International Health Regulations 2005

Danny Kruger Excerpts

Monday 18th December 2023 Westminster Hall

[Danny Kruger (Devizes) (Con)]

I am very pleased to be able to speak in this debate. I thank all the petitioners and members of the public who are interested in the debate, and the hon. Member for Lancaster and Fleetwood (Cat Smith) who introduced it. It is worrying that so few Members are present. I am always proud to act in concert with my band of brothers here—we happy few who seem to fight on multiple fronts. This is a fringe issue in Parliament, as demonstrated by the empty Benches, but significant numbers of the public have a real interest in this topic, so what is going on?

I think the explanations are partly that it is a complex matter. It requires significant delving into pretty abstruse documentation and websites. As the debate goes on, it is not always thrilling. It is also that we debate issues of principle, such as the abstractions of sovereignty and individual rights, that often fail to get traction in the media. Although occasionally generating headlines, they do not generate proper attention in Parliament or the media.

The fundamental reason why the topic and the proposed regulations and treaty from the World Health Organisation have not generated the sort of disquiet that we few Members feel among our colleagues, the wider public and the media is that we want, as individuals and citizens, to trust in the Government when it comes to healthcare. We really do. That is why we have such a commitment to the NHS in our country. We want the state to be trusted, authoritative and capable when it comes to our health. We instinctively recoil at suggestions that there is a problem when it comes to the management of healthcare, and yet, as we have heard today from colleagues who put the details very well—I will not reiterate the points that have been made—there is clearly a difficulty, a challenge, a problem with the proposed regulations and treaty.

It is suggested by the World Health Organisation and the Governments who are contributing to the design of the regulations and the treaty that the WHO should move from being responsible for identifying pandemics on behalf of countries, and towards taking responsibility for co-ordinating the response to pandemics. That is an enormously significant change. It would co-ordinate the response of nation states and how they managed their health care. We have heard expressed very well the threat that that represents; it could mean enforced mandates, forced lockdowns and so on. I echo the call on the Minister to address the question whether the World Health Organisation will be able to impose a lockdown, or any other intervention, without the consent of Parliament.

I would also like the Minister to reflect on the provision in the proposed regulations that suggests that the World Health Organisation would require countries to tackle misinformation and disinformation. We must remember that in January 2020, the organisation aspiring to this power denied that there was human-to-human transmission of covid-19. For many months, it denied the possibility that the virus had a human origin and originated in a Wuhan facility. This is the organisation that we propose giving the power to intervene in national debates, and to close down discussion about the origins and appropriate response to pandemics under the guise of tackling misinformation and disinformation.

We should be concerned about the value of the World Health Organisation, given its record, and we should, I am afraid, have the same scepticism about our Government’s role. The trust that we all desperately want to have in healthcare has been badly tested by the experience of recent years. I echo many of the points made by my right hon. Friend the Member for Rayleigh and Wickford (Mr Francois) about radicalisation; we both experienced that radicalisation over the course of the covid experience. We went from a position of trust in the state to profound scepticism.

I want to call attention to a new book that has come out, to which I contributed the afterword.

[Dame Maria Miller (in the Chair)]

Order. I do not think that we do advertising in here.

[Danny Kruger]

Okay. Forgive me. I will not advertise the book, although I derive no benefit from it, I should emphasise. It is written by the campaigners UsforThem, who did such good work in calling attention to the effect of the lockdowns on children, and who became radicalised through the experience of covid. UsforThem has written a very good book about the lack of accountability for the response to covid. I do not share some of its concerns about particular decisions made by particular officials or Ministers, but I absolutely share its concerns about the failure of accountability in the system as a whole.

The inquiry into the whole covid episode, which we are all watching, is performing a fairly useful function in identifying misdemeanours, confusions, and, in a rather whodunnit way, which Ministers, officials and advisers deserve individual blame. What we are really getting out of it, however, is evidence that the system as a whole failed. There is no point in identifying the culpability of individuals when the fundamental problem that the inquiry, and the experience of us all, demonstrates is that the British state failed.

On the regulations, as I said in April, during the last debate we had on this subject in this place, the problem during the whole covid episode was not the lack of international co-operation; there was a very high, remarkable, degree of that. Almost every country did exactly the same thing, following China’s example. What we did not have enough of was independent decision making at nation state level. The bits that worked at nation state level were times when individuals and communities on the ground, local government, local public services and local businesses took the initiative to collaborate and develop their own responses, and took responsibility for supporting communities. That is what we needed at the national level, too—more independent decision making, while obviously collaborating and sharing information about what works.

I recognise the point made by the hon. Member for Lancaster and Fleetwood. I hope that the Minister will say that the Government are committed to ensuring that British national sovereignty is reflected in the wording of any new treaty. I am afraid—we are familiar with this from current debates—that peppering legislation with the language of sovereignty is not sufficient. What we really need is the practice of sovereignty and the declaration of principles. Principles are only valid in so far as they are put into practice. We want actual practice of the principle of sovereignty through the treaty that emerges, and in any amendments to the regulations.

I conclude with four questions for the Minister, who I hope will be able to answer them. First, when will we see the next iteration of the draft regulations? I had understood that they were expected now. Secondly, which Minister is responsible for negotiating the treaty and the regulations? Is it him or a colleague? I would also be interested to know which civil servants are involved. We knew who the civil servants negotiating Brexit were. I wonder who has been delegated to the WHO and is working on our behalf there.

Thirdly, colleagues raised the issue of the WHO mandates potentially imposing a very significant bill on the taxpayer. Has work been done to quantify the potential cost to the taxpayer of implementing the requirements of the treaty? Finally, I appreciate that the Minister is probably not in a position to do so today, but will the Government commit to publishing their red lines—what they will and will not accept? Vague commitments to preserving sovereignty are not sufficient. What exactly will be acceptable and not? I appreciate that the negotiations are going on with other states, but I think it would be appropriate for our Government, at this advanced stage of the negotiations, to declare publicly what they are and are not prepared to cede, by way of our independence.

Mental Health Treatment and Support

Danny Kruger Excerpts

Wednesday 7th June 2023 Commons Chamber

[Danny Kruger (Devizes) (Con)]

It is a pleasure to follow the speech of the hon. Member for Oldham East and Saddleworth (Debbie Abrahams), who is a great champion of this cause. I am very proud to work with her on the all-party parliamentary group for prescribed drug dependence, which, after this debate, I am going to ask her to co-chair with me.

I want to call the House’s attention and that of Hansard to the speech made by the hon. Member for Bermondsey and Old Southwark (Neil Coyle). The distressing and powerful story he told of a constituent of his will remain with me as a terrible example of the state of so many of our constituents and of mental health services that do not work properly.

I welcome this debate, and I am afraid to say that I do recognise many of the descriptions given by Members on both sides. I want to call attention to the excellent services provided in my constituency of Devizes by the Green Lane Hospital, a mental health hospital that has been there for many years. However, even there we have many cases of constituents feeling that they have been let down and of genuine difficulty in accessing the services that are needed in time. Despite the good efforts made from the top of the system to the bottom, we simply are not doing well enough, so I welcome the debate, and I recognise the general point being made.

Of course, I agree with the argument put forward by the Opposition that we need more mental health services. The question is what those services should be, how they are organised and, indeed, whether we should use services as the frame for this whole debate. I wonder whether the term “services and relationships” would be more appropriate, and Members have mentioned the primacy of relationships. The fact is that we do not fully understand all the neurological origins of mental health conditions, but we do know that they are exacerbated by social circumstances, and that while medical treatment can help, what really helps is good relationships.

I know this from my own experience. For many years, I ran a project working in prisons and with ex-offenders, and we saw so clearly that, while of course the official and the essential responsibility for crime and criminality rests with the individual, it is usually relationships and relational skills or the lack of them that lead somebody into crime and into prison, and it is relationships and relational capacity and skills that help people to get out of an offending lifestyle. We also know this very well from all the evidence in studies of addiction, which is very closely correlated to mental health.

What do we do? There is consensus that we need more services and better services, but my concern is that we will end up focusing the system’s efforts on quantifiable measures or quantifiable inputs—most of all, the prescription of pills and pharmaceutical treatments—so we will end up medicalising mental health, just as we medicalise so much physical health. I chair the APPG on prescribed drug dependence, as I have mentioned. The research that the APPG has supported, particularly by Dr James Davies of Oxford University, shows that a fifth of adults are on antidepressants, many of them because they cannot get off these pills, even though they are only supposed to be prescribed for a certain time. We spend £500 million a year on prescriptions for medication that people should not be on, according to the guidance for those pills.

I worry about the trend towards the medicalisation of mental health, and I particularly worry about the Government’s major conditions strategy, which I welcome. We cannot have a focus just on pharmaceuticals; we have to make it much wider. It should not just be about services, but about the relationships that support good mental health. I am pleased there is a strategy on mental health and there does need to be top-down action, but I would like it also to focus on undoing this over-medicalised model. We need more training for GPs to understand the social relationships at the heart of mental health, including how to support people who have acute conditions. We need more funding for social prescribing—that has been mentioned—which is a tremendous initiative. We need support for withdrawal services and a helpline for people who are addicted to prescribed drugs.

Overall, however, we need a bottom-up approach. I respect Labour’s plan for more access hubs for mental health, more school mental health workers and more staff, but really we need system reform. The hon. Member for Tooting (Dr Allin-Khan) mentioned the community mental health approach, and I like that phrase, but I think it includes much more than just more hubs and more staff. We need a whole system reform that prioritises the civil society organisations, families and community groups that have such a powerful role to play in supporting people with mental health.

Lastly, I draw attention to the new developing model called outcomes partnerships, whereby the public sector pays for results—not for inputs and not even for outputs, but for actual demonstrable improvement, whether it is in healthcare or mental health. It brings together all the different providers from civil society, the public sector and, indeed, businesses—we have mentioned the importance of workplace training—so that we get all the different players involved in a person’s life, and so that the funding is more local and can be used on the preventive agenda, which is so important. Rather than just trying to pour more money into the top of the NHS and thinking that is going to work, we need to fund it from the bottom up.

[Several hon. Members rose—]

NHS: Long-term Strategy

Danny Kruger Excerpts

Wednesday 11th January 2023 Commons Chamber

[Danny Kruger (Devizes) (Con)]

I put on record my appreciation and thanks for the NHS staff who serve my constituents in Devizes in Wiltshire, particularly those at the Great Western Hospital in Swindon and the Salisbury District Hospital, our local doctors and pharmacists, and care workers.

I accept the reasons that the Secretary of State gave earlier for the pressures that the NHS is under, which are largely immediate and covid-related. There was a recent policy that led to many of those problems, of which Labour was the principal cheerleader, and we are now seeing the reckoning of those lockdowns. It is no surprise that we have 10 times the usual number of flu admissions to hospital and double the number of delayed discharges.

It is also true, however, that there were problems in the NHS before covid. Although we talk about the crisis in the NHS, it is a perennial crisis. When we are in Government, Labour Members talk about the crisis in the NHS, but when they are in Government, we talk about the crisis in the NHS. There has been a significant crisis throughout the history of the NHS.

The shadow Secretary of State is right to say that we need fundamental reform, but I am not sure that that is what we are hearing from him. He listed a lot of outputs that he wants to achieve, such as more staff, and a whole bunch of inputs, such as more money from the inexhaustible pot of non-dom taxation. More important than spending and inputs, however, is the value for money that the NHS needs to generate, and we have not heard a proper plan to change the systems to achieve those improvements.

The Government have a plan, which is the integration of health and social care. I support that integration and localisation. We should go further and integrate the non-specialist services that exist in our communities. Much of the demand on health and social care is driven by lifestyle and relationships, so we need to harness the immense resources of civil society to support families and communities. I end by paying tribute to the social prescribing project that the Government have introduced, which is achieving such good results.

World Menopause Day

Danny Kruger Excerpts

Thursday 27th October 2022 Westminster Hall

[Danny Kruger (Devizes) (Con)]

It is a pleasure to serve under your chairmanship, Mr Hollobone. I express my appreciation to the hon. Member for Swansea East (Carolyn Harris) and my right hon. Friend the Member for Romsey and Southampton North (Caroline Nokes) for securing the debate and for all the work they do in this space.

I want to speak briefly on the grounds of my chairmanship of the all-party parliamentary group for prescribed drug dependence. As the hon. Member for Swansea East says, one of the great tragedies in this space is the ignorance of GPs and their willingness to quickly diagnose depression or some other condition that requires prescription drugs, which are often misprescribed and people struggle for years to get off them. That comes at a huge human cost and at great financial cost to the NHS, and it takes a huge toll on our society. Our research for our APPG demonstrates that there are at least half a billion pounds of savings to be made to the health service if we stop misprescribing habit-forming, dependence-inducing medication.

What to do? I agree with the recommendations we have heard about, particularly those in the APPG report. I also look forward to the Government’s response to the report from the Women and Equalities Committee, which my right hon. Friend the Member for Romsey and Southampton North chairs. I am not sure about the value of expanding protected characteristics to include the menopause, but I would be interested to see what the Government say about that. I do not know that the Equality Act is the solution to every ill in our society, but it is a valid suggestion. Fundamentally, we need to treat each other better, at all levels.

I particularly recognise the imperative of improving training in primary care. GPs absolutely need to understand the symptoms of the menopause and not misdiagnose, disregard or belittle people who present with those symptoms. What we have heard is shocking. I particularly welcome the suggestion that the GP quality and outcomes framework should include the menopause and that training should be improved.

Then, of course, we have employers. As we have heard from my right hon. Friend, millions of people are suffering in their careers as a result of misunderstanding and discrimination against menopausal and perimenopausal women, and I echo the recommendation that all large employers should have proper menopause policies in place. Fundamentally, it is down to all of us to understand the menopause. Obviously, men do not experience it—I have to say, though, that brain fog is not confined to women—so it is a case of sympathy, not empathy. But our job, as men, is to understand the menopause, to help women in our lives who are experiencing it, and, whether as employers or relations, to be there for them and support them through it.

My daughter is here today, wondering what we are talking about. I will quickly mention my mother, who has been on HRT for many years. We hear all the terrible stories about the menopause, but my mother is a great success story of what HRT can do. She is a tremendous advocate for it, and I honour her for talking publicly about it.

I very much welcome what the Minister has to say. This should be a priority for the Government. I particularly welcome the emphasis that we need to see on women’s health, and I echo the point that my right hon. Friend the Member for Romsey and Southampton North made on that.

Covid-19 Vaccines: Safety

Danny Kruger Excerpts

Monday 24th October 2022 Westminster Hall

[Danny Kruger (Devizes) (Con)]

My hon. Friend talks about the independence of the MHRA, and I very much hope he is right about that. Is he aware that it is overwhelmingly funded by the pharmaceutical companies that it regulates? Does he have any concerns about the objectivity of its work?

[Elliot Colburn]

No, I see nothing to concern me about the independence of the MHRA. Indeed, I saw a group of anti-vax protesters outside the House today, holding up signs saying, “Vaccines kill,” and, “Would you not believe that pharmaceutical companies kill?” It seems a bit of a strange business model for a pharmaceutical company to kill off everyone it is trying to administer a vaccine to. I have seen absolutely nothing to concern me that the MHRA has any problems with independence.

For previous vaccines, we have had to wait for a full package and for each stage to be finished before moving on to the next stage. That is one of the reasons that the covid-19 vaccine was developed at such speed; corners were not cut, but the model was changed.

Pfizer and BioNTech fed the MHRA data to be assessed even before the final clinical submission in November 2020. Once it was submitted, scientific and clinical experts robustly and thoroughly reviewed it with scientific rigour, looking at all aspects, including the laboratory studies, the clinical trials and more. That included assessing the level of protection the product provides and how long that protection is provided for, as well as its safety, stability and how it needs to be stored.

On top of that, the MHRA has a range of experts inspecting the sites used across the whole lifecycle of the vaccine, from its initial development in a lab to its manufacture and distribution once approved. The inspectors work to legislation that incorporates internationally recognised clinical standards. The MHRA seeks advice from the Commission on Human Medicines, the Government’s independent advisory body, which critically assesses the data before advising the UK Government on the safety, quality and effectiveness of any potential vaccine.

I wish I could delve deeper into the specifics of how and why vaccines work, but we would be here all night and I do not want to duplicate the work that has been done in other debates. Nevertheless, I hope I have managed to demonstrate succinctly the rigorous scientific testing that occurs prior to a vaccine being distributed in the UK. However, the main premise of much of the literature that has been distributed about the impact of the covid-19 vaccine and the nationwide roll-out needs to be looked into. As part of its statutory functions, the MHRA continually monitors the use of vaccines to ensure that their benefits continue to outweigh any risks. This monitoring strategy is continuous, proactive and based on a wide range of information sources, with a dedicated team of scientists reviewing information daily to look for safety issues or unexpected events.

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[Elliot Colburn]

I am very sorry to hear of the case of my hon. Friend’s constituent, and I agree that we need to look at compensation and measures when things go wrong. No vaccine is without risk. No medicine is without risk, but that is the balance that we must weigh up when making decisions about our own health.

Let me return to the safety and efficacy of the vaccine, and how that is monitored. The core of this work is individuals self-reporting any adverse effects post vaccination, and active surveillance of particular groups of adverse events. That is well known as the yellow card scheme. I recently met representatives of the MHRA to be briefed on its vaccine safety surveillance strategy, which has four main pillars, the first of which is enhanced passive surveillance through observed versus expected analysis. The MHRA performs enhanced statistical analysis on data generated through the yellow card scheme to evaluate observed versus expected event reports in order to determine whether more events are occurring after vaccination than might be expected ordinarily. That assists the MHRA to identify when and where vaccine-related side effects are signalled.

Secondly, the MHRA conducts rapid cycle analysis and ecological analysis to supplement the yellow card scheme, which relies on direct reporting. The MHRA also analyses anonymised electronic healthcare records, particularly by way of the clinical practice research datalink Aurum dataset, which captures data from 13 million registered GP patients in the UK. It will track a range of theoretical side effects in order to detect safety signals. The MHRA also performs ecological analysis to monitor trends in high priority vaccination population cohorts—for example, increased trends among the elderly.

Thirdly, the agency performs targeted active monitoring; it has developed a new, voluntary follow-up platform for a randomly selected group of those vaccinated through the NHS. The group is contacted at set intervals to determine the frequency and severity of any vaccine side effects. Finally, there are formal epidemiological studies. The above methods detect signals and patterns but do not necessarily confirm vaccine causation. As such, where necessary, formal epidemiological studies are undertaken to solidify causal links.

As of 28 September 2022, in the UK, 173,381 yellow cards had been reported for Pfizer-BioNTech; 246,393 for AstraZeneca; 42,437 for Moderna; 14 for Novavax; and 1,848 for vaccines where the brand was not specified. For Pfizer, AstraZeneca and Moderna, the reporting rate is about two to five yellow cards per 1,000 doses administered.

The use of the yellow card scheme has been used as an example of why vaccines do not work, but it is important to note that the scheme is a self-reporting system. It cannot be used to prove a causal link between reported symptoms and potential damage caused. The reported reaction could have occurred regardless of the vaccine, or the person reporting could have no knowledge of the relationship between that symptom and the vaccine; it may have occurred even if the person had not been vaccinated altogether. I could get on the phone to the yellow card scheme right now and say that I have a side effect from a vaccine—I could completely make it up. The scheme has no verification process.

[Danny Kruger]

I think my hon. Friend is suggesting that the yellow card scheme numbers exaggerate the potential negative effect of the vaccines. Is he aware that the independent MHRA suggests that vaccine injuries have been under-reported by one in 10, meaning that there may be 10 times more vaccine-related injuries than the yellow card scheme reports? Surely, if there is an exaggeration, it is in the opposition direction from the one that he is suggesting.

[Elliot Colburn]

I am aware of that, but the point I am making is that the yellow card scheme is not a determining factor of damage done by the vaccine; there is no way to prove a causal link, as the reported reaction could have happened anyway. The worldwide awareness of covid, its blanket media coverage over multiple years, and the impact it has had on all our lives, are bound to have led to an increase in reports from previous vaccine roll-outs. Most reports relate to injection site reactions, including a sore arm and generalised symptoms, such as flu-like symptoms, illness, headache, chills, fatigue, nausea, fever, dizziness, weakness, aching muscles or rapid heartbeat. Generally, those reactions are not associated with more serious illness and likely reflect an expected, normal immune response to vaccines.

There have been some occurrences of inflammatory heart conditions following a covid-19 vaccination, but fortunately they are incredibly rare. For Pfizer, the suspected myocarditis reporting rate is 12 reports per 1 million doses. For suspected pericarditis, including viral pericarditis and infective pericarditis, the overall reporting rate is eight reports per 1 million doses. For Moderna, that is 42 per million, and for AstraZeneca four per million.

The events reported are typically mild, with individuals usually recovering within a short time, following standard treatment and rest. The benefits of the vaccines in protecting against covid-19 and the serious complications associated with it far outweigh any currently known side effects. I understand that one of the biggest concerns about vaccine safety is the potential influence on excess deaths. Of course, the excess mortality rates have increased. However, there is no evidence to prove a causal relationship between a spike in excess deaths and covid-19. I am not clinically trained, so I do not wish to preach in this debate, but multiple drivers could have caused the spike, including the impact of missed and delayed diagnoses earlier in the pandemic, and the long-term impact of covid-19 on people who contracted it; and that has been confirmed to me by the MHRA.

In one study this year, researchers estimated how often covid-19 leads to cardiovascular problems. They found that people who had the disease faced a substantially increased risk for 20 cardiovascular conditions in the year after infection with coronavirus. Researchers say that such complications can happen even in people who seem to have completely recovered from a mild infection. With millions—perhaps even billions—of people having been infected with the virus, clinicians are wondering whether the pandemic will be followed by a cardiovascular aftershock. Again, I am not clinically trained, but I wanted to touch on that point to provide some food for thought, because I understand that the issues around excess mortality rates are of extreme importance.

Easily the biggest elephant in the room while discussing the safety of the covid-19 vaccine and a potential inquiry into its safety is that the Government have already announced a public inquiry into their handling of the covid-19 pandemic as a whole. Since the Government responded to the petition, the terms of reference for the UK covid-19 public inquiry have been published by the Cabinet Office. One of the inquiry’s aims is to examine

“The response of the health and care sector across the UK…including the development, delivery and impact of therapeutics and vaccines”.

The first preliminary hearing of module 1 of the inquiry took place just a few weeks ago, with the second due to take place next Monday. The inquiry will further announce modules in 2023 that are expected to cover both system and impact issues, including vaccines, therapeutics and antiviral treatment. I would be grateful if the Minister could shed a bit more light on the aim of the content of the modules that will be investigating the vaccines, and if she could provide more details on how others can contribute towards the process, including those who signed the petition.

I will bring my comments to a close because other Members wish to contribute. I appreciate that for some people the question of whether the covid-19 vaccine is safe is still up in the air, and I understand that my comments may not easily persuade them otherwise. However, we know that vaccines are the best way to protect against covid-19 and they have already saved tens of thousands of lives. I hope that I can offer some reassurance to those who are unsure about this matter that the right steps were taken to ensure that vaccines were safe prior to roll-out, and that vaccines continue to be monitored for their safety and effectiveness. I hope that they can also be reassured by the Minister’s remarks that the Government are including an extensive investigation into the vaccine as part of their covid-19 public inquiry, and that separate investigation is not necessary.

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[Danny Kruger (Devizes) (Con)]

It is a pleasure to serve under your chairmanship, Sir Roger.

I am grateful to my hon. Friend the Member for Carshalton and Wallington (Elliot Colburn), who gave a very good defence of the vaccine programme and of the Medicines and Healthcare products Regulatory Agency. I respect that, but I regret his response to my hon. Friend the Member for Christchurch (Sir Christopher Chope), who raised the point about medical expertise that casts some doubt on the vaccines. My hon. Friend the Member for Carshalton and Wallington chose to smear all opponents of the vaccine programme. Of course there are lunatics out there who make absurd and outrageous claims, but there are many reasonable and respectable people who have anxieties about the vaccine programme, particularly people who have suffered as a result of the programme and their families.

I am a member of the all-party parliamentary group on covid-19 vaccine damage, which my hon. Friend the Member for Christchurch chairs. The APPG looks at vaccine injuries, and we had what I think was our first meeting last week in a Committee room in Portcullis House. I am afraid there were only a tiny handful of colleagues there, but well over a hundred members of the public attended, which is not the usual story for an APPG. I felt somewhat ashamed, on behalf of Parliament, that that was the first time that those members of the public—including families of the bereaved, who are themselves injured citizens—had had the opportunity to be in a room with members of this House, but I am very pleased that we are having this debate, and particularly pleased that there is an opportunity for members of the public to hear from the Minister on this topic.

I should say to members of the public who are watching that we have in Westminster Hall today a very good Minister, the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Sleaford and North Hykeham (Dr Johnson), who is genuinely committed to health, including public health, and she showed a real interest in this topic and in the effect of covid policies when she was a Back-Bench MP.

Although many questions about our covid response need to be answered, the UK is by no means the worst offender. We are not Canada, New Zealand or China—places where Governments think they can exterminate covid by depriving their population of the most basic civil liberties. However, I am afraid that we still have many questions to ask ourselves, and even much to be ashamed of. I put on record that in hindsight I am particularly ashamed of my vote to dismiss care workers who did not want to receive the vaccine. I very much hope that the 40,000 care workers who lost their jobs can be reinstated, and indeed compensated. A group of us—including, I think, the Minister—held out against compulsory vaccination of health workers when that was proposed by the Government last winter. I think that resistance turned the tide, to a degree, on Government policy, and we emerged from the lockdowns more quickly than we might otherwise have done, yet we still have a policy of mass vaccination, which I want to query on behalf of constituents who have written to me about it.

My query starts with a simple point. In October 2020, when preparations were being made for the vaccine roll-out, Kate Bingham, the head of the vaccines agency, said:

“There’s going to be no vaccination of people under 18. It’s an adult-only vaccine, for people over 50, focusing on health workers and care home workers and the vulnerable.”

Why was vaccination extended to the whole population? I do not think we have ever had a completely satisfactory answer to that question. I ask it again, because my concern is that extending the vaccination programme became an operation in public persuasion—an operation in which dissent was unhelpful or even immoral, and an operation that justified the suppression and even vilification of those who raised concerns.

[Andrew Bridgen (North West Leicestershire) (Con)]

I thank my hon. Friend for giving way. Unlike any other vaccine, the covid vaccine was given to people who had natural immunity because they had provably contracted the virus. Why were those people vaccinated?

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[Danny Kruger]

My hon. Friend is absolutely right. The best vaccine against covid is covid, and many people were naturally immune. There are questions to be asked about the effects of vaccination on the immune system.

My hon. Friend the Member for Carshalton and Wallington made an understandable point about the importance of resisting misinformation. As I mentioned, there are certainly many crazy theories out there to which we need not give credence. If we are talking about a programme of vaccinating the population, it is important that the public are persuaded to do what the Government want them to do, so I understand why the Government should have a public health information campaign. However, it is an essential principle of medical ethics that people must be able to give informed consent before any treatment, and I worry about whether we can say that consent was fully informed in all cases.

Throughout, there has been misinformation in favour of the vaccine. I would not say that was deliberate; it was possibly accidental. We can tell that with hindsight. Perhaps the most egregious example was the claim that the vaccine is 95% effective; as was mentioned earlier, Dr Malhotra presented on this to the APPG last week. That figure refers simply to the relative risk, instead of the actual or absolute reduction in risk to an individual. The absolute risk reduction is really less than 1%.

There was also the widespread claim that the vaccine stops transmission, so people should take the jab to protect other people. We were all told that; we all believed that for many months. Last month, we heard from Pfizer that its vaccine was never tested to see whether it would stop transmission. Despite that, we had the notorious claim by Professor Chris Whitty that even though the vaccine brought no benefit to children, children should be vaccinated to protect wider society. I am all for thinking about society, not the individual, but that, again, feels like a profound break with medical ethics. A lot of people are asking what the vaccine does to children and young people, and Professor Whitty is right that the benefit to healthy children seems to be essentially nil.

There are genuine questions to be asked. I have not verified these questions; I merely ask them on behalf of my constituents. How do we explain the increase in the rates of myocarditis, heart attacks and excess deaths among young people? Indeed, across the general population, it is plausible, though not definitive, that the vaccine is responsible for more harms than we know about. As I said in my intervention, we know from the yellow card scheme that up to one in 200 hundred people vaccinated report an adverse reaction. That is bad enough in itself, but we also know that adverse effects are significantly under-reported through the yellow card scheme. Based on the MHRA’s research, there may be as many as 10 times more serious adverse reactions than the yellow card system shows.

[Apsana Begum (Poplar and Limehouse) (Lab)]

Does the hon. Gentleman agree that it is important for the Minister to explain how people who say they have experienced damage from the vaccine can ensure that they are heard? There is the yellow card scheme, the module in the public inquiry, and people can apply for vaccine damage compensation, but there need to be more meaningful ways through which people can be engaged with on their experiences of damage.

--- Later in debate ---

[Danny Kruger]

I am grateful to the hon. Lady—I absolutely agree. This is a very important moment in which the Minister can hear from Members speaking on behalf of their constituents. I encourage far greater engagement with citizens who have suffered from vaccine damage, or even lost loved ones to it.

There may be innocent explanations for the rather terrifying facts I have mentioned; I very much hope there are. If these are conspiracy theories, we need them to be comprehensively and courteously debunked.

To close, I have four questions for the Minister. First, will she review the vaccination of children? Children have strong naturally acquired immunity, and the chance of death from covid for a healthy child is one in 2 million. I believe we should follow other countries, such as Denmark, and stop vaccinating children altogether. I invite the Minister to review that aspect of the policy.

Secondly, will the Minister make representations in Government, and to Baroness Hallett, on broadening the terms of reference for her inquiry, so that they explicitly include the efficacy and safety of the vaccines? I hear what my hon. Friend the Member for Carshalton and Wallington says, and he is absolutely right: the inquiry terms of reference include mention of the vaccination programme and its effects. He may well be right that that is sufficient, and that the review will properly consider the topics that we are discussing. I hope so, but that needs to be made more explicit; I invite the Minister to comment on that.

[Sir Christopher Chope]

I wrote to Baroness Hallett, asking her to ensure that the terms of reference specifically covered the safety and impact of vaccines. As a result of representations, not just from me but from others, the terms of reference were amended to make it quite clear that vaccines, their impact and the potential damage done by them are included.

[Danny Kruger]

I am grateful for that clarification. It causes me concern to hear that it took my hon. Friend’s representations to ensure that the inquiry will consider the effect of the vaccines. We need to go further and talk about efficacy and safety, not just impact. We need to be explicit about what questions we want answers to. These issues need to be covered directly. We need the public inquiry to consider these matters, because of the compromised nature of medical regulation in our country. I mentioned that the MHRA is funded by the pharmaceutical companies that produce the drugs and vaccines that it regulates. There might be some universe in which that makes sense, but this is not it. I do not think that is right.

Thirdly, we need to do a lot more for the injured and bereaved, as the hon. Member for Poplar and Limehouse (Apsana Begum) said. I agree with all the recommendations of my hon. Friend the Member for Christchurch, and we will hear from him shortly on what needs to be done to raise the threshold for compensation for the injured, and the speed of payouts. I agree with him that we need clinics for people with adverse reactions, just as we do for people with long covid.

Finally, we need to change the power imbalance. I am sorry, on behalf of Parliament, that this is the first proper debate that we have had on this subject. I regret that victims and families have had to struggle so hard to get engagement of the system. I hope that the Minister agrees to meet some of the people here, and other representatives of families affected by the vaccines, for a proper exchange of information and ideas, and I hope that she will request that Dame June Raine of the MHRA meets them, rather than ignoring letters for months.

A new Government take over this week. I hope that the Minister, who was appointed only recently, will stay in post, and that we can start a new chapter in the story of covid. No more remote power telling people what to do. Let us put truth and justice back into public life, and restore trust in the experts on whom we rely.

[Several hon. Members rose—]

Vaccine Damage Payments Act 1979

Danny Kruger Excerpts

Wednesday 2nd March 2022 Commons Chamber

[Sir Christopher Chope]

I agree absolutely with the hon. Gentleman. I describe him as a veteran of this issue, because he was one of the Members who participated in the 2015 debate to which I referred.

Many of those who have written to me have indicated that even a payment of £177,000 would be totally inadequate for the injuries and financial losses that they have suffered, including loss of earnings and the cost of care. The range of adverse conditions caused by the vaccines is extensive. By way of example, Mr Julian Gooddy of Henley has given me permission to disclose his circumstances because of his frustration at the lack of understanding by the Government.

Two weeks after his vaccine, Mr Gooddy experienced acute pain throughout his body. He developed Bell’s palsy, required treatment for his left eye, which would not close, and suffered bowel incontinence and severe fatigue. Peripheral numbness and pain in his upper legs, feet, neck and hands then developed. He was in and out of the accident and emergency department at the John Radcliffe Hospital for two weeks, being prescribed steroids, pain killers and undertaking multiple MRI and CT scans, electromyographs and nerve conduction studies. He then collapsed at home in pain and was admitted as an in-patient for five days of intravenous immunoglobulin in an effort to halt the continuing nerve damage caused by the autoimmune response to the vaccine. He was then diagnosed with Guillain-Barré syndrome, which is an autoimmune disease in which the body attacks its own myelin sheath.

Does my hon. Friend the Minister, having listened to the circumstances of Mr Gooddy, believe that his case meets the 60% disablement threshold? I have received so many other reports of complicated symptoms, which have been a real nightmare for our hard-working NHS to address and for which there are, in many cases, no cure.

[Danny Kruger (Devizes) (Con)]

As we can tell from the distressing stories that my hon. Friend is telling, this is an important debate, and I regret the empty Chamber. He is a brave Member of the House who speaks his own mind in defiance of conventional wisdom. Does he agree that the same goes for a large number of doctors and scientists who are also defying conventional wisdom to raise concerns about the safety and efficacy of the vaccines, particularly when it comes to the vaccination of children, which the Government are now encouraging? Does he also agree that the Government should be as transparent and open as possible about the risks and the safety and efficacy of the vaccines?

[Sir Christopher Chope]

Absolutely. I have been in correspondence with constituents who work at the Royal Bournemouth Hospital and Poole Hospital who have expressed their concerns. One of the reasons many people with medical expertise are worried about it is that they have seen such examples in their work.

My hon. Friend refers to the issue of encouraging more child vaccines to be administered, but if we are going to do that, as well as it being important for the parents of those children to appreciate the risk as they are thinking about it, surely we should be able to give them the secure knowledge that if something goes wrong and if against everybody’s expectations, those vaccines turn out to have dire and life-changing consequences that last for 40 or 50 years or longer, the Government are on their side. At the moment, I am afraid that there is no evidence that the Government are on the side of those hapless victims of vaccine damage.

In recent months, I have received hundreds of emails reporting deaths and serious illnesses involving immune thrombocytopenic purpura, which causes the number of blood platelets to be reduced. On 10 January, in question 100420, I asked the Minister what was being done to investigate the 427 suspected cases of that and if the Government will make it their policy to inform those affected of the availability of the vaccine damage payment scheme.

Following my point of order yesterday, complaining about the Government’s failure to respond to my questions, I received a response from the Minister yesterday evening, which stated:

“Following a scientific assessment of all the available data and a review by the Commission on Human Medicines’ COVID-19 Vaccines Benefit Risk Expert Working Group, it was determined that an association between the AstraZeneca COVID-19 vaccine and TTS”—

thrombosis with thrombocytopenia syndrome—

“was likely.”

I hope that she will unravel the jargon in that answer and confirm in simple terms that that means that in the cases to which I have referred, causation has now been established and there should be no bar to the compensation scheme coming into effect.

Will the Minister also answer the part of my question relating to whether the Government will notify those 427 families affected by that particular aspect of the availability of the VDPS? Surely that would be the most basic humane response. Why have the Government not responded to that at all? As you can probably tell, Mr Deputy Speaker, this is making me angry. In my point of order, I referred to five other named day questions that had not been answered and they remain unanswered. Will she apologise and explain?

Many correspondents from constituencies across the United Kingdom remain sceptical about whether they will qualify under the VDPS. The issue has all the hallmarks of becoming a bureaucratic nightmare for victims and their families. Why should the Government force those people to go through the ordeal and delay of having to seek expensive legal help instead of enabling their representatives in Parliament to be given the information necessary to establish their claims? That is why those parliamentary questions and this debate are relevant, because it would enable our constituents to establish their claims without having to go to the law.

The scale of this vaccine nightmare is now such that the number of vaccine damage cases exceeds all cases arising from previous vaccine programmes. In answer to question 92799, the Minister confirmed that, as at 15 December 2021, the Medicines and Healthcare products Regulatory Agency had received and analysed a total of 410,232 yellow card reports: 145,446 from people who received the Pfizer-BioNTech vaccine, 240,065 from those who received the AstraZeneca vaccine and 24,721 from those who received the Moderna vaccine. Some patients were reported to have died shortly after vaccination: 666 in the Pfizer reports, 1,164 in the AstraZeneca reports and 23 in the Moderna reports. There are people dying from this vaccine, but not many—well, actually quite a large number, and far more than we see in the tragedies that quite rightly detain this House for hours on end. I think this is a tragedy that demands the attention of the House and of the Minister.

As not all those who died shortly after vaccination will have died because of the vaccine, I thought it was fair to ask a further question as to the number of such cases where the yellow card analysis showed that the death would have happened regardless of the vaccine or medicine being administered. I asked this question to help promote vaccine confidence and to prevent inaccurate conclusions from being reached. Much to my disappointment and dismay, that question has not been answered in a timely fashion or at all. Why not, one asks? Surely the Government must have this information, and their failure to produce it can only help further raise suspicions of a lack of transparency. The Government almost seem to be in denial about all this.

The reluctance of the Government to provide timely information is further exemplified by the delay in updating the information provided as at 15 December. Almost three months have now elapsed since then, and the Government have ducked my further question about sharing the results of the MHRA analysis of yellow cards for patients in respect of whom they were received. Since the last report, we have had a mass of booster vaccines, and some people have written to me saying that they have suffered dire consequences as a result.

I expect that, in her response, the Minister will point out that the vaccine damage payment scheme does not preclude individuals from bringing claims against the manufacturers for product liability. We know, however, that the Government decided to indemnify and thereby exclude manufacturers from potential liability, but we do not know the terms. In her answer to question 92800 of 14 February 2022, the Minister said that her Department is

“providing indemnities in the unexpected event of any adverse reactions that could not have been foreseen through the robust checks and procedures put in place.”

She said, however, that she was unable to provide information about the terms of those contracts between the Government and vaccine manufacturers as they are commercially sensitive. In those circumstances, should those who have suffered adverse reactions that could not have been foreseen through the robust checks and procedures put in place be making claims against the Government or the manufacturers, or both? I hope the Minister is listening to this question, because it is in the public interest that she gives a definitive answer. People are champing at the bit in wondering whether they need to make claims against the manufacturers or the Government, or whether they can rely on the VDPS.

In introducing the vaccine damage payment legislation in 1979, the then Secretary of State for Social Services, David Ennals, referred to the “humane motivation” of the legislation, and said that

“it is important, since its aim is to provide a measure of financial support to people severely disabled as a result of vaccination, and to their families and others involved in looking after them. There can be no doubt that those concerned pay a high price in terms of personal disablement…and that their families share in that price.

For most people, vaccination is a beneficial procedure, and it is right for the community to give financial aid and support to those who suffer as the result of vaccinations given as part of the public policy programme.”—[Official Report, 5 February 1979; Vol. 962, c. 32.]

That is what he said all those years ago, and those sentiments remain as relevant as ever today. I hope that, as a result of this debate, the Government will, through their actions, show that they share those sentiments. As the Prime Minister said, the victims of covid-19 vaccine damage are not statistics and “must not be ignored”—not for any longer, anyway.

Children’s Mental Health

Danny Kruger Excerpts

Tuesday 8th February 2022 Commons Chamber

[Danny Kruger (Devizes) (Con)]

We have heard some very powerful stories in the debate. My constituents have written to me with similar very distressing tales of self-harm and attempted suicide, and I am particularly conscious of the crisis in eating disorder services. To the appeal for further services and further investment, I say yes; I recognise what the Government are doing in that space and I support that.

On the wider policy that the Government and the whole country adopted on covid-19, I think we have all been partly guilty of the abuse of language. Ideals of duty, sacrifice, community, and putting friends and family first have been suborned to a totally different imperative: to stay apart, to isolate, to cut off our relationships and our obligations, and to trust the agencies of a remote bureaucracy who knew better than we did what we should do and who we should see and what balance to strike between seeing a loved one and protecting them and others. I do not blame Ministers personally for any of that—I voted for it all. We did this together across the House and, indeed, with the support of most people in the country.

We outsourced social responsibility to the state and the state gladly took up the burden. We saw mass testing, including asymptomatic testing, which drove the figures so high, and that led us to mass lockdowns, despite the early evidence that the first lockdown, even if it was necessary to slow the spread of covid, had health costs that outweighed the health benefits in some respects, to say nothing of the economic and social costs, including those that we are debating today. Lockdown was so awful that it created the pressure for the vaccines, so after the mass testing and mass lockdowns we moved to mass vaccination. Despite the early assurances that it would only be for the elderly and the vulnerable, it was soon for everyone, even children, unnecessarily. Despite the early assurances that it would only be voluntary, we piled on the pressure with covid passes and, I regret to say, compulsory vaccination for health and care workers, which I am hugely pleased that the Government have now dropped.

I pay tribute to colleagues who resisted much of that, and to the Prime Minister and the Cabinet who, after the vote on 14 December, corrected course and faced down the voices who were calling for further lockdown. We are now one of the freest countries in the developed world, and that is testament to our parliamentary system and to this Conservative Government. Look at what is happening elsewhere, not just in Europe and Asia but in places with the common law tradition; what has happened to the traditions of English liberty that we exported?

We have to lead the way. No more lockdowns, no more mass vaccination and, most of all, we must put children and young people first. We owe them all our help in the years ahead. I know Ministers agree with that and I hope we will work across the House to make things right.

Vaccination Strategy

Danny Kruger Excerpts

Wednesday 12th January 2022 Commons Chamber

[Danny Kruger (Devizes) (Con)]

The House was asked before Christmas to vote for the mandatory vaccination of health workers on the basis of the argument that it would stop transmission. We now know that this is almost certainly not the case. I think we are almost at the end of this session, and it would be tremendous to hear a commitment from the Minister that she will formally request the JCVI to review the evidence behind this policy. The only argument she is giving for it is that it will help protect health workers, but that has to be a decision that they take for themselves. Rather than sacking compulsorily what may be over 100,000 health and social care workers, surely before the deadline is upon us we should reconsider this policy.

[Maggie Throup]

It is quite clear that the vaccine does reduce transmission. It is a matter of protecting the individual, but in these settings there are also some very vulnerable people who can ill afford to get more seriously ill. It is only right that we look at every aspect of this. It is not just about the omicron variant; it is about other variants in the future.

Dignity in Dying

Danny Kruger Excerpts

Wednesday 8th December 2021 Commons Chamber

[Mr Mitchell]

I will get a little further with my case, and then I will certainly give way.

Furthermore, this leniency does nothing for those who cannot afford a trip to Switzerland; who cannot access the necessary medical records; who cannot travel due to illness or disability; or who cannot access the services of Dignitas for a host of other reasons. It forces all those who accompany the dying person to break the law and run the risk of prosecution on their return to this country.

I am saddened to tell the House that David Peace has today died at Dignitas; it is a coincidence that he happened to die today. Many colleagues may have seen a touching interview with David over the summer, in which he spoke about his desire to control his death, rather than let motor neurone disease choose his death for him. Earlier this week, before he left this country—his home—for Switzerland, David said:

“I have terminal motor neurone disease, a fatal illness for which there is no treatment or cure. It has robbed me of my ability to speak, swallow, balance and walk. It is rampaging through my body, paralysing my muscles. Nothing will stop it. Palliative care cannot give me the death I want, I simply want the right to die on my own terms...My only option has been to plan an assisted death at Dignitas in Switzerland, which I have done in meticulous detail over the past few months. Though stressful and hugely expensive, this has given me comfort and peace of mind. Covid-19 measures have been a real concern throughout this year, knowing that travel restrictions or lockdowns could jeopardise my plans”.

He continued:

“The emotional and logistical nightmare I have endured over the past few days would have been avoided entirely under the Assisted Dying Bill, which would have enabled me to go peacefully and with dignity in my own home at a time of my choosing.”

David’s call is echoed by another proud Englishmen, Ray Illingworth, the legendary English and Yorkshire cricketer, who was diagnosed with oesophageal cancer a year ago. He said this of having to go abroad to obtain an assisted death:

“If that was the only option I would, but we shouldn’t have to do that. I’d like to be put to sleep in peace in my own home in Yorkshire.”

Ray has represented his country, and is now asking his country to help him have the choice of dying on his own terms.

Those who cannot travel to Switzerland have only a few agonising choices here at home. For many, our world-leading palliative and end-of-life care will ensure a peaceful and dignified death, but even with the very best care, 17 people a day will die in excruciating pain, to say nothing of those who die with uncontrollable symptoms, or without dignity in their final days. For those who wish to hasten their death, the option remains open of withdrawing from life-sustaining treatment, or voluntarily stopping eating and drinking with the intention of hastening death; but there is no option to take direct steps to end one’s own life with medical support.

Perhaps most tragic are the cases in which dying people, trapped in pain and despair, decide to end their life by suicide. The best estimates are that hundreds of suicides every year are of people living with a terminal illness. I know from speaking to people who have direct experience of losing their loved one to suicide that these dreadful decisions are taken not lightly, but as a last, desperate choice, due to the lack of a safeguarded assisted dying option.

We must be honest about recognising the victims of our laws—the dozens of our citizens who feel they must travel overseas to achieve the death that is right for them; the hundreds of terminally ill people who die by their own hand; and the thousands of people who die beyond the reach of the very best end-of-life care we can offer. Every year, we condemn too many people to becoming casualties of a law that lacks compassion and public support, and belongs to a bygone age.

[Danny Kruger (Devizes) (Con)]

My right hon. Friend is making a powerful speech, as expected. He refers to a very small number of people to whom he wants to give this new right. I recognise the extraordinary pain and distress of those individuals and their families, but is he aware that in Oregon—the legislation being proposed in the other place is based on the law there—over half the people who apply for assisted death do so not because of terrible pain and suffering, but because they do not want to be a burden on their family? That is the consideration that motivates them. Does he not agree that that is likely to be replicated here, given the sad prevalence of abuse and neglect of elderly relatives in our country?

Surely the answer to the distress of people facing death is to improve palliative care, which, as he says, though it can be excellent in this country, is tragically patchy, which is not good enough. Surely we should invest significantly in palliative care to ensure that everyone in this country has the opportunity to die with all the care that they need, and does not have a terrible, distressing death, before we ever consider this terrible step of allowing assisted suicide.

Menopause (Support and Services) Bill

Danny Kruger Excerpts

2nd reading
Friday 29th October 2021 Commons Chamber

[Carolyn Harris]

I am sure that the Minister will enlighten us on that issue. That is the issue: whatever we do today, it has to be communicated to the wider population so that they understand our commitment to their health.

The biggest complaint I have received over the past few months is from women who need both oestrogen and progesterone. Women who have had a hysterectomy can take oestrogen on its own, but everyone else needs both. Despite the two hormones being combined into one product, women are charged individually for the hormones, meaning that each prescription costs them £18.70, and with 86% of women getting only three months’ supply each time, the costs begin to add up.

[Danny Kruger (Devizes) (Con)]

The hon. Lady is being very good about giving way—I am very grateful to her. On the question of cost, I was struck by what she said earlier about her own really difficult experience of being prescribed antidepressants because she was not properly diagnosed with the menopause. I chair the all-party parliamentary group on prescribed drug dependence. She might be aware that last week Dr James Davies of Oxford University published research showing that the NHS currently spends half a billion pounds a year on unnecessary prescriptions of habit-forming drugs. Will she join me in raising serious concerns about that, and does she agree that we must press the Government to review properly the prescriptions of dependence-forming drugs?