(3 years, 10 months ago)
Commons ChamberWell, yes—in principle. The point is to protect the NHS and to stop people dying from the disease. While at the moment cases are a very clear proxy for future hospitalisations and future deaths, as the vaccine is rolled out, we would hope that for every number of cases we would have fewer hospitalisations and fewer deaths. It is that protection from hospitalisations and deaths that the vaccine gives us, which is why it is the route out of the crisis.
I pay tribute to Homerton University Hospital in the heart of my constituency, where the staff are working flat out now with the rising number of cases, and to the Royal London Hospital in a neighbouring constituency, which of course had a queue of ambulances with covid patients waiting to be treated. Given the pressure on the NHS, which I know the Secretary of State also feels very strongly about, what is he doing to ensure that the nurses and other staff we need are available? Recent press reports suggest that of the 71,000 available nurses, only just over 1,000 had been deployed. Is he working with the Nursing and Midwifery Council to track down those with the right registration and skills and to get them into the right places?
Yes, it is incredibly important that we support the NHS with the workforce that it needs—both the permanent workforce, where we have increased the number of nurses by over 13,000 in the past 12 months, and a temporary workforce for the difficult few weeks that we have ahead of us in the NHS. I am working with the NHS and others on exactly the question that hon. Lady rightly raises, and I join her in praising the team at the Homerton, who are doing a great job.
(3 years, 11 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.
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My hon. Friend’s constituents will be able to access the vaccine in Colchester from now, and some will be being called forward. Like many others, he rightly asks for the vaccination roll-out to reach Ipswich itself, and it will reach Ipswich itself just as soon as we can get that sorted. I have a lot of sympathy with what he said about two days feeling like a year!
It is a great day for medicine, science and the population, but in response to my hon. Friend the Member for Blaenau Gwent (Nick Smith), the Secretary of State was somewhat dismissive of an important National Audit Office report that raised serious concerns about the letting of contracts in Government—contracts being published late; missing paperwork; the establishment of a high-priority lane, with one in 10 of those applying via that route awarded contracts; and an overall lack of transparency. As the NAO says, the lack of documentation of key decisions, including
“why particular suppliers were chosen”,
is important. It is taxpayers’ money that is being spent. In relation to the vaccine roll-out, are private companies involved, and will the Secretary of State commit to being open and transparent and publishing the contracts and all the paperwork that goes with them?
Of course I will defend to the end the work that we did to get the PPE roll-out to which the hon. Lady refers. Of course we had priority contracts, because we wanted, when somebody had a good lead, to be able to see if we could make an arrangement as fast as possible, but that was all done through the proper processes, as the NAO report sets out. She asks—I have a lot of respect for the hon. Lady, but really—whether private companies will be involved in the vaccine roll-out. Try Pfizer or BioNTech, the people who came up with and are manufacturing this vaccine. Without them, we would not have a vaccine at all, and a bit of a thank you would do well from the Chair of the Public Accounts Committee.
(4 years ago)
Commons ChamberYes, of course. I have seen some heart-rending stories and I have met people who are affected by their inability to see their relatives in care homes. The lateral flow tests that we are sending to directors of public health can be used for cases that they think are important locally, so they can use them for this purpose if they so choose. But we are also looking at a broader solution to this problem, which is a conundrum we have discussed many times in this House: we need to keep people in care homes safe but at the same time, of course, we want to allow as much visiting as can be safe, which directly impacts on the health of many residents.
It would be very helpful to know how long the roll-out of the vaccinations will take once the Secretary of State gets the go-ahead. He has outlined a major Government project that does not stop with the first vaccinations, and with the mutations rife in Denmark and elsewhere, it could affect children in future, so as part of his major project planning, how is he going to make sure that we can logistically get this out through the entire population if that does, sadly, become necessary?
That is a very good question from the Chair of the Public Accounts Committee—I would expect nothing less. The critical answer to how long this takes is that it depends on the speed of manufacture in the first instance. My goal, and the goal I have set the NHS, is to be able to roll this out as quickly as it can be manufactured. That manufacturing schedule is uncertain because this is really hard stuff to make. We have got the Major Projects Authority in the Government involved in many of the projects that we have built up in the Department over the past nine months, because I respect its views and its ability to kick the tyres. The roll-out of the vaccine is a huge endeavour, but it builds on the annual roll-out of the flu vaccine—it is just bigger and needs to be done faster.
(4 years, 2 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 Secretary of State is in danger of believing the global figures without looking at the reality on the ground. In my borough, which has been working hard with the Government to keep an outbreak down, we have two walk-in test centres, which have been advertised as such to reach the digitally divided and make sure that people can get tests quickly. Over the weekend, staff from Deloitte—a private company running this public service—told people that they could no longer walk in. That was not communicated to the local authority, so the service was still being advertised as walk-in, and more than 90 people were turned away from one test centre alone. This is a fiasco of the Government’s making, and the Secretary of State could intervene now to make sure that, at the very least, there is communication. I hope he will release the correspondence between Deloitte and the Department of Health and Social Care so that we can see exactly what has happened.
I will happily look at that individual case. Of course, there are many hundreds of tests being done in the hon. Lady’s constituency, as well as across London. I can look at the individual point and make sure that communications occur as necessary.
(4 years, 4 months ago)
Commons ChamberMy hon. Friend is quite right to ask about that, but it is not just Public Health England—it is right across the board. It is about taking steps in the NHS and in test and trace to grow capacity in contact tracing. My right hon. Friend the Member for Tunbridge Wells (Greg Clark) just asked about testing capacity; we need to know that that is there right across the board. Public Health England has its responsibilities, but so do we all.
I am delighted that the Secretary of State is so keen on data. My local clinical commissioning group tells me that it is still not getting the right data to GPs—it is quite clunky—and I think it is right in saying that GPs can see comorbidities, so it is particularly important that they get data about people who have been tested. We currently have an outbreak in the north of my borough and although we have the postcode data, we do not yet have the full address data, which is isolated to households. If we can get that very precise location, it will prevent a local lockdown. Surely the track-and-tracers are getting that data; can they get it to local authorities so that we can handle this situation locally?
I will personally ensure that all the data that we have on the hon. Lady’s borough is made available to her borough—subject to a data sharing agreement, which I think is in place with Hackney—so that it can best address the situation. It may be that we do not have the data that is being sought, in which case we will be straightforward and open about that and we might want to have a discussion about whether we can get any further data that is necessary.
(4 years, 5 months ago)
Commons ChamberThe Secretary of State will recall that I wrote to him a little while ago suggesting that an approach that was a bit more Shoreditch and a little less Whitehall might be effective. Given the lack of success of the app, maybe he could have taken that advice. I am pleased that Hackney Council is one of the five areas that is piloting this, working with GPs and other health professionals in public health and so on, but the critical thing is that we are not getting the data locally that we need to do the proper tracing of those who were close to someone who has tested positive. When will that data arrive? Without it, it is like working with one arm tied behind our back.
The amount of data flowing to local authorities has increased substantially over the past few weeks since the start of the operation at the end of last month, and there will be more coming very, very soon.
(4 years, 8 months ago)
Commons ChamberYes, we are constantly looking at what is happening around the world, what people are doing and the research in order to try to make sure that we calibrate the very best possible response.
Many of my constituents live in severely overcrowded accommodation or in single hostel rooms. There is a looming public health crisis in the short term and a looming long-term mental health crisis because of the conditions in which they will have to self-isolate. What will the Secretary of State do about those people and what advice will he give?
(4 years, 8 months ago)
Commons ChamberThat is a very important consideration. As I said, the number of labs doing testing has already gone from one to 12, and we are working with more than two dozen companies on further testing capability. We are rolling out a big expansion of testing. The critical thing is to ensure that it is not just about the testing. Getting the whole pathway right—from somebody feeling sick to calling 111, being tested and then getting the test result back—as the number of tests goes up is the critical thing we have to do.
Will the Secretary of State update us on the thinking about what will happen, if this does continue as is projected, for schools? If schools close, what in particular will happen to children on free school meals, whose parents massively rely on them to keep their children well fed?
The hon. Member sets out one of the many reasons why there are downsides to closing schools. There are significant downsides, especially because of the knock-on consequences it has on the number of staff available for critical public services, including the NHS and social care. There are many considerations we have to take into account if we close schools, and that is why we have no plans for a mass closure of schools. Of course, individual schools will sometimes be advised to be closed, but because one of the saving graces of this virus is that it does not have a big impact on children, there are fewer benefits to closing schools, and she sets out one of the downsides.
(4 years, 8 months ago)
Commons ChamberYes. We are upgrading the communications activities tomorrow but, should we move into the mitigate phase, the communications will clearly need to be different and will need to be upgraded yet again.
We have known for years that people on outsourced contracts do not have access to sick pay. The coronavirus is now throwing up that problem for the wider community, yet we heard the Secretary of State for Business, Energy and Industrial Strategy talk about people going on to universal credit—he does not live in the real world if he thinks that is possible within three days—and the Secretary of State for Health and Social Care talk today about seven days’ isolation and, when pressed, about ringing the GP. Can he give very clear advice to those who have to choose between working and eating, so that we make sure they do not go to work when they are ill?
I have been absolutely clear about the legal position, and I have said that we are keeping the area under review.
(5 years, 10 months ago)
Commons ChamberI am heartened that Baroness Harding is looking at the staffing side of things, but she does have a mountain to climb. Let me remind the Secretary of State that the last time the NHS went out to recruit GPs, it ended up with fewer GPs at the end of the year than it had had before. That is not to mention the pension cap put in place by his former mentor—or maybe his current mentor—the former Chancellor, which now means that there is a problem with the retention of senior clinical staff. We can add to that list the immigration rules and pay ceiling. Is the Secretary of State lobbying the Home Office and the Treasury, particularly to deal with the £30,000 cap and the pension cap?
I welcome much of the tone of the hon. Lady’s remarks. The truth is that it is critical to ensure that we have the workforce and the people to deliver the plan. There is a whole section of this plan, as well as ongoing work, to deliver that. I want to clear up this point: in the immigration White Paper published by the Home Secretary before Christmas, as now, there is no cap on recruitment numbers for nurses and doctors. The proposal is that the cap will not necessarily apply within a shortage occupation. We will be recruiting people from around the world to work in our NHS.
(9 years, 11 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
I pay tribute to the work of the BIS Committee, particularly that recommendation. My hon. Friend has made an eloquent criticism of the previous Government, but I think today is a day to bring all sides together.
Many Nigerians I meet are very positive about the steps the UK is taking to tackle corruption. The James Ibori conviction was hailed both by the diaspora and by many in Nigeria. Will the Minister explain how the plan will help more such cases come to court and tackle corruption with this important partner?
The first and most important element of the plan that will have an impact is that it will bring together the domestic resources used to tackle such issues—instead of having them splintered among different agencies and departments—and its transparency measures will make sure that we can better tackle corruption through transparency and also disincentivise it, because people will know that it will be harder to hide. I hope that those two things will help reduce corruption. If we ever manage to stamp out corruption as a society, that would be great, but this is about reducing it as much as possible.
(10 years, 5 months ago)
Commons ChamberWork-related learning is an attempt to pretend that young people can be given a feel of what it is like to be in the workplace without putting them in the workplace. We care about high-quality work experience, because all the evidence shows that the more work experience young people do, the more likely they are to get a job.
Does the Minister agree that learning to network and to make connections is also important? He did agree to come to Hackney to see some of the best networking and careers advice, and I hope that he will honour that commitment.
I am keen to come to Hackney. We have been working on some dates, but we will renew our effort. I agree with the hon. Lady, not least because those who do not have natural networks through their family links often find it harder to break into high-quality jobs, and networking and mentoring can do an enormous amount to break down those barriers and improve social mobility.
(10 years, 9 months ago)
Commons ChamberIf I recall correctly, my right hon. Friend—my boss—said that we would shortly be publishing further statutory guidance, and we will.
My Big Career is a charity that provides face-to-face careers advice in Hackney schools, and is already making great strides in improving the present position. It has also uncovered the fact that, as was pointed out by my hon. Friend the Member for Denton and Reddish (Andrew Gwynne), young people are not always pushed enough towards the right vocational training and qualifications. Will the Minister visit Hackney to observe the work that My Big Career is doing in schools, and see for himself the benefit of that face-to-face careers advice?
Absolutely: I should love to visit Hackney with the hon. Lady. What is happening there is part of a wider drive to ensure that it is real employers who mentor and support young people and give them inspiration. It is part of a culture change that is starting to come about, and I look forward to working with the hon. Lady in that connection.