53 Bernard Jenkin debates involving the Department of Health and Social Care

Thu 25th Mar 2021
Wed 6th Jan 2021
Public Health
Commons Chamber
(Adjournment Debate)
Thu 17th Dec 2020
Mon 14th Dec 2020
Mon 2nd Nov 2020
Mon 19th Oct 2020

Coronavirus

Bernard Jenkin Excerpts
Thursday 25th March 2021

(3 years, 6 months ago)

Commons Chamber
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Bernard Jenkin Portrait Sir Bernard Jenkin (Harwich and North Essex) (Con)
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I suppose I have an opportunity to reply to my right hon. Friend the Member for New Forest West (Sir Desmond Swayne), who has just spoken. I have a rather different take.

Many people seem to be seized of the idea that the vaccination programme has already freed us and that we are entitled to take back freedoms now. I want to challenge that. The threat of a third wave exists—in fact, there will be a third wave; it is just a question of how large it is going to be. The only thing that will constrain it is the proportion of the population who are resistant.

There is 85% take-up in half the population at the moment and the vaccines are on average 85% effective: that means that only 72% of half the population has immunity. The Secretary of State referred to Public Health England advice—based on very fresh data, I hasten to add—that bears out the most recent Imperial College modelling, which shows that even if all the restrictions are not lifted until July there is still a danger of a third wave. If the restrictions were lifted at the end of April, say, there would be a dramatic rise in the number of hospitalisations.

Mark Harper Portrait Mr Harper
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I read with great care my hon. Friend’s article on ConservativeHome this morning. He refers to the modelling that Imperial and Warwick did. I went through that in some detail, but the problem is that the assumptions they made—I went through every single one—are all overly pessimistic compared with the actuality. That is why I asked the Secretary of State to redo that modelling, because if he did so, I think he would come to a much more optimistic conclusion than my hon. Friend has reached.

Bernard Jenkin Portrait Sir Bernard Jenkin
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I am perfectly prepared to accept that it is a worst-case scenario, but we are dealing with projections that are based on a great deal of speculation, and they do not take account of the possibility of new variants. I rather share the concern expressed by some Members in the debate that we need restrictions on people coming into this country, particularly from the continent, and that there should be more testing of people coming here. I am sure that the Government will want to implement those measures if they can. It is rather easier to call for them to implement them than to do so without causing a great deal of disruption.

I want to briefly touch on the continuation of our vaccination programme. One of the risks that we need to factor in is that the rate of vaccination will slow, and particularly the rate of first doses, because the vaccination programme now has to cope with the large quantity of second doses. The restrictions on vaccine supply mean that the number of first doses will perhaps reduce to as little as 50,000 a week in April. That does not rule out that we should adopt a generous attitude towards our European friends, however much they may be casting around for blame and trying to salvage their reputation from the failure of their own vaccination programmes. We can draw comfort from the fact that they are resorting to possible bans and blockades because they have no contractual obligations to enforce upon AstraZeneca—it is a misunderstanding of the difference between contracts that give rights over stock that exists and contracts that give rights over the flow of production, which is creating stock that does not yet exist.

The fact is that we are at the front of the queue, but I think that the United Kingdom should seek to be generous and to avoid this vaccine nationalism, even if it means giving up some of the flow of our vaccine, although it is understood that there are actually some large quantities of vaccine in the European Union that are not being used. The fact that they have trashed the reputation of the AstraZeneca vaccine is most unfortunate, and while understandable in psychological terms, it is unforgivable in public health terms.

Finally, on the issue of lifting covid restrictions in Parliament, I congratulate my hon. Friend the Member for Hazel Grove (Mr Wragg), the Chair of the Public Administration and Constitutional Affairs Committee, who cobbled together a majority in the Procedure Committee to get what he wanted in the Committee’s report. But I suggest that, in the end, it is a matter for the whole House what the House’s procedures are. There are things to learn, as the Prime Minister said yesterday, that will make the House more equal, fairer to people who are sick and fairer to people who have caring responsibilities and perhaps take the pressure off the shortage of time we have because we do not want too many late nights. Some of our debates have got too short, and speeches have got too short, and if those who had to be away could have proxy votes, we could have longer debates, better debates and better scrutiny of legislation, as well as a House that is more attractive for women to stay in and take part in.

Baroness Winterton of Doncaster Portrait Madam Deputy Speaker (Dame Rosie Winterton)
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I need to point out that, if Members take interventions, it would be helpful for them to stick to the four-minute time limit, because otherwise we simply will not get everybody in. Colleagues in the Chamber may not be able to get in if Members do not stick to the time limit, which would be a shame.

Public Health

Bernard Jenkin Excerpts
Wednesday 6th January 2021

(3 years, 9 months ago)

Commons Chamber
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Matt Hancock Portrait Matt Hancock
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Of course we are considering who, once we have vaccinated those who are clinically vulnerable, should be the next priority for vaccination. Teachers, of course, have a very strong case, as have those who work in nurseries. Many colleagues on both sides of the House have made that point, and we will consider it.

Bernard Jenkin Portrait Sir Bernard Jenkin (Harwich and North Essex) (Con)
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Just to pick up one point, the Secretary of State cites the certain knowledge that there is a way out. The whole point of the intervention by the right hon. Member for Warley (John Spellar) is that there is uncertainty. What contingency plans are there if a mutation proves resistant to either of the vaccines and we have to be in these measures for longer? In particular, will the Secretary of State consider the fact that we have barely drawn on the numerous people in the armed forces to create extra NHS capacity? We could do so much more of that if necessary. Is that part of the plan?

Matt Hancock Portrait Matt Hancock
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Yes, it is very much part of the plan; it is happening right now. On mutations and the link to the vaccine, as with flu, where mutations mean we have to change the vaccine each year, any vaccine might have to be updated in the future, but that is not our understanding of the situation now. Of course that is being double-checked and tested, both with the scientists at Porton Down and, as we roll out the vaccine in areas where there is a high degree of the new variant, and by the pharmacological surveillance of those who have been vaccinated, which will allow us to see for real the impact of the vaccine on the new variant. The goal, as my right hon. Friend the Prime Minister said, is that by the middle of next month we plan to have offered the first dose to everyone in the top four priority groups, and they currently account for four out of five covid fatalities. I am not sure that this point has fully been addressed, but the strong correlation between age and fatality from covid means we will be able to vaccinate those who account for four out of every five fatalities within the top four cohorts. It does then take two to three weeks from the first dose to reach immunity, but the vaccine is therefore the way out of this pandemic and the way to a better year ahead.

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Jonathan Ashworth Portrait Jonathan Ashworth
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The right hon. Gentleman makes a reasonable point, like the former Public Health Minister, the hon. Member for Winchester (Steve Brine), but this is not just a simple calculation about the number of deaths that are prevented. The right hon. Gentleman has more clinical experience than I have, obviously, but we know that there are people who suffer long-term, debilitating conditions as a result of this virus, with reports of people developing psychosis, long-term breathing problems, and problems with the rhythm of their heart. It remains an extremely dangerous virus, regardless of whether people end up in hospital and on ventilation. But he is quite right: in the end, this will be a judgment for politicians and a judgment for this House. It is not a judgment for the chief medical officer and the chief scientific adviser, although I would hope that our judgments, in the end, are guided by the chief medical officer and the chief scientific adviser.

Bernard Jenkin Portrait Sir Bernard Jenkin
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I, too, commend the hon. Gentleman for the constructive approach he is adopting. He clearly has a very good relationship with my right hon. Friend the Secretary of State. Will he assent to the proposition that public confidence in this vaccination programme is critical if we want people to comply with these lockdown measures, and we must do nothing that creates false expectations or unrealistic expectations about how the vaccination programme will go? We must be modest in what we promise and hopefully we will overachieve. Can he assist my right hon. Friend in that objective?

Jonathan Ashworth Portrait Jonathan Ashworth
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I think that as a rule in politics it is always better to under-promise and over-deliver. Maybe the Whip on the Treasury Bench could send that advice to the Prime Minister, because the Prime Minister tends to have the opposite approach to some of these matters, I would say.

Our big target should be to vaccinate more, particularly among NHS staff. Many NHS staff on the frontline, in the face of danger, are scared. They are exhausted. Many have said to me that they feel they were sent out in the initial weeks of the first wave without the protection of personal protective equipment, and now they are exposed again without the protection of inoculation. Will Ministers move heaven and earth to get all frontline NHS staff vaccinated urgently, and can we have a clear date by which NHS staff on the frontline will receive the vaccine? If manufacturers can increase supply, what more can be done to improve distribution? In addition to GPs, our community pharmacists have tremendous links with hard-to-reach communities. We need to make full use of them.

Vaccination not only saves lives, and is not only the route out of restrictions; it is also urgent, because we are now in a race against time. The B117 strain is fast becoming dominant, and it has done so in just a matter of weeks. The more virus there is circulating, the more opportunities there are for further mutations that could give the virus greater advantage—possibly a variant on which vaccines no longer work, risking another devastating covid wave in winter 2021. Vaccination, both at home and across the globe, is now fiercely urgent, and the race to vaccinate is therefore literally a race against evolution.

We will also support this lockdown tonight because we know we have to reduce transmission. That is why we are asking people to stay at home. But not everyone can work from home on their laptops. There are 10 million key workers in the United Kingdom, of whom only 14% can work from home—key workers, many of whom are low paid and often use public transport to travel to work in jobs that, by necessity, involve greater social mixing, who are more exposed to risk. Often, because of their home circumstances, they end up exposing others to risk as well. We witnessed that in Leicester, where it is suspected that a spike back in the summer was the result of a spillover of infections into the community from those sweatshops that did not adhere to proper health and safety rules.

We need to make sure that our workplaces are covid-secure; otherwise, we will not get on top of transmission. What support are the Government offering to install ventilation systems in workplaces? Will the Government introduce a safety threshold for ventilation of indoor workplaces without outside air? Given that the B117 strain is so much more transmissible, are the Government considering reintroducing the 2-metre rule? Given that fewer than 20% of those who should isolate do so fully, will the Government finally accept that sick workers need proper sick pay and support? Otherwise, those workers will be forced to work, spreading this illness.

The British public have done so much over the last year and have made great sacrifices. We are a great country, and our people can and will rise to the occasion. All anyone asks is that the Government do the right thing at the right time: make all workplaces covid-secure; vaccinate health workers as soon as possible; introduce decent sick pay and support to isolate, and roll out a mass vaccination plan like we have never seen before. This is a race against time—a race against evolution—and we will support this lockdown tonight.

Covid-19 Update

Bernard Jenkin Excerpts
Wednesday 30th December 2020

(3 years, 9 months ago)

Commons Chamber
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Matt Hancock Portrait Matt Hancock
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I am not sure that the hon. Lady was listening when I said in my statement that the NHS is under very significant pressure. Of course we are working hard to ensure that that pressure is alleviated as much as possible. Over the summer, we built significant extra capacity into the critical care facilities of the NHS, including across London. The Nightingale hospitals are there, as she puts it, as an insurance policy—as back-up. The London Nightingale hospital is there on standby as back-up. I have seen some stories circulating saying that it has been decommissioned. Those stories are wrong. It is better for people if they are treated inside a hospital, but the Nightingales are there for extra support should it be needed. It will require changes to the working patterns of staff if we do need to have patients in the Nightingales once more, but it is crucial, in my view, that we have those Nightingales there ready in case we need them.

Bernard Jenkin Portrait Sir Bernard Jenkin (Harwich and North Essex) (Con)
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I can confirm to my right hon. Friend that Essex has declared a major incident. It is also, at this very moment, submitting a MACA—military aid to the civil authorities—request to assist with the construction of community hospitals for additional hospital capacity, supported and partly staffed by the armed forces. It would also like armed forces help with the roll-out of the vaccine to accelerate that in Essex and to assist with testing in schools. Will he look into the German BioNTech test as an alternative to the lateral flow test, as it is as reliable as the PCR—polymerase chain reaction test—and turns around in one hour?

Matt Hancock Portrait Matt Hancock
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I will absolutely look into, and get back to my hon. Friend about, the BioNTech test. Of course, BioNTech is an absolutely fabulous pharmaceutical company, as the whole House knows. What he says about the pressures in Essex is very significant, and it is important. Of course, I will look favourably on any request for military assistance, working closely with my right hon. Friend the Defence Secretary, who has been incredibly supportive, as have the whole armed forces, during this whole year. They have done so much. They are already involved in the roll-out of testing, as my hon. Friend knows, and we draw on the ingenuity, reserve and sheer manpower of the armed forces when we need them. I am very grateful for my hon. Friend’s support for the work that we all need to do in Essex to support the NHS there and to try to get the number of cases down.

Covid-19 Update

Bernard Jenkin Excerpts
Thursday 17th December 2020

(3 years, 9 months ago)

Commons Chamber
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Matt Hancock Portrait Matt Hancock
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This has been an incredibly difficult year for so many people and so many families. The fixed numerical limits place a particular burden on very large families. We have taken, I think, a balanced and right approach, but while I understand the urge for caution—of course I understand that, from my NHS colleagues and others—I also understand that people want to see their children and their loved ones. Christmas is an important time of year, and we have to find a balance.

Bernard Jenkin Portrait Sir Bernard Jenkin (Harwich and North Essex) (Con)
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I join my right hon. Friend in wishing NHS staff and everyone in this crisis a happy Christmas. Will he join me in wishing Essex County Council and local authorities in Essex a happy Christmas for what they have contributed to the test, track and trace operation since NHS Test and Trace started to share data much more quickly with local authorities? I can report to him that most districts have started door-knocking to follow up the contacts of cases, and the complete case contact rates are now around 87% and 90% respectively. Will he join me in congratulating the local authorities of Essex on this tremendous effort?

Matt Hancock Portrait Matt Hancock
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My hon. Friend is absolutely right, and I am grinning because I think this is the first time in the dozens and dozens of statements I have made this year when the hon. Member for Leicester South (Jonathan Ashworth) has not mentioned track and trace. I will tell you why, Madam Deputy Speaker: the latest statistics show that where communications were available, 96.6% of people were reached and told to self-isolate. That is because of the huge improvements in contact tracing and testing that have been delivered this year—[Hon. Members: “By local authorities.”] Including, of course, by local authority partners, but also by the brilliant national NHS Test and Trace system, which we should all congratulate. Getting those contact rates—[Interruption.]

Covid-19 Update

Bernard Jenkin Excerpts
Monday 14th December 2020

(3 years, 9 months ago)

Commons Chamber
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Matt Hancock Portrait Matt Hancock
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We are trying to support the economy as much as possible throughout all these difficult decisions. The extraordinary levels of financial support are a part of that, including the furlough scheme, which has now been extended to the end of March. I, of course, talk to my right hon. Friend the Work and Pensions Secretary regularly to make sure we take the action that is necessary in a way that supports people as much as possible.

Bernard Jenkin Portrait Sir Bernard Jenkin (Harwich and North Essex) (Con)
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I thank my right hon. Friend for his statement, albeit that it contains a lot of very grim news about the virus itself and its effect on many areas. It will be greeted with considerable relief in Harwich, Clacton, Colchester and Uttlesford, where the virus rates are much lower and we will stay in tier 2. Is the message now not that we stay in tier 2 or go down a tier much more by our own efforts—by the efforts of local authorities, with the support of NHS Test and Trace—to make sure we support those who have to isolate and track down and trace those who are spreading the virus? By doing that, and by compliance and forbearance, we can reduce the spread of the virus and help to defeat it so we can get down the tiers.

Matt Hancock Portrait Matt Hancock
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Yes. My hon. Friend is absolutely right. Trying to keep the virus under control is in the hands of local authorities and local communities. I would say to everybody in Harwich, and people across the south-east and east of England who have not gone into tier 3 today, that we all still need to work together, be vigilant and effectively do everything we can to stop the spread of the disease, because so many people are asymptomatic—about a third—and never have any symptoms but can nevertheless spread the disease. I am very grateful to my hon. Friend for the work he has done in giving me ideas to support colleagues to help in that effort. The links between the national system and local authorities are getting stronger all the time, and I want colleagues to be able to play our part—especially as, through our campaigning, we know our communities well—by getting into communities to spread the message that if we all stick by the rules and we get the testing and contact tracing in, we will be able to keep this under control.

Coronavirus Vaccine

Bernard Jenkin Excerpts
Wednesday 2nd December 2020

(3 years, 10 months ago)

Commons Chamber
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Matt Hancock Portrait Matt Hancock
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The hon. Gentleman has worked supportively and constructively with the Government throughout this pandemic. I pay tribute to the approach that he has taken, and that he took again today.

I stand with the hon. Gentleman in saying that vaccinations save lives. If we can encourage anybody who might be hesitant to take a vaccine by appearing together to be vaccinated together, of course I would be happy to do that. I recommend that we have a professional vaccinate us, of course—I do not think that he would trust me to do it.

The hon. Gentleman asked for a public information campaign, and there will of course be one. He asked about health inequalities, which are a very important consideration. The best thing to support tackling health inequalities is the fact that we have a vaccine, but we absolutely need to reach all parts and all communities across the whole country.

The hon. Gentleman asked how many will be vaccinated by January. While today brings more certainty, it does not end all uncertainties. We have 800,000 doses that have now passed the batch testing, but the total number to be manufactured over this timeframe is not yet known, because it is all dependent on the manufacturing process, which is itself complicated. After all, this is not a chemical but a biological product, so I cannot answer that question—that is as yet unknowable.

The hon. Gentleman asked when the PCNs and the centres will open. The answer is very soon. We have 50 hospital hubs ready to go from next week. The PCNs are also being stood up, and the centres outside hospitals. They are all coming very soon.

The hon. Gentleman then asked when we will get to lift restrictions. Of course, I understand why not only he but almost everybody in the country wants to know the answer to this question: how many people do we have to vaccinate before we can start lifting the restrictions? The answer to that is that, while we know that the vaccine protects an individual with a 95% efficacy, we do not know the impact of the vaccine on reducing transmission, because of the problem of asymptomatic transmission, which has so bedevilled our response to this virus and made it so hard to tackle.

We do not know the answer to that question, but what we will do is to follow the same five indicators that we were discussing at length yesterday, which are the indicators of the spread of the disease. We will look at the cases, the hospitalisations and of course the number of people who die with covid, and we will hope very much that, as we vaccinate more and more vulnerable people, we will see those rates come down and therefore be able to lift the restrictions. We will have to see how the vaccination programme impacts directly on the epidemic, and then move as swiftly as we safely can to lift the restrictions, which we all want to see gone.

The hon. Gentleman asked about community testing being licensed from door to door. I have not heard about that problem—I will ensure that I get back not only to him, but to those who raised it with him, if he will work with me. I am a bit surprised to hear that. Administering the lateral flow test currently requires a professional, although we hope to move on from that, but as far as I know it can take place in any setting, hence my surprise. However, as the comment was made by a public health professional, I shall dig into it further.

Finally, the hon. Gentleman talked about the testing prospectus we launched on Monday. We hope to be able to use testing to do more things that we would not be able to do without testing. In a way, visits to care homes are an example of that, as something we can now safely recommend that we could not recommend before; so too is testing to release from quarantine people coming into this country. If there are further examples of that sort of enablement of normal life through the use of testing that can be safely done and can be approved by a director of public health and by the chief medical officer and his team, we are enthusiastic about working with local areas to deliver it on the ground.

There are lots of ideas out there, and I urge people to be creative about how we can we can use testing to enable some of the things we love to get going again in a way that keeps people safe. That is what that part of the testing prospectus was about. I am very enthusiastic about it and look forward to working with directors of public health and with colleagues in this House. Yesterday, the Prime Minister said that with the roll-out of mass testing and the availability of these tests, we all, as leaders in our local communities, have a role in promoting mass testing. I am sure that there are communities across the country represented in this House that can benefit from the roll-out.

Looking around the Chamber right now, I see many people who have already approached me—not just from Lancashire. I look forward to working with colleagues in all parts of the House to promote this public health message, along with all the other important public health messages we have to promote, not least that if the NHS phones you up or sends you a letter saying that there is a vaccination slot open to you, just say yes.

Bernard Jenkin Portrait Sir Bernard Jenkin (Harwich and North Essex) (Con)
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I congratulate my right hon. Friend on this moment and the Government on the news about the Pfizer vaccine, but please can we continue to have increased honesty about what we still do not know? We do not know how long the immunity will last, we do not even know whether people who have been vaccinated can still transmit the disease, and of course we do not know whether tier 2 restrictions will succeed in bringing the R rate down. Until we can answer those questions, we will continue to need maximum effort behind contact tracing and isolation of virus spreaders.

Councils including Essex County Council need daily access to all the positive cases recorded by NHS Test and Trace immediately and without delay, so that they can make their own operations effective, so why are they having to wait 48 to 72 hours before they get the data? Also, what are the Government going to do to engage districts and their community volunteer hubs to help to persuade people to support those who must still isolate even if they have been vaccinated?

Matt Hancock Portrait Matt Hancock
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Dealing with the pandemic has been a case of dealing with uncertainty in large degree. Today we have more certainty because we know this vaccine is safe and effective, but just as I said to the hon. Member for Leicester South (Jonathan Ashworth) that we do not know the effect of the vaccine on transmission, so, as my hon. Friend says, we do not know the longevity of its effectiveness.

My hon. Friend is right about another part of public health advice that all of us as local representatives can play a part in promoting: that is, engagement with contact tracing. I will write to him about access to daily data in Essex. Of course we have to wait until the test result comes in, which can sometimes lead to delay, even though the results of the majority of tests done in person now come back within 24 hours, but I agree with him in principle, so let us make it a reality in practice.

Covid-19 Update

Bernard Jenkin Excerpts
Tuesday 10th November 2020

(3 years, 10 months ago)

Commons Chamber
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Bernard Jenkin Portrait Sir Bernard Jenkin (Harwich and North Essex) (Con)
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My right hon. Friend’s strategy is, as he keeps reporting to the House, to “suppress the virus” until a vaccine can be deployed, but this is still beset by so many uncertainties. Who would have thought that mink in Denmark could throw a spanner into this situation? Is the tracing capability and the ability to get people to isolate not absolutely crucial? Who should we hold accountable for whether that is operationally effective as we come out of lockdown? I say that because this is the only time we have got to make this work, otherwise we will be in another lockdown.

Matt Hancock Portrait Matt Hancock
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Of course it is important that we continue to build and strengthen the contact tracing system, as we are doing. My hon. Friend mentions the uncertainties, and the issue of the virus that has spread back from mink to humans is one example of that. Of course managing a pandemic is beset by uncertainty. We still have uncertainty, for instance, over whether even the Pfizer vaccine will pass the safety hurdles that we very much hope it will in the coming weeks, but managing through that uncertainty is a critical part of getting this right.

Covid-19

Bernard Jenkin Excerpts
Monday 2nd November 2020

(3 years, 11 months ago)

Commons Chamber
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Bernard Jenkin Portrait Sir Bernard Jenkin (Harwich and North Essex) (Con)
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If I may just respond to the hon. Member for Paisley and Renfrewshire North (Gavin Newlands), I do not feel that this House is ignoring Scotland; I feel that this House has voted for very large sums of extra money to be devoted to Scotland. But perhaps my Government need to be more mindful of the fact that these things can be so easily misconstrued in the heat of Scottish politics, and it is the responsibility of the Government to make sure that they are not so misconstrued.

This crisis was incredibly unexpected, even though it took months to arrive, and almost every western Government was extraordinarily ill-prepared for it. There have been unprecedented challenges, inevitable mistakes, much experimentation, much learning and much wasted, but much achieved. However, the politics of this country inevitably tends to revert to type, and we have seen a bit more of that in the House of Commons today with what we do best in here, which is to disagree with each other for the sake of disagreement. Somehow we have to try to rise above that in this crisis.

The opposition to these measures on the Government Benches reflects declining public confidence in the Government’s covid response, and it is public confidence that the Government should, above all else, strive to address. So what needs to be done to strengthen public confidence? We heard quite a lot about that in the speech by my right hon. Friend the Member for South West Surrey (Jeremy Hunt). A lot of it is about having a plan, explaining a plan, and giving people hope that there is a plan. The measures announced on Saturday are another reaction that has set the course for the next four weeks, but beyond that, the Government have not published any plan. I have been asking for some time for a plan called “Living with coronavirus”. There may be a single vaccine that gets us out in one go, but that is most unlikely to happen, so we will go on needing to manage the spread of the virus for many months and possibly even years. How are the Government going to do that? The Royal Society certainly does not expect an instant vaccine.

There are basically three choices facing this House. The first is to control the virus with more of these economically ruinous lockdowns. We all agree that that is not going to be acceptable, and we have heard frustration being expressed by some of my colleagues. The second is to expand the NHS to gargantuan proportions so that we can deal with as many people who get infected. We cannot afford to do that and we do not have the capacity to do it. The only solution is to try to manage the virus, perhaps with vaccines but certainly with Test and Trace. We have had six months to get Test and Trace to where it is. Let us celebrate the 500,000 tests a day and the huge organisation that has been established, but we should ask ourselves what needs to be done in order for us to have as effective testing and tracing as people have in Japan and in Korea. They had years practising in the aftermath of SARS—severe acute respiratory syndrome. We have had to achieve this very much more quickly, but that does not mean that we cannot adapt those experiences of very different societies to our own immediate future to make sure that we do a much better job.

We need to carry on improving the data. The fact that Test and Trace is divided among four different directorates in four different locations, and that the data directorate has had three directors general in the past five or six months, does not suggest that there is much continuity or co-ordination across Test and Trace.

We need to deliver a campaign to change behaviour on the street. This cannot be done from a spreadsheet in Whitehall. It cannot be done from remote call centres with unfamiliar telephone numbers. It can only be done with person-to-person human contact. Go and ask the Japanese how they are doing it. It is very analogue. It is very old-fashioned. There is an app— every country has an app—but an app is a tiny proportion of what people can achieve. People are not going to use an app if they think it just results in them being rung up by some stranger and told what to do. That is not working.

Above all, NHS Test and Trace needs a single command structure and a single plan. However localised the delivery is, and I am very much in favour of using local authorities—the local authority pilots that have been carried out already have proved very much more successful in contacting a much higher proportion of people—every local authority should be so funded. However, we need a central headquarters, preferably run by a military capability that can bring this together and win this together.

Baroness Winterton of Doncaster Portrait Madam Deputy Speaker (Dame Rosie Winterton)
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Order. In order to get everybody in, after the next speaker I will need to reduce the time limit to four minutes, which is what was in place in the debate before the recess. Perhaps colleagues might like to tell the hon. Member for Wycombe (Mr Baker) when he returns that it will be four minutes for his speech.

Bernard Jenkin Portrait Sir Bernard Jenkin (Harwich and North Essex) (Con)
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Most of the MPs in Essex have reluctantly felt the need to support the tier 2 measures that are now being applied, but we are very concerned about the effect of this on the hospitality sector, in particular. Is it not very important that we align the economic interests of our constituents with the public health interests instead of polarising the debate such that one is either in favour of the economy or in favour of controlling the virus? May I also emphasise that one of the reasons why public confidence in the Government’s strategy is somewhat in decline is that we have yet to see the transformation of the leadership of test and trace, which I have discussed with the Secretary of State many times?

Matt Hancock Portrait Matt Hancock
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Where I agree with my hon. Friend is that there is no trade-off between health and economic measures, because if the virus gets out of hand, then we will end up with a worse economic hit as well. I know he agrees with that because we have discussed it many times. He, like other Essex MPs, may not like the fact that we have to collectively put in place these measures in Essex, but it is the right course of action.

Covid-19 Update

Bernard Jenkin Excerpts
Monday 5th October 2020

(3 years, 12 months ago)

Commons Chamber
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Matt Hancock Portrait Matt Hancock
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Yes. The hon. Member makes a really important point. This is why I resist the temptation to set a simplistic threshold above which a certain level of action is taken. That is because there might be an incident—I mentioned that there might be such an incident in a workplace, for instance; there might also be one in a halls of residence—where we get a very high number of cases, but if it is confined and not in the wider community we would not want to take action to restrict the social activity of the wider community. That has to be taken into account, along with the data on the number of cases and the positivity, because the number of tests that you put in affects that as well. We take all these things into account in asking both when an area needs to have more restrictions applied and when we can take an area out of restrictions, which of course is so important for everybody living there.

Bernard Jenkin Portrait Sir Bernard Jenkin (Harwich and North Essex) (Con)
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Nobody can possibly doubt my right hon. Friend’s utter commitment to doing his very best in these circumstances, or indeed the good will and hard work of his officials, but this is another incident that further undermines public confidence in the delivery of the Government’s covid response, and it is another example of where logistics and planning have let us down. Why cannot the Government learn from previous successes with the Nightingale hospitals and personal protective equipment? The military were brought in much more overtly to deal with the logistics, planning and delivery of those programmes, and they should be on test and trace as well.

Matt Hancock Portrait Matt Hancock
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Of course they are involved, but this specific issue was in a PHE legacy computer system that we had already identified needed replacing; I had already commissioned the replacement of it and that replacement is currently being built. We knew that this was a system that needed replacing. That work is under way, at the same time as the remedial action to sort the problem more immediately.