Public Health

Boris Johnson Excerpts

Tuesday 1st December 2020 Commons Chamber

[The Prime Minister (Boris Johnson)]

I beg to move,

That the Health Protection (Coronavirus, Restrictions) (All Tiers) (England) Regulations 2020 (S.I., 2020, No. 1374), dated 30 November 2020, a copy of which was laid before this House on 30 November, be approved.

[Mr Speaker]

With this we shall take the following motion:

That the Health Protection (Coronavirus, Restrictions) (Local Authority Enforcement Powers) (England) Regulations 2020 (S.I., 2020, No. 1375), dated 30 November 2020, a copy of which was laid before this House on 30 November, be approved.

[The Prime Minister]

I want to begin by telling the House that I was hugely encouraged by a visit I paid only yesterday to a vaccine plant in north Wales, where I saw for myself the vials of one of seven vaccines backed by the UK Government that could turn the tide of our struggle against covid, not just in this country but around the world. It is the protection provided by those vaccines that could get our economies moving again and allow us to reclaim our lives. That one plant in Wrexham could produce 300 million doses a year. Yesterday was the momentous day when it began to manufacture the Oxford-AstraZeneca vaccine, and it was a very moving moment. I talked to one of the brilliant young scientists there, and she described the extraordinary moment in her life of being part of an enterprise that she thought was truly going to offer humanity a route out of this suffering.

But we have to be realistic, and we have to accept that this vaccine is not here yet—no vaccine is here yet. While all the signs are promising, and almost every scientist I have talked to agrees that the breakthrough will surely come, we do not yet have one that has gained regulatory approval, and we cannot be completely sure when the moment will arrive. Until then, we cannot afford to relax, especially during the cold months of winter. The national measures that are shortly ending in England have eased the burden on the NHS and begun to reverse the advance of the virus. Today the R is back below one, and the Office for National Statistics survey shows signs that the infection rate is levelling off. Imperial College London has found that the number of people with covid has fallen by a third in England since 2 November.

But while the virus has been contained, it has not been eradicated. The latest ONS figures suggest that, out of every 85 people in England, one has coronavirus—far more than in the summer. Between 24 November and yesterday, 3,222 people across the UK lost their lives. Despite the immense progress of the last four weeks, our NHS remains under pressure, with hospitals in three regions—the south-west, the north-east and Yorkshire—all treating more covid patients now than at the peak of the first wave.

[John Spellar (Warley) (Lab)]

The Prime Minister talked about the virus being eradicated. Only one virus in history has been eradicated. Containment may well be the only option open to us.

[The Prime Minister]

The right hon. Gentleman is, of course, completely right. Containment is the objective of the tiering scheme that the Government are announcing, and I hope the Opposition will support that tonight, in spite of what I gather is their decision to abstain, which seems extraordinary to me. We cannot simply allow the current restrictions to expire, for the reason he gives, with no replacement whatever. With the spread of the epidemic varying across the country, there remains a compelling case for regional tiers in England and, indeed, a compelling necessity for regional tiers.

[Steve Brine (Winchester) (Con)]

The latest rate in my area is 79 per 100,000 people. A week ago, it was 178. We went into lockdown in tier 1 and will come out in tier 2. Pubs and restaurants in my constituency are in the worst of all worlds. In asking me to support these regulations tonight, what hope can the Prime Minister give them?

[The Prime Minister]

Indeed, and I will come in just a moment to what more we hope to do for pubs, restaurants and everybody in the hospitality sector, whose anguish and difficulties everybody in this Chamber understands and appreciates.

I hope the House is clear what I am not asking for today. This is not another lockdown, nor is this the renewal of existing measures in England. The tiers that I am proposing would mean that from tomorrow, everyone in England, including those in tier 3, will be free to leave their homes for any reason. When they do, they will find the shops open for Christmas, the hairdressers open, the nail bars open, and gyms, leisure centres and swimming pools open.

[Mark Jenkinson (Workington) (Con)]

My constituency sits entirely within the Borough of Allerdale, where our rates have declined to just over 70 per 100,000, and we are due to enter tier 2 restrictions. Will the Prime Minister commit to a more local tiering system, so that the hard work of my constituents is rewarded?

[The Prime Minister]

Yes, indeed. This is a point that many of my hon. and right hon. Friends have made to me and to the Government with great force and eloquence over the past few days. We want to be as granular as possible as we go forward to reflect the reality and the human geography of the epidemic, and we shall be so. What I can say is that, from tomorrow, across the whole country, not just gyms, leisure centres and swimming pools will be open, but churches, synagogues, mosques and temples will reopen for communal worship, organised outdoor sport will resume and, in every tier, people will be able to meet others in parks and in public gardens, subject to the rule of six. Every one of those things has been, by necessity, restricted until today. Every one of them will be allowed again tomorrow. Of course, I accept that this is not a return to normality—I wish it were so—but it is a bit closer to normality than the present restrictions. What we cannot do is to lift all the restrictions at once or to move too quickly in such a way that the virus would begin to spread rapidly again. That would be the surest way of endangering our NHS and forcing us into a new year lockdown with all the costs that that would impose.

[Mr Tanmanjeet Singh Dhesi (Slough) (Lab)]

I thank the Prime Minister for giving way. After the inconsistencies and controversies of the previous tiering system, what was required this time round was more fairness, clarity and transparency. We were promised a regional approach. However, what the powers that be have done is to place little old Slough in tier 3, despite the fact that we have been segregated from the wider region and that there are areas in neighbouring London and Essex with higher covid transmission rates. Why does the Prime Minister hate Slough? What have we done to annoy him so much?

[The Prime Minister]

I love Slough, but I understand what the hon. Gentleman is saying. I appreciate people’s feelings of injustice, and people do feel it. There is no question but that people feel that they have been unfairly attracted by proximity into a higher tier than they deserve. People also feel that the tiering is not working for them. I want to repeat the answer that I gave to my hon. Friend the Member for Workington (Mark Jenkinson), which is that, as we go forward—I mean this very sincerely —the Government will look at how we can reflect as closely as possible the reality of what is happening on the ground for local people, looking at the incidence of the disease, looking at the human geography and spread of the pandemic, and, indeed, looking at the progress that areas are making in getting the virus down. We will try to be as sensitive as possible to local effort and to local achievement in bringing the pandemic under control.

[Several hon. Members rose—]

[The Prime Minister]

I want to make a little bit of progress, because I want to say something now about our hospitality sector, which I know the House will want to hear. We all accept that the burden on the hospitality sector has been very great, and we feel this deeply, because our pubs, our hotels and our restaurants are, in many ways, the heart of our communities and part of the fabric of our identity as a country. Everybody can see that the hospitality industry has borne a disproportionate share of the burden in this crisis. There is no question about it. That is obviously because we want to keep schools open and we have to take such measures as we can. I just remind the House, however, that we are not alone in that: in France, bars, restaurants and gyms will not reopen until 20 January at the earliest; and in Germany, the hospitality sector will remain closed in its entirety over Christmas.

We will do everything in our power to support our hospitality sector throughout this crisis. We have already extended the furlough scheme for all businesses until the end of March. We have provided monthly grants of up to £3,000 for premises forced to close and £2,100 for those that remain open but have suffered because of reduced demand. We have allocated £1.1 billion for local authorities to support businesses at particular risk. Today, we are going further, with a one-off payment of £1,000 in December to wet pubs—that is, pubs that do not serve food, as the House knows—recognising how hard they have been hit by this virus in what is typically their busiest month. We will also work with the hospitality sector in supporting their bounce back next year.

I want to stress that the situation is profoundly different now, because there is an end in sight. I am not seeking open-ended measures this afternoon; on the contrary, the regulations come with a sunset clause at the end of 2 February, at which point we will have sufficient data to assess our position after Christmas. Though I believe that these types of restrictions will be needed until the spring, they can be extended beyond 2 February only if this House votes for them.

[Sir Edward Leigh (Gainsborough) (Con)]

In the week up to 25 November, Market Rasen ward had six cases and is to go to tier 3; East Ham ward in London had 40 cases in that week and is to go into tier 2. What I want from my right hon. Friend is an absolute personal commitment that he and his right hon. Friend the Secretary of State for Health and Social Care will look personally at the case of Lincolnshire and do their level best to get us out of tier 3 by Christmas.

[The Prime Minister]

Indeed, I can certainly give my right hon. Friend that assurance: we will look in as much granular detail as we can at the incidence throughout the country. These points have been made with great power by Members from all parties. We will review the allocation of tiers every 14 days, starting on 16 December.

[Several hon. Members rose—]

[The Prime Minister]

I just want to make an important point to my right hon. Friend the Member for Gainsborough (Sir Edward Leigh) and to all Members who are rightly concerned about the position of their constituencies—our constituencies—in these tiers. Members have it in their power—in our power—to help to move our areas down the tiers by throwing their full weight—throwing our full weight as leaders in our communities—behind community testing and seizing the opportunity to encourage as many people as possible to take part.

[Greg Clark (Tunbridge Wells) (Con)]

Kent is the biggest county by population in Britain and there are vast differences in the rate of covid within it. In Tunbridge Wells, we have one of the lowest incidences in the country. Will the Prime Minister commit that at the first possible review on 16 December, if a particular borough meets the five criteria that he has set, he will move it down to a lower tier?

[The Prime Minister]

My right hon. Friend is quite right to raise the position of Tunbridge Wells, and I know that the feelings of the people of Tunbridge Wells are shared by many people across the country who feel this sense of being unjustly attracted into the wrong level of tiering. I repeat the assurance that I have given to my hon. Friend the Member for Workington and my right hon. Friend the Member for Gainsborough: we will look in granular detail at local incidence—at the human geography of the pandemic—and take account of exactly what is happening every two weeks. To repeat my point, it is in the power of Members to help their local area to move down the tiers.

[Several hon. Members rose—]

--- Later in debate ---

[The Prime Minister]

I am going to give way for one last time, to the right hon. Member for Kingston and Surbiton (Ed Davey).

[Ed Davey (Kingston and Surbiton) (LD)]

Will the Prime Minister ensure that anyone who wants to take a test to confirm that they do not have the virus before they visit family members over Christmas can have a test on the NHS?

[The Prime Minister]

We are rolling out lateral flow testing across the country and it is open to people to get a lateral flow test, but in general the testing system is available at the moment for people who have symptoms. I urge people who are worried that they may need to be in the company of those who are elderly or vulnerable to seek to get a rapid-turnaround test. [Interruption.] The one thing the right hon. Gentleman could do for his constituents if he wants to help them to move out of the tier they are in is to encourage them all to take part in mass community testing of the kind that the Government are rolling out.

This depends very much on the co-operation of local leaders and local authorities of the kind that we have seen in Liverpool, where, since 6 November, over 284,000 tests have been conducted, and, together with the effect of national restrictions, the number of cases fell by more than two thirds. This is the model that I would recommend. We are now proposing that from tomorrow Liverpool city region and Warrington should be in tier 2 whereas previously, obviously, they were in tier 3. We want other regions and other towns, cities and communities to follow this path. That is why, with the help of our fantastic armed forces, we will be offering community testing to tier 3 areas as quickly as possible.

[Andrea Leadsom (South Northamptonshire) (Con)]

What assessment has the Prime Minister done of compliance with previous lockdowns? Does he share my concern that people have just had enough and that the risk of non-compliance is very great, and that those who are compliant will then have the added frustration of watching those who will not comply doing whatever they want while they have to sit at home?

[The Prime Minister]

I normally find myself in agreement with my right hon. Friend, but I must say that I do not think she is right in this instance. If we look at what the British people have achieved in the past few weeks by following the guidance, and by deciding to work together to get the R down, they have done just that. Collectively, the people of this country have got the R back down below 1. That was not by non-compliance—it was by the people of this country deciding to follow the rules, do it together, and get the virus down.

I find it extraordinary that the official Opposition, represented by the right hon. and learned Member for Holborn and St Pancras (Keir Starmer), currently have no view on the way ahead and are not proposing to vote tonight.

[Mr Toby Perkins (Chesterfield) (Lab)]

rose—

[The Prime Minister]

Perhaps the hon. Gentleman would like to tell us.

[Mr Perkins]

I am very pleased to hear it. Many Labour Members believe that there should be restrictions but believe that the Prime Minister’s tiers are wrong. He is explaining very well why he is going to come back on 16 December and come up with a system that we might be able to vote for, but the system he is coming up with today is totally inadequate. How is it possible that in Chesterfield, with 118 cases per 100,000, we are in tier 3, but London constituencies like the one he represents, with a much higher level, are in tier 2? It is because our pub owners and our restaurateurs are worthless to him.

[The Prime Minister]

I hope that the hon. Gentleman will really think carefully about what he just said. We are trying to look after pubs, restaurants and businesses across this entire country, and no one feels the anguish of those businesses more than this Government.

I do think it is extraordinary that in spite of the barrage of criticism that we have, we have no credible plan from the Labour party. Indeed, we have no view on the way ahead. It is a quite extraordinary thing that, to the best of my knowledge, the right hon. and learned Member for Holborn and St Pancras, who said that he would always act in the national interest, has told his party to sit on its hands and to abstain in the vote tonight. The Government have made their decision, we have taken some tough decisions, and the Labour Opposition have decided tonight, heroically, to abstain. I think that when the history of this pandemic comes to be written, the people of this country will observe that instead of having politicians of all parties coming together in the national interest, they had one party taking the decisions and another party heroically deciding to abstain.

In the story of 2020, there are two great feats from which we can take a great deal of comfort. First, our country has come together in an extraordinary effort that has so far succeeded in protecting our NHS and in saving many lives, while our scientists have been zeroing in on the weaknesses of covid, telescoping 10 years of work into 10 months, and now their endeavours are about to deliver the means, as I say, to rout the virus. That is clear.

The Government are backing not one potential vaccine but seven. We have ordered 100 million doses of the Oxford AstraZeneca vaccine, which is now seeking regulatory approval; we have ordered 7 million doses of the Moderna vaccine, which has almost 95% effectiveness in trials; and we have ordered 40 million doses of the Pfizer BioNTech vaccine, which, if approved by the regulator, could start being administered before Christmas.

[Several hon. Members rose—]

[The Prime Minister]

No, I am coming to the end.

In total, our vaccines taskforce has secured more than 350 million doses—more than enough for everyone in the UK, the Crown dependencies and our overseas territories. All we need to do now is to hold our nerve until these vaccines are indeed in our grasp and indeed being injected into our arms. So I say to the House again, let us follow the guidance, let us roll out mass testing, let us work to deliver mass testing to the people of our country, let us work together to control the virus, and it is in that spirit that I commend these regulations to the House.

[Mr Speaker]

I will be introducing a four-minute time limit.

--- Later in debate ---

[The Prime Minister]

Ah!

[Keir Starmer]

We accept the case for restrictions. We want a plan that is going to work, we are on plan 5 and this one is full of holes; we have been there so many times. So many times the Prime Minister has stood there and said, “This is the plan, this will solve the problem.” This is the fifth time around and we still have a plan with holes that have been there for months. Why is track and trace still not working? Why are the gaps in the support still there? Why are those we are excluding not included? Why are those who have to self-isolate not given the support to do so? Those are huge gaps in the system and to simply vote through a plan without recognising those problems is not going to help.

I accept the case for restrictions—we will not stand in the way of these regulations; we do not want the restrictions to come off—but I am not going to stand here and pretend, as the Prime Minister does: “This is the plan that will solve it all. Vote for this and it will all be fine through to Easter.” That is not going to happen and nobody should vote on that basis today.