(3 years, 10 months ago)
Commons ChamberYes, absolutely. The effort in Stoke has been absolutely magnificent. I follow it particularly closely because every time I come to this Chamber—it is normally at least once a week—I am grilled by a colleague from Stoke about performance in Stoke. I have been looking at it recently; across Stoke, the hospital, the GPs and the pharmacies have been doing a magnificent job in the vaccination effort. I am grateful to my hon. Friend for his leadership locally in promoting uptake of the vaccine.
Given the evidence that some of the new variants of covid are much more transmissible, the Royal College of Nursing and the British Medical Association have raised concerns about whether current PPE guidance is adequate. It has been reported that some hospitals are offering staff high-grade PPE, for example FFP3 masks, while others are not, which means unequal levels of protection depending on where staff work. Can the Secretary of State tell us whether the NHS has reviewed the guidance about the standard of PPE to be provided to all staff when treating covid-19 pathway medium and high-risk patients?
Yes, I asked for specific advice on this when we saw the increased transmissibility of the B117 strain—the so-called Kent variant. Exactly this question was reviewed. As the right hon. Gentleman would expect of me, I follow clinical advice on PPE guidance and the clinical advice remains unchanged.
(4 years ago)
Commons ChamberThanks to the strength of the UK, we have put more funding into the global vaccination effort than any other country in the world, and I am proud of that fact. Of course we have to work together to ensure that vaccines are available everywhere.
Since the recent national lockdown began, the infection rate in Leeds has fallen from over 400 cases per 100,000 to less than 140 today, and the number of covid patients in hospital has declined by 45% in the past month alone. The Secretary of State will be aware that the city has on balance recommended that Leeds should move from tier 3 to tier 2, because businesses have been terribly affected. I realise that he cannot give an answer today, but does he accept, having assured areas that where they are placed in the tier system will depend on the efforts they make to get the numbers down—Leeds has done a great job—that the credibility of that statement needs to be reflected in decisions about where the areas are put when they show a dramatic reduction?
The right hon. Gentleman has made a typically wise intervention ahead of the decision making on Wednesday as to the wider tiering decisions for the rest of the country.
(4 years, 1 month ago)
Commons ChamberAbsolutely. The armed services of this country have played an amazing role during the pandemic. I have talked about a war against a virus, in which we are all on the same side. The military have done and are doing their bit, and there is a lot more that we will need from them in the future. They are involved in the mass testing and the vaccine roll-out, and I am very grateful for their support.
We have learned today that mass testing of students is to take place in order to enable them to return home for Christmas, which will be widely welcomed. We have a very large number of students in Leeds. Will the Secretary of State tell the House whether that testing is going to be handled by the universities themselves or by the excellent public health team in Leeds that is led by Victoria Eaton? How will it dovetail with any roll-out of mass testing to Leeds in due course, so that all the bits of the system fit together?
The right hon. Gentleman asks a characteristically critical question and puts his finger on a vital logistical point. We are planning to help students to get home safely with the assistance of mass testing. In places such as Leeds, mass testing is being made available to the directors of public health. Of course, these things must be dovetailed. The universities will be in the lead on the mass testing of students, but this process, by its nature, will absolutely draw on the public health knowledge and expertise of the local council. Although each of us has become something of a public health expert over the past 11 months, the professional support from the public health team in the council will be critical to this task.
(4 years, 2 months ago)
Commons ChamberIn a way my right hon. Friend, who has huge experience in these matters, answers his own question, because of course there is a judgment to be made. We have made a very clear commitment to the process that we will follow, and I hope that over the weeks to come we will demonstrate through our actions and through what we bring forward that we are true to that commitment, which essentially will become a new convention.
Given the number of cases in which schedule 21 has been inappropriately used, can the right hon. Gentleman explain to the House what the definition is of a “potentially infectious” person? How is a police officer meant to know who is potentially infectious, and in the middle of a pandemic does that not include every single one of us, and are not the powers that the police have been given to detain us really quite worrying? Will he undertake to look at this again?
The right hon. Gentleman will know that the guidance has been looked at again, and the Crown Prosecution Service has issued new guidance that has rectified the concerns raised at the start. I am satisfied that that new guidance is appropriate and proportionate, and therefore I am satisfied that we should renew schedule 21, because, to answer his point, it is crucial that in circumstances where it is necessary to act to keep people safe we have the powers to do so, but they must be proportionate, and I think that the guidance has answered that.
(4 years, 3 months ago)
Commons ChamberThat is spot on. The logic that we have seen repeated in country after country is that a sharp rise among younger people leads inexorably to a rise in the number of hospitalisations and deaths, even though it is not the younger people who tend to get hospitalised, but others who catch it from them. It is really important that we get that argument across, so that everybody feels the necessity to follow the social distancing rules that are incumbent on us all.
I think the Secretary of State has got the message about the need to sort out the testing problem, not least to help councils such as Leeds that are working really hard to limit the increase in cases. I hope he will join me in paying tribute to the public health team and the council for the great efforts they are making. He knows that local contact tracing is the most effective. I understand that the figures in Leeds for contacts are in the high 90s when it is done locally, as opposed to a lower figure when done by the national system. Given the position in Leeds, can he commit to provide more support and resource to local contact tracing in the city, to help try to prevent a further increase in the number of cases?
We are absolutely putting more resources into that local end of the contact tracing, but I stress that it is one system. I think the right hon. Gentleman has made the same category error as the hon. Member for Leicester South (Jonathan Ashworth). If we count contact tracing results from institutional settings within the local categorisation, of course the number of contacts that we reach is higher—for instance, in a care home it is very easy to reach 100% of contacts, by the nature of the setting. The hon. Member for Leicester South, who is also a very sensible fellow, tried to make that comparison, and it is not quite fair—it is not comparing apples with apples.
(4 years, 7 months ago)
Commons ChamberI pay tribute to Man Talk, to Offload Rugby League Cares and to all those who are working to support the mental health of others during this difficult crisis.
Many teachers and school staff are anxious about a return to class, especially those who have medical conditions or who are living with someone who is shielding. I understand that it will not be a requirement, but can the Secretary of State clarify whether if, for reassurance, staff at times want to wear face coverings and/or visors, they are perfectly free to do so?
They are not advised to do so. What staff do within a school is a matter for their head.
(4 years, 8 months ago)
Commons ChamberTesting is an area with UK and devolved responsibilities. The drive-through testing sites are being provided right across the UK under a programme being driven by the UK Government with the support of the devolved authorities. It is incredibly important that we make testing available in north Wales, as it is right across the country, so that people can access those tests, as my hon. Friend said. I should also mention the home testing, which will be available through the post. Especially in more rural areas, such as his constituency, that might be one of the most effective ways of people accessing testing.
It seems increasingly likely that part of what will be required to tackle this virus in the future will be the wearing of masks by members of the public in certain situations. If the Government concludes, based on the scientific advice, that that should be recommended, will it be their policy to provide masks to the public, and if so what is the Secretary of State’s plan to source them, bearing in mind the difficulties with PPE supply? Or will members of the public be expected to source their own?
We will follow the advice and listen to what SAGE says on masks, and then we will implement that. I cannot promise that we will give everybody free masks. That would be an extraordinary undertaking. We have to make sure we have the supplies available, especially for health and care staff, where the scientific advice throughout has been that the wearing of masks is necessary. We have to ensure the provision for them.
(4 years, 9 months ago)
Commons ChamberEverybody has a responsibility: citizens have a responsibility to follow the public health advice; all of us have a responsibility to make sure we buy only that which we need; and of course businesses have a responsibility to look after the communities they serve.
Will the Secretary of State confirm that it is now the Government’s wish, subject to capacity being available, to test all those with symptoms who are at home? If so, as the capacity ramps up, how does he intend to prioritise tests of people living at home, potentially with the disease?
The right hon. Gentleman asks the question very precisely and correctly. The answer is: yes, that is our intention, and Public Health England will advise on the order of priority for the use of these tests.
(4 years, 9 months ago)
Commons ChamberThis is supposed to be an easy question, but actually my right hon. Friend is completely wrong. I would rather have the advice. I would rather go through 100 ideas, 99 of which we have already looked into, to find the one that we had not thought of than not be bombarded, so I ask him to send them on.
Earlier this week, the Secretary of State told the House that the NHS requires more ventilators. He will be aware that two weeks ago today Italy had the same number of confirmed cases as we have, and he will also be aware of the great pressure that intensive care units and hospitals in Italy are under. Can he tell us whether the additional ventilators that he is seeking will arrive with the NHS in time to cope with any rapid increase in the number of critically ill patients who require breathing support?
I am afraid that is not how we are thinking about it, as that implies a perfect world in which things are available and not in demand around the world. Our approach to ventilators, and to staffing-up—obviously, we need trained staff to operate ventilators, or else they are dangerous—is to get our hands on as many as possible, and to train up as many people as possible. We think that we will need as many ventilators as we can get our hands on. There is no calculus of demand and availability; we are trying to buy as many as we can get hold of.
(4 years, 9 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.
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I am glad to say that the evidence so far indicates that there is not a particularly raised concern. Nevertheless, I entirely understand the level of worry that getting coronavirus might cause somebody who is pregnant, so we are researching this very carefully.
A study of 52 critically ill patients at Jinyintan Hospital in Wuhan has found that more than two thirds required invasive breathing support, and last Monday, as the Secretary of State will know, the World Health Organisation urged all countries to stock up on ventilators. Given that around 5% of those with coronavirus might require critical care, what is his current best estimate of the number of ventilators that would be required to meet that demand, bearing in mind his earlier point about having sufficient staff to operate the ventilators?
I am very happy to write to the right hon. Gentleman with the specific answer to his question, but the general answer is more, and, frankly, as many as possible. We are buying ventilators—we have a commercial strategy on that—and, of course, we are training people to use them.
(4 years, 9 months ago)
Commons ChamberMy hon. Friend is completely right and, in fact, our no-deal planning and our no-deal stockpiles are playing an important part in making sure we are fully prepared and ready.
On when to move to the delay phase, the Secretary of State said that he was
“mindful of scientific advice that reacting too early…carries its own risks”.
Could he set out for the House what those risks are?
I would highlight two. The first is that there is an economic and social impact of disruption; if an action has no medical benefit, there is no need for that disruption. The second is a medical risk. Behavioural science and experience from previous similar outbreaks shows that, if we ask people too early to do things that are disruptive to their normal life, they may try to return to normal earlier than they otherwise would. At the moment, the number of cases is relatively small. If we go into the reasonable worst-case scenario, it will rise sharply and be high for a number of weeks. We need to keep people doing the right, responsible thing over a period of weeks and, if we ask them to move too soon, they may question whether that advice was the right advice.
(4 years, 9 months ago)
Commons ChamberYes; they should make themselves known to the public health presence at the port, and of course they can call 111 from mobiles, too.
We heard what the Secretary of State told the hon. Member for Wimbledon (Stephen Hammond) about a person who is self-isolating, keeping away from other family members, but what is the advice to the other family members about whether they should go about their normal business—go to work or go to school if they are children—in those circumstances?
Other family members who are asymptomatic should go about their normal business in the normal way. It is those who have tested positively who should self-isolate.
(4 years, 10 months ago)
Commons ChamberYes, of course. Making sure that we have the equipment to keep our staff safe is a very important consideration—keeping medics safe is very important not only for them but for the public, because they provide such an important service.
Will the Secretary of State tell the House about the latest scientific advice he has had on when, as we all hope, a vaccine might be available?
The estimates vary and the answer is uncertain. There are promising signs of the very early stages of development seeing breakthroughs, but after the early stages of development, there need to be pre-clinical trials and then clinical trials to make sure that any vaccine is safe, especially given that—thankfully—the mortality rate from this coronavirus appears to be relatively low, at around 2%. Therefore, it is very important that a vaccine does not do more harm than good. I am pushing as fast as I can on the development of a vaccine, but I am also highly cognisant of the scientific advice and the need to ensure that it is safe.
(4 years, 11 months ago)
Commons ChamberMy hon. Friend raises an important question. There are approximately 11 million people in Wuhan city, including British nationals. As far as we know, we have two UK staff in our consulate in Wuhan and 15 locally employed staff. Of course we are ensuring that they get all the support they need, and they are available to provide consular assistance to British nationals in Wuhan city.
The House appreciates the fact that the Secretary of State has come here so promptly to make this statement. Of course we all hope that an outbreak here does not happen, but what is the current advice to members of the public about the use of face masks if it does? One thing about these outbreaks is that people look at what measures are being taken and what people are doing in countries where the disease has taken hold, and then ask the authorities here, “Why aren’t we doing the same?” It would be helpful to know this in anticipation; presumably it will come from guidance given by the chief medical officer.
That is right. We have well-established procedures for dealing with a potential outbreak such as this, be it of flu or a coronavirus. Our advice at the moment to the UK public is that the risk is low—of course we will keep that under review. We try very much only to put forward proposals that are clinically appropriate. The wearing of face masks is not deemed clinically necessary now. Of course we keep that under review, and we will be guided by the science.