Dementia Action Week

Jacob Young Excerpts

Thursday 27th May 2021 Commons Chamber

[Jacob Young (Redcar) (Con)]

Both of my grandads had Alzheimer’s disease, but they experienced widely different pathways with their condition. For my grandad Matty, his Alzheimer’s was diagnosed at age 81 while living with my mam and dad, and he lived until the age of 86, finally saying goodbye to us during lockdown last year. But my grandad Mick had a rare form called posterior cortical atrophy.

In 2006, at the age of 62, Michael Garrity realised something was wrong. He looked for a diagnosis, but his GP told him and my grandma that he did not have dementia. For five years my grandma fought to find out why he was struggling—why they were struggling. In that five years things became even harder. I remember he would sit and watch “The Weakest Link”, “Who Wants to be a Millionaire?” and “University Challenge” and get almost every answer right, but he would struggle to tie his shoes or find a way around the coffee table. He began taking bus journeys and forgetting where he was going and where he had been. It was not until 2011 that James Cook University Hospital noticed his PCA, five years after my grandad first saw his GP.

The problem is that those five years were lost time, when our family could have understood the disease better —how it would affect my grandad, how it would hit my grandma. In 2014, my grandad was finally admitted into care. Over the first six months, he was moved into a care home, then moved into a hospital, then to a new home, then into a psychiatric hospital and then into another new home. He was given the wrong medication, which escalated his condition. He became mute and developed new health problems, too. This was all because he had this unusual type of Alzheimer’s. He had high dependency and the care system could not find the right way to care for him. He died in his sleep in the early hours of 16 April 2018.

I spoke to my grandma this morning, I asked her what message she wanted me to get across today. It was simply that diagnosis is key and then support into the right care. For five years she fought to get the diagnosis my grandad needed, and earlier intervention may have prevented the horrific experience he went through in the early stages of his care.

It is clear from my experience that Alzheimer’s disease can hit people in completely different ways. In the last 12 months, we have invested in science and medicine like never before to deliver a viable covid vaccine at pace. We must have the same drive to attack this disease—to drive earlier diagnosis and new interventions to limit the effects and ultimately to develop a cure. We may never fully eradicate dementia, but learning more about it would mean those facing it are treated with the dignity they deserve. I miss my grandads dearly—we all do.

Covid-19

Jacob Young Excerpts

Tuesday 25th May 2021 Commons Chamber

[Nadhim Zahawi]

The hon. Gentleman and I discussed the turbocharging of the vaccination programme in Bedford, which I know he appreciates. The real difficulty is that, if we now begin to vaccinate people who are 18, outside the JCVI’s advice, we are taking vaccine away from others who are eligible and need that protection. So the strategy we are pursuing is to turbocharge. I need to explain that a little. We are effectively putting in more resource, later opening and mobile vaccination centres and we are expanding vaccination centres, so that those who are already eligible and, for whatever reason, have been unable to access the vaccine or have been waiting to see, can get the protection of the first dose. Of course then we get the second dose into all those over the age of 50, because we know that the two doses in those areas, against the B.1.617.2 variant, make a huge difference.

[Jacob Young (Redcar) (Con)]

I congratulate the Minister on the success of the vaccine roll-out and the rate at which the age limit is dropping. At the age of 28, I am regularly checking the NHS website to see when it is my turn. However, those who are a little older than me are trying to get their first jab at the Riverside Stadium in Middlesbrough but struggling to do so, reportedly because only the AstraZeneca jab is being stocked at the vaccine centre there. Will he use his office to try to find out what the problem is and resolve it, so that people are not having to travel unnecessarily to get their first jab?

[Nadhim Zahawi]

I will absolutely look at what the issue is. The good news we have had recently from our regulator, the Medicines and Healthcare products Regulatory Agency, is that the Pfizer-BioNTech vaccine can now be stored for up to a month—it used to be only five days from once it was thawed from minus 70° C—which means it is much more versatile and less challenging than it used to be. So I will absolutely look at that and contact my hon. Friend.

Covid-19 Update

Jacob Young Excerpts

Monday 17th May 2021 Commons Chamber

[Matt Hancock]

As I said, the positivity rate for people travelling from India was relatively low at the start of April. We published the data of the positivity rates from the managed quarantine service. However, by the end of April, the positivity rate from India had risen, so we took the precautionary decision, even before this variant was deemed a variant under investigation, to put India on the red list. We did that before other similar countries, such as Germany and Canada, banned their flights. I understand the enthusiasm of the Chair of the Home Affairs Committee for pursuing this line of questioning, but we have to take decisions based on the evidence; we cannot take decisions based on evidence that arrives afterwards, which is what she seems to think we should have done.

[Jacob Young (Redcar) (Con)]

More than 70,000 people in Redcar and Cleveland have now had at least one jab, which is an amazing achievement so far. It is great to hear that the vaccines seem to be protecting against the Indian variant too. Can my right hon. Friend confirm that the Novavax vaccine, which is made in Teesside, will also be tested against the Indian variant and other variants of concern, and will he update us on when it will be made available as another great Teesside export?

[Matt Hancock]

Yes, Teesside is playing it part. In fact, earlier today I met Ben Houchen, the newly re-elected Mayor of Teesside, to talk about what more we can do to invest in Teesside—in the NHS in Teesside, and in life sciences, such as vaccine production, on Teesside. He is doing a fantastic job of taking the voice of Teesside right into the heart of Whitehall—as is my hon. Friend, of course.

My hon. Friend is quite right to raise this point about the Novavax vaccine, which is going to be manufactured on Teesside. Of course, we will study its impact against the new variants, but we have a high degree of confidence that the Novavax vaccine has a broad coverage. In fact, one of its attractions is that it has that broad coverage, not just against the variant that it was precisely designed to deal with but against a wide range of variants. That is part of the theory of the technology that underpins that particular vaccine. It is a very modern vaccine, it is very exciting, and it is terrific that it is being made on Teesside.

Health and Social Care Update

Jacob Young Excerpts

Thursday 18th March 2021 Commons Chamber

[Matt Hancock]

Yes. People listening to the news over the past 24 hours might be surprised to hear this, but there are no changes to the prioritisation and no changes to planned appointments. People will be called forward as previously proposed and in the order previously proposed, including with the addition of opening up invitations to those who are 50 and above. The vaccines will be delivered by the NHS across the whole of the United Kingdom, including in Northern Ireland, where I work extremely closely with my counterpart.

[Jacob Young (Redcar) (Con)]

The vaccine roll-out has been a tremendous success. Just 100 days after the first jab, we have vaccinated 25 million people. In front of the Science and Technology Committee yesterday, Dominic Cummings made reference to the vaccine roll-out and criticised civil servants in the Department of Health and Social Care. Will the Secretary of State outline the decision-making process that led to the vaccine taskforce and the most successful vaccine roll-out in the world?

[Matt Hancock]

Absolutely. The thing about the vaccine roll-out, the vaccine delivery, the purchase of vaccines and the scientific research into vaccines is that the whole thing has been a massive team effort, and I thanked some people in my opening statement who have been involved. They have worked incredibly hard together as one big team. That is the attitude that we take, and that is one of the reasons why this programme has been successful. In particular, I emphasise my gratitude to officials in the Department of Health and Social Care, who have worked incredibly hard and very, very effectively at making this happen.

Covid-19: Government’s Publication of Contracts

Jacob Young Excerpts

Tuesday 9th March 2021 Commons Chamber

[Jacob Young (Redcar) (Con)]

Throughout the pandemic, the Government, the NHS and the armed forces have focused on saving as many lives as possible, while the Labour party has focused on this sort of hindsight and political games. Saving lives meant securing as much PPE as possible as fast as possible, so can my hon. Friend confirm that all those PPE contract notices that faced a short delay in publication are now in the public domain?

[Edward Argar]

I can confirm that the contract award notices for the contracts here, the PPE contracts, awarded directly by the Department are now in the public domain.

Covid Contracts: Judicial Review

Jacob Young Excerpts

Wednesday 24th February 2021 Commons Chamber

[Edward Argar]

I am grateful to the hon. Gentleman for his initial analogy. He made a couple of points there. I believe—this is from memory, so forgive me if I am slightly out, and I will correct the record if I am—that around 90% of those bids that came through the high-priority lane were rejected. They were carefully assessed by civil servants against the eight stages of the procurement process set up to ensure that due diligence was followed.

The hon. Gentleman raised a very specific point, which I want to address, because he talked in his question not just about NHS trusts, but quite rightly about those working on the frontline in social care settings and the PPE they needed. He quotes accurately, if my recollection is correct, from the NAO report. One of the factors here was that traditionally, social care settings are private businesses in most cases and procured their PPE directly in private contracts with their suppliers. That is one of the reasons why, as I mentioned in my opening remarks, during the early phase of the pandemic we moved from supplying 226 trusts with PPE to making that service available to 58,000 or so settings to get PPE to social care. That was a reflection of the Government’s commitment and work to make sure that we could use centralised procurement and centralised supply to help support the social care sector get what it needed.

[Jacob Young (Redcar) (Con)]

I commend the Government for their efforts to do whatever it took to protect the frontline during the height of the pandemic. Will the Minister join me in extending our thanks to the amazing NHS workforce and the armed forces personnel working at James Cook University Hospital and Redcar Primary Care Hospital, as well as our teams in primary care, without whom we would not have vaccinated 18 million people?

[Edward Argar]

I am very happy to join my hon. Friend in doing that. I suspect that, in what has been a contentious urgent question, that is a point on which there will be consensus between me and the shadow Minister. We pay tribute to those working on the frontline of our NHS and social care, and those helping with the vaccination programme.

Covid-19

Jacob Young Excerpts

Monday 22nd February 2021 Commons Chamber

[Jacob Young (Redcar) (Con)]

Today’s announcement by the Prime Minister will come as a relief to so many. The outlining of a clear route out of lockdown was highly anticipated in my constituency and understandably so. The past months have been incredibly tough for people across the country, with businesses forced to remain closed, children unable to go to school and exhausted parents doing their best to home school while having to work from home. It has been a long and difficult road so far, yet never has there been so much hope. The roll-out of the vaccine, something we could not even imagine just six months ago, is progressing so rapidly that the UK is leading the world in the number of vaccinations, well ahead of our European neighbours.

On 23 January last year, the first known covid case landed in the UK. Tomorrow we will be 13 months on from that date, yet we have announced that 17.7 million people have received their first vaccine dose. We can often get lost in the frustration of being locked down and easily forget the remarkable achievements that we have made, that science has made, that the NHS has made, that Britain has made. Now that we hold three vaccines in our armour belt, we have the ammunition needed to defeat covid, and soon we will have more.

In Teesside, we will be producing the Novavax vaccine at Fujifilm in Billingham, proving that Teesside will be leading the world in innovation and technology once again. However, what we are missing in Teesside is our own mass vaccination centre. The 660,000 people who live in the Tees valley do not have a mass vaccine centre. For my constituents in Redcar and Cleveland, our nearest centre is 40 driving miles away in Sunderland. We have plenty of available sites. I have written to the vaccines Minister, the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Stratford-on-Avon (Nadhim Zahawi), to endorse the Riverside stadium in Middlesbrough or Redcar racecourse in my constituency, which have both previously been testing sites for the Department of Health so will be familiar to the Government. Although I congratulate the Government on what can only be described as an incredible achievement so far, I urge Ministers to create more mass vaccine centres, including one in Teesside, to accelerate the roll-out even further so that we can all be protected much sooner.

It is very welcome news indeed that schools will be allowed to go back to near normal in just under two weeks’ time, and even more welcome news that care home residents will once again be able to see their loved ones. Covid has led to a deterioration of many care home residents due to the lack of human contact, so I am pleased that we are making this allowance. By the end of March, life will slowly start to feel as though we are getting back to normal, with the reintroduction of the rule of six. Between then and the middle of June, we will gradually start to get our freedoms back. I urge the Prime Minister to stick to his pledge of a one-way road to freedom. This road map gives us hope; let’s stick with it.

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.

--- Later in debate ---

[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.

Covid-19 Update

Jacob Young Excerpts

Monday 14th December 2020 Commons Chamber

[Matt Hancock]

The hon. Lady’s local public health experts are already working with the national system. I gently say that instead of trying to divide people with this public-private split, as the Opposition seem desperate to do, the best way to get the case rate down in South Shields is for us all to get on the same page with public health messaging. If for every time she asked me a question about Serco, she asked me a question about how we could work together to keep people alive and safe in South Tyneside, South Shields would be in a better place.

[Jacob Young (Redcar) (Con)]

Will the Secretary of State confirm that London is going into tier 3 because it is failing on the five tests that have been set out on tiering, and will he also confirm that Redcar and Cleveland have considerably improved across all five tests since the tier 3 decision was taken? The Secretary of State can make my wish come true, because all I want for Christmas is tier 2.

[Matt Hancock]

How can I reject an entreaty like that? My hon. Friend makes a very seasonal request. We will be looking at the situation very closely come Wednesday, and we will see what is in Santa’s bag.

Covid-19 Update

Jacob Young Excerpts

Tuesday 10th November 2020 Commons Chamber

[Mr Deputy Speaker (Mr Nigel Evans)]

Before I call Jacob Young, I would just like to say thanks for all the birthday wishes. I absolve anybody else from saying happy birthday to me. I am coming to terms with the fact that The Times added a year to my age. It is bad enough being the age I am, I do assure you, but none the less.

[Jacob Young (Redcar) (Con)]

Last week, I spoke to care providers in Redcar and Cleveland who outlined that, when it comes to testing in care homes, two groups of people are still missed out: first, agency workers, who go to and from care home to care home, currently fall outside the weekly testing programme; and secondly, family members of those who live in care homes. If we can roll out testing for those people, they could be treated as care workers and enabled to visit their loved ones again. Will the Secretary of State urgently address these two gaps in our testing programme, to help lift some hardship from the most vulnerable in our society?

[Matt Hancock]

The answer is yes, and I will add a third: visitors to care homes. I would like the testing regime to work for those people, to make visiting easier. When it comes to agency workers, we want to stop altogether people working in more than one care home, because that risks transmission. When it comes to carers who are unpaid but who go in regularly, we want to find a way for them to be added to the regular testing regime.