National Health Service

Debate between Mark Harper and Steve Baker

Tuesday 13th July 2021 Commons Chamber

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

I do not often say this, but it is a great pleasure to follow the hon. Member for Central Ayrshire (Dr Whitford), who speaks for her party and, in this case, the all-party parliamentary group on vaccinations for all. I agree with almost every word—not necessarily about the Scottish Government—she said about the right way of persuading care home workers to get vaccinated.

I should say first, before I touch on the specific proposals in front of us, that I agree with the Minister when she says it is very important that we protect those who live in a care home setting. We have all seen the damage over the past year from covid, and it is fantastic that we can now vaccinate those residents, because we know that covid is a disease that is focused on wreaking the most havoc on those who are older and those with health conditions. It is fantastic, as the Minister said, that 96% of residents of care homes have had a first dose and 93% a second dose. That means they have very substantial protection against serious disease, hospitalisation and, tragically, death, and that is fantastic. Everyone in the House—I think I can speak for everyone—wants to make sure we protect people in care homes. This debate is about how we best do so.

Let me just take the arguments that the Minister set out. First, I agree with what the hon. Member for Central Ayrshire said in terms of persuasion. I have certainly talked to my local health professionals, and they very much advocate listening to staff who are hesitant, understanding the reasons and then trying to address those reasons. I know that the Minister has said that a significant number of healthcare staff have been vaccinated, but it is not consistent across the country. In some places it will be 100%; in other places, it will be much lower.

It seems to me that we therefore need to focus on those areas where take-up is much lower and understand what the barriers are, rather than insisting that people have got to do something that they clearly have some concerns about. That may be because they are from a particular ethnic minority, and we know there is differential vaccine take-up there, or it may be that they are a younger female of childbearing age, and they are concerned—I think erroneously—about things they read about fertility. We need to deal with those concerns. We cannot threaten somebody who is young and worried about fertility and insist that they take a vaccine they are worried about without dealing with those concerns. I think we all agree about that; this debate is about how best to do it.

[Mr Steve Baker (Wycombe) (Con)]

Does my right hon. Friend agree that in some cases, seeming to threaten people will only worsen the problems of trust in authority from which people might already be suffering, causing them to be hesitant in the first place?

Coronavirus

Debate between Mark Harper and Steve Baker

Wednesday 16th June 2021 Commons Chamber

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

I draw the House’s attention to my entry in the Register of Members’ Financial Interests as chair of the Covid Recovery Group.

Before I turn to the matters before us, I would like to put on record my thoughts about the loss of Jo Cox five years ago. Sadly, I remember that day very well. Madam Deputy Speaker, you and I were both in different roles at that time, and it was our joint responsibility—in my case as the Government Chief Whip and in yours as the Opposition Chief Whip—to ensure that the House was able to be recalled for appropriate tributes to the paid to Jo Cox and her memory. I know that, in your position, you are unable to speak often in the House, but it was a great pleasure working with you on that very sad occasion to make sure that a fitting tribute was paid. Sadly, I remember that day very well.

On a happier note, in one sense, I would like to put on record my thanks to Sir Roy Stone for his 44 years of service in the civil service, which will shortly come to an end, although I am told he is not retiring; he is going to turn his attention to other things. He was a fantastic principal private secretary to me when I was Government Chief Whip, and I know that his loss will be felt across Government.

[Mr Steve Baker]

May I take this moment to put on record my apologies to my right hon. Friend, who was Chief Whip during a period when I was leading various rebellions? I also want to offer a great apology to Roy Stone, who will have had to put up with the trouble that I caused my right hon. Friend. I am very grateful for the things that my right hon. Friend has said.

[Mr Harper]

My hon. Friend reminds us all how we can have different roles in this House. It is worth noting that, as a former Government Chief Whip, I do not find not supporting the Government a particularly comfortable place to be. However, as my hon. Friend the Member for Wellingborough (Mr Bone) said, sometimes we have to put what we believe to be the interests of our country first, and that is what I feel I am doing.

I want to draw attention to what my hon. Friend the Member for Bolton West (Chris Green) said, because he is right. There are documents with Government—I am not saying that these have been agreed by Ministers, but certainly this advice is being given to Ministers—that Government should aim to have a very low prevalence of covid. That is not zero covid, but it is not a great distance away. If Ministers were to agree to that strategy, it would mean restrictions going on for the foreseeable future, and that is one of the things that we are very concerned about.

I note, at this point, what my hon. Friend the Member for Wellingborough said: the Labour Benches are somewhat empty—the Back Benches are completely empty— and it is colleagues on the Government side of the House who are holding the Government to account. I accept that the Government may occasionally find that uncomfortable, but it is our role as Members of Parliament.

I always find it helpful to draw attention to the documents actually before us. For those who do not know, we have an explanatory memorandum, which explains what it is we are voting on today. It has been prepared by the Department of Health and Social Care and it will have been approved by a Minister of the Crown. It is very clear, and it is worth reading. Paragraph 7.3, bullet two, makes it clear that the Government will

“likely be able to offer a first dose”

of vaccine

“to all adults…by July, but the vaccinations”

themselves will probably not take place until August “due to supply constraints.” We know that it takes two or three weeks until those vaccinations are effective, so those adults will not actually be protected until later in August, so that means that this delay is therefore pointless, or alternatively, that we are not going to cease these restrictions on 19 July if vaccinating all adults is the goal.

If we then turn to the review dates and whether this is indeed a terminus, paragraphs 7.4 to 7.7 are very interesting. There is a review required by the Secretary of State every 35 days. The first review, according to this, is not due until Monday 19 July. There is no mention here of an earlier review after two weeks—

“the first review due by Monday 19th July 2021.”

It says that

“England will remain at Step 3 for a further 4 weeks (subject to further review).”

It also says that the primary purpose of extending these regulations is

“to gather more evidence that the…tests can be met”—

not that these rules will expire after four weeks never to be reintroduced, but to gather evidence for tests to be met and then for a decision to be taken about whether these restrictions are to continue. The second reason given is to

“allow more people to receive vaccinations…further reducing these risks”,

as Ministers have said, but as I just pointed out, the first doses are not going to be delivered until August, so that makes no sense. Something does not add up here, and we are concerned that these regulations are not going to end on 19 July.

Covid-19

Debate between Mark Harper and Steve Baker

Monday 2nd November 2020 Commons Chamber

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

There are several points that I want to cover. First, I will just reiterate to the Minister what I said to the Leader of the House. I really do not think that a 90-minute debate on Wednesday is adequate for the decision the House is being asked to take, which will potentially cost 10% of our gross domestic product. It seems to me that that warrants a slightly longer debate to allow Members from both sides of the House to set out the concerns and questions that they might have and to properly represent their constituents. I would ask Ministers to reflect on whether they think a 90-minute debate is actually adequate.

I know Ministers have referred to the debates we have already had, but of course we have not seen the regulations yet. We are not planning on seeing them till tomorrow. I anticipate that they will be quite lengthy and that there will be many questions about them. I suspect Members who are lucky enough to participate in the debate will have just one or two minutes to make their points, and I really do not think that is adequate. Even at this stage, it is not too late for the Government to think again and give us a full day’s debate on Wednesday, perhaps even with the House sitting later to enable that to be taken into account.

[Mr Steve Baker]

With apologies to the House, I just want to ask my right hon. Friend if he agrees with me that there has been rarely enough time for this subject—in particular, this evening—and whether the Government might consider putting on longer debates routinely.

[Mr Harper]

I take that point. I do have sympathy with the Government—I was a business manager—but it seems to me that the decision the House is being asked to make on Wednesday is an incredibly significant one that will impact on every single person who lives in England and, because of cross-border traffic, a very significant number of people who live in Wales, Scotland and Northern Ireland as well. It seems to me that a longer debate would be more sensible.

The second issue I want to turn to is also one that I raised earlier with the Leader of the House, referring back to what the Prime Minister said in the statement. He said, in answer to the question from the right hon. Member for North Durham (Mr Jones), that the Government would publish and make available to Members all scientific information that underpinned the decisions the House is being asked to take. The House will know that one of the key pieces of information presented at the press conference on Saturday and referred to by the Prime Minister is the graph that sets out the scenarios for the number of deaths that may take place, and there is also the modelling that the NHS has done on the need for beds. As far as I am aware, none of that information has been published. The reasonable worst-case scenario, which the Minister, the hon. Member for Mid Bedfordshire (Ms Dorries), referred to in her exchange with the hon. Member for Cardiff South and Penarth (Stephen Doughty), has also not been published. The only thing that has been seen is a leaked version that went to The Spectator.

Again, it seems to me that, if we are going to make this decision, we need to see that evidence quickly so that we can make such a decision. The reason why I want to see it—I have an open mind as to what I am going to do on Wednesday, but this is the reason why I have a problem—is that in my area the prevalence of the virus is fairly low and the rate of prevalence among members of my community who are over 60 is low and flat or falling, so it seems to me that there is very little evidence that there is going to be a significant problem in our local hospitals, and that was reinforced by conversations we have had with those NHS professionals.

I am willing to accept that there may be evidence to say otherwise, but because what Ministers are saying is at variance with what I am being told locally, I do need to see some evidence. I am afraid that just seeing a graph, without seeing any of the assumptions or the data that underpin the models, particularly when they give such significantly different results, is not good enough. Let me give the Minister an example. Carl Heneghan, the professor of evidence-based medicine at Oxford, and Daniel Howdon, a senior research fellow, looked at the graph that was presented, and have pointed out that the worst of these scenarios suggested that on 1 November there would be 1,000 daily deaths, which is about four times the level of the actual number of deaths taking place. That does at least cast some doubt on the accuracy of that scenario, which is why I want to see all of the data.

At the conclusion of the debate I ask the Minister to confirm that that information, as the Prime Minister committed to earlier today, will all be published tomorrow at the latest, so that we have a proper chance to scrutinise it before we are asked to take a very significant decision on Wednesday. I hope she is able to give that assurance, which I think will reassure not just Members on both sides of the House, but the millions of constituents we represent, who will expect us to take that decision with great care.

Public Health

Debate between Mark Harper and Steve Baker

Wednesday 7th October 2020 Commons Chamber

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

First, I thank the Minister for the fact we are having this debate on the Floor of the House today, which fulfils the spirit of what the Secretary of State promised last week. May I just take her back at the beginning of my remarks to my intervention and my attempted second intervention? I asked whether she could set out some data about the effectiveness of the Health Protection (Coronavirus, Restrictions) (North East of England) Regulations 2020, which have been in place for some time. She said in response to my intervention that she would do so later in her remarks. It may have been my failing, but I did not hear her do so. I hope that when she responds at the end of the debate she can say so, because when we bring regulations in, I want to see that they are effective.

Certainly there are mechanisms in the regulations for that review to take place. For example, the Secretary of State has to review the Health Protection (Coronavirus, Restrictions) (North of England) Regulations 2020 every two weeks to see whether they are still necessary. Presumably, that encompasses looking not just at testing data, but at hospitalisations and the whole range of data. Can the Minister confirm either that that information has been published for us all to see, or that it will be published, so that we can make a proper assessment of the regulations’ effectiveness?

In the closing minute or so of my remarks, I want to say one thing. I do not agree with my hon. Friend the Member for Crewe and Nantwich (Dr Mullan) that there are only two choices: the so-called “let it rip” option and the lockdown option. I think there is a third option. I agree with my hon. Friend the Member for Winchester (Steve Brine) and with what my hon. Friend the Member for Runnymede and Weybridge (Dr Spencer) said in his excellent speech in the debate last week. I do not think there is going to be a vaccine quickly and, if there is one, I do not think it will be completely effective. I am afraid that we will have to live with this virus for some time.

I use the word “live” deliberately, because we need restrictions that enable people to live meaningful lives. That includes being able to do the valuable things that hon. Members have talked about, such as seeing friends and family—the hon. Member for Sunderland Central (Julie Elliott) touched on that—and acting in a way that enables the economy to be sustainable.

[Mr Steve Baker (Wycombe) (Con)]

Does my right hon. Friend agree that people need some joy in their lives and something to look forward to, and that only by following such a path will we get that back?

[Mr Harper]

I agree with my hon. Friend, and the Government need to recognise that we are in this for the long term. We need a set of restrictions that are sustainable, that we can stick with over the long term, that people feel are deliverable and that enable the economy to flourish. I was encouraged yesterday by the urgent question that the Chief Secretary to the Treasury took for the Government, because it sounded to me as though the Treasury was starting to think about this approach of living with the virus and putting in place economic measures. That is very helpful.

Public Health

Debate between Mark Harper and Steve Baker

Tuesday 6th October 2020 Commons Chamber

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

The good thing about this debate and your having put in place a firm time limit, Mr Deputy Speaker, is that the Minister will have a great deal of time at the end to answer the many questions. Having served as a Minister myself, I know that that will be a helpful opportunity to put to rest—hopefully—colleagues’ concerns.

At the beginning of the debate I raised a couple of other sets of regulations that we are not considering today, but I hope the Minister will confirm that they will be debated in the Chamber—on the Floor of the House—and that we will have the opportunity to vote on them. The first set is the Health Protection (Coronavirus, Restrictions) (No. 2) (England) (Amendment) (No. 5) Regulations 2020, to which she has referred. They bring into force the restrictions on the trading hours of licensed premises, which I know are of concern to many colleagues. It is very important that those regulations are debated on the Floor of the House: they affect the whole country and, in the spirit of the pledge given by the Secretary of State last week, we should have the opportunity to do so.

A number of colleagues are concerned about the police enforcement powers. From my reading of the regulations that these regulations we are debating amend, I could not find any reference to powers of entry, but there are powers of arrest and powers to use reasonable force. Those powers are not in the regulations that we are debating, but I give the Minister notice of this. There are measures in the self-isolation regulations—which I also hope will be debated on the Floor of the House—that give powers of reasonable force to police community support officers, to any person given those powers by the Secretary of State and to local government employees. As a former Home Office Minister, I am not comfortable with the powers to use reasonable force being given to people who do not have the training to use them. I have seen occasions where that has led to the loss of life, and I have to say to the Minister—as a former Chief Whip, I do not say this lightly—that if those regulations are not amended, I will vote against them. I am not voting to give powers to use reasonable force to people who are not trained to use those powers. If they use them incorrectly, it will lead to the deaths of adults and, potentially, children. The Minister should reflect on that and bring a revised set of regulations to the House, when I would be delighted to vote for the self-isolation part, which is very valuable.

Secondly, on the regulations before us today, I think limiting the mixing of households is warranted in principle. Looking at the evidence from the test and trace system, household transmission, household visitors and visiting friends and relatives are very significant vectors of transmission—far more, cumulatively, than a whole range of leisure activities, which is where I think the 10 pm curfew is not very well evidenced. There is some merit behind these measures in general, but I pick up on the points made by a number of colleagues.

The four nations of the United Kingdom have implemented this rule in different ways. The Minister should look at the evidence from different parts of the United Kingdom, and at some of the questions we have raised about whether children are included and the age of those children. A lady stopped me in the street last week. She had just had a new addition to her family, a small baby, which now means the family cannot meet both the grandparents. Given that the baby is not going to be an independent actor for some time, and so is not going anywhere independently of their parents, I fail to see how the inclusion of that baby, meaning the family are no longer able to see both the grandparents, is at all sensible. That constituent sees no merit in it at all.

[Mr Steve Baker]

I notice that my right hon. Friend is back on a time limit, so I take this opportunity to note that we are voting on these regulations retrospectively. For that reason, I am going to abstain tonight. If we were voting on them prospectively then, for the kinds of reasons he is giving, and indeed for the reasons I gave, I would have voted against them. I shall abstain tonight, because I realise they are in force. I would like to see them changed in the ways he is setting out.

[Mr Harper]

I am grateful to my hon. Friend.

My hon. Friend the Member for Altrincham and Sale West (Sir Graham Brady) pressed the Minister on this: if the evidence is not available as to whether these regulations have been effective so far, perhaps she could give an indication of what sort of time period the Government are looking at. I think everyone in the House wants the Government to be successful in driving down the rate of infection, but I pick up the point raised by the hon. Member for Westmorland and Lonsdale (Tim Farron). If the Government bring in a measure because they think it is going to work and it simply does not—we are learning things about this virus all the time—it is not only not harmful but positively sensible for the Government to say, “This one didn’t work. We tried it. We are going to stop doing this, and we will take a different course that we think will be more successful.” That sort of attitude would secure a great deal of support from the House and, I think, from the public.

Perhaps the Minister could say a little about when we should see this kicking in. I raise this because tomorrow we will debate the specific local lockdown regulations for the north-west and the north-east. Mr Deputy Speaker, you have a particular interest in this matter, given the location of your constituency. Some of these regulations in some parts of the country have been in force for quite considerable periods of time, and, apart from in one place, there is no evidence that they are having an effect on bearing down on the virus. In that case, all they are doing is causing economic damage without actually delivering a health benefit. At that point, the Government should reflect on whether the regulations are working and think again.

I draw my remarks to a close. I hope for those reassurances about the other two sets of regulations I talked about. We will expect them to be debated on the Floor of the House if the Government remain true to the Secretary of State’s commitment last week, which I welcome. I welcome the fact that it is being brought into force tomorrow, as we debate the north-west and north-east regulations. I look forward to the Minister saying a little more about evidence. I am grateful that she is going to have around 12 minutes to do so, which gives us an opportunity to probe her a little further.

Oral Answers to Questions

Debate between Mark Harper and Steve Baker

Monday 3rd November 2014 Commons Chamber

[Mr Harper]

I would point out to the hon. Lady that we have had some problems with the work capability assessment—[Hon. Members: “Ah!”] Before Opposition Members jeer, they should remember that this has happened under the provider that the previous Government appointed. We have taken action to sort the problems out, and Atos has agreed to exit from its contract. From 1 March next year, the new provider that I appointed last week, Maximus, will be taking over and will do a better job.

[Steve Baker (Wycombe) (Con)]

I welcome the Government’s decision to introduce a new provider. The Minister has just confirmed that it was the previous Government who appointed Atos. Can he explain how the new provision will be materially different from the outgoing arrangements?

[Mr Harper]

Yes, I can. I have taken a close interest in the contracting process, and we have learned from the previous experience. We are confident, given the bid that Maximus put together and the successful contracts that it has operated in Australia, Canada and the United States of America, that it will be able to deliver the assessments competently over the next three years.

Parliamentary Under-Secretary of State for Welfare Reform (Disabled People)

Debate between Mark Harper and Steve Baker

Tuesday 28th October 2014 Commons Chamber

[Mr Harper]

That is what Lord Freud did. Many people in the press and broadcast coverage acknowledged that he expressed himself in an unhelpful way, but that he raised a real issue. We need to do more to tackle it. My hon. Friend has a fair reading of the situation.

[Steve Baker (Wycombe) (Con)]

rose—

[Mr Graham Stuart]

rose—