Autumn Statement Resolutions
Debate between Jonathan Ashworth and Jim Shannon(2 years, 1 month ago)
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Jonathan Ashworth
We want to grow the economy so that there is more money to spend on public services. I am sure that the hon. Gentleman, who always listens carefully, will have heard me say a few moments ago that if our growth had been similar to the OECD average, households would be £10,000 better off and the Government would have the proceeds of growth to spend on our public services. The reason our public services are in such a dire state is the 12 years of poor economic performance under the Conservatives—that is the reality.
Let me come to another element of universal credit that has been frozen: the childcare payment. The former Leader of the House, the right hon. Member for South Northamptonshire (Dame Andrea Leadsom), is no longer in her place, but she made a similar point. It looks as if that payment has been frozen again, at £746 per month for a household with one child. That means that the childcare element will cover just half the average cost of childcare for a household with one child, when two thirds of families pay more for their childcare than they spend on rent or mortgages.
We know that many people want to work increased hours—this is the point made by the former Leader of the House—but cannot do so because of the lack of childcare support. But instead of fixing childcare support, the Chancellor is asking 600,000 people, who often have caring responsibilities, to undertake extra job-searching requirements, with threats to cut their benefits if they do not comply, even though the reason why they cannot work extra hours is that they cannot afford the extra childcare and the Government have frozen the childcare allowance again.
Jim Shannon
The childcare issue is very important for my constituents, particularly teachers and nurses, who tell me that when they come to the end of the month, they have nothing left after paying their childcare bill. They want the tax-free childcare allowance to be increased. Does the shadow Secretary of State feel that that is what we should do to encourage them to work while ensuring that their childcare is covered?
Jonathan Ashworth
As always, the hon. Gentleman makes his point with force. The consequence of freezing the childcare element is that more parents working limited hours—it should not affect women more than men but does so disproportionately as they tend to do the childcare—will not be able to work extra hours because they will not be able to afford the extra childcare associated with working those extra hours.
State Pension Triple Lock
Debate between Jonathan Ashworth and Jim Shannon(2 years, 1 month ago)
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Jonathan Ashworth
Today’s debate is about the triple lock, but we do agree that payments such as universal credit should be uprated in line with inflation and not suffer a real-terms cut.
Jim Shannon
We are on a roll: three games we have won in a row.
Some people believe that retired people live a wonderful life, but the reality is often much bleaker: less heat, less food and making the most out of a meagre income. Does the shadow Minister agree that the Government must honour those who have paid tax and national insurance contributions over their lifetimes? Now is the time to support them, when they need us.
Jonathan Ashworth
My friend and fellow Leicester City fan makes his point with the same force and precision as Youri Tielemans putting one in the back of the net against Everton at the weekend. He is absolutely right.
Let me make a bit of progress. A cut in the pension will also disproportionately hit retired women, who rely on the state pension and other benefits such as pension credits for more than 60% of their income. This £900 cut in income is for those who have worked hard all their lives, who have paid their dues and who, as my mum would say, have paid their stamps.
Cost of Living Increases: Pensioners
Debate between Jonathan Ashworth and Jim Shannon(2 years, 9 months ago)
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Jonathan Ashworth (Leicester South) (Lab/Co-op)
I beg to move,
That this House is concerned that older people and pensioners risk being at the sharp end of the cost of living crisis as a result of spiralling inflation, a lack of Government action on household energy bills, a poorly thought-through tax rise on older people in work and a real-terms reduction to the state pension; notes that the state pension is being cut in real-terms by hundreds of pounds a year and that working pensioners will begin paying the Health and Social Care Levy from next year; regrets that levels of pensioner poverty and pensioner debt have risen over the last decade even before the current cost of living crisis with almost one in five pensioners now living in poverty; and calls upon the Government to cut home energy bills, halt the planned tax rise on working pensioners and ensure older people are protected from the cost of living crisis.
In recent weeks I have had the privilege of travelling the country, and I have heard the most desperate stories from our elderly citizens and retirees trying to cope with the devastating cost of living crisis they face. In Swindon, a woman in her late 60s told me that she now never uses the oven and instead lives off sandwiches and cold meals to avoid the bills associated with switching on the cooker. I met a man who served this country in the RAF but who could not understand why, despite contributing so much to our nation, he has been given so little help as prices rise, energy bills rocket and his fixed income is stretched to the limit. At a food bank in Bury I heard how more and more older people who, wrongly in my view, feel there is shame in asking for handouts and are too proud to ask, now feel they have no choice but to go to a food bank and are now turning up there in ever greater numbers.
Age UK tells the story of Maureen, who says, in desperation:
“The pension goes up by pennies and bills go up by pounds, so the money in my pocket is getting less and less.”
Age UK also quotes Albert:
“I have to choose between eating and staying warm for some hours of the day. I forego social life in order not to fall behind with essential bills”.
These are not one-off stories: in every constituency there are thousands of Maureens and Alberts facing soaring inflation, sky-high energy bills, petrol prices through the roof, and price rises in the shops. The situation is desperate and the prospects are terrifying, and to say this is a struggle to make ends meet does not do justice to the scale of the crisis people are facing.
Jim Shannon (Strangford) (DUP)
To back up the right hon. Gentleman’s comments, I point out that 300,000 pensioners and people in Northern Ireland—18% of the population—are in absolute poverty. That is reflected right across the whole of the United Kingdom. Does the right hon. Gentleman agree that this situation has swept across the United Kingdom of Great Britain and Northern Ireland to such an extent that people now, as he rightly says, have to decide whether to eat or heat?
Jonathan Ashworth
My hon. Friend—I will call him a friend as a fellow Leicester City fan—speaks, as usual, with passion and eloquence on behalf of his constituents. The poverty we are now facing is so desperate and severe, and the destitution so acute, and it is felt across the whole of the United Kingdom. I hope Ministers respond to the representations we are making tonight, and I hope the Chancellor responds to them on Wednesday.
Jonathan Ashworth
Without having read the details, it sounds like a very sensible Bill. I look forward to reading the details. At first sight, it certainly has my strong encouragement.
Jim Shannon
I was doing some research beforehand and I see that there is an older people’s commissioner for Scotland, for Wales and for Northern Ireland, but not one for England. Does the right hon. Gentleman agree with the Age UK campaign for an older people’s commissioner for England? Does he think the Minister should do that? It would help older people in England, so does he think the Government should do it?
Jonathan Ashworth
Typically, the hon. Gentleman, my friend and fellow Leicester City fan, makes a very wise and astute recommendation. I hope the Secretary of State takes it up. It would certainly have my strong encouragement.
I hope the Secretary of State can provide an answer for why divorced women are excluded. It seems utterly unfair, particularly given the desperate cost of living crisis. Secondly, when the Department makes a lump sum payment it is normal to pay interest, so why is it not paying interest on those payments? I encourage the Secretary of State to explain when she is going to get on and fix that. The Chair of the Public Accounts Committee said this process has become a “shameful shambles”. Given the scale of the cost of living crisis, can she tell us when Ministers will finally fix this shameful shambles?
Of course, there are other scandals that need fixing, too. We know about the Allied Steel and Wire steelworkers who have not got their full entitlement, or the thousands of members of the British Steel pension scheme, who incurred massive losses because of failures in pension regulation and protections on this Government’s watch. Whether it is working pensioners, women pensioners, steelworkers or anyone who relies on the state pension as their main source of income, the Government have let them down.
Our retired constituents worked hard all their lives, paid their national insurance, served our country and contributed to our communities. They deserve security and dignity in retirement. Instead, what we get is the state pension cut in real terms, the triple lock abandoned, energy bills unaffordable, pensioner poverty increasing and retirees robbed. We need a plan to get energy bills down and halt the tax rises that are coming, and a plan to ensure that all pensioners are protected from this devastating cost of living crisis. I commend our motion to the House.
A Plan for the NHS and Social Care
Debate between Jonathan Ashworth and Jim Shannon(3 years, 7 months ago)
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Jonathan Ashworth
I completely agree. I hope that Ministers on the Treasury Bench have listened carefully. If they are prepared to bring forward legislation, we would work constructively across the House to ensure its speedy passage. May I thank my hon. Friend for the reference in his amendment to the impact of alcohol abuse on children? He knows that it is a subject very close to my heart; on behalf of the children of alcoholics community, I am grateful that he referred to it in his amendment.
Although we have often said this in the House, I still think that the whole House will want to remember today the 127,691 people so far who have lost their lives to covid-19, this awful disease, including the 850 health and care workers. Although repeating the numbers has become almost routine in this House, that does not make the scale or gravity of the loss any less shocking. We grieve as a nation and we all pay tribute to our healthcare workers, our social care workers and our public sector workers.
I am sure that the whole House will want to dedicate itself in good faith to learning lessons for the future. Sadly, we are in an era when, according to the experts, pandemics are becoming more predictable and will become more regular because of climate change and biodiversity loss, so learning lessons is about preparing better for the future rather than settling scores.
We know that the B1617.2 variant is spreading. From the data that I have seen, it appears to have a growth rate advantage of about 13% over the B1117 variant. It could well become the dominant strain in the United Kingdom. Although vaccination should mean that many are much safer and ought to avoid hospitalisation, the Government still have a responsibility to do all they can to contain its spread, minimise sickness and ensure that the 21 June target is not disrupted, if at all possible.
That is why I said on Monday that we need more surge vaccination in hotspot areas. We know that with vaccination there are always pockets where rates are lower than necessary, and we need to drive those rates that up. We have seen that throughout history—with measles, for example. So we urge the Government again to do all they can to drive up vaccination rates in Bolton, Bedford, Blackburn and other areas where we know there is an issue. We also need the Government to do more to contain the virus through test, trace and isolate. We need more surge testing. We need more enhanced contact tracing locally, with local authorities given the resources to carry it out. We need sick pay and isolation support fixed as well.
For those who are going in to work, or for those who are now socialising in premises, those buildings and premises need proper air filtration systems. There are experts now who can easily fix filtration systems in buildings to make them much more covid secure, and we should be inspecting workplaces in all these areas to ensure that every workplace is covid secure.
We need transparency in decision making as well. For the first time in my life, I think, I find myself agreeing with Mr Dominic Cummings. I know the Secretary of State does not often agree with Mr Dominic Cummings, but I find myself agreeing with Mr Dominic Cummings, who tweeted yesterday:
“With something as critical as variants escaping vaccines, there is *no* justification for secrecy, public interest unarguably is *open scrutiny of the plans*”.
Mr Cummings, on this occasion, is correct. [Interruption.] A wry laugh from the Secretary of State. Mr Cummings may well have been saying something different when he was in government; I do not know, but at least his public statement yesterday is correct. That is why our amendment calls for the publication of a Government lessons-learned review; not so that we can try to undermine the Government or find some hole to use across the Dispatch Box, but so that we can learn the lessons in our efforts to contain variants, and ensure that we are better prepared for the future. I hope the Secretary of State looks sympathetically upon that request, and perhaps joins us in the Division Lobby this evening.
I now turn to the contents of the Gracious Speech more generally. This should have been the Queen’s Speech that unveiled a new NHS plan to bring down the elective waiting list, which now stands at 5 million. This should have been a Queen’s Speech that outlined proposals to tackle the backlog of 436,000 people waiting over 12 months for treatment—many of them waiting in pain and anxiety, many of them facing permanent disability as a consequence of those waits.
Jim Shannon (Strangford) (DUP)
Will the hon. Gentleman give way?
Jim Shannon
The shadow Minister and I, and many others in this House, shared that wonderful victory on Saturday. After 139 years of Leicester City, we won the FA cup; it is great news.
I chair the all-party parliamentary group for respiratory health. This morning, we were given some very worrying figures. They indicated that the halting of the lung cancer screening pilots restricted access to diagnostic tests, contributing to a 75% drop in urgent lung cancer referrals. Does the shadow Minister agree with me, and share my concern, that the outcomes for patients with the fastest-progressing cancers, such as lung cancer, are indeed very worrying?
Jonathan Ashworth
The hon. Gentleman is spot-on. I will come on to cancer in a few moments. He is a great champion for improving cancer care, and I thank him for reminding the House that Leicester City won the FA cup on Saturday. It is a reminder that even when the odds are stacked against them, a small team can still beat a well-funded, complacent opposition.
I will now move on to elective waiting lists. Where is the plan in this Queen’s Speech to bring down the rocketing waiting lists for treatment and surgery? Where is the plan to roll out technology such as in ophthalmology, for the thousands in our constituencies awaiting cataract operations? There are already 81,762 of our constituents waiting over 12 months for orthopaedic surgery. Where is the plan to get on with the hip replacements and knee replacements that many of our constituents will be raising with us in our surgeries, and how much longer will they have to wait? Where is the plan for the 24,407 of our constituents who are now waiting over 12 months for gynaecological surgery? How much longer will they have to wait?
Everyone understands that there has been a pandemic and that that has meant a disruption in care pathways, but the NHS was forced into this unprecedented position because we went into the crisis on the back of 10 years of Tory underfunding and cutbacks. We went into this crisis on the back of a 6% reduction in bed numbers between 2010 and 2019. That is why, at the beginning of 2020 when we debated the last Gracious Speech, 4.5 million people were on the waiting list for treatment. The target of 92% of patients beginning treatment within 18 weeks of referral from their GP had not been met for five years. We need a resourced plan now because the queues are set to lengthen further, as those who may have delayed seeking treatment for fear of covid infection will begin to emerge once again. Even though the NHS is dealing with significantly fewer covid patients, it is still operating at a much-reduced capacity and is unable to treat everyone in need of care.
Infection control measures meant that the number of beds fell by 9% in the first quarter of last year. It has only partially recovered in the past three months, but the number is still 6% lower than the previous year. What that means when we look at the most recent figures is that, on average, there are almost 4,000 fewer patients in NHS general and acute beds than the equivalent pre-covid period.
The Prime Minister has delayed the review of social distancing for entirely understandable reasons, but we must have a plan to drive up this capacity in the NHS. The solution to these capacity issues in the NHS cannot be a multi-billion pound deal with the private sector. The loss of capacity in terms of beds in the NHS is actually far larger than the whole capacity offered by the private sector. In order to reopen those closed and empty general and acute beds in the NHS, we need more capital investment. This investment needs to be built up now, so that the NHS can get on with the routine surgery that it will clearly have to confront in the coming years. I am afraid that, both the Queen’s Speech and, indeed, the Budget from a few weeks ago, failed to deliver that.
Public Health
Debate between Jonathan Ashworth and Jim Shannon(3 years, 11 months ago)
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Jonathan Ashworth (Leicester South) (Lab/Co-op)
We will support the regulations, but like the Secretary of State, I did not come into politics to restrict people’s freedoms in this way. As one who represents Leicester, a city that has effectively been in a form of restrictions since last March, I well understand the devastating impact restrictions can have on our economy, on our way of life and on the mental health and wellbeing of our constituents. Indeed, many of our constituents will feel devastated by the prospect of weeks and weeks, perhaps longer—possibly until the end of March—in isolation, feeling anxious and lonely.
Last year, in the months following the long lockdown, 19.6 million prescriptions for antidepressants were issued—a 4% increase on the same period the year before—to more than 6 million people in England, which is the highest number on record. If we are to support lockdown we need assurances from Ministers that mental health services will be fully resourced, will stay open and can respond to people’s needs throughout lockdown.
I know that many people find solace in prayer, so I am grateful that communal prayer can continue during lockdown. With the indulgence of the House, may I take the opportunity to thank Leicester City Council, Peter Soulsby and our councillors, especially those for the wards of Stoneygate, Wycliffe and Spinney Hills, who have worked hard with our many mosques, temples, gurdwaras, synagogues and churches across Leicester to ensure covid-secure worship?
Jim Shannon
I think it is important to have prayer. Does the shadow spokesman agree with the call I have made in the past for a national day of prayer in this country?
Jonathan Ashworth
I think that that is a very good recommendation. May I extend an invitation to the hon. Gentleman to return to Leicester to watch our great football team, when we are allowed and are out of lockdown? Perhaps I will take him around and show him some of the great inter-faith work that we do in Leicester as well.
The lockdown will have a huge impact on the wellbeing of our children, so a plan to get our children back safely to school is a priority. There are thousands of children out of school in overcrowded, cramped accommodation, unable to access learning properly from home. There are other children at risk of abuse and violence. Members may know that I have spoken of my own experiences growing up in a home with a parent who had a problem with alcohol. Many children face the prospect of being locked in their home with a parent who abuses drink or drugs, so I urge Ministers to work with and fund children’s advocacy and support groups such as the National Association for Children of Alcoholics, with which I have worked closely, that will do so much throughout this lockdown.
Today, I agree with the Secretary of State. We do, unfortunately, have to restrict freedoms further to safeguard freedoms for the future and save lives. As he said, the tragic reality is that the virus is out of control. To be blunt, there is no freedom for our constituents if they are in the graveyard. There is little freedom either for those who suffer the enduring, debilitating effects of long covid. Yesterday, almost 55,000 cases were reported in England—one in 50, as the Secretary of State said, have the virus. The numbers in hospital are higher than in April, with over 1,800 in intensive care. Yesterday, there were over 3,300 hospitalisations—a record—and admissions are going up in every region.
This is a national emergency, and a national lockdown is necessary. Indeed, we should have locked down sooner. We are voting this lockdown through on Twelfth night, yet in the run-up to Christmas the alarm bells should have been ringing. The Secretary of State came to the House on 14 December to report a new strain, now known as the B117 strain. He told the House:
“Initial analysis suggests that this variant is growing faster than the existing variants.”—[Official Report, 14 December 2020; Vol. 686, c. 23.]
The Prime Minister learned of the rapid spread of the new variant on 18 December. The New and Emerging Respiratory Virus Threats Advisory Group met that day and concluded that the new strain added at least 0.4 to the R. On 21 December, the chief scientific adviser, Patrick Vallance, said that the new strain was “everywhere” and cases would rise after the “inevitable mixing” at Christmas. He said:
“The lesson…you have to learn about this virus…is that it’s important to get ahead of it in terms of actions”.
The Scientific Advisory Group for Emergencies met on 22 December, the following day, and concluded:
“It is highly unlikely that measures with stringency and adherence in line with the measures in England in November…would be sufficient to maintain R below 1 in the presence of the new variant.”
Here we are, two weeks later, with half a million infections and 33,000 hospitalisations since 22 December. This is a national tragedy. Why does the Prime Minister, with all the scientific expertise at his disposal, all the power to make a difference, always seem to be the last to grasp what needs to happen? He has not been short of data—he has been short of judgment, and yet again we are all paying the price.
As the Secretary of State has said, there is light at the end of the tunnel. Vaccination is how ultimately we are released from these restrictions. I pay tribute to everyone involved in helping to distribute and administer 1.3 million vaccine doses so far. This a great achievement, but we need to go further and faster. The Prime Minister has promised that almost 14 million people will be offered the vaccine by mid-Feb. That depends on about 2 million doses a week, on average. Both the Secretary of State and the Prime Minister have assured us in recent days that that is doable, based on orders, but, in the past, Ministers told us that they had agreements for 30 million AstraZeneca doses by September 2020 and 10 million Pfizer doses by the end of 2020, so I think that people just want to understand the figures and want clarity. How many of the ordered doses have been manufactured, how many of the ordered doses have been delivered to the NHS, and how many batches are awaiting clearance through the Medicines and Healthcare Products Regulatory Agency clearing processes? Two million a week would be fantastic, but it should not be the limit of our ambitions. We should be aiming to scale up to 3 million, to 5 million, to 6 million jabs a week over the coming months. If we can vaccinate 29.6 million people, deaths and hospitalisations will be reduced by 99%. That is what we should be aiming at now.
Covid-19
Debate between Jonathan Ashworth and Jim Shannon(4 years, 1 month ago)
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Jim Shannon (Strangford) (DUP)
It is a pleasure to follow the hon. Member for Guildford (Angela Richardson); I thank her for her speech.
I, as much as anyone here, know at first hand that there is no way of understanding this virus—how it takes one and leaves another, or how it spreads in one room in 15 minutes, yet in other rooms people sit for hours with no transmission. I recognise, as others do, the incomprehensible aspect of this disease, so I also recognise that it is difficult to strategise. Looking forward, what should our next steps be? We have the benefit in this second wave of not being as unsure as we were. Our NHS has equipment and more medical knowledge. There are plasma trials, which appear to make a difference. We know which interventions are the better ones. I am pleased that we have the Nightingale hospitals.
I was also pleased to hear the Prime Minister and the NHS reiterating the need for people to attend appointments if they need screenings and tests, because my abiding concern has been and will be whether we are saving people from covid at the expense of allowing people to die from cancer—a point that other Members have mentioned. One of my constituents said to me, “Is my husband’s death meaningless because it was cancer and not covid that took him?” It is imperative that we protect the NHS by doing the right thing, and the NHS has to be open for day-to-day business; it is so important to ensure that that happens.
If hon. Members look at my head, they will know that I do not go to a barber very often. I just use a shammy; I do not even use a comb. But that is by the by. I say that in jest, but I do want to make a plea for barbers and hairdressers, who have got the R rate to 0.02. I ask myself, why on earth are they subject to rules and regulations when their R rate is the one that the whole nation wants to get to? We want to get it to 1; they have got it to 0.02. Those people could end up having had six months of reduced wages. Just how can we let them down? Those people have bought houses and have been buying gifts on the high street—it just so happens that Newtownards High Street in my constituency is the Northern Ireland high street of the year. How do we let those retailers down?
Simon Hamilton, the chief executive officer of Belfast Chamber of Trade and Commerce, has said:
“COVID-19 has created an interlinked health and economic emergency. This pandemic has cost lives and already has driven numerous businesses to closure causing a huge number of job losses which are reflected in the latest labour market statistics which show the second highest number of redundancies ever during a period when the furlough scheme was meant to protect jobs… Businesses have invested millions of pounds in making their stores, their restaurants, their pubs, their hotels and their factories safe for staff and safe for customers.”
Without the willing co-operation of those businesses, where would we be? He continued:
“It has been an unprecedented period of uncertainty and challenge. After finding the fortitude to keep going after months of lockdown, restrictions and closure earlier this year, many believed that they were starting to see light at the end of the tunnel only for that to now be extinguished.”
That is what really worries me about where we are. It is about finding a balance for health and for business.
The Minister is not here, but there is a good understudy—the Lord Commissioner of Her Majesty’s Treasury, the hon. Member for Castle Point (Rebecca Harris)—in her place taking notes. I ask the Government to reconsider the closure of churches. My email inbox has been full of requests on their behalf. Our lockdown in Northern Ireland has been successful and we have been able to give people a place to go once a week to meet in unity and pray for the future of this nation—to seek God for strength, peace, comfort, hope, wisdom, forgiveness and even joy at this difficult time.
Jonathan Ashworth
I am sure that the hon. Gentleman is as pleased as I am that Leicester are winning 2-0 against Leeds.
On the hon. Gentleman’s point about places of worship, a lot of my own constituents have got in touch about our gurdwaras, temples, mosques and churches, and are deeply concerned about this. I hope that before the vote on Wednesday—we will be supporting the lockdown regulations—Ministers can come to the Dispatch Box and give us some reassurances around places of worship. It is a very important issue and I am pleased that the hon. Gentleman has raised it.
Jim Shannon
I thank the hon. Gentleman for that. I already knew the score because my hon. Friend the Member for North Antrim (Ian Paisley) had told me. I said, “I am pleased we are winning 2-0, but there’s still 70 minutes to go.” I really want Leicester to win, as my wife supports Leeds United and it is really important we win tonight.
I tabled an early-day motion asking for a National Day of Prayer. It states:
“That this House notes the unprecedented position that the covid-19 pandemic has brought the nation to; further notes that in this time of economic and societal uncertainty the country should follow the lead of Her Majesty Queen Elizabeth II and recognise the importance of prayer when Her Majesty said in her 2013 address that prayer helps us to renew ourselves; and calls on the Prime Minister to initiate a National Day of Prayer to enable those for whom this is important to seek God”.
We need wisdom, and the call for a National Day of Prayer is for those of Christian faith and others to unite together and pray for the help we so desperately need. We need support for the NHS, businesses and the vulnerable, but we also need to humble ourselves and ask God to make the path straight as we work together to come through this covid winter ahead of us. We must trust God and we must pray for the help we need. I think every one of us here should adhere to that.
Testing of NHS and Social Care Staff
Debate between Jonathan Ashworth and Jim Shannon(4 years, 5 months ago)
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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.
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
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.