Covid-19 Update

Jonathan Ashworth Excerpts

Tuesday 8th September 2020 Commons Chamber

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

I thank the Secretary of State for advance sight of his statement. There can be no question but that the rise in case numbers in recent days is deeply worrying, and I agree that this is no time for complacency, that those who suggested this could be over by Christmas were foolish, and that we should be taking every reasonable measure possible to utterly suppress this virus. It is indeed a very dangerous virus and I am pleased that he and his Department have recognised the condition of long covid—we probably need a better term for it—whereby many people get long-term conditions as a result of the virus. I am pleased about the emerging research into that.

We have been seeing the trends in young people catching the virus for some time, in Greater Manchester, and indeed in Leicester, where the lockdown was due to the trends among young people. Many have warned that we could be facing a resurgence as we move into winter.

The Secretary of State has just announced the closure of pubs and other parts of the hospitality sector across Bolton. Has that been discussed and agreed with the Mayor of Greater Manchester? Can I ask the Secretary of State a very practical question? He may not realise it, but I grew up in Radcliffe, which is next to Bolton. What happens if people in Bolton want to go for a drink and end up going to Radcliffe or Bury, or indeed Chorley—which will be of interest to Mr Speaker? Will they be allowed to travel to neighbouring areas for a drink? How will restrictions be enforced? Given the action that the Secretary of State has taken on the hospitality sector in Bolton, is he keeping that sector under review in other hotspot areas? What guidance has he issued to pubs, restaurants and so on in those areas?

I am grateful for what the Secretary of State said about Leicester, and we have made great progress in the city of Leicester, but we still have in place the rule that people cannot congregate in private gardens with their extended family. Can I ask him again to set out the evidence for that? Can he update us on when Leicester will next be reviewed, because infection rates have come down?

Universities are set to return imminently, yet the SAGE analysis was not published until last Friday. Will the Secretary of State urgently produce a national plan for reducing transmission of the virus in the higher education sector? On schools, we have seen several outbreaks in recent days, including at the school the Prime Minister visited in Coalville a few weeks ago to promote the opening up of schools, yet the exact circumstances in which a school ought to close if a pupil displays symptoms are still unclear. In what circumstances does the Secretary of State believe a school should close?

The Secretary of State may recall that I warned him early on that one of the biggest barriers to self-quarantining would be not fatigue but personal finances. Does he accept that the Government need to go much further in helping people who need financial or housing support to self-isolate? Otherwise, he will never get on top of infections in areas characterised by low pay, child poverty and overcrowded housing. Does that not help to explain the poor record of contact tracing in these areas? In Bolton, contacts were reached in only 57% of non-complex cases; in Oldham, only 50%; in Blackburn, only 47%; in Bradford, only 43%. Nationally, only 69.4% of contacts are now reached and asked to self-isolate. [Interruption.] These are the latest statistics—his own statistics that he publishes. What is world-beating about that?

There was little explanation in the Secretary of State’s statement of what has gone wrong with testing in recent days. He tells us we have capacity for about 300,000 tests a day and that about 100,000 of those are antibody tests. What is the current capacity for testing? How many PCR tests are available at the moment? Yesterday, he said no one should have to travel further than 75 miles for a test, but for many people, such as the 20% of home careworkers on zero-hours contracts, taking a 150-mile round trip for a test simply is not feasible. At the moment, it is not even possible! Last night, it was reported that there were no tests in London. People in Kent were asked to travel to Cardiff. In Denton, they were advised to visit Llandudno. In Leicester, someone was advised to head north to Edinburgh. Helpfully in Devon, people were told they need only travel 20 miles, but unfortunately that involved crossing the sea to get to Swansea. Now, I know the Secretary of State thinks he walks on water, but many of our constituents cannot.

In the Health Select Committee earlier, the Secretary of State admitted that it would take weeks to fix these problems, yet last week he was boasting of plans for 10 million tests a day as part of his Operation Moonshot. When he cannot get the basics right, never mind Moonshot—people will think he is on another planet. His testing regime has been a fiasco in recent days, yet we have had no apology from him today. Is not the core of the problem that he did not listen to the experts? They all advised him to invest in public health teams and NHS labs. Instead, he gave contracts to outsourcing firms such as Deloitte, Serco and G4S, which had no experience in testing and tracing. He should now accept that that was a mistake and invest in public health teams.

We must do everything reasonable to suppress this virus, but in recent weeks we have had muddled messages, failed testing and ineffective contact tracing. Winter is coming, and the Secretary of State needs to get a grip.

[Matt Hancock]

I will certainly answer the questions posed by the hon. Gentleman, but as for his proposal to dismantle the testing system that we have built so painstakingly over the past six months using not only the NHS and PHE, but all the testing capacity of the nation, that is one that I and the British people will reject. We need to build our capacity, and we need to build on what we can do. We have built one of the biggest testing capacities in the world over the past six months, and I will reject all narrow, partisan calls to dismantle a testing capacity that is working.

Of course, with the increase in demand for tests that we have seen in the past few days, there have been challenges, which we have acknowledged, and we are working day and night to fix them. The long-term solution, using the new technologies that are coming on stream, is a critical part of ensuring that we can expand testing capacity still further.

I am afraid that the hon. Gentleman got into a bit of a muddle on contact tracing, saying that under 70% of contacts are traced. That is simply untrue and below the number that we publish weekly—we published the latest figure last Thursday.

Some of the hon. Gentleman’s questions were sensible. On schools, he is quite right that having clear guidance on how we approach schools and on what schools should do in the event of an outbreak is important. That guidance has been published and sent to schools. In the first instance, of course, a school should work with their local director of public health to minimise the impact of an outbreak.

The hon. Gentleman also asked about financial support for those who have to self-isolate, and we have put that in place. We have rolled that out in areas of the north-west, and we are watching the progress effectively.

The hon. Gentleman rightly asked about Leicester, where, of course, he has both national responsibilities and a local interest. The local lockdown in Leicester has resulted in a significant drop in the number of cases, and we will take a formal review of the measures in Leicester on Thursday. I will be certain to talk to him in advance of that and take his local intelligence and views into account.

The hon. Gentleman asked for a plan for higher education. An enormous amount of work has been done with all universities to ensure that the sector can open safely in the coming weeks.

Finally, I am glad that the hon. Gentleman started his response in a constructive form in respect of the measures that we must take in Bolton. I have communicated with the Mayor of Greater Manchester and he has had a briefing from the official team—that has been offered. The statutory responsibility of course lies with Bolton Council, with which we have been working very closely to put into place measures that in essence build on the measures that Bolton Council has been putting in place. I put on the record my thanks to those in Bolton Council—its leader, David Greenhalgh, who has been doing an excellent job, as well as the director of public health and the chief executive—because it has been a difficult challenge in Bolton.

Thankfully, what we have learnt from this sort of local action elsewhere in the country is that we do not see large-scale numbers of people travelling to other areas nearby where there is a problem. We have not seen that yet. Of course, we remain vigilant on that and on all these measures, but I am sure that the people of Bolton will understand how significant this problem is and will follow the guidance and, indeed, the new laws that we will bring in to back up the proposals we have made today.

Oral Answers to Questions

Jonathan Ashworth Excerpts

Tuesday 1st September 2020 Commons Chamber

[Matt Hancock]

Nobody has done more for the cause of patient safety in this country than my right hon. Friend. We are seeking to put the health service investigatory branch into law at the earliest legislative opportunity. He will know that, as a Minister, I could not possibly pre-empt what Her Majesty might say in a few months’ time in the other place, but I will say that, in the same way that we introduced the Health Service Safety Investigations Bill just before the election, it is our full intention to legislate for it at the earliest chance.

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

I listened carefully to the Secretary of State’s response to the hon. Member for Southend West (Sir David Amess). Can he guarantee that he has currently sourced enough flu vaccine to vaccinate all 50 to 64-year-olds by Christmas?

[Matt Hancock]

We have the biggest flu vaccination programme in history, and we set out very clearly when we announced the plans our proposals, which are that we will vaccinate those who are clinically most vulnerable—that starts with the over-65s and those with another health condition that causes them to be particularly vulnerable to flu—and then move to vaccinate the 50 to 64-year-olds. We set that out several weeks ago. It is exactly as clinically recommended, to make sure not only that we have the biggest flu vaccination in history but that we get it to the people who really need it first.

[Jonathan Ashworth]

I think the Secretary of State was saying there that he cannot guarantee vaccinations for all 50 to 64-year-olds. We are heading into a difficult winter. He knows that; the whole House will know that. One area of the health service that is particularly under pressure is rehab services and community mental health services, because they often now treat people who have had covid and have long-term conditions associated with having covid, yet many local areas are currently putting local community and public health contracts out to competitive tender. That could mean staff being made redundant. It could open the door to Virgin Cares coming in. At the very least, it is distracting and wasteful. Will the Secretary of State halt all competitive tendering of community and public health contracts until the end of the pandemic?

[Matt Hancock]

What I will do is ensure that we put in the best possible resources to improve the public health of the nation. That is our goal; that is our policy. It of course follows on from the policy that was put in place by the Government of which the hon. Gentleman was a behind-the-scenes part. He knows very well that I admire the work that he did when he was trying to expand the provision of health services. No matter where those health services come from, what matters is the quality of the service that people get on the frontline, and that is what we on the Government Benches will be focused on.

Coronavirus Response

Jonathan Ashworth Excerpts

Monday 20th July 2020 Commons Chamber

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

I thank the Secretary of State for advance sight of his statement. Before I move to the substance of his remarks, will he tell the House whether it is true that the chief nursing officer was dropped from the Downing Street press conferences because she refused to stick to the No. 10 line on supporting Dominic Cummings? Did the Secretary of State really acquiesce in the silencing of the chief nursing officer at the height of this pandemic?

We in this House would all be immensely proud if a British vaccine and British drug led the world away from this deadly disease, and this is encouraging and exciting news. Will the Secretary of State ensure that there is equitable access to a vaccine when it is developed? He has my commitment that when a vaccine is available, I will stand shoulder to shoulder with him in taking on poisonous anti-vax propaganda. However, we also have to understand that there have been many false dawns in the history of infectious disease, so what happens if a vaccine does not become available? What scenario planning is the Health Secretary doing, should we be confronted with that awful prospect?

On Friday, the Prime Minister suggested that it could all be over by Christmas and that people must start returning to work by 1 August, but the chief scientific adviser said on Thursday that there was “absolutely no reason” for people to stop working from home, so will the right hon. Gentleman now publish an explanation of the scientific basis for the change in guidance with respect to home working?

On Thursday in the House, the Health Secretary insisted that we went into lockdown on 16 March, having previously told the House on 2 June that

“lockdown began on 23 March.”—[Official Report, 2 June 2020; Vol. 676, c. 704.]

The CSA revealed that SAGE advised the Government to lock down ASAP on 16 March, and Professor Ferguson has said that had lockdown been implemented sooner, we would have saved thousands of lives. The Prime Minister understandably wants to avoid a second lockdown—we all do—but if SAGE advises again on the need for a second lockdown, will it be implemented immediately, and on what criteria will he judge whether a second national lockdown is needed?

Last week, the Prime Minister also suggested that social distancing could be eased in November, predicated on a low prevalence of the virus. Can the Health Secretary define what low prevalence means, and is that the only threshold we need to meet if social distancing is to be removed by Christmas? There were no details last week about when relatives could visit care homes, even though the Secretary of State said on 9 July that an announcement was imminent. He will know that this is causing huge anxiety and upset for many families. Can he give us clarity today on when relatives can visit their loved ones in care homes?

The Prime Minister did indeed announce extra NHS funding, which is welcome, but there was no extra funding for social care. Can the Health Secretary tell us whether social care will get any more resources for this winter? We have always said—and we agree with him—that mass testing is the way in which we have to live with this virus and avoid going into a second lockdown, so we welcome the commitments to increased testing. We also know that local lockdowns may well be necessary in the future—indeed, that is the Government’s preferred response to outbreaks—but it is vital that local areas receive patient-identifiable test data on a daily basis. Why did he tell the House last week that local authorities were getting that data when in fact they were not? I think he is announcing today that they will start getting that data—he refers to “enhanced” data—but local areas could have possibly avoided lockdowns and outbreaks earlier had they had that data.

Local areas still need more clarity. In Leicester, we still do not know what metrics will be used to decide whether Leicester will be released from lockdown. Can the Health Secretary confirm, with respect to Leicester, that given the infection rate there and in neighbouring Oadby and Wigston, a decision on their future will be taken at the same time? And given that we are talking about local lockdowns—we will study the regulations carefully—will he deliver on his promise to provide support for businesses that are subject to a local lockdown, such as in Leicester?

It now appears that Blackburn is overtaking Leicester in terms of infection rates, so what does the Health Secretary make of the remarks of the director of public health in Blackburn, who said at the weekend that Test and Trace is failing and, in his words, is

“contributing to the increased risks of Covid-19”

because half of contacts are not reached? Nationally, 71% of people are being contacted, not the 80% that is needed for it to be effective. Indeed, in the Serco call centre element of Test and Trace, only 53% of cases are contacted, and a smaller proportion of contacts are identified in the most deprived areas. We still do not have an app either, despite the right hon. Gentleman’s promises, with Whitehall sources now briefing that he has a

“tendency to overpromise and only sometimes deliver”.

What a wicked, unfair thing to say about the Health Secretary! Seriously—which bit of all this is actually world beating, other than possibly the £10 billion price tag?

Today’s vaccine news is encouraging, but we still have a long way to go. We need mass testing and we welcome the Health Secretary’s commitments on that front, but will he also undertake to expand the rapid testing consortium, so that more British suppliers can be involved? Many complain about test kits and say the regulator takes ages when they give their test kits to be signed off and that emails go unanswered. We need an effective tracing regime. Rather than the ad hoc system we have at the moment, with all that money going to privatised firms, why does he not put local directors of public health in charge, backed up with primary care? We need to be preparing now for the second wave. We already have one of the highest excess death rates in the world. Lessons need to be learned. I hope the Secretary of State is learning them.

[Matt Hancock]

The hon. Gentleman was doing so well when he was supporting what we were saying. I am grateful to him for support on what we are doing on vaccines. I am also grateful to him for his offer to stand shoulder to shoulder against the anti-vaccination movement. Those who promulgate lies about dangers of vaccines that are safe and have been approved are threatening lives. We should all in this House stand shoulder to shoulder against the anti-vax movement.

The hon. Gentleman asks what happens if there is no vaccine. If there is no vaccine—no vaccine can be guaranteed—then the next best thing is good treatment. We have the first treatment here in the UK, dexamethasone, and we have promising news of another today. We put all the support we can behind finding treatments. In fact, the UK recovery trial is the biggest—I would argue, the most effective—treatment clinical trial for covid-19 in the world. From the start, we backed our science. We supported our science, and with the help of the NHS we are able to do scientific research here with great rigour.

The hon. Gentleman mentioned the SAGE advice from March about lockdown. The SAGE advice that the CSA was referring to was implemented. That was precisely the point I was making on Thursday and I did so very straightforwardly. It was implemented straight away. If he looks at that SAGE advice and what happened, that is what he will find. I seem to remember that at the time he supported the action. Maybe now he is looking in the rear-view mirror. He should spend a bit more time looking forward, not backwards.

On social distancing, as on Leicester, the hon. Gentleman asked about the data and thresholds. We use all our data. We use all the data available to make these judgments. We do not put numerical thresholds on any particular figure. We use all data and we make judgments based on them. He also asked about data being made available to local authorities. On Thursday last week, I said I wanted to provide more data to local authorities and was going to provide more data to local authorities. We have done that today. We had provided patient-identifiable information based on postcode-level testing. We are now able to provide full information, including the name and address of those who tested positive, to local authorities where they have signed a data protection agreement.

The hon. Gentleman talked about the effectiveness of NHS Test and Trace. He needs to stop for a moment and recognise the enormous impact of NHS Test and Trace, and the 180,000 people it has been in contact with to advise them to isolate. On Blackburn, yes, it is hard sometimes in certain areas to find all the contacts, so we will be sharing with the local area the information on those whom NHS Test and Trace has not been able to contact, so that local directors of public health will be able to support the action there. Again, I think his tone on that, sniping from the sidelines, ill becomes that enormous effort and the previous work he did to support those measures across party lines.

Finally, the hon. Gentleman asks what we have learned. I would say that the thing he needs to learn—I have certainly learned it—is that things go best when we get the work of the public sector and the private sector coming together. He does not even believe his own attempt to divide us, but uses his argument just to play to his base. Honestly, there are more important things going on. We have set out a direction. We are going as hard as we can down that direction of travel, and we have announced to the House further action in that direction of travel. He should get alongside.

Covid-19 Update

Jonathan Ashworth Excerpts

Thursday 16th July 2020 Commons Chamber

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

Before turning to Leicester, will the Secretary of State update the House and comment on Sir Patrick Vallance’s remarks at the Science and Technology Committee, where he said that SAGE had advised the Government to implement lockdown measures as soon as possible on 16 March? Why did it take a further seven days for the Government to implement lockdown if SAGE was advising to do so on 16 March?

I start by putting on record my thanks to the city council and all the health officials, particularly our director of public health, Ivan Browne, for all the work they are doing to drive our infection rates down in Leicester. I welcome the extra testing capacity we have received as a city, including the door-to-door testing, and I put on record my tribute to the people of Leicester, the city where I live, for their fortitude in doing all they can to drive this infection down through 17 weeks of lockdown.

If we still have to make further personal sacrifice to keep people safe and hunt this virus down with the lockdown, so be it, but there is no question but that there will be a degree of dismay across the city in response to the Secretary of State’s remarks. We welcome the opening of non-essential retail, but many businesses were preparing to open their doors for the beginning of July and still cannot open their doors, and they will want to know whether they will get any specific extra business support. The Secretary of State suggested in a previous statement that they would, but the Under-Secretary of State for Business, Energy and Industrial Strategy, the hon. Member for Stratford-on-Avon (Nadhim Zahawi) ruled it out.

The continued lockdown coincides with the traditional Leicester fortnight. I do not know whether the Secretary of State is familiar with the Leicester fortnight. It is the two weeks in July where our schools break up earlier than other schools across the country. It is a time when many Leicester families will have booked holidays, but they cannot go on holiday because they are not allowed to, and many travel companies are refusing to pay them compensation. Will he guarantee that families will not be out of pocket because they are not allowed to go on a holiday they have saved up for all year round? Will the Government step in, or can he force those travel companies to reimburse those Leicester families?

As the Secretary of State knows, Leicester is a city that suffers from high levels of child poverty, insecure work, low pay and a lack of decent sick pay. We have many deep-rooted economic problems and the spike or larger outbreak in the city appears to coincide with the inner-city areas where we know there are high levels of deprivation and overcrowding. We also have a large ethnic minority community, so will he explain why he has not yet implemented the recommendations of the Public Health England report on protecting those from minority ethnic backgrounds?

There has been widespread speculation about the garment industry. Can the Secretary of State tell us how many inspections by the Health and Safety Executive and Her Majesty's Revenue and Customs have now taken place in Leicester’s textile factories, particularly since the Home Secretary a couple of weeks ago promised us that she would stamp out any illegal exploitation?

We note that the Secretary of State has rejected the advice of the city mayor of Leicester to partially ease restrictions in parts of the city, although he has taken advice from the leader of Leicestershire County Council to ease restrictions in part of the county. Can he explain what the public health evidence is behind that decision? If the public health advice is to maintain, for example, the lockdown in the west of the city, when we know that the infection rates are at their highest in the east of the city, why does not that advice also apply to the neighbourhoods that border the city boundaries? This is one greater urban area. What is the public health reason why someone living on one side of Gilmortin Avenue—I do not expect him to know Gilmorton Avenue in my constituency, but it illustrates the point—is subject to restrictions because they fall under Leicester City Council, but they are not allowed to cross the road to speak to their neighbour, who lives opposite them, because they fall under Blaby District Council? There are other examples across the city as well. If he could offer us that advice, we would appreciate it.

Leicester went into lockdown because of the infection rate and because it took so long to get us the specific data. Local authorities are still complaining that they are not getting patient identifiable data, they are not getting data on a daily basis and they are not getting contact tracing data. Yesterday, at Prime Minister’s questions, the Prime Minister said that we have a world-leading system—the best system in the world—for testing and tracing and it will avoid a second spike this winter, but we know that there have been problems with testing and tracing throughout. Last week, Sky News revealed that he has been overstating the test numbers by 200,000. Today, the Health Secretary has come to the House—we are grateful to him for updating the House—to explain what is happening with Randox. I believe that the £133 million contract was given to Randox without any competitive tender. Can he explain what is exactly wrong with these kits? How many of these presumably faulty kits have been used? Is there a health risk to anyone who has been tested with these kits?

[Sir Bernard Jenkin (Harwich and North Essex) (Con)]

He said there wasn’t.

[Jonathan Ashworth]

The hon. Gentleman says from a sedentary position that there is not a health risk, but the Government are withdrawing these kits. And how many people have these unsafe kits been used on and why were the certifications not checked before these kits were used? These kits tend to be used in many care homes. We want care home residents to be tested regularly. We want care home staff to be tested regularly. Can the Secretary of State guarantee that those care homes will now get alternative kits rapidly?

Today we have seen more testing data come out. The Prime Minister promised that tests would be delivered within 24 hours by the end of June. I think the figures today show that only 66.9% of them are. On the tracing data, we see that only 71% of people are being contacted, not the 80% that we were promised. Is not it the truth that we now have swabs being recalled, contact tracing not meeting the targets and Serco call centres with people not doing anything? It is all costing £10 billion and the Health Secretary is now bringing in McKinsey. Why is he throwing good money after bad? Why does he not invest in public health services, primary care and local health teams instead to do this testing?

[Matt Hancock]

The hon. Gentleman has spent weeks complaining about capacity to do things such as contact tracing and now complains that we have too much capacity. He should decide on a position and stick to it. On the point about Randox and the kits on which we put a pause, the reason is that they had a CE stamp and, on investigation of the certification of that stamp, the certification was not forthcoming, so physical checks were done and we found that the swabs were not up to the standards that we expect. This is limited to the Randox element of the testing system, not the broader testing system that we have. I explained the clinical position, which is that there is no evidence of any harm having been done and that there is full access to testing, because we have plenty of other test kits available.

The hon. Gentleman asked about test and trace. Ninety-nine per cent. of the tests that need to be done quickly are returned the next day. More broadly, he asked about the comments of the chief scientific adviser to the Select Committee. The 16th of March is the day that I came to this House and said that all unnecessary social contact should cease. That is precisely when the lockdown was started. It is unusual to be attacked for saying exactly the same as the chief scientific adviser.

On the questions with respect to Leicester, the hon. Gentleman rightly raises the Leicester fortnight. Schools have effectively risen for the summer in Leicester already. Of course, I would urge holiday companies that people in Leicester might have booked a holiday with to reimburse them at this point.

The hon. Gentleman mentions the problem and challenges of insecure work in Leicester, and he is absolutely right to do so. This is a long-standing problem, and I think the whole House would strongly support action to ensure that illegal insecure work is stamped out. My right hon. Friend and colleague the Home Secretary is taking action where appropriate, but, of course, the public health response is vital.

Finally, the hon. Gentleman asked about the public health advice on geography. Given that there were no cases in many areas of the county that are part of the conurbation of Leicester over the past week, it was, I think, a reasonable recommendation to me by the county council to lift the lockdown in those areas. I gave the Mayor of Leicester the opportunity to put forward any changes he might have wanted to within the city boundary, but he declined to do so.

Based on public health across the whole city of Leicester, within the city geography, incidence of this disease is higher than a sustainable level, and we absolutely need to bring it down. It is on the basis of that advice, and working with and listening to local leaders, that we took the decision on the geography of the lockdown in Leicester. I end by again paying tribute to people in Leicester, who are enduring the lockdown longer than others; it is their fortitude that will help to get their city safe again.

Coronavirus Update

Jonathan Ashworth Excerpts

Tuesday 14th July 2020 Commons Chamber

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

I thank the Secretary of State for his statement. After days of ministerial muddle, we finally have a decision. I have long warned that this virus exploits ambiguity and that mixed messaging in a pandemic is so damaging. On Friday, we had the Prime Minister saying he favoured face masks. On Sunday, we had the Chancellor of the Duchy of Lancaster saying he did not favour face masks. Yesterday, the Justice Secretary, unsure what to say, had to say in the end he was perhaps in favour of face masks.

It did not have to be this way: we did not have to have this confusion. We have long known about airborne transmission via aerosols. The Secretary of State has long warned about asymptomatic transmission. The Royal Society and the World Health Organisation have long recommended wearing face masks. Even Donald Trump now wears a face mask, although admittedly it is because someone told him he looks like the Lone Ranger. The former Chair of the Health Committee has long warned about wearing a face mask. The Secretary of State’s own advice, published on 11 May, advised in favour of wearing face masks. So why has it taken two months for him to make this advice mandatory, and why will it take another 11 days for the measure to come into force? The World Health Organisation has said throughout this pandemic, “Act with speed”, but yet again this Government appear to be in the slow lane.

All we need and want is clarity, so may we have it in other areas? What now is the position on workers returning to offices? Do the Government want them to return to offices, yes or no? Will the Health Secretary offer greater clarity to the people of Leicester, who are now in the 17th week of lockdown in my city? What metrics will be used to judge whether Leicester can ease out lockdown later this week? When will he make that decision? How will he communicate that decision to the people of Leicester? Will he clarify why the Under-Secretary of State for Business, Energy and Industrial Strategy, the hon. Member for Stratford-on-Avon (Nadhim Zahawi), has ruled out extra support for Leicester businesses and employers, contradicting the indications that the Health Secretary gave to the people of Leicester? When people are worried about their jobs this mixed messaging is the last thing they need.

On the other parts of the country that have been identified as being of concern, will the Secretary of State instruct the Health and Safety Executive to inspect all factories, meat packing plants, distribution centres and large employment sites as a matter of urgency?

On testing, local authorities still need specific data that can facilitate action. [Interruption.] The Health Secretary disagrees, but they still need person-identifiable data, not just postcodes. They need not just positive test results, but the negative results, so that they can understand the overall infection prevalence, and they need contact tracing data, so that they know who has been asked to isolate by Test and Trace and can follow them up. They need this data daily. The virus does not wait a week, so why should local directors of public health have to wait a week? I note that in the financial statement £10 billion has been allocated to Test and Trace. Can the Health Secretary itemise what that £10 billion has been spent on? Can he rule out spending more on private outsourced companies, and invest more in NHS labs and testing instead?

Finally, today we have a report from the Academy of Medical Sciences warning of a new wave of infection this winter. The Scientific Advisory Group for Emergencies has also warned that the transmission of the virus

“could be elevated under UK winter conditions”.

Yet missing from last week’s financial statement was any increase in NHS England’s revenue budget. Instead we have a mooted NHS reorganisation, with suggestions that Public Health England could be abolished and speculation that a new centre for disease control could be set up in its place instead. NHS staff need certainty, now more than ever, so will he ensure that the NHS and the social care sector get the winter funding they need to prepare for a second wave? People want to do the right thing. Muddled messaging hinders that. As George Osborne said yesterday, people just “want answers”. Can the Health Secretary give our constituents answers today?

Coronavirus

Jonathan Ashworth Excerpts

Tuesday 7th July 2020 Commons Chamber

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

(Urgent Question): To ask the Secretary of State for Health and Social Care, if he will make a statement on coronavirus.

[The Secretary of State for Health and Social Care (Matt Hancock)]

We are bringing coronavirus under control. Yesterday’s figures showed 352 new cases, the lowest since lockdown began. That is down from over 5,000 a day at the peak. Two hundred and nine patients are currently in mechanical ventilator beds with coronavirus, down from 3,300 at the peak. The latest number of deaths recorded in all settings in the UK was 16. New figures this morning show that for the last two weeks, the number of people who have died from all causes has been lower than the normal average for this time of year.

Because we are bringing the virus under control, we have been able to restore some of the things that make life worth living. This weekend, restaurants, pubs and hairdressers were buzzing with activity for the first time in months, and yesterday we were able to ease restrictions for the 2.2 million people who have been shielding across England so that they can now spend more time outdoors in a group of up to six, of course while maintaining social distancing.

Our plan has always been to lift the national lockdown while taking ever more targeted action to suppress the virus. We are seeing a similar approach in other countries, such as Germany, Spain and Australia, where overnight they locked down Melbourne. Last week, we took difficult but vital decisions about Leicester. Since then, we have been working with Leicester and Leicestershire, and I am pleased to say that together, we have brought down the seven-day infection rate from 135 to 117 cases per 100,000 people.

In reopening hospitality, we have also introduced contact tracing for customers. This system is working. I want to thank all those who are making the system work, and to pay tribute in particular to three pubs that have taken specific action: the Lighthouse in Burnham-on-Sea, the Fox and Hounds in Batley, and the Village Home in Gosport. They have all closed for a deep clean and staff testing after, in each case, a customer tested positive. They are doing the right thing by their customers and their communities. This is NHS Test and Trace working precisely as intended. Three pubs shut so that others can be open, and I think the whole House is grateful.

Coronavirus has been the worst global pandemic in a generation. Here, we protected the NHS. We built the new Nightingale hospitals in 10 days. At all times, treatment was available for all. Our medical research has discovered the only drug known to work. We have built, almost from scratch, one of the biggest testing capabilities in the world. We are getting coronavirus cornered, but this is no time to lose our resolve. The virus exists only to spread, so we must all stay alert and enjoy summer safely.

[Jonathan Ashworth]

I am grateful to the Secretary of State for that answer. He is quite right: we are through the peak, but we must not be remotely complacent, as thousands could still die from this virus over the coming months and into next year.

I welcome the news about Leicester, and I am grateful for the way in which the Secretary of State and his officials have kept me updated. What is the exit strategy for Leicester? How does an area that has gone into a local lockdown escape it? I understand that in Germany, local lockdowns are lifted at around 50 cases per 100,000. Will he apply similar criteria here in the United Kingdom? I think people in Leicester, and potentially in other towns and cities that could go into lockdown, would welcome that clarity.

Of course, the pillar 2 data has been an issue of some contention. Much of it has now been delivered, but there are still complaints that the way in which the data set has been delivered is incomplete. Directors of public health need pillar 2 community data in real time on a daily basis. They need the total number of tests undertaken, as well as those that are just positive, and they need patient-identifiable data so they can put in place the extensive contact tracing needed to keep all our constituents safe.

In Leicester, there has been speculation that the textile trade or food manufacturing has been responsible for the outbreak—we still do not actually know why we had the outbreak in Leicester—but many of the places where there have been outbreaks, whether Kirklees or elsewhere, have usually been characterised by low pay, insecure work and lack of decent sick pay. Will the Secretary of State look again at sick pay entitlement, because people will not isolate unless they are given that financial security?

The Secretary of State said on “The Andrew Marr Show” on Sunday that asymptomatic transmission is a problem. We agree. Could he explain why he is not routinely testing healthcare workers? The position now in this country is that premiership footballers are tested twice a week, but NHS staff are not routinely tested.

Finally, on care homes, the initial guidance from the Government downplayed the risk to care homes. Care providers were sent conflicting guidance throughout the outbreak. Staff could not access testing until mid-April and are still not tested routinely. Personal protective equipment supplies have been inadequate. Thousands of families have lost their loved ones in care homes to this disease. Care workers themselves have died on the frontline. Can the Health Secretary understand why people are so insulted by the Prime Minister’s remarks, when he said:

“too many care homes didn’t really follow the procedures.”?

Can he appreciate the hurt that has led to care home providers today describing those comments as “clumsy and cowardly”? Can he tell us which care homes did not follow procedures and what those procedures were that were apparently not followed? Will he take this opportunity now to apologise for the Prime Minister’s crass remarks?

[Matt Hancock]

First, the hon. Gentleman rightly asks about the process needed to bring Leicester out of lockdown and back to the level of freedom enjoyed in the rest of the country. What we said, when we took the measures just over a week ago, is that we needed to see 14 days of data, so we propose to make announcements on the next steps on 18 July. Of course, if further measures are needed in the meantime to tighten up we would take them immediately, but, as I said in my statement, the good news is that the data are currently moving in the right direction.

The hon. Gentleman asks specifically about a figure for the point at which such a local lockdown might be lifted. We are not going to use or give a specific figure, because both the level and the rate of change matters. If the level were lower but going up, that could be a worse situation than a higher level that is under control and falling. We have to look at both the level and the rate of change.

I am glad that the hon. Gentleman said that data are being delivered. He mentioned some more detailed data and I am very happy to look into those proposals.

The hon. Gentleman mentions asymptomatic testing and the asymptomatic testing of NHS staff. As this House debated 10 days ago now, we have worked with clinicians to come forward with a scheme that is supported by those clinicians for the regular testing of NHS staff. That scheme is now agreed and in place. Of course, we constantly monitor it and we monitor the number of cases among NHS staff. I am content with that scheme, which was set out almost two weeks ago.

The hon. Gentleman also asks about care homes. Throughout the crisis, care homes have done amazing work. The Prime Minister was explaining that because asymptomatic transmission was not known about, the correct procedures were therefore not known. We have been constantly learning about the virus from the start and improving procedures all the way through. I pay tribute to the care homes of this country, which have done so much to care for the most vulnerable throughout the crisis.

Covid-19 Update

Jonathan Ashworth Excerpts

Monday 29th June 2020 Commons Chamber

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

I thank the Secretary of State for advance sight of the statement, and also for the many direct conversations we have had in recent days about the situation in Leicester. I hope the House will forgive me if I ask a number of questions about the situation in Leicester; it is the city that I represent, but I hope the House will understand that many of the points that I raise would be applicable to their own local areas should they also see an outbreak in their own constituency.

The Prime Minister talks of his “whack-a-mole” strategy to suppress local outbreaks. We were alerted to the situation in Leicester 11 days ago, and tonight we now have from the Secretary State the whack-a-mole strategy. Does the Secretary of State agree that if we are, as a nation, to ease from lockdown smoothly, those areas that do see flare-ups will need greater speed in the response? Otherwise, we risk no moles getting whacked.

Ministers, Public Health England and other agencies must work closely with local government leaders—that has happened in Leicester and we are grateful for that—and local directors of public health need rapid and ongoing access to testing data. Can we resolve whatever the issues are around the data-sharing protocols, so that if we see flare-ups in other cities, local authorities can get data speedily? Will the Secretary of State look into ensuring that the testing data also captures ethnicity and occupation? For a city like Leicester, it is crucial to capture that level of intelligence.

People in Leicester were concerned, anxious and scared yesterday to read in the newspapers and see on TV screens news that we were going into some form of lockdown, based on anonymous briefings. Grandparents who had recently formed bubbles to see their grandchildren were asking me whether they had to withdraw again. Parents were asking whether they could send their children to school today. Those shielding were particularly worried. I have been around politics for a long time so I understand that things get leaked and so on, but I urge him to appreciate that on something of this seriousness and sensitivity, people need crystal-clear clarity and not briefings from over-eager advisers—perhaps; I do not know.

The Secretary of State has announced a number of extensions to the lockdown measures. I support those extensions, given the outbreak in Leicester. Will he just clarify what powers he has to enforce those extensions and whether he needs to bring forward any legislation or any statutory instruments? I welcome the fact that there will be a two-week review. Will he undertake to keep the Members of Parliament updated on that, and will he come back to the House to announce the outcome of that review?

This decision will impact many Leicester businesses, which were preparing to open up on Saturday. Many feel that they are now in limbo, so will they be eligible for adequate financial support for this extension period, and will employees affected be eligible to stay furloughed as well?

We know that this virus thrives on inequality, and that a disproportionate number of black and Asian people die from this disease. A disproportionate number of the poorest are also most likely to become infected and die from this disease as well. It means that a city such as Leicester is particularly at risk. The Secretary of State will know that Leicester is a proudly diverse city, but we also have one of the highest child poverty rates in the country. Those who are in work are often in low-paid, precarious employment. Our housing is overcrowded. Our public services have been cut back and years of austerity have taken their toll. Saving lives and keeping people safe across Leicester is always my priority, so I support the measures that he has announced, but we also need extra support, extra testing and extra resources to protect people in our city. I am grateful for the extra testing stations that he has put in Spinney Hill Park and Victoria Park. Will they remain in place for the duration of this outbreak? I note what he said about an extra walk-in centre, and I welcome that, but could he also provide the city with thousands of home-testing kits, so they can be distributed to local people?

I welcome the extra resources for Leicester and Leicestershire to translate literature into the many languages that we are proud of in Leicester. The Secretary of State will also know that, for those who are asked to isolate, financial security is absolutely crucial to the success of contact tracing. Where people live in multi-generational households, which we have a lot of in Leicester, will he provide accommodation for those who need to isolate away from home? Will he also ensure that workplace inspections happen to check that people who need to isolate have not been forced back to work? Furthermore, given that schools are closing, people who live in Leicester but work outside of Leicester will now have childcare responsibilities. Can they be furloughed and their employment rights be secured? Will he consider giving Leicester City Council facemasks to distribute to every resident? I am pleased that he accepts that the extension to restrictions cannot just apply to the tightly drawn Leicester City Council boundaries, but must include the wider Leicester urban area as well.

There will be many other cities and towns with similar demographic profiles to Leicester: Birmingham; parts of Manchester; parts of London; Bradford; and Coventry. What extra resources and testing capacity will the Secretary of State now put into those areas and what extra support and testing capacity is he putting in place to support the many occupations that are particularly at risk, such as taxi drivers and bus drivers?

Finally, tonight, the World Health Organisation has warned that the virus is still spreading at speed and that those countries that have opened up are beginning to see a resurgence. The virus remains deadly. It causes significant long-term harm and still demands a resolute response. If that means restrictions have to remain in place or be re-imposed, whether in Leicester or elsewhere, then so be it.

[Matt Hancock]

I want to put on record my gratitude to the shadow Secretary of State and his Leicestershire colleagues in this House, who have all worked in a constructive manner to try to make sure that we get the right answers here and then we communicate them in the right way to the people of Leicester. He, after all, is both a Leicester MP and the shadow Secretary of State.,

I set out in my speech the action that we have already taken over the past fortnight to support Leicester City Council and Leicestershire County Council to tackle this outbreak. We have been acting on it since it first came to our attention. It is clear now that further action is necessary. He talks about the debate that has been in the media. All I can say is that, within two hours of the final decisions being taken, I have come to this House. I am grateful to you, Mr Speaker, for allowing me to come to the House at this unusually late hour in order to set out the decisions immediately.



The hon. Gentleman rightly asked about the powers that will underpin the decisions that I have taken. They will be brought forward with a statutory instrument very shortly, and I commit to keeping the House updated on the two-week review of whether we can lift some of the measures.

The hon. Gentleman is quite right to talk about the proud diversity of the city of Leicester. It is very important that that diversity is taken into account in communicating these decisions and undertaking the public health measures in Leicester. That includes, for instance, the financial support that we put in place for the translation of the messages.

The hon. Gentleman asked whether the testing units can be there for the long term. They will absolutely be there for as long as they are needed. He asked for the provision of home testing kits. I will take that away, but I commit to him that we will increase the number of home testing kits that are available for Leicester. He asked about accommodation for those who are required to self-isolate but whose accommodation does not allow for that in practice. We are working with the city council to put in place availability, on a discretionary and exceptional basis, for accommodation for those who are required to self-isolate by public health officials.

The hon. Gentleman asked about childcare. I appreciate that these decisions—especially the closure of schools—will have an impact on working parents. Childcare is, of course, a reason for essential travel, and I hope that, as during the broader lockdown across the country, people will be able to make arrangements for it.

Finally, the hon. Gentleman asked about other areas that have high intensity. We are of course looking across the country at the cities where cases of this virus remain higher than elsewhere. However, the number of cases in Leicester is three times higher than the next highest city. That is not due to the fact that there is now more testing in Leicester. If it were, the proportion of people who test positive would be falling. Actually, that proportion has remained static, which is one of the reasons why we are specifically concerned about Leicester. It is not just that there is increased testing; it is that there is a higher prevalence in Leicester. That is why we have taken the actions that we have.

Testing of NHS and Social Care Staff

Jonathan Ashworth Excerpts

Wednesday 24th June 2020 Commons Chamber

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

I beg to move,

That this House expresses thanks to the heroic work of frontline NHS staff who have saved lives throughout the Covid-19 pandemic; pays tribute to the at least 312 NHS and Social Care staff who have died of coronavirus in the United Kingdom; recognises the impact that coronavirus will have upon the NHS to deliver routine care including mental health care without additional Government support; notes that NHS waiting lists are projected to reach 10 million by the end of 2020, that cancer referrals fell 60 per cent during the peak of the coronavirus lockdown and that four out of five children have reported their mental health has got worse during the pandemic; further notes that there is a backlog of NHS care that needs to be tackled and that it is vital to prepare NHS services to deliver safe care alongside care for coronavirus, including preparing for winter and ensuring necessary supplies of PPE and medicine; is concerned that routine testing of NHS and Social Care staff is not currently in place; and calls on the Government to implement a routine weekly testing programme for all NHS and Social Care staff to enable NHS services to safely resume and ensure the continuity of services throughout the winter alongside a functional, national, public test, trace and isolate system.

We have brought this motion to the House today to provide an opportunity for the House to reflect on the Government’s response in handling the pandemic, to thank our brave, hard-working NHS and social care staff for their extraordinary efforts—including, if I may say so, our student nurses who do a tremendous job on the frontline; I hope the Minister praises them and recognises their worth when she gets up to make her remarks—and to pay tribute to and remember over 300 health and social care staff who gave their lives during the pandemic. We have also tabled the motion to put to the Government a constructive, practical suggestion that we now consider necessary to prepare our national health service to meet the monumental growing burden of unmet clinical need and set out what we think is necessary to prepare us in case of a second wave of the virus.

The key to resetting the NHS and the safe easing of lockdown measures announced yesterday is a fully effective system that finds cases, tests cases, traces contacts, isolates, and then properly financially supports those who have been asked to isolate. We believe a key element of that must now be the regular testing, weekly if necessary, of all NHS and social care staff. This is what we are suggesting to the Government today, and we hope they will accept our constructive suggestion and find a way to make it work.

Throughout the pandemic, our concern as an Opposition has been to save lives and minimise harm. We have always thought that that means suppressing the virus, not simply managing its spread, and measures to crunch the virus down, as nations like New Zealand and Iceland have done, and not merely squashing the sombrero. It is why we on the Labour Benches called for a lockdown. Indeed, when I called for a lockdown in March not everybody in my party supported me at the time—many on our side were concerned about the extraordinary restrictions to civil liberties—but we supported the Government when they announced a lockdown and we co-operated with the Government in ensuring that the necessary legislation passed this House.

I also said, however, that a lockdown was a blunt tool. I said it would buy us time while transmission in the community reduced. We always recognised that we could not stay in lockdown forever. Lockdown has huge social repercussions, especially for children. This is not a debate about schools, but I was struck by the words of UNICEF, which warned:

“Children are not the face of this pandemic. But they risk being among its biggest victims.”

We have always understood that there would come a moment when we need to ease out of lockdown, but it has to be done safely.

Of course, nothing is risk-free. We can never entirely eradicate risk, as the chief scientific adviser reminded us yesterday. We cannot be complacent. This virus exploits ambivalence, and the reality is that there are many hundreds of infections every day. Globally, we have passed 9 million cases. The virus is accelerating across the world. There are outbreaks in South Korea and Germany, countries that have been far more successful than we have. The chief medical officer yesterday warned us to expect to continue to be in this situation way through the winter and way into next spring. We all know from our history books that about 100 years ago there was a deadly second wave of Spanish flu. A second wave must surely be a possibility with this virus.

We are tracking towards one of the worst death tallies in the world: over 65,000 excess deaths, with 26,000 excess deaths in care homes. Ministers cannot run away from the realities, no matter how uncomfortable they are. Today, we call on Ministers to outline a plan for the next stage and to prepare us in case of a deadly second wave. Let me deal with the points in the motion about the NHS.

Ministers boast that the NHS was not overwhelmed, that it coped and that 119,000 people were admitted to hospital for covid and they received exceptional care. They are right to make those claims. Thankfully, the desperate scenes in Lombardy hospitals that we witnessed on our TV screens were never repeated here. Naturally, I pay tribute to all our NHS staff involved in that and all the staff who ensured the building of Nightingale hospitals, developed new care pathways, and moved to digital care or returned to the frontline. But let us be absolutely clear: that surge capacity in the NHS, and the wider protection of the lockdown, has come at a cost, because millions are waiting for care. For those millions, this has not been a cosy hibernation, as the Prime Minister told us yesterday. It has been a time of struggle, of suffering and of distress.

Protecting the NHS has been on the back of cancelled operations, delayed treatment, and, arguably, the biggest rationing of services in the 72-year history of the national health service. It has been on the back of shielding some of the most vulnerable in society, who remain anxious and scared today for their personal health and safety as lockdown eases. Let us remember that, when we went into this crisis, we had 4.5 million on the waiting list. We had A&E targets routinely missed. Every winter, we saw the crisis in our hospitals of trolleys lined up in corridors. We have had some of the worst cancer waiting times in history, and now the NHS Confederation is warning that elective waiting lists could hit 10 million by Christmas. Yes, referrals are down, as the Minister for Health, the hon. Member for Charnwood (Edward Argar), recognised yesterday, but that is because of unmet need in the wider community. Indeed, experts are predicting that about 1.6 million are being added to the waiting list every month. That means ever lengthening queues in our constituencies of people in pain waiting for care. The Minister will know that at the end of January, there were 521,000 people waiting for trauma and orthopaedic surgery, including hip and knee replacements, and probably another 42,000 added to the waiting list each week. That means that thousands of our constituents are waiting in discomfort and pain, often when pain-relieving drugs are inadequate.

[Tim Farron (Westmorland and Lonsdale) (LD)]

I am extremely grateful to the hon. Gentleman for giving way. He is making a very important and well-presented case. In my constituency, at Westmorland General Hospital, the trust closed down the Kentmere ward, which is the adult mental health ward. It is fairly obvious that most Members will have had in their inboxes a lot of people presenting with higher degrees of mental health need than during normal times. That ward was closed down temporarily to take account of the crisis. Does he agree that now is the time, particularly with mental health issues, to look again at those temporary closures and to bring the Kentmere ward and other such wards back into service, to meet the needs of those struggling with mental health conditions?

[Jonathan Ashworth]

The hon. Gentleman puts his case persuasively. My hon. Friend the Member for Tooting (Dr Allin-Khan), who will be winding up the debate for the Opposition, will, I am sure, want to touch more on the mental health impact of the lockdown. It is undeniable that the lockdown has led to unquantifiable mental health problems festering in society, and statistics show an increase in anxiety and depression. There are particular issues around young people not being able to access child and adolescent mental health services. If services have closed, as happened in his constituency, then, yes, we need a plan to ensure that those services are reopened as quickly as possible.

Another area where we have had access to services restricted is in cancer, and cancer touches everybody. It touches every family. It has touched many Members in this House very individually and personally as well.

[Jim Shannon (Strangford) (DUP)]

I thank the hon. Gentleman for giving way. What is happening to our cancer services is very important, as he said. Some of the figures are incredible. There are 2.1 million people waiting for breast or cervical screening tests, which is 60% higher than in April 2019. Treatment rates for chemotherapy have fallen by 70%, surgery by 60%, and radiotherapy by 90%. That underlines very critically the severe problems for those with cancer and for those needing treatment right now.

[Jonathan Ashworth]

The hon. Gentleman is ahead of me in making the points that I was hoping to go on to make. I am not surprised that he has made those points given that he is a Leicester City fan. I am very proud to have Leicester City football club in my constituency— hopefully we will do better next season. He is absolutely right in what he says, because the statistics on cancer are absolutely terrible.

Around 2 million people in England are currently waiting for cancer screening tests or cancer treatment, including chemotherapy. Today, we have a published analysis, which shows that those waiting more than six weeks for diagnostic tests—some of these will be for cancer of course—have increased from 30,000 to 469,000 as a result of the lockdown. Cancer referrals are down 60%, and 1 million people are missing out on breast, bowel and cervical cancer screening. That means that about 1,400 cases of cancer are going undiagnosed every month. In March and April alone, there were at least 500 more deaths from cancer than average, and research from University College London predicts that an estimated 17,915 additional deaths of existing and newly diagnosed cancer patients could occur in England in the next 12 months. That is why resetting our NHS and getting it started again is so vital.

We also know that covid attacks the lungs, so this is an especially frightening time for those with serious asthma, chronic obstructive pulmonary disease and emphysema. One in four people with COPD have had a regular GP or hospital appointment cancelled, or both. Some 24% of people on pulmonary rehab programmes have had their classes cancelled, and 600,000 people with asthma or COPD have missed their annual review. The more we know about coronavirus, the more we know it is also a cardiovascular issue. Those with cardio- vascular problems are the second biggest group of those with an underlying condition dying from covid now, yet about 30,000 elective procedures for heart disease have been deferred. Referrals to stroke units have declined, and excess stroke deaths in care homes are 39% higher than the five-year average. We are making these points not in a spirit of blame, but to re-emphasise the point that lockdown has come with huge costs and will inevitably mean that people will die or develop long-term illnesses unless there is now a plan to get the NHS up, running and working again.

[Dr Kieran Mullan (Crewe and Nantwich) (Con)]

It is important that we are clear as to exactly what the Opposition are calling for today. The motion asks for “routine weekly testing”, with no ifs, ands, buts or qualifications. Yet the hon. Gentleman said in his opening remarks that he is seeking routine testing weekly if it is necessary. So are the Opposition calling for weekly testing, no matter what? Or are they calling for what he said in his opening remarks, which is the possibility of weekly testing?

[Jonathan Ashworth]

We are calling for weekly routine testing, as have many organisations and the Chair of the Select Committee on Health and Social Care. He penned an excellent article in The Daily Telegraph today, and I hope the hon. Gentleman has had time to study it, because it is superb. May I also take this moment to pay tribute to the hon. Gentleman, because I know he has returned to the frontline? I am sure all of us, from across the House, are grateful for everything he is doing on the frontline.

The other point I wish to make on this growing burden of unmet clinical need is that there is a social gradient in this, as always; there is a higher mortality rate among those who are poorer and more deprived. Through all these different conditions, the poorer someone is, the more likely they are to become ill quicker and die sooner. So we need urgent action from the Government to tackle this, and we believe that regular testing of NHS staff is a key part of that.

We also need a broader plan to tackle the growing burden of sickness and unmet need. Our NHS will need more resources. We have had years of financial starvation in the NHS. The Government’s funding plan of two years ago fell short of the annual 4% increase that experts said was needed before the pandemic, and the settlement of that long-term plan is surely inadequate post pandemic. We must remember that we entered this crisis after 17,000 bed cuts and years of budget cuts to capital settlements, which have left hospitals crumbling, reliant on out-of-date equipment and grappling with a £6.5 billion repair bill. NHS land and buildings have been sold off. Last year, more than 890 hectares of NHS land was put up for sale. So we will need large-scale investment in the real estate of the NHS to allow health services to reconfigure to treat covid and non-covid patients alike.

Ministers will say that the NHS will get what it needs, but the reality on the ground is very different. I am sure the Minister for Care will have studied today’s Health Service Journal ahead of the debate and will have seen trust chief executives complaining that the cash that they were promised has not been delivered. They need this cash now if they are to restructure any of their services ahead of the winter. I hope that she will update the House on when those chief executives are going to get the cash they were promised by her Department.

We will also need real investment in rehabilitation services for those suffering from covid. The more we know about this disease, the more we know that those coming out of hospital are probably doing so with significant long-term chronic conditions. They are going to need support, be it respiratory, neuromuscular or psychological. Community health services are going to see a huge peak in demand now that many have moved out of the community health sector.

Crucially, to reset services—this comes to the point that the hon. Member for Crewe and Nantwich put to us—we need to ensure that care can be delivered safely, which is why we believe that a mass-testing infrastructure for staff is now so important. We know that around a fifth of covid infections in hospitals are caught in hospital settings. Given the levels of significant asymptomatic and pre-symptomatic transmission, we need a proper targeted testing strategy as well. All healthcare workers should be tested regularly—weekly—because a study from Imperial suggested that that would reduce transmission in healthcare settings by up to a third.

[Patricia Gibson (North Ayrshire and Arran) (SNP)]

The hon. Gentleman is eloquently outlining the challenges faced by the NHS in the wake of covid-19. Does he join me in welcoming the movement by the Scottish Government to ensure that social care workers who contract covid-19 are given additional funds on top of statutory sick pay, which is completely inadequate, in order to make sure that they do not lose out for testing positively as a result of their job?

[Jonathan Ashworth]

The hon. Lady makes a very important point, which affects the debate more broadly: those who test positive or are asked to isolate need to be given the financial support to do it, and statutory sick pay in many circumstances will not be enough. There are millions of workers—2 million in this country—who do not qualify for statutory sick pay, and just saying that they can apply online for universal credit is not going to be enough.

We need more radical thinking from the Government. Other countries offer greater financial support to those who are asked to isolate. Other countries even offer hotel rooms to those who are asked to isolate if it is not appropriate for them to isolate at home because of the nature of their housing situation. The Government should be looking into those sorts of things, and I hope the Minister can respond to that.

The point I was making is that regular testing of staff, whether asymptomatic or not, is so important not only for the safety of those staff and patients, but for building confidence in the NHS more generally. The study from Imperial suggested that it would reduce transmission of covid in healthcare settings by up to a third. We believe that this is a constructive suggestion that we are putting to the Government, which they should take on board and explore. It is disappointing that they are seeking to amend the motion to completely strip that out. They are not even prepared to take it away and look into it. They just want to pass a motion congratulating themselves on their handling of the pandemic.

A testing strategy for staff and patients, as we are proposing today, is a demand supported by many across the NHS as key to restarting that NHS work.

“A clear testing strategy is now more important than ever”—

says Chris Hopson from NHS Providers.

We

“need rapid testing available for all staff and patients, whether showing symptoms of COVID-19 or not”—

says Cancer Research UK.

“It’s absolutely essential to regain public confidence that we are able to test our staff regularly”—says Derek Alderson of the Royal College of Surgeons. And, of course—the right hon. Member for South West Surrey (Jeremy Hunt) will not be surprised that I am going to quote him in this debate—it is a position shared by the former Health Secretary, now the Chair of the Health and Social Care Committee, who in today’s Telegraph makes the case with far greater eloquence than I could ever muster:

“Until we minimise the risk of asymptomatic transmission by introducing weekly testing for all NHS and care staff, we are failing in a basic duty of care to the people most likely to die if they get the virus.”

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

May I put on record my thanks to the hon. Gentleman for praising me in this House for the very first time that I can remember on record?

[Jonathan Ashworth]

I praised him plenty of times from this Dispatch Box. The point is that this is a constructive proposal, which is not a party political point. There are clearly many people across the House who support this proposal. The right hon. Member, the former Health Secretary, also prays in aid in his article—I have it here for Members, if they have not had chance to peruse it—both Tony Blair and William Hague. So we now have a Front Bencher praising Tony Blair from the Dispatch Box—that is probably the first time it has happened on the Labour Front Bench for about 10 years.

[Andrew Griffith (Arundel and South Downs) (Con)]

I am delighted to see that the hon. Gentleman has improved his reading material. I congratulate him on securing the debate, and on his constructive tone. In that vein, in addition to the proposals that he is setting out, will he recognise that we are able to start unlocking the economy today because of the herculean efforts made in areas such as PPE, and the contribution made by the private healthcare sector, which has a valuable role to play as we move towards more of the elective care that we now need?

[Jonathan Ashworth]

I know that the hon. Gentleman is always keen to support those on his Front Bench. Indeed, he was one of the few Tory Members who actually supported Mr Cummings, tweeting:

“Another media non-story when there are so many important ‘real’ stories of this crisis”.

The Government were slow in getting PPE to the frontline, slow in ramping up testing, slow in going into lockdown, slow in getting tracing going and slow in protecting care homes. I am pleased that the hon. Gentleman recognises my constructive tone, but it does not mean that I will not highlight the failing of this Government in their mishandling of many aspects of the pandemic.

I must now move on, having spent some time in this mutual love-in with the former Health Secretary. I do not want to damage his career any further, although he is probably not on the Prime Minister’s Christmas card list at the moment.

I hope that the Government will engage seriously with our suggestion of regular testing for all NHS staff, because we believe that is a crucial part of an effective test, trace and isolate strategy. The problem is that the testing and tracing is still not as effective as it should be. Of course, we recall that testing and tracing was abandoned on 12 March, and the Government have been playing catch-up ever since. At Health questions yesterday the Secretary of State could not even tell us how many people were being tested on a daily basis. I hope that the Minister will now get us that information.

Local authorities are still not receiving localised data, which is very serious. At Thursday’s press conference—the Prime Minister has now got rid of the press conferences—the Health Secretary casually announced, in response to a question, that Leicester is experiencing one of the highest spikes in the country. Nearly a week later, the local authority still does not have specific postcode data on where the people who have tested positive are. The Secretary of State announced that last Thursday, and today is Wednesday. We do not have that data because the data protection protocols have still not been agreed. This is shambolic. The Government cannot announce that there is an outbreak in a particular part of the country but then not provide the local authority with the data it needs to put in place the necessary measures.

[Jim Shannon]

Will the hon. Gentleman give way?

[Jonathan Ashworth]

Given that the hon. Gentleman is a Leicester City fan, I will.

[Jim Shannon]

I am always pleased to intervene on anyone, but especially a Leicester City supporter.

On systematic testing, the figures from Cancer Research UK are critical, as I am sure the hon. Gentleman is aware. Between 21,000 and 37,000 tests would be required every day across UK cancer services just to catch up. That underlines how important the testing is, and that is just for those who have cancer.

[Jonathan Ashworth]

The hon. Gentleman is absolutely right, and that is why we have brought forward this debate. I think that we all understand why a lot of elective surgery and treatment had to be paused, but now that the lockdown is being eased, Government Ministers need to tell us how they are going to start treatment again, and how people who have been waiting for treatment, whether for cancer or for heart disease, or for a hip replacement, are going to get that important care.

We have a situation in which GPs cannot carry out tests, book tests or refer patients for tests. If someone goes to one of the Deloitte drive-through testing centres, or one of the centres where that role has been subcontracted to someone else, there is no requirement for the results to be sent back to their GP. GPs do not know who in their local area has been tested positive, because that is not going on their health records. This is shambolic. At the same time, the Government have given a £100 million contract to call centres run by Serco and Sitel, where tracers are complaining that it is chaotic and they have nothing to do. I do not know whether the Minister read the testimony, published in the British Medical Journal, of a clinician working in one of the call centres. They wrote:

“NHS Professionals employed us as clinical tracers, but we were recruited by Capita… Sitel provided access to the tracing applications and systems, and these all required different usernames and passwords. Synergy CRM assigned cases…CTAS captured contact tracing information, RingCentral was used for voice calls, and MaxConnect was used for storing knowledge about contacts. All of these systems were accessed through Amazon Workspace.”

This sounds a complete mess. At the same time, the chief executive of Serco is saying that this is an opportunity for it to “cement” its role in the NHS. Serco should not be an excuse for more NHS outsourcing and privatisation. Serco should be kicked out of our NHS, and local public health officials and GPs should be leading the tracing response.

And, of course, the Secretary of State has failed to deliver on his app, with months wasted and £11.8 million confirmed as down the drain by the Minister in the Lords yesterday. We are now in the dismal situation where there is an app for the Secretary of State himself, but there is not even an app for covid. You really could not make it up, Mr Deputy Speaker.

We believe that it is time for the Government to invest in public health services, to put GPs in the driving seat of testing, to give local authorities the localised data that they need and to begin a programme of routine testing of all NHS staff, whether symptomatic or not. We accept and understand that Ministers will have made mistakes throughout this crisis. It was an unprecedented pandemic, but Ministers have been slow, their response has been disorganised and the scale and nature of the pandemic, even though it was at the top of the risk register, at times underestimated.

However, Ministers can learn from their mistakes. They can take the advice of the former Health Secretary and they can take the advice of their former leader and former Foreign Secretary. They can start putting in place a programme for mass testing, starting with NHS staff, because we need it for our national health service. Our constituents are waiting in pain, agony and distress for treatment. It is time to deliver the care they deserve, and I commend our motion, constructively, to the House.

--- Later in debate ---

[Helen Whately]

I absolutely recognise the importance of repeat testing, both in the NHS and in social care. Our policies, and the testing programmes that we have in place and are launching and taking forward, are based on the clinical advice as to what the right programme to have in place is. I have set out the programme for the NHS, which is based on the advice of the chief medical officer, and we have sought advice from the Scientific Advisory Group for Emergencies on what the repeat testing programme should be for the social care sector.

[Jonathan Ashworth]

I am genuinely grateful to the Minister for giving way. We are trying to engage with the Government on what we think is a constructive proposal, and not to do the usual political knockabout. I did a bit of that yesterday at Health questions, as she knows, but today I am trying to adopt a different tone—

[Helen Whately]

Trying.

[Jonathan Ashworth]

Trying, yes. Just so that we can understand this, is the Minister saying that the Government’s position on weekly testing of all NHS staff, whether symptomatic or not, is that that is not an appropriate clinical intervention—as distinct from saying, “We simply do not have the testing capacity at this stage, but it is something we would like to do in future”?

[Helen Whately]

I am sure the hon. Gentleman was listening when I outlined the policy for the national health service. That is based on the chief medical officer’s advice. I think that is pretty clear. The Opposition’s position is not entirely clear, given that the hon. Gentleman started out saying “Weekly testing when necessary”, but said in his speech that it was weekly testing, whatever. On the other hand, we have been clear and the hon. Gentleman can look at the letter from NHS England and NHS Improvement to NHS trusts for further information.

I should move to the conclusion of my remarks—[Interruption.] Hold on, I thought we were not having any more political knockabout. We have established a national testing programme on a scale and at a pace that has never been seen before in this country. We will keep expanding that so that we can use high-quality testing to give confidence and certainty to anyone who needs it.

As I have set out today, there has been incredible action across our NHS and social care as we respond to this invisible killer. Thanks to the efforts of so many, crucial services have not been overwhelmed and all coronavirus patients who were admitted to hospital were able to receive urgent care. Because we have made such progress on slowing the spread of the virus, we have been able to ramp up other important services as part of our plan to get Britain back on her feet. However, we cannot be complacent and we must be ready for any increase in the rate of coronavirus infection and also for the winter, when, as hon. Members know, there is a greater risk of seasonal flu. As we keep ramping up services, we will ensure that we have the surge capacity to act quickly if necessary.

I want to finish by thanking the incredible NHS and social care staff who have been on the frontline of the pandemic. There has been a collective effort from so many, including healthcare professionals who have volunteered to return, and medical students, allied health- care profession students and nursing students who have stepped up at this important time for our country. The whole House and the whole nation are grateful to them for their heroic work.

--- Later in debate ---

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

It is a great pleasure to follow the hon. Member for Gordon (Richard Thomson). It is the first time I have heard him speak from the Front Bench and it was a very thoughtful contribution. I hope we hear more from him.

I thank the shadow Health Secretary for having this debate and, indeed, for mentioning my article in The Daily Telegraph. If I ever was on the Prime Minister’s Christmas card list, that mention will be sure to get me taken off it—[Laughter.]

I particularly want to congratulate the Minister of State on leading this debate for the Government. As a veteran of many Opposition day health debates, I can say that she elicited a much calmer response from the Opposition than I ever did, and she deserves many congratulations for that.

We need to start this important debate by recognising that, as a country, we are in a transformed position because of recent changes to our response to the pandemic. We are now contacting around three quarters of the people we identify as testing positive for coronavirus and 90% of their contacts are being asked to isolate. That is the basis of South Korean test and trace, and it is incredibly important that we are in that position. I am sad in this respect that the Health Secretary is not here himself, because that would not have been possible if he had not taken the courageous decision to set the target of 100,000 tests a day at the start of April. Indeed, yesterday’s announcement about the gradual easing of our national hibernation would itself not have been possible if that had not been in place, and we need to recognise that.

The challenge we now have is that we do not know where about two thirds of new infections are happening, so we cannot feed them into the test and trace process. That is a challenge, because SAGE’s advice is that we ask about 80% of potential coronavirus contacts to isolate, and we are still some way off that. In fact, we are contacting about 700 people a day to get their contacts and there are about 2,500 daily new infections. If we do the maths, assuming that each person with coronavirus has about nine contacts, which is the current figure, that is up to a quarter of million people since the process started whom we would have liked to have asked to isolate but we have not been able to do so.

How do we meet that challenge? Well, the answer is to do something that the Government have already shown they are very good at, which is a dramatic expansion of testing capacity. The city of Beijing has about a third of the population of the United Kingdom, but its daily testing capacity is nearly double ours at around 400,000 a day, and many of those tests come back within 24 hours. We look forward to the triumphant announcement next week that we are meeting the Prime Minister’s target for all non-postal tests to come back within 24 hours by the end of this month, because speed matters.

If we expand our testing capacity dramatically, we can use it, for example, to deal with localised outbreaks, such as the one we have had in Ynys Môn, where my hon. Friend the Member for Ynys Môn (Virginia Crosbie) is doing such a fantastic job in supporting her affected constituents. We can use it at airports instead of the quarantine policy, by testing people on arrival. We can use it for high-risk groups such as taxi drivers, who are particularly at risk. Most of all, we can use it for our frontline health and care staff. If we had Beijing levels of testing in this country, we would, in addition to the testing we are currently doing, be able to test every NHS frontline worker once a week. If we got it up another 200,000, we would be able to test every frontline care worker once a week as well.

Why does that matter? It matters because, according to the evidence submitted to SAGE on 20 April, up to 25% of the coronavirus patients in our hospitals caught coronavirus in the hospital. When we add on the people who catch their infection in care homes, what we end up with is that about a third of new infections are likely to be in healthcare settings—so-called nosocomial infections, which is one of the many new words we have learned over the course of this crisis.

[Jonathan Ashworth]

The right hon. Gentleman is making a superb speech, and I agree with every word. I was struck by the Minister’s response to me when she made the point that the Government’s position is based on the advice of the chief medical officer. I would entirely understand if the Government said, “The resources are not quite there yet. We have not quite got capacity there. We need to build up capacity before we can test all the millions of NHS staff.” I think everyone would have thought that a reasonable position, and we would be urging the Government to go further. However, if the advice to the Government from the CMO is not the correct clinical approach, will the right hon. Gentleman, perhaps through his chairmanship of the Health and Social Care Committee, ask the CMO whether they will provide the Committee with that advice, and could that advice be shared across the House?

[Jeremy Hunt]

That is a reasonable question. I will certainly take that away. In fact, the CMO is coming before the Health and Social Care Committee in a few weeks’ time, and I am sure we will ask that question. My understanding is that the concern in the clinical advice is the question of false positives—people who get told that they have coronavirus when they have not. Those people might be in a very important frontline clinical role and be asked to isolate, and that might take them off very important work. To me the obvious answer is to give them a second, confirmatory test to establish whether they really do have the virus.

Weekly testing matters and is so important not only because, with around a third of new infections happening in healthcare settings, it will save a lot of patients’ lives and save the lives of frontline healthcare workers, but because it is the critical thing stopping the NHS getting back to its normal levels of activity.

Last week, the president of the Royal College of Surgeons, whom the shadow Secretary of State quoted, talked about the mountainous backlog we face in, for example, orthopaedic surgery. He said that the thing holding the NHS back is the time it is taking to set up what he calls “covid-lite” facilities, where there is a low risk of people having coronavirus. That is why testing is essential.

I do not want to take up any more time than I need to, but I want to make this point. Korea, Taiwan and Germany are all held up as examples of places that have been particularly effective in tackling coronavirus. All of them introduced test and trace, but they all did it when the virus was at an earlier stage with much lower levels of community transmission. If we want test and trace to be effective here, we need to introduce mass testing, starting with health and care staff, and we must not delay.

--- Later in debate ---

[Dr Rosena Allin-Khan (Tooting) (Lab)]

Let me start by paying tribute to the staff on our frontline—our NHS and care staff, far too many of whom have paid the ultimate sacrifice while trying to keep us safe and well. I would also like to take this opportunity to pay tribute to my good friend the hon. Member for Chatham and Aylesford (Tracey Crouch); not only is she a friend of mine on the same football team, but she is an outstanding parliamentarian and somebody I am proud to call a friend. I know we all join together in wishing her well and she fights cancer.

I thank my hon. Friend the Member for Leicester South (Jonathan Ashworth) for his opening speech.

[Jonathan Ashworth]

Thank you.

[Dr Allin-Khan]

You are welcome.

My hon. Friends the Members for Newport West (Ruth Jones) and for Dulwich and West Norwood (Helen Hayes) paid passionate tributes to NHS and care staff, while my hon. Friends the Members for Erith and Thamesmead (Abena Oppong-Asare) and for Bethnal Green and Bow (Rushanara Ali) spoke eloquently about the importance of recognising the sacrifices made by our BAME communities. My hon. Friends the Members for Barnsley East (Stephanie Peacock) and for Warrington North (Charlotte Nichols) spoke movingly about the impact of losing local staff and loved ones; I know that we were all moved. I am also grateful to my hon. Friends the Members for Sheffield, Hallam (Olivia Blake) and for Mitcham and Morden (Siobhain McDonagh) for ensuring that pregnant mothers are not forgotten at this time.

From the very beginning of this pandemic, health and care staff have made immense sacrifices. When we were asked to stay at home, hiding behind closed doors, they went to work and faced this deadly virus head-on. Nothing is more worthy of commendation than the unwavering courage of our health and care staff, fighting this ruthless virus, going to work and facing it to care for us, leaving behind the worries that they had for their own families at home. However, although it is right to pay tribute through our words, it is only through our actions that we can truly honour those who have died.

Our healthcare staff have given everything to fight covid-19, but this Government could not even give them PPE at the height of the crisis. Our frontline staff were sadly unprepared; many went to their death. Ministers must learn from this. Never again can we ask medics and carers to treat patients without protective equipment. Never again can we ask staff to clean the rooms of people who have died from covid-19 without adequate PPE. Our frontline staff have lost patients and colleagues on an unimaginable scale, and the impact will be felt by them for a lifetime.

I cannot tell the House what it is like, as a trained medic used to delivering bad news, to have to break the hearts of people over the telephone, telling them that the worst has happened and their loved one has died, or on rare occasions to have them there in front of you as you deliver the news, fully covered in PPE with only your eyes showing, unable to give them the hug you would previously have been able to give. In those worst of circumstances, you are left shaken to your core because the very thing you have been trained to do is to provide nurturing support. It feels robotic; it feels sterile; it feels inhumane.

As we leave behind the peak of this virus and life slowly starts to resemble some form of normality, it is important to remember that the horrors—the true horrors—of fighting covid-19 on the frontline will never leave the minds of the frontline care and NHS staff. Never will they forget, in their heart of hearts, at their core, what it has been like to face this virus. Our NHS and care staff need mental health support that is tailored to their unique needs, and they need it now. Clapping simply is not good enough. Without action, it is an empty gesture. Only by protecting the mental health of our healthcare workers can we expect them to protect both the physical and the mental health of the nation. Public health fears, social isolation and economic uncertainty are all major risk factors for mental ill health. The coronavirus and the subsequent lockdown have affected us all, and there will undoubtedly be a rise in demand for mental health support in the coming weeks, months and even years.

The Government must prepare now and put in place a long-term plan to ensure that services can cope with the inevitable surge in demand. Let me be clear: this must include provision for children and young people. Their mental health needs are so often forgotten, and they have suffered immeasurably throughout this period. With child and adolescent mental health services referrals decreasing massively during the crisis, many mental health problems will be picked up only when children return to school. A report by children’s charity Barnardo’s found that 88% of school staff thought that covid-19 would have a negative impact on their pupils’ mental health and wellbeing. We need to ensure that our most vulnerable children do not slip through the cracks. I am sure that, party politics aside and regardless of which Bench we sit on in this place, we all agree on the importance of prioritising the mental health of our children and young people.

To get a handle on the virus early on and come through the crisis completely unscathed might have been impossible, but there is merit in the ambition. From the outset, sadly, the Government seemed to accept that thousands of deaths were inevitable. The lockdown came too late, and it cost us dearly. It cost us friends, it cost us family, it cost us colleagues, it cost us members of our black and minority ethnic community, it cost us NHS and care frontline workers. Our communities have paid the price, and they will suffer immeasurably for a long time to come.

When healthcare systems in other parts of the world began to crumble in the wake of covid-19, when on our television screens on “News at Ten” we could see what was playing out globally, this Government sat idle. At a time when we needed quick, decisive actions, this Government dithered and refused to enter lockdown, failed to get PPE where it was needed and abandoned their community test and trace strategy, letting the virus run rampant through this country. With the benefit of hindsight, that gamble clearly failed, causing countless avoidable deaths.

The last time I stood here and tried to raise that issue with the Government—with the Secretary of State himself—my tone was challenged, but I say this: it was not my tone that was the issue, but the very content of what I had to say. It was the sentiment and the understanding that many frontline workers feel that unnecessarily they had to break people’s hearts in the way I have just described. In the most inhumane of ways, this virus stripped the humanity out of grieving, and there were many avoidable deaths. That is what the Secretary of State took issue with.

With the benefit of hindsight, the gamble clearly failed, causing a countless number of avoidable deaths. Imagine people waving their loved ones off in ambulances, never to see them again—never able to give that last kiss, and never able to say goodbye in person to the person who had brought them the most love and joy in the whole wide world. Our communities will grieve for a lifetime, as will the healthcare workers who had to pass a paltry phone to someone as they took their last breaths, so that their relatives could say words like, “Hang on dad, we love you.” Never again can we find ourselves in this position, when it could have been prevented. Never again can we ever allow our communities to be so failed.

In February, the Government may have been able to feign ignorance of the threat posed by the coronavirus, but today we know all too well its devastating impacts. We have the evidence, we have had the reviews and we have seen it play out in technicolour. I say this: with the very real danger of a second spike and with winter flu season on the horizon, preparations must begin now to ensure that the NHS and the social care sector have everything they need to keep themselves and the public safe in the months and years to come. Will the Government please outline what preparations are being undertaken to plan for those eventualities? We must stockpile PPE now, not later. We needed the track and trace system up and fully operational weeks ago, not in the autumn. We need urgently to learn the lessons and prepare.

We honour those who have died by learning from their sacrifice and ensuring that never again will this country sleepwalk into a crisis. Never again will we accept unnecessary deaths as a consequence of inaction. I believe that there are good people on both sides of this Chamber, and I believe we all are here because we care about our communities. We are all here because in essence, we truly believe and want to believe that we care about our NHS and care staff. So in that light, I sincerely hope that Members from across the House will join us today in supporting the motion.

Oral Answers to Questions

Jonathan Ashworth Excerpts

Tuesday 23rd June 2020 Commons Chamber

[Matt Hancock]

That is a very important question on supporting children’s mental health. We absolutely reiterate the long-term plan ambitions for service transformation and expansion. Indeed, one of the things we have learned during coronavirus is that when it comes to paediatric mental health, telemedicine can actually have a better and more effective impact than face to face. That is a good thing to have learned and will help the roll-out further.

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

On the app, the Secretary of State told us it was crucial and would be ready by mid-May. Experts warned him it would not work. He spent three months, wasted £12 million and has got nothing to show for it. It is a good job he is a tech-savvy expert on apps; otherwise, this would be a right shambles now, wouldn’t it?

[Matt Hancock]

On the contrary, ensuring that we use technology to its best possible effects is incredibly important. I would have thought that the shadow Secretary of State would want to side with and support the efforts of all those, including in the NHS, who are doing the work to ensure that we can get this up and running as quickly as possible.

[Jonathan Ashworth]

In the past few days, I have been listening to the Secretary of State’s excuses. He is like the Eric Morecambe of the Commons: he has been playing all the right notes, just not necessarily in the right order. On test and trace, local areas such as Leicester, which has had a spike, still do not have local data; GPs still cannot refer people for testing; and NHS staff are still not tested regularly. He has spent £100 million on a Serco and Sitel call centre where the tracers are saying they have nothing to do. This is not a “world-beating” system; it is more like a wing and a prayer. When are we going to get a functional test, trace and isolate strategy?

[Matt Hancock]

The shadow Secretary of State is far better when he supports the Government than when he pretends to oppose them. We have all seen him explaining why the steps that the Government are taking are the sensible ones, why it is important to move from a national lockdown as much as is safely possible to local outbreak control, and why test and trace is important. When he gets on to saying that the money we have spent to protect the NHS and put in place the actions needed to get us out of the lockdown is wasted, I think that that is opposition for opposition’s sake.

Coronavirus

Jonathan Ashworth Excerpts

Wednesday 17th June 2020 Commons Chamber

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

(Urgent Question) To ask the Secretary of State for Health and Social Care if he will make a statement on coronavirus.

[The Secretary of State for Health and Social Care (Matt Hancock)]

I am grateful for the chance to update the House on the urgent matter of coronavirus.

Yesterday’s treatment breakthrough shows that British science is among the best in the world. As a nation, we can be incredibly proud of our scientists. The UK is home to the best clinical trials, the most advanced immunology research, and the most promising vaccine development work of any country. We have backed the science from the start, and I am sure the whole House welcomes the life-saving breakthrough that was announced yesterday. Today, I will briefly update the House on all three aspects of that national scientific effort.

First, on clinical trials, our recovery programme, which looks at the effects of existing treatments in real-world hospital settings, is the largest of its kind. As of yesterday, 11,547 NHS patients had been recruited to the programme, which is operating across 176 sites in all four nations. In Oxford University’s dexamethasone trial, over 2,000 NHS covid patients were given a course of the drug—a commonly used steroid—over 10 days. For patients who were ill enough to require oxygen, the risk of dying fell by a fifth, and for the most seriously ill patients on mechanical ventilators, the risk of dying fell by over a third.

This is an important moment in the fight against this virus, and the first time that anyone in the world has clinically proven that a drug can improve the survival chances for the most seriously ill coronavirus patients. In February we began the trial, supported by £25 million of Government funding, and in March we began recruiting patients, and started the process of building a stockpile in case the trial was successful. As of today, we have 240,000 doses in stock, and on order. That means that treatment is immediately available, and already in use on the NHS. I am incredibly proud that this discovery has happened right here in Britain, through a collaboration between the Government, the NHS, and some of our top scientists. It is not by any means a cure, but it is the best news we have had.

Throughout this crisis, our actions have been guided by the science, and that is what good science looks like: randomised control trials; rigorous and painstaking research; moving at pace, yet getting it right. The result is that we now have objective proof—not anecdotes, but proof—that this drug saves lives, and that knowledge will benefit many thousands of people all around the world.

Seven other drugs are currently being trialled as part of the recovery process, and a further nine drugs are in live clinical trials as part of the ACCORD programme, which is looking at early-stage treatments. We look forward to seeing the results of those trials. I thank everyone involved in that process, and put on the record my thanks to our deputy chief medical officer, Professor Jonathan Van-Tam, who led the work in Government, as well as to NHS clinicians, the scientific teams, and the participants in the trial who took the drug before they knew that it worked.

Our immunology research, again, is world leading. Last month I announced a new antibody testing programme to help us understand the immunological response to the disease, and whether someone acquires resistance to coronavirus once they have had it and recovered. I am part of that programme, and as of yesterday, 592,204 people have had an NHS antibody test. The nature of immunity research means that it takes time, and we must wait to see whether someone with antibodies gets reinfected. However, with every test, we improve our picture of where the virus has been, and we grow the evidence to discover whether people who have had the disease and have antibodies are at lower risk of getting or transmitting the virus again.

Crucially, that work will help to inform how we deploy a vaccine, and it is moving at pace. Earlier this week Imperial College began its first phase of human clinical trials, and 300 participants will receive doses of the vaccine. Should they develop a promising response, Imperial will move to a large phase-3 trial later this year. Yesterday, AstraZeneca signed a deal for the manufacture of the Oxford vaccine, AZD-1222, which is the world’s most advanced vaccine under development. Its progress, while never certain, is promising.

None of that happened by accident. It happened because the British Government, scientists, and the NHS put in place a large-scale, programmatic, comprehensive, well-funded, systematic, rigorous, science-led system of research and innovation. We have been working on it since the moment we first heard of coronavirus. There is more to do in this national effort, but that is how we will win the battle. We will leave no stone unturned as we search for the tools to hunt down, control, and ultimately defeat this dreadful disease.

[Mr Speaker]

May I just say to the Secretary of State that he has gone way over the allocated time? It would have been easier for him to make a statement rather than having to have an urgent question. In future, perhaps he could come forward with a statement if he needs the extra time, and I will certainly grant that and support him in doing so. Some extra time for Jonathan Ashworth as well, and for Philippa Whitford.

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

I am grateful, Mr Speaker. I welcome the news from the Secretary of State about Dexamethasone. As he said, this is an important moment and good news, and I congratulate all those involved. It is a reminder that we can be immensely proud of our science base in this country. I note what the Secretary of State said about vaccinations. A vaccine is crucial, and I hope he will join me—I am sure he will—in saying that when a vaccine is available, we must have no truck with those who spread poisonous anti-vax propaganda on social media. Vaccinations save lives, and ultimately that will be the exit strategy from this dreadful, horrific disease.



The good news is tempered by the high death rate. The Prime Minister likes to boast of flattening the sombrero, and it is certainly true that deaths from hospitalisations are coming down, but we still have 58,000 excess deaths across England and 13,000 in care homes; and 300 health and care staff have sadly lost their lives. All our NHS staff deserve great praise, so may I ask the Health Secretary about a specific matter that has emerged in the past couple of days? Why are student nurses who joined the frontline six months ago as part of the coronavirus effort now seeing their paid placement schemes terminated early, leaving them with no income? That is no way to treat student nursing staff.

This week, the World Health Organisation has warned that the UK remains in a “very active phase of the pandemic”.

The right hon. Gentleman will accept that if a second wave comes, especially if it coincides with flu season, that would be completely disastrous. Can he reassure the House that the decisions that he and the Prime Minister are making on easing lockdown measures, such as the mooted relaxation of the 2-metre rule and the opening of non-essential retail this week, will not precipitate a deadly second wave of the virus? Would he update us on the latest thinking on that by the Home Department? In the past, the right hon. Gentleman has said that he is prepared to institute local lockdowns, but local authorities continue to say that they do not have the resources or powers to enforce that. Can he update us on when he will give local authorities powers to enforce those lockdowns?

Yesterday, the Health Service Journal said that for people in the shielding group, shielding will come to an end at the end of July. We were promised a full update on shielding on 15 June, two days ago. Can the right hon. Gentleman update the House now on what is happening and what the future is for the shielding group with regards to getting their medicines and supplies and whether they will be able to leave their homes by the end of July?

We have always said that testing, tracing and isolating is crucial to the safe easing of the lockdown. On testing, local authorities say that they are still not getting the specific test data that they need. Indeed, the Deloitte contract, as confirmed in a written answer from the Minister for Patient Safety, Mental Health and Suicide Prevention, did not specify that it needed to report test results to GPs and local directors of public health. We need to fix that.

Why is the right hon. Gentleman still not publishing the number of people who have been tested, and can he explain something that is puzzling many of us? The tracing figures that he revealed—we are grateful for them—suggested that 8,000 people went into the contact tracing system in England, but in that week, the Government testing figures said that there were around 12,500 positive cases in the UK. Even if we can make an assumption about how many of those cases are in England, that still suggests that there are around 2,000, perhaps 3,000, cases not being traced and contacted. Can he explain why that is and what he is going to do to fix it?

Finally, we have now seen Public Health England recommendations on the impact of covid on those from black, Asian and minority ethnic communities. Those recommendations are welcome. Many of them, such as mandated ethnicity data collection and recordings on death certificates, should have been done years ago, but when will those recommendations be implemented? Black people are nearly four times as likely to die from covid as white people, and over 90% of doctors who have died during the pandemic were from black, Asian and minority ethnic communities, so surely this is a matter of urgency. We cannot wait, and we need those recommendations to be implemented straight away.

[Matt Hancock]

I will try to answer as many of the questions as I can. First, I concur entirely that we should have no truck with anti-vaccination campaigners. The reason we are working so hard with full-blown clinical trials on these vaccines is to ensure that they are safe, and if they are declared scientifically safe, anyone who is recommended to have one should have one.

The hon. Gentleman made a case on student nurses. It is wrong to suggest that student nurses and midwives are being made redundant. All student nurses and midwives are required to complete placements during their training. As part of the response to covid-19, those hours have been paid and will be until the end of the summer. NHS England has been provided with the funding for student salaries as part of our response to covid-19. The chief nurse has taken that forward.

The hon. Gentleman made a point about local authorities getting data. We have provided more data to them, and we will continue to do more. He asked about the steps that will be taken in future on lifting the lockdown. As ever, we will move carefully and cautiously. Thankfully, all the main indexes—the main ways that we measure this disease—are moving in the right direction. We are winning the battle against this disease, but we will be careful and cautious in the next steps that we take.

We are working very closely with local authorities on local lockdowns. The hon. Gentleman specifically raised the point about powers, as he has before. I have powers under the Coronavirus Act 2020, passed by this Parliament. If powers are needed by local authorities, then there is a process to raise that requirement up through a command chain that leads to a gold command, which I chair, and then those powers can be executed on behalf of local authorities if they are needed.

The hon. Gentleman asked about shielding. We will bring forward the proposals for the next steps on shielding very shortly.

Finally, the hon. Gentleman asked about the positive cases that do not go into the NHS test and trace scheme. That is largely because they are in-patients in hospital, and therefore testing and tracing in the normal sense does not apply because we know exactly where the person is and who has been in contact with them as they have been in hospital, in a controlled environment. That is the case for the large majority of the gap.