Vaccination: Condition of Deployment

John Redwood Excerpts

Monday 31st January 2022 Commons Chamber

[Sajid Javid]

I thank the hon. Lady for that good question. She referenced 40,000 people having left care homes as a result of vaccine as a condition of deployment, and I can give her more information on that. While there is no exact data because care homes are independent and the people who work in them are not employed directly by the state, the Department’s best estimate, which is from the industry, is that the change in workforce during the final half of last year was a fall of 19,300. We do not believe that the 40,000 number is representative—the best proxy number is 19,300. Having said that, no one would want to see anyone leaving the care home sector when, as she rightly identified, we need more people coming forward. That is why we put in place a £162.5 million retention fund before omicron, and we have added to that fund by more than £300 million during omicron. We are also supporting the sector in having the largest recruitment campaign that it has ever run.

[John Redwood (Wokingham) (Con)]

I welcome the change of policy. In order to reassure both patients and staff about safety, what progress can the Secretary of State report to the House on better air extraction, air cleaning and ultraviolet filtration? I think that we need to control the virus without telling people exactly what they have to do in their own health treatments.

[Sajid Javid]

As always, my right hon. Friend has asked a very good question. He will know that infection protection control measures have been in place during the pandemic; they change along with the pandemic over time, depending on the risk profile, and that applies to care settings. The Government have supported care homes with hundreds of millions of pounds to make adaptations and changes and to implement these measures, and I know that many care settings have taken advantage of those funds to provide, for instance, air filtration and ventilation. That is the kind of support that the Government will continue to give.

Covid-19 Update

John Redwood Excerpts

Monday 6th December 2021 Commons Chamber

[Sajid Javid]

Yes, I most certainly would like to help with that. I am sorry to hear about the hon. Lady’s constituent. As she says, visits at end of life should always be made available; there should be no excuses. I would be happy to look into the case that she has mentioned, if she provides me with more details. I will also check the general guidance.

[John Redwood (Wokingham) (Con)]

Why has some of the substantial extra money for the health service not been used to expand bed and associated staff capacity in hospitals, and why were the anti-covid Nightingale hospitals not used for the pandemic to prevent the virus from spreading to the district generals?

[Sajid Javid]

The NHS and social care has £5.4 billion of extra funding over the second half of this financial year. A lot of that funding is being deployed to create extra capacity, especially with work on discharges between the NHS and the social care sector, because people can be clinically ready to be discharged, but the care packages have not always been easily available.

Health and Care Bill

John Redwood Excerpts

Report stage
Tuesday 23rd November 2021 Commons Chamber

[Sajid Javid]

I heard what the hon. Gentleman said. He will know that there are strong feelings on the issue of abortion across the House, on all sides of that issue. If legislation does ever come to the House, it is important that it is always a matter of conscience, and that is how MPs are expected to receive such legislation.

[John Redwood (Wokingham) (Con)]

Will the Secretary of State confirm that, when carrying through this rather extensive national health service reorganisation, value for money and keeping the costs of reorganisation down will be at the forefront of his mind?

[Sajid Javid]

Yes, absolutely, I can confirm that. My right hon. Friend is absolutely right to stress the importance of that. The NHS will be spending the best part of £150 billion a year, and it is vital that the best value is achieved with every penny that is spent.

Health and Care Bill

John Redwood Excerpts

Report stage
Monday 22nd November 2021 Commons Chamber

[Mr John Baron (Basildon and Billericay) (Con)]

rose—

[John Redwood (Wokingham) (Con)]

rose—

[Edward Argar]

I will make a little progress and then give way to my hon. Friend the Member for Basildon and Billericay (Mr Baron).

Currently, one in seven adults over 65 faces care costs of more than £100,000 over their lifetime. We are capping the amount that anyone will be forced to spend on personal care costs in their lifetime at £86,000. That is a seismic and historic change in the way we pay for care in England.

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[Edward Argar]

We have considered what help people want and when they want it.

[John Redwood]

rose—

[Edward Argar]

My right hon. Friend rose earlier and I should have taken his intervention then; I hope he will forgive me.

[John Redwood]

I am grateful to the Minister. Will he confirm that the amount of tax that is going to be raised in the immediate future, in national insurance and then in a separate tax, will make up a relatively small minority of the total costs of public social care? Will he also confirm that none of these measures addresses the issue of the hotel costs that people need to pay when they go into care homes?

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[Edward Argar]

Local authorities will have a seat on ICBs and on ICPs. The approach set out in the legislation is appropriate. We have sought throughout for it to be permissive, not prescriptive, and that remains the right approach.

[John Redwood]

Will the Minister give way on ICBs?

[Edward Argar]

May I make a little bit of progress? Depending on time, I may then give way to my right hon. Friend. I am conscious that hon. and right hon. Members want to speak—I suspect, primarily on new clause 49.

I turn to Government amendment 25. In doing so, I thank the hon. Member for Ellesmere Port and Neston (Justin Madders), whose birthday it is today—I wish him a happy birthday; I am sure that he can think of nothing that he would prefer to be doing—and the hon. Member for Nottingham North (Alex Norris) for their discussions about this issue. I do not know what view they have reached, but I am grateful for the helpful spirit in which they approached those conversations.

Although service provision—I emphasise the word “provision”—by the independent and voluntary sectors has been an important and valuable feature of the system under successive Governments, it was never the intention for independent providers to sit on integrated care boards and it still is not. We were clear that the conflict of interests provisions addressed the issue, despite misleading and inaccurate claims by some campaigners. However, we are happy to put the matter even further beyond doubt.

Government amendment 25 makes it clear that no one may be appointed to an ICB who would undermine the independence of the NHS, either as a result of their interests in the private healthcare sector or otherwise. We expect this to prevent, for example, directors of private healthcare companies, significant stakeholders of private healthcare companies and lobbyists from sitting on the board of an ICB. It would also prevent anyone with an obvious ideological interest that clearly runs counter to the NHS’s independence from sitting on a board of an ICB.

[John Redwood]

Will the Minister give us a brief comment on the recruitment of chief executives and senior management to the boards? Will we be using people who already have senior NHS jobs, meaning that there will be no redundancy and transfer costs, or will there be quite a redundancy bill because we want to change personnel?

[Edward Argar]

I think my right hon. Friend is talking about executive posts. Yes, there will be processes in place to ensure that employment rights are respected. There will be some roles that are completely new and there will be a competition, but I would expect that those with a significant track record and experience would therefore find themselves in a strong position. I will not prejudge any of those individual decisions.

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[Jeremy Hunt]

I see the Minister wants me to give way. May I make my argument for one moment, and then give way?

There is a plethora of internal NHS targets, there are operational targets and there are financial targets. They often have an excellent purpose, but, as in the case of Mid Staffs and other cases where things went badly wrong, being under a lot of pressure to meet those targets means corners can be cut, and the quality of care experienced by patients can be really damaged. The amendment would make sure that there was discipline in the system, so that whatever pressure NHS managers were under, they were always focused on safety and quality of care.

[John Redwood]

I pay tribute to my right hon. Friend for what he did as Secretary of State to stress the importance of this crucial work, and he is not on his own: I support him.

NHS England Funding: Announcement to Media

John Redwood Excerpts

Monday 25th October 2021 Commons Chamber

[Edward Argar]

I am grateful to the right hon. Gentleman—my constituency neighbour—for his sensible and reasonable questions. I will endeavour to answer each of them in turn. On capital, he will know, not least because his local hospital—mine as well—is in that list to receive capital investment as part of the overall 40 new hospitals programme, that an initial £3.7 billion has been already allocated to the 40 hospitals that we are committed to delivering by 2030. That is investment not just in maintenance but in replacing old or outdated stock with new hospitals to minimise those longer-term maintenance bills. He is right that we must continue to support ongoing maintenance, as we have done. To take one example, we did exactly that by making an extra £110 million available to help support the maintenance of RAAC—reinforced autoclaved aerated concrete—plank hospitals around the country.

On mental health, the right hon. Gentleman is right to talk about capital investment. In the context of those new hospitals, mental health facilities and hospitals are included. They have not been left out; they have got their share.

The right hon. Gentleman also rightly talked about staff, which, as I said to the hon. Member for St Albans (Daisy Cooper), is a key point. We have seen significant increases in the number of doctors and nurses. He is right to highlight the need for continued increases in specialisms such as radiographers and radiologists. I highlighted the increases that we have seen, but we know just how valuable they are. I alluded to the £12 billion that the Secretary of State announced back in September, a significant part of which will go to support the workforce in the delivery of elective recovery.

On how community diagnostic centres and community diagnostic hubs will both be selected and operate, we are working closely with the NHS on exactly how to do that to ensure that the workforce are sufficient and that we do not impose burdens over and above those already imposed on them. I think that I have answered the right hon. Gentleman’s questions, but I am sure that his hon. Friends will come back if I have missed anything.

[John Redwood (Wokingham) (Con)]

Mr Speaker, you spoke for many of us in the guidance you gave the Government. I trust that they will follow it.

Given that in the last two years very large sums of money have been spent on test and trace, establishing a successful vaccine programme, Nightingale capacity and other one-offs for the pandemic, how much of that money will become available to spend on the other work that is now so desperately needed in the NHS?

Coronavirus Act 2020 (Review of Temporary Provisions) (No. 3)

John Redwood Excerpts

Tuesday 19th October 2021 Commons Chamber

[Sajid Javid]

First, may I wish my hon. Friend a very happy birthday? He makes an important point in his valuable intervention. What I can say, which I certainly hope will reassure him, is that the Act will be regularly reviewed, that parliamentary scrutiny from all quarters is very welcome and that any powers retained in the Act need to be properly justified—they must be necessary and proportionate. That is the case that I am setting out on behalf of the Government today.

[John Redwood (Wokingham) (Con)]

A lot of us feel that this legislation should now just lapse, because there has been a material improvement in the situation. There are other powers should things go wrong, and this House could grant powers in the space of a few hours if there were a new and unpleasant crisis. Why do we have to have these powers hanging over our head when there does not seem to be a need to use them?

[Sajid Javid]

What I can tell my right hon. Friend is that there are provisions that we hope to keep in the Act, subject to the House’s will today, which are still necessary. For example, there are provisions that protect NHS capacity with respect to temporary registration of nurses and other healthcare professionals. There are similar provisions for the care sector; there are also provisions that provide support packages for those whose jobs may have been hit or who have to take time off work to meet the self-isolation requirements. There are provisions in the Act that I think are still necessary; I will speak about some of them in just a moment.

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[Mr Harper]

That is exactly right. It is for that reason that if there were a Division I would not be voting for this legislation, because I do not think it comes with enough parliamentary scrutiny—the sort of scrutiny that there is if we use the Civil Contingencies Act 2004.

[John Redwood]

Would it not also help the Government’s case if they gave us more detail on which of these measures actually worked and did some good? We need more post-result audits so that we can have more confidence in some of these measures.

[Mr Harper]

My right hon. Friend makes a good point, which would be worth following up.

Conscious of your strictures, Madam Deputy Speaker, let me make a couple of final points. On the issue raised by the hon. Member for Twickenham (Munira Wilson) on vaccine passports, the Secretary of State gave half of the right answer, which was that the Government would have to persuade the House to introduce vaccine passports, and he confirmed that the House would have to vote on it. The final piece to come in his wind-up remarks is that that vote will come ahead of any decision to introduce vaccine passports, rather than there being only a retrospective vote after their introduction. If he confirmed that, he would do the House a powerful service.

The final point is to reinforce what the shadow Secretary of State was saying, and what I said in my intervention, about speeding up second doses and third doses for those who are immunosuppressed and, to release the pressure on the NHS, focusing on improvements in social care this winter. My local NHS trust—I have raised this issue with the Secretary of State privately—has made the point that some of the pressures are because it cannot get the people who have received all the hospital treatment they need out into the community, because of a lack of either residential social care or domiciliary social care. For it to deliver on clearing the backlogs of healthcare and to stop accident and emergency backing up, it must be able to get people out of the “back door” of the hospital into social care or back home. It is social care that will put the NHS under critical pressure this winter, in the next few weeks, so I urge my right hon. Friend to focus on the social care aspect of NHS pressure, not just on NHS pressure. With that, Madam Deputy Speaker, I will broadly obey your strictures and sit down.

Covid-19 Update

John Redwood Excerpts

Monday 28th June 2021 Commons Chamber

[Sajid Javid]

I agree with the hon. Lady on the importance of social care and that it should be a priority for reform, as it is for this Government. I do not agree with her characterisation that under this Government it has not been a priority or her suggestion that there has been under-investment. When in my previous role as the Secretary of State for Housing, Communities and Local Government, and certainly as Chancellor, we increased funding a number of times. I think we agree that we need a long-term, sustainable solution—we are not there yet—and that is something the Government are absolutely committed to.

[John Redwood (Wokingham) (Con) [V]]

I welcome my right hon. Friend to his new role, I wish him every success and I support his plan to unlock soon. Will he look at expediting trials of other drugs and treatments that may help covid-19 patients and have been looked at elsewhere? Will he also encourage work on air extraction and cleaning systems, to see what more can be done to stop transmission of the disease, as we are going to have to live with it to some extent?

[Sajid Javid]

I thank my right hon. Friend for his welcome. On his question, I simply say yes, I will.

Social Care Reform

John Redwood Excerpts

Wednesday 23rd June 2021 Commons Chamber

[Helen Whately]

I would just remind the hon. Gentleman of the unprecedented level of support we have given to the social care sector during the pandemic, as I mentioned a moment ago. I know it has been extremely hard, but that is why we provided over £1.8 billion-worth of funding, free personal protective equipment, access to testing, and, of course, priority in the vaccination roll-out. On his point about needing to build a consensus around social care reform, I am already talking to parliamentarians across parties. In fact, just a couple of weeks ago I had a really helpful session with the all-party parliamentary group on adult social care. I look forward to continuing to work with colleagues across the House.

[John Redwood (Wokingham) (Con) [V]]

Will the Minister ensure that quality of care for the person needing it is central to the review? Can we learn lessons over the safe discharge of people from hospital into care settings? Will the NHS ensure that in future GP and nursing care, where needed, is available to support those patients on discharge?

Coronavirus

John Redwood Excerpts

Wednesday 16th June 2021 Commons Chamber

[John Redwood (Wokingham) (Con) [V]]

It is time to trust people more. It is time to control people less. I would like to praise Ministers and officials, and particularly all the scientists, medics and researchers, who have worked so hard to ensure that the UK is a leader in vaccines—supplying one of the best vaccines to the world, getting it out early and making it available for all of us, and ensuring that we had bought in other vaccines that became available so that we were in a position to protect our population well and relatively early compared with other countries. I pay tribute to all the work by the NHS and the medics to understand how to treat the disease better and how it is transmitted so that we can take better actions to give people greater security.

I say now to all those experts, the NHS and the Government, “Share what is relevant with the rest of us—the public—and let us make more of our own risk assessments.” We are now saying to people that there are two major ways in which we can all protect ourselves against the possibility of getting this disease, or a bad version of it. First, we are making two jabs available to all adults who want them, and the figures so far show that that gives them a much better probability of not catching the disease at all and very strong protection against a serious case of it, which is what we are mainly worried about, as we are trying to stop people dying or struggling in intensive care, and to stop that pressure on the NHS and all the suffering that it produces.

We are also saying to people, “If you’re still worried about the residual risk or if you really don’t like vaccines, you can self-isolate.” I hope that the Government will continue, as an employer and as the Government, guiding others in the economy to say that we should be generous and supportive of anyone who really does feel that they need to protect themselves against the virus by self-isolation, but I think that we are now well beyond the stage where we have to isolate practically everybody else to some extent when so many people now have protection, are making their own risk judgments, and want to get on with their lives.

In the room, when assessing the data, it is important that we look at all the data about jobs, livelihoods, incomes, family stress and mental health pressures, because this policy is creating all of those. The Government can do more. They should be helping the private sector to manage air flows, air extraction, ultraviolet cleaning and so forth to make it safer for many more social contact businesses to reopen and have a reasonable number of people enjoying their services. I think that more could be done on ensuring that all our health settings have really great infection control, because we do not want any more slippages from health settings themselves.

I urge the Government to think again about an idea they looked at early on but did not develop, which is in the large populated areas, particularly the conurbations, to have isolation hospitals that deal with covid and other variant infectious diseases well away from general hospitals. We add to the pressures and the likelihood of cross-infection if we have a general hospital taking in a very infectious disease.

There is now huge scope to get a really good economic recovery to save jobs, create new jobs and get pay up, to have many more transactions in the economy. To do that, however, we need to relax and to trust the people more. I think my constituents are ready to make decisions about their own lives again and many are very frustrated that they are not allowed to. We have all this great advice and knowledge. Let us not get too gloomy and let us not lock everybody up again.

[Madam Deputy Speaker (Dame Rosie Winterton)]

As colleagues will be aware, there have been quite a few interventions, so after the next speaker I will have to take the time limit down to three minutes in order to get everybody in.

Covid-19 Update

John Redwood Excerpts

Monday 19th April 2021 Commons Chamber

[Matt Hancock]

Yes, an awareness campaign is under way, and I am grateful for advance notice of this question. I will write to the hon. Gentleman with the full details. He may say to me, “Sorry, Matt; more needs to be done,” in which case I will look into it, but he makes an important point on which I essentially agree with him.

[John Redwood (Wokingham) (Con) [V]]

I congratulate my right hon. Friend on the big reductions, based on the vaccinations, in case and death numbers. Will he briefly update us on better air extraction, cleaning and other measures to control infection in hospitals to reassure the many patients who now need non-covid treatment?

[Matt Hancock]

My right hon. Friend has asked about this many times, and he is quite right to, because it is not just about cleaning. We have learned a lot during the pandemic about the importance of good ventilation, and that is now embedded in infection prevention and control. As cases in hospitals come down, hospitals across the country are separating, as much as is possible, those who might or do have covid from people who are coming to hospital having been tested and knowing that they do not have covid. That is incredibly important to reassure people that if they are asked to come to hospital by a clinician, it is the best place for them.