121 Rosie Winterton debates involving the Department of Health and Social Care

Coronavirus Act 2020 (Review of Temporary Provisions) (No. 3)

Rosie Winterton Excerpts
Tuesday 19th October 2021

(2 years, 9 months ago)

Commons Chamber
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None Portrait Several hon. Members rose—
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Rosie Winterton Portrait Madam Deputy Speaker (Dame Rosie Winterton)
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There is a limited amount of time for this debate, which needs to finish at 4.31 pm, and I want to give the Minister 10 minutes to respond. There are more people standing than indicated to the Speaker’s Office that they wanted to speak, which means there is even more pressure on time. I ask hon. and right hon. Members to confine their speeches to five minutes.

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None Portrait Several hon. Members rose—
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Rosie Winterton Portrait Madam Deputy Speaker (Dame Rosie Winterton)
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In order to be helpful, I will impose a five-minute limit. If colleagues take less than that, we will definitely get everybody in.

Chris Green Portrait Chris Green (Bolton West) (Con)
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We are in a profoundly different place from where we were 19 months ago when we entered the pandemic and went through a series of lockdowns. The medicines that doctors use and prescribe and the procedures that are in place are all profoundly improved. The vaccination programme has been a revelation thanks to the quality, the range and the roll-out of the vaccines. We must recognise that, today, we are in a profoundly different situation from where we were right at the beginning. We just have to look at the third wave that we are going through at the moment and at the connection between infections, hospitalisations and deaths. Those rates are fundamentally different from those in the first and second waves, so we should be taking a profoundly different approach to dealing with this virus.

All variants of concern are defeated by our vaccines at the moment, and we have every expectation that that will continue to be the case into the future. By maintaining the Coronavirus Act 2020, but with perhaps a limited number of provisions, we maintain the fundamental approach to dealing with this virus. Society as a whole and the civil service more narrowly are still looking at this challenge in the same way, and there is not, in that sense, a change of mindset.

We are approaching what will be a tough winter. No matter what happens, we will have a very difficult winter. That may be due to the coronavirus itself or to influenza, but it will also be due to the very significant build-up in waiting lists and in conditions that should have been investigated 18 months ago. We know that these cases are building up and that it will create a huge amount of pressure on the national health service.

I want to focus today on the care sector. Some 18 or 19 months ago, we would have had cross-party consensus on the fact that the care sector needed fundamental reform. That is far more true today than it was back then. It is clear that the care sector needs far more resources today than it needed then. There is a shortfall of about 100,000 carers. With the compulsory vaccination approach that has been taken in the care sector, the Government are expecting another 40,000 carers to leave. That will create huge problems not only for the carers, but for the residents themselves.

In my constituency, the care sector is already under tremendous pressure. Some people are leaving because of the pressure that they are under, and some because they choose not to be vaccinated. Some of them are finding employment in the national health service. They are leaving the care sector and going into the national health service to provide care there, but at some point we may be imposing vaccinations in the national health service as well. We do not know how many will leave the NHS at that stage, but if vaccinations in the NHS stand at about 90%, we could be looking at a loss of more than 100,000 people.

We have concerns about people being transferred out of care in the national health service and into the care sector. We know that the situation is going to get substantially worse as we go through the winter and more carers leave the care sector, but we do not yet know when the same approach will be imposed on the national health service. I therefore ask the Minister: what is the Department’s thinking at the moment? When will we impose compulsory vaccination on the NHS, just as has been imposed on the care sector, and what impact will that have?

We need a fundamental reset in our approach to dealing with the coronavirus. The circumstances are fundamentally different now, because of medical advances and so many other things. We have the opportunity to reverse the decision on the care sector. We want to keep carers caring where they want to be caring. We ought not to be imposing this decision now, because in a couple of weeks it is going to be too late. I am concerned about plan B and the possibility of ID cards or covid passes—

Dawn Butler Portrait Dawn Butler (Brent Central) (Lab)
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Today really feels like groundhog day. The Government are again pushing through the Coronavirus Act with no scrutiny from Parliament. I do not know what it is about this authoritarian Act that the Government love to push through. Some 18 months ago, the Bill was nodded through—understandably, in a way, but it was never, ever proportionate. As the Secretary of State said, it was fast-tracked legislation. It contained really draconian powers, including the powers to postpone elections, close borders, detain people not suspected of a crime, ban gatherings and remove safeguards for disabled people. This is the mother of all Parliaments and we should always have the opportunity to scrutinise Government legislation. That is what we are elected to do. This all-or-nothing approach does not wash; it is wrong.

As a parliamentarian, I want to get my control back. I want to get back my powers to scrutinise the Government. The Government should not be the sole decider of legislation. We live in a democracy, not an autocracy. The Government should not be making all the rules themselves. That said, I am pleased that some of the most draconian parts of the Act have now been expired. I had a meeting with the Minister and am pleased that she listened to my concerns. Section 51 and schedule 21 —the powers relating to potentially infectious persons—have now been removed. As has been said, every single charge under schedule 21 was wrongful. Those 292 charges were incorrect, and that meant 292 distressed people who were already distressed during the pandemic.

We have to make sure that the Bill is fit for purpose, and ultimately it is not. It therefore needs to be scrapped and there needs to be a new Bill. I am already the sponsor of a Bill that has been presented to the House: the Coronavirus (No. 2) Bill. If we were to vote down this Act today, we would have 21 days to bring forward a new Bill. There is already one that is ready—oven-ready, some might say. [Interruption.] You liked that, did you? My Bill is properly ready to go.

This Government have proved time and again that they cannot be trusted. It is one rule for them and one for us. The latest person that we found had broken the rules was the Prime Minister himself, as his wife’s best friend went around to theirs for Christmas dinner, while other people dined alone throughout Christmas. As I have said, if we voted down this Act, we would have 21 days to bring a new Bill to the Floor of the House. We can do that and we can do it quickly.

I congratulate the Secretary of State on his new role and I appeal to him to consider one more vital change. I urge the Government to review every fixed-penalty notice issued under the coronavirus and public health regulations, and to establish an appeals mechanism, because people cannot appeal at the moment. Between March 2020 and June 2021, the police processed 117,213 fines. Let us not forget that we had no chance to scrutinise provisions when the Government raised fines from £960 to £10,000. The Guardian revealed that people of colour were 54% more likely to be fined than white people. I say to colleagues in all parts of the House that we should never be forced into an all-or-nothing approach when it comes to legislation. That is not our job. We are parliamentarians and we need to scrutinise legislation. Twenty-one days is enough time to consider better legislation. As we have the Coronavirus (No. 2) Bill, based on Liberty’s “Protect Everyone Bill”, I say to every single Member of this House that we can do that.

I am clear that we need to repeal and replace the Coronavirus Act not just because it is dangerous with regard to our rights and our liberties, or because it served the purpose that it was meant to 18 months ago, but because we must do better. We must learn the lessons. I am part of the Science and Technology Committee and there is a joint report that says that this Government have failed on so many occasions. This is an opportunity where we can do better and where this Government can do better. Let us do better, not just for us but for the country.

Rosie Winterton Portrait Madam Deputy Speaker (Dame Rosie Winterton)
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I am going to reduce the limit to four minutes but it should stay at four minutes if I do it now.

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Maggie Throup Portrait Maggie Throup
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I will take the hon. Lady’s comments on board. The progress that has been made with regard to unlawful convictions has been really helpful.

We have come so far in our fight, but we still have a long way to go. This pandemic is not yet over, and the steps we are proposing will give us the support we need to continue our fight against the virus while restoring yet more of our precious freedoms and the important experiences that we really love.

I commend the motion to the House.

Rosie Winterton Portrait Madam Deputy Speaker (Dame Rosie Winterton)
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The question is Motion No. 4 as on the Order Paper. As many as are of that opinion, say Aye. [Hon. Members: “Aye.”] Of the contrary, No. [Interruption.] Could I have the Noes again?

Rosie Winterton Portrait Madam Deputy Speaker
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I am afraid I fear the mood of the House is not to have a vote. The right hon. Gentleman would have to rustle up a few more people to really get the sense that we required a vote—

Desmond Swayne Portrait Sir Desmond Swayne
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The just shall live by faith.

Rosie Winterton Portrait Madam Deputy Speaker
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I am sure they will. The Ayes have it.

Question put and agreed to.

Resolved,

That the temporary provisions of the Coronavirus Act 2020 should not yet expire.

Baby Loss Awareness Week

Rosie Winterton Excerpts
Thursday 23rd September 2021

(2 years, 10 months ago)

Commons Chamber
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Rosie Winterton Portrait Madam Deputy Speaker (Dame Rosie Winterton)
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If the hon. Lady wants to take a break, we can take another speaker and come back to her if that is what she would like.

Cherilyn Mackrory Portrait Cherilyn Mackrory
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Thank you, Madam Deputy Speaker, for your words and my hon. Friend the Member for Cities of London and Westminster (Nickie Aiken) for intervening.

Today, I wish to extend my sincere condolences to anyone who has experienced the loss of a baby. To anyone to whom this has happened, despite what they may see, I say that the sun will shine again. It does not feel like it now, but one day it just does. For me, the dark clouds of shock, anger, guilt and dreadful, dreadful sadness do eventually dissipate—

Covid-19 Update

Rosie Winterton Excerpts
Tuesday 14th September 2021

(2 years, 10 months ago)

Commons Chamber
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Alistair Carmichael Portrait Mr Alistair Carmichael (Orkney and Shetland) (LD)
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Pages 23 and 24 of the autumn and winter plan specify that, as part of plan B, the Government will introduce vaccine passports for all nightclubs, for indoor settings of 500 people or more, which presumably would include this Chamber of 650 Members, for outdoor settings of 4,000 or more, and for anywhere—that is a very big place—where there are 10,000 people. How does the Secretary of State square that with his assertion in reply to the shadow Secretary of State, the right hon. Member for Leicester South (Jonathan Ashworth), that the evidence on the usefulness of vaccine passports is just not there? If the evidence is not there, why are they part of plan B? The Government’s document also says that plan B could be brought into force at very short notice, so can the Secretary of State give the House some assurance that that will not happen without a vote?

Rosie Winterton Portrait Madam Deputy Speaker (Dame Rosie Winterton)
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We need short questions and short answers.

Sajid Javid Portrait Sajid Javid
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We have made huge progress as a country in fighting this virus, and that is why we do not need certification; we do not need the plan B measures that the right hon. Gentleman has just set out. As I made in clear in my statement, while we can keep other measures in reserve, what matters is what we are actually doing, and if we keep making progress against this virus in the way that we are, we will not need any of the things he talked about.

Covid-19 Vaccinations: 12 to 15-year-olds

Rosie Winterton Excerpts
Monday 13th September 2021

(2 years, 10 months ago)

Commons Chamber
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Nadhim Zahawi Portrait Nadhim Zahawi
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I am grateful for my right hon. Friend’s important question. We have received interim advice from the Joint Committee on Vaccination and Immunisation, which we have published, and it has now received the Cov-Boost data. The interim advice was about vaccinating the most vulnerable with a booster for covid and for flu. It is advising a two-stage process, and stage one is to offer the booster vaccines to those in the old 1 to 4 cohorts plus the immunocompromised, and then to groups 5 to 9. That is the right way to proceed. We have not yet received its final advice.[Official Report, 14 September 2021, Vol. 700, c. 8MC.] It could be different to the interim advice, but boosting preparations are well under way. Clearly that final advice is predicated on which vaccine delivers the highest level of protection and durability.

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Nadhim Zahawi Portrait Nadhim Zahawi
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My right hon. Friend raises a really important question. Of course, it was the CMOs who led the further work that took place and who made the announcement today. Health is devolved, as he knows, so the chief medical officer for Scotland will take that on in ensuring that the system—whether it is primary care or other parts of the system—understands the advice in full. The school-age vaccination programme is the major element of this particular part of the vaccination programme. It is very well versed in working with parents and teachers, and of course with young people to make sure that they have all the information they need to be able to take it back to their parents, get the consent and get their vaccination on time.

Rosie Winterton Portrait Madam Deputy Speaker
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I call Sammy Wilson.

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Nadhim Zahawi Portrait Nadhim Zahawi
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The best way for parents and families to make that decision is through the tried and tested process of the school age vaccination programme, and through schools sharing information and having a consent form that parents have to sign and return before the vaccination programme is scheduled.

Rosie Winterton Portrait Madam Deputy Speaker (Dame Rosie Winterton)
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I thank the Minister for his statement.

Covid-19 Update

Rosie Winterton Excerpts
Monday 6th September 2021

(2 years, 10 months ago)

Commons Chamber
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Luke Evans Portrait Dr Luke Evans (Bosworth) (Con)
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Will the Minister give way on that point?

Rosie Winterton Portrait Madam Deputy Speaker (Dame Rosie Winterton)
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Order. This is a statement, so the hon. Gentleman can bob up later if he needs to.

Nadhim Zahawi Portrait Nadhim Zahawi
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As ever, whatever the clinical decision from the JCVI, the NHS will be ready. We will proceed with the same sense of urgency we have had at every point in this campaign.

Vaccines remain our most important line of defence, yet they are not our only line of defence. Regular testing continues to play a crucial part in returning this country to something that feels a bit more like normal. PCR tests remain freely and easily available, and anybody with symptoms should make sure to get tested. Children are returning to classrooms across these islands. I am sure all hon. Members welcome that, as did the Secretary of State for Education at questions this afternoon. They return to an immeasurably better set up: no more home schooling, no more bubbles, teachers vaccinated, and all 16 and 17-year-olds offered a first dose before returning. That matters because we know that face-to-face education is the best place for children and young people.

Rapid testing can uncover hidden cases of the virus at the start of term. Whether it is our constituents or our children, we must encourage people to do it. On their return to school and colleges, students should take two rapid tests on site three to five days apart. They should then continue to test twice weekly at home. To university students, I would also say this: make every effort to get fully vaccinated before going back. It has never been easier to drop in and get a vaccine and the necessary testing. These are straightforward steps, but they are essential in stopping the spread.

Finally, I am sure the whole House will join me in welcoming the additional £5.4 billion cash injection we are putting into the NHS. This investment will go straight to the frontline, supporting our covid-19 response over the next six months. The funds include £1 billion to help to deliver routine surgery and treatments for patients, and tackle our backlog. The funds take the Government’s total support for health services in response to covid-19 to over £34 billion this year alone.

We are widening and deepening our wall of defence. We are getting jabs to more people and getting some people more jabs. We are getting the NHS what it needs. The ask of our NHS colleagues continues to be complex and challenging, yet they rise to it day in, day out. I pay tribute to everyone involved in these lifesaving efforts. We must keep going, and I commend this statement to the House.

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Ben Spencer Portrait Dr Ben Spencer (Runnymede and Weybridge) (Con)
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I would like to thank my hon. Friend for the incredible vaccine roll-out; many lives have been saved by it. My question is about domestic vaccine passports, and I have to apologise because I get a bit confused by the nomenclature of what is being proposed. On the one hand, we have what I understand to be vaccine-only passports, which say simply that someone has been vaccinated and that that is all that counts. Then we have covid status certification, which can also include negative testing and proof of recent infection. Crucially, this is not just about whether someone has been vaccinated, because as I understand it, a lateral flow test negative result is the best evidence that someone is no longer infectious. Is my understanding correct that the proposal for the end of September is for vaccine-only domestic vaccine passports? If that is the case, why has that moved from covid status certification?

Rosie Winterton Portrait Madam Deputy Speaker (Dame Rosie Winterton)
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Order. Just before the Minister answers, I must point out that we need to finish this statement fairly shortly. Colleagues should keep their questions very short, and the answers should be correspondingly short.

Nadhim Zahawi Portrait Nadhim Zahawi
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I am grateful to you, Madam Deputy Speaker, and to my hon. Friend for his question. I guess the reason for the shift by the end of September, when all 18-year-olds will have had the opportunity to get two jabs, is that testing provides a limited protective assurance and allows for the potential for self-testing fraud. The effectiveness of testing-based certification can also be undermined by a single incursion into a setting. Transmission, serious illness and hospitalisation are reduced using vaccination-based certification, even with incursions, so that is the thinking behind this. I reiterate that nobody does this lightly. We do not curtail people’s freedoms lightly; this is purely so that we can keep industries and sectors open and not have to close them down again if there is a super-spreader event.

Health and Care Bill

Rosie Winterton Excerpts
2nd reading
Wednesday 14th July 2021

(3 years ago)

Commons Chamber
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Second Reading
Rosie Winterton Portrait Madam Deputy Speaker (Dame Rosie Winterton)
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The reasoned amendment in the name of the Leader of the Opposition has been selected.

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Jim Shannon Portrait Jim Shannon
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It is just, Secretary of State, because you mentioned the issue I wanted to bring up about people getting older. I spoke to your colleague, the Minister for Health, yesterday and I am appreciative of that—

Rosie Winterton Portrait Madam Deputy Speaker
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Order. The hon. Member really must not refer directly to the Secretary of State; it is through the Chair.

Jim Shannon Portrait Jim Shannon
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Recent statistics show that over 40,000 people under 65 in the UK have dementia, and many more have not been diagnosed as of yet. It would seem that these figures are not addressed in the Health and Care Bill, so can I ask the Secretary of State what more will be done to offer support to those suffering with dementia and Alzheimer’s in the UK through this social services care Bill?

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Sajid Javid Portrait Sajid Javid
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If it is on this issue, yes I will.

Rosie Winterton Portrait Madam Deputy Speaker (Dame Rosie Winterton)
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Order. Just a reminder that interventions need to be short and to the point, because there is a lot of pressure on time in this debate.

Tim Farron Portrait Tim Farron
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My point is about boundaries. Lancashire and south Cumbria have a perfectly reasonable boundary, but does the Secretary of State agree that there is concern that, because most rural communities are attached to bigger, more populated urban ones, that can lead to an imbalance in decisions? One of the proposals that our community faces is that the Preston and Lancaster hospitals could be replaced by a single super-hospital somewhere in the middle. HIP2—the health infrastructure plan 2—is a good thing, but that would be very bad thing, because it would mean that people in south Cumbria could have a two-hour round trip just to get to A&E. Will he intervene and ensure that any proposals under HIP2 that undermine access to healthcare in rural communities are taken off the table?

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Sajid Javid Portrait Sajid Javid
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The Labour party said it not just 10 years ago but in 2015, 2017 and 2019—in all those manifestos—so I am sure that its members agree with this direction. [Interruption.]

Rosie Winterton Portrait Madam Deputy Speaker (Dame Rosie Winterton)
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Order. If Members want to intervene, let me say to them that the Secretary of State has been very generous in giving way, but just shouting at him is not working.

Sajid Javid Portrait Sajid Javid
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They are excited, Mr Deputy Speaker, and I understand that. Let me excite them much more.

The third theme of the Bill is greater accountability. We have never seen so clearly as we have in the past 16 months how critical the health of our constituents is for the House. The Government of the day always work hand in hand with the NHS to deliver that priority. That is what people would expect from a responsible Government. People also rightly expect there to be clear lines of accountability for how this priority is delivered. Accountability is the foundation of our democracy, and on that I hope we all agree.

On the nation’s greatest priority, our health, this Bill sets out clear lines of accountability to the people we all serve. The Bill simplifies what has been a complex structure, bringing the three different bodies that oversee the NHS into just one, as NHS England. NHS England will continue to have clinical day-to-day operational independence, but it is right that the NHS must be accountable to Ministers, and Ministers must be accountable to Parliament, where we are all accountable to the people we serve.

Naturally, that accountability will extend to these integrated care systems. The right hon. Member for Leicester South (Jonathan Ashworth) is on the record, in an interview with the Health Service Journal in December 2019, as saying that he agrees with the principle of the legislative changes that had been put forward by the NHS for “democratically accountable” ICSs. He cannot have any objection to this point. We will see what he has to say from the Dispatch Box.

I hope we can all agree that this is a sensible and pragmatic step. Let me quote once more:

“We will reinstate the powers of the Secretary of State for Health to have overall responsibility for the NHS.”

Those are not my words but the words of the 2017 Labour manifesto. I look forward to working with the shadow Health Secretary on this and other aspects of the Bill, and I urge him to set aside petty party politics and point scoring and do what the NHS wants him to do, which is to back this Bill.

Before I finish my opening remarks, I turn to the reasoned amendment in the name of the Leader of the Opposition and other Opposition Members. What is claimed by the reasoned amendment is entirely wrong. This is exactly the right time for these reforms. The response to covid-19 has quickened the pace of collaboration across health and social care, showing what we can do when we all work together, when we adopt new technology and when we set aside bureaucratic rules. The pandemic has also brought home the importance of preventing ill health in the first place. The Bill lays the framework to achieve all that.

More than that, this Bill is what the NHS has been asking for. It builds on the NHS’s long-term plan and the work the NHS has already started to do voluntarily. We have invested record sums in the NHS, both before and, of course, during this pandemic, and we will continue to do so.

The systems are telling us that they are ready, that they want us to go ahead with this Bill. They do not want to see any delay, which is why this is important work for all of us. Hopefully Parliament can deliver what the NHS is asking for.

The unprecedented challenges of the pandemic have only deepened our affection for the NHS, and it has reinforced the noble idea that the NHS is there for all of us when we need it. I started learning about the NHS from a very early age when I used to go to check-ups with my mum and translate for her. It was there for her, it has been there for me, it has been there for my family, it has been there for my children and it has been there for all of us and our constituents.

Even in this fast-changing world, with the new and evolving threats to our health, the founding principles of the NHS are as true today as they ever were. It is our responsibility to build on this incredible inheritance. Our NHS is the envy of the world, so it is right that this Government should work across health and care to shape a system that is truly fit for the future. Our colleagues in health and social care have achieved extraordinary things in the most extraordinary times, and we in this place must give them the firm foundations they need to build back better in the years that lie ahead.

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None Portrait Several hon. Members rose—
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Rosie Winterton Portrait Madam Deputy Speaker (Dame Rosie Winterton)
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Before I bring in the shadow Secretary of State, I remind hon. Members that there will be an immediate three-minute limit on Back-Bench contributions. There is a countdown clock for those in the Chamber, and for those participating virtually, there will be a clock on the screens.

National Health Service

Rosie Winterton Excerpts
Tuesday 13th July 2021

(3 years ago)

Commons Chamber
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Mark Jenkinson Portrait Mark Jenkinson
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On a point of order, Madam Deputy Speaker. I seek your advice on whether the vaccination figures cited by the Minister, which are more than a month out of date, might have inadvertently misled the House. Her earlier figures on the vaccination status of care home staff and residents suggest it simply is not possible for the figures both to have reached the SAGE threshold and to be as low as the House was informed.

Rosie Winterton Portrait Madam Deputy Speaker (Dame Rosie Winterton)
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I thank the hon. Gentleman for that point of order. Obviously, I cannot comment on figures the Minister may or may not have used. I am sure she will have heard what he said and, if there is anything that needs correcting, will do so in her summing up.

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Rosena Allin-Khan Portrait Dr Allin-Khan
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I am going to make progress, please.

The UK Government should learn from the fantastic work of the Labour-led Welsh Government, who are running the fastest vaccine programme in the world and have vaccinated a far greater proportion of their staff than England; yesterday’s figures showed that almost 95% of care home residents and 88% of care home staff are double vaccinated. Wales has rejected compulsory vaccinations and instead chosen to work closely with the care sector to drive take-up, as well as valuing the workforce with a proper pay rise. That is the sort of leadership that is needed here.

A failure of leadership here will place the care sector in an even more precarious situation, with even fewer staff than at present. There are serious warnings from the care sector that the Government’s plan could lead to staff shortages in already understaffed care homes. That would have disastrous consequences on the quality of care. More than 100,000 posts in the care sector are currently unfilled, with recruitment and retention already extremely difficult due to low wage levels for difficult and demanding jobs. Not only could this plan have a disastrous impact on those relying on care, but the stress and trauma placed on their relatives will affect so many across the country. We already have a social care crisis. Let us not deepen it.

These proposals are at odds with the Government’s decision to throw caution to the wind by making social distancing and mask wearing optional and up to individuals to decide on. It makes no sense. Surely forcing workers to receive a vaccine is at odds with the individualism that the Government seek to promote at every opportunity. It seems odd that care workers are being singled out. Why is there a different rule for them? Are the Government hoping that the public will simply forget about their failure to protect care homes over the past year? Is that what is going on here?

Forcing carers to choose between losing their job and taking a vaccine that they are afraid of is inhumane. These are people who often work for less than the minimum wage. They are incredibly vulnerable people and their voices must be heard. Many of these people have lost multiple family members during the pandemic. They are being asked to put their faith in a vaccine that they are afraid of. The Government need to be doing more to tackle misinformation, promote the positive benefits of taking up the vaccine and support care home staff to do so. They have not been doing enough to support care workers who have done so much during the crisis. They should be focused on driving up standards and staff retention by treating care workers as the professionals they are, with improved pay, terms and conditions and training.

We have a moral imperative not to force people to take a vaccine that they are afraid of, so I urge the Government to listen to our care workforce. Surely they deserve at least that after the last year.

Rosie Winterton Portrait Madam Deputy Speaker (Dame Rosie Winterton)
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This debate finishes at 7.19 pm and I need to bring the Minister in at the end. That means that if colleagues speak for between four and five minutes, everybody will get in. If colleagues do not speak for between four and five minutes, everybody will not get in.

Covid-19 Update

Rosie Winterton Excerpts
Monday 5th July 2021

(3 years ago)

Commons Chamber
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Sajid Javid Portrait Sajid Javid
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There will, of course, be people who are sadly more vulnerable to this virus who will be concerned about step 4. I entirely understand that caution and anxiety, and we will publish further guidance along the lines that the hon. Lady mentioned. As for her question on second doses for pregnant women, I will have to take advice on that.

Rosie Winterton Portrait Madam Deputy Speaker (Dame Rosie Winterton)
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Order. I warn colleagues that this statement will finish at 6 o’clock due to the need to get back to the debate on the Bill, so I urge colleagues to be brief.

Martin Vickers Portrait Martin Vickers (Cleethorpes) (Con)
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The majority of my constituents will welcome the Secretary of State’s statement, but NHS Digital data shows that the case rate in the council area is 591 per 100,000. That is considerably ahead of the national average and is causing inevitable concern, particularly among elderly and vulnerable groups. I have full confidence in the local NHS, the council and other officials dealing with the situation, but if it continues to worsen, will my right hon. Friend meet me and my hon. Friend the Member for Great Grimsby (Lia Nici) to discuss whether additional support and resources are required?

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Neale Hanvey Portrait Neale Hanvey (Kirkcaldy and Cowdenbeath) (Alba)
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All the warm words from the Secretary of State towards the NHS at the top of his statement were completely demolished by his attitude towards a breast cancer surgeon when he said that she should know better. The reality is that she does know better, and he should apologise to the hon. Member for Central Ayrshire (Dr Whitford) for those absolutely outrageous comments. And to use the escalation of cases in Scotland as a political tool is absolutely disgraceful. I want to talk about the—

Rosie Winterton Portrait Madam Deputy Speaker (Dame Rosie Winterton)
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I call the Secretary of State.

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Sajid Javid Portrait Sajid Javid
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I can tell my hon. Friend that the guidance is really asking people to use their common sense. If there are many other people around them, particularly if those people might be more vulnerable—older people, let us say, or groups who for some reason may be unvaccinated—we are really just saying, “Use your common sense.” I think that everyone in Britain will do just that. In private settings, it will be up to private businesses—shops, for example—to decide what they wish to do.

Rosie Winterton Portrait Madam Deputy Speaker (Dame Rosie Winterton)
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I thank the Secretary of State for his statement. We will suspend the House for one minute to make arrangements for the next business.

Social Care Reform

Rosie Winterton Excerpts
Wednesday 23rd June 2021

(3 years, 1 month ago)

Commons Chamber
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Urgent Questions are proposed each morning by backbench MPs, and up to two may be selected each day by the Speaker. Chosen Urgent Questions are announced 30 minutes before Parliament sits each day.

Each Urgent Question requires a Government Minister to give a response on the debate topic.

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Helen Whately Portrait Helen Whately
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My hon. Friend outlines a fantastic example: that is a really good use of town deal funding by Warrington. The academy—there are examples around the country—does an important thing in raising the profile of the social care workforce and developing their skills, which are so important. I absolutely support this initiative and, as and when the time is right, I would be delighted to visit.

Rosie Winterton Portrait Madam Deputy Speaker (Dame Rosie Winterton)
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I thank the Minister for responding to the urgent question, and I am suspending the House for two minutes.

Coronavirus

Rosie Winterton Excerpts
Wednesday 16th June 2021

(3 years, 1 month ago)

Commons Chamber
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Mark Harper Portrait Mr Harper
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My hon. Friend makes a very good point, and it is part of the reason why we are concerned. If this was genuinely going to be the end of it, that would be one thing. I have listened carefully to the Members who have spoken and a number have said that they will support the Government on this occasion, but this is it. I am afraid that we have heard that before and it has turned out not to be true, and I am afraid, just from reading the documents in front of us, that that is why I have some scepticism.

The final thing I will say—I hope the Minister who will be winding up the debate, who I have a great deal of respect for, can clarify this—is that I am not quite sure what is going to happen at the end. The review of the evidence that has been gathered about whether the tests are met is not due to be done until 19 July, so I am not clear about when Ministers are going to come to Parliament to set out whether those four tests have been met. Is it going to be on 19 July, or is it going to be before 19 July? I am not clear whether they are going to give that one week’s notice—all the way through the road map so far, we have had four weeks, then a week’s notice. I am not quite clear about the timetable, and this is important, because, as has been said, people’s lives will now be reoriented around that new date, including weddings, family events and people’s plans. It is important that our constituents know what to expect. When can they expect a decision? When can they expect to know what their life will look like? It is because of concerns about whether the regulations really are the end that I will, I am afraid, vote against them this evening.

My final point is on the motion about proceedings in this House. It is my strong view that, although it has been welcome that we have been able to have Parliament meet through a pandemic, and thanks should go to all the parliamentary staff who have made that possible, it is, I think, indisputable that this Parliament, in its current form, is not as effective in holding the Government to account and enabling us to do our job as Parliament should be. I think that we should get back to as normal as possible in this House as fast as we can. For that reason I will also vote against the motion to continue these proceedings effectively until we return in September.

Rosie Winterton Portrait Madam Deputy Speaker (Dame Rosie Winterton)
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I thank the right hon. Gentleman for his kind words about how closely we worked together after the tragic murder of Jo Cox. I much appreciated the work that we did together at that terrible time. I also echo his words about Sir Roy Stone, who I saw this afternoon to say how much I had always valued the advice that he gave to me when I was Opposition Chief Whip.

We now go to Sir John Redwood.

John Redwood Portrait John Redwood (Wokingham) (Con) [V]
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It is time to trust people more. It is time to control people less. I would like to praise Ministers and officials, and particularly all the scientists, medics and researchers, who have worked so hard to ensure that the UK is a leader in vaccines—supplying one of the best vaccines to the world, getting it out early and making it available for all of us, and ensuring that we had bought in other vaccines that became available so that we were in a position to protect our population well and relatively early compared with other countries. I pay tribute to all the work by the NHS and the medics to understand how to treat the disease better and how it is transmitted so that we can take better actions to give people greater security.

I say now to all those experts, the NHS and the Government, “Share what is relevant with the rest of us—the public—and let us make more of our own risk assessments.” We are now saying to people that there are two major ways in which we can all protect ourselves against the possibility of getting this disease, or a bad version of it. First, we are making two jabs available to all adults who want them, and the figures so far show that that gives them a much better probability of not catching the disease at all and very strong protection against a serious case of it, which is what we are mainly worried about, as we are trying to stop people dying or struggling in intensive care, and to stop that pressure on the NHS and all the suffering that it produces.

We are also saying to people, “If you’re still worried about the residual risk or if you really don’t like vaccines, you can self-isolate.” I hope that the Government will continue, as an employer and as the Government, guiding others in the economy to say that we should be generous and supportive of anyone who really does feel that they need to protect themselves against the virus by self-isolation, but I think that we are now well beyond the stage where we have to isolate practically everybody else to some extent when so many people now have protection, are making their own risk judgments, and want to get on with their lives.

In the room, when assessing the data, it is important that we look at all the data about jobs, livelihoods, incomes, family stress and mental health pressures, because this policy is creating all of those. The Government can do more. They should be helping the private sector to manage air flows, air extraction, ultraviolet cleaning and so forth to make it safer for many more social contact businesses to reopen and have a reasonable number of people enjoying their services. I think that more could be done on ensuring that all our health settings have really great infection control, because we do not want any more slippages from health settings themselves.

I urge the Government to think again about an idea they looked at early on but did not develop, which is in the large populated areas, particularly the conurbations, to have isolation hospitals that deal with covid and other variant infectious diseases well away from general hospitals. We add to the pressures and the likelihood of cross-infection if we have a general hospital taking in a very infectious disease.

There is now huge scope to get a really good economic recovery to save jobs, create new jobs and get pay up, to have many more transactions in the economy. To do that, however, we need to relax and to trust the people more. I think my constituents are ready to make decisions about their own lives again and many are very frustrated that they are not allowed to. We have all this great advice and knowledge. Let us not get too gloomy and let us not lock everybody up again.

Rosie Winterton Portrait Madam Deputy Speaker (Dame Rosie Winterton)
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As colleagues will be aware, there have been quite a few interventions, so after the next speaker I will have to take the time limit down to three minutes in order to get everybody in.

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Tim Loughton Portrait Tim Loughton
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The trouble is that there are lots of different scientists and they do not agree with each other, yet only certain scientists seem to have an impact on the Government. Usually, it is the most doomsday of those scenarios.

Where is the data that shows that allowing six people inside a pub has increased infection rates, and by how much? Where is the data that shows how much faster an infection has spread because up to 30 people have been able to meet outside since the original journey out of lockdown? Where is the data showing that the NHS is being overwhelmed, not by covid patients, but by a huge increase in children and families suffering mental illness, including many worrying episodes that we have seen as constituency MPs, or by the surge in advanced cancer cases that could not be diagnosed and treated early? Where is the data showing how many businesses, particularly in the hospitality sector, cannot wait a further four weeks to be profitable and are likely now to fail, with the accompanying impact on people’s jobs, livelihoods and wellbeing? Where is the data showing the impact on the wellbeing of children now denied sports days for another year and school proms? Students are again being denied graduation ceremonies for a second year, having missed out on so much of their university experience. Where is the data on the impact of domestic abuse, which has risen so much, as we have seen? Where is the data showing the continued impact on babies? The problem is that the only data considered seems exclusively to be the worst-case scenarios about the spread of covid, regardless of the current single-figure average death rates.

No covid strategy is risk-free, but a further delay is by no means a victimless decision. It is time that we trusted people to live with covid just, as the Prime Minister announced in February, in the same way that we “live with flu”: we do not let flu get in the way of living our lives. The Government promised at that stage that we would move to personal responsibility. My fear is that if the Government continue to try to nanny people, they will just not take any notice and no amount of retained rules will make any difference. People are already increasingly making their own risk assessments. As somebody tweeted the other day:

“I had Covid. I have antibodies. I have had both jabs. I’ve worn a mask. I’ve sanitised to within an inch of my life… But now, #ImDone no more. It's over.”

My fear is that this will become a much more widely held view if the Government just keep delaying freedom day, without the evidence to back it up.

Rosie Winterton Portrait Madam Deputy Speaker (Dame Rosie Winterton)
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I really do not mind interventions taking place, but we have 13 people to get in before I start the wind-ups, so every intervention means that somebody is not going to get in. I urge people to speak for fewer than three minutes if they can.

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Miriam Cates Portrait Miriam Cates (Penistone and Stocksbridge) (Con)
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Following the science is an attractive and even comforting idea in a time of uncertainty. But—I say this as a scientist —we can no more follow science than we can follow history. Science gives us knowledge and understanding, but it cannot give us wisdom, and it is wisdom that we need to make what are essentially moral and political decisions about how we balance the short and long- term best interests of our whole society. I am saddened that we have lost—I hope only temporarily—that sense of balance.

Preventing death from covid seems to have become the principal purpose of our national endeavour, no matter the cost to our way of life. We have placed insufficient emphasis on the terrible long-term consequences of lockdown—poverty, unemployment, lost education, debt, undiagnosed cancer, loneliness, hopelessness and fear—and focused far too narrowly on just one set of metrics: the daily covid data. Even the most hardened libertarian would accept that, in a national emergency and in the face of significant threat to life, restrictions on our freedoms have been necessary and right, but with all vulnerable people having now been offered vaccination, the balance of risk has shifted.

Covid is no longer a substantial threat. The average covid mortality so far in June is seven deaths a day—seven out of around 1,500 daily deaths that we could expect in normal times. The number of people in hospital now stands at 1,177—some 37,000 fewer than at the peak in January. Thanks to the incredible efficacy of our vaccination programme, it is hard to comprehend how our hospitals could quickly become overwhelmed. The idea that we are still in a state of emergency is not supported by the evidence, yet significant legal restrictions on our basic freedoms are to remain, even dictating how many of our family and friends can visit us in our private homes. The restrictions we face are now out of proportion to the threat, so extending the measures sets a dangerous precedent.

We must learn to live with covid in the way that we live with so many other risks. Vaccines will never be 100% effective, just like seatbelts, smoke alarms or contraception, but it is vital to our autonomy and our identity as human beings that we are able to make our own choices and evaluations of everyday risks, as has been the norm in our country for generations. I have the greatest respect for Ministers, who have had to make unimaginably difficult decisions over the past year, but now is the time to restore a sense of balance, proportion and fairness, and to make a return to life in all its fullness.

In my final seconds, I want to say this: childhood should be a time that is care-free. Testing our children twice a week, making them wear masks when they are not at risk, and constantly reminding them that they may be a danger to people whom they love, is damaging them psychologically, and we have to stop.

Rosie Winterton Portrait Madam Deputy Speaker (Dame Rosie Winterton)
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If everybody now takes two minutes, everybody will get in. I am sure Dr Kieran Mullan will lead the way.

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Chris Loder Portrait Chris Loder (West Dorset) (Con)
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It is a pleasure to speak in this debate—one that I know is of huge importance both to this House and to the country. In West Dorset, we have had one of the lowest numbers of cases and of deaths across the whole country. As it stands today, in the whole of Dorset we have just one person poorly in hospital. We have not lost anybody from this virus for around two months, so it is with great regret that I have to tell the Government that I find it very difficult to support their line and will not be doing so in the Lobby this evening.

The vaccination scheme—which has been a source of national pride and I think many if not all of us have now received a vaccination—has brought great reassurance to many people across this country. But we now have to help everybody in the nation, particularly those who, as in my constituency, where 97% of our businesses are small or micro-sized, are feeling this so painfully. We need to be able to give them the summer as the opportunity to get their business back not just for the short term, but for the long term. That is why, as the Member for West Dorset, I must make it clear to the Government that I am afraid I am unable to support them in the Lobby this evening.

Rosie Winterton Portrait Madam Deputy Speaker (Dame Rosie Winterton)
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We now go to Neil O’Brien, whom I have also asked to stick to two minutes.

Neil O'Brien Portrait Neil O’Brien (Harborough) (Con) [V]
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None of us wants these restrictions to go on for a moment longer than they have to. All of us are proud of our world-leading vaccination effort, and I pay tribute to everyone involved in delivering it in Harborough, Oadby and Wigston. However, when we see that cases are doubling roughly every 10 days and that within a week or two we will be back to the same number of cases every day that we had at the start of the November lockdown, we can see why there is real cause for concern. That is why it is right to go for the delay that we will vote for this evening. We know that getting a second vaccination dose gives people a lot more protection against this dangerous new variant. We know that many more people will be fully vaccinated as a result of this delay and that will potentially save thousands of lives, so it is the right thing to do.

My pleas to Ministers are as follows. The first is that we use the time that we are buying tonight to really drive vaccination rates among that last 4%—perhaps 1 million people—among the most clinically vulnerable groups. As the number of cases accelerates, those people have a target on their back, and it would be a tragedy for them to die of fear, ignorance or simple lack of knowledge at this stage, at the very end of the pandemic.

My second plea to Ministers is to continue to improve our ability to detect at an early stage and close our borders against dangerous new strains. While the Indian variant is very dangerous, as this thing bounces around the world, one day there will potentially be something worse, and we need to be ready for that. Last but not least, we must improve our ability to nip future pandemics in the bud. I believe that involves reappraising our attitudes to things like challenge trials, so that we never have to go through this again.

It is the right thing to do to delay ending the restrictions for a few more weeks. It is a difficult decision but it is the right one. We need to put in place all the right measures to ensure that we are never in this position again, and that when we abolish these restrictions, we abolish them forever.

Rosie Winterton Portrait Madam Deputy Speaker (Dame Rosie Winterton)
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No. 47 has withdrawn, so the final Back-Bench speaker is Shaun Bailey.

Shaun Bailey Portrait Shaun Bailey (West Bromwich West) (Con)
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Thank you, Madam Deputy Speaker. It is always a little bit trepidatious coming in at this stage of the debate.

The debate has been very finely balanced, and the difficulty is that after so many great contributions, one feels as though one is repeating oneself a bit. This is a difficult decision, and I do not envy the Government in the position that they find themselves in. We must tread a nuanced, balanced path, ensuring that we protect the most vulnerable while safeguarding those liberties that I am sure all of us in this House want to ensure that we and our constituents can enjoy.

The pandemic in my communities, in Sandwell, has been different, because we have not been able to work from home. The majority of my constituents have had to go out to work in the factories or in other places. They have had to be there. I want to dispel the notion that we can all carry on as normal—that we can all work from home. It just does not happen, I am afraid; it is just not reality. An important point that was raised by many hon. Members from both sides of the House this evening is that we must use the time that we will now have as a result of the regulations—because they will pass this evening—to ensure that we plan properly, to tackle the issues and the challenges that we are faced with in our NHS.

I want to talk about primary care, because that is a big thing for my constituents—no more so, at the moment, than in one of my communities, in Tividale, where my constituents struggle to get a GP appointment. One constituent who contacted me today had had to call the surgery 150 times to try and get in to see someone. It is not acceptable; it cannot carry on. I have had really positive discussions with the Minister and his team in the Department of Health, but we must find a solution. And we must use this time, not just on short-term matters, but to flesh out a long-term plan to deal with these issues, going forward. Because our NHS has done a fantastic job during this pandemic, now we must be sure that the issues that have come to light as a result of the situation we find ourselves in, are dealt with for the long term, so that the legacy of the pandemic is that we ensure that we pay back those NHS heroes who have saved so many people.

Rosie Winterton Portrait Madam Deputy Speaker (Dame Rosie Winterton)
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As no. 49 has withdrawn, I call the shadow Minister, Justin Madders.