Steve Baker
Main Page: Steve Baker (Conservative - Wycombe)Department Debates - View all Steve Baker's debates with the Department of Health and Social Care
(3 years, 8 months ago)
Commons ChamberIt is very difficult to know in advance. At the peak of this pandemic, we had 38,000 patients in hospital across the UK at any one time with covid, but of course that meant that other non-urgent treatments had to be delayed. There is a question of the trade-off and how much treatment is delayed. In a bad flu season, elective operations and non-urgent treatments are delayed. That is one way in which the NHS manages through a difficult flu season in winter. Measures like that will be necessary if we have an increase in covid cases.
If we have learned anything in the last year, we have learned that we have to live with risk as a society. That is a reality, so the goal and the strategy are to invest in the NHS so that it has more capacity, make sure that it can expand capacity and make sure that we have the vaccine effort and the continued efforts that people will no doubt take personal responsibility for, such as mask-wearing—and people will be highly likely do that to protect themselves and others, after the experience we have just had. I want to get to a point of personal responsibility plus the vaccine plus the test and trace programme, so that people can be regularly tested and we can use that to break the chains of transmission. I want to manage covid in that way, while restoring our freedoms. That is the best way, once we have made our way carefully down this road.
What my right hon. Friend has just said is extremely encouraging, and I am very grateful. Will he confirm that the reason that step 4 is not in the regulations is that it does not need any regulations? It is freedom from these regulations.
Yes—that is a very good way of putting it; in fact, it was on the next page of my script. It is a pleasure to be as one with my hon. Friend after all this time, and I hope very much that he joins us in the Lobby later.
I will just make a little more progress.
We are also suspending three further provisions, although they may need to be restored and called on if required. As well as that, we have completed the six-month statutory review on covid-secure regulations for businesses, the collection of contact details and self-isolation, and concluded that they remain necessary at this time. The Coronavirus Act is temporary, time-limited and proportionate to the threat we face, and we are keeping measures only where they are necessary as we exit this pandemic, and then we can do away with this Act for good.
Throughout the pandemic, this House has also found a way to meet. I cannot wait for the time when this Chamber will be full and rowdy once again as the cockpit of our democracy, where we can almost literally take the temperature of the nation. I may pay for that when I say something particularly unfortunate, but I prefer it, and I think everybody in this House does. After widespread consultation and on the basis of detailed public health advice, my right hon. Friend the Leader of the House has tabled a motion to extend virtual participation and the current proxy voting arrangements until 21 June, the proposed date for the removal of all legal restrictions on social contact. We thank you, Madam Deputy Speaker, and through you the other Deputy Speakers, Mr Speaker and the House authorities for the work that has been done in these unprecedented times to keep people safe here.
The measures before the House today show how we will put the pandemic behind us and restore life to normal. We are on the road to recovery, but we are not at the finish line yet, and by passing these measures, we can keep protecting lives and livelihoods while we get our nation back on its feet once more.
I appreciate the Secretary of State allowing me to intervene on him at the end of his speech.
It is right that this week we remember all those who have lost their lives to this horrific virus, and that we reflect on the grief of all those who have lost loved ones. Across the House we pay tribute to those who put themselves in the face of danger—our NHS, care workers, and all our public servants and key workers who have kept our society functioning.
More than 126,000 people have died. In social care, the impact has been devastating, with more than 30,000 deaths. Residents have been left isolated and frightened, deprived of visits from their loved ones for months on end. Across the NHS, cancer patients have had surgery cancelled and screenings postponed, and more than 300,000 people have been waiting for more than a year for treatment. A study today from the University of Leicester suggested that 71% of those patients who were hospitalised and discharged have not fully recovered after five months, and 20% have been left with a new disability. The long-term impact of covid is likely to be severe for many people.
Our NHS staff face burn-out, and children have lost months of education and social interaction. They risk being among the biggest victims of the pandemic. Families are worried and anxious. Our NHS has suffered. Public health funding has been cut for many years, which left our public health services without the capacity they needed when the pandemic hit. The poorest communities saw more than double the death rate in the first wave of the virus, and in ethnic minority communities the death rate has been up to 50% higher. It did not have to be like that. A healthier more equal society would have weathered the storms better. We could have planned better, acted more quickly, and responded more comprehensively.
Our vaccination programme has been successful, and again I thank everybody who has been involved in that. But the reality is that we are not yet out of the woods. The pandemic still has some way to go, and it is right that we proceed with caution and do not become complacent. Vaccination alone does not make us bullet-proof. It makes us safer, but we are not safe until we build population immunity and roll out vaccinations everywhere across the world.
Last week I asked the Secretary of State about the vaccination of children, and he rightly said that we had to wait for the research and clinical trials. Yesterday it was suggested that the vaccination of children could start as soon as August, if safety requirements are met. I hope Ministers are commissioning the Joint Committee on Vaccination and Immunisation to produce a plan for how children’s vaccinations could roll out. That will be an important way to drag down transmission.
A third wave is surging across Europe, much of which is due to the B117 Kent variant. Increasingly, we are seeing higher prevalence of other variants, and as the Secretary of State rightly said, we are uncertain about whether they will evade the vaccines. We therefore have to be careful and proceed with caution. Although we are making extraordinary progress in this country with our vaccination rates and in bringing infection rates down, we know that the virus mutates and that it could come back and hit us even harder, particularly at a time when a considerable amount of virus is circulating.
Infections are still running at more than 5,000 day, and last week the Office for National Statistics estimated that 160,000 people in England had the infection in the past week. We must still work hard to break transmission chains and shut down opportunities for the virus to replicate. Given the loss of life we have suffered, and the risk of mutations that could set us back, we must have zero tolerance of letting the virus rage unchecked. For that reason, Labour accepts that restrictions must stay in place, and we will support the renewal of the Coronavirus Act 2020 and the public health regulations.
We do not support that renewal with any enthusiasm or relish—quite the opposite. Neither the Secretary of State nor I came into politics to put powers such as these on the statute book. These powers curtail so many basic freedoms and deregulate so many basic standards for which our forebears fought so hard and that so many people have taken for granted.
I am also acutely conscious that this deadly virus spreads rapidly, exploits ambiguity and thrives on inequality. Suppressing the virus does depend on social distancing measures, which is why we need them on the statute book, but it depends on other measures as well, such as properly isolating the sick and paying them fully to isolate. It depends on having proper community-led contact tracing, both retrospective and looking forward. It depends on investing in science, so that we have not just the vaccines but the therapeutics that will lead us out of this crisis.
Restrictions in themselves are a blunt tool, but sadly they will be needed, given that the virus is still surging across the world. That is why we supported the measures 12 months ago and will support them again today. Indeed, it was 12 months ago that I met regularly with the Secretary of State. It was just over 12 months ago that I sat round a very small table in the Prime Minister’s office in Downing Street with the Prime Minister and the then Leader of the Opposition, my right hon. Friend the Member for Islington North (Jeremy Corbyn), alongside advisers such as Dominic Cummings and others, to negotiate the content of the Act.
We pressed for statutory sick pay from day one, and that is in the Act. We think that the Government should go further—it is not enough, but at least we have statutory sick pay from day one. We pressed for a ban on evictions for those in rent arrears, and again, the Prime Minister gave us that concession. We pressed for furlough as well in that meeting. On each of those, I want the Government to go much, much further, and it is a monstrous failure that decent sick pay and financial support have not been provided over the past 12 months, but it would be churlish of me not to recognise that we had that meeting and that concessions were offered as a result of it.
Even though we supported the Act 12 months ago, I raised at the Dispatch Box a number of concerns about its content and said that, in different circumstances, with a proper process whereby Members could table amendments in good time, we would have hoped for better scrutiny of it. We raised concerns about the easements of the Care Act 2014, and I am pleased that those clauses will be removed. We raised objections to the Coronavirus Act giving the Secretary of State powers to change section 42 of the Children and Families Act 2014. I understand that those powers have not been used since July last year, but we remain concerned that they appear still to be in the Act. I ask the Secretary of State and Ministers to reflect on that and to take those clauses out of the Act.
We also raised concerns about the more draconian elements of the Act. Indeed, I said at the Dispatch Box a year ago:
“The Bill contains the most draconian powers ever seen in peacetime Britain—powers to detain and test potentially infectious members of the public…powers to shut down gatherings, which could impede the ability to protest against the overall handling of the crisis or against the abuse of the powers themselves. It needs no explanation and very little imagination to understand the huge potential for abuse that such powers and others in the Bill, however well intended and needed, still give rise.”—[Official Report, 23 March 2020; Vol. 674, c. 59.]
Sadly, we have seen such abuses. Schedule 21, which gives the power to detain potentially infectious persons, has been used for a number of prosecutions, every one of which was found to be unlawful when reviewed by the Crown Prosecution Service. The Joint Committee on Human Rights advised in its report of September last year that
“In the absence of any clear evidence to support the retention of these powers”—
the schedule 21 powers—
“they ought to be repealed.”
We have huge sympathy with that, as do Members who have contributed to the debate so far, and we urge the Government to look again at that schedule.
I am grateful for what the hon. Gentleman just said. I am very sorry—although I completely understand it—that my amendment on schedules 21 and 22 was not selected, because we probably would have gone through the Lobby together on it. Could he advise the Secretary of State on whether he would vote to call upon Ministers to remove those schedules, should such a question come before the House?
I understand why we should want to deal with somebody who is infectious and refusing to isolate, but I do not think the schedule and the way it has been applied is needed. That needs to be looked at again.
I make a broader point. Although I understand why the Government have to put, or maintain, these restrictions on the statute book, and I am a strong believer in doing all we can to suppress the virus, drive down infections, cut transmission chains and prevent opportunities for it to replicate—I am a strong believer in putting public health and prevention first—I also think that the Government could have found time for this debate to take place in the House over a couple of days, so that Members could table amendments and we could properly scrutinise the legislation. The Government have a rather handsome majority; I am sure they would have got their way on most things, but who knows? Perhaps through proper scrutiny we might have improved the legislation.
The hon. Gentleman invites me to offer endorsement before I have read the details—he is a canny operator in this place—but in principle his suggestion sounds reasonable. I look forward to no doubt receiving an email from him later today, which I will be able to read when I am on the train back to Leicester.
I refer to the declarations that I have made relating to support for the Covid Recovery Group. There are people out there who are absolutely furious because of the great harms and losses that they have suffered. My hon. Friend the Member for Broxbourne (Sir Charles Walker) mentioned his pint of milk protest, which has already attracted the interest of sketch writers. He reminded me that I have learned recently from the National Farmers Union that in our area, south Bucks and Middlesex, three dairy herds have been lost because the closure of hospitality has reduced the supply for their products—three dairy herds lost, with all the livelihoods that go with them and all the wellbeing effects on the farms.
I remember and wish to honour the 302 people who have died in Wycombe district—a district a little larger than my constituency. Of course, we need to remember with humility that people have died from this disease, but we also need to look to the future and remember the harms caused by the response to coronavirus: wellbeing and economic harms from lockdowns and restrictions. We need to be very careful to categorise the causes of those harms very carefully.
According to the “Guido Fawkes” website today:
“Polling by Yonder for the Recovery campaign reveals that the Government’s pandemic advertising has had a shocking impact on the mental health of the nation. Over 15% of respondents reported depression, anxiety, or fear as a direct result of Government pandemic advertising. That’s equivalent to over 8 million people.”
I know that every Minister and every Member of this House wishes to improve the mental health of the nation, but I am afraid the indications are that one of the best ways we could improve the nation’s mental health right now would be to cease this terrifying advertising and say to the public, “There is great news. The vaccines are working.” We should stop terrifying people, treat them like adults and ask them to comply, but to comply while we get the vaccine rolled out and save lives.
I turn to the steps regulations. The reality is that these proposals will pass tonight. I think the House has already heard an excellent case for voting against. I have paid great attention to my great friend Dr Raghib Ali, an epidemiologist and acute medicine consultant in my constituency, who has written on “ConservativeHome” saying why we should unite around these steps regulations. There are proposals in there that I would not be willing to vote for, but I very much hope that, today, the House will choose not to divide over these regulations. They are a path to freedom and, my goodness, we do need one. But I say to the Government, please look at the work of Professor Paul Dolan at the London School of Economics. He and I have spoken about something called situational blindness. However well-intentioned and skilful the professionals are who have formed these policies, I fear that they are rather like all of us—in secure employment, in decent housing, perhaps with gardens and a view. Many, many other people out there affected by these rules are not, have not been and will not be.
There is a great deal more to be said. Schedule 21 of the Coronavirus Act has the 100% record of failure that has been well articulated. I regret that my amendment could not be selected. I would hope that everyone who has spoken against schedule 21 would have voted for it, and I think it would have gone through. I will, unfortunately, have to vote against the Government tonight in order to protest schedule 21, and also schedule 22, which has never been used and is therefore redundant. Those schedules should certainly be removed.
The Act is extreme, unnecessary and disproportionate—I do not have time to go through why—and for that reason I shall vote against it. It is absolutely imperative, as we go forward, that we get the House of Commons back in line with the steps programme, but the one thing we must not do is exempt ourselves from the inconvenience suffered by the public.
It is a great pleasure to follow the hon. Member for Bolton West (Chris Green), who posited many of the absolutely central questions in this debate.
I readily confess that I find this a slightly frustrating experience, and it does come to the heart of the House’s role in scrutinising legislation. Many of the issues that are central to this legislation are about the definition of the relationship between the citizen and state. To try to deal with these matters in a four-minute time limit is a level of ambition to which not even I—notwithstanding the fact that I am a Liberal Democrat—am able to aspire.
It is worth recalling that, when we enacted this legislation last year, we were trying to imagine what the future would look like. We did not know what would be the course of the pandemic or how this place would work, so we were right to be cautious and we were right to trust the Government with our freedoms, but a year on we know an awful lot more than we did then.
As the hon. Member for Bolton West has said, it is surely apparent that many of the powers we gave to the Government in the Bill last year were not needed or have not been used, and some of them have not even been enacted. As he said, 252 people have been charged with criminal offences under this Act, with not one single prosecution as a consequence. That and that alone should surely be ringing alarm bells on the Treasury Bench about the advisability of continuing with this.
Of course, it will always be the case that when we give a Government a power, they will want to hold on to it. We can go back to 1939, when this House said it was okay to have an identity card scheme. Did the Government stop the identity card scheme in 1945? No, they did not. They held on to it, and it took a private citizen to raise a court case in 1952 before we saw the back of the identity card scheme.
Mention of identity cards brings me to vaccine passports and the idea, today, of some sort of certification of people’s vaccine status that will allow them to get a pint in a pub when pubs reopen—or a measure of whisky if that is their preference. I have to say that this idea of vaccine passports is a dangerous one. It is the very thin end of a thick and illiberal wedge that we approach with caution. It raises all sorts of questions. If it is okay to force people to carry a piece of paper or a card to confirm their health status in relation to this particular virus, once we have conceded that principle, where does it take us? Is it then going to be okay for people to carry a piece of paper, under some future Government, that says they are HIV-negative, or whatever it is?
I am no stranger to the right hon. Member. I am confident that it will be even worse than he imagines. It is bound to be an app on our phones with face ID that leaves behind an enormous swathe of data everywhere we go.
Indeed. I do not think the hon. Gentleman was in the House in 2006, when Labour tried to introduce identity cards, but I remember the objections, which were forcefully put by the then Opposition—the Conservative party—regarding the need for a register, or a database of its use. That is exactly where a vaccine passport scheme would take us back to.
I do not know whether many on the Treasury Bench have ever worked in a bar for a living. I did it for five years, before I went to university to do my law degree. If those on the Treasury Bench think that the best way to bring us in this country to a place where we become the sort of “papers please” society that we have always resisted in the past, is by doing that through pubs, I warn them that they are sadly—or perhaps happily—mistaken. Such a situation would put those who work in our pubs in the most unpleasant and difficult situation, and inevitably lead to complacency. It all would mean that instead of continuing to focus on masking, social distancing and the rest of it—those measures will be necessary to avoid a spike in infections, if and when we reopen licenced establishments and elsewhere—we will inevitably end up with a spike in infections.
For all sorts of reasons, both practical and due to matters of high principle, the Government are currently going in the wrong direction. If the House gives them carte blanche and offers them a black cheque to go in that direction, by renewing the provisions of the Coronavirus Act 2020, we will not be doing the job that our voters sent us here to do.