Public Health

Jo Churchill Excerpts

Monday 26th April 2021 Commons Chamber

[The Parliamentary Under-Secretary of State for Health and Social Care (Jo Churchill)]

I agreed with the right hon. Member for Torfaen (Nick Thomas-Symonds) when he thanked the scientists for their unfailing work to get the vaccine, the Army for its efforts to help to deliver the vaccine, and the NHS workers up and down the country for getting the vaccine into arms. From that point onward, however, there was not a great deal with which I could agree.

On 15 February, we introduced the managed quarantine service as a proportionate approach. From that date, arrivals from countries on the red list were subject to additional measures, including a requirement to quarantine in managed hotels. We have put in place a proportionate system, which allows those with residence rights and British and Irish nationals who live in the UK to return home, but manages the risk of importing new covid variants. We have signed contracts with 29 hotels to provide accommodation for those in quarantine; as and when demand increases, we can bring on additional hotel capacity. I visited one of the hotels—the Radisson Blu—and was reassured by what I saw. To make the scheme effective, we have introduced specific and limited exemptions to manage the quarantine, and those are for the continuation of essential services, but also in very limited compassionate and medical circumstances—for example, for those visiting a dying relative or with medical evidence that they cannot safely quarantine for 10 days in a hotel. I recognise the significant impact that requiring quarantine in hotels has on individuals, not least financially.

[Mr Steve Baker (Wycombe) (Con)]

Quite apart from the expense, my British Muslim constituents from Wycombe —one family in particular—who found themselves in a hotel were served bacon. That is obviously not halal food, and they found it difficult to get halal food. This of course is Ramadan, and they found it was difficult to be fed at the appropriate times for Ramadan. Will the Minister confirm that this is not the Government’s policy, and that the hotel should be doing much better for people at this time?

[Jo Churchill]

I would be happy to confirm to my hon. Friend that it is incumbent on hotels to support Muslim guests during their time there, but particularly at this time of Ramadan to be aware of their needs. Hotels will arrange for halal and vegetarian options to ensure that people’s needs are catered for, and if they are observing fasting during Ramadan, hotels will arrange to provide meals at suhoor and at iftar. They are also quite happy to support individuals who want to take their tests at an appropriate time of day as well—once fasting is broken, for example—and to provide extra clean towels in order to pray. I would be happy to speak to my hon. Friend afterwards and make sure that we can raise these matters immediately. However, I would urge his constituents and anybody else who is failing to get their requirements met to raise the matter, because it is important that we deal with them when people are in managed quarantine. This is a service, and our aim is to make it easy as possible for individuals.

[Sir Charles Walker (Broxbourne) (Con)]

Will the Minister give way on testing?

[Jo Churchill]

Yes, I will, but then I would like to make a little progress.

[Sir Charles Walker]

Can the Minister explain to the House, when testing is done in hotels—there is now quite a good sample or quite a good group of people—what percentage of those tests over the 10-day period are picking up traces of covid, and when covid is identified, what percentage of those cases are the South African variant, the Indian variant or the Brazilian variant?

[Jo Churchill]

I will come on in my speech to how we are picking those up, and the fact that we have world-renowned genomic sequencing actually helps us in that. We have identified, in recent days, 132 cases of the Indian variant of interest. Obviously with those, as when we pick up any positive test on day 2, we are genomic sequencing them to ensure that we have the correct information, so that we can make sure that we are following up and contacting people if they are in quarantine at home. In a red list scenario, people are in a managed quarantine facility, and their period of isolation will be expected to start from then. For the exact differences, I will be happy to write to my hon. Friend, because I do not have all the different numbers for all the different variants on me at the moment.

As I have said, to make the scheme effective, we have made limited circumstances where exemptions can be had. On the impact financially, for those who need it there are deferred payment plans. Alongside managed quarantine, we have also introduced mandatory testing, meaning travellers are required to pre-book tests before they travel. Testing takes place on day two and day eight, and allows us, as I have said, to use our world-renowned genomic sequencing expertise to better track any new cases that might be brought into the country and detect new variants.

Travellers will have to have had a pre-departure test within 72 hours of flying, and carriers should not let individuals board without a correctly filled in passenger locator form, so that we know where people are travelling onward to, and when from a red list country, that they have booked their place in a managed quarantine facility or hotel. If the carrier does not do this, they will face fines via enforcement.

Each of the measures we have introduced adds another layer of protection against the transmission of the virus, reduces the risk of a new and dangerous strain being imported and keeps people safe. However, we do not take lightly adding any country to the red list, but keep things under constant review. In India, for example, there has been an extremely rapid rise in cases detected throughout April. Normally there is a high volume of travel between India and the UK. We have already seen 132 cases of the variant under investigation appear in the UK, and that is why we have acted. As the Prime Minister said:

“We stand side by side with India in the shared fight against COVID-19”,

and our thoughts and prayers are with them at what is the most incredibly difficult time.

These decisions are based on risk assessments produced from the Joint Biosecurity Centre, which monitors the spread of variants of concern internationally. The risk assessments cover a range of factors for each country, including surveillance, genomic sequencing, in-country community transmission, evidence of exportation of new variants and travel connectivity. Informed by evidence, including JBC’s analysis and other relevant public health input information, decisions are taken by Ministers.

It is important to note—this probably goes to the comment made by my right hon. Friend the Member for Forest of Dean (Mr Harper)—that countries are also removed from the list under our particular proposals. Portugal and Mauritius, for example, have been removed from the list to allow travel to commence following evidence showing that the risk of importing a variant of concern from those areas has reduced.

Speed of action where variants of concern are found in the community, with urgent tracing and investigation, can identify and rapidly control further transmission and the variant. We believe that the combination of strong border measures, managed quarantine, testing and enforcement remains the best way to effectively reduce the public health risk of importing variants of concern, as public safety is the driving force. We recognise that the additions to the red list have meant challenging times for the airport sector—a crucial sector to the economy—and businesses across the industry can draw on the unprecedented package of economic measures that we have put in place to support them.

I am grateful for the continued efforts of individuals, airline carriers, quarantine facilities, border forces and others to help us tackle the global pandemic by helping everyone follow the rules, protecting each other and saving lives. The Government objective is to see a safe and sustainable return to international travel for business and pleasure. The current border regimes will remain in place for the time being, as will the restrictions on outward-bound international travel, because at the moment we should not be going anywhere.

The global travel taskforce is developing a framework that will facilitate greater travel when the time is right. There is no single measure that mitigates the risk entirely, and each layer we have introduced helps to reduce the risk. The managed quarantine service is complemented by testing, and those measures have been put in place for all arrivals. The mandatory testing regime improves the efficacy of the post-travel isolation period for preventing onward transmission of those imported cases.

Given the incredible progress made on the vaccination programme, as well as the hard work of British people to bring down the rates, it is more important than ever that we continue to protect people with a strong approach. As the House knows, there are restrictions on travelling abroad from England, and the individual must have a justified reason, but there are those who feel we have not gone far enough and those who feel we have gone too far. That probably indicates that we are where we need to be.

However, our rationale for this policy remains clear: we must continue to be alert and able to take swift action to mitigate any negative impact on vaccine effectiveness from the risk of variants of concern and broader public health challenges. That also includes at airports. The right hon. Member for Torfaen asked me about keeping people separated. Every step is taken to reduce risk to minimise potential for passenger interaction, including tests before departure, social distancing, mandatory mask wearing, the cleaning of facilities and specific lanes to minimise any interaction between those who have come from red list countries and those who have come from amber list countries. A number of airports, including Britain’s busiest airport, Heathrow, have introduced additional measures to separate passengers from the red list ahead of the immigration hall in order to stop them mixing, so it is not fair on those who have been working so hard to produce a system that we can live and work with to say that they are not doing anything. I know this is difficult for families who have been impacted by the introduction of hotel quarantine. However, they are part of the national effort. While we learn more about variants of concern and potential new strains, it is right that we continue to take a cautious approach, allowing us to continue with the road map and move closer to a more normal, yet covid-tinged life.

--- Later in debate ---

[Jo Churchill]

There were a considerable number of questions from my right hon. Friend the Member for Forest of Dean (Mr Harper). I will try to cover those that I heard, but he will forgive me if I write to him on the matters for which I do not have the immediate answers. Let me say as a slight cover-all that many of the things to which he alluded will be brought forward by the global travel taskforce when it starts to lay out the approach to restarting international travel safely, aligned with the domestic road map. I appreciate that he said he felt that this was his last chance to raise this issue while the House was sitting, because, given the dates, it is highly likely that that will happen while we are prorogued or shortly after. However, this is live and dynamic at the moment, and I can give him few answers on the specific questions he raised on the global taskforce and what it will say in three weeks’ time about future travel arrangements. Although I apologise for that, there is really nothing I can say to pre-empt that set of instructions as to how and when we are going to lift restrictions, and the use of a traffic light system, where countries will be categorised as red, amber or green, and how we deal with people in that space.

[Mr Harper]

Let us assume, based on the timings that have been announced, that the results of the global travel taskforce are going to be announced when the House is not sitting. May I get an assurance from the Minister, then, that on the first day after the state opening of Parliament that it is permitted to have a statement there will be a statement at that Dispatch Box by a Minister, so that we are able to ask questions about the results of the global travel taskforce? Will she assure me that that will take place at the earliest possible opportunity?

[Jo Churchill]

I thank my right hon. Friend for that. I assure him that I will take that request back. As he knows, I cannot commit to that at the Dispatch Box.

My right hon. Friend asked which ports of entry people can fly into, why we have chosen those ports, whether we are extending them and what happens if someone from a red list country is booking in to arrive at a non-designated port. If someone has a pre-existing booking to a non-designated port, it is the individual’s responsibility to change it to a designated port. Carriers are not permitted to carry anyone who has been in a red list country in the previous 10 days to any port of entry other than those that are specified. Currently, those designated ports are clearly Heathrow, Gatwick, London City, Birmingham and Farnborough.

I ask the hon. Member for Kingston upon Hull West and Hessle (Emma Hardy) to write to me, but I gently say to her and to the hon. Member for York Central (Rachael Maskell)—I cannot discuss the specifics of the case of her constituent, for whom I have the greatest sympathy—that the challenge here is that their Front-Bench team are asking for stricter restrictions the whole time, across the piece. If all we then do is build more and more exemptions into the system, we will have a looser system than the one we are endeavouring to make sure is proportionate, delivers in a way that manages the arrivals from red zone countries, and has a degree of flexibility to ensure that as the system changes we can build countries back into travel and restrict others where there may be a flare-up.

It is right, as I have explained, that all these measures are kept under constant review. The combination of quarantine requirements for all international arrivals means that those arriving from countries presenting with the highest risk are asked to use the Government-approved hotel quarantine facilities. There is a robust testing regime prior to departure and then again on arrival. Enforcement is put in place if required. As we still have more to learn about the virus and, as my right hon. Friend said, more understanding to acquire, we must make sure that our approach is based on the best evidence, and that it is proportionate. That is the responsible approach to take to safeguard progress in defeating the virus and to make sure that we can all get back to some degree of normality.

[Mr Harper]

Before my hon. Friend sits down, may I press her on one further point? I accept that she cannot set out answers to my detailed questions until the global travel taskforce has presented its outcome and Ministers have made their decisions. The central question I did ask though requires a fairly wide policy decision. It may be that that will be decided by the global travel taskforce as well. Fundamentally, is our travel regime and how much protection we are going to have based on the extent to which we have vaccinated the British public, which is obviously proceeding at pace and suggests that we would be able to relax these measures sometime during the summer, or will it be based on the extent of the virus globally, which suggests, listening to some of the best voices on this, that we will be looking more towards the end of next year. That does not seem to me to depend on what the global travel taskforce is deciding. It possibly does, but perhaps she could furnish the House with an idea.

[Jo Churchill]

I do hate to disappoint my right hon. Friend, but I will have to do so once again. The answer to that question will appear with the global taskforce as we move into the coming months. In addition to that, there is a package that is linked to the work of the Chancellor of the Duchy of Lancaster on passport certification. We want to have a coherent integrated system that provides a proportionate response as we move forward.

[Mr Steve Baker]

On this point of coherence, I know that my hon. Friend cannot comment on the outcome of the taskforce, but does she agree that it is very important that, for all of these decisions on red listing, the evidence is clearly presented to the public so that they can see that countries are being treated fairly? Diasporas do bring with them some of their politics, and she will understand that, in particular, pairs of countries need to be seen to be treated fairly without any particular geopolitical preference. She will understand the point I am making, so can we always present to the public the evidence for the red listing?

[Jo Churchill]

We always try to make sure that we present the evidence with the rationale behind what we are doing. Ultimately, the driving force behind what we are doing is to make sure that we keep our residents safe and that we help other countries to keep their residents safe. The way that I will finish is that, as we all know, until everyone is safe, none of us is safe.