Health and Social Care

Debate between Mark Harper and Nadhim Zahawi

Tuesday 14th September 2021 Ministerial Corrections

[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 Vaccinations: 12 to 15-year-olds

Debate between Mark Harper and Nadhim Zahawi

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.

Covid Vaccine Passports

Debate between Mark Harper and Nadhim Zahawi

Wednesday 8th September 2021 Commons Chamber

[Nadhim Zahawi]

I am grateful to the hon. Lady for her opening words and for urging those who have not had a vaccine to come forward and be protected. She asked a number of important questions relating to this measure, including what it will achieve. She will know that double vaccination was important for people to be able to travel, and the implementation of that was largely successful. We need to go further to make sure that we recognise other vaccines from other countries around the world. Those vaccines need to be recognised by the WHO, our regulator and other regulators to make it even easier for people who are double vaccinated to travel to the United Kingdom. The NHS in England, Scotland, Wales and Northern Ireland stands ready to continue that joint work, as does NHSX in terms of the technology.

The hon. Lady asked about people’s access to essential settings, which is incredibly important. I can assure her that some essential services will not require people to show covid vaccine certification. They include settings that have stayed open throughout the pandemic, such as public sector buildings, essential retail, essential services and, of course, public transport.

She also asked what certification will achieve domestically. I hope that, combined with the vaccination programme, the booster programme and all the work that we have done around education, we will be able to transition this virus, post winter, from pandemic to endemic status. The reason for this very difficult decision is that it allows us to sustain the opening of the economy, including the nightclub sector, without having to flip-flop, go backwards and close down sectors because of super-spreader events. The chief medical officer, Chris Whitty, tells us that in absolute terms. As I said earlier, if people are double jabbed, only 60% will not be infected by the virus and therefore not spread it, but 40% could be infected. In relative terms, putting that downward pressure on infection rates is important in that journey towards transition from pandemic to endemic.

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

I have to say that I agree with the Chairman of the Public Administration and Constitutional Affairs Committee, my hon. Friend the Member for Hazel Grove (Mr Wragg). The Minister set out earlier this year that this policy was discriminatory. He was right then and that remains the case. It is a discriminatory policy. The vaccines are fantastically effective at reducing hospitalisation and death. They are very much less effective in reducing transmission of the Delta variant. This is a pointless policy with damaging effects. I am afraid that the Minister is picking an unnecessary fight with his own colleagues. I say to him that the Government should think again. The Leader of the House has been clear that we do not believe—the Government do not believe—that this policy is necessary for us to meet here in a crowded place. Let us not have one rule for Members of Parliament and another rule for everybody else. Drop this policy.

[Nadhim Zahawi]

My right hon. Friend asks about my previous position. I addressed it a few days ago from this Dispatch Box. Back in January and February, we did not have the level of evidence on the Delta variant, which he mentioned. That variant is far more infectious—it requires only a few particles of Delta for a person to be infectious. Let me repeat the data that I cited earlier: 60% of people who are double vaccinated will not be infected by Delta and therefore will not spread it, but 40% could be infected and then spread it.

As for the policy being discriminatory, there will, of course, be exemptions—for example, in exceptional circumstances where a clinician recommends vaccine deferral, where that vaccine is not appropriate, and where testing is also not recommended on clinical grounds. Then there are those who have received a trial vaccine, including those who have been blinded or given a placebo as part of the formally approved covid vaccine trials in the United Kingdom.

This is not something that we enter into lightly, but it is part of our armoury to help us transition over the winter months from pandemic to endemic status. I hope to be able to stand at this Dispatch Box very soon after that and be able to share with the House that we do not need to do this any more as we will be dealing with the virus through an annual vaccination programme.

Covid-19 Update

Debate between Mark Harper and Nadhim Zahawi

Thursday 22nd July 2021 Commons Chamber

[Nadhim Zahawi]

It is unlike the right hon. Member for Orkney and Shetland (Mr Carmichael) to accuse any colleague of being arrogant, and I certainly hope that I did not come across as such. He is always courteous and polite—I have certainly found him to be so over the years. He asks several important questions. On reserving the right, the Government will of course come back to the House if the decision is to mandate the double vaccination requirement for nightclubs, crowded unstructured indoor settings, large unstructured outdoor settings and, of course, the very large events such as business, music hall, and spectator sports events. In the meantime, we encourage the use of the NHS covid pass in facilities or at events where people are likely to be in close proximity to large numbers of people from other households. We are working with the sector. Indeed, the Under-Secretary of State for Business, Energy and Industrial Strategy, my hon. Friend the Member for Sutton and Cheam (Paul Scully), met people from the sector yesterday, as he does regularly. The sector itself will have seen what has happened in other countries such as the Netherlands. It is in the interests of all of the sector and of businesses to reopen and reopen permanently, and not have to open and close, open and close, which is why we are working with the sector in this period and giving people a chance to get their double vaccinations by the end of September.

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

Just on that last point about the decision, the statement is very clear that the Government have decided. It says, “We plan to make full vaccination a condition of entry”. My reading of that is that a decision has been taken, so the Government need to come to the House to ask the House’s permission to legislate; the right hon. Member for Orkney and Shetland (Mr Carmichael) was exactly right.

May I ask the Minister about the pingdemic? We have just had the data for last week. More than 600,000 people using the app were told to self-isolate. The Minister has set out clearly that, on 16 August, the right way to proceed is that those who have been double vaccinated will be advised to take a PCR test, and, if that is negative, they can then go about their business, reflecting the reduced risk of their being infected and therefore passing on the disease.

In a discussion this morning on the “Today” programme, the Secretary of State for Business, Energy and Industrial Strategy was told that businesses in a key sector were operating in that way now, with the advice from the app, and he was asked whether that was appropriate and safe. He said that it was not. If it is not safe now—I think it is safe—how does it suddenly become safe on 16 August? Given that it is safe on 16 August, because that is the Government’s policy, can we not just implement it now? The danger is that large numbers of people will either delete or stop listening to the app, and then, when we get to 16 August, they will not be getting the advice to take a PCR test, and we will have actually made ourselves less safe and less well protected. I urge the Minister to think again and to bring it forward now, because people will then be taking tests when they are advised to. If he does not do that, people will simply stop listening, which is very dangerous for public health.

[Nadhim Zahawi]

I am grateful for my right hon. Friend’s questions, as always: challenging but nevertheless the right challenges to think through. As I said, there are no easy decisions in what we are attempting to do. We will, I hope, be one of the first nations, certainly one of the largest economies in the world, that will see a transition of this virus from pandemic to endemic status—to manageable menace—through our vaccination programme, which is our primary tool.

The second most effective method is to make sure that people do self-isolate: I take on board his point and the point made by my right hon. Friend the Member for South West Surrey (Jeremy Hunt). That is why we are working flat out with critical infrastructure and key workers—of course with frontline NHS and social care staff, as I announced on Monday—to make sure that people have the ability to do a PCR test and then follow it up with a week or up to 10 days of daily lateral flow testing instead of self-isolation for 10 days. The honest truth is that there are no easy answers, because the very clear clinical advice and evidence is that if we do not do this carefully and slowly, we could risk the transition of the virus.

On the requirement around nightclubs by the end of September, I assure my right hon. Friend that we will be coming back to the House to make sure that it has an appropriate say on the matter. As we have seen with this virus in other countries, it is the right thing to do.

Covid-19 Update

Debate between Mark Harper and Nadhim Zahawi

Monday 19th July 2021 Commons Chamber

[Nadhim Zahawi]

I can certainly confirm that, and the guidelines are very clear that we are both supporting people and recommending that they continue to be careful when in indoor spaces and crowded places, to wear masks and to take personal and corporate responsibility, rather than having government by diktat.

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

I have to say that I do not welcome the Minister’s statement, particularly his announcement of compulsory vaccine passports for crowded venues, which is effectively moving to compulsory vaccination. However, I look forward to the debate and the vote in Parliament in September when he will bring forward the evidence, because I do not think that that policy is supported by the events pilots that have taken place.

I want to ask the Minister about the self-isolation regime. It is important for public confidence that it is supported by evidence. It is the same regime that we had before we had any vaccination or before we had any lateral flow tests, and the Government seem to accept that logic because they are going to move to a new, more sensible model on 16 August. I listened carefully to his multiple answers to colleagues on both sides of the House, but I am afraid he could not really explain why we were waiting until 16 August. All the things that will be true on 16 August about the reduced risk for those who are fully vaccinated of getting infected also apply today. I have to say to the Minister that, if the Government do not move on this before 16 August, he will be back at that Dispatch Box, probably during the recess. Reality will intrude, and I would rather the Government did this in a planned, organised and controlled way, rather than having a bit of a shambles developing later this month. I urge him to bring forward that announcement and those measures to today or this week; do not leave them to 16 August. Do the right thing, and I think the country will thank him for it.

[Nadhim Zahawi]

My right hon. Friend always makes thoughtful and important interventions and I take his words incredibly seriously on both questions. One was about sharing with the House the evidence and working with the industry, whether it is the nightclub industry or at-risk large-scale indoor events. As I mentioned in my statement, we will come back to the House with that evidence. On the self-isolation issue, I hope he agrees that this was the right thing to do for frontline health and social care staff and for critical workers. The important thing is the clinical evidence. The chief medical officer’s very clear advice is that, as we go through step 4, we should have that additional buffer, if I can call it that, and continue to double vaccinate to allow us a bit more time to ensure that people who are double vaccinated can then come out of self-isolation because we can move to a PCR-negative or daily testing regime. That is the right thing to do. We will keep it under review, and I take his words very seriously.

--- Later in debate ---

[Nadhim Zahawi]

I am very grateful to my right hon. Friend, who is always diligent in his questioning, including on the Friday calls, on behalf of his constituents. He raises a really important point about the beta variant, which as a precautionary measure is clearly a variant of concern to us. It is the one that would give us the greatest headache, in terms of vaccine escape—hence why we took those precautionary measures. We keep that under review, and the biosecurity team does that very effectively.

My right hon. Friend also raises a really important point about the cost of testing. I will certainly take away his comments and discuss them within Government, including with the Secretary of State for Transport, who has looked at this and talked to those involved in the testing process to ensure that people are not penalised by exorbitant PCR test costs.

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

On a point of order, Mr Deputy Speaker. I listened very carefully to what the Minister said in response to the excellent question from my right hon. Friend the Member for Tunbridge Wells (Greg Clark), who chairs the Science and Technology Committee. The Minister said that when the information is available from the test and release pilot in the next couple of weeks, he will come back to the House straightaway.

You will have noticed, Mr Deputy Speaker, as I am sure all Members will, that the House will be in recess at that point, and Ministers are unable therefore to answer written questions, lay written ministerial statements or make oral statements. I therefore ask those on the Treasury Bench, through you, Mr Deputy Speaker, whether the Minister will ensure that the House is recalled to hear that evidence. Of course, the decision point is on 16 August —during the recess. This will be of interest to millions of people in our country who by that point may be self-isolating, so we need a commitment that the Minister will return and the House will be brought back to enable Ministers to be questioned on this important matter. It would be helpful if the Minister can confirm that at the Dispatch Box now.

Covid-19

Debate between Mark Harper and Nadhim Zahawi

Tuesday 25th May 2021 Commons Chamber

[Nadhim Zahawi]

I am grateful for the hon. Lady’s question and I discussed this with the Mayor of London this morning. Of course Hounslow is on the list of affected areas and we are turbocharging the vaccination programme, as well as doing the surge testing and the sequencing and isolation. But as I have outlined in response to others, people need to exercise caution and common sense, and travel outside of the area only if it is essential. That is important. The right thing to do is for us to work together to make sure we deliver that message, as I did this morning with the Mayor of London.

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

In The Telegraph story this morning about what the rules for self-isolation might be post 21 June, a Government source was quoted as saying, in response to the suggestion that they will not change:

“There is still a risk of getting the virus and spreading it on,”

That is of course true—there is a risk—but of course once people have been vaccinated the risk is much lower and, importantly, the vaccines are very effective at stopping serious disease, hospitalisation and death. So may I say to the Minister that post 21 June it is important not only that legal restrictions and social distancing go, but that all the remaining rules are adjusted to reflect the much lower risk that exists once we have vaccinated the population? Otherwise, we are going to have those rules in place forever.

[Nadhim Zahawi]

It is worth waiting for 14 June, when we will be saying more on this, but suffice it to say two things: first, even if someone has had two doses of either vaccine —I have had this experience in my own family—they can still contract covid and should therefore be isolating and quarantining; secondly, we are also looking at ways in which contacts of people who may have contracted covid can be regularly tested instead of isolating.

Covid-19 Vaccine Update

Debate between Mark Harper and Nadhim Zahawi

Thursday 4th February 2021 Commons Chamber

[Nadhim Zahawi]

I am grateful to the hon. Gentleman for his question. The primary care networks have done a fantastic job in delivering the vaccine roll-out and will continue do so as we go beyond the first four cohorts into cohorts 5, 6, 7, 8 and 9 and then the next phase. Of course we want to make sure that people have choice. He will know by 2 pm, I think—when the next set of data is published—that his STP has reached 89% of the over-80s, which is an incredible achievement, the bulk of which has been done by the primary care networks. We will continue to support those networks. Through him, I send my thanks and appreciation to them and say that we will redouble our efforts to make sure that they get the vaccine doses that they need to get through not just the first four cohorts, but beyond that to the deployment programme for groups 5, 6, 7, 8 and 9.

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

I am very pleased that the Government have agreed that, once the vaccines have become effective for the first four cohorts from 8 March, we can start unlocking the economy. Does the Minister agree that, once the first nine groups have been vaccinated, accounting for 99% of deaths and about 80% of hospitalisations, that would be the right time for all restrictions to be relaxed so that we can get back to living as normal, with our children back at school and the economy fully open?

[Nadhim Zahawi]

There is no one who wants to see the economy open and functioning as soon as possible more than my right hon. Friend and the Prime Minister. As my right hon. Friend the Member for Forest of Dean (Mr Harper) rightly points out, the deadline for the top four cohorts is the middle of February. If we go forward three weeks from there, that is when the protection of the two vaccines really kicks in. The plan is to reopen schools on 8 March, after which we will gradually reopen the economy. It is important also to wait for the evidence. As I said earlier, the Vivaldi study and the SIREN study will enable us to see the impact of the vaccines on infection rates and on transmission. We are getting some really positive data from Israel and, of course, from the Oxford team. That will be our own robust evidence and, as the Prime Minister said, we will then share with the House on 22 February the roadmap of how we intend very gradually to reopen the economy.

Oral Answers to Questions

Debate between Mark Harper and Nadhim Zahawi

Tuesday 1st March 2011 Commons Chamber

[Mr Harper]

I simply do not agree with the premise of the hon. Gentleman’s question. The 2011 Act provides for a spread of plus or minus 5% of the quota, which is quite a significant number—around 8,000 electors—so that the boundary commissions can take into account all the traditional things, such as local ties and local government boundaries, but ultimately they have to deliver constituencies of more equal size. At the moment, constituencies can vary by over 50%, which is simply not right.

[Nadhim Zahawi (Stratford-on-Avon) (Con)]

2. What plans he has to introduce a power for electors in a constituency to recall their elected Member of Parliament.