Nigel Evans
Main Page: Nigel Evans (Conservative - Ribble Valley)Department Debates - View all Nigel Evans's debates with the Department of Health and Social Care
(3 years, 11 months ago)
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Janet Daby (Lewisham East) (Lab) [V]
I am grateful to be able to speak in today’s debate. I start by extending my deepest sympathy to my staff member, Ruzina, who today lost her mother to coronavirus. Words cannot describe the devastation that this virus has caused to so many.
There are so many concerns that I have about the impact of the Government’s handling of this pandemic, and there are too many pressing issues in Lewisham East to mention, but today, I would like to raise the crisis facing our ambulance services. I have been speaking with a constituent of mine, Mr Clive Tombs, who is a technician in the London ambulance service. Mr Tombs told me of the sheer stress levels that he and his colleagues are experiencing. As the secretary of his branch of the GMB union, Mr Tombs speaks not just for himself, but for thousands of members serving the capital.
Staff sickness in the ambulance service is at an all-time high. Mr Tombs estimates that around 6,000 staff across the service are off sick, the majority with covid-19. He has lost colleagues to the virus and other colleagues are hospitalised. Many others are understandably suffering from declining mental health after seeing the very worst of the impact of this virus and the impact which it is having on our people. Post-traumatic stress disorder is also becoming commonplace.
Phone operators are having to play God in choosing who among the hundreds of callers will get an ambulance. Mr Tombs also speaks of the relentless shifts that those in the ambulance profession are working. Those on the frontline are working 12, 13 and sometimes 14-hour-long shifts, and all too often, they do not get a rest or a break before starting their next demanding shift. We cannot expect our ambulance service to work all hours of the day and night, providing high-quality care, thinking quickly, making smart decisions and putting themselves in danger, without having enough time to rest. I would be grateful to hear from the Secretary of State for Health and Social Care on this issue.
Many of us have been distressed by images over the Christmas period of ambulances piling up outside hospitals, particularly in London. Every one of those ambulances has someone who is in urgent need of medical care and, for some of them, their lives depend on it. A&E departments are not able to keep up with the level of demand, so ambulances, with patients in them, have to wait for hours upon hours—up to 11 hours, Mr Tombs says. They wait on trolleys that provide them with little comfort and are meant only for short use. Staff sit with them in vehicles but struggle to provide safe ventilation in the cold weather. There is no access to a toilet or a washbasin in an ambulance. None of us would like to imagine our parents, partners, elderly neighbours or loved ones suffering on an ambulance trolley waiting to be admitted. What is more—
Caroline Nokes (Romsey and Southampton North) (Con) [V]
I welcome the opportunity to contribute. We have heard a great deal of consensus across the House. We know that there is a terrible toll on people—on our constituents—and every Member who votes in favour of these regulations does so with a heavy heart, balancing the impacts carefully and with the recognition that the measures must be for a minimum period of time, reviewed frequently and carefully monitored.
We have heard from many speakers about the impact on children. My right hon. Friend the Member for Harlow (Robert Halfon) highlighted the terrible impact that the loss of social interaction during lockdown is having on young people and their mental health. I was pleased to hear from my right hon. Friend the Prime Minister today that getting schools back is an absolute priority. It must be. Teachers, parents and schoolchildren themselves have reached out to me, asking that I highlight their worries, as have those in the early years sector, who feel that they have not been taken with the Government and have been neglected in the announcements over the past few days.
Back on 12 November, I called for teachers to be prioritised for vaccination. I recognise that there are competing calls from all key workers, but I make a particular case for those working in special schools, where there is a very great need and where it is hardest for children to understand the importance of social distancing.
Equally, there must be vaccination for domiciliary care workers who are employed by charities or are working independently. This afternoon, Age Concern Hampshire has highlighted to me its worry that those workers will go unvaccinated.
The death toll among those with learning difficulties has been horrific. The hon. Member for Lewisham, Deptford (Vicky Foxcroft) highlighted the work that the Women and Equalities Committee did on that issue in our report on the impact of covid on those with disabilities. The commitment to rolling out information in a manner that can be easily understood, whether it is Easy Read, large print, Braille or British Sign Language, has been inadequate. As a result, the people who need the most help have had an information gap. That is not good enough. Gov.uk still does not have a BSL translation, when there are apps that could do it quickly, easily and relatively cheaply.
It is not just those with learning difficulties who have not been given enough information. Members of Parliament have this afternoon asked for additional details about the agreed schedule of vaccine delivery and the approach to the equation between numbers vaccinated and the consequential lifting of restrictions. People have shown a willingness to comply with massive restrictions, but they want to understand the exit strategy. Early years providers want to know that they are as valued as primary schools. Golfers want a clear explanation of why a walk with their partner with no clubs is fine, but one with their clubs is not.
People are not fools. The science is difficult and graphs can be bewildering, but Ministers need to give us transparency and honesty—that is the key.
Mr Deputy Speaker (Mr Nigel Evans)
I call Karin Smyth by video link. [Interruption.] You are on mute, Karin.
Sir Desmond Swayne (New Forest West) (Con)
This is a situation of state capture. The Government are completely in thrall to a lobby driving a policy that has manifestly failed—it has failed, or we would not be here yet again. It is a complete failure, yet we go through increasing iterations of it, with ever-tighter controls and restrictions, in the hope that it might finally work. And, then, when there is a possibility of change, as a consequence of the arrival of the vaccines, the crazed lobby has already begun to signal that the social control will not be over and that some restrictions will remain; indeed, the chiefs have pointed out that they might have to be reimposed all over again next winter.
To those colleagues who are contemplating voting for these measures this evening, buoyed up by opinion pollsters telling them that, actually, the voters are in favour of them and, indeed, that they crave even tighter restraints on their liberty, I would point out that when the devastating economic consequences of this policy come home to roost, and we see double-dip recession and years of slow growth as firms cannot take up new opportunities because they are saddled with debt, those same voters, who were so enthusiastic, will abandon them, and those colleagues will be back to point a finger of blame—and, on that occasion at least, they will be right.
Stephen Doughty (Cardiff South and Penarth) (Lab/Co-op)
I must respectfully disagree with a number of previous speakers. These lockdown measures are necessary—they were necessary when they were introduced in Wales by the Welsh Government on 20 December—because of the sheer crisis that the health service faces. If we needed any more information to underline that, we only have to look at the statistics this afternoon: over 1,000 deaths—over 1,000 tragedies for families up and down the country, and individuals who are no longer with us. That is on top of an average 700 deaths every day—people who have lost their lives to this terrible virus.
Nobody wants lockdowns or restrictions, but they are absolutely necessary. If we need any more evidence, we know that my constituency neighbour, my hon. Friend the Member for Cardiff Central (Jo Stevens), is in hospital at the moment. This weekend, I had some heartbreaking conversations with people working in the health service, including in Cardiff. I spoke to someone who worked in the intensive care unit at the Heath Hospital, and the stories they told me were utterly, utterly heartbreaking. My thoughts, solidarity and support are very much with all those in NHS in Cardiff and Vale University Health Board and across the country who are on the front line, and are dealing with the reality of this, rather than the fantasies that we have heard from some corners of the House.
I want to discuss two issues briefly. We have to offer people hope on a way out of this situation, and that is why the vaccines are so crucial. I asked the Secretary of State for Health and Social Care earlier on to give us some guarantees on scaling up production and distribution of the vaccines. In 1915, we faced what was called the shell crisis in world war one. I know about it because my great-grandmother was one of 12,000 women recruited from the cotton mills of the north-west to work in emergency factories, mixing nitroglycerine for munitions for the western front. It was a dangerous, complex and difficult manufacturing task, but one that this country turned itself to 105 years ago. We need to engage in that kind of effort and investment in expanding and adapting facilities for the production, bottling and distribution of the vaccine. We need greater assurances from the Government on that in the weeks ahead, not least so that we know they are doing everything they can at the UK level to get that vaccine produced and give hope to our people suffering under these lockdowns and suffering with the effects of this virus.
Secondly, we must not make the mistakes we made in previous lockdowns, one of which is about our borders, as the Chair of the Home Affairs Committee, my right hon. Friend the Member for Normanton, Pontefract and Castleford (Yvette Cooper) and my hon. Friend the shadow Home Secretary and others have rightly raised. In January, February, March, April and May last year, we let in people who spread different strains of covid-19 around the country. We now need measures in place at our borders, because there will be more variants and more cases coming from around the world. We need to have the best systems in place. We were told we were taking back control of our borders. We have to have health protections at our borders, and we need those measures now.
Mr Deputy Speaker (Mr Nigel Evans)
On behalf of everyone here in Westminster, we send our best wishes to Jo for a full recovery.
Kim Johnson (Liverpool, Riverside) (Lab) [V]
There have been more than 2 million confirmed covid cases in the UK, 71,000 people have tragically died, and a staggering one in 50 are now diagnosed with covid—another record high for this country. Liverpool has been significantly impacted by the pandemic. The total number of confirmed cases in Liverpool for the last seven days is over 3,500, an increase of over 2,300 on the previous week.
The new variant poses more of a threat going forward, and we clearly need to take action to halt the increase, save lives and protect the NHS, but this was not inevitable. Time and again, we have seen this Government refuse to take the necessary steps to save lives and protect livelihoods. We have the second highest death rate in Europe, surpassed only by Italy. On top of that, we are currently suffering the deepest recession of any G7 country. The Government have failed to rise to the challenge of the pandemic since last year, and future generations will look back on them as having done too little, too late.
I repeat that this was not inevitable. This is what happens when those in charge disregard calls by frontline workers, teachers, scientists, unions and experts for schools to be closed and for a national lockdown to slow the spread of the pandemic. Doctors at the Royal Liverpool Hospital in my constituency describe the situation as hanging by a thread, with major staff shortages and staff suffering exhaustion, the additional winter pressures and delayed medical demand still overdue from the first covid wave all adding to that pressure.
With hospitals at risk of being overwhelmed by the new variant and already facing this huge spike in infections with fewer staff than in the first wave, can the Minister outline what funding will be made available to bring extra support and staff into the NHS over the coming weeks? With the vaccines being rolled out as we speak, and the welcome news that the AstraZeneca vaccine has been approved to begin distribution next week, when will the Government produce a national plan for vaccinations? What steps will be taken to ensure that agency and outsourced workers in frontline jobs, such as hospital porters, cleaners and teaching support staff, will be given equal access to vaccines alongside everyone else in their workplaces, especially given that those staff are more likely to be at greater risk of contracting the virus?
Let me conclude by paying tribute to our valiant NHS, all the workers who have continued to work to keep my city safe: the council, public health, the community and voluntary sector, and the army of amazing volunteers.
Tim Loughton (East Worthing and Shoreham) (Con) [V]
Thank you, Mr Deputy Speaker, for saving me up till last. It is difficult to say something new at No. 67 on the list.
Let me say at the outset that I recognise the seriousness of the situation, particularly given the new strain of the virus. I recognise the huge pressures on hospitals and I pay tribute to them. However, I am not convinced that another hurriedly announced national lockdown is the right solution. That is why I am loth to vote for the regulations, especially when we have had just three hours to debate the biggest infringement of our constituents’ civil liberties that I have ever had to vote on as an MP, and given that Parliament could have sat all this week, and we would then have considered the regulations before they came into force.
The sunset expiry date of the regulations has been surreptitiously moved to the end of March rather than the end of January as we were earlier led to believe. The regulations have no impact assessment, and there are measures in them that were brought into law in the first lockdown, but later removed or relaxed.
I have said all along that the Government have a difficult job to balance advice about risk from the medical experts with the economic impact and the public’s confidence in abiding by the regulations. After 10 months, that confidence has been sorely tested and there is a high level of lockdown fatigue. It is therefore even more important that what we ask our constituents is logical, consistent and fair. Banning golf, tennis, angling and other outside pursuits was not considered logical previously and was relaxed in earlier regulations. Banning people from buying beer from outside closed pubs rather than crowding into supermarkets and off-licences was also inconsistent and relaxed in earlier regulations. It is therefore frustrating and regressive to see those and many other unnecessary and illogical restrictions creeping back in again. I ask the Secretary of State to be sensible and sensitive to the lobbying to remove them before they undermine confidence further.
My main point concerns the vaccine. It must be the Government’s single biggest imperative. We need a national effort—a “little ships” effort—to deliver, buoyed up by the sea of vaccine the Government wisely bought up early. So when Ministers and clinicians proudly claim that we will be vaccinating 12 hours a day, seven days a week, my reaction is to ask: what about the other 12 hours—the other 50% of the day? We should be vaccinating 24 hours a day, seven days a week, until everyone who qualifies is jabbed. Many volunteers have come forward to work shifts in the middle of the night—many little old ladies in Worthing who would readily bring tea and biscuits round at 4 o’clock in the morning, with others to run the technology. If they are offered a jab at 4 am rather than four weeks hence, people will turn up.
We should be getting more juice, as the Secretary of State put it earlier, including by approving the Moderna vaccine already given the go-ahead in the US, for example. Create drive-through jab centres, develop online booking of slots, allow walk-in services for spare appointments, allow diabetics to self-jab when they get their insulin. Only when we are vaccinating full-time can the Government claim to be doing absolutely everything they can, at pace, to get us out of this revolving pandemic lockdown door.
Rachel Hopkins (Luton South) (Lab) [V]
First, I thank our dedicated and brilliant scientists who have given us the hope of a way out of this extremely difficult period.
At the start of the first lockdown, the Prime Minister stated that the virus would be under control within 12 weeks, yet 10 months on, we are rerunning the devastation caused at the inception of the crisis. The virus is spreading exponentially, many people are in hospital and thousands of lives are at risk. This lockdown is necessary to restrict the spread of the virus and to protect our NHS, and yet again the public—my constituents in Luton South—at very short notice are doing their bit to tackle the spread of covid-19. But lockdown is a blunt tool. Being able to move out of it is contingent on the success of the vaccination programme across the country, so the Government must ensure that they carry out their side of the deal effectively, by acting quickly to make sure the programme is a success.
Meeting the target of vaccinating those in the top four priority groups by mid-February will require the vaccination of 2 million people a week and a total of 14 million vaccinations. Although we all want the vaccine to be rolled out as quickly as possible, I am concerned about the capacity of the UK’s vaccine manufacturers to meet that target, given that the sustained lack of investment in vaccine manufacturing has left the UK acutely underprepared. The chief medical officer has stated that the vaccine shortage is a reality that cannot be wished away, and the Government recognise that, having already dropped the 30 million dose vaccine target set in May.
At the beginning of 2020, the UK did not have the capacity to produce vaccines to meet the demand created by a pandemic, so, shockingly, we are seeing the UK relying on repurposed infrastructure to make the Oxford vaccine. Sir John Bell has stated:
“The government has been completely disinterested in building onshore manufacturing capacity for any of the life-sciences products”.
In addition, one of the companies manufacturing the AstraZeneca vaccine in bulk is transporting vaccine doses to Germany to be put in vials. A decade of Government austerity has hampered our ability to tackle this pandemic, and after the Government’s failures in PPE procurement and the outsourced test and trace system, and their failure to provide sufficient economic support, particularly to those who have been excluded, they must now not fail in the roll-out of the vaccine programme. I hope the Minister will explain to the House how the Government intend to address the frailty of the vaccine manufacturing supply chain and to rapidly increase the number of doses available.
I am also concerned that the Government have not published a detailed strategy for the vaccination of all key workers. As we go into another lockdown, we will once again see the real value of key workers, who keep our country going. There have not been sufficient assurances that teachers, posties, firefighters, police officers—all frontline key workers—will be prioritised in the vaccination process. Will the Minister outline—
Mr Deputy Speaker (Mr Nigel Evans)
Order. Sorry Rachel, but we are going to try to squeeze someone else in.
Richard Graham (Gloucester) (Con) [V]
Thank you for squeezing me in, Mr Deputy Speaker. I can think of few things I would prefer more not to do than again restrict the lives of my constituents in Gloucester, but until we have immunised those who are most likely to need hospital help, the responsible action today is to support the Government. In this third lockdown, it is incredibly important that we help as much as we can all those involved in distributing the vaccine, to get us to the exit as soon as possible.
I know that the process of sharing information locally has been a real problem for some colleagues, but that has not been the case in Gloucestershire, where for nine months now all six county MPs have met regularly with our NHS primary care, public health and county council heads. I pay tribute to them all, not just for the leadership they have given to their organisations, but for the hard work of so many of their staff in healthcare, social care and care homes. However, we are often told that the basic facts that we are being given are confidential. Therefore, I ask the Health Secretary to agree today that the number of those in the top four categories in every area, the number vaccinated, the daily rate required to meet the 15 February goals, and the situation updated daily are basic facts that should be shared with every resident in our country. We can then have confidence in what is happening and what the situation is, and that we are going to arrive at the destination that we need to. That will also give people confidence that there is a real exit strategy from the lockdown as early as possible in the spring, so that people can go back to work as usual.
Secondly, I would highlight that although we all agree how important it is to get children back to school, confidence in when pupils will be able to go back is fairly low at the moment. One way of being able to get around this problem, even though I know it contradicts the principles of how the JCVI organises its categories, would be to vaccinate the teachers, so that heads would know that all their staff would be there and would not be at risk from pupils spreading the virus inadvertently. I ask the Health Secretary to consider that, as he considers all the other important issues about supply and distribution of vaccines as soon as possible.
Mr Deputy Speaker (Mr Nigel Evans)
Fleur, ignore the timer. We will stop you at 6.44 pm, but we are pleased to squeeze you in.
Fleur Anderson (Putney) (Lab) [V]
Thank you, Mr Deputy Speaker. I am glad to be speaking in such an important debate. First, I thank all the staff at St George’s Hospital and Queen Mary’s Hospital in Roehampton, who are working so hard at the moment to deliver much of the life-saving care that we are talking about in today’s debate. I also offer my condolences to the families of the over 1,000 people who have died in the last 24 hours, which really brings home why we need these measures, hard though they are. As such, I will be voting for them and supporting them. Our hospitals are under stress; we need to have these measures to save lives and protect the NHS.
I am highly disappointed about the failure of the track and trace system up to now, which I think is part of the reason why we are having to see these continuing lockdowns. We are not overcoming this disease, as they have done in other countries, so we have to get to grips with real tracking and real tracing, getting back to 100 contacts each. I welcome the roll-out of vaccines, and look forward to a “community first” way of rolling these out, in which local GPs—those who are trusted to provide and administer the vaccine—will be leading the way. I especially hope to see a vaccination centre in Roehampton in my constituency. I am disappointed that many people are still left out of economic support: a business rate holiday would make all the difference to my constituents and businesses.
Finally, there is still a failure to contract for scrubs. There are still volunteers making scrubs for our NHS providers, and this needs to be sorted out. I would really welcome hearing from the Minister whether I can meet with those who are involved with contracting on scrubs, along with experts in my community, who are still doing this on a voluntary basis when it should be done nationally. Thank you very much.
Mr Deputy Speaker (Mr Nigel Evans)
Thank you for being concise as well, Fleur. I call Alex Norris to start the wind-ups.