Oral Answers to Questions

Debate between Mark Harper and Maggie Throup

Thursday 8th June 2023 Commons Chamber

[Mr Harper]

I am grateful to the hon. Gentleman for raising that issue and it is very good to see him back in his place. It is difficult to make policy based on anecdote. If he has specific examples and evidence, I would be delighted if he wrote to me or the roads Minister, and we will of course look into the serious matters he raises in the House.

[Maggie Throup (Erewash) (Con)]

Roadworks that continually reappear on the same stretch of road at multiple locations are a major cause of congestion across the towns and villages in Erewash, particularly in Long Eaton and Sawley. What steps is my right hon. Friend taking, in conjunction with colleagues in the Department for Levelling Up, Housing and Communities, to ensure that utility companies better co-ordinate their work schedules to minimise disruption to road users?

Vaccination Strategy

Debate between Mark Harper and Maggie Throup

Wednesday 12th January 2022 Commons Chamber

[Maggie Throup]

I do not recognise the data given by the right hon. Gentleman. We have already invested £465 million in a recruitment and retention programme for care home staff. It is important to recognise that caring is a worthwhile career. The carers I have met are really dedicated and get a lot from it. I come back to the fact that it is important to keep the most vulnerable in our society safe, whether they are care home residents or patients who are acutely ill in hospital.

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

My sources in the NHS tell me that last week they received either from the Department or from NHS England instructions effectively on how to go about firing people from the NHS in April if they have not been vaccinated. That caused them considerable concern. The Government’s own analysis, prepared by the Minister’s own Department, is not of the position now; it is of the expectation of where we will be in April. Analysis from her own Department, signed off by her, thinks that 73,000 NHS staff and 38,000 domiciliary care workers will leave.

I want people to be vaccinated, but we know that the protection against infection wanes quite quickly from 10 weeks onwards, which means that we are not protecting others. I want people to be vaccinated, but I—and public health professionals—think that the best way is to persuade them, not threaten them with the sack. If people have not had their first jab by 3 February they will be unable to be fully vaccinated by April, so may I urge her, even at this stage, to come back to the House and reflect on whether threatening people with the sack if they do not get vaccinated is the right policy?

[Maggie Throup]

I completely agree with my right hon. Friend that persuasion is the right way to go. That is why the uptake went up tremendously among care home staff and since we implemented the policy for the NHS the uptake among NHS staff has increased tremendously as well, which is really encouraging. We want it to be a positive choice, and we want people to understand that they are protecting not just themselves and their families but the patients they care for, ensuring that they are safe. Those one-on-one conversations are ongoing to ensure that people understand that, from the perspective of patient safety, this is the right choice to make.

Public Health

Debate between Mark Harper and Maggie Throup

Tuesday 30th November 2021 Commons Chamber

[Maggie Throup]

I am sure the people my right hon. Friend is referring to will have heard him loud and clear. We all enjoy socialising but, as he will appreciate, we are in a difficult situation. However, we also have personal responsibility.

We are confronted with an emerging threat, which is familiar but not yet well known. The measures that we are putting in place are proportionate, precautionary and balanced, and are being made in response to the specific threat.

Late last week, the challenge arising from the latest covid-19 threat from the variant of concern known as omicron emerged. Public health officials in South Africa shared information on the omicron variant and it was identified as a coronavirus variant of concern. Thanks to our world-leading genomic sequencing experts at the UK Health Security Agency, we were able to identify that some cases of the new variant are present in this country. So far, we have identified 14 cases in the UK and, unfortunately, we expect to find more in the coming days.

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

The Minister mentioned the UK Health Security Agency, the head of which my right hon. Friend the Member for New Forest West (Sir Desmond Swayne) was referring to. Dr Harries said two things this morning. First, she said that people should not socialise. Secondly, she also implied—only implied, to be fair—that people should work from home. When the Prime Minister was asked about that, he made it clear that that was not the Government’s position and that people should follow the advice. I listened carefully to the Minister’s answer and I do not think that is quite what she said. Could she be clear that Dr Harries was speaking only for herself, not for the Government?

[Maggie Throup]

As my right hon. Friend said, the Prime Minister said that we are putting these measures in place, about which I will speak more. I cannot speak for any other person who goes on the airwaves.

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[Mr Harper]

Will the Minister give way on the timing?

[Maggie Throup]

I know I keep saying I will take one last intervention, but I give way.

[Mr Harper]

I am very grateful. I listened carefully to what the Minister said about the timing. The Government have said that they are going to review these measures after three weeks and she is right—on the face masks, the regulations expire on 20 December—but the self-isolation SI has no expiry date, which means it will run all the way until the main statutory instrument expires on 24 March 2022. Why is that?

[Maggie Throup]

My right hon. Friend makes a very good point. I would like to reassure him that we will continue to update the House over the next few weeks, that we will not continue to have these regulations in place for any longer than is necessary, and that—[Interruption.] If I may just finish. The type of regulations he is referring to are reviewed under legislation every four weeks and are more likely to be reviewed every three weeks. I understand his point and I do take it very seriously. I wish we were not in a situation where we have this conflict, but I reassure him that I take his point very seriously and these measures will not be in place for any longer than is absolutely necessary.

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[Maggie Throup]

No, I must make progress.

The self-isolation regulations were introduced to provide a legal requirement to self-isolate for individuals who have been notified that they have tested positive for covid-19 or that they are a close contact of a positive case. On 16 August, thanks to the success of the vaccine roll-out, we were able to introduce a number of exemptions to self-isolation for close contacts, including for those who are fully vaccinated or under the age of 18 years old. Given the greater threat that may be posed by the omicron variant, we have reviewed the application of these exemptions. This latest amendment to the self-isolation regulations is targeted at helping to slow its spread. From 4 am today, all individuals notified by NHS Test and Trace or a public health official that they are a close contact of a confirmed or suspected case of the covid-19 omicron variant are legally required to self-isolate for a period of 10 days, regardless of their age or vaccination status.

[Mr Harper]

Will the Minister give way on that one point?

[Maggie Throup]

No; I have been very generous up until now.

Anyone who has been notified as testing positive for covid-19, regardless of the variant, will continue to be legally required to self-isolate. We appreciate that self-isolation is not easy and that it places a burden on people, but we also know that it is highly effective in limiting the spread of the virus. The Canna model estimated the impact of testing—

[Mr Harper]

Will the Minister give way?

[Maggie Throup]

I really must make progress.

The model estimated the impact of testing and tracing and self-isolation on covid-19 transmission from June 2020 to April 2021. During the period of the study, the model found that testing, tracing and self-isolation had a critical impact on identifying cases of covid-19 and reducing onward transmission. The model found that between 1.2 million and 2 million infections have been directly prevented as a result. Additional assistance is available to those who are being required to self-isolate through the range of financial and practical support measures that the Government have put in place.

I am confident that these two sets of regulations represent proportionate precautionary and targeted action in the face of the new covid-19 variant, the risk of which we still do not yet fully understand. [Interruption.]

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[Maggie Throup]

I am pleased to bring this wide-ranging debate to a close. We are now almost two years on from when this virus first emerged in Wuhan. Since then, science and disease have been locked in a battle for ascendancy. For the last year, science has been on top as the global effort on vaccines has dramatically reduced the risk of hospitalisation and death for those who catch covid-19, but we know from the history of previous diseases that they mutate and change, so that vaccinations and treatments become less effective. That is why only one disease, smallpox, has been eradicated, although we are close to eliminating polio, too.

The virus is fighting back, and we must respond. To those who say that the regulations we have debated—the reintroduction of face coverings in some settings and self-isolation requirements for close contacts—are an imposition on our liberties, I agree, but they are a necessary imposition to slow the spread of a new variant and allow science to catch up. However, there is a balance to be struck. Too many restrictions have a crippling effect on social and economic life, as well as adding to the burden of mental illness. For those who say that the regulations we have debated are not enough, I say that they will buy us time to understand this new variant better. That is why they will be reviewed in three weeks’ time.

We will continue to closely monitor all the emerging data on the new variant. We have committed to review all of the measures in three weeks’ time, ahead of the face coverings regulations expiring. Restrictions will not be in place any longer than necessary. We do need to learn to live with this virus, but it is right, in the face of a potential threat, to take balanced and proportionate measures, and we will continue to closely monitor all the emerging data on the new variant. Overall, I would like to reiterate that this will be a moving picture over the coming weeks. We will get a better idea of its nature in the next couple of weeks. Its transmission advantage, vaccine escape and severity of infection are some of the things we are looking at as we observe how the variant develops in southern Africa and the rest of the world, too. Alongside that, the scientists will continue to study it in the lab, but it will be several weeks before we get a clear picture. The most important thing is that the world keeps sharing information and findings as new cases emerge. I thank my hon. Friend the Member for Christchurch (Sir Christopher Chope) for raising an inconsistency in our explanatory memorandum at paragraph 12.3. For clarity, I will read out the section as it was intended:

“Furthermore, the policy will be supported by a communications campaign that will make clear that some people are exempt from these regulations and people should not be challenged by members of the public for not wearing the face regulation.”

I trust that that reassures my hon. Friend on the matter and on the seriousness with which the Government take supporting those who are exempt from these requirements. I will be working with officials to rectify this.

With respect to omicron-positive cases, NHS Test and Trace will work with the positive case and/or their parent to identify close contacts. Contacts from a school setting will only be traced by NHS Test and Trace where the positive case and/or their parents specifically identify the individual as being a close contact. There is likely to be a small number of individuals who will be most at risk of contracting covid-19 due to the nature of the close contact. I reiterate that the direct contact will be by NHS Test and Trace, rather than via the covid app.

My hon. Friend the Member for Winchester (Steve Brine) and my right hon. Friend the Member for South West Wiltshire (Dr Murrison) talked about suspected cases. My right hon. Friend hit the nail on the head: many of the laboratories processing the PCR tests will be able to test for the S-gene dropout and that will give a very good indication of cases of the omicron variant. While it does not provide 100% confirmation, we can get that information very quickly and at the same time the test result is reported and that is ahead of any genomic sequencing.

[Mr Harper]

Will the Minister give way?

[Maggie Throup]

I want to continue as many points have been raised and I was very generous in giving way when opening the debate.

A debate on this subject would not be complete without the Opposition spokesman asking about financial support for those in self-isolation. I reassure the Opposition spokesman that anyone who is legally required to self-isolate as a contact or positive case will be able to apply for a test and trace support payment or practical support such as the medicines delivery service if they meet the normal eligibility criteria. The latest figures show that almost 363,000 people have received a test and trace payment since the scheme began, and over £180 million has been paid out. The help is there.

We have set out proportionate and balanced measures which do not include limiting socialising. It is the Government who set policy and guidance, which is what the public should follow. The Secretary of State updated the House yesterday on the changes to the JCVI guidance for boosters and the NHS will be issuing instructions on how that guidance should be operationalised shortly.

These regulations are precautionary and proportionate, helping to safeguard the gains made by our fantastic vaccination programme, which has seen almost 18 million people across the UK get a booster jab already. The Government have acted rapidly and reasonably to ensure that science retains the upper hand in the struggle with the virus and I commend these SIs to the House.

Question put.

Covid-19: Government Response

Debate between Mark Harper and Maggie Throup

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.

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

Debate between Mark Harper and Maggie Throup

Tuesday 19th October 2021 Commons Chamber

[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.