(3 years, 10 months ago)
Commons ChamberI thank the hon. Member for her question and for the work that she does with the APPG, which I joined recently for a very valuable conversation. Supporting care homes through the pandemic and in the months ahead is absolutely our, and my, priority. One part of that is ensuring that they have the testing that they need. We are getting regular repeat testing to care homes. I acknowledge that the turnaround times have not been what we would have liked them to be, but those turnaround times are coming down and we are seeing a rapid improvement in performance.
This week, the president of the Association of Directors of Public Health said that the funding is just not there for local authorities to effectively run local contact tracing. Where it has been done, at a cost to the local authority, evidence shows that local teams were more likely to be successful in contacting people compared with the national tiers 2 and 3. Can the Minister tell me why the Government keep insisting that the current track and trace system is working when public health professionals are telling them the opposite?
I thank the hon. Member for her question. I am sure she will know that local authorities received £400 million to support them with local outbreak management. It is really important to have this coming together of the national system and the local system, where local authorities are indeed playing an important part, using their local knowledge to follow up with contact tracing, particularly for some of the contacts that are proving harder to reach.
(3 years, 11 months ago)
Commons ChamberI welcome the debate as it allows me to raise a number of issues of concern relating to the City of Durham, although I suspect that they are shared by constituencies across the country. County Durham, like many areas, has been subject to greater coronavirus restrictions to reduce the spread of the virus. While I support measures that protect public health, it is important to remember that it is the incompetence of Government that has made them necessary.
We have all witnessed the testing shambles and the shortcomings of the privatised track and trace system. We have a dodgy app and testing delays while important Government contracts are being handed out to private companies like confetti, yet the calls from public health for localised test and trace systems fall on deaf ears. How on earth do the Government plan to stop the virus if they do not know where it is?
As I said in my maiden speech, the policies of Government greatly affect the lives of ordinary people. We can see that illustrated during the pandemic. The continued failure to sort out test, track and trace has made the coronavirus crisis worse; that is undeniable. To add to that, many of my constituents are concerned about how the Government’s botched approach to the reopening of universities will affect them in Durham. Currently, thousands of students are returning to Durham, an area in local lockdown. People are worried about the impact that will have on the infection rate in the region as a whole, while students fear that once again they are being forgotten by Government. Given that the Government failed on exam results and failed on reopening schools safely, it is incredible yet unsurprising that the return of students was not properly planned for in order to protect them and the communities in which they study. What on earth has the Education Secretary been doing for the last six months? Clearly, not his job.
Finally, we have the economic impact on Durham. Businesses have closed and shops shut while jobs have been lost and hours cut for many who rely on that income just to get by. The measures put in place have been welcome, and I thank Durham County Council for its speedy and efficient response to businesses in need, but it is a fact that for millions there has been no support at all. Sectors that need specific intervention have been largely ignored and job losses that could have been avoided are now almost inevitable. Protections for renters have been withdrawn, while our welfare system, after years of Government cuts, can no longer be described as a safety net. Incredibly, extra support has had to be dragged from the Government by the Labour party and trade unions, although those concessions have repeatedly been too little too late.
It is time for the Government to stop ruling by U-turn and get a grip. They need to sort out testing, fix care, address the education crisis and stop our economy falling apart. A second wave is not inevitable, but the incompetence of this Government is making it more likely by the day.
(3 years, 11 months ago)
Commons ChamberDoes the Secretary of State think that a £10,000 fine will act as a disincentive to poorer people getting a test?
We have put in place the extra £500, in addition to other income that people are getting, to support people on low incomes to self-isolate. If someone who is on a low income has symptoms and wants to know whether they have the virus, the result of having a positive test is that they will get the extra £500, and then of course they have to self-isolate. I am confident that people will come forward and do not only the right thing for society but the right thing for them, to find out the cause of their illness if they have symptoms.
(4 years, 1 month ago)
Commons ChamberYes. I want to reassure people in Dudley and beyond that the NHS is open. If people need NHS treatment, they should go to the NHS. In the first instance, they should go to their GP by phone or telemedicine, or call 111 or go to NHS 111 online. If people are asked to go to hospital or into a surgery, they absolutely should, and it is safe for them to do so.
The only way that directors of public health can properly tackle covid-19 is through an integrated approach to testing, tracing and outbreak management. Currently, the Government are treating each of those separately, with little regard to how they are interconnected. Does the Secretary of State accept the limitations of this system, and will he reallocate resources so that regions can develop integrated approaches for coronavirus test, trace and management?
It is vital that all those things are brought together at both a national and local level, and they are. The actions that have been taken under the NHS test and trace programme, whether national or local, and the interaction of the two, are testament to the fact that we are increasingly integrating national and local work and ensuring that the best high-quality data available is shared.
(4 years, 2 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
Of course it is important to ensure that people are fully informed about the reasons why we may need to take action in a particular local area, and that is an important part of the consideration. Ensuring that local bodies—for instance local directors of public health—are fully engaged, is an important way of doing that. In Wales, where my right hon. Friend has his constituency, that is done through the devolved nations, with their responsibilities locally for public health.
The R number is one indicator of infection, but it is only reliable at regional level. Currently, directors of public health tell me that they receive only high-level reports, and that they need more localised information, with data that relate to the number and location of cases, and state when infection occurred. That information is vital to stopping transmission, especially as restrictions are lifted. By what date will that information be made available to local authorities, so as to inform their local outbreak plans?
(4 years, 2 months ago)
Commons ChamberThat is an incredibly important point, because there has been a disproportionate impact on transport workers, particularly those who, by the nature of their work, have to be in close contact with others, for example taxi drivers. That factor was not taken into account in the Public Health England analysis. It is exactly what we mean when we say that we must understand the different causes of the disparities in the data on the impacts according to people’s ethnic background. Disentangling how much is due to occupation and how much is due to other factors is an important part of the analysis that we need to undertake to be able to take action such as protecting those who work in the transport sector.
Public health professionals I have spoken to tell me that the success of the Government’s track and trace system is limited by the turnaround of up to five days for coronavirus test results. That delay severely impacts the ability of public health teams to prevent onward transmission and protect the population from the virus. Does the Secretary of State recognise that problem? If so, how does he plan to achieve a 24-hour turnaround for every test? When will that be achieved?
The hon. Lady is quite right to report the views of local public health staff, who are right to raise the question. I am pleased to say that the turnaround speed has significantly improved in the past couple of weeks, and now 83% of tests are returned from the drive-through centres within 24 hours. There is continued work to speed that up and get the proportion even higher, and the Prime Minister has very kindly set me a goal of ensuring that all tests from the drive-through centres are returned within 24 hours.
(4 years, 3 months ago)
Commons ChamberYes, I will. The NHS restart is incredibly important in Lincolnshire and across the country. I know Lincolnshire well, and it is very important that we restart other services that have had to be paused for understandable reasons. Not only is Lincolnshire the home to many dedicated health and social care staff—I pay tribute to all those who work in the NHS in Lincolnshire—but my grandmother was a nurse at the Pilgrim Hospital in Boston and our great deputy chief medical officer, Professor Jonathan Van-Tam, is himself a resident of Lincolnshire. Lincolnshire has many great things to offer in the sphere of health, and we must ensure that that is about not just covid but health services across the board.
The Office for National Statistics has reported that covid-19 mortality rates in the most deprived areas of England are twice those in the least deprived. Once again, this virus has reminded us of the extreme health and social inequalities in our society; although it can affect anyone, from any background, those from the poorest communities have the highest risk of severe illness and death. Here in the north-east, we have some of the highest levels of deprivation in the country, as well as the highest rates of infection. What do the Government intend to do to reduce health inequalities, both during the covid-19 lockdown and as part of our recovery from the impact of the virus?
The hon. Lady is absolutely right; this is an incredibly important subject, both, as she says, during the crisis and thereafter. We have a study under way, which Public Health England is conducting, on the impact of all sorts of different conditions on the likelihood that covid-19 will hit someone hard. It is true that there is a link to levels of deprivation, in the same way as one of the strongest factors, other than age, is obesity—that needs to be investigated. We have also seen a bigger impact on people from minority ethnic backgrounds. All these things need to be studied. Levelling up and closing that health inequality gap is an incredibly important part of the Government’s agenda for recovering from this terrible disease.
(4 years, 5 months ago)
Commons ChamberThank you, Madam Deputy Speaker, for calling me to make my maiden speech to the House today. To begin with, I want to pay tribute to my predecessor, Roberta Blackman-Woods. Roberta served the constituency for 14 years and was a tireless advocate for the people of Durham. Most recently, she was shadow Minister for Housing and Planning. Roberta was passionate about that work and highly respected for it. I want to say, on a personal level, that she has been a great help to me recently, and I wish her all the best in the next phase of her life.
It is an enormous privilege to be the Member of Parliament for the wonderful City of Durham. I want to thank the constituency Labour party members for their hard work and support in ensuring that I was elected, and the constituents who have placed their trust in me. I must also thank my family who have supported me throughout my life.
Durham has an incredible heritage. It is impossible not to be inspired when you see the cathedral on the horizon, and it is so central to the life of the city. It is fitting that the cathedral is now surrounded on all sides by the world-renowned Durham University, which is providing essential jobs and technology, linking Durham to all parts of the world, and giving our city a real vibrancy.
Durham has another history that needs to be celebrated: its mining heritage. It is a tradition that prides itself on resilience, forged by the trade union movement. All of that is encapsulated in the Durham miners’ gala, when banners from the villages that surround the city are proudly paraded through the streets, accompanied by brass bands. I hope that the right hon. Member for Surrey Heath (Michael Gove) has now learned that it is held in our constituency, which is very much still Labour.
To prepare for this speech, I read those of my predecessor, Roberta, and her predecessor, Gerry Steinberg, and it was fascinating. Gerry’s speech was made in 1987. He talked about the devastating levels of unemployment after the closure of the coal mines, and the refusal of the Thatcher Administration to tackle the resulting insecurity in people’s lives and work. This was a time of de-industrialisation, a widening north-south divide, trade unions being crushed, a run-down NHS and the poll tax on the horizon. In contrast, my immediate predecessor, Roberta, gave her speech in 2005, eight years into a Labour Government. She referred to unemployment being halved, the minimum wage, GCSE results improving, and a new state-of-the-art further education college being built, as well as a hospital and secondary schools. It could have been a different country.
Then I reflected on my life during those periods; these were the experiences that made me the socialist that I am. In 1987, I had just finished a youth training scheme. I was in insecure work, and shortly afterwards I was made redundant. My dad, too, was thrown on the scrap heap after Swan Hunter’s shipyards closed.
In 1989, my first daughter came into the world, born 10 weeks premature and needing a ventilator before she could breathe on her own. Unfortunately, this basic piece of equipment was not available at the hospital, nor was it available in any of the surrounding hospitals. This was a direct result of deliberately running down the NHS. Eventually, a ventilator was located 30 miles away and Maria was born three hours later by emergency C-section. She suffered brain damage and lived her whole life with severe cerebral palsy.
The policies of Governments greatly affect the lives of ordinary people. The actions of the Conservatives and their former coalition partners have seen the stalling of the increases in life expectancy. This is extraordinary and has not happened since 1900. Labour has been accused of wanting to take us back to the 1970s; well, the Conservatives have taken us back to the 19th century.
Last week, the Marmot report on health inequalities showed the impact of austerity—something that I have seen first-hand. In my constituency, a child born on the Sherburn Road estate can expect to live 15 years fewer than a child born in the most affluent parts of the city, just a couple of miles away. Even more shockingly, a recent report in the British Medical Journal showed that between the most deprived local authorities—including County Durham—and the rest, inequalities in infant deaths, which decreased sharply under the Labour Government, have now started to increase under Conservative austerity. Just what kind of society is being created?
There are families in the former pit villages of Ushaw Moor, Coxhoe, Brandon and others in my constituency who are trapped in poverty. Children and grandchildren of the miners who built the wealth of this country are now having to use food banks and undergo a cruel benefits regime. Is it any wonder that the police have reported that the main issue affecting these communities is male suicide?
Improving health in Britain is not just about refurbishing hospitals; it is about having a good education, a secure and loving home and a regular source of income. Until we address these social issues, we will not see any substantial changes in public health. As Professor Marmot says:
“What good does it do to treat people and send them back to the conditions that made them sick?”
Labour has a strategy—oven-ready, you might say—to tackle these injustices and build a fairer, more equal society. It was laid out in our manifesto. Unfortunately, we are not able to deliver it yet, but that will not stop us holding this Government to account or campaigning for a better society. My pledge to those who feel the harsh impact of Tory austerity—those who will feel health inequalities hardest—is that I will fight for them, because I have not come to this place just to lay out the problems: I and my party will be part of the solution.
The city of Durham is steeped in history, but it is the future we fight for. The motto of the Durham miners may be 150 years old, but it was adopted by people who also suffered defeats and setbacks but carried on their struggle and, over time, won improvements in their industry and in the lives of entire communities. The motto is still very apt, and it is one that I hold close to my heart as I start my parliamentary journey:
“The past we inherit, the future we build”.