Public Health

Andrew Murrison Excerpts

Tuesday 1st December 2020 Commons Chamber

[Dr Andrew Murrison (South West Wiltshire) (Con)]

I find myself more able to support the Government today than I was on 5 November, and the reason for that is that last month I was concerned about the lack of a plan B and the fact that we might have to have such a thing in the event of the prospect of a third, fourth or fifth wave of this terrible virus. It seems that we are now on the brink of a game changer, in a way that perhaps we could not be confident about last month. That is important, because in the event that we can turn this around in the near future, the need for protected isolation falls away. It is for that reason that I see the logic of what the Government are attempting to do on this occasion, in a way that was eluding me ever so slightly on 5 November. The other thing that probably gets it over the line for me is that the UK appears, with what is proposed for tomorrow onwards, to be doing more or less the same as other similar jurisdictions. That is not just followership; it is important because each one of those countries, with all their experts, will have been making similar assessments and coming to broadly the same conclusions.

We saw in the leaked documents in October that our hospitals in the south-west and the midlands would have been the first to go over capacity. There is a big difference between the two, however, in that the prevalence of the disease in the midlands was much larger than in the south-west. The documents suggested that the hospitals in the south-west would have been overwhelmed on 9 November and the Nightingales on 24 November. In the event, at peak, my largest hospital, the Royal United Hospital in Bath, had 70 cases, and that was on 24 November, 19 days after lockdown. That seems to vindicate the model, the action and even perhaps the broadbrush tiering approach now being proposed by the Government, apropos the point about the midlands and the south-west.

In all this, we have to understand that there is a huge margin of uncertainty. We also need to understand that the facts are changing all the time. I say to some of my colleagues that we have to accept that sometimes there is no evidence in the way that maths, physics and chemistry provide us with evidence, and that we have to deal instead with what appears to be biologically plausible. We have to look at outbreak studies, and we have to look at the application of common sense to anecdote. I, too, am disappointed that the proposed tiering system has so little granularity. We have found, to our dismay, that the tools to do comprehensive contact tracing that would have facilitated such granularity are simply no longer there. Even Germany is now finding that to be the case. In two weeks’ time, it is to be hoped that we will have been able to appraise the situation against the five points, plus the knowledge of human geography that we facilitated with the restrictive measures we put in place earlier this year, and that, where appropriate, boroughs and districts will be able to be re-tiered to the satisfaction of colleagues.

The fundamental problem is our lack of public health capacity, and that is something we need to address in the longer term, notwithstanding the positive early steps the Government have taken at pace in relation to things such as the Joint Biosecurity Centre and the National Institute for Health Protection. Finally, in agreeing with my right hon. Friend the Member for Ashford (Damian Green), I would say that the Prime Minister is no natural Grinch, but we have to be very careful that we do not have five days of partying over Christmas only to regret it in January.