Tom Tugendhat debates involving the Department of Health and Social Care during the 2019-2024 Parliament

Wed 20th Jan 2021
National Security and Investment Bill
Commons Chamber

Report stage & 3rd reading & 3rd reading: House of Commons & Report stage & Report stage: House of Commons & Report stage & 3rd reading
Mon 28th Sep 2020
Mon 23rd Mar 2020
Coronavirus Bill
Commons Chamber

2nd reading & 2nd reading & 2nd reading: House of Commons & 2nd reading
Mon 23rd Mar 2020
Wed 11th Mar 2020

Childhood Cancer Outcomes

Tom Tugendhat Excerpts
Tuesday 26th April 2022

(2 years, 7 months ago)

Commons Chamber
Read Full debate Read Hansard Text Watch Debate Read Debate Ministerial Extracts
Tom Tugendhat Portrait Tom Tugendhat (Tonbridge and Malling) (Con)
- View Speech - Hansard - -

I was going to make quite a different speech, but I am going to start by saying that, from Kirkcaldy to Kent and from Gosport to Glasgow, we have heard such a strong message of support for so many families in this great country, and I have to say that I am incredibly moved. My hon. Friend the Member for Sevenoaks (Laura Trott) and many others have recounted stories of great sadness and great tragedy, but what I am going to take away from this is not the tragedy or the sadness but the extraordinary love, courage and strength that so many families across the United Kingdom have shown, wherever they are from, whatever their background and however cancer has affected their young lives. They have shown extraordinary resolve and determination to be together as a family, to strengthen each other, to hold together and to really make a difference, even if lives are brief and even if the cancer is brutal. They have shown amazing determination to be so united in the face of such a horrific disease.

I am going to talk about a wonderful family I am privileged enough to represent. Claire Scott is just the most extraordinary woman—forgive me, I know that there are others in the Gallery, but Claire is a remarkable individual. When she was just about to give birth to her second child, Kylie, she found out that her first, Liam, had neuroblastoma. She had that extraordinary, horrific moment that so many families have had, of having to take in news that nobody would wish on anyone—not even their worst enemy in this place. We would all rather that these incidents never happened, but the truth is that they do. What Claire did when she heard the news was motivate herself and mobilise her friends around her to raise money to support the care that her son was receiving and also to take him to the United States to try an experimental vaccine. I am very glad to say that Liam is still with us. He is currently in remission and I very much hope he stays that way.

There is clearly an extraordinary amount of innovation coming through pharmaceutical routes and various other routes, and we really need to encourage that. We need to invest in it, we need to welcome the scientists and we need to celebrate the achievements of so many who are working on this right now. I am delighted to say that my right hon. Friend the Secretary of State for Health and Social Care met Claire recently and was able to talk to her about the possibility of looking at the various forms of treatment that are available and that may come in.

Caroline Nokes Portrait Caroline Nokes
- View Speech - Hansard - - - Excerpts

There is clearly a challenge, in that therapies that are available abroad are not yet available here. Would my hon. Friend agree that more work needs to be done on that?

Tom Tugendhat Portrait Tom Tugendhat
- Hansard - -

My hon. Friend is absolutely right, and that is exactly the commitment we got from my right hon. Friend the Secretary of State. We need to look hard at the various forms of treatment, and to encourage the NHS and NICE to look further into the many areas that offer hope for some. It is sadly not the hope for all that we sometimes read about in the papers, but these areas could possibly be the future for so many.

The House is united and strong today, and I hope we will be able to urge, encourage and persuade the Government to push forward with greater research, greater investment and greater support. Most of all, the House has spoken as one in celebrating the families, the love, the courage, the determination and the strength that have supported so many through this extraordinarily difficult time.

David Fuller Case

Tom Tugendhat Excerpts
Monday 8th November 2021

(3 years, 1 month ago)

Commons Chamber
Read Full debate Read Hansard Text Watch Debate Read Debate Ministerial Extracts
Sajid Javid Portrait Sajid Javid
- View Speech - Hansard - - - Excerpts

Yes, I am happy to provide more information on that issue. I have asked Sir Jonathan to provide the interim report from his inquiry early next year. As my hon. Friend and other hon. Members will understand, it will take some time to get the terms of reference in place and make sure that the review is done properly, but it is important to learn some early lessons, especially around the local hospital trust. I anticipate that the interim report might take about three months, but I will wait to see Sir Jonathan’s final analysis. I hope that the final report will come some time next year; I do not want to set a timetable now without knowing the full terms of reference.

I draw my hon. Friend’s attention to the work that I have asked for from the Human Tissue Authority as well as the independent inquiry. I have asked it to do an independent review of its own advice to me on the current regulations.

Tom Tugendhat Portrait Tom Tugendhat (Tonbridge and Malling) (Con)
- View Speech - Hansard - -

This horrific crime has shocked many in Tonbridge, Edenbridge and Malling who use the hospital. I associate myself entirely with the words of my right hon. Friend the Member for Tunbridge Wells (Greg Clark).

I thank the Secretary of State for announcing the inquiry that many of us have been seeking. May I ask him to provide some resources locally for the trust to reassure patients and staff of the actions that it is taking and make sure that they are communicated to all the towns and villages that rely on and place so much importance on the hospital? We need to ensure that trust is returned to the establishment if we are to have the care needed for all our communities.

Sajid Javid Portrait Sajid Javid
- View Speech - Hansard - - - Excerpts

I can give my hon. Friend that assurance. This will, of course, be a very difficult and distressing time for the local trust. I have already discussed the matter with my colleagues in NHS England, and it will be provided with the resources that it needs.

National Security and Investment Bill

Tom Tugendhat Excerpts
Report stage & 3rd reading & 3rd reading: House of Commons & Report stage: House of Commons
Wednesday 20th January 2021

(3 years, 11 months ago)

Commons Chamber
Read Full debate National Security and Investment Bill 2019-21 View all National Security and Investment Bill 2019-21 Debates Read Hansard Text Read Debate Ministerial Extracts Amendment Paper: Consideration of Bill Amendments as at 20 January 2021 - (large version) - (20 Jan 2021)
As I said, the Opposition have come to the Bill in a spirit of constructive support grounded in three priorities: protecting British citizens and British interests, supporting SMEs, and bringing effective scrutiny. National security is too important to play party politics with. For that reason, having called for such action for years, we support the Bill. I hope very much that the Government will look at the amendments in the constructive light in which they have been proposed, as measures to accelerate, improve and execute more effectively the House’s intention to protect our national security and our national interest.
Tom Tugendhat Portrait Tom Tugendhat (Tonbridge and Malling) (Con)
- Hansard - -

First, I pay tribute to the hon. Member for Newcastle upon Tyne Central (Chi Onwurah), who has spoken very kindly about the work of the Committee that I am privileged to chair. I also pay huge tribute to the Under-Secretary of State for Business, Energy and Industrial Strategy, my hon. Friend the Member for Stratford-on-Avon (Nadhim Zahawi). He has been tireless—that word has been overused in this place, but he has been tireless—in reaching out to all Members to speak to them about the Bill and ensure that the amendments tabled are helpful and conducive to not only the public good but the national good. He has been doing that at the same time as he has been running a vaccination programme. I have to say that the Minister’s wife’s loss is the nation’s gain: she has been selfless in allowing him to slave away for our country on two very important subjects.

The reality is that this is a hugely important Bill, and because it is so important and such a big change for the United Kingdom, it raises huge questions that are very difficult to answer. The way that the Minister has approached this is exactly right. He started off by speaking to businesses, to our intelligence services and to our regulators to understand what exactly the threat is, how it is affecting our businesses and how it can be addressed. He has had, I hope, as much help as he possibly can from them, and I hope that the help being offered from the Select Committee that I am privileged to chair and the Committee that my right hon. Friend the Member for New Forest East (Dr Lewis) is privileged to chair is helpful.

We are trying to improve what is already a good Bill and make it into an excellent one. We have had various conversations with not only the Minister but his Whips, who have been extremely helpful—I know that this is a very odd thing to say in the House—in ensuring that he is informed about the way in which we have conducted this discussion. It would not be right for me not to also thank Alice Lynch of our Committee and Nicole Kar of Linklaters, our specialist witness who has helped us through the process of writing this report.

I rise to speak to new clause 4, which is in my name and the names of fellow members of the Foreign Affairs Committee. We looked carefully at the Bill because, over the last two to three years that I have been chairing the Foreign Affairs Committee, much of our work has been on the threat of foreign interference in the UK. One of our earlier reports in May 2018 was entitled “Moscow’s Gold: Russian Corruption in the UK”; I believe the Minister was still on the Committee when we started that report, though he had already been promoted to greater things by the time we published it. The report touched on the way that dirty money plays into our systems and the way in which we must protect those systems.

Since then, we have looked at various aspects of how our foreign policy is fundamentally about keeping the British people safe. We have always focused on the interests of the UK and the interests of the people we are lucky enough to represent. We sit here representing our communities—not other communities, not business and not anybody else, but our communities and what is fundamentally in their interests. We built up, from that early report, into looking at the various ways in which money has moved around, influencing academic freedoms and changing the way in which businesses have acted. As the Minister knows, we have called out those who we feel needed to be called out. That is why I am so pleased that he is in his place and has produced this Bill, because it finally sets a process by which this Government—any Government—can look at decisions that are being taken and assess them properly.

Lord Beamish Portrait Mr Kevan Jones (North Durham) (Lab)
- Hansard - - - Excerpts

I congratulate the hon. Gentleman and his Committee on the excellent report they have produced, but this is about the scrutiny of decisions of mainly private companies and others. Does he share my concerns about some decisions taken by Departments, particularly in the light of the Ministry of Defence’s decision to buy E-7 Wedgetail aircraft from Boeing, which results in two of them coming from China?

Tom Tugendhat Portrait Tom Tugendhat
- Hansard - -

The right hon. Gentleman tempts me, but I am not going to get drawn on the Wedgetail discussion, as that is a slightly separate conversation. He is right to say that this Bill affects not just private business, but the way in which the Government will also conduct their procurement, so it is absolutely right that in future decisions may be looked at in different ways. This Bill, however, is slightly different, because it looks at the purchase of British business and not at the UK purchasing others.

Let me come back to where I was before the right hon. Gentleman cunningly got in his complaint about an MOD decision. This Bill goes a long way to making sure that we are in the right place, but it raises a few concerns, which I will touch on. That is why we have introduced new clause 4, which is not supposed to be a definition of national security, because that would, as the Minister knows, constrain the ability of a Government to adapt this law as national security changes. It would in effect tie concepts from 2021 into the law as it progressed. Given the change we have seen in the past 10 or 15 years, that would frankly be unwise. After all, who could have known that some of the decisions we have taken, perfectly innocently and rationally, over the past decade are some of the worst that a Government have made?

I am referring to two decisions. First, the sale of DeepMind to Google was one of the worst strategic moves a UK Government have taken. I am not blaming anybody for it; it was a decision taken rationally at the time, without understanding the future power of artificial intelligence and the extraordinary strength of DeepMind. That is a huge credit to the team at DeepMind and to much of the investment Google has put in, but it is also a recognition that a change of ownership and geographic basing—even though the people do not change, the ownership changes—has undermined the UK. The second is the sale of Arm to SoftBank. Again, this is one friendly company being sold to a company of another friendly nation. These are not geographically specific points; they are entirely geographically neutral. My guess is that one of Arm’s products is in everybody’s pocket, because they are in 95% of computer products and so will be in almost everybody’s phone. This is one of those moments where we risked losing control of an absolutely fundamental technology that could in future promote Britain’s interests greatly. That moves us into a question about Nvidia that I will not get drawn into now; I am just putting into historical context decisions we made that we will live to regret.

This Bill allows us to look at those things and update with the times, which is why I agree that we should not have a fixed definition of national security—we should have a framework for it. Here I pay tribute to my hon. Friend the Member for Isle of Wight (Bob Seely) and others on the Committee, who came up with this proposal and were extremely rigorous in doing so. I pay particular tribute to Nicole Kar of Linklaters, who helped us with the drafting of it and to the Committee Clerks who got us through it. There is a real opportunity here to enable this framework to defend us.

Governments throughout the European Union and, indeed, around the world have already started to look at how their laws that are similar to ours will apply. If we do not give enough strength to our Government, there is a danger that we will be the only ones found to be naked when the day comes and the choices have to be made. That would be a huge mistake, because the world is changing; there is a lot more cash from state-owned enterprises going around than there has been for many years. Sadly, there is likely to be a prolonged period of economic difficulty as we come out of covid; those companies and countries that are willing to underwrite companies will have an advantage when they start to snap up businesses around the world. That is why we need this legislation now.

--- Later in debate ---
Nadhim Zahawi Portrait Nadhim Zahawi
- Hansard - - - Excerpts

My hon. Friend makes an important point. As I mentioned, the statement that the Secretary of State has laid with the Bill takes in much of the direction of travel of this amendment from the Foreign Affairs Committee.

I acknowledge that the Foreign Affairs Committee is pushing for more detail rather than less, but I would reassure them that the Government agree with their main conclusion that the Secretary of State should provide as much detail as possible on the factors that will be taken into account when considering national security. Importantly, however, that is only up until the point that the detail risks the protection of national security itself. That is why the Government have taken this approach in the draft statement provided for by clause 3. In that statement, we identify three types of risk that are proposed to form the basis of the call-in national security assessment. These are: the target risk, which considers the nature of the acquisition and where it lies in the economy; the trigger event risk, which considers the level of control and how it might be used; and the acquirer risk, which covers the extent to which the acquirer raises national security concerns.

I would like to address each of the arguments made in the report, so that I can ease the concerns of hon. Members across the House. First, there are concerns that without a narrow definition of national security, the investment screening unit would be inundated by notifications, hampering its ability to deliver its crucial role. I acknowledge that, for business confidence in the regime, it is essential that we deliver on our statutory timeframes for decisions, which is why it is so essential that we do not allow any broadening of the assessment done by officials as part of the regime to occur, whether by inexhaustive lists, as my hon. Friend the Member for Isle of Wight has just said, or by any other form. To include modern slavery, genocide and tax evasion as factors that the Secretary of State must take into account as part of national security assessments, as these amendments propose, would not reduce the demands on the investment security unit but potentially increase them.

Secondly, there is concern that ambiguity could hinder the success of the regime. Let me be clear that this regime is about protecting national security—nothing more, nothing less—hence its real focus. Thirdly, the Foreign Affairs Committee report suggests that the staff responsible for screening transactions may lack sufficient clarity on what kinds of transactions represent legitimate national security risks, leading to important transactions being missed or to a large volume of benign transactions overwhelming the investment security unit. I want to assure hon. Members, and my hon. Friend the Chairman of the Foreign Affairs Committee, that the investment security unit will be staffed by the brightest and best, with many of them being recruited on the basis that they have essentially written the book on national security.

Tom Tugendhat Portrait Tom Tugendhat
- Hansard - -

I am grateful to my hon. Friend for highlighting this point. May I assure him that I have absolute confidence that the people he will recruit into the unit will be the best and brightest? I pay huge tribute and send many congratulations to the Secretary of State for Business, Energy and Industrial Strategy, who is sitting next to him. He is a friend of long standing, and I am delighted to see him serving Cabinet; that is well earned and somewhat overdue. I am sure that they are both going to have the best judgment possible. However—I am afraid there is a “however”—there are other people who are going to have to decide whether or not to file, and there is therefore a danger that people will over-file, even though the judgments will have been very cautiously made.

Nadhim Zahawi Portrait Nadhim Zahawi
- Hansard - - - Excerpts

That is something I have been watching carefully as we introduced this legislation, obviously. We have had around 36 inquiries to the team already, so it feels to me that where we have landed is proportionate and right.

Public Health: Coronavirus Regulations

Tom Tugendhat Excerpts
Tuesday 13th October 2020

(4 years, 2 months ago)

Commons Chamber
Read Full debate Read Hansard Text Read Debate Ministerial Extracts
Tom Tugendhat Portrait Tom Tugendhat (Tonbridge and Malling) (Con)
- Hansard - -

I must start with some moments of sadness, which is that, although we have heard much praise of the vaccines in development, the reality is that we do not know whether one is coming. If it does come, how effective will it be? If it is effective, which groups will it benefit? Even if it is effective in wide groups, how easily will it be made and distributed? We have so many variables and so many unknowns here.

I appreciate enormously the position that the Minister and the Government find themselves in, but it is because of this uncertainty that we need to look really hard at the decisions we are making tonight. These decisions are not just about the spread of coronavirus, or indeed its prevention, but about the health, the mental health and the wellbeing of our entire community. Fundamentally, they are not just about health today, but about health tomorrow. The impact on the economy is not simply something for the Treasury to be interested in; it is of fundamental interest to the Department of Health and Social Care and to the welfare of every person in this country. That is why I ask the Government to think very hard as they make these decisions.

The purpose of government is quite simple: it is to provide a stable platform on which people can build free and independent lives—not controlled lives, not ordered lives, but lives that are free and independent. Today, we are taking decisions that are interrupting that and making that harder. I see the position that the Government find themselves in, but I ask them to think very hard about the powers that they are asking to take.

At the moment, we are not getting the predictability and the consistency that we need. When we talk to ambassadors or high commissioners of the United Kingdom around the world, there are some countries that have easy access to the UK without quarantine and others that do not. The rules that govern which do and which do not are not immediately consistent. It is not immediately obvious which will benefit and which will not. When we look at the different areas in the United Kingdom, we see the same problem. This level of consistency, of predictability, that is so essential for a free people to know and to invest in—

Edward Leigh Portrait Sir Edward Leigh
- Hansard - - - Excerpts

All we want from the Government is consistency. They spent all summer telling us to go into pubs and restaurants, and paying us to do so. They told us all summer to go back to our offices, and now they are telling us the opposite. Members might not agree with what they are doing in Sweden, but at least there is a consistent message. That is all I am asking of the Government.

Tom Tugendhat Portrait Tom Tugendhat
- Hansard - -

My hon. Friend is absolutely right on this. What we are looking for is the consistency to know that, over the next two, three, or perhaps five years, we will have to live with this virus and perhaps without a fully effective vaccine. We need a system that people can rely on, can know what they are doing and can be able to plan their lives, because, at the moment, it is off the bus, on the bus, off the bus, on the bus. For those of us who have served in uniform, we know how much time that wastes, we know how much time that takes, and it makes it so much harder not just to plan for weddings and, sadly, for funerals, but to make even simple investment decisions. Even those areas of the economy that are not closed down suffer because of the lack of predictability.

I ask the Government to think very hard about the decisions that they are taking, to devolve as much as possible locally so that those who are in closest touch with the populations that they are elected to govern can make the decisions, to follow the track and trace and to understand the effects of the virus locally, and, on a much wider scale, to come up with rules that can actually be relied on not just for a few weeks, not just for a few months, but, sadly, possibly for several years.

Munira Wilson Portrait Munira Wilson (Twickenham) (LD)
- Hansard - - - Excerpts

It is a pleasure to follow the hon. Member for Tonbridge and Malling (Tom Tugendhat). As he pointed out, there is some significant uncertainty about when we might have a vaccine, so there are two critical levers to tackling this virus: one is public trust, which the Government can achieve by taking people with them on the measures that they seek to implement; the other is a functioning, locally led, test, trace and isolate system.

On public trust, the Government have made much of following the science. Yesterday, we found out that there were plenty of recommendations from SAGE that the Government chose not to follow. The legislation that we are considering is before us today. That may be so, but it is up to politicians to make policy decisions and advisers to advise. To build public trust, the Government need to explain their thinking. What are their trade-offs? They need to show their working. When they have considered these measures, what are the wider health impacts of not taking them? What are the economic impacts of taking these measures? People need to see for themselves, and there must be trust from the public in following the new measures. I strongly agree that clarity of message is important for public trust.

Many Members have mentioned following the science, and my hon. Friend the Member for St Albans (Daisy Cooper) made a passionate argument about the curfew, which we know is resulting in other behaviours that frankly put public health and those businesses at risk. A publican in my constituency said, “We will just have to make up for the lost income by encouraging people to drink earlier in the day,” with bottomless brunches and so on. That binge drinking will happen earlier, or in people’s homes after the pubs have shut.

The Minister will have heard my earlier interventions on test, trace and isolate, and I believe that the 90 pages of complex rules and regulations would not be necessary if we had a properly functioning system. We got the R rate below one in the national lockdown, and on 23 April the Secretary of State said:

“Test, track and trace will be vital to stop a second peak of the virus.”

I know he likes to talk about his very large testing system, but we have had all sorts of issues with data, and sadly he was making jokes about that in the Smoking Room last week, apparently.

Tom Tugendhat Portrait Tom Tugendhat
- Hansard - -

Not true.

Covid-19

Tom Tugendhat Excerpts
Monday 28th September 2020

(4 years, 2 months ago)

Commons Chamber
Read Full debate Read Hansard Text Read Debate Ministerial Extracts
Jonathan Ashworth Portrait Jonathan Ashworth
- Hansard - - - Excerpts

My right hon. Friend is right to raise his worries about when a vaccine will be available, but there are many who feel a vaccine could well be available next year. The key thing is that we have a process in place to ensure that that vaccine, when discovered, is distributed rapidly across the country.

Tom Tugendhat Portrait Tom Tugendhat (Tonbridge and Malling) (Con)
- Hansard - -

Will the hon. Member give way?

Jonathan Ashworth Portrait Jonathan Ashworth
- Hansard - - - Excerpts

I will give way, but I will not take more interventions because I am well aware that there are plenty on the list to speak.

Lindsay Hoyle Portrait Mr Speaker
- Hansard - - - Excerpts

Order. Those who keep intervening are also on the list, which I think is unfair when others lower down the list will not or may not get in.

Tom Tugendhat Portrait Tom Tugendhat
- Hansard - -

Briefly, does the hon. Member recognise that, although he is quite right that nobody came here to restrict liberties—in fact, most of us came to this place to promote liberties—the whole point of promoting liberty in this place is that we must balance liberties? There is obviously the liberty of individuals who are seeking to work, and he spoke about the poorest members of our community, but many of the poorest members of the communities I represent are the ones who are suffering from lockdowns in different ways. Would it not therefore be right for this House to debate—quite rightly not to reject all lockdowns, but at least to debate—the different political choices that are being made as these questions are being asked?

Jonathan Ashworth Portrait Jonathan Ashworth
- Hansard - - - Excerpts

I do not disagree with the hon. Gentleman. Many of my constituents are particularly affected by the restrictions that we have put in place—I will develop this point in a moment—but I will not take any more interventions, because I am well aware that the huge number of Members are seeking to catch your eye, Mr Speaker.

Heading into the first wave, we were too slow. The first cases reached the UK on 31 January. On 5 March, the Prime Minister talked about taking it on the chin and boasted about shaking hands with people. On 7 March, people were advised to self-isolate. A pandemic was declared by the World Health Organisation on 11 March. On 12 March, testing and tracing in the wider community was paused. On 16 March, advice was issued against non-essential travel. On 20 March, pubs and restaurants were shut, but throughout, infections continued to climb. Finally, on 24 March, we went into a national lockdown. We could see what was happening in Italy, Spain and France, but we waited and waited, and, again, we can see what is happening now in parts of Europe. Let me be clear with the House: a second national lockdown would be catastrophic for society, for families who have spent so long apart, and for our economy. What is needed is action to avoid that, alongside clarity about which restrictions work and how long they will be in place.

Across vast swathes of the north and the midlands, families have been denied the chance to see each other in homes and private gardens. Restrictions have been placed on visiting loved ones in care homes. Many ask why they cannot go to see their grandmother, but can sit with strangers in the pub. There are parts of the country, such as Leicester and Bradford, that endured lockdown and that, more or less immediately on its lifting, had another four months of restrictions imposed on them. There will be huge long-term implications in terms of mental health and loneliness.

We understand the need for restrictions, but people need reassurance that there is an end in sight. Families want to know that they will be able to enjoy Christmas together. When will Ministers outline the criteria that will allow a daughter in Bradford to hug her elderly parents, or grandchildren in Leicester to cuddle their grandmother? If after a certain time limit, infections have not abated in cities such as Leicester or Bradford, where they have had restrictions for four months, will the Secretary of State instead impose alternative restrictions, so that families can visit their loved ones again? I urge Ministers to consider that.

I understand that tracing data show that infections spread in households, but that the virus is caught outside and brought into the house. The most recent Office for National Statistics surveillance report states that

“eating out was the most commonly reported activity in the 2-7 days prior to symptom onset.”

Hospitality accounts for one fifth of all covid transmissions. We support the restrictions announced last week, but many are now questioning how effective they will be in containing the virus. This weekend, we have seen pictures of people piling out of pubs at 10 o’clock on the dot into busy streets, public transport packed, and supermarkets busy as people buy more drink. How does that help contain the spread of the virus?

I ask the Secretary of State to undertake a rapid and transparent review of all the evidence on the 10 o’clock rule and to report back to Parliament this week. I also ask him quickly to publish a strategy outlining what further containment steps could be introduced to avoid a second national lockdown, keep our children in school, and allow families to see each other.

Secondly, both the Prime Minister and the Secretary of State last week referred to airborne transmission. Emerging evidence now suggests that there is greater aerosol transmission than we earlier thought. That has huge implications for ventilation in sites, which often use circulated air—for example, student halls of residence. I urge Ministers to come forward as a matter of priority with new guidance on aerosol airborne transmission for buildings.

Avoiding a second national lockdown also depends on an effective test, trace and isolate regime. The problems with testing have been outlined by Members across the House for weeks now, so I do not need to repeat all the stories. We have rehearsed the arguments back and forth week after week, but, in responding to the debate later, will the Minister give us some more details about so-called Operation Moonshot? Apparently, the Government intend to deliver millions of tests a day with a plan for 4 million a day by December. It is set to cost £100 billion, which is more than 70% of the NHS England budget, with more contracts for the very firms that have failed to deliver an effective test and trace system today.

Instead of moonshots that cost the earth, why not invest in our network of NHS and university labs? I have asked the Secretary of State this before: will he validate quickly pooled PCR—polymerase chain reaction —testing, and will he invest in universities such as Southampton and Leicester to expand the saliva-based testing that they are piloting? We have urged him, and NHS providers urged him today, to introduce regular and routine testing for all frontline NHS staff? Will he deliver on that before the winter to improve infection control in hospitals?

Will the Secretary of State update the House on the plans for university halls of residence? We have seen the pictures on our TV screens in the past 24 hours.

Just as people have struggled to access tests in recent weeks, for those who receive a test, it is taking longer to get the result. Care home staff report that it takes days to receive a test result. Rather than the 24 hours to turn around a test that the Prime Minister promised us, in some instances it is now taking 35 hours. Will the Secretary of State tell us when the Prime Minister’s promise of 80% of tests being turned around in 24 hours will be met?

The Secretary of State knows that we think that his tracing system is not as effective as it should be. Ministers should have invested in shoe-leather epidemiology; instead, we got a Serco call centre. For decades, our local health protection teams kept us safe, testing, tracking and isolating infectious disease. They are trained in the fundamentals of infectious disease control, and they should be leading this work, not Serco. That would be much more effective.

Communication in a pandemic is absolutely key, but over the weeks we have had hyperbole: “world-beating”, sending it packing in 12 weeks, and so on. I urge the Government to commit to regular televised briefings from the chief medical officer and the chief scientific adviser.

--- Later in debate ---
Simon Clarke Portrait Mr Simon Clarke (Middlesbrough South and East Cleveland) (Con)
- Hansard - - - Excerpts

It is a great privilege to be called so early in such an important debate. This is my first opportunity to address the House since leaving the Government earlier this month, so I want to pay tribute to those I worked with in local government and my former Department. It was a great privilege, and they are exceptional people.

Having stood recently in my right hon. Friend the Secretary of State’s place, I can testify that this is a difficult time to be in government. I pay tribute to him and his colleagues for everything they are doing on our behalf at a moment of national crisis. I know how exacting it is.

This is clearly a very important moment in our national debate about our strategy on coronavirus. It is a time for clarity, consistency and courage. I welcome the measures that the Prime Minister announced last week. Covid-19 is an awful disease and it is essential that the public respect the rules that are in place for their protection, from the rule of six to the guidance on hands, face, space, which will undoubtedly save lives. I supported those measures precisely because they are limited and proportionate. Fundamentally, we owe it to the British people to be totally honest with them about the situation. Until we have a vaccine, we are going to be living alongside the threat of the virus and some of those we love may die. We do not know when a vaccine will become available or precisely how effective it will be.

Faced with that reality, we need to be clear sighted about the choices that are open to us. It is therefore right that, as the Government have chosen, we should seek to keep as much of our economy and society open as we possibly can. If we could say with confidence that by holding on for just a few weeks or indeed a few months, we would reach a certain cure, the calculus might look very different. Given that we cannot do that, to return to a national lockdown would be not only untenable but wrong.

The toll such a lockdown would exact would be stark and serious. It would manifest itself in grim statistics and it would fall to us in this House to reflect on them in the years ahead: the cancers undiagnosed, the jobs and businesses lost, the soaring demand on our mental health services. It would also creep in like sea mist in less tangible ways: the opportunities forgone by a generation of young people, the loneliness of millions parted from their loved ones again. It is therefore my firm belief that now is a time for resolution, when we must do our utmost to live without fear, even in the most dangerous times, as generations of Britons have done before us.

That is not a counsel of despair. As my right hon. Friend the Health Secretary said, thanks to the hard work of so many people, we are incomparably better placed than we were in March to live alongside the virus. From the Nightingale hospitals to new treatments such as dexamethasone, to new capabilities such as the outstanding NHS covid app, we grow stronger almost every week in our ability to defeat the virus. That is reflected in the improved mortality figures this time round.

As I am sure colleagues across the House have done, I visited my local major hospital this summer to hear first-hand from them about how they have responded to the situation. I pay great tribute to all those at The James Cook University Hospital for everything they have done.

Although I respect everything that the Government are doing, I want to raise several points about the issues thrown up by local lockdowns. Today, my Conservative colleagues from the Tees valley and I have written to our local authorities asking them not to seek to go further than central Government require when it comes to the restrictions that are currently in place. The new measures that the Prime Minister announced need time to bed in.

That leads to a very important question for the Government. As the number of local lockdowns across the north of our country continues to multiply, are we in effect seeing a national, or at least semi-national lockdown imposed by default? Some 16 million people are now living under the shadow of those restrictions. What is our exit strategy from this situation? As we look at the likes of Leicester, Greater Manchester or West Yorkshire, we see that none of them are leaving the restrictions. What hope can I offer my constituents, as we stand on the brink of further intervention in the Tees valley, that there is a way out? It will be a long, hard and lonely winter if there is no such exit strategy. That is why my hon. Friends the Members for Redcar (Jacob Young), for Stockton South (Matt Vickers), for Darlington (Peter Gibson) and for Sedgefield (Paul Howell) and I have taken a stand today.

How long can we realistically expect people to comply with those measures? As lockdown fatigue worsens, we must address the growing risk that tighter restrictions will punish the law-abiding while others are unable or unwilling to comply.

Tom Tugendhat Portrait Tom Tugendhat
- Hansard - -

Given that my hon. Friend is addressing the legal aspects, has he thought about the implications for other aspects of criminal law?

Simon Clarke Portrait Mr Clarke
- Hansard - - - Excerpts

Indeed, the restrictions place a significant burden on our law enforcement agencies.

I will close by dealing with the slightly different local lockdowns that are in place across the country. The lack of consistency makes compliance harder and I urge my right hon. Friend the Health Secretary and Government Front Benchers to reflect on possible options to try to establish the clearest possible protocol so that we can get uniformity of decision making across those areas. I clearly recognise that we are trying to make the most effective intervention in each area, reflecting the local circumstances. However, I worry that a slightly different situation in the north-east, compared with West Yorkshire and compared with Greater Manchester, risks making it harder for those who want to do their best to get behind the Government’s measures to do the right thing. Better observance must be our collective goal.

I offer my right hon. Friend and our health service every good wish as we try to overcome the challenges. At a moment when there are no easy choices, let us ensure that we enable our country to live rather than simply exist in the period that lies ahead so that the country we return to on the other side of this dreadful situation is happy, healthy, successful and free.

--- Later in debate ---
Tom Tugendhat Portrait Tom Tugendhat (Tonbridge and Malling) (Con)
- Hansard - -

I want to immediately pick up on the point made by my right hon. Friend the Member for Romsey and Southampton North (Caroline Nokes) about mothers. This is not just about mothers; it is also about fathers. I am sure that many Members were there for their child’s first scan and the birth of their child and cannot imagine what it would have been like to miss it. Indeed, my son was very ill when he was born, and the inability to hold him that early on, when it was not immediately clear what the outcome was going to be, would have been extremely painful. I echo strongly my right hon. Friend’s words: this is about families, not just women.

This is a very difficult period for everybody in this country. In fact, it is a very difficult period for everybody around the world, but some people have done well. I do not mean that they have done perfectly, but they have done well because they have sought to do their best in extremely difficult circumstances. Those people are, of course, our healthcare professionals, who time and again have pushed themselves further than they knew they would have to. They have done better than anybody imagined they could and improved circumstances and situations that many thought lost or futile. They have taken us from a situation early on where we thought coronavirus was fatal to one where, for many people, it is survivable. They have changed the nature of the treatment, innovated and transformed the life chances of those who are suffering from this disease and those who will catch it. They have done so with extraordinary good grace, courage and professionalism.

Others have also done well. I pay huge tribute to the civil servants in the Department of Health and Social Care and the Treasury, who have been innovative, thoughtful and creative, and to Ministers, who have listened, encouraged and no doubt innovated themselves. This debate is part of a process that is our responsibility—not that of the Department of Health and Social Care or the Treasury, but ours. That responsibility is to listen to the people who sent us here—the people we represent—and to enter into what is, I am afraid, a fundamentally political argument.

Chris Bryant Portrait Chris Bryant
- Hansard - - - Excerpts

I would argue that one of the most dangerous innovations has been the ability of Ministers to switch on and off regulations without any say-so from Parliament. Does the hon. Member agree?

Tom Tugendhat Portrait Tom Tugendhat
- Hansard - -

I do agree, and that is exactly what I am coming on to. We are sent here because the decisions we are taking are, as the hon. Member recognises, political. Those decisions are about where to allocate resources, about people’s liberties and about care and treatment. They are fundamentally not party political, but political. They depend on an understanding of what is going on in this country, what people’s priorities are, where they wish to see investment, how our country wishes to be governed and what risks we are willing to take.

Because it was an emergency, many of us gave the Government the space to take those emergency decisions under the Coronavirus Act 2020. Sadly, this is less of an emergency now and more of a chronic condition. It has lasted for the best part of nine months. Although I hope I am wrong, there is a serious possibility that the vaccines being tested may not be successful and that the supplies may not be ready as quickly as we hope.

As a country, we must have the conversations that allow us to sustain the protections that we need, because the Government are right: we must protect people. We must protect the economy and education because we must protect people not just today but tomorrow. We must deter this disease. We must find the vaccines that will fix it, that will stop it, and we must rebuild because the damage that is being done to our country is serious and severe, and the damage that is being done to our world and to our friends is equally severe. The Government are right: we must protect, we must deter and we must rebuild. I absolutely agree with that, but we must do so together. As the Minister for Health, my hon. Friend the Member for Charnwood (Edward Argar), knows, democracy is not just about elections, but about how we deal with each other as citizens. It is about how we talk to each other in this country. We practise democracy every day in this place, of course, but actually we practise it every day in this country, because it is not this place that is the mother of Parliaments, it is our country that is the mother of Parliaments. It is so because we believe in the freedom to discuss, to debate and to challenge.

For six months or more, we have had emergency laws because we needed them. The time is coming, I am afraid, when we need to have debated laws, because liberty matters, too.

Coronavirus Bill

Tom Tugendhat Excerpts
Matt Hancock Portrait Matt Hancock
- Hansard - - - Excerpts

As discussed with the Opposition, we are proposing a six-month debate and vote on the continuation of the Bill, and before that debate we will provide evidence and advice from the chief medical officer to inform the debate. There is also a reporting mechanism for a report every eight weeks on the use of the powers in the Bill.

Tom Tugendhat Portrait Tom Tugendhat (Tonbridge and Malling) (Con)
- Hansard - -

I thank my right hon. Friend for the time he has taken in explaining at every stage how he has used the powers of his office to this House and, indeed, to the people through the media. I am hugely grateful and I know many others are. Could I just, however, state that over the last three weeks the world has changed in a rather more radical sense than many of us appreciate? The powers in the Bill, even over six months, are likely to change and to be exercised in different ways. Can he assure me that he and all other Ministers will exercise their powers reasonably, in keeping with only the coronavirus issue, and making sure that they are limited to the purpose for which they were intended, because these powers could—in different circumstances—be used in a particularly malicious fashion?

A& E Departments: Staffing

Tom Tugendhat Excerpts
Monday 23rd March 2020

(4 years, 9 months ago)

Commons Chamber
Read Full debate Read Hansard Text Read Debate Ministerial Extracts
Chris Bryant Portrait Chris Bryant
- Hansard - - - Excerpts

Two things are vital in this key moment when the NHS is fearing a tsunami coming down the road, if that is not a mixed metaphor. The first is personal protective equipment. My view is that, frankly, every single fashion brand in this country should be devoting every minute it has to trying to deliver enough PPE for all the doctors in our A&Es. Secondly, we should be straining every sinew to ensure that testing is available for every staff member in our health service, because apart from anything else, it will mean that they can get back to the frontline faster.

Tom Tugendhat Portrait Tom Tugendhat (Tonbridge and Malling) (Con)
- Hansard - -

The hon. Member made a good point about PPE—does he welcome the fact that O’Reillys in Northern Ireland is turning its production to just that? A&E is not a static body or just a building. It is a collection of people who are giving their heart and soul to our community. Will he welcome with me the birth today of Grace Louise Elliott, born at home because her mother could not quite make it to the A&E in time, and yet the staff managed to get the A&E to her home?

Chris Bryant Portrait Chris Bryant
- Hansard - - - Excerpts

That is a brilliant moment, and of course I celebrate it. When I was a vicar, I used to be there for quite a lot of births, giving blessings for babies in the special care baby unit. That is a vital part of the business, as it were, of accident and emergency departments.

Coronavirus

Tom Tugendhat Excerpts
Wednesday 11th March 2020

(4 years, 9 months ago)

Commons Chamber
Read Full debate Read Hansard Text Read Debate Ministerial Extracts
Matt Hancock Portrait Matt Hancock
- Hansard - - - Excerpts

I am afraid that is not how we are thinking about it, as that implies a perfect world in which things are available and not in demand around the world. Our approach to ventilators, and to staffing-up—obviously, we need trained staff to operate ventilators, or else they are dangerous—is to get our hands on as many as possible, and to train up as many people as possible. We think that we will need as many ventilators as we can get our hands on. There is no calculus of demand and availability; we are trying to buy as many as we can get hold of.

Tom Tugendhat Portrait Tom Tugendhat (Tonbridge and Malling) (Con)
- Hansard - -

I pay tribute to the way that the Minister and his team, Public Health England, and the whole NHS are dealing with what is frankly an unprecedented situation. I am hugely grateful to them all. Is the Secretary of State working with our right hon. Friend the Foreign Secretary on keeping our diplomats and envoys safe abroad, and giving them the advice they require? What is he doing to work with the World Health Organisation to ensure that we limit spread as much as we possibly can around the world, so that we are not infected again afterwards?

Matt Hancock Portrait Matt Hancock
- Hansard - - - Excerpts

My hon. Friend is right, and along with the International Development Secretary, my right hon. Friend the Foreign Secretary is working hard to ensure that through funds from the Department for International Development, and the judicious use of other British assets around the world, we can try to slow the spread elsewhere. Consular support for UK citizens and Government employees overseas is critical.