Public Health: Coronavirus Regulations Debate

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Department: Department of Health and Social Care

Public Health: Coronavirus Regulations

Luke Evans Excerpts
Tuesday 13th October 2020

(3 years, 6 months ago)

Commons Chamber
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Matt Hancock Portrait Matt Hancock
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Yes, absolutely, and I will go further than that: we look at this at sub-district level, if that is appropriate. In High Peak we put four wards into level 2 and the rest of the wards stayed in level 1. So we are prepared to look at the sub-district level if that is appropriate. Some districts within North Yorkshire have individual outbreaks in individual institutions that we are managing, and we should not mistake that for general community transmission and therefore put those areas into a higher level than is necessary. I am happy to go through the local epidemiology from near Thirsk that affects my hon. Friend’s constituency.

In a sense, that brings us to the point of these local covid alert levels. These are the first statutory instruments to be debated under our commitment to consult Parliament on significant national measures that have effect in the whole of England or are UK-wide and, wherever possible, to hold votes before the regulations come into force. That is what we are doing today.

Local action has proved to be one of our most important lines of defence. Where firm action has been taken—for instance in Leicester, or in Bolton, where we flattened the curve—our local approach has inevitably produced different sets of rules in different parts of the country, as my right hon. Friend the Member for Sutton Coldfield (Mr Mitchell) set out. We have already moved towards simpler national rules that are centred on the rule of six, and we are now acting to simplify and standardise the rules at a local level.

The regulations set out three levels of alert: medium, high and very high. The medium alert level, which will cover most of the country, will consist of the current national measures. This includes the rule of six and the closure of hospitality at 10 pm. The high alert level reflects the interventions in many local areas at the moment and that aims to reduce household-to-household transmission by preventing social mixing between different households indoors, with the rule of six outdoors. That is super-simple: no household mixing socially indoors and the rule of six outdoors.

The very high alert level will apply where transmission rates are rising most rapidly and where the NHS will soon be under unbearable pressure without further restrictions. In those areas the Government will set a baseline of prohibiting social mixing, while allowing households to mix in public outdoor spaces, because that is where the risk of transmission is lowest, as long as the rule of six is followed. That baseline is set out in the very high alert level regulations being considered today. Pubs and bars will be closed, and we will advise against travel into and out of very high-risk areas.

We also offer a package of support for individuals, businesses and councils. That includes more support for local test and trace, which many have asked for, more funding for local enforcement and the offer of help from the armed services, as well as the job support scheme announced by the Chancellor. That is best done as a team effort and, wherever possible, we want to build local support on the ground before we introduce these measures. So in each area we will work with local government leaders on the extra measures that need to be taken. We do not rule out further restrictions in the hospitality, leisure, entertainment, or personal care sectors, but retail, schools and universities will remain open.

Luke Evans Portrait Dr Luke Evans (Bosworth) (Con)
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On buying-in the local community, would the Secretary of State consider having a Government postcode checker so that people know exactly where they should be, in having the three tiers?

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Luke Evans Portrait Dr Luke Evans (Bosworth) (Con)
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I take this opportunity to thank all those in my constituency who followed the rules when Leicestershire was being threatened with a lockdown. Through their dedication and their following of the rules, we have managed to avoid it for now.

During that threat of lockdown, one of the key messages I brought to this House was the importance of making sure that two key messages get through: where the affected area is and the measures that come into place. I am therefore pleased to hear today that we have a simplification and a tier-based system that will allow our constituents to understand the measures in place. With a postcode checker as well, it is even better. That was built, and I fed into the review led by Dame Mary Ney. She has produced a document on good practice for areas going into lockdown. I suggest that Members have a look at that document, because they can hold the Government to account by the very nature of what is written in it.

I was pleased to hear yesterday—it was repeated again today—that the Government acknowledge the difficulties of balancing health and the economy. It is a simple temptation to say, “Let’s just do it by generations and protect the shielded”, but the evidence shows that we cannot do that. Generational spread does happen, and that is when the threat comes to our elderly and our shielded.

What has happened this time is that we have a more nuanced response from the Government, and I welcome that. It is good medicine to change as things progress, but I want to focus on the future. I have some short-term suggestions for the Government, such as making sure we are clear with our signage about indicative dates, changes and accountability. We need to be clear about the principles behind the decisions we take, so that when someone asks, “Why can’t I sing?”, they can be told, “Well, singing transmits the virus four times further.” When those principles are clear, it becomes obvious how to interpret the guidelines.

We want certainty for sectors, whether that is the wedding industry, events, the aerospace industry or the travel industry. They need certainty on exactly what will happen for them with guided points. They welcome timetables and they understand if things move, but a clear direction at least is important.

I welcome the aim for a vaccine, but until we get there I agree that a plan B would be useful. We have talked about near patient testing, and I have raised those questions in this House. Could it be that, in the future, before we come to speak in the Chamber, we have 20-minute saliva test—it is bound to be negative—and then come in and carry on with our day-to-day life? Until we get there, I urge the Government to read the Health and Social Care Committee’s recommendations on dealing with non-covid sites. At the end of the day, experience teaches us to help those who cannot and to empower those who can. That should be the message that the Government take forward.