Health Incentives Scheme

Jeremy Hunt Excerpts

Friday 22nd October 2021 Commons Chamber

[Maggie Throup]

I thank the hon. Gentleman for his comments. We have a common purpose: on both sides of the House, we are determined to tackle obesity. The measures that the Government have already taken—we have allocated £100 million to tackle obesity—show that we are serious about this. That is a huge amount of money. It is important to realise that lots of different measures have already been put in place. This is not tinkering at the edges at all.

We began tackling the issue of obesity a number of years ago with the soft drinks levy. I was delighted that the money raised from that went to school sports. We then tackled inappropriate advertising and promotions, out-of-home calorie labelling and front-of-pack nutrition labelling. We have the weight management programme and numerous other activities. It is important that we look at the population measures that are in place, but now we are also looking, with this new pilot, at individual responsibility—personal responsibility. I am really encouraged by this new approach to tackling obesity.

The hon. Gentleman mentioned other public health issues. Once again, this Government are determined not only to halve childhood obesity by 2030, but to make our nation smoke-free by 2030. We are really committed to tackling the public health issues that, as he quite rightly says, are affecting some of the most deprived parts of our country. The fact that we have launched the new Office for Health Improvement and Disparities shows exactly where our commitment lies, and I will continue to fight for this cause as we move forward.

To address the hon. Gentleman’s question about who we will choose for the pilot, we are going to make sure that we choose the right area so that it can really make a difference. That is so important when we are spending public money.

[Jeremy Hunt (South West Surrey) (Con)]

When we came back from recess, I was hoping to ask the Minister one question this week, so to be able to ask her three questions in two days is an unexpected thrill. I am grateful to her for her statement, and I welcome what she says. No Government can stand by when there is a 10-year difference in life expectancy between the richest and poorest 10% in our society. These measures are important and will make a difference. But could I ask her about something even more worrying than adult obesity? On childhood obesity, we are still the second fattest country in Europe. Has she had any discussions with the Department for Education about one of the root causes of that, which is that for several decades we have not guaranteed daily sport and exercise to every child in every state school?

[Maggie Throup]

My right hon. Friend will be aware that, as the previous chair of the all-party group on obesity, this issue has been close to my heart for many years. Over my years as a Member of Parliament I have been delighted to join some of my local schools and run the daily mile. It is inspiring to do that as an MP and I encourage anyone who has not done it to do so. The kids get so excited by it, and I see the difference it makes to them. More specifically, I am yet to have a meeting with the Department for Education, but it is high on my agenda. Tackling child obesity is a No.1 priority for me, and it has been for a number of years.

Covid-19 Update

Jeremy Hunt Excerpts

Thursday 21st October 2021 Commons Chamber

[Maggie Throup]

I would like to reassure the House and anybody who is listening that our wall of defence is extremely strong. I am really proud of all the scientists who developed the vaccines that helped to build our wall of defence, and all the NHS workers and volunteers who have helped to deliver it and are continuing to develop it.

The right hon. Gentleman talked about whether people can access booster jabs. Comparing the number of community pharmacies, for example, there were 1,032 in phase 1 and there are now 1,049 taking part in our activities to provide the booster jab. It is a bit disingenuous of him to say that we are not going fast enough, as there are actually plenty of opportunities for people to get their booster jab.

The right hon. Gentleman asked what would trigger plan B. As I said earlier, we are on plan A. There are numerous factors that we could go into about triggering plan B, but we are still on plan A, and we can still go further with plan A.

The right hon. Gentleman rightly mentions the importance of pregnant women getting the jab. Only last week there was a big push from the NHS to get the message out that it is extremely safe for pregnant women to get a covid vaccine—encouraging them to do that, because it is protecting them from getting this deadly disease. There has been a high rate of hospitalisation for those who are pregnant and have not been vaccinated, and we need to encourage more pregnant women to get the jab.

The right hon. Gentleman mentions plan C. I saw that story earlier and checked it out, and it does not have any foundation. We are always open to alternatives, and quite rightly so, because as a Government it would be irresponsible of us not to be looking at every alternative. I hope he is reassured that, as I said earlier, we are still on plan A. By encouraging everybody who has not already had their booster jab to come forward, we want plan A to be successful.

The right hon. Gentleman mentioned statutory sick pay. I am extremely proud that this Government, through the Coronavirus Act 2020, introduced statutory sick pay throughout this emergency from day one, alongside many other measures that were put in place to support people, whether businesses or individuals, throughout this global pandemic.

[Jeremy Hunt (South West Surrey) (Con)]

I, too, have had the great pleasure of asking a question of the Minister this morning, but there is no shortage of fascinating and important questions to ask on this topic. My second question of the day is really a follow-up to what we discussed earlier. The heart of the issue we face now is the fact that our vaccine immunity is beginning to wear down. That seems to be what people such as Professor Neil Ferguson believe is the reason we have higher case rates and death rates than countries such as France and Germany. I just want to understand this: given that about a third of the over-80s and 40% of the over-50s who are eligible for a booster jab have not taken it up, and that our vaccination rates are lower among teenagers than other European countries, what are we doing, other than encouraging, pleading and exhorting people to take the vaccines, to actually get these rates up? None of us wants to go to plan B, and I understand the Government’s reluctance to do that, but nor am I convinced that just exhorting people will be enough.

[Maggie Throup]

It is good to be asked a further question by my right hon. Friend. I would like to reassure the House that vaccines continue to be effective in preventing serious illness. Current evidence suggests that the AstraZeneca vaccine is at just under 80% effectiveness at five months, and that is brilliant. Even though effectiveness is waning, it is not dropping off a cliff. That is why, before levels get lower, we are encouraging people to come forward for their boosters. He asks what more we are doing to get more people to do that. For 12 to 15-year-olds, until now they have been able to claim their first jab through the School Age Immunisation Service. We are now opening up the national booking service for 12 to 15-year-olds so that they can go along with their parents and get their jabs at the centres throughout England. I am sure that my right hon. Friend is pleased that we are providing more choice.

Covid-19: Government Response

Jeremy Hunt Excerpts

Thursday 21st October 2021 Commons Chamber

[Maggie Throup]

Let me first thank the right hon. Gentleman for his co-operation throughout the pandemic. However, I am a bit disappointed with his tone today. What we are seeing is the Government carrying out the plans that have been laid before Parliament—the autumn and winter plans involving plan A and plan B—and as the Secretary of State rightly said yesterday, plan A is still what we are working to.

Our vaccines have created a wall of defence. It is incredible how many people have taken up the offer, not just for the first jab but for the second, and are now coming forward for their boosters. In fact, at the start of the week 5.4 million people were eligible for their booster jabs, and 4 million people had taken up that opportunity: 4 million arms had been jabbed.

The right hon. Gentleman talked about 12 to 15-year-olds. We are now able to offer more choice to parents wanting to take their children to vaccination centres. I am sure the right hon. Gentleman will agree that it is important for the choice of where children get their jabs to be as wide as possible to ensure that everyone has that opportunity. It is also important to ensure that the 4.7 million people who have not yet taken up the offer of the first jab are encouraged to come forward, because, as the right hon. Gentleman said, the vaccines are our wall of defence.

The flu vaccine programme, too, is extremely important, and people are now being called forward for the flu jab that is helping to protect us throughout the winter months. My message is this: if you receive a call for a flu jab, do not wait to receive a call for your booster jab, and vice versa. Get whichever jab you are invited for first, and that will help to protect you, your family and the people around you.

[Jeremy Hunt (South West Surrey) (Con)]

Last week, the Health and Social Care Committee and the Science and Technology Committee published a report saying that the vaccine roll-out was one of the biggest and most impressive achievements in British public administration in our lifetime, and I want to pay tribute to the Government and to the vaccines Minister for what has been achieved. But in truth, at its peak in the spring, we were jabbing 400,000 people a day; now it is fewer than 200,000 people a day. If we look at our higher hospitalisations, cases and death rates compared with countries such as France and Germany, we can see that the heart of it is not actually things like mask wearing and covid passports; it is their higher vaccine immunity. So I want to ask the Minister two questions.

First, on the decision that people cannot have their booster jab until six months after their second job, how hard and fast should that rule be? Does it really matter, when it is only nine weeks until the Christmas holidays, if someone has their booster jab after only five months? Should we not look at having some flexibility on that decision, so that we can get more people in for their booster jabs more quickly? Secondly, at the risk of making the Minister blush, does she not need to be a Cabinet Minister? Is it not one of the issues that the previous vaccines Minister sat at the Cabinet table and that she does not? This is such an important thing for our national defence against the virus and our utter determination to avoid another lockdown. Do we not need a vaccines Minister sitting around the Cabinet table as we did before?

[Maggie Throup]

I thank my right hon. Friend for his questions. I would like to reassure him that I have regular meetings with the Prime Minister and that the Prime Minister takes the vaccine roll-out extremely seriously, as does the Secretary of State. Regarding the timescale for the eligibility for boosters, the Joint Committee on Vaccination and Immunisation has provided advice that there should be a minimum of six months after the second jab, but I would like to reassure the House that the immunity does not fall off a cliff edge. It has waned slightly but not sufficiently, so there is still time for people to come forward. Obviously, we are encouraging them to come forward as soon as they are eligible, but they still have a huge amount of immunity over and above those who have yet to get their first jab.

Oral Answers to Questions

Jeremy Hunt Excerpts

Tuesday 19th October 2021 Commons Chamber

[The Minister for Health (Edward Argar)]

I am very grateful to the hon. Gentleman. This is what this House does best: raising and highlighting particular cases. I am very happy to meet him to discuss this very challenging case.

[Jeremy Hunt (South West Surrey) (Con)]

I would like to ask the Secretary of State about pressures in emergency care and comments that the new chief executive of NHS England made to the Health Committee this morning that we have shortages of 999 call handlers. Is he concerned about the time it is taking to answer some 999 calls? Do we have those shortages? What are his plans to address them if we do?

[Sajid Javid]

My right hon. Friend speaks with real experience, especially on tough winters for the NHS, and he highlights shortages across the NHS. He mentions 999 callers. There is a huge pressure at the moment on 111 calls as well, and emergency care generally, including ambulance services. A significant amount of support has been put in, especially over the past few months, with additional funding. We will set out a detailed plan with the NHS, coming shortly in the next couple of weeks, on exactly what more we will be doing.

Baby Loss Awareness Week

Jeremy Hunt Excerpts

Thursday 23rd September 2021 Commons Chamber

[Jeremy Hunt (South West Surrey) (Con)]

It really is an honour to follow two such extremely powerful and persuasive speeches. I particularly thank my hon. Friend the Member for Truro and Falmouth (Cherilyn Mackrory) for her courage in bringing Lily’s story to this House. It is actually a rather wonderful thing that she is giving such meaning to Lily’s life by talking about what happened so openly. The grief that she expressed so eloquently is shared by 1,700 families in our country every single year, so she is speaking for a lot of families up and down the country. Her words will resonate, so I thank her. It was not easy to do. But like many families who are bereaved, she has taken the decision to relive that grief over and over again to try to stop that tragedy being repeated, and I think we all salute her courage in doing so.

My hon. Friend said something that resonated particularly with me when she talked about the grief of fathers. I cannot claim to have experienced anything like the grief that she and her husband have experienced, but my father did, because my sister Sarah died when she was just six months old. I was there at the time. I was only two so I had no memory of it. During my father’s entire life—he died eight years ago—my mother used to tell us never to mention Sarah because he found it so hard. That reflects the comment of the hon. Member for Lanark and Hamilton East (Angela Crawley) that there is no timeline for grief.

[Angela Crawley]

Does the right hon. Gentleman believe, as I do, that fathers, like mothers and like any parent, have the right to have a grieving process and should have the right to paid leave in order to do so?

[Jeremy Hunt]

I thank the hon. Lady for giving me a moment to recover. She makes a very powerful argument. Without committing to supporting her proposal, I would hope that all employers would listen to her speech and offer that leave voluntarily on compassionate grounds, because that is the responsible and kind thing to do.

I want, in my brief comments, to talk about another group of people less often talked about who also feel this grief—the doctors, nurses and midwives responsible for a child’s care. Some people have used the phrase “second victim” to describe the agonising sadness people feel when they are responsible for a child’s care and that child dies. When I was Health Secretary, many times I asked people working in hospitals what the biggest tragedy and professional shock they had ever had was, and they would often say that it related to the death of a child. Even more acute is when that death was caused by an error. Those doctors, nurses, midwives and frontline professionals, who go into their profession with the highest and noblest of motives, have to live with the fact that perhaps because of an ordinary human mistake—the kind of mistake that all of us can make—something really terrible happened.

We as politicians, and those in nearly every other profession, make mistakes the whole time—a media appearance goes wrong, a speech goes down badly, we lose an election, or whatever it is—but the consequence is not someone dying. Frontline health professionals have the courage to go into a profession where they are taking that risk every day. When those tragedies happen, those frontline professionals want nothing more than to be completely open, transparent and honest about what happened so that we can learn from the mistake and put in place processes and systems so that it never happens again. But, in truth, we make it practically impossible for them to do that. They are terrified about losing their job, about the Care Quality Commission, about being struck off the medical or nursing register, about the reputation of their unit, about the reputation of their hospital, and about lawyers, who get involved very quickly.

When I was Health Secretary—I do not think this has changed even now—every week I signed off a multimillion-pound payment to a family whose child was disabled for life because of medical error that the NHS accepted. Most weeks it happened twice. Overall, the cost of that compensation for medical error in the NHS is £2.4 billion a year. Just under half of that relates to maternity. We have got to the obscene situation where we pay more in compensation to families when something has gone wrong than on the entire cost of every doctor and every nurse working in maternity units up and down the country. Why is that? It is because of a simple problem that the Health and Social Care Committee—I am delighted to see members of the Committee in their places on both sides of the House—is urgently asking the Government to address.

If, because of a mistake, a child is born disabled, the parents quite understandably want financial support to deal with the unexpected costs that the family will face for the whole of that child’s life. However, under the law, the only way to get that compensation is if a court agrees that there was clinical negligence. Quite understandably, parents will fight to get that compensation and, also understandably, the doctors, nurses and midwives become defensive if they are accused of clinical negligence. It does not have to be that way. We need a system where people are entitled to compensation as soon as it is accepted that a mistake was made without the necessity to prove clinical negligence.

The country with the highest safety standards and the lowest number of baby deaths in Europe is Sweden, which has about half our level of baby deaths. In Sweden, compensation is given more quickly just on the basis of a mistake being made, with the result not that they pay more but that they pay massively less, because they have half the number of tragedies that we have. Surely those of us who are passionate about patient safety will support that, and those who are—as we all are—worried about baby deaths will support that. Even people in the Treasury should understand that the way to reduce the obscene compensation bill is to make it easier for families in those terrible situations to claim compensation. If we had the same maternity safety levels as Sweden, 1,000 more babies would survive every single year. Just think of the heartache and the transformation in the lives of families up and down the country were we to do that.

I turn briefly to the other recommendations in the Select Committee’s report, published in July. One of the most important recommendations relates to staffing. When it comes to medical error, if there are not enough staff on a ward, the likelihood of mistakes will self-evidently be higher. Eight out of 10 midwives say that there are not enough midwives on their shifts, and Health Education England—the Government’s own body—says that there is a shortage of just over 1,900 midwives across the system. NHS Providers thinks that there is a shortage of about 500 doctors in maternity units and the Royal College of Anaesthetists says that there is a shortage across the system of about 1,000 anaesthetists. The cost of putting that right is between £200 million and £350 million a year. That is a significant amount. The Government deserve credit for already agreeing to put in £95 million a year, but that additional cost is as nothing compared to the £2.4 billion that we are paying in compensation every year. I hope that the Government will agree to put right that staffing shortfall. They have said this week that they are considering that.

Training is another vital issue. It is so important for doctors, nurses and midwives to have the time to learn from things that go wrong and to improve systems, but they can do that only if there is protected time for training in their busy schedules. I commend Baby Lifeline for the fantastic, proven training that it does, which has saved many lives. It is led by the inspirational Judy Ledger, who was inspired to do what she does by her tragedies. The report also talks about more screening and health inequalities, both of which were mentioned by my hon. Friend the Member for Truro and Falmouth.

I finish with two brief points. First, it would be wrong to say that this is an NHS problem. It is a tragedy that happens in all countries all over the world, and this year the World Health Organisation has made maternal and newborn loss the theme of World Patient Safety Day. The WHO says that, every day across the world, 7,000 babies die and the majority of those deaths are preventable.

Finally, we should remember the tremendous progress that has been made. In the last decade, the number of neonatal deaths is down by 25% and the number of stillbirths is down 30%. I commend Jacqueline Dunkley-Bent and Matthew Jolly in NHS England, who are leading the maternity safety transformation programme, and the many doctors, nurses and midwives who are supporting them. I also commend charities such as Sands and the Lullaby Trust as well as many others. Most of all, I commend the families who have campaigned through thick and thin, including James Titcombe, remembering his son Joshua; Derek Richford, remembering his grandson Harry; Carl Hendrickson, remembering his son Chester and his wife Nittaya; and Richard Stanton and Rhiannon Davies, remembering their daughter Kate. There are many others. Five babies die every single day. This is our moment to put it right.

Covid-19 Update

Jeremy Hunt Excerpts

Tuesday 14th September 2021 Commons Chamber

[Sajid Javid]

The right hon. Gentleman asked a number of questions, so I will quickly plough through them. We have made clear that plan A is absolutely our focus. It is the situation we are in. Vaccines remain a critical part of it, as do testing and surveillance. I thank him for his support for our vaccine programme, including his comments yesterday. He also asked me about plan B. It is absolutely right that the Government have a contingency plan, and the trigger, so to speak, for plan B, as I mentioned in my statement, would be to look carefully at the pressures on the NHS. If at any point we deemed them to be unsustainable—if there was a significant rise in hospitalisations and we thought it was unsustainable—we would look carefully at whether we needed to take any of those plan B measures. That would be informed by the data, and of course we would come to the House at the time and make the appropriate response.

It is really important to emphasise, as we cannot do enough, the importance of vaccines. We now know from data just yesterday from the Office for National Statistics that, in the first half of this year, 99% of those who died from covid-19 sadly were not vaccinated. That highlights the importance of vaccination.

The right hon. Gentleman asked about people who are immuno-suppressed. He will see that we set out more details on that in the plan we have published today, including treatments that either are currently available or may soon be available. I have mentioned the antivirals taskforce, which is doing great work. There are a number of possible new treatments, and it is something in which the UK is very engaged. He will know that, for those immuno-suppressed people who can take the vaccine, just last week, we announced a third dose as part of the primary treatment. That again is a reminder of the action we are taking. Our advisers are constantly looking to see what more we can do.

The right hon. Gentleman asked about the flu risk. It is a significant risk this year, not least because, for reasons we are all familiar with, there was not much flu last year. There is a lot less natural immunity around in our communities, and the flu vaccine, which is being deployed not only in the UK, but across Europe, has less efficacy than normal, but it is still effective and a worthwhile vaccine, and that is why we will be trying to maximise uptake with the biggest roll-out programme and communications programme that this country has ever seen for the flu vaccine.

On diagnosis, the right hon. Gentleman made a good point, and it is something that we are looking at with covid and flu jointly. On testing arrangements, I think I have set them out clearly in the statement. We have no plans to change the current arrangements, but of course we keep that constantly under review. However, as long as those tests are needed available free for the public, that will be the case. But as I say we will keep that under review.

In terms of infection control in social care settings, a substantial amount of funding is available. We have already made available for this financial year some £34 billion of funding in total for the NHS and the care system for a lot of these extra measures. That is a huge amount of funding. Much of it is going to essential work, such as infection control, and we will ensure that what is needed is there.

The right hon. Gentleman’s last question was about vaccine certification. I think I have made the Government’s position clear. It is not something we are implementing. We are not going ahead with any plans for that. For any Government to do something like that, it would be such a big decision, and it would have to be backed up by the evidence and the data. That evidence is not there, and I hope that we will never be in the situation that it is. To keep it in reserve is the right thing to do.

[Jeremy Hunt (South West Surrey) (Con)]

I welcome this announcement, particularly on boosters. Yesterday, I asked the Minister for Covid Vaccine Deployment, my hon. Friend the Member for Stratford-on-Avon (Nadhim Zahawi), when we would hear about boosters. Just 15 hours later, the Secretary of State is making a statement. It is almost as if the Government are listening, and it is very good news. Nowhere wants to get back to normal more quickly than the NHS itself.

Will the Secretary of State commit that the backlog in mental health treatment will be treated every bit as seriously as the backlog in physical health? In particular, will he commit that the NHS and the Government will continue to adhere to the mental health investment standard, which says that mental health spending will increase at a higher rate than overall NHS spending, particularly when it comes to the extra money coming from the levy? Parity of esteem is supported by all parts of the House and legislated for in this House. There is a lot of worry in the mental health world that the money from the levy will not reflect the needs of the mental health backlog.

[Sajid Javid]

First, I always listen to the former Health Secretary. He always has some good advice, and I am pleased that he thinks the Government are moving quickly. He is absolutely right to raise the backlog in mental health. The Government are absolutely committed to parity of esteem. That is not just in law, but in our manifesto. I take this opportunity to reassure everyone who is particularly concerned and who may have raised this issue with my right hon. Friend that that commitment remains. The new funding that will go in over the next three years to help to deal with the backlog absolutely includes mental health funding.

Covid-19 Vaccinations: 12 to 15-year-olds

Jeremy Hunt Excerpts

Monday 13th September 2021 Commons Chamber

[Nadhim Zahawi]

I am grateful to the right hon. Gentleman for his support, for his points about guidance to the parents and of course to the children, and for his points about the long-term mental health consequences of this pandemic for school-age children.

I can confirm to the right hon. Gentleman that the NHS—it is incredibly efficient and well-equipped, because it has been running the school age vaccination programme for many, many years for other vaccines—will be the primary vaccination infrastructure that we will use to deliver this vaccine. If there are schools where that is unable to be delivered, we will use the rest of the covid vaccine infrastructure, including vaccination centres, to deliver that in a safe and appropriate way. My point is to reassure him and parents up and down the country that it will be the school age vaccination programme that has run in schools. Teachers and parents are well-versed in that process.

The right hon. Gentleman asked about vaccine uptake. He will recall that I said at this Dispatch Box on 13 February, in launching the vaccine uptake programme, that the NHS continued to put effort and resource into making vaccines available and easily accessible to the most deprived communities and to all ethnic groups. We will continue to redouble our efforts, including with the booster programme, which will come later this month. We have had the interim advice from the JCVI on boosting for flu and covid. The uptake of both should increase the uptake in those communities. We have spent a lot of time looking at that.

The right hon. Gentleman asked an important question about the consent process, and I want to spend a little time on that. As with all vaccinations for children, parental consent will be sought. The consent process will be handled by each school in its usual way and will provide sufficient time for parents to provide their consent. Children aged 12 to 15 will also be provided with information, usually in the form of a leaflet for their own use and to share and discuss with their parents prior to the date of immunisation and the scheduled time for it. Parental, guardian or carer consent will be sought by the school age immunisation providers prior to vaccination, in line with other school vaccination programmes.

In the rare event that a parent does not consent, but the teenager wants to have the vaccine, there is a process by which the school age vaccination clinicians discuss this with initially the parent and the child to see whether they can reach consensus. If not, and the child is deemed to be Gillick competent, the vaccine will take place. That is very rare, but on the whole this is something that the NHS is very well versed in delivering for other vaccination programmes.

[Jeremy Hunt (South West Surrey) (Con)]

This is an incredibly sensitive decision but, in an open society, the Government have done exactly the right thing, which is to be open. The narrow health benefits to children are marginal, but the broader health and social benefits are considerable. Most importantly, this is one of the last pieces of the jigsaw if we are going to be able to say we have done everything possible to stop another winter lockdown. However, the final piece of that jigsaw, learning from Israel, is to have booster jabs. Could the Minister tell the House when we will have a decision on boosters? Could he also confirm that we will have no problems with supply after the Valneva decision today and with flu jabs, if we are going to have this big expansion of jabbing later in the autumn?

[Nadhim Zahawi]

I am grateful to my right hon. Friend for his important question. He is right to identify that this is a sensitive issue, which is why it was right for the Joint Committee on Vaccination and Immunisation to take its time to look at the data from other countries on first doses and second doses and for the chief medical officers to then do the work unimpeded which they needed to do. It is right that we follow their advice tonight.

On the booster campaign, we have received the interim advice from the Joint Committee on Vaccination and Immunisation—it was published on 30 June this year— on a potential booster programme, including flu and covid vaccine. I can reassure my right hon. Friend that the decision on Valneva will not impact our booster vaccination programme. We await the final advice. The JCVI has received the data from the COV-Boost study, where we looked at all the different vaccine brands—in some instances, full doses and half doses—as to which is the best vaccine to boost with.

I assure him that later this month we will begin a major booster programme. On flu—of course, the flu programme has already begun, and I assure him that we have the supplies for a major programme for both—we are looking at the really ambitious number of 35 million and, when we get the final advice from JCVI, the booster programme will be equally ambitious.

Covid-19 Update

Jeremy Hunt Excerpts

Monday 6th September 2021 Commons Chamber

[Nadhim Zahawi]

I am grateful to the right hon. Member for his support and his words on the vaccination of pregnant women and the protection that the vaccine offers them.

On the right hon. Member’s question about the JCVI advice on 12 to 15-year-olds, the JCVI looked at the very narrow impact of the vaccine on 12 to 15-year-olds, because that is very much its remit. It also advised that the chief medical officers should take a wider look. That is what they are doing as we speak. Panels of experts from local public health as well as other experts are looking at the impact of the vaccine on mental health and the disruption to education specifically for 12 to 15-year-olds. They will come back with recommendations. The JCVI is observing those panels and is very much in the room, as far as that is concerned.

It is also worth reminding the House that the Medicines and Healthcare Products Regulatory Agency has looked at the Pfizer and Moderna vaccines and has approved both vaccines as safe and eligible to be administered to 12 to 15-year-olds. It is not worth our pre-empting the report of the chief medical officers of England, Wales, Scotland and Northern Ireland. Throughout the pandemic, we have operationalised the vaccine programme; we prepare early and we prepare well. To give the right hon. Member a direct answer to his question, the NHS is prepared to administer a vaccine within five working days of any recommendation. That does not pre-empt any recommendation. We did the same when none of the vaccines was approved. Some colleagues will recall Brigadier Phil Prosser explaining at the press conference that we had built the equivalent of the infrastructure of a national supermarket chain and were growing it by 20% every week. We have done the same thing when it comes to all outcomes of the deliberations at the JCVI and what it will ultimately recommend.

On education, the Secretary of State for Education addressed many of the issues on the mitigation and controls in schools, as well as testing and the very successful adult vaccination programme that we have delivered, which is now also delivering protection for 16 and 17-year-olds.

I really want to address the point about flu and I hope that we can have a sensible discussion on it. We are being very ambitious on flu. The interim advice from the JCVI is wherever possible to co-administer flu and covid vaccines. Traditionally, flu vaccination begins earlier—it begins now. One of the suppliers, Seqirus, has had a border issue with its Spanish fill-and-finish factory, which it has used for many, many years. This is the first time that it has had this issue. It is meeting the Spanish regulator to see what the issue is. It is being very careful and estimating a one or two-week delay. This will not delay the overall flu vaccination programme at all. Its German and Belgian supply chain has been flowing normally. It is one of the suppliers, so I urge the right hon. Gentleman not to, as a knee-jerk reaction, talk about flu vaccine shortages. We are being incredibly ambitious on flu vaccines—including procuring centrally as well as the traditional procurement through GPs and pharmacies—with a big, big programme.

Wherever possible, we will co-administer. The only caveat I would place on that is that the JCVI has given us only its interim advice on covid. We are not yet there with the cov-boost data, which it will look at. It will give us its final advice on covid. If it chooses a vaccine that requires, for example, a 15-minute observation period, we have a very different challenge in co-administration, but nevertheless, wherever possible, we will co-administer. We have made it possible for vaccinated volunteers to administer flu and covid vaccines.

Finally, on funding, I am glad that the right hon. Member agrees that the £5.4 billion announced today is a good thing. I urge him not to speculate on how we will pay for social care and to wait for the announcement; I am sure that we can then discuss it in this place and in the media.

[Jeremy Hunt (South West Surrey) (Con)]

I have great respect for the excellent job that my right hon. Friend is doing. He will know that Israel shows that even a good vaccination programme does not stop the Delta variant driving up hospitalisations. However, Israel also shows that a booster programme brings down those hospitalisations in as little as two weeks. Given that the big lesson from last year is that acting early can stop the need for lockdowns, as happened in Taiwan, Singapore, Korea and a number of other places, is this not a moment for Ministers to say, “Look, we understand that the scientists want to take their time, but we have a reasonable idea of what they are likely to recommend, so we are going to get on with this booster programme before it is too late”?

[Nadhim Zahawi]

I am grateful for my right hon. Friend’s excellent question. I would say two things: first, in many ways, the decision taken by our chief medical officers in England, Wales, Scotland and Northern Ireland to increase the dosing interval, including for the vaccine that Israel uses—the Pfizer vaccine—from three to 12 weeks, with it now at an optimal eight weeks, was actually an inspired and clinically incredibly important decision, because it demonstrates, in real-world data, that the durability of the protection is increased over people who have had two jabs with a three-week dosing period. So we are in a slightly more advantageous position, if I can describe it as such.

My right hon. Friend makes an important point on boosters. The booster programme is probably the most important piece of the jigsaw yet to fall into place before we can transition this virus from pandemic to endemic status. I reassure him and the House that the NHS has all the plans in place to deliver the booster programme in what will, in some weeks, probably break our record, which we set in phase 1 of the vaccination programme. The JCVI has given us its interim advice on who needs to boost. It has added, obviously, the immunosuppressed to categories 1 to 4 and it has rightly recommended that we go big on flu. I am equally worried about that. Flu has been non-existent because of the severe social isolation of lockdowns and a big flu season could be detrimental as well. We are ready to go. As soon as cov-boost reports, which is imminent, we will be able to operationalise a massive booster programme.

Covid-19 Update

Jeremy Hunt Excerpts

Thursday 22nd July 2021 Commons Chamber

[Nadhim Zahawi]

The right hon. Gentleman asks who is included in the 3% pay rise recommended by the independent NHS Pay Review Body. They are the 1 million NHS staff, including nurses, paramedics, consultants and, of course, salaried GPs. The junior doctors he mentions have a separate, multi-year pay rise over three years, amounting to 8%.

The right hon. Gentleman asks about the capacity for testing. I looked at that before coming to the House, and the capacity currently for PCR tests is not 600,000 but 640,000 a day, according to the latest data that I looked at. He asks about schools. There will be two supervised tests for schools. He knows that in Monday’s statement we announced our acceptance of the JCVI guidelines on vaccinating vulnerable children, vaccinating children who live with vulnerable adults, and vaccinating those who are 17 but within three months of their 18th birthday. The JCVI will keep under review the vaccination of healthy children as more data becomes available from countries such as the United States of America and Israel.

The right hon. Gentleman asked a question around the covid vaccination pass and nightclubs, other crowded unstructured indoor settings such as music venues, large unstructured outdoor events such as business events and festivals, and very large structured events, such as business events, music and spectator sport events. They are the ones that we are most concerned about. We have seen other countries, whether it is Holland or Italy, opening nightclubs and having to reverse that decision rapidly. What we are attempting to do, and the reason we have the covid vaccination pass in place, is to work with industry while we give people over the age of 18 the chance to become double-vaccinated. It would be hugely unfair to bring in that policy immediately. Giving people until the end of September is the right thing to do, while at the same time allowing businesses to open safely, using the app now—because the app went live and the industry is very much engaging with it.

There are no easy decisions on anything to do with this virus. That is the one thing we have learned. The most effective tool we have against the virus is, of course, the vaccine programme, followed by the tool of self-isolation. If we want to get back to normal and get our lives back, we need to transition this virus from pandemic to endemic—from pandemic to manageable menace—as quickly and as safely as possible. If we release all restrictions now, including self-isolation, which I am sure a number of colleagues will ask about today, we risk the number of infections, which the shadow Secretary of State worries about as I do, rising rapidly. That could risk the transition of this virus.

We are working flat out with industry. I commend companies such as Lidl, which knows it is under pressure but will work through it with us. We will allow critical, frontline and key workers and health and social care workers to get back to work if they take a negative test, as I announced on Monday. By 16 August, everyone who is double-vaccinated will be able to do that.

[Jeremy Hunt (South West Surrey) (Con)]

May I start by wishing you and your family a ping-free summer, Mr Speaker? Thank you for upholding the values of this House over the past few months.

The Minister of State will have heard of YouGov, which said this week that a tenth of the people who had the NHS covid app have deleted it, and that a further fifth are considering doing so. Given that he made his living from listening to public opinion, does he not think it is time for the Government to listen to public opinion and immediately scrap the 10-day isolation requirement for double-jabbed people who are pinged, in favour of having to isolate until they take a negative PCR test? Otherwise we risk losing social consent for this very important weapon against the virus.

With your permission, Mr Speaker, I would briefly like to ask you about the issue we were not able to ask Ministers about in the House yesterday, which is the decision on NHS pay. I support the decision to accept the pay review body’s recommendations. It is the right thing to do, but it costs £1.5 billion. Can the Minister confirm it will not be paid for by cuts to other parts of the NHS budget? If it is going to be funded through a new national insurance rise for health and social care, as The Times says today, will he confirm that the funding for social care will be ring-fenced, so that we do not have a situation in which social care, once again, loses out because of pressures in the NHS?

[Mr Speaker]

The right hon. Gentleman said “you,” but I was not responsible for the decision yesterday.

NHS Update

Jeremy Hunt Excerpts

Wednesday 21st July 2021 Commons Chamber

[Jeremy Hunt (South West Surrey) (Con)]

May I start by echoing the Minister’s thanks to Lord Stevens, who is about to step down as chief executive of the NHS? One of my proudest achievements as Health Secretary was to secure a £20 billion annual rise in the NHS budget, and that would not have been possible without a close partnership with Lord Stevens. Indeed, he taught me a number of things about how to negotiate with the Treasury. He is someone who believes in the NHS to his fingertips, and he will be missed in all parts of the House, both on the Opposition Benches, but also on this side, where we have long forgiven him for his new Labour origins. We wish him well for the future.

This statement is about the NHS. The biggest pressure facing the NHS, apart from covid patients themselves, is the covid backlog, and I draw to the Minister’s attention the concerns that I and a number of people have as we face these enormous waiting lists. The previous Labour Government had considerable success in bringing down waiting lists, to their credit. They would also say that there were unintended consequences in terms of lapses in parts of the system with the safety and quality of care. Will the Minister, as we once again try to bring down waiting lists, agree that the Government will redouble their focus on safety and quality of care so that we do not have to relearn the lessons of Mid Staffs, Morecambe Bay and a number of other sad tragedies?

[Helen Whately]

I thank my right hon. Friend for his question. I know that in his time as Health Secretary, he did a huge amount to raise the standards of safety and have a greater focus on patient safety in the NHS. That is still clearly making a difference today. He is absolutely right that we need to ensure that we focus on that as we work to bring down the backlogs from the pandemic. It is not only that; I am mindful of making sure that we continue to support our NHS workforce as they, on the one hand, look after patients with covid and, on the other, work to reduce the backlog. That pressure is continuing, but I am determined that as we bring down the backlog, staff will continue to be supported and will, in fact, continue to have time off, annual leave, the breaks they need and the wider support so that we look after our workforce as well as providing the care that patients need.