(3 years, 11 months ago)
Commons ChamberI thought this might come up. I was going to develop the argument further before coming to the nub of that particular point, but, since my right hon. Friend gives me the opportunity, I strongly agree with the need for us in this House to have the appropriate level of scrutiny. As the Prime Minister set out last week, we have already put in place further measures. The aim is to provide the House with the opportunity to scrutinise in advance through regular statements and debates, questioning the Government’s scientific advisers more regularly—that has already started—gaining access to local data and having the daily calls with Ministers, including my right hon. Friend the Paymaster General.
We are looking at further ways to ensure that the House can be properly involved in the process—in advance, where possible. I hope to provide the House with further details soon. I will take up the invitation to a further meeting with my hon. Friend the Member for Altrincham and Sale West (Sir Graham Brady), whom I have already met to discuss this matter, to see what further progress can be made. I hope that that, for the time being, satisfies my right hon. Friend.
If the right hon. Member considers the efficacy of parliamentary scrutiny, has he looked at what the New Zealand Parliament has done? It has set up a special Select Committee, led by the Leader of the Opposition and with an Opposition majority on it, to subject the Government’s performance to more direct and transparent scrutiny. It appears to have worked very well indeed. Perhaps he would consider that this Parliament could behave in that way.
The structure of Select Committees is a matter for the House, of course, and far be it from me to impinge on the business of the House and the proper responsibilities of the Leader of the House. I welcome the scrutiny that this House gives. I have answered seven urgent questions, given 12 statements and taken 800 interventions since the start of the pandemic. I am committed to continuing the engagement.
It is a pleasure to follow the right hon. Member for New Forest West (Sir Desmond Swayne). I agreed with precisely zero of what he had to say, but this is not the first time that has happened in our time in this House.
As the first wave of the covid-19 pandemic in the UK began to recede over the summer, some sobering truths became evident. The UK had suffered one of the highest per capita death rates in the world and taken a far larger economic hit than comparable developed economies. Many attribute that dismal double whammy of failure to a Government who were too complacent at the beginning and too slow to lock down and prevent the death rate spiralling so badly out of control.
UK resilience to the threat of pandemics has been badly undermined by a decade of austerity, which weakened the ability of the NHS and both national and local government to react in time to prevent the disease taking hold. This failure became all too evident in the chronic shortage of personal protective equipment, which put key workers at unnecessary risk and led to the deaths of all too many, especially in the NHS and social care sectors.
The abandonment of testing so early in the pandemic meant that those charged with protecting us were effectively blind to its development in the community. That increased the chances of a total lockdown being the only viable response the Government could turn to. The Prime Minister recognised that all too belatedly on 23 March.
It is unclear how many lives the Prime Minister’s personal struggle with his libertarian instincts and his complacent reaction to the looming threat cost.
I listen carefully to what the hon. Lady says in this House. She is very experienced and she sat on the Front Bench when the Labour party was in government. May I clarify what she is saying? If I understand correctly, she seems to be suggesting that there was a way to avert a national lockdown, which most other countries in the world have had, by different actions being taken prior to March this year. Is she seriously saying that?
I was trying to say that complacency at the beginning caused many more deaths; it caused us to have a higher death rate and a bigger economic hit than other countries. From the beginning there has been a problem with mixed and often contradictory messaging from the Government about the rules they wish people to follow, and a lack of transparency about how those decisions are made. Not only has that undermined the efficacy of public health messages, but it has genuinely confused people who wish to do the right thing.
The Government’s moral authority to order the greatest restrictions on personal freedom since the second world war has been completely undermined by two things. The first is the revelation of Dominic Cummings’s rule-breaking trip to Durham, and the Prime Minister’s refusal to sack him. That prompted public anger on an unprecedented scale, persuading many that there was one law for them and a completely different one for the Prime Minister’s friends.
The second is the lack of transparency and parliamentary oversight surrounding ministerial pronouncements on the rules. All too often the rules appear to be contradictory, almost arbitrary, and difficult to justify. The public were asked to work from home one minute, only to be urged to return to work and save the high street the next. Now, as evidence of a second wave of the virus emerges, people are being ordered back home again, but not before the Government spent half a billion pounds on subsidising meals out in August, and opened air bridges to half of Europe, only to reimpose unenforced quarantine requirements on those who had been trusting enough to believe them.
We are now told that we cannot meet people at home or in their gardens unless we are in their bubble, but we can go to the pub with six households, as long as we leave by 10 pm. All those rules are different in Wales, Scotland and Northern Ireland. Respect for the rules will evaporate if the Government do not do a better job of justifying them, and ensuring that they are coherent and understood.
The Government have centralised all decision making, and outsourced procurement for test and trace, leading to a failing system. They have not involved local public health or local authorities in the decision-making process. Only two weeks ago I asked the Health Secretary about sudden increases in infections in Wirral. He replied that that issue had been considered by silver and gold committees, but no one bothered to tell Wirral Council that that was happening, and at the height of the pandemic it was reduced to watching daily press conferences to try to discern what was happening.
We cannot fix test and trace without more local co-operation. In Wirral, pillar 1 tests now take 48 hours, and we have an infection rate of 157 per 100,000, and rising. Pillar 2 tests—when people can get them—take between five and seven days to get results, thereby rendering their effect, which is to get people to isolate, much less likely to work.
How can we get less centralisation and more transparency into the Government’s response to this pandemic? When considering parliamentary accountability, perhaps we should look at what New Zealand has done. It set up a special committee—it is called a Select Committee but it does not have to be—and it has a majority of Opposition Members on it, although it is a rotating membership. The committee is led by the Leader of the Opposition, it has unusual powers to subpoena witnesses and papers, and it can subject any Government decisions to that unusual but timely form of scrutiny. That worked well in New Zealand, because it allowed policy making to be improved by parliamentary scrutiny and accountability.
As we move to discuss the new measures on Wednesday, I believe that this House should carefully consider doing what the New Zealand Parliament has done. We should allow the Government to give Opposition Members that duty so that we can get some air, transparency and accountability into the decisions that the Government are currently making behind closed doors.
(3 years, 11 months ago)
Commons ChamberI entirely understand the point, and I can see the argument that is being made. The challenge is, since lab capacity is what we need more of, that if we take more swabs locally and send them in to the lab, we need to have the lab capacity to be able to turn them round. Otherwise, we get a much slower response, which means that we are not getting back to people fast enough for them to be able to act. That is the nature of the challenge, and the answer is more lab capacity, which is what we are driving through.
In Wirral, there has been a sudden, sharp rise in covid-19 infections, with yesterday’s figures standing at 33 infections per 100,000. What extra assistance can the Secretary of State promise to my local authority, which is fighting hard to suppress this outbreak? On Test and Trace, if he does not want a reorganisation of Test and Trace because he thinks it will slow down progress, can he tell us why he is reorganising Public Health England in the middle of this dangerous pandemic?
Well, of course I am improving the public health responses by bringing together different organisations. I am not sure that the hon. Lady is doing anything other than—[Interruption.] Well, I am not going to query her motives, because we have worked together, at the start of this crisis especially. On her question about the Wirral, absolutely, we are vigilant in looking at the Wirral. That will be reconsidered in the Joint Biosecurity Centre silver meeting tomorrow and in the JBC gold on Thursday. Part of the improved data that we have now, compared with a few months ago, means that we will be able to pinpoint where the problem is and, working with the council, make recommendations on what action needs to be taken.
(4 years, 1 month ago)
Commons ChamberYes—and I imagine that you might have an interest in this too, Mr Deputy Speaker. The extra funding announced on Friday by the Prime Minister of course also means that we will be increasing the funding that goes to Wales, Scotland and Northern Ireland. We can provide a high-quality response to this disease only if we have the financial firepower to support the NHS and the action necessary. That is only possible because we have one United Kingdom. Scotland will receive an extra £250 million with which to tackle the disease; Wales will receive an extra £150 million and Northern Ireland an extra £90 million. That means that across the UK we can fight the disease better because we are all part of the same UK.
Earlier this month, Baroness Harding told a House of Lords Select Committee that people were unwilling to self-isolate because of financial pressures. We also now learn that test and trace does not make the same inroads in poorer areas, where the pressure not to self-isolate because of financial pressures is higher, as it does in more well off areas. Can I again ask the Secretary of State to make an announcement about sick pay and access to extra help for those who need to self-isolate but who perhaps cannot really afford to do so?
The hon. Lady makes an important point, but the No. 1 cause of people not self-isolating is if they have coronavirus without symptoms and do not get a test. That is where we need the most effort. However, I hear the point that she is making, and I will take it away.
(4 years, 1 month ago)
Commons ChamberThis attempt to divide us is very unfortunate. The UK Government have put testing capacity into Wales that is bigger than NHS Wales’s own capacity, and we do that in Scotland as well with the same effect. We are working together in partnership across the United Kingdom, and, absolutely, we are making the preparations for winter, as the right hon. Lady and every other Member of this House would expect.
If test and trace is to work effectively and people take the advice they are given via that service, some of them will find it difficult, because they will be earning no money; there is a choice to be made between self-isolating and being able to pay their bills. So will the Secretary of State look once more at the issue of sick pay for those, especially in local lockdowns, who are asked to self-isolate on behalf of all of us?
Yes, of course we keep this under review. The evidence shows that the most important difference that we can make to get yet more people into the test and trace system is for everybody who has any symptoms at all to get a test if in doubt. That is where the biggest gap is, and that is partly due to the number of cases where people have no symptoms, when of course they would not know that they need to get a test; finding them is incredibly important and is done through contact tracing. We must make sure that if anybody has coronavirus symptoms, and therefore needs a test, they come forward and get a test: if in doubt, get a test. It is of course an important consideration to make sure that people are supported if they need to isolate, and we are working closely with business to ensure that happens.
(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
My hon. Friend raises a really important point. PPE is a significant extra cost right across the health and care system. Dentists who are on NHS contracts have of course had those contracts paid throughout, even when routine dentistry was not open. I am really glad that we have now managed to get routine dentistry open. We are working with dentists and their representatives to ensure that we tackle the real-world challenge of having high-quality and safe dentistry while ensuring that dental practices can also be financially sustainable. It is a challenging problem and I pay tribute to the dentists who are working with us on it.
Does the Health Secretary agree with the Prime Minister’s despicable comments, blaming care workers for the huge death toll in care homes, or will he admit that his Government’s own failings left these low-paid and undervalued carers with little or no protective clothing, and many without access to sick pay, fighting a losing battle against this awful disease at the height of the pandemic?
I have been clear that we have been learning about this virus and how best to deal with it throughout. My admiration for those who work in social care is second to none. One of the good things about this crisis is that it has shown the whole country how much we value not just those who work in the NHS, but those who work right across social care, caring for the most vulnerable.
(4 years, 5 months ago)
Commons ChamberWe are increasing the number of beds, and, by moving away from some of the elective activity, making more beds available. However, I want to pick my hon. Friend up on one thing: as and when this virus becomes widespread, isolation becomes less important than ventilation. The normal flu procedures are that keeping several people who all have the same flu in one room—in one ward—is absolutely fine, because they cannot infect one another because they all have the same disease. Isolation is vital in the contain phase. It is still important in delay, but as we get through to mitigating the impact, the need for isolation facilities is less important.
The Chancellor’s announcements earlier today were very welcome, but will the Secretary of State help to cast a bit more light on the announcement about employment and support allowance? There are millions of people, as he knows, who do not qualify for statutory sick pay. The effectiveness of self-isolation and doing the right thing relies absolutely on many people who do not have standard employment contracts being able to be confident that if they self-isolate, they will not lose out, yet the ESA system works in retrospect, with delays, and is quite bureaucratic. Will he say a bit to us tonight about how that is going to be mitigated so that those who are not on standard employment contracts will know that they can do the right thing and not suffer?
Yes, we will publish more on this in very short order. Some of the changes in this area will be in the Bill, but some will be in secondary legislation, so that they can go at a faster pace, potentially, than the Bill. The ESA (C), as it is known, comes in only after seven days and bringing that down is an important part of the reassurance that the hon. Member seeks.
(4 years, 5 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
Those sorts of discussions are going on, led by the Treasury and the Department for Business, Energy and Industrial Strategy.
Millions of people in this country live alone, and many elderly people rely on their relatives visiting them to keep them able to live in their own homes. This activity may well be disrupted if people get ill or have to be isolated. How then will those vulnerable people, who rely on outsiders to be able to live, get their food delivered and be looked after, possibly cope?
This is an extremely important consideration, because in keeping people safe from coronavirus we also need to support people to live their normal lives. Many people rely on support from others who come to them, whether through social care in the formal system or, as in many cases, through informal care and support. We may need to see more of that, but it will have to be done properly in order also to protect the people involved from the coronavirus.
(4 years, 5 months ago)
Commons ChamberThe question of how we deliver and who delivers NHS services is a matter for the NHS, and making sure that we use all the health facilities available is of course something that the NHS is considering.
Does the Secretary of State agree that, in order for self-isolation to work, no individual, whatever their circumstances, should be out of pocket for doing the right thing? As my hon. Friend the Member for Leicester South (Jonathan Ashworth) said, currently, millions of people who work in the gig economy and do not qualify for sick pay would be out of pocket for doing the right thing. Does the Secretary of State agree that solving this problem and giving people the confidence that they need to do the right thing by self-isolating is one of the most important things that he can do in the next few days, to ensure that we can continue with containment?
There is a huge number of things that we need to do in the next few days and, as I have said, this area is under review.
(4 years, 6 months ago)
Commons ChamberMy 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.
The four people who were welcomed to Arrowe Park Hospital developed symptoms subsequent to coming to this country, despite being tested extensively before they were allowed to fly. Does that cause the Secretary of State any worry? Will he say what that might mean for whether people are infectious before they are symptomatic?
It is my job to worry about all those things. The answer is that that sequence of events confirms to me the importance of quarantining people. I know that there were some concerns about quarantine, but I think it showed that we were dead right to quarantine people because it turned out that they tested positive during the quarantine. Mr Speaker, I just want to put on the record my thanks to the hon. Lady, and everyone in her constituency and the Wirral more broadly, who have risen to this challenge.
(4 years, 6 months ago)
Commons ChamberYes, of course I can give that assurance. We have been clear all along that we have expected cases and that we are doing everything we can, but we also need to prepare for what might happen in future.
Given that we are now experiencing spread between people who have not been to China, as the Brighton cases show, will the Health Secretary say something about how people can distinguish between the ordinary symptoms of flu and the novel coronavirus symptoms, because China is now not the only lexicon?
That is a very good point. People should follow the clinical advice for the symptoms they have, with there being, of course, a much higher risk if they have travelled to one of the affected areas. In that case, they should call 111 and present, and have the test. The testing is available precisely to distinguish the difference, because it is not reasonable to ask ordinary members of the public to know the difference between an old coronavirus and the novel coronavirus, or indeed, between flu and coronavirus.