Oral Answers to Questions

Debate between Liz Kendall and Matt Hancock

Tuesday 23rd February 2021 Commons Chamber

[Matt Hancock]

Yes, I do. All those who arrive in this country as passengers need to undergo quarantine, and we have both the hotel quarantine and home quarantine; all need to be tested; and all the positive test results are sent for sequencing so that we can spot any new variants. This is a critical part of our national defences. The good news is that we can see from the data that the number of new variants in the country is falling and is much lower than it was last month. We obviously keep a very close eye on that, because making sure that we do not have a new variant that cannot be beaten by the vaccine is a critical part of the road map, as set out by the Prime Minister yesterday.

[Liz Kendall (Leicester West) (Lab)]

The Prime Minister promised that all staff in elderly care homes would be vaccinated by the end of January. Will the Secretary of State confirm that more than 30% of those staff in England have not been vaccinated, and that the proportion rises to almost half of all staff in elderly care homes in London? Will he urgently set out precisely how the Government will increase uptake and tackle lies and misinformation about the vaccine among this vital group of workers, as we have been urging the Minister for Care to do since before Christmas?

[Matt Hancock]

Yes. We are absolutely all on the same side on this issue. To be totally clear for the hon. Lady, and all those listening, the Prime Minister set out that we would offer the vaccine to all residents of care homes by the end of January and to all staff by 15 February, and we achieved that. The challenge is uptake. Rather than having a political ding-dong about it, what we all need to do is get out the positive messages about the vaccination programme. I am delighted that the Minister for Care and the Minister for Covid Vaccine Deployment have both been working incredibly hard on this issue, and we published an uptake plan last weekend. I am sure the hon. Lady will want to join the efforts to try to encourage everybody to get the jab.

Oral Answers to Questions

Debate between Liz Kendall and Matt Hancock

Tuesday 12th January 2021 Commons Chamber

[Matt Hancock]

That is right. The Chair of the Health and Social Care Committee is wise to say that this will be a marathon, not a sprint. As of the early hours of this morning, we have vaccinated 39.9% of over-80-year-olds in England. We will reach all over-80-year-olds and ensure that they have the offer a vaccine in the coming weeks, and we will reach all of the top four priority groups by 15 February. We are on track and I am confident that we will deliver that. The other message that my right hon. Friend will perhaps help all of us to pass on to all his constituents, including his mum, is that the NHS will get in contact with them and offer them an appointment. That is the best and fairest way in which we can get the roll-out happening.

[Liz Kendall (Leicester West) (Lab)]

The Secretary of State will know that we cannot protect the NHS unless we also protect social care, yet there are worrying signs that the Government risk losing control of the virus there too. Infection rates in care homes have tripled in a month; homes are reporting staff absence of up to 40%; and the latest weekly care home deaths are the highest since May. So can the Secretary of State set out what immediate extra support he can provide so that the sector can cope, and will he commit to publishing daily vaccination rates for care home residents and staff, so that we know whether the Government are on track to completing all those vaccinations in less than three weeks’ time?

[Matt Hancock]

We have made that commitment and it is incredibly important that vaccinations are offered to everybody in care homes. The NHS is working hard to deliver on that with its colleagues in social care. Across the board, colleagues are working hard to deliver this life-saving vaccine. Of course, we are always open to further support for social care and it is something that we are working on right now to ensure that we can get the right support for testing, in particular to support the workforce, who are absolutely central to making this happen.

Covid-19 Update

Debate between Liz Kendall and Matt Hancock

Thursday 16th July 2020 Commons Chamber

[Matt Hancock]

The shadow Secretary of State said this, and the hon. Lady is now trying again. On 16 March, I said to this House—and it was welcomed by the shadow Secretary of State—

[Liz Kendall (Leicester West) (Lab)]

Orwellian!

Coronavirus and Care Homes

Debate between Liz Kendall and Matt Hancock

Tuesday 19th May 2020 Commons Chamber

[Liz Kendall]

Over 23,000 more people have died in care homes in the first four months of this year compared with last year. This virus is the biggest health challenge of our lives, but Ministers have been too slow to tackle the problem in care homes, social care has not had the same priority as the NHS, and these services have not been treated as inextricably linked.

Will the Secretary of State explain why guidance saying that care homes were “very unlikely” to be infected was not withdrawn until 12 March, given that the chief medical officer warned about community transmission and the risks to the elderly on 4 March? NHS England rightly asked hospitals to free up at least 30,000 beds to cope with the virus, but will the Secretary of State explain why there was no requirement to test those being discharged to care homes—the very group most at risk—until 15 April? Care providers had serious problems getting personal protective equipment, as their normal supply was requisitioned by the NHS, when both are equally important. Why did that happen?

It took until mid-April for the Government to produce a social care plan, until the end of April for them to say that all residents and staff should be tested, and until 11 May for them to set a deadline for achieving this—and that deadline still is not until 6 June. Will the Secretary of State explain how he squares all that with his claim that Government have thrown a “protective cloak” around care homes right from the start? Despite all the warnings, care homes in my constituency told me over the weekend that they cannot access the Government’s new online testing portal, that tests are not being picked up and that it is often weeks until they get results back. When will this be sorted out?

Finally, the Government have said that the NHS will get whatever resources it takes to deal with this virus. Will the Minister now make the same commitment to social care and guarantee that no provider will collapse because of this virus? No one denies how difficult this is, but instead of denying problems and delays, Ministers should learn from their mistakes so that they can put the right measures in place in future and keep all elderly and disabled people safe.

[Matt Hancock]

I welcome the hon. Lady to her post and to her first question in this new role. I know that she enjoys a good working relationship with the Minister for Care, my hon. Friend the Member for Faversham and Mid Kent (Helen Whately), and that cross-party working during this crisis has gone on throughout. I thank her for that and for the approach that she is taking. She is right and perfectly reasonable to ask questions about how we can further improve the support that we are giving to the care sector, and, as I have said from this Dispatch Box before, and before her appointment, we have made social care a priority from the start. The first guidance went out to social care in February. She referred to the 13 March guidance. That was only a matter of days immediately after the risk to the public was raised on medical advice. The guidance that was in place until then, as she probably knows, explicitly stated that that guidance was in place while community transmission was low and that it would be updated as soon as community transmission went broader. That is exactly what we did.

More importantly, the hon. Lady raised the question of discharges, and I understand the questions that have been asked about discharges into care. It is important to remember that hospital can be a dangerous place for people. As well as saving lives, it can also carry risks, and does so, so it is an appropriate clinical decision in many cases for people to be discharged from hospital, and safer for them to go to a care home. What is important is that infection control procedures are in place in that care home, and those infection control procedures were put in place at the start of this crisis and have been strengthened, exactly as she says, as we have learned more and more about the virus all the way along. As the clinical understanding of coronavirus has strengthened, so too have we updated and strengthened our guidance.

The hon. Lady asked about PPE. As she and every Member of the House knows, there has been an enormous global challenge with the global shortage of PPE and the need to get PPE distribution out to tens of thousands of settings. The guidance that we have put out again, which is guided by clinical expertise, states the level of PPE that is required, and we are now delivering against those standards. We have processes in place so that all care homes that have shortages—the numbers are coming down, I am glad to say—can get in contact with their local resilience forum and make sure that they can get that PPE. Those processes are in place. It has been a huge challenge. It was called the biggest logistical exercise of the last 40 years by the head of the Army, and I think he was right.

The hon. Lady also asked about resources. Of course, if more resources are needed, we are open to those discussions. The fact that we put through £600 million more that will go directly to social care—it will not be able to be held by councils; rather, it will go directly into social care—is right, but we have also learned some really big things about social care, confirming some of the things many of us thought before. For instance, it is true that we need to have a more co-ordinated policy between health and social care. These social care reforms, which are long overdue and have not been put in place by Governments of all colours, absolutely must happen.

Covid-19

Debate between Liz Kendall and Matt Hancock

Monday 16th March 2020 Commons Chamber

[Matt Hancock]

We are looking at all those questions. The proposal to relax student-staff ratios is in the Bill. We will publish the content of the Bill tomorrow and the Bill itself on Thursday. The point about key workers is incredibly important. I am working hard with the Education Secretary to address precisely the concerns that my hon. Friend raises. Of course schools play an important part not just in educating our children but in allowing so many people to go to work, but we have to make sure that they are safe as well. One of the blessings of this virus is that it almost entirely spares children, which means that it is safe for children to go to school.

[Liz Kendall (Leicester West) (Lab)]

Can the Health Secretary give the public some reassurance about his plans for social care, which many vulnerable elderly and disabled people rely on? In particular, what plans does he have to ensure that the care workforce can continue to be effective? We already have more than 120,000 vacancies in the sector, and half of all home care workers are on zero-hours contracts. Is he confident that the care workforce can do what elderly and disabled people and the NHS need?

[Matt Hancock]

Obviously, that is an incredibly important area. Earlier today, there was a call with local authority leaders, my right hon. Friend the Communities Secretary and the Care Minister. Enormous amounts of work are being done and we will do everything we can to support social care.

Coronavirus

Debate between Liz Kendall and Matt Hancock

Wednesday 26th February 2020 Commons Chamber

[Matt Hancock]

Decisions on precise travel advice for each country is of course a matter for the Foreign Office, but I can tell my hon. Friend that all those considerations are taken into account. We have to base decisions on the best possible science and clinical advice.

[Liz Kendall (Leicester West) (Lab)]

What assessment have the Government made of the potential economic consequences of the spread of the coronavirus, globally as well as in Europe and in the UK? The Secretary of State will know that northern Italy is in lockdown and that other countries with a much greater spread of the disease have provided an economic stimulus because whole areas are shutting down. We are not there at all in the UK, but has he discussed this issue with the Treasury, because the potential impact on growth and the nervousness of financial markets is very real?

[Matt Hancock]

The hon. Lady is absolutely right to raise this issue. I have of course talked to the Treasury and the new Chancellor of the Exchequer on this question. Another important consideration is that overreaction has economic and social costs too. We have to keep the public safe, but we need to act in a way that is proportionate, so that does come into our considerations. My primary goal is to keep the public safe—of course it is—but we also have to take into account other impacts. For instance, as I set out in the statement, schools should stay open, with no blanket ban, unless there are specific reasons for them not to. Closing a school does not just have an impact on children’s education—there are wider social and economic impacts too.

Social Care

Debate between Liz Kendall and Matt Hancock

Tuesday 25th February 2020 Commons Chamber

[Matt Hancock]

My hon. Friend is right that it is about more than just money. The money is, of course, important, but it is also about how the system is structured. There are parts of the country where the co-commissioning he calls for already exists, and we can see the improvement in efficiency that we get out of that. The hon. Member for Worsley and Eccles South (Barbara Keeley) rightly mentioned those with learning disabilities and autism, of whom there are more than 2,000 in in-patient settings. We are reducing that number and supporting more people to move into the community, including in the example that she mentioned. She talked about the challenge of that requiring more money. Actually, community settings are often better for the patient and cost the taxpayer less. As my hon. Friend says, improving the commissioning and the system is a critical part of the solution, so that yet more people can be moved out of in-patient settings.

[Liz Kendall (Leicester West) (Lab)]

The Secretary of State talks about transforming care and services so that we focus more on prevention, early intervention and help in the community and at home. That is what we should be doing, so why, as the National Audit Office has just reported, have we seen less money spent on public health, primary care and community care under this Government in the last five years? This Government are obsessed with hospitals, which is not the way that we want to go—it is about care in the community and at home.

[Matt Hancock]

The hon. Lady is dead right, and I have changed that direction of travel. This year is the first year for a generation when there has been an increase in the proportion of the NHS budget going to primary and community care. That change was at the core of the long-term plan. I insisted on that because I entirely agree with her analysis that getting more support out into the community is critical. This has been going in the wrong direction for a generation, and we are just starting to fix it.