Baby Loss and Safe Staffing in Maternity Care

Alicia Kearns Excerpts

Tuesday 25th October 2022 Westminster Hall

[Jill Mortimer]

I thank the hon. Gentleman for his intervention. Sadly, that is not a matter for me as I am not a Minister; it will be for the Minister to reply to that.

Will the Minister look at training more bereavement midwives? Sands has developed the national bereavement care pathway, which provides the framework and tools to ensure that all health professionals are adequately equipped to provide the standard of bereavement care so sorely needed during the immediate aftermath of pregnancy or baby loss. That would prevent women like me, 30 years on, from hearing those same lines; health professionals would understand that, kind as they are meant, they do not help in the long term.

[Alicia Kearns (Rutland and Melton) (Con)]

I thank my very good friend for her work on this issue. On the point about discrepancy, in my constituency a baby died—it was negligence—and the mother was sent home with four leaflets and never contacted again by the hospital. By contrast, my very best friend lost her baby at nine months in January—as Members can see, we all grieve when we lose someone that close to us—and she had phenomenal care from Tommy’s. Will my hon. Friend press the Minister to do all she can to ensure that there are national guidelines against which the NHS is held to account, monitored and graded for how it provides bereavement care?

[Jill Mortimer]

I thank my hon. Friend; she must not apologise because obviously this issue is very close to us all. We feel very deeply for all mothers who lose. That is one thing that I wish to ask the Minister to do: will she ask the Government to mandate the national bereavement care pathway so that it is nationwide? Although 105 trusts are already formally committed to rolling it out, they need the additional funding to fully implement all the standards of the NBCP. It is no good just taking part of it; we need it all in place and all midwives need to have that training. What steps is the Minister taking to ensure that all trusts can implement this vital support service?

Those are the three big asks. I know they are big, that times are not great and that there are not funds, but this is such a vital policy area and so much long-term pain could be caused. I thank Members for their time.

--- Later in debate ---

[Guy Opperman]

It is a perfectly fair point that there is a difference of approach in the different countries of the great United Kingdom, and I utterly agree that if someone lives in the United Kingdom, they should have a consistency of approach. There should be a coming together of the various professional boards to drive forward consistent standards. I will give one specific example.

[Alicia Kearns]

Will my hon. Friend give way?

[Guy Opperman]

My hon. Friend will take my time, but I will give way very briefly.

[Alicia Kearns]

Before it even gets to treatment, a big problem is the way we assess the safety of a pregnancy, which is the same as it was in the 1960s. It has not changed. There is a new AI programme—the Tommy’s app—that could be rolled out across the entire country to ensure that technology is used to assess the vulnerability of pregnancies. Does my hon. Friend agree that that sort of tool is what we need rolled out to ensure consistency of diagnosis and safety in pregnancy, and not just treatment?

Vaccine Damage Payment Scheme: Covid-19

Alicia Kearns Excerpts

Tuesday 6th September 2022 Westminster Hall

[Sir Jeremy Wright]

Yes, I agree entirely with my hon. Friend, who puts it very well. It is important not just that we have the right scheme—I do not believe yet that we do—but that, as he says, when that scheme is in place, it pays out quickly. It is clear that the scheme in place at the moment is not doing that, and it simply is not acceptable or feasible for families in severe financial distress to have to wait the length of time that they are being asked to wait. And the example that he gives is a good one.

That example is also important in another respect, because there is something else that the Government need to do. In relation to those cases where vaccine injury is fatal, as was the case with my hon. Friend’s constituent, the Government need to protect entitlement to benefits, as they have done with other similar schemes but which they are currently not doing in relation to payouts under the VDPS. Whether that is universal credit or some other benefit, that post-death entitlement needs to be protected in a way not currently allowed by the law.

The second problem with the VDPS is that it requires a 60% level of disablement. The first thing to say about that is that the percentage of disablement can be hard to quantify in these cases, as Jamie Scott’s consultant made clear in her opinion. However, the second thing to say about it is that 60% is a very high bar. There can be significant injury or disablement that does not meet that threshold but is still life-changing. The VDPS is all or nothing: it pays out the full amount or nothing at all. In other words, someone adjudged to be 59% disabled as a direct result of vaccination would receive no compensation at all under the scheme. That cannot be right.

[Alicia Kearns (Rutland and Melton) (Con)]

Before my right hon. and learned Friend gets to the payment system, I want to raise the issue of support. My constituent Charlotte was a 39-year-old healthy mother of three children. I am furious and appalled after having had to approach three Government Ministers, two NHS trusts and the local GP to ask if someone can help her with the myriad health conditions she has contracted as a result of doing the right and getting her vaccination. She has not got long covid; the long covid units and clinics do not want to talk to her. No one wants to support her. Currently, she is going to Germany for treatment. Her life has been destroyed, she cannot be a mother and yet not one Minister or anyone else seems to want to make sure that this very small cohort of people have a meaningful pathway to care and support.

Does my right hon. and learned Friend agree that we need to get a grip regarding this very small number of people and that Ministers need to reach out individually to every single family in this situation, make sure that they know what support they can receive, ensure that there is a care pathway, and help MPs to help their constituents?

[Sir Jeremy Wright]

Yes. Again, I agree with my hon. Friend, who puts her point very powerfully. It seems to me that there is an opportunity for the Government to do better, and I hope that my hon. Friend the Minister and her colleagues will take up that opportunity.

We are talking about people in very great need who have done the right thing. There is no fault whatsoever on their part, and the Government are best served by helping them, not just for individual reasons but collectively because of the impact that will have on Government policy. I will come back to that point. As my hon. Friend says, the level of support currently on offer is not adequate.

The third problem with the VDPS is that payouts under it are limited to £120,000. That may sound like a lot of money, but it is certainly not enough to compensate for more serious injury and loss of earnings and amenity over lifetimes, especially for people in the 40s, like Jamie Scott, who are disproportionately highly represented among the figures of those who have suffered vaccine-related injury. I appreciate that the Minister will say that the VDPS is not designed to be full compensation but an additional payment that does not prejudice a right to pursue damages through the courts. I want to explore that argument for a moment.

The fact that VDPS payments cannot and will not constitute full compensation in many of these cases makes legal action almost inevitable. When those cases are brought, they are likely to be brought against the Government, because of the perfectly sensible indemnities given by the Government to those firms that have produced the vaccines. The cases brought will either be won by those injured or lost. If they are won, the Government will be paying full compensation for injury, with additional and avoidable legal costs added. If they are lost, people who have suffered for doing the right thing, the thing that the Government asked them to do, will not be compensated for hardship they have suffered through no fault of their own.

Win or lose, the Government should not want those cases litigated. It will seem either that compensation is being dragged out of the Government or that it is being denied in what the public are likely to think are highly deserving cases. Worse still, those cases will put incidents of vaccine injury in the spotlight. We are rightly proud of the widespread take-up in what has been a successful and ongoing vaccination programme, but that take-up relies on public confidence in the covid-19 vaccine programme—confidence that is itself based on the safety of the vaccine. It is, let us be clear, overwhelmingly safe, but it is not universally safe. No vaccine is. The cases we are discussing today demonstrate that.

The Government need people to know, surely, that if they are in the tiny minority of those injured by the vaccine that they are being urged to take, they will be looked after. If people cannot be confident of that and see that as they witness those cases being litigated, it is likely to damage uptake of the vaccine. Of course, we must recognise that the Government may need to pursue mass vaccination again in the future. It seems to me that the Government should properly compensate those injured by covid-19 vaccines for reasons of policy as well as those of morality.

The question that follows is: can it be done better? You would, of course, expect me to say, Sir Edward, that yes, it can. These are relatively few cases in number, which means that the financial liability for Government is relatively delimited. There are domestic precedents we can follow—for example, the Thalidomide Trust. There are international examples that we can look to as well. The comparable scheme in Canada is also a no-fault scheme that compensates for

“severe, life-threatening or life-altering injury that may require… hospitalization or a prolongation of existing hospitalization, and results in persistent or significant disability or incapacity, or where the outcome is a congenital malformation or death.”

Significantly, there is no percentage disablement requirement and, crucially, no upper limit to the level of compensation that may be awarded.

In Australia, the scheme covers

“a clinical condition or administration related injury…most likely as a result of receiving the COVID-19 Vaccine”,

involving hospital treatment and resulting in at least $1,000-worth of losses. Again, it is a no-fault scheme but it has no percentage disablement requirement and no upper limit to the compensation amount.

Perhaps most strikingly, the no-fault compensation scheme attached to the COVAX programme, whereby countries including the United Kingdom make vaccines available to developing countries, can award up to 12 times the GDP per capita of the claimant’s country. In the UK, that would mean an upper limit roughly three times that of the VDPS. That means that the UK Government are funding better vaccine injury compensation for people in other countries than they are for people in our own. That surely is not a defensible position.

The Government must do better, and soon. They must either reform the VDPS in order to make it more similar to the best international comparators, or find a way to settle the inevitable legal actions in these cases swiftly and fairly. They must surely do so in their own interests, because in the end, the cost to Government of failing to compensate those who have acted on Government policy will be higher than the cost of compensating them.

It is because I support vaccination that I want confidence in vaccination to be maintained. Mostly, the Government should act because the people we are talking about did the right thing at the behest of their Government. Their Government now need to do the right thing by them.

[Dr Philippa Whitford (Central Ayrshire) (SNP)]

We are here to discuss the vaccine damage payment scheme of 1979. My interest is as chair of the all-party parliamentary group on vaccinations for all, so it is clear that I am absolutely and utterly pro-vaccination.

We can be grateful for just how rare significant side effects or damage are when it comes to vaccines as a whole. However, as the right hon. and learned Member for Kenilworth and Southam (Sir Jeremy Wright) has said, if we are to maintain confidence not only in vaccination in principle but in further covid-19 vaccines, it is important that people feel secure and supported and that they are not hearing horror stories of people who have been hurt in some way by the vaccine and then just left stranded. It is vital that we do that, or we will see a rise in vaccine scepticism and vaccine hesitancy, and that will be manipulated exactly as we have seen over the last couple of years.

[Alicia Kearns]

As a former civil servant, I believe that the case load is so small that it is not unfair to expect Ministers to look at each case individually. They have the capacity and are capable. The purpose of vaccination is to protect not just ourselves but others around us, and many who have had negative consequences acted in the national interest and to protect their loved ones. They deserve the bare minimum of a Minister looking individually, case by case, to see what support they need and whether they deserve the vaccine payment or some exceptional support. Does the hon. Lady agree?

[Dr Whitford]

I totally agree. The Government’s response to the petition talks of 174 cases. When I was a breast cancer surgeon and there was the scandal about PIP implants, which I knew we had never used, I still had to go through every single breast reconstruction I had done in a period of 17 years in order to absolutely verify that that was not the implant. It is absolutely possible with such numbers.

At the moment, only 11 cases have been settled. Only 2% in recent years have been successful. Whenever any kind of scheme has only that kind of return, it has to be looked at. As has been said, it is a long wait and people are left not able to work or they have family pressures and receive no support. Who is deciding the 60% disablement? As has been said, it is an absolute cut-off. Even the maximum payment has not been reviewed since 2010 and it would not cover anyone for 20 or 25 years of lost earnings and ability.

The Government say it is not compensation. I think that a no-fault scheme is absolutely right. I raised this issue with the right hon. Member for Stratford-on-Avon (Nadhim Zahawi) when he was Minister for Covid Vaccine Deployment, in December 2020, and said that if the Government were removing liability from pharmaceutical firms, they had to step in and replace them. I would like to see the VDPS improved for all vaccine users, but the covid-19 vaccine is a specific case where urgent action is needed and where it is even more important to get financial support.

We heard about cerebral venous sinus thrombosis and how catastrophic, but thankfully rare, it is. People have also had micro-thrombosis and an array of autoimmune responses to the vaccines. My constituent, who does not want to be named, suffered from Guillain-Barré syndrome, which is now recognised and mentioned in association with the vaccines. It is a neurological condition that has caused him to have partial facial paralysis and problems with balance. That may sound minor, but he worked at heights in a majorly physical job and has not been able to work since spring 2020. He, and people like him, are terrified of the 60% disablement. He imagines that when he walks into a room, regardless of his facial appearance or his balance, people will think, “Well, you’re not really that bad”, but he cannot do the job he was doing before.

It is vital that we take these cases out of the VDPS, deal with them quickly to ensure confidence in the covid-19 vaccine, and take the time to change the VDPS to make it responsive, quick and something that the public believe in. In total, there are currently only just over 2,000 cases, which is not an overwhelming number to work through if it means that we maintain confidence in vaccines and the benefits they bring to all age groups, throughout our lives, against multiple diseases.

Oral Answers to Questions

Alicia Kearns Excerpts

Tuesday 19th July 2022 Commons Chamber

[Steve Barclay]

The Government have committed to giving NHS workers a pay rise this year, on top of last year’s 3% rise when pay was frozen in the wider public sector. The independent pay review bodies base their recommendations on a number of factors, which include but are not limited to the cost of living and inflation, as well as the economic context and issues such as recruitment and retention. The Government are considering carefully the content of the pay review body’s report and will respond shortly.

[Alicia Kearns (Rutland and Melton) (Con)]

I want to raise the case of 10-year-old Lucas from my constituency, who has a rare form of cancer called DIPG—diffuse intrinsic pontine glioma. The only drug that would prolong his life has to come from Germany. The family have raised the funds to pay for the drug, but they are now being charged £530 per shipment in import duty. Will my right hon. Friend please help me to lobby the Treasury for an exemption, because it should not be making money off the back of this poor boy’s lasting difficulties?

[Steve Barclay]

As my hon. Friend recognises in her question, that is a decision for Her Majesty’s Treasury, but I am very happy to highlight with the Chancellor the case that she brings to the attention of the House.

Health and Care Bill

Alicia Kearns Excerpts

Consideration of Lords amendments
Wednesday 30th March 2022 Commons Chamber

[Alicia Kearns (Rutland and Melton) (Con)]

I thank my hon. Friend and neighbour for giving way. On the duties of integrated care boards, he knows that one of my grave concerns about health inequalities relates to rural settings. In Rutland, our citizens receive care in Peterborough, Stamford, Kettering, Corby, Leicester and sometimes even beyond. The big problem at the moment is that their health records are not shared across those different clinical commissioning groups, leading to big problems with them getting the care and support they need. Will ICBs be able to help us to overcome these issues? I have been lobbying the Department of Health and Social Care for months to help us sort out this problem.

[Edward Argar]

I can reassure my hon. Friend that under the changes we are putting in place through the integrated care systems, ICBs will continue to be able to commission services and to send patients to hospitals outside the ICS area. They will also be obliged to co-operate and work with other organisations in the patient’s best interests. We are setting this alongside the broader work that we are doing in the Department on the interoperability of data. I hope that that has reassured her to a degree.

We are also committed to supporting research, and I ask the House to agree to Lords amendments 6, 15, 26 and 28, which further embed research and provide increased clarity, transparency and oversight in respect of ICBs, NHS England and the Secretary of State’s research duties.

Ockenden Report

Alicia Kearns Excerpts

Wednesday 30th March 2022 Commons Chamber

[Sajid Javid]

I can assure my hon. Friend that there have already been a number of changes in the CQC’s approach, but I cannot give an assurance that it has changed enough, because this report has only just been published and it is important to me to follow through and ensure that, where relevant, the independent regulators are also making the changes set out in the report. To respond to an earlier question from the hon. Member for Enfield North (Feryal Clark), she was right to suggest that there should be an update from Ministers on progress following this report, and I will ensure that that happens. That picks up on this question about the CQC as well.

[Alicia Kearns (Rutland and Melton) (Con)]

This House is united in our heartache over the lives lost and the lives destroyed, and over the women who were silenced and told that birthing had happened for centuries so they should shut up, or that it should happen as though in some sort of movie. I am afraid that, as an MP, I have concluded that NHS bureaucracy has a systemic problem of sexism, and I ask the Secretary of State to keep an eye on this nationally. I remember, after 36 hours of labour, being rushed to the operating theatre and being denied a C-section, then being rushed back an hour later and having a C-section, but only because my husband had noticed that my son’s heart rate had plummeted to almost non-existent. We must also prevent the unforgivable and unscientific locking out of loved ones across all health services. It compromises care and it is still happening in hospitals around the country across different types of care.

[Sajid Javid]

I thank my hon. Friend for saying what she has said in the way that she did, and also for talking about her own experience. She is absolutely right to emphasise the point that the NHS is there to care for anyone regardless of their gender, but when it comes to women in particular, I hope she agrees that this is precisely why the Government are right to want to set out—as we will do shortly and for the first time ever—a detailed women’s health strategy.

Vaccine Damage Payments Act 1979

Alicia Kearns Excerpts

Wednesday 2nd March 2022 Commons Chamber

[Alicia Kearns (Rutland and Melton) (Con)]

I know my hon. Friend the Minister is about to talk about the types of support available, so I want to make my pitch at this point: I have a wonderful 38-year-old female constituent, a mother of three, who after her first shot of AstraZeneca has had horrendous, life-limiting conditions. The NHS seems to have closed its doors to her: for 10 months she has been asking for help, but no one will give it. She has had to go to Germany to get the specialist blood analysis she needs. So can the Minister kindly say what medical ongoing support and pathways the NHS has created within its support specifically to ensure that people like my constituent get the help they so desperately need to live healthier, happier lives?

[Maria Caulfield]

If my hon. Friend contacts me after the debate I will be happy to find out what specific help is available for her constituent in the local area. But we do have a robust safety mechanism in place, dealing with not just covid vaccines but all medicines, and the VDPS was established in 1979 as a one-off, tax-free payment, with the aim of easing the financial burden on individuals when, on very rare occasions, vaccination has caused severe disablement.

For the specific groups of vaccines that are covid-related, the Prime Minister announced on 21 September 2021 that responsibility for the operation of the VDPS would transfer from the Department for Work and Pensions to us in the Department of Health and Social Care on 1 November 2021. We are picking up that mantle and are working at pace to address the many issues my hon. Friend the Member for Christchurch has raised.

Covid-19 Update

Alicia Kearns Excerpts

Thursday 13th January 2022 Commons Chamber

[Alicia Kearns (Rutland and Melton) (Con)]

As my right hon. Friend knows, despite my enormous respect for him, I voted against the introduction of covid passports before Christmas. I maintain my view that they are not effective. Will he please commit to dropping domestic certification at the earliest possible opportunity? Will he also make clear today from the Dispatch Box to NHS trusts up and down this country that he will not stand for the pandemic of arbitrary discrimination we are seeing against pregnant women and their partners, and parents who want to be with their children on paediatric wards but are being prevented by trusts in an illogical and unscientific manner from being with them to look after and advocate for them?

[Sajid Javid]

First, I agree with every word my hon. Friend says about pregnant women. That is a message that has been reinforced to every NHS trust. I thank her for how she has campaigned on this issue and brought it to light, because that is making a difference. On the issue she raised about domestic certification, I share her instinctive discomfort, and I assure her and the House that as far as I am concerned we will not be keeping domestic certification in place a moment longer than absolutely necessary.

Public Health

Alicia Kearns Excerpts

Tuesday 14th December 2021 Commons Chamber

[Alicia Kearns (Rutland and Melton) (Con)]

Although I fully support the Government’s determination to protect our communities, I seek clarity. Like most of us, I support evidence-based policy making and, in the absence of data, precautions, not restrictions. I will vote with the Government today on precautions. Face masks are about personal responsibility and a small step we can take to protect our communities. I support the NHS mandate—we need to keep our health workforce safe and not put those who are most vulnerable and for whom they care at risk. Testing over 10-day isolation—absolutely; testing is the most important thing we can we do and I support it. Boosters—absolutely; we need to get everyone boosted.

However, I find difficulty with vaccine passports for three main reasons. First, there is no evidence that passports reduce transmission. Yes, France and Scotland have seen some increase in the uptake of the vaccine but no reduction in transmission as a result. Secondly, we are currently saying that two jabs are not enough. Well, if we need a booster and that is so important, why is the vaccine passport based on two jabs? There is a contradiction there. I do not believe that covid passports would prevent lockdowns. I question their mechanics, like my right hon. Friend the Member for Tunbridge Wells (Greg Clark). Someone who is self-declaring that they have had a negative test is asking someone to give them that declaration with no evidence that they have had a negative test, and then that is somehow meant to be some kind of increase in capacity. The bureaucratic mechanics required for the passports to work are not there, but neither are the bureaucratic mechanisms required for negative tests. That will come at great cost to us. We do not have the capacity to deliver the negative test aspect of the passport regime.

Secondly, on modelling of the severity of omicron, the Defence Science and Technology Laboratory has not even reported yet, so how can we be asked to decide on these measures today without the data? South Africa is not seeing the expected spike in deaths. Hospitalisation sits at about 30 per 1,000, compared with 101 per 1,000 for delta. Using the modelling on delta cannot be right because we know that this variant is not the same. There are currently 10 people in hospital with omicron, but are they in hospital because they have omicron or do they just happen to have it? We do not know the answers. Frankly, if omicron is that severe, we need more than the plan B measures proposed today.

My third reason for voting against covid passports is the fundamental unease they give me. We do not discriminate on a medical basis in this country, and we cannot. We are encouraging people to work from home, but pub trips or parties are permitted, when we know from the previous lockdowns that the problem was with home mixing. We have very high vaccination rates. We do not need these passports. I know that 96% of people in Rutland and Melton have had their first jab, 93% have had their second, and 47% have had their boosters. My constituents deserve to be thanked and recognised. They do not deserve to have to have passports imposed on them when they are taking up the vaccine like this. I thank the amazing vaccinators across Rutland and Melton, particularly the Rutland Lions Club.

We are constantly changing the rules. Businesses cannot keep up. These are not the circumstances they asked for. Then there are school closures. Since we announced the measures in plan B, schools across the country are talking about closing. That is not acceptable. Our children must be in school to learn and to be protected. Our children deserve more. We cannot have people going out to parties and pubs and children not in school. The Government must mandate for schools to remain open, not just say that that is the guidance.

My final plea is for help, because in Melton we do not have enough clinics for vaccinations, and this has been an issue for months. I plead with the Minister to make sure that we get more booster clinics in Melton.

Covid-19 Update

Alicia Kearns Excerpts

Wednesday 8th December 2021 Commons Chamber

[Sajid Javid]

That is another important issue. I hope that the hon. Gentleman will welcome the fact that sick pay begins from day one and that there is a hardship fund to help with the most difficult situations.

[Alicia Kearns (Rutland and Melton) (Con)]

My right hon. Friend will not wish to move too slowly, but I am struggling to understand how we have come to this decision a week before the Defence Science and Technology Laboratory reports on the omicron variant. One in five critically ill patients in ICU is an unvaccinated pregnant woman—not one fully vaccinated pregnant woman has ended up in ICU. What is he doing to ensure that we do not see a catastrophe over winter with the loss of young life and of mothers?

[Sajid Javid]

My hon. Friend is right to point to the importance of vaccinating everyone, and especially to the risk to pregnant women. A huge amount of work has gone on in the last few months to reach out to even more pregnant women. A new campaign launched in the last few days and we have already seen a positive response to it. As she says, sadly, almost all the women who are pregnant and in hospital because of covid are unvaccinated.

To refer to the start of my hon. Friend’s question, I think she was suggesting that we wait a week. I hope that she can reflect that, based on the doubling time that we have now observed, that would make a substantial difference to infections, and can take into account the lag between infections and hospitalisation.

Covid-19

Alicia Kearns Excerpts

Tuesday 12th January 2021 Commons Chamber

[Alicia Kearns (Rutland and Melton) (Con) [V]]

Aldous Huxley wrote that the 20th century plague was not the black death, but rather the grey life. He could have been describing life under covid-19. When I was elected a year ago, I did not set out to take away freedoms, or to shut down businesses and close schools, but to save lives we have had no choice but to live much of a grey life this last year.

My priority has been to support residents and businesses locally throughout this pandemic, helping tens of thousands who have written to me. But now, my priority is making sure that I help those still in need and that we have a road out of national lockdown, which the vaccine gives us. We already have three vaccination centres in Rutland and Melton, and almost 50,000 people across our primary care networks have been vaccinated.

As we see the light at the end of the tunnel, I thank all those in Rutland and Melton who have borne the costs with such grace and selflessness over the last year—those who have helped each other under the toughest domestic conditions we have seen since the war. In particular, I wish to recognise Tim Weston and his fellow teachers and students at Oakham School, and Rutland Plastics. In the first lockdown, they made so many tens of thousands of visors that I arranged the delivery of masks to hospitals and settings all around the country.

I also wish to recognise Stuart and Holly East, who own the Old White Hart pub in Lyddington and cooked 300 meals a day for NHS staff; Tony Fowler, the local milkman who spent his breaks shopping for isolated residents; Governor Neil Thomas, who rightly received an OBE for his work, and his prison officers and staff at HMP Stocken; and, finally, our wonderful soldiers across Rutland and Melton, who ran pop-up testing sites around the east midlands. But there are so many more I wish to praise, including Clawson Kindness, Sharon Brown and Rutland Sewing. These are all people who have set about helping others without any thought for their own recognition. They are the unsung heroes of Rutland and Melton and the very best of Britain.

I also appreciate the extraordinary sacrifices of our police and our health and care staff, both formal and informal carers, and our council staff. Our healthcare workers have worked tirelessly to save lives, and I am enormously grateful, but we must also remember those who are often forgotten in our shops, our binmen and those in unseen roles. I would also like to recognise our businesses, shops and traders who have forgone profits to keep covid rates down.

Finally, I want to thank the hundreds, if not thousands, of women who have written to me asking for little more than their partners to be with them at pregnancy scans and when they give birth. I am proud to have fought for them, and I want to thank the Secretary of State for Health and Social Care and the Prime Minister for their support on this issue. I am also pleased to have lobbied Ministers to secure the exemption for children under five from the rules on two adults meeting in public during the lockdown, because we had to ensure that the most vulnerable did not suffer most at this time. Now we must focus on returning to normality, giving people back their freedoms as soon as possible and ensuring that our recovery is as fast and equitable as possible. Thank you again to everyone in Rutland and Melton who has worked so hard to defeat the virus.