Social Care Reform
Mike Wood Excerpts(2 years, 10 months ago)
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Helen Whately
I absolutely respect the experience that the hon. Member brings to this House, but I do not agree with quite a bit of what she said. We have done our utmost to support the more than 1.4 million members of the social care workforce during the pandemic, and our thinking about the care workforce puts them front and centre of the social care reforms that we are developing. That, of course, is because the quality of care is so much dependent on that fantastic workforce. I am determined that they continue to be front and centre of our work on reform. As I said, we will bring forward proposals for reform later this year.
Mike Wood (Dudley South) (Con)
A world-class healthcare system cannot exist without effective and sustainable social care. The health and care Bill is an important step, but will my hon. Friend ensure that the social care reforms go further in integrating health and social care so that everybody who needs care can get the tailored support that they need?
Helen Whately
My hon. Friend is absolutely right. The proposals in the health and care Bill are just a step on the road to reform, but they are an important step. That step includes the joining up of health and social care in integrated care systems and putting those on a statutory footing, and the oversight arrangements for social care provided and commissioned by local authorities. We will be building on those plans in our long-term plan for social care reform.
Coronavirus
Mike Wood Excerpts(2 years, 10 months ago)
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Mike Wood (Dudley South) (Con)
As MPs, we are asked to take fundamentally political decisions, balancing the certainty of harm done to people’s livelihoods and wellbeing, which is caused by restrictions, with the imminent risk to people’s lives and the ability of our health services to cope if the pandemic were to spiral out of control. We can only do so on the basis of the very best medical and scientific advice that is available.
Two weeks ago, I was sure that there was no reason why step 4 should not go ahead on 21 June. Within days, that certainty looked foolish. The advice now is clear that pressing ahead on Monday would lead to massive increases in admissions that would leave our hospitals with more covid patients than at any of the worst points of last year. Given that and given the clear guidance from our local NHS leaders of the impact that this would have on their ability to treat people in need, the only responsible course of action is to pause. However, that does not mean that we should not question and test that advice.
Unlike some, I do not believe that the advice has been manipulated to secure a specific outcome. This is not another 45-minute dossier. None the less, some of the modelling does look strange. Some of the assumptions could be questionable. The effectiveness of the vaccines are estimated at 89% and 90% in the modelling, whereas Public Health England data put it at 92% and 96%. The difference between 89% and 96% might not sound huge, but, if we flip it around, the difference in the ineffectiveness rate between 4% and 11% is enormous and clearly would have significant policy implications.
The models project 2,500 hospital admissions a day within eight weeks. That suggests a rate of increase of 40% a week, which is much higher than we are currently experiencing. If that increase was actually 30%, the admissions would be closer to 1,400 a day. If the current rate of 22%, which was seen in the past week, were to continue, then it would reach just 800 after eight weeks. Surely those differences would lead to different policy choices. That is why this two-week break point is important and why it is vital that Ministers take it seriously.
I will back the motions tonight, but if, over the next two weeks, the data do not bear out the hypotheses in the models, we must rethink.
Covid-19: Government Handling and Preparedness
Mike Wood Excerpts(2 years, 11 months ago)
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Matt Hancock
I think that is what the public expect us to do. I had a brilliant visit to Cornwall on Monday. It was a pleasure to go to Treliske to see my hon. Friend there and to talk about the new women and children’s hospital that we are building as part of the biggest ever investment in healthcare in Cornwall. Delivering on these priorities on which we were elected, and of course dealing with this pandemic and keeping people safe, is what the public want to see. That is what the expectations of the public are and it is my total focus.
Mike Wood (Dudley South) (Con) [V]
There was no manual to guide Governments going into this new global pandemic and most people feel that the Government responded as well as anybody could. In particular, over the past six months government has worked well together to deliver a phenomenal amount of testing and one of the best vaccine roll-outs in the world. Is the Secretary of State aware of anything that has changed during that time to help the way that government has worked on improving the covid response?
Matt Hancock
All I would say to my hon. Friend is that it is very difficult responding to an unprecedented challenge of this scale, but over the past six months people have seen that governing has become a little easier and we are being able to deliver.
Covid-19: Government’s Publication of Contracts
Mike Wood Excerpts(3 years, 2 months ago)
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Edward Argar
The Government will meet their legal obligations to publish contracts under regulation 50 and the requirements that that places on us for the information that needs to be published. Those that meet the criteria for a CAN—a contract award notice—under that, and that have been awarded by the Department of Health and Social Care directly, have been published. All contracts will be published—all details under CANs will be published—where that is required by the regulation, and the information specified as to what is published in a CAN notice is of a standard format. We will continue to meet that obligation.
Mike Wood (Dudley South) (Con) [V]
Does my hon. Friend accept the finding of the independent National Audit Office that no health trust in the UK went without the PPE it needed, in contrast with many other countries? My constituents rightly expect transparency in procurement, but most would never want pursuing paperwork to be prioritised over providing proper protective equipment.
Edward Argar
My hon. Friend is absolutely right. The people of this country would expect the Government’s No. 1 priority in March, April and May of last year to have been, as it was, to move heaven and earth to get the PPE that was needed in a very challenging environment to the frontline. I think that what he was alluding to in the NAO report was paragraph 18 of the summary, which said:
“The NHS provider organisations we spoke to told us that, while they were concerned about the low stocks of PPE, they were always able to get what they needed in time.”
That is not necessarily an NAO conclusion, but it is a reflection of what it was told and cited in this report, so he is right to highlight it.
Covid Contracts: Judicial Review
Mike Wood Excerpts(3 years, 2 months ago)
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Edward Argar
I am grateful to the hon. Gentleman, who is absolutely right to pay tribute to the officials and those who were working flat out at the height of the pandemic, often through the night and at weekends. Even when working from home, they did not see much of their families because they were working incredibly hard to procure the PPE we needed to keep people safe. I pay tribute to them. On the hon. Gentleman’s final point, my understanding is that the additional information required by the judgment must be supplied to the court by Friday, and I expect that the judge will make that public.
Mike Wood (Dudley South) (Con) [V]
Speed is vital during a public health emergency, but transparency remains important. What assurances can my hon. Friend give us that, although paperwork can never come before delivering essential medical equipment and services to the frontline, the Government are committed to publishing contracts in a timely manner to ensure that my constituents in Dudley South can have confidence that the processes are fair, open and transparent?
Edward Argar
I thank my hon. Friend. He is absolutely right. Getting PPE to the frontline, procuring what we needed and getting it delivered was the absolute priority. As I have expressed throughout my remarks, I recognise that transparency is hugely important, and we will supply the court with the further information it needs. As the judge said, we are now virtually in complete compliance, and we will continue to work hard to ensure we comply with the requirements under regulation 50 and the other requirements of the Public Contracts Regulations 2015.
Oral Answers to Questions
Mike Wood Excerpts(3 years, 2 months ago)
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Helen Whately
The hon. Member is right to say that visiting at the moment involves extra staffing—for instance, staff to supervise visits and to support the testing that we will be bringing in with the new visiting guidance. We have already provided funding to the social care sector that can be used to support the cost of visiting, and there is additional funding for extra workforce costs.
Mike Wood (Dudley South) (Con)
Dr Jamie Wallis (Bridgend) (Con)
The Parliamentary Under-Secretary of State for Health and Social Care (Nadhim Zahawi)
The Government have secured early access to 457 million vaccine doses through agreements with eight separate vaccine developers. I assure the House that the Government are in constant contact with the vaccine manufacturers, and remain confident that we are on track to offer a vaccine to all priority cohorts by mid-April.
Mike Wood [V]
People like my constituent, Ken, in Dudley South have seen the European Commission threatening to ban vaccine exports to the UK, and are worried about whether they will be able to get their second dose. What assurances can my hon. Friend give to Ken and others like him that they will be able to get a second dose of the same vaccine within the specified time schedule?
Nadhim Zahawi
The vaccine taskforce—I pay tribute to Kate Bingham and Clive Dix, and to the brilliant civil servants who do the heavy lifting—has conducted a supply chain risk assessment and continues to monitor requirements across the supply chain, from supplier through to patient. We are in constant contact with the suppliers. The NHS is already reserving second doses. Last week, we began informing the frontline—primary care networks and others—of the second dose schedule. I can reassure my hon. Friend’s constituents that if they have had a Pfizer first dose, they will get a Pfizer second dose within the 12 weeks; and if they have had an Oxford first dose, they will get an Oxford second dose within the 12 weeks.
Public Health
Mike Wood Excerpts(3 years, 4 months ago)
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Mike Wood (Dudley South) (Con) [V]
This morning’s news that the Oxford-AstraZeneca vaccine has been approved really is the best late Christmas present any of us could ask for. It is our best chance for the world to come out of the pandemic. It is testament to the genius and innovation that is possible when academic research works so effectively with the private sector in pursuit of a common goal. But the strong position the United Kingdom is in, getting early doses of the Pfizer vaccine and being well placed for the Oxford vaccine, and having robust contracts for all the leading vaccines under development, is due in large part to Kate Bingham and her fantastic team, as well as the effective leadership at the Department of Health and Social Care.
The vaccine provides a bright glimmer of hope after what has been the grimmest of years for families and businesses around the country. While there is light at the end of the tunnel, and very clear light, the tunnel ahead of us is still very long and the path still uncertain. Our immediate challenge is to minimise the number of tragic avoidable deaths until a vaccine can be fully rolled out and effective, but also to prevent our national health service from being overwhelmed by new waves and new variants of this debilitating virus.
Scepticism about national statistics and experts’ projections is not uncommon, particularly if one reads mainstream media or so much social media. There will never be a counterfactual that we can use as a control group and we will never know what would have happened if action had not been taken, but we can see what is happening in our local communities. When my local hospital in Dudley tells me that it risks being overwhelmed if numbers continue to rise at the rate they were last month, and when it tells me that a couple of weeks ago it had just four in-patient beds available in the whole of the hospital—and that is after relying on surge capacity—it would be the very height of irresponsibility and indeed callousness to dismiss those direct and dire warnings out of hand.
It is clear that action has been needed to tackle the virus. Looking at the rising infection rates we still see today, including in Dudley South, it is clear that further action is needed. However, we need to be clear about why the scientific and medical experts believe so firmly that the particular measures we are being asked to consider are necessary and, more to the point, why they would be effective.
In September, we were told that much of the spread was due to hospitality. As we know, most of that sector has been shut in much of the country for nearly two months, yet infection rates still rise. We have been told at other times that it is because of schools and universities, but most have been closed for two weeks, during which infection rates do not seem to have dropped off. We have been told that some of the transmission has been through retail, but in tier 4 areas, where shops have been closed for nearly a fortnight, we still see very high infection rates that are, in some areas, still rising. So we need to know where the infection is spreading, why it is spreading and why these measures will help to stop it. We know that the measures taken so far, and the new restrictions that are going to be introduced in Dudley South and throughout much of the country tomorrow under tier 4, are devastating for many families and many businesses—for economic, social and mental wellbeing. So we need to be sure that what we are doing is both proportionate and necessary for the very real and serious challenge we face. For us to be sure of that, we need to be sure that these measures have the best chance of being effective in helping to save lives and reduce the pressures on our national health services.
Mr Deputy Speaker (Mr Nigel Evans)
I am sorry we lost a bit of the video there, Mike, but we heard you loud and clear, with a nice picture on the screen.
DHSC Answers to Written Questions
Mike Wood Excerpts(3 years, 5 months ago)
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Urgent 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
Edward Argar
I am always pleased to receive messages and inquiries from the hon. Gentleman. He raises two important points. The Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Bury St Edmunds (Jo Churchill) is working on the national cancer recovery plan at pace. I am happy to revert to the hon. Gentleman when I have had an opportunity to speak to her. On his broader point, he is right that it is important that we in this House recognise that, in our democracy, people consent and comply because they are persuaded. It is important that we use this House and all the mechanisms within it to persuade and bring the public with us.
Mike Wood (Dudley South) (Con) [V]
We have all had enormous increases in constituency correspondence during the pandemic, so I can only imagine what it must be like at the Minister’s Department. However, in looking at how his Department responds to MPs’ questions, will my hon. Friend reassure the House that any changes will not come at the expense of his Department’s excellent parliamentary engagement and briefings for Members with Ministers and scientific experts that allow us to question advisers on detailed scientific and medical matters?
Oral Answers to Questions
Mike Wood Excerpts(3 years, 5 months ago)
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Matt Hancock
The good news is that we are managing to continue to drive through the backlog that understandably built up in the first peak. Instead of attacking the NHS, the hon. Gentleman should be backing the NHS and thanking it for the incredible hard work that it is doing right now and will be doing this winter.
Mike Wood (Dudley South) (Con)
The Minister for Health (Edward Argar)
The Prime Minister has announced £3 billion to support NHS capacity this winter. Among other things, that money funds our Nightingale hospitals, so that surge capacity is available, and the NHS’s ongoing access to additional independent sector capacity. It also supports the safe discharge of patients, helping to reduce pressure on beds. In addition, £450 million of capital funding has been announced to upgrade and expand A&Es across the country, to help prepare the NHS for winter, and that money is already being spent.
Mike Wood [V]
The £3 million announced to increase winter capacity in Dudley is hugely welcome, but will my hon. Friend also look at Dudley’s bids for capital funding for a hybrid theatre and reconfiguration of critical care? Will he join me on a visit to Russells Hall, so that he can see the transformative effect that those projects would have on care for patients in Dudley South?
Edward Argar
I am delighted that my hon. Friend’s constituents will benefit from £3 million to increase capacity at Russells Hall Hospital in Dudley as part of the investment to upgrade A&Es ahead of winter. Future NHS capital spending will, of course, be determined at the upcoming spending review, but once our settlement has been confirmed with the Treasury, we will consider carefully how projects are prioritised within it. In the meantime, I encourage the Dudley Group NHS Foundation Trust to discuss its proposals with NHS England and NHS Improvement. I would be happy to meet my hon. Friend to discuss this, because I know how hard he campaigns on this issue, and I would be delighted to take him up on the offer of a visit when I am able to.
Matt Hancock
I appreciate my right hon. Friend’s tenacity and doggedness in making the case for Epsom. I am a big supporter of the decision that has been made, and I am afraid, from his point of view, that the final decision on the location of the new hospital—in Sutton—has now been made. However, I am always open-minded to what further health services can be deployed in Epsom itself, and I suggest that my right hon. Friend and I work together on that.
Mike Wood (Dudley South) (Con) [V]
Matt Hancock
Yes. Vaccines could not be approved if there were not volunteers who were willing to take them and play their part. I want to end this session, if I may, with a tribute to my PPS, my hon. Friend the Member for St Austell and Newquay (Steve Double), who, along with some other Members of the House, is taking part in a vaccine trial, and therefore doing his bit to make vaccines available to help everybody across this country.
Covid-19 Update
Mike Wood Excerpts(3 years, 5 months ago)
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Matt Hancock
My hon. Friend feels strongly about this point. That is understandable, because the strategy that we have pursued has been to suppress the virus while we work on the vaccine. We are not there yet, but this progress towards a vaccine demonstrates why we followed the strategy of protecting life even though we know that there are challenging consequences for businesses and other parts of society. We have done so because we have a good degree of confidence that a vaccine will come and will make a significant contribution to solving this problem without the huge risk of its impact on taking people’s lives, especially the most vulnerable, that would be incurred if we did not suppress the virus.
Mike Wood (Dudley South) (Con) [V]
It is fantastic news that 10,000 rapid lateral flow tests will be going to Dudley this week and that about 30,000 more will be in use locally subsequently. What guidance will be issued to directors of public health on how those rapid tests should be targeted?
Matt Hancock
Guidance will be given and we are engaging directly with directors of public health. I will ensure that the teams from Stoke and Liverpool, who have been piloting this, will talk to other directors of public health, including in Dudley. We are not putting stringent rules around the use of these tests, because we want directors of public health to use them in ways in which they think will work and are important locally and then to feed back on the effectiveness of their use so that we can keep learning about the roll-out. We are sending the tests out with guidelines and instructions on how to use them, as well as logistics, but also saying to directors of public health, “Use your professional expertise and tell us how you did it, what worked and what did not and we can all learn from each other.”