(6 months, 1 week ago)
Commons ChamberI think the right hon. Lady would have to admit that a lot has been done over the past two or three years, including the setting up of the defence serious crime unit and the defence victim witness care unit. They are important. The general message has been that we have a zero-tolerance approach. It has been, “Come forward. You will be listened to and taken seriously.” It is reasonable to assume that some of the figures are the result of people now having the confidence to come forward, because their complaints will be investigated independently. Previously, that was not the case.
(3 years, 5 months ago)
Commons ChamberBeing certified as having had a vaccine includes being on a vaccine clinical trial. The deputy chief medical officer, Professor Jonathan Van-Tam, has written to participants in vaccine clinical trials, who are doing, as my right hon Friend says, a great service to their country and indeed to the world by offering themselves to have an unlicensed vaccine in order to check that it works. I am very grateful to all of them. We will not put them in a more difficult position because of that.
We will make sure that when it comes to someone proving that they have been certified as vaccinated, being on a clinical trial counts as certified and continues to count as certified during a grace period after they are unblinded, so that if they are in the placebo arm, they can get both jabs and will not be disadvantaged for being on the clinical trial. That is a very important point. I am very glad that right hon. Friend raises it. If anybody from any part of the House gets that question from a constituent, please point them to the comprehensive letter by Professor Jonathan Van-Tam that explains and reassures.
I am grateful to my right hon. Friend. May I commend him for the efforts he has put in to keeping colleagues informed and responding to their questions along the way? It has been extremely good. Can I press him on this two-week break point that he and the Prime Minister have referred to? What underpins that? Is it simply a desire to get through a certain number of vaccinations—a figure that he presumably already knows? Or is it uncertainty over the data as it currently exists, because if it is, and given that this should be led by the data, there is every likelihood that in the next few days, we will get some indication as to whether the increase in the delta variant incidence is being translated into intensive care unit admissions and deaths? Can he give me and others considering how to vote this evening any comfort on that two-week point? If we have the sense that there may indeed be a genuine break at that point—if those cases do not translate into deaths or ICU admissions—we will be a little more comfortable.
As so often, my right hon. Friend, who is one of the most astute medical practitioners in this House—crikey, I could get myself into trouble there, because all the medical practitioners in this House are astute, but he is also a public health expert. I will start again. My right hon. Friend’s point was a really good one and very astute. He is exactly right about our approach: the two-week review is a data review.
Up to around 10 days to a week before the decision making cut-off for the proposal to take step 4 on 21 June, it looked like hospitalisations were staying flat, despite rising case rates. We did not know whether that was because of a lag or because there was now going to be no cases turning into hospitalisations. That remains the case now for the link to the number of people dying, because the number of people dying each day in England is actually slightly falling at the moment—thank goodness —and there has not been a rise in the number of deaths following the rise in the case rates, which started about three weeks ago. Within a couple of weeks, we will know whether that continues to be flat or whether it rises a little. It has risen a little in Scotland; I just put that warning out there. That is precisely the sort of data that we will be looking at at the two-week point. We have been absolutely clear that the goal on which we hang the decision ahead of 19 July is one of delivering the vaccines, and we have a very high degree of confidence that we can deliver the vaccines that we think are needed in order to be able to take step 4 on 19 July.
I hope that was a clear and comprehensive answer, once I untangled myself from my initial response to my right hon. Friend.
(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
How does my right hon. Friend account for the yawning difference between the account given to the Select Committee yesterday and rehearsed by the Opposition today, and the balanced and objective accounts that continue to be given by the National Audit Office on this pandemic, notably the one published earlier this month detailing the Government’s response to the pandemic? May I ask specifically how he will take forward one of the principal recommendations of that report—that we need to plan for a sustainable healthcare workforce that can be organised at pace in the event of a future emergency of this sort, and that we particularly need individuals who are properly skilled and updated to fill gaps that may arise as a result of a future pandemic?
My right hon. Friend is quite right on both points. Not only have we been transparent and accountable to this House, and straight with this House about the challenges, but we have welcomed the National Audit Office into Government throughout the pandemic, and it has published repeatedly. For instance, it published on personal protective equipment, showing that we successfully avoided a national outage of PPE. It has reported on every aspect of the pandemic, and we have learned the lessons that are in those reports. I recommend to the House the National Audit Office’s latest publication, which summarises all these lessons and learnings. My right hon. Friend is absolutely right that one of those is making sure that we have high-quality workforce planning for the future.
(3 years, 6 months ago)
Commons ChamberThe staggering success of the covid vaccination programme means that on current trends, sadly, non-covid viruses may well kill more people this winter than the coronavirus. Is my right hon. Friend confident that an effective flu jab will be available to address this year’s emergent strains of flu? What will he do to maximise uptake of the flu vaccine by vulnerable groups? What is the latest on a covid booster dose this autumn? Would the flu jab be given at the same time?
My right hon. Friend is quite right to ask all those questions. In fact, I met Simon Stevens and the Minister for Covid Vaccine Deployment about the matter this morning, because we want to ensure that the flu vaccine programme this winter is a success. We had the biggest flu vaccination programme in history last winter. We are currently trialling the co-administration of flu and covid vaccines—I am waving my hands because one goes in each arm. We are looking at that for the autumn as part of a booster programme for covid. A lot of work is under way in this space; I suggest that my right hon. Friend discusses it with the Minister for Covid Vaccine Deployment, who is now responsible both for the covid programme and for the flu programme, in order to better tie them together.
(3 years, 10 months ago)
Commons ChamberWe have to see the impact of that vaccination on the reduction in the number of deaths, which I very much hope we will see at that point. That is why we will take an evidence-led move down through the tiers when—I hope—we have broken the link between cases and hospitalisations and deaths. We will need to see the protection in lived reality on the ground, but we will watch this like a hawk. My aim is to keep these restrictions in place for not a moment longer than they are necessary.
I thank the Secretary of State for everything he is doing, but the logic of his anticipating what is going to happen in two, three or four weeks’ time from the number of cases we are getting at the moment is that we can do the same in reverse. That is to say that when we have a sufficient number of people vaccinated, we can anticipate how many deaths will have been avoided in two, three or four weeks’ time. As this cuts both ways, that means that he will be able to make a decision on when we should end these restrictions, as my right hon. Friend the Member for Forest of Dean (Mr Harper) has just suggested.
The logic of the case made by my right hon. Friend the Member for South West Wiltshire (Dr Murrison) is right, and we want to see that happen in empirical evidence on the ground. This hope for the weeks ahead does not, however, take away from the serious and immediate threat posed now, and I wish to turn to what is in the regulations and the actions we need to take.
The Office for National Statistics has reported that one in 50 of the population has the disease, some with symptoms and some without. The latest figures show that we have 30,074 covid patients in UK hospitals and that the NHS is under significant pressure. Admissions are now higher than at any point in the pandemic, and so on Monday all four UK chief medical officers recommended that we move the country to covid-19 alert level 5. In practice, that means that they believe that without action there is a material risk of healthcare services being overwhelmed. It is for that reason that we have placed England into a national lockdown, alongside action taken in each of the devolved nations. Every single citizen needs to take steps to control this new variant, and this personal responsibility is important. To give the NHS a fighting chance to do its vital work of saving lives, it is on all of us to support it.
The regulations set out that everyone must stay at home save for a limited number of reasons permitted in law, including: essential shopping; work, if it cannot reasonably be done from home; education or childcare if eligible to attend; medical needs, including getting a covid test or getting vaccinated; exercise; escaping domestic abuse; and for support bubbles where people are eligible. These regulations are based on the existing tier 4 regulations, with some additional measures that reinforce the stay-at-home imperative.
These include: stopping the sale of alcohol through takeaway or click and collect services; and closing sport and leisure facilities, although allowing playgrounds and allotments to remain open. I know that these further restrictions are difficult, but, unfortunately, they are necessary, because we must minimise social interaction to get this virus back under control. These measures came into force first thing this morning under the emergency procedure and will remain in force subject to the approval of this House today.
(3 years, 11 months ago)
Commons ChamberWe are very happy to work with Devon County Council if it wants to come forward for that sort of model. We are constantly learning from around the country. The local-national partnerships often bring lessons, because people have chosen to do things slightly differently in a local area, and we can all learn from that. As for Devon coming into tier 1, Devon does have lower rates than many places, but it is not the lowest area in tier 2, as that honour belongs to my own county of Suffolk. There are elevated numbers of cases in some parts of Devon. What I urge everyone in Devon to do to get into tier 1 is to abide by the tier 2 rules and, more than that, to take personal responsibility to do all they can to reduce the spread of the virus.
I say a big well done to everybody involved with this triumph. I share the Secretary of State’s concern over vaccine hesitancy, and he is right to say that everyone in this House has a duty to try to dispel it. Does he agree that, had this House not taken the decision on 16 October to empower the nimble MHRA and leave regulation instead to the European Medicines Agency until 31 December, he would not be in this happy position today?
Yes, I am very glad that we changed the law to allow the MHRA to make this authorisation on UK terms. This House voted unanimously to do that—well, we did not even have a vote as it went through without one. I am really glad that we were able to do that. I want to thank my right hon. Friend for his support and encouragement throughout this period. It has been a very, very long year as Health Secretary and I really appreciate his support.
(4 years, 1 month ago)
Commons ChamberWe keep the countries on the quarantine list under review—absolutely we do—and that is a weekly exercise that is led by my right hon. Friend the Transport Secretary.
There is now compelling evidence to suggest that vitamin D may be useful in reducing mortality and morbidity from this disease. It is safe, it is cheap, and it is already recommended by the Secretary of State’s Department for certain groups. Given our need to tackle this disease, and given that vitamin D requires three months to build up sufficiently to protect against respiratory infections, what advice will he give urgently on the use of this particular intervention?
We are increasing the communications to people about the benefits of vitamin D, and as I said to the House on Thursday last week, we are also instituting further research into the points that he, as an experienced and qualified medical professional, sets out so clearly.
(4 years, 4 months ago)
Commons ChamberYes. I know the Welsh borders extremely well. My hon. Friend is right to raise the need to work cross-border. We work as closely as we can, supporting the Welsh Government, for example, with their testing capacity and with test and trace. We are working on better data sharing between the two Governments, not least because of the importance for those who travel across the border.
I can get a routine blood test result on the same day with no problem, but a swab test typically takes days, not hours, severely limiting its usefulness as a public health tool, as the hon. Member for Central Ayrshire (Dr Whitford) described. Does my right hon. Friend believe that directors of public health should have access to comprehensive datasets in good time if they are to identify the clusters that he envisages in his statement?
(4 years, 8 months ago)
Commons ChamberI am very reassured to hear that by the end of the week, care settings will all get PPE, which is not what the leader of my council was being told recently. I accept the Secretary of State’s reassurance: it is really good news. Can he further reassure me that the PPE, when it arrives, will be to the right specification, in particular FFP3 respirator masks and not simply paper masks, which are next to useless?
If there are specific concerns about the non-delivery of PPE to council settings, I want to know about them through the hotline that we have set up precisely to short-circuit such problems having to be brought to my attention on the Floor of the House. Let us fix them directly. On the second point, it has got to be the right stuff according to the clinical guidelines.
(4 years, 8 months ago)
Commons ChamberI want to bring to the attention of the House to the professional indemnity clauses. Where there is no existing professional indemnity agreement in place the Bill provides legal protection for the additional clinical responsibilities that healthcare staff may be required to take on as part of the coronavirus response. I do not want any clinician not to do anything that they can do because that they worry about indemnity and what might happen if it goes wrong. I want everybody in the NHS to do their very best to the top of their qualification, looking after people and keeping them safe.
I commend the Health Secretary on everything that he and his team are doing. To ensure that returning healthcare professionals can do so at the right time, when the disease peaks around Easter, we have to move at pace to put the indemnity that he has cited in place, to ensure that people are physically and mentally fit to do this work and, crucially, to ensure that they are skilled or reskilled to do what we are asking of them. Can he assure the House that those three things are being put in place?
(4 years, 8 months ago)
Commons ChamberOf course we will provide guidance in languages other than English. We are developing this guidance at speed, and I commit to making that available as soon as we practically can.
May I commend my right hon. Friend for the sure-footed way he has approached this, and the hon. Member for Leicester South (Jonathan Ashworth) for his balanced and measured response? The Health Secretary knows well that the problem with intensive treatment units and intensivism is not so much the kit, as the people. What is he doing to ensure that clinicians within the service who are in non-acute specialties are given the skills they need to deal with what may be coming?
As my right hon. Friend knows, we are inviting and encouraging recent retirees and health care leavers back in, and we will provide for some of that in the Bill. We are also ensuring that as we make what is effectively a big change to the NHS case mix, and do fewer elective operations and focus more on respiratory diseases and coronavirus, there will be a retraining exercise for people to go on.
(4 years, 8 months ago)
Commons ChamberAs I say, the good news is that local authorities can all plan, with confidence, on the basis that these budgets are going up in real terms, and the exact details will be set out imminently.
Traditionally, public health was about infectious diseases and sanitation. More recently, it has become about lifestyle issues. Given the epidemics of the 21st century, particularly covid-19, what measures will the Secretary of State be taking, in allocating the public health grant, to refocus on infectious diseases, both current and those that are likely to come?
That is an incredibly important question—one that we will be addressing in the run-up to the spending review. The truth is that the public health grant is but one small part of the overall effort of local authorities to improve the health of the residents they serve. Although it is an important part, and it is good that it is going up in real terms for every local authority, we have clearly got to ensure that the whole effort of a local authority is there to improve public health.
(4 years, 8 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 not seen those specific reports, but I know that the House of Commons Commission met this morning. Parliamentary accountability is incredibly important. I will be doing all that I can to ensure that Parliament stays open through this process, and that we follow the clinical advice on how that can happen so that we keep that parliamentary accountability. It is a decision for the House, but my position and that of the Government is clear.
The Government are absolutely right to be putting a lot of public money into research on a possible vaccine, but the Secretary of State will know that research is no good unless we can produce vaccine at scale, and this country is not great at doing that. What can he do to ensure that we grow indigenous capacity very quickly so that the public, and particularly key workers in our health service, do not have to wait in line when a vaccine becomes available?
My right hon. Friend raises an important point. We do have significant vaccine capabilities, and not only in research, where we are world-class, but in some production, for instance in Hamilton in Scotland. The broader point is that investment in the whole production chain and not just research is critical.
(4 years, 9 months ago)
Commons ChamberThe hon. Lady is right with regard to concerns about under-reporting, especially in some countries. I am afraid I do not recognise some of her clinical observations, and I do not recognise the idea that we should change travel advice between China and Italy. We should base travel advice on expert clinical evidence. I am very happy to ensure that she receives a full briefing from medical experts, so that she can get the clinical points right.
On thermal detection, rather like stopping flights this is against clinical advice. The clinical advice is not to undertake thermal detection, because we get a lot of false positives. Indeed, the only country I know of in Europe that undertook thermal detection at the border was Italy and that is now the scene of the largest outbreak.
Finally, the hon. Lady made a very important point about people in work and self-isolation. Self-isolation on medical advice is considered sickness for employment purposes. That is a very important message for employers and those who can go home and self-isolate as if they were sick, because it is for medical reasons.
Mercifully, nobody in this country has yet died of coronavirus, but every year 600 people die of seasonal flu. In the phase to which my right hon. Friend refers, is he redoubling our efforts to ensure that the elderly and the vulnerable in particular are vaccinated against seasonal flu, therefore perhaps mitigating pressures on our national health service in the event that coronavirus becomes more of a problem here and makes demands particularly on intensive care beds?
My right hon. Friend is absolutely right. The vaccination rate was, I think, at a record level this year, and it is very important. The simple measures that everybody can take, such as washing hands and using tissues, protect us against flu as well as coronavirus.