(4 years, 1 month ago)
Commons ChamberAs well as responding to coronavirus, we need to ensure that we invest in the physical infrastructure of the NHS. I would just correct the hon. Lady, because the proposal in her part of the world is to consult on whether one or two hospitals is the right approach and the right thing for her part of the world. I encourage her to welcome the massive investment in the NHS in Lancashire, and across the country, which will improve care right across this land.
I thank my right hon. Friend for the huge investment in west London hospitals announced on Friday. With regards to coronavirus, should we not focus as much, if not more, on the hospitalisation rate, as opposed to the incidence rate? Often, people do not have symptoms, or have very mild symptoms, and, certainly in London, the hospitalisation rate is a fraction of what it was in April.
Of course, the hospitalisation rate is an important factor that we look at, and it is a concern. Unfortunately, the latest hospitalisation rate has risen to 422, which is the highest since the middle of June. Hospitalisations tend to lag behind the number of cases, because people catch the disease and some, sadly, are later hospitalised. We therefore keep a close eye on the hospitalisation rate, and the bad news is that it is, sadly, going up.
(4 years, 1 month ago)
Commons ChamberI love comedy, I love live music and I wish that we did not have to do this, but I have answered the point about outside being safer than inside. It is one of the many regrets of the very serious problem that we have.
I represent a central London constituency where many businesses are hurting hard, especially with the 10 pm lockdown. I also have many residents who are only going out for the first time at 8.30 or 9, so do not fit into the idea of going to the pub at 6 o’clock. Can my right hon. Friend assure me that he will review these measures at the earliest opportunity?
(4 years, 1 month ago)
Commons ChamberI start by paying tribute to the Secretary of State and his excellent ministerial team, who have worked so hard in the most exceptional of circumstances.
It is clearly imperative that we protect those at risk from coronavirus—the elderly, the vulnerable and those with pre-existing medical conditions. We need to put a protective ring around them. However, it is also important that we allow the remainder of the population, as much as possible, to get on with their lives in a covid-secure manner.
Ultimately, there is a balance here to be struck. It is a question of managing risks. Even within the health sphere, we need to manage risks. If we simply focus on coronavirus, other health services will not operate efficiently. We are already in a situation where people are not going for cancer checks or following up with their GPs because they are so concerned about catching coronavirus.
We also clearly need to put the economy into the balance of risks. I represent a central London constituency that is suffering badly as a result of coronavirus. Ultimately, we need an economy that, in six months’ time and in five years’ time, will pay for our excellent NHS. Our constituents need jobs to go to in six months’ time, because there is a clear correlation between being in employment and good mental health.
Last week, we introduced new restrictions with the 10 pm lockdown, and we revised our guidance on working from home to recommend that people should do that if possible. I urge my right hon. Friend the Secretary of State to closely monitor the impact of those new restrictions and to review them at the earliest safe opportunity. As my hon. Friend the Member for Runnymede and Weybridge (Dr Spencer) said, we need to live with this virus. There is no guarantee that we will get a vaccine, so we need to adapt, and to do so in a way that protects the most lives possible, while allowing our economy to function and prosper.
(4 years, 2 months ago)
Commons ChamberThat is exactly what I am trying to do, and I appreciate the tone in which the hon. Gentleman asked the question. To be clear about the data on contact tracing that have just been released, on the number of people who have provided details of one or more close contacts, we reached 82.0% of those in the last week up to 2 September, which was up from 79.9% in the previous week.
Care homes in my constituency are allowing family visits in their gardens. However, they are concerned that the weather is about to turn. What is my right hon. Friend’s advice to my care homes?
(4 years, 4 months ago)
Commons ChamberI would be very happy to look into that. We have a number of surveys to find out which are the highest risk groups by occupation so that we can put in place asymptomatic testing to address that risk. Of course, many oil rig workers come ashore in Scotland. The UK’s testing capability is significant on the west coast of Scotland, in Inverness, in Aberdeen and elsewhere. I would be very happy to work with my counterparts in the Scottish Government to test the hypothesis that the hon. Member proposes.
Will my right hon. Friend update the House as to the steps that Public Health England is taking to ensure that we are ready in the winter, if there is a second spike?
My hon. Friend is quite right to ask about that, but it is not just Public Health England—it is right across the board. It is about taking steps in the NHS and in test and trace to grow capacity in contact tracing. My right hon. Friend the Member for Tunbridge Wells (Greg Clark) just asked about testing capacity; we need to know that that is there right across the board. Public Health England has its responsibilities, but so do we all.
(4 years, 4 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
The Government of the United Kingdom will recommend a vaccine as soon as one is available that is safe, but only when it is safe. It is so important, and it is incumbent on every single Member of this House, that we make the case for why vaccines are both safe and effective. The hon. Gentleman is absolutely right to raise this issue, and I am grateful to him for doing so. It is an issue, I think, on which all parties agree. Should a vaccine come off, it will be such good news for humanity, frankly, and we will need to make sure that people are given the support and the confidence, and of course the logistical convenience, to be able to get the vaccine should that be clinically appropriate.
Will my right hon. Friend consider a comprehensive review of Public Health England to see what lessons can be learned and what improvements can be made for any future crises?
We are constantly learning what we can do to improve the response to coronavirus. We have been clear about that right from the start. The gathering evidence on asymptomatic transmission that we saw during March and April is a case in point, because it changed policy and how we deal with this virus.
(4 years, 5 months ago)
Commons ChamberThis debate is very important to me and to my constituency of Kensington. As hon. Members may be aware, Kensington has some of the most extreme health inequalities in the country. The difference in average male life expectancy between my richest ward and my poorest ward is a massive 16 years. Clearly, we need to work on levelling up.
I have a very significant BAME community, and I want to start by paying tribute to my BAME community. Many of them are frontline workers—in the health service, in the police, in education—and many are at the forefront of their communities in providing charity and aid.
I welcome the report from Public Health England and the fact that the Equalities Minister will bring this forward, but I cannot stress enough that this cannot be some academic exercise. There need to be practical plans, and they need to be implemented with a sense of urgency.
One of the key tenets of my general election campaign was equality of opportunity throughout the constituency in health, in education and in housing. I want to stress that this is in all our interests. It is in all our interests that we harness the maximum talent of all our citizens. I am proud to be part of a party that values diversity, and which has a BAME Chancellor of the Exchequer, a BAME Home Secretary and a BAME Attorney General.
I take the hon. Lady’s comments in good part, and she is right to highlight the rise of people of all backgrounds in government. However, it still disturbs me and many—most—of my constituents that the Prime Minister under whom she serves has described people as “piccaninnies” with “watermelon smiles”. That is completely against the tone of this debate so far. Does she agree with the Prime Minister, or does she call him out, as we do?
I would agree with the hon. Lady that language is incredibly important in these sensitive times, and it is not language I personally would have used.
I want to talk about levelling up. We talk a lot about levelling up, and normally it is exclusively in the context of the north versus the south, but clearly there are huge disparities in our inner cities. We have already heard that our cities have been worse affected by covid, often due to overcrowding and deprivation. I therefore urge my hon. Friend the Minister to ensure that, when we focus on levelling up, we focus on our cities just as much as our regions. I also want to talk about prevention and screening, which are critical, not necessarily in the context of coronavirus but in the context of mitigating health inequalities. Only if we have proper prevention and screening can we extend people’s lives. I am glad that the NHS has a diabetes prevention programme, for instance; clearly, that has a comorbidity with coronavirus.
In summary, I thank the hon. Member for Brent Central (Dawn Butler) for securing the debate, and I urge the Minister, on behalf of my constituents, to proceed with pace with this review and to ensure that its recommendations are implemented with a sense of urgency.
(4 years, 5 months ago)
Commons ChamberI think the most important thing as we go forward in trying to tackle this together is that the social distancing guidelines we have set out are critical for the safety of the nation. We are able, safely, to make small changes, which will improve health because of the negative impact on people’s physical and mental health of being solely shut indoors. Therefore, it is crucial that people follow the social distancing guidelines, and that will in turn help us to lift these measures more broadly.
As my right hon. Friend is aware, my constituency of Kensington has some of the most extreme health inequalities in the country. The difference in average life expectancy for men is more than 16 years between the richest ward and the poorest ward. Will my right hon. Friend assure me that practical, concrete steps will be taken to alleviate these inequalities?
(4 years, 6 months ago)
Commons ChamberThe hon. Lady is absolutely right, and that training is under way.
I have a big BAME community in my constituency of Kensington; will the Secretary of State assure me that Public Health England will look into the effect of ethnicity on outcomes?
Yes. Kevin Fenton, who is the London lead for public health in Public Health England, is undertaking exactly the review for which my hon. Friend asks. We propose to publish it in the coming weeks.
(4 years, 6 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
I agree with the hon. Lady on the first part of her question, but she is completely wrong on the second part. In the first part, she asked whether local public health officers and environmental health officers will be a critical part of test, track and trace, and the answer is yes, they will be vital. On the second part, she is completely wrong. There is no way that we could have delivered the testing programme without the unbelievable support, help and effort of private partners in the diagnostics industry and in delivery—companies such as Deloitte and Boots, which delivered that amazing expansion of the drive-through centres in such a short period. I pay tribute, hand on heart, to the work of every single person in that programme, whether they work in the private sector or the public sector—whether they work in the NHS, in the Department, for Boots or for Deloitte. Frankly, to try to divide people in that way suggests that she has missed the tone of where the country is right now.
In order to get London back to work, we need safer public transport. Does my right hon. Friend agree that the Mayor of London needs to provide more tube trains, to provide a safer service for Londoners?
Yes, I do, because the more people are spaced out on public transport in terms of the distance between them, the safer that public transport will be. I hope that the Mayor of London is working extremely hard to have as full a service as possible, so that as few people as possible can be on each individual service.