Covid-19

Emma Hardy Excerpts

Wednesday 11th November 2020 Commons Chamber

[Emma Hardy (Kingston upon Hull West and Hessle) (Lab)]

The Minister may be aware that Hull has the highest rate of covid infections in the country; we have 161 patients in Hull Royal Infirmary, 16 of whom are in intensive care, and 265 have died since the pandemic began. The situation in Hull and the East Riding is a public health emergency, so where are these Nightingale hospitals to help? I have been told that they have been mothballed and will not be reopened. Our rate is double that of the average in England, and I am incredibly worried about the situation in schools. Despite the headlines saying that they remain open, year groups are being sent home, not to self-isolate, but because teachers are not available to teach in them. Where is the testing for staff, to keep these schools open? Where is this additional support? Why has Hull not had support from the armed forces as Liverpool has had when its rates became so high? We have been promised 10,000 tests, but that will not be enough. This is not a league table I want my city to top; we need that additional help from Government if we are going to move down it.

Losing someone hurts. On Monday, I lost my nan to covid-19. She did not die in Hull; she died somewhere else. I hope that if my mum is watching, she knows that I am sending her all my love from this place and that as soon as possible I will be round there to give her a hug and we can remember all the wonderful things my nan did. It was only last year when I stood up in this Chamber and told everyone what a remarkable woman she was. I urge people to take this situation seriously.

The northern powerhouse study shows that because we started from an uneven point in the north, covid has had a disproportional impact on the cities we represent. The report today says that we have had an extra 12.4 deaths per 100,000 in the northern powerhouse that in the rest of England put together, and an extra 57.7 deaths per 100,000 due to all causes during this pandemic. Things are not equal; this pandemic has not impacted all of us equally, and it has an economic cost. To all those who make the false divide between health and the economy, I say: think again. All those additional people who have died in the areas in the northern powerhouse have had an economic impact—it is not just the heartbreak of people who have lost loved ones. Some £6.86 billion has been lost in economic growth. There is no divide between health and economy; sort out the problem with health and then deal with the problem with the economy. They are not mutually exclusive.

Compliance is falling in my area, and there is mistrust of the Government. We need transparency, honesty and openness. We need a Government to admit it when they get things wrong. We need to explain why the rules are different for golf and for walking, for private worship and for visiting the supermarket, because people will then understand. The gap from Government in information, clarity and transparency is being filled with misinformation, lies and dangerous fake news on social media telling people that this is not real. Well it is real when you lose people. Some 50,000 lives have already been lost in this pandemic. That is 50,000 families who have been impacted. I do not want a Government who are focused on PR, bluster and incoherent metaphors. What I want is a Government just to give people honest and straightforward advice, so that together we can try to deal with this virus.

Public Health: Coronavirus Regulations

Emma Hardy Excerpts

Tuesday 13th October 2020 Commons Chamber

[Emma Hardy (Kingston upon Hull West and Hessle) (Lab)]

The Government must be under no illusion: the country’s patience and goodwill are wearing thin. People were promised that the lockdown pain would be worth it as they experienced friends, colleagues and family members lose businesses and be made redundant, separation from loved ones, the cancellation of hospital appointments, and children missing out on education. They were promised a world-beating track and trace system. They were promised that the Prime Minister had taken personal control. They were told that it would be all over by Christmas. After 204 days, we are back to square one: the fourth worst in the world for Covid cases.

I spoke last week to a pub landlord, who did not mince his words and had reached the end of his tether. He had three pubs: now he has only two. He has seen his costs increase and income fall. He says he did everything the Government asked of him: he shut for 13 weeks; he moved tables; he turned off music; he turned off sports commentaries; he moved drinks outside; he opened doors and windows; he asked people to sit down; he stopped more than six being in a group; he split up families and support bubbles; he told people not to shout; he banned singing; he banned dancing; he banned live music; he started wearing masks; he completed track and trace; he got sanitary stations; he had additional cleaning; he had table service; and now he has been told he must shut at 10 pm, which means last orders at 9.15 pm, because having been a barmaid I know that people need drinking-up time before they can be cleared out. That therefore means that business is being lost from 9.15 pm.

He does not understand it. The science is telling him that it does not have significant reasons for following it, and what we need from Government are evidence and clarity. He has been let down. He needs support for businesses, and not just for those in tier 3 but those right across the country. We need a commitment that there will be adequate notice for any of these changes.

It is ludicrous that people in tier 3 can order alcohol only if they have a “substantial meal”. What is a substantial meal? If they order a salad they cannot have a glass of wine, but anything with a pastry lid means they can have a pint. This is nonsense. We are treating the public like fools.

We need to improve communication. The Government must not underestimate how angry people are. People are losing faith in the Government, and that is dangerous. Hull West and Hessle was already suffering because of a decade of austerity and of cuts—a decade of cuts that the Prime Minister seems to forget he voted for.

Our hospitality trade brings colour to our lives—those social moments that we enjoy; the times we are with friends and family and celebrate weddings, anniversaries and birthdays. Pubs help to bring the community together. This Government’s incompetence is killing them off, and they will not be forgiven.

Covid-19 Update

Emma Hardy Excerpts

Monday 5th October 2020 Commons Chamber

[Matt Hancock]

The coronavirus crisis is not easy for any Health Secretary, but it was a joy to be able to call my hon. Friend and tell him that we are rebuilding Shotley Bridge Hospital on the site of the old steelworks. It will be absolutely fantastic, like a phoenix in the heart of County Durham. It is a joy to work with my hon. Friend, who asks important questions about coronavirus. As he says, we are reducing the turnaround times for test results. We will continue to work to try to make them as fast as possible.

[Emma Hardy (Kingston upon Hull West and Hessle) (Lab) [V]]

Will the Secretary of State please outline what measures will be put in place to ensure that all family members of residents in care homes can continue to see their families and loved ones over the coming months, including whether guarantee PPE and testing for families will be guaranteed?

[Matt Hancock]

The hon. Lady has taken a close and repeated interest in this very important subject. We have put in place updated guidance on visiting care homes, which is a very important and sensitive balance we need to strike, working with local directors of public health. I cannot give the guarantee she seeks in all areas because it is a matter for the judgment of the director of public health locally, because in some parts of the country the virus is more prevalent than elsewhere. I wish I could, but I cannot. I look forward to continuing to work with her to try to get that balance right.

Covid-19 Update and Hospitality Curfew

Emma Hardy Excerpts

Thursday 1st October 2020 Commons Chamber

[Matt Hancock]

We are taking a more localised approach to tackling this second peak than we did to the first, for two reasons. The first is that the evidence is that it is much more localised in terms of where the virus is concentrated. The second is that we know far more about where the virus is concentrated, but that extra information also tells us that the number of transmissions is much higher in hospitality than in many other settings—for instance, workplaces. That is why we have made the decision that we have, but the core of my hon. Friend’s point, which is that it is safer in places such as Eastbourne because there are fewer transmissions, is reasonable, and we keep all of this under review.

[Emma Hardy (Kingston upon Hull West and Hessle) (Lab) [V]]

Last week, I spoke to a lady whose husband has dementia. He was in a care home, and she was unable to visit him. He deteriorated rapidly, until he was deemed a risk to himself and others, and he was eventually sectioned, at which point she was allowed to visit him. Of course I completely understand the difficult balance the Minister must make between protecting our health and the health of others, but could he please look specifically at what guidance can be given on rights to visit loved ones who have dementia?

[Matt Hancock]

The hon. Lady makes an incredibly heart-rending and important point. The balance in terms of the rules around visiting those in care homes is one of the most difficult to strike. On this, I rely heavily on the clinical evidence of Jenny Harries, the deputy chief medical officer, who works with the four nations to try to make sure we get this balance right. It is very difficult, and the guidance we have put out includes the permissive ability to allow directors of public health to take decisions that are appropriate in local circumstances. However, this issue is a very difficult consequence of the virus.

Coronavirus

Emma Hardy Excerpts

Tuesday 7th July 2020 Commons Chamber

[Matt Hancock]

I would be very happy to meet Macmillan. 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 responsible for cancer, has been working on exactly this subject, but I would of course be happy to meet Macmillan and other cancer charities, because this is such an important thing to get right.

[Emma Hardy (Kingston upon Hull West and Hessle) (Lab)]

The Secretary of State will have received the letter I sent him as chair of the all-party parliamentary group on vascular and venous disease, highlighting the suffering that vascular patients are facing because of delayed treatment caused by covid-19. As I have said before, time is tissue—the longer the delay in treatment, the more likely it is that these patients will need an amputation. What are the Government’s plans for addressing this backlog?

Testing of NHS and Social Care Staff

Emma Hardy Excerpts

Wednesday 24th June 2020 Commons Chamber

[Helen Whately]

I thank my hon. Friend for that intervention. She makes a really important point. One of the things that I have put much thought into over recent weeks is making sure that our staff of black and Asian minority ethnicities have the protection that they need. Both for the NHS and for the social care system, we have supported the development of risk assessment frameworks to identify the risks, with recommendations on what steps can be taken. I am working with the system to make sure that those are put into practice.

Coming back to the lessons that we are taking forward, one of the things that has been a great success has been the adoption of new technologies such as, for instance, online GP consultations. Some 99% of GP practices now have video consultation capability, while hospitals have been doing virtual out-patient appointments and care homes have been using tablets—the digital kind of tablet!—to keep people in touch with their families. We are also seeing new ways of working to help those on the frontline to make quicker decisions and cut red tape. We will keep driving these important reforms so that we can give everyone a better experience of health and social care.

As the Prime Minister set out yesterday in the House, we have succeeded in slowing the spread of the virus. On 11 May, 1,073 people were admitted to hospital in England, Wales and Northern Ireland with coronavirus, and by 20 June this had fallen by 74% to 283. This has reduced the pressure on the NHS so it has been able to carefully ramp up important services. Hon. Members have raised questions about two specific services in the motion, and I will address them both.

First, coronavirus has had a real impact on many people’s mental health, so there is a lot of concern about mental health services remaining open and available. Our NHS mental health services have remained open for business throughout the pandemic, using digital tools to connect people and provide ongoing support. This has proved especially effective for young people. Throughout the pandemic, we have provided £9.2 million of additional funding for mental health charities. We understand that we may see an increased demand for mental health services in the months ahead, and we are preparing for this, together with the NHS, Public Health England and other partners.

Secondly, hon. Members have raised questions about cancer services—another area where we are working hard to maintain care. For example, we have been operating surgical hubs where providers work together across local cancer services to maintain access to surgery. Although some cancer diagnostics and treatments have been rescheduled to protect vulnerable patients from having to attend hospitals, urgent and essential cancer treatments have continued. The latest data suggests that referrals are back to over 60% of the pre-pandemic levels, partly due to the NHS Help Us Help You campaign. This campaign has an important message that I am keen to repeat today. Anyone who is worried about chest pains, fears that they might be having a heart attack or a stroke, feels a lump and is worried about cancer, or is a parent concerned about their child should please come forward and seek help, as they always would. The NHS will always be there for us if we need it, just as it has been there for all of us throughout this crisis.

[Emma Hardy (Kingston upon Hull West and Hessle) (Lab)]

On that note, will the Minister also encourage people suffering from vascular disease to seek appropriate treatment as quickly as possible?

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[Emma Hardy (Kingston upon Hull West and Hessle) (Lab)]

I start by paying tribute to all the health and social care workers, right across my constituency. They have my deeply felt thanks and gratitude.

I will concentrate on my role as chair of the all-party parliamentary group on vascular and venous disease, because I am deeply concerned by the impact covid-19 has had on people who suffer from vascular disease. I have spoken about vascular disease before. It is a killer disease that few seem to know about, despite the devastation it causes to so many lives. Between 15% and 20% of British people over 70 are affected by peripheral artery disease, which can cause painful chronic leg ulcers and is the main cause of amputations in England. As I have said previously, every hour in England someone has part of their foot removed; every two hours in England someone loses their leg.

As chair of the APPG, I have heard evidence from NHS frontline workers and patient representatives deeply concerned by the burden borne by people with vascular disease because vascular services have experienced reductions in their capacity to deliver care during the crisis. Some people with vascular disease are too frightened to seek treatment. As Mr Naseer Ahmad, the Manchester amputation reduction strategy director, says, “One of the biggest problems we face is fear.” I believe the lack of a comprehensive and universal covid testing regime, combined with stories of patients who enter hospital covid-free only to contract the disease while in hospital, is driving that fear. That has inevitably led to people who otherwise would take themselves to hospital staying at home while their condition worsens. To make matters worse, clinicians have expressed fears that many people who have had their non-urgent operations cancelled may have deteriorated since that decision was made.

[Paul Bristow]

Does the hon. Lady agree that for people with peripheral artery disease, it is often urgent referral that makes the difference between saving a limb and losing it? Unfortunately, during the crisis, that urgent referral to secondary care and multidisciplinary teams may not have happened. We must guard against that as we try to save limbs.

[Emma Hardy]

I absolutely agree. As Dr Dan Carradice, a leading consultant on this condition at Hull Royal Infirmary, says, time is ticking, and the more quickly we can deal with this, the more urgently we can save limbs. Because of the delay, we have seen over the past few months a growing wait for lower limb amputations, many of which could have been avoided with timely diagnosis and appropriate treatment.

We cannot allow this situation to continue. Patients must be confident that they can visit their hospital safely. One vital way the Government could restore trust is to have a routine weekly testing programme for NHS and social care staff, so that patients know when they enter hospital that they are not likely to contract covid-19. Every day, the number of people seeking treatment is growing. Dr Una Adderley, programme director of the national wound care strategy, has described a “tsunami of unmet need” on the horizon as certain vascular services have been deprioritised.

Of course I recognise the huge pressure the NHS is under, but I believe that more can be achieved for people with vascular disease if they are given the focus they need. We need to create safe, covid-19-negative pathways and services for vascular disease in the community and in hospitals. I recognise that these are not straight- forward tasks, and as chair of the all-party group I will be writing to the Secretary of State for further details on exactly how this could be achieved. We also need a comprehensive approach to vascular disease in the NHS long-term plan, because there are huge regional inequalities, with patients in Hull being 46% more likely to need a major amputation than the England average. As I said before, time is tissue, so I look forward to getting a date in the diary for the Minister for Health, the hon. Member for Charnwood (Edward Argar), to visit Hull, as he promised in a previous debate—but of course, only when it is safe to do so.

I note that the Government wish to change the wording of the motion away from the need for a weekly testing programme to instead celebrating and recognising their own efforts. With the greatest of respect to the Government, the highest and most well regarded praise tends not to be written by oneself. I would encourage them to seek to earn that praise rather than pen their own, and one way in which they could do that would be to prioritise the hundreds of thousands of patients suffering from vascular disease in the UK.

Coronavirus and Care Homes

Emma Hardy Excerpts

Tuesday 19th May 2020 Commons Chamber

[Matt Hancock]

Yes. I join my hon. Friend in paying tribute to Hampshire and I am interested in talking to her more about her idea.

[Emma Hardy (Kingston upon Hull West and Hessle) (Lab) [V]]

A resident contacted me whose mum is classified as clinically extremely vulnerable and is in a care home. The care home has interpreted the Government’s guidance to mean that her mum must be kept in solitary confinement for three months for her own protection.

In 2011, the United Nations concluded that solitary confinement beyond 15 days constituted a cruel and inhumane punishment. The resident is heartbroken. Her mum is deteriorating and has no quality of life. We believe that the care home has the best of intentions, but can the Secretary of State urgently give clear and unequivocal advice on exactly how care homes should treat residents listed as needing shielding?

[Matt Hancock]

The hon. Lady is right to raise that heart-rending case. I would be happy to look into the specifics if she writes to me with the details. Of course, the shielding programme is there for the protection of the shielded. If somebody who is being shielded would prefer to do things differently, that is not clinically recommended, but so long as it is within the broader social distancing guidelines, of course we understand why that might be the case. In particular, people coming to the end of their life may want to consider ensuring that they enjoy their last few weeks and months as much as they can. A proportionate approach is required here, and one that is guided by the individual clinical circumstances of that person. I very much hope that the care home will take a proportionate approach. I am sure, as the hon. Lady says, that it has the best intentions at heart, and I would be happy to take up that individual case.

Covid-19

Emma Hardy Excerpts

Monday 16th March 2020 Commons Chamber

[Matt Hancock]

I do think it is the right way to go, to make sure that private sector capacity is urgently available to address this crisis. It is a matter of all working together to deliver.

[Emma Hardy (Kingston upon Hull West and Hessle) (Lab)]

My constituent cannot get mortgage payment support because she does not have a sick note to go with self-isolating. When will electronic online sick notes be available through the NHS 111 service?

[Matt Hancock]

We are fixing that, but we are also changing the law to ensure that people who are self-isolating are clearly deemed to be sick for these sorts of purposes.

Income tax (charge)

Emma Hardy Excerpts

Monday 16th March 2020 Commons Chamber

[Edward Argar]

My hon. Friend makes an important point. The Treasury, my hon. Friend the Economic Secretary to the Treasury and others are in conversations with the industry more broadly—I believe that more conversations are set to occur tomorrow—to ensure that businesses get the support that they need and are treated in a fair way.

Our investment in the financial health of the nation includes £40 million for literal vaccines, research and testing, because we base our decisions on the bedrock of the science. This national response is made possible because of our careful stewardship of the British economy over the past 10 years—because record numbers of businesses are making, selling and hiring; because millions more people are in work, earning and paying taxes; and because we have backed the NHS with a record long-term funding settlement.

This is a national effort and we will get through this together, as the Prime Minister has said. In Government, we will do the right thing at the right time, working through each stage of our coronavirus action plan guided by the science and the advice of our medical and scientific experts. We will stop at nothing to defeat the disease, but we will succeed only if everyone does their bit: washing their hands regularly; self-isolating for seven days if they have symptoms, such as a new, continuous, persistent cough or a high temperature; and looking out for their neighbours. In that spirit, may I thank the shadow Secretary of State, the hon. Member for Leicester South (Jonathan Ashworth), my constituency neighbour, and the shadow Minister, the hon. Member for Ellesmere Port and Neston (Justin Madders), for the constructive approach that they have taken since the start of the outbreak? They are doing their bit. They are good and decent people and public servants, and their approach is a prime example of how we can work together during this crisis.

[Emma Hardy (Kingston upon Hull West and Hessle) (Lab)]

One question I am getting from constituents who already have medical conditions is to do with their worry over any interruption to their supply of medicine and their treatment. What reassurances can the Government give to people with epilepsy, for example, that they are still going to get the medication that they need?

[Edward Argar]

The NHS has robust procedures in place to ensure the continuity of medical supplies. In respect of supplies bought over the counter, I urge people not to stockpile, to behave responsibly and to buy what they need. In respect of prescription medicines, I can reassure the hon. Lady that we have very strong and robust processes in place to ensure that those medicines continue to be available.

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[Edward Argar]

The hon. Gentleman and, indeed, my hon. Friend the Member for Stockton South (Matt Vickers) are both strong advocates for Stockton and for the hospital there. I very much enjoyed our discussion. I am glad that the self-isolation rules are such that the hon. Gentleman did not have to follow me into it, but I am very happy, as I said when we met, to pick up on that discussion further in the future.

We also want people to know that the NHS will treat them fairly in their hour of need. That is why we care about hospital parking. Thanks to this Budget, from next month we will start the roll-out of free hospital parking more broadly across our hospital estate for disabled people, frequent out-patient attenders, parents with sick children staying overnight and staff working night shifts, delivering on our manifesto commitment.

[Emma Hardy]

rose—

[Edward Argar]

The hon. Lady tempts me a second time. How can I say no?

[Emma Hardy]

I thank the Minister; it is a very quick one. Can that list of those eligible for free parking also include any students on a placement at the hospital—for example, nursing students or occupational therapists?

[Edward Argar]

The hon. Lady will know that the four categories I have just referred to are the four categories we explicitly referred to in the manifesto on which we were elected. As she knows, if she wants to write to me, I am always happy to receive and respond to letters from her on that issue.

The last measure I want to point to may have escaped notice last week, but it is an incredibly important part of putting the “service” into national health service. Too many people with autism or a learning disability are being treated as in-patients in mental health hospitals instead of being helped to live in their communities. In our manifesto, we committed to making it easier for them to be discharged from hospital. This Budget makes good on that commitment. It creates a new learning disability and autism community discharge grant that will be available to local authorities in England. That is new money and all local areas will receive a share of that funding.

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[Justin Madders]

That is a perfect question to put to the Secretary of State—he will be here shortly—and my hon. Friend raises an important point about the messages being put out. All sorts of stories are coming out in the press, not all of which are necessarily accurate, and it is important that we do our utmost to ensure a clear and consistent message across the board. I am not sure whether or not herd immunity is a Government policy, but I am sure the Secretary of State will take the opportunity, if he is so minded, to put that matter straight once and for all.

[Emma Hardy]

On confusing messages coming from Government, will my hon. Friend help me seek clarity on advice for people who self-isolate? Can they still go for walks outside? Can they go outside to walk family pets if they go on their own, or are they to be contained within their property? There seems to be a mixed message about what constitutes self-isolation.

Oral Answers to Questions

Emma Hardy Excerpts

Tuesday 10th March 2020 Commons Chamber

[Matt Hancock]

My hon. Friend is right to raise this issue, and I look forward to meeting him later this month to discuss it. These are desperately difficult cases. We have to trust doctors to make the right clinical decisions for each individual patient. Two licensed cannabis-based medicines have recently been made available for prescribing on the NHS. We keep working hard with the health system, and with industry and researchers, to improve the evidence base. Also, the costs need to be brought down by industry. Last week, the Under-Secretary of State, my hon. Friend the Member for Bury St Edmunds (Jo Churchill), held a roundtable with leading industry figures. I look forward to continued work to make sure that we can get these drugs to the people who need them.

[Emma Hardy (Kingston upon Hull West and Hessle) (Lab)]

Women suffering from endometriosis often do not get the medicine or treatment they need. One in 10 women suffer from this condition and it takes, on average, seven years to have a diagnosis. Will the Secretary of State please meet me and the all-party parliamentary group on endometriosis to discuss how we can develop research into this condition, and look at the work being done at Hull University?

[Matt Hancock]

Yes, I am very happy to look at that research and for either me or the Minister to meet the hon. Member and those whom she represents through the APPG. This is of course a very important issue. I think that it has been under-discussed for too long and should be brought up the agenda.