Lateral Flow Tests in Healthcare Settings

Debate between Rachael Maskell and Maggie Throup

Monday 28th March 2022 Commons Chamber

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

First, I thank the hon. Member for Ealing, Southall (Mr Sharma) for bringing forward this debate about lateral flow tests in healthcare settings. He speaks so passionately about health issues more broadly, and I am grateful for his speech on this important topic today. He has spoken previously about access to covid-19 testing, particularly in specific settings, and I want to put on record my thanks for his contributions on these matters.

As the hon. Member highlighted, the pandemic has provided this country with a monumental challenge. When coronavirus first emerged, we knew very little about it, other than reports that people were becoming seriously ill and, very sadly, passing away. The Government moved quickly with unprecedented measures that affected every single person on these isles, building and scaling up our testing capability to levels not seen before, sponsoring the development of groundbreaking vaccine technology and being the first country in the world to approve a vaccine.

Our huge thanks go to all those who supported the vaccine roll-out and mass testing. From our NHS staff on the frontline, primary care workers and individuals in the community to the military providing expertise in logistics and planning, colleagues from the private sector and civil servants deployed from their normal roles, we recognise the immense effort and long, exhausting hours they have put in working to keep the nation safe.

I am proud of how the Government responded at pace to the challenges that health and social care staff faced. Since April 2021, we have dispatched over 5.8 million rapid lateral flow tests to NHS workers in England—directly to NHS trusts, care settings and the homes of individual staff members—with over 60,000 of those going directly to the hon. Member’s local NHS trust in Ealing.

Testing has been a crucial countermeasure throughout the pandemic. The world-beating scaling up of our PCR testing capability proved invaluable, enabling us to diagnose symptomatic individuals when facing a growing but relatively unknown threat from a new virus.

We introduced lateral flow devices in November 2020 as a tool in addition to the highly sensitive PCR tests. LFTs were a significant step change in our battle against covid-19, enabling us to open up greater levels of asymptomatic testing and tackling asymptomatic transmission when the vaccine roll-out was in its infancy yet still ahead of the rest of the world.

Since April 2021, 13,500 positive but asymptomatic NHS-linked individuals have been identified by LFTs. Through their tireless dedication to regular testing, staff in the NHS and in care drove that most pressing fight to protect those most at risk—their colleagues at work, their friends, their families and, most importantly, their patients. All were protected because we were able to break the chains of infection using LFTs. I want to put on the record my immense thanks to each and every NHS and care worker for their valiant and unwavering efforts.

Since the early months, we have learned a lot more about covid-19, including what makes someone more at risk of contracting the virus and how best to mitigate the risk of transmission. That applies in all settings, although especially in healthcare and social care ones, where the close nature of the care provided creates greater opportunity for transmission. In these places, LFT testing has helped to ensure that staff can continue to safely carry out essential care for those most at risk.

By relying on the expert advice of our medical and scientific advisers, many of whom have become household names because of their immense contributions, we have been able to take steps to mitigate the rate of transmission of covid-19. We are now in a much better position, where the link between infection and severity of disease is substantially weaker than in earlier phases of the pandemic. We have severely weakened the link between infection and severe disease. As the hon. Member for York Central (Rachael Maskell) said, cases are rising again. However, we are on the front foot thanks to vaccines and community covid-19 treatments.

The UK’s investment in groundbreaking vaccine technology and our world-beating vaccination programme has put us one step ahead of the virus. Vaccination is now the UK’s first line of defence. Thanks to the actions taken by the people of the United Kingdom, as of 24 March 2022 more than 85% of those over 12 have had two doses. Now we are also inviting those aged 75 and over, residents in care homes for older adults, and individuals of 12 years and over who have a weakened immune system to take up the offer of a spring booster jab.

Importantly, we now have widespread availability of targeted community covid-19 treatments. For people who are eligible, those can significantly minimise the chance of developing severe disease. I hope that the spring booster and the community covid-19 treatment programme reassure the hon. Member for Ealing, Southall that we take very seriously the situation of the immuno-suppressed.

[Rachael Maskell]

My concern is that in York, where about 90% of people are vaccinated, the rate of people getting very poorly with covid is going up. The antiviral treatments are not effective, because there is an increase in mortality as well. Putting the additional line of defence—testing to prevent transmission—in the system is one way to save lives. I cannot understand why the Government will not move the issue on for three months; we could then review the situation again.

[Maggie Throup]

I thank the hon. Lady for that intervention; I know she is passionate about this issue, which she has spoken about many times. It is important that we should recognise that we have moved on. We have broken the chain of transmission with the vaccination programme, which is our first line of defence along with antivirals and therapeutics within NHS settings.

Core to continuing to stay ahead of the virus and learning to live with covid is a move to everyone embodying safer behaviours in their day-to-day lives. The Government recommend continued vaccination, which ensures that everyone is as protected as possible and reduces the chance of their becoming infected and transmitting it to others and of developing severe disease. We have the spring booster programme, and there is an evergreen offer to those who have not yet come forward for their first dose—there are a few of them every day—or who have delayed their second dose or booster. They are welcome to book their vaccines at any time.

We recommend ventilation to ensure that harmful particles are blown away, and the wearing of face coverings in crowded and enclosed spaces to minimise transmission, particularly where prevalence is higher. People should stay at home if they are unwell, to ensure that they do not spread the virus to their friends and family, as well as washing hands regularly and following NHS advice to “catch it, bin it, kill it.” In addition to that advice, NHS England for NHS staff, and the Department of Health and Social Care and the UK Health Security Agency for social care staff, provide expert infection prevention and control guidelines to ensure that healthcare staff, their families and their patients are kept as safe as possible.

Over the past two years we have worked relentlessly to ensure that the people of the United Kingdom have been protected from the virus, reacting to learnings and putting them into practice, as well as using them to implement pragmatic long-term plans. The approach to managing covid-19 in NHS and social care services has evolved over time, giving us the opportunity to learn what works best to keep people safe. We have the opportunity to put that learning into practice, while continuing to focus on providing care for those who need it and supporting those at risk from covid-19.

As we know, the pandemic is by no means over. The UK Health Security Agency continues to monitor the virus and has recommended a package of contingency capabilities that form a reasonable insurance scenario to enable us to respond to resurgences or new variants of concern. I reassure the House that in line with recommendations, the Government have secured a supply of lateral flow devices to use if necessary. Limited ongoing free testing will be available for a small number of high-risk groups within the settings we have discussed, plans of which will soon be set out in further detail by the Government. Once again I thank the hon. Member for Ealing, Southall for securing this debate on such an important issue and expressing his remarks so well.

Question put and agreed to.

Oral Answers to Questions

Debate between Rachael Maskell and Maggie Throup

Tuesday 18th January 2022 Commons Chamber

[Maggie Throup]

Although evidence shows that the omicron variant causes less severe disease than previous variants, yesterday in England we still had over 16,000 covid patients in hospital and over 84,000 reported cases. Plan B measures are currently in place in England, and will be reviewed before the regulations expire on 26 January. The best thing everyone can do to help to keep the virus under control is to keep coming forward for booster jabs to help to stop the spread of infection and manage the immediate pressures on the NHS.

[Rachael Maskell (York Central) (Lab/Co-op)]

I am seriously concerned about the rapidly depleting efficacy of the vaccine—at 10 weeks, between 40% and 50% protection—and therefore my question to the Minister is: what happens next? Already we are talking about a mandatory programme of vaccine for NHS staff which will see depletion after 10 weeks, but also public health measures may be removed: what next after the booster?

[Maggie Throup]

I would like to reassure the hon. Lady that the Joint Committee on Vaccination and Immunisation is monitoring this all the time, and we take advice from the JCVI.

Vaccination Strategy

Debate between Rachael Maskell and Maggie Throup

Wednesday 12th January 2022 Commons Chamber

[Maggie Throup]

It is important to go back to some of the stats I set out earlier. Those who are unvaccinated are eight times more likely to be hospitalised, and more than 60% of people in intensive care units are unvaccinated. If we can stop people getting the virus in the first place, it will not be transmitted and people will not catch the disease and be hospitalised. It is important to note that it was the will of the House to introduce that policy in December. As I have said repeatedly, the JCVI keeps all the data under constant review, which obviously has an impact on Government policy.

[Rachael Maskell (York Central) (Lab/Co-op)]

I wish to follow the question raised by the right hon. Member for South West Wiltshire (Dr Murrison), because the reality is that the facts have changed, and depleting efficacy, as well as transmissibility, is presenting a challenge for the Government and their longer term management of covid. Rather than forcing NHS staff to have their first vaccine by 3 February, which will present a massive risk to the NHS—the Government’s own assessment is that between 64,000 and 115,000 NHS and healthcare staff will be sacked—will the Government go back and review the issue, and ask the JCVI what the best strategy is for managing the pandemic from this point forward?

[Maggie Throup]

We have our plans in place. We have our vaccination programme, our testing, and our antivirals. Part of the purpose of the vaccination programme is to ensure that some of the most vulnerable in our society are protected. As I said earlier, having the vaccine as a condition of employment is about patient safety and ensuring that people who are in hospital or care homes are protected from this deadly virus.

Public Health

Debate between Rachael Maskell and Maggie Throup

Tuesday 30th November 2021 Commons Chamber

[Maggie Throup]

As my right hon. Friend said, the Prime Minister said that we are putting these measures in place, about which I will speak more. I cannot speak for any other person who goes on the airwaves.

[Rachael Maskell (York Central) (Lab/Co-op)]

Dr Harries is a public health professional who therefore understands what public health measures need to be taken to secure our wellbeing against the pandemic. Why are the Government not listening to what public health professionals are advising?

[Maggie Throup]

I reassure the hon. Lady that we listen to the advice of health professionals all the time, but today we are debating statutory instruments on face coverings and self-isolation following travel.

--- Later in debate ---

[Maggie Throup]

I must make progress.

Given the potential severity of the consequences of not responding swiftly to this new variant, the Government have taken decisive action to bring back compulsory face-covering wearing in an array of settings. Face coverings are again compulsory in shops and on public transport, unless an individual has a medical exemption or a reasonable excuse.

[Rachael Maskell]

On that point—

[Maggie Throup]

I will continue.

The requirement to wear face coverings is not new. We have asked people to do their bit to stop the spread of the virus before, so we are again asking people to play their part, this time to help slow down any transmission of this new variant of concern.

Covid-19 Vaccinations

Debate between Rachael Maskell and Maggie Throup

Thursday 4th November 2021 Commons Chamber

[Maggie Throup]

I can reassure my hon. Friend that there is no problem at all with the supply of vaccines; we have plenty of supply. He talks about schools. The vaccine programme in schools is being carried out by the school-aged immunisation service, which is very experienced in carrying out vaccinations for different conditions in schools. If there is a problem in his area, I will definitely look into it on his behalf.

[Rachael Maskell (York Central) (Lab/Co-op)]

I cannot accept that the deaths of 217 people yesterday and 293 the day before shows good management of this pandemic. The fact that so many people are now dying of this virus is a call on Government to take urgent action. With the Minister’s own confession that 5 million people are yet to be vaccinated and the fact that my constituents are not able to get access to the flu vaccine either, it is clear that we are heading for a real health crisis. Will she urgently take back the message that we need greater public health measures to be introduced in order to keep our communities safe?

[Maggie Throup]

No death is acceptable and my condolences go to everyone who has lost somebody in this terrible pandemic. Our best wall of defence is through vaccinations. Vaccinations do work, so my message is: get your booster. If people have not had their first jab, they should get their first jab and continue to build that wall of defence.

Smoking Cessation: Prescription of E-cigarettes

Debate between Rachael Maskell and Maggie Throup

Monday 1st November 2021 Commons Chamber

[Maggie Throup]

I thank my hon. Friend for his question. I am looking forward to our debate in a couple of weeks’ time. As I mentioned earlier, the NHS already has measures in place through the long-term plan to help those who are pregnant to stop smoking. That is important. Should e-cigarettes be licensed as a medicinal product, it will be a gateway for those smokers to stop smoking through that method and hopefully stop smoking completely.

[Rachael Maskell (York Central) (Lab/Co-op)]

What investment will the Government put into research into the long-term use of e-cigarettes, so that we can understand the impact that will have? Will the Minister also commit to invest in health checks, so that we can screen people for public health issues, such as smoking and other forms of harm, and get the right interventions at the right time and address these issues?

[Maggie Throup]

This Government are determined to level up, and as part of that we are levelling up for health, as well as some of the issues that the hon. Lady mentioned. Our Office for Health Improvement and Disparities will play a big role in moving forward with this issue.

Covid-19: Government Response

Debate between Rachael Maskell and Maggie Throup

Thursday 21st October 2021 Commons Chamber

[Maggie Throup]

First, let me say a huge thank you to everybody who came forward to take part in clinical trials. Without those volunteers, we would not be where we are today, having the amazing vaccines that are helping to save lives. To ensure that I have the absolute up-to-date information, may I write to the hon. Gentleman on the latest with regards to those specific trials?

[Rachael Maskell (York Central) (Lab/Co-op)]

The problem is that the Government have put all their eggs in one basket with the vaccine when they should also be implementing public health measures and providing clear leadership on that. They should also restore the contact tracing that local authorities were doing with great success in locking down the virus. The Government took that right away from them, so will the Minister restore contact tracing to local authorities?

[Maggie Throup]

The Government have a range of measures. We have vaccines; we are world leading on antivirals; and we have lots of other measures. As I go about my constituency, I see many people blipping into venues, wearing their face coverings when they are shopping and lots of different things. It is important that people have that choice and make decisions based on the current circumstances.

Covid-19 Update

Debate between Rachael Maskell and Maggie Throup

Thursday 21st October 2021 Commons Chamber

[Maggie Throup]

As I have mentioned on numerous occasions, we are in plan A. There is guidance for wearing face coverings as part of that plan.

[Rachael Maskell (York Central) (Lab/Co-op)]

I am sorry, but this is just not good enough. In my constituency, hundreds of children are off school, hundreds of people are not in work today, and, sadly, people are dying. As a result of that, rather than have a politically led strategy, will the Minister meet with the Association of Directors of Public Health to ensure that they take a lead on how we will manage the crisis in the coming months?

[Maggie Throup]

We are in a pandemic. The hon. Lady says that children are getting infections, which is why we have opened up the opportunity for 12 to 15-year-olds, as well as those 16 and above, to get their vaccine. That is important. They are protecting themselves and protecting other people.