Coronavirus

Debate between Steve Baker and Matt Hancock

Wednesday 16th June 2021 Commons Chamber

[Matt Hancock]

As so often, my right hon. Friend, who is one of the most astute medical practitioners in this House—crikey, I could get myself into trouble there, because all the medical practitioners in this House are astute, but he is also a public health expert. I will start again. My right hon. Friend’s point was a really good one and very astute. He is exactly right about our approach: the two-week review is a data review.

Up to around 10 days to a week before the decision making cut-off for the proposal to take step 4 on 21 June, it looked like hospitalisations were staying flat, despite rising case rates. We did not know whether that was because of a lag or because there was now going to be no cases turning into hospitalisations. That remains the case now for the link to the number of people dying, because the number of people dying each day in England is actually slightly falling at the moment—thank goodness —and there has not been a rise in the number of deaths following the rise in the case rates, which started about three weeks ago. Within a couple of weeks, we will know whether that continues to be flat or whether it rises a little. It has risen a little in Scotland; I just put that warning out there. That is precisely the sort of data that we will be looking at at the two-week point. We have been absolutely clear that the goal on which we hang the decision ahead of 19 July is one of delivering the vaccines, and we have a very high degree of confidence that we can deliver the vaccines that we think are needed in order to be able to take step 4 on 19 July.

I hope that was a clear and comprehensive answer, once I untangled myself from my initial response to my right hon. Friend.

[Mr Steve Baker (Wycombe) (Con)]

Is not the problem with the two-week checkpoint that it creates another moment of hope for people who still feel even these restrictions very acutely, and that if we create hope and then shift the goalposts again, people will continue to deepen their despair? What will he say to those people?

[Matt Hancock]

No, because I think people understand that we are putting forward the moments by which we can and then will make assessments according to the data. We have done that throughout. I think people get that and they understood that ahead of 21 June. I think people are smart enough to understand that distinction.

After this four-week pause, we will be in a stronger position—because of the vaccination rollout that we have been discussing—to keep hospitalisations down, and so to live with this disease and take that final step on the road map.

Let me turn to the regulations themselves, which put the pause into effect by amending the expiry date of the Health Protection (Coronavirus, Restrictions) (Steps) (England) Regulations 2021, so that they expire at midnight on the evening of 18 July. To reflect this change, we also need to align the dates on several other covid regulations that are essential for keeping us safe, including: the Health Protection (Coronavirus, Wearing of Face Coverings on Public Transport) (England) Regulations 2020; the Health Protection (Coronavirus, Restrictions) (England) (No. 3) Regulations, which give powers to manage local outbreaks by cancelling events and closing individual premises; and the Health Protection (Coronavirus, Restrictions) (Local Authority Enforcement Powers and Amendment) (England) Regulations 2020, which give local authorities powers to enforce covid-secure measures for businesses. They will all be extended until midnight on 18 July.

We do not want to extend these sets of regulations a day longer than we have to and have always said that we would ease restrictions as soon as we were able to safely to do so. Even though we have put forward these regulations to pause step 4, we are also putting forward regulations to ease restrictions in some areas, allowing us to remove the 30-person gathering limit for weddings, receptions and commemorative events—subject, of course, to social distancing measures—and to run another phase of our pilots for large events at higher capacity, including some, such as the Wimbledon finals, at full capacity. Even though we have not been able to take the full step 4 as we wanted, the regulations will allow us to make some cautious changes that will bring some joy to many people and move us slightly further down the road to recovery.

--- Later in debate ---

[Matt Hancock]

Yes, we do propose to consult on this point, alongside the consultation on mandatory vaccination as a condition of deployment in the NHS. As my right hon. Friend rightly says, this is a complicated operational matter. The principle of vaccination for those in a caring responsibility is already embedded, as he says; there is a history going back more than a century of vaccination being required in certain circumstances. I think these are reasonable circumstances, so we will go ahead for those who work in care homes and we will consult about those in domiciliary care and those working in the NHS. However, I have no proposals for going, and would not expect us to go, any wider.

[Mr Steve Baker]

I can understand why we would want especially to protect people in those circumstances, of course, but will the Secretary of State explain why it is not possible to maintain their right to choose not to be vaccinated by instead, for example, requiring daily lateral flow tests for workers in those industries?

[Matt Hancock]

We already have significant testing, but this is a matter of risk and we know that the vaccine reduces that risk very significantly.

Covid-19 Update

Debate between Steve Baker and Matt Hancock

Monday 14th June 2021 Commons Chamber

[Matt Hancock]

Before making an intervention like that, the right hon. Gentleman should first thank the teams who have supplied so much vaccination to this country, acknowledge that we have gone faster than almost anywhere in the world and work with us—work with the West Midlands Mayor and work across Birmingham—to make sure that we get the testing done as well and that we get vaccination done wherever possible. The fact that the fridges ran out of Pfizer demonstrates that we are getting through this as fast as we can, but supply is the rate-limiting factor on vaccination—it always has been—and on that the team have done a pretty amazing job, and I support them to go as fast as they possibly can over the weeks to come. That is what we will get done.

[Mr Steve Baker (Wycombe) (Con)]

Across our country, alarming numbers of people not only forecast that this extension would happen, but increasingly believe that they are never going to see true freedom again—freedom from these restrictions, which the Secretary of State has promised us. What more can he say about the conditions under which we will get to step 4, to reassure those people that this Government will actually set them free and indeed in due course set them free from all the paraphernalia of the management of this pandemic?

[Matt Hancock]

I want to get rid of all the restrictions that have been put in place to manage this pandemic, and we will get there. My hon. Friend will have noticed that the link we have explicitly made is to the rate of vaccination and getting the vaccines done over these four weeks to come. Of course it is my duty to recommend to the Prime Minister the actions I think are necessary to keep people safe—as a Health Secretary, that is my duty—but I am also a parliamentarian who represents constituents who want these restrictions removed as soon as safely possible. That is our goal, and this is a difficult balance. I think we have got the balance right, unfortunately, today—I say “unfortunately” because I wish it was easier. It is not, but we are able to make some progress and I very much hope we can make the full degree of progress that my hon. Friend wants to see in the not-too-distant future.

Coronavirus

Debate between Steve Baker and Matt Hancock

Thursday 25th March 2021 Commons Chamber

[Matt Hancock]

It is very difficult to know in advance. At the peak of this pandemic, we had 38,000 patients in hospital across the UK at any one time with covid, but of course that meant that other non-urgent treatments had to be delayed. There is a question of the trade-off and how much treatment is delayed. In a bad flu season, elective operations and non-urgent treatments are delayed. That is one way in which the NHS manages through a difficult flu season in winter. Measures like that will be necessary if we have an increase in covid cases.

If we have learned anything in the last year, we have learned that we have to live with risk as a society. That is a reality, so the goal and the strategy are to invest in the NHS so that it has more capacity, make sure that it can expand capacity and make sure that we have the vaccine effort and the continued efforts that people will no doubt take personal responsibility for, such as mask-wearing—and people will be highly likely do that to protect themselves and others, after the experience we have just had. I want to get to a point of personal responsibility plus the vaccine plus the test and trace programme, so that people can be regularly tested and we can use that to break the chains of transmission. I want to manage covid in that way, while restoring our freedoms. That is the best way, once we have made our way carefully down this road.

[Mr Steve Baker (Wycombe) (Con)]

What my right hon. Friend has just said is extremely encouraging, and I am very grateful. Will he confirm that the reason that step 4 is not in the regulations is that it does not need any regulations? It is freedom from these regulations.

[Matt Hancock]

Yes—that is a very good way of putting it; in fact, it was on the next page of my script. It is a pleasure to be as one with my hon. Friend after all this time, and I hope very much that he joins us in the Lobby later.

[Mr Baker]

No comment.

--- Later in debate ---

[Mr Steve Baker]

Will the Secretary of State give way?

[Matt Hancock]

I will just make a little more progress.

We are also suspending three further provisions, although they may need to be restored and called on if required. As well as that, we have completed the six-month statutory review on covid-secure regulations for businesses, the collection of contact details and self-isolation, and concluded that they remain necessary at this time. The Coronavirus Act is temporary, time-limited and proportionate to the threat we face, and we are keeping measures only where they are necessary as we exit this pandemic, and then we can do away with this Act for good.

Throughout the pandemic, this House has also found a way to meet. I cannot wait for the time when this Chamber will be full and rowdy once again as the cockpit of our democracy, where we can almost literally take the temperature of the nation. I may pay for that when I say something particularly unfortunate, but I prefer it, and I think everybody in this House does. After widespread consultation and on the basis of detailed public health advice, my right hon. Friend the Leader of the House has tabled a motion to extend virtual participation and the current proxy voting arrangements until 21 June, the proposed date for the removal of all legal restrictions on social contact. We thank you, Madam Deputy Speaker, and through you the other Deputy Speakers, Mr Speaker and the House authorities for the work that has been done in these unprecedented times to keep people safe here.

The measures before the House today show how we will put the pandemic behind us and restore life to normal. We are on the road to recovery, but we are not at the finish line yet, and by passing these measures, we can keep protecting lives and livelihoods while we get our nation back on its feet once more.

Oral Answers to Questions

Debate between Steve Baker and Matt Hancock

Tuesday 12th January 2021 Commons Chamber

[Matt Hancock]

We will absolutely have vaccines being delivered on the Isle of Wight before 15 July—indeed, we will have them there before 15 February. We are committed to offering a vaccine to all those in the four highest priority cohorts, which includes all over-70s, and there are a lot of over-70s on the Isle of Wight. Furthermore, we will make sure that there are vaccination centres within 10 miles of where everyone lives. Vaccinations are happening on the Isle of Wight right now. My hon. Friend is a great champion of the Island, and we will make sure that that delivery continues apace.

[Mr Steve Baker (Wycombe) (Con)]

What progress his Department has made on establishing the extent of roll-out of the covid-19 vaccine required to enable relaxation of covid-19 restrictions; and if he will make a statement. [R]

Covid-19

Debate between Steve Baker and Matt Hancock

Monday 2nd November 2020 Commons Chamber

[Matt Hancock]

Yes, absolutely, and my hon. Friend makes a critical point. If in Bosworth someone is waiting for an operation on the NHS, they are more likely to get it if we keep the virus suppressed—in fact, if we keep it down, they will get that operation and we will get it done. Unfortunately, in the parts of the country where things have got too high, non-urgent, non-cancer elective operations have had to be cancelled. That demonstrates that, both for covid and non-covid health reasons, it is better to keep the virus suppressed.

I was halfway through my long list of the things that the NHS has been doing to prepare over the summer. At the moment, we are delivering 159 A&E upgrades; as far as I know, that is the biggest number of concurrent upgrades to emergency care in the NHS’s history. We have radically expanded telemedicine in primary and outpatient care. We are introducing 111 First, with an expanded 111 service to help people get the care that they need.

The NHS has learned how to treat covid patients better too, of course: not just by discovering treatments such as dexamethasone, in which the NHS played a critical part, but by improving clinical techniques—earlier oxygenation and later ventilation, for instance. As a result, our rate of hospital-acquired infection is down and the number of people who survive covid in hospital is up. We have been able to set an explicit goal that all cancer treatment should continue throughout this second wave, which speaks precisely to the point that my hon. Friend the Member for Bosworth (Dr Evans) made.

But even with this expanded NHS and with the better treatments, the extra investment and the brilliance of the whole NHS team, who have done and learned so much about the virus and worked so hard to prepare—even with all that—and even if the NHS were twice as big as it is now, it could not cope, and no health service could, if the virus continued to grow as it is now. We must control the virus, to protect the NHS and ensure that it is always there, to treat patients with covid and patients with all other conditions.

[Mr Steve Baker (Wycombe) (Con)]

One of the wonderful things that my right hon. Friend has done is make available so much data. I am looking at the case data for Liverpool, and there it is—daily cases by specimen date. Thank goodness the number is now falling, and on a seven-day basis, again, it is falling. I am just wondering why now anyone in Liverpool would say anything other than that the Government’s previous strategy is now working. Why on earth, then, would people in other areas that are not even as badly off as Liverpool—or indeed Manchester, where the cases seem to be stabilising—want to see an even tighter lockdown?

[Matt Hancock]

Unfortunately, in Liverpool the overall case rate includes a very high peak among students. The over-60s case rate, which is also published on the same website, shows a flattening, but a flattening at a very high level, such that Liverpool University Hospitals NHS Foundation Trust has already had to cancel non-urgent, non-cancer elective activity.

The danger of a plateauing at a high level, as the chief medical officer set out, is that if the rate starts to go up again, we are already under significant pressure in the NHS in Liverpool. The same argument goes for Tyneside, where again the overall case rate appears to be coming down, which is good news. The number among the over-60s, however, is flattening, again at a very high level, and in other parts of the country, including areas in tier 3, the numbers were going up.

It is not good enough just to control R and keep it lower than its natural rate; we have to get it below 1 to be able to change from a doubling time to a halving time of this virus. Even I—the most enthusiastic supporter of the tier system—can see that, unfortunately, cases were rising and the cases among the over-60s are rising, including in the areas with tier 3 restrictions. It is important to strip out from those data the outbreak among students. I have talked before about there being two overlapping epidemics: one among students and one among the wider community.

Covid-19

Debate between Steve Baker and Matt Hancock

Thursday 22nd October 2020 Commons Chamber

[Matt Hancock]

The right hon. Gentleman is absolutely right. We have an advertising campaign, “Help us to help you”, to make the simple point to people that, if they are asked to go to hospital by a clinician, then it is safer to go to hospital than not to do so. In fact, we call them green sites and blue sites. Green means free from covid—we are as confident as we can be that they are. It is blue, not red, which means that we still want people to come to hospital, even if they have to come to A&E, because there is only likely to be, at worst, as much covid as in the general population, unless, of course, a person is in a covid ward treating only covid patients. The NHS has learned a huge amount both about the microbiology of the disease and about how to run health services in a world when covid is at large.

[Mr Steve Baker (Wycombe) (Con)]

Of course this is a dangerous disease and, of course, cases are rising, including in my own area, so it is with some humility that I have a look at the daily excess all-cause deaths in all ages in England, which show that there has been no significant excess all-cause mortality observed in week 40 overall. Is it not the case that the good news in this second wave is that the disease is not progressing as it did in the first?

[Matt Hancock]

I want to keep it that way. It is true that the all-cause mortality rates are around the typical levels for this time of year, and that is partly because non-covid deaths are actually lower at the moment than in most years, and because, thus far, we have worked to keep this virus under control. We know from the basic mathematics of compounding growth and the exponential nature of the growth of any virus that the number of deaths will increase if the number of cases increase exponentially, hence the need for the actions that we in this House have voted for.

Coronavirus Act 2020 (Review of Temporary Provisions)

Debate between Steve Baker and Matt Hancock

Wednesday 30th September 2020 Commons Chamber

[Matt Hancock]

I am grateful to my hon. Friend. I agree with him on the point about scrutiny. I am very glad that we have been able to find a way to ensure that we can have that scrutiny and that colleagues on both sides of the House can have the opportunity to vote, but in a way that still does not fetter the Government’s need to act fast to keep people safe from this virus.

[Mr Steve Baker (Wycombe) (Con)]

I am extremely grateful to my right hon. Friend for what he has set out and the manner in which he has done it, and I thank him very much indeed. He said earlier that he would not be renewing some of these provisions. May I just invite him to say something about mental health, and also something about schedule 21 relating to potentially infectious persons?

[Matt Hancock]

I am grateful to my hon. Friend. We have been working together to try to find a way through this that works both for the House and for the circumstances. There has been a change in the way that schedule 21 is used, and I believe that has reduced some of the concerns in this area, but we will continue to keep it under review.

I will say something about mental health later in my speech. There are measures on mental health in the Act that have not been used and that we are not seeking to renew. I hope that reassures colleagues that we take a proportionate approach to these measures and that although we want to make sure we have the measures we need, when we do not need them we will set them aside.

Covid-19

Debate between Steve Baker and Matt Hancock

Monday 28th September 2020 Commons Chamber

[Matt Hancock]

Of course, sometimes in this pandemic we have to move fast. Sometimes we have had to move fast, and we may need to do so again. The challenge we have in this House is how to ensure proper scrutiny while also being able, when necessary, to move fast in response to the virus. That is the challenge that collectively we all face.

[Mr Steve Baker (Wycombe) (Con)]

I reassure my right hon. Friend that I am going to praise him later, but the Constitution Unit at University College London tweeted earlier about the regulations mentioned by my right hon. Friend the Member for Forest of Dean (Mr Harper) that

“this policy was briefed to the media 8 days ago. Was it really not possible to schedule proper, detailed parliamentary debate during that time, given the far-reaching consequences?”

It added:

“Given the current mood, it seems very likely MPs will ask this.”

Well, I am asking. Surely it was possible, in eight days, to have the debate that my right hon. Friend has called for.

[Matt Hancock]

I am grateful for the tone in which my hon. Friend has engaged in this issue. He is a great supporter of parliamentary rights, and I am a fellow traveller in heart. The challenge is how to do that and also be able to move at pace. I would be very happy to talk with him, along with others, about how to make this happen. I would say, however, in respect of the laws that came into place overnight, that I set them out in a statement—in fact, the Prime Minister set out many of them in a statement last week—so we have been clear about the policy intent. The question is how we can make sure that we deal with this appropriately in the future.

Covid-19 Update

Debate between Steve Baker and Matt Hancock

Tuesday 5th May 2020 Commons Chamber

[Matt Hancock]

Yes.

[Mr Steve Baker (Wycombe) (Con) [V]]

I congratulate my right hon. Friend on the fruits of his tireless work, along with officials and others in the Government, including delivering mobile testing in Wycombe, but could he please tell us a little bit more about what he is doing to restore the full range and scale of elective surgery in the NHS, so that people with non-covid conditions can get their treatment back on track?

[Matt Hancock]

That is a really important point. It is critical, because the overall impact of coronavirus is not just the direct morbidity—the number of people who sadly die from coronavirus itself; there is also the wider impact, including those whose treatment has been delayed owing to the necessity of ensuring that the NHS was ready to cope with coronavirus, or because, for clinical reasons, it was important to delay the treatment because there is such a virulent virus at large. We are working very hard to restore treatments for non-covid reasons. That work has started. I was able to announce last week, for instance, that fertility treatment has restarted and cancer treatment is restarting, and other elective surgeries will restart as soon as it is safe to do so.

Coronavirus Bill

Debate between Steve Baker and Matt Hancock

2nd reading & 2nd reading: House of Commons
Monday 23rd March 2020 Commons Chamber

[Matt Hancock]

I am surprised to hear that, because we have been very, very clear about universities, alongside schools. It is, of course, a matter for my right hon. Friend the Education Secretary in the first instance, but on public health grounds we made it absolutely clear that we were taking steps to close schools, nurseries, universities and colleges, except for the children of key workers where they absolutely need to be at school, for example where neither parent can look after them. However, all those at university can stay at home on their own and do not need a parent, so I do not think there is any excuse whatever.

[Mr Steve Baker (Wycombe) (Con)]

Our local authority, the new unitary Buckinghamshire Council, has made the point that workers in leisure centres who are furloughed may need to be redeployed into other areas of council work where they would not normally be employed. That raises a problem. The council really needs to use the furlough scheme to take those workers out of leisure centres and put them into social care—quite a different industry. Will my right hon. Friend undertake to make sure that that is possible?

[Matt Hancock]

I do not think a legal change is needed to do that, because to second someone from one job to another is perfectly possible under existing employment law. In fact, the Bill brings in a statutory volunteering scheme, which is essentially a new form of employment through volunteering. That is one way that that could be done, but I would not expect it to be the main way used. If someone is moving to do a different type of job because we need more people doing some things and fewer doing others during this crisis, that sort of secondment can be done entirely normally—unless I have misunderstood my hon. Friend.

[Mr Baker]

My right hon. Friend has slightly misunderstood, and I hope he does not mind me saying so. The point really is that all councils will be haemorrhaging money at this time and they will need that 80% support for those workers whom they would otherwise furlough, so that they can then use them as volunteers. The point is to constrain cost.

[Matt Hancock]

I will take that up with the Chancellor of the Exchequer.

Coronavirus

Debate between Steve Baker and Matt Hancock

Wednesday 11th March 2020 Commons Chamber

[Matt Hancock]

The hon. Member sets out one of the many reasons why there are downsides to closing schools. There are significant downsides, especially because of the knock-on consequences it has on the number of staff available for critical public services, including the NHS and social care. There are many considerations we have to take into account if we close schools, and that is why we have no plans for a mass closure of schools. Of course, individual schools will sometimes be advised to be closed, but because one of the saving graces of this virus is that it does not have a big impact on children, there are fewer benefits to closing schools, and she sets out one of the downsides.

[Mr Steve Baker (Wycombe) (Con)]

Will the Secretary of State elaborate on social distancing? What would it entail, particularly for more vulnerable groups such as older people?

[Matt Hancock]

There are different types of social distancing. There is what is essentially case isolation, which is where somebody has symptoms and we are asking them to self-isolate. At the moment, if somebody has moderate or heavy symptoms, they should self-isolate, and we have talked about going, at the right time, to self-isolation—staying at home—for people with mild symptoms. There is also, of course, the need to ensure that older people and vulnerable people, for whom this virus has a bigger impact, can get the right advice on self-isolating, and that is something we are working on.

Here the timing really is critical, because the evidence of past epidemics and past crises of this nature shows that people do tire of these sorts of social distancing measures, so if we start them too early, they lose their effect and actually it is worse. The social science and the behavioural science are a very important part of the scientific advice that we rely on.

Oral Answers to Questions

Debate between Steve Baker and Matt Hancock

Tuesday 28th January 2020 Commons Chamber

[Matt Hancock]

The hon. Gentleman is a man after my own heart. I am sorry that I missed the ribbon cutting, as I love a good ribbon cutting, especially where the project sounds so brilliant and innovative, bringing different parts of the NHS together and helping clinicians in order to help patients. I am glad that he is as enthusiastic as I am about our £14 million investment.

[Mr Steve Baker (Wycombe) (Con)]

8. If his Department will fund the digital transformation of health and social care services in Buckinghamshire; and if he will make a statement.

[The Secretary of State for Health and Social Care (Matt Hancock)]

We are driving forward the technology agenda across the NHS, as we have just been discussing. Buckinghamshire Healthcare NHS Trust is one of the many trusts being considered for digital aspirant funding, which is the next generation of funding to bring hospital trusts into the 21st century.

[Mr Baker]

I am grateful for that, but will the Secretary of State support moving to devolved, multi-year and unified budgets, to enable the delivery of digital technology and, in particular, best value, against specific outcomes?

[Matt Hancock]

Yes, my hon. Friend is spot on. We recognise the need for a multi-year capital settlement in the NHS to support exactly that sort of planning and to modernise, and the Treasury has confirmed that we will publish that settlement at the next capital review.

Health and Social Care

Debate between Steve Baker and Matt Hancock

Thursday 16th January 2020 Commons Chamber

[Matt Hancock]

It is good to see that the hon. Member for Weaver Vale (Mike Amesbury), having got the commitment to a meeting, is off—he’s done! That was quick. My right hon. Friend the Member for Harlow (Robert Halfon) is still here, but that is because there is so much more good news to come, and I am sure he wants to hear it.

The point about doctors’ pensions is very important. We have already delivered on the commitment in the manifesto to start a process to end the problems caused by the interaction of tax laws passed in the last Parliament but one and the NHS pension scheme. My hon. Friend the Minister for Health met Treasury Ministers, the royal colleges, the British Medical Association, NHS Employers and others to kick off this process, and we are working on it very urgently.

I absolutely take the point made by my hon. Friend the Member for Winchester (Steve Brine) that, as we resolve the tax issue, we also need to rebuild the rotas that have been reduced because of the high marginal rates of tax. I urge each and every NHS hospital to play its part in putting that right.

[Mr Steve Baker (Wycombe) (Con)]

I was a bit disappointed that the Secretary of State does not plan to build a new hospital in Wycombe, but I am glad to say that there is an opportunity to invest in a transformational digital project, bringing together healthcare, social care and council services. Does he agree with me that transforming the NHS, social care and council services for the 21st century is about more than buildings, and that we do need to put such resource into digital?

[Matt Hancock]

I was going to come on to that later in my speech, but my hon. Friend is absolutely right. I had an excellent visit to Wycombe during the general election campaign. He has a brilliantly led local hospital that is working incredibly hard. The use of modern technology is a critical part of the agenda for bringing forward the NHS. To make sure that we can address patients’ concerns and do more work more effectively, the technology has to work for the clinicians so that they can do their jobs better.