(3 years, 6 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
I have answered this question many times, and the challenge is that we had to build the testing capacity. At that time, of course I was focused on protecting people in care homes and in building that testing capacity, so that we had the daily tests to be able to ensure that availability was more widespread. That is at the heart of the importance of the then 100,000 target, and we are now up to a position where we have millions of tests available per day.
Surely it cannot be in anyone’s interests, least of all those who are mourning loved ones, for the mob to descend and judge and preoccupy my right hon. Friend at this point in the pandemic. The Government have made clear that there will be a full public inquiry, and that is when hindsight can and should prevail. Now, surely, it is in all our interests that he gets on with his work, bringing his experience to bear on saving lives and carrying out this excellent vaccination programme. Will he meet a cross-party delegation of West Midlands metropolitan leaders who are keen to work with him to deliver those common objectives?
Yes, those are common objectives. The way my right hon. Friend puts it is absolutely spot on. I would be delighted to meet him and west midlands leaders to ensure we can roll out the vaccination effort as quickly and as effectively as possible in order to both save lives and get us out of this pandemic.
(3 years, 11 months ago)
Commons ChamberCare at the end of life is a crucial part of our health and care system, and we are committed to improving the quality of care for those at the end of life. Current practice is informed by a range of evidence, including guidelines issued by the National Institute for Health and Care Excellence. The Government are open to gathering data on the experiences of terminally ill people in order to inform the debate.
May I also express my gratitude to the NHS in all its many forms in the Royal Town of Sutton Coldfield for their hard work over Christmas and new year, including giving me a new knee?
I thank the Secretary of State for managing to take an interest in this important subject when he is so stretched on so many other fronts. Nearly 10% of suicides are by people who are terminally ill, and the all-party group that I have the privilege of co-chairing will hear from a mother this afternoon whose terminally ill son took his own life by throwing himself under an HGV on the north circular.
To add to knowledge, information and understanding, will the Secretary of State and his Department make a point of working with coroners and the Office for National Statistics from across the country, so that we can understand the true extent of these tragedies?
I am very happy to look at the suggestion that my right hon. Friend makes on this very sensitive subject. We want to see the highest possible standards of patient safety and, of course, to reduce the number of suicides, and it is important in pursuing that to have as much information and evidence as possible.
(4 years, 1 month ago)
Commons ChamberTo ask the Secretary of State for Health and Social Care if he will make a statement on the impact of new coronavirus regulations on the ability of terminally ill adults to travel abroad for an assisted death.
Issues of life and death are some of the most difficult subjects that come before us in this House, and the question of how we best support people in their choices at the end of their life is a complex moral issue that when considered, weighs heavily upon us all. My right hon. Friend the Member for Sutton Coldfield (Mr Mitchell) asked an important question and I want to set out the precise position. Under the current law, based on the Suicide Act 1961, it is an offence to encourage or assist the death of another person. However, it is legal to travel abroad for the purpose of assisted dying where it is allowed in that jurisdiction. The new coronavirus regulations, which come into force today, place restrictions on leaving the home without a reasonable excuse; travelling abroad for the purpose of assisted dying is a reasonable excuse, so anyone doing so would not be breaking the law. These coronavirus regulations do not change the existing legal position on assisted dying.
As this is a matter of conscience, the Government do not take a position. It is instead a matter for each and every Member of Parliament to speak on and vote according to their sincerely held beliefs, and it is for the will of the House to decide whether the law should change. The global devastation of the coronavirus pandemic has brought to the fore the importance of high-quality palliative care, just as it has shone a spotlight on so many issues and, as difficult as it may be, I welcome this opportunity to have this conversation about assisted dying, as it is one of the most sensitive elements of end-of-life care.
I have the greatest sympathy for anyone who has suffered pain in dying or suffered the pain of watching a loved one battle a terminal degenerative condition, and I share a deep respect for friends and colleagues in all parts of the House who share and hold strong views. I am pleased that the House has been given this opportunity to discuss the impact of the pandemic on one of the most difficult ethical questions that we face.
Thank you, Mr Speaker, for granting this urgent question, and thank you to my right hon. Friend for responding himself.
This is an issue of conscience for us as Members of this House. I respect those who take a different view from me, not least because theirs was previously my view. Colleagues may have seen, over the weekend, the news reports about a woman who this week travelled to Switzerland to end her life in order to avoid travel restrictions. As a frontline NHS worker with terminal breast cancer, she did not want to run the risk of dying in great pain and without dignity. The new regulations that have come into force today could deter anyone else from travelling to Switzerland for an assisted death. That will undoubtedly cause many more Britons to suffer as they die, due to a lack of a safeguarded law here in the UK, although I am most grateful to my right hon. Friend for clarifying the precise legal circumstances.
In the light of the radical shift of the views of the medical profession two weeks ago, the recent legislative change in New Zealand this week and groundbreaking progress in southern Ireland, along with the continuing and massive support for law reform from the British public, will the Government, from their position of neutrality, enable all of us to understand three things—first, the extent of suffering that the blanket ban on assisted dying is causing dying people and their families; secondly, the challenges that the current law is creating for healthcare professionals, police officers and other public servants; and thirdly, what the UK can learn from international evidence on the operation of assisted dying laws, and their safeguards, in the United States, Australia and Canada?
I am supporting a very tight reform that would allow someone who is terminally ill, within six months of the end of their life, and who has themselves decided that this is the end of life they want, independently certified by two doctors and confirmed as their independent decision by a High Court judge, to end their life, as is their choice.
I pay tribute to my right hon. Friend for the way in which he puts his case. Of course, we acknowledge the changing views of many, including many in the medical profession, and, of course, we observe the changes in the international debate. I think it is absolutely reasonable for this House to have a conversation and discussion on what is an important topic, and it is right that we locate that question within a broader discussion of how we care for people at the end of their lives, which, because of the coronavirus pandemic, has sadly become a central issue of public debate in this country.
(4 years, 2 months ago)
Commons ChamberYes, absolutely. We are doing precisely that. The way it works where it works best is that the big national system makes the immediate and rapid contact with people who test positive—for more than half of people that is immediately successful—and then when contacts are harder to make the data is passed to the local teams, which do not have the scale to do the immediate, rapid contacting but do have the boots on the ground and the local knowledge. That combination of the two is what works best where it works well.
My right hon. Friend is making a compelling case, but will he bear in mind that in the west midlands we are concerned that yesterday’s change was made on the basis of neatness, not of medical need? Will he reassure me that he will always listen carefully to the West Midlands Mayor, Andy Street, as these matters all develop?
Yes. The introduction of the three-level system means that, in some areas where the local area has been working so effectively to get the curve flattened, as in the west midlands, under the leadership of Andy Street—there has been a rise in the past few days of data, but essentially a huge amount of progress has been made—changes have had to be made. However, I will absolutely recommit to working with Andy Street, who is an incredibly effective voice for the west midlands, to make sure that what we can do together can best deliver to control the virus in the west midlands. I pay tribute to my right hon. Friend, who makes the case on this so effectively, because protecting our economy and protecting our health are not alternatives. We must act and keep the virus under control to protect lives and livelihoods. I strongly believe that every one of us, young or old, has the ability to suppress the virus through the actions we take and the best way to protect the vulnerable, support the NHS and protect the economy is to get the rate of transmission down.
I turn to the steps we are taking to do that and, therefore, the instruments before the House today. Yesterday, the Prime Minister provided an update on the measures we are taking, which centre on three local covid alert levels in England.
(4 years, 2 months ago)
Commons ChamberI am delighted to have the chance to agree wholeheartedly with the First Minister of Scotland. We have been working closely together to ensure that the apps work together and interoperate in different parts of the United Kingdom. That upgrade is expected in the coming weeks. The two Governments are working very hard and very constructively on it.
May I thank my right hon. Friend for the way that he has worked so closely with us in the west midlands? He knows that, first and foremost, I am in favour of community solidarity and good sense, rather than legal diktat and Government fiat. Will he commend those universities that have already introduced student responsibility agreements as a way of furthering all of that? Will he bear in mind later on this week that our highly effective Mayor in the west midlands Andy Street, the Labour leader of Birmingham City Council and I are all of one mind, together with Justin Varney, the excellent head of public health in Birmingham, that the current level of infection rates mean that there should be no further changes there this week?
I concur with my right hon. Friend on the importance of personal responsibility. We all have a responsibility in this. I have not heard of responsibility agreements with students, but that is a very sensible approach. I spoke to Andy Street this morning, and he made clear to me the need for national and local government to work together. That is working very effectively across the west midlands and across party lines, exactly as my right hon. Friend says. We must continue to do that as we monitor the developments and the data and do all we can to keep this virus under control.
(4 years, 2 months ago)
Commons ChamberThe principle of the Coronavirus Act is that it underpins so many of the actions that are necessary. To vote down the Act and not to renew it would lead to an undermining of the actions that we need to take to keep this country safe.
I have a lot of sympathy with what the Secretary of State is saying, but may I also support what was said by the hon. Member for Westmorland and Lonsdale (Tim Farron), not only about the wedding industry but about the exhibitions and events industry? Will my right hon. Friend at least bear in mind that good sense from careful people who seek to be covid-sensible and compliant would enable him to exercise some flexibility in the very inflexible rules that currently govern those two important industries, which are flat on their backs?
We are always happy to look at the evidence on how these things can be done—absolutely. I would be very happy to talk to my right hon. Friend about how we can take this forward.
(4 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
As the hon. Gentleman outlined in his question, we have put an enormous amount of testing into Manchester. There is availability in Manchester because there is a prioritisation on testing. Because it is such an outbreak area, we have put in a huge quantity of tests. As I have said repeatedly, there are operational challenges, but thousands of people are being tested in Manchester every day, to get a grip of the outbreak there.
My right hon. Friend has my sympathy and support as he discharges his duties. He is well aware of the position across the west midlands and, in particular, in the royal town of Sutton Coldfield, where we do have testing difficulties. I am very concerned to hear today that Ley Hill Surgery has no fewer than four GPs who are having to self-isolate and cannot get a test. May I make two points to him? First, I join with those who want an exemption for informal childcare, so that parents in certain circumstances can still go to work. Secondly, I ask him to look at a system whereby all Members of Parliament get access to regular infection rate details both by local government wards and by postcodes?
I am very grateful for my right hon. Friend’s support. I am working very closely with him and with the other Birmingham MPs, because there is a serious challenge in Birmingham and in other parts of the west midlands. On the point about getting the data down to a ward level, I will absolutely ensure that he gets that data. We look at it down to a lower super-output area level, and we publish that data weekly. I will ensure that it gets to him and that we get the full details of exactly how many cases there are in each part of Birmingham. I recognise that, while Sutton Coldfield is in the Birmingham local authority, it has a distinct geography within that area. As he knows, both from our discussions and from how we have acted in other parts of the country, we will take action on a sub-local authority area where that is supported by the data. Unfortunately, for now, we do have that local action in Sutton Coldfield, but we keep it constantly under review.
(4 years, 7 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
Yes, absolutely it is important to learn from everywhere around the world. This epidemic has had a different shape in different parts of the world and, as the hon. Lady knows, a significant impact throughout Europe.
It is good to see my right hon. Friend bearing up so well under the considerable burdens of his office. Can he reassure me that the PPE supply into the UK and within the UK is now flowing into all care homes in a timely and comprehensive manner? I am concerned that those who are running our care homes so well in Sutton Coldfield should have the security of knowing that they can rely on continuous supply.
Yes, I can reassure my right hon. Friend—I thank him for what he said about the work we are doing in the Department—first, that supplies of PPE into the country and buying around the world have improved significantly, and we have put huge amounts of effort into improving that. Secondly, the supply, once the equipment is in the country, out into the care homes and where it needs to be is improving all the time. The number of care homes reporting that they are within 48 hours of a stock out, which is the measure we use, has been falling and is less than half what it was a month ago, but we of course keep working to get that number down. When a care home is within two days of a stock out, we immediately work to get it the PPE that it needs.
(4 years, 9 months ago)
Commons ChamberI can confirm that the Bill is to deal with the current coronavirus emergency, and that is an important point. But I would also say that although the world has changed in the past three weeks in ways that many could not have imagined, every measure that has been taken by the Government has been part of the action plan that we published three weeks ago. Of course, the Bill has been drafted over a long period, because it started on the basis of the pandemic flu plan that was standard before coronavirus existed and has been worked on over the past three months at incredible pace by a brilliant team of officials right across Government. The Bill is consistent with the action plan, so while some people might have been surprised by each of the measures we have taken, they have all been part of the plan that we set out right at the start. I can confirm that it is only for coronavirus.
I also want to give further detail to my previous answer to the hon. Member for Cardiff South and Penarth (Stephen Doughty), which is that section 21 does not specify what it defines as a gathering or an event. It is deliberately broad, so it could include a care home, should we need it to, and that would be defined in secondary legislation should that be necessary.
I am sure the whole House will want to support my right hon. Friend and the provisions in the Bill. I just want to reinforce two points. The first is that I was very concerned to see the two-year provision, which is why I put my name to new clauses 1 and 6, and I am very pleased to hear what the Government have said about the six-month review. Notwithstanding what he just said about the period of time in which this has been produced, it is a heroic effort— 321 pages of legislation which may well be subject to changes in the next few weeks and months as this crisis develops. I hope, therefore, that he will see the six-month review not just as a rubber-stamping effort, but as a chance to improve the legislation, should it require that improvement.
We could consider that. The proposal is to have a debate and vote as opposed to a whole new piece of legislation and, of course, only to renew it if the measures in the Bill are still necessary. Then, of course, they will fall after two years. I understand the concern of my right hon. Friend and his wisdom. I know that as Secretary of State he dealt with some of these issues, albeit not here but around the world, and he knows the sorts of measures that are needed, which are contained in the Bill.