Coronavirus Bill Debate
Full Debate: Read Full DebateMark Pritchard
Main Page: Mark Pritchard (Conservative - The Wrekin)Department Debates - View all Mark Pritchard's debates with the Department of Health and Social Care
(4 years, 8 months ago)
Commons ChamberOn the point about testing, will the Secretary of State be absolutely clear? Does the current test that is available show whether somebody has got covid-19 or has perhaps previously had it? Does it do both, or does it do just one? If it does just do one, when are we likely to have a test that does both?
Tests for both have recently been developed. The test for whether someone has coronavirus, which we call the case test, was first developed here by Public Health England, and that is being expanded. The antibody test, which tests whether someone has the antibodies that make them immune to coronavirus, has now been developed, and we are buying it in large quantities.
Yes, this is what I have been spending the weekend on—absolutely; it is incredibly important.
Turning to the second part of the Bill, which is about easing the burden on the frontline and follows from that intervention, that refers not only to the NHS frontline but to the dedicated public servants who guard our streets, who care for our children, and look after communities, in local government—in short, all those who keep the UK running safely and securely. By cutting the amount of paperwork that they have to do, by allowing more remote working, by delaying some activities until the emergency has ended, we can keep essential services going while we get through the pandemic.
Some of the measures are difficult, and not what we would choose to do in normal times. For instance, the Bill will modify temporarily mental health legislation, reducing from two to one the number of doctors’ opinions needed to detain someone under the Mental Health Act 1983 because they pose a risk to themselves or others. In circumstances in which staff numbers are severely affected, the Bill allows for the extension or removal of legal time limits governing the short-term detention of mental health patients. The Bill also allows for an expansion of NHS critical care by allowing for rapid discharge from hospital where a patient is medically fit. NHS trusts will be permitted to delay continuing healthcare assessments, a process that can take weeks, until after the emergency has ended. The people who need this support will still receive NHS funding in the interim.
The Bill contains powers allowing local authorities to prioritise the services they offer, as we discussed earlier in relation to social care, and that prioritisation, while challenging, is vital. The measures would only be activated in circumstances where staff numbers were severely depleted. They do not remove the duty of care to an individual at risk of serious harm or neglect. We do not take any of these measures lightly. I hope that many will not have to be used, but we will do whatever it takes to beat this virus.
I am grateful to the Secretary of State for giving way. He is being very generous. On frontline care, particularly those working in intensive care units around the country, may I press him again? When will those staff be tested? There are many staff who want to go to work, but are afraid that they may be carrying the virus. For those who are at work, if they are tested and they have the virus, they want to isolate so that they can return as quickly as possible to the frontline. When are they going to be tested?
I will take one more intervention, and then I will make some progress.
I am grateful to the Secretary of State for giving way; he is being very generous, but these are important issues. On the issue of social distancing, is there something that he feels might happen tomorrow that is not happening today, as far as people’s behaviour is concerned? People are gathering in their thousands on the beautiful landmark of the Wrekin in my constituency. It is right that people should have exercise for their physical and mental health and wellbeing, but social distancing is not being followed by many, whether it be in the Wrekin or Holland Park, Hyde Park, St James’s Park or counties around the country. What behavioural changes does he expect? Is it not the case that we will have lockdown, and would it not be better to have it today rather than next week?
My hon. Friend makes an important point. We are absolutely clear that we are prepared to take the action that is necessary.
The fourth part of the Bill contains measures for managing the deceased in circumstances where many of those involved in the registration and management of death will themselves be self-isolating. We want to ensure that those taken from us by the virus are treated with the utmost dignity, while protecting public health and respecting the wishes of bereaved families. Among other measures, the Bill will expand the list of people who can register a death to include funeral directors. It will mean that coroners only have to be notified where there is not a medical professional available to sign a death certificate. It will allow death certificates to be emailed instead of physically presented. It will remove the need for a second confirmatory medical certificate in order for a cremation to take place, and it gives local authorities the power to take control of elements of the process if needed. Those powers would only be used if absolutely necessary and on clinical advice, but we plan for the worst, even while we work for the best.
I agree with my hon. Friend. I did note that the Secretary of State talked about the comprehensive public health advertising campaign. We welcome that campaign, but we encourage the Secretary of State to use his offices to see whether that comprehensive campaign can become even more comprehensive. Can we have more adverts on television and more adverts on radio stations? Can we have a leaflet going through every door, explaining what social distancing means, explaining what shielding means? Before this virus took hold, the words “social distancing” and “shielding” were probably not often used in the Chamber, so if they are not words that we are familiar with, we can bet that our constituents are not entirely familiar with them either.
The shadow Secretary of State will know Telford and Wrekin very well as he has visited them many times in the past 12 months due to flooding and other issues. I am grateful for his visits despite the fact that he is a member of the Opposition. Is he aware that, today, the Labour-led council made a decision, which I support, to close all the public parks, play areas and open spaces that it runs, and that that in turn will put more pressure on the other open spaces that are not currently run by the local authority? May I encourage him to continue to press the Government to move quicker to this lockdown that we all want to avoid, but that will ultimately save lives.
I must tell the hon. Gentleman that my attempts to change the political complexion of Telford and Wrekin have completely failed to date, but I am grateful to him for his comments about the Labour council. I think that this is the nub of the matter. I have a point to put to the Secretary of State while he is still in the Chamber. Sadly, it has just been reported on social media that the case fatality figures are continuing to climb and there is some discussion that we are seeing now an exponential growth in line with Italy. I appreciate that there are different demographic issues in different nations, but, clearly, people are concerned that our death rates are increasing at a rate that suggests that we could be heading to an Italian-style situation. We all know what is happening in Italy. The point is that clinicians are warning us that our intensive care bed capacity and our high-dependency unit capacity, could very quickly be overwhelmed. We have already seen a critical incident at one hospital, and no doubt we will see more in the coming days. This is a crisis and it is a crisis that demands an overwhelming Government response.