Coronavirus

Edward Leigh Excerpts

Wednesday 16th June 2021 Commons Chamber

[Sir Edward Leigh (Gainsborough) (Con)]

As has been noted by my colleagues, there are very few Labour Back Benchers taking part in this debate, a point made in particular by my hon. Friend the Member for Wellingborough (Mr Bone). Our Labour colleagues are not bad people; they are not lazy; but they are not as interested as we are in freedom. This whole debate is a mortal threat—a mortal threat—to the Conservative party. This is proven by history. When we had wartime regulation and a controlled economy between 1939 and 1945, it led to a Labour landslide. People get used to controls and at the end of July—the motion will go through today, obviously—there must be an entire re-set of the Conservative Government. We must be talking about freedom, civil liberties, trusting business not subsidising business, and low taxes. That is what the Conservative party is about.

Let us look at the data. In Lincolnshire, sadly, we have had one death in the past month. We have a population of 651,000 adults, 504,000 of whom have had their first jab, and of those, 400,000 have had their second jab. Some 95% of over-70s in Lincolnshire have had two jabs, as have 75% of the over-50s. There is no reason for Lincolnshire to be under any restrictions at all. I accept that we are one country, but if we must have controls I do not know why we cannot have regionalised controls.

The Government must act according to reasonable proportionality. Our job as Back Benchers is to scrutinise the Executive, but how can we do that if we do not know what the Executive’s goal is? There has been too much shifting of goal posts, and too many fatuous rules based not on science but on populism. Our society should be free and open, and there is a real danger that the public will increasingly ignore the restrictions. The Government will be a Government of the emperor without clothes. Of course the public in large part support the further controls, but what about business? Business is being driven into the ground. We do not support businesses with endless subsidies; we let business get on with business.

This will never end: at the end of this month there will be another variant. It will come from darkest Peru—the Peruvian variant—and Paddington Bear will be arrested at Paddington station and put in quarantine. It will go on and on and on. It is a bit of a cliché, but we are never going to eradicate this disease. It is like no other disease. It will constantly vary and constantly attack us, and we have to learn to live with it. We must not base our policy on the number of infections, which will rise and fall, and probably keep rising with every new variant. Our policy is to save the NHS. Our policy is to protect the NHS and stop it falling over. Only one policy makes sense at the end of July: is the NHS in danger, and are hospitals in danger of becoming over-full? That should be our policy.

Covid-19 Update

Edward Leigh Excerpts

Monday 19th April 2021 Commons Chamber

[Mr Speaker]

I think we might have to move on.

[Sir Edward Leigh (Gainsborough) (Con)]

Scott Morrison, the Australian Prime Minister, has just announced that he has no plans to open up his borders. Of course, he is absolutely right. I am speaking—I apologise—completely with the benefit of hindsight, but I am sure everybody would agree that if we had done what Australia had done, we could have opened up our economy months ago. It has had only 910 deaths and only 29,000 infections. What I want to hear from the Secretary of State is that he will resist the very powerful lobbyists from the travel and airline industries and from airports, and that he will be absolutely determined to follow the evidence, not allow unnecessary travel—we do not know what variants are out there in the world—and be really tough with the red list.

[Matt Hancock]

That is the approach we have taken so far since the introduction of the red list and the hotel quarantine. Through the testing of every single passenger who comes here, we essentially now have a survey of the world. We can see where the new variants are from the people coming through the testing regime. I am grateful for my right hon. Friend’s wise counsel.

Maternal Mental Health

Edward Leigh Excerpts

Wednesday 10th March 2021 Westminster Hall

[Mrs Maria Miller (Basingstoke) (Con)]

I commend the hon. Member for Richmond Park (Sarah Olney) for securing the debate, because the three quarters of a million women who have given birth during this pandemic have not only experienced all the challenges that every woman experiences when they give birth, but have had those problems magnified. Other Members have already set out issues around isolation, anxiety and the need for proper, professional support, as identified by the excellent piece of work done by the Digital Engagement Team for the hon. Lady, which all of us who have been new mums can really relate to. I can only imagine how much more these issues can affect people when they have no family members to call on and no mothers’ group to allow them to pick up personal experience from others who have gone through it before them.

Outside of the pandemic, around one in five women experience perinatal mental health problems, which impact not only them but their children, and as my hon. Friend the Member for East Worthing and Shoreham (Tim Loughton) said, that can cost the economy some £8 billion every year. I will add to the debate the conditions that create a higher likelihood of mental health problems emerging in the first place, which according to research is particularly stressful life events.

We know that, during the pandemic, people have been highly anxious—far more than they might have been otherwise. Indeed, some research suggests that around three in four pregnant women have had significant anxiety, and up to 40% have experienced depression. One of the biggest anxieties for any new parent has to be money—finance, income; making sure that they can care for their new family. Most families now have two working parents, and families depend on both incomes, so the fact that more than 50,000 pregnant women a year suffer discrimination that leaves them with no option but to leave their job should sound alarm bells, not only for our economy, but for its potential to trigger mental health problems, depression or anxiety.

Work by organisations such as Maternity Action and Pregnant Then Screwed shows worrying increases in reports of pregnant women losing their jobs during the pandemic, and we know that more women have been impacted, in terms of job loss, during the pandemic than in other similar economic events. The reported figure of 50,000 pregnant women each and every year leaving their jobs is likely to be the tip of the iceberg, because as well as those reporting leaving their jobs, there will be many more who are silenced from speaking out by non-disclosure agreements.

My right hon. Friend the Minister has done so much to support new mothers, but some women are still let down in the workplace, so as part of this debate I urge her to consider employment policies too, particularly given the impact of coronavirus on women’s employment. No matter how good my right hon. Friend is at her job, in terms of putting support in place, if pregnant women are concerned about losing their jobs, even if they do not do so—and being pushed out of work is not uncommon in the workplace when women become pregnant—the job of the Department of Health and Social Care will be severely undermined if these issues are not addressed.

Other countries have looked at this closely, and I believe we can learn from their experiences. Germany, with a similar economy to ours, prohibits making pregnant women and new mums redundant, for the good of women, their children and their families. I have put into a ten-minute rule Bill the idea of adopting the German laws here in the UK, and I hope that my hon. Friend the Minister will look at it to see whether she could lend it her support.

My final point is that mental health problems on the arrival of a child do not just impact women. Up to one in four fathers may experience mental health problems in the year after the birth of a child. It can be difficult for fathers to manage the transition, and we need to ensure that support is there. In other countries, shared parental leave policies, on a use-it-or-lose-it basis, have been proven to help fathers with that transition. Will the Minister look at why we are still awaiting action following the review in the UK of this policy, which would explicitly help fathers to tackle these difficult issues?

My hon. Friend the Minister has done so much, but she needs her colleagues in the Department for Business, Energy and Industrial Strategy to do more. It is no good saying that we have good maternity protections when the Government know that probably 50,000 women a year lose their job because of how they are treated in the workplace. I ask the Minister to speak to her colleagues in the Department for Business, Energy and Industrial Strategy to look at effective broader policies impacting on pregnant women at work, because one of the most effective maternal health policies that the Government could adopt is stopping women being made redundant in the first place.

[Sir Edward Leigh (in the Chair)]

Order. Because Members have gone on beyond five minutes, I have to reduce the time limit again, otherwise not everybody will get in. The time limit is now four minutes.

--- Later in debate ---

[Jim Shannon (Strangford) (DUP)]

It is a pleasure to speak in the debate, Sir Edward. I thank the hon. Member for Richmond Park (Sarah Olney) for bringing forward what is an important issue, and all the right hon. and hon. Members who have made valuable contributions, setting the scene very well. The matter has been a great concern of mine for many years and I have raised it in the House on several occasions. I have probably spoken alongside my colleague and friend, the hon. Member for East Worthing and Shoreham (Tim Loughton), among others who are here, on almost every occasion when it has been brought forward.

Covid has been difficult for my family, with the loss of a much-loved mother-in-law; but we have been blessed in that time with sunshine in the rain, as we have two beautiful new grandchildren, Max and Freya—both born during lockdown. It is important to have that opportunity, as a grandparent, to have grandchildren—and new grandchildren. We are up to five now, so I could have a five-a-side mixed football team of boys and girls—I look forward very much to that.

There was no joyful visit to the hospital. Indeed, the first view was through the living-room window and I have not seen the youngest one at all, even from a distance. It has always been on the wife’s video. Video calls are wonderful, but there cannot be anything sweeter than holding your grandchild. As tough as it is for grandparents, it is even more difficult for parents. That is what we have been trying to say today in the contributions that we are making. No mum or auntie is allowed to come round to help the new mum get sorted and into the routine; there are no mums or toddler groups to reassure her that she is doing a phenomenal job, that everyone struggles and that sometimes mum just needs someone to share that with; there are endless days in the house with a baby that she is too frightened to take out into this uncertain world. The impact on mums and dads has been vast and we will probably not know the full extent of it in the years to come.

My parliamentary aide, Naomi, who is a busy girl because she does all the speech writing for me, had two children in a short time. I remember them well. She told me—and she refers to it as her mummy guilt—that her eldest had little opportunity to enjoy her own time before she became the big sister, almost right away. She also talks about the mummy guilt of working full time. Although her parents are able to mind the children, who are well taken care of, the guilt remains that she is not the one picking them up from school, which is what she wants to do.

While I can look on objectively and see two lovely, well-adjusted girls, she sees only the things that she feels she did not do right and which she thinks she did wrong. I do not believe that is the case, but she feels that. All mums will be able to sympathise with the fact that lockdown babies are not able to see or interact with others—that is important. When my children were growing up—this is true of my grandchildren too, from what I have seen of them so far—I saw their interactions with their wee colleagues at school, and they made friends well; they would often hold hands with them in P1 or P2. That is what children do—they need interaction. They are more likely to be parented by the person who is at home with them. I can only imagine the feelings of isolation and guilt at what the child has missed out on and what would have been felt.

I was pleased to receive correspondence from one of my constituents, who wrote to me expressing the feeling of being robbed of her maternity leave and calling for an extension. I can do nothing but support her in that call. The experience of lockdown for new parents has been difficult; no music classes, no parenting groups, no one to reassure them face to face and see if they are truly okay. In addition, we must consider parents whose children went to a neonatal unit. The baby charity Bliss has conducted a survey of parents whose baby received neonatal care during the pandemic. I am not going to repeat the figures cited by the hon. Gentleman for East Worthing and Shoreham, but I remind everyone, including the Minister, to look at them.

[Sir Edward Leigh (in the Chair)]

Order. Will the hon. Gentleman finish?

[Jim Shannon]

I support my hon. Friend the Member for Belfast East (Gavin Robinson) and his early-day motion. In conclusion, I am pleased to stand with parents asking for the help and support that is needed. Give them the support that has been lacking for so long, and let them know that, even when socially distanced, they are not alone.

[Sir Edward Leigh (in the Chair)]

Thank you very much. We now return to virtual for the SNP spokesperson, Dr Lisa Cameron.

--- Later in debate ---

[Sarah Olney]

This has been a really fantastic debate, and I am so grateful for the contributions from Members, both in the room and on Zoom. I welcome the contribution from the hon. Member for East Worthing and Shoreham (Tim Loughton) and all the work that he has done, particularly as the chair of the APPG for the first 1,001 days. He has highlighted the work of the right hon. Member for South Northamptonshire (Andrea Leadsom), and I am very much looking forward to reading her review, which will be really interesting. He also highlighted the importance of fathers, and I am really grateful to him for raising that important aspect of the debate.

I am grateful to the hon. Member for Strangford (Jim Shannon) for mentioning grandparents. Some of the most distressing correspondence I have had during this pandemic has been from grandparents who have been unable to see and hold their new grandchildren, so I thank him for raising that issue. I congratulate the Minister on her impending grandmotherhood and hope that all goes well.

I am particularly grateful to Members who have shared their own experiences throughout the debate. I thank the hon. Member for Truro and Falmouth (Cherilyn Mackrory), whose experience highlights what I was saying about the inadequacy of telephone and digital follow-up appointments. She spoke of her experience of post-natal depression, and I am really grateful to her for sharing that. If I could stretch out a virtual hand, I would like to say to her that we share the experience of baby loss, and I know what that is like.

I am grateful to the hon. Member for City of Durham (Mary Kelly Foy) for highlighting another really important aspect: babies who are born with additional needs, the particular needs of their families and how they have been affected during this pandemic. I really hope that their needs can be prioritised going forward. I also want to mention the right hon. Member for Basingstoke (Mrs Miller). It feels as if a mother’s financial experience is almost an additional thing, but she is absolutely right in saying it is central to mothers’ mental health to know that they have economic stability. I thank her for raising that.

I want to pick up on the Minister’s comments. I am really pleased to hear about the call for evidence. As I say, I am looking forward to the early years review. I want to push her on the point about not allowing digital and telephone consultations to become the norm in perinatal mental health, because those face-to-face visits are so important to mothers everywhere, and I really hope that can be embedded. I thank everyone for their time this afternoon, and thank you, Sir Edward, for your chairing.

[Sir Edward Leigh (in the Chair)]

Speaking as a grandfather, it has been a very interesting debate.

Question put and agreed to.

Resolved,

That this House has considered maternal mental health.

Covid-19: Government’s Publication of Contracts

Edward Leigh Excerpts

Tuesday 9th March 2021 Commons Chamber

[Edward Argar]

My understanding is that the procurement process for PPE, as the hon. Gentleman rightly highlights, was a UK procurement process. As he will have seen, we invoked regulation 32, recognising the speed needed to meet the demand for PPE in the frontline, and throughout this process we worked at pace to ensure that the focus was on the procurement of the PPE required. Throughout this process—throughout this pandemic—we have worked closely with the Welsh Government.

[Sir Edward Leigh (Gainsborough) (Con)]

In the middle of an emergency, value for money goes out of the window, and I am sure that terrible mistakes were made in the tendering process, but on the central charge that contracts were awarded to cronies, I am mystified why that should have taken place if civil servants and not Ministers took the decision. Does my hon. Friend accept that the best way to resolve these issues is to take them out of party politics and let the National Audit Office get on with its job? No doubt in time, the Public Accounts Committee will issue coruscating reports that are very wise with the benefit of hindsight.

[Edward Argar]

My right hon. Friend is absolutely right to highlight that the decisions, as I touched on and as the PAC was told, were made following an eight-stage process run by civil servants and not Ministers. He is also right that there has been no evidence found, either by Committees of this House or the NAO, or indeed in any court cases, of any inappropriate involvement in terms of conflict of interest by Ministers. On his final point, he is absolutely right, and I know that going forward, as we always do, the Government will look to co-operate fully with the NAO in seeking to supply all and any information that it seeks, so that it can form its judgments and inform the PAC and the House of them.

Covid-19 Update

Edward Leigh Excerpts

Tuesday 2nd March 2021 Commons Chamber

[Matt Hancock]

Yes; this is one of the hon. Lady’s campaigns that we can all get behind. She is quite right to raise the work that is being done in Walthamstow, which is very impressive. I will arrange a meeting between her and the Minister for Covid Vaccine Deployment, my hon. Friend the Member for Stratford-on-Avon (Nadhim Zahawi), to see what we can learn and what we can replicate.

[Sir Edward Leigh (Gainsborough) (Con)]

This morning I received an email from a lady who is extremely clinically vulnerable. For perfectly good medical reasons, she cannot receive a flu jab or a covid jab, so she is very concerned that she will not be able to leave her front door if we bring in covid passports. For reasons of civil liberties, will the Secretary of State make it absolutely clear that we are not interested in bringing in covid passports internally, but that they are useful for foreign travel? I say to the shadow Secretary of State that, with the benefit of hindsight, perhaps we should have introduced a hotel quarantine system much sooner. Will the Secretary of State make it clear that he will resist the travel lobby? Will he be absolutely up-front and honest with people, and say that it is unwise to book summer holidays now because there may be these mutants and it is better to hold off? I think that people accept the Government being tough, as long as they are consistent, particularly on foreign travel.

[Matt Hancock]

I will address each of my right hon. Friend’s questions in turn. The point about certification is important. While decisions on certification are being reviewed in a review led by my right hon. Friend the Chancellor of the Duchy of Lancaster, it is clear that we will need to provide people with the ability to certify whether they have had the jab, and we will absolutely need to consider those who have a certified clinical reason why they cannot have the jab. That applies to a relatively small number of people, but it is an important consideration that will be taken forward as part of that work.

I am grateful to my right hon. Friend for expressing his views on the approach to international travel. Quarantine is required for everybody who arrives as a passenger to this country, as well as testing on day 2 and day 8. That means we have a robust procedure to ensure that cases cannot be brought into this country and then spread in the community.

Covid-19 Update

Edward Leigh Excerpts

Tuesday 9th February 2021 Commons Chamber

[Matt Hancock]

I am not aware of the closure of any vaccination centres. Of course, it is a matter for the Welsh Government if they are going to close vaccination centres, but I speak to the Welsh Health Minister regularly and this has not been raised as an issue of concern. Supply is of course the rate-limiting factor, as it has been throughout the roll-out. Supply continues, but we have to start ensuring that we have those second jabs ready for people. I am not aware of the issue that the hon. Gentleman has raised. It is certainly not a problem across England, where I am directly responsible for the roll-out. So far, this programme has been going so well across the whole United Kingdom, and we have all been working so hard together to make it happen.

[Sir Edward Leigh (Gainsborough) (Con)]

In warmly welcoming what the Secretary of State has said today, the question that I have to ask, like many people, is why we did not do this over a year ago. After all, we are an island. If we had done what the Australians and New Zealanders have done, perhaps we would not have had to close our schools for all this time. I am saying this to support the Secretary of State when he is locked in Cabinet discussions with people who say that we have to protect the travel industry or the aircraft industry. I would say: let us have tough quarantine regimes, like Australia and New Zealand, and tough, enforced local lockdowns like China. Let us get a grip on this rather than just saying that it is more important to keep the travel industry open than our schools.

[Matt Hancock]

I am very grateful for my right hon. Friend’s support in the way that he puts it. I have been talking to my Australian counterparts about the approach that they take, not least because their hotel quarantine has now been in place for some time. The central point that he makes is that once we get cases down through both the measures now, and then the vaccine to keep them down, a tough borders policy can help to keep us free domestically. That is a very important part of this consideration.

Covid-19

Edward Leigh Excerpts

Tuesday 12th January 2021 Commons Chamber

[Edward Argar]

I am incredibly grateful to my—if I recollect correctly—hon. and gallant Friend, who has served in the past with distinction. He is absolutely right to highlight the amazing work of our armed forces, which was highlighted in the Chamber earlier this afternoon. He is also right to highlight the spirit of getting things done. He will have seen that my right hon. Friend the Secretary of State for Health and Social Care has been very clear that, while making no compromises on safety for patients and for those receiving the vaccine, he is working very hard to make sure that any bureaucratic barriers that do not support patient safety are removed to ensure the speedy and effective roll-out of the vaccine. So I am grateful to my hon. Friend for his point.

We have vaccinated more people than the rest of Europe put together—well over 2 million individuals, including more than a quarter of the over-80s in this country. I think that is a record to be proud of, but there is no room for complacency. We continue to work hard to get more injections in more people’s arms.

In that context, I pay tribute not just to the Secretary of State and to the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Stratford-on-Avon, but to Kate Bingham and the Vaccine Taskforce, who have done so much to make sure that this country was at the forefront of being able to purchase and deploy vaccines to help save lives. Yet, just as we accelerate the deployment of the vaccine further and faster, we must also recognise that the new variant of the coronavirus does present us with a renewed challenge.

Our strategy has always been, and continues to be, to suppress the virus to protect the NHS and save lives until a vaccine can make us safe, but with a new variant that is more than twice as transmissible, we must be clear that that task becomes considerably harder. The figures from the Office for National Statistics are stark: more than one in 50 of the UK population has the virus and an even higher proportion than that in places such as London. So, just as the virus has evolved, so must our response. We find ourselves once again in a difficult and challenging national lockdown, taking steps that I do not think anyone could have imagined in January last year—steps that, understandably, are truly testing the patience and forbearance of every person in this country but that are essential to relieve the pressure on our NHS, allow for the vaccine to be effectively deployed and, ultimately, set us free from the need for these restrictions.

Before I turn to those steps in a little more detail and the deployment of our vaccines, I am sure the whole House will, as always, join me in paying tribute to the heroic responses we continue to see from people in every walk of life. The return of the clap for carers initiative last Thursday, under the new guise of clap for heroes, is a reflection of the shift in our collective understanding of just what heroism and service look like and a tribute to everyone who is helping us push through this difficult time.

I know that my constituency neighbour, the hon. Member for Leicester West (Liz Kendall), will join me in paying tribute to and thanking everyone who works in our NHS in this country and all those who support not just the NHS but social care, in care homes, social care settings and domiciliary care—people in a range of roles up and down our country who, day in, day out, selflessly care for those who need it. In a past life, I was a local councillor, and I had the privilege of being the cabinet member for adult social care, health and public health for the council on which I served. I saw at first hand the amazing work that our social care workforce do, and it is right that we recognise that at every opportunity in this Chamber.

It is also important to highlight the great British scientists who are at the forefront of humanity’s fight against this virus, developing not only the Oxford-AstraZeneca vaccine but life-saving treatments for those who become infected with covid, first in the form of dexamethasone and now tocilizumab and sarilumab—I have considerable sympathy with the Prime Minister in his attempts to pronounce those—both of which have been found to reduce the risk of death for critically ill patients by almost a quarter and cut time spent in intensive care by as much as 10 days. Those life-saving drugs are now available through the NHS, and it is an example of the huge debt of gratitude we owe people from all walks of life—not just those on the health and social care frontline, but people who are working under very different but no less considerable pressures for our country. The Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Bury St Edmunds (Jo Churchill), who is the Minister for prevention, public health and primary care, will no doubt reflect on that when she winds up the debate.

In terms of the context, I must first turn to the pressures in our acute hospital settings. Across the UK, there are more than 32,000 patients in our hospitals with covid. That is over a third of the NHS’s available beds of all types. On 31 December last year, the total reported admission to hospital and diagnosis of covid in English hospitals was 2,536—on one day. That increased by 46% in the week that followed, so on 9 January, we were seeing 3,718 people admitted. The pressures on our acute hospitals and those who work in them are intense. Patients are therefore currently being treated in Nightingale hospitals in Manchester, Exeter, Bristol and Harrogate to cope with these numbers, and NHS England has confirmed that the Nightingale in London is also open for patients.

Last Monday, all four UK chief medical officers recommended that we move the country to covid-19 alert level 5, meaning that in their expert view, there is a material risk of healthcare services being overwhelmed. In this place, we have often talked about the most frightening of possibilities, but frankly, we have never been this close to seeing it happen, although we are all doing everything we can to ensure that the NHS continues to be able to cope during this time. Quite rightly, we have thanked our NHS staff, and people in this country have expressed gratitude and clapped them, but I think it is fair to say—echoing some of the intensive care doctors and nurses I have seen in the media recently—that the best way we can all say thank you to our NHS is to follow the rules and stay home in line with those rules, to ease the pressure on them.

That is why the choice that this House took last Wednesday to vote overwhelmingly for new regulations, placing England into a national lockdown alongside the action taken in each of the devolved nations, was the right choice. The key message is and must be as it was in the spring, as I have just enunciated: you must stay home. We have always said, and I have always been clear, that it is right that schools should be the last thing to close, and we deeply regret that we have had to close them, but as we begin to move out of lockdown, when we can safely do so—and, as the Prime Minister has promised, through the gradual loosening of restrictions when we can—schools will be the first thing to reopen.

Our regulations provide for these new restrictions until 31 March 2021. I hope that they may not be needed for as long as that, but that time allows us to take steady, controlled and evidence-led decisions, including moving places down through tiers on a local basis—again, when it is safe to do so. As you would expect, Mr Deputy Speaker, we will of course keep these restrictions under continuous review, with a statutory requirement to look at them every two weeks and a legal obligation to remove them if they are deemed no longer necessary to limit transmission of the virus.

[Sir Edward Leigh (Gainsborough) (Con)]

On that point, to me, the right strategy to stop the NHS being overwhelmed seems to be to have a flexible tier system, whereby we work out whether local hospitals in each region are about to be overwhelmed; and, if they are, we go into lockdown. Does my hon. Friend understand what I am saying? Is there going to be this flexible approach, rather than this mass lockdown nationally?

[Edward Argar]

I am grateful to my right hon. Friend for his intervention. With the new variant identified before Christmas, we are seeing hospital admission rates and demand for hospital services rising across our country. That is why it was absolutely right that we instituted the measures that we did, which have seen what it is effectively called a national lockdown at this time. The Prime Minister and the Secretary of State for Health have been clear that they hope, and would expect, that as we get the infection under control and ease the pressure on the NHS, when it is safe to do so we will be able to look to returning to that tiering system. Exactly as my right hon. Friend says, one of the five key factors in whether an area went up or down among the tiers was local hospital capacity—and I emphasise the “local” in that context—but, sadly, we are not in that place as we stand here and debate this matter today.

--- Later in debate ---

[Sir Edward Leigh (Gainsborough) (Con)]

As I was waiting in the Library for this debate to start, I happened to notice on the shelves a book about Edmund Burke, and as this debate is about the balance between the freedom of the individual and the authority of the Government, I opened it at random and I found this quote:

“The Mass of Mankind are made to be led by others. Habits & Customs are their support, because it would be impossible that civil Society could subsist long if we were all Philosophers. Subordination, therefore, is necessary for the human mind.”

My question is whether that is actually correct. I believe that conservatism—and I put the emphasis on conservatism as a philosophy; I am not just talking about the Conservative Government—is about freedom and trusting the individual and individual authority.

People ask me why I have gone along with this so far, and it is for one reason only: we are told that the NHS—because so many beds, wrongly, have been stripped from the NHS over the last 10 years—was in danger of falling down, so that should be the approach of the Government. If we are to restrict people’s freedom, we should only do it because we are worried that the NHS may lose capacity, and people may be arriving in hospital and there is not the capacity to treat them. We should learn the lessons from this pandemic. We should restrict civil liberties for as a short a time as possible and as little as possible, because that is fundamentally what we believe in, although it may be necessary for a short time.

What should be the approach now? It should be a tiered approach. It should always have been a tiered approach. Looking at every region and every hospital, we should ask ourselves whether the NHS was in danger of not having capacity in that local area, and then we should have brought in local lockdowns for that area. As soon as a vaccination programme rolls out, we must move to a tiered approach.

When next winter comes, we have to accept that there is a difference between morbidity and mortality. People do die: 20,000 or 30,000 people a year die, very sadly, from flu. Next winter we cannot close down the entire country. We have to have some regard for freedom and the ability of people to make informed decisions about their own lives.

The real risk of this pandemic is overwhelmingly to people who are over 80. They are the people whom we should be protecting and they are the people whom we should be vaccinating, and we have to allow the rest of society to get on with their own business and to preserve their freedoms.

Public Health

Edward Leigh Excerpts

Wednesday 6th January 2021 Commons Chamber

[Matt Hancock]

The logic of the case made by my right hon. Friend the Member for South West Wiltshire (Dr Murrison) is right, and we want to see that happen in empirical evidence on the ground. This hope for the weeks ahead does not, however, take away from the serious and immediate threat posed now, and I wish to turn to what is in the regulations and the actions we need to take.

The Office for National Statistics has reported that one in 50 of the population has the disease, some with symptoms and some without. The latest figures show that we have 30,074 covid patients in UK hospitals and that the NHS is under significant pressure. Admissions are now higher than at any point in the pandemic, and so on Monday all four UK chief medical officers recommended that we move the country to covid-19 alert level 5. In practice, that means that they believe that without action there is a material risk of healthcare services being overwhelmed. It is for that reason that we have placed England into a national lockdown, alongside action taken in each of the devolved nations. Every single citizen needs to take steps to control this new variant, and this personal responsibility is important. To give the NHS a fighting chance to do its vital work of saving lives, it is on all of us to support it.

The regulations set out that everyone must stay at home save for a limited number of reasons permitted in law, including: essential shopping; work, if it cannot reasonably be done from home; education or childcare if eligible to attend; medical needs, including getting a covid test or getting vaccinated; exercise; escaping domestic abuse; and for support bubbles where people are eligible. These regulations are based on the existing tier 4 regulations, with some additional measures that reinforce the stay-at-home imperative.

These include: stopping the sale of alcohol through takeaway or click and collect services; and closing sport and leisure facilities, although allowing playgrounds and allotments to remain open. I know that these further restrictions are difficult, but, unfortunately, they are necessary, because we must minimise social interaction to get this virus back under control. These measures came into force first thing this morning under the emergency procedure and will remain in force subject to the approval of this House today.

[Sir Edward Leigh (Gainsborough) (Con)]

I have just been talking to my right hon. Friend the Member for North Somerset (Dr Fox) who is a doctor. He showed me the ridiculous form that he has had to fill in to be able to give this simple jab—all this diversity and equality training. When he is inoculating an old lady, he is not going to ask her whether she has come into contact with jihadis or whatever. The Secretary of State must cut through all this bureaucratic rubbish.

[Matt Hancock]

I am a man after my hon. Friend’s heart. I can tell the House that we have removed a series of unnecessary training modules that had been put in place, including fire safety, terrorism and others. I will write to him with the full panoply of training that is not required and that we have been able to remove. We made this change as of this morning, and I am glad to say that it is now in force. I am a fan of busting bureaucracy, and in this case I agree that it is not necessary to undertake anti-terrorism training in order to inject a vaccine.

Covid-19 Update

Edward Leigh Excerpts

Thursday 17th December 2020 Commons Chamber

[Matt Hancock]

No.

[Sir Edward Leigh (Gainsborough) (Con)]

On behalf of my right hon. Friend the Member for South Holland and The Deepings (Sir John Hayes), may I thank the Secretary of State for meeting us and for promising that he will adopt a more granular approach? We can assure him that we will work hard in Lincolnshire to try to get our tier, and that of the neighbouring cities, down. May I also thank him and the Prime Minister for resisting pressure from the Opposition and from Wales and Scotland to change the rules on Christmas? That is an entirely right approach. I also thank him for the tone that he has adopted today that, if we are to defeat this, it is a matter of self-responsibility and personal ownership of our health.

Breast Cancer Screening

Edward Leigh Excerpts

Wednesday 16th December 2020 Westminster Hall

[The Parliamentary Under-Secretary of State for Health and Social Care (Jo Churchill)]

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

I thank my hon. Friend the Member for High Peak (Robert Largan) for securing this important debate. As he and many Members know, breast health—diagnosis, treatment and research, as well as screening—is a matter that is close to my heart. I am honoured to respond on this important issue on behalf of the Government, and on behalf of women and the 3% of men who are diagnosed with breast cancer every year.

I want to state clearly that screening services are back up and that the availability of breast screening to everyone who needs it is there. However, the recovery of those services from the disruption this year is not only a priority for me, but an enormous challenge, for exactly the reasons that have been laid out so eloquently by all contributors to the debate. We know that our cancer workforce had challenges before we went into the pandemic.

Let me remind Members of something that only the hon. Member for Strangford (Jim Shannon) briefly referred to: yesterday, 506 families lost a loved one to covid. It is still with us. We are in a covid-tinged world, and that affects how quickly we can drive other services. However, the resumption of cancer services across the piece—be they treatment, diagnosis or screening—has been the No. 1 priority for me from the time we understood and were able to drive those things in.

I am glad that hon. Members who have taken part in the debate recognise the importance of breast screening in the early detection of breast cancer. As with any diagnosis of cancer, early detection gives people a better chance. The simple fact is that screening saves lives.

I very gently take the Member for Westmorland and Lonsdale (Tim Farron) to task on the statistic that every four weeks represents a 10% lower chance of survival. Cancers, as he well knows, vary enormously in type, grade and everything else. I do not want people not to come forward for screening, diagnosis or treatment because they feel that any loss of time will have had a negative impact. It has to be that as soon as you have a symptom, you come forward. Campaigns such as “Be Clear on Cancer” and “Help Us Help You” are driving at giving people confidence.

We have ensured that services are safe, and our aim is for people to be able to access them as quickly as possible, secure in the knowledge that they are safe. I will cover this later, but while I understand what my hon. Friend the Member for West Bromwich East (Nicola Richards) and the hon. Member for Ellesmere Port and Neston (Justin Madders) were saying, the whole point of open appointments is to maximise the use of available capacity versus fixed-time appointments. A health inequality impact assessment has been done to try to make sure that nobody is disproportionately impacted, and I have asked for a specific eye to be kept on that. Now, if you like—

[Sir Edward Leigh (in the Chair)]

Order. As a matter of courtesy, it is normal for Ministers to address the Chair.

[Jo Churchill]

I am so sorry, Sir Edward. As I was saying, the challenge is that there is variation in the system. That variation occurs for a plethora of reasons, not only those that are covered by an impact assessment on accessibility via open appointments. It is important to keep an eye on all the data.

I am proud that we have a national breast screening programme that offers every woman between the ages of 50 and 70 an appointment every three years. We will strain every sinew to ensure that nobody waits longer than 36 months. We will not step back from that, even with the challenge of driving the backlog down. The programme reaches millions of women and detects approximately 20,000 cancers each year. I recognise the challenge, but every single individual provider has been asked to produce a recovery plan, which should help us to understand the variation. I recognise that about half a million women are waiting, but there are also 500,000 women who have not replied. They will need to be re-approached and encouraged into the system. It is incumbent on everyone to give women the confidence to come forward.

We have also had to look at making sure that women are asked to come forward in accordance with priority by targeting the women who are most likely to have an occurrence of breast cancer. High-risk women will not have open appointments; they will be called immediately. We will then screen positive women in the pathway, followed by screening results that have not been processed, routine open episodes, those who have previously been invited but not screened, and the delays. It is important that we prioritise, so that we target the women we are most worried about.

I am aware that this year, the national breast screening programme could not maintain the service that it normally provides. In March, as the NHS responded to one of the biggest challenges that has faced our healthcare system in a generation, many local providers made the decision to pause appointments so that arrangements could be put in place to protect staff and patients from covid-19. We were unaware at that point what we were dealing with. Staff and facilities were redeployed to tackle the outbreak of the pandemic, but as soon as it was possible to do so, it was made an absolute priority that they were brought back in to do the job that we need them to do.

I am sure that there is not a single Member in this Chamber, or indeed the House, who does not pay tribute to the hard work of all NHS staff. Cancer staff and their teams have done a particularly incredible job of making sure that people across the cancer family have received treatment. Earlier today, I talked to a young man about the treatment he has had, and I talked to a young woman who experienced chimeric antigen receptor T-cell treatment earlier this year. The redeployment of staff left a shortfall in the breast screening programme, and screening appointments for many women have been delayed. I know that that wait, and the anxiety it drives, is incredibly difficult. For those who are looking for reassurance from their routine screen, or who are waiting to receive an all-clear or an early warning that something is wrong, this is undoubtedly a challenging time. However, I want to be absolutely clear that no woman has been left behind, and no woman ever will be. It is a priority to ensure that services are there. Improvements are being driven by the heroic efforts of staff, who have been working longer days and over weekends. They have gone above and beyond to schedule as many appointments as possible to help to drive down the backlog that was created earlier this year.

The first priority is to screen women aged 53 who have not yet had their first screening appointment; those who have passed their 71st birthday and have not yet received their final breast screen; those at very high risk of breast cancer, as I said; and those who have been identified for further treatment. I am pleased to say that the tremendous efforts of screening staff—the nurses, the radiographers and the whole team—are succeeding and the backlog is steadily reducing. The number of women waiting for screening, having received an invitation prior to the first wave, decreased by 98% between 1 June and 4 November.

Screening has been made a clear priority this winter and NHS commissioners have been instructed, where humanly possible, not to redeploy their staff or their facilities away from screening services. It is a priority, and that is absolutely the right approach. My message to everyone is that breast screening services are running, they are safe, they will continue to run through the winter and they are standing up to the increased capacity that is coming towards them.

When people receive an appointment to attend, I urge them to go. “Do not attends” are so frustrating. Those appointments could be taken by a woman who—although she would not want a diagnosis—might get into the stream quicker.