(3 years, 6 months ago)
Commons ChamberMy right hon. Friend will appreciate the importance of maximising the vaccine available to GPs by using both the Pfizer vaccine and the Oxford-AstraZeneca vaccine, but in recent weeks the volume of Oxford-AstraZeneca going to GP sites has been higher than that of Pfizer, allowing the flex to visit the housebound and care homes and to deploy at individual practices in rural areas, as he rightly points out. Any site that wishes to discuss its vaccine allocations should do so with its local system in the first instance, and thereafter with the NHS regional team, but I am very happy to look at any specific examples.
The Minister was uncharacteristically coy in answer to the hon. Member for The Cotswolds (Sir Geoffrey Clifton-Brown) about how we will kick on after the top four priority groups have been vaccinated. Will he give us a bit more detail about when he believes all adults over 50 will have received their vaccination? Clearly there are members of his own party who wish to open up faster than that, and with more than 1,000 people a day still dying, we have to ensure that we make the right decisions.
I will keep it short, Madam Deputy Speaker. My target is mid-February for the top four cohorts. Either I or the Secretary of State will then come to the Dispatch Box to share with the House the plan beyond category 4, into categories 5, 6, 7, 8 and 9.
(3 years, 6 months ago)
Commons ChamberI pay tribute to all those working in Harlow, including at the Harlow mass vaccination site, and also to the GPs and the pharmacists who are working so hard to vaccinate people right across Harlow.
On the question of the JCVI ordering and the prioritisation for vaccination, as my right hon. Friend knows, I think the best approach is to take the clinical advice and to follow that clinical advice. The sorts of considerations that he raises are an important part of the JCVI deliberations. I know it has looked very closely at the subject he raises. What matters now that it has made and published its decision is that we drive through the vaccination programme to get through as many of those groups as possible, and I am very pleased to see the hundreds of thousands of new vaccinations that are taking place every day.
SAGE warned about the dangers of the South Africa strain weeks ago, but the Prime Minister dragged his feet, and he has now decided on a partial quarantine arrangement that SAGE has already warned will be ineffective in preventing further introduction of this variant. Is it not the case that, once again, the Government have acted too little and too late to stop the spread of this new and dangerous variant in the UK?
No, on the contrary, we removed the travel corridors to ensure there is a self-isolation requirement that is mandatory for all those who are coming to this country. Protecting this country from new variants coming from abroad is important, hence we have taken the action swiftly, and we did that on the basis of the scientific evidence.
(3 years, 7 months ago)
Commons ChamberThe Secretary of State has today announced 23 more areas that will move into tier 4. Three quarters of the country is now in tier 4. How long before he looks at this again and can make other announcements? What further escalation will he be considering if even tier 4 does not bring down these soaring infection rates?
For areas in tier 4 where we still need to get the infection rate down, the most important thing we can all do is take responsibility to restrict the spread of infection, because this new variant spreads so easily from person to person. Everybody has to behave. If everybody behaves like they might have the virus and therefore restricts their social contact, that is the best way we can get these rates down. It does take all of us do this; it is not just about the rules that are set out from this Dispatch Box and voted on by this House.
I know that people in Wallasey and across Liverpool have done so much and got the rates right down under control, but unfortunately they have started to rise again, and with the new variant, it has been necessary to put Liverpool into tier 3. I just hope, like the rest of the country, that we can get out of this after the next few difficult weeks.
(3 years, 8 months ago)
Commons ChamberYes, I absolutely will. I pay tribute to their work on preparing for the vaccine roll-out, and also their work in keeping the virus under control, which is such an important task, is so difficult, and has consumed so much effort this year, yet there is still more work to be done over this winter to get the vaccine rolled out.
Two injections per person for everyone in the country is going to take an awful long time. The Prime Minister was hoping that it would be done by Easter. Does the Health Secretary share that timetable or will he publish another one? Is he planning on making this vaccine available again next year, since we do not know how long immunity lasts, and covid is likely to be endemic and with us for some time to come?
The hon. Lady asks two incredibly important questions, the first of which the hon. Member for Leicester South (Jonathan Ashworth) asked and I did not answer, for which I apologise. The speed at which we can continue this roll-out will be determined by the speed at which Pfizer can manufacture and whether the AstraZeneca Oxford vaccine, of which we have 100 million doses on order, is approved by the MHRA. I am afraid that I cannot answer the hon. Lady’s question on the timetable, or indeed the hon. Gentleman’s, because it is dependent on the approval of AstraZeneca and the manufacturing process of the Pfizer vaccine.
On the hon. Lady’s second question, I have completely forgotten what it was. [Hon. Members: “Next year.”] Next year, yes, and whether this vaccine is only short-term. One of the reasons we have 357 million doses from seven different vaccines is to be able to vaccinate with further doses if that is needed in due course, whether that is through re-procurement of one of the existing vaccines or by switching to a different vaccine if that is clinically appropriate. That is absolutely part of the potential future plans that we have under consideration, but it is too early to know the answer to that question as well.
(3 years, 9 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.
This information is provided by Parallel Parliament and does not comprise part of the offical record
I was just about to conclude, and I believe that the hon. Gentleman has a couple of minutes at the end.
(3 years, 9 months ago)
Commons ChamberWe are now issuing test kits to 84 directors of public health across the country. I am very happy to work with Derbyshire and Derby to make sure that my hon. Friend’s request is taken up and we can make this happen.
On top of the positive news this week of two vaccines, a covid vaccine will be deployed only once it has met robust standards on safety, effectiveness and quality through clinical trials and been approved for use by the Medicines and Healthcare Products Regulatory Agency or an appropriate regulatory body. The Government have asked the NHS to be ready to deploy any safe, effective vaccine as soon as it is available. Distribution arrangements must be flexible and include the make-up of the workforce needed to rapidly deliver a vaccination programme, training requirements, consumables and any supporting infrastructure. The key point, though, is that the Government have been clear they will do everything they need to do to roll out a successful vaccine.
Does the Minister agree that it is going to be a mammoth logistical effort, not only to do a vaccination-style thing as we do every year with flu, but to include everybody? Also, it looks as though, in order for the vaccine to be effective, people might have to have two injections rather than one, which doubles the number. Can she give any view at this stage, given the logistical efforts that are going in, of how long it will take us to safely vaccinate everybody in the country?
First, I would like to place on record my enormous thanks to Liverpool and its local leadership for how it has helped us with repatriating from Wuhan and with the mass testing. I am sure that Liverpool will once again step to the fore with any help we might need with deploying the vaccine. We will deploy it as fast as possible, but there is a process. We have to know that it is safe, through the regulatory framework. We then have to know that as it arrives from the manufacturers, we can distribute it at pace. We are aiming to do that, and every sinew is being strained to ensure that we can deliver as swiftly as possible. The entire population wants to get on with living a normal, or more normal, life.
(3 years, 9 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.
This information is provided by Parallel Parliament and does not comprise part of the offical record
It is an absolute pleasure to serve under your chairwomanship, Ms Eagle. It is an honour and a privilege to respond on behalf of the Opposition to this profoundly moving and powerful debate, which I thank the hon. Member for Truro and Falmouth (Cherilyn Mackrory) for securing. Bravery comes in all forms, and today she has shown the very best of us and done Lily proud. Lily’s honour and name will be timeless in the records of the discussions that we have had today. The hon. Member is incredible.
This is the fifth year running in which we have had such a debate during Baby Loss Awareness Week. It is becoming a very welcome tradition and long may it continue, although obviously we have heard today of the importance of ensuring that we prevent as many deaths as possible. I pay tribute to every Member who has had the courage and conviction to share their experiences on an issue as devastating as baby loss. To live through it is one thing, but to speak about it in a bid to help others is another altogether. After what we have seen today, I have never been more proud to be in this place and to stand among all Members present, regardless of party, political persuasion or geography. It is an honour to hear their stories first hand.
The fact that we cannot provide comfort to one another when talking about this, though we are compelled to, illustrates how hard it must for people going through it not to be able to have the comfort of the ones they love the most, and for some parents to have to hear the very worst news that they will ever receive in a car park or down a phone. Such debates hopefully go some way towards breaking down the stigma that sadly persists. I am sure that having the bravery to speak out on this will bring a great deal of comfort to many who have been affected by baby loss.
I wish to reflect on a few of the compelling contributions. My hon. Friend the Member for Luton North (Sarah Owen) spoke so movingly about the experience of multiple loss and was a powerful advocate for the importance of having a loved one there. She was able to draw a stark comparison between the experience of not having someone there and having someone there. We must pay attention to that powerful contribution. The hon. Member for North Ayrshire and Arran (Patricia Gibson) is no longer present, but baby Ken will be immortalised in this place through the story that she shared. I do not know how she delivered that speech, to be honest. Most people I know would not have even been able to speak those words.
I am sure that all of us send our love and best wishes to Donna, who has a powerful advocate in the hon. Member for North Antrim (Ian Paisley). I thank him for bringing her story and lived experience to this place—he has done her proud. When my hon. Friend the Member for Sheffield, Hallam (Olivia Blake) spoke, I was lost for words. That she lived through the very worst of experiences in August, in the very worst of ways and in the most difficult of circumstances and yet is here now, not even three months later, telling her story in a bid to help others represents a strength rarely found in this world. I thank her so much for all the good she is doing and the voice she is for all those who cannot have one at this time. [Hon. Members: “Hear, hear!]
The hon. Member for Strangford (Jim Shannon) showed, through his emotion, the power of the need to have something to cling on to. He has his faith. However, as he rightly explained, people also need a loved one to be there. I turn to speech of the hon. Member for Guildford (Angela Richardson)—wow. It is so important that she raised the issue of what an infection at this time could do to a woman’s body and to the ability to carry a pregnancy. Given how the hon. Member for Guildford—I want to say her name, because this feels like the sort of debate where we should—went through a horrific experience not even in her own home or own environment while having a young child and went on to experience three subsequent losses, I cannot imagine what it took to talk about that today.
The hon. Member for Meriden (Saqib Bhatti) is no longer in his place, but it was great to hear about his incredible work to raise awareness. Jumping out of a plane is testing at the best of times. The chair of the Health and Social Care Committee, the right hon. Member for South West Surrey (Jeremy Hunt), spoke powerfully, as always.
As we have heard, losing a baby is one of the most harrowing experiences a person can go through. It is painful, it is devastating, and it is ultimately cruel. It feels like the cruellest of circumstances. We know that, unfortunately, it is all too common and can happen to anyone at any time.
I am often the doctor in A&E who meets the mum when she is coming in. We have heard powerful contributions about stigma and guilt. For me, the take-home is always the overpowering sense from a mother that there is something she could have done. I want to put on the record, and say to those who may be watching, that she has done nothing wrong; she has done everything right. We must do all that we can to fight against the stigma and shame that so many women feel, going through pages and pages of internet sites, wondering, “Did I eat something wrong? Did I lie the wrong way? Should I have gone for that jog?” She did nothing wrong; she did everything right. Her baby was loved.
It is heartbreaking to have conversations like that without a partner, a parent or a best friend present. The first step supporting those affected is drawing attention to this tragic event. I am so proud of the fantastic work of the Baby Loss Awareness Alliance, a collection of more than 90 charities who work relentlessly to ensure that this is on the agenda during Baby Loss Awareness Week and beyond.
In 2020, it would be remiss not to return our attention to the effects of covid-19 when we discuss baby loss. This year of social isolation, solitude and sacrifice has made such tragic occurrences even more tragic. The coronavirus has stripped the humanity out of grieving, with a mother unable to get a hug from her mum and bad news delivered in personal protective equipment while unable to hug a grieving mother or father. We are unable to do what is so instinctively natural to us: to share our grief with those who love us as we lose someone we love.
During the pandemic, there has been reduced access to face-to-face appointments. When appointments do take place in person, partners have been excluded, leaving women to receive the worst news or make the most difficult decisions alone. That has been deeply isolating not only for mothers but for fathers as well. They have that helpless feeling of waiting on the other end of the phone, pacing the room, waiting for it to ring, and then wondering whether they are allowed to show grief, because they are not carrying the baby but they feel the loss equally. They try to be strong for their partner while a part of them dies inside. Virtual appointments just do not carry the same compassion and assurance as seeing someone in person, and as we have heard it can be especially difficult for parents who have already suffered a previous loss. There are challenges in hospital settings, too.
We cannot underestimate the impact that this has on expectant parents. I do not doubt that the Minister will talk about the work that the Government are doing to try to make this more bearable for parents who undergo such a loss. To support bereaved families, it is absolutely crucial that they receive immediate care. There is a direct correlation between when the person going through grief receives the package of mental health support and how long the need for intervention and mental health support continues. The sooner they get it, the better it is for them. Access to bereavement support varies across the country at the best of times, but the redeployment of many NHS staff in the wake of the pandemic has resulted in even greater challenges in accessing that vital support.
This is the most difficult of journeys. Very often, we cannot change the outcome, but we can influence the journey and make it more bearable. The NHS is here for parents going through this. Maternity and neonatal care must not be curtailed during the second wave of covid-19.
I thank all hon. Members for bravely sharing their experiences. I am sorry that I have spoken for so long; I did not even finish what I had planned to say, but sometimes we have to go with the moment. I could not be more proud of the contributions and to call all hon. Members here colleagues.
Minister, could you leave a couple of minutes before the end so that I can call the mover of the motion to reply?
I apologise: I had not realised that Mary Agyapong was one of the hon. Lady’s constituents.
The situation that the hon. Lady describes is why we established the inequalities forum with a group of clinical experts, including National Maternity Voices, Jacqueline Dunkley-Bent and others. It was for exactly that reason: to try to find out why this is happening, to look at some of the myths around the reasons and to get down to the clinical reasons and to the changes we can implement to stop this. MBRRACE-UK, hon. Members, National Maternity Voices and Jacqueline Dunkley-Bent, as well as a number of other people known and recognised as leaders in this field, are trying to drill down into the reasons.
In a way, it is covid, and what has happened, that has made us drill down to focus on that. I hope that as we move a little further forward—we have had our second meeting—I will be able to report some of the findings back to the House. I particularly encourage the hon. Lady to read the MBRRACE-UK report, which focused on the issue. It contains some interesting reading and findings. That report also stimulated the need for the group to look at these issues.
Oh, gosh, I am sorry. I will just mention James Titcombe. It is the 12th anniversary of the death of his baby, Joshua. James has absolutely been an advocate of patient safety, and his work has influenced it. However, I want to give my hon. Friend the Member for Truro and Falmouth time to respond.
(3 years, 10 months ago)
Commons ChamberWe 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.
I am sure the Secretary of State will agree with me that to be effective, rules must be understandable and simple. Why in Merseyside, which is currently in tier 3, were all the gyms forced to close, but soft play was left open, and in Lancashire all the gyms were left open and soft play was closed? Surely that does not make any sense at all. Will he publish the evidence that he has and be consistent across tiers? Either all the gyms are open or they should all close. Which is it to be?
The baseline for tier 3 is set across the board, and then further measures are set out in consultation and agreement with the local area.
(3 years, 10 months ago)
Commons ChamberTwo weeks ago, I pledged to the House that for significant national measures we will consult Parliament in advance of their coming into force wherever possible, and today we deliver on that commitment with votes tonight on national measures to slow the spread of coronavirus. This pandemic remains a formidable threat. Our strategy is to suppress the virus, supporting the economy, education and the NHS, until a vaccine makes us safe, and I must report to the House that the number of cases of coronavirus has quadrupled in the last three weeks.
There are now more people in hospital with coronavirus than there were on 23 March, and in the last four weeks hospitals in the north-west and north-east of England have seen a sevenfold increase in the number of covid patients in intensive care. In those worst-affected areas, the virus is spreading just as quickly in older age groups, not just among younger adults.
Given that Liverpool city region, which includes my constituency of Wallasey, was placed in tier 3 yesterday, could the Secretary of State outline whether there are plans to reopen or revive the Nightingale hospitals to serve that region? I do not mean the hospital in Manchester.
Yes, as the hon. Lady will know, three Nightingale hospitals were put on alert yesterday to be reopened. The closest Nightingale is in Manchester, but we keep that under review because expanding the capacity of the NHS is one of the things that we can do. Nevertheless, no matter how big the NHS is, if the virus is not under control it will make more people need hospital treatment than there could possibly be hospital treatment available for. While we are, of course, restarting the Nightingales, which have been mothballed for months, that is only a precaution; it cannot be the full answer to the question. We had a very good discussion yesterday about the measures in Liverpool city region, which I will come on to in some detail.
I believe that the Government should have brought all these measures to Parliament from the beginning, and it should not have taken a revolt on the Tory Back Benches for us to debate these statutory instruments. Why? Because through debates in Parliament we can persuade the public that the Government are making the right decisions, and we can challenge the Government and make them explain why they are making certain decisions.
From the beginning of the pandemic there was widespread support for what the Government were doing, but since Dominic Cummings’ trip to Durham, where his rule breaking was met with impunity by the Prime Minister, we have seen an increase in confusion and the rules get more complex. We have also seen people’s good will turn into cynicism. The advice over the summer about eating out to help out, or people being told to go back to work, then to work from home and not go out or even go to the pub, caused confusion and ill will. That is making it much harder to persuade our constituents that this is what they should be doing, and that the Government have a plan. We need transparency and honesty, and to be able to trust what the Government are doing.
Yesterday, my local authority was put into tier 3. We know that the Government have decided to keep universities and workplaces open, against the advice of SAGE. That leaves them with only socialising to try to press down on the virus. All they can do is restrict socialising in private or public. Given that there were 41 deaths in the past week in the north-west, I understand the need to do it, but we cannot just have local lockdowns on the cheap. The current furlough-lite is just not a good enough system to ensure that hospitality and jobs are properly protected, and 67% of wages is just not enough. We are abandoning many hundreds of thousands of jobs and many fantastic businesses in hospitality and entertainment to go to the wall without support.
I want to support the Government, but the Government also need to share their thinking and be much more transparent and open about the scientific advice and what works. They also need to be far more generous, especially in tier 3 areas, with the support they are willing to put in to keep local economies, local jobs and local businesses alive, so that we can all fight to get this virus down.
(3 years, 10 months ago)
Commons ChamberI thank my right hon. Friend for his intervention. I will come on to the impact and detail of the rationale for the interventions.
Does the Minister agree that as the virus is coming roaring back, particularly in areas such as my constituency, now is the wrong time to be getting rid of the furlough, and that if we are going to have extra restrictions, we also really need much greater extra support so that we can compensate and look after business owners and individuals that have to self-isolate or close?
The hon. Lady makes an important point about the impact of restrictions on people’s livelihoods as well as their lives. However, she is asking me to stray beyond my brief as a Health Minister to talk about the financial support, although she will be aware that the furlough has supported huge numbers of people during the period of lockdown and since, and the Chancellor has introduced further measures to support people in the months ahead.
We all want to fight to get the virus down and save lives, but to do so we have to have coherent and transparent rules from the Government that are simple and that everyone can understand, and that certainly do not run to 10 pages. We must have an effective test and trace system. We have to understand—I hope that the Minister will take this back to the Government—that we cannot get the virus down by lockdowns on the cheap. It makes no sense to withdraw the support that kept everybody going earlier in the year while the pandemic is coming back and still raging in our communities.
We need the Government to look very quickly at the support that they can give to the areas that they decide need extra restrictions. On the Wirral, we have 31,000 jobs still furloughed. Furlough comes to an end in three weeks’ time, just as the extra lockdown restrictions that this SI introduces are closing down and making unviable a lot more of our local jobs and businesses. In order for us to support the Government and join the battle to get the virus down, they must increase support for individuals who need to self-isolate when test and trace is fixed. They must support businesses that are forced to close or operate at a much lower profit levels or unprofitably, through no fault of their own, because of the restrictions that the Government have imposed. They must give extra support to local authorities and statutory services that have to maintain the ongoing capacity to act. On the Wirral, we have over 15,000 people who had to shield during the initial phases of the pandemic. In the past four months, the Wirral food bank has seen a 51% increase in the support that it gives to 65,000 people—71 tonnes of food. The Government must support us to do the right thing if we are to get the virus down.