(4 years ago)
Commons ChamberOur strategy is to suppress the virus and support the NHS and the economy until a vaccine can make us safe. Increased ventilation can help to reduce transmission, so it is an important consideration, among many others, for how we tackle this disease.
(4 years, 1 month ago)
Commons ChamberThank you, Mr Speaker. Four British teenagers in Sicily continue to test positive after two weeks of isolation. In Britain, they would be back in the community spreading the virus, so does the Secretary of State recognise that a test, trace and retest system is needed to protect us? When could it be implemented? Also, what action can be taken to protect my West Lancashire constituents who have been alerted via social media to the fact that supporters who want to watch the Liverpool versus Everton match this Saturday intend to travel from nearby tier 3 areas into pubs in West Lancashire? This could be a super-spreading event leading to a public health disaster.
I will write to the hon. Lady on the first point. It is a very important point, but the proportion of people who are still infectious after two weeks if they do not have symptoms is thought to be very low. I cannot remember the figure off the top of my head, but it is very low. I will write to her and perhaps publish the letter to explain that scientific fact in full detail.
On the second point, I strongly agree with the hon. Lady. The principle behind the levels is that, if someone is resident in an area on a very high local covid alert level, that level applies to them wherever they are. If someone lives in a lower alert level area and they travel to a higher alert level area, the rules of the higher level apply if that is where they are. People who live in the Liverpool city region should not travel to West Lancs because the pubs are open there. That contravenes the regulations, and I look forward to working with her to try to ensure that that does not happen.
(4 years, 1 month ago)
Commons ChamberMy hon. Friend makes an important point. First, as the chief medical officer has confirmed, this issue does not affect the decisions taken last week, but of course we look at all those decisions each week, and, as my hon. Friend knows, we take as localised an approach as possible, so that rather than bringing in measures for the whole of Teesside, we brought in measures for Middlesbrough and Hartlepool, where the local councils had called for them—whether or not they mentioned that afterwards. We should keep working together and making sure we look at the data—the hospitalisation figures of course, as well as the test positivity, and of course the number of cases. Hospitalisation data is important, but it follows with a lag, so we have to look at the early indicators as well.
Constituents in West Lancashire are worried: constituents of mine were told they tested positive on Friday and they still have not been contacted by Track and Trace or the restaurant they work in. They worry that this is increasing the danger of the spread of covid. They are also worried that the stockpile of drugs held in the event of a no-deal Brexit may be being reduced because of this pandemic. Can the Secretary of State update us on both those points?
On the first point, for all those who test positive, receiving that result brings a duty under law to self-isolate. That is the primary way we keep people safe and that has worked. As I said in my statement, as of 9 o’clock this morning 51% of those had been contacted for contact tracing purposes. I very much hope the constituent the hon. Lady mentions will be contacted very soon, if not already. On the final question she asks, of course we have been replenishing the stockpiles of drugs that we used up during the peak. That has been a very important part of the work over the summer, as we prepare to leave the end of the transition period at the end of this year.
(4 years, 2 months ago)
Commons ChamberAgain, there has not been a reduction in capacity in Berkshire or anywhere else in the country. There has been an increase in capacity. My hon. Friend makes a good point, though, about prioritisation. The question is how to enforce prioritisation without putting in place barriers that slow down access to tests for people who need them. We are looking at that now.
Will the Secretary of State please explain the lack of availability of home testing kits, which has dropped dramatically in my area of West Lancashire? In the absence of home testing kits, very ill pensioners are being offered tests 80 or 100 miles away. The confusing message in the assurance that he is trying to give is that there are too many getting tested, but that, if in doubt, people should get tested. How does that deal with the asymptomatic carriers or spreaders? This is a huge hidden danger. In the light of the Secretary of State’s earlier comment, my constituents would genuinely love to get with the programme, get tested where necessary and stay safe—if only the Government’s words met their actual experience of the system.
The clarity that the hon. Lady calls for can be provided as follows. If you have symptoms, get a test. If you do not have symptoms, and you have not been asked to get a test, please do not use a test that somebody else needs because they do have symptoms—they might be elderly, for instance, and she rightly refers to her constituents—because the tests are there for them. The capacity is expanding every day, but we need to ensure that we get those tests to the people who need them.
(4 years, 4 months ago)
Commons ChamberIn the same way that these are judgments on the way in, they are judgments on their way out. We will have to make that judgment according to the spread of the virus and, in particular, the risk level imposed by people catching the virus. We will keep all these things under review.
The data currently has an in-built delay, but the ability to do test, track and trace effectively and with the greatest success requires the shortest time between testing and local action. Put simply, the more local control, the quicker things will happen. The more handovers there are, and the more time it takes, the less successful it is. So I would like to ask the Secretary of State why he does not trust local systems, including the NHS. There are those who think that this is an attempt to discredit NHS labs.
(4 years, 7 months ago)
Commons ChamberYes; that is an incredibly important issue. We want to get non-covid-19 treatment back up and running as quickly as is safely possible. We are of course putting in place the arrangements to make sure that when people do go into hospital without covid-19, they are not infected by people who are in hospital with covid-19—that segregation is a very important part of our considerations. The answer to my hon. Friend’s question is that yes, within very short order we will start to restart the NHS. He asked about elective operations, which are an important part of the matter, but so too is people presenting themselves. It is important to give people the confidence to call their GP if they have a problem or, if it is urgent, call 111, because with cancer, for instance, we know that early diagnosis is critical, and I want people who think they have a risk to come forward for treatment.
In the statement today, and before the Health and Social Care Committee last week, the Secretary of State has implored cancer patients to come forward and assured them of treatment, yet since that Committee meeting I have been inundated with messages from all over the country from desperate patients whose treatment has been stopped, interrupted or not even started because of covid-19. What is the Secretary of State doing to ensure that there is no gap between his welcome words and what is actually happening? Can he guarantee that treatment will go ahead and give patients confidence that we have covid-free hospitals through the frequent and widespread testing of staff? Finally, will he ensure that death in service benefits will be paid for all healthcare workers who have died of covid-19, both now and retrospectively?
I would like to be absolutely clear—as I was at the Health and Social Care Committee meeting, which was a very good discussion—on the point about cancer treatment. There is some cancer treatment that it is clinically inadvisable to undertake during an epidemic like this, because if somebody’s immune system is taken down to very low levels, that puts them at significant risk, so I cannot give the guarantee that all cancer treatment would go ahead. Even though we now have capacity in the NHS and confidence that that capacity will not be over-capped by the virus, the virus is still at large in the community, so there are some cancer treatments, especially in relation to immunotherapy, that it is clinically inadvisable to undertake now.
Having said all that, yes, we do want people to come forward, and we want as much cancer treatment as possible to go ahead, where it is safe to do so considering the impact of the virus. That is why I want people to come forward if they have a risk, and we will treat them as best as we possibly can within the constraints of the fact that we have a very serious virus stalking the land.
(4 years, 8 months ago)
Commons ChamberWe are considering that; it is being led by the Department for Business, Energy and Industrial Strategy, in conjunction with the Treasury. The Chancellor will be making a statement today, ahead of the Budget on 11 March.
The Secretary of State will know that there is a system whereby those who are immunosuppressed are not required to sit in crowded waiting rooms in hospital or A&E. That is in normal conditions, never mind the situation with covid-19. Yesterday evening, I attended Aintree Hospital with a patient who had just finished her first round of chemotherapy. Despite the chemo-aware system, she was told by the receptionist to sit in a very crowded waiting room, for a five-hour wait, because there was nowhere else to go. I stood in a corridor, between the front door and some sliding doors, to ensure that she was not subjected to that. How will the Secretary of State ensure that frontline staff who are not necessarily clinicians understand the increased danger to those individuals? Does each A&E and each hospital have a place where those people could wait safely? This is not good enough.
The answer is yes. Each A&E now has a pod in front of it, which we have funded since the outbreak of the virus, so that suspected cases do not need to go into the main A&E. That is to address exactly the sorts of problems that the hon. Lady raises.
(5 years, 9 months ago)
Commons ChamberI pay tribute to my hon. Friend, who recently announced that he will be standing down at the next election, for the amount of attention he has given to broadening people’s minds and to looking at what works and what the evidence shows works. We know, for instance, that social prescribing can help people and ensure that they get the support they need, and he has made a great contribution to that debate.
After reviews by ACAS, Capsticks and Dr Bill Kirkup, will the Minister outline how he intends to deliver justice for both staff and patients of the Liverpool Community Health NHS Trust? How will he ensure that the board members who disgracefully refused to give evidence to Kirkup will be held to account and made to give evidence in future investigations?