New Covid Variants: Government Preparedness

Maria Caulfield Excerpts

Wednesday 28th June 2023 Commons Chamber

[The Parliamentary Under-Secretary of State for Health and Social Care (Maria Caulfield)]

I thank the hon. Member for Kirkcaldy and Cowdenbeath (Neale Hanvey) for securing this debate and raising this important issue. It is correct that the Government are held to account on future pandemic preparedness and lessons learned from covid.

I remind the hon. Gentleman that pandemic preparedness is a devolved matter and Scotland, like all parts of the United Kingdom, faced huge pressures. I understand that the former Scottish Health Minister has been giving evidence today and has also pointed that out, saying that

“Scotland, like other countries throughout the world, was dealing with a virus which was unknown and new.”

She also said she did not believe that

“there is a plan that would have been possible that would have been able, in and of itself, to cope with covid-19.”

That sets out how all four nations of the United Kingdom were learning about covid. With hindsight, it is very easy to look back and make recommendations, and we must learn from those. I look with interest to the results of the covid inquiry to make sure that we are as prepared as possible for any future pandemics, whether of covid or any other disease.

For most people, covid-19 is now a much less serious risk than it was three years ago, and that is in no small part because of the UK’s world-leading vaccination programme. We were the first country in the world to administer an approved vaccine and the first European nation to protect half our population with at least one dose. That success continues, with vaccines and boosters still on offer to eligible groups, and we take recommendations on when to roll out booster programmes and who to vaccinate from the Joint Committee on Vaccination and Immunisation.

Antivirals provide a further layer of protection for those who are immunocompromised, enabling us to effectively treat eligible people with covid-19. All those successes have come to protect us against the virus and allowed us to live with covid-19 and regain many of the freedoms that we lost during the pandemic.

We have scaled back our covid-19 response because of that reduced risk, but that does not mean that the response is not there. It is scaled back, but it is ready to be stepped up should we need it, focusing on testing, diagnosing, treating and protecting those at greater risk of severe illness. We are keeping vigilant at all times. I work closely with the UK Health Security Agency, which is the organisation that leads on pandemic preparedness. We take its advice extremely seriously.

--- Later in debate ---

Motion made, and Question proposed, That this House do now adjourn.—(Fay Jones.)

[Maria Caulfield]

We know that the virus has the potential to evolve with new covid-19 variants that may evade immunity and the vaccinations that we have in place. We also know that we could face new pathogens with pandemic potential, so we remain vigilant at all times not just in the United Kingdom but with our global partners.

It is imperative that we retain the ability to detect and identify any new covid-19 variants as well as wider threats. The House will be aware that the community infection survey ended in March. It was commissioned by UKHSA as part of a suite of covid-19 surveillance programmes and delivered by the Office for National Statistics. The survey was world-leading, playing a critical role in enabling decision making during the pandemic. However, it is right to ensure that that surveillance programme remains proportionate, cost-effective and commensurate with how we monitor a range of other infectious diseases that pose a similar risk to public health. That is why we have scaled it back, but again, should we need to, we can step it up.

That does not mean that we are not taking any action going forward. We are maintaining surveillance for covid-19 and respiratory pathogens through a number of programmes. Those programmes will enable the evaluation and effectiveness of vaccination against a range of clinical outcomes, informing vaccine deployment and appropriate disease management. Our surveillance programmes are underpinned by the continuation of genomic sequencing to determine and assess variant severity and vaccine effectiveness.

A range of vaccines are still available, which clearly we monitor on an ongoing basis. mRNA vaccines are one part of our toolkit, but others are still available. That is why continued surveillance is important, but it is proportionate that it has been reduced since the peak of the pandemic. UKHSA continues to sequence covid samples each week, so should a variant of concern emerge, we would identify it relatively quickly. It publishes the results of that sequencing and surveillance in the national influenza and covid surveillance report.

Obviously, covid-19 is a global risk, so as well as looking at what is happening in the UK, we continue to support international surveillance, and we work closely in partnership with other organisations and international partners to monitor covid-19 globally. The Government continue to fund new variant assessment platforms, increasing the capacity to provide genomic sequencing in nine countries and establishing the International Pathogen Surveillance Network. That will enable us to be alive to the risks of covid-19 elsewhere in the world. I am sure that hon. Members will recognise the importance of that work and agree that it is vital to continue it to understand and respond to dangerous new variants should they emerge.

If a variant of concern with potential immune evasion is detected, the Government have proportionate contingency response capabilities in place, a range of which are set out. Those capabilities will support an initial response to any new and dangerous variant of concern. The Department for Health and Social Care and UKHSA continue to work together to ensure that appropriate commercial mechanisms are in place to support a longer response to covid-19, whether through testing or vaccination.

I do not agree with the hon. Gentleman that vaccination is the only tool in our armoury. Our surveillance is our key weapon in identifying a new variant of concern. We still have testing capability should we need it, and of course, our vaccination programmes are nimble and can respond to any new variant should it emerge.

[Neale Hanvey]

The Minister is giving an interesting response to the question about surveillance. What is the surveillance mechanism exactly? Can she take us through how the virus is being monitored in the wild? What practical steps are being taken? Is waste water being assessed? How is it being identified? What border controls are expected if there is a novel threat somewhere else in the world? How are we managing our borders and ensuring that the 1.5 million passengers in the air at any one time do not immediately bring a new threat right to our door?

[Maria Caulfield]

There are several ways, and I did try to set some of them out. As I said, UKHSA tests samples from covid-positive patients around the country every week and does genomic sequencing to identify new variants or variants of concern.

We are not currently doing international border checks, but we are working with international partners, so should a new variant emerge in another country, we can step up that capability. We introduced border controls on new arrivals a couple of months ago due to the risk of a new variant from China, but that was stepped down because testing showed that there was no risk to the general population. Waste water testing is also still available should it be required, so there is a range of testing capabilities to identify variants of concern and respond quite quickly.

Moving on to vaccines, we are developing mRNA capability, but not just in covid-19 vaccinations. That is one way of delivering covid vaccinations, but that capability is also being used for respiratory illnesses and cancer vaccination trials. There is the potential for that technology to be used in a range of vaccines, not just for covid-19. A range of different vaccines are available, and should a variant of concern or change of variant emerge, we will take advice from the JCVI as to which vaccine is best to use and which group of the population is best to vaccinate. That is an ongoing piece of work.

On some of the hon. Gentleman’s other points, the covid inquiry is obviously ongoing. As the Minister responsible for pandemic preparedness, I am keen to learn the lessons about testing capability, PPE, and vulnerable groups that may need greater protection in future pandemics. But we also need to be live to the fact that a pathogen could emerge that is completely different from covid, flu, or avian flu, which we are also monitoring actively. We need to be nimble in our response to any future pandemic. My concern is that we may just look at covid as the only future threat, but that is absolutely not our policy; we are looking at a wide range of threats, both in the UK and abroad.

[Sir Christopher Chope]

The Minister referred to mRNA technology. Are the Government absolutely convinced that the technology is safe and effective? Are they in danger of putting all their eggs into that particular basket?

[Maria Caulfield]

We are certainly not putting all our eggs in the mRNA basket for covid, or for any other use of mRNA technology. Such vaccines must still pass the MHRA assessment in order to be licensed for use. As mRNA technology develops for other clinical conditions, whether cancer or respiratory illnesses, those vaccines will also have to be awarded a licence by the MHRA. It is not the case that mRNA vaccines are given carte blanche because they have been used in covid; they will have to pass the necessary research hurdles to gain licences for future use. We are certainly not just relying on mRNA for covid—although it has been effective and the technology means that it can react to variants and be altered depending on the variant. We are using other vaccines for covid, and working with other partners. I reassure my hon. Friend on that.

I am very happy to continue updating Members on the progress that we are making and any future booster vaccination programmes for covid-19 that will be running, and to update the House on the work of UKHSA regarding monitoring, surveillance, and future testing capabilities.

[Neale Hanvey]

I thank the Minister for being a good sport and allowing me to intervene again. I did make a couple of requests in my contribution: I asked for some written feedback from the Minister, and whether she would be able to find time in her diary for a meeting to discuss some of the finer points. I would be very grateful if she would agree to that.

[Maria Caulfield]

I am very happy to meet up with the hon. Gentleman, and also to write to him regarding the specific points on which he asked for clarification. It is important that we give the public confidence that our vaccine portfolio is very diverse, guarding against both current variants and future variants. The contracts that we have in place with vaccine developers are flexible, so should the need arise, we have the ability to stand up vaccinations in a speedy manner. I am happy to write to the hon. Gentleman and to meet with him, because in order to bust some of those myths that he has pointed out exist, it is important that we are open and transparent about the arrangements that are in place, the risks that we face, and the tools that we have in our arsenal to fight any future pandemic.

With that, Madam Deputy Speaker, I will draw my remarks to a close.

Question put and agreed to.