Public Health Debate

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Department: Cabinet Office
Tuesday 1st December 2020

(3 years, 11 months ago)

Commons Chamber
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Boris Johnson Portrait The Prime Minister
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We are rolling out lateral flow testing across the country and it is open to people to get a lateral flow test, but in general the testing system is available at the moment for people who have symptoms. I urge people who are worried that they may need to be in the company of those who are elderly or vulnerable to seek to get a rapid-turnaround test. [Interruption.] The one thing the right hon. Gentleman could do for his constituents if he wants to help them to move out of the tier they are in is to encourage them all to take part in mass community testing of the kind that the Government are rolling out.

This depends very much on the co-operation of local leaders and local authorities of the kind that we have seen in Liverpool, where, since 6 November, over 284,000 tests have been conducted, and, together with the effect of national restrictions, the number of cases fell by more than two thirds. This is the model that I would recommend. We are now proposing that from tomorrow Liverpool city region and Warrington should be in tier 2 whereas previously, obviously, they were in tier 3. We want other regions and other towns, cities and communities to follow this path. That is why, with the help of our fantastic armed forces, we will be offering community testing to tier 3 areas as quickly as possible.

Andrea Leadsom Portrait Andrea Leadsom (South Northamptonshire) (Con)
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What assessment has the Prime Minister done of compliance with previous lockdowns? Does he share my concern that people have just had enough and that the risk of non-compliance is very great, and that those who are compliant will then have the added frustration of watching those who will not comply doing whatever they want while they have to sit at home?

Boris Johnson Portrait The Prime Minister
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I normally find myself in agreement with my right hon. Friend, but I must say that I do not think she is right in this instance. If we look at what the British people have achieved in the past few weeks by following the guidance, and by deciding to work together to get the R down, they have done just that. Collectively, the people of this country have got the R back down below 1. That was not by non-compliance—it was by the people of this country deciding to follow the rules, do it together, and get the virus down.

I find it extraordinary that the official Opposition, represented by the right hon. and learned Member for Holborn and St Pancras (Keir Starmer), currently have no view on the way ahead and are not proposing to vote tonight.

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Andrea Leadsom Portrait Andrea Leadsom (South Northamptonshire) (Con)
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On bonfire night—normally a superb family occasion—this House locked down our nation for the second time, inflicting great damage on the livelihoods, mental health and wellbeing of our constituents, all in the interests of the greater good. I reluctantly supported that lockdown but made it clear to my Whip that I would not vote for any extension unless it was made clear to me why it would be the least of all evils.

I am afraid that the document that the Government provided yesterday does little to address my concerns, and therefore does not allow me to reassure my constituents. It deals with the here and now but does not provide an analysis of the long-term impact on people’s lives, nor does it explain why South Northamptonshire must be in tier 2. There is no analysis of the counterfactual—what would happen if there were no lockdown and people were given sound advice, rather than forced in law to comply.

This is my fundamental concern. We already know that compliance is a serious issue in some places and sectors. There are lots of jokes circulating about how a person can eat a substantial scotch egg with their pint in the pub but not a bag of pork scratchings, and about how different families meeting inside a restaurant will be rebranding their party as a business gathering. In fact, they are very serious; they graphically illustrate that those with the nous and desire to get around the rules will do so, and that those who are more compliant will suffer the frustration of seeing others flouting the rules that they do not break.

I have many concerns. A constituent told me recently that she finds it unbelievable that a mixed group of tradesmen can work in an enclosed space—one is her own husband—yet she has been unable to see her daughter indoors in their spacious sitting room, even though she would of course take extra special care. How is that fair or logical?

Yesterday, I spoke to primary school headteachers, who raised their grave concern that they are on their knees working to ensure that every child can be in school by are finding other services unavailable to them, such as child psychology assessments and supervision for non-resident parents, which all seem to be available only sporadically and never in person. How is that fair or logical?

Last week, I held a meeting of my South Northants business club and talked to small businesses that are flat out trying to survive and preserve their life’s work. One is a golf and hotel complex that is still unable to provide a service, unlike the big fast food chains, which can out-compete it through takeaways and deliveries. Another is a wedding events organiser with a beautiful stone barn that can seat up to 80, completely socially distanced, but its facility is for weddings and events, rather than a licenced restaurant, so it cannot open. How is that fair or logical?

Then there are the long-term health implications. My great fear is that my constituents are not accessing healthcare as they do not want to bother anyone. I have spoken to GPs in my patch, and they share that fear. What will be the long-term mental health impact of this year’s tsunami of loneliness, in particular for those with memory loss, for whom this isolation has been so disastrous? What about those who have had a baby in lockdown and have been isolated with virtually no face-to-face help?

I was concerned on 5 November, and I remain so today. I have some final questions to the Government. Why are we going back into the tiering system? Did the lockdown work or did it not? What are the merits of the ongoing constraints on my constituents, versus the ongoing visible costs to them? I want to support my Government and my Prime Minister in the Lobby this evening, but I cannot and will not inflict deliberate harm on my constituency unless I can see for myself that to do nothing would be worse.