Coronavirus and Care Homes

Luke Evans Excerpts

Tuesday 19th May 2020 Commons Chamber

[Matt Hancock]

I am a massive supporter of the living wage and, of course, the increase in the living wage that we have seen since its introduction in 2015 has had a very positive impact on the pay of the lowest paid people in our country right across the board, including many in care homes. I think it is an excellent policy and I am delighted that we have brought it in.

[Dr Luke Evans (Bosworth) (Con) [V]]

The £600 million presented by the Secretary of State for infection control is very welcome, and having a named clinician to help support care home staff is particularly important. That came out in the Health and Social Care Committee when Professor Lum talked about what happens in Hong Kong. One of the lessons they learned several years ago was to have a named person in a care home, but also to do yearly, effectively, virus drills, like a fire drill. Would the Secretary of State consider putting that in place to help to deal with the impact of possible second waves?

[Matt Hancock]

Yes, we are doing a huge amount of work now to ensure that there is protection in the future should there be a further increase, and in particular in advance of winter in case there is strong seasonality to this disease. As a clinician himself, my hon. Friend understands the importance of these areas and we will absolutely take the idea he put forward and run with it.

Covid-19

Luke Evans Excerpts

Tuesday 12th May 2020 Commons Chamber

[Dr Luke Evans (Bosworth) (Con) [V]]

It is nice to have the chance to put on record my thanks to constituents in Bosworth and the key workers. A couple of weeks ago, I wrote to the GPs, the pharmacies, indeed the police, the schools, the care homes, to congratulate them on the work they are doing, and continue to do. I am most grateful for all that they do.

It is fair to say that the virus reaches all areas of our lives, and in turn all areas of Government, and that brings pain—pain with the loss of businesses, pain with the loss of jobs, but, most importantly, pain with the loss of lives. However, out of crisis comes opportunity, and there are some positives. I would like the Government to take those forward. I envisage that in the form of a time-limited department called the “department of virus legacy”.

At the end of April, I wrote to the Cabinet Office and the Prime Minister, because I think it is so important, as we have heard in these debates, to encapsulate and draw on all the positive aspects that have come out of this crisis. We have had a revolution overnight, rather than the usual evolution. In my sector as a GP, literally overnight everyone has begun teleconferencing. That is something that the industry has tried to do for over a decade, and has not been able to achieve—and just like that, it has happened.

Pharmacies are now all digital, with electronic prescribing. In my role on the Health and Social Care Committee, I asked all the witnesses we have had what positive aspects had come out of this. Those in cancer care talked about how they were able to bring 10 teams into one hospital to deal with a patient, and maternity talked about the fact that they have actually had more contact because they can do remote teleconferencing. It is the same with mental health. There are positives out there, and that is just in the sector that I come from.

More widely, we have looked at remote working. We have looked at the societal benefits of now knowing your neighbour, caring for your neighbour and caring for your community. These are absolutely critical things, which we need to embed into our society. To do that, I urge the Government to consider establishing such a department.

Legacy planning, as we found in the Olympics, is absolutely critical. Now more than ever we have the time-limited opportunity to enshrine, post virus, the positive changes in the fabric of our policies and, in turn, our Government and society. To the Minister listening I say, “I hope you will take this on board when you hold discussions with the rest of Government.”

Covid-19 Update

Luke Evans Excerpts

Tuesday 5th May 2020 Commons Chamber

[Matt Hancock]

We now have one of the largest testing capabilities in the world; we are testing more people per day than Germany, and the whole country should be reassured by that fact. Of course there are individual examples of where the logistics go wrong; that is natural in any very large system. I would be very interested if the hon. Lady could send me the details of those specifics, and then we will look into them. But what I would say is that the availability of testing across the board is now huge. It is big enough to start the test, trace and track programme. We are piloting that, as the hon. Lady knows, in the Isle of Wight from today and then we will roll it out across the country.

[Dr Luke Evans (Bosworth) (Con) [V]]

In an earlier answer, the Secretary of State kindly went through the definitions of all the different vulnerable groups. Definitions are really important, especially as we start to consider releasing the lockdown. When that point comes, will he be crystal clear about exactly who is entitled to do what and when and ensure that everyone in the public knows that?

[Matt Hancock]

Yes.

Covid-19 Response

Luke Evans Excerpts

Wednesday 22nd April 2020 Commons Chamber

[Dr Luke Evans (Bosworth) (Con) [V]]

Frontline workers such as those in ITU and care homes are used to death—that is part of the job—but not on this scale and not in these circumstances. What are the Secretary of State and his Department doing to support the mental health of frontline workers now and in the future, when the pandemic passes?

[Matt Hancock]

That is an incredibly important question. We have put in place a helpline for all frontline workers in the NHS to ensure that they have the support they need. Working with my hon. Friend and others, I will make sure that that support stays in place long after this crisis is over.

Covid-19

Luke Evans Excerpts

Monday 16th March 2020 Commons Chamber

[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.

[Dr Luke Evans (Bosworth) (Con)]

I congratulate the Secretary of State and the shadow Secretary of State on the tone both have adopted. It is inevitable that most people will be infected. Most people will recover. When can the people who recover return to work, and what will the impact be?

[Matt Hancock]

Yes, most people recover within seven days of first showing symptoms—most people, not all. Many become very ill, but for most people this is a mild to moderate illness, and the vast majority of the evidence is that once they have recovered, the illness does not come back for some time. Of course, all the evidence is kept constantly under review.

Coronavirus

Luke Evans Excerpts

Wednesday 11th March 2020 Commons Chamber

[Matt Hancock]

It is for Public Health England to make advice available and to give guidance. We will always follow the scientific advice on what makes the biggest impact. It is interesting, listening to the scientists, that sometimes the things that we, as lay people, may feel intuitively will have the biggest impact do not in fact have the biggest impact. The measures that we are taking and proposing to take include, for instance, looking at asking people who have symptoms, however mild, to stay at home. We are aiming to do the things that have the biggest impact. There are some things that feel right but do not have an impact at all. That is why it is so important to follow the science and what Public Health England says.

[Dr Luke Evans (Bosworth) (Con)]

Primary care clinicians are expected to collect quality and outcomes framework data, which can be-time consuming and take them away from their clinical work. Will the Secretary of State consider suspending QOF data?

[Matt Hancock]

We are looking to reduce bureaucratic burdens on primary care and GPs—we were looking at it anyway, but we have accelerated that work because of this outbreak. We have moved to a principle of “digital first” in primary care and with out-patients: unless there are clinical or practical reasons, all consultations should be done by telemedicine.

Oral Answers to Questions

Luke Evans Excerpts

Tuesday 10th March 2020 Commons Chamber

[Helen Whately]

I am well aware that my hon. Friend is very keen on that particular approach. He has hopefully received a letter from the Secretary of State, inviting colleagues to come to talk to us about the proposals and options for fixing our social care crisis, and I hope he will take that up.

[Dr Luke Evans (Bosworth) (Con)]

Will the Minister consider waiving the NHS surcharge for overseas staff who want to come to work in our NHS?

[Helen Whately]

I am well aware of concerns about the surcharge. Many overseas nurses coming to work in the NHS do not have to pay the surcharge, as it is covered by their employer.

Coronavirus

Luke Evans Excerpts

Monday 9th March 2020 Commons Chamber

[Matt Hancock]

I urge all companies, especially the large companies that, as the hon. Lady said, use an awful lot of self-employed workers to deliver their services, to look at what Hermes has done and appreciate that their part of the national effort is to help everybody to make sure that they can go home and stay at home if they need to stay at home to keep themselves and others safe.

[Dr Luke Evans (Bosworth) (Con)]

I have a practical question for the Secretary of State. Many of my colleagues who work in the health service are keen to come forward and do their best. Their big concern is: should schools close, who would care for their children when they run forward to help in the NHS? Are the Government considering any plans to support frontline workers?

[Matt Hancock]

We absolutely are, not only in terms of any measures that we take and how they might have to be amended for key workers, but also because, critically, when it comes to school closures, one reason why closing schools is not a cost-free option is that it takes away some of the very staff whom we need to be able to respond to the crisis.

Health Inequalities

Luke Evans Excerpts

Wednesday 4th March 2020 Commons Chamber

[Dr Luke Evans (Bosworth) (Con)]

Does my hon. Friend agree that patient behaviour around rurality is different from those in the city? They have to make a decision when they are on their own whether to trouble the GP, to go out, to face the weather, to go to the hospital. When they really need to go, they leave it to the last minute. That creates an inequality that is not captured in the data.

[Anne Marie Morris]

My hon. Friend is totally right. There are some very big consequentials relating to the geography of our area and to the demographic profile. We tend to export young people and import older people. In consequence, we need more geriatricians. We do not need a lot of specialists; we need doctors who can cope with complex co-morbidities. We do not have doctors like that.

We need also more funding for primary care. Much of the funding is skewed towards accident and emergency. Why? Because that is where the measures are. We also need to look at how we overcome the infrastructure barriers. Road and rail, bad; 5G, great. But we do not have it. We ought to be a priority because that would be a real plus in trying to solve this rural problem.

We also need to train and recruit people who understand rural communities. If we do not train them in rural areas, they will not want to come and stay. Nurses working in hospitals and in social care need to be trained in a similar way and they need to be interchangeable, otherwise we cannot cope with the demand in social care. On mental health, as I think has already been mentioned, isolation and loneliness in rural areas mean that we have a very high level—I think the highest level—of suicide. We have lots of lone workers and lone livers. That is a real challenge.

The consequence of all that is that in Devon we find ourselves with some of the worst financial performance results and some of the worst results in terms of meeting targets. Why? Because we are being funded for the wrong thing in the wrong way. Nobody seems to notice that many in our community do not ever get ambulances. You try north Devon and parts of Cornwall—it is just not going to happen. The effect is that we are now in special measures. What does that do? Do we get help? Actually we get told to spend less. If that is not health inequality, I do not know what is. I hope the Minister will not tell me that people in rural areas live longer. It is not great to live longer if you are not in great health and the quality of your health really does not cut it.

This situation can change and it has to change. The Government need to accept that one size does not fit all. If the Government are willing to listen and to change, it can all happen.

I invite the Minister to come and listen to the evidence I am gathering while chairing a national inquiry into rural health and care. We are unpicking the issues. We are looking at evidence not only from across the United Kingdom, but from abroad—from New Zealand, Australia and America—of what good care looks like. We hope to provide the Minister with a toolkit for a good result. Thank you for listening.

Coronavirus

Luke Evans Excerpts

Tuesday 3rd March 2020 Commons Chamber

[Mr Speaker]

Order. I will let this statement run for about an hour, so let us help each other.

[Dr Luke Evans (Bosworth) (Con)]

With regard to the impact that coronavirus can have, the Secretary of State is right to balance the difference of health and the economy and I welcome his caution in that regard. I want to raise a point about small businesses. If coronavirus does become a more significant problem, are the Government considering making emergency loans available to otherwise good businesses? If not, will he ask other Departments whether they might consider that?

[Matt Hancock]

We are considering that; it is being led by the Department for Business, Energy and Industrial Strategy, in conjunction with the Treasury. The Chancellor will be making a statement today, ahead of the Budget on 11 March.