Covid-19

Munira Wilson Excerpts

Tuesday 1st September 2020 Commons Chamber

[Matt Hancock]

Yes. Both my colleagues from Milton Keynes have been assiduous in making the case for the need for expansion at Milton Keynes Hospital. The team there have been absolutely brilliant, even while the chief executive has also been stepping up to national responsibilities in response to this crisis. I hope that the expansion of A&E will help to ensure that my hon. Friend’s constituents can access emergency services when they need them.

[Munira Wilson (Twickenham) (LD)]

Given that the Secretary of State decided to announce the scrapping of Public Health England in the middle of recess, when there was no opportunity for parliamentary scrutiny, I find it astonishing that his statement did not make a single reference to the bureaucratic reorganisation in the middle of a pandemic. The King’s Fund described scrapping PHE without a full public inquiry as finding it “guilty without a trial”. The Prime Minister has committed to an inquiry. Will the Secretary of State now set out when that inquiry will happen?

[Matt Hancock]

This is all about ensuring that we are as well prepared as possible for tackling this virus and that the total focus of the new National Institute for Health Protection is on the prevention of infectious diseases. I have set that out very clearly, as I did in my speech. Sometimes we have to make changes to ensure that our systems are working as effectively as possible, and, critically, we had to do so to bring together the different parts of the infection response that had ended up in different places and needed to be brought under single leadership.

Coronavirus Response

Munira Wilson Excerpts

Monday 20th July 2020 Commons Chamber

[Munira Wilson (Twickenham) (LD)]

The £3 billion for the NHS is, of course, welcome, and the Secretary of State has rightly spoken passionately about protecting the NHS, but may I respectfully remind him that he is the Secretary of State for Health and Social Care? I have real concerns about social care being overwhelmed if there is a second surge, with hospitals having to discharge people into the community quickly, as we have seen with the first wave. What further package of support will he announce for social care?

[Matt Hancock]

Of course it is important to support social care as well, as we have financially right from the start. The vast majority of discharges from hospital were into the community, with care packages. Social care is a very important part of this issue. We announced the money for the NHS last week, but we continue to look at what we can do to support social care too.

Covid-19 Update

Munira Wilson Excerpts

Thursday 16th July 2020 Commons Chamber

[Matt Hancock]

Yes, of course. We do not ever want to have to bring in local lockdowns, but they are an important tool in our armoury to tackle outbreaks where we find them. I much prefer local action to be on individual specific premises or surgeries in a more targeted way.

I also pay tribute to Blackburn with Darwen Borough Council, which has done a good job of bringing in local measures when it saw its numbers going up, before the numbers were anywhere near to where Leicester got to. It has done a terrific job. It is vital that we have that local action and that we do not resile from taking it. Having said that, we also recognise the impact that it has, of course, on the people and businesses involved.

[Munira Wilson (Twickenham) (LD)]

Today Sir Patrick Vallance told the Science and Technology Committee:

“It is clear that the outcome has not been good in the UK; I think we can be absolutely clear about that.”

Although I am delighted that the Prime Minister committed to my right hon. Friend the Member for Kingston and Surbiton (Sir Edward Davey) yesterday that we will have an independent inquiry, we need to learn lessons urgently now ahead of a second wave, not least following the warnings in the Academy of Medical Sciences report earlier this week that suggested that we need to rapidly improve test and trace capacity and our PPE resilience. Will the Secretary of State tell the House what he is doing to make sure that we learn from our mistakes?

[Matt Hancock]

We are learning all the way through about how best to respond to this virus. In fact, changing measures, such as the changes we have made in Leicester today, is a good example of learning from the progress of the virus and learning about how best to tackle it. That is just one of myriad ways in which we are learning and improving all the time.

Coronavirus Update

Munira Wilson Excerpts

Tuesday 14th July 2020 Commons Chamber

[Matt Hancock]

Yes. Local action can be anything from action in an individual business premises, an individual farm, as we saw in Herefordshire over the weekend, or an individual GP surgery, up to a group of organisations or, if necessary, a whole city. The approach we take is that, for an individual premises, that is largely a decision for the local director of public health to take, but of course, once we get up to the level of a whole city, that has to be a decision taken nationally by the Government. We will publish more details of this escalation procedure in due course.

[Munira Wilson (Twickenham) (LD)]

A report from the Academy of Medical Sciences states today that July and August are critical months for “intense preparations” for a possible second surge. What specific measures is the Health Secretary taking to stress-test the PPE supply chain during that period, as the report recommends, given that recent improvements to supply have not taken place in worst-case scenario conditions? Furthermore, will he be responding to calls from Care England and the Relatives & Residents Association to provide PPE to adult social care, free of charge, as an important public health intervention ahead of a second wave?

[Matt Hancock]

Of course we are doing that work to stress-test the delivery of PPE and to rebuild the stockpile. We had a huge stockpile at the start, but the distribution of that stockpile was extremely difficult for a couple of weeks while we fully sorted it out, got the supplies flowing back in from abroad and built up domestic supplies. Lord, Paul, Deighton has done a remarkable job in putting together the logistical effort. It is exactly as the hon. Lady says. Over the summer, we are doing the work to ensure we are ready for winter.

Points of Order

Munira Wilson Excerpts

Tuesday 14th July 2020 Commons Chamber

[Munira Wilson (Twickenham) (LD)]

On a point of order, Mr Deputy Speaker. As we are heading into another recess, with the ongoing pandemic and a potential second wave, as we have heard today, on the way, do you have any suggestions or provisions for how hon. Members can scrutinise effectively during that period what the Department is doing, given the challenges we have, which the Secretary of State has already alluded to, in terms of responding in a timely fashion to correspondence?

[Mr Deputy Speaker (Mr Nigel Evans)]

I am grateful to the hon. Member for her point of order and for giving me notice of it. While it is not for the Speaker or me to advise individual hon. Members or Select Committees how they may wish to carry out their work during recess, we may be able to help by emphasising again what the Speaker has said about the importance of correspondence from hon. Members receiving prompt replies. I agree that this will be of particular importance during the recess, while the country is still facing a major public health challenge. I hope that Ministers will give careful consideration to how they can support all hon. Members carrying out their duties during this recess by providing prompt and helpful replies to correspondence.

Coronavirus

Munira Wilson Excerpts

Tuesday 7th July 2020 Commons Chamber

[Matt Hancock]

I will write to my right hon. Friend with that advice. Of course, thankfully, as the virus has been brought under control, so the restrictions on those who are shielding can be lifted, so I am glad to say that this is a lessening problem, but certainly ahead of September, in particular, and the full return of schools, we will have to make sure the advice is very clear, and we will do that.

[Munira Wilson (Twickenham) (LD)]

Day respite care centres, such as Homelink in my constituency, provide much-needed support for people with dementia, learning difficulties and other complex needs and are a lifeline for unpaid carers. Homelink and others are desperate to open as quickly as possible and are working on covid-secure guidelines, but they cannot get free access to testing for staff and their users. Will the Secretary of State please consider making testing for respite carer centres available on the same basis as for care homes?

[Matt Hancock]

Yes, we have a project under way on this. It is something that the Chair of the Science and Technology Committee has been working on for weeks as well. Again, I will write to the hon. Member with the full details of the plan to make this happen.

Covid-19 Update

Munira Wilson Excerpts

Monday 29th June 2020 Commons Chamber

[Matt Hancock]

Yes. Today’s action demonstrates that we are willing to take action to protect people. Local action, in concert with the local council, is sometimes what is needed. There have been local outbreaks thus far, for instance in Kirklees. Along with Kirklees Council, to which I pay tribute, we managed to tackle the problem in one particular factory effectively, and it did not lead to onward community spread. Likewise, in Weston-super-Mare, they closed admission to hospital and tackled the outbreak, and it did not lead to community spread. In the case of Leicester, unfortunately, the outbreak has led to community spread, which is why we have had to take the wider action that I have announced today.

[Munira Wilson (Twickenham) (LD)]

The Secretary of State said that data has been made available to public health officials in Leicester, but the reports yesterday said that that was quite late in coming. I have talked to local government colleagues in Kirklees, and they are still struggling to get granular data at a street level. If we are going to rely on local authorities and local public health officials to manage this outbreak, we need postcode-based data, so that outbreaks on a street, on an estate or in a ward can be picked up very early and dealt with, and preferably broken down by ethnicity, given the demographic issues that have been highlighted in Leicester. Why is that not available in real time, as the hon. Member for Central Ayrshire (Dr Whitford) asked? What is the problem with making that data available immediately at that level?

[Matt Hancock]

That data is available to directors of public health in local councils who have signed a data protection record. I am committing to the House to publish it at as local a level as possible, so that everybody will be able to see and analyse that data.

Health and Social Care Workers: Recognition and Reward

Munira Wilson Excerpts

Thursday 25th June 2020 Commons Chamber

[Munira Wilson (Twickenham) (LD)]

All sides of the House have rightly recognised the immense sacrifice and service to this country made by our health and care workforces, but it is now time to put our money where our mouths are and start to recognise and reward those staff. We on the Liberal Democrat Benches have argued through this crisis for a package of frontline support, including something akin to the deployment allowance given to the military frontline. We should have a frontline service award of a daily allowance during this crisis, but beyond that, this is not the time for a pay freeze. Negotiations on public sector pay must reflect the service and sacrifice that many on the frontline have made for us and our loved ones.

In social care, many do not work in the public sector. Two million people in care jobs are largely on the minimum wage. Half are on zero-hours contracts, yet they are undertaking highly skilled work, taking care of the most vulnerable and providing intimate care. They are often not paid benefits or for travel time, which can be significant in London. It is possible to earn more money stacking shelves in Tesco. It is important to recognise that they have very few career prospects and little training. The pay differential between careworkers with less than a year of experience and those with more than 20 years’ experience has now reduced to just 15p an hour. That is because of the funding crisis in social care, which is keeping those wages down. The case for ensuring that our careworkers are at the very least paid the real living wage is overwhelming and a moral imperative.

In the longer term, to tackle the workforce crisis and put social care on an equal footing with the NHS, pay scales must be reviewed and ideally aligned with the NHS, but that obviously needs to go hand in hand with tackling the long-term funding crisis in social care. Those reforms are well overdue.

We know there is a huge number of migrant workers in social care and in the NHS. The figure is one in seven in the NHS and one in six in the care workforce. We on the Liberal Democrat Benches have argued through the crisis that the cruel policy of no recourse to public funds must be suspended. That is particularly relevant for those on the frontline who may be reticent to take time off or self-isolate because they are only eligible for statutory sick pay, which, frankly, is not enough to live on. A number of other benefits are not available to them, but, most importantly, when people have put their lives on the line for us and our loved ones, we must recognise those workers by granting them indefinite leave to remain. A visa extension is not enough. It is not enough to just take their service and say, “Bye bye. Thank you very much.” We have a moral responsibility to allow them to stay.

Testing of NHS and Social Care Staff

Munira Wilson Excerpts

Wednesday 24th June 2020 Commons Chamber

[Munira Wilson (Twickenham) (LD)]

I join Members from across the House in paying tribute to our NHS and care workers, who have made immense sacrifices and put themselves at great risk on behalf of all of us. We owe them a huge debt of thanks. I mean all the staff in health and social care, including clinical staff, allied healthcare professionals, cleaners, porters, administrators and managers. Whatever their role, we salute them and thank them. However, time and again, they have said to us, “Don’t clap for us every week. Give us the PPE and the testing that we need to stay safe on the frontline.” Sadly, I do not have time today to talk about PPE, and the thrust of the motion is on testing. I would just say that I was surprised to hear the Minister’s comments about care homes and all the testing that has been made available in care homes. The National Audit Office report, published earlier this month, said that 25,000 patients were discharged from hospitals into care homes at the height of the pandemic. We know that since the start of the pandemic close to 14,000 people have died in care homes in England from covid-related causes, yet it took until 8 June to offer tests to care home staff and residents, and even then that did not include learning disability care homes. The case for a full independent public inquiry is, frankly, unquestionable.

 There remain issues with testing. I fully agree with the right hon. Member for South West Surrey (Jeremy Hunt),  who is no longer in his place, that we need a huge further scale-up of testing, including weekly or regular testing of health and social care staff. That needs to be part of a robust test, trace and isolate regime, which, sadly, as health leaders and the World Health Organisation have said, is still lacking. We have seen the app in disarray and we know that local authorities still do not have the data and the resources they need to trace effectively. Health leaders have called today for a “lessons learned” exercise so that we are ready for a second surge; I urge the Government to heed their advice and do that exercise quickly so that we are ready.

I wish to use the time I have remaining to talk about mental health, which is referred to specifically in the motion, with regard to two groups: frontline workers and children and young people, who are also referred to in the motion. From talking to trust leaders and leaders in the social care sector, we know that staff are exhausted and traumatised. There is concern about the potential for post-traumatic stress disorder further down the line. We need to see a big package of measures to support our frontline workers. I welcome the fact that a helpline has been put in place. It needs to be available 24/7 to health and social care staff. We also need to look at some of the measures that the military have in place to support staff, with fast-track access to mental health services and standardised access to mental health services up and down the country. That does not currently exist for our frontline health and careworkers.

As children and young people have been out of formal education for many months and away from their friends, there is likely to be an explosion in the need for mental health services for children and young people. Waiting times were already huge—in some cases six months for my constituents. We need a detailed, cross-departmental Government plan that goes well beyond what the NHS long-term plan has in place, to support our children and young people. They are our future, the recovery will be built on their backs and they need to flourish.

Oral Answers to Questions

Munira Wilson Excerpts

Tuesday 23rd June 2020 Commons Chamber

[Matt Hancock]

My hon. Friend makes an important point. She may have seen this morning that in Germany, North Rhine-Westphalia has been put back into lockdown because of a local outbreak. So far, the local outbreaks we have seen have essentially been clusters in very small areas, and we have been able to bust those clusters and tackle them. We do, of course, hold the powers to have wider local lockdowns. Those will be based on judgments based on the epidemiological advice and advised by the joint biosecurity centre, working with all the relevant agencies.

[Munira Wilson (Twickenham) (LD)]

The Secretary of State rightly says that black lives matter. The time for action is now, yet latest figures show that black African and black Caribbean people are four times more likely to be detained under the Mental Health Act. When will he bring forward the White Paper on the mental health Bill? Will he please ensure that that legislation enshrines the four principles laid out in the Wessely review, including treating the patient as an individual, so that we can start to tackle racial disparities in mental health treatment?

[Matt Hancock]

We will bring forward that White Paper. The work has been ongoing even while we have been dealing with coronavirus. As far as I am concerned, the Wessely review is one of the finest pieces of work on the treatment of mental ill health that has been done anywhere in the world.