(3 years, 3 months ago)
Commons ChamberYes, of course. My hon. Friend puts it very wisely. As the Member of Parliament for Burton, which is famous for its beer and its pubs, she no doubt speaks for her whole constituency when she says that she welcomes the measures we are taking and the steps we are able to take today. People should take those steps with caution. Outside remains better than inside. It is harder in the rain, Mr Deputy Speaker, but it is still better to be outside if you can. Putting more down to personal responsibility is the right approach at this stage, with the low level of virus and the huge scope of the vaccination project. I am very grateful to her for her support in pushing that agenda.
The Secretary of State will be aware that in Glasgow we have seen an increase in the virus due to the so-called Indian variant. That means that although everybody in this House is celebrating the return to indoor hospitality, many Glaswegians have not been able to experience it today, which we bitterly regret.
Up until 6 o’clock yesterday, flights were still coming into the UK from India, and 20,000 people have arrived in the UK since the alarm was raised about that variant. Does the Secretary of State really want to look Glaswegians in the eye and say that that was decisive action that has led to their staying in tier 3?
The history as the hon. Gentleman describes it is, in fact, wrong. We put India on the red list and therefore required hotel quarantine before the variant was designated even as under investigation, let alone as a variant of concern. So yes, we did take pre-emptive action. Anybody arriving now who has been in India in the past 10 days must go to a hotel to quarantine.
(3 years, 5 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
It is always a pleasure to serve under your chairmanship, Mr Hosie. I, too, pay tribute to the hon. Member for Liverpool, Wavertree (Paula Barker), who secured and opened this debate so eloquently.
As we know and has been said before, this week marks the first anniversary of the beginning of lockdown. This anniversary gives us all the chance to reflect on the past year and the tragedy and hardship that we have all experienced. We have had an opportunity to remember all those who have lost their lives due to the virus and to recognise the grief of their families and friends.
This year has thrown up unprecedented challenges to us all, with people across these islands facing financial hardship, mental health struggles and tragic loss. However, it has been the NHS staff who have seen the very worst of the pandemic. I pay tribute to the hard work and sheer dedication of NHS staff across Scotland and, indeed, the rest of the UK who have worked tirelessly during the pandemic. They include the nurses at Glasgow Royal Infirmary, the doctors at the Queen Elizabeth University Hospital, the caterers at the New Victoria Hospital, the auxiliaries at Stobhill Hospital, and the cleaners at Lightburn Hospital. Every single one of them has put in a shift and deserves our thanks and recognition.
I also thank all those working in vaccination centres across Scotland, including the armed forces, who have been utterly invaluable. The vaccination numbers have been truly astonishing, with 2,214,672 first doses administered in Scotland as of yesterday. I particularly want to thank the staff working in the six vaccination centres across Glasgow, including in my own constituency at Easterhouse. After a difficult year, we can see light at the end of this tunnel. It is clear today that we are all thankful for the work of NHS staff during this crisis, but, as many Members have said, warm words alone are not enough.
I have sat here today and listened to Members from different parts of the room—I would not say all parts of the House, given that there is only one Conservative Member here—the Minister—and I remain to be convinced about how much attention she has paid to the debate. All Members have lavished praise on the NHS and its staff. The Prime Minister stood outside 10 Downing Street and clapped for the NHS, but, as has also been said, nurses and doctors cannot be paid in rounds of applause. The NHS has faced a once-in-a-lifetime event. Its staff have risked their lives facing a previously unknown disease and now the UK Government’s proposed financial recognition falls way short of what is acceptable.
We know that this UK Government have been incompetent throughout the pandemic—not delivering on vital PPE, handing out contracts to friends and Tory donors, producing a test-and-trace system that has proven ineffective, locking down too late and endangering too many people’s lives. Now, with the vaccination programme in full swing and the UK Government publishing their road map out of lockdown, it seems that they have all forgotten about the NHS staff who work every day to save lives.
We in the SNP are proud of our record on NHS pay. Staff receive the most favourable pay settlement anywhere in the UK. Moreover, Scottish nurses are the best paid in the UK. To give an example, the salary of a band 5 nurse at the top of their pay scale is currently 3.38% higher than the English equivalent, and social care staff in Scotland are already paid better than those in England and Wales, but we have not stopped there. In Scotland, the SNP Government have delivered a £500 bonus—a thank-you payment—to NHS staff after an unprecedented year treating and responding to covid-19.
The £500 payment is for Scotland’s NHS and social care workers employed during the pandemic. It includes staff who have had to shield or have since retired and includes final-year nursing students who have worked on temporary contracts during the pandemic. The Scottish Government have repeatedly called on the British Government to allow the payment to be exempt from income tax. Sadly, the ability to exempt the bonus in this way is not within the current gift or the current powers of the Scottish Government.
We in the SNP just want a simple payment of £500 to go to all NHS staff in Scotland, to reward them for their unprecedented work during the pandemic. The best and most straightforward way of doing that is by exempting the payments from income tax and national insurance. I again call on the UK Government to step up and ensure that that £500 is exempt from income tax and national insurance. The UK Government have to put their money where their mouth is and truly recognise the sacrifice of our NHS staff, not just with claps, but with cash.
It is a pleasure to serve under your chairmanship, Mr Hosie. I thank the hon. Member for Liverpool, Wavertree (Paula Barker) for securing the debate on this important issue and giving me the opportunity to talk about our NHS staff. I come from a family of doctors and nurses, and before I became an MP I spent years working in hospitals and other NHS organisations, particularly to make the NHS a better place to work, because NHS staff are our health system’s greatest asset. In normal times, they go the extra mile, but in the pandemic they have done so time and again.
I welcome many of the points made by hon. Members this morning. Many have talked about the huge sacrifices that staff have made during the pandemic—not only them, but their families. Some, for instance, moved out of their family home to ensure they did not bring coronavirus home with them.
Colleagues have talked about not only nurses but other members of the healthcare workforce, including healthcare assistants, who are often overlooked in these conversations but are a vital part of our health service.
Some Members have talked about vacancies in the NHS workforce, of which I am well aware, and I will provide some reassurance on that in my remarks. Hon. Members have talked about PPE, but I do not see it as a choice between paying the NHS workforce and providing PPE—we must do both. PPE is not a choice; it is essential to protect those working in the NHS, and to me, it is non-negotiable. The shadow Minister, the hon. Member for Ellesmere Port and Neston (Justin Madders), spoke about the need to invest in our workforce. I wholeheartedly agree with that, and the Government are doing so.
As I said, NHS staff are the NHS’s greatest asset. In fact, the NHS is, in essence, its people. The Government are determined to ensure that the NHS can retain and recruit the staff it needs. Over the last few years, the have worked with trade unions to deliver multi-year pay and contract-reform deals for more than a million of our NHS staff. Over the last three years, nurses specifically have seen their starting salaries increase by more than 12%. We have increased the lowest starting salary in the NHS by more than 60%.
We all know that our NHS staff work around the clock to provide care. That is why, on top of the basic salary, NHS staff earn premium rates of pay for working at night and over the weekend, and for agreed overtime. That increases individual pay by around £4,000 on average. On top of that, the NHS reward rightly includes benefits that go beyond the statutory minimum on holidays, sick pay and pensions.
We have also invested in our junior doctors, recognising the huge contribution that they make to the NHS. The deal that we have agreed with the British Medical Association improves junior doctors’ working lives, protecting rest requirements and reducing the number of consecutive shifts worked. By the end of that deal, junior doctor pay scales will have increased by at least 8.2%, and around one in eight junior doctors will receive more as they reach a new higher pay point to reflect their level of responsibility. For our nurses and non-medical staff, this is the final year of the multi-year “Agenda for Change” deal. We have asked the independent pay review bodies to make recommendations on the pay of our NHS staff for 2021-22.
As the Government have set out, the coronavirus pandemic has placed a huge strain on public finances, and the economic outlook remains uncertain. The Government’s written evidence to the independent pay review bodies set out that, in settling the Department of Health and Social Care and NHS budgets, the Government anticipated a headline pay award of 1% for NHS staff. That compares with the pay freeze for the wider public sector and, as we all know, with the context of many people facing unemployment and pay cuts in many parts of our economy.
The Minister is setting out the bleak fiscal picture for the Government and the tough financial choices that have to be made. Will she explain, then, why they have seen fit to invest in more nuclear warheads but not in pay for NHS staff?
The hon. Gentleman will recognise that although the Government have to make some difficult decisions, various things are non-negotiable. One of those things is ensuring that the NHS is there for all our constituents who need it, and another thing is ensuring that we have the defence that we need to protect people from threats from overseas.
Let me return to the matter in hand and set out a bit more about the process that we are going through on NHS pay. As I mentioned, the evidence that we recently submitted to the NHS pay review covered a wide range of data that was relevant to the decisions that that pay review body will make. The pay review bodies themselves are independent advisory bodies made up of industry experts. Their recommendations are based on a comprehensive assessment of evidence from a range of stakeholders, including trade unions. The wide range of factors that they will consider includes the cost of living, recruitment and retention in the NHS, affordability and value for money for the taxpayer, and comparisons with wider public and private sector earnings.
As the pay review bodies are independent, I cannot, and would not wish to, pre-empt their recommendations. We have asked the NHS pay review body, and the review body for doctors and dentists, to report later in the spring, and we will carefully consider their recommendations when we receive them.
(3 years, 8 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
It is, as always, a pleasure to serve under your chairmanship, Sir Christopher. As others have done, I want to start by congratulating the right hon. Member for South Northamptonshire (Andrea Leadsom) on securing today’s debate. The right hon. Lady—I would say she is a friend—has been an absolutely tenacious campaigner on this issue. I remember badgering her with questions on a Thursday morning when she was Leader of the House; she would always, even in Government, still find ways of getting this issue to the Dispatch Box. I think it is fair to say that the Government’s loss is this policy area’s gain. The issue is a massive passion of the right hon. Lady’s, so it is right that she leads the debate today.
In summing up for the Scottish National party today, I want to acknowledge the five contributions from Back-Bench Members. We have had very thoughtful speeches from my hon. Friend the Member for Glasgow Central (Alison Thewliss) and the hon. Members for East Worthing and Shoreham (Tim Loughton), for Strangford (Jim Shannon), for Congleton (Fiona Bruce) and for Truro and Falmouth (Cherilyn Mackrory). People who have a genuine interest in a policy will come to debate in Westminster Hall; I certainly felt this morning that Members were speaking about something they knew about, rather than something from a parliamentary research unit or parliamentary Labour party handout.
Before I outline what the Scottish Government’s policy landscape looks like in terms of the first 1,000 days, I want to reflect on the Royal Foundation’s study conducted last month in partnership with Ipsos MORI on early years in the UK. The results were fascinating: only 10% of parents mentioned taking the time to look after their own wellbeing when asked how they had prepared for the arrival of their baby. Ninety per cent. of people see parental mental health and wellbeing as critical to a child’s development. Parental loneliness has dramatically increased during the pandemic, from 38% feeling lonely before to 63%, and more than a third of all parents expect the covid-19 pandemic to have a negative impact on their long-term mental wellbeing. That focuses some of the immediate challenges, but what are the solutions?
For a start, Members will forgive me if I reference largely what happens in Scotland. This is very much a devolved area, but as a result of third-party obligations I want to offer some thoughts from that perspective. North of the border, the Scottish Government are investing £50 million, overseen and directed by the perinatal and infant mental health programme board, to improve perinatal and infant mental health services in Scotland across all levels of need—from specialist services, through to befriending and peer support. In addition, the Scottish Government have established the infant mental health implementation and advisory group. It provides clinical advice and support to inform the development of mental healthcare from conception to three years of age, and oversees the testing and implementation of evidence-based and innovative models for the delivery of those infant mental health services.
I want to look slightly wider at the policy initiatives currently in place and how those tie in with the topic we have been focusing on this morning. North of the border, the Scottish Government recognise that life chances and future attainment start at birth and we are certainly using our devolved powers to deliver a comprehensive package of support to ensure the best start for every child in Scotland. The Scottish Government provide a generous package of support for families to help them through this challenging time, including the three Best Start grant payments for people on low incomes, all providing a higher level of support or eligibility than the Department for Work and Pensions benefits that they replace. We have replaced the British Government’s Sure Start maternity grant with the Best Start grant and pregnancy and baby payment. That payment is higher than the UK Government payment and does not put a limit on the number of children supported: we believe that every child should be treated equally.
We have introduced baby boxes, which provide essentials to new parents in Scotland, of which more than 47,000 were delivered in 2019. Indeed, 93% of parents are taking up a baby box at the moment and there is nearly a 100% parent satisfaction rate. I declare an interest and speak from experience, as a result of receiving one in 2018 when my daughter Jessica was born. We are also delivering both nursery and school-age payments for our Best Start plan, together with the pregnancy and baby payment. We made £21 million of awards in 2019-20. Best Start Foods also provides a £17 payment for healthy food every four weeks during pregnancy and for any children between one and three years old, and £34 for babies up to the age of one.
My hon. Friend makes a good point about the Best Start Foods grant. The level of the equivalent payment in England is woeful and, although it will go up in April, there are families just now who cannot afford essentials like infant formula. Does he agree that the Government should put up the payment now to see families through the winter?
I am grateful to my hon. Friend for that intervention. I can remember—in a previous life, before I was elected to this place, when I worked for her—helping on the all-party parliamentary group on infant feeding and inequalities. I pay tribute to the work that she has done on that. The point she has made to the Government today is very much based on what the APPG has heard, so I would be more than happy to take that comment on to the Minister.
The Scottish child payment is also—and I quote—a “game changer” in the fight against child poverty that is available nowhere else in the UK. It could support up to 194,000 children this year. Together with the Best Start grant and Best Start Foods, this will provide over £5,200 in financial support for eligible families by the time their child turns six; for the second and subsequent children, it will provide over £4,900. To further support that early years provision, the Scottish Government will continue to review and transform maternity and neonatal services over five years through the Best Start programme. Through that, we will deliver person-centred care that reduces inequalities, keeps mother and baby together, provides choices and improves experience of care and clinical outcomes for the 50,000 pregnant women and their babies who use the services every year.
In the brief time I have spoken this morning, I have taken a quick canter through some of the support being provided in Scotland. I hope it has been helpful in adding to the wealth of information and policy initiatives that we have considered. I very much look forward to supporting the right hon. Member for South Northamptonshire as she seeks to raise the early years agenda in this place. She will have all of our support.
(3 years, 8 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
Today we are seeing the very start of that roll-out, and I absolutely hope that that will expand across West Yorkshire over this week.
I, too, pay tribute to everybody in the NHS who will be administering the vaccine. One of the concerns I had at the beginning of lockdown was that many of my asylum-seeking constituents who have no recourse to public funds were very much left behind in the original lockdown. What work will the Government and the Red Cross in the United Kingdom be doing to liaise with the Home Office to ensure that no one is left behind? After all, covid does not adhere to people’s nationality.
We have a programme under way to ensure that those without an NHS number can get vaccinated; the NHS number is the basis of the calling system to invite people to be vaccinated, but of course not everybody has an NHS number, and we must ensure that those without one get called forward too.
(3 years, 8 months ago)
Westminster HallWestminster Hall is an alternative Chamber for MPs to hold debates, named after the adjoining Westminster Hall.
Each debate is chaired by an MP from the Panel of Chairs, rather than the Speaker or Deputy Speaker. A Government Minister will give the final speech, and no votes may be called on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
It is, as always, a pleasure to see you in the chair, Sir Christopher. I very much miss serving on the Procedure Committee with you all those years ago, but it is a pleasure none the less to see you this morning.
I congratulate the hon. Member for Strangford (Jim Shannon) on securing and opening the debate, and to see him back in his place after his period of self-isolation last week. He was very much missed last week in the debate that he had secured on the persecution of religious minorities. It is good to see him back in that seat—which I am sure he has probably got title deeds for now given that he is there so often.
This has been a very short but very enjoyable debate. The hon. Member for Strangford opened with a very passionate speech, as we would always expect from him, but in particular he spoke about that very poignant testimony from Alex. The hon. Member for Wakefield (Imran Ahmad Khan) spoke about young Daniel and that relationship that was struck by his father in hospital. I think hearing about three-year-old Ellis really moved us all. I cannot begin to imagine how difficult it must be for Ellis’s family as they work through losing a loved one. The hon. Gentleman has spoken very eloquently on behalf of his constituents and they should be incredibly proud to have him in here to be raising those issues, as he sits alongside the Minister.
Finally, the hon. Member for North East Fife (Wendy Chamberlain) talked about Toby’s Magical Journey in Cupar. I, too, pay tribute to Richie, Alison and Toby for that remarkable figure of raising £50,000 pounds, and it was great to hear that Toby got the all-clear in 2018. She raised an important point about the impact that the transition to a cashless society will have on charities. I hope that is something that we can tease out in the debate in Westminster Hall on Thursday afternoon about transitioning to a cashless society, particularly in the light of the covid pandemic.
On that point, covid-19 has dominated so many aspects of our lives. Much of the discussion around public health shows that it is still so vital to look after other aspects of our health and wellbeing during this time. That very much includes checking for symptoms and signs of cancer.
With your forbearance, Sir Christopher, I want to pay tribute to my colleague and my hon. Friend the Member for East Dunbartonshire (Amy Callaghan), who has been a tireless campaigner on the subject of cancer and young people. She is not just one of my colleagues in this place and my constituency; she is one of my closest friends. I congratulate her on her election as chair of the all-party parliamentary group on children, teenagers and young adults with cancer. I also pay tribute to this young woman who has survived cancer twice. As has been well documented this year, she has also been through other health challenges. This House is stronger for having the experience of people like her. I look forward to her coming back and, arguably, making a much better speech than I could ever do. I hope to do this justice on her behalf.
I also want to pay tribute more broadly to the work of the APPG. It has done fantastic work in raising awareness of the issues affecting young people with cancer and their families. The 2018 report published by the APPG, “Listen Up! What Matters to Young Cancer Patients”, looked into cancer patient experience for children and young people across the UK. That report found that 64% of respondents did not think enough was being done to create a positive experience for children, teenagers and young adults with cancer. It also discovered that 82% of young people and parents responding to the survey did not think that Government listened enough to the experiences of young people with cancer and their families.
The report offered several recommendations for helping teenagers and young people understand the symptoms of cancer, as well as for those facing cancer treatment. Those include compulsory lessons in secondary school on spotting the signs of cancer; designated hospital parking for children and young people with cancer; an agreement by the Government to meet yearly with young cancer patients to discuss their experiences; and offering access to free fertility treatment to survivors of childhood cancer, who are not offered fertility preservation before receiving cancer treatment. That report highlights that not enough has been done to support young people and their families through a challenging diagnosis.
It is important that young people know the signs and symptoms of cancer, although they may differ from person to person. The common symptoms are lumps, unexplained tiredness, mole changes, pain and significant weight change. For more information about the different symptoms and where to seek help, I advise people to go the NHS website, the CLIC Sargent website and that of the Teenage Cancer Trust.
A lot of young people have expressed worry that they are wasting doctors’ and nurses’ time, particularly during the coronavirus pandemic. I get incredibly frustrated, as a constituency MP, when people say, “I don’t want to bother the NHS or go to my GP, because they are really busy.” One of our privileges in this place is to have the voice to get this message out to our constituents: “If you are experiencing any of those symptoms, please do not worry about bothering your GP or the health service, but go and get it checked out.”
I want to reassure young people that if they have any of those symptoms or if they are worried about their health, they will be listened to and taken seriously. The NHS, in whatever part of the United Kingdom, is and always will be there for everyone. That is something we have certainly learned during the course of the pandemic. Despite the pandemic, the NHS continues actively to encourage people to contact their GP if they are worried about possible cancer symptoms. If the symptoms lead to a diagnosis, early diagnosis and treatment are really important and can improve the outcome for many young people.
I want to highlight the fantastic work of CLIC Sargent and the Teenage Cancer Trust, both of whom act jointly as the APPG’s secretariat. Understandably, for many families, when a young person receives a cancer diagnosis, it can be a very scary and confusing time. From doctor’s appointments to new treatments, the process can be overwhelming for young people. Those organisations offer advice to help young people and families to adjust to the cancer diagnosis and the treatment that follows. The Teenage Cancer Trust offers people advice on how to speak to doctors if they are feeling nervous, details of the different symptoms and case studies of teenagers and young people who have experienced treatment during the pandemic. CLIC Sargent is also a great resource, providing guidance for navigating clinical care, granting financial support and helping young people with the emotional impact of illness. Both organisations have new information around how to manage cancer during the covid-19 pandemic. Clearly, the public health crisis creates new challenges for patients, but there is still support available to help young people through this challenging time.
This year, the covid-19 pandemic has thrown unprecedented challenges at us all. From facing the virus itself to the huge financial insecurity that many people have experienced, to the restrictions and lockdowns taking us away from our loved ones, it has undoubtedly been a tough year for many of us. I say that after my grandfather was cremated yesterday. One of the hardest things that I have experienced during this pandemic was limiting the number of people at his funeral to 20. It has been incredibly, incredibly cruel from a public health point of view, and I think we would all agree that this has been such a difficult year for us.
This debate has highlighted that the teenagers and young people facing a cancer diagnosis and treatment during this time are facing even more challenges, but support is out there. Whether it be from the APPG, the NHS, CLIC Sargent or the Teenage Cancer Trust, there are people out there to offer information and guidance. It is vital that all young people check for the signs and symptoms of cancer. To reiterate, they are: lumps, unexplained tiredness, mole changes, pain and significant weight change. If a young person is experiencing these symptoms, I urge them to contact their GP. An early diagnosis will lead to the best outcome. Facing cancer as a young person can be incredibly scary and overwhelming and I pay tribute, above all, to all the young people undergoing treatment for cancer diagnoses. I thank their families, their carers and the NHS, who are working so hard to support them.
(3 years, 11 months ago)
Commons ChamberIt is a pleasure to follow the hon. Member for Middlesbrough South and East Cleveland (Mr Clarke). I had the pleasure of shadowing him when he was at the Ministry of Housing, Communities and Local Government. I always found him to be incredibly courteous and I wish him well for however long he is on the Back Benches—I know he has plans to return to Government at some point.
We know that Governments all around the world have faced the same challenges with this pandemic, whether that is understanding how the virus transmits, how a lockdown should occur and, indeed, under what circumstances, or obtaining PPE. For many, this was unknown territory. For most of us as politicians, no one or nothing truly prepares us for a global pandemic.
It would be remiss of me not to start by mentioning the successful measures put in place, including the public’s overwhelming co-operation with the lockdown restrictions, the unity we have seen in our neighbourhoods and constituencies, especially in offering a helping hand to those who are shielding, and the countless community groups and volunteers who have mobilised during the outbreak. I also acknowledge and say thank you for the brave commitment of so many of our NHS and care staff, who continue to battle the virus every single day.
However, with the stark warnings offered by the Prime Minister last week about a second wave of covid-19 cases and the further restrictions put in place to keep as many of us as safe as possible, we must therefore learn the mistakes made in the earlier half of the year. It is imperative that we all move forward looking at what works best and, most importantly, what we urgently need to improve upon. It is clear that the three most difficult aspects of the coronavirus pandemic have been controlling outbreaks in social care settings, providing enough PPE to those who need it, and setting up a functional and effective test, trace and isolate system. The economic response to covid and the mental health crisis and its legacy are much bigger issues that I am sure other colleagues will focus upon. In the interests of time and of being courteous to other Members, I will confine my remarks to the public health aspects of today’s debate.
I will start with the issue of test and trace. The Scottish contact tracing system, Test and Protect, was based on traditional public health teams, who have managed to reach over 98% of cases and 97% of contacts. Unfortunately, that success has not been mirrored by the British Government’s implementation of its testing and tracing. The Times found that in England, the percentage of successful searches between 1 pm on 16 September and midday on 17 September was just 43%. In comparison in Scotland, it was 97%. The Scottish contact tracing system is the best performing in the UK, particularly compared with the outsourced Serco call centres in England, which are barely reaching 60% of contacts. People are, on average, asked to travel 27 miles to the nearest centre, and at the peak of the shortages, a fifth of all UK postcodes were being directed to sites in another nation. We heard anecdotes in the Chamber only last week of people in Bolton reportedly being told to travel 90 miles to Wales to get a test. In Cambridge, residents were being told to go to Birmingham, Heathrow or Bradford. The ineffective tracing system in England means that thousands of people who may currently be infected with covid-19 are not being advised to self-isolate and, as such, are continuing to spread the virus at a rate leading towards a second wave.
The Scottish Government have also launched the Protect Scotland app, which I have spoken about in this Chamber and have urged people to download. I have downloaded the app in England. As somebody who spends probably half the week in England, I am more than happy to use my position to encourage as many people as possible to download the app. Over 1 million people have downloaded the app in Scotland, helping to effectively trace the virus across Scotland. That figure of 1 million represents 18% of the population, meaning that the figure is already above the 15% threshold required to make a measurable impact on viral spread.
Despite the Scottish Government’s success, however, there are still challenges from the UK Government—mainly, that the Scottish NHS has increased its testing capacity considerably for hospital patients, but instead of funding testing of the public through the expansion of NHS labs, the UK Government set up an entirely separate system organised by Deloitte. As it is a UK-wide system, we have seen an increase in demand in England, leading to appointments being cut in Scotland. In fact, there are multiple reports over the last week of people resident in England being advised to enter a Scottish postcode to obtain authorisation for a test, even though the test was carried out in the south of England. If not dealt with, this could seriously undermine Scotland’s well thought out and effective contact tracing system, and the incorrect data could give the impression that there is an outbreak somewhere where one does not exist. It is vital that we prepare for the second wave. In doing so, we must do everything possible to test as many people as possible, so that we have the most accurate figures and our contract tracing can prevent the transmission of this deadly virus.
I turn to the issue of personal protective equipment. One major challenge from the outset of the pandemic has been the hugely increased need for PPE such as masks, gowns and gloves, amounting to some 485 million items so far. In Scotland, we have had the advantage of central procurement and delivery being part of the Scottish NHS, along with having our own stockpile. Naturally, given the sheer quantity of PPE needed in the first few weeks of the outbreak, there were difficulties in transportation, especially to extra sites that needed additional equipment, including community clinics, GP surgeries, pharmacies and care homes. Our Trade Minister, my good friend Ivan McKee, worked tirelessly to maintain imports of PPE, which came in through Prestwick airport. The Scottish Government invested in the development of our domestic industry so that 50% of our PPE is now manufactured in Scotland, making our future supply more secure.
When we compare the availability, transportation and supply of PPE under the SNP Scottish Government with the situation under the Tory Government here in Westminster, in every regard the SNP Government have been better prepared. The SNP Government put in place clear plans for the future in the event that we faced a second wave—as now, sadly, seems inevitable. The Conservative Government privatised the UK national stockpile and then ran down the stock, with some items up to 10 years out of date, putting at risk the lives of key workers in the NHS—the very same workers we went out to clap for every Thursday night at the beginning of the pandemic.
In 2016, the UK Government was found to have failed woefully in pandemic preparedness. Exercise Cygnus accurately predicted that the NHS would be pushed into a state of crisis if an infectious and deadly disease ever came to the shores of these islands. It highlighted that an effect of such a pandemic could be a shortage of intensive care beds, vital equipment and even mortuary space.
Such predictions became a reality with the covid-19 pandemic, but even after the stark warnings of 2016, no action was taken. Instead, the Government chose effectively to hand out hundreds of millions of pounds in contracts to companies with no experience of providing PPE. The truth of the matter is that the British Government have used this public health crisis to benefit their friends. A contract was handed out without any public tender process to Public First, a company that is run by a former aide to the Chancellor of the Duchy of Lancaster and an associate of Dominic Cummings. It should be no surprise to anyone that millions of pieces of PPE were substandard and even unusable. Much of it never materialised and was never delivered to the countless NHS workers who needed it so badly.
Can the hon. Gentleman think of any area where the Union Government, or England and Wales, have done better than Scotland, and that Scotland might be able to learn from?
It will come as no surprise to the right hon. Gentleman that I am not in a position to be particularly complimentary about how the UK Government have handled this pandemic. I am sure that if he has looked at any of the statistics, he will have reached a similar conclusion, but that is something for him to consider as he prepares to speak this afternoon.
I will deal now with the distressing issue of deaths in social care settings. We simply cannot ignore the fact that the death rate in care homes across the UK has been utterly devastating. In my own constituency, Burlington Court care home in Cranhill saw 13 deaths in just one week. That number can never be regarded simply as a statistic. Each and every one of those residents was a family member and a loved one who will never be forgotten.
The attacks that have suggested that that problem was specific to Scotland are incorrect. In May, the London School of Economics highlighted that more than half of covid-related deaths in care homes in England were not being reported. The Scottish Government made a sustained effort to report all care home deaths so that our figures were as accurate and up to date as possible. Indeed, the data published by the Office for National Statistics clearly shows that deaths in Scotland were not significantly higher than in the rest of the UK. It highlights that excess deaths in care homes in England and Wales were 45 per 100,000—almost exactly the same as Scotland at 44 per 100,000.
Some have blamed the covid outbreaks in care homes on patients being discharged from hospital, but studies actually suggest that there were multiple entry points into care homes from the community via visitors and staff, particularly staff working in several care homes. It would arguably have been even more dangerous to place already-vulnerable care home patients in hospitals, with space already being a valuable commodity in our busy hospitals, particularly in intensive care units. The Scottish Government were quick to step in when it became clear that the social care sector was struggling, providing considerable support in the form of extra funding and supplying additional PPE from NHS supplies. Until this intervention from the Scottish Government, some care homes were not even paying sick pay, which meant that staff could not afford to stay home when they might have had covid symptoms or, indeed, were a contact. To further assist with this, the Scottish Government offered NHS staff to care homes, preventing them from being forced to use agency staff who could arguably be seen as spreading the virus.
The covid-19 pandemic has exacerbated some of the underlying problems within the social care system in the whole of the UK. Currently Scotland is the only UK nation to provide free personal care, which allows two thirds of those who need it to stay in their own homes, but the vast majority of care homes are private businesses, and, until now, they were, without doubt, less connected to the rest of the health and social care sector. In the light of the pandemic and the devastating losses from our care homes, the Scottish Government plan to carry out a review of social care provision and consider developing a national care service, which I warmly welcome and see from my constituency experience as being a good thing.
Globally, the pandemic is still raging, and we must listen to health experts who are very clear on the dangers of a second wave. Summer was our time to learn and prepare for winter. We now have the relevant experience to learn from all the mistakes made in the first part of the year, and they are legion. In the public health response, it is vital that we focus on these three issues: outbreaks in care homes, the availability of PPE, and having an effective test and trace system in place. We know that a second wave is now upon us, and we all know what we need to do. We must all play a role. My party—Scotland’s Government—is committed to playing its part in helping to defeat this deadly virus.
(3 years, 11 months ago)
Commons ChamberWe know the Secretary of State is fond of technology, and we welcome that. I wonder if today he will welcome the 160,000 downloads of Protect Scotland—the app launched by the Scottish Government. Both I and my hon. Friend the Member for Kilmarnock and Loudoun (Alan Brown) are tracing, so if anyone shows symptoms, that will show up. When will England catch up and launch a contact tracing app similar to Protect Scotland?
It is a real pleasure to be commended on my enthusiasm for technology—normally comments about my enthusiasm are followed by a large “but”. In this case, I totally agree about the importance and use of technology, and that will be coming to English pockets very soon.
(3 years, 11 months ago)
Commons ChamberIt is so important that we explain to everybody that they have a responsibility to “hands, face and space”—to their social distancing. The two critical messages for younger people who may think that this is not a disease that affects them are, first, that they can transmit this disease and cause great harm or death to their loved ones, but, secondly, that nobody is immune from this disease. The long-term impact of covid—so far, we have seen this with 60,000 people who have suffered for more than three months—can be devastating, and that can happen to anyone.
The credit checking company TransUnion has had difficulty issuing home testing kits to people because they are not on the public electoral register. We know that, for good reason, some people are not on the public electoral register, perhaps due to fleeing domestic violence or abuse. Can I ask the Secretary of State if he will go away and have a look at this, and see what he can do to make sure that everybody can get a home test, regardless of whether they are on the on the public electoral register?
I am very happy to look at this point. Of course, we do have to verify the identity of people who are asking for home testing kits, and there have to be protections against fraud, and we take advice from the National Cyber Security Centre on that, but I will look at the point the hon. Member raises.
(3 years, 11 months ago)
Commons ChamberWe publish the data on which the decisions are made and we have published the so-called “contain framework”, the one in which those decisions are taken, in consultation with the local authority and local representatives, should such an intervention be needed. What I would say to residents of Wakefield, and indeed of any other area, is that the best way to avoid local action and a local intervention is to follow the social distancing rules: “hands, face, space, and get a test if you have any symptoms”. By following social distancing we are more likely to be able to control the virus without the need then to resort to local action.
I would like to start by paying tribute to public health officials and community partners in the east end of Glasgow, who have been managing some of the local clusters. It really has been a team effort.
Part of the Secretary of State’s test, trace and isolate strategy is based on people following the advice to isolate when they show symptoms. What discussions is he having with the Department for Business, Energy and Industrial Strategy regarding the pitiful levels of statutory sick pay? Anecdotally, a lot of constituents tell me that they are worried about the financial pressure of having to isolate. So what discussions on that is he having with his colleagues in Government?
As I set out in my statement, we have introduced a new scheme today.
(4 years, 1 month ago)
Commons ChamberMy hon. Friend makes a really important point. It is a recurring theme—over and over again—that when patients complain, the first point of complaint is to the trust where they were treated, but that is often where the logjam is. A patient-safety campaigner told me recently that it was seven years before the chief executive of a trust would even acknowledge his complaint or meet him. That is where we see the logjam happening. I will take away my hon. Friend’s point and consider it, because it is a very important one.
Like the hon. Member for Lancaster and Fleetwood (Cat Smith), I wish to focus on the specific issue of sodium valproate. Given that it was a UK-wide review, what discussions is the Minister having with her counterparts in the Scottish Government to ensure that we find a systematic way to identify women who are at risk—say, by way of a patient register?
Health is devolved in Scotland, of course, but we constantly have conversations with our healthcare partners across all the devolved nations.