Local Contact Tracing

Suzanne Webb Excerpts

Wednesday 14th October 2020 Commons Chamber

[Olivia Blake (Sheffield, Hallam) (Lab)]

Today, Sheffield’s director of public health, Greg Fell, said that it is not a matter of if, but when, Sheffield heads into tier 3 lockdown. Yesterday, he reported that the number of cases in the city stands at 450 in 100,000, taken as a rolling seven-day average.

Sheffield has two fantastic, world-class universities. Since the return to teaching, we have seen a large spike in cases among the 15 to 25-year-olds in my city, but the virus is spreading beyond that group. Our public health team is reporting a significant increase in cases among the over-65s. We have also seen more people admitted to hospital, and more people given oxygen and ventilation. I am sure there are Members from across the House who can report very similar experiences.

Sheffield’s local public health team is clear that getting this under control needs a quick turnaround of test results, and rapid and complete contact tracing. People in my constituency and across the country desperately need a functioning test, track and trace—and do not forget isolate—system, but the Government are failing them. Many people in my constituency have contacted me to say they have struggled to access a test, and that when they have finally got hold of one it has taken far too long to receive results, with one in four people receiving their test results later than the 24-hour period promised by the Prime Minister.

I am one of the few Members in this place who has experience as both a biomedical scientist and a deputy leader of a council, so I am in a pretty unique position to talk about the research that is going on at the moment in our universities. In research conducted by Unite, we heard some shocking reports from NHS scientists about the under-utilisation of NHS testing labs. Meanwhile, the privatised network of Lighthouse labs has seen backlogs of 185,000 tests.

[Suzanne Webb (Stourbridge) (Con)]

Will the hon. Lady give way?

[Olivia Blake]

No, I will not give way because we are short on time.

Why are the Government prioritising those private labs over our NHS to implement the testing system when those labs are clearly failing? We have seen some really good success in our labs in Sheffield, which have been testing staff at the teaching hospitals, and that could have been a lesson learned and applied across the country.

I have conducted polymerase chain reaction tests. I know that it is not that difficult. Moonshot is a complete and utter dream. I can safely say that I have been watching the testing system with frustration and I have suddenly become very popular with my ex-colleagues. They have been very enlightening when describing the conditions in which they have been working—often as volunteers while they are furloughed from their other labs.

In Sheffield, we heard that a recruitment drive was requested by the Prime Minister in September—a little bit late and a little bit after the horse has bolted. By that time, the planning for teaching was well under way and the contracts of many of them had ended and the seconding of staff was no longer available.

I have much more to say on this issue. I could go on and on and on, but the last thing I wish to say is that the numbers speak for themselves—

--- Later in debate ---

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

Liverpool is proof, if proof is needed, that the Government’s privatised test and trace system has failed. The Government have had months to get an effective system in place, but we are still waiting for it. The proportion of people being reached by the test and trace system has decreased over the past three weeks, coinciding with the sharpest increase in infection rates that we have seen since the first wave in the spring. We cannot afford to have an ineffective test, track and trace system.

[Suzanne Webb]

Will the hon. Lady give way?

[Kim Johnson]

No, thank you. I cannot give way.

Let us be clear: it is not the NHS test and trace system that is failing us because the NHS has not been given the contract. It is a privatised system, wasting billions of pounds, that is failing us and the people of this country. We can no longer depend on a national system that 74% of the population believe is not working. Contracts are handed out without competitive tendering, which is what happened with the company that was set up on 12 May 2020 by an associate of a Conservative peer. It had no track record and received a £122 million contract. There are all those favoured Government companies with a track record of failure, such as Serco, which was fined £23 million by the Serious Fraud Office last year for overclaiming on its tagging contract, or its subcontractor Concentrix, which was previously involved in scandals around tax credits. Millions of pounds have been gifted to privatised companies, whether or not they are successful. Serco’s track and trace programme is reaching only 68% of close contacts. My local health protection teams have managed to communicate with 97% of contacts. People’s lives are dependent on an effective and swift test, track and trace programme.

Half of the wards in my constituency are in the top 20% of deprived neighbourhoods. Poverty is strongly linked with the incidence of covid-19. We have a large black community who are more susceptible to the virus and prone to a disproportionate number of deaths. As of this afternoon, Liverpool has no intensive care unit beds in the city, and the virus is impacting other critical care wards. It is time that this Government stop playing ideological games with people’s lives and handed responsibility back to local authorities, regional public health directors and our NHS to run this critical programme, save lives and protect our NHS.

--- Later in debate ---

[Matt Rodda (Reading East) (Lab)]

I would like to make three brief points in support of the motion. First, as I mentioned to the Minister, I have direct experience from Reading and Woodley that supports the motion. Residents have recently been sent as far as south Wales—to the constituency of my hon. Friend the Member for Cynon Valley (Beth Winter), in fact, which is a six-hour round trip from Reading. To make matters worse, we were promised a new testing centre, which has not arrived. This is in a university town, which obviously is particularly at risk. Ministers promised that students would have to travel no further than 1.5 miles for a test.

[Suzanne Webb]

Will the hon. Gentleman give way?

[Matt Rodda]

I will not, I am afraid, because of the time pressure.

I have reported these matters to the Universities Minister, who is trying to help, but the current system means that she is unable to move quickly.

Secondly, we know that a local approach to contact tracing works. We have heard this afternoon that evidence from around the country, including Wales, and around the world clearly demonstrates that local systems work. Their tracing rates for contacts of those infected are far higher than that of the national outsourced system.

Thirdly and crucially, there is no time to lose. We must take action now if we are to have any chance of stemming the rising tide of infections. Once up and running, a local tracing scheme could play an important part in keeping the virus under control until we have a vaccine and more effective treatments.

--- Later in debate ---

[The Parliamentary Secretary, Cabinet Office (Julia Lopez)]

It is a pleasure to close this debate on behalf of the Government, and I would like to thank all hon. and right hon. Members across the House for their varied and considered contributions this afternoon. NHS Test and Trace is one of the strongest weapons in our armoury in this fight against coronavirus. In the last seven days alone, we have processed more than 1.8 million tests, with 219,000 just yesterday. That helps us to break chains of transmission through testing, contact tracing and outbreak management in an end-to-end service to help to prevent the spread of the virus, protect local communities and save lives and livelihoods. As we have heard today, it is both a national and a local operation, with close working already taking place with local authorities. Like others here, I would like to pay tribute to those local authority leaders and directors of public health who have been in the heart of their communities helping to inform both those important strands.

If I may, I will take a moment to reflect on some advances. We have built the largest diagnostic network in British history. Has it been seamless? No. Are we getting there? Yes, absolutely. It is developing all the time.

[Suzanne Webb]

Will the Minister give way?

[Julia Lopez]

I am afraid that time is short, so I will continue if I may.

The network is developing all the time, and at the moment includes five major Lighthouse laboratories, 96 NHS labs across 29 pathology networks, and over 500 testing sites. This is a tremendous undertaking in such a short period, and in a period of national crisis. We are doing more testing per head than almost any other major nation. Yesterday, capacity sat at more than 344,000, and we are expanding capacity further to meet a target of half a million tests a day by the end of October. This will include our NHS labs going even further to reach 100,000 tests a day. More labs are joining the network, and we are investing in new technology to process results faster. We are also automating parts of the process, installing new machines and hiring more permanent staff.

Oral Answers to Questions

Suzanne Webb Excerpts

Tuesday 6th October 2020 Commons Chamber

[Matt Hancock]

I am very worried about the rates of transmission in the north-east, as I am about parts of the north-west of England. I look forward to working with the hon. Gentleman and colleagues from across the regions affected to take the action necessary to suppress this virus and to support the economy, education and the NHS right across this land.

[Suzanne Webb (Stourbridge) (Con)]

  I have first-hand experience of how effective the app has been, as it has kept my father covid-free before he goes into hospital tomorrow. Could my right hon. Friend update the House on the success of the app and advise me of what more Members can do to ensure that the covid-19 app continues to keep us all safe, including my father?

[Matt Hancock]

The covid-19 app has now been successfully downloaded by around 15 million people, including my hon. Friend’s father. Every extra person who downloads it helps to keep themselves safe and keep others safe. I urge everybody in this House to download it—I hope you have, Mr Speaker. It is one of the tools in the armoury, and everybody can play their part in keeping this virus under control by downloading the app.

Oral Answers to Questions

Suzanne Webb Excerpts

Tuesday 1st September 2020 Commons Chamber

[Matt Hancock]

The hon. Gentleman obviously did not read the announcement, because part of the purpose of having a dedicated national institute for health protection is also to ensure that the ill health prevention agenda—the health improvement agenda—is embedded in the health system, including the NHS. This is a good day to discuss this, because just this morning the NHS set out the next steps in its diabetes prevention and remission programme. Embedding the anti-obesity drive right across the health system, including the NHS, is a critical part of its future, and we are consulting widely on making sure we have the right and best organisational structure to deliver that.

[Suzanne Webb (Stourbridge) (Con)]

What steps his Department is taking to increase NHS capacity for winter 2020-21.

[Andy Carter (Warrington South) (Con)]

What steps his Department is taking to increase NHS capacity for winter 2020-21.

[The Minister for Health (Edward Argar)]

In July this year my right hon. Friend the Prime Minister announced £3 billion of additional funding to help the NHS to address the challenges of winter. In addition, in August this year we set out an £300 million for the enhancement of urgent and emergency care capacity and to provide infection control measures.

[Suzanne Webb]

I thank the Minister and the Secretary of State for the forward-thinking measures to support winter capacity in our hospitals. We should not, however, forget the work of our hospices, which have no seasons and work compassionately all year round. Will my hon. Friend and the Secretary of State join me in visiting one of the jewels in the crown of my constituency—Mary Stevens hospice, which due to covid-19 has had to delay the official opening of its day services unit?

[Edward Argar]

My hon. Friend is absolutely right to pay tribute to the amazing work of hospices. She is also right to highlight the work of Mary Stevens hospice in her constituency, of which she is a great champion. I very much look forward to taking up her offer to visit.

Testing of NHS and Social Care Staff

Suzanne Webb Excerpts

Wednesday 24th June 2020 Commons Chamber

[The Minister for Care (Helen Whately)]

I beg to move amendment (a), to leave out from “medicine” to the end and add:

“and recognises the unprecedented action the Government has taken in its tireless efforts against Coronavirus to protect the NHS and save lives.”

The coronavirus pandemic is the most serious public health emergency that our nation has faced for a generation and our NHS and social care system has been well and truly on the frontline. Today, I would like to outline the work we have done to protect our NHS and social care from the threat of this invisible killer, as well as our work to safely ramp up services now that this virus is in retreat.

On protecting the NHS and social care, we have worked hard to boost the resilience of our health and care system, so it would not be overwhelmed, as we have sadly seen elsewhere across the world. A major part of this mission was our Nightingale hospitals. This was one of the most ambitious projects this country has ever seen in peacetime, building hospitals in just a matter of weeks in exhibition centres and conference venues. That hard work from so many meant that, even at the peak of the pandemic, there was more critical care capacity than there was when coronavirus first hit our shores, so our NHS was able to give outstanding critical care to everyone who needed it.

Our social care system has also been at the heart of the pandemic, and we have worked hard to give it the support it needs. In March, we announced £1.6 billion of funding for local government and £1.3 billion of funding via the NHS. In April, we announced a further £1.6 billion, as well as our comprehensive adult social care action plan. In May, we announced a £600 million infection control fund for care providers in England, which includes funding so that social care staff can be on full pay if they have to isolate due to covid. That work is bearing fruit, thanks to the dedication, expertise and compassion of care workers throughout the country.

Fifty-eight per cent. of care homes have had no reported cases of coronavirus. Every life lost in our care homes fills me with sorrow, whether it is from coronavirus or not. However, we are seeing a sustained reduction in the number of coronavirus deaths. This week’s Office for National Statistics figures for England and Wales show that the number of deaths in care homes has fallen once again—down from 536 to 360 in the last week.

This has been hard, but through this crisis we have strengthened our health and care system, and we are looking to see what lessons we can take forward as we look ahead to the winter.

[Suzanne Webb (Stourbridge) (Con)]

Will the Minister let me know what steps the Government are taking to protect black, Asian and minority ethnic health and care staff?

[Helen Whately]

I thank my hon. Friend for that intervention. She makes a really important point. One of the things that I have put much thought into over recent weeks is making sure that our staff of black and Asian minority ethnicities have the protection that they need. Both for the NHS and for the social care system, we have supported the development of risk assessment frameworks to identify the risks, with recommendations on what steps can be taken. I am working with the system to make sure that those are put into practice.

Coming back to the lessons that we are taking forward, one of the things that has been a great success has been the adoption of new technologies such as, for instance, online GP consultations. Some 99% of GP practices now have video consultation capability, while hospitals have been doing virtual out-patient appointments and care homes have been using tablets—the digital kind of tablet!—to keep people in touch with their families. We are also seeing new ways of working to help those on the frontline to make quicker decisions and cut red tape. We will keep driving these important reforms so that we can give everyone a better experience of health and social care.

As the Prime Minister set out yesterday in the House, we have succeeded in slowing the spread of the virus. On 11 May, 1,073 people were admitted to hospital in England, Wales and Northern Ireland with coronavirus, and by 20 June this had fallen by 74% to 283. This has reduced the pressure on the NHS so it has been able to carefully ramp up important services. Hon. Members have raised questions about two specific services in the motion, and I will address them both.

First, coronavirus has had a real impact on many people’s mental health, so there is a lot of concern about mental health services remaining open and available. Our NHS mental health services have remained open for business throughout the pandemic, using digital tools to connect people and provide ongoing support. This has proved especially effective for young people. Throughout the pandemic, we have provided £9.2 million of additional funding for mental health charities. We understand that we may see an increased demand for mental health services in the months ahead, and we are preparing for this, together with the NHS, Public Health England and other partners.

Secondly, hon. Members have raised questions about cancer services—another area where we are working hard to maintain care. For example, we have been operating surgical hubs where providers work together across local cancer services to maintain access to surgery. Although some cancer diagnostics and treatments have been rescheduled to protect vulnerable patients from having to attend hospitals, urgent and essential cancer treatments have continued. The latest data suggests that referrals are back to over 60% of the pre-pandemic levels, partly due to the NHS Help Us Help You campaign. This campaign has an important message that I am keen to repeat today. Anyone who is worried about chest pains, fears that they might be having a heart attack or a stroke, feels a lump and is worried about cancer, or is a parent concerned about their child should please come forward and seek help, as they always would. The NHS will always be there for us if we need it, just as it has been there for all of us throughout this crisis.

Covid-19 Response

Suzanne Webb Excerpts

Tuesday 2nd June 2020 Commons Chamber

[Matt Hancock]

It is very important that we look all the risk factors, including ethnicity, that have an impact. Indeed, that is what our broad approach has been, led by our shielding programme, whereby we have said that those who are most vulnerable should not leave the house at all until we were able to say this weekend—I am pleased to say—that it is safe for them to go, as long as they stay two metres apart from others.

[Suzanne Webb (Stourbridge) (Con)]

Russells Hall Hospital in Dudley serves my constituency of Stourbridge well but, as we start to admit and treat those who require surgery and cancer therapy, the hospital urgently requires capital investment to create additional wards in a free-standing facility to maintain social distancing. Will my right hon. Friend join me in visiting Russells Hall Hospital to discuss this much-needed investment and, of course, to thank the staff there personally for their continued, compassionate and heroic efforts to protect patients and staff from covid-19?

[Matt Hancock]

The Dudley-Stourbridge massive are out in force today. I am delighted to thank everybody at Russells Hall for the work that they are doing. I am pleased to be able to confirm to my hon. Friend that we are working hard to restore cancer services. Many cancer treatment services have continued, but many were not able to continue because taking somebody’s defences down to close to zero, which is needed in much modern cancer therapy, is not the right thing to do when a killer virus is about. We are able to restore those services and I would love to visit my hon. Friend’s local hospital, whether virtually or physically.

Covid-19 Response

Suzanne Webb Excerpts

Monday 18th May 2020 Commons Chamber

[Matt Hancock]

We have set out the five tests that need to be met before relaxation. We will only do that cautiously and carefully. I would sign up to it only if it were safe to do so. The hon. Lady raises the issue of schools. It is very clear that the number of children who are badly affected by this disease is very, very, very small. It is a tiny proportion of the overall total. This disease reserves its power and its risk mostly for the elderly. The proposals that we have made for schools are safe and they are sensible. There clearly needs to be collaborative work to ensure that they can happen, because there are also risks to children, especially some of the most vulnerable children, of not going to school.

[Suzanne Webb (Stourbridge) (Con) [V]]

I thank my right hon. Friend for his incredible hard work and determination to get us through this crisis and for helping to save many lives in my constituency. Will he join me in thanking some of the amazing groups and organisations in my constituency of Stourbridge, such as staff at Russells Hall hospital, Mary Stevens hospice and our care homes, community pharmacists, volunteers, and all those unsung heroes who continue to work day in, day out, saving lives and supporting the most vulnerable?

[Matt Hancock]

I would be very happy and honoured to join my hon. Friend in thanking the staff at Russells Hall hospital and at Mary Stevens hospice, at the care homes and the community pharmacists, and indeed the volunteers of Stourbridge, who have come together. There have been many terrible things about this disease, but there have also been some heartwarming things. The dedication of staff and volunteers alike to coming to the aid of others is one of the things that the whole nation has been proud to see.