(3 years, 4 months ago)
Commons ChamberWe have a huge amount of work on to tackle exactly the phenomenon that the hon. Lady describes. I thank people in Enfield who have been working on the vaccination programme, because they have done incredibly well, but there is much more to do. We have to ensure that we make the vaccine more accessible—that it is easy to access—and that people have reassurances if they are hesitant. The Minister for Covid Vaccine Deployment, my hon. Friend the Member for Stratford-on-Avon (Nadhim Zahawi), is leading on these efforts, including with innovative approaches that we are currently trialling, such as allowing multigenerational households to be vaccinated at once, to see how we can drive up uptake in those groups in which we have not seen such high uptake. As I said, overall uptake among over-50s is 94%, which is far higher than my best possible hopes just a couple of months ago, but if we can reduce that final 6%, for every percentage point that comes off it, the safer we all get.
I refer the House to my entry in the Register of Members’ Financial Interests. I thank my right hon. Friend for his statement and for the extraordinary roll-out, which is still continuing, and I thank all the health workers across Wimbledon and south-west London.
In his statement, my right hon. Friend was right to identify the risk of new variants and to mention genomic sequencing and boosters. Will he confirm that there will be availability of rapid testing, with tests that provide results quickly and identify new variants, and that the booster programme will be rolled out on a similar basis to the vaccine programme, which has been so successfully rolled out?
Yes, absolutely. The booster shot programme will be rolled out in a similar way to the first two jabs. There will of course be some differences, not least because of the interaction of an autumn covid vaccination programme with the autumn-winter flu vaccination programme. We still need the final clinical results on their interaction to see whether someone can have both at the same time, which would obviously be logistically easier. Those matters need to be resolved. The reason for the announcement today is that we want to be absolutely clear that a booster shot programme will happen this autumn—later this year—and we are determined to make it as efficacious as possible, because, ultimately, dealing with these new variants will require booster shots, especially for the most vulnerable.
(3 years, 5 months ago)
Commons ChamberAs the hon. Lady knows, we are in a difficult economic situation due to the pandemic, and about 700,000 people have lost their jobs. As a result, we have implemented a pay freeze across the public sector, for all but the lowest-paid workers and NHS staff. As she knows, the independent pay review body is looking at this point, but, like her, I bow to no one in my admiration for the work of staff across the NHS. They have worked incredibly hard and have done a huge amount to help people through this pandemic. She is absolutely right to say that we must support them, especially in getting rest and recuperation after this latest peak, because we also have work ahead of us to make sure we can deal with the consequences of covid, including the backlogs for which I announced the financial support to crack through today.
I thank my right hon. Friend for his statement. The roll-out of the vaccine has been truly impressive and undoubtedly led to some heightened expectations. From experience, I recognise that the supply letter from NHS England to the system was not actually unusual. Does my right hon. Friend agree that there is a possibility that an equally appropriate phrase for the current supply fluctuation might be “expected level” rather than “constrained”? May I ask him to allay the fears of the people of Wimbledon and the UK and confirm that he expects supply levels to be in line with expectations over the next few months and that no target dates for vaccinations will be missed?
I can absolutely give that assurance. My hon. Friend is quite right, and he brings his experience as an incredibly impressive Health Minister to bear. It is absolutely standard to tell the system what our future expectations are, but they are expectations, and we are always clear that supply is lumpy. We have set out clear commitments to the public, and those commitments that come either from me or the Prime Minister are the ones that we will meet, and we manage this enormous programme in order to deliver them as best we can.
(3 years, 6 months ago)
Commons ChamberMy right hon. Friend the Transport Secretary has looked into the issue about DVLA that the hon. Lady raises, and Public Health Wales has been involved in advising DVLA, which is of course based in Swansea.
I congratulate all those in the local health service and volunteers rolling out the successful vaccine programme in Wimbledon. I agree that we need effective border security. However, my right hon. Friend said earlier that new variants could emerge anywhere, so could he allay my concern that our efforts might be better spent on ensuring effective, rigorous and enforced home quarantine for all rather than setting up a hotel regime that will only protect against red-list countries?
The rigour and the security of both home quarantine and hotel quarantine are important. It is a matter of the degree of risk, and that is why we have attempted to strike the balance that we have. However, what is not in balance is the need for rigorous quarantine both for those coming from red-list countries and those coming from all other countries who quarantine at home. It is important that this takes place, whether it is at home or in a hotel, and hence the stronger enforcement measures.
(3 years, 7 months ago)
Commons ChamberThe hon. Lady is absolutely right to ask this critical question. We are doing a huge amount with the scientists and the pharmaceutical industry to develop modified vaccines should they be necessary. We are also monitoring the results of work to understand the efficacy of the existing vaccines against the variants of concern. We do not have a point estimate for the difference in the efficacy of the vaccine. The efficacy needs to be measured both in terms of someone’s likelihood of catching the disease and in terms of their likelihood of being hospitalised or dying from the disease. There is a significant amount of work under way to understand all those things, both in labs and in the field. For instance, AstraZeneca has a trial in South Africa that it is revisiting to understand the progress of those who were vaccinated as part of the trial. We will publish as much information as we get as soon as we credibly can. I wish I could give a number in answer to the hon. Lady’s very astute question, but unfortunately it is not scientifically credibly available yet.
I congratulate my right hon. Friend on his decisions of last year to guarantee the surplus supplies of vaccine, and I thank all the NHS staff and volunteers in Wimbledon who are delivering it. Clearly, getting the vaccine rolled out as fast as possible is key. Therefore, can he confirm that he will make sure that best practice advice is being given to every vaccine centre to ensure that there are no supplies unused at the end of the day and that there is a reserve list for appointments?
The vaccine programme has been enormous hard work by a huge number of people. It is very heartening to see it progress as it is, including in Wimbledon, where it is going well, and I am very grateful for my hon. Friend’s support in making that happen. The need to use every last drop of this precious vaccine is paramount. The standard operating protocol clearly states that all vaccine doses that are available should be used. If we can get 11 doses out of the 10-dose AstraZeneca vial, then we should do so. It is now standard practice to get six doses out of the previously five-dose Pfizer vial. There should also be a reserve list of people in categories 1 to 4 who can be called up at the end of the day if there is any spare. But the most important thing is that if the vaccine is going off—if it is coming to the end of its time out of the freezer, for the Pfizer jab—then it should be used in all circumstances. We need to use every last drop.
(3 years, 10 months ago)
Commons ChamberThe hon. Gentleman speaks for everyone across the north-east. The cross-party working has been first rate and I pay tribute to all colleagues from the north-east who have been working so hard. The message to everybody in the north-east is that there are early signs that the measures are starting to work, but we are not there yet, so let us all stick with it, work together, support each other, support the NHS and absolutely we will bring in the economic support to ensure both that we help businesses as much as possible, help employers and help individuals through this crisis. After that, the levelling-up agenda is vital to unite the whole country.
How correct my right hon. Friend is that the most effective actions are those that are local and targeted. Will he confirm that he will look at tier 2 reviews in the light of regulation 8 in part 4 of the Health Protection (Coronavirus, Local COVID-19 Alert Level) (High) (England) Regulations 2020, so that we can target on a local basis? Given that so many cases are asymptomatic, could he say when he expects the new test to be more widely available across the community?
My hon Friend makes an incredibly important point, which is that the regulations are written on a borough-by-borough basis, and if we can take specific boroughs out of the regulations sooner, based on the data, then we will do so, and we have done. In fact in some cases we have taken part of a district or a borough out of the regulations when that is what the data has shown. I can give him that assurance.
On the testing, we are rolling out the tests as fast as we can. The use case is one of ensuring that more NHS staff are tested on an asymptomatic basis; there is more testing in care homes, where it is important to protect the most vulnerable; there is more support in education, to make sure we can keep education as open as effectively possible; and there is asymptomatic testing in areas where there is a big outbreak. All of that will be there to support outbreak control and get this virus under control.
(3 years, 11 months ago)
Commons ChamberThe hon. Gentleman makes an important technical point, which I will take away and look at.
I really welcome the announcement about the increase in testing capacity, the comprehensive flu vaccination programme and, of course, the early access to coronavirus vaccines. My right hon. Friend will, obviously, have heard that there are some problems on access and availability. Will he set out his plans to overcome those operational difficulties, so that we have availability at local centres?
In the short term, we have seen a rise in demand for testing, and the capacity—the supply—has been increasing too. We had some short-term problems with contracts; before the summer, I came to the House to describe the problem with a particular contract to do with swabs and the cleanliness of the swabs. The bigger challenge is to make sure that capacity stays ahead of demand, and when demand has gone up sharply, we need to make sure that capacity expands. There are two ways of doing that. The first is more expansion of the current technology, which we are doing, both within the NHS, as the Scottish National party spokesperson correctly called for, and by using more private sector capacity—the combination of the two. The second, where we can really break through this, is with the new generation of tests, which are much, much easier, much better value for money and easier for people to use. The combination of trying to drive up capacity in the existing system, as we have been doing for months and months, and then bringing onstream these innovative new tests is what we are trying to pull off.
(4 years, 5 months ago)
Commons ChamberWe will set out the breadth of the guidance precisely on gov.uk.
Like my honourable colleagues, I commend the Secretary of State’s superhuman efforts. On the subject of procurement, may I say two things? First, he will know that the Public Health England change of guidelines has caused some concern. Will he ensure that they are clear to people? Secondly, a senior A&E consultant reminded me that they need more blood gas machines as well as more ventilators.
(4 years, 5 months ago)
Commons ChamberYes, of course, we are incredibly concerned about that, and it is reflected in the guidance that we have specifically put out. It is one of the many reasons why we encourage people to get outside, even if they are in household isolation, so long as they do not come into contact with others. Of course, I understand the consequences of the advice that we have given for the hon. Lady’s constituents.
Many of those whom the Secretary of State will want to shield at the weekend and who are self-isolating are in receipt of at-home social care. Can he be clear about the guidance that he is going to give about whether they should continue to be visited, or what else he will put in place to protect those individuals?
Yes, of course, the further advice will go out for social care. We put updated advice out at the end of last week knowing that that was a likely step, and there will be further advice precisely to help people to address exactly that question.
(4 years, 5 months ago)
Commons ChamberOf course we have to plan for a reasonable worst-case scenario, but we are working incredibly hard to avoid it. The Chinese Government undertook some very significant actions, and it is not yet clear whether the impact of those actions was to slow the spread such that when those actions are lifted the spread will continue, or whether the virus has in effect gone through the population of Hubei. We do not yet know that, so it is not yet possible to interpret the epidemiological consequences of the deaths figure in China.
Last Friday I held an open meeting so that my residents could better understand the proposals for Epsom and St Helier University Hospitals Trust. While I understand that the Minister cannot comment on the consultation, does he not agree that my residents would do better to consider the evidence that shows these proposals will improve access and quality and have no adverse impact on health inequalities?
(4 years, 6 months ago)
Commons ChamberI thank my right hon. Friend for his statement and commend him for his handling of this outbreak. The public health advice has been absolutely clear during the contain phase. As we move into the delay and mitigate phases, will he make sure the advice on social distancing and longer isolation periods, particularly for vulnerable groups, is as fast and has the same clarity?
Yes. We are upgrading the communications activities tomorrow but, should we move into the mitigate phase, the communications will clearly need to be different and will need to be upgraded yet again.
(4 years, 6 months ago)
Commons ChamberThat is a very important subject. In fact, I have been working on that in the past 24 hours, to ensure that tech companies, social media companies, Google and others promote the right answers to questions about coronavirus. Most of the social media companies—we have been in contact with them—have behaved in an exemplary fashion, ensuring that information from, for example, the NHS gets promoted.
I commend my right hon. Friend for his statement today. Following on from the previous question, it is clear that everybody has heeded the advice to self-isolate, but exactly what self-isolation might mean for certain groups—such as a family in which one person may be symptomatic, or groups of university students—is difficult to ascertain. I urge my right hon. Friend to pursue a public health initiative.
We updated the advice on exactly what self-isolation means earlier this week. It does, for instance, mean going home, and if other people live with you at home, trying to keep out of contact with them. It means, obviously, not going on public transport, leaving the house as little as possible, and trying to get other people to do things like collecting groceries. It also means, within a house where lots of people are living, trying to stay away from others living in that house. I appreciate that that is, practically, challenging and difficult—as a father of three small children, I get it—but that is the goal of self-isolation.