Dementia Research in the UK

Bob Stewart Excerpts

Thursday 10th February 2022 Commons Chamber

[Bob Stewart (Beckenham) (Con)]

I thank the hon. Member for Oldham East and Saddleworth (Debbie Abrahams) for a first-class introduction to the debate. Dementia is an awfully debilitating condition. We all have many constituents who have asked us to pay attention to it and to attend the debate. I have been asked to speak and consider it a duty to do so.

My mother died while suffering from dementia. It was horrid to see a dynamic, wonderful person reduced so greatly that she did not even recognise my sister, who had cared for her. I totally sympathise with the description given by my friend the hon. Member for Ochil and South Perthshire (John Nicolson) of what happened to his mother. My mother was lonely, she was lost, and it was terrible—a terrible end for her.

As we have heard, the UK has 850,000 dementia sufferers, and it gets so much worse once we are beyond 65. I reckon that roughly one in 70 of the population have dementia. One thing that really strikes me about dementia—it is a vivid image—is how often dementia sufferers are so frightened. I gather—I have not seen it—that they are particularly frightened when they walk into a room with a dark carpet or mat on the floor. They shrink back, because they think it is a hole that would devour them.

I pay tribute to the people who look after those suffering with dementia. That is not just formal carers; it is normally the family. Everyone who has experience of dementia sufferers knows that those carers do so much for those people whom they love, yet they do not get recognition for it. They are looking after someone whom they care about but get no response. It is really difficult. It asks one hell of a lot of people to keep doing it, but, my goodness, they do, often for no money whatsoever; it is simply because of love and what the person was before.

I am pleased to have been briefed by the Alzheimer’s Society, and I am now what it calls a dementia friend. May I urge all colleagues to take the Alzheimer’s Society’s “Dementia Friends” course? I did it in my office. It takes about half an hour. People come and explain about dementia. We may all think we know it, but let people come and talk about it. Then, the more of us who know what it is like and can talk about it, the more of us who can influence Government and the more we can help those poor devils who suffer from dementia and those people who, by extension, are affected so deeply by dementia because they have to look after dementia sufferers.

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[Margaret Ferrier (Rutherglen and Hamilton West) (Ind)]

I congratulate the hon. Member for Oldham East and Saddleworth (Debbie Abrahams) on securing today’s debate and on her continued work on this issue, which I know is appreciated by many throughout the House and beyond. It is a pleasure to follow the hon. Member for Bexhill and Battle (Huw Merriman); I enjoyed listening to the stories of his visits.

Dementia has a lasting impact on those who develop it and on their loved ones. While the patient begins to develop symptoms, maybe slowly at first, it may be frightening—memory loss, a struggle to communicate, mood swings, and a change in personality for reasons the person does not understand. Over the course of our lives we get to know ourselves very well, and losing that sense of self is incredibly sad. The impact on carers and family members must not be underestimated either. Depending on the level of severity, caring for someone with dementia can be a full-time 24/7 job, and that can be exhausting. A common feeling among carers is guilt—guilt that perhaps they cannot keep up; guilt that sometimes they resent their newly found role. It is human nature to be hard on ourselves.

About 90,000 people in Scotland are currently living with dementia, and that number is expected to increase to at least 120,000 over the next 20 years. The condition is prevalent, and numbers are rising. It is estimated that in the UK one in three people born this year will develop a form of dementia later in life. In South Lanarkshire, where my constituency sits, dementia is the leading cause of death for women, accounting for 16.2% of female deaths. That is a sobering statistic. Globally, there are now more people living with dementia than with cancer, which is why research on treatment, or a cure, is so important. There is still no effective treatment. We can see how investment in research has allowed scientists to make unprecedented breakthroughs in respect of cancer, for example: sustained funding for cancer research allowed scientists to understand it better, turning what was, at one point, seen as a death sentence into a chronic but manageable disease. However, the human brain is complex, and that plays a big part in why dementia remains so poorly understood. Research has historically suffered from under-investment, and sustained investment is vital if breakthroughs are to be made.

Let me draw another comparison with cancer research. There have been 74,000 cancer-related clinical trials since 2000, but fewer than 2,400 for Alzheimer’s. In the same timeframe, the Food and Drug Administration has approved 512 cancer drugs, but just six drugs for Alzheimer’s. The UK Government’s funding for cancer is almost three times higher than that for dementia. The pressure on the NHS cannot be ignored. More than one in four hospital beds are occupied by someone with dementia, and more than half of dementia patients will have at least one hospital admission each year.

[Bob Stewart]

It was the story from my friend, the hon. Member for Ochil and South Perthshire (John Nicolson), about his mother that twigged something in my memory. The real problem seems to be that the will to live disappears. People look normal, but they are just vacant. As an ex-soldier, having seen this with soldiers, I know that the will to live is crucial. When someone gives up the will to live, they are gone. We have to find a way of making sure that dementia sufferers keep the will to live because if that is vacant, it is gone. I think that is true but others might disagree.

[Margaret Ferrier]

I thank the right hon. and gallant Member for that intervention and the hon. Member for Ochil and South Perthshire (John Nicolson) for his story about his lovely mother—a really sparkling lady, who I remember seeing pictures of. It is very sad when people give up the will to live.

One in five hospital admissions are for potentially preventable reasons, such as a fall, infection or psychiatric difficulties. It is not all bleak though. There have been developments and we understand the disease better now than we did just a few years ago. New research from University College London and the University of Paris, published in The BMJ in December, found that those with two or more chronic health problems in middle age are more than twice as likely to develop dementia. That research was based on a long-term clinical trial showing how progress can be made if the resources are available.

I would like to mention the Glasgow Brain Injury Research Group based in the Queen Elizabeth University Hospital. The group looks at traumatic brain injuries, or TBIs, and the impact that they have on patients exposed to varying levels of severity of injury. It is pursuing an interesting workstream on the link between repetitive mild TBIs, incurred through sport such as football and rugby, and the increased risk of dementia. We all know of many famous footballers who have died from dementia, such as the great Billy McNeill. This is a fantastic piece of work and one of the many different research areas that could really deepen our understanding of how dementia occurs and develops and of subsequent treatment methods.

The medical community remains hugely optimistic. A survey of researchers at the UK Dementia Research Institute found that 90% of them felt that new treatments would be found within the next decade, and 72% held the opinion that the pace at which breakthroughs are being made is increasing. Vitally, though, 100% pressed the need for additional funding to allow breakthroughs to be made. They are the experts and we should listen.

Developments are already under way, but the key now is maintaining and accelerating the existing momentum. We have heard of the Join dementia research resource, which is piloting actively writing to all people with dementia after their diagnosis to invite them to participate in research. That would hugely benefit dementia research. In March 2021, Public Health Scotland revealed that less than half the people estimated to have had a new dementia diagnosis in 2018-19 were referred to vital post-diagnostic support. That outreach is essential. How will the Government support the JDR pilot and its roll-out across the four nations?

The lack of timely and accurate diagnosis is making it hard for current clinical trials to identify suitable candidates. The condition is severely underdiagnosed and the current backlog has only slowed things down even further. Transforming the current diagnostic process is pivotal. If diagnosis comes too late, we risk patients not being able to access treatments that might have helped to slow down its development.

The Government talk a lot about levelling up the UK, and I wonder whether that same attention could be given here. As part of the dementia strategy, the Government should invest in the development of multiple dementia clinical trial sites to form a network across the UK. Such a project would be in keeping with a true levelling-up agenda and make the UK an attractive centre for international life science investment. Better understanding of the disease leads to better support medically and emotionally. It will lessen the burdens on our frontline services. Early detection of the disease is crucial to allow patients to continue living independently and with dignity. That is one step that can be taken now. We need a stronger understanding among the general public about what to look out for and how to get help.

I wish to highlight the essential support provided by a number of charities for those with dementia and their support networks. They have also provided a wealth of knowledge to Members to support this debate, for which I am very grateful. Age Scotland, whose remit reaches much further, provides excellent support for older people in Scotland, as do Alzheimer’s Research UK, the Alzheimer’s Society, and Alzheimer Scotland, among many others. Charitable funding has become harder to come by over the past two years, and the work of those organisations in the face of that is invaluable and impressive. Their working commitment is commendable. The UK is a leader in biomedical research. That is something to be proud of, and something we must harness. I look forward to the Minister setting out today how plans for dementia research will be included in a national dementia strategy.

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[Jim Shannon (Strangford) (DUP)]

It is always a pleasure to speak in any debate secured by the hon. Member for Oldham East and Saddleworth (Debbie Abrahams). Indeed, I do not think she has secured any debate on dementia in either the Chamber or in Westminster Hall that I have not been at. That is first because I want to support her, but secondly because the subject matter is something that is real to me as a constituency MP, and to others who have told their stories in the Chamber. I find those stories incredibly moving because they illustrate, as personal stories always do, how complex this issue is. It is a pleasure to support the hon. Lady in this issue, which affects every corner of this great United Kingdom of Great Britain and Northern Ireland.

Strangford is a very beautiful location with wonderful facilities and lovely people. Given that, we have a high number of older retirees, who moved there to enjoy the safety of our constituency. The natural follow-on from that is that we have a large number of people who are susceptible to dementia. Over the years, when one is probably at around my age, one notices people who one remembers from childhood but who are now getting older and have developed dementia. I have quite a few friends in that position—I am not better than anybody else, but I can fairly quickly see where the issues are and one notices the slip away.

For instance, my mother had a lady living next door. One day she came in to see her and afterwards I said, “Mum, I think that lady is just starting to have a wee bit of dementia or Alzheimer’s.” She said, “Are you sure?” and I said, “I’m not smarter than anybody else, but I think there’s the start of something there”, and unfortunately there was. We know that drugs and medication can delay the process by five or six years, stopping the slide. As a busy constituency MP, I deliver on these issues all the time, whether it be attendance allowance forms, benefits issues or just helping people, as I do by the day, by the hour and by the minute. Recent figures and statistics show, and this is scary, that just under a fifth of all dementia diagnoses in Northern Ireland are of residents in the local trust in my Strangford constituency. As a busy MP with very busy staff who deal with these issues every day, every week and every month, I see these things.

Of course, we understand that dementia is not limited to individuals. We must remember that dementia affects entire families. The right hon. and gallant Member for Beckenham (Bob Stewart) mentioned his mum, and the hon. Member for Ochil and South Perthshire (John Nicolson) told a very personal story about his mum, too. We can all relate, as it affects entire families—children, grandchildren, sisters and brothers.

Dementia takes people away from us while they are still alive. Those words sum up the debate very well, as that is the impact of dementia and Alzheimer’s. People see the shell of their precious sister, who has forgotten her husband and who screams when he comes into the room, “Who is this man?” She does not recognise him, but they have been married for 35 or 40 years. She cannot express her toileting needs or say that she is simply lost, which is what these people are. That is the reality.

This is replicated widely throughout the UK. Life is simply harder, as taking the standard medication is a trial. It is little wonder that, currently, one in four NHS hospital beds is occupied by someone living with dementia.

[Bob Stewart]

It is nice to see you in the Chair, Mr Deputy Speaker.

A friend of mine tells me that his wife suffers from dementia. She sometimes turns round to him and says, “Why are you sitting in my husband’s chair? Get out.” Isn’t that tragic?

[Jim Shannon]

That is exactly the kind of story we are all trying to illustrate with our words, or broken words, this afternoon. It is exactly what my constituents say to me.

The economic cost to the UK of caring for people with dementia is estimated to grow from £24 billion in 2014 to £47 billion by 2050. If that is the case, we really need research and development. Everyone who has spoken in this debate has said that we need it now.

I do not want to catch the Minister out, as that is not my nature, but the commitment in the 2019 Conservative manifesto has not yet been delivered. I am not getting at him, as he knows, but we need to have that commitment delivered. Dementia is increasing, and so must our response. We need funding for cures and coping mechanisms, which goes back to the commitment on research and development.

Asking people to play a game of sudoku on their phone each day is not a preventive strategy. We must put our money where our mouth is and find a way to answer the question of dementia. Way before covid arrived, I was invited to attend a dementia and Alzheimer’s help group at the Church of Ireland church in Newtownards. I learned a lot that day from speaking to family members, who told me that playing music sometimes seems to bring those with dementia or Alzheimer’s back to where they were. The hon. Member for Ochil and South Perthshire spoke about dancing, and I saw a lady dance—that is what she remembered. Music seems to bring people back, so it can be therapeutic.



There is one event I attended that I do not think I will ever forget. I know the people who run an Alzheimer’s and dementia home. They are very good to all their residents, who have different levels of dementia and Alzheimer’s and are at different stages. The trust were doing an event and they invited me as the MP and some of the local councillors down. They said, “We are going to try to illustrate to you what it’s like to have dementia or Alzheimer’s.”

Here is what they did: first, we put earphones on, which kept the noise around us but made a constant noise in our ears that was quite deafening and scary. They locked us in a room, in darkness, and they put a mask over our eyes so we could see nothing but darkness, which the right hon. Member for Beckenham (Bob Stewart) referred to. They put a sole in our shoe that had points in, so that every time we took a step it was like stepping on stones. We did that for 10 minutes, and it was probably the closest I ever came to being mad. That is how horrendously scary that experience was, and it left a lasting mark on me. That illustrates, from a personal point of view, what it means to have dementia or Alzheimer’s.

In the 2019 Conservative manifesto, the Government committed to addressing dementia, pledging to double funding for dementia research to £160 million a year. However, I say gently to the Minister that two years in we have seen no plan to deliver that funding increase. I understand that there are reasons because of covid-19, but there are also reasons to deliver what was committed, which we all support, and we would all support the Government to make that happen.

The latest figures show a decrease in Government spending on dementia research. For the year 2020, funding for dementia research was £75.7 million, down £7 million from £82.5 in 2019 and £22.4 million down from its peak of £98.1 million in 2016. That tells me that we really need to do something. I know this Minister is a Minister of action, and I know that, when it comes to telling us what will happen, he will be able to tell us that that funding commitment will be addressed, so I look forward to his response.

I support the calls of Alzheimer’s Research UK. The rapid development of the covid-19 vaccines, a success story that we all welcome, tells us that, if we focus on something, we can do it. If we can do it, let us do it—and if we need the money that was committed to make that happen, let us do that as well. That is what we want to make happen. Alzheimer’s Research UK says:

“The rapid development of COVID-19 vaccines has demonstrated the role the UK Government can play in bringing together different stakeholders to focus on a common challenge, and the impact this collective energy, funding and determination can have. In parallel to increased research funding, we need the approach taken to COVID vaccines to be applied to dementia—coordinated, ambitious action from government to bring together industry, health services and researchers”—

all those who want to help, including our Minister and the Government. It continues:

“This bold approach must be reflected in the forthcoming Department of Health and Social Care’s Dementia Strategy and will ultimately ensure UK patients have priority access to innovative new dementia treatments.”

Dementia is unfortunately a growing problem, and we must focus on it, not simply because it will be beneficial to our financials in the long term—it will—but because families are being torn apart by the pain of losing loved ones while they care for their shell. That is what is happening. It is like losing a piece of them week by week, and it hurts. It hurts all those families. It hurt the right hon. Member for Beckenham, it hurt the hon. Member for Ochil and South Perthshire and it hurt the hon. Member for Oldham East and Saddleworth, who lost her mum.

When I think of all those things, I believe we can do more to stop dementia, and funding for research is the way we must go. Again, I look to the Minister—to my Minister and to my Government—to make that manifesto commitment a reality, and sooner rather than later.

Coronavirus Act 2020 (Review of Temporary Provisions) (No. 3)

Bob Stewart Excerpts

Tuesday 19th October 2021 Commons Chamber

[Neale Hanvey (Kirkcaldy and Cowdenbeath) (Alba)]

I begin by expressing my gratitude to all the healthcare workers in my constituency and across the rest of the UK. They have had an incredibly hard shift and they have coped with it admirably.

I do not want to rehash comments that have already been made about the Government’s avoidance of scrutiny when putting forward the Act. It cannot be avoided, however, that the legislation being brought forward is confirmation of the indictment of the Government and their failure to manage covid effectively. They have put all their eggs in a single basket—the basket of vaccination—and their insistence on vaccination as a single-strand strategy and the abandonment of the non-pharmaceutical interventions mentioned by the hon. Member for Leeds East (Richard Burgon) have allowed the spread of the delta variant throughout our communities. We are now hearing that the roll-out of the booster programme has run into problems, and we are also hearing of the emergence of a new strain of the delta variant that may well be vaccination-resistant, which should cause us all great concern.

Other questions related to this are just as important as the vaccination programme, such as how do we respond to this virus when or if vaccinations stop working? There is lots of research happening in the States. I have friends who are microbiologists working in that field in New York, and they have developed monoclonal antibodies that are very effective in treating covid. That is something I would like to know more about this Government taking a principled stand on.

The other point I want to make is about the use of vaccine passports. The point has been made very clearly today about the risk of their intruding into the lives and privacy of citizens. I would say that, in my view, without a comprehensive infection control strategy in which there is robust testing, non-pharmaceutical interventions and a clear programme of surveillance, vaccine passports are little more than a gimmick. They do not provide any information of great use. They do not tell us whether a person has had a good immune response, whether they are currently infected or whether they are currently infectious, so they are of no real benefit, but are a great intrusion into civil liberties.

[Bob Stewart (Beckenham) (Con)]

I will be very quick. I am not sure where I stand on vaccine passports, but I do know where I stand on the fact that one of my constituents, who was vaccinated in England and then vaccinated in Scotland, cannot go to university courses because the four nations strategy does not actually allow them to talk to each other and she cannot get a pass or a certificate that says she is double vaccinated.

[Neale Hanvey]

I thank the hon. Gentleman for making that point, which I was not aware of until now, but I am certainly not the person to speak to in defence of vaccine passports. Quite frankly, I really think they are a gimmick and a sticking plaster. I would say that we have collectively missed the boat. We have spoken about the risk of influenza infections in the winter and, as that approaches, if we had maintained some form of non-pharmaceutical interventions, such as maintaining the use of masks in public spaces and on public transport, we could have helped manage both the risk of covid and the risk of winter influenza.

In closing, I would just ask the Government to begin to look at and prepare for what strategy they are going to employ should vaccination cease to be an effective treatment for this pandemic.

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[Maggie Throup]

I thank my hon. Friend for that intervention. The Government were acting in very difficult times and had to take unprecedented measures, as he rightly said.

The Secretary of State explained the provisions in detail in his opening statement, so I will not repeat those that we will be expiring but they include some of the most stringent measures in the Act such as directing the temporary closure of educational institutions, the detention of potentially infectious people, and enabling Ministers to restrict or prohibit gatherings or events. Meanwhile the powers in the Act that we are retaining are those that are critical to our response to the pandemic; after all, as the Opposition spokesman rightly said, this virus has not gone away. We are facing a difficult winter, a time when we have seen from experience that the virus poses a particular threat, so we are keeping in place provisions that are fundamental to our response, for example to make sure the NHS is properly resourced and to support statutory sick pay for those who are self-isolating.

[Bob Stewart]

I rise to repeat the point I made to the hon. Member for Kirkcaldy and Cowdenbeath (Neale Hanvey). It would be very good if the NHSs in all four parts of the kingdom were to get together and ensure that those who have had one vaccination in one part of the kingdom and another in a different part could have a piece of paper that allows them to, for instance, attend a lecture. At the moment, at least one of my constituents is not allowed to go to a lecture because she had one vaccination in England and one in Scotland, and the NHS in Scotland does not recognise the England one and the NHS in England does not recognise the Scottish one. What is going on? It is mad.

[Maggie Throup]

I reassure my right hon. Friend that there are ongoing talks across all the devolved nations and the interoperability of the devices are being looked into; work is under way on that.

Covid-19: Government’s Publication of Contracts

Bob Stewart Excerpts

Tuesday 9th March 2021 Commons Chamber

[Edward Argar]

The hon. Gentleman made two points. On the latter, the Government will always look very carefully at anything he suggests to them. On the former, very serious point, if he is able to let me know, after this session in the House, the written parliamentary question numbers, I will endeavour to have them looked at and a response expedited for him.

[Bob Stewart (Beckenham) (Con)]

Crisis situations such as the present pandemic often require action, not paper, and the ends can justify the means. Does the Minister agree that sending PPE out to users was the Government’s top priority and getting right the supporting paperwork, which can be filed later, should not jeopardise that speed of delivery?

[Edward Argar]

I am grateful to my right hon. and gallant Friend for his question. He is absolutely right to highlight that our No. 1 priority, as I think the people of this country and Members of this House would expect, was, in the face of an unprecedented demand for PPE, that this Government did everything that they could to massively ramp up the supplies of PPE that were available and to get them to the frontline. Of course, transparency is hugely important and the court did find that there was no policy to deprioritise compliance with transparency regulations and requirements. However, he is absolutely right to highlight that the absolute priority must be to get the kit to save lives.

NHS Staff Pay

Bob Stewart Excerpts

Monday 8th March 2021 Commons Chamber

[Helen Whately]

The first thing I would say to the hon. Member is that the Test and Trace programme is doing a truly phenomenal job. The other thing I would say is that in the pandemic what we absolutely need is an effective test and trace programme, so I make no apologies for the fact that we are making sure it is funded.

[Bob Stewart (Beckenham) (Con)]

Although everyone in this Chamber would really like to give nurses a decent pay rise as much as possible, may I ask the Minister how that equates with equivalent grades in the police, the fire service and the armed forces, particularly given that, as she has already mentioned, they are on a pay freeze at the moment?

[Helen Whately]

As my right hon. Friend says, most of the public sector—and that includes the police—is regrettably under a pay freeze for the coming year because of the challenging times we find ourselves in and in recognition that across the economy there are people who have lost their jobs and that we are having to spend a huge amount of money to support people’s incomes. It is against that backdrop that we are giving NHS staff a pay rise, but indeed these are difficult times that we are living through.

Future of Health and Care

Bob Stewart Excerpts

Thursday 11th February 2021 Commons Chamber

[Matt Hancock]

Of course health is an important consideration in all policy decisions. The overall response to the pandemic has demonstrated that.

The hon. Lady is right to raise the issue of integration and to ask what plans there are for the integration of health and social care. Indeed, that is at the core of the proposals, as I set out clearly in my statement, and at the core of the White Paper. The integration of health and social care has improved significantly this year as a result of people having to work together in the pandemic. Fundamentally, social care is accountable to local authorities, which pay for it, and therefore to the local taxpayer, whereas the NHS is accountable to Ministers and central Government. The combination of these two vital public services is a challenge that I think can be addressed through the integrated care systems. We have been working very closely with the Local Government Association in England and the NHS to try to effect that integration as much as possible.

The hon. Lady raises the issue of funding. Of course, the NHS has record funding right now, and rightly so, but these reforms are about spending that money better to improve the health of the population, to allow new technology to be embraced, and to remove bureaucracy. It is not about having to spend more money on a reform; it is about reforming in order to spend money as well as possible.

[Bob Stewart (Beckenham) (Con)]

When I was in the Army, I was badly hurt, and I was put under the care of the NHS. In turn, it sent me to a private practitioner, in Harley Street actually, who did me the world of good, and I paid nothing. Now, as an MP, I am frequently asked, “Are the Government intending to privatise the NHS?”. My reply is, “No, of course they aren’t, and very little of the NHS is privatised.” Could I ask my right hon. Friend to inform me how much of the NHS is privatised as a percentage and whether the plans are to increase it or not?

[Matt Hancock]

The NHS is not privatised at all. The NHS is delivered free at the point of care, or free at the point of use, according to need, not ability to pay. Of course, the NHS buys all sorts of things—it buys goods, technology, scalpels and services of different scales and sizes—and it employs people, and this combination is essentially what the NHS is made up of. It matters not the name of the provision; what matters is the care for the patients, and the quality of support for the population’s health. The pandemic has demonstrated that what matters is the outcomes, and the coming together of different types of provision has always contributed to the delivery of care for patients, as my hon. Friend set out. That will no doubt happen for the entire future of the NHS, which I have absolutely no doubt will go from strength to strength, not just now, after the last 72 years, but for the next 72 years, and after that.

Covid-19 Update

Bob Stewart Excerpts

Tuesday 2nd February 2021 Commons Chamber

[Matt Hancock]

We have put in place the £500 support to ensure that everybody can afford to self-isolate. As for the South African variant that has been discovered in Southport, we are, with the local authority, undertaking very significant action to try to isolate it and any spread. It is vital that all members of the community play their part: stay at home and get a test when it is offered by the local authority. There is more information on the Sefton website. I pay tribute to my hon. Friend the Member for Southport (Damien Moore), who was not able to get on the call list, with whom I have been corresponding on this matter. He, along with the hon. Gentleman, has been playing an important part.

The cases in Liverpool I mentioned were in fact raised in the local media and described by Liverpool City Council a couple of weeks ago. I included them for completeness to describe all those cases where we have seen a mutation, along with the 11 cases in the Bristol area that I also described, which have been set out in a scientific study from the University of Leicester today. We have been working very closely with Liverpool City Council and Bristol City Council on those two clusters, along with the councils of all those where a variant of concern, such as the South African variant, has been found. I hope that that is a complete enough answer and I am very happy to talk to the hon. Gentleman if he has any further questions.

[Bob Stewart (Beckenham) (Con)]

Yesterday I was speaking on the telephone to Mrs Bunny England, who was a WAAF in the second world war, and, at 92, is very, very young. She tells me that she is housebound and no one has contacted her about a vaccination. I assured her that I would inform the quite excellent and responsive South East London Clinical Commissioning Group about her case, and that I was sure she would be contacted very quickly. Can I ask my right hon. Friend, who is doing extremely well, whether we are going to be able to get to every single person in groups 1 to 4 who is housebound by 15 February?

[Matt Hancock]

Mrs Bunny England is certainly going to get her jab now. I am very grateful to my hon. Friend for raising her case. I will get straight on to the CCG, which, as he says, is excellent. Of course, we have roving teams right across the country going to people who are housebound. It is very important that we reach all with that offer, and we are on track to ensure that everybody can have the offer of a vaccination by 15 February. I appreciate that somebody in their 90s will have been waiting for that call for a couple of weeks now, but we are making good progress and I will make sure that Mrs England gets her jab.

National Security and Investment Bill

Bob Stewart Excerpts

Report stage & 3rd reading & 3rd reading: House of Commons & Report stage: House of Commons
Wednesday 20th January 2021 Commons Chamber

We also need serious planning and investment in these sectors, training and reskilling of our workers, and strategic investment in line with the plans for regional levelling up to provide the necessary conditions for these sectors, and the communities dependent on these jobs, to flourish. Now is the time for bold action to put critical national infrastructure at the heart of Government policy, and to retain high-growth and strategically important companies in the UK.

[Bob Stewart (Beckenham) (Con)]

Enhanced protection of our national security is obviously at the heart of the Bill. It has come not before time, too. It has had a gestation period of something like seven years since the Intelligence and Security Committee first raised the matters that it addresses directly. As a member of the Committee, I will not repeat what my right hon. Friend the Member for New Forest East (Dr Lewis), the Chair of the ISC, or the senior Opposition member of the ISC, the right hon. Member for North Durham (Mr Jones), have said with regard to oversight of investments. I think the point has been well made, and I totally accept that the Minister gets those points.

Let us be clear, though, that if a potential enemy state can get critical information and technologies, it is highly likely to do so. In truth, as we all know, the UK is a primary target for a broad range of national security attacks from both foreign intelligence agencies and organisations, as well as companies, which certainly are operating at the moment. If a company that is British and world leading in a technology—for instance, artificial intelligence or robotics—is bought by a foreign investor from a country that is not particularly friendly to the UK, we must have a system to ensure that British technology, ideas and even hardware are not simply hijacked and possibly used against us. We have to stop that.

Unless the United Kingdom curbs the right of foreign firms and investors to obtain technologies through the means of mergers and acquisitions and similar, our advanced technologies could easily find their way into weapons systems of foreign, potentially hostile states. These days, weapons systems should be much more broadly defined. They include possible attacks on the way we live. For example, using the internet to turn off water purification and supplies or just sewerage would have a dramatic and immediate impact on British society. I reckon that is a weapons system these days. In future, investors will have no choice but to notify the Government if the ownership of certain businesses is to change hands. That is good news. I note, too, that the Secretary of State will also have the power to call in other businesses if he or she has concerns about national security. That is good, too: it allows for sensible flexibility.

In contrast to others who have spoken, I think we should be careful about defining exactly what national security involves because it changes all the time. It is difficult to pin it down. We know what it is, but I am worried about defining it.

Within the Department for Business, Energy and Industrial Strategy will now sit this new investment security unit, which will be tasked with supervising sensitive sectors of our economy. I know that those sectors have yet to be fully defined, but most are pretty obvious—defence communications, energy, cryptography, satellite and space technologies and many more. But in the fast-moving modern world that we live in, it will also be important for the investment security unit to look actively at seemingly innocent technologies and systems, which in the wrong hands could bring our society to a grinding standstill. Others have mentioned the national grid: if that could be disabled by the simple means of remote instructions, the whole of the country’s electricity supplies could be turned off. Just think of how difficult that would be!

Keeping sovereign control over the methods of controlling something like the national grid is crucial. I presume and hope that the investment security unit will spend some time looking out for non-obvious threats. Having once been an intelligence officer, I know that trying to identify the threat, the signals that identify what is about to happen, is really difficult because they are embedded in a plethora of noise. But this investment security unit will have to try.

I am pleased that the Bill extends the current screening powers to allow the Secretary of State to investigate the acquisition of sensitive assets in intellectual property as well as the straightforward acquisition of companies. In short, I support the Bill and I am pleased that it has at last reached this stage.

[Matt Western (Warwick and Leamington) (Lab) [V]]

It is a pleasure to follow the hon. Member for Beckenham (Bob Stewart). I join my hon. Friend the Member for Newcastle upon Tyne Central (Chi Onwurah) and others in thanking the Bill Committee, the Clerks and others who supported us so well—including the expert witnesses from whom we got to hear during that fortnight. I had not sat through Second Reading, but we had a particularly enlightening series of sessions.

I wish to speak to new clauses 5, 6 and 7, which I will be supporting, along with the Bill.  I emphasise how strongly colleagues and I feel about how important national security is, and how much Labour prioritises it. That is why we welcome the Bill, following, as it does, unfortunately, the leadership of states such as the United States, Germany and the EU; perhaps we are just that much behind the curve. I am sorry to say that it is clear that the Government failed to recognise the clear and present danger of the commercial strategy of other powers. Although I very much support the Bill, as it introduces the greater powers for Government to intervene when corporate transactions threaten our national security, it is late, perhaps even a decade or more late.

As so many have said, national security has traditionally been viewed quite narrowly. Perhaps we have had the light touch of economically liberal Governments welcoming investment when in fact those acquisitions are aimed at reducing the competition, improving margins and protecting domestic interests. Also we have seen the purpose being to asset-strip those businesses of their intellectual property, often at considerable cost to the UK in terms of our knowledge base and expertise, but with the risk of seriously damaging our supply chains and having the consequent economic impact. Often this results in those businesses moving overseas. So overall, although the Government’s proposal brings the UK in line with other countries on national security, there is the need for greater powers on mergers and acquisitions, particularly in respect of what may be deemed to be beyond security but actually in the national interest, as in the US and France, where they have the powers to block takeovers of companies deemed strategic or that have major implications for national interests.

I am afraid that the past 10 years show that consecutive Conservative and coalition Governments have been persistently slow and muted in intervening to protect national security in a series of cases: Huawei and 5G has been cited frequently this afternoon: Pfizer and AstraZeneca—the proposal of course failed, but we can only imagine what would have happened to the cost of vaccines had those two companies merged and had we been reliant on one major player; Google and DeepMind; and now Nvidia and Arm technologies. Among a great many others, we have also had the takeover of GKN by Melrose and the acquisition of Cobham aviation. They are now owned by businesses based in a friendly state, which is okay and acceptable, but it is questionable how we are prepared to let some of these important businesses—important leaders in technologies—be disposed of, with the assets, the research and the intellectual properties of those businesses moved offshore, to elsewhere.

New clause 5 seeks to define national security. Interestingly, the right hon. Member for Reading West (Alok Sharma), the former Secretary of State, has stated that the Government had a very narrow interpretation of national security. It was surprising what came to light in the Bill Committee, where we heard that, as I understand it, in drawing up this legislation the Government had failed to engage with the Intelligence and Security Committee in the first instance. That was a shortcoming. The evidence sessions proved more than enlightening, particularly when we were hearing from some of the expert witnesses. Some of what we heard was deeply disturbing. The words spoken by Charles Parton of the Royal United Services Institute were some of the most alarming of all. He said:

“we should not underestimate the degree to which Xi Jinping and the Communist party intend, as Xi said to the first politburo meeting, to get the upper hand against western democracies… When you add that to his policy of civil-military fusion—using civil in the military context—and the fact that he has set up a party organisation specifically to push that forward, and the change in investment policy away from things such as property, football clubs and other things, very much towards benefitting China and its technology, we have to be a lot more careful than we have been in the past.”

I think he said that, perhaps deliberately, with extraordinary understatement. Perhaps most alarmingly, he added:

“I am not aware of a really good assessment of just how much technology has been bought, the targets and so on. Maybe the Government have one—I don’t know—but I do not think that they do.”

––[Official Report, National Security and Investment Public Bill Committee, 24 November 2020; c. 6, Q2.]

Perhaps that is something that the Minister could answer when he sums up.

--- Later in debate ---

[Bob Stewart (Beckenham) (Con)]

I will make four quick points. The first is that I am pleased that we have improved the prospects for national security through this Bill. Well done, everyone! My second point is that I am also pleased that the Intelligence and Security Committee will have some role in the oversight of sensitive investment decisions, albeit in retrospect. I fully expect that to happen, as the Chair of the ISC has already suggested and the Minister has accepted.

My third point is that I am clear that the new investment security unit will have to have close links with the security services—probably with liaison officers. I make my final point as a member of the ISC. I guarantee that our job is simple: to ensure that the pro-business outlook of the Government is tempered, if necessary, by the requirements of national security.

Covid-19

Bob Stewart Excerpts

Tuesday 12th January 2021 Commons Chamber

[Bob Stewart (Beckenham) (Con)]

rose—

[Edward Argar]

I will give way briefly to the hon. Lady, and then to my hon. and gallant Friend.

[Edward Argar]

I had the pleasure of working with the hon. Lady in a past life before either of us were Members of this House, and she makes a typically sensible suggestion, which I am sure Royal Mail will have heard. I hope that it will reflect carefully on what she has said.

[Bob Stewart]

The real problem is that people will not know whether they have been called, because the post has not arrived. In my constituency, several instances have come to my notice of people not getting post for over a week. If they are called forward in that week, they are stymied, aren’t they?

[Edward Argar]

I reassure my hon. and gallant Friend that, while there may on occasions be challenges with the post, we are persistent in our determination, and the NHS is persistent in its determination, to ensure that everyone has the opportunity to get this jab. Where someone does not respond, or does not turn up for an appointment, we will keep trying, because it is really important that everyone has the opportunity to have that injection, which could save their life.

--- Later in debate ---

[Bob Stewart (Beckenham) (Con)]

May I outline five concerns that affect my constituents? First, they are concerned that some people are not getting mail telling them to get their vaccination. In particular, that affects the elderly, who do not like having to use the internet; they want a telephone number. May we please have a telephone number, locally, for all of us, so that we can ring it to get the information about people who have not been called for a vaccination when they should have been?

Secondly, I am concerned that pre-schools and nurseries are still open. I do not quite get the logic of them being open and primary schools being closed. I have not seen really good evidence to support that.

Thirdly, I am concerned—as we all are in Beckenham—about the increasing number of children turning up at school claiming to be from key worker families. That is happening increasingly, and puts teachers at even more risk.

Fourthly, I am concerned about musicians—there are a lot of musicians in Beckenham—who have had a really hard time over the pandemic trying to get income, because they do not necessarily qualify for it. When they do get business and when we are allowed to travel, however, the rules debar them from easily travelling in and out of the country to make their living in Europe.

Fifthly, I am very concerned, as others are, about the future of the hospitality industry. Too many cafés and restaurants in my constituency will fail to reopen. When they were able to open before, I went to have some meals, and I thought that they were doing extremely well at social distancing. I have not seen any evidence that cafés and restaurants were causing an increase in infection. We have to open them as soon as possible. I understand that distancing reduces covid but, actually, we have to think this one through carefully. I gather from people who are the experts—not me—that cafés and restaurants are not great spreaders of this dreadful pandemic, so may we please open as soon as possible?

Those are my five concerns but, frankly, looking at other colleagues around the House, most of them are nodding, because they agree that those concerns affect them, too, in their constituency. I am done, thank you, Madam Deputy Speaker.

[Lee Rowley (North East Derbyshire) (Con)]

It is a pleasure to be able to contribute to this debate. In doing so, I thank again everybody in North East Derbyshire for everything that they are doing. In the most difficult period of our lives, what our constituents have done, are doing and will continue to do is incredible. We will get through this together, and I thank them for everything.

Today, I want to focus on the last mile in front of us and a very vexing part of the public debate around that. It is hard to believe that only a year ago today the World Health Organisation confirmed the existence of a coronavirus in China. That year has felt like 10. The virus has turned our lives upside down repeatedly and yet, ragged, weary and older, we persist.

Even as the light draws nearer, with the vaccinations, we still have much work to do. Even with hundreds of thousands of jabs going in arms on a daily basis, suppression at this last stage remains vital. Yet every day, I am contacted by residents who remain unsure about the strategy that we are pursuing and who rightly challenge and question. They are absolutely right to do so.

Most accept the position once we discuss it.

A small number remain unsure; they want to be supportive of the Government’s actions, but they are buffeted by the continual suggestions—particularly on social media—that the virus is some kind of collective mirage. Given the siren voices on those media, I can see why the alternative view is so alluring. They suggest easy choices, benign realities and soft landings—that we are in a casedemic; that the pandemic was over in the summer. It would be fantastic if that were true, yet it is not.

This tiny, unrepresentative group, basking on past glories or extended CVs, continues to argue against reality. For a time, I thought they were valuable voices of scepticism in the debate; then, that they were just wrong. Now, I am not sure I can accord them that benign intent.

[Bob Stewart]

My hon. Friend is absolutely right. I entirely agree. It seems to me that someone does not need to go to medical school or law school or any other professional establishment to get a qualification these days; they can become a professor just by going on the internet.

[Lee Rowley]

I am grateful for that contribution from my hon. Friend. It highlights that just because somebody has a certain number of letters after their name or a title in front of it does not necessarily mean that we should not apply the same element of scepticism to what they say, particularly when they are saying things that are not accurate. This small group of people operate in a grey space, suggesting that because something is not happening right now, it is impossible for it to happen and that it cannot possibly be the case that there may be catastrophic outcomes if we are not careful.

I should be clear: I do not seek to silence these people. They are free and should always be free to make their statements, whether they are correct or otherwise, but I seek to highlight that they are wrong. What they assert, they must justify, and when they cannot—as was the case when I spoke to one of them directly a few months ago about repeated assertions on the inaccuracy of the PCR tests—they should be treated with the disdain that they all treat us with by making these false assertions in the first place.

Our hospitals are full. Our death statistics are high. We can see the virus in our communities. On this last mile, please do not listen to these people. We will get there and hold on. Together, we can do this.

--- Later in debate ---

[Jo Churchill]

I would be happy to join in my hon. Friend’s remarks. For me, when I visited one of the surgeries in Woolpit in my constituency, it was also the gratitude of those older members of our society who were being vaccinated. As one nursing member of staff said to me, “It’s just the gratitude of people”. They have heard more thank-yous in 10 months than they have across their careers before.

I think people are seeing this as a light at the end of the tunnel, as many speakers have said, but I also think we must be careful. While we are rolling out the vaccine, the way we can thank those right across the health service is to stick to the rules and to make sure that transmission between people is as minimal as possible and that we stay home. That is the way we can help them, because even when people have been vaccinated, there is a period of some three weeks before it starts to ensure that that individual is protected. There was a tweet by the Archbishop of Canterbury today who said that we wear a mask and keep our distance to protect our neighbour. We do all these things to protect others, making sure that through the course of this pandemic we follow the instructions. I do not feel they are confusing—stay at home, go out for one piece of exercise a day. It is pretty clear, and that is how we can help our health service, which is finding things tough at the moment.

[Bob Stewart]

I thank the Minister for allowing me to intervene. Could I ask the Minister to take away the fact that so many elderly people are really concerned about when they are going to get their vaccination? I have had three people in their 90s who have not been contacted, and this is about the lack of contact and the lack of information. The only way, or the best way, to deal with people of that age is not via the internet, but to have a local telephone number that people—the family perhaps, or the person themselves—can telephone. Can I ask the Minister to take that point away and try to set up something like that, because it would be so helpful and be good for morale among the elderly?

[Jo Churchill]

I thank my hon. Friend, and I would say a couple of things. Of course I will take that away and mention it to the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Stratford-on-Avon (Nadhim Zahawi). I would also reiterate the Minister for Health’s comment to my hon. Friend during his opening speech that if at first we do not succeed, we will try, try and try again. It is really important that people feel secure, and that it is not just one hit. If someone has missed their appointment—there may be valid reasons why people cannot get there—we will keep trying over and over again to ensure that as many people can receive the vaccination in as swift a time as possible, because ultimately that is how we will be safe.

Many people mentioned how brilliant pharmacists and their teams have been. We are starting to roll out the vaccine to community pharmacists through the pharmacy network over the course of this week, and building up next week. Many people also mentioned supply. This is a process of driving more and more capacity into the system to make sure that as we build a system—from the mass vaccination sites, in one of which the mum of my hon. Friend the Member for Hazel Grove is working, cascading down through our communities and into more rural sites—those in care homes can get vaccinated without having to leave their care home. This is about making sure we are using GPs and pharmacists across our network, and mobilising the armed forces, who, as we heard in this place earlier today, have been absolutely at the forefront of making sure we get kit such as PPE to the right place, and have been out there helping with testing and helping with the vaccine roll-out. This has been a national effort and a team effort.

Covid-19: Vaccinations

Bob Stewart Excerpts

Monday 11th January 2021 Commons Chamber

[Madam Deputy Speaker (Dame Eleanor Laing)]

I thank the Minister for being so assiduous in giving very thorough answers to the long and complicated series of questions that have already been put to him, but I must say to the House that we now have half an hour more for the rest of this statement, so I insist on having questions, not statements, from everyone. I specifically mention this to people who are coming in virtually, because they seem to lose a sense of timing when they are not here in the Chamber. A question means a question—just one question. I say to the Minister, who has been most assiduous, that where he has already given an answer to the question, I will not insist that he has to give the answer again because the person who is now asking it has not listened to his first answer.

[Bob Stewart (Beckenham) (Con)]

I will be as quick as I can, Madam Deputy Speaker.

Some of my Beckenham constituents have contacted me to say that they think they should have had the vaccination already; two of them are in their 90s, so I am slightly alarmed. I am told that GPs are not necessarily the people to go to in order to ask what is happening, so I wonder who my constituents and I should go to when the system—inadvertently, perhaps—does not actually give out an appointment that it might have done.

[Nadhim Zahawi]

My hon. Friend’s constituents will be contacted, either by their primary care network or by letter from the national booking service. They do not have to go to the national vaccination centre if that is inconvenient; they will be able to get their vaccination through their primary care network or the hospital hubs. I am very happy to take those particular two cases offline, look into them and give him some more details.

Covid-19 Vaccine Roll-out

Bob Stewart Excerpts

Tuesday 8th December 2020 Commons Chamber

[Matt Hancock]

We consider all those figures, and because we consider them alongside special factors such as whether there is an outbreak, we do not put a specific figure on that, as the hon. Lady well knows. But what we have done is put in more economic support than almost any other country in the world, as the International Monetary Fund has recognised. We have tried as best we possibly can to support people through what has been an incredibly difficult year. We have not been able to save every job, but with the economic measures of support for business and the furlough scheme in place, we have put in very significant support. But the best support that people in the north-east, and elsewhere in the country, can have until this vaccine is rolled out is to continue to follow the restrictions that are necessary and then, if they get the call from the NHS, take that vaccine.

[Bob Stewart (Beckenham) (Con)]

A charming lady of 92 has contacted me. She lives on her own, and she cannot get out of the house. I have assured her that the Secretary of State for Health will make especial efforts to ensure that she is looked after and gets her vaccination as soon as possible. Is that correct?

[Matt Hancock]

Yes, if she can travel. When the NHS calls, my advice to my hon. Friend’s constituent is to get that card with that invitation and to phone up my hon. Friend, and he will give her a lift.