Covid-19 Vaccinations: 12 to 15-year-olds

Debate between Jonathan Ashworth and Nadhim Zahawi

Monday 13th September 2021 Commons Chamber

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

I am grateful to the Minister for advance sight of his statement. On behalf of the Opposition, I welcome the guidance today from the chief medical officers and the response of the Government tonight.

Children may not have been the face of this crisis but they have been among its biggest victims. Children have lost months in in-person learning, and have spent weeks cut off from friends and family. We still do not fully understand the long-term mental health implications of this, especially in poorer areas where deprivation already has widespread consequences for the health and wellbeing of our children. Being in school is not just about learning; children often access health services through school as well. I therefore particularly welcome the CMOs’ recognition of the importance of avoiding the disruption of being out of school in making this decision. We are also pleased that the Government have now made the decision, given that other nations have been vaccinating children for some months.

But many of our constituents will rightly have questions. Will the Minister explain to the House what the next stage in the children’s vaccination programme will look like? By what date does he anticipate that children will be vaccinated? On the roll-out, he will know that, for TB, HPV and children’s flu vaccinations in primary schools, it is often school nurses, health visitors and specialist vaccination teams who go to schools directly and vaccinate. Will that model be used in this case, or will children instead be asked to go to the vaccine hubs run by primary care because it is the Pfizer vaccine? Will it be the responsibility of the parents to arrange their child’s vaccination, or will the local NHS arrange it with schools, year group by year group, or class by class? Will the flu vaccine that is to be expanded to secondary school children this year be delivered at the same time as the covid vaccine, or at a separate time?

The Minister rightly said that vaccinating children is a benefit to those children but will also reduce transmission, and in that respect it is a benefit to wider society, but children and young people, and society itself, will in turn benefit if we drive up vaccination rates among adults. In the most deprived areas, fewer than 70% of the adult population are vaccinated; in the least deprived areas it is more than 90%. Among 25 to 30-year-olds, 55% are on their second dose; among 30 to 35-year-olds, 68% are on their second dose; and among 35 to 39-year-olds, 75% are on their second dose. What will he do to drive up vaccination rates among adults, because that is key to pushing down overall infection rates?

Of course, parents will want information. In the past, the Minister has suggested that this vaccination will not go ahead without the consent of parents, but he will know that the Gillick competence principle suggests that a child under 16 can consent to their treatment if the child is believed to have the understanding and intelligence to appreciate what is involved. Can he confirm what the Government’s position is in rolling out this vaccination and whether the consent of parents is necessary? In the past, he has said that it is necessary, as has the Secretary of State for Education; the CMOs seemed to suggest something else today at the press briefing.

There is nothing more precious for a parent than their child. We therefore support the approach of the Government today and welcome the advice and the recommendations of the chief medical officers. However, I hope the Minister will understand that parents, in coming to this decision, will want all the information they can possibly get hold of, and I hope the Government provide it.

[Nadhim Zahawi]

I am grateful to the right hon. Gentleman for his support, for his points about guidance to the parents and of course to the children, and for his points about the long-term mental health consequences of this pandemic for school-age children.

I can confirm to the right hon. Gentleman that the NHS—it is incredibly efficient and well-equipped, because it has been running the school age vaccination programme for many, many years for other vaccines—will be the primary vaccination infrastructure that we will use to deliver this vaccine. If there are schools where that is unable to be delivered, we will use the rest of the covid vaccine infrastructure, including vaccination centres, to deliver that in a safe and appropriate way. My point is to reassure him and parents up and down the country that it will be the school age vaccination programme that has run in schools. Teachers and parents are well-versed in that process.

The right hon. Gentleman asked about vaccine uptake. He will recall that I said at this Dispatch Box on 13 February, in launching the vaccine uptake programme, that the NHS continued to put effort and resource into making vaccines available and easily accessible to the most deprived communities and to all ethnic groups. We will continue to redouble our efforts, including with the booster programme, which will come later this month. We have had the interim advice from the JCVI on boosting for flu and covid. The uptake of both should increase the uptake in those communities. We have spent a lot of time looking at that.

The right hon. Gentleman asked an important question about the consent process, and I want to spend a little time on that. As with all vaccinations for children, parental consent will be sought. The consent process will be handled by each school in its usual way and will provide sufficient time for parents to provide their consent. Children aged 12 to 15 will also be provided with information, usually in the form of a leaflet for their own use and to share and discuss with their parents prior to the date of immunisation and the scheduled time for it. Parental, guardian or carer consent will be sought by the school age immunisation providers prior to vaccination, in line with other school vaccination programmes.

In the rare event that a parent does not consent, but the teenager wants to have the vaccine, there is a process by which the school age vaccination clinicians discuss this with initially the parent and the child to see whether they can reach consensus. If not, and the child is deemed to be Gillick competent, the vaccine will take place. That is very rare, but on the whole this is something that the NHS is very well versed in delivering for other vaccination programmes.

Covid-19 Update

Debate between Jonathan Ashworth and Nadhim Zahawi

Monday 6th September 2021 Commons Chamber

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

I thank the Minister for advance sight of his statement. Like him, I praise all our NHS staff. I particularly want to associate myself with the remarks about the safety of the vaccine for pregnant women.

Children’s health and wellbeing has always been a driving priority of mine. Children may not have been the face of this pandemic, but they have certainly been among its biggest victims. The record will show that I have been asking in this House about the vaccination of adolescents for some months. I of course understand the position of the JCVI and welcome the review on the wider implications for children’s wellbeing by the chief medical officers. Should vaccination be recommended and the chief medical officers do recommend vaccination, that will command our full support on the Labour Benches. If the chief medical officers recommend vaccination, will the Minister guarantee that our public health workforce, our health visitors and our school nurses, as well as primary care, will have the resources they need to roll out that vaccination?

Children are back to school. In Leicester, children have been back in school for two weeks. In Scotland, children have been back in school for some weeks also, putting upward pressure on infection rates. If the chief medical officers recommend vaccination, how long does the Minister think it will take to roll out that vaccination? Are we talking months? Are we talking weeks? Are we talking days? If he could give us an indication, I am sure we would all be grateful. The Education Secretary has removed many of the infection control mitigations in schools. We urged Ministers to use the summer holidays to install ventilation, air filtration units and carbon dioxide monitors in schools. How many schools have now had those systems installed?

The hon. Member for Stratford-on-Avon (Nadhim Zahawi) is the Minister for vaccines. Primary and secondary school children are due to receive a flu vaccine, yet not only is the NHS apparently running out of blood test tubes, with certain vital tests delayed, but we are now told that flu vaccination will be delayed, because deliveries are delayed by two weeks, and GPs are cancelling flu vaccination appointments. This is before we head into what could be one of the most difficult winters in living memory. What will the Minister do to get a grip of this situation and avoid a flu crisis this winter? If there is a delay in flu vaccines, does he expect that to knock on to any booster jab campaign? Less than a month ago, the Health Secretary said he wanted booster jabs to be given at the same time as flu jabs and he said that they would start this month.

Finally, we of course welcome the new funding for the second half of the financial year and we welcome that it would appear that Ministers have listened to our calls for the discharge to assess funding to be extended, but I think the whole House would agree that surely one of the most heartbreaking, and in my view frankly unforgivable, episodes in the pandemic was the failure to protect care homes and to put that protective ring around care homes as we were promised. If covid has taught us anything, it is that a long-term plan for social care is long overdue and that it should be funded in a fair way. The Minister, along with every Conservative Member, was elected on a manifesto that promised a social care plan and promised no rise in national insurance. The Prime Minister guaranteed no rise in national insurance, but we are told to expect, tomorrow, a rise in national insurance—a tax on workers to pay for a regressive social care policy that simply will not improve the care that people need and deserve. In this House, the Minister used to call national insurance a “tax on jobs”. What would he call a manifesto-breaking national insurance rise now?

[Nadhim Zahawi]

I am grateful to the right hon. Member for his support and his words on the vaccination of pregnant women and the protection that the vaccine offers them.

On the right hon. Member’s question about the JCVI advice on 12 to 15-year-olds, the JCVI looked at the very narrow impact of the vaccine on 12 to 15-year-olds, because that is very much its remit. It also advised that the chief medical officers should take a wider look. That is what they are doing as we speak. Panels of experts from local public health as well as other experts are looking at the impact of the vaccine on mental health and the disruption to education specifically for 12 to 15-year-olds. They will come back with recommendations. The JCVI is observing those panels and is very much in the room, as far as that is concerned.

It is also worth reminding the House that the Medicines and Healthcare Products Regulatory Agency has looked at the Pfizer and Moderna vaccines and has approved both vaccines as safe and eligible to be administered to 12 to 15-year-olds. It is not worth our pre-empting the report of the chief medical officers of England, Wales, Scotland and Northern Ireland. Throughout the pandemic, we have operationalised the vaccine programme; we prepare early and we prepare well. To give the right hon. Member a direct answer to his question, the NHS is prepared to administer a vaccine within five working days of any recommendation. That does not pre-empt any recommendation. We did the same when none of the vaccines was approved. Some colleagues will recall Brigadier Phil Prosser explaining at the press conference that we had built the equivalent of the infrastructure of a national supermarket chain and were growing it by 20% every week. We have done the same thing when it comes to all outcomes of the deliberations at the JCVI and what it will ultimately recommend.

On education, the Secretary of State for Education addressed many of the issues on the mitigation and controls in schools, as well as testing and the very successful adult vaccination programme that we have delivered, which is now also delivering protection for 16 and 17-year-olds.

I really want to address the point about flu and I hope that we can have a sensible discussion on it. We are being very ambitious on flu. The interim advice from the JCVI is wherever possible to co-administer flu and covid vaccines. Traditionally, flu vaccination begins earlier—it begins now. One of the suppliers, Seqirus, has had a border issue with its Spanish fill-and-finish factory, which it has used for many, many years. This is the first time that it has had this issue. It is meeting the Spanish regulator to see what the issue is. It is being very careful and estimating a one or two-week delay. This will not delay the overall flu vaccination programme at all. Its German and Belgian supply chain has been flowing normally. It is one of the suppliers, so I urge the right hon. Gentleman not to, as a knee-jerk reaction, talk about flu vaccine shortages. We are being incredibly ambitious on flu vaccines—including procuring centrally as well as the traditional procurement through GPs and pharmacies—with a big, big programme.

Wherever possible, we will co-administer. The only caveat I would place on that is that the JCVI has given us only its interim advice on covid. We are not yet there with the cov-boost data, which it will look at. It will give us its final advice on covid. If it chooses a vaccine that requires, for example, a 15-minute observation period, we have a very different challenge in co-administration, but nevertheless, wherever possible, we will co-administer. We have made it possible for vaccinated volunteers to administer flu and covid vaccines.

Finally, on funding, I am glad that the right hon. Member agrees that the £5.4 billion announced today is a good thing. I urge him not to speculate on how we will pay for social care and to wait for the announcement; I am sure that we can then discuss it in this place and in the media.

Covid-19 Update

Debate between Jonathan Ashworth and Nadhim Zahawi

Thursday 22nd July 2021 Commons Chamber

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

I thank the Minister for advance sight of his statement. Let us be frank: it was a shambles yesterday. It was an insult to the House and a let-down for health and care staff.

Ministers have been dragged kicking and screaming to this 3% settlement. Can the Minister accept—and does he accept—that it is not an NHS-wide settlement, as it does not cover the health and care workforce who do not fall under the pay review body? For example, it does not cover our junior doctors who have had an intense year caring for sick patients on ventilators, who have been redeployed to other sites across the NHS and who have seen their training disrupted. Will the junior doctors get a pay rise, especially given that the pay review body, in paragraph 10.6 of its report, urges the Government to recognise the role of doctors who are out of scope? Will all health staff who work in public health receive the settlement? Care workers are obviously not covered by the pay review, and we know how valuable they are, so will care workers finally get the real living wage that they deserve?

How will the pay settlement be funded? NHS trusts do not even know what their budget will be beyond September. The Health Secretary has said that the pay settlement costs £2.2 billion, so where is that £2.2 billion coming from? Is he expecting trusts and general practice to find it from their existing budgets? At a time when the NHS is in a summer crisis, with covid admissions increasing and more patients on ventilators in hospitals, with operations being cancelled again and waiting times growing because of the pressures the NHS is under, rather than getting a funded settlement for the NHS we have seen this week briefing and counter-briefing from the Health Secretary, the Chancellor and Downing Street about what may or may not be coming for health and social care.

The NHS needs more investment now to cope with the pressures that it is under. Will the Minister confirm that the Government will break their manifesto pledge to increase national insurance, or is the Business Secretary correct in what he said this morning? He said:

“I don’t see how we could increase national insurance”.

The Prime Minister promised, on the steps of Downing Street two years ago this Saturday, that he would have a social care plan, but this is not a plan for health and social care; it is a Government in disarray.

That brings me on to the so-called pingdemic, with the problems of isolation. The problems of isolation that we are seeing are a symptom of what happens when Ministers allow infections to get out of control. The Government are apparently U-turning today and agreeing a list of workers who could be exempt from isolation, based on a negative PCR test. With infections running at more than 50,000 a day, and possibly on the way up to 100,000 a day, can the Minister absolutely guarantee that PCR testing capacity will be available to cope with the inevitable increased demand this summer?

If the Minister wants to avoid shutting society down, he needs to bring infections down, so why have the Government ruled out extending statutory sick pay to the lowest-paid, and what is he doing to drive up the vaccination rate among younger adults? He knows that allowing infections to rise among that cohort sets his vaccination programme back, given that somebody has to wait 28 days post-infection for vaccination.

Today the Minister has repeated his support for vaccine passports. Can he explain why he thinks it is safe to go out clubbing into the early hours this Friday, but in September it is only safe to go out clubbing if everybody is double-jabbed? Can he confirm when the relevant statutory instrument will be laid, and when the vote will be on introducing those passports?

The Minister has a proposal for nightclubs in September, but does he have a proposal for schools in September? A million children have been off school recently, so, as we asked him on Monday, will he use this summer to install air filtration units in schools in time for September, and is he considering bringing mask-wearing back in schools?

Finally, Mr Speaker, may I, like the Minister and others across the House, thank you, and all the staff especially, for the extraordinary work that you have put in, in these last 12 months, to ensure the smooth running of Parliament in these most unprecedented of circumstances? I hope you are all able to have a suitable rest over the summer recess.

[Nadhim Zahawi]

The right hon. Gentleman asks who is included in the 3% pay rise recommended by the independent NHS Pay Review Body. They are the 1 million NHS staff, including nurses, paramedics, consultants and, of course, salaried GPs. The junior doctors he mentions have a separate, multi-year pay rise over three years, amounting to 8%.

The right hon. Gentleman asks about the capacity for testing. I looked at that before coming to the House, and the capacity currently for PCR tests is not 600,000 but 640,000 a day, according to the latest data that I looked at. He asks about schools. There will be two supervised tests for schools. He knows that in Monday’s statement we announced our acceptance of the JCVI guidelines on vaccinating vulnerable children, vaccinating children who live with vulnerable adults, and vaccinating those who are 17 but within three months of their 18th birthday. The JCVI will keep under review the vaccination of healthy children as more data becomes available from countries such as the United States of America and Israel.

The right hon. Gentleman asked a question around the covid vaccination pass and nightclubs, other crowded unstructured indoor settings such as music venues, large unstructured outdoor events such as business events and festivals, and very large structured events, such as business events, music and spectator sport events. They are the ones that we are most concerned about. We have seen other countries, whether it is Holland or Italy, opening nightclubs and having to reverse that decision rapidly. What we are attempting to do, and the reason we have the covid vaccination pass in place, is to work with industry while we give people over the age of 18 the chance to become double-vaccinated. It would be hugely unfair to bring in that policy immediately. Giving people until the end of September is the right thing to do, while at the same time allowing businesses to open safely, using the app now—because the app went live and the industry is very much engaging with it.

There are no easy decisions on anything to do with this virus. That is the one thing we have learned. The most effective tool we have against the virus is, of course, the vaccine programme, followed by the tool of self-isolation. If we want to get back to normal and get our lives back, we need to transition this virus from pandemic to endemic—from pandemic to manageable menace—as quickly and as safely as possible. If we release all restrictions now, including self-isolation, which I am sure a number of colleagues will ask about today, we risk the number of infections, which the shadow Secretary of State worries about as I do, rising rapidly. That could risk the transition of this virus.

We are working flat out with industry. I commend companies such as Lidl, which knows it is under pressure but will work through it with us. We will allow critical, frontline and key workers and health and social care workers to get back to work if they take a negative test, as I announced on Monday. By 16 August, everyone who is double-vaccinated will be able to do that.

Covid-19 Update

Debate between Jonathan Ashworth and Nadhim Zahawi

Monday 19th July 2021 Commons Chamber

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

I thank the Minister for advance sight of his statement.

Of course people have the right to protest against a lockdown that no longer exists, but will he join me in condemning the ugly scenes of harassment, thuggishness, throwing of objects, pushing and intimidation directed at police officers outside on Parliament Square earlier?

The Minister has said that a number of teenagers will be vaccinated. Can he tell us how many and by when? The Medicines and Healthcare Products Regulatory Agency has approved the Pfizer jab for all 12 to 18-year-olds. Indeed, countries such as the United States, Canada, Israel, France, Austria, Spain, Hong Kong and others have started vaccinating, or soon will be, 12 to 18-year-olds, so why are we not?

The Minister rightly said that the risk of death to children from covid is mercifully very low, but children can become very sick and they can develop long-term conditions and long covid. Indeed, according to the Office for National Statistics, 14.5% of children aged 12 to 16 have symptoms lasting longer than five weeks, so will he spell out in detail the clinical basis for why the JCVI has made this decision? Will he publish all its analysis and documents in the same way that the Scientific Advisory Group for Emergencies publishes its analysis—not just the advice—and can he guarantee that this decision was made on medical grounds and not on grounds of vaccine supply?

The Minister talked about infection among children being disruptive, and we know that infection among children is highly disruptive for learning—we have seen hundreds of thousands of children out of school. If we are not vaccinating all adolescents, can he tell us what the Government’s plan is for September, when children return to school? For example, will he consider using this summer to install air filtration units in every classroom or in every school?

Testing is already stretched, with turnaround times lengthening. Can the Minister guarantee that through the summer—and especially once contacts can be released from isolation on the back of a negative PCR test in August—and into September, when schools return, there will be sufficient PCR testing capacity to meet demand? As we move into autumn and winter, we anticipate more flu and respiratory viruses. Those are illnesses with symptoms that often overlap with covid, so will he also now invest in our testing capacity, so that alongside a covid test we can test for flu and respiratory syncytial virus this winter? We need multi-pathogen testing going forward.

Three weeks ago, the Health Secretary told us that unlocking would make us healthier, and he promised us that it would be irreversible, but today we have some of the highest infection case rates in the world, and the mayor from “Jaws” has decided to reopen the beaches, recklessly throwing off all the restrictions with no safety precautions in place, such as mandatory mask wearing. It risks reimposing new restrictions in the future, and it means that the NHS is facing a summer crisis. Already, admissions for covid are running at around 550 a day, and hospitals are cancelling cancer surgery. Liver transplant operations were cancelled in Birmingham last week.

Throwing off all restrictions like this will see thousands suffer serious long-term illness. The clinically vulnerable and scared are feeling shut out of society, and selection pressure could see a new variant emerging that evades the success of the vaccine programme, setting us back and snatching defeat from the jaws of victory. It is reckless, and it does not have our support.

More infections means more isolation. The NHS staff who will be released from isolation if double-jabbed will still want protection for themselves and their patients, so will the Minister ensure that the standard of masks worn in NHS settings is upgraded to the FFP3 requirement, as NHS staff have called for? What is his plan for keeping the economy and public services functioning throughout the summer as more and more people are asked to isolate?

We know that the Prime Minister’s and the Chancellor’s plan was to dodge isolation, so can the Minister tell us how this “random” clinical trial, which so helpfully selected the Prime Minister, the Chancellor and the Chancellor of the Duchy of Lancaster, was set up? Will he tell us what exactly happened between 8 am and 10.38 am on Sunday that persuaded the Prime Minister and the Chancellor to withdraw from this presumably valuable and random clinical study? Can he tell us how many other Ministers have participated in the trial? Did he participate? How many Government Departments and officials were involved, and why? If he cannot answer these questions sufficiently, our constituents will rightly conclude that it is one rule for Tory Ministers and another for the rest of us.

[Nadhim Zahawi]

The right hon. Gentleman began well but ended with petty politics. However, I will address the issue of the testing trials over a number of days, which began, I think, around December. It was not just the Cabinet Office and No. 10 that participated; organisations such as Transport for London, Heathrow airport and others would have participated as well. The Government make thousands of decisions every day, every week, which is not something that the Opposition are used to doing—certainly not their leader, anyway. Nevertheless, I shall refrain from engaging in petty politics and try to address some of his more substantive questions.

On the harassment and thuggish misbehaviour, I join him in condemning such behaviour outside the Houses of Parliament against our police officers.

On vaccinating 12 to 15-year-olds, the right hon. Gentleman asked about the number for England. Approximately 370,000 children will receive that protection. We are currently not following the United States of America, Israel or other countries in vaccinating all children, although the JCVI is continuing to review the data and is waiting for more data on second doses. Millions of children in the US have already received a first dose but there is a time lag for second doses and that is being kept under review. We publish the JCVI advice accordingly.

On testing, the United Kingdom now has the capacity for over 600,000 PCR tests and many millions of lateral flow tests. I myself am not on the trial that the right hon. Gentleman spoke about, but I do take the lateral flow test and I tested negative earlier today, as I did on Thursday and Friday.

I am happy to have the right hon. Gentleman’s support on the JCVI advice on protecting the most vulnerable children, and of course asking it to make sure that it reviews the data on all children. I reassure him that the decision was not in any way made taking into consideration volumes of vaccine. We have plenty of vaccine available for the vaccination of all children that is necessary. We have ordered more of the Pfizer-BioNTech vaccine, which is the vaccine that was approved. The decision was made by the JCVI based on looking at the data from other countries, and that is the decision that we will implement.

Covid-19

Debate between Jonathan Ashworth and Nadhim Zahawi

Tuesday 25th May 2021 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 covid-19.

[The Minister for Covid Vaccine Deployment (Nadhim Zahawi)]

Our race between the vaccine and the virus continues. As a nation, we have taken some huge strides forward: there are now 908 people in hospital with coronavirus, a fall of 9% in the past week, and the average number of daily deaths is now six, the lowest number since the middle of March. On top of this positive news, our vaccination programme is accelerating at pace. Over 72% of all adults have now been given their first dose, and 43% of all adults have the protection of two doses.

This weekend, we reached the milestone of 60 million vaccines administered across the United Kingdom, and Public Health England also published new research showing that the effectiveness of vaccination against symptomatic disease from the variant first discovered in India is similar after two doses when compared to the B117 variant dominant in our country. As with other variants, even higher levels of effectiveness are expected against hospitalisation and death. This is encouraging data, and it reinforces once again the importance of our vaccination programme in giving us a path out of this pandemic, as well as showing just how important it is that everyone comes forward for both jabs when the call comes through. It is the progress made by the British people in following the rules, and in taking up the protection offered through our vaccination programme, that means we were able to take step 3 in our road map last week.

However, we take these steps with vigilance and caution, staying alert to new variants that can jeopardise the advances we have made. We have come down really hard on the variant first identified in India wherever we have found it, surging in testing capacity and vaccines for those who are eligible. Over the past few days, we have extended this rapid approach to even more areas: as well as Bolton and Blackburn with Darwen, which the Prime Minister spoke about at his press conference on the 14th of this month, we are taking rapid action in Bedford, Hounslow, Burnley, Leicester, Kirklees and North Tyneside. As the Prime Minister set out two weeks ago, we are urging people in these areas to take extra caution when meeting anyone outside their household or support bubble, including meeting outside rather than inside where possible; keeping 2 metres apart from people they do not live with; and trying to avoid travelling in and out of the affected areas unless it is essential, for example for work—if a person cannot work from home—or for education.

As the Prime Minister said, we want the whole country to move out of these restrictions together. We are trusting people to be responsible and to act with caution and common sense, as they have done throughout this pandemic, and to make decisions about how best to protect themselves and their loved ones that are informed by the risks. That is exactly what we should be doing. We are always looking to see how we can communicate more effectively with local authorities, and we will of course take on board the views expressed by the House over the course of this debate. By acting quickly whenever the virus flares up and protecting people through our vaccination programme, we can guard the incredible gains we have all made, and get ourselves on the road to recovery.

[Jonathan Ashworth]

Does the Minister appreciate that cities such as mine, Leicester, or towns and boroughs such as Burnley, Bolton, Batley and Blackburn, have borne the brunt of this crisis over these past 15 months? We have often been in lockdown for longer than elsewhere. At times, we have felt abandoned. We did not have adequate financial support: families did their best, but they struggled. Can the Minister understand how upsetting, how insulting, it is to have new restrictions imposed on us—local lockdowns by stealth, by the back door—without the Secretary of State even having the courtesy to come and tell us?

Why was the guidance plonked on a website on Friday night and not communicated to everyone? Why were local directors of public health and local authority leaders not consulted? Why were MPs not informed? What does it now mean for our constituents? What does it mean for the family in Leicester who have booked a few days next week by the coast for the school half-term? Do they have to cancel that break? What does it mean for university students in Leicester when they have finished their exams? Do they have to go home—or can they go home? Can prospective students come and look at the campuses?

What does the guidance mean for the parents in Bolton who are planning to take their children to see grandparents on the other side of Greater Manchester this bank holiday Monday? Should they rearrange their plans? What does it mean for the young couple in Burnley, Blackburn or Batley, who have postponed their wedding for over a year and invited friends and family from across the country to come and celebrate their special day with them? Is the message to them that they have to delay their wedding again?

Can the Minister answer these questions today? Can he take a message from me, as the Member of Parliament for Leicester South, back to the Secretary of State—“Withdraw this guidance now and convene a meeting this afternoon of the relevant directors of public health to produce a plan involving isolation support and enhanced contact tracing”? As the hon. Gentleman knows from his work as vaccines Minister, a single dose of the vaccine is less effective against this particular variant. Will he produce a plan with local directors of public health to roll out vaccinations to everybody and consider including bringing forward a second dose for a larger cohort of people?

A year ago, Ministers such as the hon. Gentleman were defending Dominic Cummings on Twitter. Now, Mr Cummings tweets about the lack of competent people in charge. Many of our constituents, looking at this latest lockdown fiasco, will think that Mr Cummings has a point.

[Nadhim Zahawi]

I thank the right hon. Gentleman for, I hope, his equally supportive comments when it comes to supporting his constituents and others around the country—in Bedford, Blackburn, Bolton, Burnley, Kirklees and Leicester, his own patch, as well as Hounslow and north Tyneside.

I spoke to the M10 metro Mayors this morning, and the one thing I would urge is that we all work together and take the politics out of this. Our constituents deserve that. Essentially, as I said in my opening statement, we are asking people in the affected areas to be cautious and careful. The right hon. Gentleman asked about visiting family: people should meet outside rather than inside, where possible. Meeting indoors is still allowed, in a group of six or as two households, but meeting outdoors is safer. People should meet 2 metres apart from those they do not live with unless they have formed a support bubble; that obviously includes friends and family they do not live with. So yes, people can visit family in half-term if they follow social distancing guidelines. The guidelines include specific sections on meeting friends and family. Avoid travelling in and out of the affected areas, as the Prime Minister said on 14 May, unless it is essential—for work purposes, for example.

The whole principle is that we need to work together. The right hon. Gentleman has a responsibility, as do I and the metro Mayors, to communicate to our residents and constituents that this is a time to be vigilant and careful. We are putting more surge testing and turbocharging vaccinations in those areas, to make sure that we do the work with local directors of public health. I hope he will agree that we have had that plan in place and seen it operate in Bolton and Blackburn; we will see it operate in his constituency and other parts of the country as well.

--- Later in debate ---

[Nadhim Zahawi]

My hon. Friend will recall that the Prime Minister addressed this issue on 14 May.

[Jonathan Ashworth]

indicated dissent.

[Nadhim Zahawi]

Yes, he did address this issue in his press conference. I can read the right hon. Member for Leicester South (Jonathan Ashworth) the words from that press conference, because he says from a sedentary position, “He did not.” The Prime Minister said, speaking about Bolton:

“given the caution that I think we have to exercise with this new variant, the risk of extra transmissibility, I would urge people just to think twice about that. That’s what we’re saying. I think that we want people in those areas to recognise that there is extra risk, an extra disruption, a threat of disruption to progress caused by this new variant and just to exercise their discretion and judgment, in a way I’m sure that they have been throughout this pandemic and will continue to do so, I hope very much.”

Those were his words, and the guidance was in place.