Childhood Cancer Outcomes

Chris Elmore Excerpts

Tuesday 26th April 2022 Commons Chamber

[Mark Tami (Alyn and Deeside) (Lab)]

Leukaemia is the most common cancer in children. For most, the treatment will be chemotherapy and, more recently, the use of targeted therapies such as CAR-T. The treatment will take place over a number of years and there will be many bumps in the road in what is a very difficult journey.

I will never forget the phone call from my wife 15 years ago telling me that our nine-year-old son had leukaemia. For us, it soon became clear that the only route open to us would be a stem cell transplant. We were very fortunate that we found a donor for our son, but far too many children—particularly those from non-white backgrounds—are still not as lucky. There have been great improvements in recent years, but a lot more work still needs to be done.

The transplant process is not easy, involving radiotherapy and isolation to try to avoid infection as the immune system is so weakened, and then there are the post-transplant effects which, in the worst cases, can involve graft versus host disease, which can kill the patient, as well as infertility, premature menopause, fatigue, muscle problems, a higher chance of secondary cancers—I could go on.

We are making medical advancements, and some of the treatment is now far less severe than it was those 15 years ago. But that is the physical side of the illness; what of the psychological issues that children who have had cancer treatment will almost certainly face? About three-and-a-half years ago, I had a debate in this Chamber on this very subject, highlighting what I thought were the problems. Regrettably, those problems are still there today and, with covid, have arguably got worse.

[Chris Elmore (Ogmore) (Lab)]

A constituent of mine, Richard Case, lost his son Cian two years ago. Two years ago, I had a debate in this Chamber—the hon. Member for Winchester (Steve Brine) responded for the Government—on international research for children with childhood rare cancers, and looking at how the G7 and the G20 could focus on global research and innovation in tackling childhood cancers. Progress has been limited. Does my right hon. Friend agree that it is time that finding cures for childhood cancers was a global research priority?

[Mark Tami]

I agree, and I think that vital work needs to be carried out now.

Fundamentally, psychological support should not be an add-on. It is not something that we should have to seek or press for our children to receive; it should be part and parcel of the overall treatment programme. For many people, it is about coming to terms not only with the treatment, but with the fear that the illness could come back again. That is a hell of a pressure to be put on a young person.

Young people may also find it difficult to talk to their own families about some of these issues and the concerns they have. That is why professional counsellors and clinical nurse specialists can play an important role in this respect. Reintroduction into school, for example, can be a traumatic experience for young cancer patients, as well as for their classmates, because they might look very different from when they left the school. I remember a young girl telling me that the worst part of what had happened to her was not the treatment, but the fact that she lost her hair—coming to terms with that is very difficult.

Randox Covid Contracts

Chris Elmore Excerpts

Wednesday 17th November 2021 Commons Chamber

[Angela Rayner]

My hon. Friend makes a crucial point, and it is why the public are so frustrated. We know there has been waste in some of these contracts, and that money is needed in many parts of our country and in many areas of our constituencies. We know that money could have been better spent, and we know the cost of not doing it properly.

[Chris Elmore (Ogmore) (Lab)]

Does my right hon. Friend agree that it speaks volumes that Conservative Members cannot be bothered to turn up to defend the Government’s position? Does she agree that the reason they have not turned up is because they know what they are doing is wrong? The country deserves so much better than what the Tories are delivering for them.

[Angela Rayner]

I do not think I have ever seen the Government Benches so empty when I have been at the Dispatch Box. It is quite novel. It is not just about respect for this House; it is about respect for the public who are watching and who want to know the answers. They want to know what elected Members on both sides of the House think.

The Government have refused to provide answers to the freedom of information requests on these points, and this is far from the only time that they have swerved scrutiny on their decisions. Take the mystery of Lord Bethell’s mobile, for example. The House may recall that the Prime Minister’s official spokesperson categorically denied that Ministers ever use private accounts for Government business, only for that denial to fall apart. The Government have now admitted in court that Lord Bethell corresponded about public contracts via WhatsApp or text message, and searches of his three private email accounts using covid contract keywords unearthed tens of thousands of messages and documents.

In December 2020, Lord Bethell was told his mobile phone would be searched for documents. Just weeks later, he said he had replaced his phone. First, he claimed his phone had been lost, then he said it was broken and then he said he had given it away to a family member. Finally, nearly a year on, he remembered that he had his phone all along, but that unfortunately he was in the habit of deleting his entire WhatsApp history and, sadly, the relevant messages may have been lost. He said the problem—I am not making this up—was exacerbated by having two phones, a personal phone and an official phone. I can at least agree with him on that; I am not kidding.

--- Later in debate ---

[Gillian Keegan]

That is a very good question and one that I myself have asked. It is important to look at what we actually did. The equipment we had was in universities, and some of it was in NHS labs, but they did not have the scale that we needed, so we all worked together in what they call the triple-helix partnership: universities, the NHS and industry worked together to build and scale up to the level we needed. If you remember, there was discussion at the time about moonshot testing; you all laughed, as you always do because you do not have to deliver, but we delivered it. We delivered the moonshot.

[Chris Elmore]

On a point of order, Mr Speaker. I would be grateful for your guidance. The Minister keeps referring to the House as “you” which, I am pretty sure you will be aware, is used to addressed you, Mr Speaker. It is not you who has been dealing with contracts; it is the Government, and not Opposition MPs.

--- Later in debate ---

[Gillian Keegan]

Yes, we are both fellow procurement professionals—from the same industry, indeed. Procurement professionals like us feel very strongly that they would not have behaved to anything but the highest standards. They are highly commercial, highly regulated and highly professional, and they are the people responsible for the contracts.

In closing, I thank colleagues for their contributions—

[Chris Elmore]

rose—

[Gillian Keegan]

For their last contributions, I should say—I thank the hon. Gentleman.

[Chris Elmore]

The Minister is being very generous with her time. She has listed with great vigour all the things the Government have done to try to be transparent and all the things they will do to try to be transparent, so will she confirm to the House which way the Government will be voting on our motion?

[Gillian Keegan]

The hon. Gentleman may have missed it when I said that we were abstaining.

This is an important debate and I do take this issue very seriously. I am a professional of 30 years’ standing before coming here. My professional reputation is important to me, and I make sure that we uphold the highest standards of professionalism. Make no mistake: it is important to me to get this right. There are facts here, and I have set out the facts correctly. We do not want to play at political games and gimmicks: this is not the right time to do that. It may well play well with audiences on Members’ social media channels, but it is not the right approach.

Giving Every Baby the Best Start in Life

Chris Elmore Excerpts

Tuesday 9th November 2021 Commons Chamber

[Sarah Olney (Richmond Park) (LD)]

I beg to move,

That this House has considered the matter of giving every baby the best start in life.

I am grateful to the Backbench Business Committee for giving us time for the debate. Among all the turbulence created by the pandemic and the lockdown, I am pleased that we have the opportunity to debate at length the impact of those events on those who are likely to live with its after-effects the longest.

The building blocks for lifelong emotional and physical health are laid down in the period from conception to the age of two. Those first 1,001 days are a critical time for development, but they are also a time when babies are at their most vulnerable. Babies do not yet have the language skills to advocate for themselves, so carers and services must be equipped to do that on their behalf. During the first 1,001 days, babies are also uniquely susceptible to their environment. Chronic stress in early childhood, whether caused by maternal depression, poverty or ill health, has a negative impact on a baby’s development.

Early intervention and prevention to support the wellbeing of babies during this time is strongly linked to better outcomes in later life, including educational achievement, progress at work and mental health. Failing to invest in giving babies the best start in life delivers not only a human cost but an economic one. The total known cost of parental mental health problems per year’s births in the UK is estimated to stand at £8.1 billion.

[Chris Elmore (Ogmore) (Lab)]

I thank the hon. Lady for securing the debate on an issue that is close to my heart, having had a lockdown baby at the end of January—he is just over nine months now, and he is very happy and causing all sorts of chaos in my and his mother’s lives. The hon. Lady mentioned mental health, and my constituent Mark Williams has spent many years speaking publicly about the mental health issues he experienced after having his first child. It is extremely important that we wrap care around the mother and the baby after birth, but does the hon. Lady agree that we should also do more to allow fathers to get support with their mental health and to realise that becoming a father is a deeply profound thing and that there is nothing wrong with talking about our mental health as a father after having a child?

[Sarah Olney]

I congratulate the hon. Member on the birth of his baby, and I hope that all is progressing well. I am grateful to him for raising that point about fathers, and I will come to it later in my speech.

My interest in this topic arose from conversations I have had with constituents who gave birth during lockdown. They told me about the isolating experience of not being able to have their partners in the delivery room with them, not being able to share their new babies with the wider family and not being able to meet up with other new parents to support each other and share their experiences. Thinking back to my own experiences of early motherhood—12 years ago—I remember how much it meant to me to have all those people around me as I recovered from the birth and got used to my new life as a parent. My heart goes out to all those who struggled in isolation during those early months, and I am determined that young families should be prioritised for support as we emerge out of the other side of the pandemic.

The UK Government’s recent focus on investment in the first 1,001 days in their “Best Start for Life” vision and funding is very welcome and will undoubtedly make a significant difference to families. I pay tribute in particular to the efforts of the right hon. Member for South Northamptonshire (Dame Andrea Leadsom), who has been unsparing in her work to bring the needs of our very youngest citizens to the forefront of public policy and funding.

One of the most important sources of support for new parents is a health visitor. Even for those who enjoyed the most robust mental health, having sudden responsibility for a tiny and vulnerable new baby who is entirely dependent on them is a source of great anxiety. Having a visit from a trained health care professional who can give them advice, answer their questions and, above all, reassure them is enormously helpful and can make all the difference to their early experience of parenthood.

Although the UK is no longer in lockdown, both access to services and working patterns have changed. Some support services, such as playgroups, have not survived, and some have closed altogether. Children’s centres have reopened, but numbers are limited and places need to be booked in advance, which may mean that the families with the least time on their hands will lose out. The co-ordinators and volunteers at Home-Start Richmond, Kingston & Hounslow have told me about the high levels of anxiety experienced by new mothers unable to access health visitor advice and reassurance. That is impacting new mothers’ confidence and their ability to meet their baby’s needs.

Health visitors are a skilled workforce of specialist public health nurses who have the expertise to provide holistic care to families. As the only professionals positioned to reach every young child before they start school, health visitors play a crucial role in child safety and early childhood development. They identify and manage developmental delay, as well as common and serious health problems. They also provide support around childhood immunisations and advice on infant feeding, safe sleeping and mental health, all of which relieves pressure on NHS emergency departments and specialist services.

However, there is currently no national plan to address falling health visiting workforce numbers. The Government's spending review stated that it

“maintains the Public Health Grant in real terms, enabling Local Authorities across the country to continue delivering frontline services like child health visits.”

In fact, the Government are maintaining the public health grant at a level that is too low for many local authorities to resource health visiting services that can deliver face-to-face visits and the support described in the healthy child programme and other national guidance.

Ahead of the spending review, 700 leading children’s sector organisations were united in their call for investment for 3,000 more health visitors over the next three years. However, I am concerned that £500 million over the next three years will not deliver the Government’s pledge to rebuild health visiting. It is of the most urgent importance that we restore face-to-face health visiting to every new mother as the most essential building block of support to families as they welcome their new babies.

The importance of early home visits by skilled healthcare professionals was highlighted to me by one constituent who wrote to me last summer. She said:

“My baby is now 6 months old and soon after birth he was diagnosed with SMA type 1. If you are not familiar with it, the full name is Spinal Muscular Atrophy and it’s a muscular wasting illness. There isn’t a cure for it and without treatments and proper care the life expectancy of a baby is less than 2 years. He is currently under treatment but, and here is the reason for this letter, every possible centre specialised in physiotherapy, hydrotherapy or other physical activities for disabled people is shut due to Covid-19.

My husband and I were the ones who had to notice something was not right with Peter because, due to Covid, no one came for home visits after birth to see the baby or me. I almost died in child birth and because we were left alone I had to endure 1 month bed ridden due to further complications, once again noticed by me. Only once I was able to walk again we saw something wasn’t right with the baby. If after 2 weeks the health visitor had been able to come home, my son would have started treatment sooner without losing the mobility of his legs.”

I want to talk a little more about the importance of diagnosing and treating perinatal mental health. Maternal suicide is the leading cause of direct deaths within a year of pregnancy. An estimated one in four women experience mental health problems in the first 1,001 days after pregnancy. While depression and anxiety are the most common perinatal mental health problems, other conditions include eating disorders, psychosis, bipolar disorder and schizophrenia. One in 10 fathers is also affected by perinatal mental health problems. Of the 241 families that Home-Start Richmond, Kingston & Hounslow supported during the most recent year, 66% were experiencing mental health difficulties, including post-natal depression, anxiety, depression and chronic mental health conditions.

I was privileged to be able to visit Springfield University Hospital in Tooting recently to meet the perinatal psychiatry team for the South West London and St George’s Mental Health NHS Trust. I was extremely pleased to hear about the work the trust is doing in successfully supporting new mothers who struggle with their mental health, and particularly that it was able to maintain its services during the lockdown and after. Akvinder Bola-Emerson, the clinical services lead for perinatal psychiatry, stressed in particular the need for peer support but also the importance of health visitors, whom she described as the “eyes and ears” of perinatal mental health services.

The visit highlighted for me that we also need better provision for new and expectant fathers. Currently only mothers can be formally diagnosed with a perinatal mental health problem. Springfield provides services for fathers, but it is currently able to identify mental health issues in fathers only when they accompany a mother who is attending the hospital for perinatal mental health issues.

Public Health

Chris Elmore Excerpts

Tuesday 6th October 2020 Commons Chamber

[Tim Farron (Westmorland and Lonsdale) (LD)]

I, too, am deeply concerned that the evidence for the rule of six is not extensive enough to demonstrate that it does more good than harm. I will wait to hear what the Minister says, and we will hopefully hear in days to come more of the evidence behind this rule. However, for all the reasons set out by my hon. Friend the Member for Twickenham (Munira Wilson), the hon. Member for Bexhill and Battle (Huw Merriman) and others, there is deep concern about undermining consent for the process.

In a sense, this is a mobile lockdown for families who may well be able to leave their home and do various things but cannot mingle. I am very concerned—not least because of the growing presence in my inbox, in my phone surgeries and at the one or two physical surgeries that I have started again—about the serious growth in the volume of mental health-related cases, and specifically among younger people. They are heartbreaking individually and deeply alarming when we see the volume of them collected together. That is why we need to be very careful in understanding the complexities of human relationships and how important they are to our sense of wellbeing.

[Chris Elmore (Ogmore) (Lab)]

In relation to a four-nations approach, the First Minister of Wales has called on the Prime Minister to ask people in restricted areas in England not to travel into Wales. The Prime Minister has refused. The First Minister of Wales has now said that people living alone—including in my constituency, which is under restrictions—can bubble with one person within the county to help improve mental health. As the hon. Member for Bexhill and Battle (Huw Merriman) mentioned, groups of 30 can gather outside in Wales. Does the hon. Gentleman agree that, if we had a genuine four-nations approach to this, we could learn from decisions taken by the Welsh Government in the way that they can learn from ones taken by the UK Government? At the moment, there seems to be some sort of blockage to the four nations working together, and I put it to him that it is partially the Prime Minister and No. 10.

[Tim Farron]

The hon. Gentleman makes a really good point. Any party in power anywhere would have been like a rabbit in the headlights over the last six months, given what has happened, so I am not making a particular partisan point. It could happen in any Administration with any combination of colours of party. I am always careful not to use the phrase “U-turn” as an insult or a barb, because it shows that someone was listening and has enough substance to take on board the fact that somebody else may have had a better idea. I always say that all my best ideas were somebody else’s first. It is critical that this is a learning and iterative process, so I take that point on board.

It is the mental health concerns that I have for families, and particularly younger people, that make me sceptical and lead me to ask questions about the lack of evidence behind this. Much as I want to support the Government in doing tough things that need to be done to control the virus until we can eradicate it through a vaccine, we need more evidence.

I think inconsistency is an issue for all of us, and certainly for most of us who are here today with a particular interest in this matter. If we stick to the rule of six, I do not see why multiples of six cannot be used as the building blocks of bigger events. At the moment, there is a limit of 15 people allowed at a wedding. It seems entirely possible to make that an event of 36 or 48 people with building blocks of six, if the venue was big enough. Up to 300 people are allowed at a non-league football match below the seventh tier, so if someone wants to get together with their mates, they can just turn up at the mighty Kendal Town on Saturday. Those things are possible, and that inconsistency makes it difficult for people to understand why the Government are doing it and why they should be obedient.

The impact on the wedding industry, the events industry and the leisure industry is huge, and it is adding to the economic hardship that many people are experiencing. It seems wrong for us to be unnecessarily forcing people through that hardship, particularly as we come to the end of furlough in a few weeks’ time, when an intelligent approach could allow us to restrict people’s behaviour and protect against the virus but not kill several industries in the process.



I will finish by focusing on something else that worries me deeply. Our ability to get people to comply with regulations that exist to keep them safe, save lives and protect the national health service depends upon the credibility of the rules to which we expect them to be obedient. That is why the evidence is here. The rules also need to be coherent and easy to understand, which the rule of six just about is—that is the best argument that I have heard for it so far. They also have to be consistent from week to week, and with other areas of application, as I mentioned.

If people are going to be expected to be obedient and to comply with restrictions that exist to protect themselves and others, they also have to be able to afford to comply. That is my great concern moving forward. If the Government are looking at a traffic light system, which in itself is not a bad idea, that allows there to be blanket closures of the hospitality, tourism and leisure sector in certain towns, boroughs or counties, we surely cannot expect those industries and employers to close down and for there to be no compensation, and no return to furlough for those areas or grant system for those businesses.

In Cumbria, hospitality and tourism is the biggest single employer. It is the fourth biggest in the country. We cannot, when the traffic light gets to red, expect those businesses to close down completely without compensation. People will not comply with the rules if they fear that they will be unable to pay their rent or mortgage or feed their kids in the process. Let us ensure that the rules that we have are credible, coherent and consistent, and that people can afford to obey them.

Covid-19

Chris Elmore Excerpts

Monday 28th September 2020 Commons Chamber

[Matt Hancock]

I would love it if elimination were a realistic strategy, but everywhere in the world that has tried an elimination strategy has, sadly, seen a resurgence. New Zealand attempted an elimination strategy and saw a resurgence. Scotland attempted an elimination strategy and saw a resurgence. The virulence of this disease and its prevalence globally—we are almost at the point of 1 million deaths around the world—mean that our two realistic options are suppression until a vaccine comes and letting it rip, and I know which of those two I support. The Government’s position is based entirely on the goal of suppressing the virus while working as fast as we can towards a vaccine.

The truth is that many things have gone well. I thank everybody who has been doing the right thing, following the rules, clicking on the QR codes, washing their hands, wearing a face mask and keeping their space. I thank the people who have been involved in the successes, including the Nightingale hospitals, which I have mentioned, and the NHS and care teams. I thank those who built, almost from scratch, the biggest testing capability of all our peers. Today we are on track to process our 20 millionth test, which is more than the number of tests conducted in France and Spain together. I thank everyone who has played their part, just this weekend, in the fastest download of an app in British history, with 22.4 million downloads as of noon today.

We have done those things together. Never has it been more true to say that no man is an island. None of it would have been possible without a huge team effort. The challenges, as we have discussed, have been legion—I have no doubt that this is the biggest crisis in my lifetime—and we know that we can rise to them only if we do so together.

[Chris Elmore (Ogmore) (Lab)]

On testing, is the Secretary of State as appalled as I am that scammers are calling vulnerable people and suggesting that the NHS wishes to charge £50 per test? When the constituent queries them, the scammers insist that they are calling from the track and trace service and that they should give them their bank details. Will the Secretary of State condemn that and raise the issue with the Home Secretary so that these scammers are prosecuted with the full force of the law?

[Matt Hancock]

Yes, absolutely. I am aware of these sorts of scams, and we have a programme of action to take against them. It is an outrage that people should try to take advantage of a global pandemic in this illegal way.

I want to update the House on the changes that we have brought into force on requiring and mandating self -isolation. From today, we have introduced a £500 support payment for those self-isolating on low incomes. On top of that, I can tell the House that we are providing £15 million so that local authorities can make discretionary payments to people who do not meet the criteria of the scheme but may also face financial hardship if they have to self-isolate and cannot work. We know that self-isolation works, and we know that the vast majority of people want to do the right thing, so we will enhance support for those who do and come down hard on those who flout the rules.

Our second line of defence is testing and contact tracing. The 20 millionth test today means that we will have processed more tests than Italy and Spain combined. We are expanding our testing capacity all the time, on track to 500,000 a day by the end of the month. Of course, testing only provides the information. What matters is that people act on it, so we have built a veritable army of contact tracers at enormous scale, and they are complemented by the app. It is a cross-party app. I am grateful for the huge support that it has received, and I urge everybody, including every single Member of this House, to join the 12.4 million.

We have so much more information about the virus than we had in the first peak, which means that we can take a more targeted and localised approach. Over the past few months, local restrictions have allowed us to home in on areas where cases are high and rising and put targeted measures in place.

Covid-19

Chris Elmore Excerpts

Tuesday 1st September 2020 Commons Chamber

[Matt Hancock]

I counted eight questions. Let me try to answer them. The National Institute for Health Protection does not require a legal basis; these PHE duties were not done on a legal basis. It will take on some UK-wide responsibilities, but also have responsibilities for England only. It is funded from the Department of Health and Social Care. It will be an executive agency of the Department. There is a global search under way for long-term, permanent leadership. As I said in response to the previous question, it will bring together the leadership of several different parts of the response. It was imperative, as far as I could see, to try to make sure we have that single unified leadership for the next stage of our response to the crisis. I pay tribute to the work of Public Health England. It has done an enormous amount, especially through its scientific work, which has truly been among the best in the world and has helped us to respond as well as we possibly could. I think that the new National Institute for Health Protection, established on the basis that I have set out, will make sure that we are constantly learning to have the best response, in terms of both the science and the scale, and to deliver for this country.

[Chris Elmore (Ogmore) (Lab)]

I welcome the Secretary of State’s comments in relation to dealing with anti-vaxxers. He will recall that I asked him a question before the recess and he said he was meeting Sir Nick Clegg, formerly of this House and now of Facebook fame. I wonder whether he can update the House on that discussion. It is still a reality that Facebook takes millions of dollars from anti-vax sites, and it is still the case that an increased number of people in this country fear what the vaccination could or could not mean, so may I press him to start a campaign to tackle anti-vaxxers head-on and to ensure that all Members across the House are able to take a lead on this? It really is a cross-party issue.

[Matt Hancock]

That campaign is under way. We are constantly looking to strengthen it. Of course Facebook and other social media providers have an important role to play. I had that meeting with Nick Clegg, who in fact broke off his holiday in order to take the meeting. [Interruption.] Zoom reaches all parts. In fairness to my former coalition ministerial partner, he absolutely understands the importance of this issue, and Facebook has been doing very significant work. That does not mean that there is not more that it can and must do, but the response was positive. Further work needs to be done to make sure that we get the positive messages across.

Coronavirus Update

Chris Elmore Excerpts

Tuesday 14th July 2020 Commons Chamber

[Matt Hancock]

It is vital that we deal with the back- log of cases that is building up because of the absolutely necessary requirement, in the peak of the crisis, to pause a lot of activity. I can absolutely assure my hon. Friend that we will continue to support and protect the NHS, including with increased resources.

That point brings me back to something that the hon. Member for Leicester South (Jonathan Ashworth) said at the start and that I should have responded to. He seemed to complain about the £1.5 billion of capital funding that we have put into the NHS recently, but of course it is also very important that we take forward measures to ensure that there is capacity there, too.

[Chris Elmore (Ogmore) (Lab)]

Of course the whole House hopes that in the coming months a vaccine will be developed that can be rolled out, possibly early in the new year, but in the meantime—I know that this issue is close to the Secretary of State’s heart—there are 58 million people across the UK and the US, up 7.7 million since the outbreak, who have joined anti-vax Facebook pages. Tech companies, mainly Facebook, have made more than $1 billion from supporting and advertising anti-vax sites, including those that sell fake cures and discourage the public from getting any medical support when showing signs of covid. As we move towards finding a vaccine, may I press the Secretary of State to look into putting more investment towards ensuring that we tackle those anti-vax sites? As they have been described by many, they are simply an ideological dirt bomb waiting to go off.

[Matt Hancock]

The hon. Gentleman is absolutely right. He and I are passionately of one voice on this—as, I think, is the whole House. The Government will recommend a vaccine only when it is known to be safe and effective. We will then need to administer that vaccine, and for people to have confidence in it. People who propagate untrue myths about vaccines are putting lives at risk—that is true of the measles jab and other jabs, and it is true in this case too.

The social media companies have an important responsibility. They have taken some action already, and I pay tribute to them for that; in fact, I have a meeting later this week with a Mr Nick Clegg, who is in a position of responsibility at Facebook, but it is not only Facebook and Instagram that have taken action. We will be discussing what more action can be taken to make sure that people who are propagating lies about vaccines do not manage to spread those lies.

Covid-19 Update

Chris Elmore Excerpts

Tuesday 24th March 2020 Commons Chamber

[Matt Hancock]

I did not know that my hon. Friend was engaged in that sort of activity on a Sunday morning, but I am delighted that he was. Making sure that we get hot meals to NHS staff who are working often many more shifts than gives them time to make a good meal is incredibly important. It is something that we are working hard on, but I am really glad when it happens spontaneously, as well as when we try to sort it from the Department.

[Chris Elmore (Ogmore) (Lab)]

I thank the Secretary of State for his statement. I am being inundated, as I am sure many other Members are, in relation to small firms that are still insisting on their staff going in and undertaking roles, including fitting windows and doors, and those that are saying, “Well, the business is coming in; we’re going to stay open and carry on making new work,” despite having to travel house to house to offer what is fundamentally a non-essential service. Will the Secretary of State raise this issue with the Department for Business, Energy and Industrial Strategy and other Ministers to ensure that those small firms, which arguably do not need to be working, are keeping their staff at home?

[Matt Hancock]

I will raise that question and make sure that the appropriate guidance is put on gov.uk.

Covid-19

Chris Elmore Excerpts

Monday 16th March 2020 Commons Chamber

[Matt Hancock]

I have many heavy responsibilities, and I hope I have answered questions about the activities of almost every Department of Government, but I am not responsible for IPSA. It is not a Department of Government—it is independent, as we well know. I am sure that Mr Speaker has heard the concern raised, and I am passing this one to you, Sir.

[Chris Elmore (Ogmore) (Lab)]

Will the Secretary of State ensure that former medical staff who are brought back in to deal with the virus are put on the correct registers and have the most up-to-date qualifications and training needed to deal with it?

[Matt Hancock]

Yes.

Coronavirus

Chris Elmore Excerpts

Wednesday 11th March 2020 Commons Chamber

[Matt Hancock]

Yes, absolutely. I can assure my hon. Friend of that. For now, the guidance is to wash your hands and, if you sneeze or cough, to catch it in a tissue and throw the tissue away.

[Chris Elmore (Ogmore) (Lab)]

I thank the Secretary of State for keeping the House informed throughout this crisis. He is doing his job well, and it is good that the response is cross-party and has the support of people right across the United Kingdom.

Lecturers and schoolteachers in my constituency have contacted me to ask what discussions the Secretary of State is having with the Department for Education, exam boards and the devolved Administrations about what will happen as we approach the examination season. The point was made to me, particularly by further education lecturers, that it is not just children who face exams in the coming months.

[Matt Hancock]

This is an important consideration. I discuss it regularly with the Education Secretary and the Minister for School Standards. We are keeping the matter under review. Obviously, in the best possible world, we would want all exams to go ahead as always, but we also must keep people safe.