Coronavirus Bill

Steve Baker Excerpts

2nd reading & 2nd reading: House of Commons
Monday 23rd March 2020 Commons Chamber

[Matt Hancock]

I am surprised to hear that, because we have been very, very clear about universities, alongside schools. It is, of course, a matter for my right hon. Friend the Education Secretary in the first instance, but on public health grounds we made it absolutely clear that we were taking steps to close schools, nurseries, universities and colleges, except for the children of key workers where they absolutely need to be at school, for example where neither parent can look after them. However, all those at university can stay at home on their own and do not need a parent, so I do not think there is any excuse whatever.

[Mr Steve Baker (Wycombe) (Con)]

Our local authority, the new unitary Buckinghamshire Council, has made the point that workers in leisure centres who are furloughed may need to be redeployed into other areas of council work where they would not normally be employed. That raises a problem. The council really needs to use the furlough scheme to take those workers out of leisure centres and put them into social care—quite a different industry. Will my right hon. Friend undertake to make sure that that is possible?

[Matt Hancock]

I do not think a legal change is needed to do that, because to second someone from one job to another is perfectly possible under existing employment law. In fact, the Bill brings in a statutory volunteering scheme, which is essentially a new form of employment through volunteering. That is one way that that could be done, but I would not expect it to be the main way used. If someone is moving to do a different type of job because we need more people doing some things and fewer doing others during this crisis, that sort of secondment can be done entirely normally—unless I have misunderstood my hon. Friend.

[Mr Baker]

My right hon. Friend has slightly misunderstood, and I hope he does not mind me saying so. The point really is that all councils will be haemorrhaging money at this time and they will need that 80% support for those workers whom they would otherwise furlough, so that they can then use them as volunteers. The point is to constrain cost.

[Matt Hancock]

I will take that up with the Chancellor of the Exchequer.

--- Later in debate ---

[Jonathan Ashworth]

The Bill extends to five days from three the length of time for which somebody in hospital can be held waiting to be sectioned. That may seem like a minor change, but for the individual concerned it could make a significant difference. I hope Ministers can reassure the House that the intention should still be to adhere to the timetable set out in the Mental Health Act, with the changes we are discussing to be used only if absolutely necessary.

Let me turn to some of the proposals on education and schooling. Many parents of children with special educational needs and disabilities will understand the need for flexibility during this difficult time, but they are also extremely nervous that they could see the erosion of the hard-fought-for rights of disabled children and young people, children and young people with special educational needs, and their families. The Bill gives the Secretary of State powers to change section 42 of the Children and Families Act 2014: rather than giving children rights in law, it would only request that public bodies take “reasonable endeavours”. That sets a low bar, and we will seek to change that provision to a duty to take all practical steps, which will go much further.

Let me move on to some of the other issues in the Bill. Others have alluded to concerns that the Bill still does not go far enough in providing people with the incomes that they need to self-isolate. We welcome much of the Chancellor’s statement last Friday setting out plans to support the incomes of workers impacted by the coronavirus outbreak. However, there are still some gaps in the provisions that were offered. Currently, the proposal for income support through the job retention scheme does not include the self-employed and freelancers, whose incomes are increasingly being seriously affected by the coronavirus outbreak. Will the Government today offer assurances to those groups of workers, who do not have a safety net to safeguard and help them through this time?

We have welcomed the new Government measures to improve access to statutory sick pay for workers. However, the Bill does not extend eligibility to all workers, including the just under 2 million workers who earn less than the qualifying threshold of £118 a week on average. It does not raise the level of statutory sick pay, which is, at £94.25, already the second lowest rate in Europe. We hope the Government will respond on those issues quickly because, as we have continually said throughout this crisis, people should not be expected to make a choice between their health and hardship.

Nobody should lose their home because of this virus. It is welcome that Ministers have listened to Labour and committed to an evictions ban for renters, but despite the Prime Minister’s promises that the Government would legislate to that effect, no such measures are in the Bill. Some 8.5 million households rent their home from a private, council or housing association landlord in England. Our analysis of Government statistics shows that 6 million renting households have no savings at all and are particularly vulnerable if they lose their job or have their hours cut as a result of coronavirus. To give people confidence and reassurance during this difficult time and to ensure that no renter loses their home as a result of coronavirus, rent needs to be suspended for those adversely affected by the impact of the coronavirus outbreak.

Like many Members across the House, the Opposition support this Bill with a very heavy heart—heavy not just with the shock and grief that this deadly virus has brought, but given the very real threats that emergency powers of this nature pose to human rights. The Bill contains the most draconian powers ever seen in peacetime Britain—powers to detain and test potentially infectious members of the public, including children, in isolation facilities; 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. Those words will chill every liberal and libertarian instinct of Members across this House, which is why we were grateful to the Health Secretary and the Solicitor General for discussing these measures with us and with my shadow Cabinet colleagues in the rapid preparation stage of this Bill.

We have heard many wartime analogies in the press. Many here have talked about Winston Churchill. Of course, Churchill was remembered not only for victory in the war, but for the European convention on human rights at the end of the war. Notwithstanding the anti-Human Rights Act and anti-judicial review grumblings that we have heard in recent times, this Bill comes under the cover of a statement of compatibility under section 19 of the Human Rights Act. Further, the Bill does not attempt to oust the supervisory jurisdiction of the courts. That means that every exercise of Executive power or administrative action under the legislation must and will be measured against human rights and common-law standards. These include necessity, proportionality, rationality, fairness and, crucially, non-discrimination. I thank the Government for that concession on their part and for agreeing, I hope once and for all, that human rights and the rule of law, far from impeding national efforts in time of crisis, should instead guide and inspire them.

It is important that various measures in the Bill, some interfering with liberties and others deregulating standards, may be turned on and off, as and when needed, by the appropriate Administration under our devolution settlement. It is welcome that the Bill contains a two-year sunset clause, but as we have discussed, two years is a very long time in normal days and longer still in the context of this pandemic. That is why we tabled an amendment last week seeking parliamentary votes on the renewal or revocation of these emergency powers at six-monthly intervals. Indeed, many of us would prefer even more frequent reviews, but given the particular challenge even for Parliament of this crisis, I am glad that the Government seem to have moved some way towards the compromise offered by the Opposition in the constitutional interest.

[Mr Steve Baker]

I welcome the spirit in which the hon. Gentleman is making his speech and also his proposal for a review at six months. I certainly support that, but does he agree that we could also sunset the powers in the Bill after one year and that the Government could then bring forward a Bill—there is plenty of time between now and then—that would go through Parliament about this time next year and make whatever changes proved to be necessary between now and then? Doing that—a six-month review and, after a year, a Bill—would not involve us signing off on two years today.

[Jonathan Ashworth]

As I understand it, our amendment calls for a review every six months, but the hon. Gentleman makes an interesting point, to which I am sure Ministers will respond in Committee, when we get to that point later.

I hope the Government will be able to explain the differences between their amendment and ours, and to reassure the House that there will not be large exceptions to the six-monthly review, especially in England, which has only this House to hold Executive power to account.

We have been scrutinising the Bill on behalf of our constituents. None of us came into politics to put a Bill like this on the statute book, and I for one will never rest until the day comes, hopefully not too far away, when I can come to this House and vote to get to get rid of it. But what we have seen in recent months is concerning, if not frightening, all our constituents, and it is right that we are taking the powers that we are taking today, although we have to continue to hold Government to account. We will overcome this virus, and when we do, serious lessons will have to be learned. The crisis has exposed the vulnerability of a society in which insecure work is rife, deregulation is king and public services are underfunded. When we come out on the other side, as we will, we have to build a society that puts people first.

--- Later in debate ---

[Adam Afriyie (Windsor) (Con)]

I would like to put one or two points on the record before the Bill goes through. The first thing that strikes me is that this is an ambitious and aggressive virus, which intends to infect every single one of us, both here in the UK and across the entire globe, unless we do something quite dramatic to stop it. It does not discriminate between rich and poor, old and young, black and white, gay and straight, and it does not discriminate on the grounds of nationality. It does not respect borders, and the pace at which it is covering the globe is something to behold. That is why I very much welcome the legislation, because the pace at which we are delivering these important measures that the Government need to be able to take under Executive action is equally as impressive.

I have a couple of questions for Ministers. Clearly, I am going to support the measure, as it is necessary that these types of measures go through quickly so that we can respond as a nation. First—I asked this question last week, but did not receive a full answer—why was it felt necessary to introduce a brand-new piece of legislation, as we have the Civil Contingencies Act 2004 on the books? Looking at the Bill, it seems that the measures and powers in it would fit within that Act quite comfortably. I raise that because some of the questions that have been asked today—I am glad that we have seen some compromises—were about accountability and about the timeframe in which the measures will be in force. The Civil Contingencies Act says that if a measure is introduced by a Minister, within seven days Parliament can say something about it. If Parliament is in recess, it can be recalled to within five days deal with any urgent matters.

I am only flagging that up—I suspect that there are good reasons why a separate piece of legislation outwith the scope of the Civil Contingencies Act was introduced. This is a dynamic and fluid situation, and things are changing, literally day by day. Some of the actions that the Government may rightly need to take may have consequences, some intended, some unintended. For example, last week, we heard about measures that, I suspect, will be incorporated in powers in the Bill relating to pubs, restaurants and clubs being told to close their doors. Without an immediate adjustment, perhaps 1 million to 3 million people would have had no money within a week or so. Thankfully, the Government were able to introduce measures that dealt with that for the majority of those people. I suspect that there will be situations in the weeks ahead where the numbers begin to escalate and we all begin to worry about our sanity, let alone our health. There will be moments when it may be necessary for the military or police services to be on the street, committed to take actions that will surprise us.

[Mr Steve Baker]

Does my hon. Friend agree that all these measures need to be unwound one day, and that Ministers must keep an eye on how they are going to do so?

[Adam Afriyie]

I certainly do, and my hon. Friend has made the point very well. That is the central thrust of what I am saying.

One of the key aspects of the virus, and a key reason why it is so aggressive, intrusive, ambitious and quick to move around is that it may well have the ability to mutate. If that were to happen, I should like confirmation from the Government that they have in the Bill the powers necessary to ramp up the actions that they have taken in the wording of the Bill.

Overall, I very much welcome this piece of legislation, but I should like clarification about why the Civil Contingencies Act was not used, as it was carefully thought through and includes a lot of checks and balances. Secondly, I should also like reassurance that if some of the powers under the Act were deployed on the streets of our country, Parliament would in some way—I know that Ministers are responsive, and the Prime Minister has shown great leadership and is seeking to do the absolute best for the nation—be able to express, even in recess, concerns to which Government Ministers and the Executive could respond quickly, rather than at the end of a six or three-month period, or a two-year period.

Coronavirus

Steve Baker Excerpts

Wednesday 11th March 2020 Commons Chamber

[Matt Hancock]

The hon. Member sets out one of the many reasons why there are downsides to closing schools. There are significant downsides, especially because of the knock-on consequences it has on the number of staff available for critical public services, including the NHS and social care. There are many considerations we have to take into account if we close schools, and that is why we have no plans for a mass closure of schools. Of course, individual schools will sometimes be advised to be closed, but because one of the saving graces of this virus is that it does not have a big impact on children, there are fewer benefits to closing schools, and she sets out one of the downsides.

[Mr Steve Baker (Wycombe) (Con)]

Will the Secretary of State elaborate on social distancing? What would it entail, particularly for more vulnerable groups such as older people?

[Matt Hancock]

There are different types of social distancing. There is what is essentially case isolation, which is where somebody has symptoms and we are asking them to self-isolate. At the moment, if somebody has moderate or heavy symptoms, they should self-isolate, and we have talked about going, at the right time, to self-isolation—staying at home—for people with mild symptoms. There is also, of course, the need to ensure that older people and vulnerable people, for whom this virus has a bigger impact, can get the right advice on self-isolating, and that is something we are working on.

Here the timing really is critical, because the evidence of past epidemics and past crises of this nature shows that people do tire of these sorts of social distancing measures, so if we start them too early, they lose their effect and actually it is worse. The social science and the behavioural science are a very important part of the scientific advice that we rely on.

Oral Answers to Questions

Steve Baker Excerpts

Tuesday 28th January 2020 Commons Chamber

[Matt Hancock]

The hon. Gentleman is a man after my own heart. I am sorry that I missed the ribbon cutting, as I love a good ribbon cutting, especially where the project sounds so brilliant and innovative, bringing different parts of the NHS together and helping clinicians in order to help patients. I am glad that he is as enthusiastic as I am about our £14 million investment.

[Mr Steve Baker (Wycombe) (Con)]

8. If his Department will fund the digital transformation of health and social care services in Buckinghamshire; and if he will make a statement.

[The Secretary of State for Health and Social Care (Matt Hancock)]

We are driving forward the technology agenda across the NHS, as we have just been discussing. Buckinghamshire Healthcare NHS Trust is one of the many trusts being considered for digital aspirant funding, which is the next generation of funding to bring hospital trusts into the 21st century.

[Mr Baker]

I am grateful for that, but will the Secretary of State support moving to devolved, multi-year and unified budgets, to enable the delivery of digital technology and, in particular, best value, against specific outcomes?

[Matt Hancock]

Yes, my hon. Friend is spot on. We recognise the need for a multi-year capital settlement in the NHS to support exactly that sort of planning and to modernise, and the Treasury has confirmed that we will publish that settlement at the next capital review.

NHS Funding Bill

Steve Baker Excerpts

2nd reading & 2nd reading: House of Commons
Monday 27th January 2020 Commons Chamber

[The Minister for Health (Edward Argar)]

As ever, this has been an excellent and wide-ranging debate, with constructive speeches from both sides of the House. As my right hon. Friend the Secretary of State has said, the NHS is the people’s priority and it is our priority. Today, we take another important step towards delivering on our manifesto commitment: our pledge to the people to enshrine in law the record funding for our NHS.

The NHS has a long-term plan to build a sustainable health and social care system that can rise to the challenges of the future. The NHS has told us how much funding it needs to deliver that plan and the Government are providing it. By 2023-24, the NHS will have an additional £33.9 billion to spend each year. I welcome the Opposition’s willingness to support the Bill, as indeed they should; it provides an iron-clad guarantee to deliver the NHS funding. In doing so, we are giving the NHS the certainty it needs to invest now for the long term.

[Mr Steve Baker (Wycombe) (Con)]

As the Opposition Front Benchers are engaged in a conversation and not listening to my hon. Friend, will he repeat the point he made about the Government giving NHS England the money that it has asked for?

Health and Social Care

Steve Baker Excerpts

Thursday 16th January 2020 Commons Chamber

[Matt Hancock]

It is good to see that the hon. Member for Weaver Vale (Mike Amesbury), having got the commitment to a meeting, is off—he’s done! That was quick. My right hon. Friend the Member for Harlow (Robert Halfon) is still here, but that is because there is so much more good news to come, and I am sure he wants to hear it.

The point about doctors’ pensions is very important. We have already delivered on the commitment in the manifesto to start a process to end the problems caused by the interaction of tax laws passed in the last Parliament but one and the NHS pension scheme. My hon. Friend the Minister for Health met Treasury Ministers, the royal colleges, the British Medical Association, NHS Employers and others to kick off this process, and we are working on it very urgently.

I absolutely take the point made by my hon. Friend the Member for Winchester (Steve Brine) that, as we resolve the tax issue, we also need to rebuild the rotas that have been reduced because of the high marginal rates of tax. I urge each and every NHS hospital to play its part in putting that right.

[Mr Steve Baker (Wycombe) (Con)]

I was a bit disappointed that the Secretary of State does not plan to build a new hospital in Wycombe, but I am glad to say that there is an opportunity to invest in a transformational digital project, bringing together healthcare, social care and council services. Does he agree with me that transforming the NHS, social care and council services for the 21st century is about more than buildings, and that we do need to put such resource into digital?

[Matt Hancock]

I was going to come on to that later in my speech, but my hon. Friend is absolutely right. I had an excellent visit to Wycombe during the general election campaign. He has a brilliantly led local hospital that is working incredibly hard. The use of modern technology is a critical part of the agenda for bringing forward the NHS. To make sure that we can address patients’ concerns and do more work more effectively, the technology has to work for the clinicians so that they can do their jobs better.

Oral Answers to Questions

Steve Baker Excerpts

Tuesday 29th October 2019 Commons Chamber

[Jo Churchill]

We currently have no plans to change the law on drug consumption rooms. We support a range of evidence-based approaches to reducing the health-related harms associated with drug misuse. I keenly await the summit in Glasgow, which will focus on tackling problem drug use and bring together the experts we need. Dame Carol Black’s report is out in the next few weeks, but putting better resources into treatment and recovery is vital and I urge the Scottish Government to invest.

[Mr Steve Baker (Wycombe) (Con)]

Will the Secretary of State visit Wycombe Hospital to discuss the future of our increasingly tired 1960s tower block?

[Matt Hancock]

I am absolutely happy to look at that. We have put in place the health infrastructure plan to ensure that there is a long-term plan for replacing ailing hospitals. That includes the ability to make new proposals that were not announced in the first round. I am happy to visit Wycombe, which is a beautiful town.

The National Health Service

Steve Baker Excerpts

Wednesday 23rd October 2019 Commons Chamber

[Mr Deputy Speaker]

Well, if we can get to January and February that is more than I am expecting at the moment. I hope that the message has gone out that three times the frustration has quite rightly been there. I do not know the reason for the decision tomorrow, but I do know we are in very serious and dangerous times in the future of this present Parliament. I am sure, as I said earlier, that that message will go back, and I would like to think that the earliest possible date will be proposed—sooner rather than later; this year, not next year, unless other events overtake us.

[Mr Steve Baker (Wycombe) (Con)]

Further to that point of order, Mr Deputy Speaker. Can you advise me whether there is any way we can highlight in this House the profound injustice whereby some Members can achieve high office in the Committee system by virtue of their party affiliation, yet continue to hold high office after they have abandoned their party?

[Mr Deputy Speaker]

I am not going to get into that argument. I have enough on my plate without going down that road.

Acquired Brain Injury

Steve Baker Excerpts

Thursday 9th May 2019 Commons Chamber

[Sir John Hayes (South Holland and The Deepings) (Con)]

It is a pleasure to follow the hon. Member for Rhondda (Chris Bryant) and to endorse and amplify his remarks about the Minister. Many people achieve office in this House, but few are more deserving of that opportunity than the Under-Secretary of State for Health and Social Care, my hon. Friend the Member for South Ribble (Seema Kennedy). We are delighted to have her with us today. We will be even more delighted when she answers some of the questions posed by the hon. Member for Rhondda and gives us an assurance that the Government will continue—for they have begun well—to take this subject seriously and will act on the recommendations in this excellent report, which would not have happened without the initiative, enterprise and energy of the hon. Gentleman. His commitment has been exemplary.

The work of the all-party parliamentary group on acquired brain injury is illustrative of this House doing what it does best: coming together, highlighting a subject, and bringing it to the attention of the wider world and of those who exercise power. We have, I believe, done a good job, but it is only the beginning of a journey. The destination we seek is our recommendations being enacted in full. Perhaps I am being a little ambitious, but at the very least the Government have taken a renewed and reinvigorated interest—I would not for a moment suggest that they were not interested already—in this subject, which affects so many people.

Perhaps that is the place to start. The hon. Gentleman spoke about the definition of brain injury, but I want to speak about the scale of the problem. The number of families affected by acquired brain injury, which, as the hon. Gentleman described, includes anything from traumatic events through to brain tumours, is immense. Hospital admissions for head injuries number 162,544—one every three minutes. ABI admissions have increased by 10% since 2005-06. Although men are 1.6 times more likely than women to be admitted for head injury, the incidence of female head injury has increased by 24% since 2005-06. Families across our nation and in all our constituencies are affected. The challenges are profound, for the reasons that the hon. Gentleman described.

[Mr Steve Baker (Wycombe) (Con)]

I, too, welcome the report. May I add to my right hon. Friend’s list what I have discovered in my constituency? Even babies can acquire brain injuries from contracting meningitis, or during childbirth. I hope he will join me in encouraging the Government to consider that issue as well.

[Sir John Hayes]

I will—very much so. I have been terribly unlucky, by the way, having suffered a severe head injury as a result of a road traffic accident and, like the hon. Member for Rhondda, contracted bacterial meningitis. We both speak with some authority on this subject.

The patterns that those families endure are similar, one to another. Initially, of course, there is shock—a sense of disbelief—and the question that most people pose in these circumstances: “Why me?” Then there is a gradual realisation of the depth and scale of the effects of acquired brain injury, and an unhappy initial concentration on what the person can no longer do, followed eventually by a reconcentration on what they can do. Most families follow that pattern when they suffer this kind of event, and that is why all that is done beyond the treatment of the initial trauma is so critically important.

Neuro-rehabilitation is vital because of the dynamic character of these conditions. Most people who acquire a brain injury will change. Many will recover fully and some will recover partly, but all that takes place over a long period and is particular to each case. There is an unpredictability about the effects of acquired brain injury; it can affect physical capacity of course, psychology and cerebral function, as well as personality. Families dealing with that must cope with those kinds of changes, which can be terribly frightening for the individuals concerned and those who love them. The point is that a difference can be made by the quality of care that they receive during that rather difficult journey.

Oral Answers to Questions

Steve Baker Excerpts

Tuesday 7th May 2019 Commons Chamber

[Jackie Doyle-Price]

The hon. Gentleman is right. Foetal alcohol spectrum disorders are not sufficiently widely understood across the NHS. We must ensure that we give support to those who are affected and also raise awareness, not least to encourage people to understand the risks they are taking when they drink alcohol during pregnancy.

[Mr Steve Baker (Wycombe) (Con)]

Over many years, High Wycombe has established a dramatic way to help tackle obesity. To that end, a week on Saturday, the mayor, a number of councillors and I will be weighed in public, to check whether we have put weight on at taxpayers’ expense. If the Government wish to extend that programme to other Members of the House, I will be happy to ask to borrow the weighing tripod.

[Mr Speaker]

The only thing that is weighty about the hon. Gentleman, in my experience as a county colleague, is his brain.

Oral Answers to Questions

Steve Baker Excerpts

Tuesday 21st March 2017 Commons Chamber

[David Mowat]

We do recognise that in parts of the country there are shortages of GPs. As Members have heard, we are planning to have 5,000 more doctors working in general practice by 2020, and a proportion of those will be in Teesside. It is important that we meet that goal.

[Mr Steve Baker (Wycombe) (Con)]

GPs in Wycombe cite long hours, bureaucracy and the declining attractiveness of the partnership model as reasons why people do not want to be in general practice. Will the Minister ensure that funding within the forward view is directed to deal with those key problems?

[David Mowat]

Yes, and the contract discussions that we have just completed with the British Medical Association addressed a number of the issues that my hon. Friend talks about, in terms of the pressures on doctors working in general practice. We acknowledge that the workload pressures are enormous, and, through the contract, we need to do all that we can to mitigate them.