Tobacco Control Plan

Kate Osborne Excerpts

Thursday 10th June 2021 Westminster Hall

[Kate Osborne (Jarrow) (Lab)]

It is a pleasure to serve under your chairmanship, Mrs Miller. I thank my hon. Friend the Member for City of Durham (Mary Kelly Foy) and the APPG for securing this important debate.

I must first announce my interest in the debate as a former smoker. I grew up in the ’80s, and most of my peer group smoked. I can recall purchasing cigarettes at the local sweet shop, which was happy to accommodate the limited budget of schoolchildren by allowing us to buy our cigarettes individually. I came from a household in which there were adult smokers, and for me to take up the habit seemed almost inevitable. I have fought a lifelong struggle against smoking to kick the habit, but it was not until I was pregnant with my first son that I felt able to give up. Although I have returned to it once or twice, I am pleased to say that I have now not smoked for more than a decade.

The tobacco industry’s excessive profits are built on establishing an addiction in people like me in their teens, who unfortunately will often not succeed in stopping before it kills them. My hon. Friend the Member for Blaydon (Liz Twist) spoke about the figures in Gateshead, which is one of my local authorities. Smoking is estimated to cost my other local authority, South Tyneside, about £37.9 million every year. That is through smoking-related health and care needs, lost productivity and premature deaths.

I support the recommendations made by the all-party parliamentary group on smoking and health for a comprehensive strategy. It calls for additional regulation and targeted investment, with the full engagement of health and care services and a shared mission to end smoking. The communities where smoking is still part of the daily fabric of life need investment to ensure that the support is there, particularly for those with high levels of addiction. Services need to be much closer to the people who need them—in social housing, mental health services, children’s centres and LGBT service settings. Wherever the need is greatest, we should make the support available. I agree with the APPG that it is not the taxpayer but highly profitable tobacco companies that should foot the bill for these important services. Funding is needed now—we cannot wait—so does the Minister agree that the Government should include provision for a smoke-free 2030 fund in the health and social care Bill and bring this measure into force in 2022?

Funding and investment in communities with the greatest need are important to help more smokers to quit, but we also need to prevent young people from starting. Reducing the availability of tobacco to young people can help to achieve that, and existing laws on age of sale need to be fully enforced. Although retailers need a licence to sell alcohol, no licence is required for the sale of tobacco products. Therefore enforcement action can be slower and more complex and, ultimately, have less impact on retailers that break the law than would be the case if a licensing scheme were in place. Data from both YouGov and ASH, which I thank for their help with my contribution, show that retailers and the public support the introduction of a licence for retailers selling tobacco products.

Introducing a licence need not be costly. The tracking and tracing system is already in place for tobacco retailers. As a result, there would be minimum extra burden for retailers and wholesalers in turning it into a public health licensing scheme; there would be little additional administrative cost. At the same time, it would equip local authorities with more effective powers to protect their local communities from those who sell tobacco products to children. Will the Minister commit to establishing a public health licensing scheme for tobacco retailers to make it easier to prevent underage and illicit sales of tobacco in order to further protect children from taking up smoking?

The NHS has committed to supporting more smokers through the NHS long-term plan, but as with all plans, the proof of the pudding is in the eating. With all the pressures in the system right now, there is a risk that the roll-out is uneven, with smokers who need support missing out. Integrated care systems are responsible for putting in place prevention plans for their populations, and those plans need to meet the needs of smokers and ensure that the commitments in the long-term plan are delivered on. Will the Minister ensure that all ICS prevention plans are published and include as an objective achieving a smoke-free 2030? Finally, I hope that the Minister will consider tasking NHS England with establishing an operational plan to support all smokers in primary care and community mental health settings.

NHS Pay

Kate Osborne Excerpts

Wednesday 24th March 2021 Westminster Hall

[Kate Osborne (Jarrow) (Lab)]

It is a pleasure to serve under your chairmanship, Mr Hosie. I thank my hon. Friends the Members for Liverpool, Wavertree (Paula Barker), for Luton South (Rachel Hopkins) and for Birkenhead (Mick Whitley) for securing this important debate.

I pay tribute to NHS staff across the Jarrow constituency for all they have done and continue to do in our fight against covid-19. I also pay tribute to all the South Tyneside District Hospital and Queen Elizabeth Hospital workers who have delivered vital care to many of my constituents throughout the pandemic.

NHS staff up and down the country have worked tirelessly in extremely challenging circumstances for the past 12 months, which makes the proposed 1% pay rise completely unacceptable. It is basically a slap in the face for more than a million hard-working NHS staff. I agree with the 14 health unions representing 1.3 million health workers who have called for a significant pay rise for NHS workers. It has been encouraging to see in my inbox messages of overwhelming public support for them. I am sure that colleagues have had the same experience.

As highlighted by my hon. Friend the Member for Sheffield, Hallam (Olivia Blake), a fair and decent pay rise is supported by recent independent analysis by London Economics. It found that the net cost of a pay rise is only around one fifth of the Government’s stated cost once factors such as the additional tax gained and the economic impact of extra consumer spending are taken into account.

There are currently an estimated 100,000 vacancies in the NHS. It is crucial that the NHS can recruit and retain existing staff to assist with the national recovery from the pandemic, because as we recover, the NHS faces new challenges such as the continued delivery of the vaccine roll-out, the potential for further waves of infection, the long-term increased demand on NHS services from long covid, as well as the clearance of the backlog of care that has built up over the last year. I hope the Minister will agree that a significant pay rise for NHS staff would make the NHS a more attractive career option, as well as help to retain those already working within it.

Many of us have applauded NHS staff from our doorsteps for keeping us safe throughout the pandemic. But sadly, clapping on our doorsteps does not put food on the table or pay the bills for those who have suffered 10 years of a real-terms pay cut under Conservative Governments. I hope the Minister will agree that a significant pay rise would finally reflect and respect the value we place in their work. Throughout the pandemic, the Government have wasted billions on failed track and trace and given hundreds of millions to their friends and donors in contracts for faulty PPE. If they can do that, there is no reason why a decent pay rise cannot be funded for people who put their lives on the line every day throughout this pandemic.

Covid Security at UK Borders

Kate Osborne Excerpts

Monday 1st February 2021 Commons Chamber

[Kate Osborne (Jarrow) (Lab) [V]]

The Government must finally act on securing our borders by introducing a comprehensive plan to protect the country against the import of new strains and maximise the effectiveness of the vaccination programme. With that in mind, however, it must not be overlooked that increased border measures come with increased pressure on the aviation industry and staff in the sector.

Earlier in January, the Home Office imposed a fixed roster on the Heathrow primary control point in what is widely viewed as a rushed implementation that has led to equality concerns, with many staff with disabilities and caring responsibilities unable to work to the new roster. As outlined by my right hon. Friend the Member for Hayes and Harlington (John McDonnell), that led to officers processing passengers at Heathrow passport control points to vote overwhelmingly for strike action over the imposition. Feedback from PCS union members on the primary control point has described the newly introduced fixed roster as a “shambles” and “chaotic”. Additionally, Border Force is currently only spot-checking 10% of all passenger locator forms, which provide the necessary information for quarantine compliance. The Government must ensure that sufficient support and resources are made available so that border staff are able to do their jobs properly.

Alongside this, the Government must announce a sector-specific support package for aviation. The largest aviation union, Unite, suggests [Inaudible.] already lost their jobs. It is about time that the Government stepped in to put in place a sectoral deal, like they promised, and protect those jobs. The Government must make good on their promises, act fast, and step in where necessary to protect employment and our economy across all sectors. However, this must not be an unconditional bail-out for companies. Tackling climate change needs to be central to this support, both for the aviation sector and for building back greener across our whole economy. I hope everyone across this House will support this motion to ensure a robust plan is in place to protect jobs and set clear commitments to help tackle the climate emergency.

Covid-19 Vaccine Roll-out

Kate Osborne Excerpts

Tuesday 8th December 2020 Commons Chamber

[Matt Hancock]

Yes. That is the hardest part of the vaccine roll-out to deliver by its nature, because of the minus 70°C requirements of the vaccine, but it is absolutely a part of the plan.

[Kate Osborne (Jarrow) (Lab)]

We already know that poorer areas have fewer GPs, so it is crucial that they receive extra resources to ensure that they are not left behind in the roll-out of the vaccine, on which I congratulate everyone involved. Will the Secretary of State assure me that the vaccine will be fairly distributed across the UK and that working-class communities such as mine in the north-east will not be put at the back of the queue again, as they have been so many other times during this pandemic?

[Matt Hancock]

I can absolutely assure the hon. Lady that the fundamental principle of the roll-out is that it must be done according to clinical need and fairly right across every part of the UK, and that is what we are delivering to.

Covid-19

Kate Osborne Excerpts

Thursday 22nd October 2020 Commons Chamber

[Kate Osborne (Jarrow) (Lab)]

I pay tribute to the health and social care workers, education and childcare workers, those working in the food supply chain, local government, civil servants, utility workers, food bank workers and everyone in my constituency who is fighting in my constituency of Jarrow and across the country day in, day out in the fight against this virus.

I am sorry to say, however, that it seems to me that, on just about every measure, the Government are losing control and, sadly, we are going backwards in this fight. This lack of control has seen the Government resort to treating the north of England as some sort of sick experiment this week. It is beyond belief that now, because London has moved into tier 2, the Chancellor has rejigged his support package and now gone some way in addressing what we in the north have been asking for for weeks. Previously, it fell on deaf ears. Why did it take London going into tier 2 for this to happen when areas like my constituency of Jarrow in the north-east have been in similar restrictions for many weeks? This has come far too late for some and is no consolation for those who have already been made redundant or for businesses that have already closed. Significant economic damage has already been done. The new support will help going forward, but we still need a bold strategy to level up our region to stop covid from further increasing existing inequalities.

Now let us have a look at the money wasted by this Government. We have seen £108 million for a PPE contract going to a firm that is best known for making sweets—it has certainly left a bitter taste in my mouth—and £12 billion for a private track-and-trace system that is now reaching fewer than 60% of close contexts. The only people benefiting are Dido Harding and her Tory mates. With the constant changes in guidelines and restrictions, we are going round in circles. The Government must listen to Labour’s call for a national two to three-week circuit breaker that will give us a chance to fix testing, protect our NHS, and save livelihoods.

Moreover, the Government’s new plans for the job support scheme are still not enough. People on low wages are already struggling, and today’s announcement still leaves many to fall through the cracks. It is still not as generous or as well targeted as others, like the German scheme, and other European countries extended their furlough schemes through to next year months ago, giving certainty and clarity—and those schemes are not dependent on tiers. We must remember that the cost of living in England is much higher than in our European counterparts. We have the highest rents in Europe and pay some of the highest bills for our gas and electricity, so receiving a fraction of what is an already low wage is pushing many further into poverty. Renters who are struggling financially can now, of course, be evicted.

The Government need to stop jumping from one announcement to another. Businesses need to be able to plan in order to survive, and the Government need to stop their haphazard approach. If the Government had had a clear plan from the start, then we would not be where we are now. The Government must change tack, as well as moving to a circuit breaker. They must ditch the proposed job support scheme and extend the 80% minimum furlough scheme across the country. The confusion in the Minister’s eyes says it all. The Government have lost control of the virus and lost control of the message, and they are now completely ignoring the scientific advice from SAGE. My constituents and those across the country deserve better.

[Madam Deputy Speaker (Dame Eleanor Laing)]

The last speaker from the Back Benches will be Greg Smith. I know that many Members who have waited to speak this afternoon will be disappointed, as quite a large number have not been called. I must point out that all the people who have not been called are those who have spoken many times in recent weeks. I am sure that a little arithmetic will show that with the number of Members there are, 650, and with the amount of time that we have to debate every day, which is eight hours, it is actually not possible for most Members of Parliament to make more than one speech in a week or several speeches in a month. It is not possible and it is not normal.

Covid-19 Update

Kate Osborne Excerpts

Thursday 15th October 2020 Commons Chamber

[Matt Hancock]

I would be very happy to take up my hon. Friend’s suggestion about the volunteers. I commend to him the social care winter plan, which sets out how we will balance the very difficult issues that he mentions.

[Kate Osborne (Jarrow) (Lab)]

In my constituency, schools are already closing due to confirmed cases of coronavirus. What conversations has the Secretary of State had on routine testing in schools? Will he publish the science behind the decision not to introduce routine testing for teachers and tell us why schools have been issued with only 10 testing kits each?

[Matt Hancock]

We have a testing prioritisation board which takes into account the order of priorities within testing. Of course, as testing expands it means we will be able to use it for more things, including in schools. I look forward to being able to make that progress just as soon as we make the expansion even bigger.

Local Contact Tracing

Kate Osborne Excerpts

Wednesday 14th October 2020 Commons Chamber

[Kate Osborne (Jarrow) (Lab)]

Let us be clear from the start: the test, trace and isolate chaos that we are currently facing has been caused by outsourced companies running what should be public services for their own private profit. The current restrictions were never inevitable; they became inevitable as a result of this Government’s failure to get a properly functioning test, trace and isolate system in place. The system has been given to private companies with no qualifications for this work, overseen by business executives with no experience in public health. Just days before local restrictions came into place in the north-east, my Jarrow constituents were asking me to find out what has happened with the “shambles”, as they put it, that is the covid testing system. One constituent, Tracy, told me how a family member did a 110-mile round trip from Gateshead to Hawick in Scotland for a test. This was while there were appointments in Newcastle just a few miles along the road, but the centre had IT problems and the QR code was not being generated. She was rightly furious that her family member, while displaying symptoms, had to drive this distance. My Jarrow constituents are right: it is an utter shambles.

This Government’s approach to contact tracing is not just shambolic—it is dangerous. The evidence shows that contact tracing works much better on a local level. Both the South Tyneside and Gateshead local authorities covering my constituency have been constantly telling the Government this, but they are just not listening. I pay tribute to Alice Wiseman and Tom Hall, the directors of public health for those authorities, and their teams, for their dedication and hard work.

From Oldham to Peterborough, from Manchester to Cumbria, and across Wales, we have seen how local councils bring back much higher contact rates and can curb the spread of infection far more than the outsourced model that the Government keep throwing money away on. The Government know it is not working, yet the same old Tory ideological commitment to outsourcing continues. According to the Government’s own data, local health protection teams are reaching 97% of contacts and asking them to self-isolate, while, in contrast, outsourced cases handled online or by call centres return 62.4% contact rates. The most striking thing is that the Government have had plenty of opportunity throughout the summer to address the failures of a privatised and centralised contact tracing model, yet they have chosen to keep pouring money into the likes of Serco to lead the effort on tracking and tracing.

[Jane Stevenson (Wolverhampton North East) (Con)]

There must be a common-sense approach at both ends of this. Does the hon. Lady accept that, as my hon. Friend the Member for Bosworth (Dr Evans) said, the NHS and public health authorities do not have the capacity to cope with the vast number of tests, and we need this national approach as well as local involvement?

[Kate Osborne]

No, I do not. The Government can put this right by putting more money in, of course.

As my hon. Friends the Members for Newcastle upon Tyne North (Catherine McKinnell) and for Bradford West (Naz Shah), among others, have said, we have to stop calling it “NHS Track and Trace”, as it clearly is not. It has failed, it is wasteful, it is throwing taxpayers’ money down the drain, and the people of this country deserve better. In fact, only this afternoon, as already highlighted by my hon. Friend the Member for Chesterfield (Mr Perkins), I heard that the Government paid Boston Consulting Group about £10 million for a team of 40 consultants to do four months’ work on this failed testing system between the end of April and late August. Yet our local public services, hollowed out by 10 years of austerity, are being left with no support to pick up the pieces of a failed system.

Our local authorities in the north-east were crucial in the frontline against the first wave of this virus. That is why the Government must recognise their value by extending additional funding for contact tracing available in tier 3 areas to all parts of the country. The Government must ensure that local authorities and public health teams receive the resources and powers that they need.

Covid-19

Kate Osborne Excerpts

Monday 28th September 2020 Commons Chamber

[Kate Osborne (Jarrow) (Lab)]

I start by paying tribute to the many NHS workers, care workers, retail workers, civil servants, hospitality workers and so many more who have helped to support the residents in my constituency over the last few months and, of course, for many months before that.

The Government have had months to improve the effectiveness of test, track and trace, which we all know is essential in combating the spread of the virus, but they must stop presiding over a strategy that has handed responsibility and funding over to management consultancy firms and outsourcing giants, bypassing our NHS and established public health networks.

Over the last month, there have been signs of the near collapse of what exists of the Government’s testing system, with many people in virus hotspots such as my constituency of Jarrow having absolutely no access at all to testing. Numerous examples can and have been given by Members on both side of the House, and that view is shared by colleagues on the ground at Gateshead Council in my constituency, who tell me that the consistency of support and information from the national track and trace system remains variable and that the national system is currently fragmented, placing additional pressure on local Public Health England health protection teams.

If we are heading towards a second national lockdown, this needs to be sorted now. This time wasting simply is not good enough. We know the devastating impact that a second national lockdown would have on the economy, jobs and people’s mental health. It is a national scandal that students are currently being locked down in their university halls because there is no effective testing and tracking system in place. Throughout the summer, the University and College Union warned that this would happen, but private profit and the needs of landlords have been prioritised over our young people’s education and wellbeing. On top of what many students went through with the exam fiasco, and with the uncertainty now around Christmas, this is a mental health crisis in waiting.

Not only do we need the Government to step up and sort out testing; we need them to sort out communication. We have had endless mixed messaging. Just last month, people were being encouraged to go back to work and to eat out to help out. The Prime Minister even said that it was our “patriotic duty” to go out for a pint. Obviously, we all want to see the hospitality sector reopen and thrive, but alongside that we need effective testing, tracking and tracing. Because of the Government’s incompetence and the lack of effective testing, infections have inevitably risen alongside the increase in human interaction. Instead of offering any self-reflection, the Government pin the blame on people for not following the rules; we are effectively seeing the Government gaslighting the nation to absolve themselves of any blame.

It is not just effective testing and communication that is needed; the Government must also lay out an effective plan to recover jobs, retain workers and rebuild businesses. Industries teetering on a cliff edge, such as aviation, which the right hon. Member for Epsom and Ewell (Chris Grayling) mentioned, retail and hospitality, need further support now to avoid a jobs wasteland.

In conclusion, the Government’s approach is failing and they must quickly get a grip of the situation. We need effective test and trace, improved communication and targeted support to prevent a further jobs crisis. The people of this country are exhausted. They need and deserve better.

Coronavirus Response

Kate Osborne Excerpts

Monday 20th July 2020 Commons Chamber

[Matt Hancock]

I do not have anything further to add yet. The problem was that anybody who had had covid at any point and then subsequently died, whether or not from covid, was being counted in this data. Right at the start of the crisis, that was a perfectly reasonable approach to take, but clearly it needs to be reviewed. It is likely that the number of deaths has been overestimated on this measure, hence the urgent review, and I hope to have more information this week.

[Kate Osborne (Jarrow) (Lab)]

We know that, for some, the recovery from coronavirus can be long and often bring with it debilitating symptoms, including fatigue, headaches and pain. What additional support is the Department giving GPs to ensure that they have the necessary resources to care for patients who are suffering with long-term symptoms and to help them come to terms with this, cope and readjust where necessary?

[Matt Hancock]

The hon. Lady asks a very important question. There is increasing evidence that there are some long-term, debilitating consequences of having had covid for a minority of people, and for that minority—which includes at least one Member of this House—it is very substantial. We have therefore started a whole NHS service to support people recovering from covid who have long-term symptoms. Primary care is, of course, an important part of the service that the NHS provides.

Social Distancing: 2 Metre Rule

Kate Osborne Excerpts

Monday 15th June 2020 Commons Chamber

[Edward Argar]

If I recall correctly, my hon. Friend was a distinguished teacher before his service in the House and served on the Education Committee before he ascended to his current chairmanship of the Public Administration and Constitutional Affairs Committee. He is absolutely right to highlight the fact that there are impacts on schools as well as on businesses; that is one of the things that will of course be taken into consideration.

[Kate Osborne (Jarrow) (Lab)]

As the Government ease the lockdown, we still do not have a sufficient test and trace system set up, the R level is increasing above 1 in some regions, and we still have more than 1,000 new confirmed cases every day. Should the Government be changing crucial social distancing measures, knowing that information? What immediate action is being taken in areas where the R rate has gone above 1 to help get it down? Would lowering this distance be putting profit before people and the economy before health?

[Edward Argar]

I would caution the hon. Lady, on the basis of the SAGE advice, that in no region is the R rate above 1. Out of 10 models done recently one suggested that in two regions it might have gone up, but we consider this in the round, not by cherry-picking one study and ignoring the other nine; so it is not above 1. On her points about test and trace, we have set up the system from scratch and I believe we have done extremely well in the progress we saw reported in the statistics on the first week of the operation of that scheme. On her final point, we have made it clear throughout that this is about following the scientific advice and opening up the economy when it is safe to do so.