NHS Update

Debate between Jacob Young and Helen Whately

Wednesday 21st July 2021 Commons Chamber

[Helen Whately]

The hon. Lady has clearly been speaking to NHS staff in her constituency, and I am glad to hear that. As the Minister responsible for the NHS workforce, I speak to NHS staff all the time to make sure that I understand the things that are most on their minds. Pay is of course on staff’s minds at the moment, but so is the importance of having full teams, so I am glad that we are making progress on increasing the number of staff in the NHS more broadly and the number of nurses specifically. We are also putting in place other support, such as the mental health support that I know is so im

[Jacob Young (Redcar) (Con)]

The Minister will be aware that Redcar and Cleveland currently has the highest rate of covid in the country, but thankfully this is not leading to a huge increase in hospitalisations and deaths because we are also one of the most vaccinated parts of the country, with 71.2% of people having received both doses. What additional support can the Department give to Redcar and Cleveland to ensure that everyone is able to access the jab and protect themselves and our local NHS?

[Helen Whately]

May I say how good it is to hear that my hon. Friend’s area has taken up the jab so strongly, so that so many people are having the protection of both doses of the vaccination? We know that it does not mean that they definitely will not get covid at all, but we know that their risk of hospitalisation, serious consequences and indeed death is that much lower from being vaccinated. Of course, it is important that those who have yet to be vaccinated but who are eligible still come forward; there are more people still to come forward. If my hon. Friend thinks that there is anything specific that we could do further in his constituency, I hope that he will let me or the Minister for Covid Vaccine Deployment know.

Covid-19

Debate between Jacob Young and Helen Whately

Monday 14th December 2020 Commons Chamber

[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.

Public Health

Debate between Jacob Young and Helen Whately

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.