Testing of NHS and Social Care Staff

Debate between Jonathan Ashworth and Patricia Gibson

Wednesday 24th June 2020 Commons Chamber

[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after 17,000 bed cuts and years of budget cuts to capital settlements, which have left hospitals crumbling, reliant on out-of-date equipment and grappling with a £6.5 billion repair bill.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.”