(3 years, 6 months ago)
Commons ChamberThe latter question is really a question tied to the certification work. We have not hitherto, as my hon. Friend well knows, said that the rules for people who are vaccinated should be different from those for people who are non-vaccinated, but we know that some other countries are proposing to say that that will be case for international travel, so we do need to have a way of showing or proving it. However, we have not yet come to any conclusions about how we should do that and whether we should do that domestically. That is a matter for the Chancellor of the Duchy of Lancaster.
On measuring how effective a second dose is, we have tests in the field right now to follow a sample of people who have had both tests, having them tested regularly—weekly, typically—to check whether they test positive, and therefore testing the effectiveness of both of the vaccines in the field. So far, we have published the results of that after one jab. Very early results are coming through after two jabs, and in the next couple of weeks we will have some really rich data on that, I should hope, because we have now seen a significant number of second jabs—10 million as of midnight last night.
The vaccination roll-out for the majority of the country has been nothing short of amazing, and I would like to thank the local NHS providers in Enfield and across the country for their herculean efforts. Sadly, for some parts of the country, including many parts of my constituency of Enfield North, a postcode lottery appears to be emerging, whereby vaccination rates are stubbornly low and falling behind the rest of the country. What is being done to combat this, and what additional support will the Department be providing to areas with consistently low vaccine rates?
We have a huge amount of work on to tackle exactly the phenomenon that the hon. Lady describes. I thank people in Enfield who have been working on the vaccination programme, because they have done incredibly well, but there is much more to do. We have to ensure that we make the vaccine more accessible—that it is easy to access—and that people have reassurances if they are hesitant. The Minister for Covid Vaccine Deployment, my hon. Friend the Member for Stratford-on-Avon (Nadhim Zahawi), is leading on these efforts, including with innovative approaches that we are currently trialling, such as allowing multigenerational households to be vaccinated at once, to see how we can drive up uptake in those groups in which we have not seen such high uptake. As I said, overall uptake among over-50s is 94%, which is far higher than my best possible hopes just a couple of months ago, but if we can reduce that final 6%, for every percentage point that comes off it, the safer we all get.
(3 years, 8 months ago)
Commons ChamberYes, that is absolutely right. In fact, my hon. Friend put it rather better than I did. Perhaps I will take up his rhetorical suggestions for how to make this case. Accountability is important, but the more local the decision making, the better. There should be local decision making across a whole range of partners—not just in the core NHS, but by providers of services, from whatever sector they come, including the voluntary sector, which, during this pandemic, has been embraced more. We need to build on that to make sure that we have a system that can truly serve local needs. Ultimately, all healthcare is locally delivered, because it is delivered to an individual to improve or save their life. Essentially, we need to make sure that the appropriate decisions are taken as locally as reasonably possible.
The pandemic has shone a light on massive health inequalities across the country. The Secretary of State announced the abolition of Public Health England in September, but there is still no clarity on where the vital health improvement function will sit in the future. Why are we hearing about new structures for the NHS today without also getting clarity on the arrangements for vital elements of public health and prevention?
There is a simple, clear reason for that, and I am very glad that the hon. Lady asks that question, because it is an incredibly important function. We will set out more details on the arrangements for health improvement functions, but the population health approach that is embedded within the integrated care systems set out in the White Paper will itself be at the fulcrum of delivery of health improvement and of narrowing health inequalities. If we think about it, around 20% of the impact on someone’s health is what happens in hospital; the rest is what happens outside hospital, the extra support that people can get and, of course, the choices that people make. Integrated care systems will be supported and funded in such a way that their goal is to improve the health of the local population, not just of the patient.
Health improvement is embedded in the structure and the design of the future of the NHS embedded in the White Paper, and the wider health improvement responsibilities will flow from that. We will set out the precise organisational structure of those shortly, but I needed to get the White Paper out first, because it is off this population health approach that the future of health improvement will be built.
(3 years, 10 months ago)
Commons ChamberMy 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.
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?
(3 years, 10 months ago)
Commons ChamberLegally, there is a review every two weeks, but in practice we review every week, and I will not wait a week longer than necessary to get places out of tier 3 if we can safely do that. To people across Colne Valley I would say, first, that the reduction in rates has been impressive, but we are not there yet. The pressure on the NHS has reduced, but is still significant. I would also say to everybody in Colne Valley that they have a Member of Parliament who probably makes his case to me more than any other. It is not for want of effort from the local MP, but this decision is based on the epidemiology, and I really hope we can get there soon.
Madam Deputy Speaker, can I take this opportunity to wish you and the House staff a merry Christmas and a very happy new year?
I have had numerous emails from unpaid carers in Enfield North concerned about access to the vaccine. Can the Secretary of State set out exactly when unpaid carers will be given the covid-19 vaccine, given that they spend their time caring for extremely vulnerable people and could pass on the virus? Any guidance would be a huge comfort to residents and their unpaid carers in Enfield North.
The guidance has been set out by the Joint Committee on Vaccination and Immunisation. I think it is very important that we follow the clinical advice in this prioritisation to make sure that it is fair.
(4 years, 1 month ago)
Commons ChamberIt is too early yet to set out the clinical details of vaccines, other than to say that we have a draft of the priority order for the distribution of a covid vaccine and that we will not bring in a covid vaccine—and the Medicines and Healthcare Products Regulatory Agency would not license it—unless we are confident that it is safe. It is at that point, when we know more about the clinical details, that will be able to say more about its effective roll out.
After our broken test and trace system and the failure to put a protective ring around care homes, and after the recent and preventable outbreaks in universities and the ultimately unnecessary restructuring of Public Health England, the chaos this weekend is symbolic of the way the Government have handled the pandemic. Does the Secretary of State agree that these are his failures and only his alone?
Responding to a pandemic is an enormously challenging task. Thankfully, it is a massive team effort, and it is one in which the whole country can be engaged because we all have a part to play.
(4 years, 2 months ago)
Commons ChamberWe are putting enormous sums into the flu vaccine programme and have released extra funds to buy more vaccine. We are deregulating and making sure that we have a wider group of people—who will all be clinically qualified—who can administer the flu vaccine; those regulations will come before the House shortly. My hon. Friend is right to say how important it is to get the communications out that everybody should get a flu jab. We will start with the free jabs for the over-65s, the frontline healthcare workers and those who are clinically vulnerable, and we will then move on to the 50 to 64-year-olds. But everybody, of every age, can get one—it is just not free to others. I encourage everybody to get one. We must tackle these online rumours that spread the pernicious anti-vax lies.
Only 40% of the 90 care homes in Enfield have had covid testing to date, so when will the Secretary of State roll out the mass testing promised to the care homes? What progress is being made to increase the use of rapid turnaround tests in care homes, in Enfield and across the country?
We are introducing more rapid turnaround tests and validating that technology. We are also rolling out asymptomatic testing to care homes. We did have a problem with the delivery of tests from Randox—these were the leading tests we were using with care homes—as I made clear to the House in July. We have spent the summer recovering that programme.
(4 years, 5 months ago)
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My constituent Sonya Kaygan lost her life to coronavirus. She was a highly skilled and committed careworker, but worked in a low-pay sector, caused by the near £8 billion cut to its funding in the past decade. Will the Secretary of State commit to ending the scandal of low pay in the care sector and reverse a decade of cuts to social care budgets, in honour of my constituent and others who have died doing their job, so that all careworkers are paid a fair wage and have the equipment to do their job safely?
We have put an unprecedented amount of funding into social care during the crisis. There is the important challenge of ensuring that that reaches the frontline through local councils. We have also increased, through the increase in the living wage, the pay of the lowest paid across society and in social care. I am proud to have supported that.