HIV Commission
Stephen Doughty Excerpts(3 years, 11 months ago)
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Stephen Doughty (Cardiff South and Penarth) (Lab/Co-op)
I absolutely commend the hon. Gentleman’s work and leadership on this, not only as a Minister but as a member of the commission. I commend my hon. Friend the Member for Ilford North (Wes Streeting), the Secretary of State, and the Health Ministers in the devolved Administrations as well—including my colleague Vaughan Gething, the Health Minister in Wales—because it is only with leadership on this issue and cross-party working, and cross-UK working, that we will get to that crucial target of zero infections by 2030. Does the hon. Gentleman agree that, as on so many public health issues, this is a global fight as well, and that our continued support as a country for things such as the UN Global Fund is crucial to getting to that 2030 target globally, as well as in this country?
Steve Brine
I most certainly would. As a Health Minister I travelled around the world to G7 and G20 meetings. The NHS and what we do within it, as the Health Secretary has said many times, is so well respected around the world that we often set the tone and the lead. Yes, this is a plan for England, but I hope it will work across the devolved nations of the UK. I hope that we will set the standard around the world, as we have in so many areas of public health policy, so that others will then follow. I take the hon. Gentleman’s point exactly.
Matt Hancock
I was immediately going to turn to say that despite the successes, there is further to go and we would all agree on that. We need to follow the evidence of what works and, crucially, we need to work together. I know that the Home Secretary has been working with the Administration in Scotland on the approach to be taken. The attitude that we should have is that every new case of HIV is one case too many.
That brings me to the commitment that we were able to make two years ago. At the suggestion of my hon. Friend the Member for Winchester, I announced the commitment to ending new HIV transmissions by 2030. I remember being told at the time that this was an ambitious target, but I know that we can get there. This year, we have been making PrEP routinely available across England to those who need it, and have backed that with funding for local authorities. None the less, it is really this report from the HIV Commission that shows us the way. I want to thank all those who have been involved: the Terrence Higgins Trust, of course; the National AIDS Trust; the Elton John AIDS Foundation; Public Health England; and work across the devolved Administrations. I also take this opportunity to thank Sir Elton for his exceptional personal advocacy for people living with HIV and the sterling work that he has done to raise money for HIV prevention and treatment across the world, and to thank all those who have played their part in getting us to where we are.
Let me turn now to the work of the commission itself. I know that colleagues across the House have played an active role in it. The report that the commission has published today makes many important recommendations for how we can progress on our path to zero. I pay tribute to all the commissioners for their hard work and thank each and every one of them. I wish to put on record my thanks and praise for Dame Inga Beale for her expert leadership.
My hon. Friend set out the core recommendations, which include the interim milestone of an 80% reduction in new HIV transmissions by 2025, early diagnosis at the core of the approach we should take and the default assumption of test, test, test—that sounds familiar, and we know that it works—as well, of course, as the expansion of testing.
The reason I wanted to come to the House personally tonight was so I could say this: we will use the excellent report of the HIV Commission as the basis of our upcoming HIV action plan, which I commit to publishing next year. I want that to be as early next year as is feasible to ensure that the work is high-quality, can be delivered and can set us fair on a credible path to zero new transmissions in 2030. I look forward to working with Members from all parts of the House in making that happen.
Stephen Doughty
May I, on behalf of the all-party group, thank the Secretary of State for that commitment, which is absolutely crucial? I know it will be welcomed by me and my predecessor, who cannot speak here. Will the Secretary of State also commit to doing all we can as a country, working with his colleagues at the Foreign, Commonwealth and Development Office and elsewhere, not only to ensure that our commitments globally are met in the UN Global Fund, but also to support the world-beating research that goes on in places such as the international AIDS vaccine initiative at Imperial College, which is leading the way towards treatments and vaccines not only for HIV but for so many other infectious diseases, including covid?
Matt Hancock
The cross-party nature of the support for this work could not be better demonstrated than by the fact that when our colleague from the Scottish National party, the hon. Member for Glasgow Central (Alison Thewliss) intervened, she anticipated my very next sentence, and so has the hon. Gentleman. I wanted immediately to turn to the global matters, because no one is safe until everyone is safe. If we have learned anything this year, we have learned that. We also need to work on shared solutions together and across the world, and we as a country will lean into the global efforts to tackle HIV and AIDS, as we have done under Governments of all persuasions over the past three and a half decades.
Covid-19
Stephen Doughty Excerpts(4 years ago)
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Matt Hancock
The covid vaccine taskforce is about the procurement of the vaccines. That is a matter for the Department for Business, Energy and Industrial Strategy. The Department has put out a statement and made clear the circumstances around that conference. What I would say is that I am very happy to answer any questions on vaccines. As the hon. Member says, we have procured a number of vaccines. We have procured six in total, two of which are the two leading vaccines in the world. The taskforce has done an excellent job of making sure that we have one of the strongest procurement pipelines for vaccines in the world.
Stephen Doughty (Cardiff South and Penarth) (Lab/Co-op)
While we are still on the subject of vaccines and the Secretary of State is answering questions, the biography of Kate Bingham on her own website on SV Health Investors says that she is in fact leaving the taskforce at the end of 2020. Who is replacing her and what confidentiality agreements will she be asked to sign on her return to an entirely profit-making business?
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.
Jonathan Ashworth
The Government have been cutting capital budgets in the NHS, which is why we have still got those horrendous dormitory wards, including at Leicestershire Partnership NHS Trust and Derbyshire Healthcare NHS Foundation Trust. Years of Tory cutbacks have meant that clinical commissioning groups have been raiding child and adolescent mental health budgets in order to fix the wider revenue gaps in the NHS. That is because of 10 years of underfunding in the national health service. We went into this crisis with an NHS that did not have enough staff—short of 80,000. It has seen 15,000 beds cut and public health budgets cut by £800 million. Hospitals have been left with £6 billion of repair bills and with these Victorian dormitory wards that have not been updated for years. The Secretary of State cannot stand there and say that the NHS had enough investment going into this crisis, because if it had we would not have had staff without PPE.
Stephen Doughty
Perhaps my hon. Friend will take a look at the situation in Wales. Thanks to investment from the Welsh Government, I have a brand-new mental health facility at Llandough Hospital in Cardiff South and Penarth, with state-of-the-art facilities to deal with mental health issues in Wales.
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.
Stephen Doughty (Cardiff South and Penarth) (Lab/Co-op)
Dither, delay and disaster—that was the Prime Minister’s own word today—and, of course, it did not have to be this way. There has never been a starker contrast between the gross failings of the Prime Minister and the leadership shown by my right hon. Friend the Leader of the Opposition, my hon. Friends on the Labour Front Bench and our Welsh Labour First Minister, Mark Drakeford, in calling for action at the right time and taking action at the right time on a firebreak lockdown. Instead, we saw a Prime Minister who ridiculed the proposals, describing them as “the height of absurdity”. His office described the Leader of the Opposition as “an opportunist”. The Chancellor blocked those who wanted to act sooner, and now we are seeing the same mistakes repeated that we saw earlier in the year. Forty days have been wasted, with the consequence that England will now face a longer, harder lockdown and worse consequences.
What a contrast with Wales, where our First Minister set out a difficult but clear set of restrictions, with common-sense exemptions, when he announced our firebreak weeks ago. He has communicated throughout with, and engaged and listened to, our elected representatives, councils, businesses and trade unions—the hallmark of his approach throughout this crisis—bringing Wales together to tackle the tough reality that covid presents. Today, he has set out that on 9 November our firebreak will end, not in a free-for-all, but with a sensible, clear, national set of measures, where people will be encouraged to do the minimum, not the maximum, allowed and we will prioritise the safety of their families, their friends and our NHS as we continue to be led by the evidence and the threat of this virus.
The consequences of the wider approach taken by the Prime Minister could not be more serious for our collective health and the economy. As the Independent SAGE meeting last week suggested, over the next four weeks, we will now potentially see deaths locked in in their thousands in England if the trends continue, and the mental health and the economic impacts will be for longer and deeper. That is the cost of delay, and I have never known a more incompetent and reckless Prime Minister, Chancellor and Government.
Matt Chorley reported what Tory MPs tell him in private—they often tell us in private, too. There were comments such as:
“Shambolic. Rudderless ramblings. Constituents getting in touch furious or in tears”,
“Grim grim grim”
and
“I think it could be his Suez”.
At least they have the guts to be honest in private, but others, extraordinarily, would rather brazen it out in public. The Minister for Patient Safety, Mental Health and Suicide Prevention claimed that only a crystal ball could have predicted the need for a second lockdown—it is absolutely extraordinary. Has she even been reading her briefs? Anybody can see from the graphs, the trends or the historical examples—
The Minister for Patient Safety, Mental Health and Suicide Prevention (Ms Nadine Dorries)
Will the hon. Gentleman give way?
Stephen Doughty
No, I will not—the Minister made her comments very clear publicly. Of course, others were simply patronising. [Interruption.] Oh, go on then—I will give way to her.
Ms Dorries
I thank the hon. Gentleman for giving way. The cases of infections, particularly in the over-60s, and the demand on hospital beds far exceed the previous reasonable worst-case scenario.
Stephen Doughty
Yes, and of course the First Minister and the Health Minister, my colleague Vaughan Gething, saw the same evidence, took action and instituted a firebreak lockdown when it was needed.
Other Tory MPs have been simply patronising. The Minister for the Middle East and North Africa, the right hon. Member for Braintree (James Cleverly), said:
“If you want to see how a Labour government would be dealing with the current COVID-19 situation just look at how they’re doing in Wales.”
Well, yes, Minister—we would be feeding kids throughout the holidays and running a fully functioning test, trace and protect system throughout the UK. The figures speak for themselves: since June, 94% have been reached and 95% of their contacts have been reached. Instead of contracting it out to Serco and the other companies under the shambolic oversight of one of the Prime Minister’s pals, we would be acting decisively across the UK, in accordance with the scientific advice, when it mattered.
The Welsh Conservatives are all over the place today, describing our lockdown as “disproportionate and unnecessary” and refusing to back the Prime Minister’s plans for a lockdown in England. What an absolute shambles. A firebreak lockdown is right and has my support, but those affected need the right economic support from the UK Treasury. We have again seen the UK Government wait until the last minute to act to support people in Wales, meaning a huge amount of anxiety for people in my constituency and preventable job losses. That is not to mention the delays in the announcement of support for the self-employed and the failure to do the right thing on furlough and co-operate with Wales in time for our measures to come into place. That the Government instead played petty partisan politics is deeply disappointing and will undoubtedly have led to people losing jobs.
We now need clear answers to a number of questions. Will we see backdated support to address the Chancellor’s failure to act in relation to Wales until he decided to announce the England-wide measures? Will there be confirmation of what the Prime Minister said about the support available if we go into measures again after 2 December? I think he said it would be available “wherever it is needed”. What transparency will there be on the additional support for Wales as a result of the business grant support announced for England? What will happen in terms of universal credit and support for families who are deeply affected by losing jobs and income? We need to see an end to the game-playing.
Lastly, I wish to refer to the issue that I brought up earlier, as did my hon. Friend the Member for Leicester South (Jonathan Ashworth): vaccines. It is crucial that we have hope in these dark times. I thank our NHS, care workers and key workers, and all the brilliant scientists and medical professionals who are working to improve testing capability, drive new treatments and find a vaccine. There are, though, serious questions about the involvement of the chair of the vaccines taskforce in an online seminar costing $200 a head for American investors, and the sharing of official sensitive documents. It is absolutely right that the shadow Chancellor of the Duchy of Lancaster—my hon. Friend the Member for Leeds West (Rachel Reeves)—and my hon. Friend the Member for Leicester South have been asking questions about the conflicts of interest, why that information was shared with that group of people instead of with this House, and whether that was inappropriate. I hope we get some answers from the Cabinet Secretary on those questions, because they are very serious and we need hope and optimism on a vaccine and the information given to this House.
It is clear that we need support for our economy and all those affected, and we need clarity on a vaccine. People need hope in these dark times.
Madam Deputy Speaker (Dame Eleanor Laing)
Order. The time limit is reduced to four minutes.
Covid-19 Update
Stephen Doughty Excerpts(4 years, 1 month ago)
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Matt Hancock
As well as the expansion of testing that my hon. Friend mentions, I can tell him that we are expanding NHS testing capacity within Stoke, and we are putting in the extra funding to deliver that. This man stands up for Stoke so strongly, and he has been making the case clearly and powerfully, so I am glad to be able to tell him that we can do that.
Stephen Doughty (Cardiff South and Penarth) (Lab/Co-op)
Vaccines have come up a number of times during the statement today. Will the Secretary of State be absolutely clear: are there shortages and recalls of flu vaccine going on at the moment? I have certainly been told by a major pharmacy company that there are, and the Royal College of General Practitioners wrote to me yesterday mentioning delays of one month. He did not answer the question from the Chair of the Health Committee. Kate Bingham was very clear that vaccinating the whole population was just not going to happen. Was she correct to say that?
Matt Hancock
On the latter point, we take our advice from the Joint Committee on Vaccination and Immunisation, and it will provide the clinical advice. That clinical advice has not been provided yet, because the data has not yet been provided to it in full from the trials that are ongoing. I could not be clearer about that. The Government’s advice on the distribution of the vaccine for clinical purposes comes from the JCVI, and I urge the hon. Gentleman and all others to read its report from 10 days ago. It was an excellent report.
When it comes to the flu vaccine, we have enough to vaccinate every single person who is in a priority group over the age of 65, those who are clinically vulnerable and the children who are eligible for it. We are rolling that out over the forthcoming months. On Sunday, I spoke to the president of the Royal College of GPs, and we discussed the need to make it clear to GPs and pharmacists—they are at the core of the roll-out—and also to the general public that we have enough vaccine. We are rolling it out over the months to come. It is very important that people come forward, and I am really glad they are doing so in record numbers this year, but it does take several weeks to get that done.
Coronavirus
Stephen Doughty Excerpts(4 years, 4 months ago)
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Matt Hancock
I am very happy to work with my Welsh colleagues on how it is possible to open pubs and hospitality in a covid-secure and safe way. Wales has a great tradition of great pubs. I very much hope that they can be open as soon as the Welsh Government make their decision.
Stephen Doughty (Cardiff South and Penarth) (Lab/Co-op)
I remind the Secretary of State about another virus: HIV. As chair of the all-party group on HIV/AIDS, I met colleagues from across both Houses this morning to hear about the impact of the covid-19 crisis on people with HIV in terms of mental health, access to treatment and many other issues, including the disproportionate impact on black, Asian and minority ethnic communities. Will the Health Secretary say what he has been doing specifically to support people with HIV? Will one of his Ministers meet the group to listen to our specific concerns?
Matt Hancock
Yes, this is an incredibly important issue. Our goal as a country to reach no HIV transmissions by 2030 stands unaffected by covid. It is a vital objective, and there is a huge amount of support and effort behind that goal. Access to treatment has, of course, been made more challenging. We talk about the epidemic and think about it as being the biggest since the Spanish flu, but it is not. The biggest epidemic before this one was the HIV epidemic, which we are still working to rid the world of. I have every hope that in our lifetimes we will get there. We will play our part.
Covid-19: BAME Communities
Stephen Doughty Excerpts(4 years, 4 months ago)
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Dawn Butler (Brent Central) (Lab)
I beg to move,
That this House is concerned about the level of deaths from covid-19 among Black, Asian and minority ethnic communities; notes that structural inequalities and worse health outcomes for Black, Asian and minority ethnic people go hand in hand; calls on the Government to review the data published by the Office for National Statistics on 11 May 2020 on Coronavirus (COVID-19) related deaths by occupation, England and Wales: deaths registered up to and including 20 April 2020, the Report published by the Institute for Fiscal Studies in May 2020 entitled, Are some ethnic groups more vulnerable to COVID-19 than others? and the full report by Public Health England on Disparities in the risk and outcomes of covid-19; and further calls on the Government to set out in detail the scope and timeframe of the Government’s review and urgently to put a plan in place to prevent avoidable deaths.
I thank the Backbench Business Committee and its Chair, my hon. Friend the Member for Gateshead (Ian Mearns), for securing this important debate. Many Members who wanted to speak cannot do so, and it is a shame that they cannot participate remotely. The Government are more focused on subverting democracy than protecting lives, but we will not go into that. Their decisions are increasingly illogical and irrational. They finally did a U-turn the other day and now children will be fed this summer; I am glad the Government are doing U-turns. I thank everyone involved, including the all-party group on school food and Marcus Rashford, who joins celebs such as Raheem Sterling, John Boyega and others who are finding their voice and using their position for change.
This is a sobering debate. We all watched the brutal, very public lynching of George Floyd—our lives were interrupted by the killing—but racism does not just manifest itself in brutal ways that can be caught on camera and shared on social media. “I can’t breathe”, the last words of George Floyd, could apply to the disproportionate numbers of black, African-Caribbean and Asian people dying from coronavirus in this country.
Every time the Government get dragged kicking and screaming to do the right thing, I can’t breathe. I can’t breathe every time the Government hide a report or kick an issue into the long grass by announcing another commission or report. I can’t breathe. My breath is taken away by the lack of care, empathy and emotional intelligence shown by the Government time and again. For months, we stood at our doorways and clapped for our key workers, the ones on the frontline—the doctors, the nurses, the carers, the cleaners, the ones driving the buses, the cabs and the forklift trucks or serving people in supermarkets. The people we clapped for are the ones who are being underpaid and who are, disproportionately, dying.
The death rate for covid-19 has exposed and amplified what has been going on in society for decades. The concentration of deaths in areas where people are just about managing should worry us all. As a country, we are better than this. According to the Office for National Statistics, the burden of covid-19 has been felt more strongly in regions with greater deprivation. In those areas, people are dying from the virus at double the rate of those in more affluent areas. According to the ONS, adjusting for age, black people are more than four times as likely to die from covid as white people. Pakistanis and Bangladeshis are more than three times as likely and Indians more than twice as likely.
BAME people account for 13.4% of the population, but they make up 34% of patients admitted to an intensive care unit. My constituency of Brent sadly has the highest number of registered deaths in London. In line with findings from the Office for National Statistics, those areas of greatest deprivation, such as Harlesden, have the highest number of deaths.
Stephen Doughty (Cardiff South and Penarth) (Lab/Co-op)
I thank my hon. Friend for the powerful way in which she makes these crucial points. Does she agree that the approach taken by my constituency colleague and the Welsh Minister for Health and Social Services, Vaughan Gething, on the disproportionate impact of these issues on BAME communities—we have seen tragic deaths in my constituency too—has been in stark contrast to the approach taken by the UK Government? Vaughan Gething has understood this issue, and led on it from the start.
Dawn Butler
I thank my hon. Friend for that intervention. We can learn a lot from the approach in Wales, including how people are approaching the disproportionate number of deaths from covid-19 in the BAME community. I thank him for everything he does in his constituency on that issue.
We did not get to this point by accident, and we must make a concerted effort to dismantle the structural and systemic racism that exists in society, and that affects life chances from the moment someone is born.
Coronavirus Bill
Stephen Doughty ExcerptsMonday 23rd March 2020
(4 years, 7 months ago)
Commons ChamberRead Full debate Coronavirus Act 2020 View all Coronavirus Act 2020 Debates Read Hansard Text Read Debate Ministerial Extracts Amendment Paper: Committee of the whole House Amendments as at 23 March 2020 - (23 Mar 2020)
Matt Hancock
We have done more testing than most countries. There are some countries that are ahead of us, and we are racing to catch up. We have tested far more than, say, France or America, but not as much as Italy. It is something that we are putting a huge amount of effort into. I understand the pressure my right hon. Friend rightly puts on me to expand testing capability. We are increasingly using private companies to do the testing—to expand their production and execution of the tests—rather than just doing it in the brilliant public health labs we have at Porton Down and around the NHS.
Stephen Doughty (Cardiff South and Penarth) (Lab/Co-op)
I commend what the Secretary of State said about working with the devolved Administrations to get the measures in the Bill right. It is crucial that many of these measures are UK-wide; I realise that these are unusual times. There is a specific power in schedule 21 to limit entry to premises and, if necessary, to close them down, which applies to all four Administrations. Can he be clear about whether that will apply to care homes? I have heard a lot of concern from constituents who are worried that some care homes still are not restricting entry to individuals and are therefore putting elderly residents at risk. There is real demand for this to be unified across the country to protect elderly residents.
Matt Hancock
We have other ways to enforce that with care homes, not least contractually through local authorities. I understand the hon. Gentleman’s concern; people in care homes need to be protected, and many of them shielded, from the virus, because many of the most vulnerable people are in care homes. I will take away the point and look at whether more needs to be done, but we do have other powers available to deliver on what he and I—I think—agree is needed.
Matt Hancock
Clearly, these are issues of the highest sensitivity. It is important that we take those measures in case they are needed in the circumstances where staff numbers available are low, to make sure we can get the support needed as appropriate and make the interventions that are sometimes difficult to make. For instance, it can be, in some circumstances, far worse not to detain somebody under the Mental Health Act where they are a danger to themselves or others. If there is not the availability of a second doctor, because of staff shortages due to the virus, then I think that is appropriate, but the safeguards are an important part of getting this right and an important part of why this is time limited.
Stephen Doughty
I thank the Secretary of State for giving way. He is being incredibly generous. Clause 23 talks about food supply chains, which are absolutely crucial. He will have seen that many supermarkets are taking on additional workers to meet demand. Can he provide an answer on this point or get one from the Treasury? I have heard from many people who are thinking of applying for those jobs, perhaps to make up loss of income. If they are covered by the 80% wage subsidy, are they able to take on extra work or will they lose the 80% wage subsidy from their existing job? May we have urgent clarity on that point, because it could be deterring people from taking up those important jobs in our supermarkets and supply chains?
Jonathan Ashworth
The hon. Lady is absolutely right. I am proud to represent the great city of Leicester, which is probably the most diverse city in the United Kingdom—every language in the world is spoken there—so I entirely endorse what she says. If we funded local government properly, it would be able to put such measures in place.
I entirely agree with the hon. Lady’s broader point that if we have to ask people to stay at home, or if we have to force them to do so—we would support the Government if they took that action, and I think they do need to take that action—we would also need to provide them with the economic security they rightly deserve.
Stephen Doughty
I thank my hon. Friend for his approach to this issue on a day-to-day basis. I completely support what he says about the need to enforce social distancing, and I know many Members on both sides of the House would do so, too.
I am struck by the contact I have had with friends in Italy and elsewhere who are, frankly, aghast that we have not moved to tougher measures sooner. Anybody looking at the graphs of the situation in Italy would definitely want to avoid it here, so I wholeheartedly support such measures, but they have to come with the economic measures he rightly talks about.
Income tax (charge)
Stephen Doughty Excerpts(4 years, 7 months ago)
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Edward Argar
I am grateful to the hon. Gentleman for his comments. I believe that the package announced last week is the right package, at this time, to meet the challenges posed by this situation. Without necessarily referring to the hon. Gentleman’s particular proposal, I note that the Chancellor continues to keep all interventions under review as the situation develops. At the moment, what was proposed last week remains the right approach.
Stephen Doughty (Cardiff South and Penarth) (Lab/Co-op)
I underline my support for the comments of my hon. Friend the Member for Cardiff West (Kevin Brennan). The Minister asked us to wait to question the Secretary of State later, but I have a specific question about personal protective equipment. I am hearing a lot of concerns—shared throughout the country—about care homes, and particularly those involved in domiciliary care, as well as about some of the differentials between what is going on in private care homes and in public sector care homes. How is the Minister going to make sure that, working with the devolved Administrations, people throughout the whole UK get the PPE that they need, particularly in the care sector?
Edward Argar
I reassure the hon. Gentleman that, first, we are working across the four nations, because the situation needs an entire-United Kingdom response, and secondly, we are working extremely hard to ensure that all those who are on the frontline looking after people and keeping them safe get the protective equipment that they need. I suspect the Secretary of State will say a little more about that later this afternoon.
Justin Madders
I will be dealing with the concerns about the social care sector in a little while, but the points my hon. Friend makes are absolutely valid and they certainly require a Government response.
We should think about protecting NHS staff not just in terms of the doctors, nurses and other frontline staff, but in terms of the cleaners, porters and all the other essential staff who are needed to keep a hospital running and who also play a vital part in infection control. We often hear about the importance of data, and it seems to me that this is a particularly clear example of where data have a huge role to play. If the data are not collected on a regular and consistent basis, surely we will not be in the best position to take the right action.
Yesterday, it was announced that UK medical schools have been urged to fast-track final year students to help fight coronavirus. Can we have an explanation of how this will work, and how will we ensure that graduates still face rigorous testing to make sure they provide the best quality care for patients? There is certainly a role for them to play, but trusts need clarity about its limits so that they can plan ahead. Are staff on maternity and paternity leave being encouraged to return to work early, and would they be able to do so without losing any untaken leave?
Stephen Doughty
Does my hon. Friend agree with me—I asked Defence Ministers this question—that we should be calling up full-time reserve service members of the Royal Army Medical Corps and the medical corps of the other armed services, if they are not already NHS workers in their civilian lives? There are people with excellent training and excellent skills, and they and their facilities should be brought into use as soon as possible.
Justin Madders
My hon. Friend makes a very important point. I think it shows the spirit of this place at the moment that we are all coming up with very important suggestions. No stone should be left unturned in using all the resources at our disposal to tackle this virus.
As we move to the later stages of the Government’s plan, do we expect to see the cancellation of elective surgery, which will only make those record waiting lists grow further? It is fair to say that that would not be a surprise, but a reduction in elective surgery will have a knock-on impact on trust finances in the longer term. I would be grateful for some clarity about what contingencies will be put in place to help trusts financially in these difficult times, especially when they are collectively in deficit to the tune of almost £1 billion already. Is there also a case to defer loan repayments that are currently made by trusts back to the Department for a period of time?
There was a great deal of surprise and disappointment at seeing no mention of public health in the Budget. Public health directors are currently preparing local responses to covid-19. They need to expend significant sums of money on that, yet they do not know what the public health allocation will be for the next financial year, which starts in just over two weeks. I am sure the Government understand what an invidious position that puts them in, and we urgently need those allocations to be published. Will the Minister say when that will happen? Will he assure the House that the funds will be sufficient to help local authorities deal with these issues?
Has any assessment been made of the extra demands placed on public health budgets regarding preparatory work? It is likely that the knock-on economic effect will severely impact on council finances. Fewer people will use services that they currently pay for, such as leisure facilities, and it is likely that council tax collection rates will drop. There will almost certainly be unanticipated expenditure from covering staff sickness, and that is before we get to social care.
Covid-19
Stephen Doughty Excerpts(4 years, 7 months ago)
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Matt Hancock
We are distributing personal protective equipment across the NHS from the stockpiles and supplies that we have in place for this purpose, but we are also seeking to enhance the production of these items because it is clear that we are going to need a lot.
Stephen Doughty (Cardiff South and Penarth) (Lab/Co-op)
Many pharmacies across the country refuse to take prescription requests over the phone. Will the Health Secretary explain what he is doing, with the other Health Ministers across the UK, to ensure that people can access prescriptions over the phone or electronically that are then transmitted directly to pharmacies, and to relax restrictions on the supply of medicines—for example, so that people can get a three-month prescription, rather than a month?
Matt Hancock
The hon. Member is quite right to raise this point. In England, where I am responsible for these matters, we are addressing all these points. I am sure that the devolved nations are looking at them too.
Coronavirus
Stephen Doughty Excerpts(4 years, 7 months ago)
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Matt Hancock
I hope that the decision to keep Parliament open makes it clear that the institutions that are fundamental to our way of life in this country will continue through this virus. We will get through it as a nation, and then we will take this nation forward. This is going to be a difficult and challenging time for many, many people. It will be a national effort, but that national effort will prevail, and we will get through.
Stephen Doughty (Cardiff South and Penarth) (Lab/Co-op)
I was pleased to hear what the Secretary of State had to say about the involvement of the devolved Administrations, including the Welsh Government, in the legislation that has been drawn up. It would be useful to have the clarification on funding that my hon. Friend the Member for Rhondda (Chris Bryant) asked about. However, can I ask about mutual aid between the four NHSs of the UK? For example, the Secretary of State talked about procuring ventilators. Is that being done on a UK-wide basis with the four NHSs, or are they competing against each other? What will be done in terms of cross-border needs—for example, Welsh patients travelling to English hospitals or vice versa—where the need is greatest?
HIV and World AIDS Day
Stephen Doughty Excerpts(5 years, 11 months ago)
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Stephen Doughty (Cardiff South and Penarth) (Lab/Co-op)
As chair of the all-party group on HIV and AIDS, may I first offer a whole hearted tribute to the bravery, courage and example of my hon. Friend the Member for Brighton, Kemptown (Lloyd Russell-Moyle)? He has not only shared with us his own very personal experiences in such a clear and honest way that will have an impact in this country and globally; he has also—I would expect nothing less from him—not shied away from the fact that HIV is political. He has mentioned many of the issues still faced by those living with HIV in this country and around the globe, including stigma, discrimination and a lack of access to services. If any message goes out from here today, it should be that we need to continue the fight and end this by 2030, and we can end it. After the example that my hon. Friend has shown today, I am all the more confident that we will do so.
I also pay tribute to my hon. Friend on behalf of other vice-chairs who wanted to be here but could not—Baroness Barker, Lord Black, and my hon. Friend the Member for Stockton South (Dr Williams)—and who are incredibly proud of what he has done today.
As my hon. Friend said, the situation has dramatically transformed since the first World Aids Day 30 years ago. I remember coming to these issues while working in the international development sector for World Vision, Oxfam and others, and I look back at some of the horrific statistics, particularly on young people orphaned or made vulnerable, on those living with HIV and on those dying from AIDS. We saw this as an unreachable mountain that could not be overcome. The progress that has been made over the past 15 years is remarkable, but we must not have a slipping back in that progress.
Patrick Grady (Glasgow North) (SNP)
I would like to express, on my own behalf and that of my SNP colleagues who cannot be here, our commendation for the incredibly powerful and moving testimony that the hon. Member for Brighton, Kemptown (Lloyd Russell-Moyle) has given. The hon. Member for Cardiff South and Penarth (Stephen Doughty) is absolutely correct that that speech will be heard not just here, and not just across this country, but around the world. It provides an opportunity to tackle the stigma that is still associated with HIV in so many parts of the world and that prevents people seeking the treatment, or even the diagnosis, that they need, despite all the opportunities and all the funding that is provided. There has to be a change of mindset as well. So we are thoroughly behind what we are hearing today.
Stephen Doughty
I thank the hon. Gentleman for his intervention and completely agree with what he has said.
As my hon. Friend said, access to antiretroviral treatments has revolutionised both treatment and prevention. That has enabled many HIV-positive people to achieve viral suppression where the level of HIV in the blood is so low that it is undetectable and, crucially—we have to emphasise this—untransmittable to others. U=U—undetectable equals untransmittable—is one of the messages that must ring loud and clear from his speech and from this House. It has transformed the medical understanding of HIV from a fatal and emergency disease to one that is chronic and manageable, and where people can live long, happy, healthy lives.
But we must recognise the challenges that exist, particularly internationally, among the world’s 36.9 million people living with HIV. That is still a huge figure. One in four remain unaware of their HIV status. Among those who have tested HIV-positive, 21% globally do not have access to treatment and, of those who have access to antiretroviral treatment, 19% have not yet achieved viral suppression.
I want to turn briefly to some of the key challenges that we face in the UK, which my hon. Friend laid out. Forty-one per cent. of people are still diagnosed late and one in eight people living with HIV do not know their status. In October, we held an event here where we heard from a lady who preferred not to use her real name who had been diagnosed with HIV in her late 50s. She had been left with lifelong physical complications and, tragically, suffered a mental health breakdown because of the extreme stress caused by the diagnosis, the lack of support, the fear, the stigma and the discrimination that she thought she would experience. Holding back tears, she told that room full of strangers that she had been unable to share her HIV status with her friends or family. That shows the courage of the example set by my hon. Friend today. Unfortunately, there are still many people out there, including many I know, who would not have the confidence to do this or even to share their status in private circumstances. We have to turn that around and end the stigma and discrimination.
I absolutely endorse what my hon. Friend said about PrEP. It is simply extraordinary that we are still waiting for the English NHS to make this routinely available. People have told me this week that they want to access PrEP and cannot do so. That simply cannot be the right way forward, from a purely public health point of view, from a rights point of view, and from a cost point of view. In all respects, it is wrong. I hope that the Minister can give us some positive news on that and that we will see the progress that we have seen in the other nations. I pay tribute, as my hon. Friend did, to our Labour Health Secretary in Wales who has shown quite a lot of political and practical leadership, as a Minister, on this issue.
I was disappointed when we had the Department of Health and Social Care prevention strategy last month. there is much in there for us all to agree with, while it failed to mention sexual health at all. That was a huge disappointment because there is a huge amount in the strategy that very much applies to the agenda that we have been talking about today. I hope that the Minister can explain what the Department is going to do to ensure sexual health and HIV prevention are at the heart of that prevention strategy for the NHS overall. I also emphasise what my hon. Friend said about demand for sexual health services rising and the challenges facing particular communities, whether the BME community, the LGBT community, young people, sex workers or injecting drug users. Sometimes we shy away from talking about unfashionable and difficult topics in this House, but we need to have honest and frank conversations if we are going to end HIV and AIDS in this country.
Globally, there are still 15 million people who are not accessing treatment because of inadequate health systems and funding, discriminatory laws, stigma and discrimination, and colonial-era laws that ensure that people do not get the treatment they need. The UK needs to lead the way in ending HIV stigma for good and supporting these programmes through the work of the Department for International Development.
I pay tribute to the Minister of State, Department for International Development, the right hon. Member for North East Bedfordshire (Alistair Burt), who announced at the AIDS conference in Amsterdam an increase in funding for the Robert Carr Fund, for which so many of us have campaigned, and support for civil society organisations to support key populations.
It was inspiring yesterday to hear from not only a young female AIDS activist from Zimbabwe called Audrey, but two former Presidents—the former President of Botswana, Festus Mogae, and the former President of Mozambique, Joaquim Chissano. President Mogae spoke to us in a way that I did not expect. He spoke about all the things that we know we need to do to tackle HIV, but he stood up as a former African leader and said, “We need to address the needs of the LGBT population, the needs of the trans population, the needs of sex workers and the needs of injecting drug users.” That sent an incredibly strong signal to leaders across Africa and the world that we must talk about these issues and take action on them, and I hope the UK will continue to provide that crucial support.
I pay tribute again to my hon. Friend the Member for Brighton, Kemptown for his courage and bravery and the message that it sends. I hope the Minister will have some hopeful words for us about the situation in the UK. I want to end by thanking all the organisations that do so much to support our APPG’s work, including the Terrence Higgins Trust, the National AIDS Trust, the International HIV/AIDS Alliance, STOPAIDS, Youth Stop AIDS, the British Association for Sexual Health and HIV and so many more. I thank all the organisations that are active in our communities and, I am sorry to say, are filling the gaps left by cuts to provision. They are out there making the case, supporting people living with HIV and taking us all down the road to ending this epidemic by 2030.