(3 years, 4 months ago)
Commons ChamberThe hon. Lady shakes her head, but my first duty is to protect people here in this country, while at the same time making sure that people get access around the world, as we have done, for instance, with the Oxford-AstraZeneca jab—half a billion jabs have been done around the world. That is my order of priorities; I am very, very clear about it. We will help the rest of the world to get vaccinated, but we also need to look out for and vaccinate the British population. As for the first half of the hon. Lady’s statement, it was completely wrong.
My constituents in Newcastle-under-Lyme have done everything we have asked of them during this pandemic. They have stayed at home and protected the NHS, and then they went out and got vaccinated in huge numbers, so any sense that these restrictions are to protect those who chose not to get vaccinated will be seen by them and me as deeply unfair. Will the Secretary of State set out what assessment he or his scientific advisers have made of the extent to which these restrictions are required to protect those who chose not to get protected?
This change is emphatically not for the purpose of protecting those who have chosen not to get vaccinated. It is emphatically to ensure that we have the time to offer the jab—both first jabs to all adults and second jabs for those who have had their first. To go through the data on that, currently, 93% of over-40s have had their first jab, but there are still 4.5 million who have not yet had the second jab. We can get through the majority of those over the next four weeks. Then, of course, we have been able to bring forward the date by which we will have offered a first jab to everybody. This is about the ability of the people who want to come forward to get jabbed to do so, and that is what we will achieve by 19 July to that degree. I hope that we end up with an uptake of almost 100% by the end of this; the uptake figures have been absolutely astonishing, so we will keep offering, we will keep encouraging people to come forward and we will keep trying to make the system and the vaccines as accessible as possible, but the thing that is in the direct control of the Government—subject to supply, of course—is the offering of the jab, and that is the commitment that we have made by 19 July.
(3 years, 6 months ago)
Commons ChamberThe definition of “outdoors” used in these regulations is the one set out by the Labour Government in the ban on indoor smoking.
I am very happy to meet my hon. Friend. I am grateful to him for raising this vital question of local public health in the House, and I am absolutely determined that the authorities—both the local authority, with its responsibilities, and the national authorities, including Public Health England—play their role in tackling this problem.
(3 years, 7 months ago)
Commons ChamberYes, absolutely, and we will be writing to all those who are shielding to set out the details so that they get a personal copy of those guidelines. What I would say is that the rates of covid now are much lower than when we paused shielding in the past, so this is not just because of the vaccination programme—which of course has benefited many people who are shielding, and we know that the first dose brings huge safety and benefit already—but is also because the rates of covid are so much lower.
On behalf of their citizens, who need to be vaccinated and who need to see their economies reopened, I have to say I am personally in despair at the short-sighted decisions taken by many European countries and what seems to be their absurd misapplication of the precautionary principle. I am sure my right hon. Friend would wish to be diplomatic, so will he join me in praising what we are doing, and the MHRA and the JCVI for their sensible and proportionate decision making, which has always prioritised public health here in the UK both in respect of the approvals given for vaccines and the dosing regimens they subsequently recommended?
Yes, my hon. Friend puts it characteristically well. It is very important to take all considerations into account when making decisions like these. Of course, the precautionary principle is important, but when there are such huge benefits to vaccination, over-precaution is a mistake. We have to take overall public health into account.
(3 years, 8 months ago)
Commons ChamberI am not sure you were in the Chair, Madam Deputy Speaker, when I addressed that precise question in my statement. Not having the contact details happens in about 0.1% of tests. In this case, we think the test was done as part of a home test kit, when it is incumbent on the individual to set out those details. Home test kits can be sent to someone’s home, in which case of course we have the details of where it was sent. Alternatively, in response to surges, tests can be taken round by local authority teams and dropped off. We therefore need to find out exactly where this test was dropped off. What the hon. Lady omitted to say is that the team has done a good job of narrowing down where that may be to 379 households. The call-out at the weekend was answered with a number of leads, and we are working hard to make sure we find the individual concerned.
I welcome my right hon. Friend’s statement. Both the scientific news and the progress of our vaccine roll-out suggest that we are well on the way to getting back to normal. In particular, I was delighted to learn about the fantastic new data showing that both the Oxford and Pfizer vaccines are effective in hugely reducing hospitalisations and deaths from covid and, indeed, that the Oxford jab, which is being manufactured here in Newcastle-under-Lyme, may even be the more effective of the two. Will he join me in welcoming the fact that our European neighbours, such as France, have recognised that fact and are moving to allow this terrific vaccine to protect the lives of older people there, just as it has done in the UK?
(3 years, 8 months ago)
Commons ChamberThat is a critical question, on which I point to three things. First, we have put in place the new variant assessment platform, which uses our genomic capability to be of service to countries that do not have the capability to identify variants and sequence samples, if that is needed.
Secondly, we are working with the World Health Organisation to ensure that its library of variants is as up-to-date as possible. Of course, it is that work from which must flow the assessment of what appropriate updates to any vaccine are necessary, which is how it works with flu. The system is nascent but incredibly important, and I am grateful to the World Health Organisation for its work on that so far. We need to go further.
Thirdly, on the measures put in place today, by testing every international rival—given the nature of the UK, even in these tough times, as an international hub—we will, where we spot positives, be able to sequence them and therefore gather the sequences of coronavirus from around the world. The announcements made today will directly help us to address the question of where variants of concern are arising and therefore help the international efforts to tackle them.
I thank the Secretary of State for his statement and join him in praising everyone involved in the vaccine roll-out. It is going incredibly well in Newcastle-under-Lyme; in Staffordshire, we have just passed 200,000 vaccinations given.
Brilliant scientists in the UK and around the world have delivered us these vaccines at an unprecedented pace, and I welcome the news that they are now working on new versions of them to fight variants. However, if we were to embrace even faster methods for evaluating the efficacy of vaccines, such as challenge trials, we could speed up the process even further.
Given the enormous economic cost of lockdowns, every month counts. That should prompt the whole world to re- evaluate our standard methodology for approving vaccines. Could my right hon. Friend set out what steps he is taking to allow new varieties of vaccines to be developed as quickly as possible, if they prove to be required?
Yes, we do not rule out challenge studies at all. We are working with Oxford University on such an approach. More broadly, I am up for considering anything that can ensure that a vaccine can safely be brought to bear and support this effort as fast as possible.
I would, though, caution against undue pessimism in this space because the Medicines and Healthcare products Regulatory Agency has done an amazing job of maintaining very strong safety and efficacy requirements while speeding up every process, constantly challenging the critical path to vaccine approval and asking how it can be sped up while maintaining the very high standards that it should expect. It is continuing that work with potential iterations of the vaccine to ensure that the level of assuredness is appropriate and the degree of checks that an iteration needs to go through is appropriate to the degree of difference from the original vaccine.
For instance, for flu, we do not need to go through the full clinical trials process because the underlying platform is known to be safe—we need to demonstrate clinical efficacy. It is that sort of flexible yet rigorous thinking that the MHRA should be very proud of.
(3 years, 10 months ago)
Commons ChamberAs 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.
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?
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.
(3 years, 10 months ago)
Commons ChamberIf the hon. Gentleman has an individual case of a school in that situation and he could let me know, we will sort that out, because in general the links between local directors of public health and the schools to tackle these sorts of problems are pretty good.
I know the whole House was thrilled at those wonderful images last week of people receiving their vaccines, including at the Royal Stoke University Hospital. Like other hospitals across the country, it has been gearing up for that really emotional moment for months. Like the NHS in general, it has a lot of experience of delivering these vaccine programmes, so will my right hon. Friend assure me that we will roll out this vaccine, and any others that get approved, as quickly as possible and as quickly as manufacturing allows?
Yes, that is absolutely the goal. I pay tribute to everybody at the Royal Stoke, and it was wonderful to see some of the examples of those who have been vaccinated. Stoke has been having a rough time of it of late and we need to make sure not only that we get the virus under control, but that that vaccine is rolled out, not just in the city centre, but in communities right across Stoke and Staffordshire.
(3 years, 12 months ago)
Commons ChamberI join my right hon. Friend in praising the work of the vaccine taskforce in securing so much of this first encouraging vaccine and the work it has done to have a good portfolio.
Let me turn to the joint inquiry of the Science and Technology Committee and the Health and Social Care Committee, which met this morning. We considered test and trace, but it seems to me that the third part—the isolation part—is key. This 20% figure has been bandied about, but Baroness Harding was able to give us a preliminary figure of 54% for the people who manage to observe staying at home. Does my right hon. Friend agree that we need more data about this? We need to understand how many people are staying at home—I realise it is not completely binary—but also how that varies between people who have positive tests and people who have been asked to isolate. Like my right hon. Friend the Member for South West Surrey (Jeremy Hunt), the Chair of the Health and Social Care Committee, may I ask my right hon. Friend the Secretary of State to look at Sir John Bell’s suggestion that people who are merely contacts could be released from quarantine earlier through rapid testing?
I am happy to look at all those constructive suggestions. Maybe I can also take this opportunity to put on the record my thanks to the vaccine taskforce and to Kate Bingham personally for the leadership that they have shown in being able to procure the 340 million doses that they have achieved—I know that the whole country is grateful for the 40 million doses of the Pfizer vaccine in particular—and the work that they have done.
(4 years ago)
Commons ChamberFurther to my right hon. Friend’s answers to my hon. Friend the Member for Wycombe (Mr Baker), it has been a fact for a long time that the three figures that are reported most often are the number of tests, the number of cases and, regrettably, the number of deaths. Does my right hon. Friend agree that the media and we should focus much more on the data on NHS capacity? That, rather than tests and cases, should be the message.
They are all important. Often, people focus on the cases, because they are one of the earliest indicators of the direction. The case rate among the over-60s is highly correlated with what happens to hospital admissions a week or 10 days later. That is why we focus on the over-60s case rate and now publish that data too, because looking at that as well as the overall case rate is important.
Nevertheless, my hon. Friend is absolutely right that although the translation of cases into hospitalisations and poor health outcomes is harder to estimate, the number of hospital admissions with covid is a concrete fact that we cannot get away from. We cannot escape the fact that that is rising and has been rising sharply. Even if we expanded the NHS enormously—we have, both in critical care and in terms of the potential capacity in the Nightingales, should it be needed, but even if we doubled the size of the NHS—once we are on an exponential growth curve, it would still be too small to cope if the virus were to run riot.
(4 years ago)
Commons ChamberMy friend, the hon. Member for Ellesmere Port and Neston (Justin Madders), says from a sedentary position that that was his idea, but success has many fathers and I can tell my hon. Friend the Member for Bosworth (Dr Evans) that such a postcode checker was launched this morning. I will send him the link. It is still in beta, so it will be constantly improved, not least to ensure that, if a postcode covers an area that is in two different levels, that is clear. That is being sorted at the moment. A postcode checker is a great idea. It tells you the level of local risk. Furthermore, the NHS covid app, which has now been downloaded by over 17 million people, has a link to the local alert level as well.
To turn back to the measures before us, we will keep the measures under constant review. The overarching regulations sunset after six months, but regulation 8(1) of statutory instrument 1105 makes clear that the allocation of a particular area to local alert level 3 will automatically expire after 28 days. We will work with local areas on the level they need to be at and that work continues at pace. Decisions to move local areas between the levels will be considered by the JBC, working across Government and with local government on the normal weekly cycle. While, of course, there will be times when we need to act quickly to contain the virus, we want to give the House the opportunity to consider the measures on the medium and high local alert levels, and the baseline measures for the very high alert level. I urge the House to support the measures set out today.
The Secretary of State mentions that they will work with local authorities when moving authorities between areas. Will he also give time to measures that local authorities may already be taking, such as in Newcastle-under-Lyme, to see their effect before moving areas from one tier to another?
Yes, that is a very important point. Taking into account all local considerations, and working with the local director of public health and political leadership, is important to get exactly that sort of consideration into the decisions.
I would like to set out, as the Prime Minister did yesterday, the details of where we have reached with the Liverpool city region. Liverpool will move on to level 3 tomorrow. As well as the baseline measures—that is, as well as closing pubs and bars—gyms, leisure centres, betting shops, adult gaming centres and casinos will also close. I thank all the local authorities that have been working with us to keep the virus under control, but there is more work to do.
The regulations under consideration today include measures on the obligations for businesses. Statutory instrument 1005 makes it a legal requirement for a range of premises to collect, retain and, where relevant, disclose contact details as part of NHS Test and Trace. Statutory instrument 1008 allows for fixed penalty notices to be given for breaches of covid-secure business guidance in various settings, primarily hospitality. These are amended by SI 1046, which adds the need for a range of premises to display information about the need to wear face coverings.
SI 1029 increases the fines for those flouting targeted action to close specific public places that are a threat to public health. Although SI 1029 was intended to deliver the 10 pm closing time when laid, the elements relating to the 10 pm closing time are superseded by the local alert level system. The powers in SI 1029 are therefore revoked. In practice, the effect of SI 1029 is to deliver enforcement against individual places that have been flouting the rules, which is the one of the top demands of councils in their fight against coronavirus. I know that most people and most businesses have been doing their bit. These changes are there to ensure that the vast majority of responsible businesses are not undermined by others that are not following the rules.
(4 years, 1 month ago)
Commons ChamberFirst, I welcome the new centre at Keele University campus in my constituency, which opened last Friday, and I thank my right hon. Friend’s Department for that. Secondly, he may be aware of the article in The Times on Saturday that suggested people were having difficulty accessing tests at the centre in Newcastle-under-Lyme itself, which had been walk-up in August but now requires booking. The article suggests that there is plenty of capacity at the centre, but not yet enough at the labs, so could he confirm that this Government are still committed to half a million tests a day by the end of this month?
We are committed and on track to the delivery of half a million tests by the end of this month. We have capacity at over 300,000 now. I saw the article in The Times. Of course, one of the good things is that in Newcastle-under-Lyme, the case rate had come right down. We had a walk-in centre because it was an outbreak area, and it stopped being an outbreak area because everybody in Newcastle-under-Lyme did their bit and brought the case rate down. That is a good thing, of course, but it does mean that we have to make sure that the testing is targeted at where it is most needed across the country. What I really want to do is have that extra capacity that we are building so everybody everywhere can get it.
(4 years, 2 months ago)
Commons ChamberWe have developed capacity to over 200,000 antigen tests per day across the testing programme. We are planning for the next phase of testing and are committed to rapid and accessible testing at scale for everyone who needs one. Localisation of testing in accessible places is absolutely critical.
I thank the Secretary of State for his answer. He may well be aware of the outbreak in my community of Newcastle-under-Lyme centred on Silverdale working men’s club. The outbreak appears to be under control. I praise his Department for its support, and also Staffordshire County Council. Close to 2,000 tests have been carried out, a number of those at the new local centre at Ryecroft. If I could make one suggestion based on our experience of this outbreak, it is that the online booking system needs to react more quickly to make spaces available. Spaces always have been available, but not always online. Will he comment on that?
(4 years, 3 months ago)
Commons ChamberYes, the hon. Gentleman is absolutely right about the importance of this. We are getting cancer services back up and running as fast as possible. The idea that we are waiting until the end of the year before doing anything is completely wrong. We are going as fast as we can. During the peak, some of the services did have to be stopped for clinical reasons. My heart goes out to those whose treatment was stopped because of covid and who died of cancer, The judgments were made on an individual clinical basis as to whether it was safer to go ahead with the treatment or to stop it, because, of course, many treatments for cancer are much more dangerous when there is a high volume of infectious disease. I understand that that explanation will be of no comfort to Kelly’s family and friends who mourn her, but I also understand why the NHS made that decision and I support them in the decision that it made. We must get this going again as fast as possible. This is something on which I am working very closely with the NHS. In fact, I had a meeting on it only last week. I also entirely agree on the point about radiology services, too.
I invite the Secretary of State to join me in congratulating two Staffordshire organisations: one in the private sector and one in the public sector. The private sector firm is Cobra Biologics in my constituency of Newcastle-under-Lyme. It was one of the first manufacturers of the Oxford vaccine, and had scaled up to increase production even before AstraZeneca came on board. The public sector firm is the Staffordshire Resilience Forum. Thanks to its hard work and the hard work of the people of Staffordshire, they have now been able to downgrade a major coronavirus incidence. Although, of course, we cannot drop our guard completely, the situation is now currently stable and under control, and that, I think, illustrates our response to coronavirus.
I pay tribute to the public health services, the NHS and the councils across Staffordshire that have worked so hard to get this virus under control and have really got it right down in Staffordshire, including in Newcastle-under-Lyme, which my hon. Friend regards as the finest part of Staffordshire. The first point that he makes is also absolutely valid and something that I will consider going forward.
(4 years, 4 months ago)
Commons ChamberThe hon. Gentleman raises three points. First, we have put a huge amount of effort into ensuring that the local-to-national links are strong in test and trace. I pay tribute to Tom Riordan, the chief executive of Leeds City Council, who has come into the programme on secondment from Leeds in order to deliver those links. He has done an absolutely brilliant job, and I pay tribute to him. On the hon. Gentleman’s second point, we do not rule out mandatory contact tracing, but we want to get the system up and running, and it would be far better if it worked on a voluntary basis in the first instance. On his third point, we have put in place more support to ensure that people get the financial support they need to be able to do the right thing. The evidence is that the vast majority of people do, but of course we keep this under review.
I join my right hon. Friend in welcoming the tremendous news on treatment with dexamethasone. Following on from that, can he update the House first on what progress we are making towards a vaccine, and secondly on what progress we are making with our manufacturing capacity for a vaccine, so that when we get it we are able to roll it out at speed, including with Cobra Biologics in my constituency?
I am absolutely determined that should a vaccine come through, we are able to roll it out—in the first instance to those who are most vulnerable—across the UK, including to my hon. Friend’s constituents in Newcastle-under-Lyme. That is incredibly important. As I said in my statement, AstraZeneca has now signed the contract to manufacture the vaccine, even ahead of the successful conclusion of clinical trials, which shows confidence. The Imperial vaccine, which is not as far ahead as the Oxford vaccine, but is promising and based on a different vaccine technology, which is important—it is slightly different—has gone into human trials as well.
(4 years, 7 months ago)
Commons ChamberYes, they should. They should stay 2 metres away from other people, wherever possible, but we are actively encouraging the voluntary effort in support of covid-19 and we actively support it.
I thank the Secretary of State for all he is doing and I thank the thousands of retired nurses who have answered his call to come back to the NHS, but may I just raise a wrinkle in my constituency of Newcastle-under-Lyme? A nurse wrote to me who is 58 and retired at 55. She has returned to work for 16 hours and is happy to work full time, but she is concerned about the possible effect on her pension. Will the Secretary of State and the Chancellor of Exchequer work together to look at the situation and make sure that there are no financial barriers to heroes such as her coming back to work for our NHS?
Yes. We solved several of the problems in the pension system at the Budget, and there are further solutions in the Bill. I have not come across any further problems in respect of pensions, but if my hon. Friend writes to me with the individual case, I will check that that is the case in that instance, too.
(4 years, 7 months ago)
Commons ChamberWe are not there yet, but we are moving towards it. That is what the chief medical officer set out in the press conference on Monday, in part for exactly the reasons the hon. Member sets out.
I hugely welcome the fact that we are following the science, including the behavioural science, and the cross-party approach we are taking. Does the Secretary of State share my concern, therefore, that celebrities, including some politicians on social media, are advocating a different approach? They are completely at liberty to do that, but does it risk undermining the national cohesion we need to rise to this challenge?
(4 years, 8 months ago)
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I emphatically agree. I should, of course, have added churches and other religious groups to the long list of organisations that can—and I hope will—participate in this national effort, so that the country can get through this situation as well as possible.
Good communication is obviously key, so, first, may I thank my right hon. Friend for his regular updates? Secondly, will he join me in praising the staff and management at Royal Stoke University Hospital, who have treated a case recently and have communicated very clearly with the local community in Stoke and in Newcastle-under-Lyme?
Yes, all the staff at the Royal Stoke have done a brilliant job. I worry that they will no doubt have more cases to deal with, but the work they have done so far is something that we should all praise.