Covid-19

Luke Evans Excerpts

Monday 2nd November 2020 Commons Chamber

[Matt Hancock]

Yes, as we have discussed many times, that is happening—absolutely—and it is the link between the national and the local that is the solution here. I will come on to testing in more detail later because I have some new things to say about it. In the meantime, the other thing we need to do, of course, is make sure that for this second peak—the second wave—we do all we can to support those institutions that are helping us through it, and first among those is, of course, the NHS.

The NHS is better prepared for this second wave, and I want to thank the NHS and everybody who works in it for their efforts over the past few months to ensure that we are better prepared. We know infinitely more things about coronavirus now than we knew as the first wave hit. Our Nightingale hospitals, for instance, stand ready and are being restarted in the parts of the country that need them. The independent sector has stepped up to the mark to help us work through the backlog of the vital elective operations and to help keep going with elective operations, even through this second peak. We have hired more staff, with 13,700 more nurses and 7,800 more doctors. We have provided £3 billion of extra funding across health and social care. Personal protective equipment is widely and freely available, and infection control procedures have been significantly strengthened, based on better understanding of transmission of the virus, including aerosol as well as droplet and fomite transmission.

[Dr Luke Evans (Bosworth) (Con)]

I am glad to hear that preparations are under way. I have had several emails from constituents in Bosworth who are worried about their routine operations; their follow-up might be lost. They remember what happened in the last lockdown, when they were not able to get that follow-up. Can my right hon. Friend confirm that all NHS appointments will be going ahead as best they can?

[Matt Hancock]

Yes, absolutely, and my hon. Friend makes a critical point. If in Bosworth someone is waiting for an operation on the NHS, they are more likely to get it if we keep the virus suppressed—in fact, if we keep it down, they will get that operation and we will get it done. Unfortunately, in the parts of the country where things have got too high, non-urgent, non-cancer elective operations have had to be cancelled. That demonstrates that, both for covid and non-covid health reasons, it is better to keep the virus suppressed.

I was halfway through my long list of the things that the NHS has been doing to prepare over the summer. At the moment, we are delivering 159 A&E upgrades; as far as I know, that is the biggest number of concurrent upgrades to emergency care in the NHS’s history. We have radically expanded telemedicine in primary and outpatient care. We are introducing 111 First, with an expanded 111 service to help people get the care that they need.

The NHS has learned how to treat covid patients better too, of course: not just by discovering treatments such as dexamethasone, in which the NHS played a critical part, but by improving clinical techniques—earlier oxygenation and later ventilation, for instance. As a result, our rate of hospital-acquired infection is down and the number of people who survive covid in hospital is up. We have been able to set an explicit goal that all cancer treatment should continue throughout this second wave, which speaks precisely to the point that my hon. Friend the Member for Bosworth (Dr Evans) made.

But even with this expanded NHS and with the better treatments, the extra investment and the brilliance of the whole NHS team, who have done and learned so much about the virus and worked so hard to prepare—even with all that—and even if the NHS were twice as big as it is now, it could not cope, and no health service could, if the virus continued to grow as it is now. We must control the virus, to protect the NHS and ensure that it is always there, to treat patients with covid and patients with all other conditions.

--- Later in debate ---

[Dr Luke Evans (Bosworth) (Con)]

This debate serves as a good place to set the scene for 48 hours’ time. I agree with my right hon. Friend the Member for Forest of Dean (Mr Harper) that a large number of people will want to speak in that debate and consideration should be given to increasing its length.

In 48 hours’ time, we will be looking at measures to protect the NHS—to stop it being overburdened, to protect the workforce, to protect the most vulnerable, and to try to help get through non-covid and covid problems. In 48 hours’ time, we will be voting on the economic impact, trying to mitigate the measures we are putting in place, trying to maintain businesses and to support jobs, trying to create covid-secure measures, and discussing the impact on the finances of this country for our children and our children’s children. In 48 hours’ time, there will be a vote, and every Member will have to consider the impact of what that means.

I want to spend the few minutes I have talking about the pragmatic side before we get to the debate on Wednesday, which I hope to speak in. I think it was Lincoln who said, “Give me six hours to chop down a tree and I will spend the first four hours sharpening the axe.” That is what I want the Government to do in the next 48 hours. The one benefit we have is that we have learned from last time’s lockdown. We know what it looked like. People know what it looked like. This House knows what it looked like. Therefore, we can use these 48 hours to pull the guidance together to deal with the concerns, iron out the anomalies—for example, on garden centres—and explain the differences: that schools are now open, that we now have bubbles, and that people now understand that they should get a test. This is something we have control over as the Government—the communication of how we put that message out. We have 48 hours to get that right.

The concerns from Bosworth in my email inbox today are many and varied, from non-covid work, health work and mental health, to golf and fishing, to the ability to take away beer or go to the gym and faith meetings. The Minister and the Secretary of State were kind enough to be at my meeting on Sunday to hear these questions from many MPs. Indeed, we have heard them raised yet again tonight. The civil service is looking at how to put this all in place. I urge the Government to hear those messages, to learn from what we have seen before, and, even better, to put it all together in a document that compares what we had before with what we are having in future so that everyone, from MPs in this House to the general public, can see what has changed and what stays the same. We have 48 hours to sharpen the guidance ready for Wednesday. I hope that on Wednesday, in doing that, we can cut down covid.