Covid-19 Update

Munira Wilson Excerpts

Monday 19th April 2021 Commons Chamber

[Matt Hancock]

May I add my praise for those at the vaccination centre at Harlow Leisurezone? They have been working incredibly hard and we are all very grateful. I would add Essex County Council to my right hon. Friend’s long list, which I fully endorse. The council has leaned into the vaccination effort right across Essex. I am always happy to meet him, and with the recent announcement on the UK Health Security Agency, I think now is a good time to have a discussion on this topic.

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

I have been contacted by several constituents who ordered very expensive tests from companies recommended on the Government’s website as part of the test to release scheme. Some never received their tests, some never received their results, and some received their tests late and feared being in breach of the rules. They have had to battle for refunds, and we have heard of others having to leave home to get their tests, which undermines the whole scheme. What vetting, if any, does the Department undertake before listing these companies, especially as demand will no doubt increase, given that the Government are so keen to open up international travel again?

[Matt Hancock]

The hon. Lady is quite right to raise this. We have kicked two suppliers off the list of approved suppliers for testing for international travel, and we are quite prepared to do more if suppliers do not meet the service obligations that they sign up to. If she wants to send in the individual evidence, we will absolutely look at it. We keep this constantly and vigilantly under review. The companies that provide tests must meet their obligations in terms of timeliness and of treating their customers fairly and reasonably. As I say, two of them did not continue to meet those specifications, so we took them off the list of available testing suppliers. We are quite prepared to do more if that is what it takes.

Coronavirus

Munira Wilson Excerpts

Thursday 25th March 2021 Commons Chamber

[Matt Hancock]

Absolutely. The main provisions under which we put in place the lockdown come from the Public Health (Control of Disease) Act 1984, not the Coronavirus Act. The mainstay in terms of the Coronavirus Act is to allow us to support people and public services. For instance, furlough is in the Coronavirus Act; that is not up for renewal, because it is a permanent part—it is for the full period of the Act. Nevertheless, in terms of being able to pay statutory sick pay to people when they are self-isolating, I am asking the House today to renew that provision, and I think that we must.

I want to stress this point to those who are understandably concerned about the extent of powers in the Coronavirus Act. Although the Act remains essential and we are seeking the renewal of elements of it, we have always said that we will only retain powers as long as they are necessary. They are exceptional powers. They are approved by the House for use in the most extreme of situations and they must be seen in that light. Because of the progress we have made, we are now able to expire and suspend a whole raft of measures in the Act, just as we expired provisions after the previous review six months ago.

We propose to expire 12 provisions in the Act: section 15, which allowed local authorities to ease some responsibilities around social care; section 24, which allowed biometric data held for national security purposes to be retained for an extra six months; five provisions that required information for businesses and people involved in the food supply chain; section 71, which allowed a single Treasury Minister to sign on behalf of all Treasury Commissioners—I know the Whips Office is looking forward to getting its signatures out again. There are two provisions that created a new form of emergency volunteering leave, which we have not needed and are retiring. Section 79 extended arrangements for business improvement districts and section 84 allowed for the postponement of General Synod elections. Those are not needed anymore and we are therefore not seeking to extend them. We only extend that which we think is necessary.

[Munira Wilson (Twickenham) (LD)]

I welcome the expiry of some measures, particularly the social care easements, which were discriminatory against the most vulnerable in our society. Will the Secretary of State accept that under the Coronavirus Act we have had 250 people wrongfully charged? The Act is full of far-reaching powers that are not needed. The practical measures he talked about can be brought forward in the next 21 days. As he suggested, the fake news that furlough cannot go on without renewing the Act is just untrue, because that is a permanent provision.

[Matt Hancock]

Furlough is provided for under the Act. As I just said, it is a permanent provision of the Act, but the statutory sick pay is not and I think we should be giving people statutory sick pay to help them to self-isolate.

--- Later in debate ---

[Munira Wilson (Twickenham) (LD)]

We could scarcely have imagined that, a whole year after a strange virus that we knew very little about arrived on our shores and Ministers were able to railroad a 348-page Bill through Parliament in three days, taking away individuals’ rights and freedoms on an unprecedented scale, we would be here being asked to renew those powers yet further still. As my right hon. Friend the Member for Kingston and Surbiton (Ed Davey) made very clear, the Liberal Democrats will not and cannot support the renewal of the Coronavirus Act today. We will absolutely not give a blank cheque to Ministers to continue those draconian powers.

I turn my attention to the road map regulations. In the main, I welcome the fact that the Government have finally learned the hard way, after three lockdowns, 126,000 deaths, of which 84,000 were in the past six months alone, and untold damage to people’s lives and livelihoods, that “steady as she goes”, as opposed to what happened last summer, is the key to unlocking safely. However, as the right hon. Member for Leicester South (Jonathan Ashworth) has already pointed out, vaccination alone will not keep the virus under control as we open up, especially given the third wave that we are seeing surging in so many European countries. That is a huge threat to us, so tough public health measures at our borders are critical, yet the travel ban in the regulations is simply not fit for purpose.

I am appalled that Ministers wish to criminalise people for visiting loved ones overseas, yet the Prime Minister’s father and friends get a free pass to go and take care of their second homes abroad—because of course second home owners cannot possibly bring the virus back into this country, can they? Despite clear scientific advice and international best practice in support of a blanket quarantine for arrivals from all countries, our system was implemented far too late and is far too leaky to properly protect against new variants being imported that could potentially be vaccine resistant. Criminalising international travel with a £5,000 fine and an exemption for second home owners exemplifies the Government’s approach to so many aspects of the pandemic: half-baked, authoritarian, and one rule for them and one rule for us.

Alongside vaccination and tougher restrictions at our borders as we embark on this road map out of lockdown, with virus rates inevitably jumping again, breaking chains of transmission will be critical, as the Health Secretary himself said earlier, yet the regulations do nothing to improve the rate of self-isolation. With as many as 20,000 people a day not self-isolating, when will Ministers realise that paying people to stay at home, and providing practical support for those with dependants and accommodation for those in overcrowded homes, is key to boosting self-isolation?

Robust quarantine measures at our borders and far better self-isolation must go hand in hand with vaccination in order gradually and safely to open up our economy and society. Neither the far-reaching, draconian powers in the Coronavirus Act, nor vaccine passports for domestic use, which would create a two-tier society and an extra burden for struggling businesses, will achieve that aim. Our constituents have sacrificed far too much, and our scientists, NHS staff and volunteers have achieved wonders through the vaccine programme, so I implore Ministers: let us not squander these gains.

Social Care Reform

Munira Wilson Excerpts

Thursday 18th March 2021 Westminster Hall

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

It is a pleasure to serve under your chairmanship, Dr Huq. Social care is and has long been the poor relation of healthcare that successive Conservative Governments have promised to fix yet taken no action on. Here we are, eight years on from when the coalition Government announced and subsequently put into law a new model of social care funding based on Andrew Dilnot’s recommendations, but the Conservatives refused to implement it.

Instead, we had real-terms cuts in social care funding, and now we have yet another top-down reorganisation of the NHS that promises integration, but will do nothing to address the structural or funding reform needed in social care. The Budget, at the start of this month, did not even mention social care. Is it any wonder that most people feel that 1.5 million people with unmet care needs are just not a priority for the Government? Thank goodness for our 9 million unpaid carers, who daily pick up the slack and pay an enormous price, both financially and in their own physical and mental wellbeing, without any recognition. Where would we be without them?

Our care system, as many have already said, was already in peril pre pandemic and is even more so now. Adult social care has consistently been an afterthought for Ministers throughout this pandemic, with more than 25,000 lives lost in care homes to coronavirus and delays in securing PPE and testing for the care sector during the first wave. Many care homes are now teetering on the brink financially. The sector is crying out—with one voice, loud and clear—for a proper, joined-up workforce strategy. We have a staggering 112,000 vacancies, and one in six of the workforce are migrant workers, yet the vast majority of social care roles do not qualify under the new points-based immigration system, even after recent changes.

With 1.6 million social care workers earning less than the living wage, a quarter of the workforce on zero-hours contracts and limited career prospects, how on earth can we expect to provide decent, sustainable care for the most vulnerable adults in our country? The hon. Member for York Central (Rachael Maskell) referred to our mums and dads. It is not only our mums and dads but our brothers and sisters, sons and daughters; a large number of those needing care are actually working-age adults—almost half.

It is time for urgent cross-party action. The letter from the Secretary of State for Health and Social Care to all MPs last March inviting suggestions for social care really does not cut it. Over the last year, the Liberal Democrats have twice formally requested that the Government initiate cross-party discussions. As the Health Foundation says:

“These problems are not intractable but solving them requires political will and government spending.”

Given the monumental challenge before us, when will Ministers make good on the Prime Minister’s promise to fix social care and invite others to the table to help develop those solutions?

[Dr Rupa Huq (in the Chair)]

The good news is that Members have been very good at sticking to time, so we actually have a little bit of extra time to play with. If the three Front Benchers all stick to 11 minutes, that will give the hon. Member for Worsley and Eccles South (Barbara Keeley) time to wind up the debate. First of all, we are off to bonny Scotland and Dr Philippa Whitford for the SNP.

Health and Social Care Update

Munira Wilson Excerpts

Thursday 18th March 2021 Commons Chamber

[Matt Hancock]

If I may say so, Madam Deputy Speaker, I think my right hon. Friend would wear that tie if he were in the Chamber as well. He makes an important point about the future of investment of public health. He is a great champion for Harlow, and he and I have spoken about the Harlow project many times. As he knows, we are reforming the way we deliver public health, to make sure that the delivery of health security, especially against contagious diseases, gets its own special focus, and the vital work of health improvement, to improve public health in non-contagious diseases, such as by tackling obesity. The Harlow project has been worked on for some time and I look forward to working with him on the next steps in that programme.

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

The Secretary of State rightly paid tribute to the service and sacrifice of NHS staff over the past year. Several Conservative Members joined me in speaking to nurses and Royal College of Nursing representatives from across south-west London last week. The message to us was clear: they are traumatised and exhausted after treating thousands of severely ill covid patients, and they are insulted by the proposed 1% pay rise. Will he therefore follow the example of the Welsh Government and offer NHS workers a £500 tax-free bonus as well as a real-terms pay increase?

[Matt Hancock]

As the hon. Lady knows, we are in a difficult economic situation due to the pandemic, and about 700,000 people have lost their jobs. As a result, we have implemented a pay freeze across the public sector, for all but the lowest-paid workers and NHS staff. As she knows, the independent pay review body is looking at this point, but, like her, I bow to no one in my admiration for the work of staff across the NHS. They have worked incredibly hard and have done a huge amount to help people through this pandemic. She is absolutely right to say that we must support them, especially in getting rest and recuperation after this latest peak, because we also have work ahead of us to make sure we can deal with the consequences of covid, including the backlogs for which I announced the financial support to crack through today.

Covid-19: Government’s Publication of Contracts

Munira Wilson Excerpts

Tuesday 9th March 2021 Commons Chamber

[Edward Argar]

I am grateful to my right hon. Friend, and I am happy to say he is absolutely right. He has a lot of experience in government and in this space. All those contracts and all assessments of contracts, whichever route they came via, went through the eight-stage process of assessment by independent civil servants who know commerce and know procurement. I would not for a moment cast aspersions on their judgment, and Ministers did not determine which contracts were or were not awarded in that context.

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

Given the number of fast-track VIP covid contracts that have resulted in unusable protective equipment, will the Minister commit to recovering public money from the companies that did not meet their contractual obligations? Does he agree that those hundreds of millions of pounds might have been better spent on a decent pay rise for the NHS workforce?

[Edward Argar]

The hon. Lady makes an important point about contracts that either failed to deliver or where PPE, for example, did not meet the required standards. I can reassure her that we are undertaking a stocktake—an audit—of exactly that, and we are already pursuing a number of cases where, if PPE was either not to the required standard or was not delivered, we will recoup the money from that.

NHS Staff Pay

Munira Wilson Excerpts

Monday 8th March 2021 Commons Chamber

[Helen Whately]

My hon. Friend is absolutely right. The NHS workforce is the exception to the pay freeze for the wider public sector, recognising the huge amount of work done and the lengths they have gone to in looking after us all during covid. He is absolutely right that we will wait for the response from the independent pay review bodies before we announce the pay settlement.

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

The Test and Trace programme, which the Scientific Advisory Group for Emergencies considers has had only a marginal impact on covid-19 transmission, will have had an almost 150% increase on its original £15 billion price tag following the small print buried in the Chancellor’s Budget last week. Is this Government’s claim that the 1% pay offer to NHS staff is all they can afford actually serious?

[Helen Whately]

The first thing I would say to the hon. Member is that the Test and Trace programme is doing a truly phenomenal job. The other thing I would say is that in the pandemic what we absolutely need is an effective test and trace programme, so I make no apologies for the fact that we are making sure it is funded.

Covid-19 Update

Munira Wilson Excerpts

Tuesday 2nd March 2021 Commons Chamber

[Matt Hancock]

That is an incredibly important question, and I pay tribute to the work that my hon. Friend has done in getting that message out. In Harrow we are vaccinating in mosques, temples, and GP surgeries. A critical part of the roll-out is to ensure that the message gets to everybody that this vaccine is safe and it works. It is no good just my saying that. We want to, and we are, engaging with leaders of all communities—faith leaders, and people who have strong voices in their community. Critically, we must ensure that people feel as much as possible that the vaccination effort is accessible to them. It is on us to ensure that the vaccines are easy to get hold of, and that people get answers to any reasonable questions they may have. I look forward to working further with my hon. Friend on delivering that across Harrow and the whole of the country.

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

I am sure the Secretary of State will agree that every hour is vital in tracking down new positive cases, particularly new cases of new variants. Will he explain why the eye-watering £22 billion that has been spent on the test and trace system does not track each and every test that is sent out, based on a unique code for every test? Surely that would help close the net on positive tests much quicker than the public calls for help that we have seen over the past few days, when that vital information is missing when each test is returned.

[Matt Hancock]

I am not sure you were in the Chair, Madam Deputy Speaker, when I addressed that precise question in my statement. Not having the contact details happens in about 0.1% of tests. In this case, we think the test was done as part of a home test kit, when it is incumbent on the individual to set out those details. Home test kits can be sent to someone’s home, in which case of course we have the details of where it was sent. Alternatively, in response to surges, tests can be taken round by local authority teams and dropped off. We therefore need to find out exactly where this test was dropped off. What the hon. Lady omitted to say is that the team has done a good job of narrowing down where that may be to 379 households. The call-out at the weekend was answered with a number of leads, and we are working hard to make sure we find the individual concerned.

Covid-19

Munira Wilson Excerpts

Monday 22nd February 2021 Commons Chamber

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

I have just been prompted by my husband to tell the hon. Member for Windsor (Adam Afriyie) that it is not just mums, but dads who are delighted to have schools reopening—my husband has been home-schooling our daughter for many weeks.

Our children and young people have too often been forgotten about during this pandemic. They have been cast aside and, until today, put low on the priority list, so I very much welcome the Prime Minister’s commitment today to reopen schools on 8 March to those who are not currently allowed to attend. Clearly, children’s education is critically important, but so is their mental health and wellbeing. We cannot underestimate the toll the pandemic has taken on our children and young people. They have had face-to-face learning curtailed, time playing and socialising with friends banned, sporting and other recreational activities banned, and exams on and then off, all the while with ongoing uncertainty about what assessment will entail.

The Prince’s Trust says that more than half of young people are anxious. We know that one in six children aged five to 15 now suffers from a probable mental health condition. One in four has self-harmed over the past year and the pressure on child and adolescent mental health services beds is being described by health officials as being at crisis point. So while the Government’s £1 billion catch-up fund to help tackle the impact of lost teaching time is very welcome, any academic catch-up will be undermined by poor mental health.

Although schools have flexibility in spending the catch-up premium, Government guidance heavily emphasises academic catch-up. Early evidence suggests that while some schools are using a small proportion of the funding on additional wellbeing and mental health support, it is overwhelmingly being used to support academic catch-up. That is why I am calling on the Government today to invest in a ring-fenced resilience fund, as recommended by YoungMinds. This £20 per pupil fund will ensure the value of the academic catch-up fund is fully realised and prevent vulnerable young people from being left behind. The additional funds would allow schools to develop bespoke mental health packages for their pupils, such as counselling, digital support, staff wellbeing, peer support programmes and access to extracurricular activities in a covid-safe way. No two schools are the same. Each face their own challenges and know their children best, so the resilience fund must be flexible to allow schools to provide support that meets their own needs.

Last week, the Children’s Commissioner said in her final speech:

“I want to see the Prime Minister getting passionate about making sure that we don’t define children by what’s happened during this year, but we define ourselves by what we offer to them.”

I urge the Minister today, if the Government are really serious about putting children first, they should offer our children and young people a holistic package of support that is not just focused on their academic needs, but puts their wellbeing at its heart.

Future of Health and Care

Munira Wilson Excerpts

Thursday 11th February 2021 Commons Chamber

[Matt Hancock]

Yes. There are measures in this White Paper that precisely pick up the work of the prevention Green Paper that my hon. Friend did so much to shape when he was in the Department with me. In fact, many of the proposals in the White Paper are built from conversations that he and I shared. I want to put on the record my gratitude for the work that he did in shaping this agenda, because ultimately a population health agenda is an agenda about the prevention of ill health. Of course we must—and we will—treat those who become ill, but it is far better for everybody to support people to take a shared responsibility, including their own personal responsibility to stay healthy in the first place. The population health agenda that will be at the heart of the integrated care systems is ultimately a preventive agenda, and one that I am very glad to hear that he supports so wholeheartedly.

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

On this day eight years ago, the Government announced and then legislated for a new funding model for social care, which the Tories then scrapped two years later. Eight years on, we have yet another NHS reform announcement, but only yet another promise to reform social care. With 25,000 care home deaths during the pandemic, what will it take for the Prime Minister to make good on his promise to fix social care, and when will the Secretary of State start the long-promised cross-party talks to find a solution?

[Matt Hancock]

On the contrary—this White Paper covers health and care. It covers the integration of the NHS and social care at a local level. Of course there is further work on funding, as we have committed to in our manifesto, but the integration of those services, which has been so important during the pandemic, is one of the critical pieces of the forthcoming health and care Bill.

Covid-19 Update

Munira Wilson Excerpts

Tuesday 9th February 2021 Commons Chamber

[Matt Hancock]

On the first point—the point of clarity—my hon. Friend has stated the position exactly correctly. On the second, we want of course to be able to exit from these arrangements into a system of safe international travel as soon as practicable and as soon as is safe, and Professor Van-Tam last night set out some of the details that we need to see in the effectiveness of the current vaccines on the variants of concern in order to have that assurance. If that is not forthcoming, we will need to vaccinate with a further booster jab in the autumn, on which we are working with the vaccine industry.

These are the uncertainties within which we are operating. Hence, for now, my judgment is that the package that we have announced today is the right one.

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

Many of us have been urging the Government for about 12 months now to take stronger action at our borders, so the measures announced today are very welcome, but Ministers have been consistently slow on this issue. With the ONS estimating today that, tragically, covid deaths in the UK have now surpassed 125,000, how many of those deaths does the Secretary of State believe could have been prevented by imposing much stricter public health measures at our borders since last March?

[Matt Hancock]

We have had significant measures at the border throughout. The new, stronger measures are necessary because of the arrival around the world of new variants of concern at the same time as the vaccine roll-out is progressing successfully. We do not want the very successful vaccine roll-out to be undermined, so it is reasonable to take a precautionary approach to international travel now, while we assess the effectiveness of the vaccines. We are clear that they have some effectiveness; the question is to what degree. That is being tested right now.