(3 years, 7 months ago)
Commons ChamberThe hon. Lady shakes her head. We listen to the scientists and, crucially, balance both the public health advice and the impact on education. Therefore, we have a more localised approach, without the blanket approach that she recommends.
Today’s measures are very welcome in Aylesbury, with local pubs, restaurants, the museum and the cinema all eager to welcome back customers. Will my right hon. Friend reassure local residents that, as business and culture return to normality, so too will our health services, and that, over time, it will become easier once again to have face-to-face appointments with GPs?
Yes. My hon. Friend will no doubt have seen the letter sent out from Dr Nikki Kanani, who is the medical director of primary care for NHS England, reiterating the point that it is important to offer a face-to-face consultation for a patient who really wants one while also using technology where that is the most clinically appropriate thing to do. These decisions should be taken between doctor and patient together. There is no greater supporter than me of the use of technology in healthcare. I think it improves access no end. People do need to be able to go to the surgery if they so choose and see the right person—the clinically appropriate person. That is the approach that we are taking while making sure that we can use a system that allows people to access the right services in the right settings as much as possible.
(3 years, 8 months ago)
Commons ChamberStoke Mandeville Hospital in my constituency is home to the National Spinal Injuries Centre. Despite continuing to do excellent work throughout the pandemic, a particular challenge arose when it came to providing support to relatives of patients who need to learn together how to adapt when back at home. Can my right hon. Friend assure me that planning for a third wave of covid-19 will give full consideration to the needs of spinal injuries patients and their families?
Yes, of course, I will give that matter consideration. I also make the case that while, as we open up, there may be more transmission, I very much hope that that does not lead—in fact we know from the data that that is highly unlikely to lead—to the same impact in terms of hospitalisations and deaths, because we know that the vaccine is incredibly effective against the variants that are at large here in this country. That is another reason to be cautious against the incursion of new variants for which we cannot give that assurance.
(4 years ago)
Commons ChamberYes, I am very happy to meet the hon. Gentleman and constituents to hear their stories. Many of us have lost those close to us in this terrible pandemic. We are constantly learning how to do things better, and we are constantly learning more about the disease. For instance, the news earlier this week about a new variant was because our surveillance system enables us to look out for changes and try to understand them. There are huge challenges, as he knows, but I always try to approach this by looking at how we can get the country through what is an incredibly difficult and unprecedented time with as few people as possible suffering in the way that his constituent, Jane, has.
The news that Buckinghamshire is going into tier 3 heralds the bleakest of midwinters, especially for local hospitality businesses, and it is imperative that they get extra help and that this lasts for as short a time as humanly possible. Given that Stoke Mandeville Hospital is currently under intense pressure, with many staff off, either with covid or self-isolating, it is alarming that Buckinghamshire Healthcare NHS Trust has been given no date for when it will get a supply of vaccines, especially when neighbouring Oxfordshire is in a lower tier and already has them. Will my right hon. Friend ensure that residents and healthcare staff can get the vaccine locally in Buckinghamshire before Christmas?
I will write to my hon. Friend immediately with our plans for the roll-out of primary care-based vaccination facilities in Aylesbury. I regret having to put Buckinghamshire into tier 3 measures, but unfortunately it was absolutely necessary on the numbers. Aylesbury Vale, the local authority area, has a case rate of 235 per 100,000 and it is rising really sharply, and my hon. Friend has set out the challenges at Stoke Mandeville, which is an excellent hospital but under significant pressure. I am glad that he understands why we have had to take this decision and I hope that across Buckinghamshire we can get these cases down and get people vaccinated as soon as possible.
(4 years ago)
Commons ChamberYes. the hon. Member and I share an enthusiasm for this agenda with the Prime Minister, who is a personal convert to the need to tackle obesity. In fact, this crisis shows how important it is, because people who are obese are more likely to have a more serious impact from covid, if they catch it.
We have consistently been told that we must accept restrictions to protect the NHS, and Buckinghamshire Healthcare NHS Trust has done an amazing job in dealing with the pandemic from the very beginning. Can my right hon. Friend therefore explain the weighting that he puts on the pressures on the local NHS as one of the five indicators in the decision-making process over tiers? It will be very difficult for people in Aylesbury to accept stringent controls on our lives and livelihoods if, in fact, there is plenty of capacity in hospitals for both covid and non-covid cases.
We look at all five indicators essentially equally. The point about pressure on the NHS is a more sensitive indicator on the decision to go into tier 3. If an area is in the situation that Buckinghamshire is, for instance, where the case rate is elevated, but not as high as in many other parts of the country, the key thing to do is to keep that case rate where it is or lower. We could not make the decision to put Buckinghamshire into tier 1 because, if it went up from where it is, it would not be long until Buckinghamshire were in trouble. Therefore, the decision was to put it into tier 2.
I very much hope that the cases can continue to go down until they are very low—like they are in Cornwall and on the Isle of Wight, for instance. We will then be able to review and consider tier 1. I hope that that is a reasonable explanation. We need to continue to debate this matter as we try to ensure that we get the judgments around these geographies exactly right.
(4 years, 1 month ago)
Commons ChamberAylesbury was in tier 1 prior to the second lockdown and my constituents accepted the jump to national restrictions on the basis of protecting the national health service. Will my right hon. Friend reassure them that from 3 December any restrictions will be based on truly local needs, backed up with truly local evidence, so that they can see for themselves why the action is needed?
Yes, that is right. We publish unprecedented amounts of data, on which these judgments have to be made. I commit to my hon. Friend that we will look at the precise data—in Aylesbury, across Buckinghamshire and, of course, nationwide—as we make these difficult judgments.
(4 years, 5 months ago)
Commons ChamberThe hon. Lady raises an incredibly important point, and she has rightly raised this point before. It is so important, especially as we lift the shielding measures at the end of this month, that people who have been shielding have the confidence to know that we are able to lift those measures because the rate of transmission of this virus is so much lower now. It is safe—indeed, it is recommended—that they go out and about. Many charities, including many that we have funded through this crisis, are available to help and support people in these circumstances. She is right to keep raising this issue, and we must keep working on it.
Can my right hon. Friend assure me that lessons will be learned from experience of the councils in Leicester and Leicestershire—to whom he has rightly paid tribute—to ensure that all local authorities, including Buckinghamshire Council, receive all the detailed information that they need from his Department in the form and timeframe that they need it, so that they can take action to protect their local populations?
Yes. My hon. Friend has raised this point with me, privately as well, about access to the data. It is incredibly important. We are constantly improving the data that is available because we are constantly getting better data. That is an important part of the work strand.
(4 years, 7 months ago)
Commons ChamberI am happy to ensure that my team contacts the hon. Gentleman’s local authority, not least to explain that home testing is only one of the avenues available. In fact, much more testing in care homes is done through the mobile testing units, with the mobile unit going to the care home, or by the satellite units, from which a whole batch is taken to the care home, than through the home-testing channel, which is designed for sending an individual test or a small number of tests to an individual house.
An unheralded aspect of the comfort that has been brought to patients in the coronavirus crisis has come from hospital radio stations, such as the one at Stoke Mandeville. Will my right hon. Friend join me in thanking the volunteers who have provided the only company available to covid patients when they have not been allowed to have visitors? Will he do all he can to support hospital radio stations in the months and years ahead?
My hon. Friend should be proud to represent Stoke Mandeville hospital and Stoke Mandeville hospital radio. He is right: hospital radio is always important, but at times like this, when visitors have not been able to go into hospitals, it is even more important. I am pleased that he raised it.
(4 years, 9 months ago)
Commons ChamberGiven that the new advice today is that people should remain at home for up to 14 days if they have a high temperature or a continuous cough, I wonder if my right hon. Friend can clarify for constituents what actually constitutes a continuous cough—is it half an hour or half a day?
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.
(4 years, 9 months ago)
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The advice around school trips is to follow the Foreign Office travel advice—so, as of this weekend, not to take a school trip to north Italy, and otherwise to follow the travel advice.
As a former journalist, I know the temptations of a dramatic headline, but does my right hon. Friend agree that in this case there is an onus on the media to report responsibly and not engage in scaremongering?
I strongly agree. I would say that largely the media have been responsible, but there have been a couple of exceptions. I hope that the media play their part in this national effort in reporting the facts and what the Government are thinking of doing, especially with the transparency that we are providing, but do so responsibly and thoughtfully as to the consequences of the way that this virus is portrayed.