Nigel Evans debates involving the Department of Health and Social Care during the 2019-2024 Parliament

Dementia Action Week

Nigel Evans Excerpts
Thursday 27th May 2021

(3 years, 6 months ago)

Commons Chamber
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Helen Whately Portrait The Minister for Care (Helen Whately)
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I thank all Members who have spoken in the debate, and spoken so powerfully, time and again drawing on their personal experience of dementia in their family. That is a sign not only of the prevalence of dementia, but, as my hon. Friend the Member for Gloucester (Richard Graham) pointed out, of how much the stigma of dementia is being overcome.

My hon. Friend the Member for Scunthorpe (Holly Mumby-Croft) spoke about her family experience, but also about the importance of listening to family and the challenges of navigating the system and the administration involved for a family coming to terms with a diagnosis, who have to go through so many processes.

My hon. Friend the Member for Vale of Clwyd (Dr Davies) spoke about the importance of diagnosis with respect to not only the support that people need, but providing a cohort for trials and for research. He drew on his clinical experience, as well as his personal experience, and rightly mentioned the importance of the prevention of dementia and the role of diet and exercise in that.

My hon. Friend the Member for West Aberdeenshire and Kincardine (Andrew Bowie) spoke about how dementia affects the whole family. Very movingly, he spoke of how it affected him when his grandmother lost her power to speak, and of how he used to pray for her to return to being the person she once was.

My hon. Friend the Member for Stockton South (Matt Vickers) spoke about how many of those who care for someone with dementia may be frail themselves or may be holding down a job. He also spoke about Teesside Dementia Link Services and the huge difference that makes for those with dementia and their carers.

My hon. Friend the Member for Redcar (Jacob Young) spoke about his grandads’ very different experiences with dementia, and about the importance of treating those who suffer with dementia with the dignity that they deserve.

My hon. Friend the Member for Keighley (Robbie Moore) spoke about Dementia Friendly Keighley, which so effectively brings people together and provides support for patients with dementia and for carers. He particularly mentioned Barbara Wood, who he said was symbolic of the efforts of the group.

My hon. Friend the Member for Peterborough (Paul Bristow) spoke about how his grandma suffered from Alzheimer’s and referred to his experience as a result of his father running a care home. He spoke about our opportunity to take the same attitude to curing dementia as to the covid vaccination. He is absolutely right: this is a moment in time. We can look at how we have pulled together as a country and how the public and private sectors, scientists, healthcare specialists and others have come together to develop a vaccination for covid; it was forecast at the outset that that might take five or six years, yet here we are with so many millions of people already vaccinated. He also spoke about the antipsychotic medication of those with dementia during the pandemic. As he said—he has contacted me about this—we are working with the NHS to keep a very close eye on the situation.

My hon. Friend the Member for Southend West (Sir David Amess) talked about the importance of reform, including the reform of funding so that people do not have to sell their homes to pay for care. As I have said, we are absolutely determined to bring forward the reforms of social care that we have committed to bringing forward this year.

I want to touch on some of the comments by the shadow Minister, the hon. Member for Leicester West (Liz Kendall). She spoke very movingly in her winding-up speech and made important points about social care reform. She said that it is not just about reform for those who are receiving care right now—our mums and dads, for instance, or our grans and grandads. Many of us will also need care, and so will our children and grandchildren as people live longer. We need a system for ourselves and all those we love that we can be confident provides the care that we want and need.

In her opening speech, when the hon. Lady spoke about the response to the pandemic, she clearly did not hold back in what she said, which may be a sign that she shares my sorrow about the many lives lost to covid. She knows how hard this Government have worked to protect and support people who receive social care, and she knows how hard it has been for care homes in England, but also in Wales, where there is a Labour Government, in Scotland under the SNP Administration, and in many countries around the world.

In a pandemic it is impossible to get everything right, but we have provided unprecedented support to social care and care homes over the past year. Once again, I thank all those who have been involved, including the Department of Health and Social Care team, Public Health England, Skills for Care, the Association of Directors of Adult Social Services, the Local Government Association, local authorities, organisations that we have worked with, such as the National Care Forum, the National Care Association, the United Kingdom Homecare Association, Care UK, Age UK and Carers UK—I could go on, because there have been many of them. I also thank the care providers, the care users and the care workers themselves—the care workforce, who have been on the frontline and have done so much to look after those they care for, through such difficult times.

This is a moment in time, not only for social care reform but for dementia. Yes, we must restore the diagnosis rates and go further. We must make sure that the support is there for individuals with dementia and their carers. We must do more on prevention, because it is estimated that a third of dementia cases are preventable. The Government must, and will, follow through on our commitment to research effective treatments for dementia and find—sooner rather than later—a cure.

Question put and agreed to.

Resolved,

That this House has considered Dementia Action Week.

Nigel Evans Portrait Mr Deputy Speaker (Mr Nigel Evans)
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I will suspend the House for a brief moment for the sanitisation of both Dispatch Box covers and the safe exit and arrival of the main players.

NHS Dentistry: Waveney

Nigel Evans Excerpts
Tuesday 25th May 2021

(3 years, 6 months ago)

Commons Chamber
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Motion made, and Question proposed, That this House do now adjourn.—(Rebecca Harris.)
Nigel Evans Portrait Mr Deputy Speaker (Mr Nigel Evans)
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Can I just pause a second to ask those who are leaving to do so in a covid-friendly manner, and to give the Minister an opportunity to come in? There we go.

A Plan for the NHS and Social Care

Nigel Evans Excerpts
Wednesday 19th May 2021

(3 years, 6 months ago)

Commons Chamber
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Damian Green Portrait Damian Green (Ashford) (Con)
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It is always a pleasure to follow the hon. Member for Rhondda (Chris Bryant).

Like other Members across the House, I welcome the performance and incredible dedication of NHS and social care staff throughout the pandemic. In the specific context of the Queen’s Speech, I also welcome the Government’s commitment to greater integration. The NHS is a great institution full of massively dedicated people, but my observation over the years has been that it is also a series of individual institutions, all of which are tenacious in the defence of their own interests. GPs are wary of hospital trusts, community services have a separate set of interests, and so do ambulance trusts and others such as pharmacies, which play a vital role but too often do not feel engaged enough.

The integration that the promised health and care Bill seeks to bring about is exactly the right solution, in a number of fields. Technology is clearly key—not just technology at the cutting edge of diagnostics or life sciences, but straightforward stuff so that systems talk to one another and patients do not have to repeat the same set of symptoms to doctor after doctor in different settings because their records have not been passed on. That kind of frustration has no place in the 21st century and should disappear.

The biggest prize of all is proper integration between the health and social care systems. My right hon. Friend the Secretary of State is absolutely right to focus on that in one of his White Papers, and I welcome that as well, but with two caveats. This must not be a takeover by the NHS of social care. The White Paper suggests integrated care systems, which are fine, but I slightly raise my eyebrows at the proposed dual system where the NHS effectively gets its integrated decision in first and then shares it with the social care system. It is vital that social care has a voice at the table where the decisions are taken.

My second caveat is that the social care voice must be properly representative. Too often when people say, “We have consulted social care”, what they mean is, “We have consulted the local authorities.” Clearly, local authorities have a key role to play in this, but they are not the whole social care sector. There are third sector providers and private sector providers, and their voices need to be heard as well. There are 1.6 million workers in the sector—it is larger than the NHS—and their voices need to be heard.

Of course, all this will mean something only if we have a stable and sustainable solution to the social care conundrum that has defined Governments since the 1990s. On that, I want to make four quick points. The first is on funding, which lies at the root of many of the frustrations. It must come out of national, not local, taxation, and it must certainly involve extra state spending, possibly through a hypothecated national insurance increase for some people. It should also involve extra personal savings from those who can afford it, perhaps based on a small percentage of total assets rather than a flat figure for the whole country.

We need to solve the question of funding to solve this, but as well as that, we need a proper workforce plan, not just with better pay, though that is needed, but with a career structure, so that a social care career can be seen as the equivalent of a career in the NHS. The great value of social care workers should be reflected not just inside the system but in wider Government policy, including, for example, in the immigration system.

We also need changes to our attitude to housing and planning. We need to build homes so that people can live in their own homes for longer than they too often can now. Everyone prefers to live in their own home. And, fourthly, to assist that, we must do much better with technology. We need to use the technologies that are now available—it is not cutting-edge technology—to allow people to spend much more of their life in their own home, living a life in comfort before they may have to go into residential care. That is not only better for people, it is much cheaper for the taxpayer and for the families.

All these reforms are necessary if we are going to have a long-term, stable system. Along with my right hon. Friend the Member for South West Surrey (Jeremy Hunt), I have called for a 10-year plan for social care to go along with the long-term NHS plan. That is absolutely essential. It is also essential that this is the year in which we start down this path. We have talked for too long about social care: we need to act.

Nigel Evans Portrait Mr Deputy Speaker (Mr Nigel Evans)
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We are in for a treat now: one of two maiden speeches today. I remind everybody that, by convention, there will be no interventions. We are not putting the clock on the maiden speeches, but both Members have been told about the time constraints, so good luck! To make her maiden speech, I call Anum Qaisar-Javed.

Anum Qaisar Portrait Anum Qaisar-Javed (Airdrie and Shotts) (SNP)
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Thank you, Mr Deputy Speaker. It gives me immense pleasure to be making my maiden speech during an incredibly important debate on the NHS, and it is a pleasure to follow the right hon. Member for Ashford (Damian Green). I thank my constituents for voting SNP—[Hon. Members: “Hear, hear!”]—and for bestowing upon me the greatest honour of my life by electing me as the Member of Parliament for Airdrie and Shotts. I want to take this opportunity to send a strong message to my constituents: I am here for you. I pledge to stand strong and work tirelessly for you, your families and our communities across the constituency.

I would also like to use my maiden speech to pay tribute to my predecessor, Neil Gray, and to congratulate him on his election to the Scottish Parliament. In this place, Neil showed himself to be a fierce advocate for his constituents and for social justice. I very much look forward to working with him in the constituency we now share and delivering for our community from Westminster and Holyrood.

I must confess, Mr Deputy Speaker, I am not altogether unfamiliar with this place, having had the privilege of working for my hon. Friend the Member for Glasgow North West (Carol Monaghan) some years ago. I subsequently followed my other passion and retrained as a teacher. Teaching modern studies and politics has been a delight. In fact, it was only recently that I showed my high school democracy pupils video clips of this very Chamber. It was suggested to me by a colleague that I would miss my school pupils, because no matter how rowdy they were, the House of Commons was much worse. I am pleased to say, however, that my experience so far has not confirmed that.

Some say Scotland is cold, but in Airdrie and Shotts, you will feel a warmth you will remember. The people are friendly, welcoming, honest and thoroughly decent. At the beating heart of the constituency are hard-working activists—people like Sharon Craig, who has continually championed her local community in Craigneuk, and Sarah Quinn, whose dedication knows no bounds and is making young voices heard via the Fortissat Youth Forum.

Upon entering this place, I did in fact ask for an internal map—there are lots of corridors. I was told that the best way to navigate myself through the building was to simply get lost. I must take this opportunity to thank all the House staff, who have been very kind and welcoming, even though they were telling me to get lost—in particular Kate Emms, who has been a source of guidance, and Doorkeeper Sarah Binstead-Chapman, who found me wandering while I was wishing there was a parliamentary sat-nav app.

It is fitting to make my maiden speech while we discuss the NHS. It was in fact a campaign by my SNP predecessor that kept the Monklands hospital in Airdrie. I have witnessed at first hand the sacrifice and dedication of our NHS staff, not least by my husband, Dr Usman Javed, who is sitting in the Gallery today. I take this opportunity to thank all the healthcare workers in my constituency and beyond for the sacrifices they have made this last year.

I wish to make one more plea that goes slightly beyond the NHS. The NHS would have collapsed without overseas staffing and immigrants who have made valuable contributions to this country. This may not be popular in some circles, but the points-based immigration system championed by the Government is deeply flawed. Were it in use when my father planned to come to this island, he would have been blocked and this country would have been deprived of one Member of Parliament, one doctor and one medical student—myself and my siblings. That is one of the reasons why Scotland needs independence, so that policies best suited for our people’s needs are developed and delivered by those in Scotland.

So I end my maiden speech with a plea: please let Scotland be free. In the short term, devolve immigration so that we can set policies that are reflective of the needs of Scotland.

Nigel Evans Portrait Mr Deputy Speaker (Mr Nigel Evans)
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Congratulations. My maiden speech was shocking. [Interruption.] A bit like my other speeches, I know. But yours was accomplished, so many congratulations.

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Virendra Sharma Portrait Mr Virendra Sharma (Ealing, Southall) (Lab) [V]
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Thank you, Mr Deputy Speaker, for giving me the opportunity to speak in this vital debate on the NHS and social care.

I want to speak about social care, which is in the midst of a severe crisis. Tragically, 40,000 older people have died in care homes since the beginning of the pandemic. In response to this tragedy, only one sentence of the Queen’s Speech last week was afforded to fixing the care system. In the memory of those people, the Government must put in place a proper social care system that will prevent such an injustice from ever taking place again. Instead, another year goes by where the Prime Minister has nothing to say to the hundreds of thousands of older people neglected by a broken system that still denies them the care that they so desperately need. This Government have been in power for 11 years and have done nothing to act on the matter.

Over the past 20 years, there have been at least 12 Government reviews, royal commissions, consultations, and Green and White Papers, yet still we have no change. During this time, Germany, Austria, France and Japan have all solved the issue. Even the Scottish Government, under a Labour Administration, were able to institute free personal care. This Government have dodged the issue for 11 years to the detriment of the 400,000 older people who go without the care they need. This is a failure of leadership, but it is also a collective failure of our political class to solve one of the defining issues of our time by ensuring that the older generation, after a long life of hard work and contribution to our society, are afforded the dignity that they deserve in older age.

It cannot be right that more than 10% of older people spend virtually all of their life savings on care. When the Prime Minister came to office, he committed to

“fix the crisis in social care once and for all.”

Now, nearly two years on, he needs to do something to fix this problem once and for all.

When it comes to who needs access to care, it is often smokers, so we need to commit to support reduced-risk products as the best way to help people move off cigarettes. We cannot let those in deprived areas continue to suffer from further smoking-led health inequalities. We must establish two distinct categories of regulation to differentiate between the most harmful tobacco products, and the reduced risk products such as vapes and “heat not burn” cigarettes. I am deeply concerned that public health advice is not getting to my constituents. Black, Asian and minority ethnic communities must have access to the right information and advice to quit cigarettes or to move to less harmful alternatives—that could prove to be a distinct success.

As a result of these pressures, we see more and more care homes close every year, with fewer people able to find the beds they need. I urge the Secretary of State on behalf of the thousands who need help today to take two parallel courses of action. First, I urge the Government to immediately commence cross-party discussions in good faith to create consensus, not over the problems, but to find solutions. Over the past half century, at every turn, politicisation has disturbed what window of opportunity we have had available, and the adversarial nature of our politics has not solved this vital problem.

Secondly, the Government must have faith in local government, and give councils the tools and resources to build and then run a cohesive system of social care. Local authorities have performed admirably during covid-19, and have shown that they are truly capable of running such a system. We should take the lessons learned over the past 14 months and put them into action. Local government knows how to run programmes; the Government should give them the resources to do it. Acting now is not a political white flag. It is not compromise; it is showing decisive leadership. It is weak to leave this issue unaddressed. Strength is acting to save lives, and the dignity of everyone forced into the arms of social care. The Prime Minister is—

Nigel Evans Portrait Mr Deputy Speaker (Mr Nigel Evans)
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Order. I am sorry, Virendra; you have just run out of time. I do apologise. No offence is intended.

I call Robin Millar to make his maiden speech.

Robin Millar Portrait Robin Millar (Aberconwy) (Con)
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It is a privilege to rise and speak in this debate, and indeed a pleasure to follow the hon. Member for Ealing, Southall (Mr Sharma). I must say it has been a particular pleasure, too, to listen to speeches in this Chamber for the past 17 months, and I am humbled by the eloquence, the learning, the quick humour and concerns that hon. Members across the House bring to debates such as these.

My predecessor, Guto Bebb, was a man who followed his principles. As a Back Bencher, his campaign on interest rate swaps led to 11 bully banks paying out more than £1.5 billion in settlements to more than 15,000 businesses. He went on to become a Parliamentary Under-Secretary of State for Wales and then Minister for Defence Procurement. In short, he was a three-time winner of general election campaigns, a two-time Minister of State and an effective advocate for the exploited. He earned the respect of colleagues and opponents and secured the affections of his office team. Those are considerable accomplishments, and they have guided me since entering the House, so it is a pleasure to recognise them with these few words today.

I was born and raised in north-west Wales. That is where I learned the importance of family, where I found my Christian faith, and where lifelong values were formed. It is also where I had my first political experience, as a six-year-old in 1974, campaigning for the late Wyn Roberts MP, more recently Lord Roberts of Conwy. Even now I remember his campaign cry of “Win with Wyn”, and I still proudly wear the campaign rosette he gave me to thank me for my decisive contribution to his successful re-election campaign that year.

In Wales we have a word, cynefin, which loosely translates as habitat; but it means much more than that, and carries a sense of belonging and being in the right place. So, although I left family and home for education, a career and for love, it was perhaps inevitable that I should return to Wales and end up in politics. To be sent to Westminster by the people of Aberconwy is a very special personal honour and a great privilege, and I will do all I can to repay the trust and the confidence they have placed in me.

For centuries the beauty of Aberconwy, its heritage and culture have drawn visitors from around the world, including many hon. Members from this House. Many who have come have stayed, and the houses they have built tell a fascinating story of ambition and influence, dispute and resolution. The Victorians enjoyed our seaside towns and villages so much that their houses line the promenades from Llanfairfechan to Llandudno. The Groes Inn on the shoulder of the Conwy valley is the oldest licensed pub in Wales, and has been a place of rest and refreshment for weary travellers since 1573.

Each of the castles of Aberconwy, along the Conwy valley—Deganwy, Conwy itself, Gwydir and Dolwyddelan —offer different perspectives on our rich history of English kings and Welsh princes in their mountain passes. Further up the valley and deep into Snowdonia—or Eryri, as we call it—is Tŷ Mawr, the house of Bishop William Morgan. His translation of the Bible into Welsh not only saved the Welsh language but changed the history of Wales, and it serves as a testament to the relevance of timeless truths to us today in this place.

These are rich seams, and points that I will return to another day, but the subject of today’s debate is the Health and Care Bill and Her Majesty’s Gracious Speech. The UK has a growing and ageing population. Around 18% are over 65 years old, but in Aberconwy that figure is closer to 27%. While there is no cure for old age yet, the challenge that we face is to reduce the burden of care and help ensure longer, better lives. So I support the Prime Minister’s aim to give every older person the dignity and security they deserve. On this one point I will make a simple observation.

This UK Government ensured that residents in all parts of the UK could benefit from the furlough scheme and receive financial relief at a time of crisis; this UK Government ensured that residents in all parts of the UK would benefit from a world-leading and lifesaving vaccination programme; and this UK Government can use the Health and Care Bill to ensure that residents in all parts of the UK will have access to consistent minimum standards of healthcare.

While residents of Aberconwy in north Wales are served by the gifted and hard-working professionals of Betsi Cadwaladr University Health Board, it was in special measures for six years until just a few months ago. Workers there have coped superbly with the pandemic response and are delivering hundreds of thousands of vaccines, yet some 6% of residents in north Wales have been on a waiting list for treatment for over a year. These are UK residents, they need the support of their UK Government, and this Bill, surely, is an opportunity for us to enable that support.

That is just one of the challenges we face in Aberconwy. We must build back a balanced economy, improve our road, rail and telecommunications links, develop green energy schemes, tackle flooding, and more. But whether on climate change, public service finance, social care, national security, our economy or international trade, these challenges are best faced together. I believe that our United Kingdom is the best response to the global challenges we face today. I do not underestimate the difficulty of building solutions across political parties and Parliaments, but we must strengthen the ties that bind us to best serve those we are here to represent.

Nigel Evans Portrait Mr Deputy Speaker (Mr Nigel Evans)
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Congratulations, Robin, and thank you for the Welsh lesson on “cynefin”. I used to see it outside houses in Swansea and always wondered what it meant, so now I know.

We are now going to a three-minute limit on speeches. I call Munira Wilson.

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James Davies Portrait Dr James Davies (Vale of Clwyd) (Con)
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It is a pleasure to rise in support of the Queen’s Speech today. The past year has highlighted the challenges facing our health and social care systems, and I welcome the Government’s legislative agenda, which will tackle some of the most pressing issues. In the short time available, I will focus on three issues: plans to tackle obesity, the potential benefits of UK-wide comparable healthcare data, and the need for better access to, and choice of, secondary and tertiary healthcare for the residents of north Wales.

In the UK, 63% of adults are overweight or living with obesity. This places an enormous strain on the NHS, reduces quality of life and stifles economic productivity. The Government have a clear agenda to tackle obesity, and I welcome, among other measures, the confirmation of a total online ban and a 9 pm TV watershed for the advertising of high-fat, salt and sugar products. The commitment to legislate for calorie labelling in cafés, restaurants and takeaways is also welcome. Although I acknowledge certain concerns on behalf of those with eating disorders, I believe this policy will have a clear net benefit for our national health.

Can progress also be made on introducing calorie labelling for alcohol products? I am in no way anti-alcohol, Mr Deputy Speaker, as you know—in fact, I am a proud member of the beer, and wine and spirits all-party parliamentary groups—but I believe that there is currently poor awareness that alcohol consumption is a significant contributor towards our national obesity crisis. An alcohol calorie labelling programme would be a useful tool to enhance the plans already outlined in the Queen’s Speech.

The availability of comparable data on covid infection rates and vaccination roll-out throughout the country has been a key driver in our response to the pandemic, yet looking at healthcare more broadly, comparisons between England, Scotland, Wales and Northern Ireland can be difficult to draw. My personal experience as a GP, anecdotal evidence and basic comparisons indicate that, despite the hard work and commitment of health staff, patients in Wales often receive inferior levels of service when compared with their friends in England.

By introducing UK-wide health data, politicians at all levels will be held to account, practitioners and policy makers can better share best practice, and, ultimately, equal health outcomes will be promoted. Such an approach would be complemented by the establishment of independent UK-wide healthcare inspection, safety and audit mechanisms. In short, we have opportunities that I believe we must seize to level up healthcare. I ask the Minister to consider what the UK Government can do, beyond the legislative programme already announced, to protect and promote the health of all British citizens.

I am looking forward to seeing the progress of the health and care Bill. I hope that, as part of the legislative process, the Government will consider the challenges that Welsh patients currently experience, whereby access to specialist healthcare treatment in England is typically dependent on restrictive contracts or individual funding requests. Improving access to specialist care—

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Dehenna Davison Portrait Dehenna Davison (Bishop Auckland) (Con) [V]
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I would like to begin by congratulating my hon. Friend the Member for Aberconwy (Robin Millar) and the hon. Member for Airdrie and Shotts (Anum Qaisar-Javed) on their excellent maiden speeches. I remember all too well how daunting that is, having made my own maiden speech in the Queen’s Speech NHS debate in January last year.

Since then, our NHS has had the most turbulent of times. I pay tribute to the dedicated healthcare staff in my constituency, working day and night to keep us safe from coronavirus. I pay special tribute to Dr Poornima Nair, a dedicated and well respected GP at the Station View medical centre who died with coronavirus last year. In the House, I have talked about the light at the end of the covid tunnel. Thanks to the success of the UK’s vaccine roll-out, we are now beginning to see that light.

It was a UK grandmother who became the first person in the world to be given the Pfizer covid jab and, from then on, it has been onwards and upwards. The Government’s early focus on securing an extensive vaccine portfolio means that over 57 million doses have been given in the UK. The pandemic has really highlighted the importance of local healthcare and, as I mentioned in my maiden speech, it is one issue that unites every corner of my constituency. That has never been more true. From Bishop Auckland Hospital caring for covid patients to local GP surgeries and pharmacies vaccinating us to get us out of this pandemic, all parts of my constituency have pulled together.

Local healthcare provision matters, and that is why I will never stop banging the drum in this place for improved health services at Bishop Auckland Hospital. I am campaigning to restore the A&E that was lost under Labour, and I am grateful to both the Health Secretary and the Minister of State for Health for meeting me to discuss the campaign.  So far, the Government have invested £450 million to upgrade accident and emergency facilities in more than 120 trusts, so I know they understand how vital A&Es are to local healthcare provision, and I hope my ministerial friends will hear me clearly when I say I will continue to fight for the restoration of our A&E in Bishop Auckland.

The Queen’s Speech has healthcare at its heart, and I want to focus on one aspect that is close to my heart and to my politics: mental health. I have talked in the past about my own struggles around mental health. The importance of talking about it cannot be overstated. Every speech, every conversation, every time we talk about our own challenges that we have faced, we chip away at the stigma, but it is clear that talking about mental health alone is not enough. I am glad, therefore, that the Government are pushing ahead with their reform of the Mental Health Act 1983. Work is already under way on improving access to community-based mental health support, with £2.3 billion a year as part of the NHS long-term plan, but I am looking forward to seeing what further changes are proposed. The stigma around mental health needs to end, and every time we talk about it we help chip away at that stigma. Let us press ahead with improving the situation on the ground, improving mental health support and helping to ensure that no more lives are lost through poor mental health.

Nigel Evans Portrait Mr Deputy Speaker (Mr Nigel Evans)
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Thanks, Dehenna. Sadly, we had to cut the video—we had a still of you—and the audio was not brilliant. Perhaps you could have a chat with the technicians to try to establish what the problem was.

Covid-19 Update

Nigel Evans Excerpts
Monday 17th May 2021

(3 years, 6 months ago)

Commons Chamber
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Matt Hancock Portrait Matt Hancock
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Because we have a better approach. Our UK approach has led to the vaccination of 400 million people. The hon. Gentleman should take enormous pride in that. We have been able to do that while protecting the intellectual property rights that will lead to the development, for instance, of the new vaccines, the new technologies and the variant vaccines that are going to be necessary in the future. It is that combination of the protection of intellectual property rights plus the giving away of this vaccine at cost to the developing world—to lower and middle-income countries.

I reiterate the point I made earlier, which I hope the hon. Gentleman will take pride in: of the 54 million vaccine doses delivered through the COVAX facility, of which we are a major funder, 53 million have been of the Oxford-AstraZeneca vaccine, delivered with no charge for the intellectual property. That is the approach we should be taking. That is what we will do, and I urge everybody around the world to follow.

Nigel Evans Portrait Mr Deputy Speaker (Mr Nigel Evans)
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I do aim to try to take everybody, so can we have concise questions—and concise answers, Secretary of State?

Bob Blackman Portrait Bob Blackman (Harrow East) (Con) [V]
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My right hon. Friend will be aware that London has a younger cohort and is full of communities from across the world, but many are hesitant because of the activities of pharmaceutical companies in the countries of their origin. Will he look at aspects of control to ensure that those communities can get the vaccine they choose to take, rather than attempting to force them to take vaccines they are extremely reluctant to take?

Matt Hancock Portrait Matt Hancock
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We have had a principle of saying that they come forward for the vaccine and get the vaccine that is there on the day, but of course we have nuanced that because of the changes in the clinical advice on the AstraZeneca vaccine. As we reach further and further into those who need encouragement to come forward, so we are willing to look at more and more creative solutions to tackle people’s hesitancy. As it happens, I was in Brent central mosque last week at Eid. It was absolutely wonderful to see the work they have done to make sure that people of all faiths and none can come forward. For many Muslim people it means that in Brent they can go forward to somewhere where they are very comfortable being vaccinated. It was brilliant, frankly, to see teams working in the mosque to vaccinate people of all backgrounds. The imam was vaccinated by someone with the support of a member of the Jewish community with me looking on, all organised by a Hindu administrator. It was modern Britain at its best. They have done thousands of vaccines and they have done great work. I know it is that sort of approach that my hon. Friend is looking for. If we can do more on the specifics of which vaccine, I am very happy to look at that. [Interruption.]

Nigel Evans Portrait Mr Deputy Speaker (Mr Nigel Evans)
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I think we have just heard the skies opening above us. I am grateful we can now eat inside restaurants.

Emma Hardy Portrait Emma Hardy (Kingston upon Hull West and Hessle) (Lab)
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Hull Royal Infirmary is a tower block and the geography of the building has resulted in a higher number of covid transmissions in hospital, despite the excellent work being done by all NHS staff. I fear that covid cases caught in hospital will only increase with a more transmissible strain of the virus. Will the Secretary of State look urgently at providing Hull Royal Infirmary with the funding it needs to improve its building as we all learn to live with the virus?

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Matt Hancock Portrait Matt Hancock
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No. The statistic that is missing from that analysis, which was also missing from that of the hon. Member for Sheffield Central (Paul Blomfield), is the amount of testing that is done in each country. We have to look at the positivity when an appropriate selected sample is tested. It is not possible to do that in many low and middle-income countries, so the best way is to look at the positivity rate of people who are travelling to the UK, because we test everybody. That is the most statistically appropriate way to assess the question that the hon. Member for Eltham (Clive Efford) rightly tries to assess, and it showed that positivity rates were three times higher in India.

Nigel Evans Portrait Mr Deputy Speaker (Mr Nigel Evans)
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The time limit in the Queen’s Speech debate following this statement will start at five minutes, but I am sure it will go down thereafter.

Tobias Ellwood Portrait Mr Tobias Ellwood (Bournemouth East) (Con)
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I look forward to welcoming my right hon. Friend the Secretary of State when he visits the vaccination hub in Bournemouth. Today’s partial liberation of covid restrictions will be welcome up and down the country, and not least in Bournemouth where hospitality and tourism are so important, but the development of yet another mutation in the Indian variant illustrates that until this pandemic is brought under control globally, other more deadly mutations may develop. Does my right hon. Friend agree that this is a shared global adversary? Will it be raised at the G7 summit, and when does he think our spare vaccine capacity can start to be directed abroad?

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Matt Hancock Portrait Matt Hancock
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I am incredibly proud that the UK has the highest measured rate of enthusiasm for taking the vaccine in the world, and especially that such a diverse nation has been able to achieve that record by taking this positive attitude and having people from Her Majesty down setting out the value of being vaccinated. I pay tribute to the comms team at NHS England and my communications team from across Whitehall, which have taken the lessons for how to get a positive narrative, especially on social media, and made sure we fought lies with objective truth. That has been fantastic.

On the ground, there are some really good examples. I mentioned my visit to Brent central mosque and I pay tribute to the people there. Some brilliant work has happened in Leicester; for instance, there was a vaccination centre right next to an area heavily populated by those of Somali background, but they were not going to the vaccination centre despite the fact that it was next door and so we set up a vaccination centre almost next door but where the doctors and clinicians are themselves Somalis. We then we saw a very sharp rate in the Somali vaccination rate. That is one example that I can immediately add to the elucidation of the answer to this question, but there are legion. People from around the world have been coming, via Zoom, to talk to some of our more innovative vaccination centres, be it at the mosque, at the Hindu temple in Neasden, which is doing brilliant work, in Leicester or, now, in Bolton and Blackburn, where I hope we can make some really significant progress. Frankly, this country should be proud of how people have pulled together to make this vaccination programme work.

Nigel Evans Portrait Mr Deputy Speaker (Mr Nigel Evans)
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Unbelievably, I am older than Will Wragg, marginally, so I have had my first jab. The second jab is a week Saturday—bring it on! Secretary of State, thank you for your statement today. We will suspend for two minutes.

Public Health

Nigel Evans Excerpts
Monday 26th April 2021

(3 years, 7 months ago)

Commons Chamber
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Nick Thomas-Symonds Portrait Nick Thomas-Symonds
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I have already indicated that it is not my intention to push the motion to a vote. I simply thank everyone who has contributed to the debate, particularly my hon. Friend the Member for Kingston upon Hull West and Hessle (Emma Hardy) and my hon. Friend the Member for York Central (Rachael Maskell), who spoke very movingly about the situation faced by her constituent. I urge the Minister to look at the system of exemptions, the system of booking, the standard of service and the support for people in hotel quarantine. I also once again urge the Government to change course and introduce a comprehensive system of hotel quarantine.

Question negatived.

Nigel Evans Portrait Mr Deputy Speaker (Mr Nigel Evans)
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For those leaving the Chamber—please do so in a covid-friendly way at 10 minutes past 1 in the morning.

Coronavirus

Nigel Evans Excerpts
Thursday 25th March 2021

(3 years, 8 months ago)

Commons Chamber
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Christopher Chope Portrait Sir Christopher Chope (Christchurch) (Con)
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It is a pleasure to follow my hon. Friend the Member for Altrincham and Sale West (Sir Graham Brady). I thank him for his leadership in the campaign that so many of us support, trying to ensure that some common sense and proportionality are brought to this debate and that we have our freedoms back, because we should not have them taken away from us unless there is the most compelling justification.

As my hon. Friend said, this is also an issue of trust. The Government are using the slogan “data not dates”, but the data is either being withheld or ignored. I have been regularly looking at the so-called coronavirus dashboard. Suddenly, when the data got rather good from my perspective but bad from the Government’s perspective, it disappeared. The latest data on the dashboard for hospital admissions in Dorset goes back to 11 March, so I had to make my own inquiries, and I found out that within the last week, there have only been three hospital admissions in all the hospitals throughout Dorset. We have 1,200 beds in our hospitals, and we have a population of over three quarters of a million people. That data does not tell me that it is reasonable that we should continue to have a lockdown and that people should be deprived of their social and economic liberty. One of my constituents who is very good on these things wrote to me saying that 5,000 cases from 1.9 million tests shows that 99.993% of the population were unaffected. That is what we are talking about in terms of proportionality.

The Health Protection (Coronavirus, Restrictions) (Steps) (England) Regulations 2021 extend to 94 pages. How do the Government believe that we can support the regulations when there is not even an impact assessment for them? If there was an impact assessment, it would point out that every day those regulations remain in place is costing the economy about £1 billion—£1 billion a day. We can get a lot of for £1 billion, and if a cost of £1 billion a day is being incurred, there certainly needs to be a lot more justification than the Government have so far adduced during this debate.

I expect that people will increasingly take the law into their own hands as they see that there is no risk in going out and meeting in the open, as was confirmed in evidence to the Science and Technology Committee, and that there are very few risks associated with social mixing with people who are already vaccinated. The Government have got it completely wrong on risk assessment. My advice to the Minister would be to go and get some risk assessment therapy during the Easter break and then come back with some new ideas in April. He should reflect on the adage that the welfare of humanity is always the alibi of tyrants. That, in essence, is what this debate is about, and that is why I shall be voting against these measures.

Nigel Evans Portrait Mr Deputy Speaker (Mr Nigel Evans)
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After Greg Clark’s four-minute contribution, there are seven Members left to speak. To get everybody in, we will reduce the time limit to three minutes, and the winding-up speeches will start no later than 4.44 pm.

Greg Clark Portrait Greg Clark (Tunbridge Wells) (Con)
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My hon. Friend the Member for Christchurch (Sir Christopher Chope) mentioned the evidence to the Science and Technology Committee that there is no known instance of outdoor infection from covid. That comes from a session that we held to scrutinise the science behind the road map measures, and I thought in my few minutes today I might just draw the House’s attention to some more of the evidence we took.

First, the road map was set based on an assessment based on evidence that is more than six weeks old. It did not have the advantage that we now have of the experience of what has happened since the vaccination programme returned results. What we know, very happily, is that the assumptions made were much more pessimistic on vaccine take-up and vaccine effectiveness than have come to be realised.

My hon. Friend will know that witnesses to our Committee suggested strongly that if we are to be driven by data not dates, we should have the flexibility to advance more quickly, should that be possible. We know that there is not the opportunity today to revise those dates, so we have what we have, but I hope that the Minister will take from this debate the real determination that we should stick at least to those dates and be rigorous in looking at the data, all of which is encouraging.

I have some concerns, as did witnesses to the Committee, about what might happen in the future. A fellow member of the Committee, the hon. Member for Blackley and Broughton (Graham Stringer), talked about the opacity of some of the data that is there to trigger further releases. The road map is in place, but the powers of the 2020 Act will continue, and I was a little concerned to hear the Secretary of State in his opening speech, having noted the 90% fall in hospital admissions from the peak of the pandemic, then use words of great caution about continuing to need to protect the NHS. Of course we need to do that, but we need to know what that means.

In evidence to the Committee, both Chris Whitty and Dame Angela McLean begged this House—politicians and Ministers—for some indication of what we regard as a tolerable level of risk. In the case of flu, which they cited, we have deaths each year, but in seeking to avoid them we do not lock down the whole country, so we need to supply an assessment of what degree of proportionality we should take. I do not say that should boil down to a number, as we do not do that with flu; we should nevertheless come to an understanding of what are appropriate measures in the context of the disease.

Finally, it is important to reflect on the evidence that we heard that we will not be entirely able to keep out infections and new variants from overseas, short of doing such damage to our society and our economy as is unconscionable for a trading nation as well connected as we are. I hope therefore that the Minister will confirm that we are not going to pursue a policy of repelling boarders, which would be ruinous for our economic future and our reputation as an open trading nation.

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Charles Walker Portrait Sir Charles Walker
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On a point of order, Mr Deputy Speaker. You will be well aware that I was not able to vote in last week’s Divisions, because I am chairing the relevant Bill in Committee, so that is not a legitimate point of debate from the hon. Gentleman.

Nigel Evans Portrait Mr Deputy Speaker (Mr Nigel Evans)
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The shadow Minister will have heard the comments, and I am sure he would want to respond himself.

Alex Norris Portrait Alex Norris
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I apologise to the hon. Gentleman. I am wrong there, and I would like the record corrected.

I would say that those colleagues—those who were present in previous Parliaments—also voted for the Transparency of Lobbying, Non-Party Campaigning and Trade Union Administration Act 2014 and for reforms to trade union rights. I also believe that most, if not all, of them intend to vote for what are pretty draconian reforms to our voting process, particularly regarding identification. So I am not here to take lectures on individual freedom.

I think this is about ideology and worldview. If someone spent the 40 years since Ronald Reagan became President telling people that the thing holding them back was Government and that the way forward was less Government, then this last year has been a problem. It has shown at home and abroad that Government do have a role in making sure that people have an income, do have a role in making sure that they have housing and do have a role in protecting their health, and that it is not always best to leave things to the market.

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That the Order of 2 June 2020 (Proceedings during the pandemic (No. 2)), as amended on 1 July and 22 October 2020, the Order of 4 June 2020 (Virtual participation in proceedings during the pandemic), as amended on 1 July, 2 September, 22 October and 30 December 2020, the Order of 3 November 2020 (Proxy voting during the pandemic (No. 2)) and the Order of 25 February (Sittings in Westminster Hall during the pandemic) shall have effect until 21 June.—(Matt Hancock.)
Nigel Evans Portrait Mr Deputy Speaker (Mr Nigel Evans)
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I wish all Members a very good and peaceful Easter, as well as all the staff who have worked here and looked after us during this particularly stressful period.

Jessica Morden Portrait Jessica Morden (Newport East) (Lab)
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On a point of order, Mr Deputy Speaker. May I seek your guidance on a matter of correcting the record? Earlier today, during the urgent question on steel and the situation at Liberty asked by my hon. Friend the Member for Manchester Central (Lucy Powell), the Business Secretary said that the closure of SSI happened before 2010, but that is not correct.

If the Secretary of State does not know, the plant was purchased by SSI in February 2011 but closed in October 2015, after David Cameron refused to intervene. How might we get the Business Secretary to correct the record, to reassure Liberty Steel workers—not least those in Hartlepool pipe mills, who remember the fate of the Teesside steelworkers at SSI—that he will not abandon steel? It is very telling that the Government do not know or understand their own record of inaction on steel.

Nigel Evans Portrait Mr Deputy Speaker (Mr Nigel Evans)
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I thank the hon. Lady for advance notice of her point of order. As she knows, the Chair is not responsible for the content of any contribution from a Minister. Having said that, Mr Speaker has made it absolutely clear that where a Minister knows that they have inadvertently misled the House or there is an inaccuracy, they should correct the record as quickly as possible.

Women’s Health Strategy

Nigel Evans Excerpts
Monday 8th March 2021

(3 years, 8 months ago)

Commons Chamber
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Nadine Dorries Portrait Ms Dorries
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I refer my hon. Friend to my previous answer. The impacts on BAME women in the health sector are of the utmost importance. That is why, over a 12-week period, we are using all Departments and all Ministers to keep the drumbeat up and make sure that we reach all women across the sector. It is really important to us that as many women from as many backgrounds and as many geographical locations as possible across the UK respond to this call for evidence.[Official Report, 12 March 2021, Vol. 690, c. 6MC.]

Nigel Evans Portrait Mr Deputy Speaker (Mr Nigel Evans)
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I thank the Minister for her statement and for responding to all 20 questions on the call list. May I ask Members to be very careful as they leave the Chamber? We have Karen Buck on video link, which means that we can go straight on to the ten-minute rule motion. Perhaps during that period we could sanitise both Dispatch Boxes so that we can go straight on to the next business, if the principals have taken their places, and get at least one extra person in for the Budget debate.

Covid-19

Nigel Evans Excerpts
Monday 22nd February 2021

(3 years, 9 months ago)

Commons Chamber
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Kim Johnson Portrait Kim Johnson (Liverpool, Riverside) (Lab) [V]
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I want to start by thanking the incredible workers in the NHS who have delivered our brilliant vaccine roll-out, which has enabled us to start lifting some of the lockdown measures. While I welcome the road map laid out by the Prime Minister earlier, I add my voice to the many others today who have said that this lockdown must be the last. Sadly, however, we have been here before. The plans announced today that all pupils will return to English schools on 8 March shows that, once again, the Prime Minister has buckled under pressure from people within his own party and failed to listen to the science and learn the lessons of his previous mistakes. While it is welcome news that covid infection and hospitalisation rates are falling, the inconvenient fact remains that cases are three times higher now than when the schools reopened last September, and we still have regional variations. Just last month, the Prime Minister called schools, “vectors of transmission”. Full reopening of schools will now bring nearly 10 million pupils and staff into circulation in England—close to one fifth of the population—and that is not a cautious easing of lockdown restrictions no matter how the Prime Minister tries to spin it.

Today, nine major education organisations, including trade unions representing staff working every day in schools and colleges across the country, called the Government’s commitment to bring all children back to school at once “counterproductive and reckless”. They called for a phased approach, as is being taken in Scotland, Wales and Northern Ireland. Will the Paymaster General please explain why England has taken a completely different approach from the other three nations? Will she agree to publish the scientific evidence that underpins this decision?

Neil, a primary school teacher in my constituency and chair of the schools network, said, “We want our schools fully open as soon as possible. However, we think that it might have been more sensible to begin with a staggered start from 8 March rather than straight full reopening. This would give an opportunity to the Government and SAGE to monitor on a weekly basis as we open for more year groups. The vaccination of school staff before the full reopening would be very helpful not only in helping staff to stay safe, but also in reducing community transmission.” This is a direct comment from teachers working on the frontline in Liverpool Riverside. As we have heard, Government scientists themselves have warned that a big bang return of all pupils to school at once could lead to the infection rate rising above 1. That risks the virus spreading exponentially and running out of control yet again. Instead of repeating their previous mistakes, will the Government follow the advice of scientists and teachers and take the same approach as the devolved nations and commit to a phased return to schools?

We are all aware of the desperate situation facing pupils and students who have now faced nearly a year of disruption to their education, drastically deepening inequalities—

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Christine Jardine Portrait Christine Jardine (Edinburgh West) (LD) [V]
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A year ago, covid-19 was a distant threat. Today, it has claimed more than 100,000 lives and damaged tens of thousands more in this country. In its wake, it has left us with the worst death rate in Europe and an ailing economy.

We all, I am sure, welcome the terrific progress that has been made in vaccinating millions of people. It is that vaccination programme that will protect us all in the future. It will help to protect our NHS from being overwhelmed in the way that we heard from the Minister it almost was at the turn of the year. We need to protect and support our magnificent NHS staff, who have risked their own health on the frontline—many of them are foreign nationals with no guarantee that they will be able to stay—and those who look after mental health, which we know has come under immense pressure across the country.

I regret that I have to disagree with the hon. Members for Central Ayrshire (Dr Whitford) and for Aberdeen South (Stephen Flynn). The picture that Scottish National party Members paint in this place of their Government’s glorious success in leading the fight against covid-19 in Scotland and rolling out the vaccine north of the border is not, I am afraid, reflected in the daily calls I receive from constituents, as many others do, who watched the success down south and compared it with the delays we were encountering in Scotland. The people of Scotland, in my constituency and in many others, deserve much more respect for what they have endured and achieved in this past year. They deserve those of us who serve them to put all our attention, our sole focus, on recovering from the health and economic impact of this pandemic.

Tomorrow we are due to hear the latest unemployment figures and learn just how many jobs have been lost, and how many families are now paying the economic cost of the pandemic. The vaccine is crucial in fighting the health war, but we need a bold innovative plan next week from the Chancellor to rebuild and repair our economy to help the countless small businesses—retailers, florists, cafés, bars, taxi drivers—many of which are in my constituency of Edinburgh West. We need furlough extended and finally an acknowledgement of the thousands —no, millions—of people who have had no financial support at all in this crisis. No more patchwork reactions from the Chancellor, but a clear comprehensive plan for small businesses. The tourist industry, events, and our aviation sector, which is facing the biggest threat in its history, all need support.

My hon. Friend the Member for Twickenham (Munira Wilson) called for a resilience fund for our children and young people who have so often been forgotten. They need the best support we can offer. That must not end with the reopening of the schools; that is a step, not a solution.

We all want to see an end to lockdown and covid itself, to feel secure in our daily lives and be able to share them again with our families and friends. We have made progress, but we have so much more to do—

Nigel Evans Portrait Mr Deputy Speaker (Mr Nigel Evans)
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Sorry Christine. I call Jacob Young.

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Nigel Evans Portrait Mr Deputy Speaker (Mr Nigel Evans)
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Andy, I will stop you at 9.44 pm—just carry on talking until I stop you.

Andy Carter Portrait Andy Carter (Warrington South) (Con) [V]
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Thank you for bringing me in, Mr Deputy Speaker. It is a pleasure to follow my hon. Friend the Member for Ipswich (Tom Hunt).

I suspect that for most parents listening to the Prime Minister’s announcement earlier, the news that all children will be back in school from 8 March is very welcome—not because we have had too much of the little cherubs appearing midway through Zoom calls, but because the best place for children to be is in school with their friends, socialising and learning. Having listened to my son’s virtual lessons over the past few weeks, I suspect that most teachers will also be delighted to have children back in one place, focused on the lesson and not distracted by whatever else is going on in their bedrooms.

I pay particular tribute to the hugely professional teachers who have adapted to a blended Teams and Zoom world through ever-changing circumstances. The ongoing uncertainty has created significant anxiety for young people, with particular pressure for those due to take exams this year and next. The focus on catch-up and support funding for mental health is now critical, and I request that the Secretary of State for Education allows flexibility in the way that schools deliver those programmes.

It would be remiss of me not to mention the efforts of mums and dads across Warrington who have been home-schooling while also working and doing all the other things that are necessary for life to continue.

I welcome the news that the Chancellor will address support for businesses in the Budget next week. I make one specific request: extend the business rates holiday for eligible small businesses.

Finally, the incredible vaccination programme both here in Warrington and throughout the UK has meant that we can have some certainty around a route out of lockdown. Having visited four of the five vaccination centres in Warrington over the last few weeks—

Nigel Evans Portrait Mr Deputy Speaker (Mr Nigel Evans)
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Sorry, Andy. It was short but sweet.

Future of Health and Care

Nigel Evans Excerpts
Thursday 11th February 2021

(3 years, 9 months ago)

Commons Chamber
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Matt Hancock Portrait Matt Hancock
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Yes. We care about technology in the NHS because we care about people and the improvements to people’s lives that it can generate. Surgical robots are just one example. I am very glad to hear that they are being used in such an innovative way in Burnley Hospital. I would love to come and see that for myself some time. This is exactly the sort of progress that the NHS should be making to free up the time of dedicated and highly skilled clinicians, and to enable the delivery of more high-quality surgery because of, for instance, the higher magnification that one can get in using a robot for surgery. That is just one example of the sort of thing that we can push further as a result of the measures in this White Paper.

Nigel Evans Portrait Mr Deputy Speaker (Mr Nigel Evans)
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When you go to Burnley, Secretary of State, I know you will also put Ribble Valley, Chorley and a few other places on your list.

Tony Lloyd Portrait Tony Lloyd (Rochdale) (Lab) [V]
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The Secretary of State may be aware that before I returned to Parliament, I had some involvement with the establishment of the Greater Manchester model of health and social care. Can I offer him two insights from that? First, social care is clearly not yet funded in the way that is needed if we are to have proper integration. Secondly, it was possible to have a Greater Manchester strategic level for the nearly 3 million people of the conurbation, but to have integration and delivery at the district level. On the integrated care systems, will he guarantee that there will be nothing that prevents the very successful model that Greater Manchester is already pioneering?

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Imran Hussain Portrait Imran Hussain (Bradford East) (Lab) [V]
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A year and a half ago, we halted the dangerous back-door privatisation of key services in Bradford’s hospitals while Ministers sat on their hands and ignored the outcry of NHS staff and local people. The proposals in the press confirm what I and many others have long said about the disaster and waste of privatisation in our NHS—[Inaudible.]

Nigel Evans Portrait Mr Deputy Speaker (Mr Nigel Evans)
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Imran, it is a very bad line, even on audio-only, but the Secretary of State is going to have a go at answering.

Matt Hancock Portrait Matt Hancock
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The irony is that the proposed changes that the hon. Gentleman was concerned about, which were halted, were ones that it is currently legally impossible for a Minister to stop without going through a whole process, which he knows about. The proposals in the White Paper will make it easier for us to work together collaboratively on the right outcome and remove some of the bureaucracy that, frankly, stops Ministers getting involved when a project is not going in the right direction. On that basis, I hope that he welcomes the White Paper.

Nigel Evans Portrait Mr Deputy Speaker
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Sorry about the gremlins, Imran, but the Secretary of State did very well in answering your question.

Gareth Davies Portrait Gareth Davies (Grantham and Stamford) (Con) [V]
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Can my right hon. Friend assure my constituents that bringing health and social care much closer together will help to provide a more efficient, higher-quality service? Can he specifically outline how an integrated care model may help to reduce demand for emergency services in Lincolnshire?

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Matt Hancock Portrait Matt Hancock
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The White Paper takes forward parts of those proposals relating to the integration between health and social care, and ensuring that it is those on the ground delivering health and social care who can decide the best way to provide that for their population. We are committed to taking forward funding reforms, as set out in our manifesto. Those funding reforms are not part of this Bill, but the Prime Minister has committed to bring those forward this calendar year.

Nigel Evans Portrait Mr Deputy Speaker (Mr Nigel Evans)
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I thank the Secretary of State for his statement, and for answering 30 questions in just under one hour and 10 minutes.

Covid Security at UK Borders

Nigel Evans Excerpts
Monday 1st February 2021

(3 years, 9 months ago)

Commons Chamber
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Jo Churchill Portrait Jo Churchill
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No, the right point is to work as quickly as possible across all the different Government Departments that are involved to ensure that we have the correct policy so that we are doing the appropriate thing, rather than having a blanket ban and then repeatedly coming back and saying, “What about this. What about that?” We need to ensure that we have an appropriate system that has been reviewed and thoroughly looked at by all the different Departments involved—the Home Office, the Department of Health and Social Care, the Department for Transport, the Cabinet Office and others—so that everybody has made sure that there are no gaps in the system.

This is not just about what the Government are doing; it about what we are all doing. In so many ways, our efforts begin not at the border but at home, with the actions we take to stay at home. The hon. Gentleman spoke of how we can protect the NHS in order to save lives, and in that respect every one of us plays a vital role in driving the rates of the virus down and denying it the opportunity to mutate and give rise to new variants.

As we take the necessary steps at the border, we recognise the challenges they present to industry. We continue to support our air transport sector, including airlines, airports and related services, and by the end of April the sector will have received some £3 billion of support through the covid corporate finance scheme and the job retention scheme. I am sure the Under-Secretary of State for Transport, my hon. Friend the Member for Witney (Robert Courts) will talk more about this, but last Friday we launched our airport and ground operations support scheme, which will support eligible businesses through this difficult time, with airports and ground handlers in England eligible to receive up to £8 million each. That will help them to continue to prepare for a future when international travel is ready to take off again, because we must have a system that fits our playing our part in the world.

It sounds to me that by working out a policy that expects quarantine from everyone, far from looking at ourselves and far from being outward looking, Labour is proposing that we close our doors. That cannot be right if we are all going to walk together and beat this virus. I want to reflect that the Government and indeed the whole country take pride in our being global Britain, a place with a history and culture of being open, outward looking and supportive. Even as we are compelled to take tougher steps at our borders, that spirit lives on, through our leading role in COVAX, boosting global access to covid-19 vaccines; through our new variant assessment platform, bringing British expertise to the world; and through that vast, powerful network of medical and scientific communities collaborating on a worldwide scale so that we can overcome this global challenge. The hon. Member for Torfaen and I agree that medical science can bring so much to helping people in this country .We have spoken about it before, but actually the challenge is bigger now and if we are to meet that challenge, we must remain open and outward looking, while having a proportionate and measured approach to ensuring that the right restrictions are in place for people quarantining.

Finally, even though the perilous situation we face today means we must put so much of our international travel on hold, there is no brake on our ambition to help the world become safer or to do what is our first duty: to safeguard public health, protect the NHS and keep people safe here at home.

Nigel Evans Portrait Mr Deputy Speaker (Mr Nigel Evans)
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Before I call Stuart C. McDonald, let me remind everybody who follows him that there is a three-minute limit on contributions. For those who are delivering theirs outside this place, there is a clock in the bottom right corner of their monitor or device. Please could you keep one eye on that, so that you are not going to be cut off. For everyone who makes a contribution in the Chamber, the usual clocks will be in use.

Stuart C McDonald Portrait Stuart C. McDonald (Cumbernauld, Kilsyth and Kirkintilloch East) (SNP) [V]
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If the Government do not learn from mistakes they make during this pandemic, those mistakes will be repeated, with the same terrible consequences. Let us be clear: this Government have made significant mistakes on covid security at the border. I accept that some of those mistakes are easier to see now with hindsight, but others should have been and were apparent at the time. Indeed, the UK approach to borders stood out like a sore thumb for significant parts of last year, compared with the actions taken by even neighbouring countries. It is not just me saying that, because the Home Affairs Committee has said it. My hon. and learned Friend the Member for Edinburgh South West (Joanna Cherry) has repeatedly pointed out the flaws in the Home Office response over the past year, as one would expect from such a distinguished and knowledgeable home affairs shadow. I pay tribute to her for that work and look forward to maintaining the challenge she posed to the Home Office on this issue and on many, many others.

Of course, the Home Secretary herself has accepted that the Government got it wrong, saying that she argued for border closures last March. That raises questions about why she stayed in post when she was overruled, rather than arguing for essential border closures from outside the Cabinet. Last week, she accepted that there were

“still too many people coming in”—[Official Report, 27 January 2021; Vol. 688, c. 406.]

to the country. That is a stark admission so far into a pandemic. The new measures announced last week by the Home Secretary just about amount to a step in the right direction, but, as is typical of much of the Government’s response to this crisis, it is not a decisive step; it is a hesitant half-measure, when what we needed was bold action.

The Deputy First Minister, John Swinney, has said that the Scottish Government and the SNP believe that

“a comprehensive system of supervised quarantine is required”.

“Comprehensive” is certainly not how we would describe the very limited scheme that the UK Government have drawn up, so we support the Opposition motion. If the Government really want to persuade us that this tentative hotel quarantine policy will genuinely make a difference, Ministers must tell us what estimates they have made of the numbers who will be impacted by these new requirements? How many hotel rooms do they believe will be required? On the other hand, how many thousands of people will continue simply to pass straight through the airports, and out on to public transport and into our towns and cities?

Put simply, we support a more comprehensive scheme because that is what the evidence points to. Professor John Edmunds of the London School of Hygiene and Tropical Medicine told the Home Affairs Committee:

“The places that have had very effective quarantine measures do not ask people to quarantine in their homes.”

So why is the UK not learning more quickly from international best practice? Instead, the UK has offered a half-baked measure that does not bring comfort to the disastrously impacted aviation industry; nor is it decisive enough to appear capable of making any real difference to covid in this country. The Government have tried to operate a timid middle-way compromise, and instead have helped neither public health nor industry. In relation to the South African strain, the stable door was closed half-heartedly, and only after the horse had well and truly bolted.

Both the Scottish and Welsh Governments have expressed concerns that the measure does not go far enough. Although public health measures can take the devolved Governments so far, with border powers and passenger data in the hands of the Home Office, co-operation is required. The preference would be to have strong and consistent quarantine rules across the UK, so I ask Ministers and the Home Secretary to listen and engage very carefully; as and when the devolved Governments seek to go further than the half-baked UK measures, I hope that they will co-operate and provide support.

We need a more comprehensive scheme to protect from covid arrivals at the border. At the same time, we need a bespoke and comprehensive package of support for the aviation industry. From the outset of the pandemic, it was clear that one of the sectors that would be most impacted was aviation. The UK Government clearly felt the same and promised sector-specific support, but the one Government who jumped into instant action to support the sector were the Scottish Government, who provided 100% rates relief for a full year, which has now been extended by at least three months, with the aim of extending it longer. It took the UK Government six months to do anything similar.

With the vast majority of flights grounded, the situation facing the sector is still absolutely dire. Tens of thousands of jobs have gone in the sector, and many that remain have been forced to accept lower terms and conditions. I ask the Government again to support the Employment (Dismissal and Re-employment) Bill of my hon. Friend the Member for Paisley and Renfrewshire North (Gavin Newlands) to outlaw that practice. The sad truth is that, without further support, tens of thousands more jobs will go, so the Chancellor must deliver urgent help, including: action on furlough extension; reversing the decision on tax-free shopping; extending rates relief; and much, much more.

Finally, it is important to emphasise that all these issues will be of increasing importance in the months ahead. As we look forward, with some guarded optimism, to getting cases back under control and as vaccines are rolled out, declining domestic transmission means that preventing transmission from international arrivals becomes more important, not less—if we really are serious about suppressing this virus. I dearly hope that the Government are serious about that. If so, they should support this motion.

Nigel Evans Portrait Mr Deputy Speaker (Mr Nigel Evans)
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There will be a three-minute limit on all contributions from now on, apart from the Front-Bench contributions at the end of the debate.