Covid-19 Update

Mark Harper Excerpts

Monday 29th November 2021 Commons Chamber

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

The Secretary of State said in his statement about the legislation that he has laid before the House—incidentally, it is not yet available on legislation.gov.uk for Members to study—that close contacts of anyone who tests positive with a suspected case of omicron must self-isolate for 10 days regardless of whether they have been vaccinated. First, will he confirm that that is in the regulations? Secondly, for the benefit of the House, will he set out what he did yesterday in television studios: the mechanism by which the omicron variant will be identified and communicated to people contacted by Test and Trace, so that we all know how it will work? It is more complicated than the system that we have had to date.

[Sajid Javid]

I can confirm that the new regulation on close contact will be anyone who is a close contact of someone with a confirmed positive case of suspected omicron. The UKHSA is working at speed on the best ways to determine a suspected case. One way is the so-called S-gene drop-out test, but there are other quick ways to ascertain that. The tracing work will be carried out by Test and Trace.

Covid-19 Update

Mark Harper Excerpts

Monday 15th November 2021 Commons Chamber

[Sajid Javid]

I hope I have understood the hon. Lady correctly. She mentioned “bugs in the system”. She made two separate points there. If someone has been given a third jab, whether a third part of their primary dose, a booster or otherwise, it is recorded in the NHS system. The hon. Lady referred to the Pinnacle system, but it is recorded. I am not aware of any problem with recording it or with the NHS making a record of it; if she is, she should please bring it to my attention. The second, separate point she made was the one my right hon. Friend the Member for Tunbridge Wells (Greg Clark) made, about when those doses can appear in the app. I refer her to the answer I gave a moment ago.

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

When the Secretary of State made his statement last week about mandatory vaccination for NHS staff, he also published an impact assessment, which says that the Department’s best guess is that 35,000 social care staff will leave as a result of being unwilling to get vaccinated. Its own assessment states that that presents a serious workforce capacity risk and says that the Department

“cannot be confident that the system—even with additional funding—will be able to absorb the loss of capacity”,

resulting from the policy. That matters, because the number of patients in my local acute hospital who cannot be discharged because there is no adequate social care is three times more than the number in hospital with covid. If the NHS is going to be under enormous pressure this winter, it looks to me as though it will be, not from covid, but from inadequate social care. What can the Secretary of State say to put at rest the concerns of my constituents, and indeed of my local authority, which has to deliver social care in Gloucestershire?

[Sajid Javid]

As always, my right hon. Friend makes an important point. I will not go through the arguments why vaccination, whether of social care or NHS workers, is so important, although of course patient safety is central to that. However, he is right to ask what can be done about the pressures on the social care system, and to point to the important question of discharge from hospitals, among other issues. We are giving record amounts of support to the adult social care sector. The funding is a huge part of that—not only funding going into the sector to build capacity, but funding going to the NHS through the discharge fund, which is hundreds of millions of pounds it can use to support early discharge into care homes.

Covid-19 Update

Mark Harper Excerpts

Tuesday 9th November 2021 Commons Chamber

[Sajid Javid]

I know the case to which the hon. Lady is referring. We are clear in our decision, which was made for all the right reasons. I hope that she will understand that I am not at liberty at this point to share those reasons, due to commercial and legal sensitivities, but I assure her that there is absolutely no point in revisiting that decision.

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

I welcome what the Secretary of State has said about his proposed method of dealing with this issue in Parliament, and his confirmation that he is going to publish an impact assessment ahead of the decision. That, of course, was not what happened when we voted on the care home vaccination issue, for which, to be fair to him, he was not responsible; the way in which that decision was conducted was an abuse of this House, which was asked to vote on it.

The Secretary of State has just confirmed that of the 40,000 care home staff who the Government estimated were going to leave the care home sector because they had not been vaccinated, 32,000 of them—two days away from the deadline—remain unvaccinated. That is a significant number. When he publishes all the information before we make a decision, will he ensure that as well as the impact assessment he includes a plan to deal with what sounds like it will be something like tens of thousands of NHS staff, who, if the care home workforce are any precedent, are going to end up leaving the national health service? It may be the right decision, but we must have a plan to deal with it. Not having had a plan for the care home sector is causing enormous pressure not just on the care home sector, but on the NHS. I want to ensure that when Members are asked to make a decision, we have all the information at our disposal so that we can make the best possible decision in all the circumstances.

[Sajid Javid]

My right hon. Friend is absolutely right that parliamentary procedure is vital. As well as publishing the impact assessment before a vote, I can share with the House that we will be publishing an impact statement today. That will be followed by the impact assessment, later. He mentioned the figure of 32,000. That is the latest published number, from the end of last month. Although it has only been a few days since then, the situation is currently quite fast moving because the number might include a number of people—perhaps in their thousands—who are medically exempt but about whom the Care Quality Commission has not yet been informed. He has pointed to the need for the Government to share our thinking or that of the NHS on workforce planning with respect to this new measure. We will set out more details.

NHS England Funding: Announcement to Media

Mark Harper Excerpts

Monday 25th October 2021 Commons Chamber

[Edward Argar]

The hon. Lady and I have spent many days in recent weeks sitting opposite each other in the Health and Care Bill Committee, and she knows of what she speaks given her background in the NHS. She is right about the validation of those lists and then the prioritisation, but although it is absolutely vital that we ensure that patients and those on the waiting lists are kept informed and included in the decisions and discussions about their care, her key point was about clinical decision making. In this context, the decision making and prioritisation must be clinically led.

I have spoken with the Royal College of Surgeons and others of the royal colleges about how we approach the issue. We should look at a number of factors. Is it possible with these new approaches to deal quickly with a large number of high-volume, low-complexity treatments that impact on quality of life? Equally, there are very complex treatments for which a month, a week or even a day longer can lead to more adverse clinical outcomes.

It is right that we go for clinical prioritisation. Although I am keen that we should keep people informed and engaged as participants in the process, it is vital that we see this issue as clinically led.

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

I warmly welcome the funds that have been provided to the NHS to deal with the backlogs, particularly for those who stayed away from the NHS during the pandemic. Does the Minister agree that this is effectively a deal—a contract, if you like—with the NHS? We are providing the resources, which we voted for; it is the job of NHS chief executives to take those resources and now turn them into the healthcare that our constituents need. It is not their job to send their representatives on the radio to try to get us to shut down the economy. If we do not have an economy to generate the wealth, we will not have the resources that we need to fund our NHS.

[Edward Argar]

I always listen with great care to my right hon. Friend. He is right that we in this House, on behalf of taxpayers, provide the resources to the NHS and others to deliver the outcomes that we want for all of our constituents, but it is absolutely right that the NHS and others set out their plans for doing so, and that we hold the NHS to account for delivery against those plans. Ministers will draw up those plans in tandem with the NHS because, quite rightly, just as I will hold the NHS to account, I know that my right hon. Friend will hold me to account in this House. A key element of those plans for tackling the backlog must also be reform and innovation rather than simply more of the same.

Covid-19: Government Response

Mark Harper Excerpts

Thursday 21st October 2021 Commons Chamber

[Maggie Throup]

Our vaccines programme has really created a wall of defence. We are in plan A, and there is still more that can be done as part of plan A. That is why I am calling on the 4.7 million people who have yet to come forward for their first jab and on others to have their booster jab as soon as they are eligible, as well as encouraging 12 to 15-year-olds to get their jab as soon as they have the opportunity.

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

May I associate myself strongly with the Speaker’s statement earlier? It really should not be difficult for Ministers to come to this House to make statements, rather than doing so at press conferences. I really do think that the Speaker’s words should be taken on board by those on the Treasury Bench. It is worth saying that the number of patients in hospital with covid is lower now than it was a month ago. That is worth saying because it puts things into some context. My question is this, though, following on from the Chairman of the Health Committee. At the press conference yesterday, the Secretary of State seemed to imply that there was some reluctance among the public to come forward for booster doses. The headline in all the papers this morning was that if people do not come forward for their booster dose, we will have restrictions back. I can see no evidence that the public are not coming forward for their booster dose when asked, so can the Minister set out clearly whether there is a problem with people coming forward when asked? If the slowness of the roll-out is actually to do with the way in which either the NHS or Ministers are administering it, leading to a problem later in the autumn, that would be on Ministers and not on the public.

[Maggie Throup]

My right hon. Friend is right to say that the number of hospitalisations is now lower than it was a few months ago. People do not need to wait to be contacted by their GP, community pharmacy or the NHS to come forward for their booster jab, so long as they are six months plus one week past their second jab. We are encouraging everybody to come forward, even if they have not formally been invited, by dialling 119 or going online.

Oral Answers to Questions

Mark Harper Excerpts

Tuesday 19th October 2021 Commons Chamber

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

First, let me welcome my hon. Friend to her position. As chair of the all-party group on learning disability, I look forward to working with her.

On the point that the hon. Member for Worsley and Eccles South (Barbara Keeley) raised, the Government have a plan to reduce the number of people in in-patient units—the assessment and treatment units—like the one at Winterbourne View, which delivered completely inappropriate treatment. When will that delivery plan be published? Her predecessor committed to doing it four months ago; she said that there was work to be done. Can my hon. Friend set out when it will be published so that we can press the Government on delivering those ambitious goals?

[Gillian Keegan]

I look forward to working with my right hon. Friend. I have been along to the first board, although I have not yet chaired it. But we will be developing that action plan. I cannot commit to the date but I will let him know as soon as I can when we will publish the plan. We will be publishing a winter plan for the NHS, which will include lots of different support, in the next couple of weeks.

Coronavirus Act 2020 (Review of Temporary Provisions) (No. 3)

Mark Harper Excerpts

Tuesday 19th October 2021 Commons Chamber

[The Secretary of State for Health and Social Care (Sajid Javid)]

I beg to move,

That the temporary provisions of the Coronavirus Act 2020 should not yet expire.

Since we set out our road map out of lockdown in February, we have reopened the economy and lifted restrictions in four steps, carefully removing the rules that have governed our daily lives during the pandemic. Scotland, Wales and Northern Ireland have also emerged from lockdown on similar timetables and life in the UK has returned ever closer to normal.

One of my first actions as Secretary of State was to announce that we would proceed with step 4 of the road map on 19 July and, in doing so, shift the country’s main line of defence from lockdowns to vaccinations. We could do that because our vaccination programme has created a vast wall of defence. We have given nearly 95 million vaccines, with more than eight in 10 of every man, woman and child in the UK over the age of 12 getting at least one jab and some 79% receiving at least two. It is a remarkable achievement and now that our boosters have begun, they are reinforcing that wall of defence still further. The latest estimates show that our vaccines have prevented over 24 million infections, over 260,000 hospitalisations and over 127,000 deaths.

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

I very much agree with the Secretary of State about the success of our vaccination programme. Does he have any concerns about whether the third dose for those with a compromised immune system and the booster dose for everyone who has had two doses is going fast enough? Are there steps that the Government can take to speed that up to put us in the strongest possible position ahead of the winter?

[Sajid Javid]

I thank my right hon. Friend for the scrutiny that he has provided of the Coronavirus Act 2020 through the Government and in many other ways over the last few months. It has been very valuable, certainly to me. On his specific question, the third jabs, whether they are for those who are immunocompromised or booster jabs, are critical over the next few months. As of yesterday, we have administered some 3.7 million jabs. It is off to a good start but we need to continue to work hard to increase the uptake. That is exactly what is happening and certainly will be over the next few weeks with a big marketing campaign about to begin as a way of trying to boost that. He is right to raise that issue.

The Coronavirus Act has been instrumental in our response to the pandemic. It has helped to steady the ship in stormy waters. It has protected the NHS in its hour of need by allowing tens of thousands of medical and care staff to register with the NHS temporarily, including nurses, midwives, paramedics, radiographers, social workers and many others; by keeping public services going, including ensuring that our courts and local democracy could function; and by providing a vital lifeline for people and businesses across the country, supporting 11.7 million jobs and providing 1.6 million business loans.

--- Later in debate ---

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

Thank you, Madam Deputy Speaker. I will, of course, obey your strictures on time.

I welcome what the Secretary of State has done in not continuing with some of the most offensive and egregious provisions in the Act, particularly the one enabling almost indefinite detention. I have looked very carefully at the provisions that are being continued, and all the very unwelcome powers are not being continued. Although there remain some unwelcome powers with which I might quibble and although, as my right hon. Friend the Member for Haltemprice and Howden (Mr Davis) said, there are other ways of delivering some of them, the most offensive ones have been removed, which I welcome. I therefore will not seek to divide the House. If others were to do so, I will not oppose the renewal of these provisions.

It is worth saying, because many people outside the House do not understand this point, that it is not the Coronavirus Act 2020 but the Public Health (Control of Disease) Act 1984 that has been used to deliver the lockdown measures and the other measures that people have found so very difficult. The 1984 Act remains in place and gives Ministers all the powers they would want to be able to lock down the country again—I hope that is never needed, but they have the powers if they need them. I do not think that Act comes with sufficient scrutiny, which is why I strongly support the campaign of my hon. Friend the Member for Wycombe (Mr Baker) to reform it by better combining the necessary powers with the necessary parliamentary scrutiny.

On parliamentary scrutiny, I welcome what I detected was an improvement in the tone from the Opposition. I welcome what the shadow Secretary of State said; there was an increasing recognition that scrutiny and challenge to government is necessary. When some of my colleagues and I were challenging and opposing some of the Government measures that predate my right hon. Friend’s accession to the post of Secretary of State for Health and Social Care, it felt like a lonely occupation. We were not joined by the shadow Secretary of State or by many of his colleagues, so I am pleased that he is becoming more enamoured of the concept of scrutiny, which is very welcome for the Opposition.

[Mr Davis]

May I ask my right hon. Friend to hesitate in his laudatory comments about the Opposition Front Benchers? One problem we have is that we cannot amend the provisions. The deal they did not strike back on 23 March 2020, and that they should have, was that this should have been an amendable measure. We could then have put everything right.

[Mr Harper]

That is exactly right. It is for that reason that if there were a Division I would not be voting for this legislation, because I do not think it comes with enough parliamentary scrutiny—the sort of scrutiny that there is if we use the Civil Contingencies Act 2004.

[John Redwood]

Would it not also help the Government’s case if they gave us more detail on which of these measures actually worked and did some good? We need more post-result audits so that we can have more confidence in some of these measures.

[Mr Harper]

My right hon. Friend makes a good point, which would be worth following up.

Conscious of your strictures, Madam Deputy Speaker, let me make a couple of final points. On the issue raised by the hon. Member for Twickenham (Munira Wilson) on vaccine passports, the Secretary of State gave half of the right answer, which was that the Government would have to persuade the House to introduce vaccine passports, and he confirmed that the House would have to vote on it. The final piece to come in his wind-up remarks is that that vote will come ahead of any decision to introduce vaccine passports, rather than there being only a retrospective vote after their introduction. If he confirmed that, he would do the House a powerful service.

The final point is to reinforce what the shadow Secretary of State was saying, and what I said in my intervention, about speeding up second doses and third doses for those who are immunosuppressed and, to release the pressure on the NHS, focusing on improvements in social care this winter. My local NHS trust—I have raised this issue with the Secretary of State privately—has made the point that some of the pressures are because it cannot get the people who have received all the hospital treatment they need out into the community, because of a lack of either residential social care or domiciliary social care. For it to deliver on clearing the backlogs of healthcare and to stop accident and emergency backing up, it must be able to get people out of the “back door” of the hospital into social care or back home. It is social care that will put the NHS under critical pressure this winter, in the next few weeks, so I urge my right hon. Friend to focus on the social care aspect of NHS pressure, not just on NHS pressure. With that, Madam Deputy Speaker, I will broadly obey your strictures and sit down.

--- Later in debate ---

[Maggie Throup]

Of course we keep every aspect of the Act under review and will continue to do so.

Members have made a number of compelling points and I would like to address them and respond to some of the questions raised. The shadow spokesman raised the issue of vaccinations and I am pleased to report that 3.6 million booster jabs have been delivered to date over a very short time period. This week sees the launch of a communications campaign on the importance of flu jabs. As my right hon. Friend the Secretary of State announced earlier, the national booking service will open for vaccination bookings for young people shortly and letters will be sent to parents and guardians of children aged 12 to 15 over coming weeks inviting them to book the vaccine online or by calling 119. Jabs will continue to be delivered in schools and if the child has already been invited through their school they do not need to act on their invite unless the parents wish to do so. This is a further option for parents to get their children vaccinated.

In response to my right hon. Friend the Member for Forest of Dean (Mr Harper), on 23 September, the Government laid out their plans for parliamentary scrutiny should there be a need for vaccine certification. The Government recognise the vital importance of parliamentary scrutiny. In addition, there was a call for evidence, which closed on 11 October. I trust that my right hon. Friend was able to contribute to that.

My hon. Friend the Member for Bolton West (Chris Green) raised the issue of care workers. My father was in a care home for seven years. I know from personal experience that care workers become part of the family and play a really important role.

[Mr Harper]

Before my hon. Friend moves on, may I press her a little further? She rightly says that the Government recognise the importance of parliamentary scrutiny. That is welcome, but my question was very specific. The Secretary of State committed to the House’s having to make the decision about vaccine passports, and my question was whether the House would be asked to make that decision in advance and not retrospectively. Can the Minister confirm that the House will be asked to make that decision in advance of any move to implement vaccine passports, and that it will not be asked to approve it retrospectively?

[Maggie Throup]

Covid certification will be brought in under the Public Health (Control of Disease) Act 1984, which, as my right hon. Friend is aware, allows for emergency measures. We will do our utmost to bring forward the vote in Parliament before any enactment of the need for covid certification.

I return to the comments by my hon. Friend the Member for Bolton West. A consultation about making vaccination a condition of deployment in the NHS and wider social care closes on 22 October. We will consider all the responses in due course.

Health and Social Care

Mark Harper Excerpts

Tuesday 14th September 2021 Ministerial Corrections

The following is an extract from a statement on 13 September 2021:

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

I listened carefully to the Minister’s answer to the Chair of the Health and Social Committee, and perhaps I may press him a little. He said that the Government have received only interim advice from the JCVI about the adult booster campaign, but this morning outside the House the Prime Minister said that the booster campaign would be going ahead and had already been approved. Have the Government received the final advice from the JCVI about the adult booster campaign, which it said could be different from its initial advice? Have the Government made a decision about the details of the adult booster campaign and whether it is indeed going ahead?

[Nadhim Zahawi]

I am grateful for my right hon. Friend’s important question. We have received interim advice from the Joint Committee on Vaccination and Immunisation, which we have published, and it has now received the Cov-Boost data. The interim advice was about vaccinating the most vulnerable with a booster for covid and for flu. It is advising a two-stage process, and stage one is to offer the booster vaccines to those in the old 1 to 4 cohorts plus the immunocompromised, and then to groups 5 to 9. That is the right way to proceed. We have not yet received its final advice. It could be different to the interim advice, but boosting preparations are well under way. Clearly that final advice is predicated on which vaccine delivers the highest level of protection and durability.

[Official Report, 13 September 2021, Vol. 700, c. 768.]

Letter of correction from the Minister for Covid Vaccine Deployment, the hon. Member for Stratford-on-Avon (Nadhim Zahawi):

An error has been identified in my response to my right hon. Friend the Member for Forest of Dean (Mr Harper).

The correct response should have been:

Covid-19 Update

Mark Harper Excerpts

Tuesday 14th September 2021 Commons Chamber

[Sajid Javid]

The hon. Gentleman is right to raise the concerns of Jane and many others up and down the country and to express her frustration in the way he did. I am certain that, when this inquiry gets going, people such as Jane and many others will have the opportunity to set out their views.

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

First, thank you, Mr Speaker, for granting the statement last night. I think it was important that the House heard at an early opportunity the Government’s decision. Regretfully, there were one or two inadvertent inaccuracies in some responses to the questions, but having raised those with the Minister for Covid Vaccine Deployment, whom I respect greatly, I am very pleased to say that a correction has either been made or is going to be made very quickly. I think it is admirable that the Department has sought to put the record straight at a very early opportunity.

In his statement, the Secretary of State said of those in education:

“Regular asymptomatic testing…will also continue in the coming months”.

My understanding is that there was to be a review at the end of September of regularly testing children who have no symptoms. Is that still going to continue? My view is that we should not be regularly testing children who have no symptoms, only those who have symptoms, and that is also the view of the Royal College of Paediatrics and Child Health. Can I urge the Secretary of State to drop regular asymptomatic testing of children, which I think would be good for their education and good for their mental health?

[Sajid Javid]

My right hon. Friend mentioned yesterday’s statement. My hon. Friend the Minister for Covid Vaccine Deployment was referring to whether the Department had received advice on boosters from the Joint Committee on Vaccines and Immunisation, but at the time of his statement he was not aware that we had received such advice. As my right hon. Friend says, that was inadvertent, and the Minister has written a letter of correction that will go in the Library of the House today. Asymptomatic testing of schoolchildren is planned to continue this month. I am not aware whether a final decision has been made on whether we will continue beyond that, and that is something on which my Department consults the Department for Education. My right hon. Friend’s general point is that we should end such testing as soon as we can, especially if we believe it is not making much of a difference. Of course we keep the issue under review, and if we continue with it, it must be supported by the evidence.

Covid-19 Vaccinations: 12 to 15-year-olds

Mark Harper Excerpts

Monday 13th September 2021 Commons Chamber

[Nadhim Zahawi]

I am grateful for the hon. Member’s question. He raises an important issue, and he has raised it with me in the MPs briefings as well. One thing we continue to do is to have the evergreen offer so that people can come forward at any time. I can share with the House that in the past week, for example, in the first phase of groups 1 to 9—the most vulnerable as per the JCVI recommendation, as the House will recall—we still had 30,000 people come forward for their first dose, and out of the second phase of groups 10 to 12, we had 70,000. Therefore 100,000 people took advantage of the evergreen offer. As we embark—the planning is well under way—on the booster programme, we continue to drive up the evergreen offer for first-dose people to come forward.

The shadow Secretary of State mentioned his experience in his constituency and in his region about the drive to increase uptake among different ethnic groups. That continues to be our priority, and we continue to make sure that those communities get not just the information but access to the vaccines. We are making it as easy as possible for them to access the vaccine without an appointment: they can just walk in and get their jab.

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

I listened carefully to the Minister’s answer to the Chair of the Health and Social Committee, and perhaps I may press him a little. He said that the Government have received only interim advice from the JCVI about the adult booster campaign, but this morning outside the House the Prime Minister said that the booster campaign would be going ahead and had already been approved. Have the Government received the final advice from the JCVI about the adult booster campaign, which it said could be different from its initial advice? Have the Government made a decision about the details of the adult booster campaign and whether it is indeed going ahead?

[Nadhim Zahawi]

I am grateful for my right hon. Friend’s important question. We have received interim advice from the Joint Committee on Vaccination and Immunisation, which we have published, and it has now received the Cov-Boost data. The interim advice was about vaccinating the most vulnerable with a booster for covid and for flu. It is advising a two-stage process, and stage one is to offer the booster vaccines to those in the old 1 to 4 cohorts plus the immunocompromised, and then to groups 5 to 9. That is the right way to proceed. We have not yet received its final advice.[Official Report, 14 September 2021, Vol. 700, c. 8MC.] It could be different to the interim advice, but boosting preparations are well under way. Clearly that final advice is predicated on which vaccine delivers the highest level of protection and durability.