Debates between Charles Walker and Sajid Javid during the 2019 Parliament

Mon 29th Nov 2021
Fri 26th Nov 2021
Tue 23rd Nov 2021
Health and Care Bill
Commons Chamber

Report stageReport Stage day 2

Oral Answers to Questions

Debate between Charles Walker and Sajid Javid
Tuesday 19th April 2022

(1 year, 11 months ago)

Commons Chamber
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Charles Walker Portrait Sir Charles Walker (Broxbourne) (Con)
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1. What steps his Department is taking to meet its target of England being smoke-free by 2030.

Sajid Javid Portrait The Secretary of State for Health and Social Care (Sajid Javid)
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I know that my hon. Friend has long been a passionate advocate for a smoke-free England, and I read his recent Westminster Hall debate with interest. Some 64,000 deaths a year are attributed to smoking and it is one of the greatest drivers of health disparities in our country. I am personally determined that we should do everything we can to reach the Government’s ambition of a smoke-free 2030. That is why, in January, I asked Javed Khan to lead an independent review into tobacco control. Once that review is complete, the Government will set out their next steps.

Charles Walker Portrait Sir Charles Walker
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To get to a smoke-free 2030, for every 100 people smoking today we need to reduce that figure by eight, because “smoke-free” actually means 5% or less of the adult population smoking. Can I ask the Secretary of State to ruthlessly target the barriers that stop people stubbing out their last cigarette? We need to get the numbers of smokers down; otherwise, 2030 will be an ambition that is not achieved.

Sajid Javid Portrait Sajid Javid
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My hon. Friend is absolutely right. The smoking rate is currently 13.5%, which is the lowest on record. However, smoking remains the largest driver of health disparities in our country. The new tobacco control plan, which will be informed by the new independent review, will be looking to do exactly what my hon. Friend says.

Vaccination: Condition of Deployment

Debate between Charles Walker and Sajid Javid
Monday 31st January 2022

(2 years, 1 month ago)

Commons Chamber
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Sajid Javid Portrait Sajid Javid
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I am happy to answer those questions. First, the Government’s decision is to revoke both statutory instruments; I am happy to confirm that. On those who, following the statutory instrument on care home settings, chose not to get vaccinated and preferred to leave their job than do the professional thing and get vaccinated, that was their choice, and that does not change. That policy was right at the time—I have set out the reasons why—because the dominant variant was delta. Should those people choose to apply for a job in a care home once the restrictions have been lifted, that is a decision for them. However, I continue to encourage them to make the right positive decision and get vaccinated.

Charles Walker Portrait Sir Charles Walker (Broxbourne) (Con)
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I promised my wife that I would stop being angry, but I just cannot. Long before vaccines existed, these people who we cast as pariahs were day in, day out, coming into hospitals and care homes and holding the hands of the dying because their children and grandchildren could not. They were doing that while most people in this House were sitting on their backsides safely at home. Now, by all means, let us encourage people to get vaccines, but the language used, suggesting that these people who, for whatever reason—they may have needle phobia, like me—have chosen not to get vaccinated are somehow deserving of our bile is a disgrace. It does not reflect badly on them; it reflects badly on us.

Sajid Javid Portrait Sajid Javid
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What I hear from my hon. Friend, and I very much agree, is that vaccines are safe and effective. They remain our most important weapon in fighting the pandemic and, as more people come forward and choose to get vaccinated, that is not only good for them but right for the rest of society, their loved ones and everyone else around them. That is especially so if the people around them—they might be in a care setting or a hospital—are more vulnerable than most of the population. The best way forward is therefore to encourage everyone now to continue to think of the vaccine in that positive, sensible way and to come forward.

Covid-19 Update

Debate between Charles Walker and Sajid Javid
Monday 29th November 2021

(2 years, 4 months ago)

Commons Chamber
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Sajid Javid Portrait Sajid Javid
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I heard what the hon. Lady had to say, but the UK does not believe that waiving patent rights and intellectual property rights on these vaccines would be helpful. It would certainly mean that in the future there would be a huge disincentive for pharmaceutical companies to come forward and help the world with their technology.

Charles Walker Portrait Sir Charles Walker (Broxbourne) (Con)
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I say to the Secretary of State that injecting people, not just in this country but around the world, is a huge logistical undertaking. I believe that in India nasal vaccines are used for the administration of the flu vaccine. Please can the Government bring forward nasal vaccines? We did it in nine months for an injectable vaccine—March 2020 to December 2020. It is now nearly December 2021 and there is still no nasal vaccine, despite high levels of efficacy being proven in trials.

Sajid Javid Portrait Sajid Javid
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My hon. Friend is right to raise the importance of vaccine delivery mechanisms. If there was an approved nasal vaccine delivery mechanism, it would be helpful. He will understand that we have to allow the regulators the time to assess new delivery mechanisms, but we do take this very seriously.

Covid-19 Update

Debate between Charles Walker and Sajid Javid
Friday 26th November 2021

(2 years, 4 months ago)

Commons Chamber
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Sajid Javid Portrait Sajid Javid
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The hon. Lady makes a good point about the need to follow guidance and the rules currently in place. The plan A policies that we put in place remain the policies we need at this time, but she will not be surprised to know that we keep them under review and, if we need to go further, we will.

Charles Walker Portrait Sir Charles Walker (Broxbourne) (Con)
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The shadow Minister mentioned the number of people who are unvaccinated. Please, Secretary of State, can we bring a nasal vaccine to market? Stage 2 trials are proving really positive, with high rates of efficacy. We have to throw the kitchen sink at this. I cannot understand why we are not making nasal vaccines, which would increase the uptake of vaccines in this country and across Europe, available.

Sajid Javid Portrait Sajid Javid
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My hon. Friend is right to point to the continued importance of the vaccination programme. There are some 5 million people in the UK who have not received a single shot of any type of vaccine. He is right to talk about the importance of the delivery methods of a vaccine and, as he has mentioned, there are trials of nasal vaccines. However, I am sure he will understand that until such vaccines are approved by our independent regulator, we will not be able to pursue them.

Health and Care Bill

Debate between Charles Walker and Sajid Javid
Sajid Javid Portrait Sajid Javid
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Yes, absolutely, I can confirm that. My right hon. Friend is absolutely right to stress the importance of that. The NHS will be spending the best part of £150 billion a year, and it is vital that the best value is achieved with every penny that is spent.

Charles Walker Portrait Sir Charles Walker (Broxbourne) (Con)
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May I thank my right hon. Friend and his ministerial team for taking into account my concerns about parity of esteem between mental health and physical health? Although I was unsuccessful in amending the Bill at this stage, I thank him for being willing to look at that, or to have colleagues look at it in the other place. I really do appreciate that level of engagement.

Sajid Javid Portrait Sajid Javid
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I am happy to give my hon. Friend the commitment that we will look at that. I think everyone in the House agrees that the principle is vital, and I am sure it is supported across the House.

Let me briefly highlight the changes that we have made. First, we have heard the desire of the House to rate and strengthen the safety and performance of the integrated care systems. Working with members of the Health Committee, we have introduced an amendment that gives the Care Quality Commission a role in reviewing ICSs.

Secondly, we have heard concerns about the independence of integrated care boards. While it has never been our intention that anyone with significant involvement or interests in private healthcare should be on an ICB, following a productive meeting with the hon. Members for Nottingham North (Alex Norris) and for Ellesmere Port and Neston (Justin Madders) we tabled an amendment that ensures we write that principle into the constitution of ICBs.

Thirdly, we heard concerns from hon. Members about the potential impact of our proposed restrictions on advertising less healthy food and drink. We must, of course, do that in a pragmatic way, so we have introduced amendments to ensure we do not unintentionally impact UK businesses when they advertise to overseas audiences. Further, we will consult with stakeholders on any further changes to the nutrient profiling model.

Fourthly, and very importantly, the Bill now reflects our commitment to end the crisis in social care and the lottery of how we all pay for it. It is not right and not fair that the heaviest burdens often fall on those who are least able to bear it, so we are introducing a cap on the costs of care so that no one will have to pay more than £86,000 over their lifetime. That cap that will be there for everyone, regardless of any conditions they have, how old they are, how much they earn, or where they live. We will introduce a far more generous testing system, so that everyone will be better off under the new system.

We move a Health and Care Bill that is stronger than before, with those three underpinning principles reinforced: embedding integration, cutting bureaucracy and boosting accountability. On integration, it is not about simply telling the NHS, local authorities and others to work together; it is about helping them to do it by doing things like merging NHS England and NHS Improvement into a single statutory body and establishing integrated care boards to deliver as one.