Public Health: Coronavirus Regulations

Baroness Laing of Elderslie Excerpts

Tuesday 13th October 2020 Commons Chamber

[Madam Deputy Speaker (Dame Eleanor Laing)]

The business of the House motion that the House has just agreed to provides for motions 3 to 9 on today’s Order Paper to be debated together, but I assure the House that the Question will be put separately on each motion at the end of the debate.

[The Secretary of State for Health and Social Care (Matt Hancock)]

I beg to move,

That the Health Protection (Coronavirus, Local Covid-19 Alert Level) (Medium) (England) Regulations 2020, (S.I., 2020, No. 1103), dated 12 October 2020, a copy of which was laid before this House on 12 October, be approved.

[Madam Deputy Speaker (Dame Eleanor Laing)]

With this we shall take the following motions, on public health:

That the Health Protection (Coronavirus, Local Covid-19 Alert Level) (High) (England) Regulations 2020, (S.I., 2020, No. 1104), dated 12 October 2020, a copy of which was laid before this House on 12 October, be approved.

That the Health Protection (Coronavirus, Local Covid-19 Alert Level) (Very High) (England) Regulations 2020, (S.I., 2020, No. 1105), dated 12 October 2020, a copy of which was laid before this House on 12 October, be approved.

That the Health Protection (Coronavirus, Collection of Contact Details etc and Related Requirements) Regulations 2020 (S.I., 2020, No. 1005), dated 17 September 2020, a copy of which was laid before this House on 17 September, be approved.

That the Health Protection (Coronavirus, Restrictions) (Obligations of Hospitality Undertakings) (England) Regulations 2020 (S.I., 2020, No. 1008), dated 17 September 2020, a copy of which was laid before this House on 17 September, be approved.

That the Health Protection (Coronavirus, Restrictions) (Obligations of Undertakings) (England) (Amendment) Regulations 2020 (S.I., 2020, No. 1046), dated 26 September 2020, a copy of which was laid before this House on 28 September, be approved.

That the Health Protection (Coronavirus, Restrictions) (No. 2) (England) (Amendment) (No. 5) Regulations 2020 (S.I., 2020, No. 1029), dated 24 September 2020, a copy of which was laid before this House on 24 September, be approved.

[Matt Hancock]

Two weeks ago, I pledged to the House that for significant national measures we will consult Parliament in advance of their coming into force wherever possible, and today we deliver on that commitment with votes tonight on national measures to slow the spread of coronavirus. This pandemic remains a formidable threat. Our strategy is to suppress the virus, supporting the economy, education and the NHS, until a vaccine makes us safe, and I must report to the House that the number of cases of coronavirus has quadrupled in the last three weeks.

There are now more people in hospital with coronavirus than there were on 23 March, and in the last four weeks hospitals in the north-west and north-east of England have seen a sevenfold increase in the number of covid patients in intensive care. In those worst-affected areas, the virus is spreading just as quickly in older age groups, not just among younger adults.

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[Steve Brine (Winchester) (Con)]

To follow on from what my right hon. Friend said about our strategy being to suppress the virus until a vaccine makes us safe—until science saves us—the Prime Minister yesterday was, very wisely, cautious in his answer to our hon. Friend the Member for Wycombe (Mr Baker) on the vaccine. What if it does not come, and what if it comes and the efficacy of it is not good enough, and there are challenges with roll-out and all sorts of other challenges that he and I know about—the anti-vaxxers notwithstanding? Can he give those of us who are nervous about—

[Madam Deputy Speaker (Dame Eleanor Laing)]

Order. This is not a question but a very quick intervention. I have 89 people who want to speak. If there are to be interventions, they must be short.

[Matt Hancock]

Of course, the work on a vaccine continues. No vaccine technology is certain, but we have already bought six different vaccines and there are more than 100 in development around the world. That is what underpins the strategy, and the work on the leading vaccines, including the AstraZeneca Oxford vaccine, continues effectively. We have seen, both here and overseas, just how quickly the virus can take hold, and we have to act now to get it under control.

[Craig Whittaker (Calder Valley) (Con)]

At the beginning of August, Calderdale had just four people in hospital with covid, zero in intensive care units, and spikes in just two wards. This morning, we have 43 people in hospital with covid, six in ICUs, 12 deaths this month, and almost 800 positive cases coming through. Can my right hon. Friend say what steps he is taking to ensure that the NHS is not overwhelmed by the virus in the coming months?

[Madam Deputy Speaker (Dame Eleanor Laing)]

Order. I have just said that we must not have long interventions. These points are for the speeches that people are waiting to make later. If a Member wants to intervene on the Secretary of State about something that he has just said, that is all very well, but if they make points about their constituencies at this stage rather than waiting until later, it is simply dishonourable; it is just not right.

[Matt Hancock]

My hon. Friend—and he is an honourable man—makes an important point that has wider context than just his constituency, which is that we must make sure that we control the virus. My heart goes out to the families of those in his constituency who have died. The only alternative to suppressing the virus is that it then expands exponentially. That is what happens with a virus when the R is above 1. I know that some people feel that we should adopt a more relaxed approach, but that will lead to more of the sort of thing that my hon. Friend has related from his constituency.

Some people have set out this more relaxed approach, including those in the so-called Great Barrington declaration. I want to take this argument head on, because on the substance, the Great Barrington declaration is underpinned by two central claims and both are emphatically false. First, it says that if enough people get covid, we will reach herd immunity. That is not true. Many infectious diseases never reach herd immunity, such as measles, malaria, AIDS and flu, and with increasing evidence of reinfection, we should have no confidence that we would ever reach herd immunity to covid, even if everyone caught it. Herd immunity is a flawed goal without a vaccine, even if we could get to it, which we cannot.

The second central claim is that we can segregate the old and vulnerable on our way to herd immunity. That is simply not possible. As the medical director of the NHS said yesterday, we cannot somehow fence off the elderly and the vulnerable from risk while everyone else returns to normal. It is neither conscionable nor practicable—not when so many people live in inter- generational homes, not when older people need carers who of course themselves live in the community, and not when young people can suffer the debilitating impact of long covid. Whenever we have seen cases among young people rise sharply, we then see cases among the over-60s rise inevitably thereafter, and we are not the kind of country that abandons our vulnerable or just locks them up.

If we let this virus continue unchecked, the loss of life would be simply too great to contemplate. We know that it would put our NHS at risk, as my hon. Friends have just said. We know that both because of what happened in March and because of what is happening right now. We have already heard from the heads of the Academy of Medical Royal Colleges and the Royal College of Emergency Medicine that, if we do not act fast and come together to quash the virus, we risk putting the NHS under extraordinary strain both for covid treatments and for non-covid treatments.

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[Matt Hancock]

Yes, I believe that they do, and I will give three reasons why I think these measures are the right ones. The first is that we already now have evidence from accident and emergency departments that we have seen a reduction in alcohol-related admissions late at night, after the 10 pm curfew. That is important in its own right, but it is also a proxy, a measure of how much people are drinking late at night. Therefore, it is evidence that there is less mixing and less drinking late at night.

The second is that, while people may be coming out and mixing after 10 pm, they are doing so largely outside, when they would otherwise be mixing inside the premises; it is just easier to photograph outside.

The final point, though, and the appeal I make to the House on this, is as follows: since, sadly, in order to control this virus, we need to reduce the amount of social contact, and since we are trying to protect, as much as is possible, education and work, that essentially leaves socialising as the other part of life—of activity—where people transmit the virus. It is therefore understandable that Governments around the world and around this United Kingdom, Governments of all different stripes and political persuasions, have all come to broadly the same conclusion that it is necessary to restrict socialising, because that way we reduce the transmission with the least damage to education and the economy. While there is both direct and proximate evidence for the positive impact of this measure, there is also the strategic point that, if we wanted to control the virus and we were not to do this, we would have to do something else, and as a matter of policy choice we want to protect education and protect work.

I will now come to my concluding remarks. We know only too well the damage this lethal virus can inflict, the strain it can put on our NHS and the way it can upend our closest relationships and our freedom to do the things we love. I know that we are asking a lot of the British people, but we also know that together we can shift this curve, and we are now called upon to do it once more. The measures before the House today will help in that fight, and I commend the regulations to the House.

[Madam Deputy Speaker (Dame Eleanor Laing)]

Just before I call the shadow Secretary of State, it will be obvious to the House, both those in the Chamber and those watching around the building, that I have more than 80 people who are trying to catch my eye and that we have until 6 pm to conclude the debate. I am afraid that, in order to be fair to everybody, because I appreciate that this is not an occasion for long-thought-out speeches on matters of principle, but on matters to do with individual constituencies, and to try to give as many people from as many parts of the country as possible the chance to contribute, we will start with a time limit of three minutes.