Covid-19 Update

Sajid Javid Excerpts

Tuesday 9th November 2021 Commons Chamber

[The Secretary of State for Health and Social Care (Sajid Javid)]

With your permission, Mr Deputy Speaker, I would like to make a statement on the further steps we are taking to keep this country safe from covid-19.

We head into the winter months in a much stronger position than last year. Of all the reasons for this progress, the greatest is unquestionably our vaccination programme. Across the UK, the overwhelming majority of us have made the positive choice to accept the offer of vaccines against covid-19. Almost eight in every 10 people over the age of 12 have chosen to be double jabbed, and more than 10 million people have now received their boosters or third jabs. I am grateful to colleagues from all parties for their steadfast support for our national vaccination programme.

Despite the fantastic rates of uptake, we must all keep doing our bit to encourage eligible people to top up their defences and protect themselves this winter. I understand that vaccination can, of course, be an emotive issue. Most of us have taken this step to protect ourselves, our families and our country. Sadly, we have all seen how covid can devastate lives, but we have also seen how jabs can save lives and keep people out of hospital.

Our collective efforts have built a vast wall of defence for the British people, helping us to move towards the more normal way of life that we have all been longing for. The efforts of the British public have been phenomenal, and those working in health and social care have been the very best of us. Not only have they saved lives and kept people safe through their incredible work but they have done the same by choosing to get vaccinated. I thank NHS trusts and primary care networks for all the support and encouragement they have given to their staff to take up the vaccine. The latest figures show that 90% of NHS staff have received at least two doses of the covid-19 vaccine, although in some trusts the figure is closer to 80%.

Although our health and social care colleagues are a cross-section of the nation at large, there is no denying that they carry a unique responsibility. They have that responsibility because they are in close contact with some of the most vulnerable people in our society—people we know are more likely to suffer serious health consequences if they get covid-19. Whether it is in our care homes, our hospitals or any other health or care setting, the first duty of everyone working in health and social care is to avoid preventable harm to the people they care for. Not only that, but they have a responsibility to do all they can to keep each other safe.

Those twin responsibilities—to patients and to each other—underline, once again, why a job in health or care is a job like no other, so it cannot be business as usual when it comes to vaccination. That is why, from the very beginning of our national vaccination programme, we put health and care colleagues at the front of the line for covid jabs, and it is why we have run two consultations to explore some of the other things that we might need to do.

The first consultation looked at whether we should require people who work in care homes to be vaccinated—what is called the condition for deployment. After careful consideration, we made vaccination against covid-19 a condition for deployment in care homes from 11 November. Since we announced that in Parliament, the number of people working in care homes who have not had at least one dose has fallen from 88,000 to just 32,000 at the start of last month.

Our second consultation looked at whether we should extend the vaccination requirement to health and other social care settings, including NHS hospitals and independent healthcare providers. Our six-week consultation received more than 34,000 responses and, of course, covered a broad range of views. Support for making vaccination a condition for deployment was tempered with concern that, if we went ahead with that condition, some people might choose to leave their posts. I have carefully considered the responses and evidence and have concluded that the scales clearly tip to one side. The weight of the data shows that our vaccinations have kept people safe and saved lives, and that that is especially true for vulnerable people in health and care settings.

I am mindful of not only our need to protect human life but our imperative to protect the NHS and those services on which we all rely. Having considered the consultation responses and the advice of my officials and of NHS leaders, including the chief executive of the NHS, I have concluded that all those who work in the NHS and social care will have to be vaccinated. We must avoid preventable harm and protect patients in the NHS, colleagues in the NHS and, of course, the NHS itself. Only those colleagues who can show that they are fully vaccinated against covid-19 will be employed or engaged in the relevant settings. There will be two key exemptions: one for those who do not have face-to-face contact with patients and a second for those who are medically exempt. The requirements will apply across the health and wider social care settings that are regulated by the Care Quality Commission.

We are not the only country to take such steps: there are similar policies for specific workers in other countries, including the United States, France and Italy. We also consulted on flu vaccines but, having considered views that we should focus on covid-19, we will not introduce any requirement to have flu jabs at this stage, although we will keep the matter under review.

Of course, these decisions are not mine alone: as with other nationally significant covid legislation, Parliament will have its say and we intend to publish an impact assessment before any vote. We plan to implement the policy through the powers in the Health and Social Care Act 2008, which requires registered persons to ensure the provision of safe care and treatment. I will shortly introduce to the House a draft statutory instrument to amend the regulations, just as we did in respect of care homes.

This decision does not mean that I do not recognise concerns about workforce pressures this winter and, indeed, beyond as a result of some people perhaps choosing to leave their job because of the decision we have taken. Of course I recognise that. It is with that in mind that we have chosen not to bring the condition into force until 12 weeks after parliamentary approval, thereby allowing time for remaining colleagues to make the positive choice to protect themselves and those around them, and time for workforce planning. Subject to parliamentary approval, we intend to start the enforcement of the condition on 1 April.

We will continue to work closely across the NHS to manage workforce pressures. More than that, we will continue to support and encourage those who are yet to get the vaccines to do so. At every point in our programme we have made jabs easily accessible and worked with all communities to build trust and boost uptake. That vital work will continue, including through engagement with the communities where uptake is the lowest; through one-to-one conversations with all unvaccinated staff in the NHS; and through the use of our national vaccination programme capacity, with walk-in centres and pop-up centres, to make it as easy as possible to get the jab.

Let me be clear: no one working in the NHS or in care who is currently unvaccinated should be scapegoated, singled out or shamed. That would be totally unacceptable. This is about supporting them to make a positive choice to protect vulnerable people, protect their colleagues and, of course, protect themselves. The chief executive of the NHS will write to all NHS trusts today to underline just how vital the vaccination efforts are.

I am sure the whole House will want to join me in paying tribute to the heroic responses across health and care. Those who work in health and care have been the very best of us in the most difficult of days. Care, compassion and conscience continue to be their watchwords, and I know they will want to do the right thing. Today’s decision is about doing right by them and by everyone who uses the NHS, so that we protect patients in the NHS, protect colleagues in the NHS and protect the NHS itself. I commend this statement to the House.

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

I thank the Secretary of State for, as always, timely advance sight of the statement.

Vaccination saves lives—it is the best protection against this deadly disease and helps to cut transmission—and we of course want to see NHS staff vaccinated. As has been pointed out many times before, there are already categories of staff for whom a hepatitis vaccination is expected. We will look carefully at the regulations and the equality impact assessment, but I urge the Secretary of State to proceed with caution, because the NHS is already under the most intense pressure this winter; waiting lists are close to 6 million; there are more than 90,000 vacancies across the NHS; and the Chancellor failed to allocate in his Budget funding for training budgets to train the medics we need for the future. There will be anxiety at trust level that a policy, however laudable in principle, could exacerbate some of these chronic understaffing problems. We simply cannot afford to lose thousands of NHS staff overnight.

We do welcome the fact that the Secretary of State has listened to representations from organisations such as NHS Providers and others about delaying the implementation of this until after the winter; we welcome that. None the less, there are still organisations, such as the British Medical Association, that have raised concerns about the practicalities of implementing this policy. Helen Stokes-Lampard of the Academy of Medical Royal Colleges has said that mandatory vaccination is neither “necessary” nor “proportionate”. Will he agree to meet the royal colleges, the BMA, and the relevant trade unions to agree a framework for how this policy will be implemented? Will he outline to the House what success looks like for this policy? Some of the 10% of NHS staff who are not vaccinated include those with medical exemptions, those who are on long-term sick, and those who could not get the vaccine first time round because they were ill with covid. Will he tell the House: what is the actual number of NHS staff who should be vaccinated, but who have not had the vaccine? What is the actual number? In other words, what then does he consider a success? What does full vaccination across the NHS look like for him? Is it 94%, 95%, or 96%? What are we aiming for here? What is his target?

The aim of this policy is presumably to limit those with covid coming into contact with patients, but one can still catch and transmit covid post vaccine, so will the testing regime that is in place for NHS staff—I think it is twice a week at the moment—increase in frequency? Furthermore, thousands of visitors go onto the NHS estate every week, so will visitors to hospitals be asked whether they have had the vaccine or have proof of a negative test?

What analysis has the Secretary of State done of those who are vaccine hesitant in the NHS workforce? What targeted support has he put in place to persuade take-up among those groups? He refers to trusts where take-up is around 80%, so what specific support has he put in place to help those trusts drive up vaccination rates? We know from society more generally that there has been hesitancy, for example, among women who are pregnant and who want to have a baby. That has meant that a significant proportion of those in hospital with covid are unvaccinated pregnant women. A large proportion of the NHS staff workforce are women of a similar age, so is this one of the issues as to why there is hesitancy in certain pockets across the NHS? Will he therefore look at a large-scale campaign to reassure pregnant women of the safety of the vaccine and look at launching an information hub, perhaps a dedicated phoneline, to offer clear advice to women and their partners who might have concerns?

Finally, on vaccination more generally, I do not want to see—I do not think that anyone across this House wants to see—anymore lockdowns imposed on cities such as my own in Leicester, or across Greater Manchester, or Bradford, but in many of these areas, vaccination rates are not good enough. Leicester has a vaccination rate of just around 61%, Bradford 63%, Bolton 69%, and Bury 71%. Generally, on children’s vaccinations, we are only at 28%. On the boosters, there are still around 6 million people eligible for a booster who have not yet had one. The Government’s own analysis shows that people over 70 who are dying from covid or hospitalised should have had a booster, but have had only two jabs.

With Christmas coming, which will mean more mixing indoors at a time when infection rates are still high—one in 50—we are facing six crucial weeks. What more support will the Secretary of State offer now to local communities, such as Leicester, Bolton, Bury and Bradford, to drive up vaccination rates, because nobody wants to see those local lockdowns again.

[Sajid Javid]

I thank the right hon. Gentleman for his approach to this matter and to issues around vaccination in general. There is no doubt that the general consensus in this House, across parties, has played a vital role in building confidence in vaccines among our citizens, and, once again, I thank him and his party for their approach to vaccination.

The right hon. Gentleman has raised a number of questions. He suggested caution in this approach and he was right to do so. I hope that, from what I have already shared with the House today and what I will continue to share, he will feel that we are taking that cautious approach. For example, if Parliament supports this move, there will be a grace period so that those in the NHS and social care who have not yet chosen to take any vaccine will have plenty of time to do so.

The right hon. Gentleman asked about meeting healthcare leaders. He will not be surprised to hear that, probably like him, I meet healthcare leaders all the time and will continue to do so. I am more than ready to listen to them. Following the consultation that we have had on this so far, we would like to know what further suggestions they have, especially around implementation and take-up.

The right hon. Gentleman specifically asked me about the NHS take-up. The take-up throughout the NHS in England is 93% for the first dose and 90% for two doses, which leaves, I think, 103,000 people in the NHS who are unvaccinated—in other words, they do not have even one jab. As he will understand, it is hard to know what portion of that number will take up the offer of vaccination. If we look at what has happened in care homes since that policy was announced, we can see that there was a significant fall in the equivalent number, and I think that we can certainly expect that here, but, as he has suggested and as came through very clearly to the consultation, it is about making sure that people are encouraged to take a positive choice. From what I said earlier, I cannot be clearer that no one should scapegoat or single out anyone in the NHS or in social care who has, at this point, for whatever reason, chosen not to get vaccinated. This is all about working with them positively, making sure that they have the information that they need. In answer to his question of what more will be done to help people make that positive choice, I say that, as well as information, one-to-one meetings will be offered to everyone who is unvaccinated, if that is what they want. They will have the opportunity to meet clinicians and others to allay any concerns they may have. That includes, of course, those who are pregnant or thinking of one day becoming pregnant. The right hon. Gentleman was right to raise that, too.

Lastly, on the vaccination programme overall, I think the right hon. Gentleman will agree that, as a country, we have done remarkably well. Almost eight out of 10 people over the age of 12 are double vaccinated. That is one of the best vaccination rates in the world, but, as he and others have said, we still need to be working hard to do better. There are still too many people who have not taken up an original offer of a vaccine. We also need to make sure that, for those who are eligible for a booster shot, it is made as easy as possible for them. Some of the recent changes to the booster booking system have led to a phenomenal increase in booster shots—more than 10 million throughout the UK—and the number is growing all the time.

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

This is a difficult decision, but it is the right decision, and I congratulate the Health and Social Care Secretary on biting the bullet on this. I congratulate his predecessor, my right hon. Friend the Member for West Suffolk (Matt Hancock), on laying the foundations of the vaccination programme that has made it possible.

When we have a disease that can be transmitted asymptomatically, all of us have a responsibility to protect the most vulnerable people, and no one more so than doctors and nurses. I do not know of a single doctor or nurse who do not want to be double or triple jabbed in order to make sure that they are protecting their own patients. Reducing the number of nosocomial infections is one of the big learning points from this pandemic going forward, so this is the right thing to do.,

Exactly the same arguments for the covid vaccine apply also to the flu vaccine. I note that, today, the Health Secretary has not made an announcement about the flu vaccine. Can I encourage him to do so? I wanted to vaccinate NHS staff for flu much more comprehensively than was happening. I think my successor wanted to do it as well. This needs to happen for exactly the same reasons. There is asymptomatic transmission of flu just as there is asymptomatic transmission of covid. I encourage my right hon. Friend to look at that and I would be interested to hear what his plans are on that front.

[Sajid Javid]

I thank my right hon. Friend for his support for today’s announcement. I know that he speaks with huge experience, that he has rightly focused for years on the importance of patient safety, and that he will also welcome this as a patient-safety measure. On his particular question around flu, we did consider that carefully. As he knows, we did consult on it. We looked at the response to the consultation and, after consideration, we were not convinced that we should go ahead with flu at this stage, but the option remains open.

[Tony Lloyd (Rochdale) (Lab)]

I am guardedly sympathetic to the direction of travel in which the Secretary of State is going, but this obviously could lead to specific skills shortages in different parts of the health service. Can he give us a guarantee that this will be monitored at a granular level, so that each hon. Member can be certain that we do not find out that our own hospitals have developed those skills shortages in vital services?

[Sajid Javid]

The hon. Gentleman is right to raise that point. It was a concern in making the decision, and I have set out how I have taken that into account. However, I assure him that the issue will be monitored on a day-by-day basis by our colleagues in NHS England and of course the Department itself, and that whatever workforce planning is necessary will be done.

[Matt Hancock (West Suffolk) (Con)]

I warmly welcome the Secretary of State’s decision and the cross-party consensus behind it. Medicine is based on science and the vaccine is the best of science, and we should use all the science and tools at our disposal to keep people safe. That is the justification for this policy. I support the extension of the decision in due course to flu. I am glad that the Secretary of State is keeping that option open, and urge him to continue to push on that as soon as is practicable.

May I invite my right hon. Friend to join me in saying that, given that there is cross-party consensus and that the announcement has now been made, this is clearly going to happen; and that all those working in the NHS, including those who have so far been hesitant, should therefore come forward as soon as possible to get the vaccines? They are going to have to get them, so better to get them sooner rather than later.

[Sajid Javid]

I agree wholeheartedly. May I take this opportunity to thank my right hon. Friend again for the work that he has done in Government, and particularly in this Department in laying the foundations of our successful vaccination programme? Without those foundations, we would not have been able to take this positive step today. He is right to point to the fact that vaccines work, and that they are safe and effective. Public Health England estimates that at least 230,000 hospitalisations and more than 100,000 deaths have been prevented by the vaccines. He is also right to say that now that the Government have made our decision, subject to the will of Parliament, this will happen; and that there is already an opportunity from this moment for people to make the positive choice. In doing so, we will help those people in every way that we can.

[Clive Efford (Eltham) (Lab)]

I welcome the Secretary of State’s announcement, but if this is about minimising transmission, surely it follows that we should be reviewing the guidance on facial protection and FFP3 masks. Will he be following the recommendations of the royal colleges and trade unions that frontline staff in care homes and the NHS should be issued with FFP3 masks?

[Sajid Javid]

The hon. Gentleman will know that masks play an important role in vulnerable settings in healthcare and social care already. He points to a suggestion by some that the requirements regarding the type of masks should be changed. I reassure him that we keep this issue under review at all times, and if such a change were necessary, we would support it.

[Sir Edward Leigh (Gainsborough) (Con)]

It is obvious that the booster jab is essential to protect the very vulnerable. I have an elderly family member who is 90 years old and completely bedbound. He lives at home, and cannot get out of the flat and down the steps, and he has been waiting for weeks for his booster jab. He said to me on Sunday, “Where is my booster jab?”. I suspect that across the country it is quite inconvenient to get out to very elderly people who are living at home—not in care homes, but in their own home. These people are being looked after all day by care workers, coming in and out. Will the Secretary of State now give an instruction to health authorities, GPs and district nurses to get out and get the booster jabs into these very old and vulnerable people?

[Sajid Javid]

What my right hon. Friend has just said deeply concerns me. Anyone who is 90 years old and homebound should have been contacted—certainly at that age. I am assuming that it has been at least six months since the individual’s second jab. On that basis, he should have been contacted and visited by his GP. First, I would like more details about that particular case, if my right hon. Friend will supply them. I would want then to ensure that there are no other instances like that, because someone at that age who is homebound should certainly already have received their booster jab.

[Kirsten Oswald (East Renfrewshire) (SNP)]

I thank the Secretary of State for setting out his thinking today. The Government said in the Budget that they planned to invest responsibly. Does he believe that it was responsible to cancel a multimillion-pound contract to supply a covid vaccine that phase 3 trials show may be more effective than the Oxford vaccine, threatening hundreds of jobs in Livingston for no apparent good reason? Will he consider rethinking that unfortunate decision?

[Sajid Javid]

I know the case to which the hon. Lady is referring. We are clear in our decision, which was made for all the right reasons. I hope that she will understand that I am not at liberty at this point to share those reasons, due to commercial and legal sensitivities, but I assure her that there is absolutely no point in revisiting that decision.

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

I welcome what the Secretary of State has said about his proposed method of dealing with this issue in Parliament, and his confirmation that he is going to publish an impact assessment ahead of the decision. That, of course, was not what happened when we voted on the care home vaccination issue, for which, to be fair to him, he was not responsible; the way in which that decision was conducted was an abuse of this House, which was asked to vote on it.

The Secretary of State has just confirmed that of the 40,000 care home staff who the Government estimated were going to leave the care home sector because they had not been vaccinated, 32,000 of them—two days away from the deadline—remain unvaccinated. That is a significant number. When he publishes all the information before we make a decision, will he ensure that as well as the impact assessment he includes a plan to deal with what sounds like it will be something like tens of thousands of NHS staff, who, if the care home workforce are any precedent, are going to end up leaving the national health service? It may be the right decision, but we must have a plan to deal with it. Not having had a plan for the care home sector is causing enormous pressure not just on the care home sector, but on the NHS. I want to ensure that when Members are asked to make a decision, we have all the information at our disposal so that we can make the best possible decision in all the circumstances.

[Sajid Javid]

My right hon. Friend is absolutely right that parliamentary procedure is vital. As well as publishing the impact assessment before a vote, I can share with the House that we will be publishing an impact statement today. That will be followed by the impact assessment, later. He mentioned the figure of 32,000. That is the latest published number, from the end of last month. Although it has only been a few days since then, the situation is currently quite fast moving because the number might include a number of people—perhaps in their thousands—who are medically exempt but about whom the Care Quality Commission has not yet been informed. He has pointed to the need for the Government to share our thinking or that of the NHS on workforce planning with respect to this new measure. We will set out more details.

[Daisy Cooper (St Albans) (LD)]

A number of care home owners have said that the damage has already started to be done, and that some of their carers are leaving either their jobs or the sector entirely. I welcome the Secretary of State’s statement that an impact assessment will be forthcoming, and look forward to seeing the impact statement later today. In response to the hon. Member for Rochdale (Tony Lloyd), the Secretary of State also mentioned that the Department is monitoring the issue on a “day-by-day basis”. I worry that an impact statement might be too late if we have to wait two or three months for a vote. Will he commit to publishing the data that he is looking at day by day, so that Members of the House can see in real time whether the policy is going to have an impact on the workforce situation in the NHS and care homes?

[Sajid Javid]

We will be publishing the impact statement today.

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

Although I want everybody to be vaccinated, I do not support mandatory medical interventions, and I worry about the impact on the already high vacancy rate in the workforce. My right hon. Friend the Secretary of State must have done some risk assessments, so can he tell me this? As previously asked, how many of the 10% who are un-jabbed does he assess will be subject to medical exemptions? What calculations has he made of the likely job losses overall? When will he publish a list of exactly what personnel are involved? Will it involve cleaners, for example, who do not have medical engagement with patients but are certainly in proximity to them? When will he publish the evidence and the data on the number of patients who have been infected with covid by unvaccinated staff while in hospital?

[Sajid Javid]

I hope my hon. Friend appreciates that there were a lot of questions. The impact statement will be published today, and the impact assessment will be published before he and other Members are asked to vote. Those documents will help to answer their questions. I also draw his attention to the experience thus far of the condition of deployment measure that we took in a similar way with care homes, and how dramatically the numbers were cut from the point of announcement.

[Karin Smyth (Bristol South) (Lab)]

Of course NHS and care staff should all be vaccinated—that is what we expect for our loved ones—and of course they should all be wearing masks. The Prime Minister parading around a hospital yesterday without a mask was a disgrace, and I hope that the Health Secretary is talking to him about that.

I support the questions that other hon. Members have asked about more detail in the impact assessments, because I want to know whether those 10% of un-jabbed staff are in Bristol, or whether the figure in Bristol is 20%, 30% or 2%. If the Health Secretary knows that information, I, as a Member of Parliament for Bristol, should also know it. If all staff and associated people in healthcare settings are to be vaccinated, will there be a covid passport for people to visit hospital and care settings?

[Sajid Javid]

I gently say to the hon. Lady that she really should not try to play politics with the story that she is perpetuating about the Prime Minister on a hospital visit yesterday. As the hospital trust said, and as I am sure she knows, the Prime Minister and his team followed all the rules that they were required to follow, whether they were about face masks or otherwise, in that hospital. Something tells me that she knows that, but sadly she has decided that she wants to play politics with such an important issue.

As for information on vaccination rates in Bristol, the hon. Lady knows that every region of England has a director of public health. She probably knows who hers is, and they will be able to supply a lot of information. If she is having any difficulty getting that information, I will certainly help her in any way that I can.

[Dr Andrew Murrison (South West Wiltshire) (Con)]

I declare my interest as a vaccinator. I support the Government’s position, but will my right hon. Friend the Secretary of State tell us what assessment he has made of the risk of transmission of coronavirus from an apparently healthy person to a vulnerable person? As with hepatitis B, the only justification for the measure must be that there is a significant risk of transmission.

Furthermore, will he reassess his position on flu following the comments of his two predecessors, which I support? Will he ensure that we do nothing to trespass on the rights of individuals unless it is absolutely essential to keep vulnerable people safe? Finally, will he say why he has gone for 1 April? If this has to be done, it is better to do it quickly. By the spring, we will clearly be past the winter pressures that we are all concerned about.

[Sajid Javid]

I thank my right hon. Friend for his support. On the assessments that we have done, I have shared some information with the House, and there will be an impact statement followed by an impact assessment that will give him more information. It may be helpful for him to know that studies already in the public domain show that against the delta variant, the AstraZeneca vaccine is 65% effective and the Pfizer vaccine is 85% effective in preventing infection. The fewer people who are infected in these settings, the less spread there will be.

I think I have set out the Government’s thinking on flu, but it remains under review. There are many reasons why we have focused on the 1 April date, but the main one is to give those in the NHS who have not yet had a single jab—there are 100,000 of them—to make the positive decision to get vaccinated.

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

In York, vaccination rates are high at 87%, but transmission rates of covid are also extremely high, and transmission is happening in the community. As a result, directors of public health such as my own are absolutely despairing that the Secretary of State and others in the Department are not listening to public health experts who are asking for the tools to be restored to manage the virus. That is about moving contact tracing immediately into local authorities, where they got on top of the virus and locked it down. It is also about ensuring that greater public health measures are taken—hands, face, space needs restoring in all settings.

[Sajid Javid]

The hon. Lady is right to point to the high vaccination rates in York, and everyone involved is to be commended. When it comes to other measures that may or may not be taken, I think the plan A approach that the Government set out is the right one. There may be reasons to take a slightly different approach in certain regional areas, and that is also possible with the right evidence. This is something that we always keep under review.

[Jim Shannon (Strangford) (DUP)]

I thank the Secretary of State for his clear commitment and for the regular updates that we get in the House. Can he provide an assessment of the availability of the new covid drug molnupiravir? If people get that pill within five days of symptoms, hospitalisation and death rates are cut by 50%. Will the drug be available across the whole United Kingdom, and will the vulnerable classification include the diabetic and the immunosuppressed?

[Sajid Javid]

I can tell the hon. Gentleman that the antiviral drug that he refers to has been approved by the Medicines and Healthcare Products Regulatory Agency. We do have that drug, and since the point of approval last week we have already started deploying it in certain settings across the United Kingdom. We have put an order in for another antiviral, which has had very successful trial outcomes, but it has not received any final approval. If the MHRA independently decides to approve it—of course, that is a decision for the MHRA—the country will be in the fortunate position of having procured that drug, too.

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

One of the major objectives behind the successful vaccination programme is obviously to reduce infections, reduce hospitalisations and allow health professionals to focus on other, even more dangerous conditions, including cancer. The Secretary of State will be aware that in 2020, there were 35,000 missed cancer diagnoses. The London School of Economics study shows some 60,000 potential years of life being lost to cancer as a consequence of covid, and it is estimated that the NHS’s diagnostic and treatment services will have to work at 120% capacity for two solid years just to get back to March 2020 levels.

I suspect that the Secretary of State was as disappointed as I was that there was nothing in the Budget to help us to catch up with cancer. Will he follow the Government’s good example on the vaccine roll-out and adopt the same relentless focus on catching up with cancer, with targeted resources and leadership? Will he agree to meet clinicians and those involved in the cross-party Catch Up With Cancer campaign so we can work together to save those tens of thousands of lives, which will otherwise be unnecessarily lost?

[Sajid Javid]

The hon. Gentleman is absolutely right to raise the importance of cancer. For all the reasons he set out and more, it has remained an absolute priority of the Government and the NHS throughout the pandemic, despite the huge pressure that the NHS was under. Sadly, he is also right—I have spoken about this, just as he has—that many thousands of people went undiagnosed because they were asked to stay away from the NHS to protect it. We all understand why that happened, but sadly it had an unintended consequence. He is not right, though, to suggest that there was nothing in the Budget or the accompanying spending round to help with that problem. I draw his attention, for example, to the billions of investment in the new community diagnostic centres. There will be more than 100 across England, which will mean it will be much easier and quicker for GPs or others to refer people with suspected cancer for diagnosis. There are other examples, but I hope he is reassured that this remains an absolute priority.

David Fuller Case

Sajid Javid Excerpts

Monday 8th November 2021 Commons Chamber

[The Secretary of State for Health and Social Care (Sajid Javid)]

With permission, Mr Speaker, I shall make a statement on the appalling crimes committed by David Fuller and the Government’s next steps. In recent days, the courts have heard about a series of David Fuller’s shocking and depraved offences. The legal process is ongoing, as you have just said, Mr Speaker. David Fuller is yet to be sentenced, so there are some things it would be inappropriate for me to talk about at this time. I am sure the House will understand why the majority of my statement will focus on the steps that we are taking in response to those crimes and not the crimes themselves.

Before I do, I will briefly update the House on this shocking case. In December, David Fuller was charged with the murder of two young women, Wendy Knell and Caroline Pierce, in the Tunbridge Wells area of Kent in 1987. Last week, he pleaded guilty to their murders. My thoughts, and I am sure the thoughts of the whole House, are with Wendy and Caroline’s family and friends.

As well as that, the Kent and Essex serious crime directorate has been carrying out an investigation into his offences in hospital settings between 2008 and 2020. As a result, Fuller was charged with a series of shocking offences involving sexual offences committed in a hospital mortuary. He has also pleaded guilty to these offences. As sentencing has yet to take place, it would be inappropriate for me to comment on the case, but I will say that, in the light of what has happened, the Justice Secretary will be looking at whether the penalties that are currently available for such appalling sexual offences are appropriate.

It has taken months of painstaking work to uncover the extent of this man’s offending. The fact that these offences took place in a hospital—a place where all of us should feel safe and free from harm—makes this all the more harrowing. This has been an immensely distressing investigation, and I would like to thank the police for the diligent and sensitive way that they have approached it. They have shown the utmost professionalism in the most upsetting of circumstances, and I would like to thank them for their ongoing work. I would also like to thank the local NHS trust—Maidstone and Tunbridge Wells NHS Trust—for co-operating so closely with the police.

Officers have, tragically, found evidence of 100 victims. Of these victims, 81 have been formally identified, and specially trained family liaison officers have been supporting their families. Every family of a known victim has been contacted. We have been working closely with the police, the police and crime commissioner and the NHS trust to make sure that those families who have been directly affected receive the 24/7 support that they need, including access to dedicated caseworkers, and mental health support and counselling.

If anyone else is concerned that they or their loved ones may be a victim, or if they have any further information, they should search online for the major incident police portal, and select “Kent Police” and “Operation Sandpiper”. I know how distressing the details of these offences will be for many people. The local NHS trust has put arrangements in place to support staff who have been affected, and regardless of whether or not someone has been directly impacted by these offences, they can access the resources that are available on the My Support Space website.

This is a profoundly upsetting case that has involved distressing offences within the health service. The victims are not just those family members and friends who have been abused in this most horrific of ways; they are also those who are left behind—people who have already experienced loss, and now experience unimaginable pain and anger. They are victims, too.

Even as we look into exactly what happened, I, as the Secretary of State for Health and Social Care, want to apologise to the friends and families of all the victims for the crimes that were perpetrated in the care of the NHS, and for the hurt and suffering they are feeling. I know that no apology can undo the pain and suffering caused by these offences, but with such serious issues of dignity and security, we have a duty to look at what happened in detail, and make sure it never happens again, so I would like to update the House on the steps we are taking.

First, NHS England has written to all NHS trusts asking for mortuary access and post-mortem activities to be reviewed against the current guidance from the Human Tissue Authority. Trusts have also been asked to review their ways of working and to take a number of extra steps, including making sure that they have effective CCTV coverage in place, that entry and access points are controlled with swipe access, and that appropriate Disclosure and Barring Service checks and risk assessments are being carried out. NHS England will report directly to me with assurances that these measures have been taken, so that we can be confident that the highest standards are being followed and that we are maintaining security and upholding the dignity of the deceased. Next, the local trust has been putting its own steps in place. It has already conducted a peer review of mortuary practice, and it initiated an independent investigation into those specific offences.

I thank the trust and its leadership for its quick initial work to set up that investigation, but given the scale and nature of these sexual offences, I believe we must go further. Today I can announce that I am replacing the trust investigation with an independent inquiry that will look into the circumstances surrounding the offences committed at the hospital, and their national implications. It will help us to understand how those offences took place without detection in the trust, identify any areas where early action by the trust was necessary, and consider wider national issues, including for the NHS. I have appointed Sir Jonathan Michael to chair this inquiry. Sir Jonathan is an experienced NHS chief executive, a fellow of the Royal College of Physicians, and a former chief executive of three NHS hospital trusts. He had been leading the trust investigation, and will be able to build on some of the work he has already done. The inquiry will be independent, and it will report to me as Secretary of State.

I have asked Sir Jonathan to split his inquiry into two parts: the first, an interim report, which I have asked for early in the new year; the second, a final report looking at the broader national picture and the wider lessons for the NHS and other settings. We will publish the terms of reference in due course, and I have also asked Sir Jonathan to discuss with families and others to input into this process. Sir Jonathan’s findings will be public and they will be published. We have a responsibility to everyone affected by these shocking crimes to do right by those we have lost, and by those still left behind in their shock and their grief. Nothing that we can say in this place will undo the damage that has been done, but we must act to ensure that nothing like this can ever happen again. I commend this statement to the House.

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

I thank the Secretary of State for advance sight of his statement and for its content, and I welcome what he has announced today.

This is an unspeakably vile and horrific crime, and across the House our thoughts and hearts go out to the families of Wendy Knell and Caroline Pierce, and to the families of those with deceased loved ones. Those 100 victims—we are talking about the corpses of 100 women —were, as has been reported in the press, violated in the most monstrous, vile and sickening way. Will the Secretary of State confirm that all the families impacted will have immediate access to the psychological counselling and support that they need? Will NHS staff at the hospital, many of whom will themselves be devastated, also have access to appropriate counselling and support?

I welcome the announcement of an inquiry, and I pay tribute to local Members of Parliament across Kent and Sussex who have spoken up on behalf of their communities in recent days. In particular, the right hon. Member for Tunbridge Wells (Greg Clark) said over the weekend that authorities and politicians must

“ask serious questions as to how this could have happened and…establish that it can never happen again.”

I agree, and that is why an inquiry is so important.

Will the Secretary of State offer some precision as to when the terms of reference will be published? Fuller was caught because of a murder investigation, which in itself prompts a number of questions about the regulation of mortuaries. The Human Tissue Authority, which regulates hospital mortuaries, reviewed one of the mortuaries in question as part of its regulatory procedures. It raised no security concerns, but found a lack of full audits, examples of lone working, and issues with CCTV coverage in another hospital in the trust. Will the inquiry consider—or perhaps this is the remit of the Secretary of State—the Human Tissue Authority’s standards, the way it reviews hospital mortuaries, and how those standards are enforced? Will the inquiry recommend new processes that the Secretary of State will put in place if it is found that a mortuary fails to meet the high standards for lone workers, for security and for care?

The NHS has asked trusts to review their procedures; I welcome that. Will the Secretary of State ensure that all mortuaries document and record the access of all staff entering a mortuary, and will he ensure that standards for CCTV are enforced and that CCTV is in place comprehensively across all mortuaries? There are, of course, other premises where dead bodies are stored, such as funeral directors, that do not fall under the regulatory remit of the Human Tissue Authority, so will its remit be expanded, or will the inquiry look at regulation for other premises where bodies are stored?

When our loved ones are admitted into the hands of medical care, that is done on the basis of a bond of trust—that our loved ones will be cared for when sick and accorded dignity in death. That bond of trust was callously ripped apart here. I offer to work with the Secretary of State to ensure that something so sickening never happens again.

[Sajid Javid]

I very much welcome the right hon. Gentleman’s words and his offer to work together on this. I most certainly would like to take him up on that. I think the whole House would want to see us all working together on this.

I reassure the right hon. Gentleman that there is comprehensive support rightly available to all families and friends that have been affected. As I said a moment ago, every family of the known victims has been contacted directly by family liaison officers. They are in touch, and that support will continue for as long as necessary, including dedicated caseworker support, a 24/7 telephone support line and whatever counselling and support of that nature is needed. That includes support for staff in the NHS and elsewhere, where staff will also be affected.

On the terms of reference, that is something that I and my Department will work on with Sir Jonathan. I have already started discussions with him on that, and I am sure that he will want to have discussions with others, including families, their representatives and the Members of Parliament who represent those families.

The work that Sir Jonathan will do will be broad in its nature. I think it has to be, because, as the right hon. Gentleman rightly alluded to, it has to go beyond just hospitals. There are a number of settings that rightly need to be looked at, including, for example, local authority mortuaries, private mortuaries and other settings, such as undertakers. I think the inquiry should be open to all of that, and I think we would want to see that reflected in the terms of reference.

Lastly, the right hon. Gentleman referred to recommendations around access, documentation and CCTV. He is right to raise all those issues. I want to be careful not to pre-empt the final outcome of what is an independent inquiry, but I am sure all those issues will rightly be looked at.

[Greg Clark (Tunbridge Wells) (Con)]

I join the Secretary of State in giving thanks to Kent Police for its sensitivity, but also its tenacity in bringing Fuller to justice after all these years. I am grateful to the Secretary of State for agreeing to the inquiry that my colleagues in the area have called for.

It is important that the House understands the need for the inquiry. As well as brutally murdering two young women, Fuller raped the dead bodies of over 100 girls and women. Their identities are known, and that means that their families have been informed. The shock and desolation that those families are going through is beyond imagination. That is why the inquiry is so important—because this can never be allowed to happen again. It does go beyond the local. In the last four years, there have been over 30 incidents of unauthorised people entering mortuaries in NHS hospitals. Will the Secretary of State confirm that the inquiry will do three things? First, will it allow victims’ families to give evidence on the impact the crimes have had on them? Secondly, will he make public recommendations for the whole of the NHS, as well as the local NHS trust? Thirdly, will he publish the assessment of the risks for other sectors in which people have access to human dead bodies? We can never take away the horror and the grief that is being suffered by the families, but we can do one thing, which is to protect other families from having to go through this nightmare.

[Sajid Javid]

I very much agree with all the words of my right hon. Friend, especially when he talks about the shock, hurt and pain of all the families, many of them his constituents. He asks specific questions on three points: whether the victims will be allowed to give evidence to the inquiry; whether the recommendations will be for the whole of the NHS and be public; and whether the inquiry will publish its findings on other sectors beyond the NHS. Absolutely, the inquiry will do all three things. I can give him that assurance.

[Karin Smyth (Bristol South) (Lab)]

This is truly one of the most horrific things any of us will have heard of or encountered. Our thoughts are with the families and those conducting the investigations. Following on from the right hon. Member for Tunbridge Wells (Greg Clark) who highlighted that access has happened elsewhere in the country, the Secretary of State said in his statement that he has written to NHS England to ask all NHS trusts to report directly to him on what they find in terms of compliance. Will he outline how he will share the information from NHS England with local communities who are now very concerned about that and with us as their representatives?

[Sajid Javid]

Yes, I am very happy to expand on that. The NHS has, first, written directly to all trusts and asked them to look into the issues of mortuary access and other post-mortem activities, and to judge them against current guidance to ensure that it is all being applied. In the first instance, that information will go back to NHS England. It will then be shared with me and I will certainly want to find the best way of sharing it with both the House and everyone who is interested.

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

I thank my right hon. Friend for the extremely sensitive tone with which he is approaching this incredibly difficult issue. He is absolutely right to put the concerns of families and staff first. He is also right to say that this issue will not be resolved by one evil man facing justice. The big question everyone is concerned about is this: could this happen elsewhere and why did this horrendous series of crimes happen over such a long period of time without being detected? I welcome the call for an independent inquiry and the Secretary of State’s decision to do that. May I ask him to praise the work of the vast majority of morticians throughout the country who do an incredibly difficult job extremely well? I met some of them after the Manchester Arena bombing and I know that he would not want this terrible, terrible series of acts to cast a cloud over their fantastic work.

--- Later in debate ---

[Sajid Javid]

I agree very much with my right hon. Friend. He is absolutely right to raise those points. As he said, these appalling crimes have taken place over a number of years. I am certain that the independent inquiry will get to the bottom of that and that we can learn not just about mortuaries in hospital settings, but much more broadly. He is also right to draw attention to the vast majority of people who work in mortuaries, the morticians and those who support them, for the very difficult and important work they do.

[Daisy Cooper (St Albans) (LD)]

This is a truly harrowing case and I think many people will be shocked not just by the horrific nature of the crimes, but by the fact that many of the extra steps announced today were not already in place. Will the Secretary of State give an indication of how quickly he expects hospitals to adopt the extra steps of CCTV coverage, swipe access and DBS checks in every single hospital and mortuary?

[Sajid Javid]

I would expect that many of those steps may well be in place in many NHS trusts. The purpose of the NHS writing to all trusts is to ensure that the kinds of steps that I set out earlier, and others, are in place, so they are following the current rules and guidance that are set out by the Human Tissue Authority. What we also need to do is determine whether the current rules and guidance are right in the light of these appalling crimes and whether we need to go much further than that. That is also the purpose of having an independent inquiry.

[Ms Nusrat Ghani (Wealden) (Con)]

Fuller’s vile and depraved acts are hard to comprehend, especially taking into account the number of victims and the fact that the crimes took place over such a long period of time. My thoughts are with the families of Fuller’s victims as they come to terms with the news that they have been told. I am grateful for the inquiry; we need to understand how access was made available to Mr Fuller. May I push the Secretary of State a bit further, especially on family liaison officers? Will he provide assurances that all the victims’ families have that access for as long as they need it and can access mental health services for as long as they need to? Will he provide some assurances that, as far as he is aware, all the families of the victims have been contacted to date? And perhaps he can offer some assistance to the staff of MPs who are dealing with constituents going through this, so that we can make sure that we are offering the most sensitive advice and support possible.

[Sajid Javid]

My hon. Friend is absolutely right to make those points, and I can give those assurances. The police have informed my Department that all the families of all the victims have been contacted. They all have family liaison officers. That support and other support, such as counselling and mental health support, if required, and the 24/7 telephone line that I referred to, will remain in place for as long as is necessary. Indeed, if she and other Members of Parliament who have constituents who are affected think that there are other ways to provide support, of course we would be willing to do that.

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

I thank the Secretary of State for his words and his action; it is much appreciated, as is the solidarity shown by the shadow Secretary of State, the right hon. Member for Leicester South (Jonathan Ashworth). I also thank my right hon. Friend the Member for Tunbridge Wells (Greg Clark) for leading the local MPs on this difficult matter.

The nation has been absolutely appalled and horrified by the actions that we have heard about, and none more so than the people in Heathfield, where Mr Fuller was arrested at his family home. They are good people who have been shocked by what they have found out. My constituents use the Maidstone and Tunbridge Wells NHS Trust. It is an excellent hospital, run by some brilliant management and fantastic staff. Will the Secretary of State make sure that those staff and management have all the support that is needed to ensure that patients receive their ongoing care?

[Sajid Javid]

Yes, I can give my hon. Friend that assurance. His local hospital does some excellent work in supporting local people in all their health needs and has done so for a long time. I have no doubt that this news will be incredibly distressing to all the people who work in the hospital, and they will get the support that they need. The other support that is necessary for the hospital to continue with its good work and care will remain, and will remain very important.

[Mrs Helen Grant (Maidstone and The Weald) (Con)]

Nothing can undo the horror that the families of victims are going through, but I am pleased to hear what my right hon. Friend has said. Could he provide some further and better details on the timescale for the final report that will come out of the inquiry? He mentioned an interim report early next year, but what about the final report? When does he anticipate that the recommendations that might be made in that report will be implemented?

[Sajid Javid]

Yes, I am happy to provide more information on that issue. I have asked Sir Jonathan to provide the interim report from his inquiry early next year. As my hon. Friend and other hon. Members will understand, it will take some time to get the terms of reference in place and make sure that the review is done properly, but it is important to learn some early lessons, especially around the local hospital trust. I anticipate that the interim report might take about three months, but I will wait to see Sir Jonathan’s final analysis. I hope that the final report will come some time next year; I do not want to set a timetable now without knowing the full terms of reference.

I draw my hon. Friend’s attention to the work that I have asked for from the Human Tissue Authority as well as the independent inquiry. I have asked it to do an independent review of its own advice to me on the current regulations.

[Tom Tugendhat (Tonbridge and Malling) (Con)]

This horrific crime has shocked many in Tonbridge, Edenbridge and Malling who use the hospital. I associate myself entirely with the words of my right hon. Friend the Member for Tunbridge Wells (Greg Clark).

I thank the Secretary of State for announcing the inquiry that many of us have been seeking. May I ask him to provide some resources locally for the trust to reassure patients and staff of the actions that it is taking and make sure that they are communicated to all the towns and villages that rely on and place so much importance on the hospital? We need to ensure that trust is returned to the establishment if we are to have the care needed for all our communities.

[Sajid Javid]

I can give my hon. Friend that assurance. This will, of course, be a very difficult and distressing time for the local trust. I have already discussed the matter with my colleagues in NHS England, and it will be provided with the resources that it needs.

[Laura Trott (Sevenoaks) (Con)]

I thank the Secretary of State for agreeing to the inquiry. For my constituents who have been affected, nothing will ever take away the pain and the trauma, but I hope that it will at least provide them with some comfort and assurance that this will never happen again.

When David Fuller was first employed, DBS checks did not exist. Subsequent checks failed to pick up his previous convictions. Can the Secretary of State assure us that that issue will be looked at as part of the inquiry? Will he look at the wider NHS and ensure that people with convictions do not have access to sensitive areas of NHS trusts?

[Sajid Javid]

Yes, I can absolutely give my hon. Friend that assurance. As other colleagues have done, she raises a very important point: it is clear from this case that the issue of employment checks, especially DBS checks—not just in hospital settings, but in mortuary and undertaker settings—needs to be looked at afresh. I do not want to pre-empt the outcome of the independent inquiry, but I can give my hon. Friend the assurance that the issue will absolutely be looked at.

Menopause (Support and Services) Bill

Sajid Javid Excerpts

2nd reading
Friday 29th October 2021 Commons Chamber

[Liz Kendall]

Absolutely. I must be honest: I was in a quandary about whether I was going to say anything today, but, like the hon. Lady, I thought, “If we in this place, with the power, influence and authority that we have, are too nervous to speak out, what does that say? “ We need to be leaders and champions, and I hope that we are all making a small contribution to that today.

I must say that I have had a very good experience with my GP. Two weeks ago, I did an online survey. A few days later, I had a phone consultation and I got my first HRT prescription last week—ironically, on the same day as the Backbench Business debate on World Menopause Awareness Month—but I know that millions of other women are nowhere near as lucky. Almost one in 10 women have to see their GP more than 10 times before they get proper help and advice. Two thirds of women suffering low mood or anxiety, like my hon. Friend the Member for Swansea East, are wrongly given antidepressants instead of HRT, often for many years. Around one in three women will end up having a hip fracture due to osteoporosis unless they take HRT, as was rightly mentioned by my hon. Friend the Member for Bradford South (Judith Cummins).

The objectives at the heart of this Bill—to raise awareness of the menopause, to make it easier for women to access HRT and to improve the education and training of health professionals—are absolutely essential. I hope when the Minister rises to speak, she will set out the steps her Government will take to make these goals a reality, because frankly, getting women the right diagnosis and the right treatment at the right time is a no-brainer. It is better for women and it is better for the taxpayer, because it will stop women having to have lots of unnecessary doctor’s appointments. It will stop them being put on the wrong medicines for years, leaving the real issue untreated and undiagnosed, and it will reduce the likelihood of women getting conditions such as osteoporosis when they do not need to, which can lead to much more serious and expensive NHS care, such as hip and other operations.

There is lots more I could say on that issue, but I want to use the remaining time I have to talk about the impact of menopause in the workplace, an issue rightly raised and championed by the right hon. Member for Romsey and Southampton North. There are currently more than 4.3 million working women aged 50 to 64. We are the fastest growing group in the UK workforce, often at the peak of our experience, with all the skills and talent that that brings, but 80% of women say that the menopause has affected their working lives.

Around 14 million days are lost at work every year due to menopause, and a quarter of menopausal women at work find the symptoms so debilitating that they are considering reducing their hours, changing their working patterns or leaving the workplace altogether. Women lose their income and careers, businesses lose their talent and the Treasury loses their taxes. Where on earth is the sense in that?

The fundamental problem is that the vast majority of women are too embarrassed, worried or frightened to speak out or discuss the issue with their bosses or line managers. I think the reason for that is the double whammy of sexism and ageism. If a quarter of men in their 50s were considering quitting work or reducing their hours, you can bet your bottom dollar that it would be at the top of the workplace agenda and a solution would pretty quickly be found. Women should not have to suffer in silence. We have to remove the ignorance and stigma about the menopause. It is not a women’s issue or a private matter, let alone a joking matter; it is a mainstream, no excuses, no ifs or buts workplace issue, and it must be addressed. Again, I hope when the Minister rises, she will set out the steps her Government intend to take on this vital issue.

In conclusion, Members will know that I have never been one for revolutions, but on this issue I make an exception.

[The Secretary of State for Health and Social Care (Sajid Javid)]

I think every word that the hon. Lady has said will resonate with millions of people across the country for exactly the reasons she set out. It is powerful to hear from her about her personal experience, and I hope, especially after this day and going forward, that the whole House can co-operate and do much to help with this. I welcome her comments.

[Liz Kendall]

That is very kind of the right hon. Gentleman, and very much appreciated by me, my colleagues and women across the country. I am very proud to join my hon. Friend the Member for Swansea East, all the other women and men in the Chamber today, women outside this place and the organisations who are campaigning on the issue and calling for a menopause revolution. As she said on the radio this morning, let us make women wonderful again. Who on earth could disagree with that? Millions of women across the country deserve nothing less.

Health and Social Care

Sajid Javid Excerpts

Friday 22nd October 2021 Ministerial Corrections

The following is an extract from the debate on 19 October 2021.

[Sajid Javid]

Some of the provisions that we are recommending for expiry are some of the most stringent aspects of the Coronavirus Act. They include section 51, which relates to potentially infectious persons and which has been used only 10 times and not since October 2020; section 52, which gave powers to issue directions relating to events, gatherings and premises, and which has never been used; section 23, which relates to time limits for urgent warrants under the Investigatory Powers Act 2016 and which is no longer proportionate to this stage of the pandemic; and section 37, which allowed for the disruption of education for children and young people with special educational needs and disabilities, and which continues to be unused.

[Official Report, 19 October 2021, Vol. 701, c. 653.]

Letter of correction from the Secretary of State for Health and Social Care, the right hon. Member for Bromsgrove (Sajid Javid).

An error has been identified in my contribution to the debate.

The correct information should have been:

[Sajid Javid]

Some of the provisions that we are recommending for expiry are some of the most stringent aspects of the Coronavirus Act. They include section 51, which relates to potentially infectious persons and which has been used only 10 times and not since October 2020; section 52, which gave powers to issue directions relating to events, gatherings and premises, and which has never been used; section 23, which relates to time limits for urgent warrants under the Investigatory Powers Act 2016 and which is no longer proportionate to this stage of the pandemic; and part of schedule 17, section 38, which allowed for the disruption of education for children and young people with special educational needs and disabilities, and section 37 which continues to be unused.

Covid-19 Update

Sajid Javid Excerpts

Wednesday 20th October 2021 Written Statements

[The Secretary of State for Health and Social Care (Sajid Javid)]

The Prime Minister’s announcement of the formation of the antivirals taskforce in April 2021 brought new impetus to the search for potential antiviral treatments for UK covid-19 patients.

Effective treatments for covid-19 will be vital to manage the risk of infection, as we learn to live with the virus. Covid-19 treatments are especially important for people who cannot take a vaccine for medical reasons or for whom vaccines may be less effective, such as those who are immunocompromised.

Antivirals may help reduce the development of severe covid-19 and its transmission by targeting the virus at an early stage, preventing progression to more severe disease by blocking virus replication.

The antivirals taskforce, under the leadership of Eddie Gray, has worked at speed to identify and evaluate potential antiviral candidates that meet the criteria set out by the Prime Minister: oral antivirals which can be taken at home following a positive covid-19 test and are available for deployment this autumn and winter.

Commercial negotiations have concluded for the first antiviral candidates, with two supply agreements now signed to ensure that they are available for UK patients. We have secured 480,000 patient courses of Molnupiravir from Merck Sharp and Dohme (MSD) along with 250,000 patient courses of PF-07321332 from Pfizer. Payment will only be made, and product delivered following UK market authorisation from the Medicines and Healthcare products Regulatory Agency (MHRA).

Molnupiravir and PF-07321332 are both oral antivirals which can be taken at home to target the SARS-CoV-2 virus, but with different mechanisms of action. Molnupiravir is a ribonucleoside analogue which inhibits viral RNA replication. PF-07321332 is a protease inhibitor which prevents virus replication by selectively binding to viral proteases preventing the cleavage of proteins which are necessary to produce infectious virus particles.

Should these antivirals receive appropriate MHRA approvals, the UK Government intention is to deploy these treatments to NHS patients via a national study which will allow us to collect further data on how these treatments work in vaccinated patients. The antivirals taskforce is working across the health and care system in the UK, including NHS England and NHS Improvement, UK Health Security Agency, and our partners in the devolved Administrations to plan the deployment of antiviral treatments as more data is available. Our deployment plans will prioritise the most clinically vulnerable to covid-19. The Department of Health and Social Care will publish a further update in due course.

[HCWS337]

Oral Answers to Questions

Sajid Javid Excerpts

Tuesday 19th October 2021 Commons Chamber

[Nigel Mills (Amber Valley) (Con)]

19. What recent steps his Department has taken to increase NHS capacity.

[The Secretary of State for Health and Social Care (Sajid Javid)]

The NHS will receive an extra £5.4 billion for the second half of this financial year to support its response to covid-19. This includes an extra £1 billion to help to tackle the treatment backlog and £478 million to continue the enhanced hospital discharge programme, freeing up beds. This brings the total extra investment in health and care services so far this year, during the pandemic, to £34 billion.

[Julian Sturdy]

My wonderful local charity York Against Cancer has been approached by York Hospital regarding the part funding of a da Vinci robotic cancer surgery system. This revolutionary machine allows for fewer and smaller incisions, meaning faster patient recovery, shorter hospital stays and, ultimately, better and faster cancer care. Will the Secretary of State assure me that he fully supports local collaboration, wherever needed, to introduce these machines and that he is doing everything he can to roll out this new technology across our health service?

[Sajid Javid]

I assure my hon. Friend that cancer care, whether provided through these machines, diagnostics or in any other way, remains an absolute priority for the Government. Colleagues will understand that some cancers were not diagnosed during the pandemic, and I join him in congratulating York Against Cancer on the work it is doing. I would like to learn more about this machine and to see how we can make it work throughout the NHS.

[Andrew Jones]

I thank my right hon. Friend for his answer and welcome the extra investment he outlined, but too often we talk about catch up in terms of physical health. What is he doing to catch up on mental health, particularly mental health beds?

[Sajid Javid]

My hon. Friend is right to highlight the importance of mental health. He will know that one of the unintended consequences of the lockdowns is that, sadly, there were more cases of mental ill health. The NHS long-term plan commits to increasing investment in mental health at least as fast as investment in physical health, with at least £2.3 billion of extra spending on mental health by 2023-24, which I hope he welcomes.

[Nigel Mills]

Local general practitioners report that they are working as hard as they ever have, with full lists of appointments, but constituents are still unhappy that they cannot get appointments quickly or in the format they would like. Is there more the Government could do to help local GPs across the country to give patients the service that they want and that GPs want to provide?

[Sajid Javid]

We are hugely grateful for the tireless efforts of GPs and their teams throughout the pandemic. In our comprehensive new plan, which we announced last week, we are including a £250 million winter access fund to support GPs and make it easier for them to see and speak to their patients. A record number of GPs began training in 2021, and we are committed to increasing the number to 4,000 each year.

[Dr Rosena Allin-Khan (Tooting) (Lab)]

I start by paying my respects to Sir David Amess and James Brokenshire, who were sadly taken from us far too soon.

I welcome the Minister for Care and Mental Health, the hon. Member for Chichester (Gillian Keegan), to her new brief. I look forward to working with her.

We are all too aware of the growing demand for support across the NHS, but all too often mental health treatment is forgotten. With up to 10 million more people thought to require treatment as a result of the pandemic, with waiting lists soaring and with beds being cut, we need more than just warm words from the Government. Labour will guarantee treatment, not just an assessment, starting within a month, and we will recruit 8,500 new staff so that 1 million additional people can receive the timely treatment they so deserve. That is what came out of our conference from our party leader. There was nothing of equal value from the Prime Minister, bar recycled old pledges and money spent four times over. Why?

[Mr Speaker]

I call the Secretary of State.

[Sajid Javid]

Sorry, Mr Speaker. I did not realise the hon. Lady had finished. What she calls old pledges are hugely significant, and they continue to play a significant role. The NHS long-term plan, as I said a moment ago, has £2.3 billion extra each year by 2023-24. That extra investment will support 380,000 more adults and 345,000 more children.

The hon. Lady is, of course, right that the number of cases of mental ill health has sadly grown during the pandemic, which is one of the reasons we published a mental health recovery action plan with an additional £500 million this financial year.

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

NHS dentistry is facing a capacity crisis. There is a huge backlog of urgent care and treatment, which is leaving many dentists overwhelmed. Patients, including those in Pontefract and in towns across the country, are now unable to get routine check-ups, which is making the urgent care crisis worse and creating a vicious spiral. Will the Health Secretary ask his Ministers to meet dentist groups and patient groups in Yorkshire to hear about the urgent crisis they are facing and set out an urgent plan to deal with the huge capacity crisis in NHS dentistry?

[Sajid Javid]

The right hon. Lady is right to raise the issue of access to dentistry for her constituents and those across England. Dentists have done a fantastic job faced with the challenges of the pandemic. We all knew that those were very real for dentists, who, of course, could not see their patients in the normal way, and they have done everything they can to help on that. The measures that have recently been taken—the review by the United Kingdom Health Security Agency on infection prevention and control—will help. Reduced access has been a major cause of the backlog. We are also working with our colleagues in the NHS to see what more we can do.

[Mr Ben Bradshaw (Exeter) (Lab)]

All Devon’s hospitals are on red alert, partly because of capacity issues caused by ongoing covid cases. Why does the Secretary of State think the UK now has the highest covid infection, hospitalisation and death rates in western Europe?

[Sajid Javid]

First, may I take this opportunity to congratulate all the health and care workers across Devon on the fantastic work they are doing? The right hon. Gentleman will know that the Government have set out clearly their approach to dealing with the pandemic and that we are very much focused on vaccinations, which are working, building a wall of defence, treatments and testing.

[Kevin Hollinrake (Thirsk and Malton) (Con)]

Further to the last question on NHS dentistry from the right hon. Member for Normanton, Pontefract and Castleford (Yvette Cooper), we are in a difficult situation across North Yorkshire, where there is no NHS dentist availability across the whole of Thirsk and Malton. It will take the NHS two years to recommission the service in Helmsley—the closed practice in Helmsley—and the Thirsk practice has just closed its doors with its current list of patients. Will my right hon. Friend set out exactly what we can do to increase the availability of NHS dentistry?

[Sajid Javid]

Again, my hon. Friend is right to raise this issue. As we have just heard from other hon. Members, there is a real issue with dentistry across England, including in North Yorkshire, and we know how the pandemic has had an impact on that. Dentists have tried to do the best they can in those circumstances. The changes we are making to infection prevention and control will help. We are looking at further measures, and I understand that my hon. Friend will be meeting the Minister shortly to discuss his issues in North Yorkshire carefully.

[Daniel Zeichner (Cambridge) (Lab)]

2. What recent estimate he has made of the size of backlogs in cancer diagnosis and treatment.

[Tony Lloyd (Rochdale) (Lab)]

11. What recent estimate he has made of the size of backlogs in cancer diagnosis and treatment.

[The Secretary of State for Health and Social Care (Sajid Javid)]

The number of people waiting longer than 62 days for treatment following an urgent referral for suspected cancer in England has come down considerably, from 35,000 people in May 2020 to about 19,000 people. The NHS is putting in place extra capacity to diagnose and treat cancer patients, with the aim of clearing the cancer backlog of patients waiting over 62 days from referral to first treatment by the end of March 2022.

[Daniel Zeichner]

To do that, we are going to need healthy NHS staff. I was alarmed to hear Cambridgeshire’s director of public health last week talking about the sheer scale of covid ripping through the school population and then into the parental cohort, many of whom, of course, will be working in the NHS. Peterborough currently has the highest number of cases it has had at any time during the pandemic. So what is the Government’s plan to keep NHS staff healthy, in order to allow them to tackle that alarming cancer backlog?

[Sajid Javid]

First, let me say that NHS staff have done a phenomenal job throughout the pandemic in helping patients with cancer or any other illness. A comprehensive plan of support has been in put in place, with this Department working with our NHS colleagues carefully to provide, for example, advice and help. Extra mental health support has been provided as well, and we are looking to see what more we can do.

[Tony Lloyd]

My late constituent Anne began to suffer pain in April. She never had a GP visit. She had two visits to accident and emergency, which did not result in any treatment plan. Finally, after four months, she had a non-urgent visit to a urologist. Sadly, because at no point was she diagnosed with a terminal condition, she was not given access to hospice care and died in September. I put it to the Secretary of State that this is no way to treat an elderly lady and no way for her family to suffer. What is he going to do to guarantee that there will not be many more Annes in the months and years to come?

[Sajid Javid]

I thank the hon. Gentleman for raising that case. I am very sorry to hear about his constituent Anne and send my condolences to her family for what has happened.

The hon. Gentleman will understand that, during the pandemic, sadly, many people stayed away from the NHS, on which there was a huge amount of pressure. Despite everyone, especially those working in health and care, doing as much as they could, it just was not enough for some people. There is not only emergency spending to deal with the pandemic pressures—this year there is an additional £34 billion—but much more investment in equipment and diagnostic processes, such as the community diagnostic hubs that we announced last week, which will help to make a real difference.

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

Unsurprisingly, I have become more acutely aware of stories about backlogs in cancer diagnosis and treatment, the impact of which should not be underestimated, so I welcome the Secretary of State’s sensitive and sensible response. Will he join me in recognising the multidisciplinary teams throughout the country that are working non-stop to meet cancer pathway targets, including Maidstone and Tunbridge Wells NHS Trust, which continued to operate cancer services throughout the pandemic last year and has met the 62-day target for 26 months in a row? Will he consider a visit to the hospital that treated me and thousands of others, to hear how the team there continues to strive to achieve improvements in diagnostic services and outcomes for cancer patients in my constituency and others in Kent?

[Sajid Javid]

Yes. It is great to see my hon. Friend, who speaks with real knowledge on this issue. Not only would I be pleased to visit that hospital but I wish to join her in congratulating the multidisciplinary teams throughout the country—especially the Maidstone and Tunbridge Wells multidisciplinary trust—that have been doing fantastic work on cancer.

[Alex Norris (Nottingham North) (Lab/Co-op)]

The proportion of people starting cancer treatment within one month has dropped to the lowest level on record. Some 30,000 fewer people are accessing cancer treatment than we would have expected pre-pandemic, and winter pressures have already caused chemotherapy to be paused in Nottingham. The Government’s plans simply are not working and the Secretary of State is denying reality. Will he make a commitment today that there are now sufficient resources for cancer services throughout the winter period that will protect staff from redistribution, so that they can continue to deliver the care and support that cancer patients need?

[Sajid Javid]

The hon. Gentleman may have heard me say a moment ago that, of course, cancer remains a huge priority for the NHS. Very sadly, there have been people who have waited longer than 62 days after urgent referral. The number has come down considerably in the past year, to 19,000 as of May 2021, but that is still 19,000 too many, which is why the NHS is rightly committed to clearing that completely by March 2022. That requires a lot more investment. There is the additional £34 billion this year, but it requires long-term, sustainable investment, which is why the plan we have announced for long-term funding over the next three years, with additional funding of at least £12 billion a year for health and care, will make a real difference.

[Caroline Dinenage (Gosport) (Con)]

3. What steps the Government is taking to improve health outcomes for people with learning disabilities and autism.

--- Later in debate ---

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

T1. If he will make a statement on his departmental responsibilities.

[The Secretary of State for Health and Social Care (Sajid Javid)]

If I may, I would like to take this opportunity to remember my friend and colleague James Brokenshire, who shall be sorely missed, and I would like to dedicate this statement to my colleague Sir David Amess.

Sir David was a friend, and I had the privilege of knowing his kindness, his compassion and his selflessness at first hand. For those who did not, Sir David’s record tells them everything they need to know. His first concern was never his own rank or status, but the cause of the underdog, the vulnerable, the marginalised and the forgotten. As well as on fuel poverty and in standing up for animal welfare, Sir David left his mark on my own brief in campaigning to tackle obesity, chairing the Conservative Back-Bench health committee and launching the all-party parliamentary group on endometriosis. That disease would never affect him personally, but it was raised by one of his constituents in his surgery—exactly like the one he was taking when he was killed. His legacy is the many lives that he touched, and I know that, like me, Members across the House will miss him terribly.

[Andrew Selous]

Of course I agree with every word of that very fine tribute to our two lost colleagues.

I represent an area of high housing growth so general practice provision needs to increase as the houses go up, but my clinical commissioning group tells me that NHS capital often appears at incredibly short notice and then disappears just as quickly. Can we try to get the provision of new general practices on a planned basis as the new houses go up?

[Sajid Javid]

My hon. Friend is right to raise this. Capital is allocated by two CCGs on a regional basis that is weighted by population, and, as he says, if that population changes, the weighting also changes. Additional funding can sometimes be allocated from section 106 or community infrastructure levy funding as well, but I am more than happy, if my hon. Friend would like, to meet him to discuss this further.

[Mr Speaker]

I call the shadow Secretary of State, Jonathan Ashworth.

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

If I may, Mr Speaker, I will, with your indulgence, take a moment to express my deep sadness at the loss of James and David and my utter shock at what we saw this weekend, but also to remember David as someone who was always smiling, who always encouraged me, particularly as a rookie MP when my office was just down the corridor from his, who always asked after my children and who always gave me tips. I sometimes get in a bit of trouble for being friends with Tories, but I will hugely miss David and James and send my condolences and sympathies to their friends and families.

I also welcome the new Ministers to the Treasury Bench. In recent weeks we have seen a patient at Preston wait over 40 hours for a bed, we have seen a child with mental health problems wait nearly 48 hours for a bed at Ipswich A&E, we have seen ambulances backed up outside hospitals—in Norfolk a patient died of a heart attack waiting in the back of an ambulance—and we have seen ever more patients, who cannot bear the wait for surgery, paying for operations. This is an NHS not just under pressure, but under water. What is the Secretary of State personally going to do to avert a winter crisis of misery for patients?

[Sajid Javid]

I agree with every word the right hon. Gentleman said about our friends and colleagues, James and David, but I hope his friendship with me will not get him into trouble—I hope I have not given that away. He is right to ask about the huge pressure the NHS is facing, and all our constituents are seeing that wherever they live. It is picking up over the winter. Winters can usually be tough for the NHS but this winter will be particularly tough and the Government have set out the reasons why: the pandemic is still ongoing; and this flu season will, I think, be particularly tough, which is why we are having the largest flu vaccination programme alongside the covid programme this year. We are doing a lot alongside the vaccination programmes, especially in terms of resources. We have put an extra £34 billion into the NHS and care for this year, including much more funding for diagnostics such as the community diagnostics hubs that I announced a couple of weeks ago, in which we invested 350 million. We will very shortly set out with the NHS a detailed programme for the winter and how we can better deal with the pressures.

[Jonathan Ashworth]

The Secretary of State mentioned the pandemic, but he must surely be concerned that yesterday we recorded close to 50,000 infections, and on every single day of the last three weeks 10,000 children have been diagnosed with covid. The booster programme is stalling with charities describing it as a “chaotic failure”, and only about 13% of children have been vaccinated. His wall of defence is falling down at just the point that vaccination is waning, so may I suggest that he ditches the complacency and fixes the vaccination programme now?

[Sajid Javid]

Our vaccination programme has been one of the most successful in the world, and the right hon. Gentleman may know that it has prevented 24 million infections, has prevented some 230,000 people from being hospitalised and saved 130,000 lives. I do not call that a failure; I call it a success.

[Laura Trott (Sevenoaks) (Con)]

T2. Last week, a whistleblower told the American Congress that Facebook had repeatedly misled the public about the impact of its platform on children’s health. Does my right hon. Friend agree that it is time for Facebook to be transparent about the impact of its platform, and to share with the public what it knows about the impact on children’s health?

[Sajid Javid]

I absolutely agree with my hon. Friend, and I thank her for raising this issue. I share those concerns. Over the past year, the number of young people being urgently referred for eating disorders has doubled. In the light of that, I was astonished to learn that one of Facebook’s own internal studies, which was brought to light by Ms Haugen, found that 17% of teen girls said that their eating disorders got worse after using Instagram. Facebook did not think it was appropriate to inform parents, healthcare professionals and legislators. I do think it is time for Facebook to do the right thing and publish what it knows.

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

T3. As a former Chancellor, the Health Secretary will know that air pollution kills 64,000 people a year at a cost of £20 billion a year, according to the Royal College of Physicians, and twice that according to the World Health Organisation. Will he urge the Government to ensure that there are legally binding WHO limits in the Environment Bill, which we will consider tomorrow, to save tens of thousands of lives and tens of billions of pounds, and to send a message to the world on combating the 8.7 million deaths a year from air pollution?

[Sajid Javid]

The Government have a proud record on combating air pollution. The hon. Gentleman is right to raise the ongoing challenges of that, and I know that the Government, including the current Chancellor and the Environment Secretary, take it very seriously.

[Marco Longhi (Dudley North) (Con)]

T4. Will the Secretary of State please confirm whether the additional £250 million investment in primary care will be spent on additional capacity to be delivered by NHS doctors, providing a distinct break from the bureaucracy of the last Labour Government and the legacy of Tony Blair?

[Sajid Javid]

First, let me say that our GPs have done a phenomenal job during the pandemic. The nation really cannot thank them enough for what they did during the pandemic and what they continue to do. The GP access programme that I announced last week is about providing extra support for GPs to do what they love doing best, which is seeing their patients. The extra £250 million over the next five months will be ringfenced—it will be protected—and it will be there to expand general practice.

[Tony Lloyd (Rochdale) (Lab)]

T5. I thank the Secretary of State for his earlier response about my former constituent, Anne, but I did not detect that he mentioned the shortage of oncologists and radiologists in the health service. There is a 33% shortage of radiologists, and a 17% shortage—and growing—of oncologists. What is the commitment, not simply for this year but on an ongoing basis, to make sure that we train, train, train and have the staff who can deliver the cancer detection that is so fundamental?

[Sajid Javid]

The hon. Gentleman is right to raise this issue. Whether it is for treatment for cancer or other illnesses, we do need more clinicians in the NHS. On meeting the ongoing demand, I was pleased to see that this year we had the highest number of students ever entering medical schools for general practice, for example, and across the board. He may be interested to know that, for the year to date, to June 2021, the NHS has 2,700 more doctors and 8,900 more nurses. There is more to do, and I am pleased that he raised this issue.

[Crispin Blunt (Reigate) (Con)]

T7. [R] My right hon. Friend will be aware of the potential emerging treatment of the most difficult mental health conditions, including depression, trauma and addiction, if psychotherapy were reinforced by pharmacology with appropriate use of the psychedelic class of drugs, including psilocybin. That could benefit millions of our fellow citizens, including more than 2,000 of our veterans wrestling with untreated trauma from their service in Iraq and Afghanistan. Today, it is very difficult to conduct research in the UK due to the scheduling of those drugs in the most restrictive category of all, with absolutely no evidence of risk to support that immense burden placed on science and medical research. Every day we delay this science, scores of our fellow citizens will die unnecessarily, and millions will suffer unnecessarily. Will my right hon. Friend urgently examine this issue so that British people receive British scientific research and British pharmaceutical—

[Mr Speaker]

Order. Come on, Secretary of State or Minister—whoever is answering. We have to get through these questions or it is unfair to others.

[Sajid Javid]

My hon. Friend is right to raise the importance of mental health and suicide. This is important, and I listened carefully to what he said. He knows that pharmacology already plays an important role in helping people with their mental health challenges, but he raises an interesting potential emerging treatment. He will know that scheduling is an issue for the Home Office, but I will be happy to meet him myself to discuss it further.

[Rushanara Ali (Bethnal Green and Bow) (Lab)]

T6. As the Secretary of State knows, the NHS is facing extreme pressure because of rising covid infection rates and hundreds of people still dying every week, and that is in the context of 5.6 million people on NHS waiting lists. Is it not time for the Health Secretary to revert to making mask wearing mandatory and to commit to suspending the reckless decision to charge for lateral flow tests in the coming months?

[Sajid Javid]

We have a plan for both the pandemic and other challenges over the winter, which we set out in detail. I remind the hon. Lady that we do not charge for lateral flow tests.

[Damian Green (Ashford) (Con)]

T8. My right hon. Friend will have seen last week’s Care Quality Commission report expressing continuing concern about maternity services in East Kent Hospitals University NHS Foundation Trust hospitals, including the William Harvey Hospital in my constituency. Can Ministers offer some reassurance to mothers-to-be in east Kent that giving birth in those hospitals will be safe?

--- Later in debate ---

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

I would like to ask the Secretary of State about pressures in emergency care and comments that the new chief executive of NHS England made to the Health Committee this morning that we have shortages of 999 call handlers. Is he concerned about the time it is taking to answer some 999 calls? Do we have those shortages? What are his plans to address them if we do?

[Sajid Javid]

My right hon. Friend speaks with real experience, especially on tough winters for the NHS, and he highlights shortages across the NHS. He mentions 999 callers. There is a huge pressure at the moment on 111 calls as well, and emergency care generally, including ambulance services. A significant amount of support has been put in, especially over the past few months, with additional funding. We will set out a detailed plan with the NHS, coming shortly in the next couple of weeks, on exactly what more we will be doing.

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

Given the high covid infection rates and the risk of new variants of concern emerging that may be vaccine-resistant, what discussion has the Health Secretary had with the Chancellor on extending the contain outbreak management fund and on increasing public health budgets, which are 24% lower than they were in 2015?

[Sajid Javid]

The hon. Lady will know that in terms of the pandemic we are very focused on vaccinations, treatments and testing. She is right to raise the importance of testing and surveillance for possible new variants. That remains a priority for the Government and it is getting the support it needs from the Treasury.

[Jason McCartney (Colne Valley) (Con)]

With covid case rates across my area of Kirklees still above the national average, what extra support can be given to Kirklees to help to keep deaths and hospitalisations low and to boost the booster programme in Kirklees?

[Sajid Javid]

My hon. Friend is right to raise the extra pressures that Kirklees is seeing. Public health officials and local council members are doing everything they can. Extra support is available—something we keep under review—but he is right to raise the importance of the booster programme. The more people who get boosted and the sooner they do so when they are eligible, the better it will be for not just them but the whole community.

[Bill Esterson (Sefton Central) (Lab)]

Across the continent of Europe, mask wearing, ventilation in buildings and the use of green passes for events are commonplace. They also have much lower infection rates, hospitalisations and deaths, so while the Secretary of State addresses the backlog in the roll-out of vaccinations for children and of boosters, will he consider implementing the very good practice that can be seen in other countries?

[Sajid Javid]

In terms of the challenges of the pandemic and the challenges more generally over winter, the Government have set out a detailed plan. It depends very much on vaccinations, treatments, testing and surveillance, but we keep it constantly under review and, should we need to do more, there are contingencies.

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

May I add weight to what my hon. Friend the Member for Newcastle-under-Lyme (Aaron Bell) said earlier? I have a similar situation in my constituency at the Chalk Pit in Epsom. It is really important that we strengthen the public heath duties of the Environment Agency. Will the Secretary of State make that a priority of his discussions with his ministerial colleague?

[Sajid Javid]

Yes.

[Mr Speaker]

I call Matt Hancock—sorry, Clive Betts.

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

I do not know how to respond to that, Mr Speaker, but I will carry on. In declaring an interest, I welcome the Government’s decision to give a third jab to people with compromised immune systems. There has, however, been confusion in the NHS about the difference between a booster jab and a third jab. May I therefore ask the Secretary of State where is the responsibility in the NHS for advising people and arranging the third jab, and what will be the time gap between getting a third jab and a booster, as opposed to the second jab and a booster?

[Sajid Javid]

The hon. Gentleman will know that the gaps between vaccinations, especially for different people in different groups, is a decision that the Government would be advised on by the Joint Committee on Vaccination and Immunisation, and as soon as we get that advice, we will always publish it and act on it. It is important that everyone comes forward who is invited for their third jab if they are immunocompromised or for their third jab as a booster jab. As he will know, not everyone who is immunocompromised can benefit from the vaccine, but he might be interested to know that we are working on procuring new treatments that will help significantly.

[Matt Hancock (West Suffolk) (Con)]

Thanks for the warning, Mr Speaker. I congratulate the Secretary of State and the new vaccines Minister—the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Erewash (Maggie Throup)—on the roll-out of booster jabs. Over 3 million have been administered so far. May I attempt to strengthen their hands by asking for some of the pop-up vaccination centres, such as the Brent mosque, to get going with these booster jabs so that we can make sure that people in all communities have access to these much needed boosters?

[Sajid Javid]

One of the reasons that our country has one of the most successful vaccination programmes in the world has been the efforts of my right hon. Friend, and I want to take this opportunity to thank him for that. He is right to point to the importance of access to vaccines, and making that more mobile is exactly what we are doing.

[Munira Wilson (Twickenham) (LD)]

Teenage vaccination rates in this country are lagging behind other countries. The latest data shows that the equivalent of 8,000 classrooms were empty over the past two weeks due to pupil absence, and schools such as Hampton High in my constituency had 11 teachers missing yesterday yet have been advised against reintroducing masks and have been told to teach 700-plus pupils outdoors. Does the Secretary of State think that that is sensible advice and will he ramp up the vaccination of teenagers, particularly over half-term next week?

[Sajid Javid]

We are ramping it up. I can tell the hon. Lady that to make the most of half-term next week, we will be opening up the national booking service to all 12 and 15-year-olds to have their covid vaccinations in existing national vaccination centres, which will offer families more flexibility. It is important that anyone who is invited as they are eligible for a vaccination—including young people—comes forward and takes up that offer.

Coronavirus Act 2020 (Review of Temporary Provisions) (No. 3)

Sajid Javid Excerpts

Tuesday 19th October 2021 Commons Chamber

[The Secretary of State for Health and Social Care (Sajid Javid)]

I beg to move,

That the temporary provisions of the Coronavirus Act 2020 should not yet expire.

Since we set out our road map out of lockdown in February, we have reopened the economy and lifted restrictions in four steps, carefully removing the rules that have governed our daily lives during the pandemic. Scotland, Wales and Northern Ireland have also emerged from lockdown on similar timetables and life in the UK has returned ever closer to normal.

One of my first actions as Secretary of State was to announce that we would proceed with step 4 of the road map on 19 July and, in doing so, shift the country’s main line of defence from lockdowns to vaccinations. We could do that because our vaccination programme has created a vast wall of defence. We have given nearly 95 million vaccines, with more than eight in 10 of every man, woman and child in the UK over the age of 12 getting at least one jab and some 79% receiving at least two. It is a remarkable achievement and now that our boosters have begun, they are reinforcing that wall of defence still further. The latest estimates show that our vaccines have prevented over 24 million infections, over 260,000 hospitalisations and over 127,000 deaths.

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

I very much agree with the Secretary of State about the success of our vaccination programme. Does he have any concerns about whether the third dose for those with a compromised immune system and the booster dose for everyone who has had two doses is going fast enough? Are there steps that the Government can take to speed that up to put us in the strongest possible position ahead of the winter?

[Sajid Javid]

I thank my right hon. Friend for the scrutiny that he has provided of the Coronavirus Act 2020 through the Government and in many other ways over the last few months. It has been very valuable, certainly to me. On his specific question, the third jabs, whether they are for those who are immunocompromised or booster jabs, are critical over the next few months. As of yesterday, we have administered some 3.7 million jabs. It is off to a good start but we need to continue to work hard to increase the uptake. That is exactly what is happening and certainly will be over the next few weeks with a big marketing campaign about to begin as a way of trying to boost that. He is right to raise that issue.

The Coronavirus Act has been instrumental in our response to the pandemic. It has helped to steady the ship in stormy waters. It has protected the NHS in its hour of need by allowing tens of thousands of medical and care staff to register with the NHS temporarily, including nurses, midwives, paramedics, radiographers, social workers and many others; by keeping public services going, including ensuring that our courts and local democracy could function; and by providing a vital lifeline for people and businesses across the country, supporting 11.7 million jobs and providing 1.6 million business loans.

[Robert Halfon (Harlow) (Con)]

I thank my right hon. Friend for giving way and apologise to you, Mr Deputy Speaker, because I am taking part in a Westminster Hall debate, but I need to ask this important question. I understand the lockdown measures, but will my right hon. Friend ensure this time, God forbid, if things do get worse, that whatever happens, he will keep the schools open, because we know the damage to mental health, educational attainment, lifelong learning and lifetime chances that school closures have brought to our children?

[Sajid Javid]

During the pandemic, my right hon. Friend has done a fantastic job of drawing everyone’s attention, rightly, to the impact that the measures—the lockdown measures in particular—have had on children, especially those in school. I hope he would agree that the plans that the Government have set out, including our primary plan of relying on vaccinations, treatments—there are ever more treatments, which is fantastic news—testing and surveillance, is the right way to deal with the challenges of the pandemic.

With all the measures that we have taken, it is clear that we are now in a new phase of the pandemic and that we are learning to live with the virus. Throughout this public health crisis, we have always sought for our provisions to be proportionate to the threat that we face. Parliament has rightly been given the opportunity to scrutinise this legislation every six months. We do not wish to keep provisions in place any longer than they are absolutely necessary, especially those that are limiting the freedoms that rightly belong to citizens.

[Dawn Butler (Brent Central) (Lab)]

The Secretary of State says that this House has had time to scrutinise the legislation, but 90 minutes every six months to scrutinise the Act really is not enough time for Parliament.

[Sajid Javid]

The hon. Lady is right to point to the importance of scrutiny. Of course, it is not just the time that we have for debate now or the regular time we have had since this Act has been on the statute book. Scrutiny is also provided in other ways: for example, she will know that Select Committees have looked at the Act, with parliamentarians represented and taking evidence. That is just another way to make sure that the Act is getting the scrutiny that it deserves.

[Dr Liam Fox (North Somerset) (Con)]

No one disputes the success that some of these measures have had but there is a strong resentment—which, I have to say, I share—in many quarters about giving any Government extension to powers that are quite as blank as these are. Have the Government considered any other mechanism for allowing extension for a lesser amount of time or are there alternatives by using the Civil Contingencies Act 2004, which many of us feel should have been used from the outset, rather than presenting this gift-wrapped to the devolved parts of the United Kingdom?

[Sajid Javid]

I understand my right hon. Friend’s concerns and, rightly, many people across the House share those concerns. He will know that when the original Bill was brought to Parliament, the Government said, rightly, that any measures would be kept in place only for as long as necessary and that they would have to be proportionate. Even before coming to the House today with the recommendation to expire seven of the non-devolved provisions in the Act, 13 have already expired. He also pointed to alternative ways that some of these measures, if necessary, could be taken, and that is a very valuable suggestion. For example, I believe that in the Police, Crime, Sentencing and Courts Bill, which is before Parliament now, my colleagues are looking at some of the provisions on courts and keeping the remote working of courts going. So there are possible alternatives and he is right to draw attention to that.

[Mr David Davis (Haltemprice and Howden) (Con)]

The Secretary of State was not originally responsible for this. The issue that my right hon. Friend the Member for North Somerset (Dr Fox) raises was first raised on 23 March 2020 when we were first putting the Coronavirus Act into law. The point made at the time was that the Act is not necessary, because it replicates many other pieces of legislation, and that the Act alone allows the Government to act without recourse to the House, which is not true of the Civil Contingencies Act 2004 or the Public Health (Control of Disease) Act 1984. That is why it is wrong: because it does not have to come back to the House every time it takes away another piece of British freedom.

[Sajid Javid]

Like my right hon. Friend the Member for North Somerset (Dr Fox), my right hon. Friend the Member for Haltemprice and Howden (Mr Davis) makes an important point. He will understand that now that the Act is in place, it is important that the Government act promptly and quickly at any time when we can retire, expire or in some cases suspend measures in it; that there is regular scrutiny of the process; and that I and other Ministers come to the House whenever we can to expire its provisions or, if they are to continue, to justify them.

[Dawn Butler]

The Act has always been presented on the Floor of the House as an all-or-nothing Bill; MPs never have an opportunity to change, amend or scrutinise it, so I think that the Secretary of State is just a little misleading in how he is presenting it to the House today.

[Dawn Butler]

Unintentionally misleading.

[Sajid Javid]

Thank you for that intervention, Mr Deputy Speaker. I think that I have been very clear not only about the history of the Act, but about the importance of Ministers coming forward for regular scrutiny to set out which provisions can be expired or suspended, or if expiry or suspension are not possible, why the provisions are necessary. That is the purpose of our debate today.

[Mr Peter Bone (Wellingborough) (Con)]

I think the problem for the Secretary of State is how the Government acted in the past by not bringing things to the House for debate; I know that the chairman of the 1922 committee, my hon. Friend the Member for Altrincham and Sale West (Sir Graham Brady), used a lot of force to try to get them to do so. We are being asked to take something on trust from the Government when their previous behaviour towards the Act has been—how can I say it? —not very good.

--- Later in debate ---

[Sajid Javid]

First, may I wish my hon. Friend a very happy birthday? He makes an important point in his valuable intervention. What I can say, which I certainly hope will reassure him, is that the Act will be regularly reviewed, that parliamentary scrutiny from all quarters is very welcome and that any powers retained in the Act need to be properly justified—they must be necessary and proportionate. That is the case that I am setting out on behalf of the Government today.

[John Redwood (Wokingham) (Con)]

A lot of us feel that this legislation should now just lapse, because there has been a material improvement in the situation. There are other powers should things go wrong, and this House could grant powers in the space of a few hours if there were a new and unpleasant crisis. Why do we have to have these powers hanging over our head when there does not seem to be a need to use them?

[Sajid Javid]

What I can tell my right hon. Friend is that there are provisions that we hope to keep in the Act, subject to the House’s will today, which are still necessary. For example, there are provisions that protect NHS capacity with respect to temporary registration of nurses and other healthcare professionals. There are similar provisions for the care sector; there are also provisions that provide support packages for those whose jobs may have been hit or who have to take time off work to meet the self-isolation requirements. There are provisions in the Act that I think are still necessary; I will speak about some of them in just a moment.

[Richard Fuller (North East Bedfordshire) (Con)]

Does my right hon. Friend recognise that by leaving the Act intact, albeit with certain restrictions, he is leaving the opportunity for extreme measures to be taken relatively simply and with limited reference to this House, as the hon. Member for Brent Central (Dawn Butler) mentioned? A lot relates to pressures on the NHS; those could come because every winter the NHS is under pressure or because catching up on services puts it under pressure. I am interested to know how on earth my right hon. Friend will work through the next few months to understand what is an undue amount of pressure on the NHS that might require him to take the actions in plan A or plan B, or potentially even further actions.

[Sajid Javid]

In our response to the pandemic, we have set out clearly our plan for the autumn and winter; I have certainly done so in the House. We certainly expect more pressure as we head into winter. We have been very open about that; it is why the covid vaccination booster programme and the flu vaccination programme both remain important. However, there are provisions in the Act that I believe are still necessary and proportionate to help with the pressure that my hon. Friend refers to, such as the registration of healthcare and social care workers and the power to discontinue healthcare assessments for people being discharged from the NHS. I think that it is wise—especially as we head into the winter, when we do not know just how significant the pressures will be—to have that flexibility.

[Dr Andrew Murrison (South West Wiltshire) (Con)]

Would my right hon. Friend go a little further? As a medical support worker, I can tell him that there has been very little effort to follow through on a programme begun last year to encourage people to return to being patient-facing. They need to remain engaged; the Act is a good start in that process, but it does not appear to have been developed in any way. I agree absolutely that my right hon. Friend needs to keep those provisions in the Act, but he needs to develop them more than has been done so far—particularly because if we face a bad winter and possibly the resurgence of this or another virus, we will need those people. They need to remain engaged.

[Sajid Javid]

My right hon. Friend is right to draw attention to that point. We need to keep working on it, but it might be helpful to know that under section 2 of the Act, the Nursing and Midwifery Council has been able to register temporarily some 14,000 nurses, midwives and nursing associates in England, and the Health and Care Professions Council has been able to register more than 21,000 temporary paramedics, operating department practitioners, radiographers and other professionals. That has certainly helped the NHS and the care system.

We have already allowed 13 of the 40 temporary non-devolved provisions in the Coronavirus Act to expire, and at the most recent six-month review we deemed a further seven provisions and part of an eighth suitable for expiry. Last month, as we published our autumn and winter plan, I came to the House to set those out.

Some of the provisions that we are recommending for expiry are some of the most stringent aspects of the Coronavirus Act. They include section 51, which relates to potentially infectious persons and which has been used only 10 times and not since October 2020; section 52, which gave powers to issue directions relating to events, gatherings and premises, and which has never been used; section 23, which relates to time limits for urgent warrants under the Investigatory Powers Act 2016 and which is no longer proportionate to this stage of the pandemic; and section 37, which allowed for the disruption of education for children and young people with special educational needs and disabilities, and which continues to be unused.[Official Report, 22 October 2021, Vol. 701, c. 8MC.]

[Munira Wilson (Twickenham) (LD)]

The Secretary of State has been extolling the virtues of parliamentary scrutiny, which, as many right hon. and hon. Members have stated, has been sadly lacking of this Act and in its renewal debates. Will he give us a cast-iron guarantee that should he decide to bring forward vaccine passports, we will get not just a full parliamentary debate, but a vote on any such measures?

[Sajid Javid]

I think that the Government have already been clear that should we try to bring forward what the hon. Lady calls vaccine passports, it would be a decision for the House and it would be a vote. If that happened, we would have to justify it to the House.

In addition, we are expiring sections 56, 77 and 78. Taken together with the 13 out of 40 temporary non-devolved provisions in the Act that have already expired, that will mean that half of the original 40 temporary non-devolved powers in the Act will expire early.

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

I welcome the lifting of the more draconian measures in the Coronavirus Act, including section 52 and schedule 22, which gave significant and unprecedented powers to the police relating to events, gatherings and premises, with no protections for the safeguarding of freedom of expression. Most of those powers are mirrored in the Police, Crime, Sentencing and Courts Bill. Will the Secretary of State go back to his Government and secure an agreement to remove the more draconian elements of that Bill before its next stage?

[Sajid Javid]

I thank the hon. Lady for what she has said, but I think the Government have already set out clearly the provisions that they intend to expire or suspend, subject to the will of the House today, and explained why they have focused on those provisions. I can also inform the House that we recommend the suspension of the remaining unsuspended parts of schedule 28 and section 58.

I am sure the whole House will welcome this news—the latest steps that we are taking towards a more normal way of life—but the winter just around the comer is a cause for caution, with the twin threats of covid-19 and flu still uncertain. In line with our autumn and winter plan, we intend to retain the temporary provisions that remain essential to our ongoing pandemic work, including sections 2, 6, 14, 38, 45, 50 and 75, which cover vital aspects such as supporting the NHS to help it to retain emergency staff and enabling statutory sick pay to be provided for people who are self-isolating. We will review this legislation again in the spring.

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

Will my right hon. Friend explain in detail which of the measures that the Government seek to retain could not be implemented alternatively by means of the Civil Contingencies Act or the Public Health (Control of Disease) Act 1984?

[Sajid Javid]

My hon. Friend will know that there are numerous measures that the Government are planning to retain. To do proper justice to his question, I would have to go through them one by one and try to link them with every single Act, but I should be happy to meet him or write to him giving him the proper detail, because I think it was a very fair question.

[Dawn Butler]

rose—

[Sajid Javid]

I think I have given the hon. Lady enough opportunities to intervene.

We have come so far and achieved so much as a country because of the sacrifices of the British people and the dedication of our fantastic public servants. We are learning to live with the virus, so we can face the winter ahead with an ever greater degree of confidence. There is no doubt that we will continue to experience bumps on the road—covid-19 has not, of course, gone away, and flu remains an ever present danger—but I am confident that the steps that the Government have set out today strike the right balance, removing unnecessary stringent measures while retaining the tools to fight infection wherever it might arise.

Blood Donor Selection Criteria

Sajid Javid Excerpts

Monday 18th October 2021 Written Statements

[The Secretary of State for Health and Social Care (Sajid Javid)]

I would like to inform the House about changes that the Government will be making to the blood donor selection criteria. This announcement forms part of the wider steps the Government have taken to make blood donation more equitable.

In 2019, the Government commissioned the ‘For the Assessment of Individualised Risk’ (FAIR) steering group to consider whether changes could be made to the blood donor selection criteria to ensure it was as effective and inclusive as possible.

On 14 June 2021, in response to the FAIR steering group’s work, the Government implemented changes that enable men who have sex with men in long-term relationships to give blood. These changes put in place a gender-neutral selection policy, where deferrals are now based on higher risk behaviours associated with acquiring infections.

Following further work by the FAIR steering group, I can announce that the Government will be making an additional change to the blood donor selection criteria, which will increase inclusivity without compromising the safety of donated blood.

As part of its work, the FAIR steering group reviewed the effectiveness of the question prospective donors are asked about whether they have recently had sex with a partner who may ever have had sex in an area where HIV is endemic—including most of sub-Saharan Africa. In reviewing the evidence, the steering group considered the other questions that are already on the pre-donation questionnaire that help to identify high-risk donors and the associated deferrals already in place, as well as the effect of routine screening of all donations for HIV and other blood-borne viruses. The FAIR steering group concluded that the question could be removed without impacting the safety of the blood supply. Furthermore, they determined that removing the question would help to improve inclusivity and equity for Black African donors. This is especially important due to the ongoing need for more Black African donors who can have rarer blood types, which will help to improve and save lives in the UK.

The Advisory Committee on the Safety of Blood, Tissues and Organs (SaBTO) reviewed the steering group’s findings and agreed that the removal of this question poses no additional safety risks to the blood supply and recommended the change was made to the pre-donation selection criteria.

The Government have now reviewed the evidence presented by the FAIR steering group together with SaBTO’s advice and has accepted this recommendation. This means that the question asking whether donors had recently had sex with a partner who may ever have had sex in an area where HIV is endemic will be removed from the blood donor selection criteria. This is a progressive and welcome step forward, reducing limitations for people to donate blood and creating a fairer system for blood donation.

The Department of Health and Social Care is working with NHS Blood and Transplant to implement this change. We will have monitoring mechanisms in place to ensure the safety of donors and patients, including continued monitoring of both acute and chronic infections in new and regular donors. The changes will be reviewed in 12 months.

[HCWS312]

Health and Social Care

Sajid Javid Excerpts

Thursday 16th September 2021 Ministerial Corrections

The following is an extract from the statement on 14 September 2021.

[Sajid Javid]

There are commercial reasons why we have cancelled the contract, but I can tell her that it was also clear to us that the vaccine in question that the company was developing would not get approval by the Medicines and Healthcare products Regulatory Agency here in the UK, and obviously she is not recommending that we administer vaccines that do not get approval.

[Official Report, 14 September 2021, Vol. 700, c. 820.]

Letter of correction from the Secretary of State for Health and Social Care, the right hon. Member for Bromsgrove (Sajid Javid).

An error has been identified in my response to the hon. Member for Livingston (Hannah Bardell).

The correct response should have been:

[Sajid Javid]

There are commercial reasons why we have cancelled the contract, but I can tell her that it was also clear to us that the vaccine in question that the company was developing has not yet gained approval by the Medicines and Healthcare products Regulatory Agency here in the UK, and may not, and obviously she is not recommending that we administer vaccines that do not get approval.

Covid-19 Update

Sajid Javid Excerpts

Tuesday 14th September 2021 Commons Chamber

[The Secretary of State for Health and Social Care (Sajid Javid)]

Mr Speaker, before I make my statement today, I am sure that the whole House will want to join me in offering our condolences to my right hon. Friend the Prime Minister and my noble Friend Baron Johnson of Marylebone on the loss of their mother who sadly passed away yesterday. Our thoughts are with them and their whole family at this most difficult of times.

With permission, Mr Speaker, I would like to make a statement on the pandemic and our autumn and winter plan to manage the risk of covid-19.

Over the past few months, we have been making progress down the road to recovery, carefully and cautiously moving closer to normal life. As we do this, we have been working hard to strengthen our defences against this deadly virus. We have been continuing the roll-out of our vaccination programme, with 81% of people over the age of 16 having had the protection of both doses. We have expanded our testing capacity yet further, opening a new mega-lab in Leamington Spa, and we have continued supporting research into long covid, taking our total investment to £50 million.

Thanks to that determined effort, we have made some major steps forward. The link between cases, hospitalisations and death has weakened significantly since the start of the pandemic and deaths from covid-19 have been mercifully low compared with previous waves. None the less, we must be vigilant as autumn and winter are favourable conditions for covid-19 and other seasonal viruses. Children have returned to school. More and more people are returning to work. The changing weather means that there will be more people spending time indoors, and there is likely to be a lot of non-covid demand on the NHS, including flu and norovirus.

Today, keeping our commitment to this House, I would like to provide an update on our review of preparedness for autumn and winter. The plan shows how we will give this nation the best possible chance of living with covid without the need for stringent social and economic restrictions.

There are five pillars to this plan. The first is further strengthening our pharmaceutical defences such as vaccines. The latest statistics from the Office for National Statistics show that almost 99% of covid-19 deaths in the first half of this year were people who had not received both doses of a covid-19 vaccine. This shows the importance of our vaccination programme, and, by extending the programme further, we can protect even more people. Almost 6 million people over the age of 16 remain unvaccinated in the UK, and the more people there are who are unvaccinated the larger the holes in our collective defences. We will renew our efforts to maximise uptake among those who are eligible but who have not yet, for whatever reason, taken up the offer.

Next, we have been planning our booster doses, too. As with many other vaccines, there is evidence that the protection offered by covid-19 vaccines reduces over time, particularly for older people who are at greater risk. Booster doses are an important way of keeping the virus under control for the long term.

This morning, we published the advice of the Joint Committee on Vaccination and Immunisation on a booster programme. It recommended that people who were vaccinated in phase 1—priority groups 1 to 9—should be offered a booster vaccine; that this vaccine should be offered no earlier than six months after the completion of the primary vaccine course; and that, as far as possible, the booster programme should be deployed in the same order as phase 1. I can confirm that I have accepted the JCVI’s advice and that the NHS is preparing to offer booster doses from next week. The NHS will contact people at the right time and nobody needs to come forward at this point. This booster programme will protect the most vulnerable through the winter months and strengthen our wall of defence even further.

As well as that, we will be extending the offer of a covid-19 vaccine to even more people, as the Minister for covid-19 vaccine deployment announced yesterday in the House—thank you, Mr Speaker, for allowing him to make that statement yesterday. All young people aged 16 to 17 in England have already been offered a dose of a covid-19 vaccine to give them the protection as they return to school. Yesterday, the UK’s chief medical officers unanimously recommended making a universal offer of a first dose of a vaccine to people between the ages of 12 and 15. The Government have accepted that recommendation, too, and will move with urgency to put this into action. We are also seeing great advances in the use of antivirals and therapeutics. Several covid-19 treatments are already available through the NHS and our antivirals taskforce is leading the search for breakthroughs in antivirals, which have so much more potential to offer.

Secondly, testing, tracing and self-isolation have been another vital defence. Over the autumn and winter, PCR testing for those with covid-19 symptoms and contacts of confirmed cases will continue to be available free of charge. Regular asymptomatic testing, which currently identifies about a quarter of all reported cases, will also continue in the coming months, with a focus on those who are not fully vaccinated: perhaps those in education or other higher-risk settings. Contact tracing will continue through the NHS Test and Trace system. We do not want people to face hardship as they carry out their duty to self-isolate, so we will keep offering practical and financial support for those who are eligible and need assistance who are still required to self-isolate. We will review the regulations and support by the end of March 2022.

The third pillar is that we are supporting the NHS and social care. Last week, I announced a £5.4 billion injection for the NHS to support the covid-19 response over the next six months, including £1 billion extra to tackle the elective backlog caused by covid-19. We have also launched a consultation on protecting vulnerable patients by making covid-19 and flu vaccinations a condition of deployment for frontline healthcare staff and wider social care workers in England. We are already making this a condition of employment in Care Quality Commission-registered adult care homes. Although we are keeping an open mind and will not be making a final decision until we fully consider the results of the consultation, it is highly likely that frontline NHS staff and those working in wider social care settings will also have to be vaccinated to protect those around them, and that this will be an important step in protecting those at greatest risk.

Fourthly, we will keep encouraging people to take steps to keep seasonal illnesses, including flu and covid-19, at bay. The best step we can all take is to get vaccinations for covid-19 and flu if we are eligible, so along with our covid-19 vaccination programme the next few months will see the largest flu vaccination campaign that the country has ever seen. Our plan also sets out a number of changes that we can all make to our daily routines, such as: meeting outdoors where possible; trying to let in fresh air if we need to be indoors; and wearing a face mask in crowded and enclosed spaces where we come into contact with people who we do not normally meet.

Our fifth pillar is how we will look beyond our shores and pursue an international approach. Last week, I attended the G20 Health Ministers’ Meeting, where I met counterparts from across the world and talked about the part that we will be playing to lead the global effort to accelerate access to vaccines, therapeutics and diagnostics. As we do this, we will maintain our strong defences at the border, allowing us to identify and respond to variants of concern. It is these defences, and the progress of vaccination campaigns both here and abroad, that have allowed us to manage the risks and to start carefully reopening international travel once again. We have already relaxed the rules for fully vaccinated travellers and I asked the Competition and Markets Authority to review the issue of exploitative behaviour in the private testing market. The review reported last week and I am looking into what further action we can take. On top of those measures, we will be publishing a new framework for international travel. My right hon. Friend the Transport Secretary will be announcing more details ahead of the formal review point on 1 October.

Thanks to the defences that we have built, we have been able to remove many of the regulations that have governed our daily lives—rules that were unprecedented yet necessary. Our plan shows how we will be removing more of these powers while maintaining those that are essential for our response. This includes expiring more of the powers in the Coronavirus Act 2020, such as the powers directing the temporary closure of educational institutions. The remaining provisions will be those that are critical to the Government’s response to the pandemic—for example, ensuring that the NHS is properly resourced, and supporting statutory sick pay for those who are self-isolating.

The plan before the House today is our plan A—a comprehensive plan to steer this country through the autumn and winter. But we have seen how quickly this virus can adapt and change, so we have prepared a plan B of contingency measures, which we can call upon only if they are needed and supported by the data, to prevent unsustainable pressure on the NHS. These measures would be: communicating clearly and urgently to the public the need for caution; legally mandating face coverings in certain settings; and, while we are not going ahead with mandatory vaccine-only covid status certification now, holding that power in reserve. As well as those three steps, we would consider a further measure of asking people to work from home if they can for a limited time if that is supported by the data. Any responsible Government must prepare for all eventualities. Although these measures are not an outcome that anyone wants, it is one that we need to be ready for just in case.

Ever since we published our road map to recovery seven months ago, we have been carefully but cautiously getting this nation closer to normal life. Now we have come so far and achieved so much, we must stay vigilant as we approach this critical chapter, so that we can protect the progress that we have all made together. I commend this statement to the House.

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

I thank the Secretary of State for advance sight of his statement. Like him, I want to send my condolences to the Prime Minister and the wider Johnson family at this difficult time.

Infection levels today are actually higher than they were at this time last year, so the test of the Secretary of State’s plan A and plan B is whether we push infections down, minimise sickness and save lives, keep schools open, protect care homes, maintain access to all care in the national health service, and avoid a winter lockdown. He has talked about a plan B. Can he tell us what level of infection and hospitalisation would trigger plan B? Yesterday, Downing Street briefed about a lockdown as a last resort. What, then, is the first resort in combating the virus to avoid a winter lockdown? Will the Secretary of State rule out today local and regional lockdowns like we saw in my city of Leicester, in Bolton and in parts of West Yorkshire last year?

On vaccination, last night we had confirmation of a vaccine programme for children. We welcome and support that. The Secretary of State has now confirmed a booster jab as well. Again, we welcome and support that. But how will he boost vaccination in those areas of the country where vaccine take-up remains relatively low? For example, in Bradford, second doses are running at about 65%, in Wolverhampton at 65%, in Burnley at 69%, and in my own city of Leicester at 61%. What support will be made available to those areas, or others, so that they can boost vaccine take-up?

Vaccinating children is often justified, in my view wrongly, on the basis of its impact on adults and wider transmission. But children and young people would actually benefit further if vaccination rates were increased among adults. Among younger adults—25 to 30-year-olds—it is running at about 55% on a second dose, and among 30 to 35-year-olds at 68%. So what is the Secretary of State going to do to vaccinate more younger adults? What campaign is he going to run to get those vaccination rates up?

What is the plan for those who are immune-suppressed and have shielded throughout this crisis? For example, 1 million cancer patients cannot produce an immune response to vaccines. Will they be offered the prophylactic antibody treatments that are now available, or will they be expected to shield further throughout the winter?

The Secretary of State is right to raise flu and seasonal viruses, but he will know that the Australian flu season has been minimal. That is good for Australia, obviously, but it impacts the ability to collect samples to make an appropriate vaccine for the strain that might hit us. Is he confident of the effectiveness of the flu vaccine to match this year’s strain?

On Test and Trace and wider diagnostics, we are likely to see more flu and RSV—respiratory syncytial virus—and more common colds and coughs. These are viruses with overlapping symptoms to covid, and an increasing range of symptoms is associated with covid as well. Will he look at multiplex testing, which as well as diagnosing whether someone is covid positive also diagnoses flu and RSV? The Academy of Medical Sciences has recommended this.

The Secretary of State said that PCR testing will continue free of charge through autumn and winter. I think that is the first time that a timeframe has been put on free PCR testing. Is he suggesting that we will move to a different system for PCR testing from next spring and summer, where perhaps people will be expected to pay for a test? Could he clarify the Government’s thinking on testing next spring and summer and the rest of the year?

Isolation rules have changed, understandably, but we still need tracing systems. So will local authorities get the resources they need to do contact tracing? For those who need to isolate still, will local authorities have more money in their funds to pay isolation payments? We know that it is such a struggle for those who are low-paid, on zero-hours contracts and so on to isolate.

The Secretary of State has talked about mask wearing and working from home, but he has not talked about ventilation so much. We know that the virus is airborne. We know that workplaces have legal standards about the quantity of fresh air and purified air that is appropriate, so what will he do to drive up ventilation in workplaces and to support public buildings to install the relevant air purification kits, so that people are not effectively breathing in contaminated air?

The Secretary of State did not mention social care. One of the most devastating consequences of failing to protect care homes or to put that protective ring around them was the tragic number of deaths in care homes. The infection control fund ends on 30 September for social care. Will it be extended?

On vaccine passports, will the Secretary of State clarify what exactly the Government’s position is now? What are the Government actually proposing? What will they ask the House to decide? On Sky, he said he was not ruling vaccine passports out. On the BBC, he said he was ruling the idea out. He is now saying they will keep it in reserve. Yesterday, Downing Street said that vaccine passports are a “first-line defence” against a winter wave. What exactly is the position? Rather than zig-zagging all over the place on vaccine passports, can we just get clarity and can the House make a final decision on whether or not we think they are an appropriate intervention?

[Sajid Javid]

The right hon. Gentleman asked a number of questions, so I will quickly plough through them. We have made clear that plan A is absolutely our focus. It is the situation we are in. Vaccines remain a critical part of it, as do testing and surveillance. I thank him for his support for our vaccine programme, including his comments yesterday. He also asked me about plan B. It is absolutely right that the Government have a contingency plan, and the trigger, so to speak, for plan B, as I mentioned in my statement, would be to look carefully at the pressures on the NHS. If at any point we deemed them to be unsustainable—if there was a significant rise in hospitalisations and we thought it was unsustainable—we would look carefully at whether we needed to take any of those plan B measures. That would be informed by the data, and of course we would come to the House at the time and make the appropriate response.

It is really important to emphasise, as we cannot do enough, the importance of vaccines. We now know from data just yesterday from the Office for National Statistics that, in the first half of this year, 99% of those who died from covid-19 sadly were not vaccinated. That highlights the importance of vaccination.

The right hon. Gentleman asked about people who are immuno-suppressed. He will see that we set out more details on that in the plan we have published today, including treatments that either are currently available or may soon be available. I have mentioned the antivirals taskforce, which is doing great work. There are a number of possible new treatments, and it is something in which the UK is very engaged. He will know that, for those immuno-suppressed people who can take the vaccine, just last week, we announced a third dose as part of the primary treatment. That again is a reminder of the action we are taking. Our advisers are constantly looking to see what more we can do.

The right hon. Gentleman asked about the flu risk. It is a significant risk this year, not least because, for reasons we are all familiar with, there was not much flu last year. There is a lot less natural immunity around in our communities, and the flu vaccine, which is being deployed not only in the UK, but across Europe, has less efficacy than normal, but it is still effective and a worthwhile vaccine, and that is why we will be trying to maximise uptake with the biggest roll-out programme and communications programme that this country has ever seen for the flu vaccine.

On diagnosis, the right hon. Gentleman made a good point, and it is something that we are looking at with covid and flu jointly. On testing arrangements, I think I have set them out clearly in the statement. We have no plans to change the current arrangements, but of course we keep that constantly under review. However, as long as those tests are needed available free for the public, that will be the case. But as I say we will keep that under review.

In terms of infection control in social care settings, a substantial amount of funding is available. We have already made available for this financial year some £34 billion of funding in total for the NHS and the care system for a lot of these extra measures. That is a huge amount of funding. Much of it is going to essential work, such as infection control, and we will ensure that what is needed is there.

The right hon. Gentleman’s last question was about vaccine certification. I think I have made the Government’s position clear. It is not something we are implementing. We are not going ahead with any plans for that. For any Government to do something like that, it would be such a big decision, and it would have to be backed up by the evidence and the data. That evidence is not there, and I hope that we will never be in the situation that it is. To keep it in reserve is the right thing to do.

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

I welcome this announcement, particularly on boosters. Yesterday, I asked the Minister for Covid Vaccine Deployment, my hon. Friend the Member for Stratford-on-Avon (Nadhim Zahawi), when we would hear about boosters. Just 15 hours later, the Secretary of State is making a statement. It is almost as if the Government are listening, and it is very good news. Nowhere wants to get back to normal more quickly than the NHS itself.

Will the Secretary of State commit that the backlog in mental health treatment will be treated every bit as seriously as the backlog in physical health? In particular, will he commit that the NHS and the Government will continue to adhere to the mental health investment standard, which says that mental health spending will increase at a higher rate than overall NHS spending, particularly when it comes to the extra money coming from the levy? Parity of esteem is supported by all parts of the House and legislated for in this House. There is a lot of worry in the mental health world that the money from the levy will not reflect the needs of the mental health backlog.

[Sajid Javid]

First, I always listen to the former Health Secretary. He always has some good advice, and I am pleased that he thinks the Government are moving quickly. He is absolutely right to raise the backlog in mental health. The Government are absolutely committed to parity of esteem. That is not just in law, but in our manifesto. I take this opportunity to reassure everyone who is particularly concerned and who may have raised this issue with my right hon. Friend that that commitment remains. The new funding that will go in over the next three years to help to deal with the backlog absolutely includes mental health funding.

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

I start by extending my condolences and those of my party to the Prime Minister on his family bereavement. I am also grateful to the Secretary of State for advance sight of his statement, and I echo his call for vigilance and the importance of getting vaccinated. Covid data has shown how few deaths between January and July were among the fully vaccinated and clearly demonstrates the effect of vaccines in driving down deaths, which is a message we all have to take home to our constituencies.

With winter approaching and more favourable conditions for the transmission of the virus, it is welcome that we are extending vaccines to our younger citizens. The news on booster vaccines is also welcome. However, what more does the Secretary of State think can be done to encourage the million people over the age of 60 who have not yet been double-vaccinated to become so? The winter will be a difficult time for many in the UK, with the annual flu wave potentially coinciding with another covid wave. The disruption that that will entail will come immediately after the end of furlough and the universal credit uplift, and at a time of rising fuel bills. Why are the UK Government insisting on ending two of the key measures supporting people through the pandemic shortly before a potentially difficult winter for millions? It is essential that self-isolation remains affordable.

Finally, the UK Government have cancelled the contract with vaccine company Valneva, which was set to produce vaccines for the UK in Scotland, at its Livingston facility. Those on these Benches would be very grateful if the Secretary of State could provide an explanation of why the deal was cancelled before the trials were even completed, threatening jobs in Scotland.

--- Later in debate ---

[Sajid Javid]

I thank the hon. Gentleman for again raising the importance of vaccines. I agree wholeheartedly with what he said about that, and he is right to think about what more can be done to encourage people, and particularly older people—over 60s—throughout the UK to take up the offer. A number of things are being done both here in England and in Scotland to focus on that, including making greater use of family GPs and taking the time necessary to allay hesitant people’s concerns, allowing them to speak to the clinicians to whom they want access to give them that comfort. That work will continue, and we are constantly looking for new and perhaps even better ways to do that.

On universal credit, it was made clear when the Government announced the increase that it was temporary. As it is temporary, it has to come to an end at some point, and the time for that is now. As our economy has—thankfully—started to reopen, job availability is increasing and economic growth has come back, and this is the right time to do that. However, as I said earlier, we must continue to provide the necessary financial support such as that for those who are self-isolating.

Lastly, the hon. Gentleman asked about Valneva. I should be careful what I say as there is a commercial contract, but it might help him to know that I have been in touch with the Health Minister in Scotland, who is fully aware of the situation. We remain in dialogue.

[Esther McVey (Tatton) (Con)]

Given that figures sent to me by the Secretary of State’s Department show that since the pandemic the number of hospital beds has fallen by more than 6,000, will he assure me that proper additional capacity will be built back into the NHS as part of his plan rather than resorting to hugely damaging lockdowns and restrictions?

[Sajid Javid]

My right hon. Friend is right to raise the importance of capacity in the NHS. She will know that the reason for the fall in capacity in the first place was to control the spread of the virus and ensure that those in hospital, who are naturally vulnerable in any case, are protected. Hospitals currently have what are referred to as green channels and red channels to try to segregate those who have the virus from those who do not. I assure her that the NHS keeps that under review and would like to get rid of the segregation as soon as possible. When it does, that will increase capacity.

[Vicky Foxcroft (Lewisham, Deptford) (Lab)]

What are the Secretary of State’s plans for communications with immunocompromised people who do not yet know how effective the vaccine is for them? As my right hon. Friend the Member for Leicester South (Jonathan Ashworth) said, the group accounts for 13.1% of deaths within the fully vaccinated population despite making up less than 1% of the general population. Does he agree that we should be advising them not to return to unsafe workplaces until we know more?

[Sajid Javid]

The hon. Lady is right to raise this important issue. Throughout the pandemic we have offered advice for those who are immunocompromised and given guidance through clinicians working with the NHS, and that is constantly updated as the nature of the covid threat is constantly changing. As I said a moment ago, we got clear advice that for certain people who are immunocompromised but can take the vaccine—I think it affects about 500,000 people—the antibody response from two doses was not enough and there should be a third dose as part of a primary course. We accepted that advice and acted on it immediately. We will continue to keep that under review and do whatever we can.

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

I welcome the Government’s rethink on vaccine passports and hope that it presages a move to trusting people more to make decisions for themselves. The Secretary of State will know about the evidence that people who returned from green list and amber list countries over the summer had a lower level of covid than those who stayed here. Does he accept that that makes a powerful case for getting rid of the day 2 PCR test for people returning from those countries?

[Sajid Javid]

My hon. Friend is right to raise that point. That is why we have kept our travel rules relating to covid constantly under review. He may have heard that I referred in my statement to a set of changes that we are looking to make, and my right hon. Friend the Transport Secretary will bring those changes to the House as soon as he possibly can.

[Ms Diane Abbott (Hackney North and Stoke Newington) (Lab)]

The Secretary of State is quite correctly urging people to get vaccinated. He will be aware that, sadly, certain ethnic minorities have relatively low vaccine take-up, and we see that in my borough of Hackney. Has he considered anything that the Government could do nationally to support outreach to ethnic minority communities?

[Sajid Javid]

The right hon. Lady makes an important point. We want everyone to take up the offer of a vaccine, and she is right to point out the disparity in take-up in certain communities. The good news is that—I think partly as a response to Government action and especially because of the fantastic people I have come across in London working for Public Health England, who have worked with and reached out to communities to increase uptake—we saw a significant increase in uptake over the summer in the communities to which she referred. That work continues, and it remains a priority.

[Robert Halfon (Harlow) (Con)]

I welcome the booster programme for the vulnerable as set out by my right hon. Friend, but may I ask him about the vexed issue of parental consent? The NHS website states that it would rarely be appropriate or safe for a child to consent without parents’ involvement and that a parent’s consent must be sought before vaccination. Will he confirm whether the intention is to follow that advice? If not, on what legal basis has that decision been made? The Gillick competence and later case law was intended for a far narrower set of circumstances than a mass roll-out of treatment to otherwise healthy children. If he is to make that decision, there must be parental consent to ensure credibility in the system.

[Sajid Javid]

I reassure my right hon. Friend that, first, the legal basis that we are following for vaccinations, and for child vaccinations in particular, has been set out since the 1980s and applied by successive Governments for all child vaccinations. The covid-19 vaccine offer will work no differently from the processes currently deployed. That requires, in the first instance, parents to be asked for their consent.

I am told by the school-age immunisation service—the specialists in the school system who work on child vaccination—that there is no dispute between what a child and the parent decide in the vast majority of cases; it works normally. Where there is a difference of opinion between the parent and the child, the service will bring both parties together to try to reach consensus, and only in the rare situations where they cannot reach consensus is it determined through the Gillick competence whether the child in question is competent enough to make decisions regarding their own health. I am told that, in general, the older the child, the more likely there is to be a decision that they are competent enough, but I stress that this process has been followed for decades under successive Governments and we will not be changing it.

[Clive Efford (Eltham) (Lab)]

We know that the ring of protection that the Government spoke of last year was non-existent and left many vulnerable adults in social care exposed to infection. Will the Secretary of State therefore say what specific resources will be made available for care homes this winter to ensure that they have the staffing levels they need and to prevent the devastating infection rates we saw last year?

[Sajid Javid]

This year, we have already planned to spend an additional £34 billion on both the NHS and care homes, helping to pay for additional measures such as infection controls and some additional staffing costs. We keep that under constant review.

[Angela Richardson (Guildford) (Con)]

I echo the comments my constituency neighbour and the Chair of the Health Committee, my right hon. Friend the Member for South West Surrey (Jeremy Hunt) made in raising concerns about mental health. I am dealing at the moment with a constituent who has been sectioned under the Mental Health Act, but there were no beds in Surrey and she has had to be moved to Kent. Would my right hon. Friend the Secretary of State look at increasing capacity in the most severe cases so that families do not have to undertake such a journey in what is already a difficult set of circumstances for them?

[Sajid Javid]

My hon. Friend is right to raise that. It is a very difficult situation, as of course I think everyone in this House understands. It is one of the reasons we are increasing capacity—there is new funding and support—and it remains a priority.

[Munira Wilson (Twickenham) (LD)]

Could I start by extending my condolences and, on behalf of my party, those of my right hon. and hon. Friends to the Prime Minister and his family today?

Children and young people have done everything that has been asked of them through this pandemic, as have their parents, yet children have paid a high price in lost learning and mental health particularly, and they have been an overthought for the Government throughout. It is all very well announcing today that the power to close schools in the Coronavirus Act will be expired—it makes a great headline—but the Health Secretary is well aware that that power was never used previously to close schools; it was just guidance from the Education Secretary. Will the Health Secretary give pupils and parents across the country a cast-iron guarantee today that his Government will not close schools again this winter?

[Sajid Javid]

I think the hon. Lady would agree that we are as a country in a much better place today with covid than we were even at the start of this year. That is down to many factors, and I referred to a number of those in my statement, but I believe that with the measures we have set out today, we can be confident that our children will not have to go again through the kind of disruption they have seen in the last couple of years.

[Mr David Davis (Haltemprice and Howden) (Con)]

The distinguishing characteristic of the emergency Coronavirus Act was not so much the new powers, which already existed in the Civil Contingencies Act 2014 and other Acts, but in the fact that Ministers were not required to get them approved by Parliament before implementation, which is one of the reasons for the poor quality of some of the decisions taken in the last year. Will the Secretary of State give an undertaking that any new regulations and indeed any regulations he retains will be put to the House before implementation, including vaccine certification if the Government are unwise enough to pursue that course?

[Sajid Javid]

I can tell my right hon. Friend that when the Government or any Government make decisions that have such an impact on people’s liberties, even if those decisions are made for all the right reasons—in this case, of course, to deal with this pandemic—they should be working with the House and working with colleagues. On any measures that are significant, of course the Government will come to the House and seek a vote of the House.

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

The Secretary of State talked about international work, and unless we tackle this issue across the world we are going to be in a pandemic forever. When he was at the G20, he shared with other countries what we are doing to help tackle it internationally, so could he please share with the House what is being done to tackle vaccination rates across the globe?

[Sajid Javid]

I can tell the hon. Lady that there was significant discussion about that with my G20 colleagues, but not all of them have, let us say, behaved in the same way as the UK in offering donations to poorer countries of vaccines. The hon. Lady will know that we are committed to offering 100 million doses to international friends, and that we have already provided or donated 9.2 million doses, most of those for the COVAX programme. We remain committed to that programme, and one of the things we are trying to do internationally, including through the Foreign Secretary, is encourage more countries to honour their commitments to COVAX and encourage those who have not joined the COVAX commitment to come forward and help in that way.

[Dean Russell (Watford) (Con)]

Across Watford, we are served by some amazing GP surgeries, including the Manor View practice and its team. However, I am hearing from constituents that some GP surgeries are still not opening their doors to do face-to-face appointments. Would the Secretary of State agree with me that we should encourage those GP surgeries to start opening up to help with the backlog and help see people face to face?

[Sajid Javid]

Yes, I agree with my hon. Friend, and he is right to raise this. I think everyone can understand why, during the height of the pandemic, GPs could not provide access in the normal way, but we are way past that now. Life is starting to return almost back to completely normal, and as that is happening it should be happening in our GP surgeries too. More GPs should be offering face-to-face access, and we intend to do a lot more about it.

[Hannah Bardell (Livingston) (SNP)]

The Secretary of State rightly speaks of the importance of vaccines, and Valneva in my Livingston constituency is playing a crucial role in the global fight against covid. Those at Valneva have worked incredibly hard to augment and adapt their work on a vaccine as new variants have emerged, as requested by his UK Government. So, Mr Speaker, you can imagine their shock and mine that its contract to produce 100 million vaccines was cancelled with very little notice or consultation. To compound that shock, there appears to be little clarity and reasoning, and while I will not repeat the rumours printed in the media, does the Health Secretary not agree that this is a shocking way to treat a company that is working tirelessly on a vaccine? Will he meet me to ensure that the future of this site, its work and its workers is secure, and will he rethink this disastrous decision?

[Sajid Javid]

I have to say to the hon. Lady that I do not agree with her. There are commercial reasons why we have cancelled the contract, but I can tell her that it was also clear to us that the vaccine in question that the company was developing would not get approval by the Medicines and Healthcare Products Regulatory Agency here in the UK, and obviously she is not recommending that we administer vaccines that do not get approval.[Official Report, 16 September 2021, Vol. 700, c. 10MC.] I do understand her point about Livingston and the factory there. That is very important to the UK Government and of course to the Scottish Government, and it is something we will be working on together to see what more we can do.

[Dr Luke Evans (Bosworth) (Con)]

I have a clarification and a request. On the clarification, I welcome the boosters, but could the Secretary of State clarify whether people who have had the AstraZeneca or the Pfizer will be having the same vaccine or mixing vaccines? On the request, one of the slowest things when it comes to dealing with the Pfizer vaccination is the 15-minutes that people have to wait to see that they do not have a reaction. We should now have the data, so will he ask the NHS to look at whether this could be removed to relieve some of the pressure on those delivering the vaccines over the winter?

[Sajid Javid]

On the booster programme, everyone on that programme will be offered either the Pfizer vaccine or half a dose of the Moderna vaccine. In the vast majority of cases I think it will be the Pfizer vaccine. On the data that is now available on the 15-minute wait, we are analysing it to see whether we can make any difference to the way in which we administer vaccines.

[Jack Dromey (Birmingham, Erdington) (Lab)]

Jane Roche from Erdington lost her father to covid and then, five days later, lost her sister to covid. She led the hundreds of families who came to London last week to walk down the memorial wall, calling with one voice for the promised inquiry to take place. They are frustrated because they want not just to know why their family members died, but that no one else should die as a consequence of mistakes made. When will the Secretary of State and the Prime Minister agree to honour the pledge that has been made to meet Covid-19 Bereaved Families for Justice, because those families have a right to be heard at the next stages?

[Sajid Javid]

The hon. Gentleman is right to raise the concerns of Jane and many others up and down the country and to express her frustration in the way he did. I am certain that, when this inquiry gets going, people such as Jane and many others will have the opportunity to set out their views.

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

First, thank you, Mr Speaker, for granting the statement last night. I think it was important that the House heard at an early opportunity the Government’s decision. Regretfully, there were one or two inadvertent inaccuracies in some responses to the questions, but having raised those with the Minister for Covid Vaccine Deployment, whom I respect greatly, I am very pleased to say that a correction has either been made or is going to be made very quickly. I think it is admirable that the Department has sought to put the record straight at a very early opportunity.

In his statement, the Secretary of State said of those in education:

“Regular asymptomatic testing…will also continue in the coming months”.

My understanding is that there was to be a review at the end of September of regularly testing children who have no symptoms. Is that still going to continue? My view is that we should not be regularly testing children who have no symptoms, only those who have symptoms, and that is also the view of the Royal College of Paediatrics and Child Health. Can I urge the Secretary of State to drop regular asymptomatic testing of children, which I think would be good for their education and good for their mental health?

[Sajid Javid]

My right hon. Friend mentioned yesterday’s statement. My hon. Friend the Minister for Covid Vaccine Deployment was referring to whether the Department had received advice on boosters from the Joint Committee on Vaccines and Immunisation, but at the time of his statement he was not aware that we had received such advice. As my right hon. Friend says, that was inadvertent, and the Minister has written a letter of correction that will go in the Library of the House today. Asymptomatic testing of schoolchildren is planned to continue this month. I am not aware whether a final decision has been made on whether we will continue beyond that, and that is something on which my Department consults the Department for Education. My right hon. Friend’s general point is that we should end such testing as soon as we can, especially if we believe it is not making much of a difference. Of course we keep the issue under review, and if we continue with it, it must be supported by the evidence.

[Dame Angela Eagle (Wallasey) (Lab)]

In Wirral there has been a 13% increase in levels of infection in one week, and sadly four people have died in hospital. After a period of there being very few deaths, we now have a much higher infection rate. What level of deaths are the Government prepared to accept from covid before they consider measures to try to prevent the ongoing spread?

[Sajid Javid]

No one wants to see deaths from any disease, including covid. As we have learned more about covid, everyone understands that it is not completely preventable, but our vaccines are making a difference in Wirral and across the country. There is no level of deaths that I would describe as acceptable, and the job of the Government is to keep that to an absolute minimum. However, there are not just covid deaths, and we must also be alive to deaths from cancer, heart disease and other things. As the hon. Lady will know, at the height of the restrictions many people suffered in other ways because they were not able to go to the NHS, and we must keep that at the front of our minds.

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

Covid has been tough for all health professionals, so will the Secretary of State wholeheartedly condemn the abuse that some GPs have been suffering recently? If vulnerable people are unable to get through on the telephone to their surgery, should it be the clinical commissioning group or the Department that steps in to try to sort that out?

[Sajid Javid]

I join my hon. Friend in condemning anyone who gives abuse to our fantastic GPs up and down the country. If someone cannot get through to their GP, they should try their clinical commissioning group. If for any reason that does not work, they should please come to the Department and consult Ministers.

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

The Secretary of State has not delivered a concrete plan today, and there is no real clarity on thresholds for further lockdowns, or details of what draconian and unnecessary powers in the Coronavirus Act 2020 he wants to hold on to. Will he at least say when that soon-to-expire Act will be back before the House for a vote?

[Sajid Javid]

May I suggest that the hon. Lady reads the plan before she comments on it?

[Steve Brine (Winchester) (Con)]

I welcome much of what is a sensible plan from the Secretary of State, although I have a creeping feeling that we are preparing to treat flu like covid, more than the other way round. Before we start extending the vaccine programme and boosters, will the Secretary of State get a grip on the creeping issue of people who have had one vaccination in England and another in Scotland, or the other way round, but the two systems are not talking to each other, and people are not getting the benefits of having been fully jabbed? We need to deliver for those who have done what we asked them to do before we deliver vaccines to others.

[Sajid Javid]

My hon. Friend is right to make that point—indeed, people in my family had that very issue. I know that the Minister for Covid Vaccine Deployment is looking at that matter, and I have discussed it with the health Minister in Scotland. We are working to see what more we can do.

[Dave Doogan (Angus) (SNP)]

As we go into another winter, placing the welfare of our communities in the hands of health and social care staff, will the Secretary of State reflect on the fact that in England the 3% NHS pay rise does not marry up well with the 4% backdated pay rise in Scotland? Why will he not grant the same esteem to health and social care staff in England as we do in Scotland?

[Sajid Javid]

When it came to the pay rise to which the hon. Gentleman refers, we accepted the recommendation of the independent pay review body. I think that was the right thing to do.

[Greg Clark (Tunbridge Wells) (Con)]

Is my right hon. Friend aware that the likely course of the pandemic means that more and more people, vaccinated or not, are likely to be infected by covid, but that levels of protection from the vaccines will keep them from serious disease? Will he say something about the triggers for any future lockdown or other restrictions, and confirm that the expected increase in the transmission of covid will not be among them?

[Sajid Javid]

My right hon. Friend is right about the importance of vaccines. On any potential triggers, I have not yet today mentioned the importance of being on guard against future variants, especially if there is ever a vaccine-escape variant. No one can rule that out, which is why our surveillance system is so important, and in that situation the Government would have to take further action. We cannot say today what such action would be, but that is the kind of risk against which we need to be on guard.

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

Hull has the second highest rate of covid infection in the country, and one ward in my constituency has only 51% coverage of second doses of the covid vaccination. The Secretary of State said that the national average is 81%, and those figures go to the heart of our problems with regional and health inequalities. How will he ensure that we maximise the number of people in Hull who receive the vaccination, so that people in Hull are not left behind in the recovery?

[Sajid Javid]

Of course no one should be left behind, wherever they are in the UK. The differential take-up of the vaccine can be based on a number of factors—for example, there is definitely a difference in age groups. Working with the NHS, we are trying to tailor our message to convince people about the benefits of the vaccine to those respective age groups, and we also try to do that on a localised basis. If the right hon. Lady has any particular suggestions about Hull, we would be more than happy to listen to her.

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

The Secretary of State retains all the powers of the Public Health (Control of Disease) Act 1984, which were used to take away our liberties without prior parliamentary authority. Will he undertake to review that and to give us a new public health Act?

--- Later in debate ---

[Sajid Javid]

We keep all rules and Acts under review at all times.

[Mr Ben Bradshaw (Exeter) (Lab)]

The Secretary of State will know from the discussions he describes with international colleagues that although travel in the rest of Europe has recovered to 60% of pre-covid levels, it is a fraction of that in the United Kingdom. When will he scrap the outdated, unnecessary and hugely expensive travel testing regime, save what is left of an industry, and end a situation in which foreign travel has once again become the preserve of the rich?

[Sajid Javid]

I would say two things to the right hon. Gentleman. First, it is important that we have a system of surveillance, especially for variants across the world. There are different ways to do that. We have chosen a particular path at the moment, and I hope he agrees it is important to have that surveillance. Also, as I said in my statement, we are planning to make some changes to the travel regime, and my right hon. Friend the Transport Secretary will come to the House as soon as he is ready.

[Saqib Bhatti (Meriden) (Con)]

Time and again I hear from constituents that they cannot get face-to-face appointments with GPs, who I know are under immense pressure. Further to the answer that he gave to my hon. Friend the Member for Watford (Dean Russell), will the Secretary of State elaborate on the work that he and his Department are doing to encourage GPs to give face-to-face appointments to those who need them?

[Sajid Javid]

Yes, I will. This is an important issue, and we are working on it with the British Medical Association, the NHS, and other important organisations. We can do a number of things, but we are trying to do so by agreement at this point. My hon. Friend is right to raise that issue and, as I said, it is high time that GPs started operating in the way they did before the pandemic, and offering face-to-face appointments to everyone who would like one.

[Anum Qaisar-Javed (Airdrie and Shotts) (SNP)]

The first issue that the Secretary of State mentioned in his statement was the importance of vaccines. We know that 40% of the world’s population has been single-vaccinated against covid, but only 1.8% of those in low-income countries have been vaccinated, and those countries are not on track to vaccinate their populations until 2023. To be frank, the Government have previously taken a dangerous route with their international policies, such as their anti-refugee Bill for an insular Britain. Will they commit to ensuring that the UK plays its part in vaccinating the poorest nations in the world, first to save lives and secondly to avoid the potential emergence of further covid variations?

[Sajid Javid]

We are more than playing our part, Mr Speaker.

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

I know that the international travel sector will welcome the framework. Given that it will come out on 1 October, will that give colleagues, and indeed Select Committees, the opportunity to feed in their ideas on behalf of their constituents? Will the Secretary of State entertain the idea of moving to lateral flow tests, which are cheaper, with only the small proportion of positive cases needing to take a PCR test?

--- Later in debate ---

[Sajid Javid]

I know that these are important issues for the House, and particularly for my hon. Friend, who chairs the Transport Committee. I do not want to pre-empt the statement by my right hon. Friend the Transport Secretary, but I believe that when he makes that statement, my hon. Friend will be pleased.

[Mr Alistair Carmichael (Orkney and Shetland) (LD)]

Pages 23 and 24 of the autumn and winter plan specify that, as part of plan B, the Government will introduce vaccine passports for all nightclubs, for indoor settings of 500 people or more, which presumably would include this Chamber of 650 Members, for outdoor settings of 4,000 or more, and for anywhere—that is a very big place—where there are 10,000 people. How does the Secretary of State square that with his assertion in reply to the shadow Secretary of State, the right hon. Member for Leicester South (Jonathan Ashworth), that the evidence on the usefulness of vaccine passports is just not there? If the evidence is not there, why are they part of plan B? The Government’s document also says that plan B could be brought into force at very short notice, so can the Secretary of State give the House some assurance that that will not happen without a vote?

[Madam Deputy Speaker (Dame Rosie Winterton)]

We need short questions and short answers.

[Sajid Javid]

We have made huge progress as a country in fighting this virus, and that is why we do not need certification; we do not need the plan B measures that the right hon. Gentleman has just set out. As I made in clear in my statement, while we can keep other measures in reserve, what matters is what we are actually doing, and if we keep making progress against this virus in the way that we are, we will not need any of the things he talked about.

[Jason McCartney (Colne Valley) (Con)]

It is worth highlighting once again the latest stats from the Office for National Statistics, which show that almost 99% of covid deaths in the first half of this year were of people who had not received both doses of the covid-19 vaccine. That really shows the importance of our world-leading vaccination programme. As we roll out these booster jabs, how will the Secretary of State build on the success of the network of GP surgeries, community pharmacies and volunteers who have helped, particularly in my part of the world, roll out all these covid vaccinations?

[Sajid Javid]

My hon. Friend is right to raise that. The booster jabs will be hugely important in maintaining protection. The GP networks and the NHS vaccination centres have all been part of our planning for this. Given that these are booster jabs, I think we can move much more quickly than we did with the original doses.

[Emma Hardy (Kingston upon Hull West and Hessle) (Lab)]

Parents will quite rightly have questions and concerns, but can the Secretary of State confirm that those questions and concerns should not be directed to school staff or headteachers, even if the vaccination happens to take place in a school building, and that all questions related to the vaccine should instead be directed to the appropriate medical team?

[Sajid Javid]

Yes.

[Mr Steve Baker (Wycombe) (Con)]

Among other things, my right hon. Friend is keeping covid status certification in reserve, and he is leaving mass asymptomatic testing in place, together with contact tracing. As my right hon. Friend the Member for New Forest West (Sir Desmond Swayne) said, the public health powers are still there, of course allowing the Secretary of State to lock us down at the stroke of his pen without prior votes or any formal way of justifying the proportionality of those powers. When can we expect all those things to be dealt with, so that we can all have the certainty that will come from knowing that, thanks to the vaccine, we are living with an endemic disease, in the way that we live with the endemic disease flu, and we can all get on with our lives?

[Sajid Javid]

I know that my hon. Friend may not agree with every measure that the Government are keeping in place or have set out, but I hope that he agrees that at least the measures that I have set out—around making sure that we are vaccinating the public, offering vaccines to as many people as possible, having some kind of testing regime, and having some surveillance of the results of those tests to look out for any new variants—are the right measures and the kinds of things that need to be done as we live with covid-19.

[Patricia Gibson (North Ayrshire and Arran) (SNP)]

We were told by the UK Government that vaccine passports were going ahead, then they were not going ahead, then we were told that they were still the first line of defence against a winter wave, and now the latest position is that they are a definite maybe. We have not seen such dithering since the great confusion over mask wearing, which we can see if we look around this Chamber. How irresponsible does the Secretary of State think that dangerous and confused public messaging is during a pandemic?

[Sajid Javid]

I believe we have been very clear on this issue.

[Jane Hunt (Loughborough) (Con)]

Last Friday, Leicestershire MPs met NHS officials locally. We were told that around three quarters of all those in hospital with covid were not vaccinated. Does my right hon. Friend agree that if we do not want to be in lockdown this winter, all who can get the vaccine should get it, especially in Leicester, where I now understand from the shadow Secretary of State’s comments that take-up is only 61%?

[Sajid Javid]

I agree with my hon. Friend. Some 6 million adults throughout the UK remain unvaccinated, and we should all do that we can to at least encourage them to think about taking the vaccine, not only to protect themselves but to protect their loved ones.

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

I am seriously concerned about the hole in the Secretary of State’s defence—taking away contact tracing from public health teams. The data coming through is now completely insufficient to carry out an effective operation locally and therefore to lock down the virus, and not people, in the future. Will he look at that and ensure that local authorities such as York can have that zero data so we can get on top of contact tracing as soon as the data emerges?

--- Later in debate ---

[Sajid Javid]

There are measures that, when it makes sense, we must remove. The reason that we can take a different approach to contact tracing than we did a few months ago is largely down to the high rates of vaccination we are seeing throughout the country. Of course we want them to increase, but as we vaccinate more, that allows us to start removing these restrictions, additional costs and burdens on individual livelihoods. It is right that we take a balanced approach and keep increasing vaccination so we can keep removing other restrictions.

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

I welcome the Secretary of State’s statement. May I raise the plight of care home residents, many of whom have been kept apart from their families and loved ones owing to outbreaks being declared in their home? Obviously, we need to strike a proportionate balance here, but the threshold for intervention by declaring an outbreak is really quite low. Will the Secretary of State commit to looking at that so we can ensure that people can see their loved ones throughout the winter ahead?

[Sajid Javid]

Yes, I can give my hon. Friend that commitment. He may also be interested to know that, with the booster announcement today, care home residents will be an absolute priority.

[Layla Moran (Oxford West and Abingdon) (LD)]

Back in June, the Prime Minister committed the UK and other G7 nations to vaccinating the world by the end of 2022 and

“to end this terrible pandemic”.

Can the Secretary of State tell the House how offering a third vaccine to a fully vaccinated, healthy adult in the UK before a first vaccine to a nurse in a lower-income country helps that goal of vaccinating the world by 2022?

[Sajid Javid]

I do understand the point the hon. Lady makes, but may I suggest that, if she has not yet, she should read the JCVI’s advice on booster vaccines? I think then she might better appreciate the importance of the booster programme.

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

I thank my right hon. Friend for his statement. I think we all hope that plan B is not activated, but may I follow up the question asked by my right hon. Friend the Member for Tunbridge Wells (Greg Clark) and ask the Secretary of State to lay out exactly what “unsustainable pressure” means? In his assessment of NHS capacity over winter, where does he see the bottleneck? Is it staff? Is it medication? Is it beds? What work is being done to enhance that capacity?

[Sajid Javid]

When I talked earlier about unsustainable pressure, it would be things like hospital occupancy, in particular in intensive care units, the admissions of vaccinated individuals versus unvaccinated individuals and the rate of growth in admissions. I know there is a lot there, but I think it is right that there is not one particular trigger and that we take a number of issues into account. I hope my hon. Friend agrees that the Government are right to plan for all contingencies.

[Jim Shannon (Strangford) (DUP)]

On behalf of the Democratic Unionist party, I convey my sincere sympathies to the Prime Minister and his family on the death of his mum. I thank the Secretary of State for his statement and for his efforts on behalf of us all. Will he confirm that the booster roll-out for the over-50s will be managed in line with the flu jab roll-out, which seems to be facing some delay? Will he further confirm that additional funding is being allocated to GP practices to enable the enhanced roll-out to take place?

[Sajid Javid]

Yes. GPs do get and will get additional funding to support vaccination programmes, including the flu vaccination programme. In terms of co-administering the covid vaccine with the flu vaccine, if that is what the hon. Gentleman was asking, while the JCVI said that in its opinion there is no reason why that should not happen—it thinks that that can work—in practical terms, mainly because of the 15-minute wait after a Pfizer jab, it will probably happen in very few cases. Regardless, the flu vaccination programme this year will also be a very high priority.

[Ruth Edwards (Rushcliffe) (Con)]

As my right hon. Friend said, our vaccination programme has enabled us to get almost back to normal. Will he join me in thanking staff and volunteers at Gamston community centre, who have been rolling out the vaccine in Rushcliffe and giving my constituents the best protection they can have against coronavirus?

[Sajid Javid]

Yes, of course I will. Gamston community centre, and community centres, village halls and so many other places up and down the country, including of course in my hon. Friend’s constituency, have done an amazing job. We still need them to help in our fight against the virus.

[Gary Sambrook (Birmingham, Northfield) (Con)]

As the Secretary of State may know, in Birmingham, Northfield, just next door to his own constituency, vaccine take-up has been about 75%. Unfortunately, in some parts of Birmingham it has been as low as 47%. Will he join me in encouraging anyone who is hesitant about taking the vaccine to take part in Birmingham City Council’s quick one-minute survey about why they have those anxieties? It is very important that we all understand where those anxieties lie, because, after all, the vaccine is pivotal to our success.

[Sajid Javid]

Yes, I will join my hon. Friend in encouraging people to do that. It will be a one minute very well spent.

[Jack Brereton (Stoke-on-Trent South) (Con)]

Across Stoke-on-Trent and Staffordshire, uptake of the vaccine has been very good. I thank all those who have been delivering the vaccine across Stoke-on-Trent in particular. Many 16 and 17-year-olds currently cannot use the online booking system. They have to wait for their GP to contact them or for one of the very few walk-in centres. Will my right hon. Friend look at extending that online booking system to all 16 and 17-year-olds?

[Sajid Javid]

I can tell my hon. Friend that we keep that under review. At the moment, we have found that the quickest way to encourage 16 and 17-year-olds to take up the offer is through the schools and colleges network, and through GPs in particular. We keep that under review, but he might be interested to know the latest numbers are that over 54% of 16 and 17-year-olds are vaccinated. There is progress to be made, but that is good progress so far.

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

My local hospital, the Queen Elizabeth Hospital, which as my right hon. Friend knows needs to be rebuilt, currently has 46 covid patients. Is not the best way to ensure that the QEH and the NHS have the capacity to cope with winter pressures to increase the level of vaccine take-up? Will he ensure that evidence of what works in doing that is shared across the country?

[Sajid Javid]

I very much agree with my hon. Friend. That is one reason why we are constantly publishing more and more information on the impact and effectiveness of vaccines, including the data from the ONS today, which I referred to earlier.

[Sara Britcliffe (Hyndburn) (Con)]

The Secretary of State will be aware that Hyndburn and Haslingden have faced restrictions for longer than most in the country. Will he please clarify whether local restrictions are being considered by the Government and, if so, what they might be?

[Sajid Javid]

I was not sure from my hon. Friend’s question whether she was referring only to her own area or more generally in terms of local restrictions. In terms of the plans I announced today, the Government will retain some powers for local restrictions, working with local authorities, if absolutely necessary. If she is interested more in the current situation in her own area, I or other Ministers will be happy to talk with her.

[Paul Holmes (Eastleigh) (Con)]

Like my hon. Friend the Member for Watford (Dean Russell), may I emphasise to the Secretary of State the amount of anger there is in Eastleigh about not being able to get a face-to-face appointment with a GP? He stood at the Dispatch Box and encouraged GPs to get back to work. If necessary, and if that uptake has not happened, will he instruct them to get back to work, so we can at least have face-to-face appointments for my constituents?

[Sajid Javid]

I agree with my hon. Friend about the importance of giving patients the choice. Some patients actually prefer not to have a face-to-face appointment. They may be at work and they might like that kind of technology, and that is fine, but the important thing is that for those who want to have a face-to-face appointment it should be made available. The Department and the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Bury St Edmunds (Jo Churchill) are looking at what measures can be taken. My hon. Friend will be more than happy to meet him to take him through some of those initiatives.

[Antony Higginbotham (Burnley) (Con)]

The NHS and volunteers across Burnley and Padiham have done a brilliant job of vaccinating people, but we know there is still hesitancy about getting the vaccine. That includes not only people who have not turned up or do not want to have the first vaccine, but those who have had the first vaccine but are then hesitant about the second. What steps is the Secretary of State taking to understand why that hesitancy is there and what we can do to try to get people the vaccine?

[Sajid Javid]

I am pleased that my hon. Friend has raised this issue of where, in a minority of cases, someone has taken a first dose but has become hesitant about the second. In all those cases, people are being individually contacted, often by their GPs or other clinicians, and offered meetings and phone calls. They are being talked to, to try to encourage them to take the second dose. It is really important that in that situation people follow up with a second dose to get the full protection they deserve.

[Tom Hunt (Ipswich) (Con)]

We have heard a lot about variants and how they can evade the vaccine. It was not that long ago that I was reading a lot about enhancing and tweaking the existing vaccines, and potentially even a universal vaccine that was a kind of a variant-busting vaccine. What are things looking like in that regard, and what is the possible timeframe in which we can release a vaccine that can better protect us against variants?

[Sajid Javid]

I think it is reasonable to assume that at some point in the future, perhaps as early as next year, there may be what I referred to as bi-variant or perhaps even multi-variant vaccines. The flu vaccine is a multi-variant vaccine, for example. In terms of availability and getting approval from regulators, we are not there yet, but I believe that is the general direction of travel. When we do get there, I think it will be much easier to live with covid-19.

[Aaron Bell (Newcastle-under-Lyme) (Con)]

My constituents have very much enjoyed getting back to normal in these last few weeks, so I welcome what the Secretary of State said, in particular on plan A. Does he agree that, while we must not be complacent, we must also not be overcautious? To that end, what assessment has he made of the data in the past few weeks and whether it utterly vindicates the Government’s decision to proceed on 19 July, a decision they took in the teeth of some opposition?

[Sajid Javid]

My hon. Friend is absolutely right to raise that point. Many people, including many in this House, especially those on the Opposition Benches, told us that the decision we made to go ahead with step 4 and remove all those restrictions was the wrong one. Events have clearly shown that we made the right decision. The status of the pandemic at the moment is that cases are steady. We of course have to remain vigilant, but my hon. Friend makes a very fair point.