(3 years, 2 months ago)
Commons ChamberI am grateful to my right hon. Friend for his comments. He is absolutely right that we have to remain vigilant. Part of the reason why the decision was made to place countries such as Portugal on the red list, unfortunately, was because we are seeing further mutations from the Indian variant to the variant that has first been spotted in Nepal. That is why we have invested so heavily in our genome sequencing capability and capacity in the United Kingdom. In many instances, we are able to identify variants in travellers from those countries before those countries actually identify them.
The really important point to land is that no single measure can remove the risk entirely; I think it is on this point where the real division lies between the two sides of the House. However, each layer of protection that we have introduced helps to reduce the risk and protect the hard-won progress that we have seen, including for our world-leading vaccine programme. Let me set out for the House some of those measures, which include our clear r assessment of the risk posed from overseas, as set out in the traffic light system; our approach upstream at the border, including the vital work carried out by Border Force staff; our robust in-country measures around enforcement and managed quarantine; and the world-leading scientific expertise informing our entire approach.
The traffic light system essentially categorises countries based on risk, in order to protect public health and the vaccine rollout from variants of covid. The Joint Biosecurity Centre produces risk assessments of countries and territories. Decisions on red, amber or green list assignment and associated border measures are taken by Ministers, who take into account the JBC risk assessment alongside wider public health factors.
The JBC’s risk assessment includes a number of critical factors, including the general epidemiological situation in a country, and the presence and prevalence of known variants of concern, or new variants, as my right hon. Friend the Member for Bournemouth East (Mr Ellwood) has just pointed out. Genomic surveillance capability is critical to the second issue, and the reality is that many countries cannot match the UK’s world-leading capability in that field. We have been open about this approach, and indeed a summary of the JBC’s methodology has been published on gov.uk, alongside the key data that supports Ministers’ decisions.
The rules are firm but fair for passengers arriving in the UK. Red country arrivals must quarantine in a managed quarantine facility for 10 days and take tests on day 2 and day 8. Amber country arrivals must self-isolate in their own accommodation and have a test booked for day 2 and day 8. For green country arrivals, no quarantine is required, but they must have a test on or before day 2 after arrival. All passengers from red, amber and green countries must have a negative pre-departure test. In the interest of continuing to protect public health, the public are advised against leisure travel to countries categorised as amber and red.
Upstream, the success of our travel system relies on everyone playing their part. Carriers have a key role here and are under a legal obligation to check that each passenger has proof of a negative test. They are liable for a fine of up to £2,000 for not complying. The Civil Aviation Authority has issued 630 fines since 1 February to airlines carrying passengers without the right documentation. International arrivals from red countries are required to arrive at designated ports.
Border Force works tirelessly to check all passengers coming into the country. It is continuing to ensure that it has the right level of resources to carry out its duties, maintaining border security and public health, while trying to minimise wait times at the borders at all times. To put that in context, we currently have the highest level of staffing since the 2012 Olympics.
We have been taking steps to significantly improve and speed up processes at the border by digitising a number of checks, including the passenger locator form so that it can be used at e-gates. Those automated checks happen behind the scenes, meaning that people may not be asked to show their passenger locator form to a Border Force officer, but that does not mean that the checks are not happening. However, we have been clear with the public and industry that queues and wait times will be longer if passengers have not completed the necessary requirements to enter the United Kingdom.
Our border measures are backed by a robust enforcement regime. As of 8 June this year, there had been 328,860 amber quarantine compliance visits by a service run by the Home Office, as well as over 600 fines for breach of home isolation. The Home Office runs a service to check that amber arrivals are in fact quarantining at home or other appropriate locations.
We have also taken strong steps where travel from certain countries poses a particularly acute risk to the United Kingdom. On 15 February, we introduced a managed quarantine facility for those arriving from red list countries. That list is under regular review, and we have taken the decision to add countries to the red list to help prevent the spread of variants of concern to the United Kingdom.
All international arrivals from red list countries are expected to quarantine in a Government-approved hotel for 10 days. Before flying, they need to pre-book their hotel, and their testing package for day 2 and day 8 tests, on a Government booking system. They are not allowed to use the test-to-release scheme for early release from quarantine. Those measures are kept under constant review, including the important impact on individuals with family ties in other countries.
The Minister has outlined the protections that are taken, and the work that has taken place has been very impressive. Will he just explain a little more some of the separation arrangements in airports themselves—those points of transit where people come together?
My hon. Friend is absolutely right: as of 1 June, Heathrow has introduced a red list country terminal. Of course, all airports and ports have a responsibility to ensure that passengers arrive and are separated safely when entering.
I am proud that we are also protected by our world-leading genomic sequencing capability, including testing those positives that are discovered on entry. That allows us to analyse the test results of arrivals to identify any new variants of concern as quickly as possible. It not only helps us at home to protect ourselves, but helps the rest of the world, too. It is this world-renowned sequencing capability that informs the traffic light system, allowing us to take swift informed decisions to protect public health. That is something we have not shied away from doing, even in the most difficult of circumstances.
Recognising the strong strategic rationale and success of the vaccine programme, we have commenced work to consider the role of vaccinations in shaping a different set of health and testing measures for inbound travel. Individuals in England who have had a full vaccine course will be able to demonstrate their vaccine status through the covid-19 vaccine certification for outbound international travel, while border health measures at destination countries will be set by the receiving country. Those requirements will be set out for the public to check entry requirements before travelling.
In closing, this Government understand the importance of international travel to the UK public and the success of the United Kingdom itself. We are determined to ensure that the United Kingdom restarts international travel in a safe and considered way, when the science tells us the time is right to do so.
(3 years, 3 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
The hon. Lady will know, because she is on the weekly MPs’ call that I host, that the Joint Committee on Vaccination and Immunisation is looking at this data. In the meantime, because of data provided by the United States of America, we have made the Pfizer-BioNTech and Moderna vaccines available to all pregnant women who are in the eligible cohort. That is happening as we speak. I know that Professor Anthony Harnden, who is the deputy chair of the JCVI, has promised the hon. Lady that the JCVI is looking at the data; when it delivers the advice to us, the system will follow that advice.
The scale and pace with which we are delivering our vaccine programme is a marvellous achievement and a testament to everybody involved. It is how we are able gradually and safely to come out of the restrictions. Will my hon. Friend confirm that we will always be following the science and the data, so that activities can resume as safely and as soon as possible? I am particularly thinking about indoor gatherings for groups such as community choirs, and other events that bring people together. Such activities are so needed to combat the isolation that has hit so many people during the lockdown.
My hon. Friend will know that the reason for restrictions on activities such as choirs and singing is the added transmission through aerosols or droplets. The faster that we can move the vaccination programme, the sooner we can end those restrictions. Therefore, my absolute focus—and my commitment to him—is that we continue at pace. We have a big week this week and a big week next week.
(3 years, 5 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
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It is always a pleasure to serve under your chairmanship, Sir Graham. I congratulate my hon. Friend the Member for Thurrock (Jackie Doyle-Price) on securing this debate.
We all know that the pandemic has put unprecedented pressure on our health services. That, for me, includes pharmacies. I consider pharmacies to be frontline medical services and a really important part of patient care. I emphasise that view, which is clearly shared among those of us in this debate, but I do not think it is a view universally held across the health sector.
Before going any further, I should declare an interest. Many years ago, I worked for Kingfisher and I had responsibility for pharmacy marketing and Superdrug, among other things. As a result, I spent considerable time with pharmacists and understood the value that people place on them. I saw at first hand the expertise and care, and have had much respect and affection for the sector ever since.
This debate is focused on the current crisis. The way that the whole sector has responded—the NHS, pharmacies, the pharmaceutical companies; everybody—has been truly impressive. They have showed agility, which is not always what we expect in large organisations. Their working together has perhaps also taken them to new places.
Pharmacies have remained open and accessible places of advice and reassurance, and, above all, sources of vital medicines. Keeping that flowing was critical. Pharmacies have adapted to new rules and used their positions of trust and authority to really help patients.
I saw a little bit of that doing some volunteering for the Harrogate Easier Living Project. It has not been the quietest time for MPs or I would have done a little more. I helped deliver prescriptions to those who were shielding and visited a number of pharmacies across the constituency as a result. I was impressed by the actions they had taken to keep people safe and to continue their vital work.
When the NHS was rightly dealing with the immediate urgency of this crisis, pharmacies took a pace forward and helped with health advice. They took the pressure off other parts of the system. That is my key point: pharmacists are key frontline health workers. They are owed a debt of thanks and I put my thanks on the record.
The pandemic has shown what pharmacies can do. There is the work of the pharmacy-led vaccination centres. In Knaresborough in my constituency, we have a vaccination centre run by the local company, Homecare Pharmacy Services, at the former Lidl store. It is going great guns. It has the capacity to do 1,000 vaccinations a day, and I have heard nothing but positive reports.
Looking ahead, I can see a role for pharmacies in helping with the likely winter covid booster jab, which is probably going to be part of all our futures, and a role in helping people who take several medicines as they manage what the NHS cheerfully calls “multiple comorbidities”, alongside their regular care and the community value that they bring, day in, day out.
My message is that pharmacies do a lot. They have shown us that, and that they could do more. They have the expertise and trust. They should be at the heart of how frontline health services are planned. A stable, secure pharmacy sector, planning and supported for the future, will be able to add a huge contribution to the health of our nation.
(3 years, 5 months ago)
Commons ChamberSince the six people under discussion with the variant of concern first found in Brazil travelled here, we have introduced further strengthening at the border—the hotel quarantine. I think the best approach would be a UK-wide one. I discussed that with my colleagues in the devolved Administrations and I look forward to a time when we are able to have an aligned policy.
The constituency data released by Public Health England last Friday showed that more than 30,000 people in Harrogate and Knaresborough had had their first dose of the vaccine. This fantastic local performance, alongside the stunning national performance, reflects the expertise, determination and teamwork of many people, and I put on record my gratitude to them. Will my right hon. Friend confirm that we are on track to give everyone their second dose of the vaccine within 12 weeks of the first?
Yes; we have the vaccines available, and local areas need to know that the vaccines will be delivered to them in order for them to meet their schedule commitments for those second jabs. The logistics of the second jab are slightly more complicated than the first, because we need to make sure that the right person gets the right vaccine on the right date. There is a huge amount of work under way as that programme starts—today being 12 weeks to the day since the vaccination programme as a whole started. May I put on the record my thanks to the team in Harrogate, who have done an amazing job vaccinating over 30,000 people—more than the national average, if my memory serves me correctly? I thank my hon. Friend for his leadership in Harrogate and for supporting the team there to make this happen.
(3 years, 6 months ago)
Commons ChamberA total of £600 million has been allocated to tackle almost 1,800 urgent maintenance projects across 178 trusts, all due for completion by March 2012, while £450 million has been invested to upgrade A&E facilities, with funding awarded to over 120 trusts, and improve over 190 urgent treatment sites this winter. In addition, of course, the Prime Minister has confirmed that 40 new hospitals will be built by 2030, with an additional eight further schemes to be identified. Six of these are already under construction. With your permission, Mr Speaker, may I group this question with Question 21?
I am very grateful to my hon. Friend, who is a strong champion and a strong voice for Stoke and for her local hospital. The Government are committed to increasing hospital car parking capacity and supporting trusts to invest in their car parks. We will continue working with NHS England, as well as trusts such as her own, to understand the specific requirements. I understand that an emergency funding application by the Royal Stoke in this respect has been received and is currently being considered. However, I am always happy to discuss with her the specifics of the case she raises.
Harrogate District Hospital, which is an excellent hospital, will be reducing its carbon footprint by a quarter and making energy cost savings thanks to a £40 million Government grant, but the healthcare estate is much more than hospitals: it is also doctors’ surgeries, specialised units and so on. What steps is my hon. Friend taking to ensure that the whole estate, whether large or small, is included in the decarbonisation investment programme?
How could I have failed to remember to group my hon. Friend’s question? I apologise to him. He is right to pay tribute to his local hospital in Harrogate. Zero carbon and environmental sustainability are key design criteria in our 40 hospitals programme, but it is also right, as he says, for that to flow throughout the NHS estate. The NHS’s net zero report provides a detailed plan for decarbonising the whole NHS estate and services. In that context, there is already a range of action under way, including the £50 million NHS energy efficiency fund, which, as a small example, is upgrading lighting across all NHS buildings, big and small, to improve environmental sustainability.
(3 years, 10 months ago)
Commons ChamberThe hon. Gentleman makes an argument that my hon. Friend the Member for Southport (Damien Moore) has consistently made. Why do we not have a conversation about it and see whether we can make any progress?
We know that infection rates are at different levels throughout the country, and that restrictions cause issues for people who suffer from health conditions other than covid and have a huge impact on the economy, but closing pubs in Harrogate or Newquay will not make case levels fall in Manchester or Newcastle, so does my right hon. Friend agree that a blanket national lockdown is wrong and that local interventions are what we need now to tackle this crisis?
Yes, I wholeheartedly agree. The localised and regional approach is increasingly being taken up around the world—for instance, in France. Indeed, Sweden, which has often been discussed in this House, has put in place a system very similar to ours for exactly the sorts of reasons that my hon. Friend has set out.
(3 years, 10 months ago)
Commons ChamberRestrictions curbing when we can go to the pub are against the DNA of our country, but we are in exceptional times, and I recognise that that includes taking measures that people do not like and that Ministers do not like having to introduce. Will my right hon. Friend commit to keeping the restrictions under the closest possible review and in place for the shortest time necessary to protect lives?
I absolutely agree with my hon. Friend, who speaks from the heart.
(3 years, 11 months ago)
Commons ChamberIt is always a pleasure to follow the hon. Member for Strangford (Jim Shannon). The threat and consequences of this dreadful pandemic are so wide-ranging that I will not attempt to cover all the issues that concern me and constituents in Harrogate and Knaresborough. I will focus on one of the current challenges for care homes: their visiting policy.
We all know the real problems that care homes dealt with during the early stages of the pandemic. Caring for and protecting their residents is absolutely paramount for them. We must never forget that we are talking about some of the most vulnerable people in our communities. It was not, and is not, easy to keep people safe, with staff coming in daily and goods arriving daily. I recognised the need for strict isolation at the time but was glad to see rules relaxed to allow visits, including garden visits and visits through glass or windows, but we are seeing situations where no type of visit is, or will be, allowed. I recognise, of course, that care homes have been setting up video calls and doing very good work in trying to help people to stay in touch.
The need to protect people does not go away, and I am not being critical of anyone. I want to highlight the emotional consequences and impact on broader health, including mental health and wellbeing for older people and their families. I am sure that we have all had cases in our constituencies where we have been contacted by families desperate to see their loved ones. Nobody is suggesting an open-door policy, but right now, the restrictions are profound.
A further dimension of this is that many people in care homes suffer from some form of cognitive impairment, often dementia, as the hon. Gentleman just highlighted. In these circumstances, the capacity for residents to understand what is going on and why they cannot see their loved ones is almost inevitably limited, yet the need to see their loved ones is so important. It works the other way, too; the need for families to see their loved ones is important as well. Several constituents have raised this issue with me—I am thinking about Dr Ridpath, Judy Bass, Helen Owens, Anna McIntee and others. Balancing wellbeing and isolation is very difficult, but the emotional consequences of no visits are absolutely profound. These families are just desperate to see their loved ones and have truly heartbreaking stories.
Perhaps the reintroduction of visits—through glass or window visits—could be possible, and while this is impersonal, it is clearly better for people to see their loved ones than not. Perhaps designated very close family members in limited numbers could be given staff status, which would allow them access to testing and could then allow a degree of home access. My point is that there could be ways of allowing visits in some form that would materially help residents and families. While never losing sight of the need to keep homes safe, I ask that Ministers and officials consider this issue in the widest of contexts, remembering the benefits of seeing loved ones.
We have had many statements and questions at the Dispatch Box and I commend Ministers for their diligence. I am very grateful for the opportunity to raise this issue today. This is an astonishingly hard time for Ministers, as the pandemic and our understanding of it has been developing fast. In Harrogate, we have seen the construction of the Nightingale for Yorkshire and the Humber, which happened astonishingly quickly and was welcomed within the community. The focus on vaccines has been impressive. Also impressive has been the scaling up of PPE production following the clear global shortage, which impacted the UK, at the start of the crisis. When he opened the debate, my right hon. Friend the Health Secretary said that at the start of his tenure, just 1% of UK PPE was manufactured in the UK, but the contracted figure is now 70%. That is a huge and positive turnaround, and I am sure that a nimble response with short supply chains will help to provide continuity and a guaranteed supply.
What the Government are asking of people is hard. Civil liberties are being compromised—I do understand that that is for the best of reasons—and restrictions must be in place only for the shortest possible time. Decisions are being taken in good faith, but those decisions still need parliamentary scrutiny; that is our role here as safeguarders of our national liberty. A transparent approach to the science and decision making is necessary to ensure that we take people with us. If we do, and if they understand why a decision has been taken, I think we will see greater compliance, allowing people to resume their lives safely. The greater the compliance, the quicker we will get through this crisis, and the less pain it will cause. We all know that the level of pain has already been very high.
(4 years, 1 month ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
Yes, I would be very happy to meet the hon. Gentleman and the group. This is an incredibly important issue and one that is very close to my heart. I think that many in this House will know that one of our Members lost premature twins very recently. It affects many, many families and we must ensure that NHS services are available to give premature babies the very best chance of life.
Screening programmes help keep people healthy and this Government have expanded them. As the NHS communicates that it is open and that people should seek treatment, will my right hon. Friend ensure that its leaders focus on getting screening programmes back up to full speed and then encourage people to use them and get screened?
I am really glad that my right hon Friend has raised that point, because screening services are so important, including for cancer, which is a subject that has been raised many times in this debate and in the House in general. We are working very hard to expand and reopen screening services, making sure that infection control is possible and that we are using testing effectively, so that when people come forward for screening, they can do so with confidence. My right hon Friend is right to raise the issue. We will keep pushing it, because screening is so important to keeping people healthy.
(4 years, 2 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
The hon. Gentleman may shake his head, but if he asks the same question, he is going to get the same answer.
I strongly welcome the progress made with testing in Harrogate and Knaresborough—we have had mobile testing at the council-owned Hydro unit—but we are seeing black, Asian and minority ethnic members of the community being disproportionately impacted in this pandemic. What steps is the Secretary of State undertaking to provide further testing for those who are most vulnerable?