Public Health

Steve Brine Excerpts

Wednesday 7th October 2020 Commons Chamber

[Helen Whately]

Let me just come to Bolton. I was saying that we had consulted local leaders in Bolton and we used the emergency procedure to make the present set of regulations as soon as we could. Recognising the concern about the time that it can take for Parliament to debate these statutory instruments and given the pace of the pandemic, I hope that hon. Members acknowledge that we are debating today measures that came into force just this Saturday.

As I mentioned, for the implementation of these measures, existing legislation was amended rather than bringing in new Acts. We reviewed the impact of existing regulations and considered where they needed to be more robust or could be eased. We took into account the existing measures in place elsewhere and assessments of the impact that those measures were having. The complexity of local restrictions has been highlighted recently, so the decision was made to impose regulations already in place rather than to develop new ones.

There is extremely serious concern about the outbreak in the north of England, the north-east and the north-west, both at the point the decisions were made to introduce further restrictions and ongoing. Engagement with local public health teams and local leaders has been extensive. I would like to thank the local council leaders, local authorities more broadly and the local resilience forums, as well as Public Health England, the Joint Biosecurity Centre, and the local and regional directors of public health for all their engagement and all the work they are doing. All the local councils involved have engaged sensibly at chief executive and other levels, and I know they have also been doing a huge amount locally—for instance, working to increase compliance, supporting increased access to testing, working with care homes and supporting the most vulnerable. We will only succeed in suppressing this virus by working together at every level.

[Steve Brine (Winchester) (Con)]

I thank the Minister for setting this out so clearly and concisely because this is really difficult. The International Trade Secretary said on the radio this morning that we need to suppress this virus until the vaccine comes. The problem I have—today we are discussing these areas, but we could be discussing any area, including my area, next—is that, if the vaccine comes, when the vaccine comes, we then have all sorts of challenges around roll-out, efficacy and the long-term stay of that vaccine. Is the Government’s view that we need to suppress this virus until the vaccine comes and then science is going to ride to our rescue, or is there a bigger plan, a next plan, to think about how we live with this virus for the long term, which the Prime Minister and the Chancellor keep referring to?

[Helen Whately]

My hon. Friend invites me to stray somewhat from the subject of this SI and the updates to the regulations, but clearly from what he said, he is well aware of all the work that is going on for us to have a vaccine. He is also well aware that the priority at the moment is that we absolutely have to suppress this virus because the alternative does not bear thinking about.

Public Health

Steve Brine Excerpts

Tuesday 6th October 2020 Commons Chamber

[Helen Whately]

I thank my right hon. Friend for his point. Indeed, the Secretary of State has made a commitment that for future changes to restrictions that would have national effect, we will do our very best to bring them to the House to a vote, although obviously we have to bear in mind that there are circumstances in which we need to act very quickly, because, as we have seen, things can move very quickly with the infection rate and the consequences of the pandemic.

The regulations that we are debating today amend the Health Protection (Coronavirus, Restrictions) (No. 2) (England) Regulations 2020 so that people may not participate in social gatherings in groups of more than six unless they are members of the same household or support bubble, or exemptions apply. The regulations were made under the emergency procedure in order to respond quickly to the serious and imminent threat to public health posed by coronavirus.

[Steve Brine (Winchester) (Con)]

I think the Minister knows what I am going to ask. I asked it last Monday in the general debate and her colleague, the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Bury St Edmunds (Jo Churchill), chose not to respond in the wind-up, so I will ask it again: what is the rationale for including children under the age of those who have to wear masks in the rule of six? I am asking not about the fact that it is happening, but the rationale.

[Helen Whately]

If my hon. Friend allows me to make a little progress, I will pick up on that point during the course of what I will say.

I appreciate that these national regulations have caused real disruption to people’s lives, placing restrictions on who people can see and what they can do. However, the evidence indicated that the covid-19 infection rate was rising across the country. It was therefore vital that the Government took decisive action to limit and slow the spread, to protect public health and to reduce the likelihood of a further national lockdown of the type that was necessary earlier this year.

Madam Deputy Speaker, I am aware that you, Mr Speaker and a number of Members have raised concerns about parliamentary scrutiny. As the Secretary of State for Health and Social Care outlined to the House last week, for significant national measures with an effect on the whole of England or UK-wide, the Government will consult the House of Commons wherever possible and hold votes before such regulations come into force.

Coronavirus Act 2020 (Review of Temporary Provisions)

Steve Brine Excerpts

Wednesday 30th September 2020 Commons Chamber

[Matt Hancock]

Yes, we are renewing that schedule, because it is very important for ensuring that we prioritise care for those who need it most. The concerns that the right hon. Gentleman raises now were raised during the passage of the Act, when we had a good discussion on the subject. I believe that the way the Act has worked has, overall, improved access to care for people both in hospital and in our social care system, which has, of course, been an area of great scrutiny throughout the pandemic.

[Steve Brine (Winchester) (Con)]

I thank the Secretary of State very much for the sensible measures the Government have taken today on the involvement and ongoing consent of this House. There is widespread public concern out there about consent and the measures we are imposing on their lives. Just to be clear for the public, and some sectors of the media, watching this debate: many of the restrictions that we are reluctantly having to place on our constituents’ lives do not come through the Coronavirus Act 2020; they come through many other pieces of legislation, but primarily the Public Health (Control of Disease) Act 1984.

[Matt Hancock]

Yes. What I have said relates to measures to do with the pandemic response. As my hon. Friend says, the vast majority of the measures in respect of social distancing restrictions were introduced under 1984 Act; only a minority were introduced under the Coronavirus Act. Nevertheless, the point about scrutiny is an important one no matter what the origin of the statutory instrument. In essence, we have managed to innovate with parliamentary procedure to find a way that we can move both quickly and with the proper scrutiny of Parliament. That is what we have been seeking to do. In these unprecedented circumstances, many innovations have had to be made, not least in Parliament, and this is another one. There were two contrasting needs—the need for proper scrutiny and the need for very speedy action—and I am really pleased that we have been able to find a way through that, I hope, commands the support of the whole House.

Covid-19

Steve Brine Excerpts

Monday 28th September 2020 Commons Chamber

[Matt Hancock]

Help like that is always very welcome. What I can say is that we want to ensure that the House can be properly involved in this process while also allowing the whole nation to move fast where that is necessary. What I would say to my right hon. Friend and others on this point is that I welcome the rightful recognition that sometimes we do have to decide at pace. This is an unprecedented situation and the truth is that the secondary legislation procedures were not designed for a situation like this. The question is how we can have the appropriate level of scrutiny while also making sure that we can move fast where that is necessary.

[Steve Brine (Winchester) (Con)]

On another point—with the leave of the Chair, we may debate these matters around process in a couple of days’ time—may I focus the Secretary of State on the positives? Although there are many challenges, which I will come to if I catch the Speaker’s eye later, we have many things to celebrate in this country about how we have approached the response to this pandemic—not least the brilliant scientific community in this country, which has produced the only known effective treatment for covid-19 and is doing great work on getting us closer to a vaccine. We like to beat ourselves up—or, rather, the media like to beat us up—but is not the truth that we have many things that the rest of the world follows us in?

[Matt Hancock]

That is right, and in fact my hon. Friend leads me to where I was going to come next. He is right: whether it is producing the only known treatment, dexamethasone, or having a leading vaccine candidate around the world, or the work that our staff in the NHS did to protect the NHS in the peak of the crisis, or building the Nightingale hospitals in nine days—they told us we would never get that done, but we did—or sorting out the huge problems we had in the provision of personal protective equipment. With the PPE strategy that we set out and published today, we have made it clear that, on all but one line of PPE, by the end of this year we are on track for 70% of our PPE to be produced here in this country. When I got this job, it was 1%. These changes are all huge areas of progress that we have made in tackling this virus, and I am very proud of the whole team who have come together to make them happen.

--- Later in debate ---

[Ms Angela Eagle (Wallasey) (Lab)]

It is a pleasure to follow the right hon. Member for New Forest West (Sir Desmond Swayne). I agreed with precisely zero of what he had to say, but this is not the first time that has happened in our time in this House.

As the first wave of the covid-19 pandemic in the UK began to recede over the summer, some sobering truths became evident. The UK had suffered one of the highest per capita death rates in the world and taken a far larger economic hit than comparable developed economies. Many attribute that dismal double whammy of failure to a Government who were too complacent at the beginning and too slow to lock down and prevent the death rate spiralling so badly out of control.

UK resilience to the threat of pandemics has been badly undermined by a decade of austerity, which weakened the ability of the NHS and both national and local government to react in time to prevent the disease taking hold. This failure became all too evident in the chronic shortage of personal protective equipment, which put key workers at unnecessary risk and led to the deaths of all too many, especially in the NHS and social care sectors.

The abandonment of testing so early in the pandemic meant that those charged with protecting us were effectively blind to its development in the community. That increased the chances of a total lockdown being the only viable response the Government could turn to. The Prime Minister recognised that all too belatedly on 23 March.

It is unclear how many lives the Prime Minister’s personal struggle with his libertarian instincts and his complacent reaction to the looming threat cost.

[Steve Brine]

I listen carefully to what the hon. Lady says in this House. She is very experienced and she sat on the Front Bench when the Labour party was in government. May I clarify what she is saying? If I understand correctly, she seems to be suggesting that there was a way to avert a national lockdown, which most other countries in the world have had, by different actions being taken prior to March this year. Is she seriously saying that?

[Ms Eagle]

I was trying to say that complacency at the beginning caused many more deaths; it caused us to have a higher death rate and a bigger economic hit than other countries. From the beginning there has been a problem with mixed and often contradictory messaging from the Government about the rules they wish people to follow, and a lack of transparency about how those decisions are made. Not only has that undermined the efficacy of public health messages, but it has genuinely confused people who wish to do the right thing.

The Government’s moral authority to order the greatest restrictions on personal freedom since the second world war has been completely undermined by two things. The first is the revelation of Dominic Cummings’s rule-breaking trip to Durham, and the Prime Minister’s refusal to sack him. That prompted public anger on an unprecedented scale, persuading many that there was one law for them and a completely different one for the Prime Minister’s friends.

The second is the lack of transparency and parliamentary oversight surrounding ministerial pronouncements on the rules. All too often the rules appear to be contradictory, almost arbitrary, and difficult to justify. The public were asked to work from home one minute, only to be urged to return to work and save the high street the next. Now, as evidence of a second wave of the virus emerges, people are being ordered back home again, but not before the Government spent half a billion pounds on subsidising meals out in August, and opened air bridges to half of Europe, only to reimpose unenforced quarantine requirements on those who had been trusting enough to believe them.

We are now told that we cannot meet people at home or in their gardens unless we are in their bubble, but we can go to the pub with six households, as long as we leave by 10 pm. All those rules are different in Wales, Scotland and Northern Ireland. Respect for the rules will evaporate if the Government do not do a better job of justifying them, and ensuring that they are coherent and understood.

The Government have centralised all decision making, and outsourced procurement for test and trace, leading to a failing system. They have not involved local public health or local authorities in the decision-making process. Only two weeks ago I asked the Health Secretary about sudden increases in infections in Wirral. He replied that that issue had been considered by silver and gold committees, but no one bothered to tell Wirral Council that that was happening, and at the height of the pandemic it was reduced to watching daily press conferences to try to discern what was happening.

We cannot fix test and trace without more local co-operation. In Wirral, pillar 1 tests now take 48 hours, and we have an infection rate of 157 per 100,000, and rising. Pillar 2 tests—when people can get them—take between five and seven days to get results, thereby rendering their effect, which is to get people to isolate, much less likely to work.

How can we get less centralisation and more transparency into the Government’s response to this pandemic? When considering parliamentary accountability, perhaps we should look at what New Zealand has done. It set up a special committee—it is called a Select Committee but it does not have to be—and it has a majority of Opposition Members on it, although it is a rotating membership. The committee is led by the Leader of the Opposition, it has unusual powers to subpoena witnesses and papers, and it can subject any Government decisions to that unusual but timely form of scrutiny. That worked well in New Zealand, because it allowed policy making to be improved by parliamentary scrutiny and accountability.

As we move to discuss the new measures on Wednesday, I believe that this House should carefully consider doing what the New Zealand Parliament has done. We should allow the Government to give Opposition Members that duty so that we can get some air, transparency and accountability into the decisions that the Government are currently making behind closed doors.

--- Later in debate ---

[Steve Brine (Winchester) (Con)]

I want to cover just three things. I will start by making a plea to Members of the House, to elements of our beloved media, and indeed to the great British public: step back at times, understand a little more, and possibly condemn a little less. We must remind ourselves that there is nothing normal here. This is an unusual event; this is a pandemic. Today we have heard calls for clarity—indeed, we hear that from the Opposition all the time—but in my experience of sitting on the Front Bench in a public health job, all too often calls for clarity are calls for certainty, and that is not how it is in a pandemic.

Just this weekend we heard that the university experience is not as billed. No, it is not—it is awful for freshers going to university and away from home for the first time, in a strange city with people they do not know. On the whole, however, universities are doing their best in an impossible situation. This will not be universally popular, but we should take great care about saying that universities should be refunding all those tuition fees, because those fees will keep universities in business, and keep them going so that they are there once this awful business is over. When we change the quarantine rules for this country or that on a Thursday, especially during the summer months, we see news bulletins full of people saying, “There was no notice.” No, because it is a pandemic. Of course there cannot be two weeks’ notice, because things change quickly in a pandemic.

I sit on the Digital, Culture, Media and Sport Committee and we hear the arts sector say, “Give us a date. We want a date for reopening.” We would love to give people a date for reopening, but it would mean very little. We cannot be sure of where we will be in a month, let alone in three months when a big west end performance could be ready. We hear this all the time, but I ask Opposition Members to please think before they scream “U-turn!” Do they really want a Government who are not prepared to change their mind when the facts change? The previous Labour Government U-turned many times when the facts changed, and they were right to do so.

Policy making in normal times—I have done it—takes time. It is a slow process, and it is meant to be. We go through consultation and scrutiny—that is how normal policy making works—but in a pandemic that is not possible. In March some quick decisions were taken, and they are still being taken as the facts change. It will not be perfect, but that is what a pandemic will do.

[Bill Wiggin (North Herefordshire) (Con)]

Does my hon. Friend think that what we were doing in March was very different from what the Government are dealing with today?

[Steve Brine]

Unquestionably. The quick decisions that we had to make back in March were about whether we should have a national lockdown or not. We had to make those quick decisions, but we now know an awful lot more about the virus, and we have much better treatment. The only effective treatment that we know of comes from scientists in this country. My point is that we are not doing any of this to upset our constituents; we are doing this to try to keep people safe.

My second point is about Parliament. He is no longer in his place, but I agree with much of what was said by the hon. Member for Rhondda (Chris Bryant). This is about consent, and as I said to the Prime Minister last Tuesday when he made his big announcement in the House, we must have the ongoing consent of the British public, or we are in trouble. I fear that that is slipping away. I am getting a constant stream of emails from constituents, questioning the decisions being made because they cannot see the evidence or logic behind them. They do not know where we are going or what is the destination. Yes, we have had a lot of statements from the Health Secretary, and I give him credit for that, but statements are not debates which, like tonight, become an exercise in how many Members the House can accommodate, and then the poor Minister of State on the Front Bench will probably get five or six minutes to wrap the whole thing up.

There is an old adage in this place that one should never ask a question to which one does not already know the answer, but I will ask two questions to which I genuinely do not know the answer. Perhaps the Minister can help me when he sums up the debate. Why are young children included in the rule of six—of course, they are not in Scotland? I do not know the answer to that, although many of my constituents have been asking me. Please can we hear the evidence behind that?

What is the evidence for the 10 pm curfew? I agree with what Andy Burnham, the Mayor of Greater Manchester, said today about the knock-on effects. If we are going to have a 10 pm curfew in our pubs and restaurants, we will have to have a 10 pm curfew on selling alcohol in our off-licences and supermarkets. I would just say this on alcohol, as a former public health Minister: if people are so desperate to drink until 10 pm and then to get loaded with more booze in the off-licence so that they can carry on until 3 in the morning, what does that say about the unhealthy relationship that this country has with alcohol? It is an elephant in the room and we overlook it at our peril.

Finally, on the vaccine, when it comes, if it comes—and I pray to God that it does—could we please, Minister, consider the economic case for the vaccine? Yes, of course we have to give priority to our health and social care workers, but there is a covid generation that I mentioned with regard to university. They have had a rotten deal in the last six months and they are going to have a rotten deal in the next six months. I think that we should consider our young people—as the earners and the backbone of our economy—as the economic case for the vaccine when we get there.

--- Later in debate ---

[Bill Wiggin (North Herefordshire) (Con)]

Since covid-19 began, sadly in Herefordshire we have seen 128 deaths and 1,008 people have tested positive. However, looking to France as an example of where we could be in just a matter of weeks, there have been 14,412 new cases in the last 24 hours, compared to just 5,693 in the UK. In the past week, 4,102 people in France were admitted to hospital, 763 of whom needed intensive care; here, there were some 1,727, with 262 on a ventilator.

Should the UK experience a similar fate, we must restructure how the Coronavirus Act works. In March, we did not know what we were dealing with and how best to manage a fast-spreading virus. The Italian handling of the crisis made us believe that it threatened to overrun the NHS. Parliament granted the Government emergency powers, which at the time was a sensible course of action. Six months on, things have changed. The NHS has been saved and Parliament is sitting.

The press report further covid plans that, as a Conservative, I find possibly draconian, curtailing freedoms, but I am sure we would give parliamentary approval for life-saving precautions. We need to remember that both sides of the House are united in wanting to beat this disease. I know we would be complaining if we sat on the Opposition side of the House, so we need to involve all MPs to get the necessary actions approved. Decisions are being made at ministerial level, such as closing pubs at an early hour, despite Public Health England saying that only 5% of outbreaks occur at pubs and restaurants, based on the advice from SAGE and various other experts.

Let us get those experts approving vaccines. We are only three months away from the final approval of the first vaccine. That is why we do not need a six-month extension to the powers granted by the Coronavirus Act. Vaccines for covid-19 are the key to eliminating the virus. The faster one is distributed, the more likely we are to protect the most vulnerable in our society, and that is the area we should be working on. Do we really need to wait till the end of the year? Do we need to follow the existing testing regime so religiously? Is there an opportunity to hurry things up? Perhaps we can look at people who feel most at risk and may be willing to volunteer for an early vaccination—and do not tell me it is impossible, because that is what we are always told just before it becomes possible.

Worldwide, there are a total of 320 possible vaccines in development. Today, roughly 280,000 trial participants across 470 sites in 34 different countries are racing to find a vaccine for covid-19. It is a global search, but we should be rightly proud of the British institutions at the forefront of these efforts. The UK Government have pledged £250 million to the Centre for Epidemic Preparedness and Innovations, the largest contribution of any nation.

In total, four vaccine candidates have entered the final steps of the regulatory approvals process. The leader is the joint AstraZeneca and University of Oxford team. They have reached phase 3, which makes it the most advanced vaccine in development, and the study should be complete by December. The speed at which that is being done is outstanding, but we need to do more. The Government have invested £131 million to support vaccine development at the University of Oxford and Imperial College, on top of the £2.3 billion to GAVI and the wider international effort to fight the virus. In doing so, the Government have secured early access to a total of 190 million doses of covid vaccine candidates.

[Steve Brine]

That is all true, but is it not the point that, in the same way as we are all dependent on each other doing the right thing at the moment in the absence of a vaccine, we have a responsibility, as a country that leads on GAVI, to take on the anti-vaxxers and those who will deny a vaccine to themselves and thereby put others at risk? When the vaccine comes, we need to roll it out and we need to roll it out everywhere.

[Bill Wiggin]

My hon. Friend is right, but everybody who takes the vaccine reduces the risk proportionately for everybody else. It is all about the R number, as he knows. That is why the Government have been right to pre-book the vaccines: 100 million doses of the AstraZeneca and University of Oxford vaccine, 30 million doses of the Pfizer and BioNTech vaccine, which is the next one in evaluation stage 3—we should have doses by the end of 2020 for that—and 60 million doses from a company called Valneva, whose vaccine will be provided in the second half of 2021.

The Government have a great story to tell on the work that they have made possible. We are all doing all we can to save lives, and we should now restore parliamentary democracy too. In these difficult times, my constituents want hope. After the sacrifices they have made, the vaccines that we have funded and the lives that have been saved, we all deserve it. We need to start voluntary vaccinating now, and we need to get life back to normal.

Covid-19 Update

Steve Brine Excerpts

Monday 21st September 2020 Commons Chamber

[Matt Hancock]

I would be very interested in the examples, especially of people being sent long distances, because, as I said earlier, the information I have been given is that that problem has been resolved. I am working incredibly hard to resolve all the other problems and to bring to bear the record testing capacity that we have.

[Steve Brine (Winchester) (Con)]

Again, I support my right hon. Friend and his statement today, but I echo calls for what comes next to reflect the reality on the ground in areas such as mine, where rates are way down on the England average. Linked to that, as we move into what is clearly the next phase of this battle, will he look at a much more devolved and decentralised test, track and trace system? I think “keep Winchester safe” will have much more cut-through with my constituents, and that is surely better managed in Hampshire.

[Matt Hancock]

Yes. We need the scale of the national system and the resonance of the local system and the local knowledge. We are increasingly driving things in that direction, and I would love to talk to my hon. Friend, who is incredibly knowledgeable in these matters, to see what more we can do.

Coronavirus

Steve Brine Excerpts

Tuesday 15th September 2020 Commons Chamber

[Matt Hancock]

The answer is yes. In Oldham in particular, where there has been a very serious outbreak, making sure we have that connection between the national system and the data flowing through to local contract tracers is incredibly important. We are working on some innovative solutions proposed by the local authority and others in Manchester to enhance that system as much as we possibly can to keep control of the virus.

[Steve Brine (Winchester) (Con)]

Lots of my constituents in Winchester have had tests, and the Government deserve credit for that, because we as a country started from a position where we did not have a system in place. The Health Secretary had to create a system from scratch, and he had great help in that from the private sector. We certainly should not be denigrating that; we should be thanking it and expanding on that help. Given the operational challenges that the Secretary of State spoke about, I wonder whether GP surgeries, or even our wonderful community pharmacists, could be part of the solution for front-door testing. What is the cross-Government superhuman effort part II to increase lab capacity—AstraZeneca was very helpful in part I —as that seems to be the challenge outlined by my right hon. Friend?

[Matt Hancock]

We are increasing that capacity, and we are bringing in new technologies to those labs to expand on that. My hon. Friend is a great expert in this issue and makes a really important point. The current technology works best in labs—people send a swab to the lab and get the result back, but there is a huge amount of logistics around that. We want technologies that can be in a pharmacy or a GP service, so that people get the test result back straight away. When such technologies come on stream—I am optimistic about this, as I am about a lot of things; I do not think I could do this job at the moment without being optimistic—that will give us a chance to get testing out into the community at every level.

We need to tackle problems such as the challenges you have in Chorley, Mr Speaker—you rightly brought them to my attention in your role as a local MP, as we all are—not by having a big national system, but through solutions that are deeply embedded in the community. When we have the technology to do that, we will be in a stronger place, and we are putting every possible effort and support behind people to try to make that happen.

Covid-19

Steve Brine Excerpts

Tuesday 1st September 2020 Commons Chamber

[Steve Brine (Winchester) (Con)]

The Secretary of State will know that, as somebody who knows PHE well and knows what it actually does, I have some concerns about the changes that he announced last month. Although I can see the arguments about future health protection and future pandemics, of which sadly there will be more, we need to know who is taking ownership of the long-term public health work on smoking, air quality, obesity and childhood vaccinations, and the inequalities work that PHE does. Is he considering bringing that experience and vast expertise, which I benefited from as a Minister, back into the Department of Health and Social Care, for instance?

[Matt Hancock]

My former ministerial colleague, a distinguished former Public Health Minister, raises an incredibly important point. We are undertaking consultation on precisely this question right now; in fact, I invite him to come into the Department to give his views. The critical thing is that we need to ensure that we drive the health improvement agenda, the obesity agenda and the wider health improvement agenda forward very strongly. Local councils have a huge role to play in this, and they must be bound yet further into the health improvement agenda. The NHS has a huge role to play, and that must be bound more strongly again. Today’s announcement is good progress from the NHS. This is incredibly important. We are going to get it right. It is a very high priority of the Prime Minister, and I look forward to working with him on making it happen.

Coronavirus

Steve Brine Excerpts

Tuesday 7th July 2020 Commons Chamber

[Matt Hancock]

The hon. Gentleman has repeatedly raised this vital question; I think he was the first in the House to raise the importance of restarting cancer services, right at the peak of the pandemic. We have been working incredibly hard to do so. Of course, we have put extra funding into the NHS this year—very large sums—because of the crisis, and of course we want to see cancer services fully restored as safely as possible. I just repeat the point that I made to my hon. Friend the Member for Derbyshire Dales (Miss Dines): it is critical that people come forward if they suspect that they might have cancer.

[Steve Brine (Winchester) (Con)]

As the Health Secretary knows, Hampshire Hospitals NHS Foundation Trust is currently doing a big engagement process called Hampshire Together, which will look at the future of health services, not just in the acute sector, over the next 30 to 40 years. That is a critical piece of work, going on throughout June and the rest of July. My constituents are emerging from a pandemic; understandably, many are worried about whether they will still be within furlough in a few months’ time and are not thinking about the next 40 years of health services. Will the Health Secretary be minded to big decisions being taken now, while the public are understandably distracted?

[Matt Hancock]

I take my hon. Friend’s point very seriously. We are planning significant investment in the health service in Hampshire. That has to be done in a way that enhances services locally, in Winchester and across the county. We have learned a huge amount during covid about how the health system works best, with system working, much more community activity, and much more treatment at home by telemedicine, which is one of the things that have gone incredibly well in this crisis.

Oral Answers to Questions

Steve Brine Excerpts

Tuesday 23rd June 2020 Commons Chamber

[Helen Whately]

The hon. Member is absolutely right about how hard it has been for NHS staff stepping up, and we cannot say enough how grateful we are for what they have done. I also recognise the mental health burdens on the NHS workforce who have worked in these really stressful circumstances. It is important not only that the package of support is there now, but that it is there for some time to come, because we know that the trauma and effects of working in these environments may take a while to play through.

[Steve Brine (Winchester) (Con)]

What plans he has to meet the cancer targets in the NHS long-term plan.

[The Parliamentary Under-Secretary of State for Health and Social Care (Jo Churchill)]

As my hon. Friend knows, one of our key commitments was to diagnose more cancers earlier. Through NHS England and NHS Improvement, the Government have committed over £1.3 billion to deliver this, including with an overhaul of screening programmes and new investment in state-of-the-art technology to transform the process of diagnosis and to boost research and innovation. I am sure that he will welcome the fact that 18 rapid diagnostic centres towards our target of 40 are already up and running, as well as the introduction of personalised care plans, which he and I both consider very important.

[Steve Brine]

I do welcome that; I have visited many of the centres. Before the pandemic, we were battling to meet the cancer targets that I helped to set and that my hon. Friend now looks after so ably. Would she confirm that we have not lost sight of the 75% ambition in the long-term plan, and whether there will be a revision to the cancer section of the long-term plan in the light of the backlog of the stuff that we know? Of course, there is also plenty of stuff that we do not yet know that we know, as a result of presentations not coming forward through primary care.

[Jo Churchill]

There are lessons to be learned; that is essence of my hon. Friend’s question. I have met both Cally Palmer and Professor Peter Johnson throughout the crisis, and our focus on cancer has remained. Ensuring that we deliver on the long-term plan is a key objective, and I am sure that my hon. Friend will work with me on that.

Covid-19: R Rate and Lockdown Measures

Steve Brine Excerpts

Monday 8th June 2020 Commons Chamber

[Matt Hancock]

I am afraid that I do not recognise that picture at all. The local directors of public health have been heavily engaged in addressing local outbreaks throughout this pandemic. In the past few weeks, for instance, there have been outbreaks locally that have then been addressed, with a leadership role played locally by the local director of public health. Perhaps the hon. Gentleman was not listening to the answer given to one of his hon. Friends that we have also put £300 million into local authorities to assist them to make sure that they have that capability on the ground.

[Steve Brine (Winchester) (Con)]

The work that PHE has done with Cambridge to understand the R rate at a regional level is very welcome. It might yet, of course, prove invaluable if needed. Can my right hon. Friend say how local is realistically possible? I think that I am right in saying that we could not hone in on Winchester, as an example, if we needed to stamp on an outbreak. Would other factors come into play, such as how effective an area was on the test and trace programme, for instance?

[Matt Hancock]

Yes, absolutely. As I tried to say in my opening statement, R is one of many measures that we need to look at. The number of new infections—the level of new infections as opposed to the rate of change—is also important and more directly measurable both through test results and through the surveys that we discussed earlier. Of course, the surveys, the number of test results in particular and the number of people presenting for testing, which we get from the test and trace programme, are much more granular local data that can give us a view of local outbreaks. If there is evidence of a local outbreak, then symptomatic testing can be done in that community in order to find out how serious the problem is locally, so a whole suite of tools are at our disposal.