Public Health

Mark Harper Excerpts

Wednesday 30th December 2020 Commons Chamber

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

May I put on the record some remarks about our former colleague the Member for Northampton South, Brian Binley? He was first elected in 2005, in the same election as me, and was a valued colleague and a very kind man; many new Members have said that he was very kind to them, and I know that he will be much missed by his family and friends. I thought it appropriate to say those remarks in this Chamber, where he loved serving his constituents.

I also mention Parliament because I am very disappointed that the House will not sit next week. I listened carefully to Mr Speaker’s remarks at the start of today’s business and I recognise the pressures on the staff of the House; I add my thanks to all those who have worked and are working incredibly hard, not just today but on preceding and subsequent days, to ensure that the House can sit. However, at a time when the country faces incredible challenges and many workers in the public service are working incredibly hard, the House’s role in scrutinising the important decisions of Government is essential.

I made representations earlier today and was pleased to listen to the Leader of the House’s response to the shadow Leader of the House, the right hon. Member for Walsall South (Valerie Vaz), in which he made it clear that if the House votes this evening to adjourn until 11 January and if events over the next week or so demand it, the Government would seek to recall the House so that it could hold them to account. I assure the Government that if events necessitate a recall but it does not happen, hon. Members—certainly on the Conservative Benches, but I suspect on both sides of the House—will make appropriate representations very loudly indeed.

I have a couple of questions about the new variant of coronavirus. I have read some of the science behind it, and I recognise that there is a significant body of evidence about the increased transmissibility, but I am not clear what other steps individuals should take to deal with the fact that it is more transmissible. I have not heard any guidance about whether we need to maintain larger distances, wear masks in more scenarios or take other steps ourselves. The Government’s only response seems to have been to shut more sectors of the economy. I think that the Prime Minister admitted at the press conference today that it is an open question whether the tier 4 measures are likely to be effective.

[Steve Brine (Winchester) (Con)]

As usual, my right hon. Friend is making a very thoughtful speech. As the Health Secretary said this evening, the vast majority of the big rise in infections yesterday were of the new variant, which logically suggests that the old variant is almost disappearing from the community. We could do with understanding that distinction each day when new data on infections is published.

[Mr Harper]

My hon. Friend makes a good point, because that will help us to understand the extent to which the new variant is spreading across the country; I know that the Government are concerned about that. I suspect, although I do not know—perhaps the Minister could confirm this at the end of the debate—that that was behind the move of significant portions of the country into tier 4.

Given that most of the country is in tier 4 and most of England is now effectively in lockdown, it seems to me that the only measure in terms of closure that remains to the Government is to close schools and colleges—we saw a hint of that this afternoon in what the Secretary of State for Education said. There are not many other measures left to the Government, so if that does not work, they will need to think again.

Finally, let me elaborate on what I said to the Secretary of State earlier about the vaccine roll-out. As the Government have made clear and as I think the Secretary of State said in an interview with Andrew Marr, the areas that have been moved into tier 4, which includes 78% of the country and I suspect by next week will probably include the rest, will basically stay there until we have rolled out the vaccine; the Opposition spokesman, the hon. Member for Nottingham North (Alex Norris), referred to that as well. It therefore has to be job No. 1, not just for the Department of Health and Social Care but for the whole Government, to get the vaccine rolled out as fast as possible.

In my question to the Secretary of State, I said that that meant that the Government need to get to 2 million doses a week. If they do that, we can vaccinate everybody over 65 by the third week of February, which will take nearly 90% of the risks of death and hospitalisation out of the equation. At that point, we should be able to remove restrictions, at least in law, and allow the country to open up again. The Secretary of State appeared to agree—he said that he agreed.

The Government need to put their shoulder to that objective. This has got to be the central task, and the reason for that is the significant cost to businesses. I know that there will be many businesses in my constituency—non-essential retail, personal care services—that will be devastated by the fact that, as of midnight tonight, they are going to have to close. I have had drawn to my attention the devastation in hospitality businesses in tier 2 areas that were preparing for a really busy evening tomorrow, but that, with just 24 hours’ notice, are now going to have to close. They are going to have a huge amount of stock and product that they have bought, which in effect will have to be thrown away. They are not going to get compensated for that, and that economic loss is going to be devastating for many businesses.

Those are the things that I think the Government need to weigh in the balance, and I look forward to listening to the Minister when she winds up the debate in a couple of hours’ time.

--- Later in debate ---

[Helen Whately]

I thank hon. Members from across the House and those who have contributed virtually for the many truly thoughtful contributions in what has been a really wide-ranging debate this evening. In a moment, I will respond, as far as I can in the time that I have, to many of the points and questions that have been raised.

As I stated at the outset, although we have the truly welcome news of the MHRA approval of the Oxford/AstraZeneca vaccine for use, right now we face a very serious situation. We face rapid rates of covid transmission and new cases of the new variant of the virus. We began to see that before Christmas, when we brought in the measures and the introduction of tier 4, which we are debating today. No Government would want to do what we are having to do, which is to put such restrictions on people’s lives, but, as many hon. Members have recognised in their speeches, we see the pressures on the NHS and know that rises in infections and rises in hospital admissions very sadly lead to loss of life. We also know the implications of those pressures on the NHS not only for those with covid, but for those needing treatment for other illnesses. The alternative to taking measures to suppress the virus is unthinkable. These decisions are not easy to make, but the data is clear, including on the additional infectiousness of the new variant.

Some hon. Friends asked why their constituencies had been moved up tiers either in the past couple of weeks or today and sometimes moving at some pace from a low tier to as far up as tier 4. The reason is that a combination of the epidemiological evidence and hospital pressures, looking at the five criteria that we have set out, makes it clear that that is what needs to happen. I remind my hon. Friends of the five criteria. We look at the case rates for all ages, the case rates for over-60s—which particularly translate into hospital admissions—the change in the case rate, the positivity rate and pressures on hospitals such as occupancy rates and the trajectory of those. Looking at that dataset, it is clear when action is needed.

[Mr Harper]

Can I look into that point a bit? I thank the Opposition spokesman for giving us so much time to deal with the things we did not have time to deal with in our limited remarks. On the point about looking at the data—I listened carefully to a number of colleagues, and I had this in my constituency—I genuinely do not understand how my constituency was put into tier 3 starting at midnight on Boxing day, and after only three days had elapsed a decision was taken to move it to tier 4. What data had changed? Nothing significant happened between those two dates. Other colleagues went through three tiers in a matter of days. The problem is that that does not engender confidence among our constituents that the decisions are being taken for understandable reasons. Will the Minister say a little bit more about the decision-making process so that we can take that back to our constituents to try to give them a little more confidence?

[Helen Whately]

Something that I can say to give my right hon. Friend some extra insight is that, for instance in introducing the latest measures, one of the things that we saw was a rapidly changing situation. During the national lockdown and the weeks following that, there was some puzzling about what was going on. We were seeing a large increase in the case rate in the south-east, especially in Kent and part of my constituency. What we came to investigate and understand was the new variant playing its part in that. It is the data that tells us that we need to make an urgent change, for instance in the tier that an area is in.

I have one very specific example that I want to give, not in relation to my right hon. Friend’s constituency but in response to the question that my hon. Friend the Member for Christchurch (Sir Christopher Chope) asked about why his constituency had changed tier and what had happened in the period that we are talking about. I can tell my hon. Friend the Member for Christchurch—he is not in his place, but I hope that he is listening remotely—that we saw a 68% increase in the case rate in his area of the country between 17 and 23 December, as well as a rapidly rising rate in the over-60s and a rising positivity rate. That is the kind of story that tells us that we need to take rapid action.

My right hon. Friend the Member for New Forest West (Sir Desmond Swayne) also questioned the timing of the introduction of the new measures, and I can tell him that we saw the number of cases increasing fast—both cases and hospital admissions. There was quite simply no time to waste. The analysis was clear that that was driven by the new variant.

Some hon. Members have questioned the effectiveness of the measures. My hon. Friend the Member for Thurrock (Jackie Doyle-Price) spoke about her area now having the highest case rate in the country—something I can relate to because part of my constituency previously had the highest case rate in the country—and it is not a reason why you want your area to be famous.

In the parts of Kent that were hit hardest with the new variant a few weeks ago, we are now seeing some stabilisation in rates. I should warn that that is at a relatively high level. It is also very soon after the introduction of tier 4—just 10 days ago—for us to see its full effect. We and everyone living in those areas can play their part in making sure that the restrictions work. My hon. Friend the Member for Aylesbury (Rob Butler) said to us on the screen that he had one simple message, which was to follow the rules. The virus thrives on social contact and the restrictions reduce that, and the Government will of course continue to keep these measures and their effectiveness under review.

Many hon. Members spoke up for businesses in their constituencies, and I absolutely recognise the huge challenges that the pandemic has placed on many businesses in some sectors such as hospitality and tourism and travel in particular. We have, of course, sought to protect livelihoods as well as lives. We have spent over £280 billion this year to support businesses and individuals. That includes extra support for higher tiers, recognising the extra costs incurred in those areas. I have no doubt that my honourable colleagues in the Treasury will be taking note of many of the arguments made by colleagues today.

[Mr Harper]

Will my hon. Friend give way?

[Helen Whately]

May I make a little progress? I did take an intervention from my right hon. Friend a moment ago, and I am trying to respond to the many points made in the debate.

My right hon. Friend the Member for South West Wiltshire (Dr Murrison) rightly referred to the unpredictability of this virus, and to how it does not follow due process, as we have seen with the new variant. Unlike many mutations, which are normal things that occur with a virus, this variant has changed the behaviour of the virus. As my hon. Friend the Member for Runnymede and Weybridge (Dr Spencer) said, thanks to the UK’s world-leading virus surveillance capability, we were able to detect and analyse the spread of this new strain. We know that it is most evident in the areas with exponential rises in cases at the moment, and those are the areas that have been placed in tier 4, either before Christmas or with the announcements today.

Many hon. Members spoke about the vaccination programme, and they welcomed the good news about the Oxford/AstraZeneca vaccine. Some hon. Friends even sought to change the way we describe the vaccine, by claiming it for their own constituencies. The hon. Member for Strangford (Jim Shannon) said that the vaccine has put a spring or a skip in his step, which I know that Members around the House will welcome.

The NHS has done a brilliant job of already vaccinating more than 600,000 people with the Pfizer-BioNTech vaccine, and with the opportunity to now bring into play the Oxford/AstraZeneca vaccine, we are driven and committed to its rapid roll-out. We have secured 100 million doses, and the NHS stands ready to deploy them from next week. We have an infrastructure of hospital hubs, GPs, vaccination centres and pharmacies ready to play their part and, as my right hon. Friend the Member for South West Wiltshire said, they will be drawing on a workforce that includes volunteers from among our fabulous NHS returners, who stepped forward to offer their help to the NHS during the pandemic.

[Mr Harper]

The Minister is being generous in giving way. I wish to ask about one issue that cropped up today at the Prime Minister’s press conference, and something that Professor Van-Tam said about what we do and do not know about the vaccine’s ability to reduce the transmission of the virus. My understanding is that once we have vaccinated those who are at most risk, and reduced the risk of people dying or being hospitalised, we will then be in a much better place. He seemed to imply that if the vaccine does not reduce the transmission of the virus, that will somehow prolong the restrictions we have to keep in place, but I do not follow why that would be. Can the Minister clarify the Government’s position on that? I think that once we have vaccinated the at-risk groups, we can remove the restrictions. Am I wrong?

[Helen Whately]

I do not think that now is the moment for me to hold a remote debate on that with the deputy chief medical officer, and my right hon. Friend also asks me to see into the future regarding the roll-out of the vaccine. I can say, however, that we are following the prioritisation as set out by Joint Committee on Vaccination and Immunisation. That is first and foremost to vaccinate those who are at greatest risk of losing their lives to covid, and that is why we are starting with residents in care homes, which have been so hard hit by the pandemic, as well as care home workers. The next priority category is those who are over 80 and broader health and social care workers, and it then moves down the ages. Our approach follows the JCVI prioritisation to put the vaccine to that crucial and important effect of saving people’s lives from this cruel disease.

The hon. Member for Nottingham North (Alex Norris) asked about the publication of JCVI advice on the use of the vaccine. I can tell him that it has already been published and is available on gov.uk.