(3 months, 1 week ago)
Commons ChamberI, too, rise to make my last contribution in this House. May I thank you, Mr Speaker, and all the staff of the House, who have helped me enormously over many years? I have answered thousands of questions from the Dispatch Box, and asked hundreds from the Back Benches. I pay tribute to my right hon. Friend, who has been an exemplary Minister and representative of Pudsey.
It is perhaps fitting that my final question is about horseracing, which is at the heart of the West Suffolk constituency and, of course, Newmarket. It requires significant support in these difficult times. I know that the Minister and the Secretary of State have been working incredibly hard to try to settle the latest levy negotiations. Can he assure me that he will do everything he possibly can to use the last few days in which this Parliament is sitting to get that deal over the line? We now want certainty to be able to take this great sport from strength to strength.
Thank you very much, Mr Speaker. I am grateful to you for giving me the opportunity to make this personal statement at the earliest possible opportunity.
In March, I wrote to the Parliamentary Commissioner for Standards to give context to an investigation he was leading about actions taken in response to a Government call to arms during the pandemic. The commissioner found that, in doing so, I inadvertently committed a minor breach of the House rule that forbids Members from lobbying the commissioner or members of the Committee on Standards over an investigation. The Committee found that I did not seek to break the rules, had no prospect of personal gain and acted without malice. However, it recommended that I apologise to the House and to the commissioner for this minor breach and underlined that respect for the code of conduct and the processes of investigating potential breaches of the code is an important and necessary part of the code. I am happy to do so.
(2 years, 5 months ago)
Commons ChamberOrder. This is unacceptable; these are topicals. The Secretary of State can go on a rant, but not on my watch.
One more question; Matt Hancock.
Will the Secretary of State confirm that when it comes to local plans the idea that we need exactly the same proportion of extra housing in every part of every council area is wrong, and instead the different needs of different communities, as in my constituency in Haverhill, Brandon and Newmarket, can be treated differently, not with a one-size-fits-all approach?
(2 years, 6 months ago)
Commons ChamberThank you very much, Mr Speaker. Almost two years ago now this House voted unanimously on the statutory measures necessary to keep people safe during the pandemic. I agree with the Prime Minister that, thanks to the vaccines, those measures are no longer necessary and we are the first major country in the world to be past the pandemic. However, is it not extraordinary that, despite the consensus on restrictions back then, the consensus on giving people back their freedom, which is often so much harder, and on trusting in personal responsibility appears to exist only on the Government side of the House?
(2 years, 10 months ago)
Commons ChamberThanks for the warning, Mr Speaker. I congratulate the Secretary of State and the new vaccines Minister—the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Erewash (Maggie Throup)—on the roll-out of booster jabs. Over 3 million have been administered so far. May I attempt to strengthen their hands by asking for some of the pop-up vaccination centres, such as the Brent mosque, to get going with these booster jabs so that we can make sure that people in all communities have access to these much needed boosters?
(3 years, 2 months ago)
Commons ChamberMr Speaker, these past six months, we have all been involved in a race between the vaccine and the virus. Our vaccination programme has been delivered at incredible pace: we have delivered 71 million doses into 41 million arms; and over 93% of people aged 40 and over have now received at least one dose. Because of this pace, we are able to open up vaccinations to those aged 23 and 24 tomorrow.
It is this protection that has allowed us to take the first three steps of our road map, meaning that right now we have one of the most open economies and societies in Europe. We have been able to remove the most burdensome of the restrictions and restore so many of the freedoms that we hold dear. At every stage, we have looked at the data, set against the four tests that the Prime Minister set out to this House in February. The fourth of those tests is that our assessment of the risk is not fundamentally changed by new variants of concern.
The delta variant now accounts for over 90% of cases across the country. We know that the delta variant spreads more easily and there is evidence that the risk of hospitalisation is higher than for the previously dominant alpha variant. Case numbers are rising, up 64% on last week in England, but the whole purpose of vaccination is to break the link between cases and hospitalisations and deaths. That link is clearly weaker than it once was. However, over the past week, we have seen hospitalisations start to rise; up by 50%. Thankfully, the number of deaths has not risen and remains very low.
Sadly, before the vaccine, we saw that a rise in hospitalisations inevitably led to a rise in deaths a couple of weeks later. The vaccine in changing that, but it is simply too early to know how effectively the link to deaths has been broken. We do know that, after a single dose of the vaccine, the effectiveness is lower against the delta variant, at around 33% reduction in symptomatic disease. However, the good news, confirmed with new data published today, is that two doses of the vaccine are just as effective against hospital admission with the delta variant compared with the alpha variant. In fact, once you have had two doses, the vaccines may be even slightly more effective against hospitalisation if you have caught the new delta variant. This gives me confidence that, while the protection comes more from the second dose, and so takes longer to reach, the protection we will get after that second jab is highly effective—and, if anything, slightly better—against the delta variant. So, for the purpose of the restrictions, while it will take us a little longer to build the full protection we need through the vaccine, all the science is telling us that we will get there. Of course, all this says that it is so important that everyone gets both doses when the call comes. Even today, I have had messages from people who have had their jab, and I am so grateful to each and every person for making our country safer. At every stage of the road map, we have taken the time to check it is safe to take the next step. Our task is to make sure the vaccine can get ahead in the race between the vaccine and the virus.
I know that so many people have been working so hard, making sacrifices, being cautious and careful, and doing their bit to help this country down the road map. I know that people have been planning and arranging important moments and that businesses have been gearing up to reopen. So it is with a heavy heart, and faced with this reality, that we have made the difficult decision not to move ahead with step 4 next week. Instead, we will pause for up to four weeks until 19 July, with a review of the data after two weeks. During this crucial time, we will be drawing on everything we know works when fighting this virus and will use the extra time to deliver the extra protection we need.
Despite the incredible uptake we have seen in this country, there are still people we need to protect: 1.3 million people who are over 50 and 4.5 million over-40s have had a first jab but not yet a second. The pause will save thousands of lives by allowing us to get the majority of these second jabs done before restrictions are eased further. We are today reducing the time from first to second jab for all people aged 40 and over from 12 weeks to eight weeks to accelerate the programme. If, like me, you are in your 40s and you have a second jab booked 12 weeks after your first, the NHS will be in touch to bring it forward, or you can rebook on the national booking service. Our aim is that around two thirds of all adults will have had both doses by 19 July. I can tell the House that we have been able to deliver the vaccine programme faster than planned, so we can bring forward the moment when we will have offered every adult a first dose of the vaccine to 19 July, too. In this race between the vaccine and the virus, we are giving the vaccine all the support we can.
We have always said that we will ease restrictions as soon as we are able safely to do so. Even though we cannot take step 4 on Monday, I am pleased that we are able carefully to ease restrictions in some areas. We are removing the 30-person gathering limit for weddings, receptions and commemorative events—subject, of course, to social distancing guidelines. I am very grateful for the work of the weddings taskforce on this relaxation. We will be running another phase of our pilots for large events at higher capacities, including some at full capacity, like the Wimbledon finals. We are easing rules in care homes, including removing the requirement for residents to isolate for 14 days after visits out, and we are allowing out-of-school settings to organise residential visits in bubbles of up to 30 children, in line with the current position for schools. I thank my hon. Friend the Member for Altrincham and Sale West (Sir Graham Brady) for his work in this area.
Even though we have not been able to take the full step as we wanted, I know that these cautious changes will mean a lot to many people and move us a little bit closer to normal life. As we do this, we will keep giving people the support they need. We are extending our asymptomatic testing offer until the end of July. We have put in place one of the most extensive financial support packages in the world, and we will continue to deliver enhanced support for the worst-affected areas.
We have seen how this approach can work—for example, in Bolton. Cases in Bolton have fallen by almost a third over the past three weeks. Even as hospitalisations have risen across the north-west, in Bolton, they have fallen by more than half. Last week, we introduced enhanced support in Greater Manchester and Lancashire, and I can now tell the House that we are extending these extra measures—surge testing, cautious guidance and extra resources for vaccination—to Birmingham, Blackpool, Cheshire, including Warrington, and the Liverpool city region. We know from experience that this approach can work, but we need everyone to play their part, so I urge everyone in these areas to get tested and to come forward for the support that is on offer. When you get the call, get the jab and help keep us on the road to recovery.
Finally, none of this would be possible without our vaccine programme. Without the vaccine, faced with these rising cases and hospitalisations, the clinical recommendation would have been to go back towards lockdown. The Vaccines Taskforce is critical to the work to deliver supplies, the work on booster jabs and ensuring we are protected for the future. Dame Kate Bingham did a formidable job in melding the best possible team, and I would like to congratulate her and everyone else who was recognised in Her Majesty’s birthday honours this weekend. I am delighted to be able to tell the House that Sir Richard Sykes, one of Britain’s most acknowledged biochemists and industry leaders, has agreed to take up the position of chair of the VTF. Sir Richard brings to bear experience from leadership positions in both the public and the private sectors, and I am delighted to have him on board to lead the team in the next stage of this mission.
This race between the vaccines and the virus is not over yet. These difficult restrictions challenge our lives in so many ways, but they play a vital role in holding the virus back and protecting people while we get these jabs done. So let us all play our part to keep us safe from this dreadful disease. I commend this statement to the House.
Before I call Jonathan Ashworth, who has five minutes, I remind the public that this statement is being interpreted by the British sign language interpreter.
I think that in that response, we saw a lifting of the veil on the Opposition’s position. The right hon. Gentleman knows that he has supported the Government’s position for a very large part of the crisis. We will be grateful for their support in the Lobbies, and quite rightly, because the Labour party has clearly accepted the logic of the position.
However, the logic of the questions the right hon. Gentleman just raised moved towards a position of never escaping from restrictions. I want us to escape from restrictions, and the vaccine is the way for us to escape from restrictions. The truth is—it is not the easy thing to say, but it is the right thing to say—that in this country and around the world, covid-19 will be with us and we will have to learn to live with it in the same way that we have learned to live with other deadly diseases like flu. The vaccine will help us get to a state in this country in which we can manage it and live our normal lives. The logic that the right hon. Gentleman set out is one in which we never escape.
It was a logic based on flawed thinking about how things work in practice, because the right hon. Gentleman’s other argument was that this is all due to the Government not taking decisions on India, based on information that we did not have at the time. His argument is that he has now seen in the published data that there was a problem in India—too right! And as soon as we saw the data, we acted on it. The whole case that he set up was that on 2 April we should have acted, but on 2 April neither the original B1617 Indian variant strain, nor the B1617.2 delta strain, had yet been designated a variant under investigation or a variant of concern.
Captain Hindsight over there is arguing, “Never escape from restrictions, and base your logic and evidence on things that haven’t been recorded yet.” That is no way to run a pandemic. Instead, we will put the interests of the British public first. We will take a cautious and irreversible approach. We will take difficult decisions if they are necessary, but we will get this country back on the road to recovery.
All I can say, Mr Speaker, is that I am here now answering questions and I am happy to stay for as long as you need me.
(3 years, 2 months ago)
Commons ChamberJust on this point, this attempt at division within the NHS is deeply regrettable. It is not what people want. It is not what people want in Scotland. It is not what people want anywhere across the country. The NHS is an institution we should all be very proud of. Of course it is managed locally—it is managed locally across parts of England and it is managed under the devolution settlement in Wales and Scotland, as are health services in Northern Ireland, and rightly so—but it ill behoves politicians to try to divide the NHS. It is a wonderful institution that should make us all proud to be British.
On the specific question that the hon. Lady asked, of course we are guided by the science and take all factors into consideration. These are difficult judgments based on uncertain data, and we make the best judgments that we can. That is still the process we are going through, in the same way that the Scottish National party Government in Scotland have recently opened up parts of the rules in terms of social distancing, despite the rise in cases.
We face a challenging decision ahead of 21 June, but that decision is made easier by—indeed, the decision to open up is only possible because of it—the UK vaccination effort. Today marks six months to the day since Margaret Keenan in Coventry was the first person in the world to receive a clinically validated vaccine—the same day as Scotland, the same day as Wales. Since then we have delivered—
Order. It is not a statement, but an answer that we require. I call Dr Philippa Whitford to ask her second question.
I think the Secretary of State would find that most people in Scotland were rather glad that their NHS did not come under the Health and Social Care Act 2012 fragmentation. Having ignored the Scottish Government’s call in February for all arrivals to undergo hotel quarantine, he then delayed adding India to the red list. This allowed the more infectious Delta variant, which one dose of the vaccine is less effective against, to enter and become dominant in the UK. Is he not concerned that, if he removes all social distancing completely in the near future, the variant will cause a covid surge among those who are not fully vaccinated?
Touché, Sir. In response to the hon. Lady’s question, I will say this. The opening up and the return of our freedoms is only possible because of the UK vaccination effort. In the six months to the day since we first vaccinated across these islands—yes, in Coventry, but also in Scotland, Wales and Northern Ireland—we have delivered 68 million vaccines across the whole UK and saved thousands of lives, and the whole United Kingdom has been set fair on the road to recovery thanks to the UK Government’s vaccination effort. I am very grateful to everybody in Scotland, Wales, Northern Ireland and England who has played their part in delivering it. That shows the benefit of the United Kingdom Union saving lives and working together for everybody on these islands.
Nothing gives me greater pleasure than making stuff happen, so I would be very happy to meet my hon. Friend and the nearby colleagues who represent the people served by Kettering General Hospital to make sure we can get this project moving as soon as we can.
The right hon. Gentleman is absolutely right that integrating the health service with services provided by local authorities, such as social care, is absolutely critical, and I know that he supports those proposals that have come from the NHS. When it comes to delivering services in the NHS, what matters to patients is that they get high-quality services, for instance, to deal with the backlog, and what matters is getting those services as fast as we possibly can. People care much less about who provides the service than they do about the service getting delivered, and that is the approach that I take, too.
Mr Speaker, not only has my hon. Friend made a compelling case for me to visit, but you have just told me to visit, so I have my marching orders. I look forward to my now forthcoming visit to Airedale hospital. I have not been yet, so I am very keen to come.
The Minister of State responsible for the hospital building programme has been heavily involved, and I have been looking at the paperwork. As my hon. Friend knows, on top of the 40 hospitals we announced—six of which are already being built—we have eight further slots to come, and Airedale hospital is very much on my radar for those slots. We will run an open competition and will make sure it is fair, but I will certainly visit.
Mr Speaker, I am very grateful that you could fit me in at the end.
Yesterday during the statement the Secretary of State did not have the information to hand on the efficacy of the covid vaccines in reducing serious disease and hospitalisation. He made a commitment, rightly, to set them out today at Health questions at the Dispatch Box; and I am delighted, with this question, to give him the opportunity to do so.
First, I can say that a single dose of the Pfizer or AstraZeneca jab offers protection of 75% to 85% against hospitalisation, while data on two doses, which is currently available only for Pfizer, indicates 90% to 95% effectiveness against hospitalisation and 95% to 99% effectiveness at preventing death. However, my right hon. Friend also asked specifically about the delta variant, and I said that I did not have the figure in my head for the reduction in hospitalisations. I do not know whether I should be glad, but I can report to him that the reason is that there is not yet a conclusive figure. This morning I spoke to Dr Mary Ramsay, who runs this research at Public Health England, and she told me that the figure is currently being worked on. The analysis is being done scientifically and should be available in the coming couple of weeks. This is obviously an absolutely critical figure and I will report it to the House as soon as we have it.
I will now suspend the House for a few minutes to enable the necessary arrangements to be made for the next business.
(3 years, 2 months ago)
Commons ChamberIt is true that a number of balanced cases are put before Ministers, and we always look at the pros and cons of each one. Ultimately, those decisions are for Ministers.
(3 years, 3 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
So many of the allegations yesterday were unsubstantiated. The hon. Gentleman’s most important point was that the Scottish Government, with their responsibilities for social care, had to respond to the same challenges and dilemmas as we did, as did other countries across Europe and across the world. We were driving incredibly hard as one United Kingdom to increase testing volumes. We successfully increased testing volumes, including through the important use of the 100,000 testing target, which had a material impact on accelerating the increase in testing, and because of this increased testing we were able to spread the use of tests more broadly. It was the same challenge for the Administration in Edinburgh as it was here in Westminster, and the best way to rise to these challenges is to do so working together.
We have a connection problem with the line to Dr Andrew Murrison so we will go straight to Caroline Lucas.
I presume it’s your red box the hon. Gentleman refers to, Secretary of State.
There are issues around Bolton in my red box very regularly, Mr Speaker. I was waiting on tenterhooks to find out whether, as well as his constituent being a fan, my hon. Friend is a fan—maybe he can tell me later in private. But he makes a very serious point: we have a significant challenge in Bolton right now, with a high rate of covid transmission, and we have done everything we possibly can to support Boltonians to solve this problem with increased vaccination. It is great to see the huge enthusiasm for vaccination and the queues of people coming forward. I say to everybody in Bolton, “Please come forward if you have not had both jabs yet.” Also, the testing effort, which has seen people come forward and get tested, is helping us to break the chains of transmission. That is the approach that we are trying to take now that we have built this huge vaccine and testing infrastructure over the past few months.
My hon. Friend, who was a superb Health Minister, has captured not just the spirit of what this country has been through in the last 18 months, but the spirit of the debate today in this House. The truth of the matter is that we work best when we work together, and we work together when we have a common mission, and the common mission has been tackling this virus. It is absolutely true that we must always do that with an open mind on how to do it better in future, but, in my view, the attitude needed is one where you welcome people in and take things forward in a spirit of positive partnership. That is how you get stuff done, and that is how we have made the progress we have been able to make.
I will now suspend the House for three minutes to enable the necessary arrangements to be made for the next business.
(3 years, 4 months ago)
Commons ChamberYes, I would. The NHS has clearly played such a critical part in the response to the pandemic in the last just over a year. I thank all those working in and around Stoke, including at the Royal Stoke, which is a great hospital. We have put £32 million into the local NHS, and we protected the NHS even through the worst challenges of this pandemic. Of course, I will be open to further investment to make sure that the NHS across Stoke gets the support that it needs so that we can build back better. Today, we are all able to see the improvements that are being made in the response to the covid pandemic, with the opening yesterday of step 2 —I am delighted, Mr Speaker, to see that you have had a haircut. So many of us have been looking forward to being able to get life back to normal, and thanks to the work of people across Stoke and across the nation, we are able to take these steps.
There is a huge amount that we can learn from the early response to the pandemic, and it is very important that we adopt the scientific understanding and learnings as quickly as is rigorously possible. We need the time for the rigour, but we need to adopt the policies. We have seen in the vaccine roll-out a huge amount of these lessons adopted, and the speed at which the scientific advice takes into account what we are learning on the ground in the vaccine roll-out is impressive. So we should keep going down this route—always open-minded, always asking the scientific questions and always then asking how quickly we can rigorously put those understandings into practice.
I am now suspending the House for three minutes to enable the necessary arrangements for the next business to be made.
(3 years, 6 months ago)
Commons ChamberI pay tribute to my hon. Friend’s work in making sure that all carers, who are properly in priority group 6, get the opportunity to be vaccinated, including those who may be unregistered with the system, but nevertheless are carers. It is very important and I pay tribute to the work of Norfolk County Council. I know that my hon. Friend the Care Minister will be happy to meet my hon. Friend and the county council to discuss what further can be done.
Let us head to Dr Rupa Huq for our final question. I am sorry about this, but we have taken a long time to get to this stage.
I am very happy to take up that proposal. Nobody should be harassed when accessing any medical treatment. There are agreed rules around abortion and people should be able to access abortion properly, according to those rules.
I am suspending the House for three minutes to enable the necessary arrangements to be made for the next business.
(3 years, 7 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
Before I bring in the Secretary of State, I will just say that this is your UQ, rather than Government coming forward with a statement. We have had to ask for it.
On that last point, we typically do come forward with a statement at least once a week, and I am very happy to answer questions at any time.
Order. Can I just correct the Secretary of State? We have not had one for over a week.
Typically, I have come forward at least once a week, and I am very happy to do that and to respond to questions at any time. I am very glad that the technology is working and I can do that while self-isolating at home, as I am now.
On the substance of the questions asked by my hon. Friend the Member for Bexhill and Battle (Huw Merriman), the first thing I would say is that I am absolutely delighted that there are new centres opening in Sussex—in Ticehurst village hall this week—so that the roll-out can reach all parts. I will consider the point that he makes about cohorts 5 to 9, which will need the first dose of the vaccine at the same point as we start the second dose for those who have been vaccinated from the start of January. When we restart with the second doses, it will be important to make sure that they are available as close as possible to the largely elderly population who will need them, and I will take away the point that he raises.
The challenge on the contract is tied in with the first and third of my hon. Friend’s questions. The challenge is essentially that we have a lumpy supply. The manufacturers are working incredibly hard to deliver the supply as fast as possible, and I pay tribute to them and their work. It is challenging, however, and therefore it is not possible to give certainty as far out as many GPs and those who are delivering on the ground would like. The worst thing would be to give false certainty. We do try to give information about what is coming next week, but until the supply smooths out, as I am sure it will over time, going further out than that would give false certainty. The worst thing would be to have GPs across the country booking in large numbers of people and having to reschedule those appointments unnecessarily.
I will take into account the point that the Oxford-AstraZeneca vaccine is easier to deliver in rural areas, and the request for some people to be able to do that. At the moment, however, we must use the contract that we have.
I agree with the hon. Gentleman that the NHS is doing a great job, supported by so many people. In particular, I want to thank the volunteers who have stepped forward—tens of thousands of them—and are now working to deliver the vaccination programme alongside NHS staff and, of course, members of our armed forces. In fact, there are several Members of this House who are, as we speak, supporting vaccination in vaccination centres, and some of them are doing vaccinations themselves. I am very grateful to all the volunteers.
The hon. Gentleman raises the question of pharmacies and, absolutely, pharmacies are going to be incredibly important, especially for reaching into those communities that may be otherwise harder to reach. The NHS as a whole is highly respected and trusted in all communities of this country so is well placed to do that, and pharmacy colleagues within the NHS particularly so, because they are often the closest to their communities. As I have set out, we have opened 65 vaccination centres that are pharmacy-led this week, with more to come.
The hon. Gentleman asks about the residents of elderly care homes. I am delighted to say that 63% of residents in elderly care homes have now received the vaccination. That is a really significant increase over the last week. We are on track to deliver on our goal of vaccinating elderly care home residents by the end of this month, and I hope sooner than that.
Finally, the hon. Gentleman asks about the question of the need—potential need—for vaccine redesign if there is a new variant that is not effectively dealt with by these vaccines. Obviously, we are vigilant on that and keep it under close review. I am glad to say that the early indications are that the new variant is dealt with by the vaccine just as much as the old variant, but of course we are vigilant on the new variants we are seeing overseas. He mentioned the South Africa variant, and there is also a variant of concern that was first identified in Brazil, and of course we are vigilant on those matters, too.
What I would say in summary is that all of these things just support the need for everybody to follow the rules and stay at home. It is critical that everybody does their bit to try to stop the spread of this virus while we get the numbers under control and bring them down, thus protecting the NHS and getting this death toll down, because it is far too high.
Thank you, Mr Speaker. This week the Office for National Statistics said that prevalence rates nearly doubled during the November lockdown, and today’s REACT—real-time assessment of community transmission—study says that infections are still rising. Is not the reality that these new strains are massively more dangerous and harder to control than many realise? If we are going to bring down the horrific death rates that we are now seeing, should we not secure our border, with quarantine hotels, end household mixing outside bubbles, and follow Germany in mandating FFP2—filtering face piece—masks in shops and on public transport, to give better protection to wearers?
We have looked at the question of personal protective equipment with respect to the new variant, and the clinical advice I have received is that the current guidelines are right and appropriate. On international travel, as my right hon. Friend knows, we brought in significant measures last week to close the travel corridors, and we remain vigilant on what we need to do to guard against new variants coming in from abroad. The new variants do change this question, because it is about ensuring not just that we do not get extra cases coming in from abroad—in which case, if an area of a country has a lower case rate than us, there is no more risk than that of people staying in this country—but that new variants that might not be dealt with as effectively by the vaccine do not arrive and that we stop them coming. That is something on which have recently taken significant action, and of course we keep it under very close review.
We now head to the Scottish National party spokesperson, Martyn Day, who is participating virtually and has one minute.
Thank you, Mr Speaker. With supplies of the Pfizer vaccine expected to be temporarily lower for a few months, and with delivery of the Oxford-AstraZeneca supplies behind target, there are both public and professional concerns. What level of supplies can the Secretary of State guarantee over the coming weeks and months, so that health services can plan appropriately? Given that the UK has procured vaccines on behalf of the four nations, how much of this reduced supply will come to Scotland, and was knowledge of vaccine supply disruption behind the UK Government’s insistence on removal of supply numbers from the Scottish Government’s vaccine delivery plan?
As I have said many times, the supply of the vaccine is the rate-limiting factor for the roll-out, and we share that supply fairly and equally across the UK. There is a lumpy supply schedule and making this stuff is not easy; it is not just a chemical compound, as I have described many times. Ultimately, this is a UK programme delivered in the devolved nations by the NHS, which is doing brilliantly. A massive teamworking effort is trying to get out as much as possible, as fast as possible, and that teamwork is taking place not only across the four nations of the UK, but with the suppliers to make sure that we get as much supply as we can as quickly as we can.
This afternoon, we will be publishing much more detailed local information, so that will be available, and as the roll-out continues, we will publish more and more granular information. The hon. Member is quite right about Slough—it has had a tough time in this pandemic—but it will get the vaccination centre, which is great. It was a real pleasure earlier in the week to have a Zoom with members of the Slough NHS team who have delivered this, with every single resident of a care home in Slough being vaccinated and getting their first jab. It is an absolutely terrific performance by the team in Slough, and I am glad that he is as proud of them as I am. They are a model that all can look to.
Can I just say to the Secretary of State that I am about to hand over to the Deputy Speaker?
(3 years, 7 months ago)
Commons ChamberThat is not quite right. I am glad to report that care home residents have been receiving the Pfizer jab. That is harder—logistically more difficult. Looking at the total roll-out of the programme, I am delighted that, as the hon. Lady says, over a quarter of people who are residents in care homes are now able to get the jab, and that number is rising sharply.
We return to Dr Whitford. [Interruption.] Dr Whitford’s second question has disappeared, so we will move on.
Lateral flow tests are incredibly important to be able to find people who otherwise we would not be able to find. One in three people has this disease without knowing it, and finding those positive cases helps us to break the chains of transmission.
I want to add my congratulations to Christina McAnea. It is another sign of progress in this country to see the first female leader of Unison, and I look forward to talking to her very soon and to working with her, as she represents a significant number of people who work for the NHS and are valued members of the NHS and social care teams. The importance not only of valuing our NHS and social care workforce but of demonstrating that value is vital, and improving all the elements and conditions under which people work is important. Of course pay is one part of that, and the hon. Lady will know that the NHS was exempt from the pay freeze set out by the Chancellor, but it is also about ensuring that everybody’s contribution is valued and that everybody is encouraged to give their very best contribution. In a pandemic situation like this, when the pressures on the NHS and social care are very great, that is more important than ever, and it is important that we value all of our team all the time and that everybody plays a part in improving the health of the nation and improving and saving lives. I want to say a huge thank you to everybody who works in the NHS and in social care, and I want to work with them on improving working conditions and making sure that everybody feels that they can give their very best so that the whole is greater than the sum of its parts. I am very grateful to the hon. Lady for raising this question.
We have had a poor day of getting through questions. They have taken far too long and a lot of people have missed out. In order to allow the safe exit of hon. Members participating in this item of business and the safe arrival of those participating in the next I am suspending the House for three minutes.
(3 years, 8 months ago)
Commons ChamberThe hon. Gentleman is quite right that this virus has thrown up problems and challenges right around the world; we have seen the impact in other countries in some of the news from other parts of Europe today. He is also right that, thanks to the approval of this vaccine, alongside the Pfizer-BioNTech vaccine, the end is in sight. That should give us hope that, while we have difficult weeks ahead of us, we can see the route out of this pandemic and normal life returning, with all that that means and entails.
The hon. Gentleman talked about the pressures on the NHS, which are significant. One advantage of having a national health system is that when one area of the country faces particular challenges, others can come to its mutual aid. That is in process—it is happening—and means that people are sometimes taken across the country to receive care where there is spare capacity. That is necessary; it is how the system works when it is under significant pressure.
The hon. Gentleman asked about the vaccination of NHS staff. I can confirm that, thanks to the decision announced by the regulator today, we will be able to accelerate the vaccination of NHS staff already in priority group 2, as well as of the over-80s and of care home residents and staff. He asked about the number of vaccines we have available. I mentioned in the statement that we have 530,000 across the UK available for deployment in the first week of January. The NHS is doing a fantastic job of constantly increasing and expanding the scale of its operation.
Finally, the hon. Gentleman asked what more can be done in areas where rates are very high and continuing to rise. The true answer is that it is on all of us—it is about how everybody behaves. If we collectively decide to stop this by taking personal responsibility and not coming into contact with others unless absolutely necessary, we can slow the spread of this virus. The tiers restrictions are of course necessary, but ultimately it is about how we all behave. That is how we will get through the next few weeks together, and then the vaccine can come and save us.
Order. Before the Secretary of State replies, may I remind Members who are not in the Chamber that they should have the same dress code even though they are virtual? It is only fair that we treat each other with the same respect.
I share my right hon. Friend’s desire and the strategy of keeping this virus supressed while we get the vaccine rolled out as fast as possible. One of the other good pieces of news from this morning’s announcement is that we can roll this vaccine out faster because we only need to give the second dose after 12 weeks; that means that we can get the first dose of the vaccine into more people. The data shows that that gives that immunity, so we can get through the protection of the nation faster than we previously could have done.
The points that my right hon. Friend raises about education are of course important. The Education Secretary will set out in a statement shortly the details of how we will manage the very difficult balance between needing to keep children in education as much as possible and ensuring that we do not add upward pressure on the R number and spread the virus any further. I commend to him the Education Secretary’s statement.
In what I hope is my last statement of the year, and most likely my last answer of the year, I thank my hon. Friend for her question, and not just for praising those at Lifted Spirits and others who are doing so much to care for others, but for giving me the opportunity and the prompting to thank NHS staff who during 2020 have done more than in almost certainly any other year since its formation, and the social care staff of this country, who have gone out of their way to care for others and those who are most vulnerable, not just to covid but to other health problems. There is no limit to my gratitude to those who are working so hard; they really put their shoulders to the wheel. The attitude of the NHS—that when there is a crisis, we lean in, we come together and we fix it—inspires me, and I know inspires so many other people.
In order to allow the safe exit of hon. Members participating in this item of business and the safe arrival of those participating in the next, I am suspending the House for three minutes.
(3 years, 8 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
As I said, we have those five contingency plans. The hon. Lady will understand that ensuring we have high security around those plans is also very important. I want to put on the record my thanks to the people of the north-east, who have done so well over the past few weeks in bringing the number of cases under control, in part thanks to the huge injection of testing we have been able to put in because we have built up testing capacity. I look forward to the day, Mr Speaker, when she and I can work together in the public interest, as we do everything we can to keep people in the north-east safe.
Thrice yes, indeed; I thank my hon. Friend, who is Stratford’s representative in this place.
My hon. Friend the Member for Folkestone and Hythe (Damian Collins) is right about disinformation. I have been doing a lot of work with Nick Clegg, who is Mark Zuckerberg’s representative on earth. Facebook and Instagram have taken significant strides forward in terms of removing anti-vax content, and I am very grateful to them for the work that they have done. I have no doubt that there is more work that we can all do together, but they have played their part.
In order to allow the safe exit of hon. Members participating in this item of business and the safe arrival of those participating in the next, I am suspending the House for three minutes.
(3 years, 9 months ago)
Commons ChamberOrder. Before we get too carried away, until we get the Prime Minister back we will continue with the questions. Is it all right with the Health Secretary to pick up the answer that we lost halfway through?
Thank you, Mr Speaker. In addition to what the Prime Minister said before we lost the audio, although the tier 3 restrictions that have been set out are less stringent than the national lockdown, it is necessary to get the R down under the tiered system in order to avoid a further national lockdown if the cases still go up. As we have set out, we have seen the case rates come down in some areas of the country, and now, thankfully, we are seeing the case rates come down nationally.
The final point made by my right hon. Friend the Member for Forest of Dean (Mr Harper) was about other health and economic impacts. Of course we recognise the economic impacts. On the other health impacts, I simply reiterate what I have said many times before, which is that the health impacts of not locking down on health conditions other than coronavirus and of the spread of the coronavirus going too broad are also bad. The best way to protect the health of the nation both from coronavirus and from all other conditions is to keep the virus under control.
Yes, we will publish the statistics that we look at to make the judgments that my hon. Friend refers to. It is not possible to put a specific number on it, though, because there are a number of criteria. We would not want to put an area into lockdown—a higher tier, more accurately—because it triggered numerical criteria if there was a specific reason. For instance, there has been a very significant outbreak at a barracks in the past month, which meant that it looked like that area had a huge spike, but it was entirely—literally—confined to barracks. Therefore, an element of judgment is important in making these decisions, but we will publish the data on which they are taken. My hon. Friend asked about the economic impact assessment, and I will raise that point with my right hon. Friend the Chancellor.
We are still hoping to reconnect with the Prime Minister at some point, but in the meantime we will continue with Jonathan Edwards.
I can assure my hon. Friend that London will come out at the tier that is necessary and appropriate based on the public health evidence. What matters, as my hon. Friend says, is the case rate and the case rate among the over-60s, as well as the direction of travel in both of those, and then, of course, the percentage of tests testing positive—because if we put more tests in, we do not want to punish an area for having a higher number of positives—and the impact on the NHS. Thankfully, in London, the NHS has performed remarkably in this second peak and has coped with it, despite the pressures, admirably well.
I am going to suspend the House. We think we are going to get the Prime Minister back, but we just need to check the new line, so I will suspend the House for five minutes while we reconnect. Thanks, everybody.
(3 years, 9 months ago)
Commons ChamberThe provision of fertility services is happening in the normal way in as many places as possible across England, but it is not happening everywhere because of the huge pressures on the NHS from the second wave of covid. As my hon. Friend the Minister of State was saying a moment ago, there are pressures on the NHS. There are now 15,000 people in hospital with covid across the UK, but the NHS is doing far more normal services that it was not able to do in the first wave.
Yes, we are making progress on that and working on the clinical protocols. I look forward to updating the hon. Lady with more information when a final decision has been made.
In order to aid the safe exit of hon. Members participating in this item of business and the safe arrival of those participating in the next, I suspend the House for three minutes.
(3 years, 10 months ago)
Commons ChamberAs a highly respected and very significant voice among Catholics in this country, my right hon. Friend speaks powerfully, from both a position of his faith and a compassionate position of respect for what the current rules mean in practice. The whole House, and indeed the country, will have heard his contribution and it leaves us all to ponder this question.
In order to allow the safe exit of hon. Members participating in this item of business and the safe arrival of those participating in the next, I am suspended the House for three minutes.
(3 years, 10 months ago)
Commons ChamberThe questions were so good, Mr Speaker, that I was enthusiastic to answer them as quickly as possible. I am a fan of fast turnaround times, and hope I can ensure that the data gets turned around even more quickly in County Durham. When it comes to the case rate, yes, there have been good signs, but I am still worried about the case rate among the over-60s, and the discussions with local leaders continue. I absolutely take the right hon. Gentleman’s points on board, though.
We are starting to see some of the local action that we have already taken just starting, potentially, to work, and we have seen in Bolton that the cases were shooting up before we took action and then levelled off. So there is evidence of this approach working, and I look forward to working with my hon. Friend to make sure that we can get out of these measures, which I appreciate he is unenthusiastic about, as soon as possible.
Thank you for squeezing me in, Mr Speaker. Can I say that it was not just the Mayor, but all the leaders and most of the MPs across Greater Manchester? We are a city united this evening, but should not any economic support package be based on need, not on some unpublished, arbitrary formula that no one has any idea what it consists of? If it was based on need, it would take account of the fact that business density and the economy of Greater Manchester is bigger than in other areas and that we have many more low-paid workers—that is something that the Secretary of State should know if he is talking about fairness— so businesses in Manchester will actually receive a lot less than businesses elsewhere. Can I tell him tonight that his Government have really misjudged the mood up here, and any less than is needed coming immediately to Greater Manchester for these new restrictions would rightly be seen as spiteful and political and nothing whatsoever to do with public health?
I think it benefits all of us to rise above the politics and try to work together. As I say, the offer that was made remains on the table and I look forward to working with the hon. Lady, who I know—as my hon. Friend the Member for Hazel Grove (Mr Wragg) said—works with the best of intentions, and I hope that we can work together to try to tackle this dreadful disease.
Virtual participation in proceedings concluded (Order, 4 June).
Would those who wish to leave the Chamber please do so before I start the next motions?
(3 years, 10 months ago)
Commons ChamberWe are trying to have as local an approach as possible, partly because we have to ensure that we take measures that are proportionate. There are some areas of the country, including Dudley, where case numbers are lower than even their close neighbours—in my hon. Friend’s case, across the west midlands. That is the reason, as the Prime Minister set out on Monday, that we are taking the tiers approach, which I think helps public understanding, because it is really simple but allows us to take action where that is necessary.
We have lost Rosie Cooper as the connection has gone down, so we will go to Selaine Saxby in the south-west.
Absolutely—not least because there is evidence that if someone has flu and catches covid it is even worse. The flu programme this winter is incredibly important—even more important than it always is. I will look into the roll-out in High Peak and ensure that it goes well. I am very glad to say that the uptake of the flu vaccine is much higher this year than it has been in previous years, and we have a record amount of the flu vaccine—more than 30 million doses available. Everybody on the priority list in High Peak who wants a flu vaccine can get one. They will be available over the forthcoming 10 weeks between now and Christmas, and I am very happy to work with my hon. Friend to ensure that that happens for his constituents.
Not quite, because even in this statement there have been Members speaking from Greater Manchester who have urged more action. [Interruption.] What I would say to the hon. Gentleman is that I have started a leak inquiry into the leaks of some of the information around Greater Manchester. That will, of course, have to cover both national and local government. There is a more important thing, though, which is the need for people to come together to take the action that is necessary to get this virus under control, because unfortunately, in Greater Manchester there continues to be a rise in the number of cases—[Interruption.]
Order. Just a second. Mr Kane, I gave you the privilege of having the final question when you were not on the list; please do not abuse it. I also need to hear what is said because it affects my constituency.
Very sadly, across Lancashire and across Greater Manchester, the number of cases of coronavirus continues to rise. The number of cases among the over-60s continues to rise. The number of hospitalisations continues to rise. Further action is therefore necessary. I very much hope that we can reach the sort of cross-party agreement that we have had in London, and that the local leadership in Manchester can work with us to find a solution, because it is critical that we get this virus under control.
In order to allow the safe exit of hon. Members participating in this item of business and the safe arrival of those participating in the next, I suspend the House for a few minutes.
(3 years, 11 months ago)
Commons ChamberAs the hon. Gentleman well knows, decisions on the distribution of any vaccine have not been taken. The Joint Committee on Vaccination and Immunisation is the body that advises the Government on the appropriate clinical prioritisation of vaccines. It has published an interim guide, which he well knows about and we have discussed. That sets out the order of priority as an interim measure, but we await the data from the clinical trials of the vaccine before we will come to a clinically validated full roll-out plan. We are putting in place the logistical plans now, but on the decisions as to the clinical order of priority, we will take the evidence from the Joint Committee.
Can I just say to those on both Front Benches that these are meant to be short and punchy topical questions, not full debates?
We have ended where we started this questions session: with my delight at a new hospital that has been funded and announced by the Prime Minister on Friday—Newgate in Northumberland. That is a very important development. My right hon. Friend makes a wider point about the importance of community hospitals, which are local to where people live. With modern advances in technology, we can deliver more services closer to people’s homes and in people’s homes, and then in community hospitals, while of course needing to build those superb hubs of science and care that our great hospitals are.
In order to allow the safe exit of Members participating in this item of business and the safe arrival of those participating in the next, I am suspending the House for a few minutes.
(3 years, 11 months ago)
Commons ChamberI have not been to the bar recently, but I do not think that Parliament’s bars are exempt from these measures. I think it is wrong to say so, and I would be grateful if you could confirm that, Mr Speaker, because it is a matter for the House, not the Government.
Other than that, the hon. Gentleman makes a perfectly valid point. Of course we keep these measures under review. We want to have the least damaging economic impact, consistent with keeping the virus under control and suppressing it. That is the same strategy of all four Governments—the three devolved Governments and the UK Government. We keep these things under review, but we think that they are necessary to keep people safe.
I will confirm the situation. If the hon. Member for Linlithgow and East Falkirk (Martyn Day) had been in the House or spoken to his colleagues, he would have realised that the decision was taken last week. Unfortunately, the newspapers were mischief-making. Those bars were not open after 10 o’clock. Let us get that clear, and I think we ought not to believe sometimes what newspapers say.
Absolutely. I think, if I have spotted it correctly, that my hon. Friend is wearing the parliamentary beer association tie, so he obviously knows that of which he speaks. He is right, and he makes a very important and serious point. Of course we will keep working with the hospitality industry and do everything we can to support it through these times. It is so difficult, but because of the way that the virus spreads, these measures are necessary. We have not gone for a full-blown lockdown as we did in March because we know far more about the virus owing to the test and trace system, the massive amount of testing we are doing and the contact tracing. That means we can be more targeted, and my heart goes out to everybody in the hospitality industry, who are doing so much.
I call Daisy Cooper, who has two minutes because her urgent question was converted into a statement.
I love comedy, I love live music and I wish that we did not have to do this, but I have answered the point about outside being safer than inside. It is one of the many regrets of the very serious problem that we have.
I do agree, and I am glad to agree with my hon. Friend. As I announced yesterday, we have brought in a new process, an innovation on parliamentary procedure, to ensure that there are votes on nationally significant measures in the future.
In order to allow the safe exit of hon. Members participating in this item of business and the safe arrival of those participating in the next, I suspend the House for three minutes.
(3 years, 11 months ago)
Commons ChamberOrder. Let me just say that the Secretary of State said that the time could not have been extended. Yes, it could, and I would have agreed to it.
Thank you, Mr Speaker.
My hon. Friend’s comments are absolutely right. The need for all of us to exercise responsibility in a world where the virus can pass asymptomatically, without anybody knowing that they have it, is sadly a feature of life during the pandemic, which I hope will be over sooner rather than later.
I will ask my right hon. Friend the Business Secretary to take up that point. The Business Department is responsible for making sure that the business rules are right, and I know that it looks at them very carefully.
The Coronavirus Act remains as fundamental as it was when introduced to this House six months ago. We will beat the pandemic, but we are not there yet. I urge the House to approve this motion, so that we can keep responding with speed and with strength. As we have heard during the opening of this debate, we are always looking to listen, learn and improve the response as much as possible, but without this Act our response will be harmed very significantly. At a time when this nation is being tested like never before in peacetime, I commend the motion to the House.
I remind Back Benchers that, unlike Front Benchers, they will have three minutes each.
(3 years, 11 months ago)
Commons ChamberI thank the hon. Member for giving me notice of her point of order. The Secretary of State is here if he wishes to make any comment.
Further to that point of order, Mr Speaker. The evidence is as described. I would be very happy to take the hon. Lady and any other Member through the existing evidence and to listen to any further evidence she has. What matters is getting the best and the right clinical advice. I am enthusiastic to hear about all possible scientific advances that might be helpful.
It is not a point of order for the Chair, but I think the hon. Lady can be satisfied that a meeting has been offered. That is important. The only other thing she put on the record—and I know the Secretary of State is well aware of this—is that we do need speedy replies to MPs.
(3 years, 11 months ago)
Commons ChamberWe ensure that testing is prioritised in the areas with the greatest prevalence, and we look at not only the number of positive cases but the surveys and the positivity rate. Those all inform the needs. I understand why the hon. Lady rightly fights for more testing in her constituency, but we have to ensure that testing is used in the places where it is most needed. We know more about this because we now have mass testing, with capacity for over a quarter of a million tests a day, which means that we can take a more targeted and local approach.
Unfortunately, as case rates have gone up, we have needed to introduce more local measures. On Friday, we introduced new restrictions on household mixing for Wigan, Stockport, Blackpool and Leeds, and today, I must announce further measures for the parts of the north-east where we introduced local action a fortnight ago. Unfortunately, the number of cases continues to rise sharply. The incidence rate across the area is now over 100 cases per 100,000. We know that a large number of these infections are taking place in indoor settings outside the home, so, at the request of the local councils, with which we have been working closely, we will introduce legal restrictions on indoor mixing between households in any setting. We do not take these steps lightly, but we must take them now, because we know that swift action is more likely to bring the virus under control. The quicker we can get this virus under control, the quicker we can restore the freedoms that we all enjoy in the north-east and across the country.
All the time that we have been fighting to suppress the virus, so too we have fought to protect people—through the furlough scheme, the bounce back loans and funding for social care, the charities, the arts, as well as unprecedented support for the NHS, so that we could protect it through the peak and now work through the backlog that the peak inevitably caused. Through the huge challenges, we secured the supply lines for vital PPE, and hence we can now launch our PPE winter plan. I would like to pay tribute to Lord Deighton, his team and all the businesses that are stepping up, because their work has put us in such strong stead to protect those who are performing heroics on the frontline.
Finally, the best way to protect us in the long term, for our lives and our livelihoods, is a vaccine. Work progresses as fast as is safely possible. On Friday, the Joint Committee on Vaccination and Immunisation published its interim guidance on how we propose to prioritise access to a vaccine as soon as one becomes available. A huge planning effort is under way, led by the NHS and with the support of the armed forces, to ensure that we are ready for a roll-out as soon as is feasibly possible. Building on years of experience of the annual flu vaccine roll-out, the national effort to come brings hope to us all.
All the way through this pandemic, I have welcomed debate and scrutiny in this House. On Wednesday, we will debate and vote on extending the vital measures in the Coronavirus Act 2020, which provides powers that are critical to the control of the virus. I urge all colleagues to work together to ensure that we come through this in the best possible way, because ultimately, wherever in this Chamber we may sit, we are all on the same side, steadfast in our determination to defeat this deadly virus.
(3 years, 11 months ago)
Commons ChamberYes, I will happily sign up to the proposals that my right hon. Friend has set out. As the House well knows, his long-standing and international work on patient safety is very impressive. We must ensure that in these difficult times we protect our care workers and frontline staff—including, if I may say so, the staff at the testing centres—and that we reiterate once again our commitment to patient safety.
Yes, I do. I come to this Dispatch Box as often as possible. I am very sorry that I was unable to come on Friday to discuss Friday’s decision, but the House was not sitting. I agree with my hon. Friend that, essentially, the more scrutiny, the better; that is my attitude. I am very happy to continue to work with him and with you, Mr Speaker, to ensure that that scrutiny can be done at the speed that is sometimes required for these decisions to be made.
Finally, on my hon. Friend’s substantive point, of course minimising the impact on the economy and on education is critical, but there are impacts on the NHS of covid cases going up—not just the need to try to minimise the negative impact that comes from restricting other treatments, such as cancer, that happened in the first peak, but the problem of the NHS operating with high levels of covid cases. Within the NHS, a higher number of cases itself has an impact on the care available for all the other conditions that we need to treat, but I look forward to working with you, Mr Speaker, to make sure that we have continued scrutiny.
(3 years, 11 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
Well, the good news, in responding to that, is that capacity for testing is at a record high. The hon. Gentleman raised the issue of testing in the top 10 local authorities—well, I have got the figures here. Yesterday, we processed 9,278 tests just in pillar 2—so outside of the NHS testing capacity—in just those top 10 local authority areas. Just yesterday, we processed 1,428 tests in his own local authority area.
The good news is that capacity is at record levels and that a record number of people are able to get tests. I do not deny that it is an enormous challenge. When a service is free, it is inevitable that demand will rise. The challenge is to make sure that we prioritise the tests that we have as a nation for those who most need them, as I set out in my answer.
The hon. Gentleman asks about the backlog, which is actually falling and is less than one day’s processing capacity. He also asked about our being able to have testing capacity so that we can re-enable the economy and get things going. As he well knows, there is a huge effort to expand—using the next generation of technologies —the tests that we need to deliver to reopen parts of the economy, and we will deliver on that.
We will deliver on the challenges of today. I do not deny those challenges, but I face the facts in order to deliver on those challenges, rather than simply complaining. The hon. Gentleman should welcome the record capacity and the contact tracing, which are playing their part in responding to the virus.
We are increasing that capacity, and we are bringing in new technologies to those labs to expand on that. My hon. Friend is a great expert in this issue and makes a really important point. The current technology works best in labs—people send a swab to the lab and get the result back, but there is a huge amount of logistics around that. We want technologies that can be in a pharmacy or a GP service, so that people get the test result back straight away. When such technologies come on stream—I am optimistic about this, as I am about a lot of things; I do not think I could do this job at the moment without being optimistic—that will give us a chance to get testing out into the community at every level.
We need to tackle problems such as the challenges you have in Chorley, Mr Speaker—you rightly brought them to my attention in your role as a local MP, as we all are—not by having a big national system, but through solutions that are deeply embedded in the community. When we have the technology to do that, we will be in a stronger place, and we are putting every possible effort and support behind people to try to make that happen.
I am pleased you are bringing me back into it. We still have a lab at Chorley Hospital that you can use if you get on to it.
(4 years ago)
Commons ChamberAs well as our work to fight coronavirus, we are continuing our historic levels of investment in the NHS. Good progress is being made in the projects for 40 new hospitals. The number of NHS nurses in England has increased by more than 13,000 compared with this time last year, and the number of doctors is up by over 9,000. This landmark investment is bearing fruit.
Thank you very much for that welcome, Mr Speaker. I am one of those who most certainly owes an awful lot to the care and dedication of NHS staff. May I ask the Secretary of State a very simple question? One waiting list that is going up is the amount of time that overseas doctors offered jobs in the UK have to wait for a visa. Will he have a quiet word with Home Office Ministers to ensure that we have a joined-up Government and that these doctors, who are part of the solution, can get their visas?
May I join you, Mr Speaker, in welcoming the hon. Member back to the screens—and hopefully, one day soon, back to the House in person? The question that he raises is an important one. I am working with the Home Office to introduce the NHS visa, which will mean not only that the numbers are uncapped, but that the administration around visas is much reduced. It is not just about Home Office administration; it is also about reducing the burden of bureaucracy from the General Medical Council and others. The GMC is working incredibly hard to reduce the bureaucratic requirement while still ensuring that any doctors who come to practise in this country are fully qualified and can speak English to a high enough standard, as the people of Rochdale and the whole country would expect.
In response to the last point, the turnaround time for test results is now the next day for almost every one. However, there has been a challenge, referred to just now and in a previous question, with the Randox kits. The test results from the Randox kits that were withdrawn were accurate. The challenge was that the Randox kits did not pass our very high and stringent standards; essentially they were not as clean as we would have wanted. I am informed by the clinicians that there is no evidence of any health threat from that, but of course we have to make sure that we protect people as much as possible. Hence, we had to withdraw the kits. As I said, we have a catch-up programme that is under way.
(4 years ago)
Commons ChamberYes; the hon. Gentleman is right to raise exactly this point. Now is the time to get through as much of the backlog as possible. At the same time, we have introduced changes to the way that the NHS operates so that it is more risk-based, so that infection control procedures, which are important, can also be more risk-based, to try to increase the amount of surgery that can happen, essentially splitting the NHS into areas that are deemed “covid green”, which are secure from covid, and “covid blue”, which means the areas where there may be covid, to allow the throughput of surgery to increase. Of course, cancer services have continued all the way through, but obviously they were diminished during the peak. With winter coming, we want to put the extra funds into the NHS to try to ensure that those services can continue all the way through, as much as is possible. The flu vaccination programme is also an important part of protecting the NHS from higher demand this winter.
May I help the House by saying we are going to finish at 4.40 pm? I am sure the Secretary of State will want to help as many Back Benchers as possible to ask their questions by giving shorter replies. That would be helpful.
I pay tribute to my hon. Friend, who has behaved with great dignity in arguing that people need to follow these restrictions but that the restrictions should be targeted and based on the data. Our approach is to have objective local action where it is necessary—only where it is necessary—based on the data. We have reached a good solution to this question in Kirklees, which will be put into force tomorrow, but I look forward to continuing to work with Kirklees to make sure we get the virus under control right across the district so that every part of Kirklees can be released from these measures, which nobody wants to put in place but which are there for a reason.
In order to allow the safe exit of hon. Members who have participated in this item of business and the safe arrival of those participating in the next, I am now suspending the House for three minutes.
(4 years, 1 month ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
Yes. We have doubled the intensive care capacity, which, alongside the Nightingale, has been a remarkable achievement of the NHS. There are now green and blue areas in hospitals, or whole hospitals, depending on the geography—in a rural area, we could not make a whole hospital covid-secure or covid-free, because it would have to serve both covid and non-covid patients. That separation of the NHS into blue and green areas is an important part of their being able to reduce the impact of infection control procedures, which are obviously having a big impact on the provision of services.
I am absolutely thrilled to get a question on the problem of having too much testing capacity, as opposed to too little. We have one of the biggest testing capacities in the world. We have built that almost from scratch as a country, and we must use it effectively. We have, for instance, rolled out the extra testing in the NHS that the Chair of the Select Committee was asking about earlier. We have rolled out the weekly testing of staff and the monthly testing of patients in care homes. We will follow a clinical path.
My hon. Friend asked about teachers. We are currently survey testing teachers to find out if they are more at risk than the general population, in the same way that care workers, care home workers and NHS staff are. If they are, we will put asymptomatic testing in place. We are doing exactly the same survey testing for taxi drivers, because taxi drivers are at higher risk than the rest of the country. If he will forgive me, we are taking a scientific approach to how we allocate that capacity, but it is true that one of the policy challenges we face as a Department is making sure we use all the testing capacity, and long may that be so.
In order to allow the safe exit of hon. Members participating in this item of business, and the safe arrival of those participating in the next, I am now suspending the House for four minutes.
(4 years, 2 months ago)
Commons ChamberYes, that data was made available last week to all councils, subject to a data protection agreement, which the vast majority have returned.
Yes, absolutely; we will be publishing imminently the exact details of which wards are included in these measures. That decision is being taken by Leicestershire County Council along with PHE. I understand the call for financial support for district and borough councils as well as for the county council. In the first instance, that funding will flow through the county council, but I will absolutely look at the point my hon. Friend has raised.
(4 years, 2 months ago)
Commons ChamberI understand that Infant Mental Health Awareness Week was a great success. There is much to be gained from seeing the world through a baby’s eyes.
I am grateful to the Secretary of State for that short answer. We have heard much about the impact of lockdown on school-age children away from school, but little on the impact on babies and new parents facing particular challenges on their emotional wellbeing. Has the Secretary of State or the Minister, if she has got her voice back, seen the research published during Infant Mental Health Awareness Week by the First 1001 Days Movement last week, suggesting that three quarters of parents with children under two are feeling the detrimental impact of the lockdown, particularly BAME parents? What are the Government doing to put this crucial cohort on the radar and provide support before they grow up and take the problems to school and beyond?
My hon. Friend is absolutely right on this. I applaud the work of the First 1001 Days Movement. It is incredibly important. I strongly support the work that it has done to highlight the importance of the early days of life and the time before the birth of children. I have seen that report. I have discussed it with the Minister and we are working very hard to put that into effect.
We were scrupulously fair in the allocation of funding to local authorities, ensuring, for instance, that the support for social care went according to the number of beds. We have taken a great deal of care to make sure we get this right.
To allow the safe exit of hon. Members participating in this item of business and the safe arrival of those participating in the next, I am now suspending the House for three minutes.
(4 years, 2 months ago)
Commons ChamberI am grateful for the chance to update the House on the urgent matter of coronavirus.
Yesterday’s treatment breakthrough shows that British science is among the best in the world. As a nation, we can be incredibly proud of our scientists. The UK is home to the best clinical trials, the most advanced immunology research, and the most promising vaccine development work of any country. We have backed the science from the start, and I am sure the whole House welcomes the life-saving breakthrough that was announced yesterday. Today, I will briefly update the House on all three aspects of that national scientific effort.
First, on clinical trials, our recovery programme, which looks at the effects of existing treatments in real-world hospital settings, is the largest of its kind. As of yesterday, 11,547 NHS patients had been recruited to the programme, which is operating across 176 sites in all four nations. In Oxford University’s dexamethasone trial, over 2,000 NHS covid patients were given a course of the drug—a commonly used steroid—over 10 days. For patients who were ill enough to require oxygen, the risk of dying fell by a fifth, and for the most seriously ill patients on mechanical ventilators, the risk of dying fell by over a third.
This is an important moment in the fight against this virus, and the first time that anyone in the world has clinically proven that a drug can improve the survival chances for the most seriously ill coronavirus patients. In February we began the trial, supported by £25 million of Government funding, and in March we began recruiting patients, and started the process of building a stockpile in case the trial was successful. As of today, we have 240,000 doses in stock, and on order. That means that treatment is immediately available, and already in use on the NHS. I am incredibly proud that this discovery has happened right here in Britain, through a collaboration between the Government, the NHS, and some of our top scientists. It is not by any means a cure, but it is the best news we have had.
Throughout this crisis, our actions have been guided by the science, and that is what good science looks like: randomised control trials; rigorous and painstaking research; moving at pace, yet getting it right. The result is that we now have objective proof—not anecdotes, but proof—that this drug saves lives, and that knowledge will benefit many thousands of people all around the world.
Seven other drugs are currently being trialled as part of the recovery process, and a further nine drugs are in live clinical trials as part of the ACCORD programme, which is looking at early-stage treatments. We look forward to seeing the results of those trials. I thank everyone involved in that process, and put on the record my thanks to our deputy chief medical officer, Professor Jonathan Van-Tam, who led the work in Government, as well as to NHS clinicians, the scientific teams, and the participants in the trial who took the drug before they knew that it worked.
Our immunology research, again, is world leading. Last month I announced a new antibody testing programme to help us understand the immunological response to the disease, and whether someone acquires resistance to coronavirus once they have had it and recovered. I am part of that programme, and as of yesterday, 592,204 people have had an NHS antibody test. The nature of immunity research means that it takes time, and we must wait to see whether someone with antibodies gets reinfected. However, with every test, we improve our picture of where the virus has been, and we grow the evidence to discover whether people who have had the disease and have antibodies are at lower risk of getting or transmitting the virus again.
Crucially, that work will help to inform how we deploy a vaccine, and it is moving at pace. Earlier this week Imperial College began its first phase of human clinical trials, and 300 participants will receive doses of the vaccine. Should they develop a promising response, Imperial will move to a large phase-3 trial later this year. Yesterday, AstraZeneca signed a deal for the manufacture of the Oxford vaccine, AZD-1222, which is the world’s most advanced vaccine under development. Its progress, while never certain, is promising.
None of that happened by accident. It happened because the British Government, scientists, and the NHS put in place a large-scale, programmatic, comprehensive, well-funded, systematic, rigorous, science-led system of research and innovation. We have been working on it since the moment we first heard of coronavirus. There is more to do in this national effort, but that is how we will win the battle. We will leave no stone unturned as we search for the tools to hunt down, control, and ultimately defeat this dreadful disease.
May I just say to the Secretary of State that he has gone way over the allocated time? It would have been easier for him to make a statement rather than having to have an urgent question. In future, perhaps he could come forward with a statement if he needs the extra time, and I will certainly grant that and support him in doing so. Some extra time for Jonathan Ashworth as well, and for Philippa Whitford.
The Chair of the Health and Social Care Committee makes an incredibly important point. The approach we are taking is a targeted one of repeat testing, which has started already but needs to spread much further. The reason is that some people in hospital settings are at higher risk, and it is better to focus the resources for repeat testing on those at higher risk. For instance, somebody working in finance might be at lower risk than somebody in a frontline setting. The NHS has a strategy on this, and I will write to him with further details of how that is going to work.
We are now heading to the SNP spokesperson, Dr Phillipa Whitford, with some extra time.
My hon. Friend is quite right. The NHS is open, and if people need NHS treatment, please come forward. If people are advised by a clinician to go to hospital, please do that.
Absent a vaccine, the key to unlocking our economic and social lives is an effective test, trace and isolate system. The app, which can really help save lives, is behind schedule, so can the Secretary of State update us on the Isle of Wight trial, and specifically whether it has raised issues with the technology on Apple and/or Android phones; the levels of take-up; and an idea as to when it will be more widely available?
As well as being a huge enthusiast for the A&E in Chorley and working on that, Mr Speaker, I am also a huge enthusiast for the use of technology. The No. 1 lesson we learned from the Isle of Wight was that it is important to get the human contact first and use the technology to underpin the human contact tracing. What is interesting is that we are learning that to persuade people to isolate—it is obvious really—a human contact, a phone call with a real person on the other end, is the best way to do it. We have a much higher number of contact tracers per head of population in this country now than almost any of our comparators.
I am pleased the Secretary of State is a fan of Chorley A&E: we look forward to it opening very shortly. I call Flick Drummond.
I welcome the psychological first aid training that my right hon. Friend launched this week so that frontline workers can support people with mental health problems. However, I am also concerned about the mental health of key workers themselves, particularly those in the NHS who have been working non-stop since January, many with last-minute rota changes and no prospect of a break soon. Will my right hon. Friend outline what we are doing to support key workers at this difficult time?
Yes. My hon. Friend makes an incredibly important point, which is that the mental health of our key workers, including those working in the NHS and social care, is incredibly important. One of the things we put in place in the crisis is a hotline. That support should have been there long before, frankly, and we will maintain it for as long as possible, because is so important to support the physical and mental health of the carers who care for us.
In order to allow the safe exit of hon. Members who have been participating in this item of business and the safe arrival of those participating in the next, I am now suspending the House for three minutes.
Sitting suspended.
(4 years, 2 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
Let me make a couple of points in response. First, we have turned around an incredibly difficult situation when the demand for PPE shot up. Thanks to the incredible work of Lord Deighton, we now have good PPE supplies to all sectors. We are working with the dentists to ensure that they, too, will be able to get the PPE they need. The hon. Gentleman talks about testing, but he omitted to mention that we have hit every goal on our testing expansion, and we now have capacity for more than 200,000 tests a day and last week we were achieving that level of testing, which is a testament to the work of so many people, in companies and in the public sector, who have done an incredible piece of work on testing.
He picked on the results of one particular model that we look at, but he surely understands that actually the way to get the best advice is to look at all the different models, rather than just one. I mentioned one other survey, which is based on data rather than modelling—the ONS survey—and I also told him already the SAGE view, taking into account all the evidence, which is that R is below one in each region.
As the hon. Gentleman said, we do publish R. He is quite right about the importance of working with local authorities and local leaders. I spoke to the Mayor of Greater Manchester on Friday about the higher rate of R in the north-west, albeit that it is assessed to be below one. Local leaders are incredibly important in the local action that we will be taking.
The hon. Gentleman asked about local authorities and GPs getting access to data. We are working with them on the appropriate data that should flow to local authorities and GPs. He asked, rightly, for guidance on how local action will work, and that is an important early piece of work for the JBC—the joint biosecurity centre. I am glad he has recognised the importance of the work that Public Health England has done and published on the disparities between people of different ethnic backgrounds and also other differences, for instance the fact that older people are much more likely to die from covid-19. It is very important that we base our response on all this evidence.
Yes, I would like to thank the carers of Beaconsfield for the work they have done through this crisis and before. I tell them that the value and esteem with which we hold them is so high and we are so grateful for what they do. My hon. Friend is right that you simply could not have a localised approach, and therefore the safety of reducing safely and cautiously the overall lockdown measures, without a significant testing capacity. Thanks to the teamwork of the NHS, Public Health England and many, many private companies, we have built the largest coronavirus testing capacity in Europe from almost nothing. It is a testament to so many people, to the team effort and to the way the country has rallied behind that need.
In order to allow safe exit of hon. Members participating in this item of business and the safe arrival of those participating in the next, I am suspending the House for five minutes.
(4 years, 3 months ago)
Commons ChamberWe have supported and helped the Scottish Government throughout this, because although they have missed their targets in the roll-out on tests delivered in Scotland, the UK programme of the drive-through centres and the home-test kits has also been operational in Scotland. I work closely with my Scottish counterparts to try to make sure that testing is as available in Scotland as it is in England, and that work is ongoing.
I call Ian Blackford to speak on behalf of the Scottish National party—you have four minutes.
(4 years, 3 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
I call Matt Hancock to answer the urgent question. The Secretary of State should not speak for more than three minutes.
One of the first things we knew about coronavirus as it began its dismal spread across the world was that it reserves its greatest impact for those who are physically weakest, especially the old. In the UK, 89% of all deaths have been of those aged above 65. From the start, we have worked hard to protect those in social care. In early March, we put £3.2 billion into social care—half through the NHS and half through local authorities—and we have repeatedly set out and strengthened guidance for infection control and support.
For anyone who has a loved one living in a care home and for all the residents and staff, I understand what a worrying time this has been. I am glad that we have been able to protect the majority of homes, and we will keep working to strengthen the protective ring that we have cast around all our care homes. As I said in the House yesterday, last week we set out a further £600 million to strengthen infection control, and this comes on top of a substantial programme of support.
First, on testing, from the start we have tested symptomatic residents of care homes, even when testing capacity was much lower, and this has always been a top priority. We are now testing all care home residents and staff in England—those with symptoms and those without—and this is being done according to clinical advice, starting with the most vulnerable, and extending to working-age residents, too.
Secondly, we have strengthened the NHS support available to social care. We are putting in place a named clinical lead for every care home in England and have brought NHS infection-control expertise to the sector.
Thirdly, we are making sure that local authorities play their part. Councils are conducting daily reviews of the situation on the ground in local care homes, so that every care home gets the support that it needs need every day.
Fourthly, we are supporting care homes to get the PPE that they need.
Fifthly, we have increased the social care workforce during this crisis and provided more support. Altogether, this is an unprecedented level of support for the social care system. I thank colleagues across social care for their hard work.[Official Report, 20 May 2020, Vol. 676, c. 2MC.]
We have also broken down some of the long-standing barriers, including between health and social care, and we have learned the importance of making sure that money for social care is ring-fenced specifically for social care, as the £600 million agreed last Friday has been. On top of that, we are requiring much better data from social care, because partial data has bedevilled the management of social care for many years and made policy making more difficult. Regular information returns are required in return for the latest funding, and we are looking to change the regulations to require data returns from every care provider, so that we can better prepare and support social care.
Our elderly care homes provide for people towards the end of their life. They do an amazing job and deserve the praise that they have received from the public during this crisis. Residents are looked after when they need care the most: their hands are held, their brows are mopped and they are made comfortable. As a collective result of our efforts—especially the efforts of care colleagues throughout the country—62% of care homes have had no reported cases of coronavirus.
The figures released today by the Office for National Statistics show that the number of deaths in care homes has fallen significantly and is down by a third in just the past week, from 2,423 to 1,666. This morning’s statistics confirmed that 27% of coronavirus deaths in England have taken place in care homes, compared with a European average of around half, but whatever the figures say, we will not rest in doing whatever is humanly possible to protect our care homes from this appalling virus, to make sure that residents and care colleagues have the safety and security they deserve.
In welcoming the hon. Member for Leicester West (Liz Kendall) to the Front Bench, I asked her to speak for no more than two minutes.
I addressed this point in my opening response to the urgent question. We will roll out testing to care homes of all ages. This is an area that I take very seriously indeed. We are looking into the statistics that have been mentioned in the public domain. Some of the statistics are not quite as they first seem. We will make sure that we publish accurate and full statistics, because transparency is absolutely vital in this area.
We welcome the announcement by the UK Government of a £60,000 payment for care home workers who sadly lose their lives due to covid-19. Can the Secretary of State confirm that acceptance of that payment precludes subsequent legal action if that death is thought to be due to negligence, and will he outline the thinking behind that?
(4 years, 3 months ago)
Commons ChamberWith permission, Mr Speaker, I will make a statement on coronavirus. This is the most serious public health emergency in 100 years, but through the combined efforts of the whole nation, we have got through the peak. Let us not forget what, together, has been achieved. We flattened the curve, and now the number of people in hospital with coronavirus is half what it was at the peak. We protected the NHS, and the number of patients in critical care is down by two thirds. Mercifully, the number of deaths across all settings is falling.
This Mental Health Awareness Week is an important reminder that we need to look after ourselves, as well as each other. If someone needs support with their mental health, the NHS is there for them. This is particularly important for frontline staff, and we have supported all NHS trusts to develop 24/7 mental health helplines.
Our plan throughout this crisis has been to slow the spread and protect the NHS. Thanks to the resolve of the British people, the plan is working, and we are now in the second phase of this fight. I will update the House on the next steps that we are taking as part of that plan. First, we are protecting the nation’s care homes, with a further £600 million available directly to care homes in England. We have prioritised testing for care homes throughout, we made sure that every care home has a named NHS clinical lead and we are requiring local authorities to conduct daily reviews of the situation on the ground, so that every care home gets the support it needs each and every day. All this amounts to an unprecedented level of scrutiny and support for the social care system, and a level of integration with the NHS that is long overdue.
Secondly, the four UK chief medical officers have today updated the case definition to include a new symptom. Throughout this pandemic, we have said that someone who develops a new continuous cough or fever should immediately self-isolate. From today, we are including anosmia—losing one’s sense of smell, or experiencing a change in the normal sense of smell or taste—which can be a symptom of coronavirus, even where the other symptoms are not present. So from today, anyone who develops a continuous cough or fever or anosmia should immediately self-isolate for at least seven days, in line with the guidelines. Members of their household should self-isolate for 14 days. By updating the case definition in line with the latest science, we can more easily recognise the presence of the virus and more effectively fight it.
Thirdly, we are expanding eligibility for testing further than ever before. Over the past six weeks, this country has taken a small, specialised diagnostics industry and scaled it at breathtaking pace into a global champion. Yesterday, we conducted 100,678 tests. Every day, we create more capacity, which means that more people can be tested and the virus has fewer places to hide.
Today, I can announce to the House that everyone aged five and over with symptoms is now eligible for a test. That applies right across the UK, in all four nations, from now. Anyone with a new continuous cough, a high temperature or a loss of, or change in, their sense of taste or smell can book a test by visiting nhs.uk/coronavirus. Anyone who is eligible for a test but does not have internet access can call 119 in England and Wales or, in Scotland and Northern Ireland, 0300 303 2713. We will continue to prioritise access to tests for NHS and social care, patients, residents and staff, and as testing ramps up towards our new goal of a total capacity of 200,000 tests a day, ever more people will have the confidence and certainty that comes with an accurate test result.
Fourthly, I want to update the House on building our army of contact tracers. I can confirm that we have recruited more than 21,000 contact tracers in England. That includes 7,500 healthcare professionals who will provide our call handlers with expert clinical advice. They will help to manually trace the contacts of anyone who has had a positive test, and advise them on whether they need to isolate. They have rigorous training, with detailed procedures designed by our experts at Public Health England. They have stepped up to serve their country in its hour of need and I thank them in advance for the life-saving work that they are about to do.
The work of those 21,000 people will be supported by the NHS covid-19 app, which we are piloting on the Isle of Wight at the moment and will then roll out across the rest of the country. Taken together, that means that we now have the elements that we need to roll out our national test and trace service: the testing capacity, the tracing capability and the technology.
Building that system is incredibly important, but so too are the basics. We need everyone to self-isolate if they or someone in their household has symptoms. We need everyone to keep washing their hands and following the social distancing rules. We need everyone to stay alert, because this is a national effort and everyone has a part to play. The goal is to protect life and allow us, carefully and cautiously, to get back to doing more of the things that make life worth living. That is our goal and we are making progress towards it. I commend this statement to the House.
I call the shadow Secretary of State for Health, Jonathan Ashworth, who has four minutes.
I will keep it concise, Mr Speaker—your instruction.
The hon. Gentleman is right to ask detailed questions about care homes, because making sure that we have that ring of protection around care homes is important. Of course, the majority of care homes have not had an outbreak at all. We should thank those running care homes for the incredible hard work and infection control they put in place, meaning that in 62% of all care homes there has not been an outbreak. Where there has been an outbreak, there has been rigorous infection control and a huge amount of work has gone into that. We have, as he said, now got testing for all. That started with testing throughout for people who had the first symptoms in a care home. Now, it is for all staff and all residents, whether symptomatic or not.
There was no large-scale removal of people from hospital into care homes towards the start of the crisis, as has been implied by some. In fact, the number of people moving from hospital into care homes has fallen throughout the crisis and those movements have been done with care. But I agree with the hon. Gentleman that the crisis has shown that there are many lessons for reform in the social care sector, not least the much closer integrated working with the NHS that we have seen in these crisis days.
The hon. Gentleman asked about the roll out of contact tracing. We now have the people in place. The app is successfully being piloted, and we are ready and preparing for rolling out that system.
The hon. Gentleman asked for the median time for a test to get back. The median time is, as far as I understand it, under 48 hours. He made a rather uncharacteristic dig at private sector businesses which are helping us to deliver that. None of the testing capability—not a single test—would be possible without the private sector. His attempt to divide people between private and public sector is entirely wrong. I think he should remember that that bit of the Labour party left the shadow Cabinet a couple of months ago. I thought good sense had returned.
The hon. Gentleman asked about local public health services. It is incredibly important that local public health services are involved. We have brought in Tom Riordan, chief executive of Leeds City Council and a brilliant public servant, to lead the work on engagement with local public health services, which the hon. Gentleman rightly—I totally agree with him—says are an incredibly important part of getting this right.
We of course keep R under review. We keep watching it and we keep surveying to find out what it is. We have said that, if it rises above one and we see an outbreak in an area, we will be perfectly prepared to take action in that area. Indeed, if it goes dangerously high nationally, we would be prepared, as we were before, to take the necessary action.
Finally, the hon. Gentleman talked about the importance of mental health services across the board. The support is there in the NHS for all NHS staff—in fact, it is there across the board. One of the interesting things in this crisis is that paediatric mental health services have discovered that many services are better received, especially by children, via computer than face to face. In some cases, therefore, the service is better provided at a distance, over a screen, than face to face, but he is absolutely right to highlight the importance of mental health services in this crisis and beyond.
We now go across to the Chair of the Select Committee on Health, who I understand is audio only.
Thank you, Mr Speaker. I would like to ask the Secretary of State for three pieces of data, all of which are essential for this strategy. First, what level of new daily infections do we need to be down to before contact tracing happens for all new infections? Secondly, how many daily tests will the test and trace system need? Thirdly, if we are going to introduce weekly testing for all NHS and care-home frontline staff, when will our testing capacity be sufficient to deliver that on top of test and trace?
With 21,000 contact tracers now employed, we think that that is capacity for the current level of new cases that have been demonstrated by the Office for National Statistics surveys, but I am perfectly prepared to hire more to make sure that we have spare capacity within contact tracing.
On the number of tests needed daily to service test and trace, it depends on exactly how many new cases there are. It depends on the relationship between the symptoms and the number of positive cases. There are many more people with symptoms than there are positive coronavirus cases, but the number is falling because we are moving away—well away now—from the flu season, and at this time of year the number of positive symptoms, including coughs and fever, tends to fall, because other non-coronavirus communicable diseases such as flu are falling. There is not a specific answer to that question, because it changes over time. On weekly tests, we are looking to put together a plan to ensure that we cut in-hospital transmission, which will include appropriate, regular testing of the right staff in the NHS. I shall write to my right hon. Friend with more details as and when that policy is fully announceable.
We have a technical problem with Dr Philippa Whitford, whom we will return to shortly. We will go to Sir Desmond Swayne.
The regional dental hubs offer little more than extractions —but I want to keep my teeth. When will dentists be able to treat their own patients?
My right hon. Friend rightly points out that we have urgent dental hubs, so anyone who needs urgent dentistry can get a dentist’s appointment through their GP. Many people have asked how, in an emergency, they can see a dentist. Dentistry is there and available—it is an important message for all our constituents. However, we are also working on the restart of dentistry more broadly. I understand the challenges, especially for those who want to see their own dentist and for dental practices. With NHS contracts, we continue to keep the funds flowing, but of course many dentists rely on their private income as well, and we support the mixed market in dentistry. What we need to do is get dentistry up and running when we can, but it has to be safe.
I am pleased to say that we have reconnected with the SNP spokesperson, Dr Philippa Whitford, who has 90 seconds.
That is an incredibly important question, and one of the purposes of the £600 million extra that we are putting into the social care system and that will go direct to the frontline—local authorities are not allowed to use it for other purposes—is to ensure that when social care staff need to be away from work for infection control purposes, they are not penalised for doing so.
Yes. It is true that the early evidence shows that obesity is a major factor in covid-19’s impact on an individual. One early study by Dr Ben Goldacre implied that serious obesity is one of the greatest factors, after age. We must make sure that we tackle obesity across the nation, and I very much look forward to working with the Prime Minister to bring forward plans to tackle obesity.
If I may, cheekily, Mr Speaker, I wish to thank all community first responders for the work that they are doing, because I know that my hon. Friend the Member for Brigg and Goole (Andrew Percy) wanted to ask about them.
(4 years, 4 months ago)
Commons ChamberI am grateful to my hon. Friend for that question. She is right to say that the more people who download the app, the more people will protect themselves, their families and their communities. The cross-party support for this test, track and trace programme is important, and right across this country people need to know that the app has privacy in its design. The data it holds is held on people’s phones and it does not go to the Government, until of course someone needs to get a test, in which case of course they have to get in contact with the NHS. So privacy is there by design, there is cross-party support and, according to a very early poll, 80% of people on the Isle of Wight want to download it. These are good early signs and we will have a big communications campaign to explain to people the benefits of the test, track and trace programme as we roll it out across the country.
In welcoming Dr Rosena Allin-Khan, may I say thank you for what you and all the staff do in the NHS, saving lives? It is appreciated.
Thank you very much, Mr Speaker. If I may, I would like to start by saying a huge thank you, on behalf of us all in the Chamber today and all those watching, to our NHS and care staff, who are working so hard on the frontline.
Frontline workers like me have had to watch families break into pieces as we deliver the very worst of news to them: that those they love most in this world have died. The testing strategy has been non-existent. Community testing was scrapped, mass testing was slow to roll out and testing figures are now being manipulated. Does the Secretary of State commit to a minimum of 100,000 tests each day going forward? Does he acknowledge that many frontline workers feel that the Government’s lack of testing has cost lives and is responsible for many families being unnecessarily torn apart in grief?
No, I do not. I welcome the hon. Lady to her post as part of the shadow Health team, and I think she might do well to take a leaf out of the shadow Secretary of State’s book on tone. I am afraid that what she said is not true; there has been a rapid acceleration in testing in the past few months in this country, including getting to 100,000 tests a day. We have been entirely transparent on the way that has been measured throughout, and I have confidence that the rate will continue to rise. Currently, capacity is 108,000 a day, and we are working to build that higher.
Of course, we have been working very hard to make the testing capacity grow as fast as possible, and as more tests are available, so we are able to make them available to more people and test people right across the NHS. I pay tribute, too, to the work of NHS and social care staff on the frontline; nothing should take away from the team spirit with which we approach this.
(4 years, 4 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
I am grateful to the shadow Secretary of State for his questions, and he is quite right to raise them. I will go through them as fast as I can and respond to them in turn. First, gown supply is improving and we have a better distribution system for PPE, on which we have been working incredibly hard under the leadership of Lord Paul Deighton. He has come in to help on PPE and made a significant improvement already.
The shadow Secretary of State asked about the number of deaths in the care sector. It is incredibly important that we protect those who live in social care settings and those who receive social care in their own homes. I am glad that in the data released by the Office for National Statistics this morning, the number of deaths in care homes was slightly lower, but it is still far too high and there is a huge amount of work still to do.
The shadow Secretary of State rightly asks about making sure that we suppress the virus. That is the goal—not just to flatten the peak, but to get the numbers right down. In doing so, our local authority public and environmental health teams will be absolutely vital, and he is right to draw attention to them. In this Chamber, we often rightly praise the NHS and social care staff, but I think this is a good moment for us to come together to praise our public health officials and environmental health officials in local authorities.
Finally, the shadow Secretary of State asked about non-covid needs, which are incredibly important. People who need treatment should get that treatment. We are opening up and reopening the NHS, and that includes any temporary closures, for instance of A&Es that need to reopen. I can think of one example in Chorley, Mr Speaker, which we are working hard to reopen as soon as possible, as the NHS reopens. I am happy to put that on record. It sometimes seems slightly unfair that you, as Speaker, cannot ask open constituency questions, but I know that that is something you have worked incredibly hard on, along with your colleagues in Lancashire.
Finally, I want to reiterate the point about levelling up. The Government’s agenda of levelling up is unabated; in fact, it is strengthened by this crisis. There are many reasons for the disparate impacts of coronavirus on different groups. Public Health England work is urgently under way into, for instance, the impact on ethnic minority groups, the impact of obesity and deprivation, and the much greater impact of coronavirus on men than women. All those things need to be considered and looked into, and we need to level up our country once this crisis is over.
I welcome the comments from the Secretary of State. We now go over to Sir Peter Bottomley.
This is a really important point. I will write to my right hon. Friend with the proposed plans for reopening dentistry. Obviously, that has to be done in a safe way, and PPE is one important consideration. Dentistry by its nature requires close contact, and it can be an aerosol-generating procedure in certain circumstances, which makes it a higher risk to the dental practitioner—the dentist or nurse—and, in turn, to future patients, so we have to get this right. Emergency dentistry is available in dentistry hubs, which have been set up during the crisis. It is important to get this right, but it is also important to get dentistry back on its feet.
Yes, we are rolling out testing to all care home residents and staff, symptomatic or asymptomatic, for elderly care homes. I announced that at the start of this urgent question. It is an important expansion of our testing now that we have built up the 100,000 tests a day capability. We will do that in part through mobile testing units, which are delivered by the armed forces; the testing unit goes to the care home, and staff and residents alike can be tested at the care home rather than having to travel. Clearly, whether people have a car of their own or not, when we test a whole care home, taking the testing to the care home rather than having to take everybody from the care home to a drive-through centre is a much better way of doing it.
I am very grateful to the armed forces for the part they have played in making this capability available. Our armed forces have done an amazing job in this whole crisis. Right across the board, the armed forces have stepped up where we have needed them. They have played a critical part in testing capability; we would not have got to 100,000 tests a day without them. The example that my hon. Friend rightly raises is just one of the ways our armed forces are playing their part and doing their duty in this crisis.
(4 years, 4 months ago)
Commons ChamberI thank the shadow Secretary of State for the approach that he has taken in applying scrutiny, but in a tone that makes it clear that right across the House we are united in our efforts to tackle this virus. He asked about the number of social care staff who have sadly died: 15 social care staff have sadly lost their lives. Just as we pay tribute to and remember all those NHS staff who have died, so we do for those who serve our country and look after people in social care.
He asked about international comparisons regarding the number of deaths. Of course, that needs to be done scientifically, taking into account the size of the populations of different countries. We are constantly making an important analysis of why the death rate as a proportion of the population in Germany is lower, and I speak to my German counterparts about that. In the same way, we look at all the European countries where the death rate is higher, and we try to learn lessons and ensure that we are doing the best we possibly can. There are many explanations for what is happening in Germany. One of them, which the German Health Minister explains both in public and in private, is the nature of those who first caught the disease in Germany. There is an awful lot of analysis of why, and we are constantly looking at that question, to improve our delivery here.
The hon. Gentleman asked about the seven-day rule and the proposals through SAGE. SAGE is an advisory committee, and it advises Ministers. We are guided by the science throughout this, and the science recommends the seven-day rule for coming out of full-blown isolation—it is not returning to normal by any stretch—once somebody has had the disease and no longer have symptoms. That is the scientific advice. The basis on which that decision was taken was, precisely as he says, that we listen to the advice from SAGE and then take decisions based on it. That was one where we fully accepted the advice, as we do with most of these clinical decisions.
The hon. Gentleman asked about expanding clinical understanding. He is right that the biggest impact of this disease is on the respiratory system, but it is not the only impact, and I will seek to take up his suggestion that the key clinical figures are convened. I think that the royal colleges are doing that already, but I will check that that is happening.
The hon. Gentleman asked about the disproportionate number of people from minority ethnic backgrounds in the figures of those who have died. We are indeed investigating that, and I will ensure that he has a copy of the results of that investigation as soon as it is concluded. That is a very important piece of work. There is also a disproportionate number of men who are badly affected by this disease compared with women. We need to look at all these characteristics and ensure that we have the full analysis, so that we can learn how to treat.
The hon. Gentleman asked about care homes. All deaths in care homes are, of course, recorded. In terms of the difference between the figures produced by the CQC, the Office for National Statistics and the NHS for deaths in hospitals, those figures measure slightly different things in different timeframes. It is important to look at a rigorous analysis of the comparison of the three. Yesterday there was some debate about whether the ONS figures showed that the deaths outside hospitals were 40% higher. It turned out that that was not true—it was comparing apples and pears—and the real figure is closer to 20%. I would caution the hon. Gentleman against comparing the headline figures without a true comparison of the underlying statistics.
The hon. Gentleman asked about the testing of staff. I am really pleased that we have managed to roll out testing to staff in care homes. He is right that that can helpfully be done through mobile units and the home testing kits that are increasingly available, especially for care homes that are not close to one of the drive-through centres. We now have 27 drive-through centres, and we are increasing that number over the next few days. There are new drive-through centres coming on stream all the time.
The hon. Gentleman rightly asked about PPE supplies to care. A new service is coming on stream directly to provide the PPE that is needed for care homes and domiciliary care—care provided in people’s homes. As I say, increasing that supply has been a massive logistical undertaking, with over 1 billion items of PPE delivered so far.
The hon. Gentleman asked about the spare capacity in the NHS. There are over 10,000 beds currently free in the NHS. We want to reopen the NHS to non-coronavirus symptoms and patients with non-coronavirus conditions safely and carefully as soon as it is safe to do so. The first step we are taking is to send the message loud and clear to people who have suspected conditions that they should come forward. If you think you have a lump that might be a cancer, come forward now, and you will be safely and properly treated in the NHS. The same goes if you have a suspected heart attack or stroke. We have systems in place to make sure that if you come to the NHS, you will be looked after and protected.
We will gradually reopen the rest of the NHS—for instance, to the sort of non-life-threatening conditions and elective surgery the hon. Gentleman mentioned—as soon as it is safe to do so. As he can see, the combination of having some spare capacity in the NHS and at the same time having reached the peak of the virus means that we can now start to reopen the NHS. Part of that is encouraging people to seek NHS treatment when they need it.
Finally, the hon. Gentleman mentioned contact tracing and the app. The app is currently in beta trials, which are going well, but, clearly, although an app to tell people who test positive for coronavirus whom they have been in contact with is helpful, we also need mass contact tracing so that as we bring the rate of transmission down and the rate of testing up, we can contact all the people anyone who tests positive has been in contact with and make sure that they get access to support and know what to do. In that way, we can control the virus with fewer of the extraordinary social distancing measures that have been in place.
I hope we can speed up the answers a little. I think that answer was twice as long as the question. I know you want to make sure you are thorough, Secretary of State, but we have quite a few questions to get through.
I now call the Chair of the Health and Social Care Committee, Jeremy Hunt.
The hon. Gentleman has completely missed the tone and the point of what we are trying to do, as a nation, to pull together in this time of grave difficulty. It is absolutely the case that our prime goals at the start of this crisis—our two objectives to flatten the curve and to make sure that the NHS always has the capacity to treat everybody who needs it—have thus far been met. Of course there are challenges. There are enormous challenges—distributing 1 billion pieces of PPE is not straightforward.
On the hon. Gentleman’s point about whistleblowers, he is completely wrong to say that it is not possible to raise an issue in the NHS; by contrast, thousands of people do it in public and private every single day. It saddens me that a Member of this House might get the tone wrong so badly. There are reasonable questions to be asked and we try to answer them in a reasonable way. That is the best way for the House to proceed.
Well, of course we look at all options. Under the test, track and trace strand, the policy advice on how people should isolate if they test positive is an important part of that. That advice is in place, but of course test, track and trace also relies on self-isolation to ensure that it is implemented properly. Test, track and trace is about finding out who needs to take action—they then need to take the action set out.
(4 years, 5 months ago)
Commons Chamber(4 years, 5 months ago)
Commons ChamberYes, we are looking at all possible methods of diagnosis, and we have funding to ensure that we can improve the research. Diagnostics must be effective, but our goal is to for them to be done next to the patient and turned around rapidly, which, obviously, is what everyone the world over is seeking.
(4 years, 7 months ago)
Commons ChamberNick? It is not “Room 101”, Mr Speaker.
With permission, Mr Speaker, I would like to update the House on the ongoing situation with the Wuhan coronavirus. On Friday, the chief medical officer announced that two patients in England who are members of the same family tested positive for coronavirus. They were transferred to a specialist unit in Newcastle, where they are being cared for by expert staff. Public Health England is now contacting people who had close contact with these two confirmed cases. Close contacts will be given health advice about symptoms and emergency contact details to use, should they become unwell in the next 14 days. These tried and tested methods of infection control will ensure that we minimise the risk to the public.
On Friday, a Foreign Office-chartered aircraft carrying 83 British nationals left Wuhan for the UK, and I want to thank all those involved in that operation, including staff at my own Department, the Foreign Office, Border Force, the Ministry of Defence and military medics, as well as all the NHS staff, officials at Public Health England and many more who have worked 24/7 on our response so far.
Yesterday, we brought back a further 11 people via France, and returned UK nationals have been transferred to off-site NHS accommodation at Arrowe Park Hospital on the Wirral, where they will spend 14 days in supported quarantine as a precautionary measure. I thank all the staff there who have done so much to make that possible. There, they will have access to a specialist medical team who will regularly assess their symptoms. In addition, one British national has been taken to a separate NHS facility for testing.
We will take a belt-and-braces approach that makes public protection the absolute top priority, from a virus that is increasingly spreading across the world. As of today, there are more than 17,000 diagnosed cases in mainland China, with a further 185 in other countries, including France, Germany and the United States. There have been 362 fatalities so far. The World Health Organisation has now declared the situation a public health emergency of international concern, and the UK chief medical officers have raised the risk level to the UK from low to moderate. We are working closely with the WHO and international partners to ensure that we are ready for all eventualities.
Health Ministers from G7 countries spoke this afternoon, and agreed to co-ordinate our evidence and response wherever possible. The number of cases is currently doubling around every five days, and it is clear that the virus will be with us for at least some months to come; this is a marathon, not a sprint. On existing evidence, most cases are mild and most people recover. Nevertheless, anyone who has travelled from Wuhan or Hubei province in the last 14 days should immediately contact NHS 111 to inform the health service of their recent travel, and should stay indoors and avoid contact with other people just as they would with the flu—even if there are no symptoms. Anyone who has travelled to the UK from mainland China in the past 14 days and is experiencing a cough, fever or shortness of breath should self-isolate and call NHS 111, even if symptoms are mild.
We will do all we can to tackle this virus. We are one of the first countries in the world to develop a new test for it. Testing worldwide is being done on equipment designed in Oxford, and today I am making £20 million available to the Coalition for Epidemic Preparedness Innovations to speed up the development of a vaccine. I can announce that Public Health England has sequenced the viral genome from the first two positive cases in the UK, and is today making that sequence available to the scientific community. Its findings suggest that the virus has not evolved in the last month. We have also launched a public information campaign, setting out how every member of the public, including Members of this House, can help by taking simple steps to minimise the risk to themselves and their families: washing hands and using tissues when they sneeze, just as they would with flu. That goes for all of us.
We remain vigilant and determined to tackle this virus with well-developed plans in place. I commend this statement to the House.
(4 years, 7 months ago)
Commons ChamberWe now come to the announcement of the results for the election of Select Committee Chairs. The results for Chairs who were unopposed were announced on Monday and the election for the contested votes were held by secret ballot today. Five hundred and eighty-six ballot papers were submitted. The results are as follows: Committee Elected Defence Mr Tobias Ellwood Digital, Culture, Media and Sport Julian Knight Environmental Audit Philip Dunne Foreign Affairs Tom Tugendhat Health and Social Care Jeremy Hunt International Development Sarah Champion International Trade Angus Brendan MacNeil Justice Sir Robert Neill Northern Ireland Affairs Simon Hoare Petitions Catherine McKinnell Procedure Karen Bradley Public Administration and Constitutional Affairs Mr William Wragg Science and Technology Greg Clark Transport Huw Merriman Work and Pensions Stephen Timms
I congratulate colleagues who have been elected and thank all the candidates for taking part. The full breakdown of voting in each contest is set out in the paper that will be available shortly from the Vote Office and on the website. The Members elected take up their positions formally when the Committee has been nominated by the House.
On a point of order, Mr Speaker. Earlier this week at Health questions, my right hon. Friend the Member for Chelsea and Fulham (Greg Hands) raised a question about scaremongering around the Parsons Green walk-in centre. The Parsons Green walk-in centre is not closing and anyone who claims that is not following the facts, but I wanted to come to the House at the earliest moment to apologise, Mr Speaker, to you, to the House, and to the hon. Member for Hammersmith (Andy Slaughter), because I did not follow the parliamentary custom of letting him know in advance that I was going to mention him. I am afraid that I did not know the subject was going to come up, although I should not have been surprised given my right hon. Friend’s assiduousness. I do not apologise for the substance of what I said, nor for the force with which I said it, because I think that this sort of scaremongering worries the most vulnerable, but I do apologise for not letting the hon. Member know in advance.
I hope the Secretary of State will go a little bit further than that. Calling an hon. Member a total disgrace should be retracted.
I am very happy to retract that and I hope that this will be the end of the matter.
(4 years, 7 months ago)
Commons ChamberTax is, of course, a matter for the Treasury, and the Chancellor would not be thrilled if I announced tax policy in the middle of health questions, tempting as that may be. However, we have been working with the Treasury, and also with the Academy of Medical Royal Colleges, the British Medical Association, employers in the NHS and others, to deliver on our manifesto commitment to sort this out.
(5 years, 8 months ago)
Commons ChamberOrder. Just to help everybody, let me say that we have 11 speakers, we still have to hear from the Opposition shadow Minister and we have the wind-ups. So I hope we can take that into account, although I recognise that the Minister is being very generous.
Thank you, Mr Deputy Speaker. These are very important points—
Order. Perhaps I will have to set it out differently. What I am trying to say is that we have 11 Members to speak and we could try to give them some time. Important as this and giving way all the time is, it is very important that we hear from other people.
Noted. Returning to the point made in the intervention, of course if there is an objection, there is a right in this case. So there is an escalation process in the event of an objection.
Before I end, I want briefly to deal with the Opposition’s reasoned amendment, because I hope we are able to show in this debate that all the points they raise have been considered. I hope the House will not mind my taking a moment to address each one briefly. First, they make the claim that somehow the Bill has been rushed through and insufficient pre-legislative scrutiny has been carried out. The Bill follows the Law Commission spending three years developing the new model, consulting extensively. The Joint Committee on Human Rights then conducted an inquiry and pre-legislative scrutiny. The Local Government Association, Age UK and Sir Simon Wessely have all backed the new legislation now. The LGA says:
“The Bill provides a vital opportunity for long-awaited reform”
and it needs to be passed. So we need to get this Bill on the statute book, because every extra delay risks depriving someone of their liberty and their right to freedom unnecessarily, and I do not want to see that happen.
Secondly, the amendment claims that the Bill
“enshrines a conflict of interest in relation to independent providers of health and care services”.
Again, that is not the case. Every authorisation must be reviewed by somebody who does not deliver day-to-day care and treatment for the person in question. We plan to go further by tabling Government amendments that will require authorisations in independent hospitals to be reviewed by an external approved mental capacity professional. Finally, the reasoned amendment claims that it is concerned about clearing the backlog in the current system. Well, so are we, and that is what this Bill does. Anyone concerned about the backlog and the current system should back the Bill with enthusiasm.
The claims that this Bill does not put the interests of the cared for person first or address the interface with the Mental Health Act have been addressed already. The very reason we need this legislation is so that we can put their interests first, because they cannot afford to wait for the recommendations of the Mental Health Act review to come into effect, in a Bill that will inevitably take time to develop, because of the need to do this on a consultative and broad basis. While welcoming the probing, I very much hope that the Opposition and every Member of this House will support this Bill, because it strikes a careful balance between liberty and protection. It offers vulnerable people a brighter and better future. We have listened to concerns and we continue to be open to ideas. We have sought to amend and improve the Bill as it has progressed through the other place, and we will make further amendments in this House. I therefore hope that this opportunity to change the system for the better is one that the House recognises. I also hope it will recognise that doing nothing is not an option. That is why I am proud to commend the Bill to the House.
(7 years, 8 months ago)
Commons ChamberRight hon. Gentleman. I wanted to improve the quality of debate by bringing a couple of facts to bear, because the hon. Gentleman is making a highly politicised and partisan speech. It is just worth pointing out to the House that in Wrexham, a town I know well, 95% of premises have access to superfast broadband, and by next summer that figure will be 98%.
Order. If everybody is to get equal time, Members should take up to 10 minutes; if they do not do that, other people will get squeezed out. If Members wish to make interventions, they should be short and sweet. I ask the people who are giving way to use up to 10 minutes. Ian Lucas, I know you are nearly ending your speech.
On a point of order, Mr Deputy Speaker. I would like to make a correction to an inadvertent error made as this morning’s Culture, Media and Sport questions. We are proud that 20% of DCMS appointments to public bodies since the reshuffle in July have been people from black and minority ethnic backgrounds. I said this morning that the figure was 24% and I wanted to correct the record for the House at the earliest opportunity. We are strongly committed to diversity in public appointments, and I think this figure demonstrates that fact.
I think the House welcomes that correction, and I am sure the Minister will sleep better tonight for it.
(7 years, 9 months ago)
Commons ChamberI can now inform the House of my decision about certification. For the purposes of Standing Order No. 83L(2) and on behalf of Mr Speaker, I have certified clause 85 of the Digital Economy Bill as relating exclusively to England and within devolved legislative competence. Copies of the certificate are available in the Vote Office. Under Standing Order No. 83M, a consent motion is therefore required for the Bill to proceed. Does the Minister intend to move the consent motion?
indicated assent.
The House forthwith resolved itself into the Legislative Grand Committee (England) (Standing Order No. 83M).
[Mr Lindsay Hoyle in the Chair]
Motion made, and Question proposed,
That the Committee consents to the following certified clause of the Digital Economy Bill:
Clauses and schedules certified under Standing Order No. 83L(2) as relating exclusively to England and being within devolved legislative competence
Clause 85 of the Bill (Bill 87).—(Matt Hancock.)
The debate will take place now. Come on in, Mr Wishart.
I shall not detain the House for long. All I can say is that the hon. Member for Perth and North Perthshire (Pete Wishart) had an opportunity to talk about clause 85 on Second Reading. Did he do so? No, he did not. There was spare time during the Committee stage. The hon. Gentleman could have joined the Committee, enjoyed our company, and talked about clause 85. Did he do so? No, he did not. On Report, he could have tabled any sort of amendment to clause 85, or, indeed, tried to vote against it, but he chose not to. I think we can see through all his bluster.
Question put and agreed to.
The occupant of the Chair left the Chair to report the decision of the Committee (Standing Order No. 83M(6)).
The Deputy Speaker resumed the Chair; decision reported.
Third Reading
Queen’s and Prince of Wales’s consent signified.
(9 years, 5 months ago)
Commons ChamberI beg to move, That this House agrees with Lords amendment 1.
With this it will be convenient to take Lords amendments 2 to 33, 63 to 85, 87 to 131, 133 to 135 and 142 to 193.
Order. I am the one who has to worry about these issues. In fairness, the Minister has been tempted to deal with nuclear, offshore and other subjects.
Thank you, Mr Deputy Speaker. I am sure that my hon. Friend the Member for Wellingborough would do a remarkable job in your seat, but I am grateful for your guidance.
I want to mention planning, not least because it was raised by my hon. Friend the Member for Wellingborough and because it forms part of the wider arguments about whether we should have subsidies for onshore wind in the future and whether we should end subsidies for onshore wind in the way set out in the Bill or in a careful and measured way, as I have set out.
We have been very clear that wind farms must be well sited to receive planning permission and that communities must be taken into account before planning decisions are made. The reforms we have made to the planning system bear that out. We have also made it compulsory for developers to have pre-application consultations with local communities on onshore wind developments of more than two turbines or when the hub height of the turbine exceeds 15 metres. That means that developers need to engage seriously with communities even before submitting a planning application.
We have also published new planning practice guidance on renewable energy, updated last year, which will help deliver the balance required by the national planning policy framework. That will make it clear that the need for renewable energy does not automatically override environmental protections and the planning concerns of local communities. This is what I was referring to earlier when I said that saving the global environment must not be done in a way that damages our local environment. The new planning guidance has also been published to assist local councils and planning inspectors in their consideration of local plans and individual planning applications.
I also want to touch on the planning recoveries issue mentioned by my hon. Friend the Member for Wellingborough and by the hon. Member for Sunderland Central. Our new planning practice guidance and the requirement for developers to consult local communities before they submit a planning application are crucial steps in improving the quality of proposed onshore wind developments and ensuring that local communities are listened to whether there is a subsidy in place or not, as set out in the Bill. Of course, however, some communities remain concerned when a local planning decision is challenged on appeal.
It is important that local communities continue to have confidence in the appeals process and that the environmental balance expected by the national planning policy framework is reflected in decisions on renewable energy deployment. That is why my right hon. Friend the Secretary of State for Communities and Local Government announced a temporary change to the appeals recovery criteria for a period of six months. In doing so, he explained that he wanted to give particular scrutiny to planning appeals involving renewable energy developments so that he could consider the extent to which the new practice guidance met our intentions. Since that planning guidance was issued, more appeals have been dismissed than approved for more significant turbines, reversing the trend before the guidance was issued, when more approvals were approved than dismissed.
The Secretary of State for Communities and Local Government has found that the guidance is helping to ensure that decisions reflect the environmental balance we need to see, as set out in the framework, but he also recognises that the guidance is relatively new and that some development proposals might not yet have taken on board its intent. That is why after careful consideration he decided on 9 April 2014 to extend the temporary change to the appeals recovery criteria and continue to consider for recovery appeals for renewable energy developments for a further 12 months. We will continue to monitor the impact of recoveries on onshore wind and on investor confidence more broadly. There you have it, Mr Deputy Speaker.
We have been very clear about the fact that onshore wind plays a role in our energy mix. It produced 7% of the UK’s electricity in the last quarter, but we need to ensure that we tackle the challenge of climate change in the way that incurs the lowest possible cost. In the next Parliament, we will in time remove the subsidies from onshore wind, but I hope that that will happen as part of a wider move to drive down the cost of subsidies, especially as the cost of renewables falls and as some renewables, such as solar, are financed reasonably cost-effectively and reach parity with fossil fuels. That will significantly change the debate about renewables because we will reach a point where going green reduces costs, rather than adding subsidies to consumers’ bills.
We should stick to that clear direction and vision, and we should do so in a way that allows the House to abide by its commitments. I take on board the point about the Bill’s intention, which is consistent with the Prime Minister’s words, even if the technicalities are slightly different.
I have not dwelt at all on the utter chaos and catastrophe of the Opposition’s policies, the inconsistencies of which were well drawn out in the debate. I am not going to go there, and I will not talk about how no one can have a freeze that is not a freeze and how the freeze policy was launched by someone standing next to an ice block, so to describe it later as a cap seems inconsistent with the intention at the time.
It is a great pity that the Opposition have no credible policy to speak of, but I suppose that only shows why it is vital that we have a successful outcome to the general election, so that we can continue with the goals that we have set. I look forward to working further on the Bill’s details with my hon. Friend the Member for Wellingborough, but it is clear that the costs of subsidies for wind are falling. We are bringing them down through the power of the ingenuity of mankind and the price discovery of the market. We are clear that we will remove future subsidies for onshore wind, and we will be careful to ensure that local planning considerations and the beauty of the local environment are taken into account. Although I have considerable sympathy with the Bill, it is not the right way to go about the stated policy, and the Government will therefore resist it.
(11 years, 1 month ago)
Commons ChamberOrder. The Minister has now been speaking for 10 minutes, so I am sure that Bob Stewart can save himself for later.
Let me just run through as quickly as I can some of the other points that were made.
The objective in the negotiations, including in TTIP, will be to have commitments in health services that are broadly in line with existing international trade agreements, so I can reassure Members on that point. It is true that this is an ambitious project, but our goal is that it should be concluded within 18 to 24 months. The US interpretation is that it should be concluded on one tank of gas, and we wholeheartedly agree. The British Government will put in place whatever support is necessary for the Commission to help that happen. The benefits will come not only as a result of reducing tariffs, although they are relatively low, but from non-tariff barriers, mutual recognition of regulation and the treatment of intellectual property, which has been mentioned.
We are under no illusions that this will be easy, but we are well placed and have a strong political commitment. In the first negotiating round, which took place last week, good progress was made. A framework for the negotiations was agreed and an initial productive exchange of views on ambition and approach across each dossier was achieved. As the Prime Minister has said, it is a once-in-a-generation prize and we are determined to seize it to ensure that the benefits of free trade can increase and strengthen jobs and prosperity in this nation and around the world.
I call Mr John Healey. You have up to two minutes, but please be brief.
(12 years, 8 months ago)
Commons ChamberYouth unemployment in my constituency is falling because of a work experience programme that has now been rolled out across the country. I say that to preclude the shadow Chancellor’s rebuttal. He has just argued in response to my hon. Friend the Member for Bedford (Richard Fuller) that private sector debt is a good thing. Will he have the balls to say that explicitly?
Order. I am not quite sure we are going to allow “balls”. I am sure you can think of a better word, Mr Hancock.
I withdraw it. Will the shadow Chancellor have the weight to state explicitly what he has just argued, which is that private sector debt is a good thing?
(13 years, 9 months ago)
Commons ChamberIn my experience it is always better to be anything than a clunking fist.
I will end by saying this. We do not know what the future holds. We know that regulation is not perfect. It is therefore far better to have one person and an institution in charge of the regulatory structure who can exercise judgment to the best of their ability than it is to try to write a rulebook for a perfect system that we know we will never create. That is why I think that the Government have already put forward such a critical change to our financial architecture—a change that I hope will be accepted by the Opposition and which will form the basis of the good economic governance of our country for years to come.
I call Mr Morris. Are you going to be very brief?
(14 years, 1 month ago)
Commons ChamberOrder. I remind Members that we have to stick to the Bill. We are being dragged off in different directions, so please stick to the Bill. That is what we are debating.
I am grateful for the opportunity to pay tribute to the then Chancellor, who expressed his gratitude to the then Opposition Conservative party for the support it gave him during September 2008. That is often forgotten on the Labour Benches.
On the evidence, one of the central questions to which we return time and again in this debate is whether there is a contradiction between dealing with the deficit and getting growth. It is clear that the Labour Front-Bench team think that those two things are entirely in contradiction. However, I want to consider the evidence for whether that is true. We all know that, in the long term, tackling the deficit is unavoidable—occasionally that is even acknowledged by those on the Labour Front Bench. Any child born is born with £23,000 of debt, and under the former Government’s plans, interest payments would have amounted to £70 billion a year, which could otherwise have been spent on important public spending.
There is also a question, in the shorter term, of whether fiscal responsibility can lead to growth. I was interested in this, so I went to look at some of the evidence. There is a very good literature review by Alberto Alesina, who, having described the argument that there is only either fiscal consolidation or growth, wrote that
“the accumulated evidence paints a different picture… Many even sharp reductions of budget deficits have been accompanied and immediately followed by sustained growth… These are the adjustments which have occurred on the spending side and have been large, credible and decisive.”
If the shadow Minister thinks that the Budget was large, credible and decisive, I would be happy to hear from him.
(14 years, 2 months ago)
Commons ChamberGiven what the hon. Lady has just said, does she support the Government policy on RDAs, which is to allow local people to decide whether local economic partnerships should cover the region or a smaller area?
Order. Only one Member can be on their feet at any one time. Please allow the Member to finish before rising again.