Covid-19: House Party Fines and Domestic Enforcement Measures

Matt Hancock Excerpts

Thursday 28th January 2021 Written Statements

[The Secretary of State for Health and Social Care (Matt Hancock)]

On 28 September, the Health Protection (Coronavirus, Restrictions) (Self-Isolation) (England) Regulations 2020 came into force. These regulations mean that self-isolation is a legal requirement for individuals who have been notified by one of the bodies specified in the regulations (in practice, mainly NHS Test and Trace) that they have tested positive for covid-19 or are a close contact of someone who has tested positive. Non-adherence to these regulations can result in a fixed penalty notice (FPN) ranging from £1,000 to £10,000. Failure to pay the FPN can result in criminal proceedings and conviction.

Ensuring that infected individuals and their close contacts self-isolate is one of the most powerful tools for controlling transmission of covid-19. Increased compliance with self-isolation will reduce transmission of the virus, preventing family and friends from contracting coronavirus, and protecting the NHS.

The Government expect individuals to comply when they are required to self-isolate. Where there are reports of suspected breaches, the police approach to engage, explain and encourage compliance is the right one. But, on occasion, this approach needs to be backed-up with enforcement against those who flout the rules and put others at risk.

We have been working closely with colleagues on the National Police Chiefs’ Council to ensure that the information we share with them supports effective enforcement where that is necessary.

In order to issue a fixed-penalty notice, the police need to be satisfied that they are engaging with the right person, that the person is aware of their duty to self-isolate and that the person has indeed breached that legal requirement.

NHS Test and Trace currently shares the following information with the police:

First and last name of individual

Home address and telephone number

Period of self-isolation

Date notification to self-isolate was received

Following consultation with the police it has become clear that further information is necessary to strengthen the effectiveness of the enforcement regime around self-isolation.

Following a report of suspected non-compliance, and following checks by NHS Test and Trace to confirm the individual is under the legal duty to self-isolate, NHS Test and Trace will henceforth share the following additional information with police on a case by case basis, as necessary:

Details of how the individual was notified by Test and Trace, including address, telephone number and email address where relevant

Date of birth

Whether the individual is a positive case or a close contact

A copy of the notification issued by Test and Trace, where possible

Whether the individual is taking part in coronavirus related research (and is therefore exempt from the legal duty to self-isolate)

These changes will support the police in taking enforcement action when that is appropriate. In particular, it will enable them to share a copy of the notification to self-isolate if an individual says they did not receive it.

It will also enable the police to gather relevant evidence should criminal proceedings ensue in the event that an FPN is issued and not paid. In such cases, it is important for the police to know, and where appropriate evidence, the precise circumstances around each individual breach and how the duty to self-isolate arose. Information on whether individuals are under a duty to self-isolate due to having tested positive or as a result of being a close contact of someone who has tested positive (including in the copy of the notification) will only be shared and will only be used where necessary for “the purpose of carrying out a function under regulation 10, 12 or 13 [functions regarding enforcement, issuing FPNs and bringing proceedings] or otherwise or the prevention, investigation, detection or prosecution of offences under these regulations”. These changes will help improve the effectiveness of police action against reported breaches of self-isolation.

As announced last week by the Home Secretary, regulations will also increase fixed penalty notices for those caught attending illegal gatherings in private dwellings and student accommodation (such as house parties)—of more than 15 people from £200 to £800 in England. Fixed penalty notices for such offences will double for each successive offence up to a maximum of £6,400. This will provide the police with the enhanced powers they need to tackle egregious breaches of the law. We have been committed from the beginning of this pandemic to following the science, and the science is clear that larger gatherings of people in indoor spaces present a significant risk of transmission and spread of the virus.

The necessary amendments to the Health Protection (Coronavirus, Restrictions) (Self-Isolation) (England) Regulations 2020 and the introduction of an enhanced FPN for indoor gatherings over 15 people will be laid before parliament, and will come into force, on 29 January 2021.

[HCWS746]

Vaccine Roll-out

Matt Hancock Excerpts

Thursday 21st January 2021 Commons Chamber

[Huw Merriman (Bexhill and Battle) (Con)]

(Urgent Question): To ask the Secretary of State for Health and Social Care if he will make a statement on the covid-19 vaccine roll-out.

[The Secretary of State for Health and Social Care (Matt Hancock) [V]]

We are in the midst of one of the toughest periods of this pandemic. Yesterday saw 1,820 deaths, which is the highest toll since the crisis began. As we endure these dark days and the restrictions that we must all follow to save lives, we know that we have a way out, which is our vaccination programme. Thanks to the hard work of so many people, we now have an immense infrastructure in place, which day by day is protecting the most vulnerable and giving hope to us all.

I am glad to report to the House that we have now given more than 5 million doses of the vaccine across the UK to 4.6 million people. We are making good progress towards our goal of offering everyone in priority groups 1 to 4 their first dose by 15 February. That is a huge feat, and one in which we can all take pride. We are vaccinating at a greater daily rate than anywhere in Europe—twice the rate of France, Spain or Germany.

The first 5 million doses are only the beginning. We are opening more sites all the time in cathedrals, food courts, stadiums, conference centres, GP surgeries and many, many other places. Today, a cinema in Aylesbury, a mosque in Birmingham and a cricket club in Manchester have all come on board as part of 65 pharmacy-led sites across England that are joining our vaccination programme this week. That ongoing expansion will help us protect even more of the most vulnerable even quicker. From today, we will also publish more localised, granular data, broken down by NHS sustainability and transformation partnership area, as well as by region, so that the public have the best possible information about all this work.

This virus is a lethal threat to us all. As we respond through this huge endeavour, let us all take comfort in the fact that we are giving 200 vaccinations every minute. In the meantime, everyone must follow the rules to protect the NHS and save lives. We can do that safe in the knowledge that the tide will turn and that, with science, we will prevail.

[Huw Merriman]

Mr Speaker, thank you very much for granting this urgent question. I also thank the Secretary of State for his update and for all the time and devotion he gives to this matter, and the vaccines Minister, my hon. Friend the Member for Stratford-on-Avon (Nadhim Zahawi), who is doing an amazing job. Everyone is doing an amazing job across the country to roll out this vaccine, and I absolutely salute them all. They include my Westminster office manager, Iona Cullen-Stephenson, who has been vaccinating.

In my part of rural East Sussex, the vaccine has been slow to reach rural Rother, Battle and Heathfield residents. In the 200 square miles that I represent, only one surgery has been vaccinating. That has got better from this week, and I welcome that. I thank the Sussex Community NHS Foundation Trust team. Adam Doyle and his team have been amazing to MPs.

I have three question to the Secretary of State about rural areas. First, can we draw up a new vaccine contract for GPs that guarantees that they will receive only AstraZeneca, and not Pfizer, which they find difficult to store? Many GPs in my area tell me that they will sign the contract if they can get AstraZeneca only, so it would be just like the pharmacy contract.

Secondly, we will soon have the welcome challenge of delivering the vaccine to priority groups 5 to 9. At the same time, we will have to deliver the second dose to the priority 1 to 4 cohort, who are more vulnerable. Can we ensure that the latter priority groups go to the hubs, because those groups will find it easier to travel, and that we use our local GP surgeries to re-dose priority groups 1 to 4?

Thirdly, I know that the Government rely on the manufacturers for supplies, but can we try to give more forward-looking supply levels to our county teams so that they have indicative estimates to enable them to plan better on the ground?

I welcome the statement from the Government. I would ask that colleagues be given an opportunity every week to question members of the Government. We receive updates from our own community teams, and it is surely right that we should be able to put the same questions and ideas to the Front Benchers.

[Mr Speaker]

Before I bring in the Secretary of State, I will just say that this is your UQ, rather than Government coming forward with a statement. We have had to ask for it.

[Matt Hancock]

On that last point, we typically do come forward with a statement at least once a week, and I am very happy to answer questions at any time.

[Mr Speaker]

Order. Can I just correct the Secretary of State? We have not had one for over a week.

[Matt Hancock]

Typically, I have come forward at least once a week, and I am very happy to do that and to respond to questions at any time. I am very glad that the technology is working and I can do that while self-isolating at home, as I am now.

On the substance of the questions asked by my hon. Friend the Member for Bexhill and Battle (Huw Merriman), the first thing I would say is that I am absolutely delighted that there are new centres opening in Sussex—in Ticehurst village hall this week—so that the roll-out can reach all parts. I will consider the point that he makes about cohorts 5 to 9, which will need the first dose of the vaccine at the same point as we start the second dose for those who have been vaccinated from the start of January. When we restart with the second doses, it will be important to make sure that they are available as close as possible to the largely elderly population who will need them, and I will take away the point that he raises.

The challenge on the contract is tied in with the first and third of my hon. Friend’s questions. The challenge is essentially that we have a lumpy supply. The manufacturers are working incredibly hard to deliver the supply as fast as possible, and I pay tribute to them and their work. It is challenging, however, and therefore it is not possible to give certainty as far out as many GPs and those who are delivering on the ground would like. The worst thing would be to give false certainty. We do try to give information about what is coming next week, but until the supply smooths out, as I am sure it will over time, going further out than that would give false certainty. The worst thing would be to have GPs across the country booking in large numbers of people and having to reschedule those appointments unnecessarily.

I will take into account the point that the Oxford-AstraZeneca vaccine is easier to deliver in rural areas, and the request for some people to be able to do that. At the moment, however, we must use the contract that we have.

[Jonathan Ashworth (Leicester South) (Lab/Co-op)]

Yesterday I visited the vaccination centre at Leicester racecourse, and it was inspirational to see the joy on the faces of those who were vaccinated and the pride of the staff and volunteers doing the vaccination. The figure of 4.6 million is indeed welcome, and it is a reminder that when the NHS is put in charge and tasked with implementing a large-scale project across our communities, it gets on with it and delivers. The Secretary of State has a target to vaccinate care home residents by the end of the week. Will he update us on progress towards that target?

Today we have had the latest Imperial survey, and the findings are alarming. It is especially concerning that infection rates are so high in London, and yet London and the east of England appear to be behind the rest of the country on vaccine roll-out. Will he tell us what action is being taken to speed up vaccination across London and the east of England? The Imperial survey also highlights the disproportionate infection rates among key workers and those from black, Asian and minority ethnic backgrounds. Once the nine priority groups are vaccinated, is it the Secretary of State’s expectation that we will then move to prioritise key workers—teachers, police officers, firefighters, transport workers, supermarket staff—who are more exposed to the virus at the moment?

The Secretary of State will know that there are 11,000 community pharmacists. That could mean up to 30,000 pharmacists at the heart of delivering this vaccine. We should be using them not just because of the volumes of doses they can administer, but because they have years of experience of building trust and vaccine acceptability within hard-to-reach groups and minority ethnic communities. I was speaking to pharmacists this week in Dudley who were telling me this. They also, by the way, raised concerns about the wider supply of the consumables needed to administer the vaccine. Can he guarantee that there will be no delay or shortages in the delivery of this wider kit?

The new variants remind us that we have to go further and faster on vaccination and work harder to break transmission chains. Early analysis suggests the South African B1351 variant brings a reinfection risk that means vaccines may need to be redesigned. Has the Secretary of State got a contingency plan in place?

Finally, yesterday’s death numbers were truly horrific. Vaccination has to go hand in hand with measures to suppress this virus. That means further containment measures. Not everybody can work at home comfortably or isolate themselves. The system is still expecting families to go hungry to stop spreading infection. Can I urge the Secretary of State again to fix sick pay and give people proper financial support so that they can isolate and we can drive infection rates down?

[Matt Hancock]

I agree with the hon. Gentleman that the NHS is doing a great job, supported by so many people. In particular, I want to thank the volunteers who have stepped forward—tens of thousands of them—and are now working to deliver the vaccination programme alongside NHS staff and, of course, members of our armed forces. In fact, there are several Members of this House who are, as we speak, supporting vaccination in vaccination centres, and some of them are doing vaccinations themselves. I am very grateful to all the volunteers.

The hon. Gentleman raises the question of pharmacies and, absolutely, pharmacies are going to be incredibly important, especially for reaching into those communities that may be otherwise harder to reach. The NHS as a whole is highly respected and trusted in all communities of this country so is well placed to do that, and pharmacy colleagues within the NHS particularly so, because they are often the closest to their communities. As I have set out, we have opened 65 vaccination centres that are pharmacy-led this week, with more to come.

The hon. Gentleman asks about the residents of elderly care homes. I am delighted to say that 63% of residents in elderly care homes have now received the vaccination. That is a really significant increase over the last week. We are on track to deliver on our goal of vaccinating elderly care home residents by the end of this month, and I hope sooner than that.

Finally, the hon. Gentleman asks about the question of the need—potential need—for vaccine redesign if there is a new variant that is not effectively dealt with by these vaccines. Obviously, we are vigilant on that and keep it under close review. I am glad to say that the early indications are that the new variant is dealt with by the vaccine just as much as the old variant, but of course we are vigilant on the new variants we are seeing overseas. He mentioned the South Africa variant, and there is also a variant of concern that was first identified in Brazil, and of course we are vigilant on those matters, too.

What I would say in summary is that all of these things just support the need for everybody to follow the rules and stay at home. It is critical that everybody does their bit to try to stop the spread of this virus while we get the numbers under control and bring them down, thus protecting the NHS and getting this death toll down, because it is far too high.

[Mr Speaker]

Let us head to Surrey with the Chair of the Select Committee, Jeremy Hunt.

[Jeremy Hunt (South West Surrey) (Con) [V]]

Thank you, Mr Speaker. This week the Office for National Statistics said that prevalence rates nearly doubled during the November lockdown, and today’s REACT—real-time assessment of community transmission—study says that infections are still rising. Is not the reality that these new strains are massively more dangerous and harder to control than many realise? If we are going to bring down the horrific death rates that we are now seeing, should we not secure our border, with quarantine hotels, end household mixing outside bubbles, and follow Germany in mandating FFP2—filtering face piece—masks in shops and on public transport, to give better protection to wearers?

[Matt Hancock]

We have looked at the question of personal protective equipment with respect to the new variant, and the clinical advice I have received is that the current guidelines are right and appropriate. On international travel, as my right hon. Friend knows, we brought in significant measures last week to close the travel corridors, and we remain vigilant on what we need to do to guard against new variants coming in from abroad. The new variants do change this question, because it is about ensuring not just that we do not get extra cases coming in from abroad—in which case, if an area of a country has a lower case rate than us, there is no more risk than that of people staying in this country—but that new variants that might not be dealt with as effectively by the vaccine do not arrive and that we stop them coming. That is something on which have recently taken significant action, and of course we keep it under very close review.

[Mr Speaker]

We now head to the Scottish National party spokesperson, Martyn Day, who is participating virtually and has one minute.

[Martyn Day (Linlithgow and East Falkirk) (SNP) [V]]

Thank you, Mr Speaker. With supplies of the Pfizer vaccine expected to be temporarily lower for a few months, and with delivery of the Oxford-AstraZeneca supplies behind target, there are both public and professional concerns. What level of supplies can the Secretary of State guarantee over the coming weeks and months, so that health services can plan appropriately? Given that the UK has procured vaccines on behalf of the four nations, how much of this reduced supply will come to Scotland, and was knowledge of vaccine supply disruption behind the UK Government’s insistence on removal of supply numbers from the Scottish Government’s vaccine delivery plan?

[Matt Hancock]

As I have said many times, the supply of the vaccine is the rate-limiting factor for the roll-out, and we share that supply fairly and equally across the UK. There is a lumpy supply schedule and making this stuff is not easy; it is not just a chemical compound, as I have described many times. Ultimately, this is a UK programme delivered in the devolved nations by the NHS, which is doing brilliantly. A massive teamworking effort is trying to get out as much as possible, as fast as possible, and that teamwork is taking place not only across the four nations of the UK, but with the suppliers to make sure that we get as much supply as we can as quickly as we can.

[Mr Speaker]

Let us head to the Father of the House in Worthing, Sir Peter Bottomley.

[Sir Peter Bottomley (Worthing West) (Con) [V]]

May I add to the good questions asked by my hon. Friend the Member for Bexhill and Battle (Huw Merriman)? My question was raised, in effect, by Shelagh Fogarty of LBC in The Daily Telegraph today, who wrote about confusion regarding the housebound as well as the homebound. We know that people are going to be vaccinated in mass centres—I had the chance to see one yesterday—and in local hubs and at home, but too often people are sitting at home wondering which it is likely to be. Could the Secretary of State get the partnerships for integrated care—the sustainability and transformation partnerships—to make public how soon they expect to get to most of those who are over 80, especially in semi-rural constituencies?

[Matt Hancock]

I can answer my hon. Friend’s question: we will offer vaccination to everybody in the top four categories—the over-70s, the clinically extremely vulnerable and health and social care workers, including the residents in older people’s care homes—by 15 February. I am sure that my hon. Friend, like me and like many of us in this House, gets asked by constituents all the time, “When will the call come for me?” The answer is that we are working through that list and we will reach all those groups with an offer to be vaccinated on or before 15 February.

The exact order within that queue is for a local area to decide, and sometimes people might get invited to two different methods of vaccination, such as at one of the big sites and by their local GP, and for people who are housebound there are roving teams led by the local primary care networks to get out and vaccinate them. So the offer will come, and people should be assured that while, as of today, around two thirds of all over-80s have been vaccinated—which is very, very good progress—that means there is a third still to go, and we will get to everyone and make sure everyone gets that offer to be vaccinated by 15 Feb.

[Munira Wilson (Twickenham) (LD) [V]]

Given the concerning data coming out of Israel regarding the efficacy of the first Pfizer dose, which may be quite a lot lower than first expected, are the Government planning to review their policy of delaying the second Pfizer dose by 12 weeks, and, specifically, will the Secretary of State consider giving healthcare workers, who are being exposed to the highest viral loads, an early second dose so that they get maximum protection, because that is as important as personal protective equipment?

[Matt Hancock]

I am glad to say that I can reassure the hon. Lady that, having looked into the data that underpins the article in The Guardian that I think she is referring to, it supports the data on which we have been basing our decision to move to a 12-week dosing schedule—12 weeks from the first to the second dose. The Government chief scientific adviser was asked about this by the media yesterday and explained clearly why we were able to make that decision, because around 89% efficacy comes from between days 14 and 21 after the first dose. Of course we are looking at this data, and we are in fact measuring the efficacy here at home by matching the data between those who have been vaccinated and those who test positive. We are monitoring that and will publish that data as soon as it is clinically valid. This is an important question, but I am glad to be able to reassure the hon. Lady that the headlines that she read in The Guardian are not quite right.

[Lia Nici (Great Grimsby) (Con) [V]]

The NHS teams across North East Lincolnshire are working hard caring for patients with covid, and are now doing a fantastic job administering the much-welcomed vaccines. Will the Secretary of State join me in congratulating them, and does he have plans to introduce a personal vaccination record for travel and other purposes?

[Matt Hancock]

I am delighted that in the Humber, Coast and Vale NHS area 142,000 people have now been vaccinated, and I am very grateful to my hon. Friend and NHS colleagues and colleagues across the House for that huge effort. I congratulate the local NHS in North East Lincolnshire on the work they are doing in getting these vaccines out. I was also able to talk to some North Lincolnshire colleagues in the NHS who are doing a fantastic job, because they have managed to get to all their care homes, which is absolutely terrific. Lincolnshire is doing a great job with the vaccine roll-out.



On my hon. Friend’s specific question about travel and the link to vaccination, it is too early to have a firm view, because we have to see the impact of vaccination on the transmission of the disease. Obviously, when someone is vaccinated, that event goes into their health record, which is held by the NHS; it is recorded so they can demonstrate that they have been vaccinated if needs be. However, for the time being, we are being very cautious on travel because of the risk of new variants, especially if there are new variants where the efficacy of the vaccine is lower.

[Jim Shannon (Strangford) (DUP) [V]]

I thank the Secretary of State for his statement and his regular updates. Will he outline what discussions he has had with the Ministry of Defence to ensure that hospitals throughout the United Kingdom of Great Britain and Northern Ireland can avail themselves of the highly skilled workforce and the logistical expertise of the armed forces? For those who seem perplexed, will he outline the rationale for making use of this tremendous weapon in the arsenal in the fight against covid in the United Kingdom of Great Britain and Northern Ireland and in saving lives? Will he also join me in thanking the Northern Ireland Executive for taking this step to save lives, regardless of any perceived political point that others may shamefully make?

[Matt Hancock]

The armed forces have been incredible in their support for the efforts that we have all had to go to nationally to tackle covid. That is also true with the vaccination programme—especially the logistical expertise that the hon. Gentleman refers to. This UK-wide vaccination effort has been supported enormously by the armed forces. I am very grateful to them for the work that they have done, really going the extra mile to help save lives.

[Caroline Nokes (Romsey and Southampton North) (Con) [V]]

I am very worried about domiciliary carers who might be employed privately or via an agency and how they will access the vaccine. It is very probable that their employment status is not known, yet they could be going into several homes per day, helping vulnerable people. Can my right hon. Friend reassure me that these brilliant carers will not be forgotten?

[Matt Hancock]

Yes, absolutely; that is incredibly important, and we are working to ensure that as many as possible are identified. Category 6 in the Joint Committee on Vaccination and Immunisation categorisation specifically identifies as part of the early vaccination effort those carers who may not be paid carers in a care home but nevertheless care for vulnerable people, because of the incredibly important work that they do.

[Stella Creasy (Walthamstow) (Lab/Co-op) [V]]

I am sure that every MP has families in their local community who have been shielding for almost a year now because they have family members who are clinically extremely vulnerable and, indeed, housebound. The Secretary of State said that everybody who is housebound should get a vaccination by 15 February, but as yet no one seems to have seen any of that start. Will he confirm when the Oxford vaccine will be given to those roving teams that he mentioned, and how many people in this country are housebound and are being identified as such to ensure that they do not miss out on the vaccine?

[Matt Hancock]

Absolutely, that work is under way. In the hon. Lady’s constituency specifically, I am delighted that Michael Franklin chemist is starting its vaccination this week. It, along with the local primary care team, will be able to reach people who may not be able to travel. It is an incredibly important part of the vaccination roll-out to make sure that we take the vaccine to those who are housebound. Michael Franklin chemist will be using the Oxford-AstraZeneca vaccine, which of course is much easier to transport.

[Robert Largan (High Peak) (Con) [V]]

So far, there are three vaccination centres up and running in High Peak. I pay tribute to all those who are working so hard to roll out the vaccine locally. However, currently the rate of the roll-out is being limited, not by the number of vaccination sites or trained vaccinators, but by the supply of doses coming from AstraZeneca and Pfizer. Will the Secretary of State outline what steps he and his ministerial colleagues are taking to work with those pharmaceutical companies to help them ensure that the supply of vaccine continues to flow to High Peak as quickly as possible?

[Matt Hancock]

My hon. Friend is absolutely right that the rate-limiting step is the amount of supply. We are working closely with the two companies, which are doing a terrific job. We talk to them all the time, in trying to ensure that any blockages are removed. They are going as fast as they can in producing the vaccine, whether that is the Oxford vaccine, produced here in this country, or the Pfizer-BioNTech vaccine, produced in Belgium and supplied to us. Everybody is working as fast as we can, and I am delighted that the NHS is champing at the bit for more supply in order to deliver it.

Across Derbyshire there have been more 70,000 vaccinations—70,332, according to the latest data I have, as of 17 January. Derbyshire has vaccinated 65% of its over-80s, which is almost exactly the national average of 67%. Derbyshire is doing a great job; I congratulate those in the NHS in Derbyshire, and thank them for their efforts and their work. There is still a lot further to go, but almost two thirds of Derbyshire’s over-80s have been vaccinated. We have to keep at it and keep working hard to make sure that all the vulnerable are protected, and then move on to the rest of us.

[Karl Turner (Kingston upon Hull East) (Lab) [V]]

After questioning the Prime Minister last week, I am delighted that the first community pharmacies are now taking part in the vaccine roll-out, but just a few hundred of approximately 11,000 community pharmacies just does not seem enough—it is a tiny proportion, leaving vast potential untapped. Will the Secretary of State commit to ensuring that all General Pharmaceutical Council-registered technicians will be allowed to administer vaccines, so that they are available where they are most needed, on every high street, in every community such as mine in east Hull? Witham pharmacy is ready and willing to start vaccinating now—let us get on with it.

[Matt Hancock [V]]

At heart, I agree with the instincts of the hon. Gentleman. The challenge is that we need to do this at scale. As supply is the rate-limiting factor, it is very important that any vaccination site can get enough people through to be able to use the vaccine in time—we do not want to leave stocks in the fridge. Pharmacists are experienced at vaccinating and pharmacy technicians can vaccinate, and they are a very important part of the programme. With pharmacies, we have started with the bigger sites that are able to achieve a higher throughput. It is because supply is the rate-limiting factor that we need to make sure that all supply is used up quickly from the point at which it is distributed. That is why we have taken that approach. I am thrilled that so many pharmacies are now coming on stream; there is lots more to do.

[Lee Anderson (Ashfield) (Con) [V]]

I volunteered in one of the brilliant vaccination hubs in Ashfield and there is one thing that we are not short of: people turning up every single day to get the vaccine. We need more capacity, to win the war quicker and save more lives, so will my right hon. Friend please tell me what he is doing to ensure that the people of Ashfield and Eastwood get their vaccination as soon as possible?

[Matt Hancock]

I am delighted that my hon. Friend is volunteering in a vaccination centre; that is terrific. This is a big national effort, and he is playing his part. Some 49,000 vaccinations had been done in Nottinghamshire as of 17 January. Clearly we still have to do more, but we are making very significant progress. As I said, the rate-limiting factor is the amount of supply that we get into the country, rather than, for instance, the enthusiasm of GPs in the NHS or, indeed, the number of volunteers who have stepped forward such as my hon. Friend.

[Janet Daby (Lewisham East) (Lab) [V]]

A constituent of mine, Mr Clive Tombs, recently reached out to me regarding the crisis facing the London ambulance service. He told me that no one he knows in the service has had a vaccine, despite their being on the frontline of exposure to the virus. At the same time, we have seen pictures of ambulances lined up for hours waiting to get into A&E departments. Clive suggested that, with some co-ordination from the Department, arrangements could be made for ambulance staff to receive vaccines from hospitals while they are waiting in the queue—if there is a surplus and to prevent wastage. Has the Secretary of State considered that possibility? Does he agree that that is a humble suggestion from Clive when, in fact, frontline ambulance staff should be prioritised for the vaccine?

[Matt Hancock]

Frontline ambulance staff absolutely are and should be prioritised for the vaccine. They are in category 2, and we have to make sure that that happens. I will take away Clive’s idea, work on it and get back to the hon. Lady to see what progress we can make.

[John Howell (Henley) (Con) [V]]

I welcome the opening of vaccination centres across the country, including one imminently at the Kassam stadium in Oxford, but at a meeting that I attended last night of community leaders in Oxfordshire, no one had an idea of when the vaccine centre at Harwell would become operational. Could the Secretary of State oblige?

[Matt Hancock]

[Inaudible.] the date when it will open. There is a huge amount of investment going into Harwell to make sure that we have cutting-edge vaccination manufacturing facilities for the future. The project is being led by my right hon. Friend the Secretary of State for Business, Energy and Industrial Strategy, so I will write to my hon. Friend with all the details.

[Rachael Maskell (York Central) (Lab/Co-op) [V]]

I have serious concerns that, after people have had their first and, indeed, second vaccines, they will have a false sense of security about their level of immunity; we know that the efficacy even after two vaccines is not 100%. Will the Secretary of State ensure that it is communicated clearly that people will still need to follow the public health guidance of hands, face and space of at least 2 metres, even after two vaccines and until it is safe to do otherwise?

[Matt Hancock]

The hon. Lady raises an incredibly important point: someone who has been vaccinated can still catch coronavirus for several weeks. It is really important that people know that. When people are vaccinated, they are told the time that it takes and the limit of the effectiveness, especially in that early period, and they are told very clearly that they still have to follow the rules. That is an important part, especially until we can measure the effectiveness of the vaccination programme on transmission. Only yesterday, I reviewed the communications that go to people when they have been vaccinated, and they are very clear and robust, but it is important that everybody, post-vaccination, continues to follow those rules, both to bring the number of cases down because of the impact on transmission and to protect themselves. The vaccine is the way out, but it does not work immediately, and people still need to be cautious.

[Matt Vickers (Stockton South) (Con)]

From policemen to teachers and shop workers to bus drivers, our key workers have been on the frontline in this pandemic, and we owe them so much. Once the most vulnerable in society have been vaccinated, will my right hon. Friend look to prioritise those who put themselves in harm’s way to help others?

[Matt Hancock]

My hon. Friend makes a characteristically astute point. The priority, of course, has to be those who are clinically most vulnerable, and after that we will make a decision. I have called for a national debate on who should go next. We will look at the data on transmission and who transmits most, and we will also consider key workers, who are often on the frontline, whether that is teachers, bus drivers or others. That is something that we are actively considering, and I will take his suggestion on board.

[Sarah Owen (Luton North) (Lab) [V]]

The success of any vaccine roll-out relies on reaching every person who needs it. Research presented to SAGE—the Scientific Advisory Group for Emergencies—worryingly found that just 28% of black, Asian and minority ethnic people intended to be vaccinated compared with 85% of white British people. That is a huge disparity. I asked this question on 11 January but got only a holding answer, so I will ask it again: what is the Secretary of State doing to work with the most vaccine-hesitant and vulnerable groups?

[Matt Hancock]

It is an incredibly important question. We are doing a huge amount of work on it. It is being led by the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Stratford-on-Avon (Nadhim Zahawi)—the vaccines roll-out Minister—who I think is sitting on the Front Bench. The need to reach all communities is paramount and that is ongoing now.

[Chris Grayling (Epsom and Ewell) (Con) [V]]

One of the sadnesses of the past year has been the way in which families have been unable to see relatives in care homes, often in the last few months of their lives. I commend the Secretary of State for his focus on vaccinating care home residents. All those families want visits to start again. What message can he give them about how quickly he can unlock care home visits again for those families? Will he also assure care homes that the Government still regard the lateral flow tests, which many want to use to vet potential visitors, as viable, reliable and able to be depended on to allow visits?

[Matt Hancock]

Yes. That last point is very important and we published extensive analysis that supports that view. On the broader point, we are going to look at the effectiveness in the real world of the vaccine as it is being rolled out and make sure that we look at who has been vaccinated and who is then testing positive in future to see the real-world effectiveness of the vaccine roll-out. Once we can see that effectiveness in the real world, we will then be able to consider all the different restrictions that are in place. Visiting care homes is obviously one of the restrictions that we had to bring in, but I entirely understand its consequences and the impact that it has on the lives of some of the most vulnerable people in society.

[Alison Thewliss (Glasgow Central) (SNP) [V]]

The UK has acquired the rights to vaccinate more than the entire population multiple times over, as have many other developed nations. Will the Secretary of State tell us what steps the UK Government are taking to make sure that surplus doses of the vaccine are shared with less developed countries around the world, and will he encourage other countries to do likewise?

[Matt Hancock]

We have put more money into the international effort to ensure that everybody around the world can be vaccinated than any other country. That is not just more as a proportion of our GDP; it is more cash that has gone into these international efforts across the UK. We can do that because of the strength of our international commitment as a country, so I am very pleased that we have been able to do that. Turning that money into vaccinations is important and a huge amount of work is being done by COVAX to make that happen. The UK can be proud of the work that we have done to support access for the most vulnerable, both in terms of the cash that we have put in and because it is UK research, backed by the UK Government, that has led to the Oxford vaccine, which is one of the two most appropriate for use in the developing world.

[Mr Richard Holden (North West Durham) (Con)]

There has been some great vaccine stuff happening in North West Durham, with 98% of the care homes done and the housebound having been started from last week. I thank the people working in the Crook and Tanfield View vaccine centres locally. I have heard that the pharmacy down in Bishop Auckland that is helping some of my constituents has just got the vaccine. However, I have a big rural area, with some people more than 10 miles from a vaccine centre, so will the Secretary of State let us know when those small hubs are going to be started and when the smaller community pharmacies in my constituency will get the vaccine to help to ensure that everybody across the country gets it as quickly as possible?

[Matt Hancock]

My hon. Friend is quite right to praise the teams across the north-east who have been doing an unbelievable job. The vaccination of 98% of residents in his area is something we should all celebrate. Making sure that everybody is within 10 miles of a vaccination centre is important. In the very rural areas that may include being 10 miles from a mobile site, because we will send in mobile sites to the most rural areas. Crucially, by 15 February everybody will have the offer of a vaccine. Sometimes they may get two offers. One might be to travel, for instance to go to Newcastle where there is a vaccination centre, but if they get that invitation they can still wait to have the more local offer of a jab from their primary care network. There are different ways to make it happen, but he is absolutely right on the importance of getting the vaccine available for all.

[Lloyd Russell-Moyle (Brighton, Kemptown) (Lab/Co-op) [V]]

Without increasing the 2 million doses a week to 5 million, we are going to be administering the vaccine to the adult population until the end of the year. That causes great anxiety. People are confused and unclear about if and when they will get a dose, particularly informal carers who worry that they are not on anyone’s list. Will the Secretary of State consider requiring doctors and the NHS to text or write to all patients to outline where they are on the list, so that people have a better reasonable expectation of when they will be vaccinated? That would enable them to ensure their prioritisation is correct, and, actually, stop them phoning up surgeries and blocking up phone lines to ask questions about when they are going to get their vaccine.

[Matt Hancock]

All those who are over 70 or clinically extremely vulnerable will have that offer before 15 February. What that means in practice is that if you receive a letter when measures are put in place recommending that you shield—that letter comes from either me or the Communities Secretary—then you are on the list to be vaccinated before 15 February. After that, we will continue through the JCVI cohorts, which of course includes, in cohort six, those who are vulnerable but not in the clinically extremely vulnerable group. We will get there, and we will invite people according to their clinical need. My recommendation to the hon. Gentleman’s constituents is that they should wait for the NHS to get in contact with them. We have a programme to make sure that everybody is reached.

[Edward Timpson (Eddisbury) (Con) [V]]

I join my right hon. Friend in praising the vaccinators, pharmacists, armed forces, NHS staff, support staff and volunteers right across the country, including in my constituency, for the considerable contribution they have already made to the national vaccine roll-out effort. To continue that acceleration, what action is he taking to ensure that all elderly residents in the first priority groups are aware that if they have not already, they can get their jab administered locally in the next few weeks through contact from their own GP practice?

[Matt Hancock]

We have been in contact with all those who have been invited to come forward so far. For those who have not been yet invited to come forward and are in the top four groups, we will be in contact before 15 February. May I just add that my hon. Friend himself has been volunteering in his local vaccination centre, doing his part on the frontline? I think we should all thank him for that.

[Kerry McCarthy (Bristol East) (Lab) [V]]

I am very pleased that my mother, my aunt and my uncle are all having their vaccinations today, so it seems that the roll-out to the over-70s is going well in Bedfordshire at least. May I ask about young carers? We know that the 10 to 19-year-old group is at particular risk of transmitting covid, if not at risk of suffering badly from it. Many of them will be looking after people who are in the clinically vulnerable group, but at the moment it seems that they will not be prioritised for vaccination, just the people who have more professional caring responsibilities. Will the Secretary of State add young carers to his list of people who, for the sake of the people they care for, will be vaccinated early?

[Matt Hancock]

I will absolutely look into that. I join the hon. Lady in praising the roll-out in Bedfordshire, which is going well. It is wonderful to hear the personal stories of so many people whose vulnerable family members have been vaccinated. The vaccination programme is touching us all; we just have to get it done as quickly as possible to make people as safe as possible as fast as we possibly can.

[Geraint Davies (Swansea West) (Lab/Co-op) [V]]

Coronavirus deaths are 10% higher in areas with only slightly higher air pollution. Will the Secretary of State bear that in mind in respect of his priorities for the rolling out of the vaccine? More importantly, will he ensure that the World Health Organisation air-quality limits are introduced to the Environment Bill next week, so that they have immediate effect and are legally binding? That will save thousands of lives from coronavirus and prevent tens of thousands of premature deaths from air pollution next year, given that as many people die from pollution every year as died from coronavirus last year.

[Matt Hancock]

The hon. Gentleman is an irrepressible campaigner on tackling air pollution. There is a link between air pollution and a person’s risk of dying from covid, and I have been talking about that to my right hon. Friend the Secretary of State for Environment, Food and Rural Affairs.

[Gordon Henderson (Sittingbourne and Sheppey) (Con) [V]]

A large number of people in Sittingbourne and Sheppey who are over the age of 80 have not yet received their covid vaccinations—not because of a lack of will but because of a lack of vaccine. Let me give an example: on the Isle of Sheppey, which has a population of 40,000, local GPs need to vaccinate more than 1,000 people each week to reach the Government’s target of vaccinating every person in the first four priority groups by February. Last week, the Sheppey primary care network was promised 400 doses, but eventually received only 300. This week, it has been promised 1,200 doses, but local GPs worry that this quantity will be cut, too. I appreciate that my right hon. Friend is constrained by the number of doses delivered by the suppliers, but what can he do to ensure that both my local primary care networks in Sittingbourne and Sheppey receive the quantity that they need to meet the Government’s target?

[Matt Hancock]

My hon. Friend asks an astute question which, in a way, demonstrates the challenge we have. There is a demand for more early information about when vaccine will arrive but, because of the lumpy supply, if we give too much prior notice, we sometimes have to make adjustments like the one my hon. Friend described. The good news is that we are on track to deliver the quadrupling of the amount of vaccine to the Isle of Sheppey that he describes. Like him, I very much hope that the full 1,200 doses will come.

We are sending more doses to the areas that have made the least progress so far, to make sure that by 15 February we get that offer to everybody equally, irrespective of where they live, across England for the English NHS and, indeed, we are working with the devolved Administrations to make sure that that offer is delivered fairly right across the UK. There is prioritisation of the areas that have made least progress so far, and I am working with NHS colleagues to make sure that that is done as fairly and effectively as possible.

[Carla Lockhart (Upper Bann) (DUP) [V]]

I thank the Secretary of State for the support being given to the people of Northern Ireland. I know he will join me in thanking our frontline healthcare workers who are delivering the vaccine in our communities.

The Secretary of State will know that the key to maximising the uptake of a vaccine is the assurance of its efficacy, but also that if people take part, it will enable life to return to normal—it will enable schools and business to reopen and family life, particularly for elderly relatives either at home or in care homes, to be restored. The public need that hope, yet while we hear much positivity, we also hear of long-term restrictions of many aspects of what was, and should again be, normal life. Can the Health Secretary give an assurance that he will provide leadership on the public messaging and its tone, and set out a route map for the return of the liberty and freedoms that we once enjoyed, and want to enjoy again?

[Matt Hancock]

Absolutely. We all want to enjoy those liberties again, and we want to do so safely. Balancing those two things is at the core of the conundrums of policy, and has been throughout this pandemic. The critical thing is to make sure we get this vaccine rolled out as fast as possible. That is at the centre of the route out, throughout these islands and, indeed, across the world. I understand the yearning for a clearer map out, but until we know the impact of the vaccine on transmission, it is hard to put timescales on that.

We have to watch the data. Of course I want to see the number of cases come down, but the reason why that matters so much is that we want to see the number of hospitalisations come down. We want fewer people to die each day from this dreadful disease. The numbers published yesterday—more than 1,800 people died—were truly terrible, and we need to make sure we protect life.

[Sir David Amess (Southend West) (Con) [V]]

Will my right hon. Friend join me in congratulating Anthony McKeever and his team on ensuring that people in Southend are vaccinated? Will he reassure me that Southend will receive its fair share of vaccines, that the four most vulnerable groups will all be vaccinated by the middle of February, and that people in their 80s and 90s will not be asked to travel long distances to a hub in Wickford?

[Matt Hancock]

Yes, that is our goal. All those things are what we are aiming for. I am really grateful for my hon. Friend’s support. Eighty thousand people have now been vaccinated in his area of Mid and South Essex. We have made a whole load of progress, but there is much more to do to make sure the vaccine is fairly there for everyone.

[Layla Moran (Oxford West and Abingdon) (LD) [V]]

The flooding over the past few days has already displaced thousands from their homes, and threatens many more over the coming days. For those who are elderly or vulnerable, wondering how they are going to receive the coronavirus vaccine is an added worry that they do not need, especially if they have to move to other regions to stay with family or into temporary accommodation, which the Secretary of State knows can sometimes be for months. Can he tell us whether the Government have a plan for vaccinating people displaced due to flooding?

[Matt Hancock]

Yes, of course. Flooding brings additional challenges, but we will overcome them.

[Selaine Saxby (North Devon) (Con) [V]]

The vaccination roll-out programme is a huge national success—well done! I thank everyone involved nationally and locally. However, my inbox is overflowing with messages from elderly residents desperately worried that, despite being over 80, 90 and even 100, they have still heard nothing from their GP. Given that other parts of the UK are currently vaccinating those who are significantly younger, what reassurance can my right hon. Friend give to my North Devon constituents?

[Matt Hancock]

The reassurance I can give to my hon. Friend and, more importantly, everybody living in North Devon, is that we will get there. We set the goal of 15 February for everybody in the four most vulnerable groups—the over-70s and others—to be vaccinated. They will have an offer of the vaccination arrive so that they can be vaccinated before 15 February. The reason we set that date is to make sure that everybody across the country gets it in a fair time. That is why we are putting more vaccine into the areas that have not made as much progress yet. However, across Devon, just under 100,000 people had been vaccinated by the 17th—a few days ago. By now, I am sure that more than 100,000 people have been vaccinated in Devon. That shows that the roll-out is happening, and we are absolutely determined to reach all parts.

[Mr Kevan Jones (North Durham) (Lab)]

May I join my parliamentary neighbour, the hon. Member for North West Durham (Mr Holden), in thanking those working in primary care to roll out the vaccine in County Durham? They tell me that if they get the vaccine, they can get it out to those who need it. Last week, though, the primary care trust vaccine hub in Chester-le-Street had to be put on standby because there was no vaccine arrival. Today the Secretary of State has again announced new vaccine sites, and suggested that over-70s are going to get the vaccine. In my constituency, people over 80 are still waiting. Can I plead with the Secretary of State to stop the hype and spin, to just be honest with people and with primary care if there is a problem with supply, and to ensure that primary care has enough notice to be able to organise this process, because it is causing a huge deal of pressure on an already overworked system?

[Matt Hancock]

I am delighted to say that primary care—the GP surgeries across the country—are rising to the challenge brilliantly, especially in County Durham, which is doing an absolutely magnificent job. It is far ahead of the national averages in terms of the roll-out and is doing brilliantly. Of course there are challenges; as the supply comes in, we are getting it to the frontline as fast as we can, and that does mean some rapid turnaround times. I urge the right hon. Gentleman to cheer up and back his local team. Yes, it is difficult, but I know that we will get there.

[Sir Roger Gale (North Thanet) (Con) [V]]

My right hon. Friend is engaged in a herculean task, and I think we all appreciate the work that he is doing. I know that he is aware of what he described as the “lumpy” delivery of vaccines, particularly in East Kent. The vaccines Minister—the Under-Secretary of State for Health and Social Care, the hon. Member for Stratford-on-Avon (Nadhim Zahawi)—is sitting on the Front Bench, and I hope that he is addressing that issue as we speak.

Let me turn to two further matters. Would my right hon. Friend the Secretary of State consider ensuring that all hospitals be allowed to have supplies to vaccinate their employees, because at the moment national health service employees working in hospitals are still having to travel far too far to get vaccinated? And when the priority groups have been addressed, will my right hon. Friend give particular attention to the needs of teachers, so that they can get back to work, and to the police constabulary, who are exposed every day of their working lives?

[Matt Hancock]

My right hon. Friend is quite right to raise the issue of getting supply out to East Kent. In fact, we are opening more centres just outside his patch, in Folkestone, next week. We are putting more vaccination into East Kent, and putting the support there to ensure that the vaccination roll-out can happen. I am glad to say that the majority of over-80s have now been vaccinated, but there is clearly still a lot of work to do. He is absolutely right to highlight the case that both teachers and police officers are understandably making— that, after we have got through the priority groups according to clinical need, we should consider their case for early vaccination.

[Ian Mearns (Gateshead) (Lab) [V]]

On Tuesday, the Education Committee heard from the deputy chief medical officer that schools were as safe for pupils and staff as anywhere else, but it now seems that this assertion was based on Office for National Statistics ad hoc survey data that appears to be three months out of date. The assertion about safety in schools was repeated by the Secretary of State on TV this morning. However, more evidence—from the Department for Education itself—shows that infection rates among school staff, teachers and support staff were significantly higher than among the working population as a whole in December. If the Government are determined to reopen schools—we all want that to be a major priority—surely school staff should be ramped up the vaccination priority list, based on this evidence?

[Matt Hancock]

We are very much open to the vaccination of teachers, and school staff more broadly, whom the hon. Gentleman mentioned, once we have got through those who are clinically most vulnerable. The vaccine programme has to be used to save lives, first and foremost; I think everybody agrees with that. Of course we look at all available data and information in forming that view.

[Richard Fuller (North East Bedfordshire) (Con) [V]]

I welcome the opening today of the Weatherley Centre in Biggleswade, which fills a gap in delivery across Bedfordshire, but I wish to raise with the Minister another question that has arisen in Biggleswade and get some policy advice from him. Penrose Court, a residential care home in Biggleswade, has recorded positive cases among residents. The home was advised that there would therefore be a delay in the vaccinations. Today, I understand from the clinical commissioning group that those vaccinations are back on track, but can the Minister advise the House what the policy is on vaccination of residents in care homes where a recent positive case has been recorded?

[Matt Hancock]

That is a really important question. For the most part, even when there is an outbreak, a care home can offer vaccinations with its local primary care network to those residents who do not have covid. Of course, when this is done, very scrupulous infection control needs to be in place. For instance, many care homes have vaccinated in a garden hub to make sure that the vaccination is outside, which is, of course, so much safer if there is an ongoing outbreak. Sometimes, an outbreak in a care home is so significant that it has to wait, and that has happened in a couple of cases, but all these decisions should be based on the local clinical advice of the GPs who are in the lead on the roll-out of the vaccination to care homes. I am really glad that this situation has been resolved in Biggleswade, and, of course, I am delighted at the new pharmacy-led vaccination centre in Biggleswade, which, as my hon. Friend said, is plugging a gap. He will have heard colleagues across the House praising the roll-out of the vaccinations in Bedfordshire.

[James Murray (Ealing North) (Lab/Co-op) [V]]

I thank the local NHS staff in my constituency for their hard work to vaccinate people. In the spirit of working together with them, I raised my concerns about the lack of vaccination sites, particularly around Greenford and Northolt in the northern part my borough, and they agreed with my suggestion that we ask Boots to consider opening a community pharmacy site at their Greenford Westway retail park store. I raised this plan with Boots, who were positive and helpful, and now we need support from NHS England. Will the Health Secretary please ask NHS England to look urgently at lending its support for this plan, so that we can move forward without delay?

[Matt Hancock]

Let us see what we can do.

[Andy Carter (Warrington South) (Con) [V]]

I know that the Secretary of State will want to join me in praising the response of GPs, NHS and care staff and volunteers in Warrington, who, working at the two community hubs in the town, will have vaccinated, by the end of tomorrow, around 17,000 people from this area. Looking forward, can he tell the House what plans he has to open 24-hour vaccination centres in the north-west, so that anyone who, say, works shifts or has caring responsibilities can access a vaccination at a time when they might be available?

[Matt Hancock]

Absolutely. We will pilot that approach and see how much demand there is for overnight vaccination. As my hon. Friend says, it could be particularly appropriate for shift workers, and of course the NHS runs shifts in every hospital because of the need to care for patients overnight, so that is a very important point that he raises. Let me also say how glad I am that we have been able to open the Imaan pharmacy in Bewsey in Warrington, further expanding the vaccine roll-out in his area.

[Mr Tanmanjeet Singh Dhesi (Slough) (Lab) [V]]

I commend everybody involved in the vaccine roll-out programme, as they have ensured that all care home residents in Slough have received their first dose. I also thank the Health and Social Care Secretary and his team for agreeing to site one of the mass-vaccination centres in my Slough constituency, which has been particularly hard-hit by the pandemic. Can the Secretary of State advise when detailed data will be published on the vaccine roll-out, so that local public health teams and others can identify issues, and will that data be by age, ethnicity, region and level of deprivation?

[Matt Hancock]

This afternoon, we will be publishing much more detailed local information, so that will be available, and as the roll-out continues, we will publish more and more granular information. The hon. Member is quite right about Slough—it has had a tough time in this pandemic—but it will get the vaccination centre, which is great. It was a real pleasure earlier in the week to have a Zoom with members of the Slough NHS team who have delivered this, with every single resident of a care home in Slough being vaccinated and getting their first jab. It is an absolutely terrific performance by the team in Slough, and I am glad that he is as proud of them as I am. They are a model that all can look to.

[Mr Speaker]

Can I just say to the Secretary of State that I am about to hand over to the Deputy Speaker?

--- Later in debate ---

[Richard Drax (South Dorset) (Con) [V]]

First, can I praise and thank all the NHS staff in Dorset, who are doing a wonderful job fighting this pandemic? Secondly, we hear from some scientists that they want the country locked down until June, when 70% of the population will have been inoculated, and according to Sir Patrick Vallance, vaccines are not going to do all the “heavy lifting”, but what are we vaccinating for if we cannot begin to reopen our devastated economy and regain our freedoms? Does my right hon. Friend agree that this is about risk mitigation, not elimination, and that a path out of this lockdown is a decision for politicians, not scientists and modellers?

[Matt Hancock]

The decisions that we take are decisions, rightly, for politicians, guided by the best possible science. The challenge is how to get back the freedoms my hon. Friend rightly refers to as quickly and as safely as possible. The safety element of that is paramount, as is the speed. The one thing that will help on both is to roll out the vaccines as quickly as possible and to monitor their roll-out very closely so that we can see the effect of the vaccine on transmission. As we see more and more information about that, we will be able to make clearer judgments about the release and when we are able to lift some of these restrictions under which we are all having to live.

[Lilian Greenwood (Nottingham South) (Lab) [V]]

Clear and timely communications are vital in maximising the take-up of the vaccine. Where people have not responded to an invitation letter, I understand that they will receive a phone call and that phone calls will also be used to ensure that all appointment slots are used. Can the Secretary of State assure me that calls will be accompanied by SMS text messages to ensure that deaf people and those with a hearing loss are not left behind?

[Matt Hancock]

Wherever possible is the answer. The truth is that the NHS has not in the past collected people’s mobile numbers routinely or their email addresses, hence why this roll-out is primarily being done through invitations by letter. I hope that, actually as part of this roll-out, one of the things we will be able to do is make sure that the NHS can put people’s email addresses and mobile numbers on their clinical record, where people consent to that of course, because we have seen in other countries such as Israel that where a very large proportion of people have given their mobile number and their email to the health system, we can get in contact with people much more quickly. Having said all of that, some people will never have a mobile phone and some people will never have email, and this is a universal service—of course it is—so letters and texts to those who have poor sight, and ultimately phone calls, including on landlines, or teams going round to people’s doors, are all important to make sure that everybody gets access to the vaccine and can receive the invitation.

[Madam Deputy Speaker (Dame Rosie Winterton)]

Order. Before I call James Daly, I just want to say that I want to try to get everybody in, so we probably need to speed up a little bit.

[James Daly (Bury North) (Con) [V]]

Will my right hon. Friend join me in thanking Bury Council, our local CCG, NHS staff, medical practitioners and all those involved in the vaccine roll-out in Bury, Ramsbottom and Tottington? Approximately 19,000 vaccinations will have been given by the end of this week across the borough of Bury, and we are confident that all frontline workers and care home residents will be offered the vaccine by Sunday. It has been and continues to be a magnificent effort.

[Matt Hancock]

That is absolutely fantastic to hear. Across Greater Manchester as a whole, 187,947 vaccines have been done. It has been a huge effort, and I am very grateful for my hon. Friend’s support.

[Ben Lake (Ceredigion) (PC)]

Frustrations with the Welsh Government’s roll-out programme are well documented, and health boards in Wales have this week had to contend with some supply issues. Can the Minister reassure me that any supply issues are being addressed? Given that Wales has the largest proportion of people aged over 70 in the UK at over 17%, can he give us some reassurance that Wales will receive a vaccine allocation that reflects the level of relative need?

[Matt Hancock]

All the three devolved nations are getting their vaccine according to fair shares and at the same speed as England. While supply is the rate limiting factor across the board, the same supply is going in the right proportions across all four nations.

[Damian Collins (Folkestone and Hythe) (Con) [V]]

Yesterday I visited the vaccination hubs at the civic centre in Folkestone and at Lydd airport, which along with the Oaklands surgery in Hythe are doing a great job in vaccinating the local community. Does my right hon. Friend agree that in Kent we also need to see the mass vaccination centres opening as soon as possible, which can process tens of thousands of people a week?

[Matt Hancock]

Yes, I agree with my hon. Friend, and I am delighted to say that next week a new vaccination centre will open in Folkestone, serving the people not only of Folkestone, but of the wider area across parts of east Kent. That is in addition, of course, to the brilliant work that GPs are doing in his part of the world.

[Jon Trickett (Hemsworth) (Lab) [V]]

Wakefield CCG decided not to provide information to local residents about the vaccination roll-out here. It said it feared it would lead to awkward questions from a sceptical public about differential treatment—a kind of postcode lottery for key workers, the elderly and the chronically sick. Can the Secretary of State confirm the comments he has made today, which I welcome, about the release of more granular data? However, they are to be provided by huge and remote sustainability and transformation partnerships, so will we know what is happening at the local level to maintain local public confidence? Finally, will he comment on reports in the Health Service Journal today that next week, the amount of vaccine will be cut by half in Yorkshire and the Humber?

[Matt Hancock]

I am delighted that across West Yorkshire and Harrogate as a whole, more than 150,000 vaccines have now been done. I would say to anybody that coming forward for a vaccination when invited by the NHS is the right thing to do. I am delighted to say that far from sceptical, the public are hugely enthusiastic about this vaccine programme, and we have seen that the public attitude and enthusiasm to be vaccinated has shot up since we started vaccinating on 8 December. People can see with their own eyes the positive impact that it is making.

We have to ensure that the vaccination programme is fair right across the UK. Some parts of the country, including parts of the north-east and Yorkshire, have gone really fast early on, which is terrific, but we have to make sure that the vaccination programme is fair everywhere, so that everyone in the top four groups can receive that offer of a vaccine by 15 February. We will deliver on that.

[Theresa Villiers (Chipping Barnet) (Con)]

Can the Secretary of State speed up the delivery of vaccines to London, so that we can catch up with other areas? Will he also emphasise that while the vaccine gives us all hope for the future—hope that restrictions can start to be lifted—until that point we have to be cautious and stick to the rules, because the virus is lethal and is putting immense pressure on our hospitals, and sadly we are not out of the woods yet?

[Matt Hancock]

I agree with every word that my right hon. Friend said. I am really pleased that this week Brand Russell pharmacy in East Barnet is opening for vaccinations, and we are accelerating the amount of vaccinations in London, which is the region in England that has the most to do.

[Hannah Bardell (Livingston) (SNP) [V]]

I fully appreciate and respect that the Joint Committee on Vaccination and Immunisation has a very strict protocol for the roll-out of vaccines, but have it and the Secretary of State considered the notion that staff working to develop and produce vaccines, like those at Valneva in my constituency, should get a vaccination as soon as possible? Will he give some consideration to this and discuss it with the JCVI? I will be writing to him shortly.

[Matt Hancock]

I will consider that request given the importance of the vaccine supply, which is critical for everybody else to get their vaccinations too.

[Tracey Crouch (Chatham and Aylesford) (Con) [V]]

This morning Maidstone Hospital rather wonderfully did its 10,000th vaccination. Medway Maritime Hospital has done 5,000, Malling and Blackthorn primary care networks have pretty much completed the first priority groups, and Lordswood PCN, which is only two weeks old, is motoring along to deliver the vaccine to vulnerable groups in Chatham. This is all down the incredible work of all those involved, and I am sure the Secretary of State will join me in paying tribute to them. However, the one piece of feedback I repeatedly get across my constituency is the lack of consistency in supply, so will he reassure me that those who are delivering on target will not be penalised by their own success and that they will get the stock they need to continue to vaccinate priority groups on the list?

[Matt Hancock]

Yes, of course, we have to make sure that the priority groups are all offered the vaccine everywhere in the country and are able to be vaccinated by 15 February. I totally agree with her about the great effort locally. Reaching 10,000 vaccinations is superb. I particularly want to thank Ritchie Chalmers, Cheryl Lee, John Weeks and the whole team at Maidstone and Tunbridge Wells NHS Trust. There have been very significant challenges in Kent over the past few months. Thankfully, the case rate appears to be coming down in Kent, which is very reassuring. We have to get this vaccine out as quickly as possible.

[Daisy Cooper (St Albans) (LD) [V]]

In St Albans, our GP-led vaccination centre at Batchwood Hall is doing a brilliant job, but it only has enough vaccine supply for two days a week, not seven. Now we are hearing rumours that the NHS might set up a large hub in St Albans, which we would not need if our Batchwood Hall centre was getting the vaccines that it needs. Can the Secretary of State confirm that the NHS will be putting all its efforts into helping to put the infrastructure in place in parts of the country that need to catch up, rather than dislocating infrastructure in areas that already have excellent centres but just need that extra vaccine?

[Matt Hancock]

The truth is that supply is the great limiting factor, so we do need to put the vaccination centres where they are most needed, and pharmacy has an important role right across the country. The hon. Lady is right that the great inhibiting factor is the amount of supply, and that is what we are constantly calibrating to get people as much supply, with as much notice, as we can, given the challenges that we all face.

[Philip Dunne (Ludlow) (Con) [V]]

I applaud my right hon. Friend and his colleagues across the NHS, especially here in Shropshire, for the massive effort by so many people to get this vaccination into those in the highest priority groups so quickly. However, there are still some parts of the country where only care homes and NHS frontline staff have been vaccinated, and in the South West Shropshire primary care network, no one in the community over 80 has yet received the vaccine, and none are expected to until late next week. May I ask my right hon. Friend, in common with the pleas made by a number of colleagues, to look at prioritising deliveries for those areas where the highest priority groups have yet to receive the vaccinations that they are being led to believe are now widely available?

[Matt Hancock]

Across Shropshire, and Telford and the Wrekin, 14,000 doses have been delivered to the over-80s. I will look into the specific question of the primary care network that my right hon. Friend raises, because I was not aware of that fact. Clearly, Shropshire is vaccinating the over-80s but I will look into that specific. It is true that, right across the country, the catch-up is absolutely vital in areas if they are behind, because it is right that this is done fairly across the country. I will get back to my right hon. Friend with the details of the individual case that he raises.

[Steve McCabe (Birmingham, Selly Oak) (Lab) [V]]

Is it true, as has been reported, that up to a fifth of staff in some care homes have refused the vaccine? If so, does the Secretary of State have data on this and a plan to address it?

--- Later in debate ---

[Matt Hancock]

We are aware that there are some care homes in which the take-up by staff is not universal—not 100%—although I do not quite recognise the specific figure that the hon. Gentleman gave. I am glad to say that in some parts of the country where a team have gone into a care home and not all the staff have taken the vaccine, when they have returned a couple of weeks later they have been able to complete the roll-out to staff because the staff have been reassured, having seen the roll-out to their colleagues and residents, that it is okay to get the vaccine. The good news is that, overall, take-up and enthusiasm for take-up are very high. We have been hearing today of some cases where there has been a 100% take-up among residents of care homes, and I am really pleased about that. I am particularly pleased that the overall enthusiasm to get the vaccine among the population as a whole has risen quite substantially over the last six weeks. We have worked very hard on this. It is an incredibly important issue and we absolutely have a plan in place to address it.

[Tonia Antoniazzi (Gower) (Lab) [V]]

Can the Secretary of State confirm that people living with a terminal cancer diagnosis are to be included in the vulnerable groups for vaccination?

[Matt Hancock]

The vulnerable groups are set out clinically. Those who are clinically extremely vulnerable include those to whom we have written, in some cases regularly, during the pandemic. That is a clinical decision, and I think it is right that it should be a clinical decision.

[Paul Bristow (Peterborough) (Con) [V]]

The vaccine roll-out in Peterborough is going well. Sites are open at the City Hospital and at a number of GP surgeries and medical centres across the city. I want to place on record my thanks to everyone working in these centres across Peterborough, but I still feel Peterborough needs a mass vaccination centre in our city centre. Will my right hon. Friend confirm that there are plans for a mass vaccination centre in Peterborough that will serve many thousands of people in my city?

[Matt Hancock]

Yes, we are going to have a mass vaccination centre in Peterborough, alongside all the work that the GPs are doing, and we hope that it will be open next week. I want to thank the NHS in Peterborough for the work that it is doing and for getting this going.

[Stephen Doughty (Cardiff South and Penarth) (Lab/Co-op) [V]]

I praise again the work of Cardiff and Vale University health board for its vaccine roll-out. Yesterday it delivered 10 times the number of vaccines in one day that it did on its first day of delivery of the programme; it is doing an incredible job. The Secretary of State rightly said that supply was the limiting factor, and this morning we heard that the Wockhardt factory in north Wales had been affected by flooding. Can he confirm whether any supplies have been damaged or affected? We have also heard that the Serum Institute of India factory has been affected by fire this morning. What is the Secretary of State doing to ensure that we have more manufacturing capacity and more fill and finish capacity, and that we have a back-up in case something goes wrong, which would be devastating for the supply of this critical vaccine?

--- Later in debate ---

[Matt Hancock]

We absolutely have plans to make sure that we can get the vaccine out, even with significant challenges. We do not take any supply from the Serum Institute of India; that supply is for the developing world. Wockhardt, the company that does fill and finish in Wrexham, has put out a statement around the serious rain and flooding that there has been in and around Wrexham over the last few days, and this is obviously a critical factor.

On the hon. Gentleman’s point about ensuring that we have the manufacturing capability, we are investing in that capability for the medium term. We can make so much of the Oxford-AstraZeneca vaccine in the UK right now because of the work that was done with the vaccine taskforce over the summer, getting in the capability and the manufacturing. Even when the vaccine was not the major topic of discussion, we were working incredibly hard to expand UK capabilities. We took the approach that we should buy from abroad and make it here at home. It is about getting vaccine into people’s arms, no matter where it comes from, so long as it is safe and effective and does the job. That is what is happening across the whole UK.

It is really good to finish with a question from a Welsh colleague, because it demonstrates that this is a programme that can, I hope, bring the whole country together. Everybody is on the same side trying to make it happen, and we will all keep working on it together. I thank everybody involved, and I thank all colleagues for their enthusiasm and support for the vaccine roll-out programme.

[Madam Deputy Speaker (Dame Rosie Winterton)]

I thank the Secretary of State for responding to the urgent question. I am suspending the House for three minutes to enable the necessary arrangements for the next business to be made.

Covid-19 Update

Matt Hancock Excerpts

Tuesday 19th January 2021 Written Statements

[The Secretary of State for Health and Social Care (Matt Hancock)]

On 5 January 2020, the Health Protection (Coronavirus, Restrictions) (All Tiers) (England) Regulations 2020 (All Tier Regulations) were amended. These amendments instructed people across England to stay at home and only to leave where they have a legally permitted reasonable excuse, as well as requiring the closure of many businesses and venues.

Although we are getting the virus under control, the numbers of covid-19 cases, hospital and ICU admissions, and deaths remain extremely high nationally. As a result, our hospitals are now under more pressure from covid than at any time since the start of the pandemic.

The weekly case rate in England is 520 per 100,000 for all ages and 414 per 100,000 in people aged 60 and over. There are 127 local authorities with case rates greater than 500 per 100,000. Overall positivity for England is 14.4%, with rates remaining high across all regions and continuing to increase in the north-east, west midlands and south-west. The highest positivity is in London (21.7%) and lowest in the south-west (9.5%).

These figures are significantly higher in comparison to early December and there still remains considerable pressure on NHS systems nationwide as hospitalisations continue to increase. General and acute bed occupancy for covid-19 across England has risen by 1,786 to 31,459 from 29,673 last week. Mechanical ventilation bed occupancy for covid-19 across England has similarly risen to 3,570 from 2,310 in the previous week. Deaths within 28 days of a positive test remain high at 887 on 13 January, the last day of complete reporting.

In line with our commitments, I have kept the measures in place for the national lockdown under ongoing review. On 19 January I completed a review of both the geographical allocations and the restrictions as required by the regulations and have determined that the measures remain necessary and proportionate for all areas in England. While there are early indications that new infections may have started to decline in those areas which have been under stricter measures for the longest, scientific advice and the latest epidemiological data is clear that lifting restrictions now would be too early. The restrictions are kept under continual review and will be lifted as soon as it is safe to do so.

On 18 January the Government made some minor technical amendments to the all tier regulations to clarify policy and ensure consistency. The Health Protection (Coronavirus Restrictions) (All Tiers) (England) (Amendment) 2021 were laid before Parliament on 19 January and will come into force on 20 January.

[HCWS724]

Mental Health Act Reform

Matt Hancock Excerpts

Wednesday 13th January 2021 Commons Chamber

[The Secretary of State for Health and Social Care (Matt Hancock)]

With permission, I would like to make a statement on reforming the Mental Health Act. Even amidst the pandemic, I am enormously grateful for the work that my team and the NHS have done, led by Sir Simon Wessely and Claire Murdoch and my hon. Friend the Minister for mental health, to deliver this White Paper, which we published today, to bring mental health legislation into the 21st century.

We are committed as a Government, and as a nation, to see mental health treated on a par with physical health. We are increasing funding for mental health services to record levels, with £2.3 billion extra each year being invested through the NHS long-term plan, and an immediate £0.5 billion in place to support mental health services with the very significant pressures they are under. Our mental health services are now helping more people than ever before. Services are there for the most serious mental illnesses, although those, of course, are under significant pressure. Services are there for better community support through 24/7 crisis services and establishing liaison in A&E, and supporting people to manage their own mental health.

This programme of transformation is ambitious, and as we support mental health services now, so we must bring up to date the legislative framework for the long term. The Mental Health Act 1983 was created so that people who have severe mental illness and present a risk to themselves or others can be detained and treated for their protection and the protection of those around them, but so much has changed since the Act was put into place, nearly 40 years ago. We now understand a lot more about mental health. Public attitudes around mental health have changed significantly for the better. We now have a better understanding and practice of how we can best support people with learning disabilities and/or autism. We are also concerned by the growing number of people being detained, inequalities among those who are detained, and the length of time that people are spending detained under the Act.

So, after a generation, we must bring the Mental Health Act into the 21st century. The previous Prime Minister, my right hon. Friend the Member for Maidenhead (Mrs May), asked Professor Sir Simon Wessely to lead a review into what a modern mental health Act should look like. I thank her for her work, and I am so grateful to Sir Simon and his vice-chairs for their dedication. As I said to the House last year on its publication, the Wessely review is one of the finest pieces of work on the treatment of mental health that has been done anywhere in the world. I know that the review was welcomed across the House. We committed in our manifesto to deliver the required changes, and I am grateful to the Prime Minister for his emphatic support.

Sir Simon’s review compellingly shows that the Mental Health Act does not work as well as it should for patients or their loved ones—that the Act goes too far in removing people’s autonomy and does not give people enough control over their care. I am delighted to set out our full response to that review in our White Paper, which, together with my right hon. and learned Friend the Lord Chancellor, we have laid before the House.

The White Paper sets out plans for a landmark new mental health Act. The new Act will ensure that patients are put at the centre of decisions about their own care; that everyone is treated with respect; and that the law is only used to compel treatment where absolutely necessary. The White Paper has been developed in close consultation with those with the greatest expertise—the Royal College of Psychiatrists, Rethink Mental Illness, Mind, the Centre for Mental Health and countless practitioners on the frontline—and I thank them all.

There are four pillars to this work; I should like to take a moment to update the House on all of them. First, we will give patients a voice in their own care, which we know leads to better engagement in treatment. We will put care and treatment plans and advance choice documents in statute for the first time, so that patients are more closely involved in the development of their care, and so that they can have confidence that if they lose capacity because of illness, their preferences will be properly considered. We are making it easier for patients to challenge decisions about their care, creating a new right to choose a nominated person who is best placed to look after their interests, and increasing patients’ access to the independent tribunal to provide vital independent scrutiny of detention. In his report, Sir Simon recommended that one of the best ways to ensure dignified care is to ensure that patients can expect the privacy of their own en-suite room. We have already committed £400 million of funding to deliver that, and we are building new mental health hospitals, with two schemes already approved and with more to come.

Secondly, we will address the disparities that currently exist within the application of the Mental Health Act. Black people are currently four times more likely to be detained under the Mental Health Act than white people, and black people are 10 times more likely to be placed on a community treatment order. We also know that people from black and minority ethnic backgrounds can often engage with services later, and our plans to enhance patient choice, increase scrutiny of decisions and improve a patient’s right to challenge will help us to improve service provision for all. On top of that, we have already announced our new patient and carer race equality framework, as recommended by the review, and we are developing the use of culturally appropriate advocates, so that patients from all backgrounds can be supported in making their voice heard.

Thirdly, it is important that the Act supports patients within the criminal justice system. We will make sure that, where people in prison require treatment in a mental health hospital, they are transferred in a timely way, and we will support rapid diversion from custody to care where appropriate so that people in our criminal justice system can get the right care in the right place at the right time, while we fulfil our fundamental duty to keep the public safe.

Finally, in our manifesto, we committed to improving how people with learning disabilities and autistic people are treated under the Act. Until now, the use of powers in the Act did not distinguish between people with mental illness on the one hand, and people with learning disabilities and/or autism on the other. That is wrong. Needs are different and the law should be different, too. That is all part of treating everyone with respect. We therefore propose reforms to limit the scope to detain people under the Act where their needs are due to their learning disability or autism alone. In future, there will be a limit of 28 days for these detentions, which would be used to assess clinical need, and, wherever possible, we will work to ensure that appropriate support is available in the community rather than in institutional settings. I thank Baroness Hollins, Ian Birrell, Mencap and the National Autistic Society for their advocacy and for their support for these reforms.

This Act is there for us all and we want to hear as many views as possible on these plans, so we will consult widely on this White Paper and will respond later this year before we bring forward a new mental health Bill. I believe that everyone in our society has a contribution to make and that everyone should be respected for the value that they bring. It is the role of Government to support people to reach their potential, even at the most difficult of times, and to protect people when they are at their most vulnerable. That is what I believe, and I believe these reforms will help put those values into action and help give patients the dignified treatment that they deserve. I commend this statement and the White Paper to the House.

[Dr Rosena Allin-Khan (Tooting) (Lab)]

I thank the Secretary of State for an advance copy of the statement. This overhaul of the Mental Health Act has been long-awaited, and we welcome the White Paper and the fact that the Government have accepted the majority of the recommendations from Sir Simon Wessely’s independent review of the Mental Health Act.

Without a doubt, people need to be at the heart of this legislation. Service users must be involved in framing the legislation going forward, and when we talk of numbers and statistics, we must remember that these are real people with real lives and real families. There is a web of individuals who are affected when things go wrong. Deprivation of liberty and the use of coercion can cause lasting trauma and distress. That is especially true for children and young people who find themselves in these most difficult of situations, whose voices often are not heard when decisions are being made. It is an important step that learning disabilities and autism will no longer be grounds for detention under the Act, and I am sure that we all welcome that. It is also very welcome that the recommendation on nominated persons has been included.

The best way to reduce coercion and detention is to have alternatives to admission. Will the Secretary of State please outline how that will be achieved? Community provision is vital for mental health services that are truly joined-up and, crucially, work well for patients, so will he also give reassurances on community care?

It is in our communities where we witness the harsh reality of health inequalities, which so desperately must be addressed. Social inequalities and adverse childhood experience are the drivers of mental ill health, and they cannot be ignored. Children from the poorest 20% of households are four times more likely than those from the wealthiest 20% to have serious mental health difficulties by the age of 11. That will not be solved simply by mental health legislative changes; there must be a commitment to addressing the vast chasm of health inequalities across the country.

At present, black people are over four times more likely to be detained. We need to advance the mental health equality framework, and there must be culturally appropriate services and freedom for local areas to look at their specific population in order to have the most suitable approaches.

Mental health staffing levels are crucial to ensuring that mental health services are fit for purpose. The proposals set out by the Secretary of State go well beyond what has been committed in the long-term plan. We need to see true understanding from the Government that mental health is not about promising fancy equipment; it is about people. The promises in the White Paper rely on the workforce—our fantastic frontline mental health staff, of whom there are simply too few at present. Will the Secretary of State please outline when we will get the workforce settlement? What reassurance can he give on filling training places?

It has already taken so long to get to this point—it was the former Prime Minister who started this process, back in 2016—so will the Secretary of State provide some clarity on the timeframe going forward? Given the complexities of the legislation and the need for it to be robust, what are the plans for a joint prelegislative Committee? It is vital that the blueprint that Sir Simon Wessely’s report sets out is implemented in full. I would like to take this opportunity to thank him and everyone involved for all the work they have done on this review.

We must act, and quickly. Covid has shown us how all the pressures on mental health are building. We need action now. We all know how rare these pieces of legislation are; this is a once-in-a-generation opportunity to get it right for some of the most vulnerable in our society. We simply must get this right for everyone who depends on these services.

[Matt Hancock]

I thank the shadow Minister for her thoughtful approach. I agree with the way that she described the challenge, and with her insistence that we must not just improve the legislation—and we will—but improve and continue to strengthen service provision, in particular community service provision, as an alternative to admission. That is how we turn legislation from dry words on a page into real action on the ground.

The shadow Minister is absolutely right, too, that service users must be at the heart of framing the legislation. If I may link that point to her question about the timeframe, the challenge of the timeframe is to ensure that we move fast enough to help people and get the new legislation on the statute book as quickly as reasonably possible, but at the same time continue with the consensus-based approach that we have taken.

I am very grateful, as I said, for the work of Sir Simon and the NHS team, and I am grateful that we have managed to develop this White Paper with broad consensus among those who provide mental health services and service users, and politically across the House. I think that is an important consensus to keep, and I want to try to keep it by ensuring that we take as open an approach as possible to the legislation. I am absolutely open to joint prelegislative scrutiny, and I am absolutely open to the publication of a draft Bill. Let us get the details right, and let us work together on this and keep it as consensual as possible.

I also agree with the hon. Member’s point about the need to tackle broader health inequalities, and covid has laid bare some of those. That is a core part of our levelling-up agenda, and it is an important consideration for both physical and mental health. I am glad to say that this landmark White Paper, which will lead to a once-in-a-generation Bill, is proceeding with the support of the Opposition. I am really pleased about that, because this is for everyone. It is to make sure that some of the most vulnerable people in our country get the support they need and deserve.

[Mrs Theresa May (Maidenhead) (Con)]

May I congratulate my right hon. Friend on this White Paper and also on his continued commitment to this issue during what have been really challenging times for him and his Department in dealing with the pandemic? I fear, though, that the legislation might not be on the statute book until 2023. Meanwhile, GPs and hospitals caring for my constituents tell me that there is an increasing problem of mental health and increasing numbers of people with mental health problems, particularly young people. So what steps can my right hon. Friend take to put in place the principles that underpinned the Wessely review—I thank Sir Simon Wessely once again and his team for their work—of less coercion, better choice and control for service users, better care, and a reduction in inequality and discrimination, while dealing with the growing number of people who have mental health problems, some as a result of the pandemic?

[Matt Hancock]

I put on record my gratitude to my right hon. Friend. Without her, I am not sure we would have reached this point. Her dedication to this topic, both as Home Secretary and then as Prime Minister and since, has been vital, and I am grateful for the advice that she has given me in the last few months as we prepared this White Paper. I am grateful to her for appointing Sir Simon Wessely, and I am grateful to her for appointing me as Health Secretary, too. [Laughter.]

My right hon. Friend is absolutely right about the urgent pressures right now in mental health services right across the country, so I am really pleased that during the pandemic we have been able to keep work going on the policy and the new legislation that we are proposing. At the same time, however, in hospitals and in GP surgeries right across this country, there is urgent pressure on mental health services, and we know that there are mental health impacts of the actions that we have to take to control covid.

As I said in my statement, we have put in more money in the short term, on top of the long-term plan that was agreed when my right hon. Friend was Prime Minister. We are committed to doing everything we can to support people with mental ill health and, crucially, to support people to keep their mental health strong, even if they do not have a mental illness, because these are difficult times. The good public health approach means that, just as looking out for our physical health and our mental health is important for all of us, so too is the provision of acute services for people with serious mental health conditions, which is under strain right now. We are willing to—and have—put the money in at the spending review, but we must also support the clinicians on the frontline who are working so hard right now.

[Dr Lisa Cameron (East Kilbride, Strathaven and Lesmahagow) (SNP) [V]]

This long overdue reform of the Mental Health Act rightly seeks to ensure parity of mental health, improve access to advocacy and individualised decision making, and enable treatment within the least restrictive environment. It also attempts to address the systematic inequalities we have heard about that have existed for those with autism and learning disability. Too often their rights have been quashed within the system, and it is absolutely correct that that is addressed. The Scottish Government recognise the importance of individual rights within treatment and are currently reviewing mental health and incapacity legislation in Scotland within the mental health strategy, following on from the learning disability and autism review.

As chair of the all-party parliamentary group on psychology, I hear about difficulties in the current mental health system across the UK from patients themselves, including for those who self-harm but who may not meet a diagnosis of mental disorder. There exists a cycle of assessment and discharge for patients. Will the progress announced meet their treatment needs?

There is also an issue about accessibility of services for those with comorbid mental health and addiction issues, including access to rehabilitation units. How will comorbidity be addressed within the reforms? We know that those with autism are currently overrepresented in our criminal justice systems. Will diversion services make sure that this great disparity in access to care in a crisis for the most vulnerable people with autism is finally addressed?

[Matt Hancock]

I welcome the comments of the SNP spokesman, and I appreciate her support and thoughtful questions. She is quite right about ensuring that we address the challenges that present themselves for people with autism who are, as she says, disproportionately likely to end up in the criminal justice system. This is an issue on which I have worked very closely with my right hon Friend the Lord Chancellor; I am delighted that he has been able to join us for this discussion.

Part of the point of separating the attitude in law towards those with mental ill health and those with learning disabilities and autism also relates to treatment when there is an interaction with the criminal justice system. It is absolutely critical to get this right. It is difficult, and a huge number of people are working very hard to get this right on the frontline, but at the moment they are hampered by the law when it comes to how that can happen. I hope that in the future they will be supported by the law such that they can make sure people get the right support and the right treatment, whether those people are in the criminal justice system or—as with the vast majority—they are law-abiding and need support from the state because they are in a vulnerable condition.

[Jeremy Hunt (South West Surrey) (Con) [V]]

I thank my right hon. Friend for a comprehensive response to Sir Simon Wessely’s superb review, which I was proud to commission at the request of the former Prime Minister, my right hon. Friend the Member for Maidenhead (Mrs May), whose commitment to mental health issues has been unparalleled. However, he knows that changes in the law only matter insofar as they affect the lives of real people, and his Department’s own data says that we still have more than 2,000 people with autism and learning disabilities locked up in mental health units, often supposedly temporarily, and sadly sometimes experiencing terrible breaches of human rights, such as the frequent use of restraint.

Will my right hon. Friend use this landmark moment to follow what Italy has done and close down all such units, so that these highly vulnerable people can be looked after more humanely in the community?

[Matt Hancock]

Absolutely. I want to see more people cared for in appropriate settings, which will often be in the community. My right hon. Friend set the target, as Health Secretary, to reduce the number of people with autism and/or learning disabilities in secure in-patient care. The 2,000 figure that he cites is a significant reduction, I am glad to say, from when he set that target and set that work in train—almost half. I want that number to continue to fall.

Of course, where there is a criminal justice element or restriction, that can be more difficult. However, we must make sure that the treatment and setting are appropriate for each and every person. Very often, a mental health setting is not appropriate for somebody with learning disabilities or somebody with autism, for whom it can in fact be the opposite of appropriate; it could be the worst place.

My right hon. Friend will know, as the Chair of the Select Committee, that the Care Quality Commission has in fact closed a number of settings during the pandemic, and we must make sure that we build more capacity. We have the budget in the spending review to do that and some of that building work is under way. There is a huge programme of work on the physical estate side and on training staff, as the hon. Member for Tooting (Dr Allin-Khan) mentioned, as part of the legislative change. No one element of that transformation works without all the others.

[Munira Wilson (Twickenham) (LD) [V]]

I welcome the Secretary of State’s statement and the publication of the long-overdue White Paper. As has already been alluded to, the increased level of safeguards and a commitment to improving the quality of in-patient care will require a significant recruitment drive for mental health services. Recent forecasts suggest, for instance, that only 71 additional consultant psychiatrists will be added to the NHS workforce by 2023-24 against a requirement of more than 1,000 to deliver the long-term plan. What measures will he take to address the additional workforce requirements of reforming the Mental Health Act?

[Matt Hancock]

That is a very important question. I do not recognise that 71 figure; I will look into it and write to the hon. Lady with my full understanding of the situation, having consulted with Health Education England. The short answer to her question is that we are hiring psychiatrists and mental health nurses, who play such a critical role.

[James Sunderland (Bracknell) (Con)]

Mental health is so important, not least for our veterans, so I commend the Secretary of State for his hard work and for this excellent initiative at a busy time for the country. One area was not covered in the statement, however: child and adolescent mental health services. Will he look at that as a matter of urgency? Families are waiting a long time for appointments at CAMHS and are living in desperate times, so I ask for his reassurance on that issue.

[Matt Hancock]

Yes, absolutely. I can give the reassurance that for those who need to access IAPT—improving access to psychological therapies—services and talking therapies for lower-level mental health conditions, the waiting time has come down quite considerably. In the latest data I saw, it was 15 days, which is a considerable improvement. The services for more serious mental health conditions are under pressure at the moment and putting more resources into them will be critical.

[Jim Shannon (Strangford) (DUP)]

May I thank the Secretary of State for the statement today? I also thank him for the clear way that he has put forward to help those who are vulnerable and have problems, because that is important. I ask him for clarity on what support has been given to the frontline of mental health diagnosis in the form of GP practices, which refer patients on only to see them worsen in the months it takes for them to be formally assessed and get the help they need. That is leading to a high rate of strong medicine being used, instead of counselling. The issue is important.

[Matt Hancock]

The hon. Gentleman is right that GPs are the absolute frontline in treating mental ill health, not least because the first presentation of mental illness is often at GP practices. Funding for those services is increasing and it is important that that continues.

As GPs form larger groups—for instance, through primary care networks—the ability to have more specialist help is strengthened. I want to see closer integration between primary care, mental health trusts and acute trusts within the NHS. Throughout its history, the NHS has held mental health trusts separately from the provision of other services. It is increasingly clear that their integration, rather than separation, is the way forward.

[Sir Robert Neill (Bromley and Chislehurst) (Con) [V]]

I warmly congratulate my right hon. Friend on the statement—and my right hon. Friend the Lord Chancellor, who I am delighted to see on the Treasury Bench with him.

The abolition of the appalling practice of using prison as a place of safety for those who are mentally unwell is particularly welcome. That was unfair for the individuals and for the prison staff who had to deal with them under often-unsatisfactory conditions. It frequently happened because at the end of a hearing, magistrates or judges had endeavoured to find a hospital place, but none was available at the end of the day. What practical steps and resources will be put in place to ensure that a hospital place is identified before the defendant appears in court, so that they can be taken swiftly and seamlessly to an appropriate safe place, rather than prison?

[Matt Hancock]

Ensuring that that sort of link-up is standard practice across the criminal justice system is critical, and that is one area that the Lord Chancellor and I are working on. Ultimately, so too is the provision of enough places, because we can only send somebody to a place if the place exists. That consists of two pieces of work. The first is building more mental health hospitals, and the second is ensuring that people leave mental health hospitals when they can be better cared for in the community. Often it is cheaper and better for a patient to be treated in the community, but provision of community services must be in place so that that discharge can take place. A significant amount of work is going on to try to improve that process.

[Mr Kevan Jones (North Durham) (Lab) [V]]

May I thank the Secretary of State for his statement, and welcome the publication of the White Paper? It is important in these reforms that the patient is at the centre of their treatment. The provision in the review to have mental health advocates for mental health patients is welcome, but may I suggest that the Secretary of State works closely with the community and voluntary sectors, and considers funding for those sectors so that they can provide the advocates that will be needed if the reforms go forward?

[Matt Hancock]

I am very happy to do that. One of the most striking and out-of-date things about the current legislation is that if somebody who is unmarried is incapacitated through illness, decisions on their behalf are automatically, in the first instance, taken by their father, rather than by their choice of who might take those decisions. That is one of the things we want to change, along with the wider point about support for the community and voluntary services that the right hon. Gentleman rightly suggests.

[Jackie Doyle-Price (Thurrock) (Con)]

I wish to add my voice to the tributes paid to Sir Simon Wessely who, as my right hon. Friend will know, drew extensively from the lived experience of those who have been through detention under the Mental Health Act. Will he join me in paying tribute to those individuals, who often had to relive harrowing and distressing experiences so that we might improve our services through this legislation, recognising that their contribution will pay dividends to those who follow their treatment in future?

[Matt Hancock]

I would very much like to pay tribute to those who bravely put forward their testimony of their lived experience of what it was like to be a service user under the existing Act, which formed so much of the evidence for what we need to do to make it better.

I also pay tribute to my hon. Friend. She was the Minister responsible for mental health during much of the framing of the review, and the initial turning of that review into this White Paper. She did that with such sensitivity, thought, and—crucially—by actively listening to what people want when they are at some of the most vulnerable points of their lives. It is not easy to do that; it requires skill and compassion, and my hon. Friend has both of those in spades.

[Kim Johnson (Liverpool, Riverside) (Lab) [V]]

I welcome the changes being proposed today because as the Mental Health Act currently stands, black people are four times more likely to be detained, and more than 10 times more likely to be subject to a community treatment order. Evidence from my constituency of Liverpool, Riverside echoes that, and my office deals with multiple requests for support from constituents from our diverse communities. Will the Minister confirm that the steps being proposed will ensure that care is accessible, culturally appropriate, and free from the levels of discrimination currently experienced?

--- Later in debate ---

[Matt Hancock]

Yes. The hon. Lady is absolutely right to draw out this point, and the figures she quotes were one of the reasons it became so urgently clear that we need to make these changes. We need to make these changes as fast as reasonably possible, but no faster. We need to bring people with us. We need to give people time to read and consider the White Paper and to look at the legislation, as drafted, as it makes its way through the House, but the figures she sets out demonstrate why it is so important that we make these changes. I am delighted that the Prime Minister has set aside the future parliamentary time to be able to make this new Mental Health Act a reality.

[Henry Smith (Crawley) (Con) [V]]

I very much welcome the statement and support the work this Government have done to improve mental health provision through our schools. Children and young people are a critical part of getting mental health right. Therefore, as we reform the Mental Health Act, can I have an assurance that educational settings will be at its heart?

[Matt Hancock]

Yes, absolutely. We have put more support directly into schools, and we are rolling out the mental health link workers to make sure young people get that support when they need it.

[Steve McCabe (Birmingham, Selly Oak) (Lab) [V]]

I welcome the Secretary of State’s approach to this issue. Can he give an assurance that independent mental health advocates will have the power to challenge treatment decisions and to make applications for discharge?

[Matt Hancock]

That is one of the purposes of having advocates in this way. Exactly how we frame that in law will no doubt be a subject for nuance and debate to get it right, and I am very grateful for the hon. Gentleman’s support. It is very heartening to see the emphatic cross-party support for the White Paper today, and the commitment I will give to him is that we should continue to discuss, and we will continue to discuss in an open-minded way, exactly how we put the details into legislation to make sure that we get them right and continue with this consensus-based approach.

[Lee Anderson (Ashfield) (Con) [V]]

In December 2016, with just a few months to live, my wife received the gift of a double lung transplant courtesy of a donor, a young lady called Holly. My wife coped with the physical recovery very well, thanks to our brilliant NHS and a loving family. However, her mental recovery is ongoing. My wife fell into a depression, believing that her lungs would reject and she would die.

With our new opt-out organ donor scheme, thousands more will receive the gift of life. Will my right hon. Friend please advise me on what more can be done to ensure that the mental health of donor recipients is treated on an equal footing with their physical health?

[Matt Hancock]

It is very moving to hear the personal testimony of so many people, and I am grateful to my hon. Friend for his personal testimony today of how important this is. Like him, I am thrilled that we have been able to make organ donation an opt-out system, and we did that in the middle of the pandemic. He is right that it is not just about physical recovery; it is about physical and mental recovery. The point he makes so sensitively just shows how important and how broad this subject is, and I would be very happy to work with him on this specific subject to make sure that people get the best possible services.

[Barbara Keeley (Worsley and Eccles South) (Lab) [V]]

With the detention of 2,000 autistic people and people with learning disabilities who are currently trapped in inappropriate mental health units, the news that autism and learning disabilities will no longer be grounds for detention under the Mental Health Act is welcome. As well as changes to the legal framework, ending this in-patient detention means putting in place funding for community support, which has often not been available due to cuts to council budgets. Can the Secretary of State set out what additional funding the Government will be putting into those community services so that we can follow through on this much-needed reform?

[Matt Hancock]

We have put extra funding into those services. I absolutely appreciate, of course, that they are under pressure, especially with the pandemic. The hon. Lady is right that we must have the community services in place. Whether those are NHS community services or community services provided by councils, it is very important that they are provided in as seamless a way as possible. In fact, the best commissioning is often joint commissioning between local authorities and the NHS. I hope that a wider set of reforms to the provision of local services that have initially been set out by the NHS, but that we will be taking forward, will help us, combined with this legislation, to ensure that the link-up that she rightly addressed is much stronger.

[Rehman Chishti (Gillingham and Rainham) (Con) [V]]

I thank the Secretary of State for his statement and Sir Simon Wessely for the fantastic work that he and the team have done on the review. Personally, I would like to give a big thank you to Sir Simon Wessely, who helped me with two private Members’ Bills on improving mental health care.

May I ask the Secretary of State this specific question: will there be proposals to have a review timeline in these measures—say, two years? As we often find in Parliament, putting forward legislation and how it works in practice are two separate things. Linked to that, will he clarify, with regard to parity of esteem between physical health and mental health, what proportion of NHS frontline staff dealing with individuals suffering from mental ill health have had the covid-19 vaccination, as well as patients suffering from mental ill health themselves?

[Matt Hancock]

I do not have the exact figure on the last question, not least because it goes up every day, I am glad to say, but the total number of NHS staff who have had the vaccination is now in the hundreds of thousands.

I am grateful for the broader point that my hon. Friend makes. There are NHS staff on the frontline who have supported people through very traumatic experiences over these past few months, during 2020 in the first peak, and then even more intensively, in some cases, over the past few weeks—and it is even harder this time round, because it has happened after a whole year of dealing with this pandemic. Making sure that we support the mental health of those working on the frontline in emergency departments and in intensive care units is incredibly important.

We have put extra resources into making sure that people get these services. Often with the NHS it is about encouraging people to come forward to access the services. Of course, Sir Simon Wessely first came to prominence working with the Army in supporting it on dealing with post-traumatic stress disorder. We have to make sure that we put in all possible support for frontline NHS staff who have suffered trauma because of what they have seen and what they have had to do in looking after us all in this covid pandemic. We have to make sure that they are looked after, and I make a personal commitment today that we will do all we can to look after them.

[Mr Tanmanjeet Singh Dhesi (Slough) (Lab) [V]]

Sadly, one in eight LGBT+ young people aged 18 to 24 have said that they were tempted to take their own lives within the past year. Will the Secretary of State highlight how the Government intend to address this shocking statistic and ensure that every young person within the LGBT+ community has access to mental health crisis support?

[Matt Hancock]

One of the things that we have tried to do, which has been made more important because of the pandemic, is to ensure that access to IAPT therapies is available and that mental health support is as widely available as possible. We have managed to bring down some of the waiting times even while the pandemic is on, although it is more difficult in lockdown. This is an area of a huge amount of focus for us, particularly for the Minister for Patient Safety, Suicide Prevention and Mental Health. It is a very important subject on which we are working very hard.

[Dean Russell (Watford) (Con) [V]]

I thank my right hon. Friend and the Lord Chancellor for this landmark announcement. I am a member of both the Joint Committee on Human Rights and the Health and Social Care Committee, and we have covered the serious impact of the Mental Health Act in detail, particularly on people with learning disabilities and autism, and especially over the past year. Can my right hon. Friend set out what steps he is taking to change the way that people with learning disabilities and autism are treated within law?

[Matt Hancock]

My hon. Friend has done so much, alongside other members of the Select Committee and more broadly, on this piece of work to ensure that the law treats people with learning disabilities and autism separately from how it treats people with mental ill health, and as appropriately as possible for both. This has been the big development on top of the Wessely report, which is in the White Paper, and it builds on the learnings we have had over the last couple of years, when the focus on this subject has become yet more acute, and rightly so. It is about the need to ensure that people get the appropriate provision, in the community if at all possible, and, critically, the need to ensure that the legislative underpinning supports that and does not wrongly use mental health legislation when that is not the appropriate legislation. I am really glad that we have been able to build that on top of the Wessely report and that it has had such a warm welcome. Now we have to get the details right, and I look forward to working with my hon. Friend, who has done so much work on this, and others to ensure that the details of how this is framed in legislation are got right.

Oral Answers to Questions

Matt Hancock Excerpts

Tuesday 12th January 2021 Commons Chamber

[Munira Wilson (Twickenham) (LD)]

What progress his Department has made in rolling out covid-19 vaccinations.

[The Secretary of State for Health and Social Care (Matt Hancock)]

I am proud that the NHS began vaccinating patients against covid-19 on 8 December, at the start of the biggest immunisation programme in British history. I am delighted to tell the House that more than 2.3 million people in the UK have now received the first dose of their covid-19 vaccine. Over the coming weeks and months, the rate of vaccination will increase as more doses become available and the vaccination programme continues to expand.

[Jason McCartney [V]]

Thousands of elderly and vulnerable people across Kirklees have already been vaccinated, but some of my constituents are rightly worried that they may have to travel to large vaccination centres in other parts of the country to get their jabs. Will the Secretary of State please confirm that all my constituents will be able to get their jabs locally? When will the new vaccination centre at Huddersfield’s John Smith’s stadium be opening?

[Matt Hancock]

Everybody will be able to get a jab locally. We are committed to ensuring that across England a local vaccination centre will be available within 10 miles of where everyone lives. For the vast majority of people—over 95%—this will be a fixed, permanent site. For some of the most rural parts—more rural than my hon. Friend’s constituency—there will be mobile units. If people get called to a mass vaccination centre and they feel it is too far for them to travel, they will be able to get a vaccine locally through one of the local GP services. I am delighted that the centre at the John Smith’s stadium in Huddersfield is going to be opening in the next couple of weeks.

[John Lamont]

I very much welcome the great work by my Government colleagues to secure the vaccine supplies for all parts of the United Kingdom and the amazing work of NHS staff to ensure that the vaccines are being delivered into people’s arms as quickly as possible. Will the Secretary of State tell the House how many vaccines have been delivered by the UK Government for use in Scotland?

[Matt Hancock]

We distribute the vaccine supplies that are available according to population, so it is based on the Barnett formula. In Scotland, of course, the Scottish NHS is delivering. A fair population share of vaccine is available to the Scottish NHS—that is available right now, so the stocks are there—and then it is for the NHS in Scotland to do the vital work of making sure that each and every one of those jabs gets into somebody’s arm and helps to protect lives.

[Julian Sturdy [V]]

The vaccination programme in York is making encouraging progress, with the first doses of the Oxford vaccine having arrived last week and Askham Bar and Haxby centres delivering injections in line with the priority list, which is fantastic news. However, can the Secretary of State reassure me that every care is being taken to ensure that smaller GP practices in rural areas are in no way disadvantaged in scheduling their patients for vaccination relative to the larger urban practices?

[Matt Hancock]

Yes, of course. Small or large, rural or urban, we need GPs to be vaccinating right across the country, and that is what is happening. We are organising it through what are called primary care networks, which are groups of GPs that cover between 30,000 and 50,000 patients. The reason we are doing that is so that each of a group of GP practices can contribute some staff to the vaccination team so that they can carry on with the other vital work that they are doing. The networks are of course larger in more sparsely populated parts of the country such as North Yorkshire, but nevertheless we have put in place the commitment to everybody having a vaccination centre within 10 miles of where they live, to make sure that we reach all parts.

[Stephen Morgan]

There is welcome news that St James’ Hospital in my constituency is to become a vaccination centre, and constituents are eager to see it up and running. Will the Secretary of State confirm when the hard-working staff and volunteers on the ground will receive the doses and equipment that they need to open the centre?

[Matt Hancock]

I am really delighted to highlight that news and I am also glad that, as the hon. Gentleman has just demonstrated, this is a national effort that we can all play our part in. The cross-party support that we and the NHS have received for the vaccination effort is incredibly welcome, and I know that the NHS team on the ground will really appreciate the hon. Gentleman’s support. The kit will be delivered on time—over 98% of vaccines have been delivered on time. Of course, in a very large logistical exercise there is always the occasional hiccup, but I will get back to the hon. Gentleman and make sure that the Minister for covid vaccine deployment, my hon. Friend the Member for Stratford-on-Avon (Nadhim Zahawi), gets back to him with the precise details of when the kit will arrive at his local hospital.

[Ben Everitt]

It is fantastic news that 2.3 million people across the whole of the UK have already received the first dose of this vaccine. Businesses and venues across Milton Keynes are queuing up to offer their support for the vaccination programme, including the wonderful ECG Training, where I went for a covid test last week—I passed by the way, Mr Speaker. Can the Secretary of State tell us what the plan is for accepting these kind offers of help and support with the vaccination programme?

[Matt Hancock]

I am really delighted that ECG Training is involved in hosting some of the testing centres. We have had amazing offers of support in the form of places that are now being used as testing centres and as some of the 1,000-plus vaccination centres across the country. We have been working since the summer with some sites to ensure that they were ready to be vaccination centres. We are always open to further offers of support, but I would say that we have been working on this for some time. It is also important that, for infection control reasons, testing centres and vaccine sites that are put in the same place are kept separate, not least because we want to make sure that when an octogenarian goes for a vaccine, they are kept safe in the process of getting that vaccine. The thing to do is raise this specific offer of support with the Minister responsible for vaccine deployment, my hon. Friend the Member for Stratford-on-Avon.

[Holly Mumby-Croft [V]]

I thank my right hon. Friend for his help in getting the vaccine into our Ironstone Centre, Scunthorpe Hospital, and, I am really pleased to say, some of our care homes, too. Can he tell us how the new Oxford vaccine will speed up access to the jab for those still waiting and what that means for towns and villages in my area, such as Hibaldstow, Scawby, Kirton in Lindsey, and Messingham? Will they see more local vaccination centres?

[Matt Hancock]

It is so important to get the vaccine to care homes. Over a quarter of care home residents have now received their first dose of the vaccine, and the Oxford-AstraZeneca vaccine is much easier to get to care homes. We will be doing that by taking the vaccine to the care home rather than opening new centres, but I want people in Hibaldstow, Scawby, Kirton in Lindsey, Messingham and throughout the Scunthorpe constituency to know that they will be within 10 miles of a vaccination centre, because we know how important it is that everybody can access this vaccine.

[Andrew Percy [V]]

May I also thank the five GP vaccination centres serving my constituency in Brigg, Goole, Owston Ferry, Scunthorpe and Barton? They are doing a cracking job at getting this vaccine out. As we move from phase 1 into phase 2, the Joint Committee for Vaccination and Immunisation has advised that we can start looking at particular occupations. May I ask the Secretary of State to bear in mind shop workers who have had to work throughout this pandemic, including at the beginning, without any protection, and who deal with hundreds of people every day? Can we make sure that they are prioritised, as we move from phase 1 into phase 2?

[Matt Hancock]

Yes, I want to thank shop workers in essential shops who have to be there for all of us, even in these difficult times when the virus is widely spread. We will be looking very carefully at those professions that will need to be prioritised in phase 2 of the prioritisation programme. We will look at teachers, police and others, but we will also look at shop workers and will make those decisions based on the data.

[Robbie Moore]

I commend my right hon. Friend for what he is doing in terms of the vaccine roll-out. Across West Yorkshire, we have four large-scale vaccination centres planned, but that means that we have one in the Bradford district. May I put in a plea to have a large-scale vaccination centre in Keighley? Can we also consider as vaccination centres smaller-scale offerings that are coming forward from places such as Ilkley Rugby Club?

[Matt Hancock]

I will absolutely look at those two suggestions. I also remind my hon. Friend, all of his constituents and all those across the Bradford district that, yes, there are the large-scale vaccination centres, but there is also the primary care-based delivery, which is happening right across the country.

[Munira Wilson [V]]

It has been reported that Pinnacle, the IT system being used to organise the vaccinations, is already struggling to cope with heavy usage. My local GP vaccination hub, which I visited on Friday, reported that it was being slow, and there have also been worrying reports about very elderly people having to queue for a long time outdoors while staff try to get the IT system working. Will the Secretary of State please confirm what action the Department is taking to ensure that the systems work more efficiently, and will be able to cope as the number of vaccination sites grows?

[Matt Hancock]

Clearly, the IT underpinnings of this project are critical. The Pinnacle system is working well, but we are constantly monitoring it to make sure that it supports the roll-out of the vaccine.

[Jonathan Ashworth (Leicester South) (Lab/Co-op)]

Our sense of encouragement at the roll-out of the vaccine is tempered by our deep alarm at the situation we are in. Over 80,000 people have died. On current trends, we are likely to see more deaths in this wave than we saw in the first. Millions still have to go to work and the virus is now more infectious. Those still going to work of course include NHS staff, and the British Medical Association says that 46,000 of them are off sick with covid. Can the Secretary of State go further and faster, and ensure that frontline NHS staff receive the vaccination in the next two weeks? Will he provide daily updates on the numbers of NHS staff who have been vaccinated?

[Matt Hancock]

We do now provide daily statistics on the roll-out of the vaccine, and we will provide more data as the system matures and the roll-out advances. The hon. Gentleman is absolutely right to raise the challenges that the NHS is facing today. Although the roll-out of the vaccine is proceeding well and we are on track to hit the targets that we have set, we must also stress to everybody the importance of following the rules that are in place to control this virus and reduce the pressures on the NHS, which are very considerable at this moment.

[Jonathan Ashworth]

We all understand that, until vaccination is rolled out more generally, we will continue to see hospitalisations. The NHS is currently in a crisis: beds are filling up; intensive care unit surge capacity is being maxed out; ambulances are backed up outside hospitals; and there are warnings about oxygen supplies. Hospitals were not built for these demands on oxygen, so can the Secretary of State assure us that there are contingencies in place, and can he guarantee that no hospital will run out of oxygen in the coming weeks?

[Matt Hancock]

There are very significant pressures on the NHS. On the specific question about oxygen supplies, the limitation is not the supply of oxygen itself; it is the ability to get the oxygen through the physical oxygen supply systems in hospitals. That essentially becomes a constraint on an individual hospital’s ability to take more covid patients, because the supply of oxygen is obviously central to the treatment of people with covid in hospital. As we have a national health service, if a hospital cannot put more pressure on its oxygen system, we take people to a different hospital. I assure the hon. Gentleman that there is no constraint that we are anywhere near on the national availability of oxygen—oxygenated beds. As he knows and as we have seen reported, sometimes patients have to be moved to a different location—as local as possible, but occasionally across the country—to ensure that they get the treatment that they need.

[Dr Philippa Whitford (Central Ayrshire) (SNP) [V]]

Yesterday, the Secretary of State revealed that only a quarter of care home residents in England had been vaccinated against covid, despite being the No. 1 priority group. Can he explain why they were not the first cohort to receive the Pfizer vaccine in December, as was the case in Scotland?

[Matt Hancock]

That is not quite right. I am glad to report that care home residents have been receiving the Pfizer jab. That is harder—logistically more difficult. Looking at the total roll-out of the programme, I am delighted that, as the hon. Lady says, over a quarter of people who are residents in care homes are now able to get the jab, and that number is rising sharply.

[Mr Speaker]

We return to Dr Whitford. [Interruption.] Dr Whitford’s second question has disappeared, so we will move on.

--- Later in debate ---

[Dr Whitford]

As the Secretary of State highlighted earlier, primary care networks will play a major role in rolling out the vaccine in England, but we have heard previously from MPs that not all areas are covered by such networks. How does he plan to avoid a postcode lottery and ensure equitable access, with outreach into vulnerable ethnic or deprived communities?

[Matt Hancock]

Some 99% of GP surgeries are members of primary care networks. The very small minority that are not are being dealt with to ensure that we have fair access to vaccines, and they will of course be covered by invitations to the large vaccination sites as well.

I agree strongly with the hon. Lady that it is vital that we reach into and support those communities who may be more distant and harder to reach both geographically and, in some cases, culturally. The NHS is very well placed to do that and is one of the most trusted public services in encouraging those from all backgrounds to take the jab. Pharmacists, too, will play a vital role in the outreach programme.

[Alexander Stafford (Rother Valley) (Con)]

What progress his Department has made on rolling out community testing for covid-19.

--- Later in debate ---

[Neale Hanvey (Kirkcaldy and Cowdenbeath) (SNP)]

What the evidential basis is for the use of Innova lateral flow tests for covid-19 in the asymptomatic population.

[The Secretary of State for Health and Social Care (Matt Hancock)]

The Innova lateral flow tests for covid-19 identify a substantial proportion of those who are shedding viral load due to their covid-19. We of course identify, analyse and publish the evidential basis for the use of these tests, as with the other tests that are used in the national testing programme.

[Neale Hanvey [V]]

I would like to thank the Secretary of State for that answer, and I thank him also for his helpful response to my questions in the Select Committee last week. In that spirit, he will know that I have been pursuing the use of lateral flow tests since early November, when concerns were first raised. Unfortunately, some of those concerns continue to persist—not least when they were underscored by a communication from his Department as recently as 11 December, which stated:

“We are not currently planning mass asymptomatic testing; swab testing people with no symptoms is not an accurate way of screening the general population, as there is a…risk of giving false reassurance. Widespread asymptomatic testing could undermine the value of testing, as there is a risk of giving misleading results.”

Given those ongoing concerns, I would be most grateful if the Secretary of State committed to a meeting to consider those concerns in a bit more detail—

[Mr Speaker]

Order. I think the Secretary of State can take an answer off that.

[Matt Hancock]

Lateral flow tests are incredibly important to be able to find people who otherwise we would not be able to find. One in three people has this disease without knowing it, and finding those positive cases helps us to break the chains of transmission.

[Mr Clive Betts (Sheffield South East) (Lab)]

What recent assessment he has made of the effectiveness of covid-19 contact tracing at (a) national and (b) local authority level.

--- Later in debate ---

[Mr Andrew Mitchell (Sutton Coldfield) (Con)]

What plans he has to improve the evidence base for future debates on the options available for terminally ill people at the end of their life.

[The Secretary of State for Health and Social Care (Matt Hancock)]

Care at the end of life is a crucial part of our health and care system, and we are committed to improving the quality of care for those at the end of life. Current practice is informed by a range of evidence, including guidelines issued by the National Institute for Health and Care Excellence. The Government are open to gathering data on the experiences of terminally ill people in order to inform the debate.

[Mr Mitchell]

May I also express my gratitude to the NHS in all its many forms in the Royal Town of Sutton Coldfield for their hard work over Christmas and new year, including giving me a new knee?

I thank the Secretary of State for managing to take an interest in this important subject when he is so stretched on so many other fronts. Nearly 10% of suicides are by people who are terminally ill, and the all-party group that I have the privilege of co-chairing will hear from a mother this afternoon whose terminally ill son took his own life by throwing himself under an HGV on the north circular.

To add to knowledge, information and understanding, will the Secretary of State and his Department make a point of working with coroners and the Office for National Statistics from across the country, so that we can understand the true extent of these tragedies?

[Matt Hancock]

I am very happy to look at the suggestion that my right hon. Friend makes on this very sensitive subject. We want to see the highest possible standards of patient safety and, of course, to reduce the number of suicides, and it is important in pursuing that to have as much information and evidence as possible.

--- Later in debate ---

[Bob Seely (Isle of Wight) (Con)]

What recent assessment he has made of the adequacy of the scientific evidence base underpinning the Government’s response to the covid-19 outbreak.

[The Secretary of State for Health and Social Care (Matt Hancock)]

The Government’s response to the pandemic has been informed by a considerable range of expert scientific and medical advice, and we have seen an increasing understanding of coronavirus globally. The UK has produced new scientific evidence throughout the pandemic. When we take decisions, they are based on and guided by the best possible science, but of course policy decisions are for Ministers.

[Bob Seely [V]]

Regarding the stats and science on the island, our vaccine hub at the Riverside centre is expected to be ready on 15 July. We may not receive sign-off and vaccines for that centre until 25 July or later. Given rising infections on the island, our demographic profile and our isolation, I am concerned we are not high enough on the vaccine supply list, despite the great work being done by the Isle of Wight-Hampshire team. I have written to the Secretary of State and the vaccine Minister, my hon. Friend the Member for Stratford-on-Avon (Nadhim Zahawi), about this. What can be done to improve the situation, and what reassurance can the Secretary of State give me about the focus on the Isle of Wight?

[Matt Hancock]

We will absolutely have vaccines being delivered on the Isle of Wight before 15 July—indeed, we will have them there before 15 February. We are committed to offering a vaccine to all those in the four highest priority cohorts, which includes all over-70s, and there are a lot of over-70s on the Isle of Wight. Furthermore, we will make sure that there are vaccination centres within 10 miles of where everyone lives. Vaccinations are happening on the Isle of Wight right now. My hon. Friend is a great champion of the Island, and we will make sure that that delivery continues apace.

[Mr Steve Baker (Wycombe) (Con)]

What progress his Department has made on establishing the extent of roll-out of the covid-19 vaccine required to enable relaxation of covid-19 restrictions; and if he will make a statement. [R]

--- Later in debate ---

[Rachael Maskell (York Central) (Lab/Co-op)]

If he will make a statement on his departmental responsibilities.

[The Secretary of State for Health and Social Care (Matt Hancock)]

Yesterday, we launched our UK vaccines delivery plan, which sets out how we will vaccinate hundreds of thousands of people every day, starting with the most vulnerable and staff in the NHS and social care. I am delighted that across the UK 2.3 million people have already been vaccinated. We are on track to deliver our commitment to offer a first dose to everyone in the most vulnerable groups by 15 February. At the same time, I add my voice to all those who are passing on their very best wishes to my right hon. Friend the Member for Old Bexley and Sidcup (James Brokenshire), who is undergoing further treatment on the NHS. I personally thank all those in the NHS who are looking after him and all the other patients in their care.

[Rachael Maskell [V]]

The NHS is overwhelmed, and critical clinical choices are having to be made due to the limitations of estate and staffing. So I ask the Secretary of State if he will do two things: first, bring all independent hospitals under the NHS to provide a response to the national crisis and, in particular, provide cancer care capacity; and secondly, call all former health professionals to return to practice and re-register even if they are beyond the three years out of practice limit, so they can work with an element of supervision and no one is denied the clinical need they have.

[Matt Hancock]

Of course, all these things are being looked at. The pressures on the NHS are very significant. I also want to say to people who have a healthcare condition that is not covid-related that they should come forward to the NHS. The promise of the NHS, of always treating people according to their clinical need and not ability to pay, is crucial. It is just as crucial in these pressured times as it is at any other time. If you find a lump or a bump, if you have a problem with your heart, or if there is a condition for which you need to come forward for urgent treatment, then the NHS is open and you must help us to help you. So, yes, we absolutely will do everything we possibly can to address the pressures, including looking at the measures the hon. Lady set out, but also let the message go out that, if you need the NHS for other conditions, please do come forward.

[Jeremy Hunt (South West Surrey) (Con) [V]]

I congratulate my right hon. Friend on the speed of the vaccine roll-out and, in particular, his foresight in setting up the Vaccine Taskforce as far back as last April, which has made that possible. Personal thanks from my mum, who is getting her vaccine tomorrow at Epsom racecourse. Understandably, however, the public’s expectations about how quickly they will get their vaccine are now running well ahead of the system’s ability to deliver, causing floods of calls to GPs’ surgeries, which are already very busy. What can we do to set expectations among the public that getting to population-level immunity will be a marathon, not a sprint?

[Matt Hancock]

That is right. The Chair of the Health and Social Care Committee is wise to say that this will be a marathon, not a sprint. As of the early hours of this morning, we have vaccinated 39.9% of over-80-year-olds in England. We will reach all over-80-year-olds and ensure that they have the offer a vaccine in the coming weeks, and we will reach all of the top four priority groups by 15 February. We are on track and I am confident that we will deliver that. The other message that my right hon. Friend will perhaps help all of us to pass on to all his constituents, including his mum, is that the NHS will get in contact with them and offer them an appointment. That is the best and fairest way in which we can get the roll-out happening.

[Liz Kendall (Leicester West) (Lab)]

The Secretary of State will know that we cannot protect the NHS unless we also protect social care, yet there are worrying signs that the Government risk losing control of the virus there too. Infection rates in care homes have tripled in a month; homes are reporting staff absence of up to 40%; and the latest weekly care home deaths are the highest since May. So can the Secretary of State set out what immediate extra support he can provide so that the sector can cope, and will he commit to publishing daily vaccination rates for care home residents and staff, so that we know whether the Government are on track to completing all those vaccinations in less than three weeks’ time?

[Matt Hancock]

We have made that commitment and it is incredibly important that vaccinations are offered to everybody in care homes. The NHS is working hard to deliver on that with its colleagues in social care. Across the board, colleagues are working hard to deliver this life-saving vaccine. Of course, we are always open to further support for social care and it is something that we are working on right now to ensure that we can get the right support for testing, in particular to support the workforce, who are absolutely central to making this happen.

[Jonathan Gullis (Stoke-on-Trent North) (Con) [V]]

In Stoke-on-Trent North, Kidsgrove and Talke, we are excited to be the planned home of a mass vaccination centre. Stoke-on-Trent City Council is working around the clock, as it has done throughout the pandemic, to ensure that everything is ready from its end. Can my right hon. Friend give his assurances that the necessary equipment and staff will be ready to go on 25 January so that we can get more jabs into arms?

[Matt Hancock]

I am delighted that there is going to be a mass vaccination centre. I can give that assurance—we are working as hard as we possibly can to ensure that all the equipment is there. Everybody thinks about the vaccine—that is very important—but it is also about all the other things that are needed, such as the specialist syringes. The vaccine is so valuable that inside the syringe is a plunger that goes into the needle to squeeze the extra bit of liquid that would otherwise be left in the needle into someone’s arm to make sure that every last drop of vaccine is used. A whole series of other equipment is needed alongside the actual liquid of the vaccine. I will ensure that my hon. Friend the vaccine deployment Minister makes sure that the Stoke-on-Trent mass vaccination centre is up and running and ready for 25 January.

[Alex Cunningham (Stockton North) (Lab) [V]]

The covid-19 pandemic has further exposed and widened the tremendous health inequalities in Stockton, where healthy life expectancy is among the lowest in the country. It also has by far the highest number of covid cases on Teesside—now well in excess of 10,000. Secretary of State, when can we have a new hospital for Stockton to help to tackle those inequalities?

[Matt Hancock]

The importance of tackling health inequalities and levelling up parts of the country that have so much opportunity, such as Stockton, but need further support to unleash that opportunity is an incredibly important part of this agenda. On the hon. Gentleman’s precise question, we have discussed that issue before. As he knows, we have the largest hospital building programme in the modern history of this country. I look forward to continuing to discuss with him the extra infrastructure needed in Stockton.

[Craig Whittaker (Calder Valley) (Con) [V]]

  First, I congratulate my right hon. Friend the Secretary of State and the whole ministerial team on the excellent start to the vaccination programme. However, my question is on schools. I know that the Government worked hard to keep schools open for as long as they possibly could, but unfortunately, under alert level 5, schools sadly had to close. Will he outline what costs schools are expected to cover—whether state schools or public schools—to roll out coronavirus testing in their schools once they reopen?

[Matt Hancock]

Extra funding is available through the NHS Test and Trace budget for state schools for the testing programme. We are working with independent schools to make sure that they can reopen as soon as safely possible to reopen schools across the country.

[Rachel Hopkins (Luton South) (Lab) [V]]

  Will the Secretary of State set out what additional measures are being put in place to support areas with diverse communities, such as Luton, where English not being a person’s first language could be a barrier to ensuring the equitable roll-out of vaccinations across all our communities?

[Matt Hancock]

I answered a similar question from the hon. Member for Central Ayrshire (Dr Whitford). This is an incredibly important point, and we are working hard with councils, pharmacists, GPs and those who are trusted in the community to get out the message of the importance of vaccination to all communities across the country. This subject will be increasingly important, and I look forward to working with the hon. Member for Luton South (Rachel Hopkins), the Minister for the vaccine roll-out, my hon. Friend the Member for Stratford-on-Avon (Nadhim Zahawi), and with colleagues all across this House to get out the message of positivity around the vaccine.

The good news is that, over the last month, the proportion of people who are enthusiastic about taking the vaccine has risen significantly, and the proportion of people who are hesitant has fallen; I think people can see the enthusiasm that others have for taking the vaccine. However, we have to make sure that that message of hope reaches all parts of and all communities in the UK.

[Antony Higginbotham (Burnley) (Con)]

  In Burnley and Padiham, a large number of people cannot work from home; they work in areas such as manufacturing and construction. The deployment of the Army in our largest employers to do mass testing has been really welcome, but we have to go further if we are to break that chain of transmission. Will my right hon. Friend set out what my constituents need to do if they have to keep going into work but need access to some of these tests?

[Matt Hancock]

I hope that by working through the Burnley and Lancashire councils, and by working with the national testing programme, we can get asymptomatic testing available for those who have to go to work. Key workers need to go to work, even through this most difficult of times. I will make sure that the testing Minister picks up with my hon. Friend straight after this, and that we work together to make sure that everybody across Burnley who has to go to work has access, if they want it, to a testing regime, to help ensure that they can be safe in work.

[Carla Lockhart (Upper Bann) (DUP) [V]]

The Secretary of State will know the unprecedented physical and emotional strain our frontline nurses and medics are facing in the fight against covid-19. This is exacerbated by staff shortages, with increasing demand for care falling on our already worn-out staff. Would he agree that to encourage more people into nursing, and to retain our healthcare heroes in the NHS, we must look at increasing pay to a level that recognises the skills, responsibility and commitment that the nursing and healthcare professions require?

[Matt Hancock]

I am really pleased that over the past few years in the English health service that I am responsible for, we have increased the pay of nursing staff. I am also pleased that when the new Northern Ireland Administration were set up about a year ago, one of the first things they did was to resolve the challenges in terms of nurses’ pay. This is a very important subject. It is one that is devolved, but I look forward to working with my counterpart in Northern Ireland, Robin Swann, who is doing a brilliant job in supporting the Province through these very difficult times.

[Andrea Jenkyns (Morley and Outwood) (Con) [V]]

I have been contacted by a number of my constituents who have concerns about vaccine distribution. They are old and vulnerable, some are shielding, and some have no cars and have difficulty using public transport to get their vaccine. There is also a concern that some local GP surgeries are vaccinating only people over 80 with surnames from A to H. What is the Department’s plan to facilitate local distribution, especially in places that do not have good transport links, and to increase the roll-out to other groups?

[Matt Hancock]

Among the over-80s we have not put in place a more specific prioritisation, because we need to ensure that the programme can get to all the over-80s as fast and efficiently as possible. Access is incredibly important, hence the commitment to ensure that there is a vaccination centre within 10 miles. I think that that is true across the whole of Morley and Outwood, and 96% of the population of England is now is now within 10 miles of a vaccination centre, including, I think, the whole of my hon. Friend’s constituency. This has to be done fast but it also has to be done fairly, and she is quite right to raise that point.

[Chi Onwurah (Newcastle upon Tyne Central) (Lab) [V]]

As a proud Unison member, I ask the Secretary of State to join me in congratulating Christina McAnea on being elected the first female leader of the country’s biggest union. Many of Unison’s members effectively work for the Secretary of State, including care assistants, hospital porters, nurses and cleaners, and they are now under huge stress and facing mental and physical challenges that we, fortunately, cannot imagine. Does he agree with another recently elected leader, Joe Biden, who said to health workers:“It’s not enough to praise you. We have to protect you, we have to pay you.”

[Matt Hancock]

I want to add my congratulations to Christina McAnea. It is another sign of progress in this country to see the first female leader of Unison, and I look forward to talking to her very soon and to working with her, as she represents a significant number of people who work for the NHS and are valued members of the NHS and social care teams. The importance not only of valuing our NHS and social care workforce but of demonstrating that value is vital, and improving all the elements and conditions under which people work is important. Of course pay is one part of that, and the hon. Lady will know that the NHS was exempt from the pay freeze set out by the Chancellor, but it is also about ensuring that everybody’s contribution is valued and that everybody is encouraged to give their very best contribution. In a pandemic situation like this, when the pressures on the NHS and social care are very great, that is more important than ever, and it is important that we value all of our team all the time and that everybody plays a part in improving the health of the nation and improving and saving lives. I want to say a huge thank you to everybody who works in the NHS and in social care, and I want to work with them on improving working conditions and making sure that everybody feels that they can give their very best so that the whole is greater than the sum of its parts. I am very grateful to the hon. Lady for raising this question.

[Mr Speaker]

We have had a poor day of getting through questions. They have taken far too long and a lot of people have missed out. In order to allow the safe exit of hon. Members participating in this item of business and the safe arrival of those participating in the next I am suspending the House for three minutes.

Covid-19 Vaccine Update

Matt Hancock Excerpts

Wednesday 6th January 2021 Written Statements

[The Secretary of State for Health and Social Care (Matt Hancock)]

I am tabling this statement for the benefit of honourable and right honourable Members to bring to their attention the contingent liabilities relating to the contract signed between Her Majesty’s Government (hereafter HMG) and Oxford-AstraZeneca for their covid-19 vaccine.

On 29 December, the Medicines and Healthcare products Regulatory Authority (MHRA) gave its authorisation for use of the covid-19 vaccine being manufactured by Oxford-AstraZeneca. With deployment of this vaccine beginning next week I am now updating the House on the liabilities HMG has taken on in relation to this vaccine via this statement and attached departmental minute.

The agreement to provide an indemnity as part of the contract between HMG and Oxford-AstraZeneca creates a contingent liability on the covid-19 vaccination programme, and I will be laying a departmental minute today containing a description of the liability undertaken.

It has been and is the Government’s strategy to manage covid-19 until an effective vaccine/s can be deployed at scale. Willingness to accept appropriate indemnities has helped to secure access to vaccines with the expected benefits to public health and the economy alike much sooner than may have been the case otherwise.

Given the exceptional circumstances we are in, and the terms on which developers are willing to supply a covid-19 vaccine, we have had to take a broader approach to indemnification than we usually would. Global approaches differ, but we are aware that many other nation states are offering indemnities as part of their contractual arrangements, or other means e.g. the US PREP Act, which provides immunity from liability to vaccine developers.

Even though the covid-19 vaccines have been developed at pace, at no point and at no stage of development has safety been bypassed. The independent MHRA’s approval for use of the Oxford-AstraZeneca vaccine clearly demonstrates that this vaccine has satisfied, in full, all the necessary requirements for safety, effectiveness, and quality. We are providing indemnities in the very unexpected event of any adverse reactions that could not have been foreseen through the robust checks and procedures that have been put in place.

Developing a vaccination against covid-19 has been an extraordinary feat which has been delivered at great pace. Given the pace of vaccine development and our ambition to deploy the vaccine as soon as it has been authorised, it has not been possible to provide you with normal 14 sitting days to consider this issue of contingent liabilities.

I will update the House in a similar manner as and when other covid-19 vaccines are deployed.

The attachment can be viewed online at: http://www.parliament.uk/business/publications/written-questions-answers-statements/written-statement/Commons/2021-01-06/HCWS689/.

[HCWS689]

Public Health

Matt Hancock Excerpts

Wednesday 6th January 2021 Commons Chamber

[The Secretary of State for Health and Social Care (Matt Hancock)]

I beg to move,

That the Health Protection (Coronavirus, Restrictions) (No. 3) and (All Tiers) (England) (Amendment) Regulations 2021 (S.I., 2021, No. 8), dated 5 January 2021, a copy of which was laid before this House on 5 January, be approved.

The new variant of coronavirus presents us with a renewed challenge, here in Britain and around the world. Our strategy throughout has been to suppress the virus until a vaccine can make us safe, and while our collective efforts were working on the old variant, when faced with a new variant that is between 50% and 70% more transmissible, there has been no choice but to respond. I understand that these regulations have serious consequences, and I regret the huge costs they bring, but I know just as surely that these costs are far outweighed by the costs we would bear without action.

[John Spellar (Warley) (Lab)]

Do not viruses, especially when they become as widespread as this one, always mutate? Have the Government not planned for that?

[Matt Hancock]

Yes, of course, we have been not only watching for mutations but, indeed, testing for mutations throughout, and it is partly because the UK has the biggest genomic testing capability of any country in the world that we have been able to pick this one up. There may be new mutations in other countries that do not have this scale of genomic testing, and just under 50% of all the sequenced genomes of covid-19 that are deposited with the World Health Organisation are deposited by the UK because of this capability.

That leads to a challenge, which is that it is the countries that have the genomic testing capability that spot the new variant and report it. There are countries that may have variations that are not known about and are not discovered in this way and cannot be reported, but that is the nature of the pandemic. My strong view is that we should be transparent and clear with our international friends when we find a new variant that is difficult to deal with.

When I have previously come to ask for the House’s support for national restrictions, we had to take it on trust that there would be an exit, because it was before a vaccine had been approved. Today I come to the House seeking approval of these regulations knowing, from the huge pressure on the NHS right now, that this action is necessary today, but also with the certain knowledge that we have a way out.

Before turning to the detail of the regulations, I want to set out the plan for how we get out of them, because that is critical. This country was the first in the world to deploy not one but two vaccines, and more than 1.3 million people have been vaccinated already, including a quarter of the over-80s.

[Steve Brine (Winchester) (Con)]

I do not like it one bit, but I will support the Health Secretary tonight. The reason I will do it, and I suspect the reason why there is such high public support for these measures, is the position in which the NHS finds itself and the level 5 ruling. If we have, by the middle of February, vaccinated the top four groups, who are the ones likely to overwhelm the NHS, does the logic not follow that at that point we will be able to lift the restrictions on our constituents’ lives?

[Matt Hancock]

I will come on precisely to my hon. Friend’s point, because that is a critical question that I know people are rightly asking: if we are going to have these restrictions, how do we get out of them and, frankly, how do we get out of all the restrictions that we have had to put in place?

[Stephen Doughty (Cardiff South and Penarth) (Lab/Co-op)]

The Secretary of State mentions the vaccine as one of the crucial routes out of this, and I pay absolute tribute to all the incredible scientists and NHS staff who are preparing to deliver it. However, one of the things my constituents are asking me is how we can be sure that the production of the vaccine will meet the ambitions the Prime Minister and others have set out and that we are building the types of facility we need to continue to ramp up production to the highest levels we can. Can the Secretary of State explain what is going on, because I was concerned to hear about the factory in Wales that is not operating seven days a week? Why is that? Is it because it is not getting enough supply into its system?

[Madam Deputy Speaker (Dame Eleanor Laing)]

Before the Secretary of State answers the question, let me say that we can have interventions of course—this is a debate—but they must not be long interventions. I give notice now that the time limit for Back-Bench speeches will be three minutes from the beginning, and even with three minutes not everyone on the Order Paper will be called, because there is not enough time.

[Matt Hancock]

Thank you, Madam Deputy Speaker. I will try to answer these interventions briefly, but they are important because people want to know what is the way out of these restrictions, and that is absolutely central to the case I am making.

The fill and finish plant in Wrexham is doing a brilliant job, but it can fill and finish vials only at the speed at which the vaccine material, which is a biological material, not a chemical compound, can be produced. It is doing a brilliant job at the pace that it needs to go. AstraZeneca and Pfizer are manufacturing the material itself, and they are also working as fast as they can, and I pay tribute to them and their manufacturing teams, who are doing a terrific job.

[Sir Graham Brady (Altrincham and Sale West) (Con)]

Approving these regulations today would allow for lockdown for three months, until the end of March. The Secretary of State will have heard my exchange with the Prime Minister earlier, when the Prime Minister said that he did not think we would have to wait that long for an opportunity to choose whether to end the regulations. Will the Secretary of State go further and give a commitment to a further vote at the end of January and the end of February, so that the House will have control over what is happening?

[Matt Hancock]

While these regulations do provide for new restrictions until the end of March, that is not because we expect the full national lockdown to continue until then, but to allow the steady, controlled and evidence-led move down through the tiers on a local basis. Those tier changes do require a vote in Parliament. The restrictions will therefore be kept under continuous review; there is a statutory requirement to review them every two weeks and a legal obligation to remove them if they are no longer deemed necessary to limit the transmission of the virus.

[Jim Shannon (Strangford) (DUP)]

First, I thank the Secretary of State; I understand the reasons for the regulations, and I fully support them. Does the Health Department, in conjunction with the Education Secretary, have any intention to ensure that teachers are given priority for a vaccine because of the work that they do, along with nurseries and children’s special needs? If we ensure that they have it, we can continue with some reality.

[Matt Hancock]

Of course we are considering who, once we have vaccinated those who are clinically vulnerable, should be the next priority for vaccination. Teachers, of course, have a very strong case, as have those who work in nurseries. Many colleagues on both sides of the House have made that point, and we will consider it.

[Sir Bernard Jenkin (Harwich and North Essex) (Con)]

Just to pick up one point, the Secretary of State cites the certain knowledge that there is a way out. The whole point of the intervention by the right hon. Member for Warley (John Spellar) is that there is uncertainty. What contingency plans are there if a mutation proves resistant to either of the vaccines and we have to be in these measures for longer? In particular, will the Secretary of State consider the fact that we have barely drawn on the numerous people in the armed forces to create extra NHS capacity? We could do so much more of that if necessary. Is that part of the plan?

[Matt Hancock]

Yes, it is very much part of the plan; it is happening right now. On mutations and the link to the vaccine, as with flu, where mutations mean we have to change the vaccine each year, any vaccine might have to be updated in the future, but that is not our understanding of the situation now. Of course that is being double-checked and tested, both with the scientists at Porton Down and, as we roll out the vaccine in areas where there is a high degree of the new variant, and by the pharmacological surveillance of those who have been vaccinated, which will allow us to see for real the impact of the vaccine on the new variant. The goal, as my right hon. Friend the Prime Minister said, is that by the middle of next month we plan to have offered the first dose to everyone in the top four priority groups, and they currently account for four out of five covid fatalities. I am not sure that this point has fully been addressed, but the strong correlation between age and fatality from covid means we will be able to vaccinate those who account for four out of every five fatalities within the top four cohorts. It does then take two to three weeks from the first dose to reach immunity, but the vaccine is therefore the way out of this pandemic and the way to a better year ahead.

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

Will my right hon. Friend give way?

--- Later in debate ---

[Matt Hancock]

Yes, but then I want to make some progress on the detail of the regulations.

[Mr Harper]

I am grateful; it is on the specific point that my right hon. Friend has raised. He knows I understand it, because it is exactly the one I raised with him in this House last week when we were recalled, and I welcomed the Prime Minister’s commitment to it. To go back to the question from my hon. Friend the Member for Winchester (Steve Brine), my right hon. Friend is clear that once we have vaccinated those four groups and they have got immunity, we have therefore taken care of 80% of the risk of death. So what possible reason is there at that point for not rapidly relaxing the restrictions in place on the rest of our country?

[Matt Hancock]

We have to see the impact of that vaccination on the reduction in the number of deaths, which I very much hope we will see at that point. That is why we will take an evidence-led move down through the tiers when—I hope—we have broken the link between cases and hospitalisations and deaths. We will need to see the protection in lived reality on the ground, but we will watch this like a hawk. My aim is to keep these restrictions in place for not a moment longer than they are necessary.

[Dr Andrew Murrison (South West Wiltshire) (Con)]

I thank the Secretary of State for everything he is doing, but the logic of his anticipating what is going to happen in two, three or four weeks’ time from the number of cases we are getting at the moment is that we can do the same in reverse. That is to say that when we have a sufficient number of people vaccinated, we can anticipate how many deaths will have been avoided in two, three or four weeks’ time. As this cuts both ways, that means that he will be able to make a decision on when we should end these restrictions, as my right hon. Friend the Member for Forest of Dean (Mr Harper) has just suggested.

[Matt Hancock]

The logic of the case made by my right hon. Friend the Member for South West Wiltshire (Dr Murrison) is right, and we want to see that happen in empirical evidence on the ground. This hope for the weeks ahead does not, however, take away from the serious and immediate threat posed now, and I wish to turn to what is in the regulations and the actions we need to take.

The Office for National Statistics has reported that one in 50 of the population has the disease, some with symptoms and some without. The latest figures show that we have 30,074 covid patients in UK hospitals and that the NHS is under significant pressure. Admissions are now higher than at any point in the pandemic, and so on Monday all four UK chief medical officers recommended that we move the country to covid-19 alert level 5. In practice, that means that they believe that without action there is a material risk of healthcare services being overwhelmed. It is for that reason that we have placed England into a national lockdown, alongside action taken in each of the devolved nations. Every single citizen needs to take steps to control this new variant, and this personal responsibility is important. To give the NHS a fighting chance to do its vital work of saving lives, it is on all of us to support it.

The regulations set out that everyone must stay at home save for a limited number of reasons permitted in law, including: essential shopping; work, if it cannot reasonably be done from home; education or childcare if eligible to attend; medical needs, including getting a covid test or getting vaccinated; exercise; escaping domestic abuse; and for support bubbles where people are eligible. These regulations are based on the existing tier 4 regulations, with some additional measures that reinforce the stay-at-home imperative.

These include: stopping the sale of alcohol through takeaway or click and collect services; and closing sport and leisure facilities, although allowing playgrounds and allotments to remain open. I know that these further restrictions are difficult, but, unfortunately, they are necessary, because we must minimise social interaction to get this virus back under control. These measures came into force first thing this morning under the emergency procedure and will remain in force subject to the approval of this House today.

[Sir Edward Leigh (Gainsborough) (Con)]

I have just been talking to my right hon. Friend the Member for North Somerset (Dr Fox) who is a doctor. He showed me the ridiculous form that he has had to fill in to be able to give this simple jab—all this diversity and equality training. When he is inoculating an old lady, he is not going to ask her whether she has come into contact with jihadis or whatever. The Secretary of State must cut through all this bureaucratic rubbish.

[Matt Hancock]

I am a man after my hon. Friend’s heart. I can tell the House that we have removed a series of unnecessary training modules that had been put in place, including fire safety, terrorism and others. I will write to him with the full panoply of training that is not required and that we have been able to remove. We made this change as of this morning, and I am glad to say that it is now in force. I am a fan of busting bureaucracy, and in this case I agree that it is not necessary to undertake anti-terrorism training in order to inject a vaccine.

[Sir Robert Syms (Poole) (Con)]

I notice also a story about not delivering vaccines on Sunday. As I understand it, it is thought that there will be sufficient vaccines to be able to do seven-day inoculations. If somebody runs short, they will get topped up, which is a little different from what The Daily Telegraph said today.

[Matt Hancock]

My hon. Friend is quite right. The supply of vaccines can take place on all seven days of the week, but, in a regular way, we do it on six days of the week and then, on the seventh day, people can either rest or deliver further vaccine if that is what is necessary. As a result of this delivery schedule, there has been no point at which any area has been short of vaccine. We have a challenge, which is to increase the amount of vaccine available. The current rate-limiting factor on the vaccine roll-out is the supply of approved, tested, safe vaccine, and we are working with both AstraZeneca and Pfizer to increase that supply as fast as possible. They are doing a brilliant job, but that is the current rate-limiting step. As that supply increases, we will need more people to give vaccinations. We will need to get pharmacists involved in the vaccination. I very much hope to get my right hon. Friend the Member for South West Wiltshire (Dr Murrison), a former doctor, and others involved in vaccinations. We will need more people, but the current rate-limiting factor is the supply of vaccines.

That is not to say that the companies are not supplying on the schedule that was agreed; they are, and they are doing their bit, but we do need to increase that supply and then the NHS will increase its delivery. I hope to make that point crystal clear, because Public Health England work to get the vaccine out is not a rate-limiting factor, the current discussion with pharmacists is not a rate-limiting factor, and the fill and finish is not a rate-limiting factor. What is a rate-limiting factor is the amount of the actual juice—the actual vaccine—that is available, which is not manufactured like a chemical. It is a biological product. I do not know whether you bake your own bread, Madam Deputy Speaker, but I sometimes do and it is a bit like the creation and the growth of yeast. That is probably the best way to think of it. It is a complicated and difficult task and that is the rate-limiting factor. I pay tribute to those who are engaged in the manufacturing process of this critical product.

[Steve Brine]

My right hon. Friend knows that I am obsessed with this point. He mentioned the agreed schedule of delivery. Will he consider publishing that, so that we can see what the agreed schedule is?

[Matt Hancock]

I can assure my hon. Friend that the agreed schedule of delivery will enable us to offer vaccinations to everyone in the top four priority groups by the middle of February. That is why the Prime Minister was able to commit us to that schedule.

I want to talk about the support that has been outlined. We are providing an additional £4.6 billion of support to businesses, including those in retail, hospitality and leisure that have been forced to close their doors once again, on top of the £280 billion plan for jobs, which includes the extension of the furlough scheme until April.

[Mr Harper]

I will be brief—I do not want to try your patience, Madam Deputy Speaker. My hon. Friend the Member for Winchester (Steve Brine) raised his point because earlier this week we had a fantastic call with our hon. Friend the Minister for Patient Safety, Suicide Prevention and Mental Health, who is responsible for vaccine delivery, in which we asked a number of times about the agreed schedule but did not get a clear answer. If it has been agreed with the companies, why can my right hon. Friend not just publish it, so that we know when the vaccine will arrive? That will give people confidence that we will deliver on the Prime Minister’s commitment to the country.

[Matt Hancock]

I will happily take that point away, but I can tell my right hon. Friend that that supply allows for delivery on the schedule and the target the Prime Minister set, to which my whole team is working.

[John Spellar]

The Secretary of State stressed that the problem is really in production of the vaccine. Presumably, the number of sites on which that is done is limited. Why have we not expanded the number of sites?

[Matt Hancock]

We have; we spent the summer working on that. The vaccine has sprung into prominence in the public debate over the past month or so, but we were working on that though the whole of last year, and I am glad to be able to assure the right hon. Gentleman that there is further expansion still to come.

I will end my speech by reiterating that we know that if we do not act now, eventually the NHS will not be able to cope. No Member of this House wants to witness the scenes that have been seen elsewhere in the world of hospitals overrun and doctors forced to choose who to treat and who to turn away. Although the winter weeks will be difficult, we now know what the way out looks like. Accelerating the deployment of covid vaccines, making the most vulnerable groups safe, and everyone playing their part on the way is the route out of this pandemic.

[Stuart Anderson (Wolverhampton South West) (Con)]

I thank the Secretary of State for everything he has done on this. Will he join me in thanking the residents of Wolverhampton for the community testing that they have done, especially Bilal mosque and Sedgley Street gurdwara, where people have all come together to defeat this virus?

[Matt Hancock]

Yes I will. I am glad I took that final intervention. The people of Wolverhampton have come together to deliver community testing in an incredibly impressive way. I have heard about the work of the gurdwara, bringing together leaders of all different faiths to make sure that we get testing out into the community. We need to do the same with the vaccine programme, because both are critical.

In the meantime, we must stay at home, protect the NHS and save lives. That eventually will carry us to a brighter future.

[Madam Deputy Speaker (Dame Eleanor Laing)]

Before I call the hon. Member for Leicester South (Jonathan Ashworth), I confirm that a three-minute limit will be imposed immediately on Back-Bench speeches.

Covid-19 Update

Matt Hancock Excerpts

Wednesday 30th December 2020 Commons Chamber

[The Secretary of State for Health and Social Care (Matt Hancock)]

Today marks a great stride forward in our plan to get us out of this pandemic and to return to normal life. Our strategy throughout has been to suppress the virus until a vaccine can make us safe. 

Suppressing the virus has got a whole lot harder because of the new variant, and we must take more action today, but the vaccine is the route out of the crisis. The approval this morning of the Oxford-AstraZeneca vaccine is another world first for Britain and it is the single biggest stride that we have been able to take since this pandemic began.

It is almost exactly a year since we first heard about what we now know as covid-19 circulating in Wuhan in China. Within weeks, the scientists at Porton Down had sequenced the viral genome. Scientists at Oxford University’s Jenner Institute received the genetic code for the new virus, and like the great British codebreakers before them, they set to work at lightning speed. We took the decision to back them from the start with funding and access to the NHS for clinical trials. Partnered with AstraZeneca, they have done a brilliant job to develop and manufacture a safe and effective vaccine at speed.

I am sure the whole House will join me in congratulating everyone involved in this huge British success story. Not only is it a triumph of science and ingenuity in cracking a modern-day Enigma code, but in truth it is a victory for all, because the Oxford vaccine is affordable, it can be stored at normal fridge temperatures, and it offers hope not just for this country but for the whole world. Like so much else in the pandemic response, there has been a big team effort, and although this is a great British success, it is also the British way. We are at our best when we collaborate with people from around the whole world, and this is another example. The vaccines programme has shown Britain as a life sciences superpower, and the Brexit deal that this House has just passed, with a very significant majority, will help us to strengthen that yet further. I thank the National Institute for Health Research, the UK Vaccines Network, the Vaccines Taskforce, AstraZeneca of course, and Oxford University, all the volunteers who stepped up for science and took part in the trials, as well as everyone else involved in making this happen.

From the beginning, we focused on the vaccine as a way out of this pandemic, and now it is a reality. We need to vaccinate as quickly as supply allows—following the necessary safety checks, of course—and the NHS stands ready to accelerate deployment at scale from Monday 4 January. We have a total of 100 million doses on order, which combined with the Pfizer vaccine is enough to vaccinate every adult in the UK with both doses. We will vaccinate according to the Joint Committee on Vaccination and Immunisation priority, but today’s news means that everyone who wants one can get a vaccine. We already have 530,000 doses available to the UK from Monday, with millions due from AstraZeneca by the beginning of February.

The clinical advice is that the Oxford vaccine is best deployed as two doses up to 12 weeks apart. The great news is that people get protection after the first dose. This means we can increase the speed at which we vaccinate people for the first 12 weeks before we return to deliver the second doses for longer term protection. It brings forward the day on which we can lift the restrictions that no one in this House wants to see apply any longer than is absolutely necessary, but we must act to suppress the virus now, not least because the new variant makes the period between now and then even more difficult.

Although we have the good news of the vaccine today, we have to take some difficult decisions. The NHS is under very significant pressure. Right now, more than 21,000 people are in hospital with coronavirus, and we can see the impact that this is having. The threat to life from the virus is real, and the pressures on the NHS are real too. I want to put on the record my thanks to all those working in the NHS, in particular those—including our chief medical officer—who have been working selflessly on the wards over Christmas. They deserve our thanks, our gratitude and our support. We owe it to them to fulfil our responsibility to keep the virus under control.

Sharply rising cases and the hospitalisations that follow demonstrate the need to act where the virus is spreading. Yesterday alone, 53,135 new cases were registered, the majority of which are believed to be the new variant. Unfortunately, the new variant is now spreading across most of England, and cases are doubling fast. It is therefore necessary to apply tier 4 measures to a wider area, including the remaining parts of the south-east, as well as large parts of the midlands, the north-west, the north-east and the south-west. I have laid a comprehensive list in the Library of the House and published it on gov.uk. Even in most areas not moving into tier 4, cases are rising, and it is therefore necessary to apply tier 3 measures more broadly too, including in Liverpool and North Yorkshire. The rest of Yorkshire remains in tier 3. These changes will take effect from one minute past midnight tomorrow morning.

The new variant means that three quarters of the population will now be in tier 4 and almost all the country will be in tiers 3 and 4. I know that tier 3 and 4 measures place a significant burden on people and especially on businesses affected, but I am afraid that it is absolutely necessary because of the number of cases that we have seen. Where we are still able to give places greater freedoms, we will continue to do so.

Today is a day of mixed emotions—the joy that we have in the vaccine, giving us a route out of this pandemic; the pride that Britain is the first country in the world once again to approve this British vaccine; the sorrow at the deaths and the suffering that the virus has caused; and the determination that we must all stick at it during the difficult winter weeks ahead. We end 2020 still with great challenges but also with great hope and confidence that in 2021, we have a brighter future ahead. I commend this statement to the House.

[Jonathan Ashworth (Leicester South) (Lab/Co-op)]

As always, I thank the Secretary of State for advance sight of his statement. I totally understand why he has had to come to the House this afternoon to move further areas into tiers 3 and 4. As he says, almost the whole of England is now in a form of lockdown. My constituents in Leicester and, I am sure, constituents in Greater Manchester will be deeply worried that our areas have now been in a form of restrictions for months and months. It is having a huge impact on families and small businesses in cities such as Leicester and, I am sure, areas in Greater Manchester. He has also moved Liverpool into tier 3. Liverpool was the great success story, so is it his view now that mass lateral flow testing is not enough to contain the spread of this virus? Our constituents will be asking how long he expects these lockdowns to be in place.

We will vote for the regulations tonight, because the situation we are in is truly horrific. As he has outlined, the virus is out of control. Yesterday, over 47,000 cases were reported in England. In the last two weeks, nearly half a million cases were reported in England. There are now more patients in hospital—over 20,000—than at any time in this pandemic, with admissions rising day by day, including almost 2,000 on Christmas day. Hospitals are close to or at surge capacity. We see ambulances queuing up outside hospitals because there are not enough beds for patients. We have London hospitals requesting to transfer patients in need of intensive care to Yorkshire. Frontline healthcare workers warn of oxygen supplies running low. Can the Secretary of State assure us that there will be no disruption in oxygen supplies through this second wave?

Our NHS staff are exhausted. Morale is low. Staff absence is said to be double its normal level. Leave for many is cancelled. And this time, there is no evening applause on our streets; just long, dark, hard nights for our NHS staff. The Nightingales were opened at great expense and fanfare, but now we hear that some of them, such as London’s, have been emptied. Will they be used? If so, given the staff shortages across the NHS, how will they be staffed? There are reports today that only one in eight retired NHS staff—just 5,000 out of an eligible 30,000 who applied—have been brought back to help. Should we not be making full use of this resource, especially to help with vaccination?

Today’s AstraZeneca news is indeed a tremendous boost, and I congratulate all involved, but can the Secretary of State confirm how many doses we currently have ready to go? We are in a crisis now. Mass vaccination needs to start straightaway. We need to go hell for leather to get these jabs rolled out with no delay. We have already lost more than 600 healthcare workers to this horrific virus, including a disproportionate number of black, Asian and minority ethnic staff. Frontline NHS staff need the protection of the vaccine ASAP. Will the Secretary of State set a clear target for when all NHS frontline staff will receive the life-saving jab, and can he tell us when all care home residents and staff will be vaccinated? He will recall that I raised with him the situation facing those with terminal illnesses. Will he clarify the JCVI’s guidance for that group today?

This is a race against time, because the more the virus circulates, the more opportunities there are for further variants to emerge. The new B.1.1.7 variant is 56% more transmissible and is the dominant strain in London and the south-east and east of England. The New and Emerging Respiratory Virus Threats Advisory Group minutes from 18 December suggest it could add at least 0.4 to the R. Given that the first lockdown brought R down to about 0.6, and the second down to about 0.8, it will surely be harder to bring infections under control, so harder measures will be needed. Will the Secretary of State publish in realtime the advice he receives from the Scientific Advisory Group for Emergencies on the restrictions needed?

This is a global crisis, but let us be clear: this is a national emergency. Our national health service is becoming overwhelmed. I hope that tier 4 restrictions are enough, but many believe that even tougher restrictions are now inevitable. Does the Secretary of State agree? We need not put more lives in jeopardy when vaccines are so near. Let us give the achievements of our scientists the best chance to save lives. The country sacrificed so much in 2020. Let us not repeat the same mistakes. We must start 2021 by right now doing everything it takes to save lives and support our NHS. Only then can we look forward with confidence and hope.

[Matt Hancock]

The hon. Gentleman is quite right that this virus has thrown up problems and challenges right around the world; we have seen the impact in other countries in some of the news from other parts of Europe today. He is also right that, thanks to the approval of this vaccine, alongside the Pfizer-BioNTech vaccine, the end is in sight. That should give us hope that, while we have difficult weeks ahead of us, we can see the route out of this pandemic and normal life returning, with all that that means and entails.

The hon. Gentleman talked about the pressures on the NHS, which are significant. One advantage of having a national health system is that when one area of the country faces particular challenges, others can come to its mutual aid. That is in process—it is happening—and means that people are sometimes taken across the country to receive care where there is spare capacity. That is necessary; it is how the system works when it is under significant pressure.

The hon. Gentleman asked about the vaccination of NHS staff. I can confirm that, thanks to the decision announced by the regulator today, we will be able to accelerate the vaccination of NHS staff already in priority group 2, as well as of the over-80s and of care home residents and staff. He asked about the number of vaccines we have available. I mentioned in the statement that we have 530,000 across the UK available for deployment in the first week of January. The NHS is doing a fantastic job of constantly increasing and expanding the scale of its operation.

Finally, the hon. Gentleman asked what more can be done in areas where rates are very high and continuing to rise. The true answer is that it is on all of us—it is about how everybody behaves. If we collectively decide to stop this by taking personal responsibility and not coming into contact with others unless absolutely necessary, we can slow the spread of this virus. The tiers restrictions are of course necessary, but ultimately it is about how we all behave. That is how we will get through the next few weeks together, and then the vaccine can come and save us.

[Mr Speaker]

Let us head to Surrey and the Chair of the Health Committee, Jeremy Hunt.

[Mr Speaker]

Order. Before the Secretary of State replies, may I remind Members who are not in the Chamber that they should have the same dress code even though they are virtual? It is only fair that we treat each other with the same respect.

[Matt Hancock]

I share my right hon. Friend’s desire and the strategy of keeping this virus supressed while we get the vaccine rolled out as fast as possible. One of the other good pieces of news from this morning’s announcement is that we can roll this vaccine out faster because we only need to give the second dose after 12 weeks; that means that we can get the first dose of the vaccine into more people. The data shows that that gives that immunity, so we can get through the protection of the nation faster than we previously could have done.

The points that my right hon. Friend raises about education are of course important. The Education Secretary will set out in a statement shortly the details of how we will manage the very difficult balance between needing to keep children in education as much as possible and ensuring that we do not add upward pressure on the R number and spread the virus any further. I commend to him the Education Secretary’s statement.

[Dr Philippa Whitford (Central Ayrshire) (SNP) [V]]

As chair of the all-party parliamentary group on vaccinations for all, I absolutely welcome the authorisation of the AstraZeneca vaccine. Storage in normal fridges will make it much easier to deliver here, and particularly so in low and middle-income countries, which would have struggled to maintain the cold chain at -70°, as required for the Pfizer vaccine.

Delivering the vaccine will still be a herculean task for all four UK health services, and they will struggle if they are also dealing with surging covid cases. Hospitals in London and the south-east are already reporting shortages of critical care beds and even oxygen, so there is an urgent need to get the new variant under control. Does the Secretary of State recognise that, when dealing with a spreading infection, getting ahead of it is critical? Taking action only once cases in an area are soaring is simply too late to bring it under control. All three devolved nations are already under level 4 restrictions to try to prevent the new variant from getting a grip and getting out of control. Given the greater levels of the new variant in England—as the Secretary of State just stated, cases are rising everywhere—does he not think it is time to put the whole of England under tightened tier 4 restrictions?

[Matt Hancock]

I have just announced the need to move a significant proportion of England into tier 4 restrictions, and I welcome the implicit support for that measure. Where it is possible to keep some of the freedoms that we all cherish, we should do so, and that is the basis for our tiered approach.

I of course welcome the hon. Lady’s support for the roll-out of the Oxford-AstraZeneca vaccine, which will happen right across the UK from Monday. It has been a pleasure working with Jeane Freeman, the SNP Government’s Cabinet Secretary for Health in Holyrood, to ensure that this vaccine, which has been bought, developed and supported effectively by UK science right across the country, can be deployed properly to everybody in the whole of the UK on a fair and equitable basis according to their clinical need. I look forward to working very hard to make sure that happens.

[Siobhan Baillie (Stroud) (Con) [V]]

Many businesses in Gloucestershire are gutted to be placed in tier 4. This makes the roll-out of the vaccine even more important. However, there is a worrying increase in anti-vax information in Stroud that is causing a lot of distress and upset for local people. It is appalling that our Gloucestershire Hospitals NHS Foundation Trust had to spend its precious time during this pandemic defending itself against films on social media that were wrongly claiming that the hospital is empty. Will the Secretary of State assist me to reassure Stroud about the vaccines and encourage people not to share covid information from unofficial sources to stop this dangerous, damaging and disrespectful behaviour?

[Matt Hancock]

Yes, I strongly agree with my hon. Friend, who speaks very powerfully about the need for proper, authorised information about these vaccines, which save lives. We have been very careful to ensure that the independent regulator makes the decision on how these vaccines should be deployed, and indeed whether they should be deployed, and it is confident in their safety and their efficacy. It is that information, and all the information that is set out by the NHS, that people should look to if they have questions—if they want to know how and why the vaccine works, and who it should be used for. I pay tribute to all those who work in the hospitals of Gloucestershire. It is hard work at the moment in the NHS. Rates of coronavirus in Gloucestershire have really shot up over just the past two or three weeks, and unfortunately that is why we have had to take the action that we have on restrictions. I want to thank all of the NHS for doing all the work that it has been doing over Christmas and will have to do over the weeks ahead.

[Munira Wilson (Twickenham) (LD) [V]]

I, too, welcome the fantastic news about the Oxford AstraZeneca vaccine and congratulate all those involved.

I found it frankly shocking that the Secretary of State’s statement made barely any reference to the immense pressures our hospitals are facing on the ground and what the plan is to help them with this situation. Major incidents have been declared in Essex and London. Ambulances are queuing outside hospitals and intensive care unit patients are being transferred across the country. The Nightingale hospitals were meant to be the insurance policy, but we hear that only 28 covid patients are in the Nightingale hospitals across England. If now is not the time to use the Nightingales, when is? If there are insufficient staff, why on earth did the Secretary of State spend £220 million on building the Nightingales? What is the back-up plan?

--- Later in debate ---

[Matt Hancock]

I am not sure that the hon. Lady was listening when I said in my statement that the NHS is under very significant pressure. Of course we are working hard to ensure that that pressure is alleviated as much as possible. Over the summer, we built significant extra capacity into the critical care facilities of the NHS, including across London. The Nightingale hospitals are there, as she puts it, as an insurance policy—as back-up. The London Nightingale hospital is there on standby as back-up. I have seen some stories circulating saying that it has been decommissioned. Those stories are wrong. It is better for people if they are treated inside a hospital, but the Nightingales are there for extra support should it be needed. It will require changes to the working patterns of staff if we do need to have patients in the Nightingales once more, but it is crucial, in my view, that we have those Nightingales there ready in case we need them.

[Sir Bernard Jenkin (Harwich and North Essex) (Con)]

I can confirm to my right hon. Friend that Essex has declared a major incident. It is also, at this very moment, submitting a MACA—military aid to the civil authorities—request to assist with the construction of community hospitals for additional hospital capacity, supported and partly staffed by the armed forces. It would also like armed forces help with the roll-out of the vaccine to accelerate that in Essex and to assist with testing in schools. Will he look into the German BioNTech test as an alternative to the lateral flow test, as it is as reliable as the PCR—polymerase chain reaction test—and turns around in one hour?

[Matt Hancock]

I will absolutely look into, and get back to my hon. Friend about, the BioNTech test. Of course, BioNTech is an absolutely fabulous pharmaceutical company, as the whole House knows. What he says about the pressures in Essex is very significant, and it is important. Of course, I will look favourably on any request for military assistance, working closely with my right hon. Friend the Defence Secretary, who has been incredibly supportive, as have the whole armed forces, during this whole year. They have done so much. They are already involved in the roll-out of testing, as my hon. Friend knows, and we draw on the ingenuity, reserve and sheer manpower of the armed forces when we need them. I am very grateful for my hon. Friend’s support for the work that we all need to do in Essex to support the NHS there and to try to get the number of cases down.

[Jim Shannon (Strangford) (DUP)]

May I first thank the Secretary of State, as always, for his good news on the TV this morning? At this time of the year, I think it has given every one of us a skip in our step to know that the vaccine can be delivered.

Can the Secretary of State confirm what discussions have taken place with devolved UK Administrations about the roll-out of the vaccine, the timescale for the completion of that and the approach to education and business production to ensure that a UK-wide lens with regional approaches is possible, while still ensuring that the message remains that we can save lives and the economies if we simply do the right thing?

[Matt Hancock]

Yes, absolutely. This is a UK vaccine that is being deployed across the UK fairly, according to clinical need. I spoke to my opposite number in Northern Ireland this morning, and I can confirm that, across Northern Ireland, the roll-out of the Oxford vaccine will start on Monday 4 January, as with the rest of the United Kingdom of course. We cannot give timelines on when any roll-out will be completed, because it does depend on the delivery schedule and the manufacturing schedule of the vaccine, but the good news is that we have on order enough approved vaccines now to ensure that every adult who wants one can have the vaccine, and that is true right across Northern Ireland and the whole of Great Britain.

[Ruth Edwards (Rushcliffe) (Con) [V]]

This is a bittersweet day for us here in Rushcliffe: we have the great news of the Oxford AstraZeneca vaccine approval, on which I congratulate my right hon. Friend and everyone involved, but we are confronted with the depressing reality of going into tier 4. Could my right hon. Friend tell me when the new vaccine will start to be administered to my constituents in Rushcliffe, and will the easier handling requirements enable the roll-out to be sped up so that we can start to get back to normal as quickly as possible?

[Matt Hancock]

Yes. My hon. Friend catches my emotions as well, and I am sure the emotions of most of the House, in that we have this extra and new hope of a vaccine, but we also have some very difficult weeks between now and when it is rolled out to protect the most vulnerable. The extension of the time interval needed between the two doses from about three or four weeks to 12 weeks means that we will be able to inoculate more people with the first dose. The news that the first dose is effective in protecting people is very good news, because it means that we can speed up the roll-out and we can all get out of this situation faster than we otherwise would have been able to, and we can save more lives along the way. So that is good news, but I absolutely appreciate my hon. Friend’s emotional turmoil because it is also tough, especially across Nottinghamshire and the other places that have had to go into tier 4. The message is really clear, which is that help is on its way—it is here in the form of the vaccine—but we have to get through the next few months with the minimum pressure on the NHS and keeping the virus under control until then.

[Tulip Siddiq (Hampstead and Kilburn) (Lab) [V]]

Yesterday, the Government announced that 1,500 armed forces personnel are being deployed to help secondary schools and colleges roll out mass testing. I am sure the Secretary of State is aware that there are over 3,000 secondary schools and colleges in England. This means that schools will get the support of less than half a soldier each. Could I ask the Secretary of State what specific tasks those armed forces will be carrying out, and if the Government will commit to giving overstretched headteachers and school staff more resources for the huge operation that they are expected to carry out?

[Matt Hancock]

Yes, there is of course support for the testing of schoolchildren, and I am sure that my right hon Friend the Education Secretary will be happy to set out more details in his statement shortly. The support of the armed forces, especially from those who have experience of the mass testing roll-out so far, will be incredibly helpful, but it is not the only thing that will help the roll-out of mass testing in schools. I am really grateful to the schools that have been involved so far for the enthusiasm that they have shown and for the extra effort they have put into making this work. I look forward to seeing that happen across much more of the country.

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

The Secretary of State, with his announcement, has effectively locked down most of England. In a previous interview with Andrew Marr, he said we will effectively be staying in that place until the vaccines are rolled out.

On this morning’s excellent news about the AstraZeneca vaccine, the chief executive of that company said that it could produce up to 2 million doses a week if the Government’s ambitious schedule for rolling it out could match that. Will the Secretary of State match it so we can get everyone over 65, which is nearly 90% of those at risk of death and hospitalisation, done in seven weeks, by the third week of February, and we can then remove these restrictions? Every focus of the Government now has to be on that task. It is the central, overriding task of government. Are the Government up to doing it?

[Matt Hancock]

I am absolutely delighted to be able to agree with every single word that my right hon. Friend says. He and I have not always agreed on every dot and cross of the policy on how to handle this pandemic but, regarding how we get out of it from here, it sounds like we are aligned on needing to roll out this vaccine as fast as possible.

The NHS can deliver at the pace my right hon. Friend mentions if we can get the manufacturing up to that speed. Of course, we are working with AstraZeneca to make that happen. I was on the radio at the same time as the chief executive this morning, and I was delighted to hear his commitments. AstraZeneca has worked so hard to make this happen and, crucially, we have to protect the most vulnerable. The fact that only one dose is needed to give protection is incredibly helpful, and that way we can get rid of these blasted restrictions as soon as possible.

[Mr Kevan Jones (North Durham) (Lab) [V]]

It is very welcome news that the Oxford-AstraZeneca vaccine has been approved, but many of my elderly North Durham constituents, such as 94-year-old Joyce Ridley from Tanfield who contacted me yesterday, are still waiting for the vaccine. The Government promised before Christmas that they would prioritise those aged 80-plus to get the vaccine. Can I ask the Secretary of State, as I did when he made his statement before Christmas, when my elderly residents in North Durham will receive the vaccine? I do not want spin or flannel; a straight answer will do. If he does not know the answer, could he at least write to me so that I can reassure those who are worried that they have been forgotten?

[Matt Hancock]

I will absolutely arrange a meeting between the vaccine roll-out Minister, the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Stratford-on-Avon (Nadhim Zahawi), and the right hon. Gentleman to look into that case in particular. Around seven in 10 of the vaccines deployed so far have gone to those over 80. The rest have gone to NHS and care home staff, and to some residents in older persons’ care homes who are under the age of 80. We are deploying the Pfizer jab to older people right now, and we have to do that as fast as possible to make sure that, when there are cases such as the one he raises, we get it sorted.

[Mark Menzies (Fylde) (Con) [V]]

I begin by joining the Secretary of State in thanking those in the NHS for the work they are doing at this incredible time. I also recognise that he has never shirked from taking really tough decisions, and that has no doubt saved lives.

I have many care homes in Fylde, including lots of small care homes, family-run care homes and assisted-living homes. Can the Secretary of State assure me that work is being done to ensure that we can get the vaccine into those small care homes very quickly and speedily in the coming weeks?

[Matt Hancock]

Yes, absolutely. My hon. Friend is kind in what he says, and I am grateful for his support for the approach that we have taken throughout the pandemic—I really appreciate it. As he says, it is precisely in order to save lives that we have taken the actions that we have. It has been harder to get the Pfizer jab to the smaller care homes because of the minus 70° storage requirements. That is much easier with the AstraZeneca vaccine, and today the NHS has written to GPs who are running the vaccines programme to stress the importance of getting the vaccine to care home residents and staff as soon as possible.

[Lilian Greenwood (Nottingham South) (Lab) [V]]

The news of the Oxford vaccine is welcome, but from tomorrow my constituents will face further difficult tier 4 restrictions. We cannot allow a choice between saving lives and saving livelihoods, so will the Government act to close the gaps in support that have left two in five people who rely on self-employed income excluded from the current support schemes?

[Matt Hancock]

The hon. Lady’s question is one for my right hon. Friend the Chancellor of the Exchequer, who has done more than almost any Finance Minister in the world to support people—whether in employment or self-employed—with some of the most generous schemes that have ever been put together. We appreciate that it is not possible to save every job, but we have done the most that we possibly can. I will make sure that someone from the Treasury gets back to the hon. Lady with a clear answer.

[Steve Brine (Winchester) (Con)]

The Secretary of State knows that the vaccine roll-out programme in Hampshire is in a very, very strong position. What he will not know is that, by the close of play today, just over 40,000 people in the county will have had their first dose, which is impressive work by Nigel Waterson, who is leading that—sorry, I meant Dr Nigel Watson; Nigel Waterson is a former colleague. The only thing holding us back, I am told, is supplies, so does today’s decision mean that the county’s endeavour can match its ambition? How many doses exactly will be in the country by the turn of the year?

[Matt Hancock]

I want to thank Nigel Watson and all his colleagues who have delivered this fantastic effort across Hampshire. It is true that the current rate-limiting factor on the roll-out of the vaccine is the supply of the approved vaccine. Not only do we need to have it manufactured and in the country, but each batch needs to be checked, because it has to be in pristine condition. The worst thing we could do is inject someone with something that we think is vaccine, but does not work because it has not been stored properly. That takes time.

We have 530,000 doses of the AstraZeneca jab ready to go, and they will be deployed from Monday. In addition, we have over 3 million doses of the Pfizer vaccine that are ready, because we needed to hold one dose back. Once we move to the 12-week window for dosage—for the Pfizer vaccine, too—which has been recommended today by the regulator and by the Joint Committee on Vaccination and Immunisation, we will be able to roll those out. That will happen through January, rather than immediately. The end result of all that is that we can significantly accelerate the roll-out of the vaccine programme.

[Vicky Foxcroft (Lewisham, Deptford) (Lab) [V]]

I have asked the Secretary of State on several occasions for a timetable for the roll-out of the vaccination programme. Now that, thankfully, the AstraZeneca vaccine has been approved, can he provide some certainty and a timetable that prioritises unpaid carers, given that many of them care for extremely vulnerable people? He has been asked for that several times today, and people really need hope to carry on in these difficult times.

[Matt Hancock]

I totally understand why people want the answer to that question, because of the hope that the vaccine gives us. What I can tell the hon. Lady is that the speed of the roll-out will be determined by the speed of manufacture. While we have 530,000 doses ready to go from Monday, we also need to make sure that we receive more approved doses. We are working closely with AstraZeneca on that, as we have with Pfizer. That is what will determine the speed of the roll-out. The NHS has a plan, and it is ready to go.

[Bob Blackman (Harrow East) (Con) [V]]

I have nothing but praise for the NHS workers who have been rolling out the vaccination programme thus far, but many of my elderly and vulnerable constituents have had to queue for more than an hour after their appointed hour for vaccination. Will my right hon. Friend confirm what those many people who have already had the first dose of the vaccine should do about the second dose? Should they attend at their appointed hour, or should they wait for a new appointment in several weeks’ time?

[Matt Hancock]

Those with appointments before 4 January should attend their appointment, and those with appointments from 4 January onwards will have them rescheduled. I understand that that will, obviously, require effort, especially in primary care, and that some people are looking forward to their second dose. However, the overriding health priority and all the clinical advice is that, because we can get protection after the first dose of the vaccine, in order to save lives we need to move to the 12-week window rather than the three-week window that we had with the Pfizer jab.

On people queuing and the need to make sure that that system is as efficient as possible, I have not heard about that happening elsewhere in the country. If I may, I will arrange a meeting between my hon. Friend and the vaccine roll-out Minister, my hon. Friend the Member for Stratford-on-Avon (Nadhim Zahawi), to make sure that we can get to the bottom of it and that things are running as smoothly as possible in Harrow.

[Sir David Amess (Southend West) (Con)]

On this glorious and momentous Brexit day, I celebrate with others that another vaccine has been approved. Will my right hon. Friend join me in thanking all NHS providers in Southend for their heroic efforts throughout the pandemic? As a result of the increased number of infections, will he and his splendid team see what further help they can give us, particularly with delivering the new vaccine?

[Matt Hancock]

Yes, of course. The Brexit deal that the House has just passed with such an enormous majority will help to support UK life sciences. This vaccine also shows what we can achieve as a country. We work with international partners, absolutely, but this shows what we can achieve with British science, British industry and the British Government all working together, and with the NHS, to make this happen. I will absolutely work with my hon. Friend to support the NHS in Southend, which is under pressure. The case rate is very, very high in Southend. I say to everybody in Southend that the single thing that they can do is to limit all social contact unless it is absolutely necessary. It is not a nice thing to have to say and it is not easy to do, but it is absolutely necessary in Southend.

[Martyn Day (Linlithgow and East Falkirk) (SNP) [V]]

Covid is a truly horrible disease that poses potentially long-term consequences for even the young and the healthy, so today’s vaccine approval is truly welcome news and makes eliminating community transmission of the virus more possible than ever before. As such, is it the UK Government’s plan to loosen restrictions only when the most vulnerable have been vaccinated or when a vaccine has been given to a significant proportion of the population as a whole? If so, what will that proportion be?

[Matt Hancock]

We have not set that out yet, because while our general approach is to vaccinate, as soon as possible, as many as possible of those who are vulnerable to this disease, and to then be able to lift restrictions, as I said in my answer to my right hon. Friend the Member for Forest of Dean (Mr Harper), the exact timing depends on the roll-out of the vaccine and its impact on bringing down the rate of transmission. The change in the dosage schedule from four weeks to 12 weeks means that we can get the protection to as many people as possible sooner, and in a more accelerated way, than we would previously have been able to do.

[Craig Mackinlay (South Thanet) (Con)]

The approval by the Medicines and Healthcare Products Regulatory Agency of the Oxford-AstraZeneca vaccine is great news at the end of a truly wretched year. Does my right hon. Friend agree that the speed of roll-out should be governed only by the rate of vaccine production? Will he assure me that his Department will cut through all and any pettifogging rules and bureaucracy to ensure that newly retired nurses and doctors, or those on career breaks, can be approved as vaccinators, so that the only limiting factor is vaccination production, not the availability of vaccinators or locations?

--- Later in debate ---

[Matt Hancock]

Yes, that is our goal. We changed the law to enable more people to inject vaccines and we have a big training programme on now. At the moment, it is the supply that is the rate-limiting step. We want to increase the rate of supply and the NHS’s capacity to deliver it at the same time.

[Dr Rupa Huq (Ealing Central and Acton) (Lab) [V]]

By not needing extreme refrigeration, the new Oxford-AstraZeneca vaccine is a real breakthrough. Will the Health Secretary tell us how it will be administered to over-80s in care homes or at home who are too immobile to travel and who perhaps have carers, including dementia patients, under the hub-and-spoke model? Locally, ambulances are needed, ICU is full, Ealing Hospital is on a black alert and the way that doctors are being told to use oxygen sparingly is raising suspicions that it is running out. Hub-and-spoke is good on paper, but it may be time that the Secretary of State revisits it, because it keeps throwing up loads of anomalies.

[Matt Hancock]

The ability of the Oxford vaccine to be easily transported makes a huge difference, because it means we can take it to care homes—we can take the vaccine to the people—rather than the other way round for those who are immobile. Of course, for people who find it easy to travel, it is much more efficient to do it the other way round, so we will have a combination of community roll-out where we take the vaccine to the people and vaccination hubs where people come to get vaccinated. It is all based, as per my previous answer, on optimising the speed of delivery of the vaccine. That is what will both save lives and get us out of the restrictions as fast as possible.

[Robbie Moore (Keighley) (Con) [V]]

We all want to ensure that classrooms remain open so that our children’s education continues with as little disruption as possible. We have seen the impact that armed forces personnel have had in Liverpool and Dover in helping to carry out mass testing. Will my right hon. Friend confirm whether plans will be put in place to utilise our armed forces to assist with regular testing in schools, colleges and universities?

[Matt Hancock]

The Education Secretary is about to make a statement to set out more details, but the armed forces have been brilliant in all sorts of parts of the response to the pandemic, one of which is supporting schools to get mass testing under way in an appropriate way, using the experience they have gained by helping us so much over this crisis.

[Dame Diana Johnson (Kingston upon Hull North) (Lab) [V]]

As we have heard, by mid-October more than 600 health and social care staff had already died from covid. Professor Andrew Goddard, the president of the Royal College of Physicians, said today:

“Frontline NHS and care staff must be vaccinated in the next couple of weeks as a priority, as the current pressures on the NHS will be impossible to withstand without a fit and protected workforce”.

With today’s further good news on vaccines, will the Secretary of State give our NHS workforce the undertaking that they will be vaccinated in the next couple of weeks?

--- Later in debate ---

[Matt Hancock]

We will vaccinate NHS and social care staff as soon as we can. They are, of course, in the priority list. They are in priority group 2, except for social care home staff, who are in priority group 1. The groups are all set out according to clinical need. That is the basis on which we will vaccinate. We will also vaccinate at pace, which often means that spare vaccines that are left at the end of the day in a hospital or primary care setting are used to vaccinate staff who are to hand, where that can be done. That is being done right now. In short, the answer is that we are trying to do this as quickly as we possibly can.

[Chris Grayling (Epsom and Ewell) (Con) [V]]

I congratulate my right hon. Friend and his team on the work they have done to put us in such a relatively strong position to vaccinate in the coming months, and I pay tribute to the team here at the Epsom and St Helier University Hospitals NHS Trust for the work that they are doing at the moment. This area has been in tier 4 for 10 days, and there is a continuing acceleration in the number of infections reported locally. By definition, those are not happening in the business premises that were closed as a result of moving to tiers 3 and 4. What information does the Secretary of State have about where these infections are being transmitted under tier 4?

[Matt Hancock]

The majority of infections happen within the household, from one person in a household to another. That is, perhaps, inevitable, because we are physically closest to those with whom we live. Over the last 10 days, it has not yet been possible to do a full analysis of where we think the transmission is happening within tier 4. The reason for that is simply that the data are not available, and the data are particularly difficult to interpret over the Christmas period. I am very happy to keep talking to my right hon. Friend to try to understand as much as we can about where the transmissions are happening, because that is the route to keeping them under control in the least damaging way possible until we can complete the vaccine roll-out.

[Steve McCabe (Birmingham, Selly Oak) (Lab) [V]]

I, too, welcome the vaccine news. I know the Secretary of State is a keen advocate of the use of lateral flow tests in care homes. In one group consisting of three homes in my constituency, it is taking a thousand staff hours a month to deliver just under 4,000 tests. That is not manageable without neglecting other vital duties. What can the Secretary of State offer by way of help?

[Matt Hancock]

We have put in more support to help care homes with the challenges that covid throws up, in relation to both testing and other things such as PPE that are so necessary. I am very happy to arrange a meeting between the hon. Gentleman and the Minister for Care, my hon. Friend the Member for Faversham and Mid Kent (Helen Whately), to see what more can be done, and in particular whether the burden that he describes—the time taken to do these vital tests—can be minimised in some way.

[Sir Robert Neill (Bromley and Chislehurst) (Con) [V]]

I welcome the work that the Secretary of State is doing, and particularly his answer to my hon. Friend the Member for South Thanet (Craig Mackinlay) about the importance of getting enough vaccinators. Even within London boroughs, I am conscious of a difference in the speed of roll-out, even to very vulnerable people. In my constituency, I have a number of recently retired medical people—doctors, clinicians and nurses—who would willingly volunteer if they were asked. In addition, will the Secretary of State make, or has he made, approaches to private healthcare providers? As I understand it, many of them have capacity and, I am told, they would be willing in some cases to make their staff available on a pro bono basis to help the NHS to roll out this vaccine.

[Matt Hancock]

Yes, I am pretty sure that that has been done. If it has not, I will absolutely check and get back to my hon. Friend. If anybody who is clinically qualified comes forward, we are very enthusiastic to hear from them. NHS Professionals, the body that is responsible for extra staff in the NHS, is organising the distribution of those who want to come back into service in order to help to vaccinate, and we look forward to hearing from people.

[Mrs Emma Lewell-Buck (South Shields) (Lab) [V]]

My constituents will be gutted today. We are making sacrifices and our beautiful town’s economy is tanking. More so, the tiering system is not working. Areas that previously moved into tier 4 still have rising infection rates, so what evidence is the Secretary of State using that shows that moving South Shields from tier 3 into tier 4 will reduce the spread of the virus?

[Matt Hancock]

It is not easy moving from tier 3 to tier 4. I understand that, but the rates in South Shields are going up sharply. With the support of the council and, indeed, all the councils across the north-east, we have taken this action. The evidence base is that for those areas that have been in tier 4 the longest, we are starting to see a reduction in the rate of increase and in some places a fall, particularly in some parts of Kent, but there is still an awful lot more to do. This new variant, which we can now sadly see in the north-east of England—much in the way that it started in the south-east—spreads so much more easily. It is much harder to keep control of. The job of suppressing the virus has got harder with the new variant at the same time as the approval of the vaccines has made the job of getting out of this easier. That is the challenge we face.

[Paul Bristow (Peterborough) (Con)]

Yesterday, I went to visit the vaccination hub at Peterborough City Hospital. After everything we have been through, and after seeing hope behind the smiles of those waiting for the jab, I must confess to feeling almost emotional during my visit. I place on record my thanks to everyone working at the hub and within the wider Peterborough NHS. With the superb news today of the approval of the Oxford-AstraZeneca vaccine, is now the time to prioritise the vaccination of NHS staff to prevent staff shortages and ease NHS winter pressures?

[Matt Hancock]

Yes. My hon. Friend speaks so powerfully for Peterborough. I am glad that the vaccination centre is working well in Peterborough. This new vaccine does mean that we can accelerate the roll-out of the vaccine to NHS staff, and that is good news in Peterborough and across the country.

[Ms Angela Eagle (Wallasey) (Lab) [V]]

The Secretary of State has today announced 23 more areas that will move into tier 4. Three quarters of the country is now in tier 4. How long before he looks at this again and can make other announcements? What further escalation will he be considering if even tier 4 does not bring down these soaring infection rates?

[Matt Hancock]

For areas in tier 4 where we still need to get the infection rate down, the most important thing we can all do is take responsibility to restrict the spread of infection, because this new variant spreads so easily from person to person. Everybody has to behave. If everybody behaves like they might have the virus and therefore restricts their social contact, that is the best way we can get these rates down. It does take all of us do this; it is not just about the rules that are set out from this Dispatch Box and voted on by this House.

I know that people in Wallasey and across Liverpool have done so much and got the rates right down under control, but unfortunately they have started to rise again, and with the new variant, it has been necessary to put Liverpool into tier 3. I just hope, like the rest of the country, that we can get out of this after the next few difficult weeks.

[Dame Cheryl Gillan (Chesham and Amersham) (Con) [V]]

Buckinghamshire health services are under severe pressure with escalating rates of covid and hospital admissions. On behalf of all my colleagues in Buckinghamshire, may I give an enormous public thank you to our healthcare staff, who are working round the clock in a growing emergency, as well as providing testing and vaccinations at multiple sites in the county? Despite those pressures, the trust is establishing a centre to help people with the effects of long covid, which are now causing increased concern. It will be at Stoke Mandeville. What extra resources can the Secretary of State make available to support our valiant health workers and, in particular, to help those now suffering from the effects of long covid, which are very serious in some cases?

[Matt Hancock]

My right hon. Friend is absolutely spot on. The issue of long covid is very serious, and we have put more support into the NHS and into research to try to understand long covid better. I know about it very much myself, and I understand the impacts that it can have, which can be debilitating on people’s lives. I am delighted that there is a long covid centre at Stoke Mandeville. It is such an excellent hospital, and I am not surprised that it is doing all the cutting-edge work that is needed, but the single most important thing we can do to support those who have long covid is to understand better the causes and therefore understand what we can do to help people get their lives back to normal.

[Feryal Clark (Enfield North) (Lab) [V]]

The Secretary of State has said in many statements over the past 10 months that we have the virus under control. Only two weeks ago, he said that we cannot risk letting cases rise again, yet that is exactly what is happening under his watch. Yesterday, the UK reported a further 53,135 cases of coronavirus, which is the highest daily total since the pandemic began. With many hospitals in London and the south-east at breaking point, it is clear that the Government have lost control of the virus. With schools set to go back in a week’s time, what public health strategy does he have in place to keep our children, their families and teachers safe?

--- Later in debate ---

[Matt Hancock]

The new variant of this virus makes it very difficult to control, which is why it is so important that everybody follows those public health messages. That is the challenge we are all dealing with, together, and we just have to remember that we are all on the same side in that great battle. Help is on its way, in the testing for schools, in the measures that my right hon. Friend the Education Secretary is shortly to announce and in the vaccine, which will help to protect those who are most vulnerable. Once we have got through all the clinical prioritisation, we can then move on, in general, to the under-50s. Their risk of death from covid is, thankfully, low but it is highly likely that they will still want to have a vaccine to protect themselves from this disease.

[Adam Afriyie (Windsor) (Con)]

First, I wish to commend the Secretary of State for making it clear that the vaccine will be available to all over-65s—by the end of February, we hope—as that is really important. This should be a joyous day. We have been given the gift of a free trade agreement with the EU by our Prime Minister and the gift of a new vaccine—we also have a new vaccines Minister—by our scientists and world-leading Government objectives. But the gift people really want this Christmas is to know that their jobs, livelihoods and civil liberties will be given back to them as soon as possible, so will the Secretary of State make this clear today by telling us at what point on the priority list of vaccinations he will allow restrictions to be lifted?

[Matt Hancock]

We have to remember that the vaccine is a great symbol of hope, but it is a means to an end, and the end is the lifting of restrictions and the restoration of our liberties and the freedom for us to act as we please. That is the goal of this programme: to make people safe so that we can get life back to normal and, of course, protect the NHS. On the timing, it is absolutely right, as I said in my response to my right hon. Friend the Member for Forest of Dean (Mr Harper), that the speed of roll-out can be accelerated because of the decisions announced this morning. The precise timing of that has to be determined by the manufacture, because although we can forecast that, we cannot know exactly how much will be delivered. On the question of how far down the priority list we need to go before people are safe, we will observe that as we observe the reduction—I hope—in transmission that we get, as well as the protection of individuals. So we will keep this under review, but the good news is that I am highly confident that by the spring we will be through this. It was not possible before the approval of this vaccine to say that.

[Clive Efford (Eltham) (Lab) [V]]

What information has the Secretary of State received from the experts in the Scientific Advisory Group for Emergencies about the roles that schools played in the spread of infection in places such as south-east London? Does this suggest that we should have a roll-out of a mass vaccination programme for schools?

[Matt Hancock]

We will vaccinate according to clinical need, because that is the best way both to protect lives and to be able to lift the restrictions.

[Daisy Cooper (St Albans) (LD) [V]]

Even once vaccinated, some older and clinically vulnerable people will have no one to look after them if their unpaid carers get ill with coronavirus. Vaccinating unpaid carers would be a clear way of reducing pressure on the NHS and social care, with the double benefit of protecting carers and providing the care that the NHS and social care system would then not need to provide. So will the Secretary of State give an unequivocal commitment that unpaid carers will be included in priority categories for vaccination?

[Matt Hancock]

As I have said, we will absolutely vaccinate according to clinical need. Once we are through those clinical need cohorts, there is a very important call on the next set of prioritisations, which we have not yet set out, and both teachers and unpaid carers have a good case to make.

[Aaron Bell (Newcastle-under-Lyme) (Con) [V]]

As the Health Secretary has said, today is clearly a day of mixed emotions. I hugely welcome the news about the Oxford vaccine and pay tribute to Cobra Biologics in my constituency, which has been manufacturing it and has been involved since the outset. However, moving Staffordshire to tier 4 is very tough on the people of Newcastle. We have worked hard to get our rate down and it is currently stable and, indeed, falling slightly. I understand the risk of the new variant, but will he confirm that there is a way out of tier 4 and that he will take into account vaccination rates and the effect on the NHS, and not look purely at case numbers once we have the vaccination programme rolled out?

[Matt Hancock]

Yes, I absolutely will. We already look at the impact on the NHS, of course, but that will become more important as more and more people are vaccinated and, we hope, the correlation between cases and future hospitalisations, which is currently stable, starts to go down and there are fewer hospitalisations for every individual case. Obviously we should take that into account.

[Jeremy Corbyn (Islington North) (Ind) [V]]

As everyone knows, the vaccine is important and necessary, but we also know that the effects of corona have fallen disproportionately on the most vulnerable within our society. The World Health Organisation asked for special consideration to be given to those with disabilities, yet a wholly disproportionate number of the deaths that have occurred have been people with disabilities. Those with learning disabilities have often lost out on the support they would normally receive, and we have 1.5 million children facing mental health problems, if not crises, at the present time. Can the Secretary of State assure us that work will be done to support those with disabilities and, in particular, that work will be done and greater support given to young people and children who are suffering often quite profound mental health difficulties as a result of the stress of isolation that they have suffered over the past nine months?

[Matt Hancock]

Yes, of course. This has been looked into in great detail, and the clinical prioritisation includes those who are under 50 but are clinically vulnerable to the effects of covid-19. They come into the prioritisation in categories 4 and 6 alongside the over-70s and over-60s, taking into account precisely the sort of considerations that the right hon. Gentleman sets out.

[Sir Desmond Swayne (New Forest West) (Con)]

Given that the main effort is the protection of the NHS, surely, the moment we start to get a reduction in hospital admissions, we can start lifting the restrictions?

[Matt Hancock]

Well, yes—in principle. The point is to protect the NHS and to stop people dying from the disease. While at the moment cases are a very clear proxy for future hospitalisations and future deaths, as the vaccine is rolled out, we would hope that for every number of cases we would have fewer hospitalisations and fewer deaths. It is that protection from hospitalisations and deaths that the vaccine gives us, which is why it is the route out of the crisis.

[Meg Hillier (Hackney South and Shoreditch) (Lab/Co-op)]

I pay tribute to Homerton University Hospital in the heart of my constituency, where the staff are working flat out now with the rising number of cases, and to the Royal London Hospital in a neighbouring constituency, which of course had a queue of ambulances with covid patients waiting to be treated. Given the pressure on the NHS, which I know the Secretary of State also feels very strongly about, what is he doing to ensure that the nurses and other staff we need are available? Recent press reports suggest that of the 71,000 available nurses, only just over 1,000 had been deployed. Is he working with the Nursing and Midwifery Council to track down those with the right registration and skills and to get them into the right places?

[Matt Hancock]

Yes, it is incredibly important that we support the NHS with the workforce that it needs—both the permanent workforce, where we have increased the number of nurses by over 13,000 in the past 12 months, and a temporary workforce for the difficult few weeks that we have ahead of us in the NHS. I am working with the NHS and others on exactly the question that hon. Lady rightly raises, and I join her in praising the team at the Homerton, who are doing a great job.

[Suzanne Webb (Stourbridge) (Con) [V]]

There is no doubt that the news of the vaccine and the Brexit deal are a grand finale to what has been a difficult year, albeit one with mixed emotions, as constituencies such as mine go into tier 4. As a fitting way to end this statement, will my right hon. Friend join me in thanking everybody working in the NHS and social care, not just across my constituency but in all constituencies, for the work they have done this year and especially those who worked tirelessly over Christmas to help to keep the most vulnerable safe? Will he also extend an extra special thank you to all those caring for children with disabilities and special needs, such as Lifted Spirits, who are a bunch of mums and dads in my constituency? As I am sure he will agree, this has been a particularly challenging year too for those who are carers.

[Matt Hancock]

In what I hope is my last statement of the year, and most likely my last answer of the year, I thank my hon. Friend for her question, and not just for praising those at Lifted Spirits and others who are doing so much to care for others, but for giving me the opportunity and the prompting to thank NHS staff who during 2020 have done more than in almost certainly any other year since its formation, and the social care staff of this country, who have gone out of their way to care for others and those who are most vulnerable, not just to covid but to other health problems. There is no limit to my gratitude to those who are working so hard; they really put their shoulders to the wheel. The attitude of the NHS—that when there is a crisis, we lean in, we come together and we fix it—inspires me, and I know inspires so many other people.

[Mr Speaker]

In order to allow the safe exit of hon. Members participating in this item of business and the safe arrival of those participating in the next, I am suspending the House for three minutes.

Covid-19 Update

Matt Hancock Excerpts

Wednesday 30th December 2020 Written Statements

[The Secretary of State for Health and Social Care (Matt Hancock)]

Yesterday, we conducted the latest formal review of tier allocations across England. The allocations and a detailed rationale can be found attached.

The new variant means that most of the country is now in tier 4 and almost all of the country in tiers 3 and 4. This is absolutely necessary. Where we still can give places greater freedoms, we will continue to do so.

As set out in the covid-19 winter plan, there are five indicators which guide our decisions for any given area, alongside consideration of “human geographies” like travel patterns.

These are:

1. Case detection rates in all age groups

2. Case detection rates in the over 60s

3. The rate at which cases are rising or falling

4. Positivity rate (the number of positive cases detected as a percentage of tests taken)

5. Pressure on the NHS.

These are not easy decisions, but they have been made according to the best clinical advice, and the best possible data from the JBC.

The regulations will require the Government to review the allocations at least every 14 days. We will also take urgent action when the data suggests it is required.

We will also deposit a comprehensive list and the data packs used to inform these decisions in the Libraries of both Houses.

These changes will apply from Thursday 31 December 2020. This list has also been published on gov.uk and a postcode checker will be available for the public to check what rules apply in their local area.

The attachments can be viewed online at: http://www. parliament.uk/business/publications/written-questions-answers-statements/written-statement/Commons/2020-12-30/HCWS687/.

[HCWS687]

Covid-19: Tiers System

Matt Hancock Excerpts

Thursday 17th December 2020 Written Statements

[The Secretary of State for Health and Social Care (Matt Hancock)]

Local action is vital to our strategy of suppressing the virus, while protecting the economy, education and the NHS, until a vaccine can make us safe. Help is on its way thanks to the rollout of a safe and effective vaccine, but we are not there yet.

While we have moved to a localised approach through the tiers system, we have been clear that these must be tough, recognising that case rates are rising in many areas of the country, and our knowledge that the winter months are the most challenging for our NHS.

We have assessed each area individually, and as Monday’s decisions on Essex and today’s decisions on Waverley and parts of Hampshire show, we are prepared to move at a more localised level where the data and human geographies permit.

As set out in the covid-19 winter plan, there are five indicators which guide our decisions for any given area, alongside consideration of “human geographies” like travel patterns.

These are:

Case detection rates in all age groups

Case detection rates in the over 60s

The rate at which cases are rising or falling

Positivity rate (the number of positive cases detected as a percentage of tests taken)

Pressure on the NHS.

While each metric is important in its own right, the interplay between each indicator for a given area is equally important, so a hard and fast numerical threshold on each metric is not appropriate.

These are not easy decisions, but they have been made according to the best clinical advice, and the best possible data from the JBC.

The regulations will require the Government to review the allocations at least every 14 days. We will also take urgent action when the data suggests it is required, as we did on Monday.

The first formal review took place yesterday, and the allocations and a detailed rationale can be found as an attachment online.

I will also deposit the data packs used to inform these decisions in the Libraries of both Houses.

These changes will be implemented from 00:01 on 19 December. This list will also be published on gov.uk and a postcode checker will be available for the public to check what rules apply in their local area.

Attachments:

1. 16 December Tier Review (16 December Tier Review.docx)

Attachments can be viewed online at: http://www. parliament.uk/business/publications/written-questions-answers-statements/written-statement/Commons/2020-12-17/HCWS677/

[HCWS677]