Public Health

Jacob Young Excerpts

Wednesday 7th October 2020 Commons Chamber

[The Minister for Care (Helen Whately)]

I beg to move,

That the Health Protection (Coronavirus, Restrictions) (North of England and North East and North West of England etc.) (Amendment) Regulations 2020 (S.I., 2020, No. 1074), dated 1 October 2020, a copy of which was laid before this House on 2 October, be approved.

These regulations came into force on Saturday 3 October. They were introduced, based on the latest epidemiological data and local insights. The data showed rapidly rising rates of covid-19 infections in Merseyside, Halton, Warrington, Hartlepool and Middlesbrough, indicating an urgent need for further steps to control the outbreak. The regulations also introduced an easing of restrictions for Bolton, based on the stabilisation situation compared with the rapid growth in case numbers a few weeks previously.

These regulations represent targeted measures designed to reduce transmission in areas where incidence rates are high. We do not want to, and will not, impose regulations where they are clearly unnecessary, but where we do, while public health is our priority, we are balancing the need to impose measures to tackle the transmission of the virus with protecting our economy and education.

[Jacob Young (Redcar) (Con)]

Does the Minister agree that it is also important to look at the number of hospitalisations in an area, which is why, at the moment, Redcar and Cleveland are staying out of local lockdown restrictions?

[Helen Whately]

My hon. Friend makes a really important point. In making these decisions, we look at multiple factors. We look at the incidence rate per 100,000, for instance. We look at the positivity rate—the percentage of tests that are positive—and we keep a close eye on hospital admissions. All those factors are important. The good thing about the data from our testing systems is that they give more leading indicators of things that may follow on. All of those are an important part of the information that goes into the decisions that are made.

Incidence rates across Merseyside, Halton and Warrington over the seven-day period 17 to 23 September 2020 range from 163.3 per 100,000 people in St Helens to 257.7 per 100,000 people in Liverpool. Test positivity was high too, ranging from 10.5% in the Wirral to 15.7% in Liverpool in the same period. With those levels of infection, including growing infection rates in people aged 60 and over, for whom we know the risks of complications are greater, action was clearly necessary. By contrast, in Bolton, which until the regulations were introduced was under greater restrictions and interventions than nearby areas, infection rates have stabilised, although they are still high, at 241.8 per 100,000 people, with a test positivity rate of 12.3%.

Many areas across the north of England have been subject to extra restrictions, in some cases, for weeks. I know that that is really hard for people, day in, day out, and for many businesses. The regulations do not introduce any new measures, but they amend existing legislation.

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[Helen Whately]

I will make a little more progress and then I will take further interventions.

I will now run through each of the regulations that were amended. The first was the Health Protection (Coronavirus, Restrictions) (North of England) Regulations 2020—SI 2020/1057—which changed the geographic areas covered by the north of England regulations. Halton, Knowsley, Liverpool, Sefton, St Helens, Warrington and the Wirral were removed. These local authority areas were then added to the north-east and north-west regulations—SI 2020/1010. Two new areas were also added to the same protected area, Hartlepool and Middlesbrough. For each of these, this was the first time that local restrictions had been implemented. People living in these areas are prohibited from mixing with people from different households in each other’s homes and gardens, and in any indoor public venue.

Next, these regulations added Bolton to the geographic area covered by the north of England regulations, rejoining the other local authorities that make up Greater Manchester. This amendment meant that the takeaway-only restriction affecting hospitality was removed, so businesses in Bolton have been once again able to serve food and alcohol with table service. Due to Bolton being added to the north of England regulations, the Health Protection (Coronavirus, Restrictions) (Bolton) Regulations 2020—SI 2020/974—were revoked.

The final regulations amended by these regulations is the Health Protection (Coronavirus, Restrictions) (Obligations of Undertakings) (England) Regulations 2020—SI 2020/1008—which were incorrectly amended before. This amendment ensures that the right exemptions apply to the requirement on pub, café, restaurant or bar managers in the protected area of the north-east and north-west regs to take all reasonable measures to stop groups of six in areas where only national restrictions apply, or members of the same household in the north-east and north-west protected area from singing on the premises.

To come to the decisions behind these regulations in more detail, given the urgency of the situation and the rapidly increasing numbers of people testing positive for covid in Merseyside, Halton, Warrington, Hartlepool and Middlesbrough, we consulted local leaders last week on the potential next steps. Similarly, we consulted local leaders in Bolton.

[Jacob Young]

I thank my hon. Friend for her Department’s approach to the Teesside restrictions—for not including Teesside as one whole, homogenous bloc, as some people wanted, but viewing the individual parts, such as Middlesbrough, Hartlepool, Redcar and Cleveland, as separate entities.

[Helen Whately]

I thank my hon. Friend for his comment. We are trying to get the balance right between wanting to target restrictions and not impose them on areas where they might not be needed, while being mindful that if every area has its own local variant specifically, it does get more and more confusing, so there is a clear balance to strike in being targeted but also trying to keep things simple.