Coronavirus Vaccine

Jonathan Ashworth Excerpts

Wednesday 2nd December 2020 Commons Chamber

[Jonathan Ashworth (Leicester South) (Lab/Co-op)]

As always, I thank the Secretary of State for advance sight of his statement. This is indeed fantastic news about the Pfizer vaccine, and I join him in congratulating all who have been involved in making this happen. We have rightly clapped carers throughout this crisis. I wonder if we should as a nation come together and applaud our scientists as well one evening. It is also incumbent on all of us across the House to reinforce the case that vaccination saves lives, and if it helps, I will stand alongside the Secretary State, socially distanced of course, on any platform or in any TV studio to show that we are united cross-party in promoting vaccination.

Our constituents will have legitimate questions and they should not be ridiculed for asking them, so will the Secretary of State launch a large-scale public information campaign to answer questions and encourage uptake? Will he consider sending a pamphlet, perhaps, to every household? We know that dangerous myths circulate on social media, and we repeat our offer to work with Ministers to curb online harms. I hope we can work together and take something forward on that front.

Hospital trust staff will start receiving this vaccine first. I understand that it is a massive logistical exercise, given the temperatures and the need for two doses, but could the Secretary of State tell us how many NHS staff he expects to be vaccinated by January, which is of course the time when we expect the NHS to be under the most pressure?

Where does this leave social care and care home residents and staff? There are concerns that this particular vaccine cannot be moved multiple times to care homes, so can he set out exactly how and when care home residents will receive a vaccine? Our constituents will want to know: when will primary care networks start rolling out vaccination, and when will the mass vaccination centres he has reported to the House start opening in our communities?

We have historic strengths as a country with vaccination, but in recent years we have lost our measles-free status. We know that vaccination rates can be lower in poorer and vulnerable communities and that covid has often had a disproportionate impact in these communities, so will he ensure that there is a health inequalities strategy as well in his vaccination campaign, so that black and minority ethnic groups, and the poorest and the vulnerable, do not miss out on this vaccine?

I think we all understand that restrictions will have to remain in place for some time, but can the Secretary of State offer us a timeframe or a target for when we should expect to achieve herd immunity and life gets back to normal? Will he consider publishing a route map of what restrictions could be released as vaccination rates increase? In the meantime, if someone is vaccinated, will they still have to isolate if contacted by Test and Trace, or are they now released from that obligation?

On mass testing, some directors of public health have told me that the lateral flow tests are not licensed for door-to-door testing in hotspots and therefore can only be administered at sites. If that is correct, can the Secretary of State resolve it? If is not correct, can he issue urgent clarity to directors of public health? The Government’s document published on Monday suggests that local areas could use mass testing as a freedom pass. Will he outline to the House what that means in practice? Will local areas enforce rules? What happens if some people have had the test but some have not had the test in a particular area that is supposed to be under tier 3? In the House yesterday, the Prime Minister suggested that people may want to take advantage of mass testing ahead of visiting their families this Christmas. Will the Secretary of State update the House on whether that is the plan and how that will be implemented?

We of course welcome the Secretary of State’s news on care homes, but many care homes report that they will need resources to support the testing exercise. Will those resources be in place?

Finally, if mass testing is to work in communities, people will need support to isolate, if it is found that they have covid when they are not feeling unwell. Will the Secretary of State now expand the eligibility criteria for the £500 grant?

This is a good news day, and we should all pay tribute to everyone who was involved—we should pay tribute to the scientists. I will say again, we will work together to make the case that vaccinations save lives.

[Matt Hancock]

The hon. Gentleman has worked supportively and constructively with the Government throughout this pandemic. I pay tribute to the approach that he has taken, and that he took again today.

I stand with the hon. Gentleman in saying that vaccinations save lives. If we can encourage anybody who might be hesitant to take a vaccine by appearing together to be vaccinated together, of course I would be happy to do that. I recommend that we have a professional vaccinate us, of course—I do not think that he would trust me to do it.

The hon. Gentleman asked for a public information campaign, and there will of course be one. He asked about health inequalities, which are a very important consideration. The best thing to support tackling health inequalities is the fact that we have a vaccine, but we absolutely need to reach all parts and all communities across the whole country.

The hon. Gentleman asked how many will be vaccinated by January. While today brings more certainty, it does not end all uncertainties. We have 800,000 doses that have now passed the batch testing, but the total number to be manufactured over this timeframe is not yet known, because it is all dependent on the manufacturing process, which is itself complicated. After all, this is not a chemical but a biological product, so I cannot answer that question—that is as yet unknowable.

The hon. Gentleman asked when the PCNs and the centres will open. The answer is very soon. We have 50 hospital hubs ready to go from next week. The PCNs are also being stood up, and the centres outside hospitals. They are all coming very soon.

The hon. Gentleman then asked when we will get to lift restrictions. Of course, I understand why not only he but almost everybody in the country wants to know the answer to this question: how many people do we have to vaccinate before we can start lifting the restrictions? The answer to that is that, while we know that the vaccine protects an individual with a 95% efficacy, we do not know the impact of the vaccine on reducing transmission, because of the problem of asymptomatic transmission, which has so bedevilled our response to this virus and made it so hard to tackle.

We do not know the answer to that question, but what we will do is to follow the same five indicators that we were discussing at length yesterday, which are the indicators of the spread of the disease. We will look at the cases, the hospitalisations and of course the number of people who die with covid, and we will hope very much that, as we vaccinate more and more vulnerable people, we will see those rates come down and therefore be able to lift the restrictions. We will have to see how the vaccination programme impacts directly on the epidemic, and then move as swiftly as we safely can to lift the restrictions, which we all want to see gone.

The hon. Gentleman asked about community testing being licensed from door to door. I have not heard about that problem—I will ensure that I get back not only to him, but to those who raised it with him, if he will work with me. I am a bit surprised to hear that. Administering the lateral flow test currently requires a professional, although we hope to move on from that, but as far as I know it can take place in any setting, hence my surprise. However, as the comment was made by a public health professional, I shall dig into it further.

Finally, the hon. Gentleman talked about the testing prospectus we launched on Monday. We hope to be able to use testing to do more things that we would not be able to do without testing. In a way, visits to care homes are an example of that, as something we can now safely recommend that we could not recommend before; so too is testing to release from quarantine people coming into this country. If there are further examples of that sort of enablement of normal life through the use of testing that can be safely done and can be approved by a director of public health and by the chief medical officer and his team, we are enthusiastic about working with local areas to deliver it on the ground.

There are lots of ideas out there, and I urge people to be creative about how we can we can use testing to enable some of the things we love to get going again in a way that keeps people safe. That is what that part of the testing prospectus was about. I am very enthusiastic about it and look forward to working with directors of public health and with colleagues in this House. Yesterday, the Prime Minister said that with the roll-out of mass testing and the availability of these tests, we all, as leaders in our local communities, have a role in promoting mass testing. I am sure that there are communities across the country represented in this House that can benefit from the roll-out.

Looking around the Chamber right now, I see many people who have already approached me—not just from Lancashire. I look forward to working with colleagues in all parts of the House to promote this public health message, along with all the other important public health messages we have to promote, not least that if the NHS phones you up or sends you a letter saying that there is a vaccination slot open to you, just say yes.