Covid-19 Update

Steve Brine Excerpts

Tuesday 24th March 2020 Commons Chamber

[Matt Hancock]

I repeat an answer that I have given before: there are no proposals to change the law around abortion.

[Steve Brine (Winchester) (Con)]

Sorry to return to the “going to work” point, but last night the Government were saying, “The only reason you may leave home is to go to work (if you’re a key worker)”, but then the part in brackets changed to “but work from home if possible”. I think that is where there is confusion. People are not sure what they can and cannot do. That is a pattern that we have, sadly, seen repeated, and which has led to “lockdown/not lockdown”. Could the Secretary of State say what the advice is again? I am not wishing to cause trouble; I am just looking for clarity.

[Matt Hancock]

The Prime Minister was clear in his address to the nation; I have been clear in my statement today; and the guidance on gov.uk is absolutely clear on this point.

Coronavirus Bill

Steve Brine Excerpts

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

[Steve Brine (Winchester) (Con)]

I echo what a beautiful maiden speech that was from my hon. Friend the Member for High Peak (Robert Largan). I will be rather novel and speak about the Bill. Before I do that, I want to say that the package announced thus far and in the Budget last week was incredibly welcome, but I echo what so many Members have said so far today: we need to deal with the self-employed next, please. Many of my constituents are desperate for the Government’s help.

I rise to speak in support of the Bill receiving its Second Reading. Nobody wanted to be here, but it is an essential and urgent piece of legislation. We may be discussing the Coronavirus Bill today, but for some it is in large part the pandemic influenza Bill. I was very much involved in that when I was fortunate enough several years ago to be the public health Minister. The legislation will not make covid-19 suddenly vanish, as President Trump bizarrely proclaimed the other day, but it will help the state and our Government do what they have consistently stated is their primary objective, which is to protect the NHS and save lives.

As the Secretary of State made clear, these are extraordinary times and these measures are being pursued as a result. I, too, have had lobbying this weekend saying that the Bill goes too far and is a disproportionate power-grab by the Government, but it is worth saying that these measures were not dreamt up on the hoof by the Secretary of State over the past week. The “UK Influenza Pandemic Preparedness Strategy 2011” sets out our preparedness for a severe pandemic. It was tested in 2016 through a major three-day exercise called Cygnus, which involved about 1,000 organisations and the devolved Administrations. It demonstrated a number of things that we do well as a country and a number of things that we need to improve upon, one of which was the drafting of the draft pandemic influenza Bill, which forms the basis of the legislation today.

The scrutiny we are giving this legislation on the Floor of the House is not what we do in normal times, of course, but these are not normal times. Parliament needs to work swiftly and with deftness of touch to match what pretty much everyone else is doing right now. I am satisfied that the legislation is, as was always intended, time-limited. It makes it clear that it is neither necessary nor appropriate for all the measures to come into force immediately. What is more, the lifetime of the Bill, once an Act, can itself be ended early, if the available scientific evidence supports that, and we can extend the lifetime of the Act for a further temporary period if that is prudent.

I want to home in on a couple of areas. Increasing the health and social care workforce is obviously mission critical, so the Bill introduces new registration powers for the registrars of the Nursing & Midwifery Council and the Health and Care Professions Council. That is absolutely right, but we need to hear from Ministers, as mentioned in the impact assessment, exactly how the Department of Health and Social Care plans to engage with the professional regulators to ensure that sufficient infrastructure is in place to allow the policy to be implemented.

I note the sensible move to allow the early registration of final-year students studying to become nurses, midwives, paramedics and social workers. The Government’s assumption is that all 28,100 of the students estimated to be in their final year in England will be willing to join the register early. What evidence do we have that that is likely to be the case, and are the costs noted in the impact assessment covered so as to give the regulators total confidence that they can get on with this?

I am pleased that the Department for Environment, Food and Rural Affairs holds responsibility for food supply, as a critical national infrastructure. It of course has to maintain our high standards, working with the Food Standards Agency, but I do not think the legislation goes far enough in protecting stock on the shelves. Like all of us, I have been contacted by hundreds of constituents in recent days, on many different subjects, but a consistent message is that what they are hearing from Ministers and the supermarkets about there being enough food is jarring with what they are seeing on the ground and, more importantly, online when they try to book a delivery slot.

Of course, the Government are not to blame for the change in our food policy, from the policy of “Dig for victory” of the last century, backed up by local food networks, to the centralised distribution controlled by the big five supermarkets we have now, but how sad it is that we have literally put all our eggs in one basket, and that we are reaping what we have failed to sow now that we need it most.

[Richard Graham (Gloucester) (Con)]

My hon. Friend is making a very good speech on different aspects of the Bill. On his first point, about reassuring the self-employed, does he agree that no single scheme will be able to cover every single situation perfectly, and that the crucial point at this moment is the reassurance that something will be done to help everybody who is self-employed?

[Steve Brine]

Yes, I do agree. I understand why we have to do this through pay-as-you-earn first, because employers are making decisions about job losses this weekend, but I completely agree that we need to hear something from the Prime Minister on that. I understand that he will be addressing the nation this evening—we can probably all guess what is coming—when he could say something reassuring to the self-employed and to sole traders, which would be very welcome.

Finally, on emergency volunteering leave, the provisions for which are set out in clauses 7 and 8, the unpaid statutory leave that the Secretary of State has mentioned is very welcome. Clause 8 states:

“The Secretary of State must make arrangements for making payments to emergency volunteers by way of compensation –

(a) for loss of earnings;

(b) for travelling and subsistence.”

Could the Minister tell the House at what level that might sit? There seems to be a norm of 80% for the coronavirus job retention scheme, so are we looking at the same for this? I think it is a smart move, as many of our volunteers come from the older generation, so we have to find a way of filling that gap.

We need ruthless, determined, collection action to protect the NHS and to save lives, combined with scientific progress. The Bill is part—only part, I have to say—of that national effort. I have listened carefully to the many voices lobbying us on the Bill over the weekend, but I am comfortable that it is a well-judged piece of legislation that will provide the powers needed to respond to the pandemic and the national crisis that we face.

--- Later in debate ---

[Steve Brine]

That is exactly the point: so many of the early years sector and childminders are self-employed. That is another reason to repeat the point that so many have made today about why we need something for that part of the economy.

[Caroline Nokes]

My hon. Friend is right, so I have managed to fit in the childminding sector and the self-employed in one hit.

I want also to speak about volunteering and the clarity that is needed. There is a great company in my constituency that runs Kimbridge Barn. That is shut, of course, but the company wants to enable its staff to volunteer, whether in the health service or the care sector, or as delivery drivers—it has many vehicles—but it wants clarity as to whether the 80% of salaries that HMRC will underwrite will be applicable if people are effectively outworking in a voluntary capacity.

I also draw attention to the comments made by my right hon. Friend the Member for South West Surrey (Jeremy Hunt) about whether local government officers should be considering planning applications at the current time. I would also ask whether they should be implementing or imposing parking fines. Those are all areas of regulation that are undertaken by local authorities that are far from an imperative at the current time.

I would like to pay tribute in the voluntary sector to both Southampton Voluntary Services and Unity in Test Valley, who have done some brilliant work pulling together volunteer bureaux and making sure that people in the shielded group will have the support from people in the community who can help deliver medicines and essential shopping.

There is much in the Bill that in ordinary times we would not consider, but I end with one final plea about parliamentary scrutiny. There is as yet no mechanism or ability under Standing Orders for Select Committees such as the Women and Equalities Committee—which has much to scrutinise in the Bill—to meet remotely by video link, by Zoom, by Skype for Business or through any other mechanism. I understand that the Leader of the House will make a statement at some point. I very much hope that he will make sure that, at the very least, the Select Committee structures can work at this time to ensure that measures such as this are held to proper scrutiny, so that we understand how they are impacting on the most vulnerable.

Covid-19

Steve Brine Excerpts

Monday 16th March 2020 Commons Chamber

[Matt Hancock]

The hon. Lady is right to remind me. Of course we want as much staff testing, as soon as possible. We are using the testing capacity we have to save lives, and that includes saving the lives of medics.

[Steve Brine (Winchester) (Con)]

In the past 24 hours or so, I have spoken to a great number of the headteachers in my constituency. I think it is a fair summary to say that there is support for the decision to keep schools open, and I agree with them. However, there is great concern that no matter what they or we might want, an increasing number of teaching staff becoming unwell and therefore unable to be in school might end up forcing the issue, leaving heads in an impossible position. I feel slightly guilty asking the Health Secretary these questions, but his is the statement we have today. What is the Government’s view on relaxing the student-staff ratio and getting Ofsted off schools’ back now, please. Also, if we were to run a skeleton service in schools to allow key workers to keep working, how are we to define key workers, given that we are in the middle of a national crisis?

[Matt Hancock]

We are looking at all those questions. The proposal to relax student-staff ratios is in the Bill. We will publish the content of the Bill tomorrow and the Bill itself on Thursday. The point about key workers is incredibly important. I am working hard with the Education Secretary to address precisely the concerns that my hon. Friend raises. Of course schools play an important part not just in educating our children but in allowing so many people to go to work, but we have to make sure that they are safe as well. One of the blessings of this virus is that it almost entirely spares children, which means that it is safe for children to go to school.

Coronavirus

Steve Brine Excerpts

Wednesday 11th March 2020 Commons Chamber

[Mr Speaker]

Can I just say, to help Members, that I expect to run this for an hour from now? That should accommodate everybody.

[Steve Brine (Winchester) (Con)]

I would like to take the Secretary of State back to his point about a real national effort. Last week, he talked about the supermarkets helping to get supplies to elderly and vulnerable constituents, many of whom cannot get out—and right now we do not want them to do so. Will he join me in paying tribute to the army of volunteers across the country in community shops such as the Hursley community shop in my constituency? The shop told me today of the service that it is running for elderly parishioners in getting essential supplies to them and picking up prescriptions for them. That is a brilliant example of the big society—remember that?—doing its bit to help this country to get over this terrible time.

[Matt Hancock]

Gosh, that is a blast from the past—that phrase was invented almost exactly 10 years ago. My hon. Friend is quite right, though. This is a national effort, and community shops can play a huge role in helping people to get the groceries and other supplies that they need. There has been much discussion of supermarkets. I am glad to say that the vast majority of supermarkets are playing an absolutely incredible part in this national effort; we are working very closely with them and have been for some time. Our community shops will be really embedded in their communities; they often know which people are going to need the most support, and have those personal relationships. As long as they are following the public health advice to ensure that the people they are helping are also kept healthy, then they have an important role to play in our national effort.

Coronavirus

Steve Brine Excerpts

Tuesday 3rd March 2020 Commons Chamber

[Matt Hancock]

I would highlight two. The first is that there is an economic and social impact of disruption; if an action has no medical benefit, there is no need for that disruption. The second is a medical risk. Behavioural science and experience from previous similar outbreaks shows that, if we ask people too early to do things that are disruptive to their normal life, they may try to return to normal earlier than they otherwise would. At the moment, the number of cases is relatively small. If we go into the reasonable worst-case scenario, it will rise sharply and be high for a number of weeks. We need to keep people doing the right, responsible thing over a period of weeks and, if we ask them to move too soon, they may question whether that advice was the right advice.

[Steve Brine (Winchester) (Con)]

Experience here suggests that these outbreaks are about cool heads and timing, and I suggest that the Secretary of State, his chief medical officer and his Public Health Minister have been exemplary in both those things. Does he agree that the media have a responsibility in this regard? You do not release everything in the locker at once. That is not about the Government being slow to this; it is about the Government having a plan. What they have set out today is a clear, strategic and staged plan to do what is needed, when it is needed, in the national interest.

[Matt Hancock]

I am grateful to my hon. Friend for what he says. We are trying to take exactly the approach that he sets out. It builds on my answer to the right hon. Member for Leeds Central (Hilary Benn) on getting the timing right as well as the decisions on the correct actions to take. We need to get both right. We will be guided by the science in supporting the public through what will be a difficult time.

Coronavirus

Steve Brine Excerpts

Wednesday 26th February 2020 Commons Chamber

[Matt Hancock]

The hon. Lady is absolutely right to raise this issue. I have of course talked to the Treasury and the new Chancellor of the Exchequer on this question. Another important consideration is that overreaction has economic and social costs too. We have to keep the public safe, but we need to act in a way that is proportionate, so that does come into our considerations. My primary goal is to keep the public safe—of course it is—but we also have to take into account other impacts. For instance, as I set out in the statement, schools should stay open, with no blanket ban, unless there are specific reasons for them not to. Closing a school does not just have an impact on children’s education—there are wider social and economic impacts too.

[Steve Brine (Winchester) (Con)]

I thank the Secretary of State for the very responsible way he is handling this very serious situation. He is clearly working very closely—as his predecessor did and I did when I worked with him—with Professor Chris Whitty, the chief medical officer, and following the evidence. That has to be right. Last time the Secretary of State made a statement to the House, he said that he felt it would get worse before it got better. I think that that has been borne out by events. What level of personal responsibility should individuals and employers take—there are alternatives to travel, especially business travel, where there are technological solutions—to help with containment?

[Matt Hancock]

That is a very wise question and my hon. Friend is absolutely right to ask it. The NHS has a very important role to play in responding to this crisis, Public Health England is leading the public health response brilliantly, and Professor Chris Whitty, as chief medical officer, has done an amazing job over the past two months and is one of the finest epidemiologists in the world, but the truth is that everybody has a role to play, from the simple action of washing hands all the way through to responding in a sensible and proportionate way. It is important to dwell on that.

NHS Funding Bill

Steve Brine Excerpts

Legislative Grand Committee & 3rd reading: House of Commons & Legislative Grand Committee: House of Commons & Programme motion: House of Commons & 3rd reading & Programme motion
Tuesday 4th February 2020 Commons Chamber

[Anne Marie Morris]

The hon. Lady makes a very good point—I think there are probably two points there. The first is what we should be measuring and when, and the second is about data and the privacy issue. The points are related, but separate. The first one, which is about measurement, is a point very well made. Certainly, the point at which my constituents are counted as being in the box and in need and being referred for mental health can be very far down the line from their first presentation. The figures will often not properly represent the number of people who are actually in need, so I think she is right that we need to be clear at what point we measure an individual coming into the system. I am not clear from what I have heard anecdotally that it is. Some clarity and perhaps an investigation into that would be very helpful. The hon. Lady’s point about privacy is a much broader issue, and I think it would be beyond the scope of this debate to look at it now. The point was well made, but it is a much bigger point for another day.

Through new clause 9, I am asking for an annual report that would show how mental health provision has improved. Such a report would state how we identified what we included in the mental health bucket that I mentioned; how we identified who is in need; how we measured whether that individual received an intervention, and whether any such intervention was timely; whether the individual’s condition has improved or got better; and how any improvement has been assessed, because that can be a very difficult question. I appreciate that for many individuals with mental health concerns, these are lifelong conditions. We would therefore not simply be measuring whether somebody is “cured”, but looking at the level of improvement and the extent to which the intervention has helped—or not helped—that particular individual. It is very complicated.

My new clause would require the Government to look specifically at how we are going to measure the extent to which we have been able to prevent mental health problems. Specifically, we need to start looking at the support we give in schools, to pregnant mothers and in many other situations. This provision would also require information on how we have diagnosed mental health problems. Too often in constituents’ cases, I find that it is only when a diagnosis is finally and formally made that there is any intervention or help. I have heard from a number of parents of young children and teenagers who have faced problems such as eating disorders and attempted suicide, but much to my concern and that of the parents, as no diagnosis has yet been made—because they cannot get an appointment and so on—the individual youngster who is self-harming is not yet considered to have a mental health problem. The consequence is that they do not get the support and assistance they need, so diagnosis is very important.

[Steve Brine (Winchester) (Con)]

I support what my hon. Friend is saying in her new clause about outputs. This is an issue that I tried to address—and failed, I readily admit—when I was the primary care Minister. She will be aware of the NCT’s Hidden Half campaign, which aims to improve the six-week postnatal check. Does she agree that there are opportunities for the NHS to make an intervention and assessment, but that those opportunities are currently missed? For example, we should be changing the GP contract so that when new mums go for the six-week check with their babies, they get a maternal mental health check at the same time. There are already opportunities, but we are missing them.

[Anne Marie Morris]

My hon. Friend makes an excellent point. Just like physical health checks, which are very much part of the standard GP system, mental health checks should equally be a part of the standard checks that take place when people present at surgeries. I entirely agree.

NHS Funding Bill

Steve Brine Excerpts

2nd reading & 2nd reading: House of Commons
Monday 27th January 2020 Commons Chamber

[Matt Hancock]

As in so many other areas, we are hiring. My response to hearing about problems of shortages is, of course, to use all the tools available to ensure that we help those who are currently working in the NHS—for instance, with new technology—but also to hire and train more.

[Steve Brine (Winchester) (Con)]

My right hon. Friend will know that, as well as financial clout from No. 11, it is important to have political will from No. 10 around prevention. He has mentioned this already, but can he assure me that during this new Parliament we will focus relentlessly on prevention, and especially on the obesity challenge? Obesity is leading to preventable cancers, and we did so much good work in the last Parliament—some of which I did with my right hon. Friend—so will he please double down on this? It is so important that we prevent the illnesses that we know we can prevent, through positive interaction from Government.

[Matt Hancock]

Yes. My hon. Friend should know that, on this as on so many things, he and the Prime Minister are absolutely as one. Prevention is an incredibly important part of our plan. After all, prevention is better than cure.

Health and Social Care

Steve Brine Excerpts

Thursday 16th January 2020 Commons Chamber

[Matt Hancock]

I am very happy to meet the hon. Gentleman. As well as the new hospitals, we also have upgrades going on that are very important. Some hospitals need to be completely rebuilt, we need some that are completely new and we also need to upgrade some. I am very happy to take that forward.

[Steve Brine (Winchester) (Con)]

On the subject of the Secretary of State being true to his word—I welcome him back to his place—he will remember being robustly challenged on the NHS pensions issue when he came to Winchester hospital during the campaign. Can I thank him for what appears to be a very positive response to that conundrum, as reported this morning, and can I urge doctors’ leaders to recognise a compromise when they see one? However, does he recognise that there is a big job to be done now in rebuilding rotas? That could really have an impact on patient care in Winchester and across England.

[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.