Covid-19

Rushanara Ali Excerpts

Monday 2nd November 2020 Commons Chamber

[Matt Hancock]

Yes, the button is coming; it is in development. The hon. Member for Twickenham (Munira Wilson), who made the previous intervention, also spoke about the app. There was an upgrade to the app towards the end of last week, and I want to put on record my thanks to the app team, who have done such a great job in improving the app by, as the hon. Member for Twickenham said, improving the targeting so that more people are targeted and more people get the message. The app is also now getting fewer false positives so people can have more confidence that if they are contacted by the app and told to isolate, they need to do so. The button will come.

[Rushanara Ali (Bethnal Green and Bow) (Lab)]

People up and down the country made enormous sacrifices during the first lockdown, and they were promised a world-beating contact, test and trace system. Some £12 billion has been spent on Serco to provide that. In areas such as mine with high levels of deprivation, health inequalities and high numbers of vulnerable people, people are already dying, and we do not have an effective testing and tracing system. So, given where we are, may I appeal to the Secretary of State to make resources available to areas where we have the local capacity to do testing and tracing, to help improve the system as quickly as possible in this lockdown?

[Matt Hancock]

Yes, as we have discussed many times, that is happening—absolutely—and it is the link between the national and the local that is the solution here. I will come on to testing in more detail later because I have some new things to say about it. In the meantime, the other thing we need to do, of course, is make sure that for this second peak—the second wave—we do all we can to support those institutions that are helping us through it, and first among those is, of course, the NHS.

The NHS is better prepared for this second wave, and I want to thank the NHS and everybody who works in it for their efforts over the past few months to ensure that we are better prepared. We know infinitely more things about coronavirus now than we knew as the first wave hit. Our Nightingale hospitals, for instance, stand ready and are being restarted in the parts of the country that need them. The independent sector has stepped up to the mark to help us work through the backlog of the vital elective operations and to help keep going with elective operations, even through this second peak. We have hired more staff, with 13,700 more nurses and 7,800 more doctors. We have provided £3 billion of extra funding across health and social care. Personal protective equipment is widely and freely available, and infection control procedures have been significantly strengthened, based on better understanding of transmission of the virus, including aerosol as well as droplet and fomite transmission.

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[Matt Hancock]

It was a fixed-term appointment in order to do that vital work, and was always due to come to a close. This comes back to the old thing that we have across these Dispatch Boxes: on the Government side of the House, we want to harness the capabilities of everybody; on the Opposition side of the House, unless a person is in the public sector, they do not seem to get the credit. I think we should welcome everybody who is willing to put their shoulder to the wheel to drive the action that is necessary to improve this country’s response.

[Rushanara Ali (Bethnal Green and Bow) (Lab)]

rose—

[Matt Hancock]

This is probably about how we should not use the private sector in test and trace, despite the fact that we have hit our target of more than 500,000 tests a day on time, as we have each of the targets for testing. I am very proud of that.

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[Jonathan Ashworth]

Wales also has a much better test, trace and protect system because the Welsh Government did not outsource it to Serco. Of course, the Welsh First Minister showed some leadership and actually imposed his short firebreaker, when the Secretary of State’s leader was running away from the difficult decisions that were needed and was not following the advice of the scientists.

The spending review is due towards the end of November. The test will be whether the NHS and the social care system are given the funding they need. One matter that the Secretary of State did not go into in great detail—perhaps the Minister for Patient Safety, Mental Health and Suicide Prevention, the hon. Member for Mid Bedfordshire (Ms Dorries), could respond when she sums up—is what protection will be in place for the social care sector. We understand why we need to have a lockdown, but we know that a lockdown is going to be particularly devastating for those in receipt of social care. Many people have made great sacrifices, not being able to see their loved ones in social care throughout this period. There is a great worry that many loved ones are literally fading away in social care, not able to see their daughters, granddaughters, sons and grandsons.

We really need a system in place so that loved ones can see their families in social care. Some of the testing innovations that the Secretary of State has spoken of, which we welcome, should be used so that relatives can see their loved ones in social care regularly. He did not mention that today, but this is going to be a real issue in the coming weeks. I hope that the Minister of State can reassure the House that there will be a sufficient plan in place for those in receipt of social care to be fully protected throughout the four-week lockdown and the winter more generally.

[Rushanara Ali]

Does my hon. Friend agree that not only do those in care need additional protection, but the black and minority ethnic death rates in the first lockdown were unprecedented? The Government published the disparities report, yet they do not have an action plan as we go into a second wave. We can see the numbers already; BAME deaths have already happened in my constituency in this wave. What are the Government going to do to protect those from BAME backgrounds who are particularly at risk?

[Jonathan Ashworth]

This is a really important point, which my hon. Friend has raised many times in the House. We know that covid particularly thrives on inequalities in society and is particularly brutal with respect to socioeconomic inequities. We have seen the disproportionate impact on those from BAME backgrounds, particularly those who live in constituencies such as hers and mine, in overcrowded housing or in low-paid, public-facing roles. The Public Health England report and other reports published in recent weeks by think tanks all make welcome and sensible recommendations about targeted testing and particular protections in the workplace. Those need to be implemented because we know that this virus is particularly cruel when it comes to inequalities. That is why I have always made the broader point that getting through this virus in the end not only relies on mass testing—we agree on that—and the wider distribution of a vaccine, but fundamentally relies on a wider health inequalities strategy. We went into this crisis with inequalities getting wider, life expectancy going backwards and child mortality rates worsening. That is the result of 10 years of austerity, as Sir Michael Marmot says. If we want to get on top of this virus, which is now endemic, we are going to need a fully resourced and wider health inequalities strategy.

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[Rushanara Ali (Bethnal Green and Bow) (Lab)]

The coronavirus pandemic has left millions of people up and down the country with an uncertain future, struggling to make ends meet. This health crisis has robbed us of people we love, destroyed livelihoods and shaken the foundations of our communities to their core. More than ever, the pandemic has laid bare the deep inequalities in our society and shown the huge gaps in our healthcare and social welfare system after a decade of Conservative austerity. We need to protect our public services and support our communities and our economy through this crisis.

The Government have completely mishandled this crisis. The UK now ranks as the nation in Europe worst hit by fatalities, with a death toll passing 60,000. Over the summer, after the initial wave, the Government had time to get their act together, get a grip on testing and tracing, and get a grip on the virus. Instead, we have seen incompetence and failure at every turn. Their incompetence knows no bounds. We have had PPE shortages for our NHS and social care workers; delays in testing, with more lives thereby put at risk; and chaos for pupils and students in the exams and universities fiasco in September and October. To top it all off, the Government’s own eat out to help out scheme is likely to have spurred a spike in covid cases, according to the Prime Minister himself.

The Government’s dithering and delay over this second lockdown has wasted valuable time. They were too late to bring in the first lockdown, which cost lives and livelihoods, and this delay has once again cost lives and livelihoods. They failed to listen to the Opposition about a circuit breaker, which means that this lockdown will now be even longer, with even more detrimental effects on people’s lives, more deaths, worse economic outcomes and more damage to our economy.

The warnings were there. The information was there from the scientific advisers. Ministers and the Prime Minister kept saying, “We are guided by the science.” Far from it. The evidence is very clear now.

[Matt Western (Warwick and Leamington) (Lab)]

My hon. Friend is generous in giving way and is making such important points. Does she agree that the immediacy —the urgency—that has been lacking in this country was evidenced in countries such as Australia and New Zealand? They got on top of it really quickly and acted hard and fast, which is why Australia had zero cases over the weekend.

[Rushanara Ali]

I could not agree more with my hon. Friend. Our Government could have learned from many other countries and got a grip on contact tracing and testing. Instead, what we have seen is chaos—false promises, over-promising and under-delivering. That has damaged public confidence. The public confidence that we all worked to build, across party, at the beginning of the crisis during the first wave, has been squandered by the failures of this Government.

There are now four times as many people catching covid than anticipated. The delay in introducing restrictions has already cost lives in constituencies such as mine, and we are already seeing a high prevalence of death rates among those from black and minority ethnic communities and those from poorer backgrounds—the patterns are very similar to what happened before. This time the Government know where the problems are, and their failure is completely unacceptable and inexcusable.

Given the scientific advisers’ own projections in the graphs that they showed the country last week, we are expecting even greater human cost and even more lives being lost because of the delay and the failures to act. That is why it is an absolute scandal that the Government have spent £12 billion on a private contractor, Serco. They call it “the NHS app”, but they did not use the public sector. They should have formed a proper alliance between the public and private sectors—nobody is saying that it should be one or the other. We should be pragmatic, but we should get value for money.

It seems that organisations and companies that have shown complete incompetence are being rewarded with contracts. It seems as if there is a contracts programme for Conservative party donors. I raised the issue of the PPE contracts with the Prime Minister, and he has still failed to answer—it has been weeks now. There have been £1 billion of contracts without proper due diligence.

The rate of death among certain communities was very high, and it continues to be in this crisis. The Government also need to act now to provide support to the 3 million who were excluded during the first crisis and continue to get very little support as we head towards to the lockdown. They are being left out. When children go hungry in our constituencies and public money is being wasted on some contracts on which contractors are failing to deliver, the Government need to act to ensure that we get value for taxpayers’ money.

Finally, local authorities and local public services desperately need help if they are to provide support to get the contract tracing done and get a grip on the virus. I call on the Government to work with them, support them and provide the funding that they need to protect us all.