National Carers Week

John Howell Excerpts

Thursday 8th June 2023 Commons Chamber

[Nickie Aiken (Cities of London and Westminster) (Con)]

I thank my hon. Friend the Member for Gosport (Dame Caroline Dinenage) for securing this debate. She is passionate about ensuring that we highlight the challenges carers face, and that we recognise the contributions they make to families and communities throughout the UK. I pay tribute to her excellent work as chairman of the all-party parliamentary group on carers.

In National Carers Week, it is only right that we reflect on and appreciate the 5.7 million carers in our country, while exploring what more we can do to support them both financially and practically. We also have to recognise that the number of carers will only increase. Life expectancy continues to increase as more people live longer with more health conditions and as children survive with conditions that, in previous generations, might have meant they never survived the womb, let alone birth—they are now living for maybe decades, and their parents have to provide most of the care.

Yesterday I was honoured to meet Age UK, the Carers Trust, Oxfam GB, the Motor Neurone Disease Association, Rethink Mental Illness and the Lewy Body Society at the National Carers Week parliamentary reception. These organisations are vital in supporting carers across the UK, and I pay tribute to their professionals and volunteers for the support they provide.

I understand, on a very personal level, the difficulties that being a carer brings. So many women, as my hon. Friend mentioned, have caring responsibilities—we know that women make up the majority of carers. Many of us are employed and keeping down jobs, and we often had our children later in life, so our caring responsibilities come at a time when our children need us, particularly as teenagers, and our parents need us because they are reaching an age at which they may have health issues. We are the sandwich generation, as is now well known. Believe me, I know it is not an easy task to juggle all these responsibilities.

I have personal experience, as I supported my mum when she was looking after my father after he was diagnosed with Alzheimer’s, and I saw the mental, physical and financial toll it took on her. What I take away from that personal experience is that caring is really, really lone, and it was particularly lonely during covid. I cannot imagine how it was for the millions of people who were isolated at home and having to look after a family member with a condition such as Alzheimer’s. The thing about Alzheimer’s is that we lose our loved one twice. We lose them as the Alzheimer’s and dementia progress, and then we lose them when they die.

I remember looking after my father for a week in August 2021, when my mum had a week of respite care. It was one of the hardest things I have done in a long, long time. I was trying to juggle my parliamentary work at the same time. Thank goodness for test cricket and the Hundred, because my father was an avid cricket fan all his life. When I was looking after him, we had the India test during the day and the Hundred in the evening, so that kept me sane. I do not know how the amazing carers across the country cope.

Because of my own experience, and because of speaking to so many carers across the Cities of London and Westminster, I was proud to support the Carer’s Leave Act 2023, which was introduced by the hon. Member for North East Fife (Wendy Chamberlain). I was delighted to sit on the Public Bill Committee, and I congratulate her on the Act receiving Royal Assent. It will make such a difference, as it means unpaid carers will now be entitled to at least five extra days off a year, helping more carers to stay in employment. According to Carers UK, 600 people a day leave work due to care duties, and the Act recognises that those people need the flexibility to take time off work for their loved ones.

In 2020, more than 7 million people in employment had the added responsibility of unpaid caregiving. Of course, those combined work and care responsibilities can lead to people getting very little rest, which explains why 71% of carers report having poor physical or mental wellbeing, according to the Mental Health Foundation. That is why I fully support the Government’s “Next steps to put People at the Heart of Care” report, which includes a £25 million funding package for unpaid carers, although I would obviously like to see that funding increase.

We must also remember that many carers are too young to be employed. I take this moment to recognise the role played by young carers, of whom there are approximately 800,000 across the UK, which is a staggering number. These children—they are often very young children —and young adults embody compassion, responsibility and maturity beyond their years. On average, young carers devote around 17 hours a week to their caring duties, according to Carers UK. Just imagine the sacrifices they make. Their selfless acts of love go unnoticed by many.

I was first exposed to this issue when I worked at the Children’s Society and was responsible for publicising a report on the lifetime effects of being a child carer. The report’s findings remain with me, because being a young carer has not only an immediate effect but a long-term effect on things like education, attainment and even personal and social confidence. I remember speaking to people who had taken part in the report—they were men and women in their 30s and 40s—and they still lived with what they called the shame of not being able to take friends home because they were embarrassed about what might be at home if their mum, as it usually was, had mental health issues, or of not being able to go to birthday parties or be proper teenagers with their friends because of their caring responsibilities. It has a lifetime effect on people’s confidence and life chances.

That being said, I am proud of the Government’s work to support young carers. Obviously there can always be more help, but through the extension of education, health and care plans to 19 to 25-year-olds, for example, thousands of families across the country have seen increased support.

I, like many Members in the House today, have spoken of the incredible sacrifice made by so many unpaid carers, whether financially or personally, but in National Carers Week we must not forget the professional care sector. We often speak about NHS doctors and nurses, who are so important, but the value of social care sector workers cannot be overestimated. I take this opportunity to thank our professional carers who support our loved ones in care settings and in their own homes. I saw that directly in how the outstanding carers looked after my father with such respect, love and devotion at the Bellavista care home in Cardiff bay before he passed away last year. My mum was a hairdresser working in care homes and day centres, and I used to help her in the summer holidays, so I saw the vital respite care that the Ely day centre in Cardiff gave to so many families.

Across the country, we see fine examples of sacrifice, love and selflessness every day, which is why it is so important that we have such debates—again, I thank my hon. Friend the Member for Gosport for securing it—to recognise and thank the carers, and particularly the unpaid carers, across the UK. It is also why I fully support the Government’s new support for carers such as the 2023-24 better care fund, with £327 million earmarked to support local authority health and care services, including providing carers with advice, support, short breaks and respite services. It is so vital to ensure that we provide respite for carers.

I know at first hand how important this extra funding will be. When I was a council leader, approximately 40% of our annual budget was spent on adult social care, so we need to continue funding councils in this vital work. I also note what my hon. Friend said about the need to undertake care assessments a lot quicker and in a much more caring way. I hope the Minister has taken note of that comment, too.

[John Howell (Henley) (Con)]

I hear what my hon. Friend said about young carers. Does she recognise that there is a problem in identifying all young carers and that we must do more to identify all those who are providing that care service but going totally unnoticed in society?

[Nickie Aiken]

I thank my hon. Friend for his intervention and completely agree with him on that. Part of the problem, particularly for young carers, is that they are embarrassed, but they may also think that they could be taken into care—I fear for them on that. They think that because they are having to look after a parent, a social worker and local authority will perceive that they cannot cope. That is the last thing that any family needs to think about. When I was the children’s services lead at Westminster City Council, I did a lot of work with young carers and we had an amazing support network in Westminster for young carers. They can be so young—as young as eight or nine—and it is therefore important that we identify them. We must also give them and their parents assurances that this is not about taking them away, but about giving the children and the parents the support they need.

I am also glad to see that the Minister is due to hold a cross-Government roundtable with other Ministers to make sure that carers’ needs are recognised not just in social care, but in every aspect of their lives. That is a theme we have discussed today. This is about not just the daily grind of caring—the responsibilities and the tiredness—but the financial and other help that is needed.

Making sure that carers are recognised in health, social care and education is a priority, along with helping people to recognise themselves as carers so that they can tap into local carers networks and apply for the financial support that is available. That will be crucial for carers across the UK. That is why I look forward to continuing my work with the Government to ensure that all adult unpaid carers and young carers across not only the two cities of London and Westminster, but the whole country, are supported financially, emotionally and physically. We owe them all a huge debt.

Oral Answers to Questions

John Howell Excerpts

Tuesday 23rd November 2021 Commons Chamber

The Secretary of State was asked—

[John Howell (Henley) (Con)]

1. What steps his Department is taking to integrate health and care services.

[The Secretary of State for Health and Social Care (Sajid Javid)]

We are committed to the delivery of world-leading health and social care across the UK. The Health and Care Bill will ensure that every part of England is covered by our integrated care boards and integrated care partnerships. This will remove the silos within the NHS while supporting the NHS, local authorities and the wider system of partners to join up healthcare, social care and public health services to achieve the long-held ambition of more integrated care.

[John Howell]

Will the Secretary of State come with me to visit Townlands Community Hospital in my constituency, where we have built into the process of keeping the hospital going a real potential for the integration of NHS and social care services? It would be very good if I were able to share that with him.

[Sajid Javid]

I would be pleased to visit the hospital with my hon. Friend. I know that the site to which he refers is multi-disciplinary and provides rehabilitation and palliative care together and is doing well at it. I know also that it is an excellent example of good integration at work.

Covid-19: Community Pharmacies

John Howell Excerpts

Thursday 11th March 2021 Westminster Hall

[John Howell (Henley) (Con) [V]]

It is a great pleasure to serve under your chairmanship, Sir Graham. I thank my hon. Friend the Member for Thurrock (Jackie Doyle-Price) for securing the debate and for speaking so eloquently. It is a pleasure to follow the hon. Member for Strangford (Jim Shannon); it is usually the other way around. He usually follows me, so it is a pleasure to do it this way around.

My first point is about the question of inoculation. A number of hon. Members have said that their pharmacies are already providing the covid inoculation. They are not doing so in my area. I raised that with the Minister for Covid Vaccine Deployment. He, like me, said that he wanted to be able to wander down to his local pharmacy to obtain his vaccine. His view was that it was not available because of the lumpiness of the supply of vaccine and that we would see more pharmacies coming online to take that on. Can the Minister comment on how we are getting on with that? How far have pharmacies been brought into the continuation of the programme?

I had my flu injection at my local pharmacy. It worked efficiently and discreetly, and I was pleased to be able to have it there. Looking forward, pharmacies have a great role in the ongoing provision of booster vaccinations for covid. However, we have a problem at the moment with the net closure of something like 400 pharmacies. We have a problem of funding there. Concern has already been raised during the debate about the emergency loans that were provided and being able to convert those into some form of grant, or simply to write them off altogether. Any policy needs to reflect the fact that pharmacies have had to provide covid-secure screening facilities on their premises, and that they have not been reimbursed for having to provide their own PPE.

For the future, there is a lot that can be built on the relationship between pharmacies and GPs. For example, I see a role for pharmacies in being able to detect undiagnosed high blood pressure in a number of people. When my hon. Friend the Member for Winchester (Steve Brine) was a Minister, he always said that I used these debates as an excuse to reveal my ailments. I am not doing that this time, but I am saying that this is a very good opportunity to be able to provide public health guidance for communities at a local level.

Covid Contracts: Judicial Review

John Howell Excerpts

Wednesday 24th February 2021 Commons Chamber

[Edward Argar]

The hon. Gentleman is absolutely right to highlight the fact that if contracts do not deliver, either to standard or not at all, public money should either not be paid or be recouped. We are currently going through a number of investigations to deliver exactly that, and I am happy to commit that at the appropriate juncture we will of course update the House.

[John Howell (Henley) (Con) [V]]

Does the Minister accept that illegal acts are those that contravene the law and that unlawful acts are those that contravene the rules? A handball in soccer is unlawful, not illegal. Does he accept the point made by the Chairman of the Justice Committee, my hon. Friend the Member for Bromley and Chislehurst (Sir Robert Neill), that this was a technical breach that has been overcome, and that the Department is going out of its way to make sure that that happens quickly?

[Edward Argar]

I suspect I can do no better than to quote the judgment, which stated that in respect of regulation 50 the Government “acted unlawfully”, but my hon. Friend is right to highlight the fact that—again, as the judgment set out—the Secretary of State is almost at complete compliance, which is exactly what the Government are committed to.

Oral Answers to Questions

John Howell Excerpts

Tuesday 23rd February 2021 Commons Chamber

[Jo Churchill]

I thank my hon. Friend for his question, and I recognise the challenges that Blackpool faces. I read with interest the Blackpool town prospectus, which highlights the public health challenges, and I am looking forward to talking to the clinical commissioning group lead about them later this week. We remain convinced that place-based approaches will have the best results, where we can target interventions in the right way when they are needed. I think my hon. Friend is alluding to other areas such as work, housing and so on. Discussions are going on with other Departments, but those specific initiatives are for those Departments themselves. As the details of the national institute for health protection are outlined, these things will become clearer. I know my hon. Friend cares deeply about his constituents and their health, and I look forward to working with him and others in the future.

[John Howell (Henley) (Con)]

What steps his Department is taking to reform mental health legislation.

[The Minister for Patient Safety, Suicide Prevention and Mental Health (Ms Nadine Dorries)]

On 13 January, we published a White Paper on reforming the Mental Health Act 1983, setting out proposals to make the Act work better for people. We have launched a 14-week consultation, during which we are inviting views from the public, professionals, service users and carers to ensure that we get this once-in-a-generation opportunity right.

[John Howell [V]]

I am delighted that my hon. Friend is taking steps to bring mental health laws into the 21st century, not least because they are 40 years old. Can I take this opportunity to pay tribute to Sir Simon Wessely, who produced his independent review into the Mental Health Act in 2018? Can my hon. Friend confirm that the Government will be accepting many of his recommendations?

[Ms Dorries]

I wholeheartedly agree with my hon. Friend, and I would also like to pay tribute to Sir Simon and his co-chairs for their comprehensive work. The Secretary of State said in the House last year that

“the Wessely review is one of the finest pieces of work on the treatment of mental ill health that has been done anywhere in the world.”—[Official Report, 23 June 2020; Vol. 677, c. 1164.]

I know that the review was welcomed by hon. and right hon. Members across the House. We are taking forward the vast majority of Sir Simon’s 154 recommendations, either directly or by advancing the principles put forward by the review. The White Paper document contains the Government’s response to each of the recommendations.

Covid-19 Vaccine Update

John Howell Excerpts

Thursday 4th February 2021 Commons Chamber

[Madam Deputy Speaker (Dame Eleanor Laing)]

I appreciate that colleagues have complicated questions to ask the Minister and that the answers are therefore also complicated, but I must ask for a bit more speed now, because we have taken an hour. I should stop proceedings on this item of business, but I will not do so because I appreciate that there are important questions to be asked. I urge Members to go just a little faster.

[John Howell (Henley) (Con) [V]]

First, let me offer my congratulations to the Minister on achieving more than 10 million vaccinations. I wonder whether he will comment on how soon I will be able to wander down to my local chemist to get a jab, as I did for flu.

[Nadhim Zahawi]

I am grateful for my hon. Friend’s congratulations. I stand on the shoulders of heroes; it is the army of the NHS family, volunteers and our armed forces that is doing the real heavy lifting in this deployment.

I visited Cullimore chemist in Edgware, a brilliant independent chemist that is delivering the vaccination programme. At the moment, the limiting factor is the ability to do 1,000 vaccine doses a week because of the finite amount of vaccine. However, as we get more volume through, I, like my hon. Friend, want to see convenience, so that someone can walk down the road to their local chemist. I look forward to doing that with him, I hope, one day.

Vaccine Roll-out

John Howell Excerpts

Thursday 21st January 2021 Commons Chamber

[John Howell (Henley) (Con) [V]]

I welcome the opening of vaccination centres across the country, including one imminently at the Kassam stadium in Oxford, but at a meeting that I attended last night of community leaders in Oxfordshire, no one had an idea of when the vaccine centre at Harwell would become operational. Could the Secretary of State oblige?

[Matt Hancock]

[Inaudible.] the date when it will open. There is a huge amount of investment going into Harwell to make sure that we have cutting-edge vaccination manufacturing facilities for the future. The project is being led by my right hon. Friend the Secretary of State for Business, Energy and Industrial Strategy, so I will write to my hon. Friend with all the details.

Covid-19 Vaccine

John Howell Excerpts

Tuesday 10th November 2020 Westminster Hall

[John Howell (Henley) (Con)]

It is a pleasure to serve under your chairmanship, Mr Dowd.

Yesterday the news was announced that Pfizer had a potential vaccine that was quite advanced. I do not know how it affected other hon. Members in the Chamber, but my heart skipped a beat. It was brilliant news, and it is not surprising that the attitude in the rest of the country has been exactly the same. It is also not surprising that the stock exchange has effectively gone wild in some areas. People are utterly depressed by the lockdown they are living in, and the news gave them hope that there is a real light at the end of the tunnel, towards which they could drive. Unlike the lights in most tunnels, it is not an oncoming train, but a real opportunity to get out of the situation we are in.

However, it was quite right of the Prime Minister to pull back a bit on that in his broadcast last night. A number of things need to be looked at and studied before we can really rejoice in what Pfizer has done. Most scientists, for example, anticipate that a vaccine will not be 100% effective. As my hon. Friend the Member for North Herefordshire (Bill Wiggin) said, it is only—I use the term lightly—90% effective. However, no vaccine will be 100% effective. We need to ensure that any approved vaccines are as effective as possible, so that they can have the greatest impact on the pandemic.

We have also heard that there is a robust pipeline of potential vaccines in development and that some have already advanced to phase 3. However, we cannot be certain when a vaccine will become available. That is why we cannot rely on a future vaccine to fight the pandemic. We must use all the tools we already have at our disposal, such as testing, contact tracing, physical distancing and masks. I also recommend co-trimoxazole, a drug that is being trialled in Bangladesh and India and that has also been trialled to a certain extent in the UK, which stops the inflammation of the lungs that comes with this terrible virus.

It is too early to know whether covid-19 vaccines will provide long-term protection. Additional research is needed to answer that question. However, the thing that encourages me from the data on people who recover from covid-19—I believe my hon. Friend has recovered from it—is that they develop an immune response that provides at least some protection against reinfection, although we do not know how strong that protection is and how long it lasts. However, that data gives me encouragement that a vaccine can duplicate and pick up on that—if it was not there, I would be very worried that a vaccine was not going to work.

A number of people have mentioned the need to do things on an international basis, and that is a great concern of mine. I happened to meet and have discussions with Dr David Nabarro, who is the special envoy on covid for the World Health Organisation. The Council of Europe—this is one of the great things that comes out of the Council of Europe made a discussion available to members of the social affairs committee. We had a virtual session with Dr Nabarro, who is an engaging, absolutely brilliant man who answers questions forthrightly—he will never make a good politician, but what I got out of the session was absolutely brilliant. To think that, in 2017, we put him forward to be the director general of the World Health Organisation, a proposal that was lost in the politics of the WHO. What a shame. What a difference that man would have made to the World Health Organisation.

The World Health Organisation has a number of programmes. It has a value framework for the allocation and prioritisation of covid-19 vaccinations. It has a road map for prioritising population groups for vaccines foe covid-19. The fair allocation framework aims to ensure that successful vaccines and treatments are shared equitably across all countries. The framework advises that once a covid-19 vaccine is shown to be safe and effective and is authorised for use—there is an argument, which I fully accept, that we could do more to make sure that different regulatory authorities are brought into line on this—all countries should receive doses in proportion to their population size to immunise the highest priority groups. That is just the first phase, after which the vaccine will roll out. If the World Health Organisation can continue in its role—I hope the United States backs off from deserting it and allows it to continue—it will be one of the things that helps to get the vaccine to all countries.

[Jim Shannon]

I am sorry for intervening, but I am concerned that those who are in good health but who happen to have a fairly deep pocket financially may think they can access this vaccine. It is really important that the people who access the vaccine for covid-19 are those who need it right now and who perhaps do not have the finance to buy it, as others might. Does the hon. Gentleman agree?

[John Howell]

The hon. Gentleman makes a good point. The World Health Organisation’s group of experts has already provided recommendations to countries about which populations should be prioritised. They include frontline health and care workers at high risk of infection, older adults and those at high risk throughout the population—people who are suffering from conditions such as heart disease and diabetes. As the second phase rolls forward and more doses are produced, the vaccine should go to groups at less risk of being infected or suffering badly.

I will finish there. This is an exciting opportunity, which we should not let go of. We should keep on top of this. Let us all hope that maybe in a few months’ time we can all be here celebrating the distribution of at least one—and perhaps more than one—vaccine that will help us out of this situation.

Covid-19 Update

John Howell Excerpts

Programme motion
Monday 19th October 2020 Commons Chamber

[Matt Hancock]

Of course, no vaccine technology is certain, but the longer we go without bad news, the better things are, because we would hear if things had not gone well, so things are therefore progressing. The Joint Committee on Vaccination and Immunisation produces a prioritisation based on clinical advice and its clinical judgment on who ought to get the vaccine in what order. This is a really important question to ensure that we roll out the vaccine fairly and on an agreed basis. I will ask the Committee to look at the hon. Gentleman’s specific request to make sure that is taken into account. The Committee’s advice is very important for the Government decision that I hope the whole country can then get behind.

[John Howell (Henley) (Con)]

I make no apology for again bringing up the question of co-trimoxazole since I believe the drug can help very much in the fight against covid. Following the successful trials in India and Bangladesh, has there been any progress here?

[Matt Hancock]

My hon. Friend is right to raise that question, and I will write to him with a full update once I have taken advice from my clinical advisers and from Professor Jonathan Van-Tam, who leads on this area.

Oral Answers to Questions

John Howell Excerpts

Tuesday 1st September 2020 Commons Chamber

[Mark Menzies (Fylde) (Con)]

What steps his Department is taking to support the social care sector during the covid-19 outbreak.

[John Howell (Henley) (Con)]

What steps his Department is taking to support the social care sector during the covid-19 outbreak.

--- Later in debate ---

[Helen Whately]

I join my hon. Friend in thanking all those who work in social care for their commitment and compassion since the start of the pandemic. We have indeed carried out work to understand the impact of shielding on people’s health and we will shortly be publishing our winter plan for adult social care, setting out our preparations for the winter and in the event of a second wave.

[John Howell]

Can my hon. Friend confirm that every care home in England has either received a coronavirus test or is about to receive one?

[Helen Whately]

Yes, I can confirm that. Every Care Quality Commission-registered care home in England has been offered testing. Care homes for those who are over 65 and with dementia have been offered repeat testing. We have now opened up repeat testing to care homes for working age adults.