Public Health

Kim Johnson Excerpts

Tuesday 14th December 2021 Commons Chamber

[Dame Angela Eagle]

rose—

[Kim Johnson (Liverpool, Riverside) (Lab)]

rose—

[Wes Streeting]

This is a difficult decision—two Members from the same region—but my hon. Friend the Member for Liverpool, Riverside (Kim Johnson), right in the corner, has been very patient, so I will give way to her. I will then come to my hon. Friend the Member for Wallasey (Dame Angela Eagle).

[Kim Johnson]

I appreciate my hon. Friend giving way. He is making an excellent speech; however, the British Medical Association has identified some serious concerns about mandatory vaccines—the fact that we have a chronically under-staffed NHS. Does he believe that this policy is likely to have a significant impact and cause more harm than good?

[Wes Streeting]

That is such an important point, and I am grateful to my hon. Friend for making it. There is a reassurance I would like to offer her and a call to action that I would like to issue to the Government. The reassurance is that there were concerns about what would happen to the social care workforce, which very much influenced Labour’s position on that statutory instrument at the time, but we did not see the collapse in the social care workforce that was warned of and there was lots of evidence that there was a positive impact on take-up.

I say to the Secretary of State and his team that if they are asking the health and social care workforce to do their duty as professionals, the Government must show greater respect to their professional voice and experience—on pay, conditions and workload. It is often said that the NHS runs on goodwill, so I would like to see the Government showing greater goodwill in return and engaging with the royal colleges and staff trade unions, not just on the plan for vaccine roll-out to their members, but on the debate about the future of our health and social care systems and the big workforce challenge.

On vaccinations, there is still precious time to do the work on persuasion. I have met the trade unions in recent days, including a great meeting with Unison yesterday—I should declare that I am a member of Unison. Unison had some really helpful advice and practical feedback about the kind of conversations with occupational health that are making a big impact in giving staff the confidence to choose to take the vaccine well ahead of the deadline. Of course we would much rather persuasion than compulsion.

Covid-19 Update

Kim Johnson Excerpts

Monday 13th December 2021 Commons Chamber

[Sajid Javid]

I congratulate my hon. Friend on getting boosted. She may have heard me say earlier that we will be opening many more walk-in and pop-in centres. I have heard her representation and so has the vaccines Minister, my hon. Friend the Member for Erewash (Maggie Throup), and we will certainly try to make that happen.

My hon. Friend the Member for Winchester (Steve Brine) asked me earlier about proof of vaccination for children. Let me make it clear that although the proof will take the form of a letter, it can be ordered online. The digital pass access will come later.

[Kim Johnson (Liverpool, Riverside) (Lab)]

The contain outbreak management fund is a vital resource used by local authorities and directors of public health, but it is due to end in March 2022. Can the Secretary of State tell us whether it will in fact continue beyond that date, and also whether it will be increased to support local authorities?

[Sajid Javid]

It is an important fund, and I will look into that.

Coronavirus Act 2020 (Review of Temporary Provisions) (No. 3)

Kim Johnson Excerpts

Tuesday 19th October 2021 Commons Chamber

[Sajid Javid]

I think that the Government have already been clear that should we try to bring forward what the hon. Lady calls vaccine passports, it would be a decision for the House and it would be a vote. If that happened, we would have to justify it to the House.

In addition, we are expiring sections 56, 77 and 78. Taken together with the 13 out of 40 temporary non-devolved provisions in the Act that have already expired, that will mean that half of the original 40 temporary non-devolved powers in the Act will expire early.

[Kim Johnson (Liverpool, Riverside) (Lab)]

I welcome the lifting of the more draconian measures in the Coronavirus Act, including section 52 and schedule 22, which gave significant and unprecedented powers to the police relating to events, gatherings and premises, with no protections for the safeguarding of freedom of expression. Most of those powers are mirrored in the Police, Crime, Sentencing and Courts Bill. Will the Secretary of State go back to his Government and secure an agreement to remove the more draconian elements of that Bill before its next stage?

[Sajid Javid]

I thank the hon. Lady for what she has said, but I think the Government have already set out clearly the provisions that they intend to expire or suspend, subject to the will of the House today, and explained why they have focused on those provisions. I can also inform the House that we recommend the suspension of the remaining unsuspended parts of schedule 28 and section 58.

I am sure the whole House will welcome this news—the latest steps that we are taking towards a more normal way of life—but the winter just around the comer is a cause for caution, with the twin threats of covid-19 and flu still uncertain. In line with our autumn and winter plan, we intend to retain the temporary provisions that remain essential to our ongoing pandemic work, including sections 2, 6, 14, 38, 45, 50 and 75, which cover vital aspects such as supporting the NHS to help it to retain emergency staff and enabling statutory sick pay to be provided for people who are self-isolating. We will review this legislation again in the spring.

Oral Answers to Questions

Kim Johnson Excerpts

Tuesday 8th June 2021 Commons Chamber

[Christine Jardine (Edinburgh West) (LD)]

If he will hold discussions with relevant cross-party stakeholders on social care reforms.

[Kim Johnson (Liverpool, Riverside) (Lab)]

If he will publish a timetable for adult social care reforms.

[Dave Doogan (Angus) (SNP)]

What steps his Department is taking to bring forward proposals on social care reform.

--- Later in debate ---

[Helen Whately]

As the hon. Member says, this week is Carers Week, which is a really good opportunity to raise awareness about the important role that carers play in supporting loved ones and to remember something that I personally am committed to: we must support carers not only in the care that they do but to live their own lives, for which respite care is really important. As part of our reforms to social care, we are listening to carers and want to ensure that their needs are met.

[Kim Johnson]

In July 2019, the Prime Minister stood on the steps of Downing Street and pledged to fix the broken social care system. Two years on, we are still waiting. There were only warm words in the Queen’s Speech a couple of weeks ago:

“Proposals on social care reform will be brought forward.”—[Official Report, House of Lords, 11 May 2021; Vol. 812, c. 2.]

Can the Minister tell us when the Government will move from rhetoric and warm words and fix this broken system for the people she has just mentioned, who need it desperately?

[Helen Whately]

I welcome the hon. Member’s support for and interest in social care reform, along with others across the House. We know that social care reform is needed. We have rightly over the last year focused on supporting social care through the pandemic, getting £1.8 billion of extra funding for social care to the frontline and providing billions of items of PPE, over 100 million tests to social care and the vaccination programme to care home residents, those who receive social care and the workforce. We are working on our social care reforms and will bring those forward later this year.

Black Maternal Healthcare and Mortality

Kim Johnson Excerpts

Monday 19th April 2021 Westminster Hall

[Kim Johnson (Liverpool, Riverside) (Lab) [V]]

It is a pleasure to serve under your chairship, Sir Gary. I, too, would like to begin by thanking the Five X More campaign for raising awareness and bringing this important debate to Parliament, and my hon. Friend the Member for Streatham (Bell Ribeiro-Addy) for her bravery in sharing her devastating story with us all tonight.

I am a black mother of twins and I had a very positive experience, but sadly, too many black women are dying needlessly in childbirth. In today’s historic debate, we have already heard incredibly personal and heartfelt stories, and I pay tribute to my sisters’ strength and bravery in sharing their experience to help to bring about change.

The rate for black mothers dying during or just after childbirth is five times that of white mothers in the UK; and black babies have a 121% increased risk of a stillbirth. It is estimated that for every instance of maternal mortality, there are 100 severe maternal morbidities or near misses. Behind every one of these statistics is a story, and behind every one of these mothers who dies is a group of women who had a near miss.

The report by the Joint Committee on Human Rights, which was published last year, highlighted the lack of an NHS target to end this obscene disparity and urged the Government to introduce one. I call on the Government today to rectify that urgently and set ambitious targets to address and eliminate these inequalities, including to halve the number of black maternal deaths by 2023.

The 2019 MBRRACE-UK report revealed that almost all those who died during or after pregnancy had multiple issues such as mental or physical health problems or were victims of domestic abuse or were living in a deprived area. More than half of those who died were overweight or obese. Black women are more likely to have conditions that can put them at greater risk, including cardiac disease, diabetes and high blood pressure. We must ask the deeper question of why black and Asian women are more likely to have those pre-existing health conditions in the first place. There is no specific genetic connection between all black people. Many of these pre-existing conditions are non-communicable diseases that are driven by social determinants of health, such as poverty, education and housing. Women living in the most deprived areas were three times more likely to die than those living in more affluent areas. Social services were involved in the lives of 20% of the women who died.

We are now a year into a pandemic that has laid bare the pervasive health inequalities that exist in our country. We have seen clearly that race, class, housing, education, income and employment all directly define someone’s chances of survival. More than half of pregnant women admitted with covid-19 in the first two months of the pandemic were black, Asian or from another minority ethnic group. Black women have been eight times more likely to be admitted to hospital as a result of coronavirus. These inequalities are widening and will become more profound as deprivation and disadvantage continue to be fuelled by the pandemic and women continue to suffer.

The recent Sewell report, backed by the Government, who allegedly had a hand in doctoring its findings, had the gall to assert that structural racism no longer exists as a dominating force in Britain today. The figures and the stories that we have heard today tell a very different story, so will the Minister go back to the Government and appeal to them to rectify the report, given the undeniable evidence we have heard today? This must be a turning point. The Government must commit today to a national strategy to tackle health inequality, which must include a road map and a timeframe for the eradication of the racial injustice in maternity care.

Health and Social Care Update

Kim Johnson Excerpts

Thursday 18th March 2021 Commons Chamber

[Matt Hancock]

We have set out the road map based on clinical advice. I am delighted to say that, because of the success of the vaccination programme so far, we are able to proceed down that road map.

[Kim Johnson (Liverpool, Riverside) (Lab) [V]]

I start by giving my unreserved support to the NHS for the massively successful roll-out of the vaccine programme, but can the Secretary of State assure the House today that, given the unpredictability of supply, all of those due their second dose will receive it within the specified 12-week time period?

[Matt Hancock]

Yes.

Covid-19: Government’s Publication of Contracts

Kim Johnson Excerpts

Tuesday 9th March 2021 Commons Chamber

[Edward Argar]

I am grateful to the hon. Lady. I have highlighted just how important I consider transparency to be. This is the second time in two weeks, rightly, that I have been answering at the Dispatch Box, so I would argue that there is scrutiny there. On her final point about that private Member’s Bill, I know that the Government will look at that Bill as they would look at any private Member’s Bill, in the usual way.

[Kim Johnson (Liverpool, Riverside) (Lab) [V]]

Nurses have seen us through this crisis and they have been putting their lives on the line every day, yet the Prime Minister has offered them only a derogatory 1% pay rise but handed out billions to private companies that did not provide what was needed and to standard—I remind Members of the 400,000 substandard gowns from Turkey. Does the Minister agree that it is a kick in the teeth that this Govt have chosen to waste £37 billion by giving it to Serco for a failed track and trace system while denying our incredible nurses the pay rise they deserve?

[Edward Argar]

What this Government have done, and did in the context of the issues under discussion in this specific question, is recognise the huge need for PPE during the pandemic last year and take every step they could to meet that need. They secured a large number of contracts, which delivered 8.8 billion pieces of PPE to date. I think that is called delivering.

Oral Answers to Questions

Kim Johnson Excerpts

Tuesday 23rd February 2021 Commons Chamber

The Secretary of State was asked—

[Kim Johnson (Liverpool, Riverside) (Lab)]

What recent discussions he has had with Cabinet colleagues on the adequacy of isolation support for people who have tested positive for covid-19.

[Imran Hussain (Bradford East) (Lab)]

What recent discussions he has had with Cabinet colleagues on the adequacy of isolation support for people who have tested positive for covid-19.

[The Parliamentary Under-Secretary of State for Health and Social Care (Jo Churchill)]

The Government have put together a range of measures to support people through the current crisis. These include Test and Trace support payments for those on low incomes, support for renters, help with utilities, the £500 million local authority hardship grant, the £170 million covid winter grant scheme and a £7.4 billion package of additional welfare support in 2021. The Government keep all elements of their covid response under review, as is right, to support people.

[Kim Johnson [V]]

I thank the Minister for providing that information, but the lack of financial support to those self-isolating has resulted in an extremely low adherence rate. Seventy per cent. of those who apply for financial support are rejected. Will the Government consider increasing funding to cash-strapped local authorities to ensure that people have the financial means to self-isolate to control the spread of the virus?

[Jo Churchill]

I thank the hon. Lady for her question. We are continuing to work across Departments and with local authorities to monitor the effectiveness of the self-isolation support provided to people who have tested positive, their close contacts and their families. She is right that we continually look at this to ensure that we have the correct information. Currently, with NHS Test and Trace, we are carrying out surveys of reported compliance with self-isolation for people who have tested positive. The results are not published yet, but we have a clear set of parameters and the funding has been allocated to councils to assist with discretionary grants. Those are local decisions, and I have often heard it said that decisions should be local, but I ask her to wait until my right hon. Friend the Chancellor reports during the Budget next week on what additional support we will be giving.

Covid-19

Kim Johnson Excerpts

Monday 22nd February 2021 Commons Chamber

[Kim Johnson (Liverpool, Riverside) (Lab) [V]]

I want to start by thanking the incredible workers in the NHS who have delivered our brilliant vaccine roll-out, which has enabled us to start lifting some of the lockdown measures. While I welcome the road map laid out by the Prime Minister earlier, I add my voice to the many others today who have said that this lockdown must be the last. Sadly, however, we have been here before. The plans announced today that all pupils will return to English schools on 8 March shows that, once again, the Prime Minister has buckled under pressure from people within his own party and failed to listen to the science and learn the lessons of his previous mistakes. While it is welcome news that covid infection and hospitalisation rates are falling, the inconvenient fact remains that cases are three times higher now than when the schools reopened last September, and we still have regional variations. Just last month, the Prime Minister called schools, “vectors of transmission”. Full reopening of schools will now bring nearly 10 million pupils and staff into circulation in England—close to one fifth of the population—and that is not a cautious easing of lockdown restrictions no matter how the Prime Minister tries to spin it.

Today, nine major education organisations, including trade unions representing staff working every day in schools and colleges across the country, called the Government’s commitment to bring all children back to school at once “counterproductive and reckless”. They called for a phased approach, as is being taken in Scotland, Wales and Northern Ireland. Will the Paymaster General please explain why England has taken a completely different approach from the other three nations? Will she agree to publish the scientific evidence that underpins this decision?

Neil, a primary school teacher in my constituency and chair of the schools network, said, “We want our schools fully open as soon as possible. However, we think that it might have been more sensible to begin with a staggered start from 8 March rather than straight full reopening. This would give an opportunity to the Government and SAGE to monitor on a weekly basis as we open for more year groups. The vaccination of school staff before the full reopening would be very helpful not only in helping staff to stay safe, but also in reducing community transmission.” This is a direct comment from teachers working on the frontline in Liverpool Riverside. As we have heard, Government scientists themselves have warned that a big bang return of all pupils to school at once could lead to the infection rate rising above 1. That risks the virus spreading exponentially and running out of control yet again. Instead of repeating their previous mistakes, will the Government follow the advice of scientists and teachers and take the same approach as the devolved nations and commit to a phased return to schools?

We are all aware of the desperate situation facing pupils and students who have now faced nearly a year of disruption to their education, drastically deepening inequalities—

[Mr Deputy Speaker (Mr Nigel Evans)]

Order. Time is up.

Covid-19 Update

Kim Johnson Excerpts

Tuesday 9th February 2021 Commons Chamber

[Matt Hancock]

I am very grateful for my right hon. Friend’s support in the way that he puts it. I have been talking to my Australian counterparts about the approach that they take, not least because their hotel quarantine has now been in place for some time. The central point that he makes is that once we get cases down through both the measures now, and then the vaccine to keep them down, a tough borders policy can help to keep us free domestically. That is a very important part of this consideration.

[Kim Johnson (Liverpool, Riverside) (Lab) [V]]

I pay tribute to all organisations in Liverpool working on the frontline to manage this pandemic. Does the Secretary of State believe that the Government are following their own guidance in making over 2,000 Driver and Vehicle Licensing Agency workers physically attend the workplace for non-essential work processing provisional licence applications when driving lessons are not possible under current restrictions? Does he agree that no one is safe until we are all safe?

[Matt Hancock]

My right hon. Friend the Transport Secretary has looked into the issue about DVLA that the hon. Lady raises, and Public Health Wales has been involved in advising DVLA, which is of course based in Swansea.