like to make a statement on coronavirus and about our plans to put us in the strongest possible position for this winter. Like many other countries around the world, we are continuing to see a concerning rise in cases, with 3,991 new cases recorded yesterday, and this week the number of patients in mechanical ventilator beds has risen above 100 for the first time since July. The battle against coronavirus is not over, and while we strain every sinew to spring free of its clutches, with winter on the horizon we must prepare, bolster our defences and come together once again against this common foe.

One of our vital lines of defence has been taking targeted action at a local level. We have seen local action work well in some parts of the country, and now we must take further action. We have seen concerning rates of infection in parts of the north-east. Sunderland, for example, now has an incidence rate of 103 positive cases per 100,000 of population, and in South Tyneside, Gateshead and Newcastle the figures are all above 70 per 100,000. As a result, local authorities wrote to me earlier this week asking for tighter restrictions, and we have taken swift action to put them into place. From tomorrow, in Northumberland, North Tyneside, South Tyneside, Newcastle-upon-Tyne, Gateshead, Sunderland and County Durham, residents should not socialise with other people outside their own households or support bubble; hospitality for food and drink will be restricted to table service only; and late-night restrictions of operating hours will be introduced, so leisure and entertainment venues must close between 10 pm and 5 am.

I know, as the whole House does, that these decisions have a real impact on families, on businesses and on local communities. I can tell everyone affected that we do not take these decisions lightly. We agree with the local councils that we must follow the data and act, and the data says that we must act now so that we can control this deadly virus and keep people safe. I know that the people of the north-east will come together to defeat this virus, as defeat it we must.

We are working to bolster our health and care system too. Winter is always a stretching time for health and for care, but this winter presents particular challenges. People will be spending more time indoors than they did in summer, where we know the virus is more likely to spread, and we know that we will need to deal with coronavirus along with the usual pressures that the season will bring. So today I want to set out our plans to support the NHS and social care this winter.

Turning first to the NHS, I can tell the House that we have allocated a further £2.7 billion to the NHS to support it during the winter months. This funding, in addition to the extra funding for personal protective equipment and testing, will help the NHS with the vital task of operating safely in a world in which covid is still at large and the critical task of working through the backlog of elective work that was inevitably caused by the first peak.

Our emergency departments are on the frontline of the fight for life in the NHS. Today, I am delighted to announce a series of measures to support our urgent and emergency care system this winter and beyond. I want to thank and pay tribute to Katherine Henderson, the president of the Royal College of Emergency Medicine, with whom I have worked closely to develop these proposals. I want to thank her, and, through her, all those who work in emergency care for their service in the face of adversity. I saw this again this morning at the St Thomas’ Hospital accident and emergency department, and I know that all of us support the work of those who work in our emergency facilities, right across the country. I very much hope that yours, Mr Speaker, will be opening soon in Chorley.

We will make our emergency departments bigger. Many are simply too small—that was true even before the pandemic, but it is even more acute now. So we are investing to expand capacity in urgent and emergency care, so that hospitals have the space to continue treating patients safely in the coming months. In August, we confirmed £300 million for emergency upgrades across 117 trusts, and I can today announce a further £150 million to expand 25 more emergency departments, including some of the most constrained in the country, such as those in Worcester and at the Royal Shrewsbury. This extra funding will put us in the strongest possible position for this winter, and boost the crucial work to accelerate non-covid care.

It is not just about the space, but about the service, so we are working to get patients the right care in the right place, by expanding the role of NHS 111. During the peak of this pandemic, we saw millions of people using NHS 111, on the phone or online, to get the best possible advice on coronavirus, helping them to stay safe and, where possible, to stay out of hospital, where they could have unknowingly spread the virus. It is crucial that, ahead of winter, we use this window of opportunity to seek out what worked and build on it, so we provide a better service for patients and protect the NHS. Of course, no one will ever be turned away from our emergency departments in the most serious of cases; however, we have worked with the royal colleges, the NHS and others to develop a better, quicker and more clinically appropriate service for patients by using NHS 111 first.

This is how it works. We will invest £24 million to increase call-handling capacity and to make sure there are more clinicians on hand to provide expert advice and guidance, and we will build on our trials to make NHS 111 a gateway to the emergency care system, providing a first port of call for patients. In future, rather than having to queue in an emergency ward, we are testing that people should call NHS 111 first to book an appointment with whoever can give them the most appropriate care, whether it is a GP, a specialist consultant, a pharmacist, a nurse or community services. Of course if they need to go to the emergency department, NHS 111 will be able to book them into an appropriate time slot. We want to see this approach lead to shorter waiting times and better availability of appointments for patients. We will consult on how its performance is best measured, and, with successful pilots, we will roll out NHS 111 First to all trusts from December.

Finally, I want briefly to update the House on our work to protect care homes. One of the worst things that we know about this virus is that it reserves its greatest impact for those who are physically weakest, especially the elderly, so we must do everything in our power to protect residents in social care. In May, we introduced the adult social care infection control fund, which has helped adult social care providers reduce the rate of transmission. This was used to fund important measures such as improving infection prevention and paying staff to self-isolate. I can now inform the House that we will extend this fund for six months and provide over £540 million of extra funding for providers. That brings our total funding for infection control measures in social care to over £1 billion. We will also shortly be bringing forward our adult social care winter plan, because we will do whatever is humanly possible to protect our care homes from this virus so that they are a place of sanctuary this winter.

We will soon be facing winter in this fight and, whether on our NHS emergency care wards or in our care homes, we will strain every sinew to give them what they need, so they are well equipped for this pandemic and, indeed, for the years ahead. 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 remarks.

The capital investment for 25 A&Es will be welcome. On the piloting of the 111 triage ahead of A&E, given inequalities in accessing healthcare for the poorest and disadvantaged, how will the Secretary of State ensure that it does not worsen health inequalities? If it leads to greater demands on primary care, will GPs be given extra resources as a consequence?

The NHS is facing a likely second spike, winter pressures and a monumental backlog in non-covid care. The Chancellor promised to give the NHS “whatever it needs”. Does that promise still stand, and will the NHS get the funding it now needs to tackle the growing backlog in non-covid care?

On social care, can the Secretary of State guarantee that care homes will not face the same personal protective equipment shortages they faced at the start of the pandemic? Does he also accept that restrictions on family visits cause huge harm to residents? Does he rule out re-imposing nationwide restrictions on family visits?

The Secretary of State said little about testing this afternoon. Back in May he stood at the Dispatch Box and told the House that

“everyone aged five and over with symptoms is now eligible for a test. That applies right across the UK, in all four nations, from now. Anyone with a new continuous cough, a high temperature or a loss of, or change in, their sense of taste or smell can book a test”—[Official Report, 18 May 2020; Vol. 676, c. 380.]

“We have”, in his words, “now got testing for all”.

Yet, four months later, for the British people, it has become not so much “test and trace” as “trace a test”. Just when many fear we are on the cusp of a second deadly spike, the Prime Minister admits we do not have enough capacity. Rather than fixing the testing, the Secretary of State is restricting it. In the exchanges on Tuesday, 33 Members from across the House raised issues around testing in their constituencies. He responded with the local figures—it was a very good debating trick, and well done to the specialist adviser for producing the briefing—but that will have been no comfort to constituents advised to travel hundreds of miles for a test when ill. It will have been no comfort to parents with a poorly child and themselves sick with worry and unable to get a test. It will have been no comfort to those turned away from walk-in centres and now presenting at A&E asking for a test. It will have been no comfort to the 25,000 teaching staff not in schools teaching our children because they cannot get a test. People want to know when the Secretary of State will fix testing and deliver on his promise to make testing available to everyone.

The Minister in the media this morning said there would be priorities for testing, so can the Secretary of State outline what his rationing plans are? Care England says that weekly testing of all care home staff is still not happening. Will care home staff get testing under his imminent rationing plan? What about people living in areas of restrictions, including the north-east? Will the north-east get all the mobile testing sites it requests? What is happening in university towns, with thousands of students set to come to universities across the country in the next two week? Will there be extra testing in those areas? In July, he pledged 150,000 asymptomatic tests per day by September. Has that commitment now been abandoned?

We should not be in this mess. We warned the Secretary of State that without fixing testing and isolation, infections would rise. Rather than capacity being increased over the summer, pillar 1 and 2 lab capacity remained broadly flat. He is now setting up more commercial Lighthouse labs. Why not invest in the 44 NHS labs instead? There are still problems in these commercial labs, aren’t there? There are huge numbers of voided tests across the commercial labs. Randox had 35,000 voided tests across August. Today’s stats show test turnaround times for testing in these labs getting longer. Serco is still failing to trace 80% of contacts. At what point will the Secretary of State step in and strip poor-performing outsourcing firms of their lucrative public sector contracts?

When testing breaks down, case finding breaks down, isolation breaks down, and we lose control of this virus. The British people made great sacrifices—they missed family celebrations, they could not say their final goodbyes to loved ones at funerals—and honoured their side of the bargain. In return, the Government were supposed to deliver effective testing and tracing. The Government failed. Now we have vast swathes of the country under restrictions. Where do we go next? The Prime Minister yesterday said a second lockdown would be disastrous. Obviously, we all want to avoid a second lockdown, but the British public deserve some clarity. Is the Secretary of State completely ruling out a second short national lockdown in all circumstances? Infections are rising at pace, but it is not clear what the actual strategy of the Government now is. It is all very well talking about camel humps and moonshots, but we need a plan to fully suppress the virus. It is urgent that he fixes testing and tracing and gives people isolation support to avoid further restrictions. Otherwise we face a very bleak winter indeed.

[Matt Hancock]

To respond to the constructive questions that the hon. Gentleman raised, I welcome his comments on the use of 111 First. The purpose of 111 First is to improve access, including in terms of inequalities in the NHS, by ensuring that people get the right treatment in the right place and easier access if they do need to go to an emergency department, because the emergency department will know that they are coming. It is commonplace now in almost every part of our life to let people know that we are coming. If we are going to do something as important as visit an emergency department, it will help both the patient seeking treatment and the NHS to let them know that they are coming first. That is the principle behind 111 First. It sits alongside 999, which anybody should call in a serious incident.

The hon. Gentleman asked about the need for extra funding for the NHS, both for winter and for testing. I have just announced £2.7 billion of extra funding for the NHS, and he might have done better to welcome it. He talked about tackling the backlog of cases that inevitably built up in the first peak. The good news is that we are making progress on tackling that backlog and reducing it. Of course, there is an awful lot of work to do, and part of this extra funding will go towards that, alongside the funding to expand our emergency departments, the funding for PPE and the funding for testing that I mentioned in my statement.

The hon. Gentleman asked about PPE for care homes. We have a huge plan to ensure that care homes can get PPE, and the details will be set out shortly in the social care winter plan. He asked about family visits. The challenge of visits to those living in care homes is incredibly difficult, because nobody wants to spread coronavirus, but we also need to ensure that those who live in care homes get the support that they need and deserve.

The hon. Gentleman asked about testing. Of course there is a challenge in testing. The central point is that, contrary to what he said, capacity is at record levels and has increased week on week. The challenge is that demand has gone up faster—[Hon. Members: “No, it’s not.”] Those on the Opposition Benches can say, “No, it’s not,” but they cannot defy the facts. The most important thing for everybody across the country to hear from their elected representatives, if they are interested in helping the country get through this pandemic, is: if you have symptoms, get a test, and if you do not have symptoms, please do not come forward to get a test unless you are specifically asked to. That is what colleagues on both sides of the House need to be repeating to their constituents.

The hon. Gentleman rightly raised prioritisation—I like him, and he raised exactly the right point, which is that we choose to prioritise care home staff and care home residents. Over 100,000 tests a day of the 260,000 capacity are sent to care homes. We could solve other problems by not doing that, but we prioritise those who live in care homes because that is the right thing to do. He asked about areas where there are restrictions. We prioritise putting tests into areas of restrictions, such as Leicester, where there were over 1,000 tests yesterday. This is the core point: when something is provided for free and demand is therefore high, we have to prioritise where we put our national resources. His tone on prioritisation was almost at the point of welcoming it, and welcome it he should. He also asked about universities, and it is important to prioritise testing, where that is clinically appropriate, for universities too.

Finally, the hon. Gentleman asked about today’s contact tracing figures. Again, he played this divisive card that does not suit him at all, talking about the difference between the NHS and the private contractors. What I care about is a good service for the people we serve. The figures announced today are that 83.9% of contacts where communication details were given have been reached and told to self-isolate. That is the contact tracing working—even as the number of cases goes up—to help to control this virus. As we approach winter, I look forward to the two sides of this House coming together in the national interest, not playing these divisive cards that will simply play against the interests of those we serve, who elect us here in order to take our country through difficult times.

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

Today is World Patient Safety Day, which I had the privilege of launching virtually with Dr Tedros of the World Health Organisation this morning. The changes that the Health Secretary is announcing to A&Es are about patient safety. As Dr Katherine Henderson told the Health Committee, if we go back to crowded A&E waiting rooms, patients will die, so I welcome these changes. May I ask my right hon. Friend specifically about sepsis? Our A&Es have made huge progress in testing people who need to be tested quickly for sepsis when they arrive at A&E. If that is now to be done on the phone—if that is the first point of contact—it is absolutely vital that 111 call handlers are properly trained and their algorithms adjusted to ensure that we ask the right questions on sepsis. Will he undertake to do that?

[Matt Hancock]

I wholeheartedly support the points that my right hon. Friend has made. I pay tribute to him for his work in establishing World Patient Safety Day and thank him for his ongoing work in the international arena, both representing our country and driving forward this agenda globally. I entirely agree with his comments about 111 First. It is absolutely critical that both the online and phone systems act to ensure that sepsis is recognised, wherever that is feasible, to ensure that people get the best and safest route to care. I will ensure that that point is registered. We have put in the extra funding, which I have just announced, for 111 to ensure more clinical support for people accessing the service through NHS 111 First. Indeed, I pay tribute to him for introducing 111 in the first place. There is an awful lot of work to do here, but it will undoubtedly help patients to get a better service and help the NHS to deal with the multitude of cases that come its way.

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

While personal behaviour and local measures are critical, so is a functioning test, trace and isolate system. Last week the Prime Minister claimed that there was capacity for 350,000 covid tests a day, but I am sure the Secretary of State is well aware that a third of that capacity is antibody testing, which becomes positive only after the infection and is therefore of little use in diagnosing cases or managing outbreaks. Why have the Government not published the daily diagnostic testing capacity since last Thursday? The Secretary of State has promised that there will be 500,000 diagnostic tests a day by the end of next month. Can he confirm that that definitely refers to diagnostic antigen testing, and is he confident that it will be delivered on time?

The current problem appears to be a shortage of laboratory capacity, with the Government now cutting test appointments in many parts of the UK. Does the Secretary of State accept that that causes a danger of new outbreaks not being detected at an early enough stage? With the rationing of test slots, there are multiple reports of people being advised to enter an Aberdeen postcode to obtain authorisation for a test, even though the test will be carried out in the south of England. Does he accept that that will undermine Scotland’s contact tracing system and that incorrect data could give the false impression of a local outbreak in Scotland that does not exist? How does he plan to stop that practice?

Finally, the Secretary of State has previously talked about his moonshot testing project, based on millions of people testing themselves for covid every morning. Can he clarify whether he is planning for such tests to be provided on the NHS, or would individuals be paying for them? If they are on the NHS, given the enormous price tag and the fact that the technology does not even exist yet, should he not focus funding and efforts on getting the current diagnostic testing system working in the here and now?

[Matt Hancock]

Taking those points in reverse order, of course investing in the next generation of technologies is important here and now, because if we do not push forward those technologies that allow us to expand testing, we will always be stuck with the current one. The idea that there is a dichotomy between the two is completely wrong.

On the hon. Lady’s point about an Aberdeen postcode, we already have in place a system to ensure that if someone puts in one postcode but then turns up at the wrong drive-through centre, that will be indicated to the people there, so that problem has been resolved—indeed, it had been resolved before it was first raised in the House.

I hope that, like the Scottish Government, the hon. Lady will reiterate the point that people should come forward for a test when they have symptoms or have been told to do so by a public health professional, and they should not come forward if they do not have symptoms. Working together across the UK is undoubtedly the only way to solve this crisis, to the benefit of all our constituents.

That brings me to the point about testing in Scotland. More tests are being done in Scotland—through drive-through centres, local testing sites and mobile testing centres—than across the rest of the UK per head of population. We over-index the number of tests through those routes that we put into Scotland. Indeed, in the Scottish NHS there is spare capacity that needs to be used. I am working closely with the Scottish Government to ensure that that spare capacity is used, given the enormous demand for tests right across this country. I think that tone of working together is what we need to hear.

[Robert Largan (High Peak) (Con)]

Earlier this month, Tameside and Glossop clinical commissioning group was reporting the highest rate of covid death of anywhere in the country. I want to put on the record my thanks to Ministers, Public Health England and NHS staff for working so hard to try to tackle this worrying situation, but it is very concerning that my constituents are still sometimes being asked to travel over 150 miles to get a test. Can the Secretary of State reassure me that the Government are doing everything they can to ramp up testing and laboratory capacity as a matter of urgency?

[Matt Hancock]

Yes, of course. There are of course challenges, which we are working incredibly hard to address, both in Derbyshire and nearby in Greater Manchester. Across Derbyshire as a whole, in the past week almost 4,000 tests have been done, so the testing capacity is there The challenge is that there is also this increase in demand. We have to ensure that the people getting the tests that are available are the people who need them most. That is the principle behind prioritisation, and it is a principle that everyone here should support.

[Helen Hayes (Dulwich and West Norwood) (Lab)]

A constituent wrote to me yesterday:

“My child started at primary school last week. Inevitably, she’s picked up a cold. That cold includes a slight temperature. She’s not allowed back to school until she’s had a negative Covid test result. Nor are my wife and I allowed to go to work. No tests are available.”

That scenario is being repeated in thousands of households across the country, with children who have already been out of school for six months facing further weeks at home because they cannot get a test. The heroic efforts of teachers to enable the full reopening of schools are being undermined by the chaos of the testing system. When will school children, teachers and support staff have reliable and rapid access to testing and results so that covid cases can be swiftly identified and isolated, and disruption to education minimised?

[Matt Hancock]

Those are the challenges that we are working so hard to address. The message to the hon. Lady’s constituent and others is that there are thousands of tests available in her part of London, and it is incredibly important that those with symptoms come forward and those without symptoms—[Interruption.] I know that her constituent had symptoms. The critical thing is that all of us have the same message: those with symptoms do come forward, but those without do not. That huge spike in demand is the challenge. It is as simple as that.

[Lucy Allan (Telford) (Con)]

Testing capacity is a finite resource, and it is right to consider prioritising care homes, hospitals and key workers. Will my right hon. Friend ask his Department also to consider the issue of testing very young children, who frequently experience raised temperatures, coughs and colds? Some parents are taking very young children for multiple tests, but those in that age group are unlikely to be out in the community spreading the virus. People want to do the right thing and nobody wants to overwhelm the system, so will he continue to do all he can to ensure that the testing system is operating efficiently?

[Matt Hancock]

Yes. I thank my hon. Friend for that question, which captures the challenges we face. It is absolutely true that children under the age of 16 are very unlikely to get ill with coronavirus; indeed, the proportion of under-16s testing positive is extremely low and is flat, whereas it is rising in many other age groups. She raises a clear point: the prioritisation we have is about getting the tests that we have—record capacity—to the people who need them most. That is why it is an important principle.

[Lilian Greenwood (Nottingham South) (Lab)]

Over the next few days, tens of thousands of students will be arriving in Nottingham. Our universities have spent months planning for a safe return, but there is a real danger that their hard work will be undermined, as Nottingham schools’ incredible efforts have been undermined, by the inability to get tests and results promptly. The University of Nottingham has repeatedly requested access to a small stock of pre-distributed pillar 2 swab test kits, which would enable faster and safer testing for symptomatic students and take the pressure off local community testing facilities. Will the Secretary of State work with and listen to universities such as the University of Nottingham to help to improve the efficiency of the national testing programme, and will he authorise the allocation of those kits to the university and others who request them?

[Matt Hancock]

I will absolutely look into that. That is exactly the approach we have taken with schools, and many universities’ labs are an important part of getting test results back. I am very happy to work with all of the 106 universities that are doing so much to ensure that the return of university is covid-secure, and I will look into the precise point the hon. Lady raises.

[Elliot Colburn (Carshalton and Wallington) (Con)]

I have also had a number of Carshalton and Wallington residents get in touch with me about testing, some of whom are being sent down to the south coast to places such as Portsmouth and Southampton. May I ask my right hon. Friend what more the Government are doing not only to ensure that drive-through centres such as those in Chessington, which is nearby, are able to continue to process those tests, but to bring in more testing capacity into boroughs such as Sutton?

[Matt Hancock]

We are looking to get more testing capacity right across the board, as my hon. Friend well knows. The Chessington drive-through centre, which was one of the first that we put in place, has done an amazing job over the entirety of this pandemic. The good news is that, as I mentioned to the House on Tuesday, the average distance, as the crow flies, that people have to go to get a test has fallen from more than 6 miles to less than 6 miles. The message is that there are thousands of tests available and the average distance is low. The critical thing is that the people who come forward to get a test are the people who are eligible for a test, not people who do not have symptoms.

[Stella Creasy (Walthamstow) (Lab/Co-op) [V]]

There are multiple private companies involved in running the track and test system: Serco, McKinsey & Company, Deloitte and Randox, to name but a few. Can the Secretary of State tell us whether there is a financial penalty written into their contracts for when citizens cannot get tests, and what that penalty is? Or is it only our constituents who will pay the price for this mess?

[Matt Hancock]

It is the task of the companies that the hon. Lady mentions and many more, and of the British Armed Forces, the NHS, the Department, Public Health England and many local councils, including her own, to get as much capacity as possible. That is what their job is, and they are doing that at record levels.

[Peter Aldous (Waveney) (Con)]

The feedback I am receiving from local schools is that the problems that staff and pupils are experiencing in getting tests could make it very difficult for some schools to remain open. To prevent this, can my right hon. Friend first liaise with the Secretary of State for Education to ensure that clear guidance is provided to schools about when to request a test? Secondly, can he do all he can to ensure that local testing programmes, such as that provided by the Norfolk and Waveney clinical commissioning group, continue to operate, as they do provide much-needed additional capacity?

[Matt Hancock]

Yes, I agree with both points made by my hon. Friend.

[Jim Shannon (Strangford) (DUP)]

The Secretary of State has announced some £2.7 billion extra for the NHS. Can I seek confirmation: under the Barnett consequentials, how much of that will come to Northern Ireland? The news of the progress on a vaccine is a very positive step. Will he again confirm that no vaccine will be available on the NHS that has not been rigorously and completely tested? With that assurance, will he outline whether he considers children and education as a priority for the vaccine?

[Matt Hancock]

On the NHS funding, the Barnett consequentials will operate in the normal way for the hon. Gentleman’s constituents in Northern Ireland and right across the country. When it comes to the question of the vaccine, of course, we will allow a vaccine to be put in place across the board only when it is safe. The Medicines and Healthcare products Regulatory Agency is one of the most respected and high-quality regulators in the entire world. It is that body that will make the decision on whether it is safe to license. Of course, the question of who should be vaccinated and in what order is again a clinical decision, on which we will take advice from the Joint Committee on Vaccination and Immunisation.

[Dame Cheryl Gillan (Chesham and Amersham) (Con) [V]]

I thank the Secretary of State on behalf of myself and my colleagues in Aylesbury and Buckingham for the extra A&E funding for Stoke Mandeville. It will make a great difference to patients and our valued NHS personnel in the Buckinghamshire health trust. But, in my constituency, in common with other Members, I am having a problem with the education system. A headteacher has written to me saying that we now have teachers and teachers’ children with covid symptoms, which means that they are off in isolation, and they are being told that there no tests available for 21 days. She writes, “This is very tricky, as we have to pay a lot for supply teachers to cover classes. Would it not be sensible to prioritise testing for teachers if it is a priority to keep schools open, as once too many teachers are off waiting for tests, schools will have to close, and then people won’t be able to return to work?” What can I tell my headteacher, and how can we get those tests into schools more rapidly to mitigate the problems that are coming down the line?

[Matt Hancock]

My right hon. Friend raises several important points. First, Stoke Mandeville Hospital is a famous and excellent hospital and I am delighted that we are able to expand its emergency facilities in this way. She has done more than anyone to represent the needs of Stoke Mandeville Hospital and all those who serve in that great hospital, so I welcome her comments on that. On testing, absolutely, we have sent tests to all schools to make sure that they have tests available. But of course I also recognise the challenges in getting hold of tests. I do not accept at all that there is a delay of 21 days and nobody should accept that. That is not Government policy. I have just looked up the figures: across Buckinghamshire, just over 1,000 people a day are getting tests, so there are tests available. This is part of the challenge of having the record capacity but demand having gone up. I am working as hard as I can to ensure that all those who need a test—all those who have the symptoms—get a test. I understand that it is a very human instinct to think that if a close contact has symptoms the best thing to do is to get a test, but if people do not have symptoms please do not come forward and use a test that is needed for somebody who has symptoms, so that either they can get a negative result and get back to their normal lives such as teaching at a school, or, if they test positive, we can give them the treatment and support that they need.

[Several hon. Members rose—]

[Munira Wilson (Twickenham) (LD)]

While there are some welcome announcements in this statement, I am utterly astounded that there is only one reference to coronavirus testing when we see cases rising across the country, a system in meltdown, people unable to access tests, and turnaround times down. If the Secretary of State does not believe us, perhaps he should read his own constituency inbox. Will he finally admit that the system is broken and we risk losing control of the virus? Will he issue a public apology?

[Matt Hancock]

The hon. Lady, earlier in the week in a statement that was all about testing, raised an issue that turned out to be wrong. I think it is really important and incumbent on all of us as public servants to explain things fairly, straight and properly to our constituents, and that is what she should start to do.

[Craig Tracey (North Warwickshire) (Con)]

I thank the Secretary of State for that statement. I was actually due to head to the north-east myself this weekend to celebrate my parents’ golden wedding anniversary, which obviously I cannot do now, but I take this opportunity to wish them a happy anniversary anyway.

On the subject of testing, I have been contacted by constituents who are struggling to get tested. I know that is something the Secretary of State really does grasp and appreciate, but I wonder what further reassurances he can give them that those who genuinely do need testing will be able to access that as soon as possible.

[Matt Hancock]

I am sure that my hon. Friend’s family will be disappointed he will not be there, but at least a mention in Hansard is something to make up for it. He rightly raises the challenges in getting tests. I assure him that we are working as hard as we possibly can to fix the problem, that tests are available, even though it is a challenge to get hold of them, and that those who do have symptoms should come forward and get a test.

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

Two weeks ago, residents in Darnall in my constituency were pleased that a new walk-in test centre was going to be opened. They are now being told not merely that they cannot walk in to that test centre, but that they cannot walk or drive to any other local centre. Across the city, Sheffield Teaching Hospitals NHS Trust has done a brilliant job in using its own laboratories to process tests for staff and patients since the beginning of the covid crisis. Will the Secretary of State now answer the question posed by my hon. Friend the Member for Leicester South (Jonathan Ashworth) from the Front Bench and indicate when he will fully use the capacity of public sector laboratories to fill in for the failures of the private sector to perform the contracts it has been given?

[Matt Hancock]

First up, we absolutely support the pillar 2 testing, as it is called, which in Sheffield has delivered more than 10,000 tests in the past week. The hon. Gentleman, who is normally such a reasonable man, should welcome that and thank all those who work on that project. I absolutely support his proposal to further expand the NHS testing in Sheffield, and I look forward to working with the NHS in Sheffield to do just that.

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

It is absolutely right that we now put in provisions to prepare for winter, so will my right hon. Friend join me in welcoming the announcement of £6 million for expanding St Peter’s Hospital’s accident and emergency and urgent care centre, which will make a huge difference to patients and to staff working in our hospital?

[Matt Hancock]

Absolutely. This is one of the 25 projects that we are announcing today that are all about preparing for winter. There is nobody who stands up for Runnymede in this House more than my hon. Friend, and he has made a great case for his local hospital. I am very glad to be able to support it today.

[Yvette Cooper (Normanton, Pontefract and Castleford) (Lab)]

A constituent of mine’s husband, who works in the NHS, came home on Friday with covid symptoms. She has been trying to get him a test ever since, getting up at 5 am in the morning to try to do so. She is being told that tests are available locally and then being told, “Actually, no, there aren’t”, and she cannot get one. She has since developed symptoms herself. Neither of them has been tested. Neither of them is therefore in the tracing system, so there is no follow-up to prevent other people getting the virus as well. This is not just chaotic; it is dangerous.

The Government knew there would be a huge increase in demand for testing when the schools went back and when they were encouraging people to go back to work, yet since mid-July testing capacity has only gone up by 10%, while the number of cases has gone up by 400%. Why did the Secretary of State set his target for the end of October and not the beginning of September, so we could get enough tests in place?

[Matt Hancock]

We are increasing that capacity and, as I said, it is at record levels. When it comes to the right hon. Lady’s constituents, first, those who work in the NHS are eligible to get tests through the NHS pillar 1 system, but for all those who have symptoms of coronavirus or think they may have symptoms of coronavirus, it is very important that they self-isolate—

[Yvette Cooper]

She is doing that.

[Matt Hancock]

The right hon. Lady says she is doing that. I am very glad that she is, and I thank her for doing that. I am very happy to work with the right hon. Lady to ensure that her constituent who works in the NHS can get a test through the NHS, because that is the role of the NHS for provision for those who work within it.

[Dr Kieran Mullan (Crewe and Nantwich) (Con)]

I welcome the confirmation today that Leighton Hospital will receive £9 million extra to help it prepare for winter. That funding will make a huge difference. I think everyone in this House and in the whole country hopes that we manage to find a vaccine, so I would be grateful for an update on vaccine development. Can my right hon. Friend also confirm my understanding that Test and Trace has found that the virus is spreading in our own homes, when we mix with friends and family, and that, as much as it is difficult for us, that is why the lockdown is focusing on those types of interactions?

[Matt Hancock]

My hon. Friend is absolutely right. Of course, as an emergency doctor himself, he knows more than almost anyone in this House about the needs of emergency care, not least because he spent lockdown working on the frontline of our NHS. I know that everybody is grateful to him for that. I know that the £9 million expansion to Leighton Hospital, which he and I visited in November or December, is much needed, and I hope that it brings good benefits, but it is also critical that people listen to my hon. Friend’s wise words.

[Neale Hanvey (Kirkcaldy and Cowdenbeath) (SNP)]

On 21 July, during this summer’s nadir of new covid cases, I pressed the Government’s chief medical officer on the need to expand testing capacity. In that meeting of the Health and Social Care Committee, he stated that he would not consider that until there was evidence of a new surge in cases. Now we are in the grip of a second wave, with mounting chaos in testing capacity. Who should resign? The Secretary of State? The chief medical officer? Or do Ministers in this Government resign only when they refuse to break international law?

[Matt Hancock]

There is record testing capacity, which we work across the whole UK to deliver.

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

May I ask my right hon. Friend to set out the specific criteria that must be met for the rule of six to be lifted?

[Matt Hancock]

The judgment on how we lift the rule of six will be based on a whole series of measures: not least, of course, the case rate across the country, but also the impact of those cases in terms of hospitalisations. Sadly, we are seeing hospitalisations starting to rise, and therefore we have brought in measures to try to slow the spread of the virus. We also look at test positivity and the surveys of how many cases there are around the country, not just at the total number, because of course if you put more testing in, you get more positives. We look at all those indicators and, of course, take the clinical advice, and then make a judgment.

[Sam Tarry (Ilford South) (Lab)]

The last time I raised test and trace failures, the Secretary of State accused me of not being serious. Well, I am deadly serious. The Mildmay testing centre opposite my office in Ilford South has stopped accepting walk-in tests, despite the constituency being on the cusp of a local lockdown, with Redbridge now having the highest infection rate in London. The Secretary of States has repeatedly claimed to be following the science and data while ignoring the advice of leading scientists who have called for an expansion of our public health infrastructure. We now face further lockdowns across the country as a direct consequence of the lack of capacity in his test and trace system. It is hardly world beating. With the chief medical officer saying that there are 38,000 infections per day, can the Secretary of State give us an assurance that we will not need a second lockdown to mitigate his failing test and trace system?

[Matt Hancock]

I work very closely with the London leadership, cross-party, to tackle the problems and to ensure that there is testing available according to the clinical priority. In the hon. Gentleman’s area in the last week, there have been over 3,000 tests. I am sure that he welcomes those, but we absolutely work so that there are more, not least in the public health and NHS systems, as well as through the pillar 2 Lighthouse lab approach.

[Mark Logan (Bolton North East) (Con)]

I have four asks for the Secretary of State. No. 1 is to fix the national portal. A constituent of mine failed to get a test in Bolton, but then she tried using a Wigan postcode and succeeded in getting a test for Bolton. No. 2 is to remove the backlog on testing results. People are having to wait too long before getting results. The third is to ramp up contact tracing. The senior leadership at my local authority inform me that they do not have the resource to deliver what is needed. Finally, what specific actions is his Department taking right now to help bring down the numbers in Bolton?

[Matt Hancock]

The situation in Bolton is very serious, and all four of the requests from my hon. Friend are rightly made. He is pressing the case, as he should, and perhaps I should meet him to see what progress we can make on all these cases.

[Mr Tanmanjeet Singh Dhesi (Slough) (Lab)]

Despite the likes of me warning last month about test lab capacity problems, the Government could not get a grip of their supposedly world-beating system and have now instructed our testing centre in Slough to become appointment-only. The only slight snag is that, instead of being able to use the Slough site, local people are being asked to travel for hundreds of miles, including getting a ferry to the Isle of Wight. This debacle is dangerous because Slough has already had too many fatalities and has only recently come off the Government’s covid watchlist. Given that we all know that test, track and trace is the best weapon to tackle coronavirus, how does the Secretary of State for Health expect local communities to continue their hard work in overcoming this virus if his Government are failing to provide vital resources?

[Matt Hancock]

On the contrary, the fact is that we are working hard with the local authority in Slough, where just in the last week over 1,900 tests have been done. I think it would be better to work together—don’t you?

[Nick Fletcher (Don Valley) (Con)]

On a visit to Trinity Academy in the town of Thorne in my constituency, the principal told me that increasing the number of testing kits given to each school from 10 to 30 will better ensure that children remain in the classroom, where they belong. Can my right hon. Friend therefore confirm to the House whether his Department is planning on increasing the number of testing kits distributed to educational settings?

[Matt Hancock]

Yes, we are looking at exactly that, and I am very happy to talk to my hon. Friend about it.

[Tracy Brabin (Batley and Spen) (Lab/Co-op)]

The Health Secretary has announced restrictions in the north-east. He will know that, in my community, we have been under those restrictions for quite some time now. This has impacted on beauty businesses, soft play centres, wedding companies and, particularly, coach companies. With my constituents doing the right thing and trying to beat this virus, but with furlough ending and winter looking like we might have continued lockdowns, does he agree with me that we now need a financial package to support the businesses that are suffering so that they do wither on the vine, and so that my constituents can do the right thing in having to choose between leaving work in order to keep people safe and putting food on the table?

[Matt Hancock]

I pay tribute to the hon. Lady, because in Kirklees it has been difficult in the last few weeks. Unfortunately, we are seeing continued cases in Kirklees. Last week, my right hon. Friend the Chief Secretary to the Treasury announced further support for businesses. She rightly argues for that in Batley and Spen, and I will see what I can do to further that.

[Madam Deputy Speaker (Dame Rosie Winterton)]

I want to re-emphasise that we need brief questions, because we have two very well subscribed debates this afternoon on coronavirus support and it is important that we get to those fairly promptly.

[Tracey Crouch (Chatham and Aylesford) (Con) [V]]

Over the past few days, I and Kent colleagues have received a significant increase in the number of inquiries from constituents regarding testing arrangements in the county, which are leaving many frustrated by the online booking system and, ultimately, unable to arrange a test nearby. What steps is the Department taking to scale up testing and lab capacity in Kent, and could consideration be given to a more accessible and localised system to ensure that those in genuine need of a test are able to arrange one as close to their home as possible?

[Matt Hancock]

Yes, of course. My hon. Friend makes the point well. We are putting more localised testing in and making sure that it is as accessible as possible. Of course, the challenge is to ensure that those tests get to the right people, prioritised appropriately, and I look forward to working with my hon. Friend to deliver that across Kent.

[Bambos Charalambous (Enfield, Southgate) (Lab)]

At least six care homes in my borough of Enfield have seen the return of covid-19 cases. At the same time, they are experiencing delays in receiving pillar 1 and pillar 2 test kits, and results are taking more than a week to arrive, potentially leading to a rise in the spread of the virus. What steps is the Minister taking to ensure that testing is not taking as long? What does he intend to do to fix this mess?

[Matt Hancock]

Making sure that test kits get returned rapidly is incredibly important, including in social care. I am glad to say that the backlog has come down over the past week. At its core, our response to the problems in social care, because so many people who live in care homes are older and therefore vulnerable, is to protect the amount of test kits. The weekly testing of staff and the monthly testing of residents has been delivered and is being protected, even despite all the other pressures on testing capacity.

[Saqib Bhatti (Meriden) (Con)]

I thank my right hon. Friend for all the work he is doing in clearly challenging circumstances. My constituency, which is part of Solihull Borough, is under enhanced restrictions at the moment, restricting household-to-household mixing. That is absolutely the right thing to do. However, will my right hon. Friend give consideration to allowing informal childcare arrangements? Many parents who cannot afford to pay for childcare would welcome the opportunity to go to work within the guidelines and also have childcare in place.

[Matt Hancock]

That is an important question. It is a very difficult balance, because often informal childcare is grandparents looking after children and older people are, of course, the most vulnerable to the disease. That is the balance that we need to strike. I always keep an open mind and I am very happy to talk to my hon. Friend about getting the balance exactly right in his area.

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

The Government’s plans for mass testing have been criticised for placing their faith in technologies that are yet to be fully validated scientifically. The Prime Minister himself acknowledged that we are some way off the widespread use of pregnancy-style covid-19 tests. Given the well documented issues with capacity in the UK testing system at the moment, does the Health Secretary accept that we need to focus on ensuring that the existing system works before trying to shoot for the moon?

[Matt Hancock]

We need to do both. I would just ask the hon. Lady to look at the work the SNP Scottish Government are doing. They are themselves employing and deploying some of the new technologies.

[Chris Green (Bolton West) (Con)]

In Bolton, the national lockdown has been followed by the local lockdown and economic lockdown. Positive covid cases are rocketing up, and that is having a devastating impact on people’s physical and mental health, as well as people’s livelihoods and businesses. Many people are heading out of the borough to get beauty treatments, and to go to pubs and restaurants. At the same time, the testing system is failing to deliver, so people are increasingly going to accident and emergency departments in Bolton and Wigan in the hope of getting a covid test. What actions is my right hon. Friend taking to deal with that?

--- Later in debate ---

[Matt Hancock]

We have put huge amounts of testing into Bolton, with almost 7,000 tests over the past week. People should not go to A&E to access tests. I saw that that was being reported yesterday. My team have been working with the hospital, which is doing a very good job in difficult circumstances. It is seeing the number of hospital admissions with coronavirus starting to rise. I pay tribute to my hon. Friend. The situation in Bolton is very difficult, with over 200 cases per 100,000 of population. That is the highest in the country by a long, long way and we have a lot of work to do to get the situation under control in Bolton. All the people of Bolton should listen to the public health advice, which is unanimous among Members of Parliament, the council, which is doing an excellent job, and the national clinical advisers. The advice is this: “Do not socialise with those outside your household.” That way, we will be able to get this most localised of epidemics under control.

[Bill Esterson (Sefton Central) (Lab)]

It is no good blaming the public. People want to know that they can get a test when they need to. Some 25% of new cases are in north-west England, but only 15% of testing capacity. My constituents who are showing symptoms cannot get a test. Children and staff in our schools need to be able to get a test, so schools can stay open safely. The care homes in my borough are worried that, as demand goes up, they will not be able to get a test. When will the extra capacity be available in my constituency? The British people know what is going to happen and who is responsible. Fix it!

[Matt Hancock]

We have been putting in the extra testing capacity in Sefton. More than 5,000 tests have been conducted in Sefton in the last week. People should hear loud and clear that if they are in Sefton, as anywhere else, and they have the symptoms, they should come forward. The hon. Gentleman’s question, by rightly raising the importance of people with symptoms and people in care homes being able to get a test, underlines how important it is to prioritise and that people who do not have symptoms should not come forward. I hope that he would repeat that message.

[Katherine Fletcher (South Ribble) (Con)]

Having visited Chorley and South Ribble Hospital last Friday, I was delighted to see some of the Government’s £300 million grant in action, with teams on the ground building significant works to help to make the A&E unit more covid-secure and increase its capacity. Will my right hon. Friend join me in looking forward to its full reopening as soon as possible?

[Matt Hancock]

Yes, absolutely. As I mentioned in my statement, I want to see the A&E in Chorley reopen as soon as is safely possible. My hon. Friend is right that we have put in a huge amount of support, and we all want to see it reopening. I look forward to the day—I hope soon—when we can announce that that has happened.

[Liz Twist (Blaydon) (Lab)]

As my constituency sees the introduction of the new local restrictions in the north-east, will the Government give extra thought to easing the restrictions on informal childcare? It is an important part of the north-east economy and an absolute necessity for those on the lowest incomes, particularly women. I understand it is something that the local authorities have also requested. Will the Secretary of State think about that again for the north-east?

--- Later in debate ---

[Matt Hancock]

Yes, I will happily work with the hon. Lady on that question. It is a challenge, because of the problem of intergenerational transmission of the virus—I am sure she understands that side of it—so it is an important balance that we need to strike.

[Sir David Amess (Southend West) (Con)]

I am absolutely delighted with the £9.7 million upgrade of Southend A&E, which is entirely appropriate as we move towards city status. Does my right hon. Friend agree that if Southend is to avoid a lockdown, we cannot have a repetition of the scenes at Short Street testing station yesterday where, apparently, someone in management said that people could turn up without an appointment?

[Matt Hancock]

I will happily look into the testing in Southend, but it is nice to have some good news for the people there today.

[Rachel Hopkins (Luton South) (Lab)]

Luton was an area of concern earlier in the summer, but it came out of it because people were able to get tested whether they had symptoms or not. Now, however, with the prioritisation of only those with symptoms because of the abject failure of the Government to get the testing process right, residents in my constituency are worried that we will see the simple blunt tool of a national lockdown. Can the Secretary of State give some clarification?

[Matt Hancock]

The hon. Lady is absolutely right that Luton is an example of local action that worked to bring the case rate right down. The outbreak was specific to certain parts of Luton. The council worked with the national bodies brilliantly.

Over the last week in Luton, about 3,000 tests have been done, so those tests are available. I look forward to working with the hon. Lady to make sure that people who have symptoms are able to get the test.

[Andrew Selous (South West Bedfordshire) (Con)]

I thank the Secretary of State for the extra money for the Luton and Dunstable Hospital that he announced today. Does he agree that it would help people with symptoms who need a test if those told to self-isolate without symptoms did not think that a test was a “get out of jail free” card? How can we help people to self-isolate properly, given that only one in five has been doing so?

[Matt Hancock]

This is the central point: if people do not have symptoms, but they have been close to somebody who has tested positive or has symptoms of coronavirus, unfortunately they have to self-isolate because of the biology of the virus, which can incubate for up to 14 days. Even a negative test does not release them from that obligation, because they may well get a false negative. That is at the core of how we control this virus. The more colleagues around the House explain that principle, the more we will relieve pressure on the testing system and break the chains of transmission of the virus. It is an incredibly important point for us to communicate to all those we serve.

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

Increasingly, we have a Health Secretary who is out of control of a virus that is out of control. Next weekend, 40,000 students will come to York. We were promised a testing centre next month. November is now the earliest that we will have a walk-in centre where people can have a test. What discussions has he had with his colleague the Secretary of State for Defence about strategic planning, because it seems that his Department is incapable of planning for this virus?

[Matt Hancock]

We of course have to ensure that the provision of testing centres is where the virus is most virulent. Actually, we do have military planners involved in that process, and it is very important to get it right.

I should also say that we have just had two speakers from Luton, and I forgot to mention the money to improve Luton Hospital, which is one of the best in the country. I am delighted that it has made the case successfully for the expansion of its A&E, which will serve all the people of Luton.

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

Some 1.4% of those 275,000 people who travelled and queued were positive. Will not even a modest number of false positives mislead us? Is the Office for National Statistics survey any less prone to false positives?

[Matt Hancock]

My right hon. Friend raises an important point about the mathematics and the science of testing. I am sure he would enjoy reading the annexes to the ONS report that comes out each Friday, which address directly the question how the ONS adjusts for potential false positives, due to the high but not perfect specificity of the polymerase chain reaction test. I am very happy for one of my academics to take him through the rigorous Bayesian mathematics, which I am sure will help to elucidate the debate on this matter still further.

[Caroline Lucas (Brighton, Pavilion) (Green)]

Because of the testing shambles, I understand that covid tests now have to be rationed to high-risk areas, but that comes at a time of increasing case numbers in Brighton and Hove, where a yellow alert has just been issued amid record cases last week. How will new outbreaks in currently deprioritised areas be identified and contained if we are not testing properly in the community? How will contact tracing function? I am really worried about the impact of the rationing of tests on our chances of knowing about and containing new outbreaks in other regions.

While I have the floor, I ask the right hon. Gentleman to condemn the comments of the Leader of the House about an hour ago, when he told the public to stop their “endless carping” about the lack of access to tests. It is not endless carping; it is genuine concern about people’s health.

[Matt Hancock]

Given the hon. Lady’s understandable concerns for her constituents, she should welcome the record testing capacity that we have and the more than 3,000 tests that have been done in Brighton in the last week.

[Jason McCartney (Colne Valley) (Con)]

Given the speculation about new local restrictions in West Yorkshire, will the Secretary of State reassure me that he will continue to be driven by the data? Will he also deploy extra testing facilities and capacity, because entire families in my constituency are unable to go to work or school, as they sit at home repeatedly refreshing the testing portal to try to book a covid test for family members with symptoms?

--- Later in debate ---

[Matt Hancock]

My hon. Friend, who rightly raised this issue with me on Tuesday, knows that I will always be driven by the data in the local action that we take. Where we do take local action, I do so with a heavy heart. I was very pleased that we were able to take his constituency out of the local action in West Yorkshire. However, we have seen case rates go up, and we will be guided by that data. I look forward to talking to him and working with him on that basis.

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

Despite the disappointing news that the Health Secretary has delivered, the people of the north-east are committed to doing everything they can to get this virus under control—but the Government need to meet them halfway. In Scotland and Wales, children under 11 are exempt from the restrictions. That enables families who do not have an army of nannies and formal childcare to get to work. I appreciate the concerns that he has outlined today, but none of them explains why the people of Scotland and Wales are trusted to make these decisions, yet people in England are disproportionately put in the difficult position of not being able to rely on family and friends.

[Matt Hancock]

I pay tribute to the hon. Lady, who, in what she has been saying this morning and overnight about the restrictions that we have unfortunately had to put in place in her local area, has been speaking for her constituents, and with very clear public health messages that it is so important that people heed. I will absolutely look at the point that she raised and make sure, working with her local councils, that we get the details right of exactly the measures that are put in place in her area and, indeed, across the country.

[Dehenna Davison (Bishop Auckland) (Con)]

As a north-east Tory MP, I am grateful to my right hon. Friend for engaging so effectively with our local authorities in the north-east as we try to tackle this really worrying rise in cases. However, I am concerned that residents across my constituency are facing these difficult, restrictive measures yet not seeing many rises in covid cases in our local communities. How will he review the situation in the north-east? Will he work with me to assess the figures at the most local level to ensure that residents from Spennymoor to Shildon to Barnard Castle can all get back to normal life as soon as possible?

[Matt Hancock]

Yes, of course. We take action at as local a level as possible, but unfortunately we do have to take action in this case. I was in the north-east on Monday. I would echo her comments that people will do what is necessary to control this virus and to look out for their communities. I pay tribute to the work that she has done in representing people from Bishop Auckland and her whole constituency in what are difficult times.

[Mr Kevan Jones (North Durham) (Lab)]

Many of my constituents cannot get tests, including people who work for the NHS. Others have been sent as far afield as Aberdeen for tests. At the same time, there has been spare testing capacity in the region. Last week, NHS Test and Trace moved all its mobile testing units out of County Durham. The measures that the Secretary of State has outlined today will be enacted by the people of the north-east—I agree with my hon. Friend the Member for Newcastle upon Tyne North (Catherine McKinnell)—but unless we have an effective local test and trace system, this will not work. Is it not time to just admit that the national system has failed and that the effort now has to go into directors of public health being given the finance locally to put in place effective test and trace systems that local people can have confidence in?

[Matt Hancock]

The test and trace system works in a combination of the national and the local. If we took away the national, we would not have the record testing capacity, but if we took away the local, we would not have the local knowledge and the boots on the ground to solve problems and to find people who need to self-isolate. It is the combination of the two that works. I urge the right hon. Gentleman to work with his local council and with the national teams to do everything we can to get the virus under control in his area.

[Munira Wilson]

On a point of order, Madam Deputy Speaker. During the Secretary of State’s response to me earlier in the statement, he said that I was wrong to raise the issue earlier this week of my constituents using Scottish postcodes to access tests and that I was not being fair or straight with my constituents. I would like to offer the Secretary of State the evidence that I have. I have emails from Sunday, from Monday and, indeed, from this morning of constituents using Aberdeen and Dundee postcodes to access tests at the Twickenham site. Will the Secretary of State withdraw his comment, or is he suggesting that my constituents are lying to me?

[Matt Hancock]

Further to that point of order, Madam Deputy Speaker. I am very happy to look at any evidence that is presented, but I did look into this issue when it was raised on Tuesday. If someone does as the hon. Lady suggests and then goes to a testing site that is not the one they booked into, an alarm comes up on the screen to say that the person is booked into the wrong testing centre, so there is a process in place to tackle the problem that she has mentioned. I am very happy to look at any evidence to solve any problems in the system, but I have looked into this one, and I am assured that that is the case.

[Madam Deputy Speaker (Dame Rosie Winterton)]

I thank the hon. Lady for her point of order, and I thank the Secretary of State for responding to it. I suggest that if the hon. Lady still wishes to send the emails to the Secretary of State, perhaps she should do so. It feels as though we can perhaps get to the bottom of this if we do it that way. There will now be a three-minute suspension.

Coronavirus Update

Matt Hancock Excerpts

Tuesday 15th September 2020 Written Statements

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

I want to update on the latest local restrictions. The latest evidence indicates that the covid-19 infection rate is beginning to rise across the country. It is therefore now vitally important that the Government take decisive action to limit any further spread and reduce the likelihood of a further national lockdown of the type that was necessary earlier this year. We will continue to review the restrictions to ease or strengthen measures when necessary and based on the scientific evidence.

Changes to Leicester restrictions

Further changes are also being made to the Leicester restrictions. As of Tuesday 15 August, the Health Protection (Coronavirus, Restrictions) (Leicester) Regulations 2020 were amended to enable the opening of casinos, indoor skating rinks, bowling alleys, indoor play areas, exhibition halls and conference centres. Socially distanced indoor performances were also able to resume, and remaining restrictions on certain close contact services (treatments on the face, such as eyebrow threading or make-up application) were lifted. These changes meant that Leicester is subject to the same business restrictions as the majority of England and guidance was updated accordingly.

The ban on inter-household gatherings in private homes and gardens remains in place to control the spread of the virus.

The Government will continue to review the remaining restrictions in Leicester at least every 14 days, with the next review due to take place before 24 September.

Additional restrictions in Birmingham

In the west midlands, the increase in covid-19 infection rates can be seen particularly in Birmingham, Solihull and Sandwell, where incidence rates and positivity rates have increased significantly. Transmission appears to be associated with household transmission, travel hospitality venues and other social mixing.

Given the broad transmission routes, we have considered and agreed the request of local authorities to restrict household mixing to try and curb the spread of the virus in the Birmingham, Solihull and Sandwell areas of the west midlands. Restrictions on households mixing within private homes and gardens was enacted in secondary legislation and came into effect on Tuesday 15 September. Residents in these areas should not socialise with people that they do not live with, either inside or outside. This was taken in consultation with local leaders, who are working hard to keep the transmission rates down.

Publicly available Government guidance on gov.uk is being updated to ensure it fully corresponds with the new regulations. Sector bodies will also produce updated guidance where relevant.

[HCWS452]

Coronavirus

Matt Hancock Excerpts

Tuesday 15th September 2020 Commons Chamber

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

(Urgent Question): To ask the Secretary of State for Health and Social Care to update the House on his response to coronavirus.

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

Coronavirus exists only to spread, and yesterday the World Health Organisation once again announced a record number of cases globally. France and Spain have both reported daily figures of over 10,000 positive cases and increasing hospitalisations. Here in the UK, we saw around 2,600 new cases yesterday, and last week medical advisers advised that R is above 1. The epidemic is growing.

There are signs that the number of cases in care homes and the number of hospitalisations is starting to rise again, so last week we acted quickly, putting in place new measures—the rule of six, which came into force yesterday. We do not do this lightly, but the cost of doing nothing is much greater.

Testing also has a vital part to play. Everyone in this House knows that we are doing more testing per head of population than almost any other major nation, and I can tell the House that we have now carried out over 20 million tests for coronavirus in this country. As we expand capacity further, we are working round the clock to make sure that everyone who needs a test can get a test. The vast majority of people who use our testing service get a test that is close to home, and the average distance travelled to a test site is now just 5.8 miles —down from 6.4 miles last week; but the whole House knows that there are operational challenges, and we are working hard to fix them.

We have seen a sharp rise in people coming forward for a test, including those who are not eligible. Throughout this pandemic, we have prioritised testing according to need. Over the summer when demand was low, we were able to meet all requirements for testing, whether priorities or not, but as demand has risen we are having to prioritise once again. I do not shirk from decisions about prioritisation. They are not always comfortable, but they are important. The top priority is, and always has been, acute clinical care. The next priority is social care, where we are now sending over 100,000 tests a day, because we have all seen the risks this virus poses in care homes. We will set out in full an updated prioritisation, and I do not rule out further steps to ensure our tests are used according to those priorities. It is a choice that we must make.

Finally, to defeat this virus in the long term needs effective vaccines and treatments. I am delighted to say that over the weekend the trial of the Oxford vaccine restarted, and I can tell the House that we will now be trialling a promising new antibody treatment on coronavirus patients in the UK. The challenges are serious. We must work to overcome them, optimistic in the face even of these huge challenges, and to keep this deadly virus under control.

[Jonathan Ashworth]

I am grateful for advance sight of the Secretary of State’s answer. That was decent of him.

Yesterday LBC revealed that there were no tests available in covid hotspots, including Rochdale, Pendle and Bradford. Over the weekend in Bolton, where infections are the highest in the country, a mobile testing centre failed to turn up. Meanwhile, in Bury hundreds queued for five hours for a test. In Walsall, a father with his sick child travelled 76 miles to an appointment in Wales, only to find on arrival that tests had run out. Increasing numbers of teachers and pupils are not in school. In hospitals, operations are cancelled while NHS staff are stuck in limbo, waiting for tests.

The Secretary of State blames increased demand, but when tracing consistently fails to reach 80% of contacts, when less than 20% of those with symptoms self-isolate properly and there is a lack of financial security, infections rise. When schools reopen and people return to workplaces and social distancing becomes harder, infections rise. Extra demand on the system was inevitable. Why did he not use the summer to significantly expand NHS lab capacity and fix contact tracing?

Just as demand is increasing, the ability to process tests is diminishing. Post-graduate students working in the Lighthouse labs are returning to university, so why did the Secretary of State not plan for the inevitable staff shortages in the Lighthouse labs? Those commercial pillar 2 labs, The Sunday Times revealed at the weekend, have a huge backlog of 185,000 tests. Thursday’s data revealed that 65,709 test results were not returned by the end of the week. Care home residents now wait an average of 83 hours for their result. The Prime Minister promised us a 24-hour turnaround for results, so what is going on? What is the current backlog and what is the timeframe for clearing it?

We were promised a world-beating system, so why are we sending tests to Germany and Italy for processing? But, most importantly, people want to know when they will get a test and when this mess will be fixed. Today there will be thousands of ill people trying to book a test, only to be told none is available. When will people be able to book a test online again, or has the online booking system been deliberately disabled? When will ill people no longer have to travel hundreds of miles for a test that should be available on their doorstep? When will pupils and teachers out of school get access to testing, so they can get back to school? When will NHS staff have access to regular testing, so they can focus on their patients and not be sitting at home?

We are at a perilous moment. Imperial College estimates the virus is doubling every seven to eight days. We all want to avoid further restrictions or another national lockdown, but when testing and contact tracing break down, the growth of the virus cannot be tracked. The Prime Minister promised us whack-a-mole, but instead his mallet is broken. The Secretary of State is losing control of the virus; he needs to fix testing now.

[Matt Hancock]

Well, the good news, in responding to that, is that capacity for testing is at a record high. The hon. Gentleman raised the issue of testing in the top 10 local authorities—well, I have got the figures here. Yesterday, we processed 9,278 tests just in pillar 2—so outside of the NHS testing capacity—in just those top 10 local authority areas. Just yesterday, we processed 1,428 tests in his own local authority area.

The good news is that capacity is at record levels and that a record number of people are able to get tests. I do not deny that it is an enormous challenge. When a service is free, it is inevitable that demand will rise. The challenge is to make sure that we prioritise the tests that we have as a nation for those who most need them, as I set out in my answer.

The hon. Gentleman asks about the backlog, which is actually falling and is less than one day’s processing capacity. He also asked about our being able to have testing capacity so that we can re-enable the economy and get things going. As he well knows, there is a huge effort to expand—using the next generation of technologies —the tests that we need to deliver to reopen parts of the economy, and we will deliver on that.

We will deliver on the challenges of today. I do not deny those challenges, but I face the facts in order to deliver on those challenges, rather than simply complaining. The hon. Gentleman should welcome the record capacity and the contact tracing, which are playing their part in responding to the virus.

[Mr Speaker]

Let us hear from the Chair of the Health and Social Care Committee.

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

A week ago today, the Secretary of State told the Health and Social Care Committee that he expected to have this problem solved in two weeks. Since then, in my constituency, two Farnham residents have been sent to Bristol for their tests, a councillor has been sent to the Isle of Wight for her test and a teacher who tested positive had to wait a week for her results. Is the Secretary of State, given the efforts that his Department is making, still confident that in a week’s time we will have this problem solved?

[Matt Hancock]

I think that we will be able to solve this problem in a matter of weeks. In his constituency yesterday, 194 people got their tests. We are managing to deliver record capacity, but as he well knows, demand is also high, and the response to that is to make sure we have prioritisation, so that the people who most need them can get the tests that they need.

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

With covid cases doubling every week, it is clear that laboratory capacity for diagnostic testing is not keeping pace with demand, leading to testing slots being cut. For example, only 70 new covid cases were reported in Scotland yesterday, yet 267 were reported today, many from tests carried out over the weekend. With a reported backlog of 185,000 tests, is the Secretary of State not concerned that results will not be received quickly enough to allow timely contact tracing, and that the delay in data means that new outbreaks will not be identified until they are out of control? Last week, the Secretary of State appeared to accept that additional NHS funding could allow hospital laboratories across the UK to rapidly increase their testing capacity, so can he confirm whether he plans such an approach, and on what timescale?

[Matt Hancock]

Yes, I think it is important that we expand the NHS labs, and that we work across the whole of the UK to get the testing capacity needed. For instance, in Scotland, when there was a surge in demand for tests last month, we diverted more of the UK’s capacity to support people in Scotland, and we currently deliver more tests per head of population in Scotland than in the UK as a whole. In the tone of the hon. Lady’s question, it is absolutely necessary to work together, across party lines, between the Scottish devolved Government and the UK Government, to make sure that we get the support to the people of Scotland as to every other part of this country.

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

May I ask the Secretary of State about the rule of six? Many of my constituents struggle to understand why they can play five-a-side football but two connected families of five each cannot meet. Will the Secretary of State look at flexibility when local rates permit, and also at excluding under-12s from the rule? Christmas is just around the corner. I know he has to think of the health of the nation, but I really urge some flexibility on the part of the Government.

[Matt Hancock]

Of course, I do worry first and foremost about the health of the nation, and we need a rule that is super-simple. Children do transmit this virus, and we have made the decision to keep the rule as simple as possible considering all those risks. I understand where my hon. Friend is coming from. We take a different approach in different areas according to the extent of cases locally, and that is an important tool in our armoury.

[Munira Wilson (Twickenham) (LD)]

Like many other Members, I have been inundated with emails from doctors, teachers and parents unable to access the tests that they desperately need. Several of them have been advised that if they put an Aberdeen postcode into the system, they can get a test in Twickenham—and they have succeeded. How on earth is a world-beating test and trace system functioning like this, and what is the Secretary of State doing to fix it? In the meantime, does he recommend that I tell constituents who desperately need a test to game the system in that way?

[Matt Hancock]

No; in fact, it is incumbent on us all to take a responsible approach and tell our constituents that tests are available in large numbers, that the average distance travelled is 5.8 miles and that people should take this seriously and not game the system.

[James Sunderland (Bracknell) (Con)]

I am grateful to the Government for all that they are doing to fight covid-19 and keep the population safe. May I ask my right hon. Friend if there is a formal trigger for easing the rule of six and measures like it?

[Matt Hancock]

My hon. Friend makes an important point, and it comes to the point that was previously made about Christmas. Of course, we will keep the rule of six in place only for as long as is absolutely necessary for health reasons. The vaccines and treatments that I spoke about and the mass testing regime are all important in trying to find a way through this virus with a minimal impact on the economy, education and people’s social lives. There is not a formal rate at which we will make that review; we keep everything under control, and I have no doubt that we will constantly debate the matter in this House in order to ensure that we come to the right decision.

[Meg Hillier (Hackney South and Shoreditch) (Lab/Co-op)]

The Secretary of State is in danger of believing the global figures without looking at the reality on the ground. In my borough, which has been working hard with the Government to keep an outbreak down, we have two walk-in test centres, which have been advertised as such to reach the digitally divided and make sure that people can get tests quickly. Over the weekend, staff from Deloitte—a private company running this public service—told people that they could no longer walk in. That was not communicated to the local authority, so the service was still being advertised as walk-in, and more than 90 people were turned away from one test centre alone. This is a fiasco of the Government’s making, and the Secretary of State could intervene now to make sure that, at the very least, there is communication. I hope he will release the correspondence between Deloitte and the Department of Health and Social Care so that we can see exactly what has happened.

[Matt Hancock]

I will happily look at that individual case. Of course, there are many hundreds of tests being done in the hon. Lady’s constituency, as well as across London. I can look at the individual point and make sure that communications occur as necessary.

[Sarah Owen (Luton North) (Lab)]

We have heard case after case of failure when it comes to testing. I have heard from parents, teachers and a vicar in Luton North all saying that there are no walk-in tests, no drive-through tests and no home kits available when they need them. The Secretary of State talks about capacity, but what we need is access to testing. Capacity is nothing without access to testing. When can people with symptoms expect to be able to get tests when and where they need them?

[Matt Hancock]

The vast majority of people do. In Luton yesterday, 484 people got tests. I agree with the hon. Member for Hackney South and Shoreditch (Meg Hillier) that we should follow the data.

[Mary Robinson (Cheadle) (Con)]

I congratulate the Government on their efforts to increase testing capacity and on working with local authorities to do so. As a result of the soaring number of covid cases in Manchester, however, some people are still unable to get the testing they need. We know that children are back in schools now and that schools are natural incubators of colds and tummy bugs, which mimic some of the covid symptoms. As the flu season gets going, will the Government look at the guidance they are giving to schools and people about how to access those tests?

[Matt Hancock]

Yes, absolutely; of course I will do that. We have put significantly more testing into Stockport and my hon. Friend’s constituency: 720 tests just yesterday. One reason for that is the higher rate in Greater Manchester. She makes an important point about ensuring the capacity so that tests can be there when someone has the symptoms of coronavirus, but it is also incumbent on schools to send pupils for testing only when they have the symptoms of coronavirus, to make sure we can prioritise the testing for the symptomatic people who really need it.

[Chris Bryant (Rhondda) (Lab)]

I am enormously grateful to the Secretary of State and the Minister for the help he provided over the weekend with Vaughan Gething, trying to get the mobile testing centre in Porth, which has now moved to Clydach, fully functioning in the Rhondda, not least because we have a very high number of infections at the moment and are trying to work out what the specifics look like in terms of a potential lockdown.

Today, however, the best part of 60 people turned up for a test, having made an appointment in Abercynon, only to be told there were no test kits but that there might be some available that afternoon so to try again later that day. Still people are being told to go to Aberdeen. I do not know if it is just the alphabet—people think that Aberdeen is near Abercynon—but it is a very long way away. I also gently say to the Secretary of State: I know he knows there is a problem here, but trying to rebut every argument with, “Honestly, we’ve got more people doing more stuff and people need to get with the programme”, and all of that, just does not wash with the public. There is a danger, if he does too much of that, that people will simply say, “We can’t trust you any more”.

[Matt Hancock]

The hon. Gentleman is right: we spoke over the weekend and worked hard to get those mobile testing units into the Rhondda, where there is a significant outbreak. It showed the effectiveness of people working together to deliver solutions. I do absolutely acknowledge the challenge, but I also urge everybody to ensure the message gets through to people in the Rhondda and across the country that tests are available. I use these figures to demonstrate that hundreds of people in every constituency are getting tests. I want people across the country to know that we understand there are challenges and are working incredibly hard to fix them but that tests are available.

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

My disabled constituent Ian Kenny has been trying to get a home test since 8 September. He cannot drive so he cannot get to a test centre. He has symptoms but has been told there are no home tests available. Until he can prove he does not have covid, he cannot access the hydrotherapy he needs or go back to work. What reassurance can my right hon. Friend give Dr Kenny that he will be able to get a test? He speaks today of prioritisation and difficult choices, but disabled people living in their own homes must be a priority and must not be forgotten.

[Matt Hancock]

Absolutely, and I will of course be happy to look into the case in detail. Such cases, where there is a clinical need, should be at the top of the prioritisation. We have set out the prioritisation and will continue to update it to make sure it matches the latest science. My right hon. Friend has made her point and I will make sure the matter is looked into.

[Jim Shannon (Strangford) (DUP)]

The Secretary of State is certainly a very busy person. Will he outline what steps have been taken, in co-operation with the Department for Education, to see that school bubbles that have a positive case are returned to school as a matter of urgency? The reason I bring this to his attention is simply that if one child in a household has a classmate with covid-19, and they are tested and are proven not to have it, they are sent home with their mother, but other children in the same households go to different classes in the school. It seems a bit absurd, does it not?

[Matt Hancock]

If somebody tests negative in a school environment, as in the example the hon. Gentleman gives, the school can of course carry on as normal because there is no sign of covid. I will double check that the guidelines around exactly that circumstance are clear and will speak to the Department for Education.

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

To what extent is there a possibility that it is the exponential increase in testing itself, in identifying genuine new cases, and the very significant possibility of false positives, that is giving a distorted impression of the trajectory of the disease?

[Matt Hancock]

I like my right hon. Friend very much and wish that that were true. The reason why the Office for National Statistics does the surveillance testing is to ensure that we are constantly looking, on a national representative sample, at what the case rate is, as well as, of course, using the tests, and as we increase the testing numbers, we will inevitably find more of the cases that are there. The ONS survey published on Friday shows a rise in the numbers commensurate with the rise in the numbers of tests that have come back positive, and that does take into account the point about false positives, which is an important one.

[Alison Thewliss (Glasgow Central) (SNP)]

Work is under way to set up a walk-through testing centre at Glasgow Caledonian University in my constituency, but with universities now returning, what additional capacity is being put in place to deal with what could be an additional surge of tests that need to be processed?

[Matt Hancock]

We are working with universities to try to ensure that testing is available as appropriate. Of course, that has to follow the wider prioritisation, but it is very important that universities right across the UK are ready for the return of students, including with testing, where that is appropriate, and we are working on that right now.

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

My constituents are sharing the same experiences as those of my right hon. Friend the Member for South West Surrey (Jeremy Hunt), so I encourage my right hon. Friend the Secretary of State to do everything he can on testing capacity.

May I ask him about the rule of six? If someone is lucky—or unlucky—enough to have four very young children, under the rules they are not allowed to meet another household at all. I do hope that the Government will keep the rules under careful review and look at every possible way to make them as fair as possible for every family.

[Matt Hancock]

I understand my right hon. Friend’s point. We do understand the impact of the rules that we have to put in place. It is the same around the world: the rules that need to be put in place to deal with a pandemic are not pleasant ones or ones that anybody would want to have in force, but unfortunately they are necessary to save lives. Sadly, we are seeing the consequences, including in some of our closest neighbours, of what happens if we do not take the action that is needed.

[Rosie Duffield (Canterbury) (Lab)]

Although I am sure that many ordinary people were thrilled to learn that the Government’s rule of six does not apply to so-called sports such as grouse shooting, for which up to 29 people can mingle, expectant mothers in my constituency and throughout the country are unable to take their partners to crucial checks during pregnancy. Currently, individual health trusts are left to make decisions on this issue, leading to a postcode lottery. Is it not time that the Government stopped passing the buck, as they did to school leaders, and instead provided national leadership across the country on matters as vital as maternity care?

[Matt Hancock]

I have a huge amount of sympathy with the case that the hon. Lady makes. In fact, last week we changed the guidance on this issue to allow partners to go with pregnant women to these sorts of tests and, of course, to the whole of the birth. The Minister for Patient Safety, Mental Health and Suicide Prevention, my hon. Friend the Member for Mid Bedfordshire (Ms Dorries), is responsible for this issue and leading on it, and we have made some significant progress in the past week. I commend the campaigners who are pushing so hard to make sure that each hospital follows the new guidance so that people can have a loving partner with them during these very special moments.

[Stephen Crabb (Preseli Pembrokeshire) (Con)]

On the rule of six, I completely agree with my right hon. Friend about the importance of clarity and simplicity. Early on in the pandemic, we saw some of the problems that arise when different rules kick in in different parts of the United Kingdom. On that point, is there not a strong case for having one simple, understandable rule of six that applies right across the country and has high levels of public support? To that end, I encourage my right hon. Friend to keep an open mind about the rule of six that is in place in Wales and Scotland and the exemption of small children.

[Matt Hancock]

I absolutely keep an open mind on all these things. We are constantly looking at the evidence and data, and updating policy accordingly. We have made the decision on the basis that I explained. Of course, I understand the other point of view, but the cause of simplicity and clarity of explanation won the day.

[Stephanie Peacock (Barnsley East) (Lab)]

My constituent in Barnsley has been trying for seven days to get a test for her teenage son after he was sent home from school with a temperature. She has been offered a test in Bolton, Edgbaston and Oldham, and nearly 400 miles away, in Inverness. When will the Secretary of State stop denying that there is a problem, apologise to my constituent and sort out access to testing, once and for all?

[Matt Hancock]

I ask the hon. Lady to get in contact with me about that individual case; 686 people in Barnsley got tests yesterday, and I am sure we can ensure that her constituent gets that test.

[James Wild (North West Norfolk) (Con)]

As demand for testing increases, some of my constituents are struggling to get slots, are having to travel significant distances or are even being turned away from mobile test centres. So will my right hon. Friend confirm whether the Government’s plans to increase capacity are aiming for 10 million tests a day or the 2 million to 3 million that Sir John Bell talked about this morning? As part of that welcome boost, will my right hon. Friend look carefully at my request for a public testing site in King’s Lynn?

[Matt Hancock]

I will absolutely look at my hon. Friend’s request on King’s Lynn. Thankfully, after an outbreak a couple of weeks ago, the number of positive test results in Norfolk has come right down. I commend the work of Norfolk County Council, my hon. Friend and colleagues from across Norfolk, who have done so much to ensure that the public messages get through. On the “moonshot”, we do not have and have not had any plans for 10 million tests a day, but we do have a goal to get to the millions of tests a day when we can. That is dependent on new technology, so that is what we need to drive forward. It is vital for this country, for the resolution of exactly the problems we are talking about today, and then for expanding testing availability more widely that we really embrace those new technologies.

[Navendu Mishra (Stockport) (Lab)]

Yesterday, I was contacted by an NHS nurse who had spent the weekend unsuccessfully trying to get a test for her symptomatic seven-year-old. On Friday, I visited the new Brinnington test centre in my constituency. It was very quiet, yet it seems to have been unable to offer a test to a nurse, who, it seems, will now need to take time off work. Is that what world-beating looks like? What is going on?

[Matt Hancock]

Again, I am happy to try to solve the individual issue for the nurse, not least because the figures that I read out for Stockport do not include the NHS capacity, which is there for NHS staff in order to resolve exactly the sort of issue that the hon. Gentleman talks about.

[Paul Bristow (Peterborough) (Con)]

Cancer Research UK estimates that the screening backlog because of covid-19 might mean that as many as 3 million people are waiting. Will the Secretary of State update us on the work he is doing to ensure that all areas of the NHS are able to carry out screening programmes and on the work he is doing to reassure people that it is safe to attend these screening tests?

[Matt Hancock]

That is an incredibly important subject, as we need to make sure we get the screening available. It ties into the questions on testing, because prioritising testing for those about to have NHS procedures, be they diagnostic, such as screening, or an operation of some sort, is so important, for instance, in making sure that we tackle the backlog in cancer cases that inevitably built up. We are tackling that backlog and it is down by about half. I am happy to work with my hon. Friend and all others in this House to make sure that people get the early diagnosis of cancer that can so often be lifesaving.

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

The Secretary of State will be aware of a recent survey which found that one third of children feel more anxious, sad and stressed now than before lockdown. The charity Action for Children has therefore asked the Government to prioritise children’s mental health in covid-19 recovery planning and provide adequate funding to meet this demand. Could he tell the House exactly what he has done about that and when we can expect him to announce a covid recovery mental health strategy?

[Matt Hancock]

This is an incredibly important subject, and I commend the hon. Lady for raising it and for her work on it, along with many Members across the House. We are putting more funding into mental health, and paediatric mental health in particular, to ensure that we tackle the inevitable consequences of the pandemic.

[Christian Wakeford (Bury South) (Con)]

“Hands, face, space” has been the public safety message for weeks now. However, I feel that the public are not as safe as they could be. What thought has my right hon. Friend given to ensuring that face masks and hand sanitiser offer the fullest protection by regulating for the need to meet set safety criteria, whether that be the British Standards Institution standard or the World Health Organisation formula for hand sanitiser, so that we are all as safe as possible using these mitigating factors?

[Matt Hancock]

We do have a standard for clinical masks, but for the widespread use of face coverings, we do not set a standard, because the evidence is that for the general public, using a face covering can make a big difference without drawing on the supply of clinical masks for personal protective equipment. Standards are set by the European Union that define what can be put into a hand sanitiser, but I am happy to work with my hon. Friend on the details if that needs to be strengthened.

[Dr Rupa Huq (Ealing Central and Acton) (Lab)]

A world-beating app that is nowhere to be seen, the national R rate rocketing and local testing all but impossible—in Ealing, we would be lucky to get offered a test in Aberdeen—all bode ill for the start of the educational year. With press reports swirling around that there are hundreds of school outbreaks already, can the Secretary of State tell us exactly how many of those there are? Can he up the number of testing kits that schools are supplied with from 10 a piece? As universities go back, which means that people will be moving around bits of the country with different infection rates, can he ensure that everyone on campus gets a test, whether they have symptoms or not? We cannot let education be the next care homes crisis.

[Matt Hancock]

The hon. Lady raises important points. It is important to note that in Ealing, 462 people got a test yesterday, so tests are widely available in Ealing. The other issue she raises about ensuring that schools and universities have access to testing is important within the prioritisation. As she knows, we have sent tests to every school for use in exceptional circumstances when they need them. It is very important that those tests are used when people are symptomatic, rather than asymptomatic.

[Lee Anderson (Ashfield) (Con)]

Last week, a mobile covid testing centre was set up in Ashfield, which helped hundreds of my constituents to get a test, but over the weekend, several constituents said that they struggled to book online due to the demand. Will my right hon. Friend advise the people of Ashfield what more can be done to ensure that everyone in my constituency who needs a test gets a test?

[Matt Hancock]

We have put the extra capacity into Ashfield that my hon. Friend talks about, and I am delighted that the number of people in Ashfield who are getting a test has therefore increased. We have to get to a position where everybody who needs a test can get a test, ensuring that we follow the prioritisation. I look forward to working with him to fix the problem in Ashfield and across the country.

[Charlotte Nichols (Warrington North) (Lab)]

In Warrington we have seen spiking numbers, with over 200 confirmed cases in the most recent weekly figures. Our rate is now the sixth highest in England, and we have real issues with demand for testing far outstripping local capacity. Can the Secretary of State outline what additional support he will give to Warrington Borough Council to increase our testing capacity, so that we do not have to go back into lockdown like our Greater Manchester neighbours?

[Matt Hancock]

Yes, absolutely. The hon. Lady is right to raise the concerns in Warrington about the increase in the number of people testing positive. I am happy to work with her, Warrington Borough Council and my hon. Friend the Member for Warrington South (Andy Carter) to ensure that we get the best possible response, including putting in that extra testing.

[Tim Loughton (East Worthing and Shoreham) (Con)]

Traditionally, the start of the autumn term is the peak for returning schoolchildren showing signs of colds and sniffles. I am now increasingly getting reports from my constituency of young children being turned away or returned from nurseries and primary schools if they display any cold symptoms. I am afraid that I have to tell the Secretary of State that testing is not at a record high in my constituency, because of capacity being moved up north and to hotspots, despite Worthing now being on the watch list because of a single outbreak of 23 people not abiding by the regulations. I heard yesterday from a constituent who had been referred from the Sussex coast all the way to Aberdeen. Can he not forget those very young children and the huge impact that they can have on families and schools if testing is not properly available for them?

[Matt Hancock]

Yes, of course. It is so important in Worthing, as it is across the rest of the country, that we prioritise the testing that we have. My hon. Friend is quite right that, when schools go back, children often do get a cold, a non-coronavirus illness—a normal illness if you like. Obviously, that is contributing to the increase in demand, as well as people who are not eligible coming forward. That is one reason why we have been building capacity throughout the summer, and I look forward to working with him to make sure that we solve the problems in Worthing.

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

Greater Manchester is a covid hotspot. The nearest testing centres to me are: Hyde, one and a half miles; Ashton, three miles; Brinnington, three miles; Belle Vue, four miles; Etihad Campus, five miles; Oldham, nine miles; and Manchester Airport, 11 miles. They might be testing there, but local people cannot get slots. Instead, too many of my constituents have been allocated: Telford, a 152-mile round trip; Llandudno, 174 miles; Leicester, 216 miles; Glasgow, 450 miles; and Aberdeen, a 716-mile round trip. My constituents do not want to become superspreaders, so why is this world-beating system going so spectacularly wrong for them?

[Matt Hancock]

As the hon. Gentleman outlined in his question, we have put an enormous amount of testing into Manchester. There is availability in Manchester because there is a prioritisation on testing. Because it is such an outbreak area, we have put in a huge quantity of tests. As I have said repeatedly, there are operational challenges, but thousands of people are being tested in Manchester every day, to get a grip of the outbreak there.

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

My right hon. Friend has my sympathy and support as he discharges his duties. He is well aware of the position across the west midlands and, in particular, in the royal town of Sutton Coldfield, where we do have testing difficulties. I am very concerned to hear today that Ley Hill Surgery has no fewer than four GPs who are having to self-isolate and cannot get a test. May I make two points to him? First, I join with those who want an exemption for informal childcare, so that parents in certain circumstances can still go to work. Secondly, I ask him to look at a system whereby all Members of Parliament get access to regular infection rate details both by local government wards and by postcodes?

[Matt Hancock]

I am very grateful for my right hon. Friend’s support. I am working very closely with him and with the other Birmingham MPs, because there is a serious challenge in Birmingham and in other parts of the west midlands. On the point about getting the data down to a ward level, I will absolutely ensure that he gets that data. We look at it down to a lower super-output area level, and we publish that data weekly. I will ensure that it gets to him and that we get the full details of exactly how many cases there are in each part of Birmingham. I recognise that, while Sutton Coldfield is in the Birmingham local authority, it has a distinct geography within that area. As he knows, both from our discussions and from how we have acted in other parts of the country, we will take action on a sub-local authority area where that is supported by the data. Unfortunately, for now, we do have that local action in Sutton Coldfield, but we keep it constantly under review.

[Tim Farron (Westmorland and Lonsdale) (LD)]

Has the Secretary of State seen today’s analysis revealing the terrifying scale of the backlog in cancer treatment and diagnostics? It is now clear that it would take the system operating at 135% capacity for six whole months just to catch up with where we were in March. Until then, the tragic reality is that people in my constituency and around the country will be unnecessarily losing their lives. I beg him to urgently meet the clinician-led Catch Up With Cancer campaign so that we can give him the solutions to boost cancer services and save tens of thousands of lives.

--- Later in debate ---

[Matt Hancock]

I am very happy to meet the campaign. Of course I have seen the reports. I feel very strongly about this. We have worked very hard to get through the backlog, and we are making progress against that backlog. Nevertheless, I am happy to look at anything we can do to speed that up, so I look forward to listening to the details of what we can do.

[Mr Laurence Robertson (Tewkesbury) (Con)]

As my right hon. Friend knows, sporting venues are suffering financially because of the restrictions, and it does not help when planned pilot events are cancelled at the last minute. Who takes the decisions on whether to allow pilot events to carry on—is it done centrally, locally or a combination of both? There is a feeling that there is some confusion.

[Matt Hancock]

My colleague the Culture Secretary is responsible for the programme of pilot events. For a pilot event to go ahead, it needs both the support of the local council and to have been advised as covid-secure by Public Health England. The Department for Digital, Culture, Media and Sport takes the lead. As the MP for Newmarket—one of the four towns in my constituency relies on sport, as do the livelihoods of thousands of my constituents—of course I understand the impact, in exactly the same way that my hon. Friend does, as the MP for Cheltenham racecourse. I speak a lot to the Culture Secretary and the Prime Minister about this subject. I hope that we can get as much going as fast as possible, but safely.

[Steve McCabe (Birmingham, Selly Oak) (Lab)]

I understand that it is not dead easy, but rather than come here and give us big numbers about tests completed or the average journey, why does the Secretary of State not listen to what people in all parts of the House are telling him today? Why does he not try to understand what it is like to be a parent in special-measures Birmingham who is directed to Oldham for a test when there is a walk-in centre two miles down the road virtually empty? Will he just recognise that there is a problem and tell us what he is going to do to try to put it right?

[Matt Hancock]

Yes, I absolutely recognise that there are challenges: I set them out in my initial answer and have done repeatedly. I urge colleagues in all parts of the House, and the hon. Gentleman, for whom I have huge respect, to accept that we are only going to solve these problems if we use the data as our guide.

[Holly Mumby-Croft (Scunthorpe) (Con)]

I have constituents in Scunthorpe who have struggled to access a face-to-face GP appointment. Can my right hon. Friend reassure those constituents that, should they need one, they will be able to have one?

[Matt Hancock]

Yes. There is no greater supporter than me of the ability to access medicine by telemedicine. It is an incredibly important option that is available and should be a choice for our constituents. We have made access by telemedicine the default method unless there is a good clinical reason not to use it. It is, however, as I have always set out, critical that there is face-to-face access as well. The NHS has written to all GPs to explain that while telemedicine should always be available, and that option should be available where it is clinically right, face-to-face appointments should also always be available and are absolutely necessary. The combination of the two is the future of the NHS.

[John Spellar (Warley) (Lab)]

People in Sandwell and Birmingham certainly want to know why their whole boroughs are being suddenly locked down and not just the currently affected areas within them, but they also need a plan on how we are going to contain the virus without paralysing society and the economy. We may have to coexist for years with the virus, as countless societies and countries have had to live with many awful diseases over millennia, and even now today, so when are we going to transit from reactive risk avoidance to prudent risk management?

[Matt Hancock]

We absolutely need to control this virus. I very much hope that we will make very significant progress, through treatments and vaccines, within the sorts of times that I set out previously—definitely in less than a millennium. I think that we will make significant progress in the coming months. However, in that time, we do have to control the virus.

We took the action in Sandwell having looked carefully at the data. Working with the right hon. Gentleman’s local authority, we also looked carefully at whether we should only put some parts of Sandwell under local measures—in particular, the Smethwick area was much more significantly affected earlier on—but it was clear that the virus was spreading throughout Sandwell, so working with the local authority, we decided to take local action across the whole district. That is the sort of action that we have to take.

The strategy that I have set out many times at this Dispatch Box is that social distancing is the first line of defence: the rule of six, and hands, face and space. The next line of defence is testing and tracing, which is why it is so important that we have record testing capacity and are trying to boost that further. The next line of defence is local action and ensuring that we do take that local action where necessary, even though it is uncomfortable to do so.

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

I thank the Secretary of State for his visit to Shotley Bridge in my constituency yesterday and look forward to working with him on the campaign for a new community hospital in the coming months. I welcome the massive increase in testing, including the mobile testing unit that has been at Consett AFC over the past few days. Across the north-east more broadly, we are seeing an uptick in the virus. The Secretary of State has now had meetings with various north-east councils on this issue, and I encourage him to give local authorities the powers they need to enable targeted local action in the north-east if necessary.

[Matt Hancock]

It was a real pleasure to be in Shotley Bridge yesterday, to meet my hon. Friend there and to visit Shotley Bridge Hospital. He and the whole House know that we will build 40 new hospitals, so it was interesting to see the plans that are in place. I will absolutely take away his point about the rise in cases in the north-east. The seven north-east councils have written to me with a proposal for tackling that increase. I have been studying their proposal and will make an announcement as soon as a decision has been made.

[Gavin Newlands (Paisley and Renfrewshire North) (SNP)]

We have heard about people in England registering as coming from Aberdeen and perhaps other places. Is the Secretary of State not concerned, as I am, that this may completely undermine the data and any resultant decision that is taken to act on and manage what might appear to be a Scottish outbreak?

[Matt Hancock]

Obviously, I talk to the Scottish Government, who are responsible for local action in Scotland. We work as closely as we can to try to bring both the UK capacity and the local capacity to bear. We have put much more testing in Aberdeen, which is right, and I support the Scottish Government in the action that they take to bring down the number of cases there.

[Scott Mann (North Cornwall) (Con)]

May I congratulate the Secretary of State on the biggest testing regime in this nation’s history? Twenty million tests is a monumental feat. That said, it would be wrong of me not to highlight the calls that my office received at the tail end of last week and yesterday, with people in Cornwall unable to access tests. What progress is he making on expanding the number of tests in Cornwall so that my constituents can access them?

[Matt Hancock]

There have been more than 600 tests a day in Cornwall over the past couple of days, so people in Cornwall can access tests—and it is very important, if they have symptoms, that they continue to do so—but of course I acknowledge the challenges that have been faced as well. We want to increase testing capacity right across the board. Sometimes we have to discuss difficult issues in this House, but I am pleased to say—especially with so many people having gone to Cornwall over the summer, because, as I can personally attest, it is such a wonderful place to have a summer holiday—that the case rate in Cornwall has stayed really low. I pay tribute to everyone in Cornwall for the work that they are doing on social distancing, on hands, face and space, and on being cautious and careful to stop the spread of the virus. Let us hope that that remains the case.

[Zarah Sultana (Coventry South) (Lab)]

There are three testing centres in Coventry, but constituents have told me of their distress and despair that they cannot access a test. Some cannot book a test anywhere, while others have booked only to be turned away at the centres. There are also cases of people in Coventry being directed as far away as Inverness. The Government have had six months to get testing sorted, and this is a complete and utter farce. The Secretary of State’s quoting figures is not good enough, so when will this mess be fixed and when will my constituents be able to access the tests that they need?

[Matt Hancock]

Of course, as the hon. Lady well knows, we are working both to increase capacity and to ensure that we have prioritisation so that the people who need a test most can get access to those tests. I am sure she will agree that it is important not only to listen to voices and the stories of those people who have had difficult experiences, but to ensure that we look at the facts on the ground. There were 762 people yesterday who got a test in Coventry, and that is an increase over the previous week. I am really pleased that we are able to do hundreds of tests a day in Coventry, but I appreciate that we need to keep expanding capacity.

[Andrew Selous (South West Bedfordshire) (Con)]

I am really keen that we proceed on the basis of reliable and agreed evidence, so what would the Secretary of State say to people who point to Sweden as an example of how we can control the virus and minimise the impact on the economy and our social lives?

[Matt Hancock]

I have looked very closely at the situation in Sweden, and the challenge is that Sweden brought in significant laws curtailing social activity and that the population in Sweden followed more closely more than in almost any other country in the world a lot of guidance that was not enforced by law. The case rate in Sweden was also higher than in other geographically comparable countries.

The conclusion I have come to is that the approach we are taking, where we look around the world, learn from similar countries and take action where necessary, is the best way to control the virus and protect the economy. The rule of six is designed to try to restrict the transmission where we see it happening most, which is in social circumstances, and to protect the economy as much as possible by keeping the economy open within those social constraints. We are constantly vigilant and we are looking around the world for other examples of where we might be able to make changes. As my hon. Friend knows, we have made changes to our approach as we have learned throughout this unprecedented pandemic.

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

My constituent Rachel has an 11-year-old daughter who came down with covid symptoms on Sunday. All her family have spent days self-isolating and desperately trying to book a test. At one point, they were directed to Wales, which is a six-hour round trip. At the same time, Rachel has seen private tests for £140, and often much more, that seem to be easily available. Does the Health Secretary think that this disparity is acceptable?

[Matt Hancock]

We do not recommend any private tests that are not signed off and verified. Therefore we are providing as many tests as we possibly can with a growing capacity. If the hon. Gentleman writes to me with the details of that individual case, I will absolutely look into it and make sure that one of the hundreds of tests that are being done in Ealing today is available for his constituent.

[Greg Smith (Buckingham) (Con)]

Having raised the issue of testing capacity in Buckinghamshire last week, I am enormously grateful to my right hon. Friend for the supply of two mobile testing units this week, in the town of Buckingham and in neighbouring Aylesbury, but like many hon. and right hon. Members I also continue to receive a lot of emails every day from constituents unable to access testing, so will he update the House on progress for a permanent uplift in the capacity for Buckinghamshire residents?

[Matt Hancock]

Yes, of course. My hon. Friend is right to raise the issue, and we have put more testing into Buckingham. There are hundreds of tests available across Buckinghamshire for his constituents and others, and we are working hard to ensure that the overall capacity has increased as well. Our constituents understandably want to get access to a test whenever they want one, and I understand that yearning, but we have to prioritise and, as I said in my opening answer, we have to put NHS and social care needs at the top of the list. I make no bones about that prioritisation, but at the same time we need to get overall capacity up, which is what we are working incredibly hard to do.

[Gareth Thomas (Harrow West) (Lab/Co-op)]

Like elsewhere, the numbers in Harrow with covid are on the rise. Tests are available for key workers, but I am told that parents and their children cannot get a covid test “for love nor money” in Harrow or near Harrow. I say gently to the Secretary of State that that does not yet feel like a world-leading test and trace system. Will he take a specific look at the circumstances in Harrow, and in particular why the nearby test centre at Heathrow is so unused at the moment?

[Matt Hancock]

The hon. Gentleman makes an important case for Harrow and I am very happy to take a look at Harrow specifically. The capacity constraint is in the labs, rather than the centres. We have the centres available to be able to process a huge amount of tests. We have record capacity in the labs, but it is in the labs where there is the constraint. We are bringing in more machines. More are being installed all the time, which is why capacity is constantly going up. Nevertheless, we clearly need to keep driving at that, because demand is going up as well.

[Dr Jamie Wallis (Bridgend) (Con)]

We need to use every tool at our disposal to stop the spread of coronavirus. I welcome the news that the NHS contact-tracing app will be available by the end of the month, and I welcome the news that it will be available throughout England and Wales. Will my right hon. Friend join me in urging businesses in Bridgend to get prepared with the NHS QR code scan poster?

[Matt Hancock]

Yes. The NHS covid-19 app, which will be available this month, will, as one of its features, ensure that people can go to a pub, restaurant or hospitality venue and scan the QR code quickly. Contact details will then be safely collected in case they are needed for contact tracing purposes. We are making the scheme mandatory. It has been very successful voluntarily and we are going to roll it out mandatorily, so I urge hospitality businesses in Bridgend, and right across England and Wales, to download a QR code for themselves and put it where it is very easy to use and obvious, so that all of us, when we go to the pub in Bridgend or anywhere else, can very easily scan in. If there is an outbreak, we can then contact trace that outbreak and keep the virus under control.

[Debbie Abrahams (Oldham East and Saddleworth) (Lab)]

I do not underestimate the challenges the Health Secretary has faced over the past few months, but six months on, after many, many warnings of the likelihood of a second wave and of what would happen without a fully operational test, track and isolate system in place before lifting the lockdown, unfortunately the Government are still not getting the basics right. That is happening in my constituency in Oldham. We did not have a mobile testing unit turn up and we are still not getting the data we need to trace covid-positive cases.

For starters, will the Secretary of State sort out the private contractors for the national test and trace system; make sure that public health directors are getting timely, high-quality data on covid cases, including occupational workplace details; and, fundamentally, make sure our local authorities have the resources they need to trace all contacts, and ensure restrictions are understood and observed?

[Matt Hancock]

The answer is yes. In Oldham in particular, where there has been a very serious outbreak, making sure we have that connection between the national system and the data flowing through to local contract tracers is incredibly important. We are working on some innovative solutions proposed by the local authority and others in Manchester to enhance that system as much as we possibly can to keep control of the virus.

[Steve Brine (Winchester) (Con)]

Lots of my constituents in Winchester have had tests, and the Government deserve credit for that, because we as a country started from a position where we did not have a system in place. The Health Secretary had to create a system from scratch, and he had great help in that from the private sector. We certainly should not be denigrating that; we should be thanking it and expanding on that help. Given the operational challenges that the Secretary of State spoke about, I wonder whether GP surgeries, or even our wonderful community pharmacists, could be part of the solution for front-door testing. What is the cross-Government superhuman effort part II to increase lab capacity—AstraZeneca was very helpful in part I —as that seems to be the challenge outlined by my right hon. Friend?

[Matt Hancock]

We are increasing that capacity, and we are bringing in new technologies to those labs to expand on that. My hon. Friend is a great expert in this issue and makes a really important point. The current technology works best in labs—people send a swab to the lab and get the result back, but there is a huge amount of logistics around that. We want technologies that can be in a pharmacy or a GP service, so that people get the test result back straight away. When such technologies come on stream—I am optimistic about this, as I am about a lot of things; I do not think I could do this job at the moment without being optimistic—that will give us a chance to get testing out into the community at every level.

We need to tackle problems such as the challenges you have in Chorley, Mr Speaker—you rightly brought them to my attention in your role as a local MP, as we all are—not by having a big national system, but through solutions that are deeply embedded in the community. When we have the technology to do that, we will be in a stronger place, and we are putting every possible effort and support behind people to try to make that happen.

[Mr Speaker]

I am pleased you are bringing me back into it. We still have a lab at Chorley Hospital that you can use if you get on to it.

[Wes Streeting (Ilford North) (Lab)]

We have had a spike in cases in Redbridge, yet in recent days the Mildmay Road walk-in centre closed for walk-in appointments, without notifying the council or either of Ilford’s MPs. People have been struggling to get access to tests. A local secondary school says that it will close within two weeks unless staff get access to tests, and the local walk-in centre will not even share testing data, which the Secretary of State says is so important, with public health officials at the local council. It is an utter shambles. Can the Secretary of State reassure us that he will help us get a grip in Redbridge? Does he recognise from the voices we have heard across the Chamber that these problems are not only in Ilford? There are problems right across the country, and the only way that this system is world-beating is through world-beating incompetence. When will he get a grip?

[Matt Hancock]

I am happy to consider the specific issues that the hon. Gentleman raises about Ilford. We have an extremely good working relationship with the London group, which is cross-party and includes health professionals. I am happy to take that point offline and work on a solution specifically for Ilford with the hon. Gentleman. As he knows, nationally we are seeing an increase in overall capacity, but because of the increase in demand we have to prioritise. Having said that, in Ilford, like everywhere, I want to ensure that we have access to tests for the people who need them, and that is the job, day and night.

[Alicia Kearns (Rutland and Melton) (Con) [V]]

Pregnancy can be one of the most surprising, exciting, but traumatic experiences of a woman’s life. That is why this week I launched a campaign with The Mail on Sunday, calling for all NHS trusts to ensure that partners support pregnant women during all scans and all stages of labour. Will my right hon. Friend confirm that women across the country have the Government’s support, and will he push NHS trusts to stand by pregnant women?

[Matt Hancock]

Yes, 100%. I strongly support my hon. Friend, and I congratulate her on—[Interruption.] Somebody says, “Her pregnancy”. I hope it is public knowledge—well, it is now. I congratulate her on her pregnancy, and I know she has a strong interest in our getting this sorted. We put out extra guidance last week, and it has been a pleasure to work with her on the campaign to ensure that all hospitals follow that new guidance. We must ensure that partners can be there throughout each stage of pregnancy, in a covid-secure way, and that people get the support they need.

[Daisy Cooper (St Albans) (LD)]

Coronavirus cases are on the rise in Hertfordshire, and yet in St Albans key workers, teachers, doctors and parents cannot access tests. They are frustrated for two reasons, first because they cannot get a test, but secondly because this was utterly predictable. We knew there would be a surge in symptomatic cases and we knew there would be a surge in demand from key workers. Was any modelling actually done, and, if so, will the Secretary of State publish it?

[Matt Hancock]

Of course, we have been increasing capacity all the time, and working throughout the summer to do that, to make sure that there is as much capacity as there is. The big change in capacity will come when one of the new technologies comes off, and that is why I am so passionate about them—because that is what is going to be able to get us out of the situation of having to have prioritisation and instead getting a test to everybody who wants one, not just those who need them according to the clinical prioritisation.

[Jason McCartney (Colne Valley) (Con)]

A local high school student tested positive for covid late last week, so when parents had children from that school displaying symptoms over the weekend, they quite rightly tried to book a test but none was available on the portal. On Sunday morning, I directed one set of parents to a local walk-in centre a 45-minute drive away. The first centre had actually run out of tests, but after a drive to another walk-in centre, they eventually got one. Secretary of State, please, please, please, before we talk about the moon, can we just focus on local community testing in Marsden, Meltham, Mount and other communities in my constituency?

[Matt Hancock]

We have put a huge amount of testing into Kirklees, and it is very important because of the levels of coronavirus there. I am very glad that my hon. Friend’s constituents did manage to get a test, and I know that there is huge demand. But I would also say that getting the new technologies on board is also a part of solving the problem that we have right now. We absolutely have to push on existing capacity, but we have also got to make sure that we invest in that new technology to solve this problem once and for all.

Virtual participation in proceedings concluded (Order, 4 June).

Covid-19 Update

Matt Hancock Excerpts

Thursday 10th September 2020 Commons Chamber

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

Thank you very much, Mr Speaker. Just to concur with what you have said, I do regard it as incredibly important to come to the House as often as possible. Sometimes these are fast-moving situations, and I will ensure that I give the House my full attention and, as I try to do, answer as many questions as fully as I can.

With permission, I would like to make a further statement on coronavirus. We have done much as a nation to get this virus under control, so we have been able to restore so much. To give just one example, figures today show that radiotherapy services in England have now returned to pre-pandemic levels. This is good news and will save lives. But as I said to the House on Tuesday, we are seeing some concerning trends, including an increase in the number of positive cases, especially, but not only, among younger people. As the chief medical officer said yesterday, we must learn from the recent experience of countries such as Belgium that have successfully put in place measures to combat a similar rise in infections. So today, I would like to update the House on a number of new measures that will help us to get this virus under control and to make the rules clearer, simpler and more enforceable.

First, we are putting in place new rules on social contact. We have listened to feedback from the public and the police, and we are simplifying and strengthening the rules, making them easier to understand and easier to enforce. In England, from Monday, we are introducing the rule of six. Nobody should meet socially in groups of more than six, and if they do, they will be breaking the law. This will apply in any setting—indoors or outdoors, at home or in the pub. It replaces both the existing ban on gatherings of more than 30 and the current guidance on allowing two households to meet indoors.

There will be some exemptions. For example, if a single household or support bubble is larger than six, they can still gather. Places of education and work are unaffected. Covid-secure weddings, wedding receptions and funerals can go ahead up to a limit of 30 people. Organised sport and exercise is exempt.

These are not measures that we take lightly. I understand that for many they will mean changing long-awaited plans or missing out on precious moments with loved ones, but this sacrifice is vital to control the virus for the long term and save lives, and I vow that we will not keep these rules in place for any longer than we have to.

Secondly, we are putting in place stronger enforcement. Hospitality venues will be legally required to request the contact details of every party. They will have to record and retain those details for 21 days and provide them to NHS Test and Trace without delay when required. This system is working well voluntarily, with minimal friction, and it is very effective, but it is not in place in all venues. It is only fair that it is followed by all. We are supporting local authorities to make greater use of their powers to close venues that are breaking rules and pose a risk to public health, and fines will be levied against hospitality venues that fail to ensure their premises are covid-secure.

Our goal, as much as possible, is to protect keeping schools and businesses open, while controlling the virus. The data show that, while the cases among 17 to 30-year-olds are rising, the number of cases among the under-16s remains very low. We all know how important it is to keep schools open. As the chief medical officers have said, the long-term risks to children’s life chances of not going to school are significant and far greater than the health risks of going back to school. The latest data confirm that.

University students will soon be returning. The Department for Education has published the updated guidance for universities on how they can operate in a covid-secure way. That includes a clear request not to send students home in the event of an outbreak, to avoid spreading the virus further across the country. If you are a student who is about to return to university or go to university for the first time, please, for the sake of your education and your parents’ and grandparents’ health, follow the rules and do not gather in groups of more than six.

Our ability to test and trace on a large scale is fundamental to controlling the virus, as we have discussed in the House many times. The latest data show that we are doing more testing per head than other European countries such as Germany and Spain, and we have record capacity. We have increased capacity by more than 10,000 tests a day over the last fortnight. While there have been challenges in access to tests, the vast majority of people get their tests rapidly and close to home. The average distance travelled to a test site is 6.4 miles, and 90% of people who book a test travel 22 miles or less. We already have more than 400 testing sites in operation. We added 19 last week and plan 17 more this week.

However, as capacity has increased, we have seen an even faster rise in demand, including a significant increase from people who do not have symptoms and are not eligible for a test. That takes tests away from people who need them. If you have symptoms of coronavirus or are asked by a clinician or local authority to get a test, please apply, but if you do not have symptoms and have not been asked, you are not eligible for a test.

At the same time, we are developing new types of test that are simple, quick and scalable. They use swabs or saliva and can be turned round in 90 minutes or even 20 minutes. So-called Operation Moonshot, to deploy mass testing, will allow people to lead more normal lives and reduce the need for social distancing. For instance, it could mean that theatres and sports venues could test audience members on the day and let in those with a negative result, workplaces could be opened up to all those who test negative that morning, and anyone isolating because they are a contact or quarantining after travelling abroad could be tested and released. We are piloting that approach right now and verifying the new technology, and then it can be rolled out nationwide. [Laughter.]

I am going to depart from my script here. I have heard the nay-sayers before, and I have heard Opposition Members complain that we will never get testing going. They are the same old voices. They opposed the 100,000 tests, and did we deliver that? Yes, we did. They say, “What about testing in care homes?” Well, we delivered the tests to care homes earlier this week. They are against everything that is needed to sort this problem for this country, and they would do far better to support their constituents and get with the programme. I am looking forward to rolling out this programme and this work, which has been under way for some time already, and I am determined that we will get there. If everything comes together, and if the technology comes off, it will be possible, even for challenging sectors, such as theatres, to get closer to normal before Christmas.

Finally, the most important thing that each and every one of us can do is remember the small things that can make a big difference: hands, face, space, and if you have symptoms, get a test! Hands: wash your hands regularly and for 20 seconds. Face: wear a face covering over your mouth and nose if you are in an enclosed space and in close contact with people you do not normally meet. Space: always stay 2 metres away from people you do not live with, or 1 metre with extra precautions, such as extra ventilation, screens or face coverings. And of course, if you have covid symptoms, get a test and self-isolate.

Coronavirus is a powerful adversary, and when called upon, the British people have done so much to blunt the force of this invisible killer. Now, at this important juncture, we are being called upon once more to deliver our collective commitment to follow the rules and get this virus under control. I commend this statement to the House.

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

As always, I am grateful for my advance copy of the statement.

We welcome the restrictions that the Government have imposed—indeed, we would have welcomed them on Tuesday afternoon, had the Secretary of State confirmed what was being said on Twitter that morning. Case numbers have been rising sharply in recent days across all ages and sadly the number of hospital admissions is beginning to increase as well. We all want to avoid a second national lockdown. Lockdowns extract a heavy social and economic price on those already suffering, and we should also remember, especially today, which is World Suicide Prevention Day, the mental health impact of lockdowns.

Before I comment on the substance of the Secretary of State’s remarks, I want to ask about schools. We have had many examples across the country of classes and whole year groups—hundreds, possibly thousands, of pupils—starting the new term as they finished the last term: at home and not in education. Is it really the Government’s policy that if there are one or two positive cases in a year group, the whole year group is sent home for two weeks? If so, are parents and carers eligible for sick pay and financial support, given that they will have to take time off work to look after their children?

We were promised a world-beating test, trace and isolate regime by now. The Secretary of State says we have one. On Tuesday, I highlighted the deteriorating performance in finding contacts. He said that I had muddled my figures. Full Fact said I was right and he was wrong. I will leave it to him to judge whether he wants to correct the record. I would rather he just correct Test and Trace. In one study, researchers found that 75% of infected people did not adhere to the self-isolation rules. I know he is piloting extra support, but we need a system now, urgently, so that those who are low paid and in insecure work can isolate without fear of losing their jobs. We need a system immediately. We have been calling for it for months.

On testing, the Secretary of State told us a few moments ago to get with the programme. We just want him to deliver testing for our constituents. We have had example after example of people being told to go hundreds of miles. In Telford, the borough has been gridlocked because the system has been telling everybody to go to Telford. Yesterday, the Secretary of State was touring TV studios trying to dampen demand, even though he had previously said in the House in July to people with symptoms:

“If in doubt, get a test.”—[Official Report, 20 July 2020; Vol. 678, c. 1864.]

He was telling people to get tests.

Given that the Secretary of State had encouraged people to get tests, and with 8 million pupils returning to school, with thousands going back to workplaces, as his Prime Minister has insisted on, surely it was obvious there would be extra demand on the system, so why did he not plan extra resource capacity to process tests? It is not the fault of ill people asking for tests; it is his fault for not providing them. We have had no apology today to our constituents who have been told to travel hundreds of miles for a test.

Having failed to provide the tests that people need and, by the way, having failed to provide wider diagnostic tests—the waiting list for diagnostic tests hit 1.2 million today, the highest on record—the Secretary of State now wants to deliver 10 million tests a day as part of his so-called Project Moonshot. I have long been pushing him for a strategic mass testing regime, and from the start the World Health Organisation has told us to “test, test, test”, but we are all fed up with undelivered promises and “world beating”. Mass testing is too important to become another failed project. It is all well and good the Secretary of State talking about moonshots, or the Prime Minister telling us that we will be tested every morning, but even better would be simply to deliver the extra testing that is needed now, not just the headline figures.

I have some specific questions. First, the Prime Minister told the nation that he wants this in place by the spring. The chief scientific adviser pointed out that it would be

“completely wrong to assume this is a slam dunk that can definitely happen”.

How quickly will this be delivered, and how quickly will the pilots in Salford and Southampton be assessed?

Secondly, what is the cost? According to The BMJ—the British Medical Journal—leaked documents suggest that the cost will be £100 billion. Is that correct? If not, will the Secretary of State tell us his estimate of the cost of processing 10 million tests a day, and will he tell us how much has been allocated to Project Moonshot?

Thirdly, who will deliver that? There are universities piloting projects, such as the University of Leicester rolling out LAMP—loop-mediated isothermal amplification —testing, so what discussions has the Secretary of State had with them? However, it has been reported that he has already signed agreements and understandings for the delivery of this project with GSK, Serco and G4S. What procurement processes have been undertaken, and will he tell us whether that is correct?

Fourthly, what are the priorities? The Secretary of State is still not testing the loved ones of care home residents who are desperate to see relatives, and when will the Government actually deliver the routine testing of all frontline NHS staff, which we have been demanding for months? Effective testing depends on quick turnaround, local access and effective contact tracing. Given that he has not even been able to deliver those basics, how on earth do we expect him to deliver this moonshot?

[Matt Hancock]

The hon. Gentleman was rather better when he was supporting the Government action in the first part of his response. He cannot seem to decide whether he is in favour of more testing, or against it. All we get is complaint after complaint, rather than support for his constituents and the people of this country in our quest to get through this virus.

First, on who is eligible for a test, precisely as I said and as he literally read out, if you have symptoms, get a test. If you do not have symptoms, you are not eligible for a test, unless specifically asked for one. [Hon. Members: “If in doubt!”] Yes, if you have symptoms and are in doubt about whether those symptoms are coronavirus, get a test. If you do not have symptoms, do not get a test. That has not changed. It is exactly the same. What has changed is that the hon. Member for Leicester South (Jonathan Ashworth) does not know whether he is coming or going.

The hon. Gentleman does not seem to understand that the way in which we build a huge project like our testing, which is at record levels, is to back all the horses. Once again, he complained about businesses supporting us in our roll-out of mass testing. That divisive approach is wrong. We support universities, businesses and the NHS to deliver more testing; we do not support the totally confused approach of the Opposition. He does not know whether he is in favour of or against more testing.

The hon. Gentleman asked about the money, and £500 million has thus far been allocated to this project, but more is likely. He asked about staff testing in the NHS. As he well knows, we follow clinical advice, but always keep it under review. Finally, he asked about schools. The policy on schools is that, if somebody tests positive, that bubble needs to self-isolate. A bubble is defined as those who are in close contact within a school setting.

I will end on a point on which we agree strongly. On this, World Suicide Prevention Day, all of us are united in support of the mental health services provided across this country, and of all those who are working hard for those with mental ill health or at risk of suicide. That is a project on which all of us are on the same side and working together to support people.

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

As someone who has long campaigned for mass testing, I warmly welcome the ambition behind Operation Moonshot—and the implied characterisation of the Health Secretary as this country’s answer to Neil Armstrong. However, 10 million is a huge target. Could he give the House some idea of the proportion of that 10 million that is dependent on new technologies and the proportion that we can get to with existing technologies? Mass testing is so important to getting the country back to running as normal, and while we all want those new technologies, it would be helpful to have an understanding of how much expansion we can expect on the technologies we already have.

[Matt Hancock]

That is an extremely clear and strong position from the Chair of the Select Committee. Of course we are expanding the current technologies. We have a plan, when we are on track for it, to get to 500,000 tests a day by the end of next month, on the current technologies. On the next generation of technologies, I am not going to put a figure on it because it depends on the technologies coming off. The very nature of backing new technologies is that we do not know which ones are going to be verified. That is why we have so many that are being piloted and so many with whom we are working. We have tests right now in Porton Down being verified. We want this to go as fast as we can, and we want it to go as large as we reasonably can, but we do not put a specific figure on it—we put all our weight and support behind this project, which will have the positive benefits that my right hon. Friend so eloquently sets out.

[Martyn Day (Linlithgow and East Falkirk) (SNP) [V]]

Yesterday we heard the Prime Minister describe his Operation Moonshot as the

“only hope for avoiding a second national lockdown”.

Already some experts have described this mass testing strategy as being fundamentally flawed. So does the Secretary of State think that the Prime Minister is gambling on something that the experts feel cannot be delivered?

On Tuesday, the Secretary of State failed to answer my hon. Friend the Member for Central Ayrshire (Dr Whitford) when she asked if it would be better to allow tests to be carried out locally and just move the samples around the UK instead of potentially infectious people. As he did not give an answer then, will he consider this now?

Finally, will the Secretary of State join me in welcoming the launch of Scotland’s Protect Scotland mobile tracing app yesterday? What update can he give the House on his own Government’s plans to release a similar app?

[Matt Hancock]

We have been working with the Scottish Government, as well as with the Welsh Government and the Northern Ireland Government, and actually Governments internationally, on an update on the app technology.

On the hon. Gentleman’s second point, that is simply a mischaracterisation of the policy. Of course we move samples around the country all the time. What we want to do, of course, is to continue to reduce the distance people have to travel. As I say, the average distance that people have to travel to get a test is 6.4 miles.

On the hon. Gentleman’s first point, there were, in the spring, some people who complained about my determination to expand our testing capacity at a record pace. We are hearing some of those voices again complaining that we want to increase testing. Both the SNP and Labour are making a huge mistake in opposing mass testing. It is an incredibly important tool in our arsenal.

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

My right hon. Friend is a great supporter of the UK’s businesses and entrepreneurs. In his measures to tackle the virus, will he intercede with his public health colleagues to prioritise the businesses that generate economic growth so that when this is over we have an economy that is prosperous enough to cash the very generous cheques that we have written?

[Matt Hancock]

My hon. Friend is absolutely right and speaks with great knowledge, experience and eloquence on this matter. We have to protect livelihoods as much as possible, in the same way that we are trying to protect education as much as possible. That does mean sometimes that we have to take measures on social contact that people would prefer not to see, but unfortunately the measures that the Prime Minister outlined yesterday, and which I set out in my statement, are, in my judgment, absolutely necessary both to keeping the virus under control and to protecting education and the economy as much as possible.

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

A significant increase in covid cases has been confirmed in Liverpool over the past week, with widespread community transmission. I have been contacted by constituents with symptoms who are trying to book a test and either cannot, or are told to go to Oldham, Manchester, Powys, or Colwyn Bay, even though there is a testing facility at Liverpool airport just down the road, in the constituency. Will the Secretary of State explain why that is, and say why there is no availability of home test kits, given that there appears to be so much unused testing capacity?

[Matt Hancock]

As I said in my statement, there is record testing capacity, and most people get tested very close to home. We do have a challenge, however, because some people without symptoms who are not eligible for a test have been coming forward. Thus far, I have been reluctant to place a barrier and a strong eligibility check on the front of the testing system, because I want people with symptoms to get that test as fast and easily as possible. However, given the sharp rise in the past couple of weeks of people coming forward for tests when they are not eligible, we are having to look at that. The key message to the hon. Lady’s constituents is that the tests are vital for people who have symptoms, and therefore people who do not have symptoms and have not been told by a clinician or local authority to get a test, should not and must not go and use a test that somebody else who needs it should be using.

[Nicola Richards (West Bromwich East) (Con)]

I understand the recent actions that my right hon. Friend has taken to limit gatherings to six people, and I encourage everyone in West Bromwich East and the wider west midlands to follow the new rules. Does he agree that West Bromwich should remain separate from any local lockdown in central Birmingham, given that they are two distinct areas with varying rates of infection?

[Matt Hancock]

Of course, West Brom is a distinct area and separate in its geography from central Birmingham. However, I caution my hon. Friend that we are seeing sharp rises in cases across many parts of the west midlands. We take these decisions on a localised basis; we do not take a whole local authority or area of regional geography in one go, but we do follow the data. I will make sure to keep in touch with my hon. Friend. She is a strong advocate for her local area, but sometimes action is necessary.

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

I thank the Secretary of State for the new test centre in Wythenshawe town centre that opened this week, but may I challenge him on the consistency of governance around his Department? In Greater Manchester, Manchester Evening News is reporting that Bolton has been subject to four sets of rule changes in the past fortnight. ITV is saying that 74 local authorities have a higher infection rate now than Greater Manchester had before it went into lockdown. Last week, my constituency of Wythenshawe and Sale East, which straddles Manchester and Trafford, would have been split asunder if the Department had not U-turned. Restrictions in Greater Manchester are not working because infection rates have mushroomed. What is next, Secretary of State?

[Matt Hancock]

I was in contact with the Mayor of Greater Manchester this morning on the question of what we do in Greater Manchester. The national measures that were announced yesterday will come into force in Greater Manchester, and it is important that people follow them. We took further action in Bolton. The case rate in Bolton was coming down well, but thankfully before we implemented the rule change to remove some of the restrictions, we were able to act and stop that relaxation from happening, and we then had to tighten the rules up. I am working closely with councils in Greater Manchester, and talking to the Mayor, and I will also take on board the hon. Gentleman’s views in ensuring that we get these measures right. The message to everyone in Greater Manchester is the same as it is across the country: follow the rules and follow the social distancing, because only by doing that can we get this under control.

[Greg Clark (Tunbridge Wells) (Con)]

The  Secretary of State must accept that there is a problem here. Constituents of mine in Kent displaying symptoms of covid were this week advised to go for tests in Bude in Cornwall and Galashiels in Scotland—and this is in a mild September, before the autumn and winter when people have coughs and colds that may look like symptoms of covid. It is no good blaming people who are asymptomatic. I would be interested if the Secretary of State could say what percentage of people turning up for testing do not have symptoms. This situation needs his personal grip. He referred to the need for him to increase testing capacity from 1,000 a day to 100,000 a day. This is an urgent matter that he needs to grip before the autumn and winter bites. Will he commit to ensuring that by the end of the month anyone who has symptoms of covid can get a test at a reasonable place that is convenient to their home?

[Matt Hancock]

It is of course my goal for that to happen immediately. The challenge is to increase capacity—a subject that my right hon. Friend and I have discussed at length, and of which I know he is a strong supporter—and to make sure that that capacity is used by the right people. That is why I am clear about the eligibility for testing. It is really important that people hear the message that if they have symptoms, of course they should get a test; we urge them to get a test because we need to find out if it is covid for their sake and for everybody else’s. But at the same time, it is important that people who are not eligible do not come forward for tests because they are taking a test away from somebody who has symptoms. Yes, I want to solve this with ever more capacity, but I also want to ensure that the tests are used by the right people.

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

Many of my constituents are incredibly anxious about schools reopening and want to send their children off to school in the knowledge that they are safe. I am sure that the Health Secretary agrees that keeping schools open safely requires a testing infrastructure that is fit for purpose, so can he explain to the House why each school has been provided with only 10 testing kits?

[Matt Hancock]

We have strong protocols on the return to school. I am really glad about the success of the policy to get all schools back; it is one of the Government’s unsung successes over recent weeks, and is working effectively. The guidelines set out very clearly when testing is appropriate. Testing is appropriate for people who have symptoms. Close contacts of people who have symptoms need to self-isolate and not get a test unless they have symptoms because getting a test would not allow them to leave self-isolation anyway because of the risk of false negatives. That is why the policy is as it is. We have given each school 10 or more tests so that they can easily use them in an emergency, and that has been warmly welcomed by most schools.

[Laura Farris (Newbury) (Con)]

A successful return to school in west Berkshire has been matched with a reduction in the availability of testing. I have listened to my right hon. Friend this morning; if there is a reluctance to impose more stringent eligibility criteria, would he consider an order of priority based on, for example, working parents and teachers being able to access tests sooner?

[Matt Hancock]

Again, there has not been a reduction in capacity in Berkshire or anywhere else in the country. There has been an increase in capacity. My hon. Friend makes a good point, though, about prioritisation. The question is how to enforce prioritisation without putting in place barriers that slow down access to tests for people who need them. We are looking at that now.

[Rosie Cooper (West Lancashire) (Lab) [V]]

Will the Secretary of State please explain the lack of availability of home testing kits, which has dropped dramatically in my area of West Lancashire? In the absence of home testing kits, very ill pensioners are being offered tests 80 or 100 miles away. The confusing message in the assurance that he is trying to give is that there are too many getting tested, but that, if in doubt, people should get tested. How does that deal with the asymptomatic carriers or spreaders? This is a huge hidden danger. In the light of the Secretary of State’s earlier comment, my constituents would genuinely love to get with the programme, get tested where necessary and stay safe—if only the Government’s words met their actual experience of the system.

[Matt Hancock]

The clarity that the hon. Lady calls for can be provided as follows. If you have symptoms, get a test. If you do not have symptoms, and you have not been asked to get a test, please do not use a test that somebody else needs because they do have symptoms—they might be elderly, for instance, and she rightly refers to her constituents—because the tests are there for them. The capacity is expanding every day, but we need to ensure that we get those tests to the people who need them.

[Shaun Bailey (West Bromwich West) (Con)]

To reiterate the point made by my constituency neighbour, my hon. Friend the Member for West Bromwich East (Nicola Richards), my communities in Wednesbury, Oldbury and Tipton are in themselves unique and very diverse, particularly from Birmingham. I was very reassured by my right hon. Friend’s reply to my question last week about a sub-local level approach to national restrictions. Can he confirm what that looks like in detail and, in particular, where the lines will be drawn, and can he assure me that the approach taken will not be an arbitrary line-drawing process but a real engagement with local stakeholders?

[Matt Hancock]

We consider the approach to local action on a ward by ward level. For instance, in parts of east Lancashire and west Yorkshire we have a ward-by-ward decision. That is driven by the data, so we do have to look at the data across the board. I take very seriously the views of the local directors of public health. There are several parts of the country, including my hon. Friend’s constituency, where I am concerned about the rise in the number of cases.

[Yasmin Qureshi (Bolton South East) (Lab) [V]]

The lockdown in Bolton will devastate the hospitality industry and affect the physical and emotional health of my constituents, so will the Secretary of State ensure that they can be tested in Bolton as soon as they require it? Will he ask his friend the Chancellor to provide more financial assistance to the Bolton economy, because the maximum £1,500 for three weeks is not enough; it just about pays for one employee on the minimum wage?

[Matt Hancock]

Of course, those who have been on furlough can reapply for furlough, and yesterday the Chief Secretary to the Treasury set out further support that is available for businesses in areas where we have had to intervene. The measures that we have taken in Bolton are strict but absolutely necessary, as I set out on Tuesday. I am grateful for the hon. Lady’s support for those measures and the discussions that we were able to have before they were introduced.

[Lucy Allan (Telford) (Con)]

I thank my right hon. Friend for his statement and very much welcome the exciting progress on developing saliva testing. Outstanding progress has already been made on expanding testing capacity, and he deserves our thanks for his tireless work. Inevitably, this is not without its challenges. On Tuesday evening, hundreds of cars from across the country—and I do mean hundreds—descended on Telford’s testing site, as they were directed to do by the booking system. Tests quickly ran out, roads became blocked, people who had travelled from as far away as Cornwall, Stockport and London were turned away, and my constituents were no longer able to access tests in the area and so in turn were sent elsewhere. What assurances can he give that the error in the booking system that directed so many people to Telford has now been corrected, and does he agree that people should not be criss-crossing the country and travelling for many hours to secure a test?

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[Matt Hancock]

Yes, I absolutely agree, and I also agree with my hon. Friend’s description of the situation, which is that we have built this system at great pace. I did not know about the example in Telford, although I had heard that many people had been directed there in this instance. In fact, only on Tuesday evening, after being in the House, I had a meeting about the problem of people being directed to travel too far. We are absolutely looking at the broader problem, and I will take away that particular example and find out exactly what glitch caused it.

[Munira Wilson (Twickenham) (LD)]

I note from the statement that organised sport is exempt from the new regulations. We all want life to return to normal, including sport, which is an important sector of our economy, but, as things stand, next month 20,000 spectators are scheduled to travel to Twickenham. Can the Secretary of State help me to understand the logic whereby the scientific advice suggests that a family of six cannot meet a relative in their garden, yet the Prime Minister is saying that the guidance on sporting events, which means thousands of spectators will be travelling around the country to stadiums, drinking and socialising, is still only under review?

[Matt Hancock]

The hon. Lady has answered her own question, because the Prime Minister did announce that that programme is under review, and the results of that will be announced shortly.

[Harriett Baldwin (West Worcestershire) (Con)]

We accepted massive restrictions on our liberty in March because we wanted to protect the NHS from being overwhelmed, and we achieved that—indeed, not all the capacity was used. We are now imposing more restrictions on people’s liberty. Does the Secretary of State’s strategic goal for England continue to be to protect the NHS from being overwhelmed, or has he now gone further and is aiming for zero covid in England?

[Matt Hancock]

We did protect the NHS all the way through the peak, and this country can rightly be proud of the building of the Nightingale hospitals. We saw a hospital in China being built in two weeks and lots of people told me that we would never do that here, but we did it here in nine days. I am very proud of the team who delivered on that. The strategic goal is to keep the virus down. The problem is that if the R goes above 1 and the numbers start going up, they inexorably continue to rise. So it is not okay just to let it rise a bit; the problem is that once it is going up, it keeps going up unless we take action. That is one lesson we learned in the spring and we have re-learned it; we can see it if we simply compare what has happened in Spain, France and Belgium. In the first two, the curves have kept going up, whereas Belgium took significant action, similar to what we announced yesterday, and its curve has come down again. So that is why there is not a trade-off between taking action, even if it is tough action, and protecting the economy and, for instance, the ability to open schools. I hope that that answers my hon. Friend’s question. We have seen a number of countries around the world announce that they are going for an eradication strategy—indeed, the Scottish Government announced that—but this virus has shown that it is very, very hard to eradicate. We want to keep it under control while we pursue both the mass testing and then the vaccine, to deal with it once and for all.

[Sarah Owen (Luton North) (Lab)]

Tomorrow, I will be at Rowlands Pharmacy in Sundon Park, where I hope I will be able to get my flu jab, if supplies allow. This year, it is more important than ever to get a flu jab, to protect capacity in our NHS. Will the Secretary of State provide an update on the number of vaccines that have been secured for people this winter? Will he guarantee that there will enough vaccines for all at-risk groups?

[Matt Hancock]

The answer to the second question is yes. We are rolling out the biggest ever flu vaccine programme. We continued to buy flu vaccine throughout the spring and summer, as it was obvious that we needed a much bigger programme than is normal. In the first instance, the vaccine will be available to the at-risk groups, including the over-65s and those with health conditions on the flu list. We will then expand the provision to the over-50s, depending on the take-up in the highest-risk groups. We set that out a couple of months ago. The flu jab is coming onstream soon. I was at a pharmacy this morning, where the flu jab is being rolled out from Monday. This will be accompanied by a huge advertising campaign to encourage people to get the flu vaccine.

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

From Monday, the Government are imposing the most profound restrictions on people’s personal liberty and family life. Why has there not been a debate and a vote in the House of Commons this week?

[Matt Hancock]

I will take away the point my hon. Friend makes and discuss it further with the business managers. I have come to the House today to be able to answer questions on this matter. I take the point that that is not the same as the statutory instrument itself, and it is something on which I have had discussions with the business managers. Inevitably with a pandemic, we do have to move fast from the health perspective. I will make sure that I get back as soon as I can to my hon. Friend once those discussions have concluded.

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

South Shields is on the watchlist. We have a testing station in my constituency, yet people cannot get a test at all or are being told to travel, with symptoms, to the other end of the country. So far this week, the Secretary of State has said, “It’s the fault of young people. It’s the fault of schools. It’s the fault of holidaymakers.” In fact, it is everyone’s fault for doing exactly what he asked and trying to get tested. He should show some leadership, own his failures, and tell us how and when he is going to rectify this awful mess.

[Matt Hancock]

Across the country, the average distance people have to travel is 6.4 miles. It is really important that the messages from all those who are responsible public servants and those who have strong public voices, as the hon. Member does, in South Shields, across South Tyneside, in the north-east and, indeed, across the country—and it is incumbent on us all to repeat these critical public health messages—are, “If you have symptoms, get a test, but if you are not eligible, then please don’t use up the tests that are needed for other people.”

[Mike Wood (Dudley South) (Con)]

Youth organisations, such as scouting and guiding, and sports training clubs are vital for the social development of young people in Dudley South. Will my right hon. Friend do everything he can to make sure that such youth organisations and sports coaching can continue for as long as it is safe to do so?

[Matt Hancock]

Yes. My hon. Friend, who speaks so clearly for his constituents and for the young people who enjoy those facilities, will I am sure be pleased to know that youth groups are exempt from the rule of six, because they have their own covid-secure guidelines, in the same way that schools do and in the same way that organised sport is exempt.

[Bambos Charalambous (Enfield, Southgate) (Lab)]

In his statement yesterday, the Prime Minister said he would introduce an army of covid marshals to help ensure social distancing in town centres. Can the Secretary of State tell me how these covid marshals will be recruited, how much they will be paid, how they will be paid for and what powers they will have?

[Matt Hancock]

This programme will be rolled out by the Ministry of Housing, Communities and Local Government, because we will be working very closely with local authorities to make it happen, and we will publish the details in due course.

[Dr Kieran Mullan (Crewe and Nantwich) (Con)]

I know how hard the hospital and A&E leaders are working at Leighton Hospital to prepare the hospital for winter in the context of covid, which is why I was incredibly disappointed to see the local Labour party telling residents that they were not going to get any extra funding to do that. Can the Secretary of State assure my local residents that that is not the case, but also agree to meet me to discuss the issue of much-needed longer-term investment in the Leighton Hospital site?

[Matt Hancock]

I am very happy to meet my hon. Friend, who speaks so strongly for Crewe and all of its residents, on the need for a high-quality NHS. Of course, my hon. Friend is a qualified doctor who, during lockdown, spent a huge amount of time in hospital and working on the frontline of the NHS, and I think we should all applaud him for that work. I am absolutely happy to meet him. He knows, with enormous expertise, of what he speaks. We are all grateful for his service, and I hope that we can continue to make improvements to Leighton Hospital.

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

Some 10% of infectious people are being sent over 22 miles—some, hundreds of miles—without contact tracing, for testing, so would the Secretary of State agree that the current testing system also amounts to a spreading system for the virus?

[Matt Hancock]

No, because the testing sites operate, of course, in a covid-secure way; we put a huge amount of effort into the infection control procedures at testing sites. I want to reiterate, for anybody listening who has symptoms and might be worried by some of the things they are hearing, that the average distance that people go is only 6.4 miles, and that 90% of people travel less than 22 miles to get a test. If you have symptoms, please get a test.

[Michael Fabricant (Lichfield) (Con) [V]]

My right hon. Friend has said time and again this morning that if people do not have symptoms, they should not get tested, because the antigen test does not work if someone does not have symptoms. Patrick McLoughlin—a good friend of ours, now in the House of Lords—always used to say to me, “If you want to keep a secret, say it in the Chamber of the House of Commons.” How can we get this message across with some snappy title, rather like the rule of six? It is very straightforward. How can we get across the message that if people do not have symptoms, it is pointless and a waste to go and get tested?

[Matt Hancock]

I can think of no better way in Lichfield than to get my hon. Friend out and about making that case—in a socially distanced way, of course. He is quite right. We have to get the message across, in the first instance to Members of this House, and I hope we are doing that today. We are also making clear in the communications around the process of getting a test that, if people do not have symptoms, they are not eligible. We are reviewing what more we might need to do, because we have to use our record testing capacity for the people who need it most.

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

This morning, the Transport Secretary was unable to say what enforcement powers the Prime Minister’s new covid marshals will have and what their responsibilities will be. Further to the question from my hon. Friend the Member for Enfield, Southgate (Bambos Charalambous), does the Secretary of State know what powers these marshals will have and what training they will have to undergo?

[Matt Hancock]

We are giving local authorities more enforcement powers—for instance, to be able to close venues should that be necessary on public health grounds. We will set out more details of the marshals shortly.

[Peter Gibson (Darlington) (Con)]

What revisions to the technology supporting the booking of testing can be undertaken to match local demand more closely to local supply?

[Matt Hancock]

That is something we work on constantly. It is not always perfect, as this questions session attests, but it is something we are constantly working on to try to minimise the distance that people travel. The team have done a good job of getting that distance down to 6.4 miles, not least with the roll-out of dozens of new testing sites every week, but there is always more work to do.

[Tracy Brabin (Batley and Spen) (Lab/Co-op)]

The reason why Kirklees has managed to buck the national trend and keep our infection rates relatively stable is the great work that the council has been doing with Government and other agencies. We have been working really hard in Batley to get our restrictions lifted. Coming into what could be a difficult autumn and winter, can the Secretary of State commit to keeping the extra resources—the mobile testing units—in our community, so that the R rate does not spike and we have to close down again?

[Matt Hancock]

I pay tribute to Kirklees and colleagues who represent the seats within it, who have worked across party lines with national and local government. We have put more resources in, and they will continue for the time being when they are needed. We are, of course, driven by the data, so in a way, it would be good news if they were not needed, because that would mean that the number of cases had come down. The hon. Lady represents exactly the sort of approach that we should be taking. We are all on the same side against this virus. It is far better to be constructive and work together in a team effort. That is what the public want and expect. They do not want sniping from the sidelines, like we have seen from the Labour Front Bench.

[Ms Nusrat Ghani (Wealden) (Con)]

I welcome my right hon. Friend’s commitment to mass testing. In rural constituencies like mine, mobile testing units such as the one in Uckfield are key, but there seems to be a glitch in the system. A constituent called Colin, who lives in the village of Fletching, was directed miles away when he could have been directed to the local mobile unit. Will my right hon. Friend ensure that the glitch is fixed?

[Matt Hancock]

With pleasure.

[David Linden (Glasgow East) (SNP)]

We know the Secretary of State is fond of technology, and we welcome that. I wonder if today he will welcome the 160,000 downloads of Protect Scotland—the app launched by the Scottish Government. Both I and my hon. Friend the Member for Kilmarnock and Loudoun (Alan Brown) are tracing, so if anyone shows symptoms, that will show up. When will England catch up and launch a contact tracing app similar to Protect Scotland?

[Matt Hancock]

It is a real pleasure to be commended on my enthusiasm for technology—normally comments about my enthusiasm are followed by a large “but”. In this case, I totally agree about the importance and use of technology, and that will be coming to English pockets very soon.

[James Sunderland (Bracknell) (Con)]

It is inevitable that, with the return of our schools this week, we have seen increased demand for testing across the country, not least in my own patch of Bracknell. In true military fashion, may I ask what scope there is for flexing or surging resources at short notice. Indeed, how do we ask for it?

[Matt Hancock]

My hon. Friend is a former military logistics expert, and in my experience—especially my recent experience during this crisis—there are no greater logistics experts in the world than those in the British military. He knows of what he speaks. We are surging, but doing so particularly in the areas where the case rate is higher, and thankfully in his part of the world the number of cases remains relatively low.

[Clive Efford (Eltham) (Lab)]

I am sympathetic to the idea of mass testing and have been for some time, but what does the Secretary of State say to someone like Professor David Spiegelhalter, who said that mass testing could lead to hundreds of thousands of false positives, with the knock-on effect of over a million people who have been in contact with those individuals being told to self-isolate? What assessment has the Government made of that issue?

--- Later in debate ---

[Matt Hancock]

I welcome the hon. Gentleman’s enthusiasm for mass testing. He might want to have a word with his Front-Bench colleague, the hon. Member for Leicester South (Jonathan Ashworth). Of course the specificity of the test is incredibly important, so that we do not get false positives. There are ways to deal with it, and those are taken into account in the moonshot programme.

[Tom Randall (Gedling) (Con)]

As children return to school, there is understandable anxiety among parents in Gedling about getting ready access to testing if they require it. The head of Richard Bonington school wrote to me this morning saying that delays and difficulties accessing testing keep children away from school. Will my right hon. Friend assure me that as well as access to testing centres, parents can continue to apply for home-testing kits to get prompt results?

[Matt Hancock]

Someone who has symptoms can of course apply for a test in a drive-through centre or to have the home test. Of course, those are available; it is just that demand has gone up, especially demand from those who do not have symptoms. Those who do not have symptoms but have been in close contact with someone who has tested positive should not be applying for a test, because, as was mentioned earlier, they may get a false negative and actually need to self-isolate. We are really clear about who should be getting a test and who is eligible for a test. In a way, though, my hon. Friend’s question demonstrates why mass testing is also so important—it means we can roll out testing even further. The hon. Member for Leicester South used to be a great supporter of Tony Blair—

[Jonathan Ashworth]

I am.

[Matt Hancock]

In that case, maybe he needs to have a word with the former Prime Minister. Tony Blair is a big fan of mass testing. It is a pity the hon. Gentleman does not know which way he is looking.

[Jim Shannon (Strangford) (DUP)]

I thank the Secretary of State for his commitment to the job in hand. In the approach taken, there is a balance to be struck between health and ensuring that the economy is okay, so will he outline what discussions have taken place with those who have successfully implemented a different type of response to the coronavirus, such as Norway and Sweden? Does he believe that we can learn lessons and perhaps consider other approaches?

[Matt Hancock]

My hon. Friend is absolutely right to raise this question. We are constantly looking across the world at different approaches. Sweden, unfortunately, has had many, many more deaths from coronavirus than Norway next door, so we do look at the difference in approaches. For instance, we are looking at the difference between the response to the second rise that we have seen across parts of Europe from Spain and France as against and that of Belgium, which I mentioned earlier. We are constantly vigilant and looking abroad, and trying to find the best way not only to keep the virus under control but to support education and the economy.

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

I wonder whether the Secretary of State could give some advice to my constituents. One teacher had symptoms on Tuesday. She rang for a test and was told to go to Oldham, which is a 160-mile round trip. Because she has a one-year-old child, she did not want to do that and she was feeling too ill to do the drive, so she opted for a home test, which came, but she has not got the results back yet. In the same school, another teacher’s daughter was ill. She has not been able to get any test anywhere apart from it being sent. She still has not got the results.

Another school—this has come in this morning while I have been sitting here—has had 20 pupils off with covid symptoms out of a cohort of 106. One of the parents subsequently rang in to say that they had tried to book an appointment for their daughter. They spent nine hours online and were offered an appointment in Glasgow. Derbyshire is in the middle of the country and Glasgow is several hundred miles away. She turned this down, which is not a surprise, but persevered and got an appointment today at Burton. She went to Burton-on-Trent but the staff would not carry out a test as the parents do not have a barcode—a barcode that has still not been received by them. There were four booths at Burton. No one else was there using them—only this parent, his wife and their daughter. What do parents do in this situation?

[Matt Hancock]

If people have symptoms of coronavirus, they should self-isolate and get a test. We have heard examples—of course we have—of people having challenges getting tests. I am very glad, though, that in two of the cases that my hon. Friend outlined, home tests have been sent. In the third case, there was clearly a technical problem, given that the barcode is emailed to people who supply their email address. People with covid symptoms need to self-isolate and then, if somebody gets a positive test result, their households also have to self-isolate. These policies are absolutely critical to the control of the virus.

[Liz Twist (Blaydon) (Lab)]

It has been reported that the coronavirus pandemic is leading to a second, quieter epidemic in mental health. The amazing north-east suicide prevention charity, If U Care Share, says that calls to its helpline have risen by nearly 300% during covid, and a survey of Samaritans volunteers found that callers across the country are generally more anxious and distressed than before the pandemic. Will the Secretary of State tell us what plans are in place to ensure that there is support for areas such as mine—Gateshead—before this becomes a crisis?

[Matt Hancock]

Yes, absolutely. The hon. Lady is right to raise this. We are putting more support into mental health services, but there is a challenge, especially with people who were not able to access mental health services during the lockdown and therefore their condition got worse and more acute. This is an area that I am working on closely. I have had meetings with the Royal College of Psychiatrists throughout the crisis. I would also like to correct or amend a response I gave in a previous exchange, about which the hon. Lady has written to me, when I said that the number of suicides had fallen. The fact is that the number of suicides reported has fallen, but there are concerns about how many were able to be reported because of delays with coroners. I just want to put on record my correction to that fact, in acknowledgement of the problems in reporting. I reported on the figures as fact, but we should report that those figures are the reported facts.

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

Is there no scintilla of doubt in my right hon. Friend’s mind, occasioned by the growing body of scientific opinion that questions the interpretation of the data and concludes that the policies of Governments—I use the plural—are having an impact worse than the disease itself?

[Matt Hancock]

I am afraid to say that, although I would love my right hon. Friend to be right, I firmly believe, based not only on the clinical advice but on my own analysis and judgment of the facts and the international comparisons, that it is necessary for the public health of the nation to take actions to control the spread of the disease and to take the firm and now legislative actions that we are taking. The reason is that if the virus spreads, we know that it then spreads into the older age group, who too often die from this disease. We also know that it does not just go up in a straight line, and that if we let this disease rip, it goes up exponentially. That is why, with a heavy heart, I strongly support the extra measures that the Prime Minister outlined yesterday and the strategy of this Government and most Governments around the world to handle this pandemic.

[Chris Bryant (Rhondda) (Lab)]

Nobody pretends that this is easy, but there are real problems in the system. The latest figures for test and trace in England are now out, and they are the worst figures since it started. The numbers have actually gone down since last week. That is the fact, I am afraid. The Secretary of State might not have seen the latest figures. In relation to testing, my constituents have, ironically enough, been told to go to Derbyshire, Aberdeen, Weston-super-Mare and all sorts of places. Considering that we have one of the lowest car ownership rates in the whole of the UK, it is difficult for many people to go at all, if they are not allowed to use public transport and do not have much money and cannot afford a taxi to go to Aberdeen or Derbyshire. Given the number of times that my constituents have been told, including today, either when they ring or when they use the website that there are simply no tests available at all anywhere in the whole of the United Kingdom, this is a shocking problem that we all need to address. I just hope that the Secretary of State will please, please, please stop with all the huffing and puffing and simply get on with trying to solve these problems. Our constituents are really worried that they are not able to do the right thing, and if people stop doing the right thing we will lose control of this completely.

[Matt Hancock]

That is exactly what I am trying to do, and I appreciate the tone in which the hon. Gentleman asked the question. To be clear about the data on contact tracing that have just been released, on the number of people who have provided details of one or more close contacts, we reached 82.0% of those in the last week up to 2 September, which was up from 79.9% in the previous week.

[Felicity Buchan (Kensington) (Con)]

Care homes in my constituency are allowing family visits in their gardens. However, they are concerned that the weather is about to turn. What is my right hon. Friend’s advice to my care homes?

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[Matt Hancock]

The challenge of how to keep people in care homes safe is a really tough one, because visits to care homes are important not only for our wellbeing and our desire to see our loved ones but for the mental and physical health of those who are in the care homes. However, we also need to protect them from the disease, because they are among the most vulnerable to it in the whole of society. There are covid-secure ways to have visits to care homes, including indoors. Again, once we get to a position of mass testing, this is the sort of thing we will be able to deliver in order to enhance that support and make it easier. My hon. Friend is quite right to raise this, and it is something that I long to be able to provide a solution to.

[Ben Lake (Ceredigion) (PC)]

I agree with the Secretary of State on the importance of mass testing. However, I am afraid to say that a number of residents in Ceredigion are being directed, under the current system, to travel much further than the 6.4-mile average he referred to in his statement. Indeed, in some instances they have been asked to travel as far away as Birmingham, over 100 miles away, while we know that Londoners are being told, in turn, to travel to Aberystwyth to get their tests. My question is a simple one: how does he intend to work with the Welsh Government to address this problem?

[Matt Hancock]

The solution, as I have mentioned a few times this afternoon, is to ensure that we continue the expansion of capacity—as the hon. Gentleman knows, there is now record capacity in the testing system—and, at the same time, ensure that those who are eligible for tests come forward to get those tests. Some people have been asked to travel, but the vast majority of people get tests close to home and get the results back very quickly.

[Dehenna Davison (Bishop Auckland) (Con)]

Whether on vaccines or testing, British scientists have been at the forefront of our efforts against this pandemic. I am very pleased that GlaxoSmithKline in Barnard Castle is playing its part, working with the Government on this national effort. May I encourage my right hon. Friend to also consider working with Honeyman Group, which is also Barnard Castle based? At the moment it has the potential capacity to deliver up to 10,000 tests per day and I know it is very keen to work with us.

[Matt Hancock]

Excellent. I would love to work with the companies my hon. Friend mentions and work with her on trying to make that happen.

[Alan Brown (Kilmarnock and Loudoun) (SNP)]

With the six-person rule not coming in until Monday, that effectively gives people encouragement to have large gatherings of up to 30 people in their households over the weekend. That is clearly a risk when there is, at the moment, an increase in the spread of the virus. It also means that it is even more important that the Government have the best test, track and trace systems in place. As my hon. Friend the Member for Glasgow East (David Linden) pointed out, the Scottish Government have already got the Protect Scotland mobile app up and running. That has been used by 160,000 people already. When oh when will the Secretary of State and his Government have their tracing app in place?

[Matt Hancock]

Very soon. As the UK Secretary of State, I urge all people in Scotland to download the app. I know that the Scottish Government’s app is technically excellent and I strongly endorse it, as I will strongly endorse people in England to download the English app, people in Wales to download the Welsh app and people in Northern Ireland to download the Northern Ireland app to support the whole of the UK to do everything we all can to tackle this problem.

Points of Order

Matt Hancock Excerpts

Thursday 10th September 2020 Commons Chamber

[Liz Twist (Blaydon) (Lab)]

On a point of order, Madam Deputy Speaker. May I first start by thanking the Secretary of State for putting some of the record straight about the suicide figures for the first quarter of this year? However, he will know that I also asked him to confirm that the suicide figures for the last full year, 2019, have, sadly, risen. I think it is important that we get that on the record as well.

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

I am happy for that to stand on the record.

[Madam Deputy Speaker (Dame Eleanor Laing)]

Thank you.

Covid-19 Update

Matt Hancock Excerpts

Tuesday 8th September 2020 Commons Chamber

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

With permission, Mr Deputy Speaker, I would like to make a statement on coronavirus. As a country, we have made huge strides in our fight against this invisible killer. Today’s Office for National Statistics figures show that weekly coronavirus deaths have dropped to the lowest number since mid-March, and the latest daily number of recorded deaths is three. However, we have seen a concerning rise in the number of positive cases, particularly among younger people. These figures serve as a salutary reminder that this virus is still very much with us and remains a threat, so it is critical that we maintain our collective commitment to controlling this disease.

Social distancing is the first line of defence. While young people are less likely to die from this disease, be in no doubt that they are still at risk. The long-term effects can be terrible, and of course they can infect others. Six months on, many people are still suffering chronic fatigue, muscle pain and breathing difficulties. Previously fit and healthy people have been reduced to barely being able to function. A King’s College survey published today shows that 300,000 people in the UK have reported symptoms lasting for more than a month and that 60,000 people have been ill for more than three months.

I also want to address the point, which is of course good news, that the number of people who are sadly dying from coronavirus in this country is currently low. We have seen all across the world how a rise in cases, initially among younger people, then spreads, leading to hospitalisations and fatalities. In Spain, where the rise in cases started around two months ago, hospitalisations have risen 15 times since mid-July. The number of daily deaths there has reached 184. In France, hospitalisations have more than tripled in the same period.

This must be a moment of clarity for us all. This is not over. Just because we have come through one peak, it does not mean we cannot see another one coming towards our shores. But together we can tackle it, so long as we remember that, in a pandemic, our actions today have consequences tomorrow for the people we love, for our communities, and for our country. Each and every citizen has a responsibility to follow social distancing and help to stop a second peak. After social distancing, the next line of defence is test and trace. Over the past six months we have built the biggest testing system of any major European country, and one of the biggest testing systems in the world. Today, I can tell the House that we have met our target to provide testing kits to all the care homes for older people and people with dementia that have registered to get tests.

But I will not rest. We are working flat out to expand our testing capacity even further. Using existing technology, we are expanding our capacity right now, and we are investing in new testing technology too. Last week, I was able to announce £500 million for next-generation tests such as saliva tests and rapid turnaround tests that can deliver results in just 20 minutes. The ability to get rapid, on-the-spot results will significantly increase the weapons in our armoury, in our fight both against coronavirus and for economic recovery. We are rolling out these tests right now, and plan to use them to relieve capacity constraints, to expand asymptomatic testing to find the virus and to give people the confidence that a negative test result brings.

Where it is necessary, we will not shy away from taking targeted local action. In June, I established the Joint Biosecurity Centre, to provide the best possible data analytics, using information from all possible sources. Our local action is driven by the data. We now publish daily local data on cases, so that everyone can see the data on which these decisions are taken, and this shows that our approach is working. For instance, in both Leicester and Luton, the weekly case rate more than halved during August. I want to thank the people of Leicester, including the hon. Member for Leicester South (Jonathan Ashworth), of Luton and of the other areas where we have taken local action, who have followed social distancing and helped to bring the virus under control.

Sometimes local action requires us to act fast and respond to changing circumstances. Unfortunately, after improving for several weeks, we have seen a very significant rise in cases in Bolton. Bolton is now up to 120 cases per 100,000 population—the highest case rate in the country—and I am publishing the data behind the decisions that we have taken. I must therefore tell the House that, working with the local council, we are taking further local action. The rise in cases in Bolton is partly due to socialising by people in their 20s and 30s; we know that from contact tracing. Through our contact tracing system, we have identified a number of pubs at which the virus has spread significantly. We are therefore taking the following action in Bolton, starting immediately. We will restrict all hospitality to takeaway only, and we will introduce a late-night restriction of operating hours, which will mean that all venues will be required to close from 10 pm to 5 am. We will urgently introduce further measures that put the current guidance—that people cannot socialise outside their household—into law.

I want us to learn the lesson from Spain, America and France, not to have to learn the lesson all over again ourselves through more hospitalisations and more deaths, and take this local action in Bolton. Crucially, we all have a part to play. Young people do not just spread the virus to each other. They spread the virus to their parents and their grandparents. They spread it to those they come into contact with and others who they love. I know that social distancing can be hard and that it will be extra tough for students who are starting university, but I ask them please to stick with it and to play their part in getting this virus under control.

We are also putting in place extra measures, including visitor restrictions, to restrict the spread of the virus into care homes and hospitals in Bolton. I want to thank the leadership of Bolton Council, who are doing an outstanding job in very difficult circumstances, and colleagues who represent Bolton in this House, with whom I have discussed these measures. I want to say this directly to everyone living in Bolton: I know how anxious you will be, and I know the impact that these measures will have. We are asking you to take a step back, at a time when we all just want to get on with our lives and what we love and get back to normal, but we need to take this crucial step to keep the virus at bay, because as we have seen elsewhere, if we act early and control the virus, we can save lives.

As well as controlling the virus using the tools we have now, we will do everything in our power to bring to bear the technologies of the future. Over the past few months, we have seen the pivotal role that technology has played in our response, such as next-generation rapid testing, machine-learning tools to help the NHS predict where vital resources might be needed, and the discovery here in the UK of the only two treatments known to save lives from coronavirus. We want to keep that momentum going, so today, we are allocating £50 million from our artificial intelligence in health and care award. That fund aims to speed up the testing and evaluation of some of the most promising technologies, because through bringing new technologies to the frontline, we can transform how we deliver critical care and services across the country.

Finally, the best way out of this coronavirus pandemic remains a vaccine. We have already announced that we will roll out the most comprehensive flu vaccination programme in history this winter. We now have agreements with six separate vaccine developers for early access to 340 million doses of coronavirus vaccines, and we will use every method at our disposal to get as many people protected as possible.

This virus feeds on complacency, and although time has passed since the peak in the spring, the threat posed by the virus has not gone away. Now, with winter on the horizon, we must all redouble our efforts and get this virus on the back foot. 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. There can be no question but that the rise in case numbers in recent days is deeply worrying, and I agree that this is no time for complacency, that those who suggested this could be over by Christmas were foolish, and that we should be taking every reasonable measure possible to utterly suppress this virus. It is indeed a very dangerous virus and I am pleased that he and his Department have recognised the condition of long covid—we probably need a better term for it—whereby many people get long-term conditions as a result of the virus. I am pleased about the emerging research into that.

We have been seeing the trends in young people catching the virus for some time, in Greater Manchester, and indeed in Leicester, where the lockdown was due to the trends among young people. Many have warned that we could be facing a resurgence as we move into winter.

The Secretary of State has just announced the closure of pubs and other parts of the hospitality sector across Bolton. Has that been discussed and agreed with the Mayor of Greater Manchester? Can I ask the Secretary of State a very practical question? He may not realise it, but I grew up in Radcliffe, which is next to Bolton. What happens if people in Bolton want to go for a drink and end up going to Radcliffe or Bury, or indeed Chorley—which will be of interest to Mr Speaker? Will they be allowed to travel to neighbouring areas for a drink? How will restrictions be enforced? Given the action that the Secretary of State has taken on the hospitality sector in Bolton, is he keeping that sector under review in other hotspot areas? What guidance has he issued to pubs, restaurants and so on in those areas?

I am grateful for what the Secretary of State said about Leicester, and we have made great progress in the city of Leicester, but we still have in place the rule that people cannot congregate in private gardens with their extended family. Can I ask him again to set out the evidence for that? Can he update us on when Leicester will next be reviewed, because infection rates have come down?

Universities are set to return imminently, yet the SAGE analysis was not published until last Friday. Will the Secretary of State urgently produce a national plan for reducing transmission of the virus in the higher education sector? On schools, we have seen several outbreaks in recent days, including at the school the Prime Minister visited in Coalville a few weeks ago to promote the opening up of schools, yet the exact circumstances in which a school ought to close if a pupil displays symptoms are still unclear. In what circumstances does the Secretary of State believe a school should close?

The Secretary of State may recall that I warned him early on that one of the biggest barriers to self-quarantining would be not fatigue but personal finances. Does he accept that the Government need to go much further in helping people who need financial or housing support to self-isolate? Otherwise, he will never get on top of infections in areas characterised by low pay, child poverty and overcrowded housing. Does that not help to explain the poor record of contact tracing in these areas? In Bolton, contacts were reached in only 57% of non-complex cases; in Oldham, only 50%; in Blackburn, only 47%; in Bradford, only 43%. Nationally, only 69.4% of contacts are now reached and asked to self-isolate. [Interruption.] These are the latest statistics—his own statistics that he publishes. What is world-beating about that?

There was little explanation in the Secretary of State’s statement of what has gone wrong with testing in recent days. He tells us we have capacity for about 300,000 tests a day and that about 100,000 of those are antibody tests. What is the current capacity for testing? How many PCR tests are available at the moment? Yesterday, he said no one should have to travel further than 75 miles for a test, but for many people, such as the 20% of home careworkers on zero-hours contracts, taking a 150-mile round trip for a test simply is not feasible. At the moment, it is not even possible! Last night, it was reported that there were no tests in London. People in Kent were asked to travel to Cardiff. In Denton, they were advised to visit Llandudno. In Leicester, someone was advised to head north to Edinburgh. Helpfully in Devon, people were told they need only travel 20 miles, but unfortunately that involved crossing the sea to get to Swansea. Now, I know the Secretary of State thinks he walks on water, but many of our constituents cannot.

In the Health Select Committee earlier, the Secretary of State admitted that it would take weeks to fix these problems, yet last week he was boasting of plans for 10 million tests a day as part of his Operation Moonshot. When he cannot get the basics right, never mind Moonshot—people will think he is on another planet. His testing regime has been a fiasco in recent days, yet we have had no apology from him today. Is not the core of the problem that he did not listen to the experts? They all advised him to invest in public health teams and NHS labs. Instead, he gave contracts to outsourcing firms such as Deloitte, Serco and G4S, which had no experience in testing and tracing. He should now accept that that was a mistake and invest in public health teams.

We must do everything reasonable to suppress this virus, but in recent weeks we have had muddled messages, failed testing and ineffective contact tracing. Winter is coming, and the Secretary of State needs to get a grip.

[Matt Hancock]

I will certainly answer the questions posed by the hon. Gentleman, but as for his proposal to dismantle the testing system that we have built so painstakingly over the past six months using not only the NHS and PHE, but all the testing capacity of the nation, that is one that I and the British people will reject. We need to build our capacity, and we need to build on what we can do. We have built one of the biggest testing capacities in the world over the past six months, and I will reject all narrow, partisan calls to dismantle a testing capacity that is working.

Of course, with the increase in demand for tests that we have seen in the past few days, there have been challenges, which we have acknowledged, and we are working day and night to fix them. The long-term solution, using the new technologies that are coming on stream, is a critical part of ensuring that we can expand testing capacity still further.

I am afraid that the hon. Gentleman got into a bit of a muddle on contact tracing, saying that under 70% of contacts are traced. That is simply untrue and below the number that we publish weekly—we published the latest figure last Thursday.

Some of the hon. Gentleman’s questions were sensible. On schools, he is quite right that having clear guidance on how we approach schools and on what schools should do in the event of an outbreak is important. That guidance has been published and sent to schools. In the first instance, of course, a school should work with their local director of public health to minimise the impact of an outbreak.

The hon. Gentleman also asked about financial support for those who have to self-isolate, and we have put that in place. We have rolled that out in areas of the north-west, and we are watching the progress effectively.

The hon. Gentleman rightly asked about Leicester, where, of course, he has both national responsibilities and a local interest. The local lockdown in Leicester has resulted in a significant drop in the number of cases, and we will take a formal review of the measures in Leicester on Thursday. I will be certain to talk to him in advance of that and take his local intelligence and views into account.

The hon. Gentleman asked for a plan for higher education. An enormous amount of work has been done with all universities to ensure that the sector can open safely in the coming weeks.

Finally, I am glad that the hon. Gentleman started his response in a constructive form in respect of the measures that we must take in Bolton. I have communicated with the Mayor of Greater Manchester and he has had a briefing from the official team—that has been offered. The statutory responsibility of course lies with Bolton Council, with which we have been working very closely to put into place measures that in essence build on the measures that Bolton Council has been putting in place. I put on the record my thanks to those in Bolton Council—its leader, David Greenhalgh, who has been doing an excellent job, as well as the director of public health and the chief executive—because it has been a difficult challenge in Bolton.

Thankfully, what we have learnt from this sort of local action elsewhere in the country is that we do not see large-scale numbers of people travelling to other areas nearby where there is a problem. We have not seen that yet. Of course, we remain vigilant on that and on all these measures, but I am sure that the people of Bolton will understand how significant this problem is and will follow the guidance and, indeed, the new laws that we will bring in to back up the proposals we have made today.

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

I thank the Secretary of State for his public recognition of the terrible symptoms that many people face many months after their coronavirus bout has ended; his words will give great comfort to the 60,000 people who have been suffering for more than three months.

On testing, it is important to recognise the step change that we have seen and the massive increase in the volume of testing that is now taking place. Will the Secretary of State give the House some sense of the confidence he has that, with the increased testing and the local lockdowns that are now being rightly pursued, we will be able to follow the low infection levels seen in South Korea, Taiwan, Singapore and Hong Kong, and not see the increases we have seen in France and Spain and have to go back into another national lockdown?

[Matt Hancock]

The Chairman of the Health and Social Care Committee precisely sets out our goal. Some countries—not only in the far east but closer to home—have seen a rise in cases, especially among younger people, and taken action that has turned the curve. That is particularly true in, for instance, Belgium, which we were very worried about a month ago: the case rate came right down when Belgium put a curfew in place. We are taking local action here, and our approach to local action has been commended by the World Health Organisation.

Of course, the responsibility is on all of us. I know that this is a riff that we talked about a lot in March, April and May, as the cases were coming right down, but we all have a role to play in this, because the local action and the test and trace—actions that we take in Government and with local authorities—are only the second and third line of defence. The first line of defence, for everybody in this Chamber and all our constituents, is to follow the social-distancing advice. We will be stepping up the communications and making sure that people are reminded very clearly of the rules, and we will also be taking action to step up enforcement, to make sure that we can keep this virus under control until we can build up both the mass testing capacity and ultimately, as I mentioned in my statement, the vaccine on which the scientists are doing great work, although all vaccine work is uncertain until we get clarity from the regulators that a vaccine is safe and effective to use.

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

I agree that it is indeed critical that everyone recognises the importance of our own personal actions in controlling covid, but we also need an efficient test, trace and isolate system, the first step of which is for people to get access to a test. With UK cases having trebled over the past fortnight, demand has increased and there have been many reports of people being sent hundreds of miles to get a covid test. One of the most extreme examples was somebody in Plymouth being sent by the booking system to the test centre in Inverness.

I understand that demand varies depending on local incidence, but surely it is dangerous to have possibly infectious people travelling long distances when they are unwell and may need to use motor-services facilities on the way. Would it not make more sense to allow covid tests still to be taken locally, and just shift the samples around the UK to the labs with the greatest capacity?

While the commercial pillar 2 testing has increased dramatically since April, the 

laboratories are very centralised, whereas NHS hospital laboratories are far more numerous and based within easier reach of communities. To meet the high demand that is likely this coming winter, will the Secretary of State consider additional funding to the NHS to allow the expansion of its PCR facilities and to maximise pillar 1 testing capacity?

[Matt Hancock]

The answer to that last question is, absolutely, yes. The hon. Lady is quite right that expanding the NHS capacity, as well as expanding the so-called pillar 2 capacity, is right. The SNP spokesperson and I sometimes have robust exchanges but on this, she is completely right. It is an “and/and together” strategy of having the pillar 2 mass testing across the board and the expansion of NHS capacity. I am working as closely as I possibly can with Jeane Freeman, my opposite number in the SNP Government in Edinburgh, to deliver that as effectively as possible right across the UK.

[Sir Edward Leigh (Gainsborough) (Con)]

Please do not take this as unduly critical, because none of us could have done any better, but the problem for the Secretary of State—[Interruption.] It is easy to be wise after the event. The problem for the Secretary of State is that given the contradictory nature of advice given to people—maybe necessitated by events—fewer and fewer people are listening to him, particularly young people. I think we need a different approach. The approach of the nanny state, of ordering people about, particularly in this country, is not going to work. We have to appeal to the good sense of young people—“Stay away from grandpa and grandma. It is your responsibility.” These lockdowns and things are not going to work—it is their responsibility. And for us grandads—“Stay away from your grandchildren”. The problem is that if we order people about more and more, they stop listening. They realise the Secretary of State cannot enforce anything. He will become the emperor without clothes, and we will go backwards. We need an approach based on traditional self-reliance and to trust the people.

[Matt Hancock]

I understand the argument that my right hon. Friend is making. Unfortunately, we have seen this play out in other countries around the world. We have seen a sharp rise in the number of cases—in the first instance, among younger people—and we have seen people make this argument, entirely understandably, because younger people are much less likely to die of this disease. Notwithstanding the point about long covid and the fact that young people can have debilitating long-term consequences from this disease, the problem is that the isolation of older people who are more likely, because of their age, to have very serious consequences has simply not been effective anywhere in the world. The challenge is that younger people may pass it on, for instance, to their parents, who, in turn, can pass it on to theirs. This disease is absolutely insidious in getting from person to person. In its natural state, it spreads on average from one person to between two and three others, and it doubles in the community every three to four days.

The challenge is that without widespread social distancing, as opposed to the segregation that my right hon. Friend proposed, all the evidence is that we will end up with more hospitalisations and more deaths. I would rather get ahead of this here, learning the lessons from what we have seen first in America, and then in Spain, and now, sadly, it is starting to happen in France. I absolutely take the point about the need to communicate more but I believe, with my whole heart, that we need to communicate that we all have a responsibility, including young people, and we cannot let this rip through any part of the population, because it will inevitably then get into all.

[Dame Diana Johnson (Kingston upon Hull North) (Lab) [V]]

Today in Hull, the prospects of getting a timely local covid-19 test are patchy. People are being sent as far away as Leeds and Withernsea, so how can it be right that local councils such as Hull City Council, with statutory public health responsibilities, are being kept completely out of the loop in sorting out local testing problems, in a system that seems all about protecting Deloitte, G4S and the noble Baroness Harding, rather than having that joined-up national and local system that safeguards public health during this pandemic?

[Matt Hancock]

I will do everything I can to solve the problems and the challenge of having more demand than supply in testing capacity everywhere in the country, including in Hull. However, trying to split, according to their employer, the different people who are working on this, be they in local authorities, the local NHS, Public Health England or the private sector parts of this delivery, is just not going to help—in fact, it will make the problem worse. It was a pity to hear this from the shadow Secretary of State, the hon. Member for Leicester South (Jonathan Ashworth), because he is so often a very sensible person. What we have to do instead is all work together to solve these operational problems.

[Anthony Mangnall (Totnes) (Con)]

I congratulate the Secretary of State on the positive elements of his statement, but he will know all too well that rural communities have lived in fear in the past few months, especially during lockdown. He and the Chancellor have made a great deal of money accessible and available through the budget, but can he provide further funding for our rural healthcare network as we enter winter, not only to ramp up testing, but to deal with undiagnosed cases and operations not undertaken?

--- Later in debate ---

[Matt Hancock]

My hon. Friend makes an important point; especially in parts of the world such as the south-west, we have to make sure we get the treatment out and we get the recovery of the NHS from covid, so that we can get things going again for people who have been waiting for operations, which might have been delayed necessarily because of the pandemic. The NHS has set a goal of getting back to 95% of these elective operations and has put with it the funding to make that happen, and we have to make it happen, especially in rural communities and right across the country.

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

The Secretary of State says that we all need to work together, and I am sure he will agree that we need to make better use of the excellence of public health officials at the local level. The director of public health in Sheffield, Greg Fell, has said to me that there are two obstacles to doing that. One, of course, is the need for more resources from the centre to enable local level activity to take place. Secondly, he says that local authorities such as Sheffield have not got full access to the data under the contact tracing and advisory service system. Currently, they have access only to the case management element of the system and not to the contact management element. That second element is made available only to authorities on the watch list. Will the Secretary of State now remove that obstacle and make sure that all authorities that really want to engage fully in this are enabled to do so?

[Matt Hancock]

The hon. Gentleman makes an important technical point, which I will take away and look at.

[Stephen Hammond (Wimbledon) (Con)]

I really welcome the announcement about the increase in testing capacity, the comprehensive flu vaccination programme and, of course, the early access to coronavirus vaccines. My right hon. Friend will, obviously, have heard that there are some problems on access and availability. Will he set out his plans to overcome those operational difficulties, so that we have availability at local centres?

[Matt Hancock]

In the short term, we have seen a rise in demand for testing, and the capacity—the supply—has been increasing too. We had some short-term problems with contracts; before the summer, I came to the House to describe the problem with a particular contract to do with swabs and the cleanliness of the swabs. The bigger challenge is to make sure that capacity stays ahead of demand, and when demand has gone up sharply, we need to make sure that capacity expands. There are two ways of doing that. The first is more expansion of the current technology, which we are doing, both within the NHS, as the Scottish National party spokesperson correctly called for, and by using more private sector capacity—the combination of the two. The second, where we can really break through this, is with the new generation of tests, which are much, much easier, much better value for money and easier for people to use. The combination of trying to drive up capacity in the existing system, as we have been doing for months and months, and then bringing onstream these innovative new tests is what we are trying to pull off.

[Mr Deputy Speaker (Mr Nigel Evans)]

The call list has the party of Mr Alyn Smith wrong—he is from the SNP.

--- Later in debate ---

[Alyn Smith]

If I was in England, I would be, but I am in Scotland, so I am SNP.

I have much sympathy for the Secretary of State, who is doing a difficult job at a difficult time. If he is promoting a precautionary approach, he will have allies on these Benches. That said, does he agree that the exhortations from the Prime Minister to get people back into crowded transport systems, crowded city centres and congested offices is irresponsible at this time and undermines his public health messaging?

[Matt Hancock]

It is incredibly important that people have the confidence to know that when workplaces are covid-secure, it is safe to go to them. Trying to get through this pandemic, protecting as much as possible the education of our young people and the livelihoods of people in work, while keeping the virus under control, is a difficult and challenging balance, but it is the right balance to be attempting to strike. The hon. Gentleman might note that both the actions of the Scottish Government and the actions that we are taking locally, for instance today in Bolton, have economic consequences, and I regret that, but they are targeted as much as possible on reducing the social activity, which is where we are increasingly seeing transmission.

[James Cartlidge (South Suffolk) (Con)]

We heard further evidence from Prostate Cancer UK today of how the original national lockdown impacted detrimentally on cancer referrals and other aspects of cancer care. I entirely accept that that was unavoidable because of the necessity of protecting the NHS through the peak of the pandemic in the spring, but as we move to a new phase of hopefully local rather than national lockdowns, can the Secretary of State assure me that the NHS will do everything possible to ensure that rising numbers do not again translate into a negative impact on those with other conditions that can, after all, also be fatal?

[Matt Hancock]

Yes, absolutely. My hon. Friend makes an incredibly important point with which I agree wholeheartedly. The backlog that was caused by the inevitable and, as he put it, unavoidable delays to treatment in the peak has more or less halved, which is good news. So there is progress. We have changed the NHS to be split, essentially, between sites that are covid-secure and sites where there may be covid. That will help us to protect cancer treatment, as we go forward, exactly as my hon. Friend asks.

[Munira Wilson (Twickenham) (LD)]

On 16 July, I flagged with the Secretary of State that the Academy of Medical Sciences was warning that we needed a rapid expansion of test and trace to be prepared for a second wave. He told me they were learning lessons as we go. Today, pupils and parents in my constituency are being sent as far afield as Aberdeen and Newquay for tests. They cannot get home tests. Children are back at school. Forget world-beating—what is he doing to ensure that we have a functioning test-and-trace system in place right now?

--- Later in debate ---

[Matt Hancock]

We have the largest testing system imaginable. We want to expand it further and of course there are challenges, as many Members have raised, but the imperative for people who have symptoms to get a test is important. We are trying to solve the operational problems that the hon. Lady raises.

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

I was saddened yesterday to hear that, because of a rise in local cases, care home visits in Wolverhampton are to be severely restricted again. I have a dear friend, Felicity, who lives in a care home. Without regular visits from family and loved ones, her mental health and wellbeing has declined very noticeably over the past months. I absolutely recognise the heroic efforts of care home staff, but how can we facilitate safe family visits so that care home residents can enjoy quality of life?

[Matt Hancock]

My hon. Friend asks an incredibly important question with great sensitivity. The decisions over the visitor arrangements for care homes are rightly made by the care home in consultation with the local director of public health, according to the local risk. Of course I want to see as much visiting as possible and to see it done safely. That is the difficult balance that needs to be struck, not least because of the negative health impacts, both mental and physical, of the restriction of visiting to care homes. I also very much hope that, as testing expands, we will be able to use that more and more to provide for safe visiting.

[Nick Smith (Blaenau Gwent) (Lab)]

Looking to the long term, obesity is a leading risk factor for contracting covid-19, and problems with obesity usually start in childhood. By this year, the Government were aiming to reduce sugar by 20% in the food products most popular with children, but Public Health England’s 2019 review showed a sugar reduction of just 2.9%. The Government are clearly way off track. Why has the 20% ambition not been met?

[Matt Hancock]

I entirely agree with the premise of the question, which is that tackling obesity is critical for the long-term health of people, and that has been highlighted yet further because of the impact of obesity on the likelihood of someone dying from covid if they get it. Of course I want to see that sugar reduction. The sugar tax has had a very significant impact on the areas that it covers, and we have a wider obesity strategy that the Prime Minister set out in July to drive forward this agenda.

[Dean Russell (Watford) (Con)]

Across Watford and the entire UK, volunteers have been going out on the frontline, helping our brave NHS workers. One group that I met recently was from St John Ambulance, and they explained to me that the red tape in place a year ago would have made it impossible for them to be able to help, and now they have been able to cut through that during the covid crisis. Can my right hon. Friend please assure me that as we move forward, that red tape will not start binding their hands again and they can continue to help?

[Matt Hancock]

Absolutely. My hon Friend is quite right. There are improvements that we made in the heat of this crisis that we should never go back on. He has just highlighted one example. There are legion others. In this House, we discuss the problems that need to be fixed. That is quite right, and often they are raised and I did not know about them in advance and I go out and fix them. That is my job, as the hon. Member for Leicester South (Jonathan Ashworth) raised with his example, but we should also note where things have gone well because of changes and be clear that we will not be going back on that.

[Zarah Sultana (Coventry South) (Lab)]

This month, more than 1 million students are moving to university for the new academic year. I welcome the thousands who will be joining Coventry University and the University of Warwick, both of which are in my constituency. Both SAGE and Independent SAGE have warned that the Government need to get a grip and work to minimise the risk of that return to university leading to more covid-19 spreading. Will the Secretary of State work with his colleagues to support universities and to heed the recommendations of scientists, the University and College Union and the National Union of Students, including the recommendation to move to remote learning by default?

[Matt Hancock]

We are working very closely with the universities sector, including the two universities that the hon. Lady mentions, to make sure that we can get the universities open in a covid-secure way.

[Robbie Moore (Keighley) (Con)]

From today, indoor gyms and dance studios can now open in Keighley, so I thank my right hon. Friend for that move, which I know is welcome to many. However, I have been contacted by many shop owners who, unfortunately, are being verbally abused when reminding customers to wear face coverings. Will he join me in calling for all to adhere to the basic rules of washing hands, wearing face coverings and social distancing?

[Matt Hancock]

Yes, and people will be hearing far, far more about hands, face, space. It is really simple: wash your hands, wear a face covering when you need to and keep that social distance. That is the responsibility of everybody to help us control this virus.

[Tonia Antoniazzi (Gower) (Lab) [V]]

The Secretary of State has had four months to respond to a letter I sent as the chair of the all-party parliamentary group on cancer, requesting a national cancer recovery plan. Of course I recognise the extreme strain that covid-19 has put on the NHS and his Department, but people living with cancer—diagnosed and yet to be diagnosed—have been left in limbo. When will the Secretary of State respond to my letter, and when will he make public his Government’s national cancer recovery plan?

[Matt Hancock]

I will respond right away. I am very glad that the hon. Lady has raised this issue. It is something that I have been doing a huge amount of work on, along with the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Bury St Edmunds (Jo Churchill). We have been working on it intensively and, as I say, the backlog has come down by about half, but clearly there is much more to do.

[Tom Randall (Gedling) (Con)]

Testing is a vital line of defence against coronavirus. Although we have one of the best testing systems in the world, I appreciate that there is much more that can be done. What steps is my right hon. Friend taking to explore the benefits of repeat population testing; and if that is effective, will he look to scale that up throughout the country?

[Matt Hancock]

We are looking at the asymptomatic testing of parts of the population where the virus is rife. Testing roll-out is about the prioritisation of what can be done with the capacity that we want to grow. As the capacity grows we could do more, but also it is necessary to prioritise within that capacity. It is not impossible to envisage reaching a point where everybody tests, say, weekly or more regularly, but there are very many steps along the way.

[Jeff Smith (Manchester, Withington) (Lab)]

With the universities returning shortly, there will be lots of students moving into shared houses, so there is real concern in communities like mine in south Manchester, where there are lots of houses in multiple occupation. There is clearly plenty of good work going on to make campuses covid-secure, but the recently published SAGE advice is very thin on community spread around universities. Will he urgently provide a national plan for managing that situation by limiting transmission in communities around where students live, to include comprehensive testing at universities?

[Matt Hancock]

We are doing a huge amount of work on the very issue that the hon. Gentleman raises. Ultimately, when students are off campus they are citizens like everyone else—hence the focus on the social distancing rules that we all have to follow. However, he is right that we have seen the biggest rise in infections among 17 to 21 year-olds, many of whom will be going to university in the next few weeks.

[Nicola Richards (West Bromwich East) (Con)]

I thank the Secretary of State and his team for their tireless work throughout the pandemic. Last week, I had the pleasure of visiting the Kuumba centre in West Bromwich, where I met Patricia and her team to hear about their passion for helping the local BAME community get through this difficult time, including by providing mental health support to the local area and some junior doctors. What further support can he make available to similar organisations that are supporting the community and are heroes on the frontline of the NHS?

[Matt Hancock]

This is another important question about how we can provide support locally, especially in the west midlands, where it is so important, especially with cases rising, not only that we have the national response that we are discussing in this Chamber, but that we ensure that the local community, which my hon. Friend supports so effectively, can get the support it needs. I am happy to write to her with details of the extra funding that we have put into her area and to discuss with her what more might be done.

[Holly Lynch (Halifax) (Lab)]

I appreciate that we must keep a very close eye on infection rates and respond quickly and effectively. The Government say that they are listening to local leaders on the local restrictions, yet the very clear data-led recommendation from myself and Calderdale’s leaders last week was for the restrictions to be lifted in Halifax, with a continued focus on test and trace and the incredibly effective targeted community work that has been undertaken by Calderdale Council. Now that Calderdale has significantly lowered infection rates in areas that do not have the restrictions, can the Secretary of State tell me when Halifax will see those restrictions lifted and what else needs to happen to make that a reality?

[Matt Hancock]

We look at the issue of restrictions in Halifax every week. Calderdale has seen a fall in the number of cases; it is an example of a local lockdown being effective. I was really pleased that we were able to take some parts of the local authority area out of the restrictions 10 days or so ago now, and it was very good to be able to make that progress. I accept that we had to leave Halifax in the restrictions and I look forward to working with the council and with the hon. Lady and other local colleagues. We shall consider the matter again this Thursday.

[Greg Smith (Buckingham) (Con)]

The scaling of testing has been an incredible achievement over the summer, and I heard from many constituents who were able to get same-day tests with results in as little as 12 hours. However, in recent days I have had a number of cases of constituents unable to get timed testing or being asked to travel an unacceptable distance. I welcome my right hon. Friend’s commitment to further scaling testing capacity, especially by embracing new technology; but what assurances can he give Buckinghamshire residents that that will be a rapid scaling, and that they will be able to get local and quick tests?

[Matt Hancock]

My hon. Friend is exactly right—we are going as fast as we can. I recognise the importance of this. There was spare capacity earlier in the summer. We have maintained the turnaround times—they are very rapid—but there have been challenges in the last couple of weeks because of that increase in demand and some of the operational issues that we have discussed. He is right to raise this, and he has raised it with me privately before. There is no one more assiduous in putting forward the needs of their constituents than my hon. Friend, and I will keep him posted on how much we can expand testing in Buckinghamshire.

[Chris Stephens (Glasgow South West) (SNP)]

On a similar point to the one raised by the hon. Member for Leicester South (Jonathan Ashworth), can the Secretary of State tell us what advice and guidance his Department is issuing to employers that are trying to use covid-related absence to trigger points for absence management interviews and to remove occupational sick pay? We saw recent such attempts by IKEA, which then dismissed the trade union representative who had the temerity to tell trade union members what their employer was up to. Will he condemn those employers that are trying to use covid-related absences to remove occupational sick pay and the like?

[Matt Hancock]

The hon. Gentleman raises a point that I know the Secretary of State for Business, Energy and Industrial Strategy is looking at. Of course, returning to a covid-secure setting is safe and the right thing to do, and that is a matter between the employer and employee, but people must follow employment law. After all, as an employer, that is their statutory duty.

[Miriam Cates (Penistone and Stocksbridge) (Con)]

We have seen incredible advances by the UK’s scientific community throughout the pandemic, and it is great news that scientists at the University of Sheffield are joining the UK Coronavirus Immunology Consortium to undertake research that we all hope will lead to an effective vaccine. Until we have that vaccine, we have to take seriously the threat of a rapid rise of the virus again. Does my right hon. Friend agree that, with cases on the rise, we must not hesitate to use local lockdown measures such as the ones in Bolton, to ensure that increased infection rates in the young do not lead to increased hospitalisations in the older population?

[Matt Hancock]

That is spot on. The logic that we have seen repeated in country after country is that a sharp rise among younger people leads inexorably to a rise in the number of hospitalisations and deaths, even though it is not the younger people who tend to get hospitalised, but others who catch it from them. It is really important that we get that argument across, so that everybody feels the necessity to follow the social distancing rules that are incumbent on us all.

[Hilary Benn (Leeds Central) (Lab)]

I think the Secretary of State has got the message about the need to sort out the testing problem, not least to help councils such as Leeds that are working really hard to limit the increase in cases. I hope he will join me in paying tribute to the public health team and the council for the great efforts they are making. He knows that local contact tracing is the most effective. I understand that the figures in Leeds for contacts are in the high 90s when it is done locally, as opposed to a lower figure when done by the national system. Given the position in Leeds, can he commit to provide more support and resource to local contact tracing in the city, to help try to prevent a further increase in the number of cases?

[Matt Hancock]

We are absolutely putting more resources into that local end of the contact tracing, but I stress that it is one system. I think the right hon. Gentleman has made the same category error as the hon. Member for Leicester South (Jonathan Ashworth). If we count contact tracing results from institutional settings within the local categorisation, of course the number of contacts that we reach is higher—for instance, in a care home it is very easy to reach 100% of contacts, by the nature of the setting. The hon. Member for Leicester South, who is also a very sensible fellow, tried to make that comparison, and it is not quite fair—it is not comparing apples with apples.

[Mr Mark Harper (Forest of Dean) (Con)]

The Secretary of State is right to warn against complacency, and perhaps it would be wise to remind people that we are in this for the long haul. My I ask him a question about testing? The director of testing for NHS Test and Trace has confirmed that we have testing capacity at all our testing sites, but that there is a critical pinch point in the laboratories. My director of public health, who is excellent, and a number of her colleagues in the south-west would prefer that, rather than artificially limiting access to testing sites and home testing kits, we ensured that people could take those tests locally and managed the pinch point at the laboratory end of things, because that would improve public confidence in getting testing. Is that something that my right hon. Friend could take away and look at? If he cannot do that, can he at least give me a good reason that I can take back to her about why that is not possible?

[Matt Hancock]

I entirely understand the point, and I can see the argument that is being made. The challenge is, since lab capacity is what we need more of, that if we take more swabs locally and send them in to the lab, we need to have the lab capacity to be able to turn them round. Otherwise, we get a much slower response, which means that we are not getting back to people fast enough for them to be able to act. That is the nature of the challenge, and the answer is more lab capacity, which is what we are driving through.

[Ms Angela Eagle (Wallasey) (Lab)]

In Wirral, there has been a sudden, sharp rise in covid-19 infections, with yesterday’s figures standing at 33 infections per 100,000. What extra assistance can the Secretary of State promise to my local authority, which is fighting hard to suppress this outbreak? On Test and Trace, if he does not want a reorganisation of Test and Trace because he thinks it will slow down progress, can he tell us why he is reorganising Public Health England in the middle of this dangerous pandemic?

[Matt Hancock]

Well, of course I am improving the public health responses by bringing together different organisations. I am not sure that the hon. Lady is doing anything other than—[Interruption.] Well, I am not going to query her motives, because we have worked together, at the start of this crisis especially. On her question about the Wirral, absolutely, we are vigilant in looking at the Wirral. That will be reconsidered in the Joint Biosecurity Centre silver meeting tomorrow and in the JBC gold on Thursday. Part of the improved data that we have now, compared with a few months ago, means that we will be able to pinpoint where the problem is and, working with the council, make recommendations on what action needs to be taken.

[Dr Julian Lewis (New Forest East) (Ind)]

Can my right hon. Friend explain to the House exactly what are the main reasons behind the fact that although the level of infection often continues to rise, the numbers of deaths is now so absolutely small?

[Matt Hancock]

My right hon. Friend asks an important question, and the first answer is that there is a lag between people catching the disease and the statistics for new cases and those who sadly die. The second is that this most recent rise has been predominantly, although not entirely, among younger people, who are much less likely to die. However, the danger is that they will pass it on to others and it will spread more broadly into the community. So it is important to act on these cases even though, thankfully, the current number who are dying is small.

I will try to give a better answer. Let me put it this way. If we were to wait until we saw the number of deaths rising before we took action, there would already be many people who had caught the disease and who would end up hospitalised and unfortunately die of coronavirus. We have to act before that happens and before the disease spreads to those who may die from it, because the alternative is that we will inevitably see the number of deaths rise.

[Peter Dowd (Bootle) (Lab)]

Given covid, the Health Secretary said it was “mission critical” to prepare the NHS for the winter, as he unveiled the biggest flu vaccination programme in history; that is very Trumpian, I have to say. In the light of the lockdown delay, the PPE debacle, testing and tracing chaos—we could not get tested yesterday in my borough, with 300,000 people in it—not to mention, I will remind the Secretary of State, the 40,000 people already dead from covid on his watch and that of the Prime Minister against, and he is quite happy to compare internationally, 9,400 in Germany, why should we have any confidence in this bungling Government’s ability to get the flu vaccination programme in shape for this winter?

[Matt Hancock]

We are going to have the biggest flu vaccination programme in history. I think the hon. Gentleman simply has not taken into account the action that was taken to protect the NHS in the crisis, building a capacity for testing that is bigger per head of population than any other major European country. This country is the only country in the world that has discovered treatments that reduce people’s likelihood of dying from coronavirus. I think he should get onside with what this country is doing, not keep squabbling from the sidelines.

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

The Government and the Secretary of State have messed up. The result has been loss of life and an economy in tatters. It is little wonder that my home, South Shields, is now seeing a rapid spike in cases, and we are approaching a potential lockdown that will irrevocably devastate us. Instead of just pointing the finger at our young people, will he take some responsibility and explain what extra direct support he is going to give us locally to help us stop this spread?

[Matt Hancock]

I regret the tone of the question. I think it is far better for everybody if we all work together. I know the hon. Member and the hon. Member for Bootle (Peter Dowd) seem to have taken the attitude that it is better to have brickbats thrown across this House, but I think the public would expect us to work together—to work together for the benefit of South Shields and to work together for the benefit of the north-west. I am very happy to meet her to discuss the situation in South Shields and see what we can do to try to tackle the problem, and it is better to do that together.

[Jerome Mayhew (Broadland) (Con)]

My right hon. Friend has identified that our response to covid is about personal responsibility, but it is made much harder when the young have the lure of socialising and the risks are substantially borne by unseen others. However, in my view, the young are just as civic-minded as all the rest of us, but it is a complex message, so what is the communication strategy to get that message over effectively to our young people, particularly when access to Parliament TV seems unaccountably low?

[Matt Hancock]

It is so important that we explain to everybody that they have a responsibility to “hands, face and space”—to their social distancing. The two critical messages for younger people who may think that this is not a disease that affects them are, first, that they can transmit this disease and cause great harm or death to their loved ones, but, secondly, that nobody is immune from this disease. The long-term impact of covid—so far, we have seen this with 60,000 people who have suffered for more than three months—can be devastating, and that can happen to anyone.

[David Linden (Glasgow East) (SNP)]

The credit checking company TransUnion has had difficulty issuing home testing kits to people because they are not on the public electoral register. We know that, for good reason, some people are not on the public electoral register, perhaps due to fleeing domestic violence or abuse. Can I ask the Secretary of State if he will go away and have a look at this, and see what he can do to make sure that everybody can get a home test, regardless of whether they are on the on the public electoral register?

[Matt Hancock]

I am very happy to look at this point. Of course, we do have to verify the identity of people who are asking for home testing kits, and there have to be protections against fraud, and we take advice from the National Cyber Security Centre on that, but I will look at the point the hon. Member raises.

[Mrs Maria Miller (Basingstoke) (Con)]

May I commend my right hon. Friend on the swift action that he takes, and the way in which he comes before this House on a regular basis to update us? I think that is important, as are the lessons that are being learned from other countries. In his statement, he actually announced something as well as the lockdown in Bolton, which is that his current guidance regarding people in high incidence areas socialising only with those in their own households will be turned into law. That is presumably to strengthen enforcement. Could he take a moment to explain what that will mean in practice and whether there be an impact on venues that may be required to be part of that enforcement process, and when does he intend to bring that before the House for discussion?

[Matt Hancock]

That measure is specifically in Bolton, which has brought into place at a council level the guidance that people should not socialise outside their households. We will be turning that into law in Bolton. Of course, we keep all those sorts of things under review nationally, but to be absolutely clear, the measure that I announced today was specifically with respect to Bolton. I also thank my right hon. Friend for her kind words—I do my best.

[Mr Tanmanjeet Singh Dhesi (Slough) (Lab)]

We are still not fully over the Dominic Cummings cross-country drive farcical fiasco, yet day after day, we are faced with a string of embarrassing Government U-turns, which not only demonstrate incompetence, but further erode public trust and confidence in the Government at a time when we most need it to overcome the virus. To get on message, what discussions is the Secretary of State having with the Prime Minister to ensure that the next time he makes a public statement, it will not be followed by yet another excruciating and embarrassing U-turn?

[Matt Hancock]

The hon. Gentleman does better when he does not take the Labour party handout notes.

[James Daly (Bury North) (Con)]

I pay personal tribute to my right hon. Friend. Bury has been under restrictions for six weeks, and both he and his team have been a constant source of support not only to me and the leader of the council but to the people of Bury through this difficult time.

I agree with everything that the Secretary of State said, but I would welcome his views on this point. One challenge being faced in my constituency is childcare. We are in a situation where many people are looking to get back into work. Many grandparents look after children, but they are struggling because they remain in the bubble that we have in Bury, which is one person to another household, and many of them still live together. They are asking whether the bubble can be extended to two people per household to allow them to provide emotional, practical and social support to their family at this difficult time.

[Matt Hancock]

I understand why grandparents in Bury and across the country want to see that happen. The challenge is that the support bubbles are there primarily so that when people are living on their own, they can get that emotional and mental-health support from having some people with whom they can closely communicate, whereas a couple living together have each other for that.

The challenge in terms of childcare is that although children rarely experience any negative impacts of covid, they can transmit the disease. Grandparents are typically at risk if they are over about 70, so we are quite cautious about encouraging them to look after their grandchildren, because of the problem of transmission. That is the challenge that we are trying to address, but I understand why people want to see that.

[Barry Gardiner (Brent North) (Lab)]

On 3 July, the Secretary of State said that asymptomatic testing in residential care homes would give staff the confidence to continue their work. Yesterday, the Transport Secretary said that Public Health England now believes that asymptomatic testing might capture only 7% of those infected, leaving 93% of those infected to go about their business. If asymptomatic testing is as confidence-building as the Secretary of State says, and if a care home is a goose and an airport is a gander, why is the sauce of asymptomatic testing not good for both?

[Matt Hancock]

The question is about the timing of the tests. The proposal for care homes is for repeat asymptomatic testing. As I said in my statement, we have sent test kits out to eligible care homes. The challenge for asymptomatic testing at the border is that if we do it just once, that does not give confidence. The proposal on which we are working with the industry is for a way to do that with repeat testing to test that people have not later developed symptoms that they might have been incubating previously.

[Sara Britcliffe (Hyndburn) (Con)]

In recent weeks, my constituency of Hyndburn and Haslingden was removed from local restrictions. I wish to put on record my heartfelt thanks to all of my community as they are why we have now fallen in line with the national picture. I would also like to thank everybody in the Department and the Secretary of State for being so responsive throughout, but can he please press that local resilience forums and local outbreak management boards set out and publish the criteria used to make their decisions for areas moving to higher or lower levels of restrictions, so that the decision making is fair, consistent, transparent and justifiable to constituents?

[Matt Hancock]

I will absolutely take forward the proposal that my hon. Friend rightly makes. She has been an unbelievably hard-working and assiduous voice for her community in Hyndburn. We have had a lot of contact during a difficult period and I want to join her in paying tribute to the people of Hyndburn who have followed social distancing and brought the case rate right down. It is another example of local action that has worked, but we must remain vigilant because, of course, east Lancashire, close as it is to Greater Manchester, is an area where we have seen a lot of cases, including, as I have said today, in Bolton. None the less, she has done her area and constituents proud in the way that she has represented them and made the case for them during this very difficult period.

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

From 6 pm today, Caerphilly will become the first area of Wales to enter a local lockdown. Does the Secretary of State agree that Wales urgently needs more financial powers to support people affected by these necessary precautions?

[Matt Hancock]

I shall speak to my opposite number in the Welsh Government about that suggestion. I know that taking local action, whether in Caerphilly in Wales, in and around Glasgow and Aberdeen in Scotland, or, of course, in parts of England, which is my responsibility when it comes to local action, we only take this action with a heavy heart and when it is necessary.

[Wayne David (Caerphilly) (Lab)]

As the Secretary of State has just indicated, he is aware of the situation as it is developing in Caerphilly in my constituency, but will he give a commitment to work as closely as possible with the Welsh Government to ensure that they are effective in dealing with this situation?

[Matt Hancock]

Yes, I absolutely will. The UK Government and the Welsh Government working together is incredibly important. We have weekly calls, and Vaughan Gething and I speak and are in contact regularly. I support the action that he has had to take, as I say, with a heavy heart, but it is necessary action. My message to the people of Caerphilly, who are so ably represented in this House, is that this action and following the stricter local rules are absolutely critical to getting this virus under control locally, to protecting people themselves and to protecting their loved ones.

[Mr Deputy Speaker (Mr Nigel Evans)]

I would like to thank the Secretary of State for his statement today.

Before I take the point of order from Maria Miller, I ask those leaving the Chamber to please do so with care and in a socially distanced way.

Virtual participation in proceedings concluded (Order, 4 June.)

Covid-19 Update

Matt Hancock Excerpts

Tuesday 8th September 2020 Written Statements

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

On 26 March 2020, the Health Protection (Coronavirus, Restrictions) (England) Regulations 2020 came into force, imposing restrictions on people’s movements and gatherings, and requiring the closure of certain retail and public premises, in the interest of public health in light of the coronavirus pandemic. These regulations were revoked and replaced by the Health Protection (Coronavirus, Restrictions) (No. 2) (England) Regulations 2020 on 4 July. Further regulations were introduced in localised areas to tackle the spread of coronavirus in hot spots. The Health Protection (Coronavirus, Restrictions) (Leicester) Regulations 2020 came into force on 4 July 2020, the Health Protection (Coronavirus, Restrictions) (Blackburn with Darwen and Bradford) Regulations 2020 came into force on 1 August 2020, and Health Protection (Coronavirus, Restrictions on Gatherings) (North of England) Regulations 2020 came into force on 5 August and was amended to the Health Protection (Coronavirus, Restrictions) (North of England) Regulations 2020 15 August.

Following a review of the Leicester regulations, Bradford and Blackburn regulations and north of England regulations, I have now made further amendments to each regulation to ease the restrictions contained within them, which came into force on 8 September 2020 through the Health Protection (Coronavirus, Restrictions) (Blackburn with Darwen and Bradford, Leicester, and North of England) (Amendment) Regulations 2020.

As part of the changes to these regulations, the easements made elsewhere in England on 25 July will also now apply to the areas covered by the Blackburn and Bradford regulations and Leicester regulations. In addition, the easements made elsewhere in England on 15 August will now also apply in the areas covered by the Blackburn and Bradford regulations and North of England regulations, with the exception of the area of Bolton metropolitan borough council.

As of today, settings and businesses including indoor swimming pools, indoor fitness and dance studios, indoor gyms, sports courts and facilities will be able to reopen in Leicester and the areas covered by the Blackburn and Bradford regulations. In addition; casinos, skating rinks, bowling alleys, indoor play areas including soft-play areas, and exhibition halls and conference centres—which guidance will clarify to be for trial events only—will be able to reopen in the areas covered by the Blackburn and Bradford regulations and the North of England regulations apart from the area of Bolton metropolitan borough council.

Finally, guidance has been changed in areas covered by the Blackburn with Darwen and Bradford regulations to facilitate piloting Government endorsed sports in sports stadia and business event pilots in conference centres and exhibition halls; the resumption of socially- distanced indoor performances; the resumption of wedding and civil partnership receptions of up to 30 people; and relaxing the remaining restrictions on certain close contact services

In Leicester and the areas covered by the Blackburn and Bradford regulations and north of England regulations, some restrictions remain in place on household mixing and gatherings.

Publicly available Government guidance on gov.uk is being updated to ensure it fully corresponds with the amended regulations.

[HCWS439]

Covid-19

Matt Hancock Excerpts

Tuesday 1st September 2020 Commons Chamber

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

With your permission, and indeed your encouragement, Mr Speaker, I would like to make a statement on coronavirus. The latest figures demonstrate how much progress we are making in our fight against this invisible killer. There are currently 60 patients in mechanical ventilator beds with coronavirus—that is down from 3,300 at the peak—and the latest daily number for recorded deaths is two. However, although those figures are lower than before, we must remain vigilant. I said in July that a second wave was rolling across Europe and, sadly, we are now seeing an exponential rise in the number of cases in France and Spain—hospitalisations are rising there too. We must do everything in our power to protect against a second wave here in the UK, so I would like to update the House on the work we are doing to that end.

To support the return of education, and to get our economy moving again, it is critical that we all play our part. The first line of defence is, and has always been, social distancing and personal hygiene. We will soon be launching a new campaign reminding people of how they can help to stop the spread of coronavirus: “Hands, face, space and get a test if you have symptoms.” Everyone has a part to play in following the social distancing rules and doing the basics. After all, this is a virus that thrives on social contact. I would like to thank the British public for everything they have done so far, but we must continue and we must maintain our resolve.

The second line of defence is testing and contact tracing. We have now processed over 16 million tests in this country, and we are investing in new testing technologies, including a rapid test for coronavirus and other winter viruses that will help to provide on-the-spot results in under 90 minutes, helping us to break chains of transmission quickly. These tests do not require a trained health professional to operate them, so they can be rolled out in more non-clinical settings. We now have one of the most comprehensive systems of testing in the world, and we want to go much, much further.

Next, we come to contact tracing. NHS Test and Trace is consistently reaching tens of thousands of people who need to isolate each week. As I mentioned in answer to a question earlier, the latest week’s data shows that 84.3% of contacts were reached and asked to self-isolate, where contact details were provided. Since its launch, we have reached over 300,000 people, who may have been unwittingly carrying the virus. Today, we also launch our new system of pay to isolate. We want to support people on low incomes in areas with a high incidence of covid-19 who need to self-isolate and are unable to work from home. Under the scheme, people who test positive for the virus will receive £130 for the 10-day period they have to stay at home. Other contacts, including, for instance, members of their household, who have to self-isolate for 14 days, will be entitled to a payment of £182. We have rolled out the scheme in Blackburn with Darwen, Pendle and Oldham, and we will look to expand it as we see how it operates on the ground.

The third line of defence is targeted local intervention. Over the summer, we have worked hard to integrate our national system with the local response, and the local action that we are taking is working. In Leicester, as the hon. Member for Leicester South (Jonathan Ashworth) knows well, as a local MP, in Luton and in parts of northern England, we have been able to release local interventions, because the case rate has come down. We also now publish significantly more local information, and I put in place a system for building local consensus with all elected officials, including colleagues across this House, wherever possible. Our goal is that local action should be as targeted as possible. This combination of social distancing, test and trace and local action is a system in which we all have a responsibility to act, and this gives us the tools to control the virus while protecting education, the economy and the things we hold dear.

Meanwhile, work on a vaccine continues to progress. The best-case scenario remains a vaccine this year. While no vaccine technology is certain, since the House last met, vaccine trials have gone well. The Oxford vaccine continues to be the world leader, and we have now contracted with six different vaccine providers so that whichever comes off, we can get access in this country. While we give vaccine development all our support, we will insist on safety and efficacy.

I can update the House on changes to legislation that I propose to bring forward in the coming weeks to ensure that a vaccine approved by the Medicines and Healthcare Products Regulatory Agency can be deployed here, whether or not it has a European licence. The MHRA standards are equal to the highest in the world. Furthermore, on the development of the vaccine, which proceeds at pace, I will shortly ask the House to approve a broader range of qualified clinical personnel who can deploy the vaccine in order of clinical priority, as I mentioned in questions. As well as the potential vaccine, we also have a flu vaccination programme—the biggest flu vaccination programme in history—to roll out this year.

Finally, Mr Speaker, in preparation for this winter, we are expanding A&E capacity. We have allocated billions more funding to the NHS. We have retained the Nightingale hospitals to ensure that the NHS is fully prepared, and we published last month updated guidance on the protection of social care. As well as this, last month, figures showed a record number of nurses in the NHS—over 13,000 more than last year—and record numbers of both doctors and nurses going into training. We are doing all we can to prevent a second peak to prepare the NHS for winter and to restore as much of life and the things we love as possible. As schools go back, we must all remain vigilant and throughout the crisis we all have a role to play.

This is a war against an invisible enemy in which we are all on the same side. As we learn more and more about this unprecedented virus, so we constantly seek to improve our response to protect the health of the nation and the things we hold dear. I commend this statement to the House.

--- Later in debate ---

Finally, health protection is built upon good population health. Poverty makes people sick. Ending cuts and tackling deprivation as a determinant of ill health is vital to improving and protecting people’s health. But the Secretary of State is now embarking on a risky, distracting restructuring of Public Health England in the middle of a pandemic. Tory MPs like to blame Public Health England—it is such rotten luck that these decent, hard-working, competent Ministers are always let down by the people who work for them—but is not the reality that this restructuring will sap morale and focus and should wait until the end of the pandemic? The UK has suffered the highest per capita death rate of any major world economy. To get through this winter safely, our NHS and public health services need resources, and staff need personal protective equipment, fair pay, security and support. I hope he can deliver that.

[Matt Hancock]

I will answer as many of the hon. Gentleman’s questions as possible. His first question about the effectiveness of NHS Test and Trace is very important. He is right that we are investing in public health teams, and so we should. As we discussed in Health questions earlier, it is important to have the combination of the national system and the local one. It is also important that we communicate to people that it is important to engage in testing and contact tracing for those who test positive and their contacts. It is important to be able to communicate to people so that they get those messages, and we will do that in whatever way is effective to get those messages across.

The hon. Gentleman asks about the importance of mass testing. I bow to no one in my enthusiasm for mass testing and am glad that he supports my drive for it. He might remember the exchanges we had some time ago when I rather stuck my neck out in pushing for mass testing when we needed to get to hundreds of thousands of tests. We now need to increase the number of tests again.

The hon. Gentleman mentions both saliva tests and pool tests; we are trialling both of those. As with vaccines, to which I shall come briefly, we will only use testing that is validated and for which the results are safe, so it is important that we use the world-class facilities that we have at Porton Down to make sure that tests are validated before we use them in public. Saliva testing and pool testing are both options that we are working on.

Local lockdowns are working. Local action, taken jointly between national and local government, is having an effect, as the hon. Gentleman knows well from Leicester, where the case rate is right down. We do publish the data on which such decisions are made. In fact, from last Thursday, we now publish data at lower-super-output-area level, which is the lowest level in terms of how local the test results can be reasonably published. We also provide extensive data to directors of public health.

It is important that all elected officials are engaged in the process of making lockdown decisions, so, as we set out the week before last, we require councils to seek consensus with local elected officials, which includes colleagues in this House. For instance, if your area, Mr Speaker, were under consideration for the need for intervention, we would require your local council to seek consensus with you—although that consensus is not always possible, and there have been a couple of examples where it has not been—and would then make as targeted an intervention as possible. We want to get to the point at which everybody is on the same side in the battle against the disease. I am glad to say that in nearly all council areas the process has worked well. I urge all council leaders to work to engage with their local MPs and with colleagues from across the House to make sure that colleagues’ views are taken into account in trying to seek consensus.

The hon. Gentleman makes the point that a vaccine must be deployed only when safe and effective, and he is completely right. He and I are as one, along with every single Member of this House, in our abhorrence at the anti-vax people who peddle lies, and in our abhorrence at the anti-test people who similarly try to argue that testing is somehow wrong when it is not. In the UK, a vaccine will be deployed only when it is safe and signed off by the regulator. The UK health regulator, the MHRA, is one of the finest regulators in the world. It is robust, independent and technically brilliant. People should know that we will sign off a vaccine only when it is safe. Having said that, we will also work incredibly hard and give all the resources that the vaccine development teams need to try to get a vaccine over the line as quickly as possible.

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

The Secretary of State has made impressive progress in making testing available to everyone with covid symptoms, but I wish to press him on the availability of tests for people who are asymptomatic. Will he confirm that it is the Government’s intention to introduce regular weekly testing for NHS staff, teachers and other people who are in regular contact with the public and who could potentially transmit the virus? Even if it cannot be done right away, is it the intention to do that as soon as possible? Surely that is the best way to reassure patients that their hospital is safe and parents that their kids’ school is safe.

[Matt Hancock]

It is my intention to deploy as much testing as possible using the new testing innovations coming on stream and to do so as widely as possible following clinical advice. We have set out the process we propose to use for the current generation of testing capability, but if a new, easier type of test gets over the line, of course we will always keep that under clinical review, being guided always by clinicians.

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

Is the Secretary of State aware that some people are being refused home-testing kits because the credit-checking company TransUnion has not found their names on the public version of the electoral register? Can he explain why he contracted this American company to verify people’s identities and what he will do to resolve the issue? He still has not addressed the poor performance of Serco, which has failed to trace 40% of contacts and apparently did not even have contact details for over 2,500. This compares poorly with the public health-based systems of the devolved nations, which are managing to trace 90% or more. Instead of breaking up PHE, will he not provide it with the necessary resources to develop a public health-based tracing system for England, too?

Finally, Chris Whitty says it is not possible to open up everything and keep the virus under control. While it is really good to see the number of deaths from covid falling, the number of new cases in the UK is currently higher than when we had to go into lockdown in March. If getting children back to school is his Government’s priority, why are they pushing people back into offices at the same time?

[Matt Hancock]

I have addressed several of those points already in questions. The idea that, instead of the large-scale national system working together with local contact tracers, we should disparage one part and praise the other—this divisive approach proposed by the SNP spokesperson—is wholly wrong and would lead to things getting worse, not better. Instead, we need to work together to improve the system, in the same way the Scottish Government and the UK Government worked together to provide testing capability right across Scotland.

On the arrangements for the future of PHE, we look around the world for the best way to ensure we have systems at a national level that can respond to the virus, in the same way we put in place the Joint Biosecurity Centre, when we worked closely with the Scottish Government, the Welsh Government and the Northern Ireland Administration to ensure the best possible system—for instance, when cases move over a border. Some of the best systems in the world, such as the German system, have an institute dedicated to infectious disease control. I am convinced that the enormous amounts of extra money we are putting into health protection, along with the extra support going in and the clarity and dedication of the new National Institute for Health Protection, will be a step forward. I pay tribute to all those who have worked in PHE and right across the board to keep people safe during this crisis.

[Joy Morrissey (Beaconsfield) (Con)]

I welcome my right hon. Friend’s announcement of two groundbreaking tests that will allow people to be tested for coronavirus in less than 90 minutes. Will he aim for these tests to be rolled out as soon as possible, particularly in care homes, and may I suggest that the roll-out begin in Buckinghamshire, particularly Beaconsfield?

[Matt Hancock]

I will certainly look into whether the roll-out can start in Buckinghamshire. Thankfully, it has a relatively low rate of the virus, which is good news, and we are working to ensure that the testing system there is as effective as it can be. That will include using this new generation of testing when we can begin to roll it out more broadly than the current pilots.

[Chris Bryant (Rhondda) (Lab)]

Cancer is rapidly becoming an even bigger catastrophe than anything else. The number of new cancer patients presenting is down by more than a quarter this year. The number of appointments for cancer specialist treatment is down by more than a quarter. The amount of money available for clinical trials has completely fallen through the floor. There is a real danger that lots and lots of people are going to die of cancer this year unnecessarily, when there is treatment that could be available, and that new treatments will not come online. Will the Secretary of State please put together a single taskforce to deal with cancer during this process, increase the amount of money for new kit, in particular in radiotherapy, make sure that we have enough pathologists, histopathologists and haematologists for the future, and make up the additional money for the clinical trials?

[Matt Hancock]

The hon. Gentleman’s point about research is important. In the places where research has paused because of the virus, the programme of restart is well under way. I am glad to say that although the backlog of cancer cases had increased—because it is not safe to treat cancer during a pandemic and because of some of the surgery that had to be paused—we are now halfway through recovering from that backlog on the latest figures. Obviously that recovery is incredibly important, and it is important to look at the catch-up as well as the absolute drop in overall delivery of cancer services. It is also critically important that people who fear that they may have cancer come forward to the NHS.

[Rehman Chishti (Gillingham and Rainham) (Con)]

I thank the Secretary of State for his statement. My question today is about support for people with mental health conditions during covid-19. One of my constituents, Nicola Kulawsky, went missing just over a week ago. Thankfully, she was found within four days. During 2018 and 2019, there were approximately 176,000 reported incidents of people going missing. Charities such as Missing People have highlighted the huge strain that the covid-19 pandemic has put on people with mental health issues. Charities working in this sector have had to make budget cuts. Will the Secretary of State do everything he can to ensure that individuals who suffer from mental health conditions during covid-19 get the support they need, as part of the wider covid-19 strategy?

[Matt Hancock]

My hon. Friend is absolutely right to raise these issues, which are very important. I acknowledge and can see the challenges that mental health services face. Some cautiously positive news announced today by the Office for National Statistics shows that the number of suicides during the peak of the pandemic was down from 10.3 per 100,000 to 6.9 per 100,000, but of course we have to ensure that mental health services are there for people as we come out of lockdown, so that they can access them again more easily, and that we do all we can to support those who need them.

[Bambos Charalambous (Enfield, Southgate) (Lab)]

Following on from the Secretary of State’s answer to the question that my hon. Friend the Member for Rhondda (Chris Bryant) asked about cancer, obviously winter is a time of huge pressures on NHS services, with pressures on acute beds in recent years. Can he tell us more about his plan to tackle the backlog and deal with cancer patients, and about the treatments they will receive in the wintertime?

[Matt Hancock]

Yes; the hon. Gentleman is right to raise exactly this point. Now is the time to get through as much of the backlog as possible. At the same time, we have introduced changes to the way that the NHS operates so that it is more risk-based, so that infection control procedures, which are important, can also be more risk-based, to try to increase the amount of surgery that can happen, essentially splitting the NHS into areas that are deemed “covid green”, which are secure from covid, and “covid blue”, which means the areas where there may be covid, to allow the throughput of surgery to increase. Of course, cancer services have continued all the way through, but obviously they were diminished during the peak. With winter coming, we want to put the extra funds into the NHS to try to ensure that those services can continue all the way through, as much as is possible. The flu vaccination programme is also an important part of protecting the NHS from higher demand this winter.

[Mr Speaker]

May I help the House by saying we are going to finish at 4.40 pm? I am sure the Secretary of State will want to help as many Back Benchers as possible to ask their questions by giving shorter replies. That would be helpful.

[Greg Smith (Buckingham) (Con)]

I thank my right hon. Friend for the announcement last month of £900,000 extra for Buckinghamshire Healthcare NHS Trust to upgrade A&E facilities in the county ahead of winter.  That will make a huge difference as we continue to battle coronavirus as well as prepare for other winter illnesses. What assurances can my right hon. Friend give me that those very welcome upgrades will be completed in time for this winter to treat Buckinghamshire patients?

[Matt Hancock]

It is very good that we have been able to give funds to over 100 A&Es across the country so that they can expand, both to be able to cope with infection control procedures and to ensure that there is more space. I pay tribute to the Minister for Health, my hon. Friend the Member for Charnwood (Edward Argar), who has driven through this programme along with the NHS. I am confident that this can be built in time for winter to ensure that we are ready by December.

[Dr Rupa Huq (Ealing Central and Acton) (Lab)]

All of west London rejoiced when the Secretary of State axed the hated “Shaping a healthier future” programme, which was established by his predecessor. Will he now stave off the rumours circulating and confirm that the stopping of services at Ealing Hospital—that programme would have put an end to those services, as we know it—does not mean that the closure programme is coming in through the back door? There are a lot of rumours around. Will he start by restoring in full the CEPOD surgery and trauma services, so that we ward off the second spike that he and I do not want?

[Matt Hancock]

We have indeed stopped “Shaping a healthier future”, as it was called. We are continuing with the investment into primary healthcare services that was a part of that programme, but not with the rest of it. I am happy to arrange a meeting between the Minister for Health, my hon. Friend the Member for Charnwood, who is brilliant on this stuff, and the hon. Lady and other west London colleagues, to ensure that that commitment is kept to.

[Ben Everitt (Milton Keynes North) (Con)]

I thank the Secretary of State and his Department for the additional funding for Milton Keynes University Hospital of £1.5 million for winter preparedness. May I stress—and hope that he agrees with me—that it is not just about the threat of covid this winter, but the dual threat with the winter flu?

[Matt Hancock]

Yes. Both my colleagues from Milton Keynes have been assiduous in making the case for the need for expansion at Milton Keynes Hospital. The team there have been absolutely brilliant, even while the chief executive has also been stepping up to national responsibilities in response to this crisis. I hope that the expansion of A&E will help to ensure that my hon. Friend’s constituents can access emergency services when they need them.

[Munira Wilson (Twickenham) (LD)]

Given that the Secretary of State decided to announce the scrapping of Public Health England in the middle of recess, when there was no opportunity for parliamentary scrutiny, I find it astonishing that his statement did not make a single reference to the bureaucratic reorganisation in the middle of a pandemic. The King’s Fund described scrapping PHE without a full public inquiry as finding it “guilty without a trial”. The Prime Minister has committed to an inquiry. Will the Secretary of State now set out when that inquiry will happen?

[Matt Hancock]

This is all about ensuring that we are as well prepared as possible for tackling this virus and that the total focus of the new National Institute for Health Protection is on the prevention of infectious diseases. I have set that out very clearly, as I did in my speech. Sometimes we have to make changes to ensure that our systems are working as effectively as possible, and, critically, we had to do so to bring together the different parts of the infection response that had ended up in different places and needed to be brought under single leadership.

[Stuart C. McDonald (Cumbernauld, Kilsyth and Kirkintilloch East) (SNP) [V]]

What work is ongoing to ensure that all the PPE needed by the NHS this winter is procured in good time, and will details of all previous PPE contracts be published immediately in order to address serious concerns about the appropriateness of some of the earlier deals?

[Matt Hancock]

Yes, absolutely; we are working very hard to ensure not only that we have PPE for now and for winter, and that we rebuild the stockpile that we used during the peak of the pandemic, but that as much as possible of the PPE available and used in this country is made in this country, so that we are less reliant on international contracts and the international flow of PPE, which obviously became difficult at the height of the crisis. We are one United Kingdom in ensuring that we have the provision of PPE for now and in the future.

[Nigel Mills (Amber Valley) (Con)]

Does the Secretary of State agree that achieving the biggest ever flu vaccine programme will need local GPs and pharmacies to work together, not compete for revenue, so can he find a way of incentivising such working together, not fighting for every jab?

[Matt Hancock]

It is incredibly important that pharmacists as well as GPs and others are able to make the flu jab available. We have got to make sure that happens as effectively as possible, and it is a massive operation. If I may, I will talk to my hon. Friend and we can have a discussion about the specific problems he has found and try to resolve them, but it is going to be one huge national effort.

[Jim Shannon (Strangford) (DUP)]

I thank the Secretary of State for all he has done: he has not been found wanting when it comes to responding in the way he should. Can the Secretary of State further outline if he has reviewed routine operations—such as for tonsillitis and hip, knee and shoulder replacement surgeries—and when will he be able to address the massive backlog, which has occurred because of coronavirus, but must now be worked on?

[Matt Hancock]

We are working through that backlog. I am glad that, over the summer, we were able to re-contract with private providers of healthcare to help us to get through that backlog, and on a better contract than before—better value for money. I pay tribute to the private providers of healthcare that have been there and delivering improvements for people throughout the summer and now on into winter. They play an important part in improving people’s health, and it is a big team effort.

[Harriett Baldwin (West Worcestershire) (Con)]

It is very reassuring to hear how far we have come in terms of our lines of defences against this invisible killer over the past six months. May I, through the Secretary of State, thank everyone who has helped us get here? On the second line of defence, the testing, can I have an update on how the NHS is working with the private sector to make sure that all aspects of our economy can reopen safely?

[Matt Hancock]

If I understand the question correctly, the ability to provide tests to parts of the private sector that need to know people do not have the virus in order to be able to reopen parts of the economy or just enable things to happen is a very important part of where we would like to get to when we have the next generation of testing. At the moment, we of course have to follow a clinical protocol for the roll-out and the use of the capacity we have. We have very significant capacity, having built it up over the pandemic, but the work with the private sector is very important, and we will be publishing more details on this shortly.

[Clive Efford (Eltham) (Lab) [V]]

I have had personal experience of track and trace over the last couple of weeks. Having filled in my initial form, I was contacted at least three times to be asked for the same information again, so it is a question not just of the contacts, but of what is being done with the data. My assessment is that there is poor management of the data and a waste of time and effort in duplication, including in contacting members of my household and telling them to isolate from the wrong date. Improvements are needed to what is done once track and trace gets in touch with people. Does the Secretary of State agree?

[Matt Hancock]

I am very happy to look into these individual circumstances. Of course, we are constantly seeking to improve the system. I am very glad that the hon. Gentleman was contacted so assiduously by the system, and I take the point about the need for the data to be collected as effectively and efficiently as possible. I hope that he and members of his household are following the rules and doing the isolation that is necessary.

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

Following the recent outbreak in Stoke-on-Trent, I would like to thank local authorities and the community for their actions, which have helped to stem the spread of the virus locally. Does my right hon. Friend agree that it is thanks to these rapid actions that we are now seeing positive covid results decline, and that everyone must continue to play their part by closely following Government guidelines if we are to see cases fall further?

[Matt Hancock]

Yes, absolutely. Stoke-on-Trent provides another example of a local action that worked. We did not have to go to a full lockdown, which I am very glad about. The combination of enhanced support from the national system plus assiduous work locally and the responsible and strong voice of the local MPs, including my hon. Friend, has meant that the cases are coming right down. I am very grateful to the people of Stoke-on-Trent for responding as positively as they did to what were challenging circumstances. At one moment, it looked like there might be a full-blown local lockdown, but that did not happen because Stoke-on-Trent got in there fast and acted.

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

The Secretary of State mentioned the importance of local efforts in keeping infections down, so can he tell me what additional financial support the Government will now provide to support local test and trace efforts, specifically in those areas where the level of infection places them on the watch list or under lockdown?

[Matt Hancock]

We do enter into those sorts of discussions. Of course local councils have a statutory obligation as well, but what matters most is that the response is as effective as it can be. Thus far we have been able to ensure that councils have the support and the capability to be able to respond, but, with their statutory duties, it is absolutely at the top of their priority list to prevent a local outbreak as well.

[Sir Edward Leigh (Gainsborough) (Con)]

The truth is that young people of working age who are fit know that there is very little chance of their becoming seriously ill from this thing. I know that the Secretary of State will say, yes, but they can pass it on to older people, but may I speak on behalf of older people? I am one. I think that, at 70, I am the oldest person here and I am still kicking—just. What I can say to him is that older people do not want to be patronised. They are very well aware of their own health needs. They can be trusted to isolate if they have to. We do not want to have this thing whereby the man from Whitehall knows best. The man from Whitehall does not know best, especially as he changes his mind every two minutes. Can we get back to being a proper Conservative Government who trust the people and who let the people decide how to look after their own health?

[Matt Hancock]

The challenge is that this disease passes on without people knowing. I have seen the challenge of older people trying to stay away from and stay safe from the continuing spread. In the United States of America, we saw that, at first, the increase in rates was among younger people and then it spread and the hospitalisation rate went up and then the number of deaths went up. Unfortunately, we are seeing a similar pattern on parts of the continent. I understand where my right hon. Friend is coming from. The goal is to have as little intervention, as targeted intervention, as possible, subject to keeping the virus under control. That is what we are trying to do. Essentially, we want to protect the ability of schools to go back and to make sure that we get the economy going as much as possible. These localised interventions, whether through test and trace to the individuals who have tested positive or to a local area where there is an outbreak, is the approach that we propose.

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

Office for National Statistics data show that 75% of disabled people are extremely worried about life post lockdown and a further 46% report that this is having a serious impact on their mental health. Will the Minister tell me what the Government are doing to support them, and will he commit to ensuring that disabled people, who have felt like an afterthought throughout this crisis, are at the heart of any recovery plan, as called for by Scope and many other charities?

[Matt Hancock]

Yes, absolutely. Our approach is to ensure that the support that is given, including with the vaccine if and when that comes, goes to those who are clinically most at risk. That is the answer to ensuring that disabled people get the support that they need. People who are disabled for different reasons have different needs. We must be cognisant of that and not try to treat all disabled people with different disabilities the same. Instead, we should support people according to their needs and that is at the heart of the approach that I take.

[Theo Clarke (Stafford) (Con)]

Does the Secretary of State agree that the recent coronavirus outbreak from the Crown and Anchor pub in Stone in Staffordshire next to my constituency demonstrates how vital it is that we all—including businesses—follow the track and trace guidance that has been put in place, so that we can reopen our economy safely and control this virus?

[Matt Hancock]

Yes, absolutely. Everybody has a role to play. Businesses have a role to play especially, including with contact tracing, so that people can safely go to the pub and know that if there is a problem they can be contacted. We all have that part to play.

[Richard Thomson (Gordon) (SNP)]

Does the Secretary of State share my concern that, of the £2.5 billion of covid-related Government procurement activity, at least £1 billion has been awarded without recourse to open competitive tendering, including a contract to a close friend of the Prime Minister’s chief adviser? Why is it that, six months into this pandemic, the Government are still citing unforeseen circumstances to explain a lack of openness in the tendering process for contracts?

[Matt Hancock]

We need to move fast sometimes in the response to a pandemic, and we need to move fast to contract with those who are best able to provide the support that people need. The constant attempt by those on the Opposition Benches to divide people in this way runs precisely counter to what people want to see—what people want to see is people working together, instead of these divisive tactics.

[Shaun Bailey (West Bromwich West) (Con)]

I want to start by thanking my right hon. Friend and his officials for the way in which they have communicated with me and my colleagues in Sandwell, as we have seen some rather concerning figures, particularly during the summer. May I ask him for some clarification? We have had a unique situation in Sandwell, where certain parts of the borough have had an exponential rise in the number of cases, which have been very localised. The number of cases in other parts of the borough—particularly in the west, in my communities of Wednesbury, Oldbury and Tipton—has thankfully been quite low. Can he confirm that local authorities should be taking a targeted and pragmatic approach when instituting local restrictions?

[Matt Hancock]

That is absolutely right. From the first nationally imposed local lockdown, in Leicester, we worked with the local authorities to decide what the appropriate geography was, and it is not necessarily the entire local authority geography. In the very first of those interventions, we worked with the Leicestershire leaders to decide what areas should be in it—the Minister for Health, my hon. Friend the Member for Charnwood (Edward Argar), who is one of the representatives of that area, is nodding away. Indeed, last week, in parts of West Yorkshire, we went down to a sub local authority geography. That is absolutely one of the options available. Sometimes it is at a local authority level, and sometimes it is at a sub local authority level. We are driven by the data.

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

The Secretary of State has always rightly claimed that he is guided by the science and data, so I welcome his decision to release Stockport from local measures. The data, the director of public health, the council and the borough’s four MPs support it, but I represent a cross-borough seat. Local measures have been tough for us, and we need confidence in them. Does he understand the interconnected nature of Greater Manchester’s boroughs? What is his message to my Tameside constituents on whether the decisions he has made to lift restrictions in Bolton and Trafford, where covid is now spiking, will keep the rest of us in lockdown for longer?

[Matt Hancock]

The detailed local nature of the question shows how important it is that we engage with local representatives, including colleagues in this House, so that the local intelligence that the hon. Member has can be brought to bear on this decision, for instance. The decision to take Stockport out of and leave Tameside in the measures was taken with the agreement of the leaders of both councils. I absolutely concur with the hon. Member that we should have as targeted an approach as possible, and local councils need to ensure that if it is appropriate for some of their area to come out of a local lockdown and some to stay in it, that is what we should do. We should be driven by the data.

[Mary Robinson (Cheadle) (Con)]

Joint partnership working and effective test and trace have been essential in ensuring that we have reduced covid cases in Cheadle and kept the pressure off our NHS. Public Health England has indicated that the flu jab is one of the most effective measures that we can take to further reduce the pressure on intensive care units. Does my right hon. Friend agree that, in order to avoid a flu outbreak at the same time as we are tackling coronavirus, we need to encourage people to take up flu jabs and ensure that we get test and trace and flu jabs working in conjunction?

[Matt Hancock]

Yes, I emphatically agree with my hon. Friend. I could not have put it better myself.

[Daniel Zeichner (Cambridge) (Lab)]

Over the next few weeks, hundreds of thousands of students will be returning to universities, which is very, very welcome, but what we are seeing at the moment is each institution having to make its own decisions. Universities UK tells us that most students will be getting in-person teaching, but what advice is the Secretary of State giving to those universities and what support is his Department giving?

[Matt Hancock]

We are working very closely with the Department for Education to have a successful and safe return of universities, just as, from today onwards, we are seeing a successful and safe return of schools.

[Dr Luke Evans (Bosworth) (Con)]

I am really pleased to hear my right hon. Friend talk about the largest flu vaccine programme ever being put in place, particularly for those over the age of 50. In normal times that would be a challenge and it is going to be even more difficult in the light of covid. I would be grateful if he would talk about the practical steps he is taking to make sure that things are simple and secure enough to deliver it, but not too prescriptive for those delivering the vaccine; whether or not adequate funding is in place to support the flu vaccine; and any other steps he has taken to make sure we have a successful flu vaccine campaign over the winter, given the covid situation.

[Matt Hancock]

We are putting enormous sums into the flu vaccine programme and have released extra funds to buy more vaccine. We are deregulating and making sure that we have a wider group of people—who will all be clinically qualified—who can administer the flu vaccine; those regulations will come before the House shortly. My hon. Friend is right to say how important it is to get the communications out that everybody should get a flu jab. We will start with the free jabs for the over-65s, the frontline healthcare workers and those who are clinically vulnerable, and we will then move on to the 50 to 64-year-olds. But everybody, of every age, can get one—it is just not free to others. I encourage everybody to get one. We must tackle these online rumours that spread the pernicious anti-vax lies.

[Feryal Clark (Enfield North) (Lab)]

Only 40% of the 90 care homes in Enfield have had covid testing to date, so when will the Secretary of State roll out the mass testing promised to the care homes? What progress is being made to increase the use of rapid turnaround tests in care homes, in Enfield and across the country?

[Matt Hancock]

We are introducing more rapid turnaround tests and validating that technology. We are also rolling out asymptomatic testing to care homes. We did have a problem with the delivery of tests from Randox—these were the leading tests we were using with care homes—as I made clear to the House in July. We have spent the summer recovering that programme.

[Imran Ahmad Khan (Wakefield) (Con)]

I welcome the Secretary of State’s statement, and recognise his and his Department’s Herculean efforts in leading our national fight against the virus. Throughout my constituency, there exist growing concerns that the lockdown measures to tackle localised spikes of covid-19 that have been imposed on swathes of West Yorkshire, across the Pennines and beyond may well be imposed on Wakefield, thus harming livelihoods. In order to help manage these fears and encourage adherence to the guidelines, will he publish the criteria that inform his decisions to impose or ease specific lockdown measures in certain areas, such as Kirklees, Greater Manchester and Leicester?

[Matt Hancock]

We publish the data on which the decisions are made and we have published the so-called “contain framework”, the one in which those decisions are taken, in consultation with the local authority and local representatives, should such an intervention be needed. What I would say to residents of Wakefield, and indeed of any other area, is that the best way to avoid local action and a local intervention is to follow the social distancing rules: “hands, face, space, and get a test if you have any symptoms”. By following social distancing we are more likely to be able to control the virus without the need then to resort to local action.

[David Linden (Glasgow East) (SNP)]

I would like to start by paying tribute to public health officials and community partners in the east end of Glasgow, who have been managing some of the local clusters. It really has been a team effort.

Part of the Secretary of State’s test, trace and isolate strategy is based on people following the advice to isolate when they show symptoms. What discussions is he having with the Department for Business, Energy and Industrial Strategy regarding the pitiful levels of statutory sick pay? Anecdotally, a lot of constituents tell me that they are worried about the financial pressure of having to isolate. So what discussions on that is he having with his colleagues in Government?

[Matt Hancock]

As I set out in my statement, we have introduced a new scheme today.

[Andy Carter (Warrington South) (Con)]

I thank the Secretary of State for his statement. Research on immunity once you have had covid remains critical. What progress has been made in understanding how immunity is developed and how long it lasts? What work is being undertaken in terms of rapid testing for immunity and analysis, and the technology that sits around that?

[Matt Hancock]

This is a very important question. Essentially, part of the research into the vaccine is research into its efficacy, which is about research into the immune response that it provokes—the antibody response and the T cell response, both of which have an impact. We are doing a huge amount of work on that and I am very happy to write to my hon. Friend with more details.

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

Could the Secretary of State now answer a question that he has been asked repeatedly this afternoon about the creation of the National Institute for Health Protection? What persuaded him, in the middle of August, that it was a great idea to reorganise the structure of public health in the middle of the worst pandemic for 100 years, which is a bit analogous to reorganising the fire brigade in the middle of a blaze?

[Matt Hancock]

It is important to bring together the leadership on test and trace, the Joint Biosecurity Centre and the leadership from Public Health England into one place to make sure that our response is as effective as it possibly can be and that we are constantly searching to have the best possible response to the virus.

[Brendan Clarke-Smith (Bassetlaw) (Con)]

I know my right hon. Friend will share my excitement over the two new groundbreaking tests that can detect coronavirus in as little as 90 minutes. Does he agree that we should get that tech rolled out as quickly as possible, but particularly in care settings?

[Matt Hancock]

Yes I do, and I put everything I possibly have into driving it as fast as possible, subject to it working effectively.

[Liz Twist (Blaydon) (Lab)]

Today’s Office for National Statistics suicide statistics show that middle-aged men remain at the highest risk of suicide. It is well established that recessions can lead to increases in suicides, but that is not inevitable. What will the Secretary of State do to ensure that suicide prevention is a Government priority and that this group of people is supported through the recession caused by the covid-19 pandemic?

[Matt Hancock]

The hon. Lady is quite right to raise this issue. It is good to see the figures showing that suicide rates have fallen, but we absolutely must and will remain vigilant.

[Sir Bernard Jenkin (Harwich and North Essex) (Con)]

I thank the Secretary of State for the written ministerial statement he published after my last question to him in July. May I ask a bit more about the National Institute for Health Protection? Who was consulted before the decision was made? What is the legal basis for its present operation? Does it require legislation? What kind of public body is it intended to be: a non-ministerial department, an executive agency or a part of the Department of Health and Social Care? How will it be funded? When will there be a proper White Paper or Green Paper on the subject? Will the political appointee put in as interim head be replaced by a properly appointed public appointments-approved person? I could go on—there are plenty of unanswered questions.

[Matt Hancock]

I counted eight questions. Let me try to answer them. The National Institute for Health Protection does not require a legal basis; these PHE duties were not done on a legal basis. It will take on some UK-wide responsibilities, but also have responsibilities for England only. It is funded from the Department of Health and Social Care. It will be an executive agency of the Department. There is a global search under way for long-term, permanent leadership. As I said in response to the previous question, it will bring together the leadership of several different parts of the response. It was imperative, as far as I could see, to try to make sure we have that single unified leadership for the next stage of our response to the crisis. I pay tribute to the work of Public Health England. It has done an enormous amount, especially through its scientific work, which has truly been among the best in the world and has helped us to respond as well as we possibly could. I think that the new National Institute for Health Protection, established on the basis that I have set out, will make sure that we are constantly learning to have the best response, in terms of both the science and the scale, and to deliver for this country.

[Chris Elmore (Ogmore) (Lab)]

I welcome the Secretary of State’s comments in relation to dealing with anti-vaxxers. He will recall that I asked him a question before the recess and he said he was meeting Sir Nick Clegg, formerly of this House and now of Facebook fame. I wonder whether he can update the House on that discussion. It is still a reality that Facebook takes millions of dollars from anti-vax sites, and it is still the case that an increased number of people in this country fear what the vaccination could or could not mean, so may I press him to start a campaign to tackle anti-vaxxers head-on and to ensure that all Members across the House are able to take a lead on this? It really is a cross-party issue.

[Matt Hancock]

That campaign is under way. We are constantly looking to strengthen it. Of course Facebook and other social media providers have an important role to play. I had that meeting with Nick Clegg, who in fact broke off his holiday in order to take the meeting. [Interruption.] Zoom reaches all parts. In fairness to my former coalition ministerial partner, he absolutely understands the importance of this issue, and Facebook has been doing very significant work. That does not mean that there is not more that it can and must do, but the response was positive. Further work needs to be done to make sure that we get the positive messages across.

[Steve Brine (Winchester) (Con)]

The Secretary of State will know that, as somebody who knows PHE well and knows what it actually does, I have some concerns about the changes that he announced last month. Although I can see the arguments about future health protection and future pandemics, of which sadly there will be more, we need to know who is taking ownership of the long-term public health work on smoking, air quality, obesity and childhood vaccinations, and the inequalities work that PHE does. Is he considering bringing that experience and vast expertise, which I benefited from as a Minister, back into the Department of Health and Social Care, for instance?

[Matt Hancock]

My former ministerial colleague, a distinguished former Public Health Minister, raises an incredibly important point. We are undertaking consultation on precisely this question right now; in fact, I invite him to come into the Department to give his views. The critical thing is that we need to ensure that we drive the health improvement agenda, the obesity agenda and the wider health improvement agenda forward very strongly. Local councils have a huge role to play in this, and they must be bound yet further into the health improvement agenda. The NHS has a huge role to play, and that must be bound more strongly again. Today’s announcement is good progress from the NHS. This is incredibly important. We are going to get it right. It is a very high priority of the Prime Minister, and I look forward to working with him on making it happen.

[Martyn Day (Linlithgow and East Falkirk) (SNP) [V]]

Will the Secretary of State commit to raising healthcare funding to help prevent a potential second wave, while ensuring that Scotland’s NHS receives the necessary levels of Barnett funding to help it prepare effectively for a potential winter wave and ensure that Scotland’s health workers have all the resources that they need?

[Matt Hancock]

Yes. This country has never increased health spending in a year more than it has this year, and the Barnett consequentials mean that many billions of pounds have flowed to Scotland to improve the response in Scotland, too.

[Jason McCartney (Colne Valley) (Con)]

Will the Health Secretary join me in thanking the people of Kirklees for the sacrifices that they have made during the period of the local restrictions? As he knows, thanks to the use of localised granular data, much of Kirklees will come out of those local restrictions tomorrow. Will he continue to work with me, with parliamentary colleagues, including my hon. Friend the Member for Dewsbury (Mark Eastwood), with the leadership of Kirklees and with the local director of public health, and use that data, so that we can get the rest of Kirklees out of these local restrictions very soon?

[Matt Hancock]

I pay tribute to my hon. Friend, who has behaved with great dignity in arguing that people need to follow these restrictions but that the restrictions should be targeted and based on the data. Our approach is to have objective local action where it is necessary—only where it is necessary—based on the data. We have reached a good solution to this question in Kirklees, which will be put into force tomorrow, but I look forward to continuing to work with Kirklees to make sure we get the virus under control right across the district so that every part of Kirklees can be released from these measures, which nobody wants to put in place but which are there for a reason.

[Mr Speaker]

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