(3 years, 5 months ago)
Commons ChamberYes, I would characterise it in that way. Our goal, ahead of 19 July, is to take step 4. On the basis of the evidence so far, I am confident that we will not need more than the four weeks to get this job done and take step 4.
Can my right hon. Friend give us a little more information about the rise in hospitalisations that he mentioned? Of those who are being hospitalised, how many are in the younger age group who were not yet eligible for the vaccine, and how many are above that age—in other words, those who were able to get the vaccine but chose not to?
My right hon. Friend makes a really important point. The answer is that the majority are in the younger age group who have not yet had the chance to be vaccinated. Just under one fifth of those going into hospital in the last week have had both jabs, about a fifth have had one jab and the majority have not had any. The majority are under the age of 50 and have not yet had the opportunity to have both jabs. I think there is a material difference when it comes to the state’s responsibility to offer the vaccine to all adults. The duty that we have when somebody has not been offered the vaccine is greater than the duty we have when we have offered a vaccine but somebody has chosen not to take it up. There is a material difference between those two situations that I think my right hon. Friend was getting at.
(3 years, 5 months ago)
Commons ChamberOf course the purpose of the app is to identify people who have been in close contact with somebody who has tested positive and let them know that, and therefore ask them to self-isolate—that is what it is there for. The hon. Gentleman asks me to get more data so that it can be more targeted. He will know from last summer’s debate that the restrictions on the amount of data we can gather through that app are put in place by the companies rather than by us, so we cannot be more targeted. I am very happy to arrange a briefing for him on the details of that. But the goal is to ensure, in time, especially for those who have been vaccinated, that we follow through on the pilots we have done under which people who are contacts—not the “cases” themselves—are able to go into a testing regime, rather than having to isolate. There are pilots under way to check clinically that that works, and I look forward to seeing their results.
Will my right hon. Friend advise us about the demographics of those he believes are likely to be hospitalised? Today, Public Health England said that both the Pfizer and the AstraZeneca vaccines can cope as well with the India variant as the Kent variant. The Pfizer vaccine is 94% effective against hospital admission after one dose and 96% effective after two, while the AstraZeneca vaccine is 71% effective against hospitalisation with one dose and 92% effective after two. Who would be hospitalised to the extent that the NHS would be swamped? Will he promise us that our country will not be locked down because some individuals who could be immunised choose not to be?
Yes. Thankfully, the take-up rates are very high, so only a very small proportion of people have chosen not to come forward to get the jab when offered. My right hon. Friend makes an important point, which is that the state’s obligation to get the country out of this situation falls more heavily on ensuring that vaccinations are offered than that they are taken up. Our goal is to ensure that take-up is as high as possible but, given that we are not going for mandatory vaccination across the board, the commitment that we make is to offer, and there is an important distinction between the two, as my right hon. Friend draws out.
On the make-up of those hospitalised, the average age has fallen considerably since the vaccination programme started, which is probably in large part due to the fact that, of course, the older cohorts were vaccinated first. That also, on average, reduces the acuity of those in hospital and therefore helps to break the link between hospitalisations and deaths yet further. I hope that answers my right hon. Friend’s first point.
(3 years, 7 months ago)
Commons ChamberThe hon. Lady raises an important point on a subject that she knows extremely well. If I may, could I give her the respect of considering the question and writing to her with a full reply, because it is a very important question and I want to make sure that we get it right? Maybe we can then have a correspondence to make sure that we get to the right result.
The UK’s vaccination programme has been an international trailblazer, the strategic aim of preventing the NHS from being overwhelmed has clearly been met, and I am delighted that my right hon. Friend, who has done a tremendous job as Secretary of State throughout the pandemic, appears determined not to allow a shift in the goalposts and to follow the cautious pathway out of lockdown. But can we please, and can he please, ensure that we have a rational and balanced discussion about viral variants? Viruses always mutate and there will be an unavoidable level of risk that we will have to get used to post pandemic, unless we are to become a perpetually frightened, introspective nation—the opposite of global Britain?
My right hon. Friend has deep experience in this area, and I am very grateful for what he said—that was very kind. He is absolutely right about the fact that viruses always mutate, and we can rise to that—we can respond to that—as we do with flu. This is another area in which the parallel with how we manage flu as a country is the right one, because the flu virus mutates most years. We work out, observing the Australian winter, what is the most likely variant we will get in our winter, we adjust the vaccines to that variant and then we roll them out over the autumn. That sort of programme is likely to be needed in this country for some time to come. We will start later this year with the booster shots, and we will make progress after that according to the evidence as we see it. I hope he was not trying to make a point of something; I always try to be rational, but it is sometimes hard.
(3 years, 11 months ago)
Commons ChamberI am very glad to be able to reassure the hon. Lady that the agreement that has been reached with the dentists is all about ensuring that while we support our NHS dentists we see them do as much as they can to look after people and help them get the treatments they need. This is a good, balanced programme and I am sure it will be implemented well by the dentists.
May I say how delighted I am that North Somerset is moving down into tier 2, which is just reward for the efforts of my constituents and the whole community and also offers great potential help for our hospitality industry as we go into the Christmas period? On the question of balance, I completely agree with my right hon. Friend that we have to consider not just the number of people and the number of households but the age and vulnerability of those who are meeting? May I say, echoing the words of my colleague, that I wish a very happy Christmas to my right hon. Friend and his team of Ministers, who have done the most difficult job imaginable in a rather exceptional way? I hope—although without much expectation—that they will get some break over the Christmas period.
The people of North Somerset, who my right hon. Friend represents, and those of nearby Weston-super-Mare have done a remarkable job of bringing the case rates down to 120 for every 100,000. I am very pleased that we are able to take North Somerset out of tier 3 into tier 2. I would also say to everybody that the point about personal responsibility that my hon. Friend stressed and that I strongly agree with still applies. Coming out of a tier makes life easier, of course—we do not want the tiers in place any longer than absolutely necessary—but it is still on everyone in North Somerset, as well as in Bristol and Herefordshire, which have also come down, to do their bit and keep those case rates down.
(4 years ago)
Commons ChamberWe have put in place an enormous amount of support for the hospitality sector and we understand the challenges posed by the measures that were brought in. The reason behind the restrictions on hospitality is that in order to protect people’s ability to go to work and, in particular, to protect education, it is important, sadly, to reduce the social contact on which the virus thrives. It is upsetting and frustrating, but it is true. It is clear from the evidence that later in the evening and late at night, social distancing declines, and we know that when social distancing declines, transmission increases.
May I ask the Prime Minister, through the medium of my right hon. Friend, what progress has been made to achieve integration between the lockdown measures and testing at the country’s airports? Should we not follow the example of countries that have been successful at boosting business travel, helping the airline industry, helping inward and outward tourism, and getting airport workers back to full-time employment? What encouragement can he give to those at Bristol international airport in my constituency?
This is a really important issue. It is another example of how the increased testing capacity we have built can help improve lives. I have worked with my right hon. Friend the Secretary of State for Transport, the airline industry and the airports, including the important regional airports, to try to get a better regime in place. My right hon. Friend the Member for North Somerset (Dr Fox) will not have to wait very long to get an answer.
(4 years, 4 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
This is a really important point. The hon. Gentleman will have heard at the weekend that the NHS has opened a long-term covid impact service. That is on the health side. On the research side, we have so far put £8.4 million into a research call, but of course we will be happy to expand that if we get research projects that are worthwhile.
What advice and guidance has been developed for shielded adults who have children of school age? It is a question not simply of the transmission risk between children but of the unavoidable contact with other adults. I am sure my right hon. Friend will understand that the earlier such advice is developed and disseminated, the less unnecessary anxiety there will be for these parents during the school holidays.
I will write to my right hon. Friend with that advice. Of course, thankfully, as the virus has been brought under control, so the restrictions on those who are shielding can be lifted, so I am glad to say that this is a lessening problem, but certainly ahead of September, in particular, and the full return of schools, we will have to make sure the advice is very clear, and we will do that.
(8 years, 9 months ago)
Commons ChamberUrgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.
Each Urgent Question requires a Government Minister to give a response on the debate topic.
This information is provided by Parallel Parliament and does not comprise part of the offical record
The hon. Gentleman makes a central error in his characterisation of the situation. No Minister is censored—far from it. Ministers are allowed to campaign against the Government position. It is for civil servants, therefore, to follow the Government position. After all, it is required by law that they follow and support the position of the Government of the day.
There is a serious constitutional issue here, which goes to the heart of House of Commons accountability. We ask Ministers questions and expect answers that are fully informed. How can those who send us to the House of Commons have faith in the answers we get if those whom we question purposely have information withheld by their own civil servants?
I have a huge amount of respect for my right hon. Friend. That is why I will answer his specific point. The question is exactly the reason for prescribing this guidance only in respect of the in/out issue rather than more broadly. That is what the guidance says. This broad approach was set up by the Prime Minister in January, and then discussed and agreed in Cabinet on 20 February as the best way to take forward the position whereby Ministers could disagree with the Government position.
(13 years, 1 month ago)
Commons ChamberGeneral McChrystal’s assessment was, in my view, a touch pessimistic; I think we have come a long way. He was referring to the period from 2001 onwards, and we did not make sufficient progress for a large proportion of that time. However, I would argue that since 2006, and particularly since the American surge, we have had the correct force densities to achieve what we wanted. We are now increasingly able to hold the military territory and are increasingly tactically successful, but there must be greater progress in the political and economic spaces.
2. What progress he is making in implementing the recommendations of the Levene review of defence reform.
Since entering office, we have made significant progress in transforming defence. The new Defence Board and the Major Projects Review Board are up and running. The Defence Infrastructure Organisation and the Defence Business Services organisation have both been established. We have appointed the first commander of the new Joint Forces Command. In addition to the specific recommendations in Lord Levene’s report, we have completed the basing and reserves reviews, and, even more importantly, established a broadly affordable future defence programme. This ambitious, but achievable, programme of work is part of transformation across defence, the likes of which has not been seen in a generation.
I commend the Secretary of State on the substantial work that he has done so far in implementing the Levene report and ask him to stick to his guns in dealing with the £38 billion hole in the budget. Has he had any word of apology from the Opposition?
I think it is unreasonable for my hon. Friend to expect an apology from the Opposition as they do not yet understand what they did. They are still deficit deniers who not only fail to recognise what they did to the MOD budget, but do not yet understand what they did to the broader British economy.
(13 years, 4 months ago)
Commons Chamber1. What progress his Department is making in implementing the recommendations of Lord Levene’s report on defence reform.
Before I answer my hon. Friend’s question, I confirm to the House that a British serviceman is missing in Afghanistan and that an extensive operation to locate him is under way. The individual was based in central Helmand and was reported missing in the early hours of this morning. His next of kin have been informed and will be updated as the operation continues, so no other family need be concerned. I recognise that there will be many questions, but speculation on an issue of this nature is unhelpful. I urge restraint from colleagues and the media, and assure the House that the United Kingdom and the international security assistance force are taking all necessary and appropriate action.
In answer to my hon. Friend, all parts of the Ministry of Defence, civilian and military, are committed to making the reforms happen, and some have already been put in place. I have chaired the first meeting of the new Defence Board; we have introduced the new infrastructure organisation and corporate service models; and the new Defence Business Services organisation stands up today. We will put all the other elements in place as quickly as possible. Lord Levene’s recommendations will mean the biggest change to the MOD in a generation. It will take time to do it all and get it right.
As a member of the Public Accounts Committee, I know that our reports have frequently shown that attempts to reform the MOD have failed through lack of consistency and leadership, and that as a result the Secretary of State is having to deal with the shambles that he inherited. Will he assure me that he will not make the same mistakes as the previous Government, and instead see through the radical reform that is needed?
(13 years, 5 months ago)
Commons ChamberThe single service chiefs will, through the chiefs of staff committee, always be able to have a robust debate among themselves and with the CDS ahead of the CDS reporting their views to the defence board. They also have access to me, as Secretary of State, if they have a particular grievance that they feel has not been listened to. My door is open to them at any time.
During the year for which I have been a member of the Public Accounts Committee, I have often been shocked by the poor management of the budget in the Ministry of Defence, so I warmly welcome the report. Will the Secretary of State explain how the new joint command will be held to account, and will he reassure me that the establishment of a new command will not reduce accountability?
All parts of the armed forces will be subject to regular and rigorous review. Although, as I have said, we are devolving power to the single service chiefs in terms of their budgets—which will allow them sometimes to exchange manpower for equipment, for example—they will be subject to quarterly review by the CDS and the PUS, who will consider both the military impact and the financial implications of any decisions that are made.
(13 years, 9 months ago)
Commons ChamberDid the Secretary of State know about the evidence given by officials who served the Labour Government that it was the ministerial decision to delay the SDR that made the black hole that was left so big and the difficulty of getting matters in order so much greater?
We could spend a great deal of time detailing the failures of the previous Government. Labour Members constantly talk about making changes as though we were in a vacuum or, as my hon. Friend the Member for Dover (Charlie Elphicke) said, at year zero. We are in a very difficult economic predicament largely of their making, yet they talk about not only the military covenant but almost everything else as if there were no financial cost and as if we should not take what is happening in the economy into account when it comes to pensions and programmes in the Ministry of Defence.