(3 years, 6 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
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It is a pleasure to serve under your chairmanship, Mr Hollobone, and I thank the right hon. Member for Kingston and Surbiton (Ed Davey) for securing this important debate. I agree with everything he said about the plight of unpaid carers. We must increase and expand the carer’s allowance, properly fund respite breaks and recognise unpaid carers in legislation.
The situation for paid carers is equally dire. The Resolution Foundation found that between 2017 and 2019 more than half of care workers were paid well under the real living wage. Despite this, after a decade of cuts and Government underfunding of care, Salford has done its best to try to lift wages to a standard that carers can actually live on. Salford City Council and Salford clinical commissioning group, following a campaign by Salford City Unison, set aside funds to give care workers a significant wage increase and covid sick pay when isolating. This so-called Salford offer was offered to private care providers, but staggeringly, even when public money is made available, some companies have actually refused to take it if it means improving pay or terms and conditions for workers. What can the Minster suggest to address this?
Sadly, that is only one symptom of the structural problems that exist in care. As the Women’s Budget Group states,
“the structural problems with the sector…have arisen from allowing uncontrolled consolidation by private providers, including private equity.”
Salford City Unison further told me:
“We also see every day that even where we are able to secure contractual guarantees for workers, companies invest so little in back-office services that workers are regularly paid the wrong amount, get rotas at the last minute and find that the days they booked for leave are not recorded in the system and are therefore cancelled at short notice.”
I will read the Minster two quotes from care workers in Salford. Paul says:
“Private companies—and even so-called charities—only care about how much money they make. Not us workers or the people who need our care and support. We want more Government money for social care, but we’ve seen in Salford that loads of private companies would rather turn down public money offered by the council and the NHS, than use it to improve our wages or pay us when we’re off because of COVID.”
Diane, another care worker, says:
“I work in Homecare, often working 7am until 2pm, then back on at 4pm until 10:30pm and then back on at 7am the next day to do it all again. Bear in mind that means I have to get to my first call at 6:30am and don’t get home until 11pm. I am not the same carer when I work that many hours and that breaks my heart. When I ask for holidays, the company asks ‘Are they important? Do you need to be off that long?’ They tell you your days off have changed so that you have to cancel your appointments made in your own time. I am always being given extra calls. Once I actually covered 32 calls in one day. You cannot be a good carer when you are forced to work like that.”
That is not how we should treat those people we charge to look after the most precious people in our lives, is it? It is no way to run a care system. I hope that the Minster agrees that care workers must receive the pay and security they deserve; that unpaid carers must receive the allowances and respite they deserve; and ultimately that the Government must recognise care as a form of public social infrastructure and fund it as such.
(3 years, 8 months ago)
Commons ChamberThe red, amber and green lists reflect the risks that there are in other places around the world. The amber list means that people need to quarantine at home, the red list means that they need to quarantine in a hotel, and the green list means that we think it is safe to travel. My hon. Friend should get his passport out—he can get on a plane to Portugal or one of the other countries. The system allows for some careful foreign travel. However, my first duty is to protect the lives of people here in the UK, and the best way to do that right now is to make sure that we are cautious on international travel to protect the opening up here at home.
The Secretary of State will know that analysis of the data published by Public Health England shows that the spike in cases in Bolton so far is mostly confined to schoolchildren and young adults who are socially mobile and have not yet been vaccinated. There are valid concerns, therefore, that as lockdown eases today, it might lead to a rise in cases within unvaccinated cohorts across Salford, which borders Bolton. Can he confirm that he will act now to protect people in Salford by curbing any spread beyond surge hotspots and accelerating the vaccine roll-out programme in Salford not just for second doses, but for first doses for young, unvaccinated cohorts?
Yes, we are opening up vaccinations for those aged 37 tomorrow, and anybody in Salford who is in one of the eligible groups and has not been vaccinated should come forward. If you are in Salford and you were vaccinated more than eight weeks ago but have not yet had your second jab, please come forward. We now have a very good surveillance system in this country and we publish all the data from it so that we can all see the cases day by day. We can also see the impact on hospitalisations. I am glad to say that, thankfully, the almost inexorable link from cases through to hospitalisation and death that we saw in the past is now broken. The link is not completely severed, but it is much, much weaker because of the protection of the vaccine. Those are the things that people can do in Salford, and I look forward to working with the hon. Lady to get those messages out to everybody.
(3 years, 10 months ago)
Commons ChamberYes, my hon. Friend puts it characteristically well. It is very important to take all considerations into account when making decisions like these. Of course, the precautionary principle is important, but when there are such huge benefits to vaccination, over-precaution is a mistake. We have to take overall public health into account.
The Salford system has delivered the covid vaccine in an unprecedented way. Everyone from cohorts 1 to 9 has been invited at least once—some three or four times—and I understand that, even with the vaccine shortage and guaranteed second doses factored in, we will run out of people in cohorts 1 to 9 to give our current vaccine supply to. Will the Secretary of State authorise Salford to proceed to cohorts 10, 11 and 12 and begin to prioritise the vulnerable members in those age groups, so that we can maximise the doses we have?
No. What everybody in Salford and around the country needs to do is make sure that every last effort is made to reach every last person in groups 1 to 9, because they are the most vulnerable. Only in exceptional circumstances should people under the age of 50 who are not in groups 1 to 9 be invited for vaccination. The message is incredibly clear and I speak very directly to the whole team, including in Salford: please put all your efforts in the forthcoming weeks into delivering vaccines for groups 1 to 9.
(4 years ago)
Commons ChamberI am grateful to my hon. Friend, who always asks very important practical questions. He is absolutely right to say that it has been challenging. Part of the challenge, which I think we have addressed today, is the amount of notice primary care networks and GPs have of a delivery. That will only get better as we stabilise deliveries to the warehouses and are then able to take them out into the primary care networks and hospitals. I will of course work with primary care networks and the whole of the NHS family to make sure our communications get better and better.
In Salford, we receive little or no notice that a delivery of the vaccine from the Government is due. Some batches have not turned up at all. When they do arrive, we act quickly. It was therefore staggering when, late last night, our clinical commissioning group was instructed to cancel 924 pre-existing second dose Pfizer appointments, with little time to book new appointments before the batch expires at midday on Wednesday. Will the Minister now allow local CCGs to plan and order their own vaccine batches? Can he assure those whose time before their second Pfizer dose has been elongated that they will be 70% to 90% protected for up to 12 weeks?
I shall take the hon. Lady’s questions in reverse. The four chief medical officers have looked at the issue of the up-to-12-week dosing and all agree that it is the right thing to do. I apologise to the people Salford for that cancellation, if that is what happened yesterday. We have touched on this, but part of the issue has been the lumpiness in the deliveries in the early days, which will begin to become much smoother. The NHS central team, with Brigadier Prosser and the 101 Logistic Brigade, are absolutely focused on making sure that we give as much notice as possible to primary care networks so that they can plan ahead, and that will only get better and better as we smooth out the delivery process from manufacturer into warehouse.
(4 years, 3 months ago)
Commons ChamberMadam Deputy Speaker,
“I am not confident, and nor is anybody confident, that the tier 3 proposals for the highest rates…would be enough to get on top of it.”
Those were the words last night of the chief medical officer, but sadly the Government knew this in September, when SAGE scientists advised the immediate introduction of a list of measures including a circuit breaker. In the following days, the Prime Minister went ahead with only the work-from-home U-turn and the 10 pm curfew. Now we know the truth. Last night, we saw that the SAGE minutes clearly stated that the curfew measure was likely to have a marginal impact, as it also seems the Government’s tiered approach will do.
Further, after the initial lockdown, any semblance of economic normality that would have kept the public safe was predicated on a comprehensive test, track and trace system, but with people still making vast round trips to get a test and risking their details being lost in an Excel spreadsheet never to be seen again, it is clear that we do not have a comprehensive testing system. And how can we forget Operation Moonshot? Salford was to be one of the pilot areas testing the Moonshot programme. However, my local council confirmed to me this morning that, some time ago now, it asked the Department of Health and Social Care to share the clinical validity data behind this new technology. To date, that query remains unanswered, and until this morning Salford City Council had been told to pause the programme. So can the Secretary confirm his current plans for the development of mass testing?
We all know what needs to be done. Any resumption of normal life depends on bringing the infection rate down, followed by robust test, trace and isolate systems, but for this to happen, we need clear direction from Government, and our businesses and workers need economic support to do what is required of them. So far, the Chancellor’s support still does not extend to the more than 3 million people who are excluded, and the watering down of economic support means that, even under tier 2, many businesses and workers across Greater Manchester will see a significant drop in income that they will not be able to sustain. So it seems we have a choice here: either we do not follow the science and instead impose the misery of prolonged tier 2 and tier 3 restrictions in many areas with little economic support, and cases and deaths will rise; or we follow the science and bring down transmission with a short national circuit breaker and a reform to test, track, trace and isolate. Frankly, the pandemic strategy so far has been akin to throwing a glass of water on a chip pan fire, and the Government need to change course today.
(4 years, 4 months ago)
Commons ChamberI have listened to the Secretary of State’s comments and the revocations that he has set out have been welcome, but they are cosmetic and they certainly do not go anywhere near restoring the safeguards that those suffering from mental health problems, disabled people and those in need of care deserve. As for his promise for parliamentary scrutiny, frankly, it is nothing more than a gentlemen’s agreement.
The Act in its current form allows clumsy and asymmetric authoritarianism. Powers to restrict mass gatherings might well have been necessary, but broad police powers under schedule 21 to detain potentially infectious people have led to unlawful prosecutions 100% of the time. Where were the extra powers—the resources to inspect or restrict unsafe workplaces or to requisition private lab space, healthcare or other facilities for mass testing? Where were the powers to take charge of food supply in the event of future lockdowns to avoid further panic buying and ensure that shielding and vulnerable people receive the food that they deserve?
The Government demand that their citizens give up their liberties and livelihoods in the pandemic, yet they do not stand beside them. The Secretary of State’s comments today certainly do not deal with the issues that many of our constituencies face, and some of us begin to worry that the Government’s confused and often contradictory public messaging is not mere incompetence, but a studied chaos, designed to blame ordinary people instead of taking democratic political responsibility for some of the worst pandemic management in the world. The Government are at real risk of squandering public sentiment and public good will, and, at the very least, they must set out to revoke the most insidious parts of this Act tonight.
(4 years, 8 months ago)
Commons ChamberThe consultation closed in October last year. We were hit by twin issues of purdah being imposed and now, obviously, our principal focus being on dealing with the coronavirus. We hope to respond to the consultation in the near future, but I am not currently in a position to give my hon. Friend an exact date.
Constant speculation on when schools will reopen and whether it is safe to do so is leaving many parents, pupils and staff anxious. Last week, it was reported that the Government were looking at best practice in other countries; this weekend, it was reported that the Government would reopen schools for year 6 pupils on 1 June; and last night, it was reported that there were discussions in Government about giving schools and multi-academy trusts the flexibility to decide for themselves, amid concerns that Ministers were coming under pressure to help to kick-start the economy. I am sure the Secretary of State will want to reassure parents, pupils and staff that their safety is the Government’s No. 1 priority, so will he clarify the basis on which the Government are making decisions on school and college opening, and when will he make the scientific advice supporting his strategy publicly available?
First, let me take this opportunity to congratulate the hon. Lady on her new appointment. I appreciate the time she has made available to speak with me, and I hope the regular briefings from officials that we are providing are of considerable assistance to her, as I think they were to her predecessor.
All SAGE advice is made public, and we will certainly do that. On the return of schools, I am sure the hon. Lady shares my desire for children to be given the opportunity to return to school when it is the right time to do so. The decision will be based on the scientific and medical advice that we receive. I assure her that we will take a phased approach to reopening schools, and we will always aim to give schools, parents and, critically, children maximum notice of when that will happen.
I thank the Secretary of State for his kind comments. He must understand that faith that children and staff are safe will be necessary to parents having the confidence to send their children to school, but nearly 1 million pupils in English schools are in classes of 31 or more—an increase of 28% since 2010—so there is understandable concern that social distancing will be difficult in schools. Everyone wants a return to vital education to support pupils and to stop the ever-widening attainment gap, but does the Secretary of State agree that first we need a national plan for social distancing and personal protective equipment, evidence of a sustained downward trend in cases, comprehensive access to testing for staff and pupils, a whole-school strategy for when cases emerge, and protection for the vulnerable? In the words of the National Education Union:
“Anything else will be a dereliction of duty from government”.
I think the hon. Lady would very much appreciate the fact that I take my responsibilities for the safety and the health of children who attend school as the absolute principal motivation for everything I do, as is the case for those who work in schools. I always welcome constructive dialogue with her, which is why we have made every effort to do so, about how best we can support children to be in schools. Let us not forget that the overwhelming majority of schools—over three quarters of them—are currently operating in a safe, considered and proper way, supporting the children of critical workers as well as those children who are most vulnerable in society. Every step we take is about making sure that we look after those who are the most important part of our society, and that is our children, but also about supporting those who work in educational settings.