(2 years, 4 months ago)
Commons ChamberI absolutely agree with my right hon. Friend’s important point. In fact, I met my hon. Friend the Member for South West Bedfordshire (Andrew Selous) about that last week, and I agree with them both.
Last month, a constituent contacted me who had developed severe dental pain. He phoned 40 dentists and not one of them could take him on as an NHS patient. It got so bad that he phoned 111 but was told that he was not eligible to see an emergency dentist. What advice would the Secretary of State give to someone in those circumstances? Many other hon. Members on both sides of the House will be able to tell similar stories. In the end, my constituent had to pay to go private, but that should not have happened. Why are our constituents being placed in that position?
I am sorry to hear about the right hon. Gentleman’s constituent. If he will allow me, in a moment, I will come on to the pressures that dentistry is facing and, most importantly, what we are doing about them.
Those pressures have come about for two reasons. First, there was a fear of infection, which was understandable in a context where 10 minutes in a dentist’s chair during the pandemic could have meant 10 days in self-isolation or, perhaps, worse. Dental practices were almost uniquely at risk of spreading covid, so their activity was rightly severely constrained across the world—not just here in England and across the UK—by the infection prevention rules that were necessary at the time. Despite all the innovations in dentistry over the last few years, dental surgeries do not have a Zoom option.
Secondly, the British people stayed away because of their innate sense of responsibility during the pandemic. As all hon. Members saw in their constituencies, people understood our critical national mission. Our GPs were doing their duty vaccinating people in care homes and in thousands of vaccination centres up and down the country, protecting the most vulnerable and working hard to keep us all healthy and safe.
When omicron struck—we all remember that period, which was not that long ago—I stood before this House and asked GPs to stop all non-emergency work once again. I did not take that decision lightly, but we were faced with a stark choice of having more lockdowns or accelerating our vaccine programme. We chose to accelerate, with help from all corners of the NHS and with the backing, at that time, of the hon. Member for Ilford North. I remember him standing at the Dispatch Box pledging his full support for that effort and rightly stating that the Government were acting
“in the best interests of our NHS, our public health, and our nation.”—[Official Report, 13 December 2021; Vol. 705, c. 795.]
He recognised that it was the right thing to do then; he has now conveniently changed his mind. I wonder why.
(2 years, 9 months ago)
Commons ChamberThis has always been a difficult issue, because it involves balancing two different sets of rights, and I think that the Secretary of State has made a sensible choice. He talked about changing circumstances, but the one thing that has not changed is the fact that a considerable number of NHS staff remain unvaccinated. In reaching this decision, what representations did he receive from NHS leaders about the impact that those staff having to leave—which they will not now have to do—would have on the ability of the NHS to cope, and was that a factor in the reaching of the decision? I think most of us sitting here today know that it probably was.
I hoped that my statement had been clear enough to answer a question such as that asked by the right hon. Gentleman, but I am happy to emphasise what I said earlier. As I said, when coming to any decision, but certainly this decision, we must bear in mind that there are benefits and there are costs. The costs to which I referred related to the fact that obviously some people would no longer be employed in the NHS or in care settings, and that balance remains important. Because of the change in the variant and real change in the benefit part of the equation, the scales tilted, and that is why I no longer think that the policy as set out is proportionate.
(2 years, 11 months ago)
Commons ChamberThat is a very fair question, and it requires a full explanation. There is new data since I was last at this Dispatch Box on the rate and growth in transmissibility, and there is new data, to which I referred in my statement, on the impact of the variant on vaccines. My right hon. Friend will know that if the vaccines were even a little bit less effective, especially against severe disease and therefore against hospitalisation, and if there was also a hugely growing infection rate, a smaller percentage of what would be a much larger number would still result in significant hospitalisations.
Could the Secretary of State tell the House what his understanding is of the development of a new vaccine specifically to target omicron and when it might be available? Secondly, can he tell us what the latest evidence is on the protection against this new variant that two doses plus the booster will give to people?
From the moment they learned about omicron, the vaccine manufacturers, particularly those that make the so-called mRNA-type vaccines, started work on new omicron-targeting vaccines. It is hard to put a timing on this, not least because the companies themselves are unable to, but it is reasonable to think that they can move very quickly. Some of the conversations I have had suggest that they may well be able to have vaccines ready for trial within weeks. There would obviously have to be a trial to ensure that they were safe and effective, but there may be cases where they could be used in emergency situations. On the question about the two doses and a booster, we do not have reliable data on that at this point. However, the information I referred to in my statement on the impact of vaccinations showed that South Africans, in this case, who had had two doses of the vaccine and who had also had an infection had a higher level of protection than those who had not had an infection. This suggests that that hybrid outcome, where someone has had an infection and two doses, is not too dissimilar from having a booster shot and that it had a positive outcome.
(2 years, 11 months ago)
Commons ChamberMy right hon. Friend is right to talk about the particularly acute challenge facing the travel sector. It has been hit hard not just by the measures that have been taken here at home but by the international measures that have been taken by so many countries, so it is not just about the UK-based decisions. The answer really lies in making a quick decision about omicron. She will know, as I have said, that we will update the House and hopefully have much more data on the variant by next week. Hopefully, if that data is helpful, then pressures can be eased in the travel sector. Should it be less helpful for the travel sector, the Government will have time to review what other measures they might be able to take to help.
Current Government guidance in England is that if someone has tested positive for covid, they should not have another PCR or lateral flow test for 90 days, yet the guidance for those wishing to return to the UK is that if they have recently recovered from covid and are no longer infectious, they should have a lateral flow test—apparently because it is less likely to return a positive result. This appears to be contradictory advice, so will the Secretary of State tell the House what advice he can give to UK citizens who have caught and recovered from covid abroad regarding how they can best return to the UK in time for Christmas?
UK citizens who are abroad and wish to return home should comply with the requirements, but the right hon. Gentleman has raised an important issue, which I will take away and look into further.
(2 years, 11 months ago)
Commons ChamberYes, I can give my hon. Friend that assurance. We have been working closely with colleagues in the Foreign Office, and that will remain vital work so that we can help people—UK citizens or Irish citizens—who might be stuck abroad to come back.
Given the change to the rules for booster vaccinations announced by the JCVI this afternoon, how long does the Secretary of State think it will be before all the people between 18 and 40 who have had their first and second jabs can come forward and receive the booster jab, so that as much of the population as possible is protected?
First, I can tell the right hon. Gentleman that we have already done 17 million, which is almost one third of the adult population. That is more than any other country in Europe. However, he is right to ask how quickly we can do those who will become newly eligible. I will have to come back to the House and set out details about how we intend to meet this advice. The advice was received very quickly from the JCVI over the weekend; it did stellar work to turn it around so quickly. I have already asked the NHS about operationalising it. We are not quite there yet, but we will be very shortly, and I will set that out.