Oral Answers to Questions

Keir Starmer Excerpts

Wednesday 7th October 2020 Commons Chamber

[The Prime Minister]

I can indeed. I congratulate my hon. Friend on his new book. I assure him that this country has not only left the European Union, but that on 1 January we will take back full control of our money, our borders and our laws.

[Keir Starmer (Holborn and St Pancras) (Lab)]

This is a crucial moment if we are to gain control of the virus, yet for eight days nearly 16,000 positive tests were missed by the Government. That means that about 48,000 contacts were not traced. As of yesterday, thousands had still not been reached. Does the Prime Minister accept that this very basic mistake has put lives at risk?

[The Prime Minister]

This is certainly a problem that we have fixed. The computer glitch and error to which the right hon. and learned Gentleman refers has been addressed. All the 16,000 people he refers to have, in fact, got their positive test results and should be self-isolating. As soon as we became aware of the missing data, we brought in 800 people to chase up those index cases, and we continue to chase their contacts. I think it will be for the reassurance of the House and the country that the missing data points do not, now that we look at them, change in any way our assessment of the epidemiology—the spread of the disease. That is why we continue with our package to suppress the virus not just nationally, but locally and regionally.

[Keir Starmer]

This is not just a technical issue; it is a human issue. The attempted reassurance by the Prime Minister just does not wash. In Greater Manchester, some of the missing cases date back to 18 September. That is two and a half weeks ago. There are three very serious consequences: first, it is now much harder to reach the contacts of the 16,000 people after so long; secondly, even if they are contacted successfully, for many the self-isolation period has already expired; and, thirdly, important decisions on local restrictions were made using the wrong data. Some £12 billion has been invested in this system, and yet a basic Excel error brings it down. No wonder it has been described as “intergalactic” incompetence. Why, at this crucial moment, did it take so long to catch this error and address it?

[The Prime Minister]

The right hon. and learned Gentleman cannot have it both ways; he cannot call it a human error and a basic Excel error. Let me just remind the House and the right hon. and learned Gentleman of what I just said. The crucial thing is that, yes, of course there has been an error, but the data points—the cases—that we are looking at do not change the basic distribution of the disease. It is very important for people to understand that. That is really what he was, I think, trying to drive at. Although the cases are considerably up across the country this week on last week, the seven-day statistics show that there are now 497 cases per 100,000 in Liverpool, 522 cases per 100,000 in Manchester and 422 in Newcastle. The key point there is that the local, regional approach combined with the national measures remains correct, I think, because two thirds of those admitted into hospital on Sunday were in the north-west, the north-east and Yorkshire. That is why, I think, that approach continues to be correct.

[Keir Starmer]

The Prime Minister says that it does not alter the basic distribution, yet thousands of people have been walking round when they should have been self-isolating. It patently has an effect on the basic distribution.

If this was an isolated example, I think the British people might understand, but there is a pattern here. On care homes, protective equipment, exams, testing: the Prime Minister ignores the warning signs, hurtles towards a car crash, then looks in the rear mirror and says, “What’s all that about?” It is quite literally government in hindsight. Today it is 100 days since the first local restrictions were introduced. Twenty local areas in England have been under restrictions for two months. Prime Minister, in 19 of those 20 areas, infection rates have gone up. In Rossendale and Hyndburn they have gone up tenfold. Yet all the Prime Minister has to say is, “It’s too early to say if restrictions are working.” But it is obvious that something has gone wrong here, so what is he going to do about it?

[The Prime Minister]

As the right hon. and learned Gentleman knows, we are continuing to provide support, with £5 billion of support for the north-west and north-east for the lockdowns—the extra restrictions—that they are experiencing. We will continue to support all areas across the country that have to go into local measures. Two weeks ago, I set out that strategy. I said that we would go forward with the national measures such as intensifying the rule of six—making sure that we reinforced the rule of six. Two weeks ago, the right hon. and learned Gentleman supported it. In fact, I think he went on the Nick Ferrari show saying, “I support the rule of six—yes I do.” Yet last night the Labour party abstained on the rule of six. He asks what we are doing to enforce local measures; he cannot even be bothered to get his own side to support them himself.

[Keir Starmer]

For the Prime Minister’s benefit, let me take this slowly for him. We support measures to protect health. We want track and trace to work. But the Government are messing it up and it is our duty to point it out.

Let us get back to the questions—because these are not trick questions; I have the figures here, Prime Minister. In Bury, when restrictions were introduced, the infection rate was around 20 per 100,000; today it is 266. In Burnley, it was 21 per 100,000 when restrictions were introduced; now it is 434. In Bolton, it was 18 per 100,000; now it is 255. The Prime Minister really needs to understand that local communities are angry and frustrated. So will he level with the people of Bury, Burnley and Bolton and tell them: what does he actually think the problem is here?

[The Prime Minister]

The problem is, alas, that the disease continues to spread in the way that I described to the House earlier. The figures that the right hon. and learned Gentleman gives are no surprise, because they are fundamentally a repetition of what I have already told the House. What we are doing is a combination of national and local measures which one week he comes to this House and supports, and from which, the next week, mysteriously, he decides to whisk his support away. He cannot even be bothered to mobilise his own Benches to support something as fundamental as the rule of six, which he himself said only three weeks ago that he supported. He cannot continue to have it both ways. Does he support the rule of six—yes or no?

[Keir Starmer]

Yes. But if the Prime Minister cannot see and hear local communities when they say that the infection rate has gone up tenfold under restrictions, and he does not realise that is a problem, then that is part of the problem.

There is a further cause of anger—[Interruption.] Prime Minister, if you actually listen to the question, we might get on better—which is the lack of clarity about why particular restrictions have been introduced. For example, in the Prime Minister’s own local authority of Hillingdon, today there are 62 cases per 100,000, yet no local restrictions, but in 20 local areas across England, restrictions were imposed when infection rates were much lower. In Kirklees, it was just 29 per 100,000. Local communities genuinely do not understand these differences. Can he please explain for them?

[The Prime Minister]

The right hon. and learned Gentleman has heard from me and heard repeatedly from the Government why we are bringing in differentiated local restrictions. I have just given the figures for the north-east and the north-west. I wish I could pretend that everything is going to be rosy in the midlands or, indeed, in London, where alas we are also seeing infections rise, but that is why we need a concerted national effort. We need to follow the guidance. We need “Hands, face, space” and people to get a test if they have symptoms and to obey the rule of six. I think it quite extraordinary that the right hon. and learned Gentleman just said that he personally supports the rule of six while allowing his entire party to abstain.

[Keir Starmer]

The Prime Minister cannot explain why an area goes into restriction, he cannot explain what the different restrictions are and he cannot explain how restrictions end. This is getting ridiculous. Next week, this House will vote on whether to approve the 10 pm rule. The Prime Minister knows that there are deeply held views across the country in different ways on this. One question is now screaming out: is there a scientific basis for the 10 pm rule? The public deserve to know and Parliament deserves to know. If there is a basis, why do the Government not do themselves a favour and publish it? If not, why do the Government not review the rule? Will the Prime Minister commit to publishing the scientific basis for the 10 pm rule before this House votes on it next Monday?

[The Prime Minister]

The basis on which we set out the curtailment of hospitality was the basis on which the right hon. and learned Gentleman accepted it two weeks ago, which is to reduce the spread of the virus. That is our objective. That is why we introduced the rule of six, which again he supported only two weeks ago, yet last night the Opposition abstained and today they are withdrawing their support for other restrictions. What kind of signal does that send to the people of the country about the robustness of the Labour party and its willingness to enforce the restrictions? That is not new leadership; that is no leadership.

We are taking the tough decisions necessary, imposing restrictions—which we do not want to do—locally and nationally to fight the virus to keep young people and kids in education and to keep the bulk of our economy moving. At the same time, we are getting on with our agenda—our lifetime skills guarantee and our green industrial revolution—by which we will take this country forward and build back better.

Oral Answers to Questions

Keir Starmer Excerpts

Wednesday 9th September 2020 Commons Chamber

[Mr Speaker]

We now come to the Leader of the Opposition, with the first of six questions.

[Keir Starmer (Holborn and St Pancras) (Lab)]

Yesterday, I spoke to a mum who lives in London. She has a four-year-old daughter, who had a very high temperature yesterday morning. She phoned 111, and was told to get a test. She tried to book, and was told the nearest was Romford. That was 9 o’clock in the morning. She explored that, but there were no tests there. She was then told Haywards Heath, halfway to Brighton—on exploration, no tests there. By lunch time, this mum was told the nearest place was Telford or Inverness. A slot became available in Lee Valley in the afternoon—one slot—but, unfortunately, that was being offered across the country, including to people in Manchester, and it was impossible to book. At 9 o’clock last night, she was told the nearest centre was Swansea. This is, frankly, ridiculous. Who does the Prime Minister think is responsible for this?

[The Prime Minister]

Clearly, I take responsibility, as I have done throughout, for the entire handling of the coronavirus crisis, but I would just say to those who attack NHS Test and Trace, and those who deprecate the efforts of the people who are doing their level best to keep us safe, that it is precisely because of the success of test and trace that capacity has gone up from 2,000 a month in March to 320,000 a day. We know, thanks to NHS Test and Trace, in granular detail, in a way that we did not earlier this year, about what is happening with this pandemic. We know the groups that are suffering, the extent of the infection rates, and we have been able, thanks to NHS Test and Trace, to do the local lockdowns that have been working. We also know that, alas, some people have not been following the guidance in the way that they should and, therefore, we are seeing a rise in infections, and that is why today we are taking decisive steps to intensify our social distancing measures—the rule of six that will be familiar to the country—in order that we can keep our economy going, that we can keep our schools open and keep this virus under control. I hope that he will support those measures and, indeed, support NHS Test and Trace.

[Keir Starmer]

I will hear the measures later on, but we will in principle support them, as I have supported all the measures the Prime Minister has introduced, as he well knows. It is the right thing to do, and I have asked people to follow Government advice at every opportunity.

Nobody is attacking here. The Prime Minister needs to know how anxious hundreds of families are. In the past few weeks, they have been sent all over the country or told there are no tests. It cannot be brushed off. Earlier this year, the Health Secretary said:

“Anybody who needs a test can get a test, and it’s the most important thing that you can do to stop the spread of this virus.”

This is a very serious issue, but the Government line on it seems to be changing all the time. Yesterday, the director of NHS Test and Trace said,

“Can I…offer my…apologies to anyone who cannot get a covid test...it’s our laboratory processing”

that is the problem. This morning, the Health Secretary changed tack and appeared to blame the public. I note that he made a statement yesterday and faced questions but he did not say anything about the excuse that he puts forward this morning that emerged overnight. So who is right—the director of Test and Trace, who says it is a laboratory problem, or the Health Secretary, who says it is the public’s fault?

[The Prime Minister]

I, of course, sympathise with all those who are facing difficulties getting a test as fast as they want, but demand is at an unprecedented high, particularly because of demand for asymptomatic patients, but the right hon. and learned Gentleman should know that this country has done more tests—17.6 million—than any other country in Europe. He likes international comparisons. That is thanks to the efforts of NHS Test and Trace, which is, in my view, doing an absolutely heroic job in spite of the difficulties that it faces. It has massively raised its output and it will be up to 500,000 tests a day by the end of October. This is an organisation that is working heroically to contain the spread of the disease, and it requires the public to trust the organisation and to participate. Yesterday, the right hon. and learned Gentleman said that it was on the verge of collapse. I think that those were ill-chosen words. I think he now regrets those words. I think he should reflect and he should take them back.

[Keir Starmer]

Hundreds of families have been trying to get a test in the last week, and they cannot get one. I do acknowledge the number of tests overall, but this is basic stuff. People who have got covid symptoms are very anxious about themselves, their children, their families and what to do. It means they cannot go to work and they cannot send their children to school. It matters, and if they cannot get tests the Prime Minister needs to take responsibility and not just tell us about the future or something else, but address this problem.

I want to take it further, because it is not just that people are being told to go hundreds of miles. Somebody contacted me yesterday and said: “My wife has a temperature and they said we needed to isolate and get a test done. I have been trying to book a test”. This is yesterday, Prime Minister. They continued: “the site says, ‘No capacity’. Then I tried for a home test kit and they are telling me that there are no kits available at present.” That is the situation yesterday. Yesterday, there were no tests available in London and it was the same the day before. Prime Minister, what is happening?

[The Prime Minister]

I note that the right hon. and learned Gentleman will not take back his criticism and his attack on NHS Test and Trace, and I regret that. I gave him the opportunity to withdraw his verdict that it was on the verge of collapse: it is not. It is doing a heroic job and testing hundreds of thousands of people. Yes, we will do more, and the world we want to move to as fast as possible is a world in which everybody can take enabling tests at the beginning of the day and antigen tests to identify whether or not we have the virus., like a pregnancy test, within 15 minutes or so, so that we know whether we are able to live our lives as normally as possible. That is the vision that the Health Secretary and others have been sketching out over the last few days and that is where we intend to get to.

In the meantime, NHS Test and Trace is doing a heroic job, and today I can tell the right hon. and learned Gentleman that most people get an in-person test result within 24 hours, and the median journey is under 10 miles if someone has to take a journey to get one.

[Keir Starmer]

We all want test, trace and isolate to succeed, and I have offered my support before. The Prime Minister is ignoring the problem: if people are being told to go hundreds of miles, something is wrong. This has got a lot worse in the past week or two—all Members of the House know that, because they have all had constituents telling them that. The Prime Minister talks about capacity. The latest Government figures were updated last night. They show that, on average, 75,000 tests are not being used every day. If 75,000 tests are not being used, why yesterday were people being told to go hundreds of miles for a test? Why yesterday were people being told that there is no capacity?

[The Prime Minister]

The issue at the moment is that there has been a massive increase in the number of people who need or want tests, particularly people who do not have symptoms. We need—I hope the right hon. and learned Gentleman agrees—to prioritise people such as NHS front-line staff and our care workers who urgently need those tests. As we massively increase the number of tests, it is those groups who are getting priority.

The right hon. and learned Gentleman is wrong in what he says about the failure of NHS Test and Trace, so let me tell him that of those contacts who supply details, 80% are reached, and 320,000 people have been persuaded to self-isolate and stop the spread of the disease. That is the British people ignoring the right hon. and learned Gentleman’s attempt to undermine confidence in test and trace. They are ignoring his attempt to undermine confidence, and working together to get this disease defeated.

[Keir Starmer]

I am listening carefully to what the Prime Minister says, and what is undermining confidence is families being told to go hundreds of miles and they cannot get a test. That is undermining confidence. I just want this fixed. We do not need to have an argument. What is the problem? The Prime Minister should accept that there is a problem, tell us what the solution is, and we will all muck in, try to make it better, and tell our constituents.

I have been listening. Is the Prime Minister saying that too many people are coming forward for tests and that it is a capacity problem, or not? People are trying to do the right thing. They want to go back to work. We want children back in schools. The Prime Minister is encouraging that—quite right too—and we understand and support that. The Government side of the bargain was to deliver an effective test, trace and isolate scheme, but two weeks into September there is a glaring hole. Will the Prime Minister tell the House when he first knew about this particular problem of people having to go hundreds of miles, or that tests were not going to be available? It is in the last week that this issue has arisen. When did he first know that that was a problem?

[The Prime Minister]

It is obviously a function of the growing demand and growing public confidence in NHS Test and Trace that we have to supply more and more tests, and that is what we have been doing. I do not know whether you have been listening, Mr Speaker, but I have been trying to give the House the figures. Thanks to the heroic efforts of NHS Test and Trace, we have gone up from 2,000 tests a day in March to 320,000 a day today. That is thanks to the efforts of thousands of people, who are listening keenly to the words of the right hon. and learned Gentleman for some support, encouragement or belief in what they are trying to do. Thanks to them, on average, people have to travel less than 10 miles, and thanks to them, 80% of the contacts that they or a coronavirus patient identify are reached and told to self-isolate. That is what we are trying to do. It is hard work. It is a big job, and they are doing a fantastic job. I think that what they would like to hear is some praise, encouragement and support from the right hon. and learned Gentleman.

[Keir Starmer]

Why can we not just hear from the Prime Minister an honest answer? If he stood at the Dispatch Box and said, “I know something’s gone wrong in the last couple of weeks. We have been getting hundreds of examples of people being sent all over the place or being told there is no test. I have looked into it. I have worked out what the problem is and here is my plan”, people might be reassured. But, as ever, he pretends the problem is not there. The infection rate is rising. This is the very point at which we need a functioning testing regime. Far from the “world-beating” system we were promised, the Government cannot even get the basics right. The Government are lurching from crisis to crisis. They still lack even basic incompetence—[Interruption.] They lack competence. [Interruption.] Yes, Prime Minister, they lack competence, and that is what is holding Britain back. My final question is this: when is the problem with test, trace and isolate going to be fixed?

[The Prime Minister]

I think the right hon. and learned Gentleman was on the money when he said that this Government lacked incompetence. I just say to him that we are working flat out to address all the issues confronting us today, including trying to get the infection rate down, and we are getting on with taking the tough decisions and making the tough calls that will take this country forward.

When it came to saying schools were safe, the right hon. and learned Gentleman was silent because he did not want to offend his union bosses. When left-wing anarchists tried to destroy the freedom of the press, he was silent because for some reason he did not want to offend crusty left-wing anarchists. When it comes, by the way, to sticking up for our UK internal market and for delivering on the will of the British people—one of the most important issues facing us today—he is totally silent on the Bill that obsesses the rest of his Back Benchers. He is totally silent. A great ox once again has stood on his tongue. He has nothing at all to say about that subject today, because he does not want to offend the huge number of his Back Benchers who want to overturn the verdict of the people and take us back into the EU, which is of course what he wants to do himself.

This Government get on and take the tough decisions on behalf of the British people, delivering thousands of jobs through our kickstart scheme, record-breaking investment in affordable housing with a £12 billion programme, and getting on with all our work, working with the British people and working with the right hon. and learned Gentleman—if he would only do so—to get coronavirus defeated and to take our country forward. We make the tough calls; all he does is sit on the sidelines and carp.

Oral Answers to Questions

Keir Starmer Excerpts

Wednesday 20th May 2020 Commons Chamber

[The Prime Minister]

I congratulate my hon. Friend on his imagination and his plan for a new railway. It is entirely in keeping with our infrastructure revolution, and I can assure him that my right hon. Friend the Secretary of State for Transport will be getting back to him. I note that Nexus has already identified several possible extensions of the Tyne and Wear Metro scheme, which may be of advantage to his constituents.

[Keir Starmer (Holborn and St Pancras) (Lab)]

Last Friday, the Health Secretary said:

“Right from the start we’ve tried to throw a protective ring around our care homes.”

That caused quite a reaction. Yesterday, it was flatly contradicted by the chief executive of Care England. He was giving evidence to the Select Committee on Health and Social Care, and he said that we should have been focusing on care homes from the start and that despite what is being said, there were cases of people who either did not have a covid status or were symptomatic who were discharged into our care homes. The Government advice from 2 to 15 April was:

“Negative tests are not required prior to transfers/admissions into”

care homes. What is protective about that?

[The Prime Minister]

As the right hon. and learned Gentleman knows full well—of course he is right to draw attention to what has happened in our care homes, and we mourn the loss of every victim—no one was discharged into a care home this year without the express authorisation of a clinician, and they have the interests of those patients at heart. As I said to him last week—he does not seem to have remembered—actually, the number of patients discharged from hospitals into care homes was 40% down in March on January. The guidance was changed to reflect the change in the epidemic, and that guidance was made available to care homes—and, of course, since the care homes action plan began, we have seen a sharp reduction in the number of deaths in care homes. Indeed, since I last stood before the House, the number of deaths in care homes has come down by 31%. I think he should pay tribute to all those who have helped to fight that epidemic across the NHS and across our local services.

[Keir Starmer]

I think the Prime Minister rather missed the point. The question was whether people were tested going back into care homes. The chief executive of Care England says that because they were not, people who had no covid-19 status or who were symptomatic were discharged into care homes. That is a very serious issue that requires an answer.

Yesterday, the chief executive of Care England, in his evidence, was also asked when routine testing would start in care homes. This is the answer he gave yesterday: “I think the short answer is that we’ve had the announcement, but what we haven’t had is delivery, and we are not really clear when that will arrive.” This is the chief executive of Care England in his evidence. Even the Government’s Command Paper, published last week and introduced by the Prime Minister to this House, says within it—[Interruption.] The Health Secretary says, “He’s wrong.” I am quoting the Government’s paper. It says that

“every care home for the over 65s will have been offered testing for residents and staff”

by 6 June.

That is from the Prime Minister’s Command Paper. That is over two weeks away. What is causing the continued delay in routine testing in our care homes?

[The Prime Minister]

I am afraid the right hon. and learned Gentleman is simply in ignorance of the facts. The reality is that already 125,000 care home staff have been tested, 118,000—[Interruption.] Perhaps he did know that. One hundred and eighteen thousand care home workers have been tested, and we are absolutely confident that we will be able to increase our testing, not just in care homes but across the whole of the community. Thanks to the hard work of my right hon. Friend the Health Secretary and his teams, we will get up to 200,000 tests in this country by the end of this month. The right hon. and learned Gentleman may know this—perhaps it is one of those international comparisons he hesitates to make—but actually this country is now testing more than virtually any other country in Europe.

[Keir Starmer]

Again, the question was when would routine testing start, and the chief executive of Care England, who knows what he is talking about, gave evidence yesterday that it has not. [Interruption.] If the Prime Minister is disputing the evidence to the Select Committee, that is his own business. [Interruption.]

[Mr Speaker]

Order. Secretary of State for Health, please. I do not mind you advising the Prime Minister, but you do not need to advise the Opposition during this. [Interruption.] Sorry, do you want to leave the Chamber? We are at maximum numbers. If you want to give way to somebody else, I am more than happy.

[Keir Starmer]

To assure the Prime Minister, I am not expressing my own view; I am putting to him the evidence of experts to Committees yesterday.

Testing was referred to by the Prime Minister. That on its own is obviously not enough. What is needed is testing, tracing and isolation. At yesterday’s press conference, the deputy chief scientific adviser said that we could draw particular lessons from Germany and South Korea, which have both had intensive testing and tracing. The number of covid-19 deaths in Germany stands at around 8,000. In South Korea, it is under 300. In contrast, in the United Kingdom, despite 2 million tests having been carried out, there has been no effective tracing in place since 12 March, when tracing was abandoned. That is nearly 10 weeks in a critical period without effective tracing. That is a huge hole in our defences, isn’t it, Prime Minister?

[The Prime Minister]

I must say that I find it peculiar, because I have given the right hon. and learned Gentleman repeated briefings on this matter. He is perfectly aware of the situation in the UK as regards testing and tracing in early March. It has been explained many times to him and to the House. I think his feigned ignorance does not come very well. However, I can tell him that today I am confident that we will have a test and trace operation that will enable us, if all the other conditions are satisfied—it is entirely provisional—to make progress. I can also tell him that we have already recruited 24,000 trackers, and by 1 June we will have 25,000. They will be capable of tracking the contacts of 10,000 new cases a day. To understand the importance of that statistic, I remind the right hon. and learned Gentleman that today the new cases stand at 2,400. We are making vast progress in testing and tracing and I have great confidence that by 1 June, we will have a system that will help us greatly to defeat this disease and move the country forward. I therefore hope that he will abandon his slightly negative tone and support it.

[Keir Starmer]

Thirty-four thousand deaths is negative. Of course I am going to ask about that, and quite right too. The Prime Minister says “feigned ignorance”, but he knows that for 10 weeks there has been no tracing, unlike in Germany and South Korea. Tracing is critical—there is no getting away from that. The Prime Minister knows it is vital—he made a great deal of it in his speech to the nation Sunday week ago. He said,

“we cannot move forward unless we satisfy”

the tests that he has set, one of which is a “world-beating” test and trace system. World-beating. Leaving aside the rhetoric—“effective” will do—there now appears to be some doubt about when the system will be ready. This is the last Prime Minister’s questions for two weeks. Can the Prime Minister indicate that an effective test, trace and isolate system will be in place by 1 June—Monday week?

[The Prime Minister]

The right hon. and learned Gentleman seems to be in the unhappy position of having rehearsed his third or fourth question but not listened to my previous answer, brilliant forensic mind though he has. He has heard that we have growing confidence that we will have a test, track and trace operation that will be world-beating, and yes, it will be in place by 1 June.

To repeat the figures, since the right hon. and learned Gentleman has invited me to do so, there will be 25,000 trackers, who will be able to cope with 10,000 new cases a day. That is very important because currently new cases are running at about 2,500 a day. They will be able to trace the contacts of those new cases and stop the disease spreading. I hope very much, notwithstanding the occasional difficulty of these exchanges—and I totally appreciate the role that the right hon. and learned Gentleman has to fulfil—that he will support us as we go forward, that he will be positive about the test, track and trace operation and that we can work together to use it to take our country forward. That is what the people of this country want to see.

[Keir Starmer]

I am very happy to work with the Prime Minister on that. He knows that from our previous exchanges.

Every Thursday, we go out and clap for our carers. Many of them are risking their lives for the sake of all of us. Does the Prime Minister think it is right that careworkers coming from abroad and working on our frontline should have to pay a surcharge of hundreds, sometimes thousands of pounds to use the NHS themselves?

[The Prime Minister]

I have thought a great deal about this, and I accept and understand the difficulties faced by our amazing NHS staff. Like the right hon. and learned Gentleman, I have been a personal beneficiary of carers who have come from abroad and frankly saved my life. I know exactly the importance of what he asks. On the other hand, we must look at the realities. This is a great national service—it is a national institution—that needs funding, and those contributions help us to raise about £900 million. It is very difficult in the current circumstances to find alternative sources, so with great respect for the right hon. and learned Gentleman’s point, I think it is the right way forward.

[Keir Starmer]

I am disappointed, because the Prime Minister knows how raw this is. The fee in question, the immigration health surcharge, is currently £400 a year. From October, that goes up to £624 a year. For a careworker on the national living wage, that will require working for 70 hours to pay off the fee.

The Doctors Association and a number of medical groups wrote to the Home Secretary this week, and they set it out this way:

“At a time when we are mourning colleagues, your steadfast refusal to reconsider the deeply unfair immigration health surcharge is a gross insult to all”—

of us—

“who are serving this country at its time of greatest need.”

We agree, and Labour will table amendments to the immigration Bill to exempt NHS and careworkers from this charge. Can I urge the Prime Minister to reconsider his view as we go through this crisis?

[The Prime Minister]

I have given my answer, but what I will say is that I think that it is important that we support our NHS and that we invest massively in our NHS. This Government—this one nation Conservative Government—are determined to invest more in our NHS than at any time in modern memory. We have already begun that, and we will want to see our fantastic frontline workers paid properly. That is, I think, the best way forward. I want to see our NHS staff paid properly, our NHS supported and I want to continue our programme not just of building 40 more hospitals, but recruiting 50,000 more nurses and investing hugely in our NHS, and I believe that will be warmly welcomed across the whole of our establishment of our fantastic NHS.