Public Health

Lindsay Hoyle Excerpts

Tuesday 1st December 2020 Commons Chamber

[Mr Speaker]

The Business of the House motion just agreed to by the House provides for motions 3 and 4 on today’s Order Paper to be debated together, but the question will be put separately on each motion at the end of the debate.

[The Prime Minister (Boris Johnson)]

I beg to move,

That the Health Protection (Coronavirus, Restrictions) (All Tiers) (England) Regulations 2020 (S.I., 2020, No. 1374), dated 30 November 2020, a copy of which was laid before this House on 30 November, be approved.

[Mr Speaker]

With this we shall take the following motion:

That the Health Protection (Coronavirus, Restrictions) (Local Authority Enforcement Powers) (England) Regulations 2020 (S.I., 2020, No. 1375), dated 30 November 2020, a copy of which was laid before this House on 30 November, be approved.

[The Prime Minister]

I want to begin by telling the House that I was hugely encouraged by a visit I paid only yesterday to a vaccine plant in north Wales, where I saw for myself the vials of one of seven vaccines backed by the UK Government that could turn the tide of our struggle against covid, not just in this country but around the world. It is the protection provided by those vaccines that could get our economies moving again and allow us to reclaim our lives. That one plant in Wrexham could produce 300 million doses a year. Yesterday was the momentous day when it began to manufacture the Oxford-AstraZeneca vaccine, and it was a very moving moment. I talked to one of the brilliant young scientists there, and she described the extraordinary moment in her life of being part of an enterprise that she thought was truly going to offer humanity a route out of this suffering.

But we have to be realistic, and we have to accept that this vaccine is not here yet—no vaccine is here yet. While all the signs are promising, and almost every scientist I have talked to agrees that the breakthrough will surely come, we do not yet have one that has gained regulatory approval, and we cannot be completely sure when the moment will arrive. Until then, we cannot afford to relax, especially during the cold months of winter. The national measures that are shortly ending in England have eased the burden on the NHS and begun to reverse the advance of the virus. Today the R is back below one, and the Office for National Statistics survey shows signs that the infection rate is levelling off. Imperial College London has found that the number of people with covid has fallen by a third in England since 2 November.

But while the virus has been contained, it has not been eradicated. The latest ONS figures suggest that, out of every 85 people in England, one has coronavirus—far more than in the summer. Between 24 November and yesterday, 3,222 people across the UK lost their lives. Despite the immense progress of the last four weeks, our NHS remains under pressure, with hospitals in three regions—the south-west, the north-east and Yorkshire—all treating more covid patients now than at the peak of the first wave.

--- Later in debate ---

[The Prime Minister]

No, I am coming to the end.

In total, our vaccines taskforce has secured more than 350 million doses—more than enough for everyone in the UK, the Crown dependencies and our overseas territories. All we need to do now is to hold our nerve until these vaccines are indeed in our grasp and indeed being injected into our arms. So I say to the House again, let us follow the guidance, let us roll out mass testing, let us work to deliver mass testing to the people of our country, let us work together to control the virus, and it is in that spirit that I commend these regulations to the House.

[Mr Speaker]

I will be introducing a four-minute time limit.

--- Later in debate ---

[Mr Speaker]

We have lots of speakers, and interventions from those who are down to speak early is not fair on those later in the list. I do understand that people who are not going to speak might need to intervene, but please let us think about each other.

[Keir Starmer]

I do agree, and I will come on to business support in a minute, but let me make the points in support of the case we make today.

The first point is this: we have been here before. On 10 June, the Prime Minister told us for the first time of his “whack-a-mole” strategy to control local infections. He told us it would be so effective that restrictions would only be for a few weeks or even a few days. That was far from reality; Leicester, for example, has just gone into the 154th day of restrictions, and by the time these regulations run out on 2 February, Leicester will have been in restrictions for 217 days. So that 10 June proposal did not work.

Roll on to 22 September: by now, infections are rising in 19 of the 20 areas then under restrictions. The Prime Minister announced new restrictions, including the rule of six. He told the House that the rule of six would

“curb the number of daily infections and reduce the reproduction rate to 1”.—[Official Report, 22 September 2020; Vol. 680, c. 798.]

That is what he said about the rule of six. So that did not work.

Two weeks later, on 12 October, with the precise opposite happening, the Prime Minister stands up again—for the third time—and introduces a three-tier system. Again, he said that this will work: he told the House that this would deliver the reduction in the R rate locally and regionally that we need. That did not work.

Nineteen days later—the fourth attempt now—in a hurried press conference on a Saturday, the Prime Minister announced that the tier system had failed, the virus was out of control and a national lockdown was now unavoidable.

The reason that this all matters is that there is a pattern here. The Prime Minister has a record of overpromising and underdelivering—short-term decisions that then bump into the harsh reality of the virus.

And then a new plan is conjured up a few weeks later—we are now on at least the fifth plan—with an even bigger promise that never materialises. After eight months, the Prime Minister should not be surprised that we and many of the British people are far less convinced this time around.

--- Later in debate ---

[Keir Starmer]

This isn’t hindsight; I am telling you what is going to happen in two weeks. We know where we will be in two weeks. I have no doubt that there will be Government Members getting up and saying, “I thought my area was going to drop a tier just before Christmas.” That is not levelling—that is not being straight —because that is not going to happen. The new tier 1 may slow the rate of infection, but it will not prevent it from increasing, and tier 2 will struggle to hold the rate of infection. I hope that it does. I hope that I am wrong about this, and I think that all Members hope I am wrong about it, but tier 2—[Interruption.]

[Mr Speaker]

Order. Mr Sambrook, it is continuous; we have had it for a few weeks now. Let us have a rest today.

[Keir Starmer]

Tier 2, crucially, depends on all other factors falling into place at exactly the same time. Although we all welcome the chance to see our loved ones at Christmas, I am not convinced that the Government have a sufficiently robust plan in place to prevent a spike in infections over the new year.

Of course this is difficult, and all systems would have risk, but that brings me to my third point. The risks we face in the decisions we make today are much higher because the Prime Minister has failed to fix the major problems with the now £22 billion track and trace system. Before the Prime Minister simply brushes the point aside again, let me remind him and the House that one of the major reasons that the Scientific Advisory Group for Emergencies advised a circuit break back in September was that track and trace was only having, in its words,

“a marginal impact on transmission”.

The great thing that was going to control the virus was not working then. If we are to control this virus, that really matters, and the Prime Minister having his head in the sand is not helping.

I know that the Prime Minister will say, “We’ve made advances in testing.” I recognise that, and I genuinely hope that it helps to tackle the virus, but let me quote the chief scientific officer, who said that

“testing is important, but of course it only matters if people isolate as well.”

That is blindingly obvious, but only a fraction of people who should be self-isolating are doing so, and the Prime Minister still has not addressed the reasons for this, including the huge gaps in support.

I know that there has been an announcement about the change for those notified by the app—a ridiculous omission in the first place—but it does not affect basic eligibility. Only one in eight workers qualify for the one-off £500 self-isolation support. Anyone not receiving that has to rely on statutory sick pay, which is the equivalent of £13 a day. That is a huge problem that needs to be addressed. People want to do the right thing, but for many there is a real fear that self-isolation means a huge loss of income that they simply cannot afford.

I think—I cannot prove this—that one of the main reasons that people are not passing on their contacts in the way we want is that they fear that those they pass on contacts for will not be able to afford to self-isolate. That is a real problem, and we cannot carry on ignoring it.

[Sir Edward Leigh]

The right hon. and learned Gentleman is doing a very good job—it is his job to criticise the Government, and of course mistakes have been made—but a credible Opposition would have a plan of their own. What is the plan of the Labour party?

[Mr Speaker]

Sir Edward, that is your second bite of the cherry; there are other people as well—please.

[Keir Starmer]

I will come to that. I have accepted the case for restrictions—we were very clear about the need for a circuit break; we are clear that we need to go into restrictions—but we need a scheme that works, and I am explaining what the problem is with this scheme as we go through it.

Let me stay with track and trace. We know the claims the Prime Minister made about this at the beginning of the year and in the middle of the year. On tracing, which is crucial, the latest figures show 137,000 close contacts were missed by the system in one week. That is the highest weekly figure yet. This is not a figure that is going down; it is a figure that is going up. Over 500,000 close contacts have been missed by the system in the past month. That is not a statistic. That is half a million people who should have been self-isolating, but instead of self-isolating, they were with their friends, their families and their communities—half a million people in one month. That is a huge gap in the defences. I raise this issue every week, and the Prime Minister pretends it is getting better, but it never does. The Prime Minister has almost given up on it and put mass testing in its place, but again, that is blind optimism, not a plan. The idea that we can go through the next few months and successfully keep the virus under control when 500,000 people a month are wandering round when they should be self-isolating is not a sensible plan going forward.

My fourth point is the level of economic support that is provided. I have to say to the Prime Minister that it is hard to overstate the level of anger about this out there in our communities, many of which have been in restrictions for months on end. Yesterday, I did a virtual visit to local businesses in the north-west. Their emotions range from deep disappointment with the Government to raw anger that the Prime Minister and Chancellor just are not listening and do not get the impact of months of endless restrictions and the impact they have had on local communities. In March, the Chancellor vowed to do whatever it takes to support households and businesses, but there have now been six economic plans in nine months, and the level of support is still insufficient.

For these reasons, and let me spell them out—[Interruption.] The Prime Minister mumbles, but let me spell them out. First, the scheme does not fairly reflect the difficulties faced by businesses across the country. [Interruption.] I would be surprised if Government Members are not picking that up from their constituents and businesses. Let me start with the additional restrictions grant, which gives a flat figure to local areas, regardless of how long they have been in restrictions. That means Greater Manchester, which will be on its 40th day of severe restrictions when it enters tier 3 tomorrow, has received the same one-off support as the Isle of Wight, which went into restrictions far later and will emerge tomorrow into tier 1. That is unfair, and everybody knows it is unfair, and everybody in this House is being told by their constituents and by their businesses that it is unfair, so to pretend it is not just is not real, Prime Minister.

The second aspect—[Interruption.] The second aspect is that the grant does not take account of the number of businesses that need support in each area. Our great cities are being asked to spread the same sum far more thinly, and that is also clearly unfair. Our constituents know it is unfair, our businesses know it is unfair, and nothing has been done about it.

The third aspect—even allowing for today’s announcement on pubs, which is the definition of small beer—is that many businesses are now receiving less support than they did during the first wave. That is a huge strain for businesses, particularly those that have been so long under restrictions, and it makes no economic sense for the Government to allow them to go to the wall.

Putting the grant system to one side, the second major point about the economic support is that millions of self-employed people remain unfairly excluded from the Government support schemes. Again, nothing is being done about that. I have raised it so many times with the Prime Minster, as have others, and every time he chooses to talk about those who are within the scheme, ignoring those who are not in the scheme. It is eight months on, and we are facing another three or four months of this. That will mean 12 months without the support that is needed in those areas.