Coronavirus

Greg Clark Excerpts
Thursday 25th March 2021

(3 years, 8 months ago)

Commons Chamber
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Matt Hancock Portrait Matt Hancock
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I just want to answer my hon. Friend’s second point before taking further interventions. His point about long covid is important. In fact, the National Institute for Health Research, which has done a brilliant job during the pandemic, has today put out a £20 million call for further research and diagnostics, including patient and public involvement, so that long covid can be properly understood, and people who catch covid and have symptoms over a long time—which I know can be deeply debilitating for some people—can get the support they need on the NHS.

Greg Clark Portrait Greg Clark (Tunbridge Wells) (Con)
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My right hon. Friend mentions the fact that we live with flu every winter and act against it. Has he made an assessment of what level of hospital admissions would be consistent with protecting the NHS?

Matt Hancock Portrait Matt Hancock
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It is very difficult to know in advance. At the peak of this pandemic, we had 38,000 patients in hospital across the UK at any one time with covid, but of course that meant that other non-urgent treatments had to be delayed. There is a question of the trade-off and how much treatment is delayed. In a bad flu season, elective operations and non-urgent treatments are delayed. That is one way in which the NHS manages through a difficult flu season in winter. Measures like that will be necessary if we have an increase in covid cases.

If we have learned anything in the last year, we have learned that we have to live with risk as a society. That is a reality, so the goal and the strategy are to invest in the NHS so that it has more capacity, make sure that it can expand capacity and make sure that we have the vaccine effort and the continued efforts that people will no doubt take personal responsibility for, such as mask-wearing—and people will be highly likely do that to protect themselves and others, after the experience we have just had. I want to get to a point of personal responsibility plus the vaccine plus the test and trace programme, so that people can be regularly tested and we can use that to break the chains of transmission. I want to manage covid in that way, while restoring our freedoms. That is the best way, once we have made our way carefully down this road.

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Greg Clark Portrait Greg Clark (Tunbridge Wells) (Con)
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My hon. Friend the Member for Christchurch (Sir Christopher Chope) mentioned the evidence to the Science and Technology Committee that there is no known instance of outdoor infection from covid. That comes from a session that we held to scrutinise the science behind the road map measures, and I thought in my few minutes today I might just draw the House’s attention to some more of the evidence we took.

First, the road map was set based on an assessment based on evidence that is more than six weeks old. It did not have the advantage that we now have of the experience of what has happened since the vaccination programme returned results. What we know, very happily, is that the assumptions made were much more pessimistic on vaccine take-up and vaccine effectiveness than have come to be realised.

My hon. Friend will know that witnesses to our Committee suggested strongly that if we are to be driven by data not dates, we should have the flexibility to advance more quickly, should that be possible. We know that there is not the opportunity today to revise those dates, so we have what we have, but I hope that the Minister will take from this debate the real determination that we should stick at least to those dates and be rigorous in looking at the data, all of which is encouraging.

I have some concerns, as did witnesses to the Committee, about what might happen in the future. A fellow member of the Committee, the hon. Member for Blackley and Broughton (Graham Stringer), talked about the opacity of some of the data that is there to trigger further releases. The road map is in place, but the powers of the 2020 Act will continue, and I was a little concerned to hear the Secretary of State in his opening speech, having noted the 90% fall in hospital admissions from the peak of the pandemic, then use words of great caution about continuing to need to protect the NHS. Of course we need to do that, but we need to know what that means.

In evidence to the Committee, both Chris Whitty and Dame Angela McLean begged this House—politicians and Ministers—for some indication of what we regard as a tolerable level of risk. In the case of flu, which they cited, we have deaths each year, but in seeking to avoid them we do not lock down the whole country, so we need to supply an assessment of what degree of proportionality we should take. I do not say that should boil down to a number, as we do not do that with flu; we should nevertheless come to an understanding of what are appropriate measures in the context of the disease.

Finally, it is important to reflect on the evidence that we heard that we will not be entirely able to keep out infections and new variants from overseas, short of doing such damage to our society and our economy as is unconscionable for a trading nation as well connected as we are. I hope therefore that the Minister will confirm that we are not going to pursue a policy of repelling boarders, which would be ruinous for our economic future and our reputation as an open trading nation.