(3 years, 8 months ago)
Commons ChamberI have not seen that article in The Times—I have read parts of The Times, but not that bit—so I cannot confirm, but I can write to my right hon. Friend with details on this point. However, I would stress that the focus only on modelling is not really where the ultimate judgment on the timings of the road map is; it is about being able to observe progress and then take the next step with confidence. The central point here is that cases may well rise. In fact, I would say cases are likely to rise, not least with schools going back. The critical thing is that the automaticity—cases going up having an impact on hospitalisations—is no longer there. However, if cases got extremely high, even with a much weaker link from cases to hospitalisations, that is something we clearly have to guard against and it is set out in test 3 of the Prime Minister’s four tests.
The Health Secretary has talked of protections for the over-60s. Can he appreciate why, for some of our constituents who crave a foreign holiday, it looks very odd that a Stanley Johnson loophole seems to have been negotiated, so that someone over 60 with their own property abroad can get around that? Can he also appreciate that a lot of our constituents think that these measures—the Prime Minister used to talk about women who look like bank robbers—have now mandated us all to wear these masks?
I am not quite sure what point the hon. Member is making, but this is what I was going on to say. The critical point where I ended the exchange with my right hon. Friend the Member for Forest of Dean (Mr Harper) is that we must restore the freedoms that we all cherish, but in a way that does not put the NHS at risk. Throughout the crisis, we have successfully protected the NHS, and I am delighted to be able to inform the House that there are now record numbers of NHS doctors and NHS nurses in England. New data published this morning show that there are over 300,000 nurses in the NHS in England for the first time in its history. So we have protected our NHS and we are delivering our commitments to it. Nobody wants to have to reimpose measures, as we have sadly seen elsewhere in Europe only this week, so we must follow this cautious and, we hope, irreversible road map.
(3 years, 10 months ago)
Commons ChamberI am very happy to take up that proposal. Nobody should be harassed when accessing any medical treatment. There are agreed rules around abortion and people should be able to access abortion properly, according to those rules.
(3 years, 10 months ago)
Commons ChamberThe jury is still out on whether every vaccine can eliminate every covid variant, but we know that vitamin D builds immunity to all viruses. The Secretary of State promises a four-month free supply for the vulnerable, but how come nobody has heard of it? Will he commit to widely advertising it and its benefit to all Brits?
Yes, indeed I have, and I have written to more than a million people about the availability of vitamin D. Indeed, I know that that offer is being taken up, because there are Members of this House who have received their free vitamin D, taken a photograph of it and sent me the photo.
(3 years, 11 months ago)
Commons ChamberYes, that is our goal. We changed the law to enable more people to inject vaccines and we have a big training programme on now. At the moment, it is the supply that is the rate-limiting step. We want to increase the rate of supply and the NHS’s capacity to deliver it at the same time.
By not needing extreme refrigeration, the new Oxford-AstraZeneca vaccine is a real breakthrough. Will the Health Secretary tell us how it will be administered to over-80s in care homes or at home who are too immobile to travel and who perhaps have carers, including dementia patients, under the hub-and-spoke model? Locally, ambulances are needed, ICU is full, Ealing Hospital is on a black alert and the way that doctors are being told to use oxygen sparingly is raising suspicions that it is running out. Hub-and-spoke is good on paper, but it may be time that the Secretary of State revisits it, because it keeps throwing up loads of anomalies.
The ability of the Oxford vaccine to be easily transported makes a huge difference, because it means we can take it to care homes—we can take the vaccine to the people—rather than the other way round for those who are immobile. Of course, for people who find it easy to travel, it is much more efficient to do it the other way round, so we will have a combination of community roll-out where we take the vaccine to the people and vaccination hubs where people come to get vaccinated. It is all based, as per my previous answer, on optimising the speed of delivery of the vaccine. That is what will both save lives and get us out of the restrictions as fast as possible.
(4 years ago)
Commons ChamberUrgent 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.
This information is provided by Parallel Parliament and does not comprise part of the offical record
Yes, we will keep expanding the sites available. Of course, I understand why people want their local hospital to be dispensing the jab. Alongside hospitals and those vaccination centres, we will make sure that we have sites in the community, and we will get them going just as soon as it is safely possible.
This brilliant news, on which I also congratulate everyone, contrasts with the rather alarming revelations last night that we may be veering towards a no-deal Brexit. If that does occur, could the Secretary of State guarantee that there will be no disruption to the supply chains for all these different vaccines—AstraZeneca, Moderna, Pfizer—and will he also rectify the rather Ealing-shaped hole in hospital provision in north-west London? We have 360,000 people, and we were No. 1 in London for cases recently, so that does need fixing.
There is very significant provision for vaccination in London. I will take up the specific point about Ealing, but London, thankfully, is a very well connected and interconnected city. To assure the hon. Member on the point about logistical disruption, we have five contingency plans in total to ensure that we can continue with the vaccination supply no matter the differing types of disruption.
(4 years, 1 month ago)
Commons ChamberYes. Vaccines could not be approved if there were not volunteers who were willing to take them and play their part. I want to end this session, if I may, with a tribute to my PPS, my hon. Friend the Member for St Austell and Newquay (Steve Double), who, along with some other Members of the House, is taking part in a vaccine trial, and therefore doing his bit to make vaccines available to help everybody across this country.
The Health Secretary will remember—his hon. Friend the Member for St Austell and Newquay (Steve Double) was there as well—that we had a really good meeting on 2 October about the link between covid and vitamin D. Since then the PM even said, two weeks ago, that good news is on the way. Will the Secretary of State update us on what is happening? The Government are meant to be getting rid of dither and delay. We could be like New Zealand; they have only had 16 deaths in care homes in the whole of this pandemic. What can he do?
Yes, we are making progress on that and working on the clinical protocols. I look forward to updating the hon. Lady with more information when a final decision has been made.
(4 years, 1 month ago)
Commons ChamberI will write to my right hon. Friend on exactly this matter. Of course, the more that we can do to get the infection rates down during lockdown, the easier it will be to get out of lockdown, and places can get out in lower tiers.
Have the bumps from me too, Mr Deputy Speaker.
It is good to hear some good news about the vaccine on the way, and hopefully about vitamin D. Earlier in the pandemic, people with non-covid health issues were told not to suffer in silence. Now we hear that non-elective surgeries are being cancelled; I think all are off at the Queen Elizabeth Hospital in Birmingham. What is the advice now? If it is the wrong advice, could this mean the loss of lives?
We want as little impact on the rest of NHS activity as possible. Of course, we are having to take that action in some high-prevalence areas. That decision takes into account local circumstances; it is not a blanket, national decision as it was in March. The most important thing that we can all do to keep our NHS open for non-covid treatment is to abide by the rules and have that lockdown in place.
(4 years, 2 months ago)
Commons ChamberOn the last point, absolutely not. This decision has been taken on the basis of the data across London. We did consider the borough by borough approach that my right hon. Friend understandably advocates, but the decision that we came to was that because cases are rising throughout the capital, it was therefore right for the capital to move as a whole. That was supported by the cross-party team who are working on this at a London level.
Cases in Ealing have shot up, doubling in the past week and making it now the capital’s coronavirus capital. May I therefore commend the Secretary of State’s approach to the London-wide situation, given its fluidity and that of our city? Will he resist the siren voices on the Conservative Benches saying otherwise? Will he look at additional funding for areas like mine, and other interventions that could help? He knows my position on vitamin D. Has he considered that that could be a high-impact, low-risk, virtually cost-free thing that would make him a hero? What is he waiting for?
On the first point, I will say that I will listen to all voices. The voice of my right hon. Friend the Member for Chingford and Woodford Green (Sir Iain Duncan Smith) is far from siren. It is thoughtful, considered and represents his constituents. I will listen to and consider him, my hon. Friend the Member for Bromley and Chislehurst (Sir Robert Neill) and the hon. Lady in trying to get the best public policy outcome, taking into account the health, economic and social consequences of these decisions and choices that we are unfortunately faced with. We should try to carry on that approach of listening to all considered voices.
On the point about vitamin D, I have asked the scientists to look once again at the impact of vitamin D on resistance and immunity. There has been some updated evidence that has come to light in the past few weeks, and I want to ensure that is fully taken into account. I can also tell the hon. Lady that we will be increasing the public messaging around vitamin D to make sure that people get the message that vitamin D can help with broad health and that there is no downside to taking it, and therefore people should consider that.
(4 years, 3 months ago)
Commons ChamberYes, of course. My hon. Friend represents one of the finest hospitals not just in the country but in the world. The clinicians who work at Addenbrooke’s and across the country have improved the treatment of coronavirus. We know that treatment with dexamethasone has reduced the death rate. We know that, because of earlier oxygenation and later intubation, that has reduced the death rate. There is also progress with remdesivir. Nevertheless, while that has reduced mortality for those going into hospital, the virus remains deadly, so unfortunately we have to take measures to stop its spread, not least because we can either take measures now or we will end up with a much bigger problem, still having to take measures later.
Top-rated medical research has continuously linked vitamin D levels with covid incidence. In Norway, where people have high amounts, cases are rare, whereas here, most Brits are deficient. It is rarely found in food, and the main source—sunlight—is about to disappear, with a possible winter NHS crisis on the way. Will the Secretary of State follow the science, as there is no vaccine in sight, and seek to prescribe supplements on the NHS, or at least run a public information campaign? People need something positive now that the nights are drawing in.
Vitamin D is one of the many things that we have looked into, to see whether it reduces the incidence or impact of coronavirus. I have seen reports that it does, so we put it into a trial. Unfortunately, the results were that it does not appear to have any impact. That is the latest clinical advice, which is always kept under review.
(4 years, 3 months ago)
Commons ChamberUrgent 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.
This information is provided by Parallel Parliament and does not comprise part of the offical record
We do have a standard for clinical masks, but for the widespread use of face coverings, we do not set a standard, because the evidence is that for the general public, using a face covering can make a big difference without drawing on the supply of clinical masks for personal protective equipment. Standards are set by the European Union that define what can be put into a hand sanitiser, but I am happy to work with my hon. Friend on the details if that needs to be strengthened.
A world-beating app that is nowhere to be seen, the national R rate rocketing and local testing all but impossible—in Ealing, we would be lucky to get offered a test in Aberdeen—all bode ill for the start of the educational year. With press reports swirling around that there are hundreds of school outbreaks already, can the Secretary of State tell us exactly how many of those there are? Can he up the number of testing kits that schools are supplied with from 10 a piece? As universities go back, which means that people will be moving around bits of the country with different infection rates, can he ensure that everyone on campus gets a test, whether they have symptoms or not? We cannot let education be the next care homes crisis.
The hon. Lady raises important points. It is important to note that in Ealing, 462 people got a test yesterday, so tests are widely available in Ealing. The other issue she raises about ensuring that schools and universities have access to testing is important within the prioritisation. As she knows, we have sent tests to every school for use in exceptional circumstances when they need them. It is very important that those tests are used when people are symptomatic, rather than asymptomatic.
(4 years, 3 months ago)
Commons ChamberIt is very good that we have been able to give funds to over 100 A&Es across the country so that they can expand, both to be able to cope with infection control procedures and to ensure that there is more space. I pay tribute to the Minister for Health, my hon. Friend the Member for Charnwood (Edward Argar), who has driven through this programme along with the NHS. I am confident that this can be built in time for winter to ensure that we are ready by December.
All of west London rejoiced when the Secretary of State axed the hated “Shaping a healthier future” programme, which was established by his predecessor. Will he now stave off the rumours circulating and confirm that the stopping of services at Ealing Hospital—that programme would have put an end to those services, as we know it—does not mean that the closure programme is coming in through the back door? There are a lot of rumours around. Will he start by restoring in full the CEPOD surgery and trauma services, so that we ward off the second spike that he and I do not want?
We have indeed stopped “Shaping a healthier future”, as it was called. We are continuing with the investment into primary healthcare services that was a part of that programme, but not with the rest of it. I am happy to arrange a meeting between the Minister for Health, my hon. Friend the Member for Charnwood, who is brilliant on this stuff, and the hon. Lady and other west London colleagues, to ensure that that commitment is kept to.
(4 years, 9 months ago)
Commons ChamberAmong those who cannot work from home and who feel vulnerable are GPs. Will the Secretary of State heed the advice of the locum who came to see me, and sort out the inconsistencies whereby 111 has been diverting people to surgeries? Can he also do away with the box-ticking target culture that makes GPs terrified to perform a number of consultations in a certain length of time, and also get rid of the quality and outcomes framework appraisals, which are just unnecessary, and let doctors be doctors?
My message to everybody in the NHS is that they should do what they need to do to keep people safe in front of them. We are reducing a whole load of the bureaucracy that gets in the way —for instance, with measures from the Care Quality Commission—to ensure that people just do what is right in front of them. As the hon. Lady says, GPs cannot work from home. Some GP appointments do need to be face to face, but increasingly they can be over the phone or over Skype, and so they should be.