Coronavirus Bill

Richard Graham Excerpts

2nd reading & 2nd reading: House of Commons
Monday 23rd March 2020 Commons Chamber

[Steve Brine (Winchester) (Con)]

I echo what a beautiful maiden speech that was from my hon. Friend the Member for High Peak (Robert Largan). I will be rather novel and speak about the Bill. Before I do that, I want to say that the package announced thus far and in the Budget last week was incredibly welcome, but I echo what so many Members have said so far today: we need to deal with the self-employed next, please. Many of my constituents are desperate for the Government’s help.

I rise to speak in support of the Bill receiving its Second Reading. Nobody wanted to be here, but it is an essential and urgent piece of legislation. We may be discussing the Coronavirus Bill today, but for some it is in large part the pandemic influenza Bill. I was very much involved in that when I was fortunate enough several years ago to be the public health Minister. The legislation will not make covid-19 suddenly vanish, as President Trump bizarrely proclaimed the other day, but it will help the state and our Government do what they have consistently stated is their primary objective, which is to protect the NHS and save lives.

As the Secretary of State made clear, these are extraordinary times and these measures are being pursued as a result. I, too, have had lobbying this weekend saying that the Bill goes too far and is a disproportionate power-grab by the Government, but it is worth saying that these measures were not dreamt up on the hoof by the Secretary of State over the past week. The “UK Influenza Pandemic Preparedness Strategy 2011” sets out our preparedness for a severe pandemic. It was tested in 2016 through a major three-day exercise called Cygnus, which involved about 1,000 organisations and the devolved Administrations. It demonstrated a number of things that we do well as a country and a number of things that we need to improve upon, one of which was the drafting of the draft pandemic influenza Bill, which forms the basis of the legislation today.

The scrutiny we are giving this legislation on the Floor of the House is not what we do in normal times, of course, but these are not normal times. Parliament needs to work swiftly and with deftness of touch to match what pretty much everyone else is doing right now. I am satisfied that the legislation is, as was always intended, time-limited. It makes it clear that it is neither necessary nor appropriate for all the measures to come into force immediately. What is more, the lifetime of the Bill, once an Act, can itself be ended early, if the available scientific evidence supports that, and we can extend the lifetime of the Act for a further temporary period if that is prudent.

I want to home in on a couple of areas. Increasing the health and social care workforce is obviously mission critical, so the Bill introduces new registration powers for the registrars of the Nursing & Midwifery Council and the Health and Care Professions Council. That is absolutely right, but we need to hear from Ministers, as mentioned in the impact assessment, exactly how the Department of Health and Social Care plans to engage with the professional regulators to ensure that sufficient infrastructure is in place to allow the policy to be implemented.

I note the sensible move to allow the early registration of final-year students studying to become nurses, midwives, paramedics and social workers. The Government’s assumption is that all 28,100 of the students estimated to be in their final year in England will be willing to join the register early. What evidence do we have that that is likely to be the case, and are the costs noted in the impact assessment covered so as to give the regulators total confidence that they can get on with this?

I am pleased that the Department for Environment, Food and Rural Affairs holds responsibility for food supply, as a critical national infrastructure. It of course has to maintain our high standards, working with the Food Standards Agency, but I do not think the legislation goes far enough in protecting stock on the shelves. Like all of us, I have been contacted by hundreds of constituents in recent days, on many different subjects, but a consistent message is that what they are hearing from Ministers and the supermarkets about there being enough food is jarring with what they are seeing on the ground and, more importantly, online when they try to book a delivery slot.

Of course, the Government are not to blame for the change in our food policy, from the policy of “Dig for victory” of the last century, backed up by local food networks, to the centralised distribution controlled by the big five supermarkets we have now, but how sad it is that we have literally put all our eggs in one basket, and that we are reaping what we have failed to sow now that we need it most.

[Richard Graham (Gloucester) (Con)]

My hon. Friend is making a very good speech on different aspects of the Bill. On his first point, about reassuring the self-employed, does he agree that no single scheme will be able to cover every single situation perfectly, and that the crucial point at this moment is the reassurance that something will be done to help everybody who is self-employed?

[Steve Brine]

Yes, I do agree. I understand why we have to do this through pay-as-you-earn first, because employers are making decisions about job losses this weekend, but I completely agree that we need to hear something from the Prime Minister on that. I understand that he will be addressing the nation this evening—we can probably all guess what is coming—when he could say something reassuring to the self-employed and to sole traders, which would be very welcome.

Finally, on emergency volunteering leave, the provisions for which are set out in clauses 7 and 8, the unpaid statutory leave that the Secretary of State has mentioned is very welcome. Clause 8 states:

“The Secretary of State must make arrangements for making payments to emergency volunteers by way of compensation –

(a) for loss of earnings;

(b) for travelling and subsistence.”

Could the Minister tell the House at what level that might sit? There seems to be a norm of 80% for the coronavirus job retention scheme, so are we looking at the same for this? I think it is a smart move, as many of our volunteers come from the older generation, so we have to find a way of filling that gap.

We need ruthless, determined, collection action to protect the NHS and to save lives, combined with scientific progress. The Bill is part—only part, I have to say—of that national effort. I have listened carefully to the many voices lobbying us on the Bill over the weekend, but I am comfortable that it is a well-judged piece of legislation that will provide the powers needed to respond to the pandemic and the national crisis that we face.

Covid-19

Richard Graham Excerpts

Monday 16th March 2020 Commons Chamber

[Matt Hancock]

Yes, of course, I will keep both of those under review.

[Richard Graham (Gloucester) (Con)]

Last Friday, the heads of all the NHS services in Gloucestershire held a conference call with the six MPs in the county, and very helpful it was indeed in answering all our questions and giving us information to share with our constituents. Does my right hon. Friend think that this is something that could be done in every NHS cluster around the country?

[Matt Hancock]

Yes, and I have asked Simon Stevens, the head of the NHS, to ensure that local trusts and clinical commissioning groups keep their local MPs informed of what is happening locally, what is having to happen and how they are responding. Of course, the NHS is incredibly busy at this time preparing for events to come, but that would be a good idea.

Coronavirus

Richard Graham Excerpts

Tuesday 3rd March 2020 Commons Chamber

[Matt Hancock]

As I have said many times, we have a robust SSP system and we keep it under review. On the hon. Gentleman’s point about 111, we have changed the system so that if someone dials 111 from Wales, they are automatically redirected to the NHS Direct number in Wales.

[Richard Graham (Gloucester) (Con)]

I welcome the Secretary of State’s clarification that schools should not close unless they absolutely have to—not least because if parents are having to look after their children, there may be fewer nurses and doctors who can get to hospitals. My right hon. Friend knows that the average age of hospital volunteers—including my fellow workers at the Gloucestershire Royal Hospital—is in the range that could be at risk of this virus, and they are often receptionists, so will he consider asking the NHS to give guidance to hospitals on whether such people should be on the frontline, with people still coming to hospitals thinking that the best thing to do is to be checked?

[Matt Hancock]

In the first instance, the best thing to do if you think you have coronavirus is not to go to a hospital or GP surgery but to ring 111, wherever you are in the UK. My hon. Friend is quite right on the other point he made.

Wuhan Coronavirus

Richard Graham Excerpts

Monday 3rd February 2020 Commons Chamber

[Matt Hancock]

I will try to answer all the shadow Secretary of State’s questions, not least because I want to pay tribute to him for his balanced and reasonable approach in tackling what is ultimately a very significant public health challenge.

I entirely share with the shadow Secretary of State, and perhaps should have put in my initial statement, the rejection, which the whole House demonstrates, of any racism and insensitivity towards the Chinese community here or visitors here of Chinese origin. That will not help us to tackle this disease. We will do everything we can to tackle the disease, but racism will not help anybody, so I share his comments entirely.

We have no plans to evacuate all remaining UK nationals in China. There are an estimated 30,000 UK nationals in China, and the proportion of the population who have the virus outside Wuhan is much lower than in Wuhan. Of course, there are continued flights—not by British Airways and Virgin, which have suspended flights, but by Chinese airlines. We have appropriate measures in place at the airports, as advised by Public Health England, to ensure that those coming from the rest of China also get the appropriate advice, which includes to self-isolate if they have symptoms. We are clear that this evidence-led approach is the right way to take things forward. Of course, if the evidence and the clinical advice change, we will update policy, and I will come to the House at the first available opportunity to explain that. We are trying to take a science-led approach at all times.

The hon. Gentleman asked about the challenge of the virus getting out to other countries, and especially developing countries. I am working closely with the Department for International Development and have spoken to the Secretary of State on a number of occasions about this. Of course, the WHO represents the whole world. The Global Health Security Initiative is chaired by the UK and had a call this weekend. We are leading efforts around the world to ensure that we can help all countries, no matter the calibre of their health systems, to get a grip. I have authorised a team of British experts to go to the Philippines to support their work.

The hon. Gentleman is right that the goal is to slow down the spread of the virus, and we will take all actions that are proportionate and scientifically appropriate to do that. In the case that the epidemic here gets much more serious, we have 50 highly specialist beds, and a further 500 beds are available in order to isolate people, but of course, we are working on further plans should there need to be more.

Public Health England’s contact tracing is ongoing. We will explain how far it has gone when we are ready to, and when we have managed to get in contact with all the people we need to get in contact with. I join the hon. Gentleman in thanking his colleagues from the Wirral, several of whom I have spoken to, for their support of the rational and sensible approach that we have been trying to take.

The hon. Gentleman asked about self-quarantine at home. The truth is that it is belt and braces to have full-blown quarantine. All those who are in quarantine have signed a contract agreeing to go into quarantine in return for getting on the flight. That is a good deal, because the flight was provided by the UK Government so that they could come back from an area that we deemed did not support their health. In return for coming back, they agreed to quarantine.

[Richard Graham (Gloucester) (Con)]

As chairman of the all-party parliamentary China group, I extend on behalf of all Members our sympathies to the people of China in their hour of need. I thank the crisis team in the Foreign Office, all those in the Department of Health and Social Care and everyone who has been doing their best to help our nationals in China at this difficult time and treat those who have come back with the virus.

I think we all strongly approve of the Secretary of State’s decision to deploy extra money to develop vaccine capabilities through the Coalition for Epidemic Preparedness Innovations—a group that some of us did not know about before the coronavirus came to be. Is China involved in that coalition, and to what extent are we working closely with it on that? I welcome the work being done across Departments. Will he do all he can to publicise the right number at the Foreign Office crisis team for those whose relations in Hubei or neighbouring provinces have so far been unable to get out?

[Matt Hancock]

I join my hon. Friend in thanking all those who are doing important work. We are of course working with the Chinese Government and we offer all support that they need. This is best done at a global level; hence it is going through the coalition, the World Health Organisation and the GHSI. With G7 partners, we are happy to respond to any demands or requests from countries around the world, not just from China, should that be needed. That includes countries whose health systems may not be as advanced as those of others, but which need support to make sure that they can tackle the virus.

Health and Social Care

Richard Graham Excerpts

Thursday 16th January 2020 Commons Chamber

[Richard Graham (Gloucester) (Con)]

It is a huge pleasure to be the tail-end Charlie of this massive debate on the Queen’s Speech. Every single Member who made a maiden speech today—and they were all outstanding—referred to health in considerable detail, which only goes to show that the Health Secretary already knows that we are all probably more concerned about our hospitals, nurses and GPs than about anything else. In these last few minutes, I want to focus on two issues. I will speak first about the workforce and people, because ultimately our great health service depends on people. Secondly, if I have the time, I will speak very briefly about national insurance.

As the Prime Minister has announced, we will have to recruit a great many more nurses from abroad, but there are issues there. First, the NHS visa is very welcome, but the mooted earnings threshold of £30,000 needs considerable thought, as does the application of the immigration health surcharge to those who are being recruited to work specifically for the NHS. There are also anecdotal issues about family visas. My own suggestion to the Health Secretary is that we could look at whether long-term partnerships between British universities and universities abroad in countries such as the Philippines might generate highly qualified nurses with British nursing qualifications and a good standard of English, ready to be recruited by the NHS and to come and work here. That would help to resolve some of our problems.

Even more important than our foreign nurses, however, is the regrowth of our home-grown nurses. That has been helped by this Government’s creation of nursing associates through a higher apprenticeship scheme. The “but” is that although work in, for example, Gloucestershire Royal Hospital is valid for the purposes of the higher apprenticeship scheme, the Nursing and Midwifery Council does not consider those employees to be eligible for the BSc course. I urge Ministers to think about how the apprenticeship levy could be used creatively to resolve the issue between NHS employers and the NMC. That would provide a clear pathway for healthcare assistants to go all the way to the status of a full nurse, which would help us to realise the goal of 50,000 more nurses.

As for national insurance—which does not insure anyone, let alone the nation—may I encourage the Health Secretary to look again at how we might use it as a ring-fenced source of funds for both health and social care, thus turning it into national health insurance, as a King’s Fund study recommended so strongly earlier this year? I believe that, sooner or later, that could be used for an even more precious cause: helping to fund our future health and social care needs.

Draft Social Security Coordination (Reciprocal Healthcare) (Amendment etc) (EU Exit) Regulations 2019 Draft National Health Service (Cross-Border Healthcare and Miscellaneous Amendments etc.) (EU Exit) Regulations 2019 Draft Health Services (Cross-Border Health Care and Miscellaneous Amendments) (Northern Ireland) (EU Exit) Regulations 2019

Richard Graham Excerpts

Monday 25th March 2019 General Committees

[Stephen Hammond]

I’ll get there in the end. The hon. Gentleman asked about a number of chronic conditions. The statutory instruments allow the Government to fund the treatment of UK nationals who are in the middle of treatment on exit day or who have pre-authorised treatment in another member state. That could include the chronic conditions he mentioned.

Finally, I am not sure which part of the website the hon. Member for Dewsbury was looking at, but I am happy to ensure that we guide her to the right place. There is advice on www.gov.uk and www.nhs.uk to UK nationals living in the EU, to UK residents travelling to the EU and to EU nationals living in the UK. That advice explains how the UK is working to maintain reciprocal healthcare arrangements and sets out the options people might have to access healthcare under local laws in member states that they live in. I am happy to ensure that the hon. Member for Dewsbury can see that guidance.

[Richard Graham (Gloucester) (Con)]

The Minister has done an outstanding job in explaining a complex matter fairly concisely and taking innumerable interventions, mostly the same ones. Could we now move to a vote?

[Stephen Hammond]

I understand my hon. Friend’s entreaty.

These three instruments, together with the Healthcare (International Arrangements) Bill, give us the best possible opportunity to ensure that there is no loss of reciprocal healthcare arrangements for UK nationals in the EU and EFTA states. I commend the regulations to the Committee.

Question put.

Baby Loss Awareness Week

Richard Graham Excerpts

Tuesday 9th October 2018 Commons Chamber

[Will Quince (Colchester) (Con)]

It is a pleasure to follow the hon. Member for Coatbridge, Chryston and Bellshill (Hugh Gaffney); I am pleased to say that his is one of the Scottish constituencies that I do not have a problem pronouncing. I should also like to thank all the previous speakers, particularly the hon. Member for Ceredigion (Ben Lake). He and the hon. Member for Coatbridge, Chryston and Bellshill have shown the importance of hearing men’s voices in the Baby Loss Awareness Week debate. I particularly want to thank the Backbench Business Committee for allowing the time for this debate, and my hon. Friend the Member for Eddisbury (Antoinette Sandbach), the co-chair of the all-party parliamentary group, for securing this important debate for the third year running.

In November 2015, when I was a relatively newly elected MP, I remember coming back after the recess and putting in for an end-of-day Adjournment debate. Based on my own experience, I thought we should have a debate on bereavement care in maternity units. Little did I think that we would have made such progress in just over three years. We now have the all-party parliamentary group, and we are in our third year of marking Baby Loss Awareness Week here in Parliament. That demonstrates the power of this place when we put aside the squabbling and party political differences and work together with a clear aim. It is clear that we are united and speak with one voice when we say that we are committed to reducing stillbirths and neonatal deaths—I include miscarriage in that description. We are also committed to ensuring that we have world-class bereavement care right across our world-class NHS for those who go through the huge personal tragedy of losing a child.

This is a particularly important and poignant week for me and my family, because it is four years ago this week that we lost our son, Robert. We will be marking his birthday on Friday, when he would have been four years old. On Sunday, my two daughters and I picked out the birthday cake that we will be sharing. Sadly, we are just one of the families who are going through this experience week in and week out, up and down our country.

We should not underestimate the importance of talking about baby loss. This is why debates such as these are so important and powerful. Totally wrongly, baby loss is a massively taboo subject. We have made huge efforts over the past three and a half years to try to break the silence and the taboo by working with charities, organisations and health professionals, but the taboo still exists. It exists because we do not like talking about death, full stop, and particularly about the death of children or babies. It is important that we talk about it, however, because that little baby was a huge part of somebody’s life. It is part of their story and their journey, and to ignore it can cause irreparable issues.

We must use the power of Parliament to break that taboo and talk about the issue, rather than crossing the street and avoiding someone who has suffered a stillbirth, miscarriage or neonatal death. We should talk to them about it. We should ask about their child and refer to them by their name, because people do want to talk. If they do not want to talk, they will tell us. It is really important that they should not be ignored.

[Richard Graham (Gloucester) (Con)]

I am so impressed by the work of the all-party parliamentary group. I rang my sister, who lost a baby a long time ago, to ask her what she would say if she were here. She asked me to encourage hon. Members to ensure that two things are available in hospitals. First, there should be someone practical to give advice on issues such as burials. The second, more important, thing was to have someone who can give emotional support to people who are in a moment of crisis and panic, and she felt strongly that in today’s era such services should be multi-faith and no faith. The chaplain’s offices in our Gloucestershire Royal Hospital can do that.

I should also like to mention a male constituent of mine who said that there had been a lot of support for his wife when they lost a child, but there had been no male support group. What does my hon. Friend think of those suggestions?

--- Later in debate ---

[Jim Shannon]

Absolutely, and I thank the hon. Gentleman for his intervention and for reminding us of that debate. Like many others in this Chamber, I am a man of faith who feels that it is important to have a chaplain available—to have someone to share one’s grief and hard times. The intervention that he mentions was right along those lines. I felt that it was so important to have that help at that time, just when one needed it the most. I thank him for his intervention and for his salient reminder.

[Richard Graham]

Chaplains play an incredibly important role, as do the volunteers who work with them. I think that we have more than 30 in Gloucester Royal Hospital, all of whom go through a significant amount of training for about a year. They are multi-faith, so we have Muslims and Sikhs as well as Christians. We also have chaplains of no particular faith, and they are very clear about not trying to differentiate so that a Baptist chaplain might only talk to a Baptist patient and all that sort of thing. Increasingly, there are secular patients who need someone who can engage with them without religion. Does the hon. Gentleman agree that it would be useful for the Minister to say a few words about the role of chaplains in hospitals and whether the encouragement that they and the volunteers who work with them get at our hospital should become best practice around the country?

[Jim Shannon]

I thank the hon. Gentleman for his intervention. He is right: the chaplain has a responsibility for all those of faith and of no faith, because that is the time when a person needs that wee bit of succour, support and compassion—perhaps even a shoulder to cry on. Those are important things, and he is right to mention them.

I have asked a few women for the things that have been said by them or to them, and this is the message that I want to leave with the House today, “What has happened to you is not okay, but you will be okay. Give yourself time. It doesn’t matter how much time you need. One day you will realise that the smile that you have faked for so long is now a real smile. It doesn’t mean you have forgotten your baby—it means that you can remember them while you live. Weeping endures for a night, but joy comes in the morning.

Oral Answers to Questions

Richard Graham Excerpts

Tuesday 19th June 2018 Commons Chamber

[Mr Hunt]

The hon. Lady has highlighted what is potentially an extremely serious issue. Obviously the FOI is a matter for NHS England, but let me reassure her that the Minister for Health, my hon. Friend the Member for North East Cambridgeshire (Stephen Barclay)—the hospitals Minister—met the chief executive of the NHS Counter Fraud Authority this morning.

[Richard Graham (Gloucester) (Con)]

T6. A recent report by the King’s Fund highlighted the potential for a hypothecated source of funding for health and care, with national insurance as a possible starting point. Does my right hon. Friend agree with the report that hypothecation would increase transparency in regard to what our constituents pay for health and care, and will he encourage the Chancellor to look at the report’s implications?

[Mr Hunt]

I thought that the report made powerful reading, and I know that my hon. Friend was associated with it. Yesterday the Prime Minister was straightforward about the fact that, if we are to preserve our NHS and make it one of the best systems in the world, the burden of taxation will need to increase, and she was willing to listen to the views of colleagues about the most appropriate way in which that should be done.

NHS Long-Term Plan

Richard Graham Excerpts

Monday 18th June 2018 Commons Chamber

[Mr Hunt]

It is a matter of fact that when we leave the EU we will not have to pay membership subscriptions. There will be a divorce bill, and when that is settled, those subscriptions will be available for the NHS, which was exactly what the British people voted for. The right hon. Gentleman is talking about the projections for the economy in the meantime. All I will say is that there is a lot of debate about those projections. They have not always been right in the past, and the British economy has been much more resilient than many people predicted.

[Richard Graham (Gloucester) (Con)]

An announcement of the largest ever new injection of funds into the NHS is a triumph for our longest ever serving Health Secretary and the Prime Minister, because it shows the outstanding priority of this Government. Every Member of the House should welcome that. When my right hon. Friend looks at productivity gains in the NHS, will he focus on the implementation of IT projects? Although Gloucestershire Hospitals NHS Foundation Trust does a remarkable job in many ways and its staff work unbelievably hard, the expensive and underperforming Smartcare project could have been better done.

[Mr Hunt]

I thank my hon. Friend for hosting me at his local hospital, which was very informative. He is absolutely right: it is an enormous cause of frustration to staff throughout the NHS that so many of our hospital systems are, frankly, antediluvian. We must put that right, because so many nurses could spend so much more time with patients if they were not having to fill out forms, and the same is true for doctors.

Health and Social Care (National Data Guardian) Bill (Money)

Richard Graham Excerpts

Money resolution: House of Commons
Monday 21st May 2018 Commons Chamber

[Mr Bone]

Mr Deputy Speaker, I wanted to get credit for the fact that some years ago I got the House to accept that in Second Reading debates we can deal with the money resolution; that is perhaps my only achievement in Parliament. But it is right that if the money resolution does not follow Second Reading immediately there has to be a 45-minute debate, and the Department of Health and Social Care estimate of the cost is £700,000.

[Richard Graham (Gloucester) (Con)]

Up to that sum.

[Mr Bone]

No, the Department has estimated that these costs will be approximately £700,000 per year, so actually I suppose they could exceed that. To me, that is quite a lot of money. We have to make sure we know what we are doing tonight and I will leave it to Members to decide.

It is only fair to say that I can understand why Members might want to oppose this money resolution. It is not necessarily because they are against this Bill, but it does stop the Parliamentary Constituencies (Amendment) Bill having much chance of making progress. That is because on certain Fridays private Members’ Bills have priority if they have come out of Committee, and if we pass the money resolution on my Bill tonight I will probably take 26 October while another Bill that has already gone through will take the November slot; there are no more dates available for private Members’ Bills. I can therefore understand why Members might want to vote against this money resolution tonight, and if they did, I would respect that.