Coronavirus Act 2020 (Review of Temporary Provisions) (No. 3) Debate
Full Debate: Read Full DebateChris Green
Main Page: Chris Green (Conservative - Bolton West)Department Debates - View all Chris Green's debates with the Department of Health and Social Care
(2 years, 10 months ago)
Commons ChamberI thank the right hon. Gentleman for his comments, and I do indeed agree. I wonder whether he has seen an advance copy of my notes, because I was coming to that very point. We are still witnessing too many infections and I worry that, when they are combined with flu, we could yet have a very difficult winter ahead for our health services—a “twindemic”, if you like. The successful roll-out of vaccinations and the protection of the most vulnerable remain essential, so I thank the right hon. Gentleman for that point.
As I have said, the SNP welcomes the four-nations approach to tackling the coronavirus pandemic. However, the UK Government would do well to match Scotland’s science and public health-first approach for the remainder of the pandemic. The Scottish Government have followed the science and done what they can within their power, which is why Scotland retains stronger rules on face masks, for example. As we head into what will likely be a difficult winter, the UK Government must be willing to follow the examples set by the devolved nations and be prepared to introduce measures such as face masks in shops and on transport, to protect people from both coronavirus and flu this winter.
Scotland and Wales have national ID cards, and if plan B is triggered in England, there is a possibility that we will have an ID card in England, too. Does the hon. Gentleman feel it would have been better to have a whole-United Kingdom covid ID card, so that each nation is in sync, or does he think it is better for each nation to have individual ID cards?
I should point that they are not ID cards but vaccine certificates. As I have said, we respect the differences, and although we welcome a four-nations approach we will move differently if things move at different paces.
We are in a profoundly different place from where we were 19 months ago when we entered the pandemic and went through a series of lockdowns. The medicines that doctors use and prescribe and the procedures that are in place are all profoundly improved. The vaccination programme has been a revelation thanks to the quality, the range and the roll-out of the vaccines. We must recognise that, today, we are in a profoundly different situation from where we were right at the beginning. We just have to look at the third wave that we are going through at the moment and at the connection between infections, hospitalisations and deaths. Those rates are fundamentally different from those in the first and second waves, so we should be taking a profoundly different approach to dealing with this virus.
All variants of concern are defeated by our vaccines at the moment, and we have every expectation that that will continue to be the case into the future. By maintaining the Coronavirus Act 2020, but with perhaps a limited number of provisions, we maintain the fundamental approach to dealing with this virus. Society as a whole and the civil service more narrowly are still looking at this challenge in the same way, and there is not, in that sense, a change of mindset.
We are approaching what will be a tough winter. No matter what happens, we will have a very difficult winter. That may be due to the coronavirus itself or to influenza, but it will also be due to the very significant build-up in waiting lists and in conditions that should have been investigated 18 months ago. We know that these cases are building up and that it will create a huge amount of pressure on the national health service.
I want to focus today on the care sector. Some 18 or 19 months ago, we would have had cross-party consensus on the fact that the care sector needed fundamental reform. That is far more true today than it was back then. It is clear that the care sector needs far more resources today than it needed then. There is a shortfall of about 100,000 carers. With the compulsory vaccination approach that has been taken in the care sector, the Government are expecting another 40,000 carers to leave. That will create huge problems not only for the carers, but for the residents themselves.
In my constituency, the care sector is already under tremendous pressure. Some people are leaving because of the pressure that they are under, and some because they choose not to be vaccinated. Some of them are finding employment in the national health service. They are leaving the care sector and going into the national health service to provide care there, but at some point we may be imposing vaccinations in the national health service as well. We do not know how many will leave the NHS at that stage, but if vaccinations in the NHS stand at about 90%, we could be looking at a loss of more than 100,000 people.
We have concerns about people being transferred out of care in the national health service and into the care sector. We know that the situation is going to get substantially worse as we go through the winter and more carers leave the care sector, but we do not yet know when the same approach will be imposed on the national health service. I therefore ask the Minister: what is the Department’s thinking at the moment? When will we impose compulsory vaccination on the NHS, just as has been imposed on the care sector, and what impact will that have?
We need a fundamental reset in our approach to dealing with the coronavirus. The circumstances are fundamentally different now, because of medical advances and so many other things. We have the opportunity to reverse the decision on the care sector. We want to keep carers caring where they want to be caring. We ought not to be imposing this decision now, because in a couple of weeks it is going to be too late. I am concerned about plan B and the possibility of ID cards or covid passes—
Covid certification will be brought in under the Public Health (Control of Disease) Act 1984, which, as my right hon. Friend is aware, allows for emergency measures. We will do our utmost to bring forward the vote in Parliament before any enactment of the need for covid certification.
I return to the comments by my hon. Friend the Member for Bolton West. A consultation about making vaccination a condition of deployment in the NHS and wider social care closes on 22 October. We will consider all the responses in due course.
Does my hon. Friend share my constituents’ perplexity and confusion that the Government think it is suitable to have compulsory vaccination in care home settings—that has been their intention for many weeks—yet they are still confused or undecided as to whether that is equally relevant in the NHS? Carers are going from care settings into the NHS at the moment.
I reiterate that we are consulting at the moment for the NHS and other social care settings, and we are not moving the dates that we have already set for vaccination as a condition of deployment in care homes.
The hon. Members for Brent Central (Dawn Butler) and for Twickenham (Munira Wilson), my right hon. Friend the Member for Haltemprice and Howden (Mr Davis) and my hon. Friend the Member for Wycombe (Mr Baker) raised the issue of unlawful convictions. I reassure them that since April 2020, the Crown Prosecution Service has reviewed all prosecutions under the Coronavirus Act, and it continues to do so. As such, the issue is primarily administrative, rather than one of the wrongful use of powers provided by the Act. That policy of review by the CPS has provided an effective safeguard. All incorrect charges made under the Act and reviewed by the CPS have been overturned, and updated guidance has been issued to the police.