Testing of NHS and Social Care Staff

Stephanie Peacock Excerpts

Wednesday 24th June 2020 Commons Chamber

[Stephanie Peacock (Barnsley East) (Lab)]

It is a pleasure to follow the right hon. Member for South West Surrey (Jeremy Hunt), the Chair of the Health and Social Care Committee, who spoke incredibly powerfully.

I would like to begin by placing on the record my thanks to the doctors, nurses and staff at Barnsley Hospital, who have been working tirelessly to keep our community safe. These have been very difficult times, and my thoughts are with families who have lost loved ones, with NHS and care staff who risk their lives every day to look after patients, and with key workers who are making huge sacrifices to keep our country running.

As a community, we have come together in the face of huge adversity. Like my neighbours in Barnsley, I have clapped for our carers. As a community and a country, we have expressed our gratitude to our NHS heroes and all our key workers, and I hope that the Government have been listening. Our applause must be translated into action.

When I met representatives of Barnsley Hospital and Public Health England, they told me that coronavirus has changed how people see care. Fewer people are going to A&E and attending regular check-ups for existing illnesses. At the same time, millions of routine operations, screening tests and treatments have been cancelled or suspended. We need a strategy to deal with the backlog in non-coronavirus care. The motion calls for a fully functioning test and trace system for NHS staff. Without it, the NHS cannot return to offering non-urgent and routine care appointments for everyone, and existing health inequalities in the UK will only get worse.

In Barnsley, winter death rates from flu and respiratory diseases are higher than the national average. I represent a former mining community with a large ageing population of ex-miners. Underlying health conditions brought on by their time down the pits have made them more vulnerable to this deadly disease. A recent survey by the British Lung Foundation, which has already been highlighted, showed that one in four people suffering from COPD has had a regular GP or hospital appointment cancelled.

Last month, 20 coalfield Labour MPs wrote to the Secretary of State, voicing the concerns of former miners who fear that if they die during this outbreak, their death certificates will make no mention of the industrial diseases that have caused them decades of ill health. We are still waiting for the Government to reply. I have heard of former miners who tested negative for covid-19 but had it recorded on their death certificate, purely because that is policy for anyone who dies in a hospital. If a death certificate does not mention a miner’s underlying health condition, their grieving family will be denied the compensation they are entitled to.

Industrial diseases have cut short the lives of far too many miners over the years, so I ask one very simple thing of the Government: please change the advice to medical practitioners so that poor health prior to this outbreak is recorded on death certificates. Covid-19 is not some great leveller. It feeds off existing inequalities and it hits communities with vulnerable people hardest. That needs to change.

--- Later in debate ---

[The Parliamentary Under-Secretary of State for Health and Social Care (Jo Churchill)]

Like all other Members from all parts of the House and from all four nations, I add my thanks to all those in the NHS and across social care, although actually it is broader than that. There are those in primary care, our community health teams, those who have adapted the way they work in addiction services and so on, because all these things have had to change at pace.

When we started to get the news towards the end of January that this was a pandemic, we started to realise that we were dealing with a completely unprecedented time, and all those people stepped forward. We have heard repeatedly this afternoon that more people stepped forward to make this a journey of collaboration and innovation. We have seen changes right across the national health service and the services that we have had to build to make decisive changes.

I gently say that 12 weeks ago, as we went into lockdown, many of those services were very different: the delivery of PPE to just over 200 national health trusts has now ramped up to 58,000 providers; we have developed Clipper and local resilience forums to help us with the distribution of PPE throughout these extremely complex changes; and a large amount of work has been done on vaccines and testing. All these things are a tribute to collaboration and we need to thank the innovation of not only private industry, as my hon. Friend the Member for Witney (Robert Courts) mentioned, but the Army. This truly has been an effort of public service, and as we have come together—as we have done across the House—we have achieved so much more.

How do we carry on achieving more? There was a challenge before we went into the crisis, and the decision to postpone non-urgent elective treatment was the right one, because it allowed us to have the capacity required to help us to manage increased demand in the NHS. Throughout the outbreak, we have ensured that patients who require urgent treatment have been able to access it and, like many Members, we encourage people not to delay in coming forward for treatment as they normally would, should they require it. NHS has a firm “Help Us Help You” message.

We heard of how, as my hon. Friend the Member for North Devon (Selaine Saxby) put it—I do not think I can put it better—we achieve much more by working together and focusing on what we do best. How do we drive down waiting times and have routine services return as quickly as possible to their normal provision? We must ensure that that is done in a safe and managed way to maintain capacity but avoid any further surge in covid. As outlined in the guidance already issued to the NHS, the restarting of routine electives should prioritise long waiters first and make full use of all contracted independent-sector hospital and diagnostic capacity.

Cancer was mentioned by severable Members. Urgent cancer care and treatment has continued throughout the pandemic. We know how important it is that referrals, diagnostics and cancer treatment reach pre-pandemic levels as soon as possible. Urgent action should now be taken by hospitals on the two-week-wait referrals, and they should provide two-week-wait out-patient diagnostic appointments at pre-covid-19 levels. That is easy to say but really hard to achieve.

The work done by protected hubs and to ensure that rapid diagnostic centres have been pushed out has been important. During the outbreak, the Secretary of State and I have regularly met the national cancer director, Dame Cally Palmer, to discuss progress not only on how we were dealing with cancer during the crisis, but on restoring cancer services as quickly as possible. We will keep a laser focus on that.

The NHS has continued to deliver over and above. Guidance has been issued and further guidance to restore urgent non-covid services in a safe way while ensuring that surge capacity can be stood up again, should it be needed, is already being planned. Preparations for going forward have already begun: we are learning lessons from where we have been but also driving ourselves to where we need to go. My hon. Friend the Member for Runnymede and Weybridge (Dr Spencer) said that we should think about what we can learn, how we can reset and how we can make sure that as we go forward we can take the best of what has changed, develop it and weave it in.

[Stephanie Peacock]

Will the Minister give way?

[Jo Churchill]

I am really sorry—I have only a couple of minutes.

[Stephanie Peacock]

rose—

[Jo Churchill]

I give way very briefly.

[Stephanie Peacock]

I really appreciate the Minister giving way. I just wondered whether she could respond to the question that I put in my contribution to the debate, which is around the relaxation of guidance on death certificates for those suffering from industrial diseases. I am just asking the Government to revise their guidance so that anyone who has an industrial disease has that recorded on their death certificate.

[Jo Churchill]

If the hon. Lady will forgive me, I will write to her on that exact point after the end of this debate. If I segway off, I will not make the points that I would like to make.

I was very grateful to my right hon. Friend the Member for South West Surrey (Jeremy Hunt), who said that the decision by the Secretary of State to put in a stretch target for testing was indeed courageous—something with which many hon. Members, I am sure, would agree. That dramatic expansion of testing has got us to where we are today.

My hon. Friend the Member for Peterborough (Paul Bristow) spoke of improving care pathways and the joint work between the private sector and the NHS, being ambitious and changing methods of working to meet demand. My hon. Friend the Member for Wimbledon (Stephen Hammond) spoke articulately about the issues, including the stretch target, but also about preparation and how we make sure that our hospitals are ready and fit for the future. My hon. Friend the Member for Moray (Douglas Ross) talked about how challenging it is but pointed out how the four nations have worked together. I join him in supporting the fact that we are stronger together. I have missed out my hon. Friend for—