(2 years, 8 months ago)
Commons ChamberThe hon. Lady is right to raise this matter. As she will know, owing to the pressures of the pandemic we have seen significant challenges for ambulance services throughout the country. Just a few days ago I met the head of the West Midlands ambulance service to discuss some of the issues, and also how the extra funding that we provided over the winter—some £55 million of support for ambulance services—is helping.
May I press the Secretary of State on how the increases in NHS capacity will be maintained over the medium term? His own Department has forecast that waiting lists may hit 9 million or 10 million in the next couple of years. The Government also have a plan to take the extra funding coming from the increase in national insurance and the health and social care levy out of the NHS to fund our long-term social care plans. How are the two to be reconciled?
As my right hon. Friend will know, when I presented the NHS’s elective recovery plan for the covid-19 backlog in the House a couple of weeks ago, I made it clear that we expect waiting lists to rise before they fall. That is because some 10 million people stayed away during the pandemic, and we want as many as possible of those who want and are able to come forward to do so. At the same time, the NHS will be massively increasing its activity, in new ways and with new funding. It is essential for there to be much greater integration between the NHS and social care, and we set our plans in detail in the White Paper published last week.
(2 years, 8 months ago)
Commons ChamberThe hon. Gentleman raises a series of very important points, especially in what he said about cancer and radiotherapy. I believe he already has a meeting in the diary with Health Ministers, and I will look out for the output of that meeting. I agree with what he said about radiotherapy and the importance of investment in that, and there is a lot more investment. I referred earlier to the £6 billion extra capital budget, and a large part of that will be used for new diagnostics. I hope he also agrees with me that, as well as radiotherapy, we need to invest in the very latest cutting-edge technology for cancer care, such as proton beam therapy, which I saw for myself last week in London.
The Secretary of State will know that many on this side of the House were very reluctant, but did support the increase in resources for the NHS through the increase to national insurance and then the health and social care levy. When we are making that argument to our constituents, they will expect that money to deliver results, so may I make one observation and ask one question? The observation is that, while the plan is welcome, only getting to 99% of patients waiting less than a year by March 2024 is not ambitious enough, so will he perhaps be more ambitious? Will he also say a word about how the resources raised through national insurance will be removed from the NHS and flow into social care? From October 2023, we will have to fund social care with the same money. He did not talk about that, and social care is as important as the NHS, so will he say a word about that?
My right hon. Friend is absolutely right about the importance of making sure that every penny spent in the NHS, or social care for that matter, is spent wisely and in the very best interests of taxpayers. I absolutely agree with him on that, and that also has to translate into the ambition. My right hon. Friend, like other hon. Members, will not have had time yet to look at the plan. I am happy to discuss it with him afterwards if he wishes. I hope he agrees that it is full of ambition. Indeed, if the NHS can go much further than the targets I set out earlier, that is what we all want. As I said in my statement, it does depend on how many people come back to the NHS, and that is very hard to estimate, but I want as many people as possible to come back.
My right hon. Friend is right to raise the importance of social care and the need for much better integration between healthcare and social care. We will set out more detailed plans on just that very shortly.
(2 years, 9 months ago)
Commons ChamberAs I have mentioned, JVT’s move is the country’s loss, but Nottingham’s gain, and I am glad that the hon. Lady is delighted. On investment in the NHS, she will know that, even before covid-19, the Government had already set out, in the long-term plan for investment in the NHS, the extra £30 billion going into the NHS by the end of that period, with huge investment in areas such as cancer care, mental health care and electives. Then during the crisis, which has of course been very challenging for our health and care services, as it has been across the world, we have set out over £40 billion of extra investment, including this year, to help us get through this crisis.
I welcome the change in the self-isolation rules that the Secretary of State set out. It is a good indication that the Government can be flexible on policy, so let me have another go on the subject I raised yesterday. My right hon. Friend heard the exchange I had with the Vaccines Minister. She agreed with me from the Dispatch Box that persuasion was the best and right way to get health and social care workers to be vaccinated. However, telling a health and social care worker that they will be sacked if they do not get vaccinated is not persuasion, but coercion. Will my right hon. Friend reflect on whether it is sensible on 1 April to continue to try to implement a policy that, according to the Government’s estimates, will mean 73,000 NHS staff and 38,000 domiciliary care workers losing their jobs? When a policy is not working, it is right to ditch it, isn’t it?
First, I commend my right hon. Friend for the scrutiny that he has constantly provided of the Government’s covid policy. He did that long before I was Secretary of State and I am pleased that he has continued to provide that scrutiny, which is very valuable. It is most valuable to me when he supports the policy, as he did on self-isolation today, but it is still valuable when he challenges the Government to think again about policy. That is very important. I addressed the policy he raised of the vaccine as a condition of deployment in the health and social care sector a bit in my statement. He will have heard that we are committed to it, but that is because it is right that, in those settings where there are people who are more vulnerable than others, they are put first. We know that vaccines limit transmission and that as a result it is safer for patients if the individuals who provide that care—the health and care workers—are vaccinated. The policy is about putting patients first, was voted for by the House with an overwhelming majority, and the Government intend to implement it.
(2 years, 10 months ago)
Commons ChamberThe covid-19 pandemic has caused upheaval across the world, forcing Governments everywhere to wrestle with how to keep their citizens safe while protecting the liberties that we all hold dear. We have learned a lot from our experience and the experience of others, and of course we are still learning. But we can take huge pride that thanks to the defences that we have built, so much of this year has been a year of recovery. We have enjoyed greater freedom than at any time during the pandemic so far. Thanks to the rapid progress of our vaccination programme, our investment in treatments and our decision to open up during the warmer summer months, we are in a far stronger position than we were last winter.
But even as I stood at this Dispatch Box back in July to announce the major milestone of taking step 4 in our road map, I said that
“we know that the greatest risk to the progress we have made is the possibility of another new variant, especially one that can escape immunity and puncture the protective wall of our vaccination programme”.—[Official Report, 12 July 2021; Vol. 699, c. 22.]
We have always known that variants have the potential to knock us off our course, and we have built the capacity to identify and respond to those that pose a threat.
The vast majority of new variants present no risk whatsoever. Since the summer, there have been hundreds of new variants, but only one of them—omicron—has been designated a variant of concern. For example, just last month, I updated the House from this Dispatch Box on AY.4.2, a new form of the delta variant, which preliminary analysis showed at that time might be more infectious. I said then that we would keep it under review, and that is what we did—and we took no action.
But omicron is a grave threat. We acted early to slow its spread, strengthening our testing regime and placing 11 countries on the travel red list, but despite those swift steps, the data over the past few days has shown more cause for concern. I would like to reinforce to the House today—to all hon. Members—why omicron represents such a risk to the progress that we have all made so far together.
I am listening carefully to the Secretary of State’s comments and am grateful that he has brought these measures before the House. I asked him yesterday whether he would give a commitment at the Dispatch Box to recall the House if the Government had to bring further measures in other than those being proposed today, so that we could be involved on behalf of our constituents in making that decision. He kindly agreed to take that matter away and discuss it with the Prime Minister. Is he able now, at the Dispatch Box, to commit that if the Government were to take further measures to deal with omicron during the recess, they would recall the House of Commons so that we are able to have all the evidence and participate in taking those decisions on behalf of the constituents we represent?
I of course understand the importance of my right hon. Friend’s question; as he said, he asked it yesterday and, understandably, has asked it again today. I hope he will understand that I am not able to give that commitment alone; it would not be a decision for me and my Department alone, but I know the Government would consider it together seriously.
(2 years, 10 months ago)
Commons ChamberMr Deputy Speaker, you will be aware that a couple of days ago the Department of Health and Social Care published something on social media that jumped the gun on the decision the House is being asked to take tomorrow. It is welcome that the Secretary of State intervened, saying:
“No law is decided until Parliament votes on it. I’ve asked for this graphic to be deleted”.
Of course that is not entirely true, because most covid laws, including the mask mandate, have come into force before Parliament voted on them.
This morning the Prime Minister refused three times to rule out further restrictions being imposed before Christmas. I will not ask the Secretary of State to contradict the Prime Minister, but if the Government do decide to announce further restrictions before Christmas, or indeed after Christmas, will he assure me from the Dispatch Box that this House will be recalled to debate and vote on the measures? It is not acceptable to keep governing this country by decree; the Government have to involve Members. I agree with what the Secretary of State said about using Members of Parliament; that means involving us in decisions and getting this House to make the laws. He will then find there is much more of a team approach, rather than decrees and late-night television addresses without taking the House seriously.
I am not aware of any plans for any further restrictions. As I told the House from this Dispatch Box last week, we are focused on the regulations that are coming before the House and will be subject to the will of the House. We will see if they are approved.
My right hon. Friend asked for an assurance, and I will take that back to my right hon. Friend the Prime Minister.
(2 years, 11 months ago)
Commons ChamberIt is important that sick pay begins from day one, but in terms of supporting areas—whether it be Hull or others—the right hon. Lady is right to point to the importance of the vaccination programme. The measures that we are taking, especially to help with the booster programme, including bringing on board more pharmacies, more hospital hubs and help from the military, will all help to increase access.
Having looked very carefully at the evidence and listened to what the Secretary of State said, I have to say that the initial evidence on omicron does not support the introduction of these measures, because the protection against serious disease remains strong. If the Secretary of State’s fears are confirmed, there is no exit strategy from the measures that he has set out; we will end up having to introduce them permanently. What I am really concerned about is that it is unquestionably the case that, over the past couple of weeks, the Government’s credibility—whether it is on Paterson or on the Christmas parties—has taken a hit. Why should people at home, listening to the Prime Minister and the Secretary of State, do things that people working in No.10 Downing Street are not prepared to do?
When it comes to the exit strategy—this is a very important question from my right hon. Friend—a number of factors are at play. The one that I would point to that is possibly the most important is the pharmaceutical defences that I referred to earlier, particularly the booster programme. Whatever emerging evidence there is on vaccine efficacy against omicron, it is perfectly reasonable to assume that, at this stage, a booster dose gives significantly more protection, and the more booster doses that we have in arms will certainly help with the exit strategy. As for the comment that my right hon. Friend made about activities that may or may not have taken place in Downing Street, I refer him to the comments that my right hon. Friend the Prime Minister made earlier today.
(2 years, 11 months ago)
Commons ChamberUK citizens who are abroad and wish to return home should comply with the requirements, but the right hon. Gentleman has raised an important issue, which I will take away and look into further.
Madam Deputy Speaker, I know that you will find it as comforting as I did that the Prime Minister’s official spokesman this morning confirmed that the Government were confident that next week they would have more data than they currently do, and that the Government would update Parliament before the House rises for Christmas; that is very welcome. The Prime Minister’s official spokesman also reserved the right to implement measures, if necessary, during the recess. It is perfectly reasonable that the Government retain that power, but if restrictions are important enough to implement during the recess, the House should be recalled for us to debate and vote on those matters. May I have an assurance from the Secretary of State that that is what will happen?
My right hon. Friend should be assured that there will be a further update next week, as I have also just committed to. As he says, if—and it is a big if—it were necessary for the Government to take important action during the recess, of course people would expect us to take that action. As for whether Parliament should or should not be recalled, that is something that I will take back to my right hon. Friend the Prime Minister.
(2 years, 11 months ago)
Commons ChamberThe 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.
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.
(2 years, 11 months ago)
Commons ChamberI 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.
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?
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.
(2 years, 12 months ago)
Commons ChamberI 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.
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.
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.
(3 years ago)
Commons ChamberI 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.
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?
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.
(3 years, 1 month ago)
Commons ChamberThe 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.
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?
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.
(3 years, 3 months ago)
Commons ChamberMay I just say to the Chancellor—the Secretary of State, rather—that when he brings forward the proposals, will he make sure that he addresses social care for working-age adults, which actually accounts for more than half of public spending? The debate is always focused on older people, and people of working age often get forgotten. The reason for my slip just now is that he will be aware, as a former Chancellor, that the tax burden was at a 50-year high before covid. When he brings forward the proposals, can we not just default to putting up taxes, however they are disguised, but look at overall Government spending, set some priorities and make some choices about what we think is important? Social care is important, but we need to make those choices about overall Government spending.
First, my right hon. Friend is right to bring to the House’s attention the way that the Government are also working on social care for working-age people. He is also right to point out—I was thinking about this the other day—that around 55% of total adult social care spending is for working-age adults, and it is important that we continue to provide that support. He will be pleased to know that I am working with the current Chancellor and other Cabinet colleagues on bringing forward a more sustainable long-term plan, and I hope he will support it when it comes forward.
(3 years, 3 months ago)
Commons ChamberThis is one of the most important issues. As the hon. Lady says, many people are immuno-suppressed or severely clinically vulnerable. It is important that at every stage of dealing with this pandemic we are thinking of them and having them at the front of our mind. That is what I believe we have done. Of course, when people in that category are able to take the vaccine they should, but not all are able to do so. She asks about advice, and I can tell her that we are publishing it today.
First, it is worth saying that I strongly welcome the statement from the Secretary of State. When he is back at the Dispatch Box in the autumn, as I fear he may be, announcing further restrictions, guidance or even another lockdown, one of the things that will have driven that will be hospitalisation data. The big flaw in that data at the moment is that it includes anyone who tests positive for covid who goes into hospital, not whether they have gone into hospital because they are ill with covid. That will drive poor decision making, and it is vital that it is fixed urgently. We cannot have hundreds of thousands of livelihoods and wellbeing sacrificed on the altar of dodgy data.
That is an important point from my right hon. Friend. He will know—I judge that is why he asked the question—that at the moment the figures available are “with covid”, which does not make a distinction about what is causing that individual to be in hospital, so the data are not precise and detailed enough. I think that is what he is getting at. It is a very good point and I have asked for advice on it. I hope we can start to get clearer data precisely for the reason he raises.
(3 years, 4 months ago)
Commons ChamberI apologise for any discourtesy to the House in not being able to be there in person. The Prime Minister has confirmed that there will be contingency measures in place for winter, and even if they are not legal restrictions, they will have an effect on business. Can the Secretary of State confirm what they are, and publish the details so that Members can scrutinise them at the earliest opportunity?
I believe that my right hon. Friend is referring to our keeping in place contingency measures, particularly for local authorities—the so-called No. 3 regulations—at least until the end of September in case those powers are needed in the event of a local break-out. Of course, there is no intention at this point that those powers will be used, but we believe it is necessary to have powers in place just in case. He will have heard me talking earlier about the risk that still exists from new variants. That is the plan, but I would be happy to discuss that with him further.
(3 years, 4 months ago)
Commons ChamberFirst, my hon. Friend will know that, in terms of 19 July and the restrictions that will be removed, we are focusing on domestic restrictions. He knows that, separately, we also take very seriously the border controls, the border restrictions and the so-called traffic light system. In terms of making any further decision on that, he will know that it is kept under constant review on a very regular basis, and it is something that I intend to sit down and discuss with my right hon. Friend the Transport Secretary as soon as I can.
I very much welcome my right hon. Friend’s return to the Front Bench. I know from my experience of dealing with him in Government that he is a man of real integrity, which is an essential quality in a Health Secretary at a time like this, so I welcome his appointment.
I welcome my right hon. Friend’s tone and his intent to get us back to normal, but let me pick up on his earlier answer to our hon. Friend the Member for Runnymede and Weybridge (Dr Spencer). There are those in government, from documents that I have seen, who are preparing the ground for the return of restrictions in the autumn and the winter. Will he rule out the use of lockdowns and restrictions in the winter as a mechanism for managing covid, and look at alternatives to ensure that the NHS is able to deal with us getting back to normal?
I thank my right hon. Friend for his kind and warm remarks. I know that he has taken great interest throughout the pandemic in the restrictions in particular, and I absolutely understand why it has been so important to him and others. I am very happy to meet with him to discuss the issues in more detail and listen to his views. He should know that it is my intention, and the Government’s intention, as I have said from day one on this job, to remove all restrictions as quickly as possible.