Infected Blood Inquiry

Mike Wood Excerpts

Tuesday 19th November 2024 Commons Chamber

[Mike Wood (Kingswinford and South Staffordshire) (Con)]

The infected blood scandal is one of the most painful and shameful chapters in the history of the British state. For decades, hundreds of individuals with bleeding disorders and other conditions were infected with HIV, hepatitis B and hepatitis C due to the use of contaminated blood products such as factor VIII and factor IX, which were often imported from overseas. Not only were those infections preventable, but warnings from the medical community were ignored by successive Governments and the national health service.

The victims and their families have endured unimaginable suffering, including the loss of loved ones and social stigma, and, tragically, many have even been blamed for their own illnesses. The health service that was supposed to treat them, heal them and look after them, and the parts of the state that were supposed to protect them, betrayed them. The institutions of this country failed the victims and their families at such a scale that it is almost beyond comprehension.

I am pleased that this subject has been brought forward to be debated today, because a subject as important as this deserves to be thoroughly discussed in the House. As this is my first debate as shadow Minister for the Cabinet Office, I want to put on the record that although there will be much that the right hon. Gentleman and I disagree on, this issue is not one of them. He can be sure of our support as he works to put right a historical wrong, which continues to have a devastating impact on families across the country. This issue is simply beyond party politics. I thank the Paymaster General for updating the House today, and for the tone and tenor that he has already struck in this place since the general election.

The infected blood inquiry, established in 2017 by the former Prime Minister Theresa May, was only started because of the tireless efforts of victims and their families, but it has shed a horrifying light on the true scale of the tragedy. I echo the Paymaster General’s thanks to Sir Brian and his team for the great service that they have given in conducting the inquiry. It stands as a testament to the power of the victims’ voices and to the need for transparency, justice and accountability at all levels.

Although I am here today on behalf of His Majesty’s Opposition, I want to reiterate the words of the previous Prime Minister, my right hon. Friend the Member for Richmond and Northallerton (Rishi Sunak), who apologised on behalf of not only the previous Government, but Governments stretching back to the 1970s. I know that this sentiment is shared by the current Leader of the Opposition and the whole of our party. We are truly sorry that successive Governments and the NHS failed to listen to medical experts, victims and their families, and the inquiry reveals a decades-long moral failure at the heart of our national life. A great many of its victims and loved ones sadly died before they ever saw the truth being acknowledged. I am pleased that this Government and the previous Government have publicly recognised the scale of the damage and acknowledged the mistakes, and, most importantly, are now taking steps to try to make amends and provide support and compensation for the many victims.

We on this side of the House will continue to support the Government’s ambition to make the first payments before the end of this year. It is important that the Government are pushing ahead with the compensation scheme, which is of the size and scale that is rightfully deserved by the victims, including those who are sadly now deceased, and their families, and that it will take into account all the medical, financial and emotional suffering. As I have said, the Minister will have our full support on this side of the House. An apology is, as he has said, meaningless without not just redress but redress at speed.

In addition, I hope that the right hon. Gentleman will be working further with the Health Secretary to help implement stronger medical screening protocols, as well as safety measures to ensure that the UK’s blood supply continues to be safe and free from contamination. A scandal like this cannot be allowed to happen again, so the Government must continue to ensure that the global standards for blood safety are met and regularly updated. This includes improving regulations, where appropriate, around the sourcing of blood products, and constantly updating, where possible, the methods for virus detection.

It is also important that we further enhance training and education for our healthcare professionals regarding ethical practices, patient consent and the safe use of medical products. I know that a lot has changed in the national health service in the nearly 50 years since the start of the scandal, but a key aspect of this total failure was the lack of informed consent and the failure of healthcare professionals to adequately communicate the risks associated with treatment.

As the inquiry has shown, there were numerous cases of disrespectful attitudes towards infected patients, which is completely unacceptable. Patients were often blamed for their condition or treated as though they were a burden. As the inquiry has recommended, training must include the ethics procedures as well as patient-centred care. This scandal, sadly, is a painful case study on what happens when this is not the case. Medical staff in the NHS should always approach patients with dignity and empathy, as we know they almost all do on a daily basis. They should ensure that all risks and benefits are clearly communicated and that the rights of patients are upheld.

Adding to this point, and perhaps more broadly as a society, we must continue the great work of recent years on destigmatising those with conditions such as HIV and hepatitis—I note the exceptional work of the Terrence Higgins Trust on the former in particular. As has been said, the victims of the infected blood scandal were victims not only of the NHS and the many Governments’ failings, but of social stigma and discrimination. As the inquiry found, they faced vilification despite the fact that many had received contaminated blood products through the same NHS that was blaming them through no fault of their own. I encourage the Government to continue with public education campaigns to combat the stigma surrounding blood-borne viruses and HIV, as well as implementing better protections in the workplace and public life, so that we can be sure that those infected are not subject to the pain of further discrimination.

I would like to put on record my own thanks to the brave victims and their families. As I said at the start of my speech, we would not be here today if it was not for them and for their campaigning; their hard work; their faith to keep going when nothing seemed to be changing; and, when the message simply did not seem to be getting through, their relentless will to fight, knowing that a great injustice had been done; and their love for their friends and family members, many of whom are sadly no longer with us today, who are all impacted by this terrible situation. Their courage is truly awe-inspiring, and no amount of compensation will ever undo the great tragedy, so great is the pain and suffering they have been through.

I sincerely hope that they will have some peace one day; peace in the knowledge that their Government and their health service have listened, and that all their hard years of campaigning, and the abuse and vile vitriol that many have faced, were not for nothing. In the end, after far too long, they have indeed been heard, and because of all their combined efforts and sacrifices, we can now come together to ensure that nothing like this ever happens again.

They have moved the nation and this Parliament with their deeply personal stories, and we are all deeply sorry for everything they have been through and for everything and everyone they have lost. I thank them all for their extraordinary bravery.

Oral Answers to Questions

Mike Wood Excerpts

Tuesday 15th October 2024 Commons Chamber

[Andrew Gwynne]

I pay tribute to John Snow and, indeed, my hon. Friend’s constituents, who have rallied around him at his time of need. This matter highlights the need to have better joined-up care to ensure that people who have sepsis receive the best care possible, that those who tragically lose limbs as a consequence of sepsis are able to have good-quality aftercare, and that we continue to raise awareness of sepsis and the risks it poses.

[Mike Wood (Kingswinford and South Staffordshire) (Con)]

We think that about 48,000 people a year lose their lives to sepsis, but the truth is that we do not know, because the data is inconsistent. Will the Minister look at establishing a national registry to track sepsis cases, so that performance can be measured, published and improved?

[Andrew Gwynne]

Given the national standards and framework that have been put in place in this regard, I hope very much that the NHS will be able to do precisely what the hon. Gentleman wants it to do.

Sepsis Awareness

Mike Wood Excerpts

Wednesday 9th October 2024 Westminster Hall

[Mike Wood (Kingswinford and South Staffordshire) (Con)]

I congratulate the hon. Member for Ashfield (Lee Anderson) on securing this debate on such an important issue, which is very close to my heart personally. I hope that hon. Members will forgive me if I start by just speaking about myself a little.

In January 2017 after the Christmas break, I came back to Parliament, like many colleagues did, with a bit of a cold. Of course, we carry on working—after all, it is just a cold. Weeks went by and it was getting a bit worse, so I took a course of antibiotics. I suspect, like the hon. Gentleman, a seven-day course of antibiotics very rarely clears up an infection for a gentleman of my physique. Within a short period, the infection was starting to come back and I had a sore throat. Nevertheless, it was only a sore throat, so I went out to Strasbourg for the Parliamentary Assembly of the Council of Europe meeting that week, and while there, my condition deteriorated.

I was feeling really grotty on the Tuesday morning so I just stayed in my hotel room. On Wednesday, things were so bad that I asked someone to do me a favour and go to a chemist. By Thursday, they had got so terrible that I booked an appointment with a GP in Strasbourg, which, as a typical man, was very much a last resort. The GP did the normal checks—blood pressure and the like—and gave me a throat spray. I was feeling pretty awful, so I flew back that evening and struggled through constituency events on Friday. By Saturday morning, I was getting up and putting on my suit on top of my pyjamas and telling my wife that I had to come down to Westminster to vote. She recognised that that was not entirely typical behaviour and phoned for an ambulance.

Within a few hours I was in an induced coma. I remained in a coma for the next 11 days after a septic shock diagnosis. The consultants told my family I had about a 10% chance of surviving and that if I were to pull through it would almost certainly be with life-changing effects—amputations, brain damage or other severe effects. Fortunately, of course, I was extremely and unbelievably lucky, largely because of the amazing care that I received from the staff at Russells Hall hospital in Dudley. Above all, I was lucky that on that Saturday morning as I presented at A&E, the nurse walking past happened to recognise that the symptoms, which looked much like any number of other conditions, particularly meningitis with a rash, could be sepsis.

Sepsis is a life-threatening condition. It is a response to infection that can lead to tissue damage, organ failure and death if not treated promptly. Despite its severity, the number of deaths and the many, many other people left with their lives fundamentally changed by sepsis, very few people are able to spot the signs, which of course delays diagnosis and treatment. Even the GP in France, who I am sure was an extremely well qualified and professional physician, did not spot that my symptoms could be sepsis.

That lack of awareness contributes to the staggering statistics that the hon. Member for Ashfield went through. There are around 48,000 deaths a year in the United Kingdom due to sepsis, which means that by the end of this 60-minute debate, the chances are that five more people will have lost their lives to sepsis. A further 25 people will have had their lives changed by sepsis. Globally, it affects around 49 million people, with probably around 11 million losing their lives each year. There is a growing body of opinion that believes that the majority of covid deaths were probably covid deaths where the infection triggered a septic response.

I keep saying “probably” because, frightening as the figures are, they are best guesses. We do not know. Although the reporting in the United Kingdom is better than in almost any other country, it is still not consistent. It is possible that a death will be recorded just as a multiple organ or respiratory failure despite it being a case of sepsis or of septic shock. It is important that we step up to the challenge of reducing those deaths, which, as has been said, represent more than the number of lives lost to breast, bowel and prostate cancers combined every single year. We need a sepsis register so that we know how many cases there are and how those cases progress.

One of the most alarming aspects of sepsis is that it often goes unrecognised until it is too late. I was lucky that it was spotted as I presented at A&E—even two or three hours later might have made the difference between a 10% chance of survival and a quite minuscule chance. Our friend and former colleague Lord Mackinlay was similarly fortunate; although his condition deteriorated at an astonishingly rapid rate, it was caught just in time for him to survive.

Early identification and diagnosis are important because, in most cases, timely broad-based intravenous antibiotics will be enough to stop the infection from triggering a septic response. Promoting Sepsis Awareness Month is therefore not just about sharing statistics or stories; it is about saving lives. By educating the public and healthcare professionals about the signs and symptoms of sepsis, we can ensure that more people receive the urgent care they need.

The UK Sepsis Trust, which does so much amazing work and is led by the incredible Dr Ron Daniels, has a three-point plan that we all need to get behind. We need to be able to measure and publish performance data on sepsis care pathways, so that we can see how they are responded to and can measure successes and where things have not been done correctly. We need fast and reliable diagnostics, to allow those on the frontline to make the correct decisions quickly, without lengthy waits for test results to be returned from central laboratories. We also need to increase awareness of sepsis, as the hon. Member for Ashfield is doing so well with his debate today, to ensure that medical professionals and the public are able to ask the question: could it be sepsis?

I am speaking with a slightly croaky throat, but I am fairly sure that this time it is not the strep B infection that triggered that septic shock in January 2017. I can be confident because, unlike nearly eight years ago, I am all too aware of the signs and symptoms of sepsis: slurred speech or confusion, extreme shivering or muscle pain, passing no urine for a day or more, severe breathlessness, skin that is mottled or discoloured, and a feeling normally described as “like you are going to die.” Having had it, I would say, “It feels like you want to die.”

If the public and healthcare professionals across the system are aware, can look out for those six signs, and ask that question—could it be sepsis?—then many more lives could be saved. Sepsis could then be spotted earlier in people like Abbi, whom the hon. Gentleman spoke so movingly about, and Lord Mackinlay, and we can ensure that life-changing conditions can be dealt with far sooner.

Childhood Cancer Outcomes

Mike Wood Excerpts

Tuesday 26th April 2022 Commons Chamber

[Maria Caulfield]

I think the names that we have read out this afternoon show that, while cancer in children only accounts for 1% of cancer cases, if you are in that 1%, it does not feel very rare at all. I thank all hon. and right hon. Members for sharing the stories of their constituents.

That means, as has been pointed out, that GPs will only see one or two cases of childhood cancer over the course of their career. These can be difficult cancers to spot because some of the symptoms reflect other illnesses and other conditions. NICE guidelines are trying to support GPs. The NG12 guidelines underpin cancer referrals. They set out detailed guidelines for GPs on the symptoms of cancer in children and recommend very urgent referrals that mean an appointment within 48 hours for children presenting with a wide range of potential cancer symptoms, from unexplained lumps to bruising or bleeding. The guidance also recognises the knowledge and insight that parents have, as it sets out that GPs should consider referrals for children where their parents are thinking that their child is not well or there is just something not quite right with them. That referral should happen when parents are concerned, even if the symptoms are most likely to have a benign cause.

[Mike Wood (Dudley South) (Con)]

Will the Minister give way?

[Maria Caulfield]

I will not, if my hon. Friend does not mind, because we do not have a huge amount of time.

NICE regularly reviews and updates these guidelines on suspected cancers. It urges GPs to think of cancers sooner and lower the referral threshold for tests, and ultimately catch cancer sooner, which does not always save lives but can make a difference if a cancer is diagnosed earlier.

To help GPs to identify signs and symptoms of these childhood cancers, online education programmes such as Gateway C are available, but also face-to-face education sessions have now resumed, including seminars offered by providers such as Cancer Research UK, and primary networks are establishing cancer clinical lead groups to share latest research and good practice.

The rarity of cancers in children, as the hon. Member for North Antrim pointed out, means that it is harder to diagnose outside a specialist setting, and many of the symptoms can mimic other illnesses. For example, diagnosing brain cancer in children is particularly challenging because it often presents in a similar way to epilepsy, and sarcoma symptoms can often start with limb pain, which is often a common complaint in children. It is therefore crucial that children up and down the country have access to specialist services in cancer care, which are not necessarily provided in most hospitals, where traditionally cancer services are arranged by cancer type. Children’s cancer services need to be contained in a small number of specialist units, which we refer to as principal treatment centres, or PTCs. Each child with a suspected cancer should be referred directly to a PTC, which will make the diagnosis and direct provision of treatment. In England, we have 14 of these centres. They manage care through the multi-disciplinary teams and drive diagnosis, treatment and, crucially, as we have heard from many Members, research participation.

As well as diagnosing the condition, the centres are expert in offering psychosocial support, helping children to continue their education and helping, as Sophie campaigned for, to provide specialist play facilities seven days a week. Sophie’s complaint was that those were only provided for five days a week. It is important that we hear from children and young people who receive a cancer diagnosis. I personally thank charities such as Young Lives vs Cancer and the Teenage Cancer Trust, which last year put together guidance for young people in England, Scotland, Wales and Northern Ireland discussing having a visitor and a hand to hold when having cancer treatment. That is useful guidance, and it has been distributed by the NHS to all our cancer alliances in England.

I will touch on the issues that Sophie in particular was campaigning on. Food was a big bugbear of hers. I think she described it as “disgusting” in some of the reports I read. We know that food is important for all patients, but particularly for children, because nutritious food is a way of aiding patients’ recovery. It is difficult in hospital. I know from my experience as a nurse that we always serve food at 7, 12 and 6, and if someone is hungry in between, it is often very difficult to get any food at all. We are working extremely hard to improve hospital food following the publication of the independent review in October 2020. The review made a suite of recommendations across several areas, including nutrition and hydration. The three-year plan, “Great Food, Good Health”, led by NHS England, is under way to implement the recommendations from that review. I hope that Sophie and her family will be pleased we are making some progress with that, because I fully recognise the complaints she made from her experience.

I will touch on research, because it came up so often in hon. and right hon. Members’ contributions. It is important that we improve not only treatment, but its side effects. We have heard from many Members that childhood cancers can have a very successful outcome in terms of survival, but often the impact of those treatments can have a lifelong effect for those with cancer and their families.

I reassure Members that research is taking place. Since 2019, the NHS has been offering whole genome sequencing to all children with cancer to enable more comprehensive and precise diagnosis and access to more personalised treatments that will reduce the number of young people experiencing long-term symptoms from their treatment. There has been a lot of progress on the treatment of childhood cancers, with the majority of children now surviving, but for certain childhood conditions, such as rhabdomyosarcoma, that is not yet the case. Research is crucial to how we deal with it in the long term.

The NIHR, which funds research across the board in the NHS, is funding childhood cancer research across its whole remit, from early translational research right through to clinical research and social care research. I am concerned by the case raised by my hon. Friend the Member for Scunthorpe of researchers in her constituency finding it difficult to access those funds and go through the application process. I am happy to meet her and the researchers to see whether we can unlock some of those jams.

There is support for research into rhabdomyosarcoma at the Royal Marsden biomedical research centre—I declare an interest, as I still work as a nurse at the Royal Marsden—the Royal Marsden clinical research facility and the Great Ormond Street biomedical research centre. We are making some great inroads in funding research into not only cancer treatments, but the effects of treatments.

There is so much more I would like to say to answer Members’ questions, but due to time I simply reassure my hon. Friend the Member for Gosport that the 10-year cancer strategy that the Secretary of State has just announced will tackle many of the issues she has raised. The call for evidence recently closed, but it is a great opportunity to put forward the case for childhood cancers, and I am happy to meet her after the debate to see whether we can push her case forward.

Health and Care Bill

Mike Wood Excerpts

Consideration of Lords amendments
Wednesday 30th March 2022 Commons Chamber

[Peter Dowd (Bootle) (Lab)]

I concur with the comments made by every hon. and right hon. Member today, with the exception of the Minister. There is no question but that the NHS workforce is in crisis; that is what so many organisations say. The Government response has been limited to stopgap measures, so I am grateful to the Lords for their hard work on this Bill, which has been much improved since it left the Commons. The Lords are clearly on the side of the NHS. I hope that, even at this late stage, the Government will recognise that Lords amendment 29, which I support, is perfectly reasonable, and will welcome it with open arms. If they do not, the question is: why not?

I have had many emails from nurses and other healthcare professionals who are calling for such a measure to be supported. The amendment refers to a report on workforce needs, and says that it must include independently verified assessments of current and future workforce numbers required to deliver care to the population of England. What is wrong with that? It seems perfectly sensible. Planning the NHS workforce is central to the smooth operation of the service. The Lords amendment seeks to ensure that.

In north-west England, NHS vacancy rates have increased over the past year; they are reaching 13,500. That puts huge strain on the remaining workforce. There is a chronic workforce shortage in the NHS, driven by years of insufficient investment, and that needs to change. Mental health issues, alongside covid-related absences, are having a lasting effect on the mental health of NHS staff. British Medical Association surveys have consistently shown that the pandemic has, since its start, left staff reeling, and they are increasingly burned out as a result of the lack of support.

The number of people in the general practice workforce has lagged behind demand in recent years, as people have said time after time, and the pressure is becoming unsustainable. It is driving GPs out of the workforce and threatening to destabilise general practice. That is also the case for many other allied professionals across the whole spectrum. To address that, it is vital that the Government develop and implement a detailed plan to fill workforce shortages, but they have not yet seized that opportunity. The granularity of the assessment of the workforce situation sets the scene for the bigger picture. The chronic lack of resources and support has been keenly felt in the Liverpool city region. Hospital trusts in Liverpool plan to reintroduce car parking charges for NHS workers from 1 April. After everything those workers have done during the pandemic, it is dreadful that, in the midst of a cost of living crisis, they are being asked to cough up substantial resources just to get to work.

Workers are working two, three or four extra shifts per week. That is dangerous. NHS healthcare workers in Southport and Ormskirk Hospital NHS Trust and St Helens and Knowsley NHS Trust are campaigning to be re-banded because they are doing work that they should not have to do, and that they are not necessarily trained for. That is why I support Lords amendment 29, which is sensible and proportionate. As for the Chair of the Health and Social Care Committee, I say: there are 100 healthcare and related organisations saying, “This amendment is the right thing to do.” If those on the frontline think it is the right thing to do, why do the Government not also think it is the best thing to do?

[Mike Wood (Dudley South) (Con)]

At its best, our national health service provides truly world-class care. That is down to the skill, passion and professionalism of its workforce. As hon. Members will know, I have personal reason to forever be grateful to the NHS, and particularly the staff at Russells Hall Hospital in Dudley. While new hospitals, equipment and technology are all crucial, they are nothing without the health and social care staff who are the beating heart of our health service.

However, I am concerned that Lords amendment 29 does little more than add to an already onerous level of bureaucracy in our NHS. Providing a report every two years instead of every five does not improve the record number of doctors and nurses. The Government are already committed to reviewing the long-term strategic trends in the health and social care workforce, and to developing a workforce strategy, and clause 35 of the Bill already commits to a workforce review every five years. That in itself will be quite an arduous task.

Huge steps have been taken in investing in the future of the NHS workforce, including by funding a 25% increase in places since 2016-17. That means 7,500 more medical schools training places in England over the past six years. The shadow Health Secretary is obviously right to say that the population has grown in recent decades, but I think it has grown by 8% since 2010, while the number of doctors working in our NHS is up by about one third. Clause 35 allows for medium and long-term workforce plans, and offers a sensible balance between the need for such work and the need to minimise unnecessary bureaucracy. That is why I will not support the amendment.

Turning to Lords amendment 30, while I recognise the arguments made by Opposition Members, I do not agree with them or believe that clause 40 should be removed from the Bill. I believe it contains sensible powers. We expect the Secretary of State to be responsible for our national health service—for the services provided in every part of the country. There was much opposition and controversy when provisions reducing that responsibility were introduced in previous legislation. If he is to exercise that responsibility, he must have the powers to do so.

Voters and Members of Parliament expect the Secretary of State to be able to take action where health services have been reduced. On 11 November, a few weeks before the by-election in North Shropshire, the leader of the Liberal Democrats, the right hon. Member for Kingston and Surbiton (Ed Davey), questioned the Prime Minister at Prime Minister’s questions about the closure of Oswestry ambulance service. If we are to question the Prime Minister or the Health Secretary on the closure of services such as ambulance stations or hospitals, then it is only right that the Secretary of State should, in extreme circumstances, have the power prevent those closures. Our voters expect that, and frankly so do the Opposition.

[Justin Madders (Ellesmere Port and Neston) (Lab)]

I wish to speak to Lords amendment 29 on the workforce. The most important thing I learned during my five years as a shadow Health Minister is that everything comes back to the workforce. We can have the grandest plans, strategy documents, reorganisations, integrations and configurations—all of which are probably in this Bill, in various forms—but it will all count for very little if the fundamental cog in the machine, the workforce, is not a central part of those plans. The consistent failure to invest in, and provide a plan for, the workforce, so that it can meet demand over a sustained period is at the root of the challenges that the NHS and social care face today. We now have a chance to correct that.

Let us look at some of the challenges. There are 93,000 NHS staff vacancies; £6 billion-plus has been spent on temporary staff to fill gaps; and more than half of staff are working unpaid extra hours each week, with 44% saying that they have felt ill with work-related issues—little wonder, given that retention remains a huge issue. We need a plan, and we need to give staff some semblance of hope that we are listening—that the claps on a Thursday were not just an empty gesture; that the tributes that we rightly pay here to their dedication are not meaningless platitudes; and that there is a determination to do something about the persistent rota gaps that mean that staff are both exhausted and demoralised.

The Health and Social Care Committee report on staff burnout says:

“It is clear that workforce planning has been led by the funding envelope available to health and social care rather than by demand and the capacity required to service that demand.”

That is rather the nub of it. Health and social care are both demand-led systems, yet the funding and therefore the workforce capacity are not linked to demand. Until that central issue is addressed, we will keep coming back to the many varied and unfortunate consequences of an overstretched and under-resourced workforce.

I suspect that the Minister—who I have a lot of time for, even though he is often wrong on these things—might privately think that a long-term workforce plan might be a good idea, not just to ensure that the NHS can plan properly and to move forward on a sustainable footing, but because that might help his Department when it goes into negotiations on the spending round with the Treasury, as it will be able to point to an independently verified assessment of workforce need. If the amendment has a weakness, it is that it does not ensure that any plan is actually feasible, because there is no requirement in it that any plan be fully funded. However, a plan that shows, for all the world to see, a clear funding gap would be helpful to the Minister, because it would allow him to go to the Treasury with a clear and objective demand. As he knows, I like to be helpful to him, so I hope that on this occasion he can support the amendment.

This debate is timely because it comes on a day when two surveys have been released that lay bare the crisis that we face. One survey shows that public satisfaction ratings with the NHS are reported to be at a 25-year low—a quarter of a century of surveys there—and another shows that the number of NHS staff who would recommend their trust as a place to work has plummeted. Those two facts are intertwined and symptomatic of the workforce crisis that the amendment is trying to address.

The question we must ask ourselves, if we choose not to support the Lords amendment, is whether the Government’s existing plans create sufficient accountability and rigour to deliver the transformative approach that the amendment would. In my view, it introduces a level of robustness to workforce planning that is currently missing. For the reasons I have set out, we owe it to the workforce, to patients and to those in receipt of social care to put workforce planning on the strong footing that the amendment would deliver.

Covid-19: Purchasing Effort

Mike Wood Excerpts

Thursday 3rd February 2022 Commons Chamber

[Edward Argar]

I am grateful to the hon. Lady; to be fair, we may not always agree, but she always makes thoughtful points and knows this subject well. However, many right hon. and hon. Members across the House have regularly said that Exercise Cygnus gave everyone everything they needed to know in how to manage this pandemic, which is completely not the case. That was a flu pandemic exercise with a number of preconditions, one of which was that, at a certain point, it was assumed that antivirals would become available within—I think, off the top of my head—nine weeks of the pandemic beginning. That was not the case, because we were dealing with a completely new virus, so although there are valuable lessons to be learned, we need to be very careful about drawing direct parallels.

The hon. Lady rightly talked about the sum of money and highlighted the impact. She is right that £8.7 billion is a very significant sum of public money, but she also must acknowledge that that £8.7 billion was not wasted, because the PPE exists. This is an accounting point about what the purchase price was compared with the value now, with a stable marketplace for that. Only a very small fraction of that stockpile has been deemed not fit for use and, in those cases, we continue to investigate, through contractual mechanisms and elsewhere, what we can do to recover that money.

[Mike Wood (Dudley South) (Con)]

The embassy of one of our major international partners had to send staff to Sofia with a suitcase of money handcuffed to their wrist in order to procure PPE for their health and social care. Does my hon. Friend not think that the Opposition would be better off celebrating the herculean efforts that meant that PPE could be got to our NHS providers and our local authority and social care providers, rather than engaging in such transparently cynical party political point scoring?

[Edward Argar]

I agree entirely with my hon. Friend. As I said in response to the SNP Front-Bench spokesman, the hon. Member for Coatbridge, Chryston and Bellshill (Steven Bonnar), I hope the whole House could agree on paying tribute to all those civil servants and others who moved heaven and earth to ensure that we got the PPE that we needed for the frontline. That is the most important factor. We did what we needed to get the PPE to protect people and to protect lives.

Oral Answers to Questions

Mike Wood Excerpts

Tuesday 18th January 2022 Commons Chamber

[Maggie Throup]

The hon. Lady makes a really good point. I reassure her that procedures for urgent cases have not been cancelled. As the House knows, we are looking at the private sector to help deliver vital support for those patients.

[Mike Wood (Dudley South) (Con)]

4. What assessment he has made of the capacity of the UK’s covid-19 testing infrastructure in comparison to other countries.

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

The UK continues to provide one of the highest testing rates globally. We have increased capacity for PCR testing by over 200,000 tests per day since December. Home delivery capacity is now at 7 million lateral flow tests every day, with community pharmacies supplying an additional 9.5 million tests last week. In comparison to England, countries that have put in place more restrictions might have chosen a different balance between lateral flow devices and PCRs to meet their individual testing demands. Therefore, we cannot meaningfully compare our testing infrastructure to that of other countries.

[Mike Wood]

I thank the Minister for that answer. Health and social care workers who care for some of the most clinically vulnerable members of our society were rightly prioritised for early vaccination. Does she agree that, similarly, they must be prioritised for testing? What is she doing to ensure that?

[Maggie Throup]

My hon. Friend makes a good point. The most vulnerable people are being prioritised. The UK Health Security Agency and NHS Test and Trace currently deliver an average of more than 70,000 PCR kits and 970,000 LFD kits a week to adult social care settings. In recent weeks, as demand has increased due to the omicron wave, Dudley, like other local authorities, has provided tests to key workers to enable them to keep working.

Health and Social Care

Mike Wood Excerpts

Friday 3rd December 2021 Commons Chamber

[Edward Argar]

My hon. Friend is absolutely right to highlight that. My hon. Friend the Minister for Care and Mental Health has done a huge amount of work on both investment and working with local systems to improve hospital discharge for those who do not need to be in hospital any more, to give them that step-down support, be that domiciliary care or in other settings. In the current context, we must do that safely, but she is working extremely hard to deliver that and doing a fantastic job.

[Mike Wood (Dudley South) (Con)]

The investment that the Minister has announced together with the 100 community diagnostic hubs will make a big difference in helping people to get the referrals that they need. Does my hon. Friend agree that early diagnosis depends on being able to see the appropriate clinician face to face where necessary, whether in hospital or in a GP’s surgery?

[Edward Argar]

My hon. Friend is right. The key words are “where necessary”, and that is a clinical judgment. I have highlighted the improvements that we are seeing in terms of the number of face-to-face appointments going up in primary care. Equally, we do not want to lose the benefits of telephone appointments or other appointments for those who wish to interact in that way. It is about trying to craft the system around the patient and taking those clinical judgments into account.

Covid-19 Update

Mike Wood Excerpts

Monday 29th November 2021 Commons Chamber

[Sajid Javid]

My right hon. Friend is right to raise the difference between Wales and England in the approach taken. I feel—like him, I think—that we have taken the right approach to face masks. I welcome his support today.

[Mike Wood (Dudley South) (Con)]

My right hon. Friend rightly highlights the role of South Africa’s excellent testing and analysis system in identifying omicron. It would be perverse if South Africa were treated less favourably as a result of the resources that it has put into such analyses. Will he look at neighbouring red list countries that have much lower testing and analysis levels, to see whether travel restrictions for some of those countries might be appropriate to keep people in this country safe?

[Sajid Javid]

We will keep that issue under review. My hon. Friend is right to speak, as hon. Members across the House have done, about the importance of South Africa’s handling the matter in such a professional and exemplary way. It might reassure him to know that in the G7 meeting that I chaired earlier, we agreed unanimously about that issue and about the importance of continuing to work with and support South Africa.

Health Incentives Scheme

Mike Wood Excerpts

Friday 22nd October 2021 Commons Chamber

[Maggie Throup]

My hon. Friend makes a very good point. We are investing some money in the new pilot and we are confident that it will give us some outcomes that we can work on to take measures forward. If we can save a fraction of the £6 billion, it will be still be a huge saving for people’s health, but, obviously, we want to make sure that this is about saving money and saving lives.

[Mike Wood (Dudley South) (Con)]

I am tempted to ask the Minister whether bobbing in this place might count towards the app’s incentives. I know that all Members will appreciate my hon. Friend’s courtesy in making a statement to the House rather than this being announced in a press conference later in the day. As well as the national steps challenge, the Singapore Government launched its Healthy 365 app around a year ago. Will the Minister be looking both at Governments around the world and at businesses and public sector organisations in the United Kingdom that already operate app-based fitness incentives to make sure that we learn from the best and avoid replicating others’ mistakes?

[Maggie Throup]

My hon. Friend makes a very good point. Yes, we know that there is a lot of experience out there and we want to pull everything together to make sure that we have an effective pilot and know how we move forward from that to help people to get healthy, get fit and enjoy good lives.