(3 years, 5 months ago)
Commons ChamberI represent a very international constituency where people travel for business, family and personal reasons, and not just for two weeks in summer in the sun. I am concerned that the cost of PCR tests is prohibitive, and the lack of certainty beyond three weeks under the traffic light system has a material effect on business and wellbeing. Will my right hon. Friend’s Department consider further whether lateral flow tests can be substituted for PCR tests to at least alleviate that concern and cost?
Part of the purpose of the international testing regime is to get genetic sequences to spot variants, which we cannot do from a lateral flow test. That is the literal answer to my hon. Friend’s question. More broadly, the approach we are taking instead is to try to drive down the costs of PCR tests. Bringing a private market for PCR tests for travel has led to a significant reduction in cost, and that is another good example of harnessing private markets to improve people’s lives. The companies involved are strongly incentivised to deliver tests for a lower price. That is the approach we have taken for the reason I set out, and that is the decision we have made.
(3 years, 9 months ago)
Commons ChamberI spoke to my Irish opposite number, Minister Donnelly, this morning and he has assured me that that data will be provided appropriately and securely; we have been working together to ensure that that happens for some time.
As I said in my statement, we have been working with the Irish Government to ensure that there are appropriate measures, both in the Republic of Ireland and in the United Kingdom, to ensure that the border on the island of Ireland can be kept completely open, as it must, yet we have adequate protection against arrivals of variants of concern internationally. It is the two countries working together, putting in place similar arrangements both in the Republic and in the United Kingdom, that will allow us to deliver that goal, which I am sure we all share.
I am increasingly concerned about the effect of lockdown on the mental health of children; I am receiving so many emails from adolescents and teenagers. Will my right hon. Friend assure me that when he feeds into the 22 February road map, the mental health of children, and indeed their parents, is taken into account?
(3 years, 11 months ago)
Commons ChamberThe hon. Lady is absolutely right about the impact of the virus on the NHS in her part of the world in north-east London. Whipps Cross Hospital is under significant pressure. The case rate in her Waltham Forest local authority is 431 per 100,000. We have to work together to get the cases down, especially in east London, where they are very significant. We publish a huge amount of data on hospital admissions and the impact on the NHS, and I am publishing further data on this today and putting it in the Library of the House.
I am glad to see that three areas are coming down a tier. That is vital for compliance, because the general public need to see that if they follow the rules and get their cases under control, there will be a pay-off. Does my right hon. Friend agree that what is important is complying with existing restrictions, rather than ever more severe restrictions, and it is critical that we take the public, including the young, with us?
I agree with every word that my hon. Friend just said. I strongly agree that the best way to get out of tier 3 is by everybody coming together to comply with the restrictions—and not just to comply with them because they are the law but to take responsibility to ensure that we do not spread the virus, which each one of us can do unwittingly because of its asymptomatic nature. I thank my hon. Friend for her question and for the message that it sends: we can get areas out of tier 3 and we can get areas out of tier 2 and into tier 1, but we all have to work at it.
(3 years, 11 months ago)
Commons ChamberOn the contrary, all the safety checks that are necessary have been carried out and we continue to monitor the roll-out of the vaccine throughout the UK. The Medicines and Healthcare Products Regulatory Agency has done a terrific job on that and continues to do so. For instance, my team and the MHRA were having an update assessment on Saturday morning to check the progress of the first week’s roll-out, and I am delighted to say that we are able to keep doing that. I say to the hon. Gentleman and everybody else who wants to see the impact of the vaccine: look at the faces of those who have had their first dose, and how pleased they are to have it and to be able to get that step closer to protection from this awful disease.
I note that Essex and Hertfordshire have been split into two—partly tier 2, partly tier 3. However, Greater London has been treated as one. In central London, our cases are significantly below the national average and, whether this House likes it or not, central London is the powerhouse of our national economy. Will my right hon. Friend tell me why London has been treated differently from Essex and Hertfordshire?
As you know, Mr Speaker, we look in great detail and at a granular level at the geographies that these restrictions have to cover. Unfortunately, central London’s case rates are rising, and we know that if an area is surrounded by other areas where there are significant increases then those high rates tend to move into that area if it is left out of a set of restrictions. I understand, of course, the impact on the economy, but the very clear public health advice was that London should move together because all areas of London are seeing an increase in rates and we need to stop that.
(4 years ago)
Commons ChamberI suppose the good news that I can break to the hon. Gentleman is that by studying the impact of the different restrictions that we have had to introduce, we have been able to bring in a set within tier 3 that are calibrated to ensure that we can get the rates down. There is also mass testing, which has been so effective in Liverpool, where the rates have come down by over two thirds. That is a remarkable effort by everybody in Liverpool, and I put my tribute to Joe Anderson on the record once more. So we can do this, especially if we all act and pull together.
London is the engine of this country’s economy, and my central London constituency is suffering hard. As of Friday, London had a substantially lower case rate than the English average, coming in at 75 points lower, and my constituency was 125 points lower. Will my right hon. Friend assure me that London will come out at the lowest tier possible, given the health circumstances?
I can assure my hon. Friend that London will come out at the tier that is necessary and appropriate based on the public health evidence. What matters, as my hon. Friend says, is the case rate and the case rate among the over-60s, as well as the direction of travel in both of those, and then, of course, the percentage of tests testing positive—because if we put more tests in, we do not want to punish an area for having a higher number of positives—and the impact on the NHS. Thankfully, in London, the NHS has performed remarkably in this second peak and has coped with it, despite the pressures, admirably well.
(4 years, 1 month ago)
Commons ChamberYes, I do. I share my hon. Friend and neighbour’s enthusiasm for the rebuild of the West Suffolk Hospital. For treating both patients with cancer and patients with all other conditions, the West Suffolk is a brilliant local hospital that is much loved in the community; however, its infrastructure is getting very old and it needs to be replaced. I am delighted, along with the Minister for primary care, my hon. Friend the Member for Bury St Edmunds (Jo Churchill), in whose constituency the hospital is and will be rebuilt, that we are able to make the funding commitment and get this project going.
I understand that we continue to requisition private hospitals. Given that there are patients who are nervous about attending hospitals, could those be used as covid-secure environments for cancer analysis and treatment?
Yes, absolutely. The private hospitals of this country have played a very important role in responding to covid, and we have a contract with them to be able to continue to deliver much needed services, including cancer services. Because by their nature they rarely have the pressures of emergency attendance, we can ensure that they are part of the green part of the health service—that they are as free as is feasibly possible from coronavirus—and therefore safe to carry out all sorts of cancer treatments. They are an important part of the recovery plan.
(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, 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 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.
(4 years, 8 months ago)
Commons ChamberThat point is incredibly important and is directly addressed in the advice that will be on the gov.uk website.
I have been approached by many who are 70-plus years old who are still in full-time employment. They want to know, if they are still healthy and willing to go to work, that the Government are supportive of them doing so.
The shielding measures, where we insist on the lowest possible social contact, are for people who have existing conditions and will be contacted by the NHS. For those over 70 who are healthy and, for instance, in work, as my hon. Friend says, we strongly advise them to minimise their social contact.
(4 years, 8 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
My local authority of Kensington and Chelsea has eight confirmed cases—the most of any local authority in London. We have a lot of international visitors. My constituents are very concerned that people are continuing to arrive from north Italy, and they are only being told to self-isolate if they have symptoms, but we all know that the symptoms can often come late. Will my right hon. Friend think about testing at airports or mandatory quarantining?
We are increasing the amount of information that is available at airports, but the evidence from other countries that have tried temperature testing at airports shows that it is not effective and can actually be counterproductive to the effort because it leads to lots of false positives.