Covid-19

Jacob Young Excerpts

Monday 14th December 2020 Commons Chamber

[Layla Moran]

The hon. Gentleman could not have put it better. I am the chair of the all-party group on coronavirus. We launched a report a couple of weeks ago, and as part of that launch I said that, as much as we all feel the need to be with our families, what the Government are doing by relaxing the restrictions is a bit of a gamble, because we do not know which way the virus is going to go. I am sorry to say that every time that I have stood up in this place and suggested that there might be a spike in a few weeks’ time, people have said, “Oh no, stop being such a naysayer. It’s not going to happen.” We have to accept that every time we think that we have got one over on this virus, it wins.

At this point, it seems inevitable that we are going to face a further spike in January and that we are going to go up in tiers, but it does not have to be that way. The Government could follow what other Governments have done across Europe and be honest with the public about the likely outcome, making the point that they do not have to use the relaxed restrictions. Actually, because of where we are now, I think it is time for the Government to rethink those Christmas relaxations. I say that with deep regret.

[Jacob Young (Redcar) (Con)]

Does the hon. Lady not agree with me that people will still mix in households at Christmas anyway? The purpose of relaxing the restrictions is to provide people with a legal framework, so that someone wanting to mix with four or five households might just stick to the three-household limit because the Government are saying, “Well, you can mix, but try to keep it limited.” It is about trying to help people and guide them into proper household mixing, as opposed to a free-for-all.

[Layla Moran]

I have a lot of sympathy with that view. If we look back over the last few months, whenever we have reduced restrictions, that has worked—it can work—but the problem we have is that, combined with the euphoria over the vaccine, we have the situation where people are not just going to mix with three other households, but may also bend the rules a bit around that, so we will end up right at the limit. R is just below 1: there is no headroom left. I appreciate what the hon. Gentleman is saying and I understand it, but my fear is that it is just not going to work that way.

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[Jacob Young (Redcar) (Con)]

I know that this is outwith the subject of today’s debate, and the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Bury St Edmunds (Jo Churchill), is no longer in her place, but I want to put on record my thanks to her for her work on changing the rules around blood donation for gay and bisexual men, as announced today. Her work and that of her predecessor, my hon. Friend the Member for Winchester (Steve Brine), and the many campaigners on this issue means so much to gay and bisexual men. It will, importantly, boost our blood donations, and I thank her for that.

I want to start by expressing my sincere condolences to all those in Redcar and Cleveland who have lost loved ones to this awful disease. I also want to extend my thanks to our local NHS and care staff. Those at James Cook University Hospital and the Primary Care Hospital in Redcar have done so much, and many more lives would have been lost in Teesside without their tireless dedication over the last few months. I also congratulate Margaret Dixon on being the first person in my constituency to receive the covid-19 vaccine.

I wish to speak on two things in this covid debate. The first is the tier review on Wednesday; the second is our care homes and care agency staff. I know that other colleagues will be making similar pleas to the Department of Health and Social Care in the coming days, but I firmly believe that the people of Redcar and Cleveland have done their bit and deserve to move down the tiers this Wednesday. Some will argue that the ability to move up and down tiers should not be treated like a reward and that there should not be a recognition of the fact that areas have brought their cases under control, but what is the point in tiering if there is no ability to move up and down, and if instead we are locked into a tier indefinitely?

When I last spoke on tiering earlier this month, I described how disappointed I was that Redcar and Cleveland had found itself entering tier 3. However, when that original decision was taken, it was clear that it was sensible and proportionate, given the local data that we faced. As the Secretary of State outlined in his written ministerial statement, our cases were very high at 394 per 100,000 across the region, with positivity also very high at 13.3%. The case rate among the over-60s remained high at 292 per 100,000, and NHS admissions had remained high in November.

However, we are now some weeks on from that decision, and our position has improved greatly. Our case rate is down: in the seven days running up to 11 December, it was 131 per 100,000—a third of what it was when the original tiering decision was taken, and down by 7% on the previous week. Our case numbers for the over-60s have almost halved, sitting at around 150 per 100,000, down from 292 when we were placed in tier 3. Our positivity—the percentage of tests where the outcome is positive—is now 6.6%. This too has halved since the original tiering decision, and our local NHS admissions are down by 60% since their peak on 23 November.

As you can see, Madam Deputy Speaker, I am trying to paint a picture here. On every test set out by the Prime Minister on why areas can move up and down tiers, Redcar and Cleveland is performing. In two days, the Secretary of State will announce our new tier position, and I urge him to look at all this data, look at how we have improved and measure us against that. He has outlined today that London is to move into tier 3, and I fully support him in considering tightening restrictions in areas where cases are rising, but it cannot be that there is no reward for places where efforts have paid off. Many businesses in the hospitality sector are now down on their knees, and with that, those families are suffering. This Christmas will sadly not be much comfort to them in these times of uncertainty. Where stricter measures are put in place in order to bring cases down, those same measures must be lifted when they are not absolutely necessary, in order to bring some balance between saving lives from covid and saving lives from the consequences of economic suffocation.



Secondly, I want to touch on care homes. I pay tribute to all our care workers in Redcar and Cleveland. The Government have done a brilliant job in getting us to the stage where all care home staff can now get weekly testing. Still excluded, however, are care agency staff. I raised this matter in the House on 10 November. The response was that we want to step away from using care agency staff who go between multiple care homes during this period. That can still remain a goal, but our focus has to be on including them in the weekly testing regimes. I spoke to one agency manager who admitted that some of her staff had lied about symptoms to qualify for a PCR test, just so they could go to work, know they were safe and not infect care home residents. Will the Minister look at what more can be done to ensure that this issue can be resolved in the very near future? I would also appreciate assurances that care agency workers will not be overlooked in the roll-out of the vaccine, as they are just as much at risk as those who work in dedicated care homes full time.

Across Redcar and Cleveland, most of our care homes are saying that they will not be allowing any visitors before Christmas. I am surprised about that, given the announcements the Government have made on lateral flow testing for care homes and other measures, such as including family and regular visitors in weekly testing. The Minister and I have spoken about that previously. Will she consider looking specifically at Redcar and Cleveland and helping us to discover what the blockages are in the system, to ensure that people can see their loved ones at this important time?

To finish, I want to recap on that all-important data: 131 cases, down two-thirds from 390; over-60 cases, 150, down by almost half from 290; positivity at 6.6%, down by half on 13.3%; and NHS admissions down by 60% since their peak in November. It cannot be that the same people who follow the rules and help to improve case numbers in their community, continue to be punished and their livelihoods destroyed when the risk of infection is now much, much lower. There has to be fairness in the way we deal with this crisis and we need to take into account all other economic, social and health factors that may also cause great damage if ignored. My constituents deserve recognition for the good results on the ground. I hope the Secretary of State and the Minister will look favourably on their circumstances.

--- Later in debate ---

[The Minister for Care (Helen Whately)]

The speeches we have heard this evening remind us just what hard times we live in, when we have had to do things that would have been unimaginable just a year ago. There are the things we have done to save lives, but sadly, even so, many lives have been lost. As my right hon. Friend the Secretary of State set out in his statement to this House earlier today and the Minister for prevention, public health and primary care, the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Bury St Edmunds (Jo Churchill), reminded us in her opening remarks, this is not over yet.

I know that people in the places moving into tier 3 on Wednesday morning will feel a real sense of disappointment, especially as we get closer to Christmas. We have heard today some powerful contributions from across this House about how our constituents have been affected. For instance, my hon. Friend the Member for Bolsover (Mark Fletcher) spoke about the impact of the restrictions on mental health, with the loss of routine, loss of social contact and loss of opportunities to pursue passions and activities that make life worth living—ice skating, as we have heard, but also dance classes. I should add to that the loss of livelihoods. Many colleagues have spoken about the impact on hospitality, and particularly pubs. Believe me, I really appreciate that, with a brewery as the largest employer in my constituency.

I also welcome the recognition and the tributes paid by hon. Members not only to the NHS and its workforce, but to care homes and care workers, who have indeed been there for the people they care for day in, day out throughout this pandemic. They are rightly prioritised for testing. I will pick up on a comment made by my hon. Friend the Member for Redcar (Jacob Young) and say that care agency staff absolutely should be tested regularly, using tests distributed to the care homes that they work at.

[Jacob Young]

The care agency that I referred to said that it has about 160 members of staff on its books, of whom 80 are in work regularly. Of those 80, 60 are included in testing in some care homes; it is that final 20 who are not getting regular tests. I was told that the same was true for other agency workers, too.

[Helen Whately]

It will probably be helpful if we pursue the specific case outside the Chamber. I just wanted to reiterate the importance of care agency staff being tested in care homes. Tests are being distributed to care homes for that purpose.

Whenever the Government have to take difficult decisions, such as the ones we have taken today, the impact of those decisions on people across the country is always at the front of our mind. With a 14% rise in average daily cases last week and a 13% rise in daily hospital admissions, we had no option but to act today, even ahead of the formal review point on Wednesday. As the Secretary of State reminded us earlier, Germany had to introduce tougher restrictions over the weekend, and Sweden is seeing real pressures on intensive care beds. As we set out in our winter plan, our strategy has always been to suppress the virus and prevent our NHS from becoming overwhelmed until the vaccine can make us safe.

I know that hon. Members will share my sense of optimism that, just as many other parts of the country have done so magnificently, the areas now facing rising rates can turn this around. They are getting the support they need to do that, right where it is needed most, including through the provision of community testing, with millions of newly invented tests targeted at the areas that need that support. I know that the Members representing those areas will want to play their part in this effort, so I can say that today we published a guide for Members so that colleagues can promote, support and champion local community testing and contact tracing in their areas.

I am grateful to my hon. Friend the Member for South Thanet (Craig Mackinlay), who spoke about how he had seen people become more careful in his area as they saw rates rise locally. He saw their behaviour change through the increased wearing of face masks, for instance, as people took the extra steps to keep themselves and others safe. That is a reminder that ultimately, all our efforts must be underpinned by a sense of personal responsibility. Our national effort begins with every one of us.

We all know what a difficult year it has been, yet that does not make those important public health messages any less true. As several hon. Members have reminded us this evening, we must continue to wash our hands, cover our face and make space. We must continue to self-isolate when we are asked to, for the 10 days now required. Perhaps even more challenging than that, though, we must be unafraid to ask ourselves difficult questions about who we are meeting, their vulnerability and whether that is a risk worth taking. Time and again, the common sense of the British people has prevailed, and it must continue to do so.

Finally, our vaccine deployment continues apace, because we know that vaccines represent our best route out of these difficult times. It is such a relief to be able to say about vaccination not if, but when. Tens of thousands of people have already been vaccinated, and GP roll-out started today in hundreds of parts of the country, so many more will be vaccinated this week, like the relatives my hon. Friends the Members for Stoke-on-Trent South (Jack Brereton) and for South Thanet mentioned.