Government PPE Contracts

Meg Hillier Excerpts

Tuesday 6th December 2022 Commons Chamber

[Angela Rayner]

I thank the hon. Member for his point, and he is absolutely right. The Fire Brigades Union members were in Parliament and outside it today. They are frustrated, like many others who have been told that there is not money to give them a pay rise and that, actually, they are going to get a real-terms pay cut. But at the same time, billions of pounds has been wasted. As I said in my opening remarks, £770,000 a day has gone on storing this equipment. It is not acceptable to most people and most members of the public.

[Dame Meg Hillier (Hackney South and Shoreditch) (Lab/Co-op)]

My right hon. Friend has highlighted one particular legal situation, but I am sure she is aware that the Department of Health and Social Care remains in dispute on 176 contracts for PPE worth £2.7 billion. I wonder whether she has any thoughts about that.

[Angela Rayner]

The Chair of the Public Accounts Committee is absolutely right. It is absolutely eye-watering and astonishing that 176 contracts remain in this situation. The public can see that and they are frustrated, because it is not acceptable and not okay to govern in that way. The public rightly want answers, and they want them now.

The links between the company Medpro and the Tory peer in question were never publicly disclosed. In fact, they were denied repeatedly by the lawyers acting for those involved. We now know that the money ended up in offshore accounts directly linked to those individuals. By their own admission, this was for so-called tax efficiency. It seems that they even dodged paying their own taxes on the profits they made from ours. Only after a long legal battle was it revealed that there was active lobbying from ministerial colleagues for access to the VIP lane and substantial contracts were won by those companies. They said that the peer in question did not benefit from these contracts. That denial has been rather undermined by the latest revelations of The Guardian, rather than any disclosure of Ministers. It was only some time after The Guardian exposed those links that a Minister, the right hon. Member for Charnwood (Edward Argar), finally told me in answer to a parliamentary question:

“Departmental records reflect that a link between Baroness Mone and PPE Medpro was clear prior to contracts being awarded.”

But Ministers have, for months, refused to show us those records or tell us the nature of that link and whether it was declared or discovered in due diligence.

This was the subject of an investigation by the Standards Commissioners in the other place, yet it appears that Ministers sat on the information that they had. The question is very simple: what have Ministers got to hide? Did they know all along who was behind PPE Medpro, or was due diligence so poor that they did not realise the problem? If they had nothing to hide and no rules or laws were broken, Ministers will surely be happy to make the details of the meetings and correspondence available. While they are at it, will the Minister give us clarity about allegations made by the former Health Secretary in his new book about a separate bid for business connected to Baroness Mone?

--- Later in debate ---

[Will Quince]

I am pleased that the hon. Lady made that intervention, because it is the first I have heard of such an accusation being made. If she has evidence of such, I suggest that she presents it.

It might be helpful if I just talk through the process. Thousands of companies made offers; around 430 were prioritised through the high-priority lane; only 12% of those resulted in a contract; and due diligence was carried out on all companies by civil servants. Financial accountability sat with a senior civil servant, and Ministers—this is important—were not involved in the decision-making process. A team of more than 400 civil servants processed referrals and undertook due diligence tests.

On that basis, we will make no apology for procuring PPE at the pace and volume we did. Now that the global market for PPE has stabilised, it is easy for some people to point to the value of goods that are inevitably now sold at a much lower price than we paid, but that is a cheap shot, and one that entirely misses the point. We adjusted down the value of our PPE holding as market prices have changed—that is just standard accounting practice—and even then, we are still putting large quantities of it to use. Our successes should be judged on the conditions we faced at the height of the pandemic, not with the convenient benefit of hindsight.

Let me come to civil servants. If I may, I will give the right hon. Member for Ashton-under-Lyne (Angela Rayner) the benefit of my fast-approaching four years’ experience as a Minister. We rely on hard-working civil servants; they are the backbone of our state and it is my privilege to work with them. She knows that Ministers were not involved in the decision-making process for PPE procurement, and the due diligence, as I have said, was undertaken by a team of more than 400 civil servants. Although I am a Health Minister now, I was not at the time; I was a Minister at the Department for Work and Pensions. I recall how hard civil servants worked, under the most trying conditions, during the pandemic.

[Dame Meg Hillier]

rose—

[Will Quince]

I promise I will come to the hon. Lady.

Those 400 civil servants working on PPE and a senior accounting officer took decisions at pace and under huge pressure, as lives depended on them. Did they get everything right? No, they did not. But they did try their best in a highly competitive global market, with significant challenges in sourcing, procuring and distributing PPE. [Interruption.] Yes, they absolutely did. I gently say to the right hon. Member for Ashton-under-Lyne that her implied criticism of their professionalism, integrity and independence at a time of crisis, with the convenience and luxury now of hindsight, is deeply regrettable.

[Will Quince]

I will come to that. As I said, due diligence was carried out on all companies. Procurement decisions were taken by civil servants. Financial accountability sat with a senior civil servant. I thank and applaud our hard-working civil servants, and I humbly suggest that someone aspiring to be our Deputy Prime Minister should do the same and not seek to throw them under the metaphorical bus.

[Dame Meg Hillier]

Very early on, the Public Accounts Committee and the National Audit Office were looking into the issue. We know that it was a rush at the beginning, but we were warning about the problems early on, and still they persisted. There was poor record keeping—frankly, it was a lack of record keeping in many cases. This House gave the Government permission to act fast, but not to act fast and loose, and the Minister just needs to acknowledge that.

[Will Quince]

I thank the hon. Lady for her intervention, and I will come on to some of the action that we will take. She rightly mentions accountability. Details of the high-priority lane were published on 17 November 2021 and updated in February 2022. This is an important point, because the right hon. Lady, the deputy Leader of the Opposition, suggests that there is some kind of cover-up. If there is, Madam Deputy Speaker, listen to this, because this is some kind of cover up! As I have said, high-priority lane details were published on 17 November and updated in February this year. The National Audit Office has written three reports specifically about PPE. The Public Accounts Committee has held a number of evidence sessions. The Boardman review of procurement has taken place and we are implementing its findings in full. The independent public inquiry into the Government’s handling of the pandemic is ongoing. Of course there are lessons that we have to learn, and that we can and should learn, but there is clear accountability in this process.

As I have mentioned civil servants, I want to put on the record my thanks to the 400 civil servants who worked tirelessly to source deals from around the globe, buying PPE to the highest standards and quality and, yes, for the best value at the time. It was not only them; it was a true team effort—one that was made possible through some incredible collaborations, including everyone from industry to the NHS, and from social care providers to our armed forces. They all played their part and they played it well.

Turning now to unsuitable PPE or potential fraud, it is a simple truth that 97% of all PPE that we ordered was suitable and fit for use, with only a small proportion of the billions of items procured deemed unsuitable. Where that has been the case, we are actively seeking to recover costs from suppliers and we are working to maximise the value from our stockpiles, including using PPE in other settings outside of our NHS. Equally, in those rare instances where there have been allegations of fraud, my Department’s anti-fraud unit has worked quickly to investigate and move to recover costs.

With respect to some of the specific points raised in today’s motion, of the thousands of companies that made offers, around 430, as I have said, were processed through the high-priority lane, and only 12% of them resulted in a contract award. The right hon. Member for Ashton-under-Lyne knows that all contracts went through the same due diligence process regardless of the source of the offer. She also knows that the NAO has written three reports about PPE, and the Public Accounts Committee has held a number of hearings. I know that she would like me to go into the detail of individual contracts, but she knows—she even alluded to it—that my Department is engaged in commercially sensitive mediation with the relevant companies with a view to resolving the issue without recourse to formal legal action.

Responding specifically to the terms of the motion, the Government are committed to releasing information when all investigations are concluded. Our response will necessarily take into account the wider public interest and the commercially sensitive nature of the material. It is only right that we work with the Public Accounts Committee on the terms on which information might be shared. I understand that the Chancellor of the Duchy of Lancaster will soon begin a dialogue with the Chair of the PAC on how we enact those information-sharing arrangements.

[Dame Meg Hillier]

I thank the Minister for giving way again. I reassure him and the House that the Public Accounts Committee is responsible, not reckless. We have previously received papers from this House and we have a well-established protocol for receiving and dealing with such papers. The Committee is trusted—we never leak. If we decide to publish, that is a choice that we would make, but it is a responsible decision that we would take.

[Will Quince]

I thank the hon. Lady for that response, and I know the Chancellor of the Duchy of Lancaster will soon begin that dialogue with her.

Oral Answers to Questions

Meg Hillier Excerpts

Tuesday 6th December 2022 Commons Chamber

[Maria Caulfield]

May I thank my hon. Friend for all her hard work during her time as a Health Minister? We are going through the responses to the call for evidence right now; as I have indicated, we will update the House shortly. I will very much take her points on board.

[Dame Meg Hillier (Hackney South and Shoreditch) (Lab/Co-op)]

My constituent Jesse, who is 24, was diagnosed with grade 4 glioblastoma multiforme, a type of brain cancer. It has been devastating to her. She has had a very difficult year of treatment; crucially, after her initial round of treatment, there were delays in accessing a scan because of the backlogs in the NHS. There is a real need for a proper cancer care plan to make sure that she gets her scans as regularly as necessary. Other patients need them as well, but her scan was two months later than it should have been under the standard of care, leaving her in absolute terror that her cancer would come back. The fear is almost as bad as the disease itself. What plans does the Minister have to make sure that the 10-year cancer plan really gets to grips to the backlog, which is devastating people’s lives?

[Maria Caulfield]

I am sorry to hear about the experience of the hon. Lady’s constituent. I am sure that she will welcome the 91 community diagnostic centres that have already been set up to provide a range of tests, including CTs, ultrasounds and MRIs. We are expecting to deliver up to 160 community diagnostic centres in total, with the capacity for up to 9 million more scans per year when they are fully operational. That will not just deal with the backlog, but future-proof our diagnostic services.

Oral Answers to Questions

Meg Hillier Excerpts

Tuesday 19th July 2022 Commons Chamber

[Steve Barclay]

This is an important issue, and it affects different parts of the workforce in different ways. The 56p is higher than the rate approved by Her Majesty’s Revenue and Customs, and, as the hon. Lady said, it drops to 20p after 3,500 miles have been travelled. Of course, the Government are taking other measures more widely in their fiscal response to the cost of living, such as cutting fuel duty, but there is a review mechanism in respect of the NHS specifically, which involves looking at these issues in the round.

[Dame Meg Hillier (Hackney South and Shoreditch) (Lab/Co-op)]

5. What steps he is taking to encourage covid-19 vaccine uptake in adults.

[The Parliamentary Under-Secretary of State for Health and Social Care (Maggie Throup)]

Vaccines continue to be the best line of defence against covid-19, and about 94% of those aged over 12 in England have come forward for their first dose. We are continuing to make vaccinations as accessible and convenient as possible, with thousands of sites operational, including targeted mobile vaccination clinics. Throughout the roll-out, we have monitored data and shared it with local NHS systems to support tailored interventions and outreach. That includes providing bespoke messages from the trusted community and faith leaders who know their communities best.

[Dame Meg Hillier]

As the Public Accounts Committee reported last week, there are still 3 million people who have not been vaccinated, and we hope that the Government will give as much support as they can to increase the take-up among that group. However, I am particularly concerned about people with black, black British and Pakistani backgrounds, who are far less likely to have had their first booster. There is a real inequality issue here. Can the Minister give us any further indication of how she will ensure that, on her watch, we do not see that inequality embed itself?

[Maggie Throup]

I have read the hon. Lady’s Committee’s report with interest and I recognise the points she has raised. We know that vaccine hesitancy among ethnic minority groups has reduced over the course of the covid-19 vaccination programme, but we will not rest on our laurels. We continue to work closely with our valued communities and community leaders to provide advice and information at every opportunity, and we have materials translated into 28 different languages. There have been many ways in which we have reached out to those communities. For example, we have had vaccination sites in mosques—I visited one in Small Heath in Birmingham—and the Bangladeshi community have come together and encouraged people to get a “jab with your jalfrezi”. We are looking at every different way of reaching out to ensure that we reach all those communities.

Access to GP Services and NHS Dentistry

Meg Hillier Excerpts

Tuesday 21st June 2022 Commons Chamber

[Wes Streeting]

My hon. Friend is absolutely right about the state of dentistry. It is not alliterative, but I suspect that my hon. Friend the Member for Hackney South and Shoreditch has similar points to make.

[Dame Meg Hillier (Hackney South and Shoreditch) (Lab/Co-op)]

A constituent of mine told me that she had a terrible toothache, rang 111 and was assigned to an emergency dentist. The system worked, but does my hon. Friend agree that that that costs the taxpayer so much more money? My hon. Friend talks about overpromising and underdelivering, but with dentistry the Government have not even promised anything and they are underdelivering.

[Wes Streeting]

My hon. Friend knows exactly what she is talking about. Of course, there is no one better in this House to make the point about the waste of public money. That is the outrageous thing about all of this. People are paying more and getting less. Their taxes have been put up, justified in the name of the NHS, but the money is not being directed in the right way to deliver better care. In fact, the Government admit that even with the investment they are putting in, people will be waiting longer for care and that is a disgrace.

Oral Answers to Questions

Meg Hillier Excerpts

Tuesday 14th June 2022 Commons Chamber

[Maria Caulfield]

My hon. Friend is absolutely right that the nub of the problem is the dental contract. Negotiations have started and the details are with the British Dental Association as we speak. We expect to make an announcement before the summer recess.

[Dame Meg Hillier (Hackney South and Shoreditch) (Lab/Co-op)]

Like the hon. Member for Weston-super-Mare (John Penrose), I have a number of constituents who have had real problems reaching dentists before and since covid, but there have been some particularly distressing cases since covid. There has never been the right package to pay dentists to do the work, which is driving them out of the business, but the inefficiencies of having to go through the central NHS systems for an emergency appointment are costing the taxpayer dear. When will we see proper certainty around the measures that the Minister just described, so that dentists know that it is worth their while sticking with NHS patients?

[Maria Caulfield]

As I said, the contract is the nub of the problem; it is currently a perverse disincentive for dentists to take on NHS work. We are serious about reforming it, we are in discussions with the BDA, and we will make the announcements before the summer recess.

Oral Answers to Questions

Meg Hillier Excerpts

Tuesday 18th January 2022 Commons Chamber

[Edward Argar]

I am always happy to take the opportunity, as I know the Opposition Front-Bench team and my colleagues are, to thank the amazing NHS workforce for the work they have done. I pay tribute to the work of the teams at Mount Vernon and Watford General and, in the context of the pandemic, I pay tribute to my hon. Friend the Member for Watford (Dean Russell), who volunteered to help out at the hospital.

[Dame Meg Hillier (Hackney South and Shoreditch) (Lab/Co-op)]

The Minister highlighted the use of independent care providers. Last week, the Department announced that 150 hospitals would be on standby for three months to provide additional resource. Can the Minister tell the House when he or his Secretary of State asked NHS England to investigate standing up the 150 hospitals, which will receive a minimum income guarantee of £75 million to £90 million a month?

[Edward Argar]

I think I heard the hon. Lady correctly and she asked when those discussions began. That was last year, prior to the peak of this wave. We believe that the use of the independent sector to assist our NHS and provide additional capacity is absolutely the right thing to do. Thus far, during the course of the pandemic, it has provided, I believe, over 5 million procedures to patients. Therefore, we think this is a valuable and important addition to our capacity, and it is right that we have this surge capacity insurance policy in place to help to meet further demand.

Covid-19 Update

Meg Hillier Excerpts

Thursday 13th January 2022 Commons Chamber

[Sajid Javid]

I thank my right hon. Friend for his support for these new measures. He speaks with considerable experience. He is absolutely right to talk about the impact of restrictions beyond health. He has heard me, and other members of the Government, say before that no restrictions—none at all—should be in place for a moment longer than is absolutely necessary. He will know that the plan B restrictions, unless this House were to decide otherwise, will sunset on 26 January. On what happens next in terms of the Government’s own view, we will set that out as soon as we can.

[Dame Meg Hillier (Hackney South and Shoreditch) (Lab/Co-op)]

The Secretary of State talks about the importance of having insurance policies, and in managing risk as he is, that is of course the proper thing to do. However, on Friday, he issued a ministerial direction to the NHS England chief executive, Amanda Pritchard, to authorise the use, as he touched on his statement, of private sector providers, and this is at a very high cost. It requires a minimum income guarantee for those private hospitals of between £75 million and £90 million a month, and if the surge requirement is used, that could rise to £175 million a month, as the chief executive sets out in her letter requesting the direction. Where is that money going to come from, and why, at this stage of the pandemic, are we still being held over a barrel, as the taxpayer, by the private sector? Could not the Secretary of State at least have negotiated a better deal?

[Sajid Javid]

The deal that the hon. Lady refers to was negotiated by the NHS, and I think it has done an excellent job in its negotiations. It is also absolutely right for the chief executive of the NHS to write to the Government—to write to me—to request such a direction, because the NHS’s job is obviously running the NHS, but the Government’s job is to think beyond the NHS and the impact of covid beyond just health. The hon. Lady should know by now that the more capacity we have in the NHS, the less need there is for restrictions. What I can say for sure is that had we not taken out this insurance policy with the independent sector and got this extra capacity, she would be one of the first to stand up in this House asking us why we did not work with the independent sector.

Public Health

Meg Hillier Excerpts

Tuesday 14th December 2021 Commons Chamber

[Dame Meg Hillier (Hackney South and Shoreditch) (Lab/Co-op)]

I rise to focus, in the short time available, on statutory instrument No. 1416, on entry to venues and the issue of compulsory vaccines. It feels as though I have been around this block before, because just over a decade ago I was the Minister responsible for identity cards and passports in the last Labour Government, yet I share concerns about health data being routinely required in order to access services.

When we dealt with identity cards, we were clear that they were about verifying identity, with no health information included, despite some groups lobbying to have health information on those cards. No immigration status information was to be on them, although many of my constituents and people up and down the country, do have cards with their immigration status on, which they are happy to have to prove their rights. There was other lobbying to include things such as veteran status on cards, but the Labour Government pushed back hard on those points and there was absolutely no requirement in law to have an ID card to access any public service.

That is very important, because tonight’s proposal does not require people to show their vaccine status in order to access a public service. It is about accessing optional large events, where they could be a spreader. In addition, ID cards were on a statutory basis, with a raft of underpinning law to make sure that we had a clear basis for them, and they were long-term. They were debated at length, including twice in this House, because the general election of 2005 interrupted the process.

Let us be clear that a covid vaccine status document or app is a temporary measure—it expires. I have just had my booster, but had I not done so it would have been a moot point as to how long my second vaccine would still give me the status that I require. The Secretary of State has said that that booster will be required, once it is rolled out, on that pass in order for it to be valid. It is not required in order to access any public service. That is an important step, because if we were to go down that route, we would need to get this on to a statutory footing. I hope we never get to that point, but we do not know what is going to happen with coronavirus. As it stands, we have not had a version that will kill our children, and thank God for that, but we know that this is not yet over. At this stage, there is no proposal for a permanent covid pass and therefore there is no need for this to have a statutory footing, because we hope this is something that will run into the stand.

We are also talking about a health treatment here. When I present my pass, it tells the person nothing other than my name and my date of birth; sadly, people will have probably worked out that I am no longer 21, and I do not really mind about that. If that information is needed in order to get into a venue, I am prepared to make that choice. It is a compromise, because of what happens if we do not do this. The data will show that although even vaccinated people can catch covid and spread it, this reduces it, and the booster reduces it further.

For sceptics, let me say that 100% safety would mean a lockdown or closing down hospitality venues, events, workplaces and schools—no one wants that. So this is not a perfect solution to stop spreading omicron or any variant of the virus, but it protects our hospitality industries and events. Even though they are still hit, it protects them from complete closure. This approach of temporary and near universal coverage, limited information required to be presented and no requirement for venues to hold copies of our data is a proportionate response. It is a responsible thing to support each other. Individual freedom, as outlined by the hon. Member for Bexhill and Battle (Huw Merriman), cannot be at the expense of wider freedoms; we do have that responsibility with that freedom.

I wish to touch on compulsory vaccines for health workers, and I congratulate my hon. Friend the Member for Ilford North (Wes Streeting) on his tour de force on that. I am concerned about pushing people forcibly to have a vaccine, but we should never have got to this point. We should rely on reliable information and education to ensure that we do not get to the point where people have to be forced. Of course, we cannot force someone to have a vaccine, so the consequences for a health worker are immense. Ultimately, for those health workers on the frontline supporting their patients, vaccination will have to be a requirement for the job, because the risk of spreading the virus or of sickness across the health service because staff are not protected would cripple our health service. Reluctantly, therefore, I have moved to the point where, having voted against it in the past, I will support the measure tonight. Spreading a virus that makes us ill, kills us and puts pressure on the NHS is not something that NHS workers can be a part of, but NHS England must work hard to convince and support people and to get rid of the disinformation about the danger of vaccines.

Covid-19 Update

Meg Hillier Excerpts

Friday 26th November 2021 Commons Chamber

[Dame Meg Hillier (Hackney South and Shoreditch) (Lab/Co-op)]

I recognise that the Secretary of State has come to the House at the earliest opportunity, and I appreciate his swift action. I hope that it is an indication of the way in which he will engage with us all on this vital issue. Has he received any information from South Africa and the other nations of southern Africa that he mentioned about the impact of the variant on children, and are there any plans to offer second doses to children here in the UK?

[Sajid Javid]

That is a very good question. This has moved so fast that so far we have had no indications about the potential impact of the new variant on children in particular. As soon as we have any information, we will want to share it.

The child vaccination programme in the UK is going well throughout the country, and has built up a significant momentum. As for whether second doses would be recommended, we will await the expert advice of the Joint Committee on Vaccination and Immunisation.

Covid-19 Update

Meg Hillier Excerpts

Tuesday 14th September 2021 Commons Chamber

[Sajid Javid]

I can tell my right hon. Friend that when the Government or any Government make decisions that have such an impact on people’s liberties, even if those decisions are made for all the right reasons—in this case, of course, to deal with this pandemic—they should be working with the House and working with colleagues. On any measures that are significant, of course the Government will come to the House and seek a vote of the House.

[Dame Meg Hillier (Hackney South and Shoreditch) (Lab/Co-op)]

The Secretary of State talked about international work, and unless we tackle this issue across the world we are going to be in a pandemic forever. When he was at the G20, he shared with other countries what we are doing to help tackle it internationally, so could he please share with the House what is being done to tackle vaccination rates across the globe?

[Sajid Javid]

I can tell the hon. Lady that there was significant discussion about that with my G20 colleagues, but not all of them have, let us say, behaved in the same way as the UK in offering donations to poorer countries of vaccines. The hon. Lady will know that we are committed to offering 100 million doses to international friends, and that we have already provided or donated 9.2 million doses, most of those for the COVAX programme. We remain committed to that programme, and one of the things we are trying to do internationally, including through the Foreign Secretary, is encourage more countries to honour their commitments to COVAX and encourage those who have not joined the COVAX commitment to come forward and help in that way.