Covid-19: Vaccination

Alex Norris Excerpts

Monday 14th December 2020 Westminster Hall

[Alex Norris (Nottingham North) (Lab/Co-op)]

It is a pleasure to serve under your chairship in this debate, Sir David. Over 300,000 people have signed the e-petition that we are debating, which shows the strength of feeling on this matter, and I am very grateful to the hon. Member for Carshalton and Wallington (Elliot Colburn) for his leadership of this debate and for having taken it on on behalf of the Petitions Committee. It was the anniversary of his election to this place a couple of days ago, and he has made a significant impact over that year, although he will forgive me if I do not look back on that date with quite the same level of enthusiasm as he might. However, I thought he made an outstanding case about how detailed the process of a vaccine coming from conception to usage is. I hope those who are listening will have taken that on face-value terms, because it should give us all a lot of comfort.

Similarly, the word that I double-underlined was “marvel”. We should marvel at vaccination, and we should also marvel at the role of Britain in vaccination: whether in 1796, 1996 or 2020, and whether that is brilliant British scientists or enlightened British Governments of all persuasions. The thing I particularly reflect on is Britain’s role in vaccinations around the world, through the Global Vaccine Alliance and through our own bilateral aid arrangements. Hundreds and hundreds of thousands of deaths have been prevented because of our role in the process of vaccinations, and we should take a lot of pride in that. It is a real British success.

The hon. Member for Strangford (Jim Shannon)—we are a bit warmer than we were in this Chamber together last Thursday—made a poignant contribution, with a reminder about loss. We can sometimes get wrapped up in the figures behind all this, but each one of the people whom we have lost this year is a person with a family and a story. His contribution was also very poignant when it came to the vagaries and variances in all of our experiences, as well as the range of vaccines, a point that was also made by the SNP spokesperson, the hon. Member for North Ayrshire and Arran (Patricia Gibson). I hope that the 300,000 people who signed this e-petition, or those who choose to listen to this debate, will understand this vaccine as part of all vaccines, rather than anything distinct or different. Although it is the story of the day, it fits very much within the suite of things we think collectively are good for people, and it has gone through all the tests that have been described. I hope, again, that is something people will take comfort from.

I was very pleased to see the hon. Member for Wycombe (Mr Baker) in this debate. As the hon. Member for Strangford said, I always follow his contributions closely. Before becoming the shadow public health Minister, I was an Opposition Whip—I do not know what I had done, but I was an Opposition Whip for some time—and the major upside of that role, if there is one, is that Members get to sit in the Chamber and hear from colleagues of all persuasions—ones whose contributions they might not otherwise look out for. They hear about Southend being a city—I have never been there, and the only thing I think about with Southend, Sir David, is you talking about city status.

The hon. Member for Wycombe made what I think was my favourite speech this year, certainly from the Government Benches, on 30 January—I do not remember the date of everyone’s speeches; I have a good memory, but it is not that good. It was the day before we left the European Union, and the hon. Gentleman made a speech in the general debate on global Britain. I have to say, I thought the scheduling of that debate was difficult, because feelings were very strong and running very high. Some people were in Parliament Square celebrating; others were at home, commiserating. The hon. Member made a very important speech about the need for victors to be gracious and for the vanquished to look forward. I think that everybody could take something from that. I am not sure, 11 months on, whether we are quite there yet, but I hope so, and I think that we all, as leaders, have a role to take on.

[Mr Baker]

I am honoured by the hon. Member’s words, and am very grateful.

[Alex Norris]

I have not finished yet. The hon. Member concluded his speech that day with lots of references to Ronald Reagan, which sent me down a reading rabbit hole that I have not yet finished. I still cannot get the attraction, but the merits of Reagan are perhaps a debate for another day. However, I thought the hon. Member made a very strong case on both the pragmatic and the moral arguments. I will come back to some of the implied coercion points that he made.

I welcome the Minister to his place. This is certainly the first time I have opposed him. We all enjoyed William Shakespeare being one of the first to get the vaccine, but no one made the Stratford connection to him as Minister. I thought that was a missed opportunity. I will make a few points, and hopefully draw him out on a couple of them. We know that many basic freedoms have been curtailed over the last year, and we all want that to end as soon as possible. We know that there is a strong desire for things to get back to normal, but these significant measures and restrictions on freedom are necessary, and we have seen yet another reminder of that today.

Vaccines are the most effective public health intervention, either in relation to coronavirus or health in general, so the progress that has been made should cheer us. It is therefore important that a significant proportion of people take up the vaccination, especially those with the greatest vulnerabilities. The last time we debated the covid-19 vaccine in this place was just over a month ago. It was the day after the Pfizer/BioNTech vaccine had achieved success in phase 3 studies. Similarly, since then both the Moderna candidate and the University of Oxford AstraZeneca vaccine have achieved similar success.

That is a remarkable story in terms of time. We saw wonderful pictures of people receiving their first dose last week, and I understand that this week the vaccination programme is being extended to GP surgeries. It has been a whirlwind month, and I commend the Government for what they have achieved. It is no small feat, and I know that the Minister will take my attempts to seek clarity in that spirit. I am not seeking to throw rocks at the success, but we want some answers.

I am particularly keen to know the Minister’s assessment of the take-up required for the programme to be effective. I submitted a written question on that and received a holding answer, but he might indulge me today. If the Government are not keen to be drawn on what the figure is, which I can understand, perhaps he could explain why they do not think sharing it is helpful. In my head, I would have a totaliser. When we are fixing the community centre roof, and we need to raise money, we colour it in every time we receive another hundred pounds, but that might well not be the right approach, and I would be keen to know why.

The vaccine is one thing; a vaccination programme is another. We have rightly been very critical of the big logistical challenges for the Government both in the roll-out of personal protective equipment and the implementation of test and trace. We cannot afford a situation where vaccines complete the set. I recognise that the early signs have been positive, but I wish to pick up on a couple of bits. We have been made aware of some care-home and hospital staff being at risk of missing out due to requirements of the IT system. Have those loopholes been closed yet? Has that been clarified?

Similarly, GPs have raised concerns with us about the new rules being brought in late in the day, so that vaccinations will take twice as long, as patients need to be observed for 15 minutes. Again, that might be on very good public health grounds, but I am keen to know from the Minister what they are. We know that general practice per designated site has to deliver at least 975 vaccinations over a seven-day period. I did not receive a convincing answer when I raised this last month with my opposite number, the Minister for Prevention, Public Health and Primary Care, but what is the assessed impact on other GP services and how will we ensure that practices can meet their normal case load? I would be very keen to hear those points addressed.

Turning to the substance of what these 300,000 people have asked us to discuss, at the root it is about vaccine hesitancy. It is very easy to talk about the anti-vax elements. I am glad that colleagues have not majored on that, because to an extent that is a straw man. Multiple hon. Members made contributions about just how thin the basis for those conspiracy theories or anti-vax sentiments are. We could spend all day deconstructing them and never lose the argument, but that concerns only a very small proportion of the British people.

We know from polling, and from our constituency mailbags, that those people are a very small group indeed. There is a much more significant and noticeable chunk of people—though far from a majority—who are vaccine-hesitant, and entirely reasonably. Some might simply not want to have it, as the hon. Member for Wycombe said, and we ought to respect that. Others might not want to do so because of safety concerns—something I have heard from lots of constituents. They want to know that any vaccination, be it for covid-19 or anything else, is safe, so we as political leaders have a really important role in giving constituents the confidence that they seek. That will hopefully come from people observing the debate, and from our public engagements in general.

I know people will be watching this debate. I do not always think that about the debates we have; I suspect my 30-minute Adjournment debates do not pull in the big numbers. My message to people watching is that if they are unconvinced by what we are saying, which is perfectly reasonable, they should ask, ask, ask. If they get a question answered and are still not happy, they should ask the next one. I would certainly say that to my constituents. We will seek to get them information through all the available channels, if that is what it takes for them to feel confident about receiving the vaccine.

I agree with a number of hon. Members that the sentiment of the petition slightly misses where we are at the moment. There is a pretty broad political consensus against compulsion, coercion or inconveniencing people into submission. I know what our position is as the Opposition, but no one studies what the Government say more closely than we do, and I have never detected a desire for mandatory vaccination in what they are saying. We all want to have confidence, and to know that the roll-out has been done through the proper process, rather than in any other way, and like other hon. Members who have spoken, I hope that business will take the same view. The Government might have a role in that, and I would be interested to know the Minister’s reflections on the contribution from the hon. Member for Wycombe. I would say gently to businesses that compulsory vaccination will almost certainly not do what they want it to do. It is therefore important to take some time and have a cool head on this issue.

People’s unwillingness to take the covid-19 vaccine has a knock-on effect on vaccine hesitancy more generally. In fact, this is probably the FA cup final of vaccine hesitancy. Last year, vaccine hesitancy was in the World Health Organisation’s top 10 threats to global health—it was up there with a future pandemic. It is something that we have to address, whether it is related to covid-19 or not. In Denmark in 2013, false claims in a documentary about the human papillomavirus vaccine led to a decline in uptake of around 90% among some cohorts. Similarly, between 2014 and 2017 in Ireland, vocal attacks on the HPV vaccine from the anti-vaccine lobby led to a drop in uptake from 70% to 50%. These things matter.

What we see through those developments, and through our experiences in this country, is that the best method of countering those views is through proactive, positive health-promoting campaigns. I know that is something the Government are doing, and it is very welcome—we will support them in that. It is almost certainly too early to have enough data to be able to talk about the efficiency of such things, but we want the Government to keep pushing hard on this issue. That is what our constituents want us to do—to explain and, as I say, make ourselves available to answer any questions that they have.

We have had an extraordinary year fighting the virus. There is now clearly a path for us to take—a light at the end of the tunnel, or however people want to characterise it. We need to pursue it with the same vigour with which we attacked the previous year. If we do, we might just get out of this thing.