Keir Starmer
Main Page: Keir Starmer (Labour - Holborn and St Pancras)Department Debates - View all Keir Starmer's debates with the Cabinet Office
(4 years, 6 months ago)
Commons ChamberMay I welcome the Prime Minister back to his place and say that it is good to see him back in Parliament? I am sure I speak for all of us when I say that, and although I have done this privately, I congratulate him and Carrie publicly on the birth of their son.
When the Prime Minister returned to work a week ago Monday, he said that many people were looking at the “apparent success” of the Government’s approach, but yesterday we learned that, tragically, at least 29,427 people in the UK have now lost their lives to this dreadful virus. That is now the highest number in Europe and the second highest in the world. That is not success, or apparent success, so can the Prime Minister tell us: how on earth did it come to this?
First, of course every death is a tragedy and the right hon. and learned Gentleman is right to draw attention to the appalling statistics, not just in this country but around the world. In answer to his question, I would echo what we have heard from Professor David Spiegelhalter and others: at this stage I do not think that the international comparisons and the data are yet there to draw the conclusions that we want.
What I can tell the right hon. and learned Gentleman is that, at every stage, as we took the decisions that we did, we were governed by one overriding principle and aim, and that was to save lives and to protect our NHS. Of course there will be a time to look at what decisions we took and whether we could have taken different decisions, but I have absolutely no doubt that what the people of this country want us to do now is, as I have just said, to keep suppressing the disease and to begin the work of getting our country’s economy back on its feet. I look forward to working with him and colleagues around the House to do just that.
The argument that international comparisons cannot be made, when the Government have for weeks been using slides such as the one I am holding to make international comparisons, really does not hold water. I am afraid that many people are concluding that the answer to my question is that the UK was slow into lockdown, slow on testing, slow on tracing and slow on the supply of protective equipment.
I want to go to yesterday’s figures, which show that while, happily, it looks as though deaths in hospitals are falling, deaths in care homes continue to go up. At the press conference last night, the deputy chief scientific adviser said that
“what that shows us is that there is a real issue that we need to get to grips with about what is happening in care homes.”
I could not agree more, but 12 weeks after the Health Secretary declared that we were in a health crisis, I have to ask the Prime Minister: why have the Government not got to grips with this already?
The right hon. and learned Gentleman is quite right to look at the crisis in care homes, and he is absolutely right to say that there is an epidemic going on in care homes, which is something I bitterly regret. We have been working very hard for weeks to get it done, and a huge amount of effort has been made by literally tens of thousands of people to get the right PPE to care homes and to encourage workers in care homes to understand what is needed. I can tell him that he is not right in what he just said about the state of the epidemic in care homes. If he looks at the figures in the last few days, there has been a palpable improvement. We must hope that that continues and we will ensure that it does continue.
I am grateful for that. I was using the slide the Government put up at their press conference last night, which sadly shows—I accept there is a lag to 24 April because of the reporting position—that deaths in care homes have been rising every time they have been reported by the Office for National Statistics. I have heard before, from the First Secretary, that the numbers were falling—he said that a week ago Sunday. That is not borne out by these slides. We will wait to see what the next slides bring.
On 30 April, the Government claimed success in meeting their 100,000 tests a day target. Since then, as the Prime Minister knows, the number has fallen back. On Monday, there were just 84,000 tests, and that meant 24,000 available tests were not used. What does the Prime Minister think was so special about 30 April that meant that testing that day was so high?
Actually, I think that the right hon. and learned Gentleman was right last week when he paid tribute to the amazing work of the NHS, the logistics team and everybody involved in getting up from 2,000 tests a day in March to 120,000 by the end of April. Yes, he is right that capacity currently exceeds demand. We are working on that. We are running at about 100,000 a day, but the ambition, clearly, is to get up to 200,000 a day by the end of this month, and then to go even higher. As he knows, and as the whole House will know, a fantastic testing regime is going to be absolutely critical to our long-term economic recovery.
I did pay tribute last week. I am glad the Prime Minister has now said that the target now is 200,000 tests a day by the end of this month. But, of course, just having a target is not a strategy. What is needed is testing, tracing and isolation—that is the strategy. Contact tracing was happening in the UK, but it was abandoned in mid-March. We were told at the time that this was because it was “not an appropriate mechanism”, but yesterday the deputy chief medical officer said that it was to do with testing capacity. Can the Prime Minister clarify the position for us? Why was contact tracing abandoned in mid-March and not restarted sooner?
As I think is readily apparent to everybody who has studied the situation, and I think the scientists would confirm, the difficulty in mid-March was that the tracing capacity that we had—it had been useful, as the right hon. and learned Gentleman rightly says, in the containment phase of the epidemic—was no longer useful or relevant, since the transmission from individuals within the UK exceeded our capacity.
The value of the test, tracking and tracing operation that we are setting up now is that, as we come out of the epidemic, and as we get the new cases down, we will have a team that is genuinely able to track and trace hundreds of thousands of people across the country, and thereby drive down the epidemic. To put it in a nutshell, it is easier to do now—now that we have built up the team on the way out—than it was as the epidemic took off. I think most people with common sense can see the particular difficulties that we had at the time.
I think the Prime Minister has confirmed it was a capacity problem. I wish the Government well on the tracking and tracing now, and on the app that is being trialled in the Isle of Wight. We all want that to succeed, and we will all support that in, hopefully, succeeding.
Let me turn to protective equipment, where, clearly, there are ongoing problems. Just this week, the British Medical Association survey said that 48% of doctors had to buy their protective equipment for themselves or rely on donations. That is clearly unacceptable. It is obvious that this problem will get even more acute if and when the Government ask people to return to work. We are clearly going to need a very robust national plan for protective equipment. Can the Prime Minister reassure the public that they will not be asked to return to work until that plan is in place?
Yes, I certainly can. I share the right hon. and learned Gentleman’s frustration about PPE, and the frustration that I think people have felt across the House and across the country. It has been enraging to see the difficulties that we have had in supplying PPE to those who need it, but I do pay tribute again to the work of hundreds of thousands of people involved in the logistics of supplying literally billions of items across the country in a timely way. There have been no national stock-outs of any PPE item, and we are now engaged in a massive plan to ramp up our domestic supply. The right hon. and learned Gentleman will be familiar with what Lord Deighton is now working on, so that—to get to his final question—we are able in the long term, and it may be the long term, to satisfy the domestic needs of this country. We will of course be setting out the details of that plan on Sunday.
I was going to come to the plan; I am grateful to the Prime Minister for that indication. As he knows, there are millions of people on furlough, and millions with children at home, struggling with caring responsibilities. If they are to return to work and their children are to return to school, they need reassurance—I think that we can all feel that—that it will be safe to do so, and that means that they need to know what the Government’s plan is for the next stage. Will the Prime Minister give them that reassurance by setting out his plan as he says he will, and will he come to this House on Monday to present that plan and answer questions from across the House?
I will, of course, undertake that there will be a statement to the House—as you, Mr Speaker, and the House would properly expect—about what we propose. I just want to explain to the House, as a courtesy, why it is happening on Sunday; I am sure that you would be interested to know that, Mr Speaker. The reason is very simple. We have to be sure that the data is going to support our ability to do this, but that data is coming in continuously over the next few days. We will want, if we possibly can, to get going with some of these measures on Monday, and I think it will be a good thing if people have an idea of what is coming the following day. That is why I think Sunday—the weekend—is the best time to do it, but of course the House will be fully informed and will have the full opportunity to debate and interrogate me or the Government on that matter.