Draft Mental Health Bill

Debate between Sajid Javid and Daisy Cooper

Monday 27th June 2022 Commons Chamber

[Sajid Javid]

We are determined to reduce the number of people with learning disabilities and autism who are in mental health hospitals. As part of those plans, we will shortly publish the cross-Government “Building the right support” plan to drive progress; I will have more to say about that shortly. I listened carefully to my right hon. Friend’s suggestion and would be happy to meet him to discuss it further.

[Daisy Cooper (St Albans) (LD)]

I was incredibly moved to learn of the Secretary of State’s personal experience with this issue. I commend his courage in talking about a deeply personal issue.

In his statement, the Secretary of State outlined that patients will be able

“to choose a nominated person who they believe is best placed to look after their interests.”

Could he outline what rights that nominated person might have? I have a particular issue in my constituency: somebody has been moved from one part of the country to another, but their next of kin was not asked for permission and only found out after the event. I think that it is incredibly important not only that there is a nominated person, but that that person has outlined rights that can be enforced in these situations.

[Sajid Javid]

I am pleased that the hon. Lady welcomes the change that will come about through the Bill. The draft version has only just been published, and I appreciate that she will need time to digest it, but it does explain how the nominated person—who does not have to be a family member, but can be anyone whom the individual chooses and trusts—will be able to co-produce the treatment plan for that individual and work with him or her very closely.

Oral Answers to Questions

Debate between Sajid Javid and Daisy Cooper

Tuesday 1st March 2022 Commons Chamber

[Daisy Cooper (St Albans) (LD)]

Since the NHS was created, it has been governed by the principle that services are free at the point of use, and, of course, the Secretary of State has a duty to protect that. Many of my constituents want to know whether the Government’s decision to start charging for covid tests marks a departure from that founding principle.

[Sajid Javid]

Clearly, that is one of the most important principles of the NHS and it will not change. It is right, though, that when we look at living with covid, we target testing on those who are most vulnerable or who are in vulnerable settings. That is the right, proportionate and balanced approach.

Elective Treatment

Debate between Sajid Javid and Daisy Cooper

Tuesday 8th February 2022 Commons Chamber

[Sajid Javid]

My hon. Friend speaks with great experience and raises a really important issue. The short answer is yes. We have fantastic doctors throughout the NHS and more in training in medical schools than ever before, but we should also focus on retaining talent throughout the NHS. I assure him that that work has already begun.

[Daisy Cooper (St Albans) (LD)]

I am shocked that some Government Members are trying to pat each other on the back, because right now my heart is breaking for all those constituents who have emailed me to tell me that they are in fear and in pain, and what they have just heard is that that may continue for years to come. The Secretary of States talks about new tech, new hubs and new scanners, but without people to operate them they may be of limited use. Where is the plan to fill the almost 100,000 NHS vacancies?

[Sajid Javid]

The hon. Lady, like other hon. Members, is absolutely right to raise the importance of workforce. To deliver on this plan, of course we need to do so much more to keep increasing the workforce and make sure all the skills we need are there. Just last week, I believe, the NHS published that it has more doctors, nurses and clinicians than ever before; 40,000 people have joined the NHS over the last two years, including many more doctors and nurses. Also, as I mentioned, I have asked the NHS, with HEE, which will become part of the NHS, to come up with a long-term plan. We look forward to that plan and will invest in it.

Vaccination: Condition of Deployment

Debate between Sajid Javid and Daisy Cooper

Monday 31st January 2022 Commons Chamber

[Sajid Javid]

What I hear from my hon. Friend, and I very much agree, is that vaccines are safe and effective. They remain our most important weapon in fighting the pandemic and, as more people come forward and choose to get vaccinated, that is not only good for them but right for the rest of society, their loved ones and everyone else around them. That is especially so if the people around them—they might be in a care setting or a hospital—are more vulnerable than most of the population. The best way forward is therefore to encourage everyone now to continue to think of the vaccine in that positive, sensible way and to come forward.

[Daisy Cooper (St Albans) (LD)]

I welcome this change of tack because I, like many others, opposed the compulsory vaccination policy. However, I fear that, in the care sector, the damage has been done—there are reports that about 40,000 people have already left—and it is damaging patient safety. With the change of tack, will the Secretary of State tell us his plans to get more carers quickly into the sector? With regard to the shortage occupation list, how many carers does he hope to recruit, and by when?

[Sajid Javid]

I thank the hon. Lady for that good question. She referenced 40,000 people having left care homes as a result of vaccine as a condition of deployment, and I can give her more information on that. While there is no exact data because care homes are independent and the people who work in them are not employed directly by the state, the Department’s best estimate, which is from the industry, is that the change in workforce during the final half of last year was a fall of 19,300. We do not believe that the 40,000 number is representative—the best proxy number is 19,300. Having said that, no one would want to see anyone leaving the care home sector when, as she rightly identified, we need more people coming forward. That is why we put in place a £162.5 million retention fund before omicron, and we have added to that fund by more than £300 million during omicron. We are also supporting the sector in having the largest recruitment campaign that it has ever run.

Oral Answers to Questions

Debate between Sajid Javid and Daisy Cooper

Tuesday 18th January 2022 Commons Chamber

[Sajid Javid]

The hon. Lady is absolutely right to raise the importance of endometriosis. She will know, I hope, that in the women’s health strategy there will be an important focus on it. Within that strategy, we have set out how we can work together to do much more.

[Daisy Cooper (St Albans) (LD)]

We know that the number of covid admissions has led to a number of people having their routine hospital treatment cancelled. Last week it was announced that that had reached a record-breaking 6 million people. When might the Government make a statement about hitting this figure and set out a plan to tackle it?

[Sajid Javid]

The hon. Lady will know that, sadly because of covid and the need for the NHS to prioritise it—rightly—we have sadly seen an increase in people waiting for elective procedures and scans. She will also know that the Government have already set out a plan to deal with that in terms of funding—the biggest catch-up fund in history, with an extra £8 billion of funding over the next three years. After tackling the most immediate need to deal with omicron, we will shortly set out in much more detail how we intend to tackle the elective backlog.

Covid-19 Update

Debate between Sajid Javid and Daisy Cooper

Monday 13th December 2021 Commons Chamber

[Sajid Javid]

I am not aware of any plans for any further restrictions. As I told the House from this Dispatch Box last week, we are focused on the regulations that are coming before the House and will be subject to the will of the House. We will see if they are approved.

My right hon. Friend asked for an assurance, and I will take that back to my right hon. Friend the Prime Minister.

[Daisy Cooper (St Albans) (LD)]

Eighteen weeks ago, on 9 August, I asked the Government what assessment they had made of using community pharmacies. The response, in full, said:

“No assessment has been made.”

Nine weeks ago, on 22 October, I asked the Government whether covid-secure transport would be available, so that the clinically extremely vulnerable could go for their booster jab appointments. The Government said they had made no assessment.

Six weeks ago, I asked the Government for guidance to the clinically extremely vulnerable. I asked them to sort out the confusion between third primary doses and booster jabs, and two weeks ago, on the same day that the British Medical Journal published data showing that omicron is more transmissible, I asked the Government whether they will renew contact-tracing funding for local authorities. A week later, they said they were still assessing it.

Will the Secretary of State apologise for the shocking levels of complacency in rolling out the booster programme over the past four months? And will he now apologise to all the patients who will have their treatment cancelled as a result of these new announcements?

[Sajid Javid]

No, I will not apologise for speeding up the booster programme to protect the health of the British public, and I will not apologise for asking the NHS to make it a priority. If the hon. Lady believes we should not be vaccinating people in this country, why does she not just say so?

Covid-19 Update

Debate between Sajid Javid and Daisy Cooper

Monday 29th November 2021 Commons Chamber

[Sajid Javid]

I can confirm that the new regulation on close contact will be anyone who is a close contact of someone with a confirmed positive case of suspected omicron. The UKHSA is working at speed on the best ways to determine a suspected case. One way is the so-called S-gene drop-out test, but there are other quick ways to ascertain that. The tracing work will be carried out by Test and Trace.

[Daisy Cooper (St Albans) (LD)]

It is often said that how a society treats its most vulnerable is a measure of its humanity, yet a quarter of the clinically extremely vulnerable have yet to receive their third primary dose because of confusion that persists about the third primary dose and the booster. One in five of the clinically extremely vulnerable are still shielding without any Government guidance or support. For them, the uncertainty of the new variant is terrifying. Will the Secretary of State or one of his Ministers please meet me and patient groups to discuss our five-point plan on how we can protect the clinically extremely vulnerable this winter?

[Sajid Javid]

The vaccines Minister, the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for Erewash (Maggie Throup), is meeting patient groups this week and she is also happy to meet the hon. Lady.

Covid-19 Update

Debate between Sajid Javid and Daisy Cooper

Monday 15th November 2021 Commons Chamber

[Sajid Javid]

We do support the proposal for an international pandemic treaty, but it is not yet fully supported by many countries, and some actually object to such a move. Many agree on the need for better international co-operation, but not all agree on the form in which it can be achieved. I would love to give my right hon. Friend more detail in response to the questions he has just asked, but I am afraid that the process, which is inevitably an international process, is not as mature as I would like it to be at this point. However, we keep working hard on it.

[Daisy Cooper (St Albans) (LD)]

Like the right hon. Member for Tunbridge Wells (Greg Clark), my constituents are concerned about the fact that the third primary vaccinations and boosters are not appearing on the NHS covid pass. GPs in my area are saying that they still cannot record the third primary jab for the clinically extremely vulnerable on the Pinnacle database, and despite my asking twice, patient groups are still waiting to hear whether the Vaccines Minister will reinstate monthly meetings with them. With less than six weeks to go until Christmas, when will the Government fix these bugs in the system and start listening to patient groups?

[Sajid Javid]

I hope I have understood the hon. Lady correctly. She mentioned “bugs in the system”. She made two separate points there. If someone has been given a third jab, whether a third part of their primary dose, a booster or otherwise, it is recorded in the NHS system. The hon. Lady referred to the Pinnacle system, but it is recorded. I am not aware of any problem with recording it or with the NHS making a record of it; if she is, she should please bring it to my attention. The second, separate point she made was the one my right hon. Friend the Member for Tunbridge Wells (Greg Clark) made, about when those doses can appear in the app. I refer her to the answer I gave a moment ago.

Covid-19 Update

Debate between Sajid Javid and Daisy Cooper

Tuesday 9th November 2021 Commons Chamber

[Sajid Javid]

My right hon. Friend is absolutely right that parliamentary procedure is vital. As well as publishing the impact assessment before a vote, I can share with the House that we will be publishing an impact statement today. That will be followed by the impact assessment, later. He mentioned the figure of 32,000. That is the latest published number, from the end of last month. Although it has only been a few days since then, the situation is currently quite fast moving because the number might include a number of people—perhaps in their thousands—who are medically exempt but about whom the Care Quality Commission has not yet been informed. He has pointed to the need for the Government to share our thinking or that of the NHS on workforce planning with respect to this new measure. We will set out more details.

[Daisy Cooper (St Albans) (LD)]

A number of care home owners have said that the damage has already started to be done, and that some of their carers are leaving either their jobs or the sector entirely. I welcome the Secretary of State’s statement that an impact assessment will be forthcoming, and look forward to seeing the impact statement later today. In response to the hon. Member for Rochdale (Tony Lloyd), the Secretary of State also mentioned that the Department is monitoring the issue on a “day-by-day basis”. I worry that an impact statement might be too late if we have to wait two or three months for a vote. Will he commit to publishing the data that he is looking at day by day, so that Members of the House can see in real time whether the policy is going to have an impact on the workforce situation in the NHS and care homes?

[Sajid Javid]

We will be publishing the impact statement today.

David Fuller Case

Debate between Sajid Javid and Daisy Cooper

Monday 8th November 2021 Commons Chamber

[Sajid Javid]

I agree very much with my right hon. Friend. He is absolutely right to raise those points. As he said, these appalling crimes have taken place over a number of years. I am certain that the independent inquiry will get to the bottom of that and that we can learn not just about mortuaries in hospital settings, but much more broadly. He is also right to draw attention to the vast majority of people who work in mortuaries, the morticians and those who support them, for the very difficult and important work they do.

[Daisy Cooper (St Albans) (LD)]

This is a truly harrowing case and I think many people will be shocked not just by the horrific nature of the crimes, but by the fact that many of the extra steps announced today were not already in place. Will the Secretary of State give an indication of how quickly he expects hospitals to adopt the extra steps of CCTV coverage, swipe access and DBS checks in every single hospital and mortuary?

[Sajid Javid]

I would expect that many of those steps may well be in place in many NHS trusts. The purpose of the NHS writing to all trusts is to ensure that the kinds of steps that I set out earlier, and others, are in place, so they are following the current rules and guidance that are set out by the Human Tissue Authority. What we also need to do is determine whether the current rules and guidance are right in the light of these appalling crimes and whether we need to go much further than that. That is also the purpose of having an independent inquiry.