(4 years ago)
Commons ChamberI can absolutely give that commitment and say to the people of Stockport that they have been in restrictions for a long time and have done a great thing in bringing the case rate right down. Of course we have to remain vigilant, and today’s news only further amplifies that fact, but by doing the right thing, they have helped to protect life, and I will look very closely at their case on Wednesday.
People want to spend the Christmas holiday with their loved ones—of course they do—and the message of doing so with care is one that we all must stress, but given the very worrying statistics we have heard today, can the Secretary of State tell us if he has asked for or received any modelling on the likely impact of the suspension of restrictions over the Christmas holiday and the movement of people all around the country on the spread of infections and the hospitalisation rates in the middle of January?
The truth is that it all depends on how people behave, and it is very important that we all urge people to behave with great care and responsibility over the Christmas period.
(4 years, 2 months ago)
Commons ChamberDespite all the billions that have been spent on testing, we learned at the end of last week that the testing hours in London fell by 43% on the week before. There is also a staggering variation in capacity. My own borough, Westminster, has one of the lowest testing rates in London. Given that the limited capacity means that testing is being directed to those with the highest rates of infection, is there not a very real risk that this will mean that we do not know what is going on accurately across the country because areas that are not getting enough testing are not showing transmission, and therefore we cannot make good decisions? When will we have the testing capacity to allow us to make the right decisions for our people and our economy?
The hon. Lady makes a really important case. First, as she implies, we obviously have to put the testing capacity into the areas with the biggest outbreaks to tackle those outbreaks. I think everybody understands that. At the same time, we have to increase testing capacity, and we are doing that. But thirdly, if an area has lower testing than another area, we have to make sure that we take that into account when we look at how serious the problem is. We do that in two ways. The first is the positivity rate—what proportion of tests come through positive—and the second is the survey data, particularly the Office for National Statistics survey, which shows that rates in London are higher than in some parts of the rest of the country, such as the south-west, the south-east and East Anglia, but not as high as in the midlands and the north of England, or indeed in Scotland, Wales and Northern Ireland. We have to look at the surveys and the positivity, as well as the basic case rate.
(4 years, 6 months ago)
Commons ChamberThe answer is “needs must”: whatever is necessary to bring any local outbreak under control. We will take local action with local directors of public health using all the information we have, whether at a highly localised level, more broadly or on an institution basis—for instance, around a school, care home or hospital—if that is what it takes.
The pandemic has exacerbated mental health conditions and made it harder for people to access appropriate mental health services in many cases. This morning, I received an email from a constituent whose child has a severe psychiatric condition exacerbated by covid. The child has been in our local hospital for six weeks waiting for a specialist bed and is now hoping that there might be a bed in Birmingham—they are in north Paddington. What can the Secretary of State do to make sure that such urgent mental health conditions are responded to?
The hon. Lady is right to raise this issue. Mental health services, especially for less severe mental ill health, have in some ways been strengthened by the crisis, because of the extent of psychiatric support online, which in some cases, we have discovered, has been more effective than face-to-face support, especially in paediatrics. That said, of course that is not the case in all areas, especially with some of the more severe conditions, such as the one she outlines, and I am happy to look into that individual case. We are doing everything we can to restore services, in a way that is safe and covid secure, so that people can get access to the services they need.
(4 years, 9 months ago)
Commons ChamberI will look into that question and get back to the hon. Gentleman.
People without a home of their own have particular challenges when seeking to self-isolate, which puts their health at risk, as well as that of the wider public. Can the Secretary of State assure me of two things? First, will everybody who is street homeless be guaranteed the opportunity to self-isolate if they start showing symptoms? People are being turned away from shelters at the moment. Secondly, given that tens of thousands of people are evicted every year, will he take action now to ensure that more people are not added to the homelessness total?
That is a very important point that is being addressed by my right hon Friend the Communities Secretary, along with the mayors and local authorities, who lead in many cases on the provision of those sorts of services.
(5 years, 9 months ago)
Commons ChamberWith a throwaway answer to the right hon. Member for Chelsea and Fulham (Greg Hands), the Secretary of State has just pulled the west London strategic health framework, which has governed the delivery of hospital and community services for most of the last decade, absorbed tens of thousands of hours and cost hundreds of millions of pounds. Why has he not thought it appropriate to bring forward a statement so that the many of us who are concerned with this issue have an opportunity to interrogate the many very serious implications that this has for the delivery of healthcare across west London?
The hon. Lady and the hon. Member for Hammersmith (Andy Slaughter), who is sitting next to her, have run, over a number of years, totally inappropriate scare stories about what they said were potential changes to A&E in west London as part of “Shaping a healthier future”. It has been one of the worst aspects of local parliamentary campaigning and I am absolutely clear that the changes in A&E in west London as part of “Shaping a healthier future” will not happen. However, there are elements of “Shaping a healthier future” that are about more community services and treating more people in the community. We look forward to working with the local NHS on those parts of the proposal.
(5 years, 11 months ago)
Commons ChamberMy hon. Friend is absolutely right. The community hubs being developed in many different parts of the country are critical in bringing together support and enabling early intervention. The adage that a stitch in time saves nine is almost as old as “prevention is better than cure,” but both are equal in their wisdom.
Money might not be everything, but transforming a service against a background of real-terms cuts is almost impossible. The Central London clinical commissioning group is in the middle of a 13% real-terms cut, the West London clinical commissioning group is having an 8% real-terms cut, real-terms cuts are being made in mental health services, and Westminster City Council has cut 31% of its funding for social care. Can the Secretary of State indicate whether inner-London residents will see any benefit as a result of this plan?
As I said a moment ago, local allocations will be published in the coming days.
(11 years, 9 months ago)
Commons ChamberI know the scheme well and it is both simple and effective. It also takes value for money into account. I was talking to a permanent secretary about it only this morning and I shall be doing far more of that.
I welcome investment in pre-apprenticeship training and preparation, but is the Minister not concerned about the accelerating decline in the number of apprenticeships available to 16 to 18-year-olds, which is down 7% from last year’s figure alone, and that the funding providers found a shortfall of £61 million in expenditure on that group last year? It is right and proper to invest in pre-apprenticeship training, but does he not agree that the bigger crisis is in whether those young people will have an apprenticeship to go on to?
(12 years, 1 month ago)
Commons ChamberI am in favour of sandwiches and in favour of people who learn skills in apprenticeships in all sorts of different sectors. I pay tribute to my hon. Friend, who held a jobs fair last week. I will be copying what he did in my constituency. I hope he, like me, will go to the meeting on Wednesday to discuss what Members on both sides of the House can do to promote apprenticeships in their area.
I welcome the Minister to his post. He has large shoes to fill because his predecessor was a passionate advocate for the brief, but I am sure he will do splendidly. Unfortunately, however, recent figures show a 2% drop in the number of apprenticeships for 16 to 18-year-olds for 2011-12. Given the concerns that we share about long-term youth unemployment and the number of young people not in employment, education or training, does that figure show that the Government are failing in their own terms?
On the contrary, not only is youth unemployment on the latest figures falling—thankfully—but in the last year, we have moved to make apprenticeships higher quality. For instance, 11,000 apprenticeships had no job attached. Is it not far better to have high-quality apprenticeships and sell them to employers to ensure that as many as possible engage, so that we can get the numbers and the quality going up at the same time?