Health and Care Bill

Debate between Matt Hancock and Martyn Day

Consideration of Lords amendments
Monday 25th April 2022 Commons Chamber

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

I will be brief, Madam Deputy Speaker.

Operational procurement is a devolved matter but, given our interest in trade policies, we welcome the progress on procurement to ensure that healthcare supply chains are not linked to modern slavery and human trafficking. We support UK Government amendment 48A in lieu of Lords amendment 48, and we also support Lords amendment 48B in lieu. It is perhaps worth reflecting on the fact that in Scotland half of all PPE is now produced locally and that the overall costs of pandemic procurement were a third less than those of the UK. Such measures can, then, be cost-effective and help to safeguard against global supply chain issues.

[Matt Hancock (West Suffolk) (Con)]

I rise to support the compromise measure on reconfigurations and to ask the Government to take forward the work on UK-wide statistics with vigour and gusto.

First, on reconfigurations, it is right and reasonable that the largest organisation in the country, which is funded by taxpayers through the taxes that every single citizen pays, should be accountable to Ministers who are in turn accountable to this House. Although that principle has been accepted in the Bill across the board and in general terms, the other place has decided that it should not apply in the specific circumstances of reconfigurations. It is vital that when a reconfiguration happens, not only the clinical voices but the voice of the local community should be heard. The two need to go together. The best way to make happen any reconfiguration that is needed on clinical grounds is to engage the local community and get it onside. If we are to save lives through a reconfiguration, we can win the argument, but only if we engage and make the argument. In my experience, too often a reconfiguration was put on the table, perhaps for good clinical reasons but without enough local engagement, and in practice the process just ran into the sand.

I welcome the six-month delay—I hope the Secretary of State will work quicker than six months most of the time, but it is a good backstop; I welcome the de minimis threshold, because relatively small reconfigurations happen all the time; and I welcome the removal of some of the bureaucracy in the amendment. To my hon. Friend the Minister, who has done a magnificent job on the Bill right from the start, before it even came to this House—I thank all his officials for their service—I say: let us take this compromise but say clearly to the other place, “Thus far and no further.” The principle of democratic responsibility for the NHS and for winning the argument with the public about its local design is at the heart of the Bill and it must stand.

In the final minute I have in which to speak, let me make a point about statistics. Those on the Treasury Bench have decided not to include in the Bill measures on the UK-wide measurement of health services and on the interoperability of data in the four nations of the UK, but I put on the record the importance—I hope the Minister reiterates this—of getting UK-wide measurements. In Wales, it was decided to discontinue the measurement of some aspects, especially in respect of A&E performance. A suspicion was raised—I am sure this could not possibly have been true—that those measurements were discontinued so that unfavourable comparisons with England could no longer be made. If that were true, it would be an outrage. I very much hope that it is not, but we should put it right anyway and measure NHS service delivery throughout the UK on the same basis, so that comparisons can be made, so that we can learn about and improve services across all four nations, and so that accountability can properly apply to the four different Governments who run the four parts of the one NHS, which operates across this United Kingdom.

Covid-19: Government Handling and Preparedness

Debate between Matt Hancock and Martyn Day

Thursday 27th May 2021 Commons Chamber

[Matt Hancock]

It is true that the Indian variant is spreading across the country, and estimates vary as to what proportion of new cases each day involve that variant first identified in India, which is more transmissible. My assessment is that it is too early to say whether we can take the full step 4 on 21 June. Like my right hon. Friend, I desperately want us to do so, but we will only do that if it is safe. We will make a formal assessment ahead of 14 June as to what step we can take on 21 June, and we will be driven by the data and advised on and guided by the science, and we will be fully transparent in those decisions, both with this House and with the public. That is the approach we have taken, that is the approach he and his Select Committee would expect, and that is what we will deliver.

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

In Dominic Cummings’ opening statement yesterday, he said:

“The truth is that senior Ministers, senior officials and senior advisers… fell disastrously short of the standards that the public has a right to expect of its Government in a crisis like this. When the public needed us most,”

we “failed.” We then heard a litany of evidence that the disease was not taken seriously in February last year, further compounded by the ignoring of SAGE advice to lockdown in September, resulting in a worse second wave. Does the Health Secretary agree that the UK Government failed the public? Had he acted sooner, how many lives could have been saved or restrictions avoided? Will he act urgently to prevent further unnecessary suffering and death in the immediate future by holding a comprehensive public inquiry immediately?

[Matt Hancock]

I have been working on the pandemic since January of last year—before the disease was even evident in this country. That is when we kicked off work on the vaccine, and I was told at first that it would typically take five years to develop a vaccine. I insisted that we drove at that as fast as we possibly could, and I am delighted at the progress that we have been able to make.

Of course it is right that we learn from everything that we understand and everything that we see and all the scientific advances. We should do that all the way through. This idea that we should wait for an inquiry in order to learn is wrong, but it is right that we go through all that happened at the appropriate time in order to ensure that we are best prepared for the inevitable pandemics of the future.

Health and Social Care Update

Debate between Matt Hancock and Martyn Day

Thursday 18th March 2021 Commons Chamber

[Matt Hancock]

I agree with every word that my right hon. Friend said. It is vital that we all work together. The supply chains for the manufacture of these vaccines cross borders. They are often global supply chains and it is vital that we work together to deliver them. There is a need for that co-operation and there is, of course, a need for all countries to respect contract law. That is the basis of international trade, and I am sure that the European Union will live up to the commitments and statements that it has made, including President von der Leyen herself, who has said that there should not be restrictions on companies when they are fulfilling contractual responsibilities. Of course there should not, and we fully expect those contracts to be delivered on, because there are very significant consequences to breaking contract law.

One further point is that the Oxford-AstraZeneca vaccine was developed because of UK taxpayers putting the funding into the science, development and clinical trials and because of AstraZeneca, with an incredibly bold and generous decision, which we fully support—but it was their decision—to offer this vaccine around the world at cost. Working with institutes such as the Serum Institute of India, Oxford and AstraZeneca are providing a vaccine for the whole world. They are not taking a profit from it. We are very proud of that fact, and that makes this materially different from other vaccines that have been developed for commercial advantage. I am not against that at all, but let us celebrate what AstraZeneca has done, and it only underlines how important it is for everybody to work together to keep their populations safe.

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

I am grateful to the Secretary of State for advance sight of his statement, and, of course, any additional funding for health is always welcome, especially during the pandemic. However, we must ensure that it delivers results. A Public Accounts Committee report has found that the £22 billion UK Government test and trace system has had “no clear impact” on coronavirus infection rates in England. Does the Secretary of State accept that the NHS-led track and trace was the correct option, not privatising public health? And will he tell us whether he believes that Serco track and trace did not have a clear impact on coronavirus infection rates because of the failings of the system, or was it because the UK’s pitiful statutory sick pay is not sufficient to support people in self-isolation to stay safe and save lives?

[Matt Hancock]

People across Scotland who were listening to that will recognise that political point scoring is the opposite of what is needed right now and that instead the UK Government are delivering for people across Scotland the benefits of this United Kingdom working together. Instead of making arguments for constitutional meddling and separation, we are delivering for people. We are delivering vaccines into arms. We are delivering a testing system that works for people across the whole of the UK. Crucially, we are also delivering that enormous economic support package to businesses and individuals alike. All of this is possible only because of our great United Kingdom, and I am glad that the people of Scotland increasingly recognise that.

Covid-19 Update

Debate between Matt Hancock and Martyn Day

Tuesday 2nd March 2021 Commons Chamber

[Matt Hancock]

The clinical advice is that outdoors is safer than indoors—the likelihood of transmission outdoors is much lower—but that in crowded outdoor areas in particular it is not nil. Hence, the road map is based on opening up outdoors sooner, but people should still follow social distancing and, of course, follow the rules, which should mean that come the 29th of this month we are able to open up outdoors first.

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

Scottish health protection teams are having to trace all the people who travelled on the plane to Aberdeen, and there must be similar risks and concerns in England, given the travel through London. Of course, there are no passenger lists for anyone who travelled on by train. Does the Secretary of State not therefore agree that it is a matter of urgency that his Government change policy to reduce the risk of importing further and more dangerous variants?

[Matt Hancock]

Since the six people under discussion with the variant of concern first found in Brazil travelled here, we have introduced further strengthening at the border—the hotel quarantine. I think the best approach would be a UK-wide one. I discussed that with my colleagues in the devolved Administrations and I look forward to a time when we are able to have an aligned policy.

Covid-19 Update

Debate between Matt Hancock and Martyn Day

Tuesday 9th February 2021 Commons Chamber

[Matt Hancock]

We have the biggest genomic capacity in the world by some margin, and when the number of cases comes down, as our genomic capacity continues to expand—we plan to more than double it in the coming months—I hope to get to the position where we can genomically sequence every positive case, yes, but we are not there yet.

The strategy that I outlined to tackle new variants, of which the border measures are an important part, is itself one part of the four conditions that the Prime Minister set out for when we can lift measures. The other three are the successful roll-out of the vaccine, which is going very well, and the fall in the number of hospitalisations and the fall in the number of deaths, both of which, as I said, are moving in the right direction but are still too high. Therefore, this strategy to tackle new variants is crucial. The number of cases is a factor, because that itself determines the number of new variants. The conclusion of all that is that we must all stick to the rules now, and the more we stick to the rules now, the sooner we can get out of this.

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

The South African variant is a sure warning sign of the risk from other mutant strains that may be out there; combined with the question mark over vaccine efficacy with this variant, it is clear why we need effective border restrictions. Can the Secretary of State tell me why there are 35 countries where the South African and Brazilian variants are present that are not on the quarantine red list? Do the Government have a plan to redress that gap? From a Government obsessed with taking back control over their borders, that omission is surprising.

The Prime Minister has previously said that the UK cannot emulate other island countries, such as New Zealand and Australia, in preventing all unnecessary travel into the country due to the amount of food and medicine that it imports. Today’s change of heart is welcome. Can the Secretary of State confirm how these measures will keep the flow of goods and those transporting them open, while restricting travel not related to the import and export of goods?

[Matt Hancock]

The measures I have outlined today relate to passenger travel. There is, of course, a testing regime already in place for accompanied freight. There is a difference between this country and Australia and New Zealand, and that is that accompanied freight is a significant proportion of our daily imports, including just-in-time delivery, for instance, of food, whereas for islands that are further away from a continent, unaccompanied freight is a much more significant proportion of their international imports. We have to take these practical considerations into account. As I said, we keep the red list of countries under review, and the extra testing measures that I have outlined today will help us with that vigilance so that we can see where variants of concern are and to what degree they are present in other countries around the world.

Vaccine Roll-out

Debate between Matt Hancock and Martyn Day

Thursday 21st January 2021 Commons Chamber

[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.

Covid-19 Update

Debate between Matt Hancock and Martyn Day

Wednesday 30th December 2020 Commons Chamber

[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.

Covid-19 Update

Debate between Matt Hancock and Martyn Day

Thursday 17th December 2020 Commons Chamber

[Matt Hancock]

People should act with great caution in this pandemic, because doing so protects them, protects their families and protects their loved ones. We have set out what the rules are, but they are not a limit up to which we should all push. We can all act within those rules to limit the spread, by reducing social contact in the days up to meeting a family member who may be, for instance, over 70—or any other family member. It is reasonable and responsible to take that sort of action.

I am grateful to my right hon. Friend for what he said about the vaccine roll-out. I have been cheered by the messages I get from constituents and others now that they are receiving the vaccine. We just have to ensure that we get the deployment out as fast as the vaccine can reasonably be produced and as fast as the NHS can deploy it, so that we get people the safety of that vaccine and so that we can get through this and out of this as soon as possible.

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

It is important that the festive days ahead do not become a five-day mass get-together. Therefore, we should use as little of the flexibility as possible, spread over several days, while ensuring that no one is facing Christmas alone. The concerns from medical professionals that the Christmas covid restriction relaxation will cost lives are not to be dismissed lightly. Does the Secretary of State agree that if people are to form a bubble, it should be kept as small as possible? If so, would it not be better to follow the Scottish approach, which sets a strict maximum limit on the numbers, up to eight people from three households, rather than the potentially unlimited numbers permitted currently in English bubbles?

[Matt Hancock]

This has been an incredibly difficult year for so many people and so many families. The fixed numerical limits place a particular burden on very large families. We have taken, I think, a balanced and right approach, but while I understand the urge for caution—of course I understand that, from my NHS colleagues and others—I also understand that people want to see their children and their loved ones. Christmas is an important time of year, and we have to find a balance.

Covid-19 Update

Debate between Matt Hancock and Martyn Day

Monday 14th December 2020 Commons Chamber

[Matt Hancock]

Yes.

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

A recent report has concluded that some of the poorer countries might not get access to vaccines until 2024. If the ongoing roll-out in the western countries is successful and normality starts to return by spring, will the Secretary of State give a commitment that he will resist calls to declare the pandemic over, and accept that a global challenge will remain until all countries have widespread vaccination programmes in place?

[Matt Hancock]

Thanks to the strength of the UK, we have put more funding into the global vaccination effort than any other country in the world, and I am proud of that fact. Of course we have to work together to ensure that vaccines are available everywhere.

Covid-19 Vaccine Roll-out

Debate between Matt Hancock and Martyn Day

Tuesday 8th December 2020 Commons Chamber

[Matt Hancock]

It makes me very proud that we have managed to start this vaccination programme sooner than many people anticipated. People told me that it was not going to be possible and that it was all very difficult. It has been difficult, but we have got there, and we did so because of international science, working with German scientists and American pharmaceutical companies, and people right around the world working on this project. I have high confidence that the summer of 2021 will be a bright one, without the sorts of restrictions that made the summer of 2020 more restricted. I have booked my holiday—I am going to Cornwall.

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

The commencement of a safe and effective vaccination programme is extremely welcome, but recent studies have shown that as little as 54% of the UK population are certain to have the vaccination. There is a clear need to counter misinformation, whether online scare stories or jingoistic nonsense, so what extra steps will the Minister take to ensure public trust in the vaccine’s safety and effectiveness and to encourage take-up? What assurance can he give that there will be fairness in access to the vaccine until it is widely available, and when does he think it will be available to anyone who wants it? During that period, will the UK Government commit to a similar strategy to that of the Scottish Government of pursuing the eventual elimination of the virus? With a vaccine now available, that is more possible than ever before.

[Matt Hancock]

It is only with a vaccine that we can finally defeat this virus and get life back to normal. This UK project has made huge strides forward, and I am very, very grateful to NHS Scotland for the work that it is doing right now in making sure that the vaccine can reach people across Scotland, as the NHS is doing in Wales, Northern Ireland and England. It is a big team effort, and it is because the UK vaccines taskforce was the first out of the blocks on buying the vaccine, along with the smart approach taken by the MHRA, that we have been able to get to this point before any other country.

The hon. Gentleman asked about fairness in access. Absolutely—fairness is critical, hence we will follow the clinical advice of the Joint Committee on Vaccination and Immunisation on priority, again, right across the UK. Finally, I agree strongly with him—the hon. Member for Leicester South (Jonathan Ashworth) also raised this, and I did not respond to it, so I shall now—that countering disinformation is incredibly important. That is best done with positive information and explaining objectively why and how the vaccine is safe. Something that we can all do in the House is talk positively about the benefits of the vaccine for keeping people safe and keeping their community safe. I pay tribute to all those who have been willing to come forward and talk in public, and I thank those who have already had the vaccine—since 6.30 this morning—and have been willing to tell their story publicly to help others have the confidence to do the right thing. Finally, surveys of the UK population show that we have one of the highest acceptances of taking the vaccine in the world. The numbers who are enthusiastic about it are rising at the moment, and we need to keep that going.

Coronavirus Vaccine

Debate between Matt Hancock and Martyn Day

Wednesday 2nd December 2020 Commons Chamber

[Matt Hancock]

My hon. Friend, as a GP, understands this subject more than most. We are working with the Welsh Administration to try to get community testing throughout Wales. We are working in Merthyr Tydfil right now to get the case rates down there. I am very happy to work with him, the Welsh Administration and local councils to ensure that we get the case rates down wherever we can.

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

As we await the welcome roll-out of a vaccine, test and trace remains vital. In Scotland, over 90% of cases and contacts have been reached, whereas England, with its reliance on Serco, has seen barely 60% of contacts reached—far lower than is needed to meaningfully limit the spread of covid. Will the Secretary of State advise us what clauses are in the contracts regarding this failure to deliver, and what is he going to do about it?

[Matt Hancock]

I gently advise the hon. Member and other Scottish National party Members not to try to make this comparison. I looked into this matter in some detail when somebody else raised it. It turns out that the figures are only comparable if one strips out finding contacts in places where it is easy to get the contacts, such as care homes, because everybody who lives in them can easily be accounted for. Comparing apples and pears like this is not sensible and it is not right. Trying to drive a wedge between the public and private element of the system’s provision—which, by the way, Scotland also has—is a mistake.

Covid-19 Update

Debate between Matt Hancock and Martyn Day

Tuesday 10th November 2020 Commons Chamber

[Matt Hancock]

There are of course record numbers of staff in the NHS. There has been an increase of over 13,000 nurses, for instance, in the past year, and we have the returners who have come back into the NHS. The right hon. Member for Normanton, Pontefract and Castleford (Yvette Cooper) asked this question and I did not answer it, so I will now answer them both together. The Nightingale hospitals are incredibly important as additional surge capacity, but part of that surge involves the staff in the NHS having themselves each to look after a higher proportion of patients. That surge is not something we want to put in place unless we have to, so having the Nightingales there is important. They can be used—in fact, the Manchester Nightingale currently has patients in it—but it is better both for patients and staff if people can be treated in the existing hospitals, even as we expand the number of staff that are available.

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

Following the rise in the real living wage, will the Government now do the right thing for care workers, as well as for UK Government workers on outsourced facilities management contracts, all of whom have worked throughout the pandemic to make workplaces safe, and ensure that they are paid the real living wage?

[Matt Hancock]

I am absolutely delighted that the national living wage, which we introduced, now means that there has been a sharp rise in the pay of our lowest-paid staff right across the UK. I think that is something this whole House can get behind. It is true in social care, as the hon. Gentleman mentions, and in other professions, and I am really proud to have played a part in bringing it about.

Covid-19 Update and Hospitality Curfew

Debate between Matt Hancock and Martyn Day

Thursday 1st October 2020 Commons Chamber

[Matt Hancock]

I am going to pay tribute to my hon. Friend, and for the following reason. There are some people who rail against some of the measures that we have to put in place, and of course I understand the impact they have, but there are reasons for each one of them—and collectively they are vital for the strategy that we are pursuing of suppressing the virus and protecting the economy, education and the NHS until a vaccine arrives. My hon. Friend does not agree with that strategy, and that is a perfectly honourable position; it is just something I profoundly disagree with him on. Indeed, last night he was one of the handful of colleagues who voted against the renewal of the Coronavirus Act 2020. It is perfectly reasonable to make the argument that we should just let the virus rip; I just think that the hundreds of thousands of deaths that would follow is not a price that anyone should pay.

I believe in individual responsibility and the promotion of freedom, subject to not harming others. One of the pernicious things about this virus is that people can harm others, sometimes inadvertently, by giving them a disease that leads to their death, because this virus passes from one to another asymptomatically. So while I understand the impact of these things, especially coming from a small business background—I get it—unfortunately we do have to take action to suppress the virus, because the alternative of letting it rip is not a policy that I would ever want to pursue.

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

It is vital that we find a balance between taking action to suppress the virus and protecting people’s jobs and their livelihoods. How confident is the Secretary of State that the existing rules for pubs and restaurants on hygiene, face coverings, table service, maximum numbers in groups and the distances between them are being complied with? What happens next if they are not? Does he agree that avoiding mixed messaging is particularly important, and if so, what message does it send that Parliament’s bars are exempt from the curfew? Will he commit to continued co-operation with the devolved Governments under the four-nation plan?

[Matt Hancock]

I have not been to the bar recently, but I do not think that Parliament’s bars are exempt from these measures. I think it is wrong to say so, and I would be grateful if you could confirm that, Mr Speaker, because it is a matter for the House, not the Government.

Other than that, the hon. Gentleman makes a perfectly valid point. Of course we keep these measures under review. We want to have the least damaging economic impact, consistent with keeping the virus under control and suppressing it. That is the same strategy of all four Governments—the three devolved Governments and the UK Government. We keep these things under review, but we think that they are necessary to keep people safe.

Covid-19 Update

Debate between Matt Hancock and Martyn Day

Thursday 10th September 2020 Commons Chamber

[Matt Hancock]

That is an extremely clear and strong position from the Chair of the Select Committee. Of course we are expanding the current technologies. We have a plan, when we are on track for it, to get to 500,000 tests a day by the end of next month, on the current technologies. On the next generation of technologies, I am not going to put a figure on it because it depends on the technologies coming off. The very nature of backing new technologies is that we do not know which ones are going to be verified. That is why we have so many that are being piloted and so many with whom we are working. We have tests right now in Porton Down being verified. We want this to go as fast as we can, and we want it to go as large as we reasonably can, but we do not put a specific figure on it—we put all our weight and support behind this project, which will have the positive benefits that my right hon. Friend so eloquently sets out.

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

Yesterday we heard the Prime Minister describe his Operation Moonshot as the

“only hope for avoiding a second national lockdown”.

Already some experts have described this mass testing strategy as being fundamentally flawed. So does the Secretary of State think that the Prime Minister is gambling on something that the experts feel cannot be delivered?

On Tuesday, the Secretary of State failed to answer my hon. Friend the Member for Central Ayrshire (Dr Whitford) when she asked if it would be better to allow tests to be carried out locally and just move the samples around the UK instead of potentially infectious people. As he did not give an answer then, will he consider this now?

Finally, will the Secretary of State join me in welcoming the launch of Scotland’s Protect Scotland mobile tracing app yesterday? What update can he give the House on his own Government’s plans to release a similar app?

[Matt Hancock]

We have been working with the Scottish Government, as well as with the Welsh Government and the Northern Ireland Government, and actually Governments internationally, on an update on the app technology.

On the hon. Gentleman’s second point, that is simply a mischaracterisation of the policy. Of course we move samples around the country all the time. What we want to do, of course, is to continue to reduce the distance people have to travel. As I say, the average distance that people have to travel to get a test is 6.4 miles.

On the hon. Gentleman’s first point, there were, in the spring, some people who complained about my determination to expand our testing capacity at a record pace. We are hearing some of those voices again complaining that we want to increase testing. Both the SNP and Labour are making a huge mistake in opposing mass testing. It is an incredibly important tool in our arsenal.

Covid-19

Debate between Matt Hancock and Martyn Day

Tuesday 1st September 2020 Commons Chamber

[Matt Hancock]

My former ministerial colleague, a distinguished former Public Health Minister, raises an incredibly important point. We are undertaking consultation on precisely this question right now; in fact, I invite him to come into the Department to give his views. The critical thing is that we need to ensure that we drive the health improvement agenda, the obesity agenda and the wider health improvement agenda forward very strongly. Local councils have a huge role to play in this, and they must be bound yet further into the health improvement agenda. The NHS has a huge role to play, and that must be bound more strongly again. Today’s announcement is good progress from the NHS. This is incredibly important. We are going to get it right. It is a very high priority of the Prime Minister, and I look forward to working with him on making it happen.

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

Will the Secretary of State commit to raising healthcare funding to help prevent a potential second wave, while ensuring that Scotland’s NHS receives the necessary levels of Barnett funding to help it prepare effectively for a potential winter wave and ensure that Scotland’s health workers have all the resources that they need?

[Matt Hancock]

Yes. This country has never increased health spending in a year more than it has this year, and the Barnett consequentials mean that many billions of pounds have flowed to Scotland to improve the response in Scotland, too.

Coronavirus Response

Debate between Matt Hancock and Martyn Day

Monday 20th July 2020 Commons Chamber

[Matt Hancock]

I stand with my hon. Friend and the people of Wolverhampton in saying that, if they need more testing, they will get more testing, but right now I know for sure that anybody in Wolverhampton who needs a test can get one if they have symptoms. If in doubt, get a test because that is the most important thing people can do to help control the virus across the country.

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

Independent SAGE has estimated another 27,000 deaths in the UK by spring without a second wave of the virus, if the UK Government continue with their current approach, so will the Secretary of State agree to follow the example of Scotland, Wales and Northern Ireland and pursue a strategy of eliminating the virus, rather than accepting the terrible projected death toll that living with the virus will cause?

[Matt Hancock]

Those projections did not take into account the actions that the UK Government are undertaking.

Coronavirus Update

Debate between Matt Hancock and Martyn Day

Tuesday 14th July 2020 Commons Chamber

[Matt Hancock]

I take very seriously the royal colleges report. We are engaged in a massive ramp-up of testing and of the contact tracing that my right hon. Friend has long championed. The scale of the ramp-up of testing will be big enough to cope with the sorts of figures that are described in the royal colleges report—that is even on the current testing technology. If there is a breakthrough so that we can get testing technology that is even easier to roll out, where it can be done at the bedside in the community rather than having to be sent to a lab, we will be able to have an even bigger roll-out.

On my right hon. Friend’s final point, as he and I have discussed in this Chamber, we have put in place a programme of regular testing of NHS staff that is advised by clinicians. That insists on regular testing that is, again, risk-based, and as we further ramp-up testing above and beyond the current 300,000-a-day capacity that we have now achieved, which is one of the highest in the whole world, we will of course continue to expand that effort.

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

I thank the Secretary of State for his statement; it represents a welcome step towards preparing for any potential new second wave of coronavirus infections this winter. The virus has not been eliminated, so as we lift lockdown and people increasingly interact with one another, we need to use every tool we have to reduce the risk of a second wave.

A report commissioned by the UK chief scientific adviser, Sir Patrick Vallance, has concluded that July and August must be a period of intense preparation for a potential winter resurgence of the virus, with R potentially rising to 1.7 by September. The report’s worst-case scenario forewarns of an estimated 119,000 associated hospital deaths between September and June—more than double the deaths we saw during the spring wave. This outcome, of course, does not take any account of likely actions that the Government may take. I sincerely hope that an elimination strategy is adopted as part of that.

The move to compulsory face coverings is a welcome and helpful intervention, but I am in no doubt that effective uptake will require consistent and effective public messaging. So far, we had the Chancellor of the Duchy of Lancaster saying on Sunday that face coverings should not be mandatory, the Justice Secretary saying that they perhaps should be, the Prime Minister saying that he is looking at the evidence and, thankfully, the Health Secretary today saying they will be mandatory. Will he confirm the implementation date? Press speculation has suggested 24 July. When the head of the World Health Organisation said yesterday that mixed messaging from leaders is one of the worst challenges in tackling covid-19, who do we think he had in mind?

The chair of the British Medical Association said that

“each day that goes by adds to the risk of spread and endangers lives.”

While I welcome the UK Government’s falling into line with Scotland and 120 other countries worldwide on mandatory face coverings, they need to be one component of a wider elimination strategy, not just about keeping the virus down. I hope the Secretary of State will take this opportunity to commit to an elimination strategy.

[Matt Hancock]

I certainly agree that the UK has throughout the virus moved largely in lockstep but for a few days in some cases, owing to the implementation and timings of these sort of decisions. That is a good thing, because we are far stronger when we work together as one single United Kingdom. I welcome the Scottish Government’s support for the decision we have taken.

I add only that suppressing the virus is absolutely critical. As all countries around the world have discovered, elimination is extremely difficult. Those countries that thought elimination was achievable are finding that cases pop up again. The correct approach, which we are following right across the United Kingdom, is local action whenever we see cases, clamping down on them as much as possible in order to suppress the virus, while lifting those national measures.

Coronavirus

Debate between Matt Hancock and Martyn Day

Tuesday 7th July 2020 Commons Chamber

[Matt Hancock]

I take my hon. Friend’s point very seriously. We are planning significant investment in the health service in Hampshire. That has to be done in a way that enhances services locally, in Winchester and across the county. We have learned a huge amount during covid about how the health system works best, with system working, much more community activity, and much more treatment at home by telemedicine, which is one of the things that have gone incredibly well in this crisis.

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

Polling from YouGov shows that so-called anti-vaccination sentiment is on the increase in the UK, with 16% of UK adults saying they would probably or definitely avoid a covid-19 vaccine. What does the Secretary of State feel that means for the hopes of achieving immunity?

[Matt Hancock]

The Government of the United Kingdom will recommend a vaccine as soon as one is available that is safe, but only when it is safe. It is so important, and it is incumbent on every single Member of this House, that we make the case for why vaccines are both safe and effective. The hon. Gentleman is absolutely right to raise this issue, and I am grateful to him for doing so. It is an issue, I think, on which all parties agree. Should a vaccine come off, it will be such good news for humanity, frankly, and we will need to make sure that people are given the support and the confidence, and of course the logistical convenience, to be able to get the vaccine should that be clinically appropriate.

Covid-19 Update

Debate between Matt Hancock and Martyn Day

Monday 29th June 2020 Commons Chamber

[Matt Hancock]

I am working with my right hon. Friends the Communities Secretary and the Chancellor of the Exchequer on exactly those measures.

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

Sir Jeremy Farrar, who sits on the Scientific Advisory Group for Emergencies, has said that in winter we anticipate rebounds and second waves. He said that it was crucial to get to the position that Scotland is in, with low numbers of cases giving a low base from which to tackle local outbreaks. With 901 new cases reported over the past 24 hours, how confident is the Secretary of State of reaching that low base by winter?

[Matt Hancock]

Clearly, the measures that we have in place are there to bring the number of cases right down. We have been able to do that over the past few weeks, since the middle of April, when we saw the peak. That has been happening across the country. Where we see local outbreaks and that trend going into reverse, we can take action, whether that is at a highly localised level around a single cluster or, as demonstrated tonight, with an outbreak such as the one in Leicester.

Covid-19 Update

Debate between Matt Hancock and Martyn Day

Tuesday 5th May 2020 Commons Chamber

[Matt Hancock]

Getting new Government guidance to the visually impaired is of course a challenge. It is something we have been working hard on. In the first instance, the first port of call should be primary care—somebody’s GP or 111—if there are any queries. That is where I would point people in the first instance. It has been a challenge, because we have been making policy at speed, and writing and updating guidance at speed, but I would point those who are visually impaired to 111 and their GP if they have any questions.

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

The Trace Together app in Singapore has been down- loaded by 17% of its population since it was introduced in March. What estimate has the Secretary of State made of the numbers that will be required to download NHS app, and have there been discussions about making it compulsory if not enough people do so?

[Matt Hancock]

The more people who download the app the better it will be and the more effective it will be in keeping people safe. However, even small numbers downloading it will help us to spot hotspots and so will bring some value. I was really delighted yesterday afternoon to hear from Isle of Wight Radio, which stated that 80% of people on the Isle of Wight in an early survey said that they wanted to download the app. That would be a terrific result. I pay tribute to the work of Isle of Wight Radio and the local press on the Isle of Wight, who have taken to Isle of Wight’s important role in piloting this roll-out with enthusiasm. There is no numerical answer to the hon. Gentleman’s question. The answer is that as many as possible will make us as safe as possible.

Coronavirus

Debate between Matt Hancock and Martyn Day

Monday 9th March 2020 Commons Chamber

[Matt Hancock]

I pay tribute to the Chair of the Select Committee for the way in which he has handled this—for instance, in demonstrating the need for transparency in the questioning of the chief medical officer last week. I will take away his point on the need for a central estimate. The figures out there relating to the proportion of people who will get the virus are a reasonable worst-case scenario. On the central estimate, there are still things that we do not know about the spread of the virus through China—in particular, whether the degree to which the slowing of the increase in cases in China is because the virus has reached a large proportion of the population and there is a large proportion who are not symptomatic, which would mean that the mortality rate was lower than otherwise thought; or whether the significant measures that the Chinese have taken are having a significant effect, and that therefore, as and when they are lifted, the virus will continue to spread. Either of those options is possible, and we do not know which one it is, but whichever it is, the approach that we are taking in the UK is the right response to both of those scenarios.

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

There seems to have been some media confusion in reports that the move from the contain phase to the delay phase will involve an instant flick-of-the-switch moment. Will the Secretary of State assist us by confirming that that is not the case and that any move will involve a phased transition? Another area of particular vulnerability is the UK prison system, which is extremely short-staffed and stretched. What measures will he be taking following reports of riots and deaths among inmates in Italy’s prisons to ensure that our prisons remain under control during what will be a period of heightened tensions and frustrations as restrictive measures are introduced? Will he also confirm that he is aware of the latest workplace advice from Health Protection Scotland, which was published today and which urges routine cleaning of phones and keypads and says that food should not be left open for people to share? Will his Department be making a similar recommendation for England?

[Matt Hancock]

The hon. Member is absolutely right to suggest that the transition to the delay phase is indeed that: it is a transition. We will not give up hope of containing this disease while we can still take containment actions, and many of the actions that are needed to contain it are also effective for delaying. Of course, the primary action is that everyone should wash their hands, but there is much more than that. He asked about the advice from Health Protection Scotland. We are working very closely with HPS, and Public Health England will shortly be bringing forward further updated guidance that we have been working on over the weekend, not just on social care, as I mentioned earlier, but more broadly, including for businesses, employees and others.

Oral Answers to Questions

Debate between Matt Hancock and Martyn Day

Tuesday 23rd July 2019 Commons Chamber

[Matt Hancock]

My hon. Friend is dead right. This is an important part of the work that Baroness Dido Harding is leading in the NHS people plan to ensure that we can make careers in the NHS—whether as doctors, other clinicians or more broadly—the most attractive that they possibly can be. This week we announced a pay rise for doctors and earlier this month we announced a long-term agreement with junior doctors, which I am delighted they accepted in a referendum with over 80% support. But there is more work to do.

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

The rules around annual and lifetime allowances are having an impact on the NHS workforce in Scotland, and the options contained in the recent consultation on doctors’ pensions do not provide the level of flexibility necessary to resolve this situation. We know that the solution lies with the Treasury, so what pressure can the current Secretary of State put on the Chancellor to ensure that urgent reform takes place to stop this terrible impact on our NHS workforce?

Oral Answers to Questions

Debate between Matt Hancock and Martyn Day

Tuesday 23rd October 2018 Commons Chamber

[Matt Hancock]

Not only does the UK bring a huge amount to the table in terms of research, but we fully intend to make sure that we have a robust and seamless system in place. A consultation is out at the moment and we will respond to it very shortly.

[Martyn Day]

The Government have stated that the new EU clinical trials regulations will not be in place before March, but have committed to aligning with it where possible. What progress has been made regarding data sharing to ensure that clinical trials continue and pharmaceutical and research firms do not leave the UK after Brexit?

[Matt Hancock]

As part of the EU deal we are negotiating, the relationship with the EMA will be extremely close, so I am sure that that will be a part of our agreement.

Oral Answers to Questions

Debate between Matt Hancock and Martyn Day

Wednesday 27th April 2016 Commons Chamber

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

T5. We heard earlier about the anti-lobbying clause that the Minister for the Cabinet Office is determined to introduce in a drive to clean up politics. The Lobbying (Scotland) Act 2016 covers the lobbying of MSPs. Does he have any plans to expand the scope of the register of consultant lobbyists to cover the lobbying of MPs?

[Matthew Hancock]

We brought in the Transparency of Lobbying, Non-Party Campaigning and Trade Union Administration Act 2014 and made progress on this issue during the last Parliament. The crucial point about tackling lobbying through grants is that taxpayers’ money should be spent on the things it is intended for, not on Government lobbying Government.