Adult Social Care

Peter Kyle Excerpts

Wednesday 1st December 2021 Commons Chamber

[Gillian Keegan]

I thank the hon. Lady for her warm welcome for the White Paper. [Interruption.]

[Peter Kyle (Hove) (Lab)]

It’s not a laughing matter.

[Gillian Keegan]

It is not a laughing matter—it certainly is not. Of course, calling for something is much different from delivering something. We are taking steps to fix social care. We are grappling with this challenge, and we will meet it. In 13 years, what did Labour do? Two Green Papers, one royal commission, one spending review—and the result? Absolutely nothing. They are good at calling for things, but they are not very good at delivering things.

The hon. Member for Leicester West (Liz Kendall) mentioned immediate pressures. It is right to say that there are immediate pressures on all our workforces as we bounce back from the pandemic, but in particular on our health and social care workforces. We have always said that. We have challenges across the winter, and we know that we need to meet those challenges. That is why we put a winter plan in place, and it is why we have given additional funding to the sector. We have given additional funding to the sector all the way through the pandemic. We have given an extra £2.5 billion.

For the workforce specifically, we gave £120 million for January to March this year. That resulted in 7.5 million extra hours in the sector and 39,000 new recruits. As that was a successful intervention, we have repeated it for this period. In fact, that money—£162.5 million—has just started landing in councils’ bank accounts, and that is to take them up to March. We know there are pressures, and we know there is a lot of competition for labour, but we hope that that will be as successful as the previous interventions.

Of course, this is a 10-year vision, and we have to start with that vision. [Interruption.] I know that the hon. Lady and Opposition Members will look forward to reading the White Paper and seeing the vision.

[Peter Kyle]

It won’t take long.

[Gillian Keegan]

It will take long. It is over 100 pages, so it will take a reasonable time if Members are interested in actually finding the solutions.

The hon. Member for Leicester West also asked about workforce strategy and the NHS compared with social care. Obviously, the people in the NHS are employed by the NHS, which is a public body. Social care is largely a private system. There are 18,000 or more businesses. That is why it is a different sector and why we deal with workforce strategy differently. However, we have £500 million to invest in the social care workforce and to make sure that we invest in the knowledge and skills framework, careers options and so on.

There are 1.54 million workers in the sector and they are hugely valued. The hon. Lady said they are leaving in droves. Actually, what we have in the sector is a continual demographic shift in terms of need, and it grows by 1% to 2% every year, so we are always trying to recruit new workers into the sector. Of course, it is very important that these fundamental reforms take place so that we get more people attracted to the sector, more people staying in the sector, more people progressing in the sector and more people providing excellent care all day, every day, providing a lifeline to people across the country.

Covid-19 Update

Peter Kyle Excerpts

Monday 29th November 2021 Commons Chamber

[Sajid Javid]

No one wants to see those kinds of measures. I agree with my hon. Friend that covid is with us to stay and we need to learn to live with it. I think the best way we can do that is with the primary form of defence that we have, which is our vaccination programme. I hope he agrees that we are absolutely right to basically put the booster programme on steroids, because that will really help us.

[Peter Kyle (Hove) (Lab)]

One of the most covid-vulnerable settings in the country is school classrooms. Children have a much lower vaccination rate than adults, and children come from all over communities to one place and then return to families in the afternoon. Masks are being returned to corridors, but they are not being returned to classrooms. I take no pleasure in advising the Secretary of State to make children wear masks in classrooms. However, it is absolutely clear what the stakes will be if we get this wrong. Students have already been absent from schools in their hundreds of thousands this term, and we are approaching the exam season. If we just act cautiously in the next few days, exams will be able to be sat as normal; if we get this wrong, exams will be wrecked for the third year running. That will play havoc with students’ futures, and it will play havoc with teachers and their ability to get the job done on behalf of our country.

[Sajid Javid]

The hon. Gentleman will know that the Department for Education today set out fresh guidance on masks in communal areas—

[Peter Kyle]

Not in classrooms.

[Sajid Javid]

Not in classrooms. I think what the Government have set out is the right approach. In terms of protecting children from the pandemic, the vaccination programme for children—especially secondary school children—is important. I think over 40% of 12 to 15-year-olds have been vaccinated. That has certainly increased since we opened up the national booking system to that cohort. I think the figure for 16 and 17-year-olds is almost 60% now, but we continue to work on it.

Covid-19 Update

Peter Kyle Excerpts

Monday 19th July 2021 Commons Chamber

[Nadhim Zahawi]

My right hon. Friend always makes thoughtful and important interventions and I take his words incredibly seriously on both questions. One was about sharing with the House the evidence and working with the industry, whether it is the nightclub industry or at-risk large-scale indoor events. As I mentioned in my statement, we will come back to the House with that evidence. On the self-isolation issue, I hope he agrees that this was the right thing to do for frontline health and social care staff and for critical workers. The important thing is the clinical evidence. The chief medical officer’s very clear advice is that, as we go through step 4, we should have that additional buffer, if I can call it that, and continue to double vaccinate to allow us a bit more time to ensure that people who are double vaccinated can then come out of self-isolation because we can move to a PCR-negative or daily testing regime. That is the right thing to do. We will keep it under review, and I take his words very seriously.

[Peter Kyle (Hove) (Lab)]

Come September, the settings that will be most vulnerable to covid will be schools. School classrooms are going to have a higher percentage of non-vaccinated people than anywhere else. The Government have scrapped the need for face masks and the bubbling system, and they have now forbidden schools and nurseries from doing in-house track and trace and forced them on to the failing nationwide track and trace system. I understand why we need to be really sensitive and cautious about vaccinating young people aged 12-plus, and I am cognisant of the comments made by the hon. Member for Sleaford and North Hykeham (Dr Johnson). However, in other areas, the JCVI has ensured that we are at the forefront of the global vaccination programme.

Could the Minister explain the conversations he has been having with the JCVI as to why the Government are being so cautious in this regard? Will he explain to the House when the JCVI will give updated advice, because really those young people should be vaccinated over the summer if it is safe? To be very clear, I am not asking for a forced programme for children. I am asking for this to become available when the JCVI says it is safe, and for parents and families to have all the information they need so that they can make the decision on behalf of the interests of the child, the family and the community, and take into account educational scarring as well.

[Nadhim Zahawi]

The hon. Member asks a really important question; it is one that we have asked the JCVI. There will be two supervised tests on return to school, but the other advantage will be the wall of vaccinated adults that will continue to increase.

[Peter Kyle]

One teacher; 35 children.

[Nadhim Zahawi]

I hear the hon. Member and I absolutely understand. That is why the JCVI will continue to review the data on the vaccination of children. Specifically on his question, it has a concern. It has received data from around the world; from countries that are already vaccinating. We are with those countries at the forefront, but at the moment we are an outlier as they have chosen to move forward on children’s vaccination and we have not fully; we are moving forward for children who are vulnerable and those who live with vulnerable adults. It wants to look at second-dose data; at the moment it has first-dose data. There is a very rare signal of myocarditis that it is concerned about and it wants to see second-dose data from places such as the United States before it makes its decision. That decision, however, is under review.

Covid Contracts: Judicial Review

Peter Kyle Excerpts

Wednesday 24th February 2021 Commons Chamber

[Edward Argar]

I think what my constituents and the British public want to see us all doing is working together to make sure we get through this pandemic and get those on our frontline what they need to keep them safe.

[Peter Kyle (Hove) (Lab)]

There are 60,000 pub landlords in this country and many of them have lots to give in a time of crisis, but is it not a coincidence that the one who gets a massive contract happens to be the one who has the mobile phone number of the Health Secretary? There are hundreds of racehorse owners in this country. Is it not funny that it just so happens that the one who gets a top job, without the need for an interview, happens to be a mate of the Health Secretary? And on and on it goes. If this behaviour was going on in a country in the developing world, there would be howls of “Corruption!” from those on the Tory Benches and calls for the aid budget to be cut. Is it not true that, when it comes to jobs for friends, dodgy contracts and all the rest that has been going on which has been normalised by this Government, they and the Tory party have a blind spot?

[Edward Argar]

Again, I have huge respect for the hon. Gentleman, who is normally measured and tempered, but I fear on this occasion that he has not done himself justice in the points he makes. As I have made clear, and as has been made clear, all contracts that were awarded were assessed by an eight-stage process run by the civil service—checking due diligence, appropriateness, ability to deliver and price—and not by Ministers. On the specific contract he mentioned, it has been made clear that the Secretary of State had no involvement in the award of that contract or its assessment.

Covid-19 Restrictions: South Yorkshire

Peter Kyle Excerpts

Wednesday 21st October 2020 Commons Chamber

[Peter Kyle (Hove) (Lab)]

Local and regional authority leaders from South Yorkshire and right the way across the country will have heard the Health Secretary and the Prime Minister repeatedly say in the past 24 hours that they cannot exceed the items offered to Merseyside in their negotiations elsewhere. Will the Minister at least be honest and say that this is not a negotiation? It is a take-it-or-leave-it deal that other authorities can take. Those who lead authorities have to ask themselves the question: what is the point of negotiating?

[Edward Argar]

The hon. Gentleman knows I have huge respect for him—indeed, a huge fondness for him —but I am afraid I cannot agree with what he says. We have been working very closely in a collegiate way with local authorities. It is absolutely right that, alongside that negotiation or discussion on the package and support they need, we recognise that we have to be fair and proportionate across other regions that are in the same tier. We have to ensure that the approach we are adopting, which we are, is both fair and proportionate.

Public Health

Peter Kyle Excerpts

Monday 15th June 2020 Commons Chamber

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

Today marks 12 weeks since the country went into lockdown and we saw the biggest peacetime restrictions ever. Over the past 12 weeks, the public have made huge sacrifices. The vast majority of them supported and adhered to the lockdown, and it is right that we take a moment to acknowledge the sacrifices they have made in the interests of public health—the business that faces an uncertain future, the child who has missed out on crucial social and educational opportunities, and the grandparents who just want to give their grandchildren a hug. We know it has been hard, and we thank them for doing their bit.

We also thank those in the NHS and other parts of the public sector, in social care and of course the millions of other people who have made their own contributions in the collective fight against the virus. When we have seen over the weekend images that represent the worst of this country, let us not forget that many, many more have in recent months shown us what the very best of this country can look like.

It is also right to take a moment to remember the more than 41,000 lives that have been lost to the virus, each one a tragic loss. We mourn them all.

We are here today to consider the third iteration of the regulations, just as further relaxations come into force to allow non-essential shops to open for the first time. Those measures are probably the single largest relaxation since lockdown was introduced—but we are not here to debate those changes. In our view, we ought to be, but instead we are here to debate the changes that came into force two weeks ago, on 1 June, and the interventions on the Minister that we have heard demonstrate why there is some anxiety.

Changes should be debated and have democratic consent before they are introduced. I thank the Minister for acknowledging Opposition concern in respect of that, and I understand why urgent action is needed, but it should be perfectly possible for us to debate regulations at short notice. We in the Opposition stand ready to co-operate with whatever is necessary to make that happen.

[Peter Kyle (Hove) (Lab)]

Considering that Government have one job, and one job alone right now, which is keeping us safe and preparing for the days ahead, is it not inexcusable that they are not able to keep Parliament up to date at the same speed as they announce things to the media?

[Justin Madders]

I will come on to the discourteous way in which the Prime Minister has been announcing these things to press conferences instead of this Chamber.

It is important that this Chamber has a role because these are not minor or consequential changes that can be nodded through without debate. They affect millions of people’s lives, and we know that if we get it wrong, the consequences will be devastating. Debating them weeks after the event, and in some cases when they have been superseded by the next set of regulations, demeans parliamentary democracy. Changes such as these should always be accompanied by a statement to Parliament, not just showcased at Downing Street press conferences. We are not merely a rubber-stamping exercise to create the veneer of a democratic process. We should not be debating these measures late, and we should not be debating them without seeing the full extent of the information on which the Government based their decisions. We know that the next review of the regulations must take place on or before 25 June. If that review leads to further relaxations, will the Minister commit today that any regulations introduced off the back of that will be debated here before they are implemented and not retrospectively?

The reviews, which are legally required to happen under the regulations, took place on 16 April, 7 May and 28 May. I ask the Minister: where are they? In a written question, I asked the Secretary of State whether he would publish those reviews. I received a reply last week stating that the Department of Health and Social Care had indicated that it would not be possible to answer the question within the usual time period. Why on earth not? If the Government have conducted these reviews, why are they not in a position to disclose them? I find this absolutely incredible. Here we have the most far-reaching impositions into everyday life in this country, yet we have no idea what the Government’s own reviews of them say. These are reviews that are required under legislation.

[Justin Madders]

If these regulations were actually going to be changed as a result of what we said here, we might see a better attendance, but the Government have shown the contempt in which they hold this place by introducing them way after the event. The question is: where are the reviews? What is it that we cannot see in them? This betrays a cavalier attitude to transparency, and it does absolutely nothing to engender confidence that the decisions that are being taken are the right ones.

[Peter Kyle]

We have to get this on to the record. My right hon. Friends the Members for Barking (Dame Margaret Hodge) and for Derby South (Margaret Beckett) want to be here engaging in the debate, but they are unable to be here because the virtual Parliament has been closed down for debates such as these, and they have to shield. The Government are telling them not to be here. That is the reason they are not here. Is that not correct?

[Justin Madders]

My hon. Friend is absolutely right, and I am sure there are many Members who cannot be here for good reasons but who would like to take part in the debate. They are following the Government’s advice, which is to work from home wherever possible. This just shows how confused the approach is sometimes, and it really is an affront to democracy that those Members cannot take part in important debates such as these.

--- Later in debate ---

[Sir Charles Walker (Broxbourne) (Con)]

Tonight we are debating the continued removal of civil liberties and we are not having a vote at the end of this debate. We need to start voting on these matters. I find it absolutely extraordinary that 10, 11, 12 weeks into this crisis we are yet to have a vote. This is important stuff—important to my constituents, this country and Members, and we need to get back to business as usual, as much as we can.

[Peter Kyle]

Will the hon. Gentleman give way?

[Sir Charles Walker]

Very briefly.

[Peter Kyle]

I will be brief. The House of Lords—the other place—voted tonight. It did so electronically. Does the hon. Gentleman not think that that would be a more sensible way forward here, because we could have been doing it already?

[Sir Charles Walker]

I will come on to that point.

We have got to get people back to work. I am going to lose hundreds of small businesses in my constituency and thousands of jobs—and that is just if we all go back to work tomorrow. If we delay week after week after week, more and more jobs will go and more and more businesses will close, not just in my constituency but in yours, Madam Deputy Speaker, and in everyone else’s in this Chamber—all colleagues. It will be catastrophic. It is going to be really, really bad for a lot of people. Not having a job, losing your business and not having a home have bad outcomes—bad health outcomes, bad mental health outcomes, and just bad outcomes all round for your family and community.

We talk about when we do not have coronavirus any more—when we have banished this virus from our shores. Well, we may have to learn to live with this virus. I did a bit of research and found a book by the virologist F. M. Burnet, written in 1953—a very good read it is too. He was an expert on Spanish flu, and he wrote this:

“Influenza remained unduly active and unduly fatal through 1919 and 1920, but gradually reverted to normal character. The change from the young adult incidence of fatality to the standard type involving virtually only the old was not complete until 1929.”

That was a decade.

You will know, Madam Deputy Speaker, that as most viruses mutate they become less fatal, and hopefully that it is what is going to happen to coronavirus; I suspect that it will be the case. There is this idea that we can stand here and say, “We’re not going to go back to work—we’re not going to go back to normal—until we banish coronavirus.” But we could see this hybrid Parliament lasting a lot longer than any of us thought it would last. We could see a lot more of our constituents out of work and a lot more businesses failing; in fact our whole country could fail.

We talk about leadership; we talk about the Government leading. That is a realistic expectation—that the Government lead—but what about our obligation to lead? Parliament came back two weeks ago after the Whitsun recess and we had a number of votes. We were asked to queue for half an hour, in the sunshine, and we started whingeing and tweeting out. Why were we whingeing that we were being asked to stand in a queue? My God, for crying out loud, our constituents had been doing it for the past 10 weeks, and yet when it is our turn we do not like it at all. Where is the leadership there, I ask you? And it did not go unnoticed by our constituents.

I will return to the issue about democratic accountability and the democratic deficit, and why this place needs to meet vibrantly to debate matters of great concern. You will remember, Madam Deputy Speaker, that during the EU debates there was heat, passion and emotion, but it never spilled over into the streets because we were the safety valve. We were allowed to let off steam in this Chamber on behalf of our constituents, and they felt they had a voice. But now in London we are seeing people who feel passionately about an issue—who feel it viscerally in their hearts—not having voices in Parliament organically, through a debate, sharing, debating and discussing their concerns.

That is why it is so important that we start voting on matters of civil liberty—that we take it upon ourselves to return to this place to lead the country back to work. It is not good enough to think we have done our bit by clapping fantastic NHS health workers and people in supermarkets, and yet when it comes to our turn we say, “No, that is for other people.” We have got to get back to work—ourselves and the nation.

--- Later in debate ---

[Jo Churchill]

I thank all hon. Members who have spoken. The debate has exemplified quite how challenging and complex this situation is. Throughout it, we have discussed both opening up and not opening up at the same point. The regulations state that the Secretary of State should ensure that restrictions are lifted at the earliest opportunity if no longer necessary for public health. These measures are incredibly restrictive, and we should not leave them in place a moment longer than we need to, but we have to go with caution. Parliamentary scrutiny is essential, but we could not justify to the public keeping the restrictions in place longer while we await a debate.

The changes are broadly consistent with the road map that the Prime Minister laid out to this House on 11 May. Over the coming weeks and months, we will continue slowly to ease the restrictions put on individuals, society and businesses by the regulations, if and when it becomes safe to do so. The amendments debated today play a significant role in that gradual return to normal life. This requires a constant and careful review of the evidence and of the impact both of measures remaining in place and of the amendments we have made to them. We are being guided by the science, and the Government are making changes only where we are confident that it is safe to do so.

[Peter Kyle]

Let me quickly put on the record my thanks to the Minister. At the very beginning of the outbreak back in February, when the first outbreak was in my constituency, she briefed me daily and was constantly available as a source of information at that point, so I thank her.

Can the Minister explain to the House why, on issues such as zoos, in the few days it has taken to get this statutory instrument to the Floor of the House, there has already been a U-turn? Why is there so much confusion about this announcement?

[Jo Churchill]

I would argue that this is a dynamic situation. For example, with zoos, scientific evidence indicates quite clearly that open spaces are much safer for people to be in, so a degree of logic applies. It is very difficult to argue that we do not want things opened, while at the same time requesting that businesses and so on are opened. There has to be a degree of walking slowly, and I hope to come on to that. Several Members raised the fact that there appear to be inconsistencies, but I would argue that the Government are maintaining only the restrictions that are necessary and appropriate at any given time.

Covid-19

Peter Kyle Excerpts

Monday 16th March 2020 Commons Chamber

[Matt Hancock]

It is a cough that does not go away. It is not an irregular cough. I cannot give any more detail on the specific advice than that. It is a continuous cough; that is the best way to describe it.

[Peter Kyle (Hove) (Lab)]

If pubs are unsafe, why is it being left to customers to decide whether they should go to them or not?

[Matt Hancock]

Because our advice to everybody is to reduce unnecessary social contact to protect themselves.

Coronavirus

Peter Kyle Excerpts

Wednesday 26th February 2020 Commons Chamber

[Matt Hancock]

People should call 111 if they are concerned; they should not attend A&E or go to their GP, unless 111 has correctly told them to do that. The 111 call handlers are highly trained. There are GPs at the other end of the line to make sure people get the best advice. It is the place to go to.

[Peter Kyle (Hove) (Lab)]

Having experienced the outbreak in my home town of Brighton and Hove, I would like to commend the work of the Secretary the State’s Department, his officials and public health officials across the country. In particular, I would like to thank the Under-Secretary of State for Health and Social Care, the hon. Member for Bury St Edmunds (Jo Churchill), who personally went beyond the call of duty to keep me and my colleagues informed at every step. I am convinced that the strategy that was unfolded in our city was the correct one, but what was not quite good enough was the explanation given to residents of why that strategy was chosen. Those who came into contact with people with coronavirus were contacted proactively, but those in the same space who were concerned had no information at all. Is this something that will get better?

[Matt Hancock]

The hon. Gentleman is right to praise my colleague. It is a pity, Mr Speaker, that you did not call him earlier, because she has just left the Chamber. He is right; we are constantly learning. Communication in this area is always a challenge, because we have to get some quite technical information over to a large number of people in a very short time. We do our very best, but we are constantly learning from what goes well and what goes badly, so I would love to hear more from him about how we can improve.

Oral Answers to Questions

Peter Kyle Excerpts

Tuesday 28th January 2020 Commons Chamber

[Caroline Dinenage]

My hon. Friend is right to highlight the importance of access to primary and community services within Pinner. My right hon. Friend the Secretary of State will be happy to meet him to discuss the matter further, but we will support anything he is doing to assist his local services.

[Peter Kyle (Hove) (Lab)]

3. What discussions he has had with the Secretary of State for Housing, Communities and Local Government on providing assistance to local authorities preparing for the routine commissioning of PrEP.

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

I have spoken to the relevant Ministers in the Ministry of Housing, Communities and Local Government, and my officials are working closely with other key stakeholders to ensure that we deliver routine commissioning of PrEP—pre-exposure prophylaxis—to help end new HIV transmissions. This is a key interest not only of many hon. Members but of many broader stakeholders, and I know the issue is particularly dear to the hon. Member’s heart.

[Peter Kyle]

I am grateful for the Minister’s response and for the Secretary of State’s announcement that he wants routine commissioning of PrEP by April, but what he and the Department have not done is spell out how they will achieve it. The PrEP trial will end this year, and we need a guarantee that every single person who needs and wants PrEP will get it from April.

[Jo Churchill]

I assure the hon. Gentleman that NHS England and NHS Improvement have already agreed to fund all the ongoing costs of the drugs for PrEP going forward. We will provide information on how the other elements of the programme will be funded and how commissioners will be supported. He is right that the trial ends in July, but routine commissioning will be rolled out from April—we will make sure they dovetail. It is hugely important that PrEP is available for each and every person who wishes to access it.

Oral Answers to Questions

Peter Kyle Excerpts

Tuesday 23rd July 2019 Commons Chamber

[Matt Hancock]

The increase in funding for mental health services, which is the largest increase as part of the overall £33.9 billion increase, goes to mental health services. Of course, the vast majority of that will go towards employing more people. As my hon. Friend says, we need to encourage more people into training in mental health services and psychiatry, as well as mental health nursing, which is also under pressure. The expansion of these services ultimately means that we need to have more people doing the work: supporting people to improve their mental health and supporting people with mental ill health. My hon. Friend is absolutely right to raise this issue, which is right at the top of the priorities for the NHS people plan.

[Peter Kyle (Hove) (Lab)]

Sexually transmitted diseases such as syphilis and gonorrhoea are on the rise. Will the Secretary of State target more resources at staffing and investment to ensure that we tackle this rise?

[Matt Hancock]

We have recently announced that the way in which we are going to proceed with regard to sexual health services is co-commissioning between local authorities and the local NHS. This is the best way to ensure that we get the services on the ground. I would just slightly caution the hon. Gentleman; although he mentioned that some sexually transmitted diseases have been on the rise, others have been falling quite sharply. We have to ensure that we get the details of what we try to implement right, but I support the direction of travel that he proposes.