Covid-19

Rachael Maskell Excerpts

Thursday 22nd October 2020 Commons Chamber

[Jonathan Ashworth]

I am truly grateful for that reassurance, because the Secretary of State will understand that many people in those areas will be concerned and Members will want to get their points of view on the record on that front.

The virus has caused a pandemic because it exploits ambivalence and takes advantage of our human vulnerabilities. It undermines our biological defences and spreads through human social behaviour and clustering. We know that people with long-term chronic conditions in particular are vulnerable, and we know that there is a greater burden of illness in our more disadvantaged areas, which covid cruelly exaggerates. We know that as we entered this crisis, we had less resilience as a society. We entered with life expectancy falling for some of the poorest and stalling nationwide, and life expectancy is a summary of our overall health.

In the past 10 years, the amount of life in good health has decreased for men and women. Our child mortality rates are some of the worst in Europe, and poor health and chronic illness leave communities acutely vulnerable to disease, so it should come as no surprise to any of us that some of the boroughs currently fighting the most virulent fires are some of the very poorest in our country, with the very worst life expectancy.

I welcome the progress being made on diagnostics, therapeutics and vaccinations, which the Secretary of State has updated us on today. We welcome the expanding of mass testing, including the saliva testing and the lateral flow testing. I hope, by the way, that the Secretary of State will invest in our great universities, which are developing some of this saliva-based testing, because they will need the equipment and the labs to process it. He will probably need to invest in robotics and artificial intelligence to do some of that, because there are not enough staff to do it at the moment, and I hope that is part of his agenda. As well as all that, because the virus is now endemic, we will need a health inequalities strategy to get on top of this virus for the long term.

In the immediate term, we also need to adjust our behaviours to bring infection rates down, which is why I have supported the difficult restrictions that the Secretary of State has had to impose, and it is why we are saying we need clarity all the time from Government. But people also want to know that there is light at the end of the tunnel, because it is still not clear to families in Bury, Heywood and Penistone and all those other places that have been put under lockdown in recent days how they will escape it.

We still do not know whether the restrictions across the north will be lifted when the national R falls below 1 or when local regionalised R values fall below 1. We still do not know whether restrictions will be lifted across the north when hospital admissions stabilise. Yesterday, the Prime Minister said that decisions are

“based on a number of things including the R—also, of course, rates of infection, rates of admission to hospital and other data.”—[Official Report, 21 October 2020; Vol. 682, c. 1053.]

He did not tell us what that other data is. Perhaps the Minister responding to the debate can outline how an area in the north in tier 3 gets out of those restrictions. I know that the areas will be reviewed every four weeks, but what are the criteria to inform those reviews?

I represent Leicester, where we are in tier 2, but we have been in a version of restrictions for 114 days. We went directly from national lockdown to local lockdown. In fact, we endured tougher restrictions than those currently designated for tier 3. Our hospitality closed, our non-essential retail closed and—I did not agree with this—our schools closed as well. All those measures together did help to bring infections down in Leicester to about 55 per 100,000—to be frank, many Members would bite your hand off for 55 per 100,000 now—and even at 55 per 100,000 we remained in a version of lockdown.

Now, months later, after all the sacrifice we took in Leicester—after months with our businesses closed, with the mental health impact of people not being able to see their loved ones and families denied the opportunity to visit a care home to see their grandmother or mother—our infection rates in Leicester are 219 per 100,000. The Secretary of State will therefore have to forgive me when I express some scepticism that his approach will work and suppress the virus to the levels sufficient to bring the R value down, because although the early restrictions in Leicester did have an impact, after months we are still under restrictions with infection rates over 200 per 100,000.

The Secretary of State updated us on the situation we are in. He has been good at updating the House repeatedly; I have no criticism of him at all on that front. The growth rate in the virus is slower than in March—it is more muted, thanks to the great sacrifices of the British people, with hand hygiene, social distancing and everything we are doing—but it is not plateauing. We are dealing with an autumn resurgence, and for all the heat and fallout we have had across the House this week, the truth is that the virus is at worrying levels everywhere. The national R is between 1.3 and 1.5. The R across the south-east is between 1.3 and 1.5, across the south-west between 1.3 and 1.6, and across the east of England between 1.3 and 1.5.

Of course, admissions to critical care are currently concentrated in the north and the midlands, but while at this stage in the first wave those admissions to critical care were beginning to come down, they are continuing to go up. It is right that improvements in care mean that people are less likely to die. That is a good thing, and we all celebrate that, but general and acute beds are filling up with covid patients across the north and across the midlands.

We know that the Prime Minister has rejected a circuit break for now—he does not rule it out indefinitely. We think he should have taken advantage of next week’s half term. He decided not to do that. But we should remind ourselves that SAGE advised the circuit break on 21 September. A month later, on 21 October, we had these grim statistics: 191 deaths; 996 hospital admissions; 6,431 in hospital; 629 on ventilation; 26,688 tested positive; and 249,978 cases in the past 14 days. Many will ask how much of that could have been avoided, had the Prime Minister gone along with SAGE’s advice a month ago.

Today, the Chancellor said in his statement that we have to find a balance between saving lives and protecting livelihoods, but I do not believe that the two are in conflict. It is not a trade-off. Actually, I do not believe the Secretary of State thinks it is a trade off—the tone of his remarks was very different from that of the Chancellor earlier. Saving lives and protecting livelihoods go hand in hand. I worry that the approach the Government are currently taking—while understandable, because nobody wants to be in a lockdown, and none of these decisions are easy or do not have negative consequences; I think we are all mature enough across the House to appreciate and understand that—means that there will, by necessity, have to be tougher, deeper action in the weeks to come, not only in autumn. Winter has not hit us yet.

Professor John Edmunds of the London School of Hygiene said yesterday in one of the Select Committees that

“there’s no way we come out of this wave now without counting our deaths in the tens of thousands…I think we are looking at quite a bleak situation unless we take action…I don’t think we should be taking action just specifically in the highest risk areas, but I think we need to take action everywhere”.

A similar sentiment was expressed by Sir Jeremy Farrar, who is also on SAGE. For balance, Professor Van-Tam said at the press conference this week that he disagreed, but also that

“we may have to push on the pedal a little harder”

to get it under control.

I know the Secretary of State is a decent man. He has been very good throughout this crisis in talking to me privately; one would expect a Secretary of State and a shadow Secretary of State to have those discussions. Whenever I have asked for briefings, all the way back to January, he has ensured that the chief medical officer would give me confidential briefings, as I am sure that every Member across the House would understand and appreciate. So I know he is a decent man. I know he is not playing games or anything like that. I know that these are difficult judgment calls of extraordinary gravity. I know there is no easy solution. Everything has trade-offs; everything has negative consequences. But we also know that unless we take decisive action, the consequences could be even worse. No one should pretend to the House that that is not the case. There is a worry that by not taking action now, we will, in the words of Professor David Hunter, an epidemiologist at Oxford,

“all wind up in tier 3 eventually.”

According to Times Radio yesterday, Government sources were telling it that the Government are now planning a three-week circuit break next month across all tier 2 and tier 3 areas. If that is the case, then the Government should probably level with us so that we can all start preparing for it.

This is not just about minimising harm and deaths from covid. As the Secretary of State said in responding to questions from my hon. Friends, we have a huge responsibility and duty to minimise harm and deaths from non-covid conditions as well. We have to avoid the situation that we were in in the spring, when the immense lockdown, which was actually a number of different interventions all at once, meant that to build surge capacity in the national health service, we had to cancel elective operations to free up general and acute beds, and much important diagnostics work and treatment got delayed. That has left us with a situation today where 110,000 people are waiting beyond 12 months for treatment, compared with just 1,600 in January; 3 million people are waiting for breast, bowel or cervical screening, and more people are waiting for treatment.

My worry is that we will end up building a greater backlog in treatment if we do not act. General and acute beds are filling up. We have a number of hospitals cancelling electives already. Bradford has just suspended non-urgent surgery. Birmingham is talking about suspending non-urgent surgery. It is happening in Nottingham. We know that Merseyside is under considerable pressure; the Secretary of State outlined it. It has just been revealed in the Health Service Journal that we are heading into this winter with 2,000 fewer beds than we had last winter. Today the Royal College of Emergency Medicine has warned that over half of A&Es across the country are caring for patients in corridors due to the lack of beds—and we are not even in winter yet. Our overcrowded A&Es are not ideal at the best of times, but during a covid pandemic it is obviously highly dangerous to be treating patients in corridors of A&Es. The president of the royal college, Katherine Henderson, has pointed out that this situation

“will put more lives at risk than it ever did before.”

If the Government really want to drive down infections, suppress the virus and ensure that general and acute beds are not overwhelmed and more operations are not cancelled, then they have to seriously consider what steps they need to take to go further. Unless the Secretary of State or the Minister is going to get up at the end of this debate and say, “Actually, we’re going to do a circuit breaker over half-term next week”, I accept that the Government have probably missed that window of opportunity now, but at some point they will have to take further action.

We could have avoided much of this if test and trace had been more effective. The Secretary of State is spending £12 billion on this programme. Twelve billion pounds is a colossal amount of money. Some of it is going on consultants who earn £7,000 a day, but where on earth is the rest going? We are throwing around figures in this covid debate, and we are becoming quite complacent and relaxed about them, but £12 billion is an extraordinary amount of money; we could probably run the NHS for a month or so on that. We learn today that the system is contacting only 59.6% of contacts, which is the equivalent of failing to contact 101,000 people. That is not world beating; it is a world-beating shambles. I really hope that the Government look at stripping all the failing private outsourcing firms, such as Serco, of these contracts and putting local public health teams in charge. That would be much more effective.

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

I want to pick up a point about the app. It is telling people to self-isolate, but it does not give them the code that they need for the process, so they cannot claim their £500. That is creating chaos across local authorities. Does my hon. Friend agree that the Government need to get on top of this quickly?

[Jonathan Ashworth]

Absolutely. There have been problems with the app. When I am in Leicester, it tells me that I am in an area that is both medium and high alert. Leicester has been under lockdown for 100 days, so how can the app say that in the part of Leicester where I live?

Down Syndrome Awareness Month

Rachael Maskell Excerpts

Thursday 22nd October 2020 Commons Chamber

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

I am grateful to the hon. Member for securing this debate, having worked with people with Down’s syndrome for many years. I put on the record my huge gratitude to the Once Seen theatre company in York, where people with Down’s syndrome act. Their acting is so powerful and so moving, because it is about life experience. Does she agree that we need to put on a platform so much of the talent that people with Down’s syndrome have?

[Dr Cameron]

Absolutely. I am thankful for that intervention, which exemplifies our debate and the change in the narrative that all of us across this House wish to see. We should be promoting the excellent work of those individuals and groups with Down’s syndrome who are achieving so much in society.

Up About Down is a campaign run by the Windsor Essex Down Syndrome Association, a fantastic charity that has being raising awareness about Down’s syndrome through positive and accurate information since it was founded in 1990. It is all about changing the narrative surrounding Down’s syndrome; it is about looking beyond medical prognoses and seeing the individual stories and successes of individuals with Down’s syndrome who live happy and fulfilled lives and who are crucial contributors to local communities, economies and industries. It is absolutely in that spirit that I bring this debate before the House.

In 2019, an article was published that caught my eye, entitled “10 brilliant breakthroughs by people with Down Syndrome”. It highlighted Zack Gottsagen, a theatre major graduate of the Dreyfoos School of the Arts who starred in

“a modern Mark Twain style adventure story, The Peanut Butter Falcon, which tells the story of Zak…a young man with Down syndrome, who runs away from a residential nursing home to follow his dream of attending the professional wrestling school of his idol”.

The article also highlighted Heba Atef, who

“became the first-ever Egyptian flight attendant with Down syndrome to embark on a special flight from Cairo to Khartoum…the ‘Journey of Humanity’ took place under the sponsorship of the UN International Committee and was specifically tailored for people with special needs.”

The article notes that the Swindon Advertiser reports that

“a scaffolder living with Down’s syndrome was named Britain’s number one apprentice. His boss, the owner of Coles Scaffolding company Martyn Coles, said Todd had great determination. ‘He comes in every day and proves people wrong. Winning the award just shows he can do it.’”

Emmett Kyoshi, a teenage artist living with Down’s syndrome in Chicago, hosted his third art exhibition in 2019,

“showing the world that the extra chromosome he was born with is anything but a disability.”

Then there are Madeline Stuart—the world’s first catwalk model with Down’s syndrome—and Francesca Rausi, who have been credited for proving society’s perception of beauty wrong. They had the opportunity of walking at New York Fashion Week and meeting some of Hollywood’s biggest stars; again, they changed the narrative.

Closer to home, Positive about Down Syndrome told me about Tom, who lives in London and has two part-time jobs as a barman and catering assistant and is also an award-winning weightlifter; Bethany who works for West Mercia police; and Hayley from Essex, who loves singing and acting and is part of a drama group performing at the London Palladium. These few accounts represent the stories of so many: those students with Down’s syndrome who are in college or university; those who have jobs and hobbies; those who are moving home, winning awards, falling in love, getting married and achieving great things.

For each of these stories, there are also children who have dreams and aspirations. I heard about Rebecca, who wants to perform on stage; Ben, who wants to be a postman; Jessica, who wants to be a pop star; Jack, who wants to play football for Nottingham Forest or Manchester United; Hollie, who wants to be a vet; James, who wants to be a police officer; and Samantha, who wants to be a make-up artist. I am sure that I speak for every parent when I say that we support and absolutely share in the dreams of our children every single day.

A sense of fulfilment and purpose that people with Down’s syndrome have from their work is a common thread connecting many of the accounts that I have mentioned. With that in mind, I draw particular attention to the work of the Down’s Syndrome Association and the importance of its WorkFit scheme. The WorkFit scheme was set up to train and assess employers who want to include those with Down’s syndrome in their workforce. All employers registered with WorkFit receive training, which includes their duties under the Equality Act 2010, and practical advice on how to make reasonable adjustments. The Down’s Syndrome Association is in constant dialogue with companies and organisations that have employees placed with them through WorkFit, to answer any queries they may have, and to work through any challenging situations. The programme was set up in December 2011, and to date it has placed 416 individuals with Down’s syndrome in a range of full-time, part-time and volunteer roles, as well as in adapted internships.

In recent weeks the Government announced the kickstart scheme, and I want to ask the Minister whether young people with learning disabilities, or disabilities, could perhaps be further supported through that scheme, or through an internship or apprenticeship. The excellent Speaker’s internship scheme for people with disabilities was developed in 2016, and perhaps there is more that hon. Members could do to support the training, inclusion, skilling and work of those who have Down’s syndrome.

I am delighted to chair the new all-party group for inclusive entrepreneurship, which was established to remove barriers and raise the profile of entrepreneurs with protected characteristics, particularly disabilities. We must also change the narrative more broadly from disability to ability, and from being solely about employees to people having the potential to become employers. Will the Minister consult colleagues in government, and find out whether there are particular supports and schemes for which those with disabilities can perhaps be given funding or additional support for adaptations, so that they can start their own businesses with their skills, talents and abilities?

A study by Mencap found that 62% of adults with learning disabilities in the UK want to work, although only 6% have a paid job. We need to address that, and we must all play our role in our constituencies, and by working across the House and across parties, to ensure an inclusive employment programme for everyone across the UK. In this time of covid a recession could occur, and many jobs are already at risk. We would not wish one of the outcomes of covid to be a further tragic impact on those with disabilities.

Government mantras of “building back better” and “levelling up” can and should include people with disabilities and Down’s syndrome, making every aspect of society richly diverse and productive. I will conclude with a quote from a young lady, Kate Powell, which was provided to me by the Down’s Syndrome Association:

“Being a person with Down’s Syndrome makes me proud. I am a person to make a difference to a lot of people. That’s me. We may find things difficult, everyone does. We should tell people about Down’s Syndrome—the more people the better. Being a person with Down’s Syndrome I can do anything in life. We may need help to do the things we want to do in life. It is good to see people with Down’s Syndrome achieving their dreams. That’s my dream.”

That, Madam Deputy Speaker, should represent all our dreams.

--- Later in debate ---

[Rachael Maskell]

I appreciate that this is a really sensitive topic, but we know that coming into the world is a real challenge for somebody with Down’s syndrome. Will the Minister go away and look again at the conversations that are had with parents who are diagnosed in pregnancy with somebody with Down’s syndrome and see how we can change that conversation, so that people can understand the positivity of bringing up a child and raising someone into adulthood with Down’s syndrome?

[Helen Whately]

The hon. Member makes a really important point. It is clearly a very difficult and sensitive topic, but it is absolutely the case that if, during pregnancy, any abnormality is detected or suspected there should at no stage be any bias towards abortion, which is what, as I understand it, she is referring to. I want to make that absolutely clear. It must be the case that all health and care staff involved in the care of a woman or a couple who might be considering the termination of a pregnancy must adopt a non-directive, non-judgmental and supportive approach. That absolutely should be the case throughout our health system. Should anyone experience anything different and find that that is not the case, they should raise it, because women and couples should be supported in a positive way so that they can make the right choice for them. I am choosing my words carefully given that this is a very sensitive topic.

While I have the opportunity, I want to talk briefly about the importance of the Oliver McGowan mandatory training in learning disability and autism, which the Government have committed to rolling out to make sure that all health and social care staff receive training in learning disabilities and autism. That is really important to make sure that people with those conditions get the right and appropriate care when they are in the health and care system, including, I should say, for end-of-life care, making sure that do not attempt CPR—cardiopulmonary resuscitation—orders are used appropriately.

In the light of the pandemic, one thing that has been raised with me, particularly for those who are caring for those with disabilities, is the importance of day services and respite services. I have been working really hard, including with the Social Care Institute for Excellence, on guidance to support the reopening of day services and to encourage local authorities to make sure that those are reopened.

To conclude before we are out of time, I am so glad that we have had this debate and been able to talk about the contribution that those with Down’s syndrome make to our society, and, to use a phrase from the excellent speech by the hon. Member for East Kilbride, Strathaven and Lesmahagow, to have made our contribution to changing the narrative. It is crucial that we should celebrate the achievements and contributions of those with Down’s syndrome to our society, so we have been and are taking action to support those with disabilities, including Down’s syndrome, but I believe that we can always do more and go further. So I say, let’s do that. Let’s do more and go further to support people with Down’s syndrome to achieve their dreams.

Question put and agreed to.

Covid-19 Restrictions: South Yorkshire

Rachael Maskell Excerpts

Wednesday 21st October 2020 Commons Chamber

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

I note the agreement reached in South Yorkshire, and I fear that York is rapidly heading in the same direction, with a sharp increase in infection. Does the Minister recognise that each local authority has different economies, different complexities and different vulnerabilities, and therefore it is really important to start dialogue early with local political leaders as well as ourselves to get the right deal to prevent an escalation in tiers, but also to ensure that we get on top of the Track and Trace system to make sure that that is done locally and is effective?

[Edward Argar]

I am grateful to the hon. Lady. I think she actually made the case very well for the approach that the Government are adopting, which is local tiering, rather than a blanket national approach, because she is absolutely right that different areas of the country are different and have different circumstances. To her substantive point about early engagement and continued engagement, I am very happy to say that I am very happy to work with her. We can start that off, if she wants, with a conversation about the data and so on. I am very happy to ensure that those channels of communication are open.

Covid-19 Update

Rachael Maskell Excerpts

Programme motion
Monday 19th October 2020 Commons Chamber

[Matt Hancock]

There is no health data that is transferred, but of course once this House has voted for an enforceable rule, it is important for all of our constituents and communities that we enforce it. So that is a necessary consequence of the House having voted for the self-isolation rules to be made mandatory, which I think was the right decision. On the financial support that the hon. Lady asks for, we have put in place £500 per self-isolation to support people on low incomes to make sure that they are able to do the right thing.

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

To prevent further restrictions being placed on York, we have to lock down this virus, not lock down people and the economy. We know that the key to this is local contact tracing, and the reality is that the shadow contact tracing undertaken by my local authority has been more accurate, more effective and more responsive. That is the key to getting on top of this virus, so when will the Secretary of State release all the data to local authorities and give them the resources they need so that they can do the job properly and get on top of the virus?

[Matt Hancock]

We are absolutely putting more resources into contact tracing in York. It is only because of the combined effort of the national and local team that we are able to do the work that she describes, because the national system can deal with the cases who are easy to get in contact with, or who prefer to do contact tracing over the internet, rather than on the phone, which is a lot of people. That means that the local authority, as in the case that the hon. Member describes, can do its work locally, so it is about having a team effort.

Covid-19 Update

Rachael Maskell Excerpts

Thursday 15th October 2020 Commons Chamber

[Matt Hancock]

Yes, I was working on the issue of how we can safely allow visiting—especially by people who have been married for 70 years, which is an extraordinary achievement in and of itself—in a way that is safe, according to the risk level and the background rate of infection. Of course, testing can be part of the solution, as can the proper use of personal protective equipment. We have more nuanced rules in place now than during the first peak, and I would be happy to work with my hon. Friend to try to ensure that we get this right.

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

I welcome the Secretary of State’s greater attention on York, as announced today, but although we are in tier 1, I am concerned that there are areas of the country in tier 3 with a lower infection rate. Certainly, I do not believe that the measures in tier 2 will be sufficient to stop the spread of infections in our city, which, as he will know, are rising incredibly sharply, including in the older population. York experiences real challenges every winter because of the capacity issues in our hospital, and I am concerned that, without taking more acute action now, we will be in serious difficulty in just a few weeks’ time.

[Matt Hancock]

We are expanding capacity at the hospital in York. Of course, in York there are two overlapping epidemics, one among students and one among the general population. As the hon. Lady says, though, the spread is increasing among the older population, who are of course the most at risk from covid. The number of cases increased by 60% in York over the last week, so I welcome her support for the measures that we are taking, and I am happy to continue to talk to her about what more might be needed, because this is best done on a cross-party, cross-community basis. My message to everybody in York, a city I know and love, is that it is very important that all of us abide by these rules and reduce social contact. That way we can start to get the increase in the number of cases in York coming down.

Local Contact Tracing

Rachael Maskell Excerpts

Wednesday 14th October 2020 Commons Chamber

[Jo Churchill]

I will push on a little and then I will give way to my hon. Friend.

Today’s motion talks about local contact tracing, which has been rolled out since August and is something that NHS Test and Trace is actively driving forward in its commitment to local systems. Since August, NHS Test and Trace has provided local authorities with dedicated teams of contact tracers working alongside local public health officials to assist and give a more specialist service. Local public health officials can access and use the data shared by the NHS on a daily basis. Together we can increase the number of people contacted. We have more than 95 lower-tier local authorities across the country that have gone live with local tracing partnerships. There are more going live in the coming weeks, and any local authority that wants to be involved can be. The national programme is doing an unbelievable job of helping people who might unknowingly be putting their loved ones at risk, but so is the local programme.

In England we have reached more than 650,000 people who have tested positive and their contacts and advised them to self-isolate. Every person who tests positive is contacted by NHS Test and Trace, which consistently reaches more than 80% of contacts when details are given. Because everybody, whether national or local, is locked on to the same system—this is vital—we can see how the virus is spreading. It gives us important knowledge. All the data that we publish on NHS Test and Trace include data on local performance. At this point, I recommend to everyone the coronavirus dashboard, which has been improved and updated, and gone live only this morning. It gives fantastic information about what is happening locally. As local testing partnerships are rolled out, we expect to see performance improving further.

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

As my hon. Friend the Member for Leeds West (Rachel Reeves) set out, the system is not working. The statistics speak for themselves and, while the system in Wales is delivering, it is not in England. Will the Minister say why the private companies do not just hand the test and trace system over to local directors of public health? Are there any financial penalties or anything in their contracts that preclude them from doing so?

[Jo Churchill]

We are better together. It is as simple as that. It is about a national programme. Let us imagine that the national programme is the spine and the local authorities are the ribs that wrap around us. The combination of the rigid spine and those solid ribs protects the organs, and this is what test and trace will do. We need both elements of the system.

--- Later in debate ---

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

It is nearly nine months since the first case of covid came to my constituency and, in that first instance, we had an effective test and trace system. But my goodness, what has happened since? We know from across the world that effective test and tracing is beating the virus but here in the UK the virus is beating us. That is why it is essential that we get on top of the essential ingredients of an effective test and trace system. Filling the pockets of all these private companies with contract after contract is failing, and we know why that has been done—the lack of investment in our NHS and in public health for years. That has meant that they are bereft of the resources they need.

We need to turn this round and we have the opportunity of this debate to address the issue effectively. We know from the statistics that my hon. Friend the Member for Leeds West (Rachel Reeves) set out earlier that, if about two thirds of people who have been tested are then transferred to the contact tracing system, only 17% of them are reached. That means that fewer than half the people are effectively contact traced. That simply is not good enough in the midst of this pandemic. Time is of the essence and we need to address this now Any transfer that we see to local authorities must also see the transfer of resources. We cannot just see the transfer of risk without the money coming with it to back it up and enable local authorities to run effective systems locally.

I have talked to my local director of public health and she has led an excellent fight to put the case not only for local testing but for saying where we need the centres to be. We need another testing centre in York and we have been working with the university and a local lab to prove that we have a test processing and trace system for our city. That is what we need for a fast turnaround of results. Time is of the essence with this virus and the faster we get the results, the faster we trace people who are potentially carrying the virus. We will then be able to lock the virus down, which is what we want to do.

I am confused, and I am sure I am not the only one, as to why York today is in tier 1 when the infection rate there is higher than in some of the places in tier 3. It does not make sense. I want the Minister to explain the rationale for that. Yesterday, there were 95 infections in York, and 246.4 per 100,000 and growing fast. We need to understand the rationale, not least because the infection is transmitting in our city and we know that because we have been holding a mirror tracing system that has seen it go from household to household. Yet tier 1 does not bar such contact. If we are really serious about understanding how to stop the virus, we need to go through the proper processes and involve the local directors of public health who could tell the Government that we need the controls to stop the spread at this critical time before it gets completely out of control.

It is because of the failures that I have described that the Labour party has been saying that there will be a need for a circuit break. If the Government could respond with proper measures, we would not need it. The Government only need look in the mirror to see why we are in this place.

Some incredible science is being done in our universities and local labs, and I look forward to my meeting on Friday with the Minister on what is being done in York, where the capacity, efficiency and effectiveness of testing can seriously outstrip many of those procured labs which the Minister and her Government have already engaged in.

This is a real opportunity. We have to use the best science, and I trust that we will be able to do so.

Oral Answers to Questions

Rachael Maskell Excerpts

Tuesday 6th October 2020 Commons Chamber

[Karl Turner (Kingston upon Hull East) (Lab)]

What recent assessment he has made of the effectiveness of the NHS Test and Trace service.

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

What recent assessment he has made of the effectiveness of the NHS Test and Trace service.

[The Minister for Care (Helen Whately)]

NHS Test and Trace launched in May. Four months later, more than 150,000 people who have tested positive for covid-19 have been contacted, and 450,000 of their contacts have been reached so that they can self-isolate. We have tested more than 7 million people at least once and many, such as care home workers, more than once. Rapid expansion brings with it challenges. Working with local authorities, we will continue to improve test and trace, as it is an important part of our armoury to defeat this virus.

--- Later in debate ---

[Helen Whately]

There was quite a lot in that question. One thing I will say on schools is that enabling our children to continue to go to school is very much part of the whole strategy that we are using to tackle and suppress coronavirus, because education is so important. On the specific test and trace system to which the hon. Member refers, the Secretary of State spent an hour and a half in the Chamber yesterday answering colleagues’ questions about the performance of that system.

[Rachael Maskell]

In the light of the fact that infection levels in York have risen from 63.1 cases per 100,000 to 143.9 cases per 100,000 in just the past seven days, the local public health team is working with the university and local labs, and together they have put together a programme where they can test, process the testing and do contact tracing. This is a testing service that works for York, with test results the next day and tracers who understand local population flows. Will the Minister put the necessary resources in place to enable them to do their work and allow this to happen, because this is surely the game changer we need to beat this virus?

Covid-19

Rachael Maskell Excerpts

Monday 28th September 2020 Commons Chamber

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

Is this not why we need evidence-based interventions? The Secretary of State will have seen clips of what happened in my constituency on Saturday night at 10 o’clock, as the streets filled out with young people enjoying themselves and partying with no social distancing, clearly creating the worst of environments. Will he now review the policy of the 10 o’clock curfew to ensure that our streets and neighbourhoods are safe?

[Matt Hancock]

We always look at the effects of these policies. We have to take everything in the round, including the level of social distancing that might have been going on, were that to continue all through the night. One reason we brought in the policy is that we have seen it work in other countries, as the hon. Lady knows. None of these interventions on social distancing are ones that we take lightly or want to put in place. The central question is how we keep control of the virus in the best possible way, while reducing the impact on the economy and on education as much as possible.

--- Later in debate ---

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

I am grateful for the opportunity to speak in the debate. I completely agree with the hon. Member for Thurrock (Jackie Doyle-Price): Parliament must be empowered not only to scrutinise Government but to aid them as we walk through this crisis.

The economic and health crises are accelerating, and national concern is deepening. There are many significant issues that I want to raise. The Chancellor’s announcement last Thursday barely touches the economic crisis facing York because of how its local economy is structured. I am significantly worried that we will be one of the places worst hit by this economic situation. We need to resolve, and I need the Chancellor to understand, the particular issues facing my constituency. I am worried for the people I represent.

I would like to have a discussion with the Under-Secretary of State for Health and Social Care, the hon. Member for Bury St Edmunds (Jo Churchill), about local control over decision making under the auspices of our director of public health. In our city, we know that we can run a very effective testing regime and contact tracing mechanism. We know the flows of local people. I met scientists in my constituency on Friday who are leading the way in the delivery of testing. Their work could really aid the Government’s programme, and I would be most grateful if the Minister would be willing to meet me to discuss that.

I witnessed shocking scenes in my constituency on Saturday night at 10 o’clock. As the bell struck, the streets filled. Had the virus been in that crowd, it could have spread across the people present and perhaps to some of the most vulnerable people in my city. The people of my city have worked so hard; they deserve better.

I want to talk about some of the most vulnerable people in our communities. We have heard much in the debate about people in care homes. Care homes became closed environments where family, carers, other health professionals and even the Care Quality Commission were locked out. One thing we know is that closed environments become unsafe environments, which is why it is so important that this situation does not arise again.

I carried out an investigation into care homes in York. The staff are tremendous, their efforts exceptional and the delivery of care outstanding, but we know that risks are introduced into the system. First, we must review the discharging of patients who are covid-positive into care homes and ensure that transitional arrangements are in place, so that infection is not introduced to the most vulnerable people. We also know that care staff are working above their professional competencies, particularly in the delivery of palliative care. To deliver the very best care, we need to ensure that proper training and proper staffing levels are in place.

In the light of the debate we will have on Wednesday about the Coronavirus Act 2020, I call on the Minister to review the recording of mortality. In one care home in York, 52 members of staff were sick during the peak of the crisis. Over that fortnight, 15 people died in the care home. None of them was recorded as dying with covid or possible covid. We know that that is not true, because staff tell me that they were displaying signs of covid and they died rapidly. They had all the signs, but the way that deaths were recorded and the fact that no tests were undertaken means there is no way of verifying that. Clearly we need a testing regime to address that, but we also need to go back to how deaths were recorded in the past, which brings more independence into the system. I plead with the Minister to take that back to the Department. It will dignify the families to know the reasons why their loved ones passed.

It is the right of residents and their families to know whether there is infection in a care home. We need to ensure that that information is communicated, so that they can make their choices accordingly. We need data to be available. I had to jump through hoops to get data about my local care homes. That should not be the case. We need to ensure that there is proper governance in place. When governance switched to the director of public health, we saw safety improve and infection prevention and control measures brought in, and then mortality rates fell. Over the coming days, I trust that we will find mechanisms to ensure that visits continue risk-free, in order to support people’s holistic wellbeing in the difficult period ahead.

Covid-19 Update

Rachael Maskell Excerpts

Thursday 17th September 2020 Commons Chamber

[Matt Hancock]

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

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

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

[Matt Hancock]

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

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

Axial Spondyloarthritis

Rachael Maskell Excerpts

Thursday 17th September 2020 Commons Chamber

[Tom Randall]

I pay tribute to the hon. Gentleman’s work. He was an active member of the APPG long before I was in this place. On the issues that he identifies, on which I will go into more detail in a moment, he is absolutely right.

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

I am grateful to the hon. Gentleman for bringing forward this debate. Before coming to this House, I was a physiotherapist. I ran an AS group for swimming and exercise and really know the benefits of that. The Chartered Society of Physiotherapy was in touch with me just this week to say that, because of covid, it is experiencing a real shortage of physios for the future and that 2,339 more physios are needed. Does he agree that we need to look back at the NHS work plan to ensure we have the right practitioners in place to support people like him?

[Tom Randall]

Physiotherapy can play a key role in managing the symptoms of AS, and we should all support the work that physiotherapists do with patients.