Public Health: Coronavirus Regulations

Mark Harper Excerpts

Tuesday 13th October 2020 Commons Chamber

[Matt Hancock]

The SAGE advice that Ministers receive is, of course, published; we have had great debates in this House about that and it is published. We make decisions that are guided by the science, taking into account all the different considerations we need to look to.

[Mr Mark Harper (Forest of Dean) (Con)]

It is worth giving credit to the NHS Test and Trace team for the growth in testing, but the evidence published yesterday said that the impact of the testing and tracing system was having only a marginal effect on reducing the virus. So can the Secretary of State look not just in high-risk areas, but in all areas to get more of the contact tracing done by our fantastic directors of public health and their teams?

[Matt Hancock]

Yes, absolutely. We are doing precisely that. The way it works where it works best is that the big national system makes the immediate and rapid contact with people who test positive—for more than half of people that is immediately successful—and then when contacts are harder to make the data is passed to the local teams, which do not have the scale to do the immediate, rapid contacting but do have the boots on the ground and the local knowledge. That combination of the two is what works best where it works well.

--- Later in debate ---

[Mr Mark Harper (Forest of Dean) (Con)]

I have heard one or two people say that the Government do not have a plan, but I do not agree with that. I think the Government have a good plan, which they set out in May. I read it at the time and thought it was very sound. My problem is that the Government often do not seem to remember that they have a plan and do not always follow through on some of the things in it, for example, the risks of a vaccine, which my hon. Friend the Member for Wycombe (Mr Baker) reminded us about. The Prime Minister said in the foreword to the plan:

“It is clear that the only feasible long-term solution lies with a vaccine or drug-based treatment.”

But he was frank enough to say that

“while we hope for a breakthrough, hope is not a plan. A mass vaccine or treatment may be more than a year away.”

The best evidence, even now, is that that year, which would take us to next May or so, is about the best-case scenario for being able to vaccinate older members of the community if all goes well, so it is clear that we have to do other things.

The first phase of the Government’s plan was the lockdown, to drive down the virus to a very low level. The second phase was to introduce smarter controls, for example, covid-safe workplaces in hospitality venues, combined with an effective testing and tracing system. I said in my intervention on the Secretary of State, looking at the evidence at the moment, that the second most important piece of that, according to the Government’s plan, was the following:

“local authority public health services to bring a valuable local dimension to testing, contact tracing and support to people who need to self-isolate”.

I welcome the extra support given to the local public health teams in the high-risk areas that the Government have set out, but I would argue that it should go further and extend across the country. The importance of that is seen if we look at the data, which shows we are reaching only about 74% of those who test positive to get their contact information. We are reaching only 68.6% of those contacts in total, according to the latest data, which is the lowest percentage. That means that overall we are reaching only about half of the contacts of people who test positive.

[Munira Wilson]

Does the right hon. Gentleman agree that the data also shows that the tracing rates for local authority or regional public health teams are somewhere between 90% and 100%, whereas the central contact tracing percentage is only somewhere in the 60s? That is more evidence that we should be running this locally.

[Mr Harper]

I do think there is some evidence to show that local teams are better. I work closely with my local director of public health in Gloucestershire—I am sure every Member of the House does with theirs—the fantastic Sarah Scott, who has recently been promoted to a wider brief, and her team. I would have real confidence that if she were given the resources, she and her team would do a fantastic job of tracing contacts quickly, getting to them, working with them to explain why isolating was important and perhaps being able to work with them to identify some of the barriers that, as my right hon. Friend the Member for Wokingham (John Redwood) mentioned, might stop them isolating. If we were to do that and be much more effective, that would enable us not only to live with this virus, but to live meaningful lives where people could have more social contact; they could have more ability to have those important contacts—the Secretary of State acknowledged they were important. That was in the Government’s original plan and they should lean into it. The Government have a strategy and they need to go back to that original strategy to look at the areas that are not being executed as well as they could be. I said in my intervention that I give credit to the Test and Trace team for massively expanding testing, but the testing is not an end; it is a means to an end: to identify the virus, isolate areas where we need to put in further measures and encourage people to isolate. If we do that, we will be successful and the country will thank us for it.