(5 years, 8 months ago)
Commons ChamberMy hon. Friend makes an important point about how we need to see children and young people getting in place, as soon as possible, the support that can help them and about how there are waiting times for these plans. There are two things I can say in response. First, in the context of covid, NHS England has made it clear to NHS organisations that they must restart and restore services that support children and young people with EHC plans and in the assessments for those plans. Secondly, in the review of the SEND system, we are indeed looking at how we can address some of the problems in the system and achieve better integration across health, care and education.
Women at greatest risk of breast cancer continue to be prioritised for screening. The NHS has worked hard and has significantly reduced the backlog of delayed breast screening appointments from over 468,000 in June to under 52,000 in September. All services have now been restarted and, in Breast Cancer Awareness Month, the message is clear: when you get a screening invite, please attend; if you are worried about anything, contact your general practitioner.
Breast screening appointments were paused during the height of the pandemic. Breast Cancer Now has estimated that 986,000 women across the UK missed their mammograms, and it estimates that, as a result, there could be 8,600 women living with undetected breast cancer. With this being Breast Cancer Awareness Month, what steps is the Secretary of State taking to address the gaps in specialist breast cancer nurses recently highlighted by Macmillan Cancer Support?
I thank the hon. Lady for her question. Cancer nurse specialists are a particular interest of mine, and the long-term plan identifies that everybody deserves to have personalised care from a cancer nurse specialist. We did see the rate decline from 91% in 2018 to about 89% in 2019, and we are focused on making sure that everybody has a cancer nurse specialist. We promised it in the long-term plan and it is our ambition to deliver that personalised care to every woman. As I have outlined, the backlog of breast cancer screening has gone down but, again, I urge women who are called for screening to come forward. It is safe and, as with me, it could make all the difference.
(5 years, 8 months ago)
Commons ChamberOf course we support businesses and others who want to get tests outside the NHS Test and Trace system; last week we published a paper on how they can go about doing that, and we encourage businesses to do that for their employees. The critical thing is that if people test positive, that data must, by law, flow to Public Health England so that we can do the necessary contact tracing and enforce the isolation that is going to be mandatory from next Monday. We strongly support that sort of action, whether it is taken by employers or, indeed, the University of Cambridge, which proposes to do the same for its students.
Liverpool incidence rates have increased quickly and we are now on the precipice of local lockdown. There has been an increase of 247 cases on the previous week’s figures and the latest weekly rate in Liverpool is now 120 per 100,000, as the Secretary of State mentioned. What additional resources does the Secretary of State plan to provide to Liverpool and other local authorities to assist them in dealing with further localised outbreaks?
The hon. Lady asks an important question. We are putting more testing into Liverpool, notwithstanding the challenges in testing capacity, because it is exactly the sort of place where we need to put that testing. We are also bringing in £500 of support for everybody on a low income who has to self-isolate, whether they have tested positive themselves or are a contact of somebody who has tested positive and have been contacted through NHS Test and Trace. I support the hon. Lady in her work as the local representative to explain to her constituents in Liverpool, Riverside how important it is to follow the rules.
(5 years, 11 months ago)
Commons ChamberI would also like to thank my hon. Friend the Member for Brent Central (Dawn Butler) for organising this debate this afternoon. As the first black MP for Liverpool, I know only too well the impact of deeply entrenched systemic racism and inequalities, and I welcome the opportunity of speaking in this important debate today on the level of deaths from covid-19 among black communities. The unequal impact is linked to a number of factors, including structural racism, discrimination and health inequalities increasing the risk of serious illness. The Office for National Statistics reports that black men and women are four times more likely to die from covid-19 than white men and women, and it is clear that covid-19 did not create these health inequalities, but rather that the pandemic exposed and exacerbated long-standing inequalities affecting black communities in the UK.
In “Health Equity in England: the Marmot review 10 years on”, Professor Marmot stated that health inequality was
“even worse for minority ethnic population groups”,
and commented that the pandemic will entrench and make worse existing inequalities. Recent analysis suggests that black individuals account for 63% of all NHS staff deaths from covid-19, including 64% of deaths among nursing and support staff and 95% of deaths among medical staff. Black people are more likely to work in occupations with a higher risk of covid-19 exposure, more likely to use public transport to travel to work and less likely to access the necessary PPE to protect themselves.
Race equality has been firmly placed on the agenda in the past couple of weeks, but we all know only too well that countless reports and commissions tell black people what we already know: that we are disadvantaged simply because of the colour of our skin. I say enough is enough. Now is the time for action and change. I do not want my grandsons having the same debate in years to come. Public Health England has published two reports now and the Government are setting up another commission that will report back at the end of the year. They must act now to reverse these long-standing, systemic inequalities and move form rhetoric to reality.
(6 years, 3 months ago)
General CommitteesI do not know whether I caught every one of those questions, but if I have missed any, I promise I will write to the hon. Lady to fill in the gaps. I will give it my best shot.
The legislation was made to ensure that we had the means of detention there, should we need it. If we go back—I see that one of the hon. Members from the Wirral, or near the Wirral, is here—
Liverpool. I will take this moment to put on record how brilliant not only the health service, but the local councils and everybody involved in the self-isolation of individuals at both Arrowe Park and Kents Hill Park have been. However, the need to have a deterrent was made clear during that period. That is why this statutory instrument was brought forward. It was deemed that the powers to invoke section 2A, go to the magistrates and use that route would perhaps take too much time for us to be able to effect what we may—but what, in the circumstances at that time, we did not—need to do. This piece of legislation is there so that we can invoke it.
On the sunset clause, this legislation will drop after two years. That was deemed a suitable period of time, but if during that period it is determined that coronavirus is no longer a threat, the Secretary of State has the power to revoke. The chief medical officer and chief scientific advisers have indicated that we are not totally sure of the trajectory, and it may be that we get another peak later in the year. We therefore have the flex to allow us to invoke these measures. I hope that that provides clarity.
The regulations give public health consultants, public health officers, the Secretary of State and members of the constabulary the power to detain. All appropriate safety measures would be taken if we were to use those powers. The hon. Member for Washington and Sunderland West was rightly concerned for anyone enforcing these measures. Instructions on how people are to behave at the point at which these measures are invoked is covered, with the personal equipment they may need and so on, to ensure that everyone is kept safe. Ensuring population safety and being led by scientific advice is at the heart of the Government’s response to coronavirus.
It may be that we move on from self-isolation and need the regulations for something different. As we move forward, isolation will probably be for different reasons, such as protecting the vulnerable, among others.
I totally understand the hon. Lady’s comments about statutory sick pay and so on, but the Secretary of State answered many of those points during the urgent question earlier. He said that many such challenges have been sorted out, but that some—particularly those for the self-employed—have proved trickier to deal with through the normal channels, because statutory sick pay is normally received from the employer.